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纸质出版日期:2013
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荆晶, 高振, 廖春燕, 等. 止嗽散治疗感染后咳嗽随机对照试验的系统评价[J]. 中国实验方剂学杂志, 2013,19(16):343-348.
JING Jing, GAO Zhen, LIAO Chun-yan, et al. Zhisou San in Treatting Coughi Induced by Infections Based on Randomized Clinical Trials-Meta-analysis[J]. Chinese journal of experimental traditional medical formulae, 2013, 19(16): 343-348.
荆晶, 高振, 廖春燕, 等. 止嗽散治疗感染后咳嗽随机对照试验的系统评价[J]. 中国实验方剂学杂志, 2013,19(16):343-348. DOI: 10.11653/syfj2013160343.
JING Jing, GAO Zhen, LIAO Chun-yan, et al. Zhisou San in Treatting Coughi Induced by Infections Based on Randomized Clinical Trials-Meta-analysis[J]. Chinese journal of experimental traditional medical formulae, 2013, 19(16): 343-348. DOI: 10.11653/syfj2013160343.
目的: 系统评价止嗽散治疗感染后咳嗽的疗效
为临床止嗽散治疗感染后咳嗽提供参考。方法: 按Cochrane系统评价方法
计算机检索CNKI
VIP
CBM 等数据库
检索时间从建库截止2011年10月
并手工检索相关文献
查找用止嗽散治疗或辅助治疗感染后咳嗽的随机对照试验。由2位研究者按照纳入排除标准筛选文献、评价质量并提取资料后
采用RevMan 5.0 软件进行Meta 分析。结果: 共纳入24个发表的RCT研究(n=2 147)
其中试验组1 087例
对照组1 060例;单纯止嗽散加减与西药治疗组治愈率固定效应模型显示合并OR=3.71
95%CI[2.96
4.66]
P<0.000 01;止嗽散及其加减方联合西药与西药治疗相比
固定效应模型显示合并OR=2.76
95%CI[1.98
3.85]
P<0.000 01。单纯止嗽散及其加减与西药治疗总有效率相比
固定效应模型显示合并OR=7.90
95%CI[5.67
11.01]
P<0.000 01;止嗽散及其加减方联合西药与西药治疗总有效率相比
固定效应模型显示合并OR=3.62
95%CI[2.22
5.92]
P<0.000 01。结论: 现有证据证明止嗽散及其加减治疗感染后咳嗽疗效较优
但由于研究试验方法学存在缺陷
且存在发表偏倚
研究结果尚不能充分肯定
仍需要高质量的研究试验进一步证实。
Objective: A systematic review on treatment of infections by Zhisou san was carried out.Method: Meta-analysis of randomized controlled trial (RCT) was used
and RevMan 5.1 software for statistical analysis was adopted.Result: A total of 24 published RCT (n=2 147) was included
which was divided into the experimental group of 1 087 cases and the control group of 1 060 cases. In simple Zhisou san and western medicine groups the combined OR of cure rate of the group fixed effects model was 3.71
95% CI[2.96
4.66]
P<0.000 01; In Zhisou san combined with western medicine and western medicine
OR was 2.76
95% CI[1.98
3.85
P<0.000 01.The combined OR of Zhisou san was 7.90
95% CI[5.67
11.01]
P<0.000 01; OR of Zhisou san combined with Western medicine. Western medicine was 3.62
95% CI[2.22
5.92]
P<0.000 01.Conclusion: Zhisou san in treating infections may be effective
but the further confirmation by high-quality research trials was needed.
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