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Systematic review/meta-analysis re-evaluation of clinical effects of total glucosides of paeony in the treatment of rheumatoid arthritis
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作者 Shuang-Qing Yang Su-Dan Zhang +4 位作者 Yan-Qi Wang Ya-Wei Liu Jia-Xing Liu Qing-Liang Meng jun-fu ma 《TMR Integrative Medicine》 2022年第29期1-9,共9页
Objective: To re-evaluate the systematic review of Rheumatoid arthritis (RA) treatmentwith total glucosides of paeony (TGP) to provide evidence-based evidence for the treatmentof RA with TGP in the clinic. Methods: A ... Objective: To re-evaluate the systematic review of Rheumatoid arthritis (RA) treatmentwith total glucosides of paeony (TGP) to provide evidence-based evidence for the treatmentof RA with TGP in the clinic. Methods: A total of eight databases including CNKI, Wan FangData, CBM, VIP, PubMed, Embase, Cochrane Library, and Web of Science were searched bycomputer for the systematic reviews/meta-analyses concerning the treatment of RA withTGP. The retrieval period was from the establishment of the database to May 2, 2022.Literature screening was conducted based on the randomized controlled trial, and thematerials of the included literature were extracted. Using the preferred reporting items forsystematic reviews and meta-analyses statement. The a measurement tool to assesssystematic reviews 2 scale and grades of recommendation, assessment, development, andevaluation system evaluated the reporting quality, methodological quality, and outcomeindicators evidence levels included in the literature. Results: Six systematicreviews/meta-analysis literature were finally included. Evaluation of the preferred reportingitems for systematic reviews and meta-analyses statement showed that the overall reportingquality of included literature was low, and only one piece with high quality was included.The results of the a measurement tool to assess systematic reviews 2 scale evaluationshowed that the qualities of included literature were all low-level and highly low-level. Thegrades of recommendation, assessment, development, and evaluation evidence qualityevaluation showed a total of 39 outcome indicators in the six included literature, and alloutcome indicators were intermediate, low-level, and extremely low in evidence evaluation.Conclusion: Many pieces of evidence show that TGP has certain advantages in alleviatingclinical symptoms, reducing adverse reactions, and reducing hepatotoxicity in the treatmentof RA, but this conclusion lacks high-level evidence to support it, which needs to be provedby more studies in the future. 展开更多
关键词 total glucosides of paeony rheumatoid arthritis META-ANALYSIS system evaluation re-evaluation
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Comparative study for cardiovascular risk factors of rheumatoid arthritis and osteoarthritis
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作者 Cai-Ping Yue Ming-Xi Li +5 位作者 Yan Liu Fang-Kai Li Xiao-Ping Liu jun-fu ma Yue-Lan Zhu2 Xiu-Juan Hou 《TMR Non-Drug Therapy》 2018年第1期16-22,共7页
目的:比较类风湿关节炎和骨关节炎患者心血管危险因素的差异.方法:回顾性比较44例类风湿关节炎患者(RA)和36例骨关节炎患者(OA)的心血管疾病相关影响因素的差异.包括性别、年龄、身体质量指数、病程、颈动脉超声相关指标、同型半... 目的:比较类风湿关节炎和骨关节炎患者心血管危险因素的差异.方法:回顾性比较44例类风湿关节炎患者(RA)和36例骨关节炎患者(OA)的心血管疾病相关影响因素的差异.包括性别、年龄、身体质量指数、病程、颈动脉超声相关指标、同型半胱氨酸、血脂水平、炎症相关指标及超声心动相关指标等.结果:(1)一般情况:两组患者在性别、年龄方面无明显差异(P〉0.05),在体重指数方面,OA组体重指数显著高于RA组(P=0.018),在病程方面,RA组病程显著长于OA组(P=0.024);(2)实验室指标:RA组患者同型半胱氨酸水平显著高于OA组(P=0.002);两组患者总胆固醇、甘油三酯、低密度脂蛋白、载脂蛋白B、高密度脂蛋白比较均无明显差异(P〉0.05),但RA组载脂蛋白A1水平显著低于OA组(P〈0.001),脂蛋白α水平显著高于OA组(P〈0.001);RA组患者的血沉、C反应蛋白较OA组水平显著升高(P〈0.001);(3)超声评价:在心脏超声方面,RA组患者每搏输出量、射血分数明显低于OA组(P=0.022,P=0.009);两组患者主动脉内径、左心房内径、左室舒张末期内径、左室收缩末期内径、左室后壁厚度、左室短轴缩短率、右心室内径、右心房内径、及室间隔厚度比较均无明显差异(P〉0.05);两组患者颈动脉斑发生率无明显差异(P〉0.05),但两组患者颈动脉增厚的发生率及颈动脉中层厚度比较均有明显差异(P〈0.001).结论:RA患者发生心血管事件的概率比OA高,积极控制RA病情,可能降低心血管事件的发生. 展开更多
关键词 类风湿关节炎 骨关节炎 心血管危险因素
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