CHEN He-jun, SUN Hong-shuang, FANG Yan, et al. Meta analysis of Therapeutic Efficacy of Compound Danshen Dropping Pills in Adjunctive Treatment of Diabetic Nephropathy[J]. Chinese journal of experimental traditional medical formulae, 2015, 21(11): 215-220.
CHEN He-jun, SUN Hong-shuang, FANG Yan, et al. Meta analysis of Therapeutic Efficacy of Compound Danshen Dropping Pills in Adjunctive Treatment of Diabetic Nephropathy[J]. Chinese journal of experimental traditional medical formulae, 2015, 21(11): 215-220. DOI: 10.13422/j.cnki.syfjx.2015110215.
评价纳入的文献质量和提取有效数据后采用Rev Man 5.2统计学软件进行Meta分析. 结果: 共纳入19篇RCT
合计1 491份病例.19个试验组间均衡性良好
文献质量评价B级为7篇
其余为C级.Meta分析结果显示
试验组与对照组的总有效率[OR=6.17
95%CI(3.42
11.13)
P <0.05]
UAER[MD=-15.95
95%CI(-21.69
-10.20)
P< 0.01]
24 h尿量蛋白[MD=-0.06
95%CI(-0.08
-0.03)
P< 0.01]均有统计学差异;肌酐[MD=4.69
95%CI(-0.04
9.42)
P=0.05]和血糖[MD=-0.04
95%CI(-0.17
0.08)
P >0.05]均无统计学意义. 结论: 现有证据表明
复方丹参滴丸尽管对糖尿病肾病患者的肾功能和血糖无显著性影响
但能显著减少尿蛋白水平
因此可用于糖尿病肾病的辅助治疗
具有较高的临床应用价值.但本研究纳入的研究数量偏少
且方法学上存在缺陷
证据强度不高
因此复方丹参滴丸治疗糖尿病肾病的临床有效性仍需深入研究.
Abstract
Objective: The aim of this study was to evaluate the therapeutic efficacy of compound Danshen dropping pills in the adjunctive treatment of diabetic nephropathy. Method: Retrieved from the Cochrane Library (Issue 3
2013)
Medline
CBM
CNKI
VIP and Wangfang database online version
RCT
from January 1990 to July 2014
about compound Danshen dropping pills on the basis of conventional treatment for diabetic nephropathy with conventional treatment as control group were collected. Meta-analysis of included trials was performed using Rev Man 5.2 software. Result: A total of 19 studies were included
involving 1 491 patients. There were good balance between 19 RCTs
the quality evaluation of 7 RCTs scored class B
with the rest for class C. Meta-analysis showed that experimental group and control group had statistically difference in clinical efficacy[OR=6.17
95%CI(3.42
11.13)
P <0.05]
UAER[MD=-15.95
95%CI(-21.69
-10.20)
P< 0.01]
and 24-hour urinary protein excretion[MD=-0.06
95%CI(-0.08
-0.03)
P< 0.01]. But there was no statistically difference in Creatinine [MD=4.69
95%CI(-0.04
9.42)
P=0.05] and Blood glucose [MD=-0.04
95%CI(-0.17
0.08)
P >0.05]. Conclusion: The existing evidence show that
to the DN patients
compound Danshen dropping pills has no significant impact on renal function and blood glucose
but it can reduce the Urine protein level. The poor methodological quality of included studies seriously weakened the validity of the meta-analysis. So the efficacy of Compound Danshen dropping pills in the treatment of diabetic nephropathy should be determined by more high quality RCTs.