中国中医急症2026,Vol.35Issue(1):12-18,7.DOI:10.3969/j.issn.1004-745X.2026.01.003
中医药防治PCI术后心绞痛的临床研究证据图分析
Evidence Mapping Analysis of Clinical Studies on Traditional Chinese Medicine for Prevention and Treatment of Angina Pectoris After PCI
摘要
Abstract
Objective:To sort out and analyze relevant clinical studies on traditional Chinese medicine(TCM)for the prevention and treatment of angina pectoris after percutaneous coronary intervention(PCI)in the past 20 years by means of evidence mapping analysis,clarify the distribution characteristics of evidence,explore potential advantageous research directions,and provide guidance for subsequent high-quality research.Methods:Based on 8 Chinese and English databases including CNKI,WanFang and PubMed,relevant literatures on TCM for preven-tion and treatment of angina pectoris after PCI from January 2004 to September 2024 were retrieved,and gray liter-atures were supplemented by manual retrieval.After stepwise screening,data related to the literatures were collect-ed,and methodological quality evaluation was performed using tools such as Cochrane ROB 2.0 and AMSTAR scale.Results:A total of 340 literatures were included in this study.Analysis showed that the overall number of publications had an upward trend in recent years,but existing studies were mainly randomized controlled trials(RCTs)with small sample sizes and short courses of treatment.A total of 31 kinds of Chinese patent medicines and 14 kinds of Chinese herbal decoctions were involved,among which Tongxinluo Capsules and Xuefu Zhuyu Decoction were the most studied.Outcome measures mostly adopted western medicine indicators,which failed to fully reflect TCM characteristics.The quality of literatures such as RCTs,systematic reviews/meta-analyses,guide-lines and expert consensus was relatively low,making it difficult to provide sufficient evidence support.Conclu-sion:TCM has unique advantages in the prevention and treatment of angina pectoris after PCI,but high-quality evidence-based evidence is scarce.Future research should pay more attention to the application of TCM theory in the prevention and treatment of angina pectoris after PCI,and carry out more large-sample and multicenter clini-cal studies to improve the reliability and effectiveness of clinical evidence,so as to provide accurate data support for the development of TCM in the future.关键词
经皮冠状动脉介入术/再发心绞痛/中医药/临床研究/证据图分析Key words
Percutaneous coronary intervention/Recurrent angina pectoris/Traditional Chinese medicine/Clini-cal study/Evidence mapping analysis分类
医药卫生引用本文复制引用
龚腾皓,潘静鸿,邢作英,司春婴,邱伯雍,樊根豪,宋艳坤,王永霞..中医药防治PCI术后心绞痛的临床研究证据图分析[J].中国中医急症,2026,35(1):12-18,7.基金项目
国家科技重大专项(2023ZD0505703) (2023ZD0505703)
第五批全国中医临床优秀人才研修项目(国中医药人教函[2022]1号) (国中医药人教函[2022]1号)
中原科技创新领军人才项目(244200510002) (244200510002)
河南省科技研发计划联合基金(优势学科培育类)项目(232301420021、242301420108) (优势学科培育类)
河南省科技攻关项目(242102310087,252102310027) (242102310087,252102310027)
河南省自然科学基金(232300420273,242300420109) (232300420273,242300420109)
河南省中医药科学研究专项课题(2024ZY3021,2024ZY3030) (2024ZY3021,2024ZY3030)