中药保留灌肠治疗粘连性肠梗阻疗效的Meta分析

Therapeutic Effect of Retention Enema with Traditional Chinese Medicines in the Treatment of Adhesive Ileus:A Meta-analysis

目的:系统评价中药保留灌肠治疗粘连性肠梗阻的疗效。方法:计算机检索中国期刊全文数据库(CNKI),维普中文科技期刊数据库(VIP),中国生物医学文献数据库(CBM)以及互联网资料。全面收集有关中药RevMan4.2.8统计软件对数据进行Meta分析。结果:共纳入17个随机对照试验,共1641例患者。与西医治疗组对照,中药保留灌肠组治疗粘连性肠梗阻的总有效率较高。结论:目前证据表明,中药保留灌肠治疗粘连性肠梗阻的方法较西医常规治疗好,而且不良反应少,复发率小。但由于纳入的文献其研究方法学质量不高,需要高质量的研究对其疗效进一步予以证实。

Objective：To assess the therapeutic effectiveness of retention enema with traditional Chinese medicines in the treatment of adhesive ileus.Method：By computerized retrieving CNKI,VIP,CBM,as well as dates from internet materials regarding randomized controlled clinical trials of traditional Chinese medicine in the treatment of adhesive ileus were collected completely.Datas were strictly extracted using the simple evaluation method recommended in Jadad and Meta analysis was performed using Revman 4.2.8 software.Results：A total of 17 RCTs were included in the study.The results of short-term effects showed that enema with traditional Chinese medicine were by and large superior to Control Group.Conclusion：The methods adopted in the present study were of relatively low quality.Although retention enema with traditional Chinese medicines was shown to be superior to routine treatment with Western medicine in the case of short-term effect,no definite conclusion,however,could be drawn from the results of the present study owing to the lack of methods for the assessments of long-term effects.