中西医结合治疗重症中暑疗效的Meta分析

Meta Analysis of Integrated Traditional Chinese and Western Medicine in the Treatment of Severe Heatstroke

目的通过Meta分析,比较单纯西药或者结合中医药治疗2种方法对重症中暑的治疗效果。方法筛选出收录在CNKI、WANFANG Database、VIP Database中有关中医治疗重症中暑的文献,进行Meta分析对比2组总有效率、退热速度、住院时长有无差异。结果最终选出13篇文献,总样本量767例,中西医结合组386例,常规西药组381例。Meta分析结果提示中西医结合能提高有效率,加快退热速度,缩短住院时长。在纳入的研究文献中,未有报道在使用中医药期间出现明显不良反应。结论中西医结合较单纯西药能更好地提高重症中暑患者治疗效果,并且运用安全。

Objective To systematic evaluate the efficacy of traditional Chinese medicine combined with western medicine in the treatment of severe heatstroke.Methods CNKI,Wanfang database and VIP database for randomized controlled trials of integrated traditional Chinese and western medicine in the treatment of severe heatstroke were searched.Meta analysis was performed to compare the effective rate,antipyretic rate and length of hospital stay between the two groups.Results A total of 13 randomized controlled trials were included.The total sample size was 767,386 in the integrative medicine group and 381 in the conventional western medicine group.Meta analysis showed that the combination of traditional Chinese medicine and Western medicine treatment can significantly improve the effective rate than simple western medicine treatment,shorten the recovery time of body temperature,shorten length of stay.No obvious adverse reactions were reported during the use of traditional Chinese medicine.Conclusion The combination of traditional Chinese and western medicine can better improve the clinical efficiency of severe heatstroke patients than simple western medicine,and it is safe.