目的探讨国内外中医药防治心肌缺血再灌注损伤(Myocardial ischemia reperfusion injury,MIRI)的发展前沿及研究热点,为进一步相关研究提供参考。方法检索CNKI和WOS建库至2023年10月31日期间中医药防治MIRI的文献,用CiteSpace 6.2.R4进...目的探讨国内外中医药防治心肌缺血再灌注损伤(Myocardial ischemia reperfusion injury,MIRI)的发展前沿及研究热点,为进一步相关研究提供参考。方法检索CNKI和WOS建库至2023年10月31日期间中医药防治MIRI的文献,用CiteSpace 6.2.R4进行作者合作网络图谱、机构合作网络图谱、关键词聚类图谱、关键词突现图谱展示并进行分析。结果共纳入2865篇中文文献,160篇英文文献,国内外主要受关注的研究作者分别是李冀和Jin Chen、主要研究机构分别是黑龙江中医药大学和Chinese Academy of Medical Sciences-Peking Union Medical College,关键词共现及突现分析表明国内外MIRI中医药干预措施包括中药、中药复方、中药单体、电针,研究热点为铁死亡、细胞焦亡和内质网应激。结论在中医药防治MIRI研究中,应加强国内研究团队之间的合作,促进国内研究机构的联系,结合研究热点,全面发展该领域。展开更多
Objective:To systematically evaluate the clinical efficacy of Wendan Decoction series combined with conventional western medicine in the treatment of coronary heart disease complicated with anxiety and depression.Meth...Objective:To systematically evaluate the clinical efficacy of Wendan Decoction series combined with conventional western medicine in the treatment of coronary heart disease complicated with anxiety and depression.Methods:We searched four Chinese databases including CNKI,WanFang,VIP,SinoMed,and five English databases of PubMed,Cochrane Library,Web of Science,EMBASE,Springer Link for clinical randomized controlled trials of using Wendan Decoction series in the treatment of coronary heart disease complicated with anxiety and depression.Time range for searching was from the establishment of these databases to January 2022.Then we screened the retrieved literature according to the inclusion and exclusion criteria,and conducted data extraction and quality evaluation of the selected literature.Meta analysis was conducted using RevMan 5.3 software.Results:A total of 13 RCT studies and 1007 patients with coronary heart disease complicated with anxiety and depression were included.Meta-analysis showed that Wendan Decoction series combined with conventional western medicine treatment showed better effects in the improvement rate of clinical anxiety[RR=1.21,95%CI=(1.12,1.31),P<0.00001],the improvement rate of depression[RR=1.30,95%CI=(1.10,1.53),P=0.002],the improvement rate of angina pectoris[RR=1.28,95%CI=(1.13,1.44),P<0.0001],increasing the ECG improvement rate[RR=1.29,95%CI=(1.07,1.55),P=0.008],increasing the rate of reducing nitroglycerin usage[RR=1.68,95%CI=(1.25,2.25,P=0.0006],as well as increasing the improvement rate of TCM symptoms[RR=1.15,95%CI=(1.04,1.26),P=0.004].It also showed better effects in reducing clinical anxiety and depression scores(SAS,SDS,HAMA,HAMD),SAQ scores and TCM symptom scores.The differences were statistically significant.Conclusion:Wendan Decoction series combined with conventional western medicine shows advantages in treating coronary heart disease patients complicated with anxiety and depression in reducing the angina pectoris score,anxiety and depression score,as well as improving the clinical TCM symptoms.展开更多
文摘目的探讨国内外中医药防治心肌缺血再灌注损伤(Myocardial ischemia reperfusion injury,MIRI)的发展前沿及研究热点,为进一步相关研究提供参考。方法检索CNKI和WOS建库至2023年10月31日期间中医药防治MIRI的文献,用CiteSpace 6.2.R4进行作者合作网络图谱、机构合作网络图谱、关键词聚类图谱、关键词突现图谱展示并进行分析。结果共纳入2865篇中文文献,160篇英文文献,国内外主要受关注的研究作者分别是李冀和Jin Chen、主要研究机构分别是黑龙江中医药大学和Chinese Academy of Medical Sciences-Peking Union Medical College,关键词共现及突现分析表明国内外MIRI中医药干预措施包括中药、中药复方、中药单体、电针,研究热点为铁死亡、细胞焦亡和内质网应激。结论在中医药防治MIRI研究中,应加强国内研究团队之间的合作,促进国内研究机构的联系,结合研究热点,全面发展该领域。
基金International Cooperation Project of Traditional Chinese Medicine。
文摘Objective:To systematically evaluate the clinical efficacy of Wendan Decoction series combined with conventional western medicine in the treatment of coronary heart disease complicated with anxiety and depression.Methods:We searched four Chinese databases including CNKI,WanFang,VIP,SinoMed,and five English databases of PubMed,Cochrane Library,Web of Science,EMBASE,Springer Link for clinical randomized controlled trials of using Wendan Decoction series in the treatment of coronary heart disease complicated with anxiety and depression.Time range for searching was from the establishment of these databases to January 2022.Then we screened the retrieved literature according to the inclusion and exclusion criteria,and conducted data extraction and quality evaluation of the selected literature.Meta analysis was conducted using RevMan 5.3 software.Results:A total of 13 RCT studies and 1007 patients with coronary heart disease complicated with anxiety and depression were included.Meta-analysis showed that Wendan Decoction series combined with conventional western medicine treatment showed better effects in the improvement rate of clinical anxiety[RR=1.21,95%CI=(1.12,1.31),P<0.00001],the improvement rate of depression[RR=1.30,95%CI=(1.10,1.53),P=0.002],the improvement rate of angina pectoris[RR=1.28,95%CI=(1.13,1.44),P<0.0001],increasing the ECG improvement rate[RR=1.29,95%CI=(1.07,1.55),P=0.008],increasing the rate of reducing nitroglycerin usage[RR=1.68,95%CI=(1.25,2.25,P=0.0006],as well as increasing the improvement rate of TCM symptoms[RR=1.15,95%CI=(1.04,1.26),P=0.004].It also showed better effects in reducing clinical anxiety and depression scores(SAS,SDS,HAMA,HAMD),SAQ scores and TCM symptom scores.The differences were statistically significant.Conclusion:Wendan Decoction series combined with conventional western medicine shows advantages in treating coronary heart disease patients complicated with anxiety and depression in reducing the angina pectoris score,anxiety and depression score,as well as improving the clinical TCM symptoms.