Systematic Review and Meta-analysis for Clinical Effect of Post-laparoscopic Oral Administration with Danzhu Xiaoyi Decoction in Treatment of Endometriosis
WANG Xiao-tong, LIN Hai-xiong. Systematic Review and Meta-analysis for Clinical Effect of Post-laparoscopic Oral Administration with Danzhu Xiaoyi Decoction in Treatment of Endometriosis[J]. Chinese journal of experimental traditional medical formulae, 2016, 22(15): 211-215.
WANG Xiao-tong, LIN Hai-xiong. Systematic Review and Meta-analysis for Clinical Effect of Post-laparoscopic Oral Administration with Danzhu Xiaoyi Decoction in Treatment of Endometriosis[J]. Chinese journal of experimental traditional medical formulae, 2016, 22(15): 211-215. DOI: 10.13422/j.cnki.syfjx.2016150211.
Objective: To make the systematic review and Meta-analysis for the effect of post-laparoscopic oral administration with Danzhu Xiaoyi decoction on the pregnancy
abortion and recurrence of treating patients with endometriosis (EMT). Method: Randomized controlled trials (RCTs) and controlled trials (CCTs) related to the effects of post-laparoscopic oral administration with Danzhu Xiaoyi decoction for EMT were collected in CNKI
CBM
VIP Wanfang database and PubMed (before August 2015). The quality of the RCTs and CCTs were assessed using Cochrane systematic review
involving selection bias
performance bias
measurement bias
attrition bias
and reporting bias. The overall effect of multiple findings was studied by using RevMan 5.3 software through a Meta-analysis for a fixed effects model
and then heterogeneity evaluation and sensitivity analysis were conducted. Result: A total of 4 literatures were included. According to the results of the Meta-analysis
compared with pure laparoscopic surgery
post-laparoscopic oral administration with Danzhu Xiaoyi decoction for EMT had a significantly higher pregnancy (I2=0%)
lower heterogeneity [RR=1.47
95%CI (1.13
1.90)]
with significance test Z=4.96 (P<0.000 01). At the same time
it had an obviously lower the incidence of spontaneous abortion (I2=0%)
lower heterogeneity [RR=0.29
95%CI (0.09
0.92)]
with significance test Z=2.28 (P=0.02). In addition
there were a significantly lower incidence of recurrence (I2=0%)
lower heterogeneity [RR=0.23
95%CI(0.07
0.78)]
with significance test Z=2.36 (P=0.02). Conclusion: Post-laparoscopic oral administration with Danzhu Xiaoyi decoction could improve the pregnancy rate and reduce the incidence of spontaneous abortion as well as recurrence. However
it is still necessary to carry out high-quality three-blinded RCT with a large sample size.