Objective: To carry out a systematic evaluation of the efficacy of modified Zhenwu Decoction combined withwestern medicine in the treatment of heart failure. Methods: Literature was retrieved in China KnowledgeResou...Objective: To carry out a systematic evaluation of the efficacy of modified Zhenwu Decoction combined withwestern medicine in the treatment of heart failure. Methods: Literature was retrieved in China KnowledgeResource Integrated Database (CNKI), Chinese scientific journal database (VIP), Wanfang Data Resource System(WANFANG DATA), PubMed and other traditional Chinese medicine related periodicals by retrieval methods ofsubject terms combined with free words and computer retrieval combined with manual retrieval. Literature wasscreened strictly according to the inclusion criteria.The quality of the included literature was evaluated according tothe quality standard of Jadad scale and Cochrane collaboration network bias risk assessment tool. The literaturedata was extracted. RevMan5.3 software was used to analyze data and the curative effect of modified ZhenwuDecoction combined with western medicine was objectively evaluated. Results: The response rate of theexperimental group was better than that of the control group [OR = 3.69,95% IC (2.36,5.79)]. The value of EF inthe experimental group was higher than that in the control group after treatment [MD = 5.85, 95% IC (3.90, 7.79) ].The Lee, score of the experimental group was lower than that of the control group after treatment [MD = -1.37,95% IC (-2.23, -0.52) ]. The value of BNP in the experimental group was less than that in the control group aftertreatment [MD = -114.48, 95%IC (-186.28, -42.68)]. The life quality score in the experimental group was less thanthat of the control group after treatment [MD = -8.44, 95%IC (-11.73, -5.15)]. Conclusion: The curative effect ofmodified Zhenwu Decoction combined with western medicine in the treatment of heart failure is better than thesimple western medicine treatment.So modified Zhenwu Decoction combined with western medicine in thetreatment of heart failure is worthy of clinical promotion. However, the results of this study still need further validation by more high quality randomized double blind controlled clinical trial because the overall quality of theresearch included.展开更多
文摘Objective: To carry out a systematic evaluation of the efficacy of modified Zhenwu Decoction combined withwestern medicine in the treatment of heart failure. Methods: Literature was retrieved in China KnowledgeResource Integrated Database (CNKI), Chinese scientific journal database (VIP), Wanfang Data Resource System(WANFANG DATA), PubMed and other traditional Chinese medicine related periodicals by retrieval methods ofsubject terms combined with free words and computer retrieval combined with manual retrieval. Literature wasscreened strictly according to the inclusion criteria.The quality of the included literature was evaluated according tothe quality standard of Jadad scale and Cochrane collaboration network bias risk assessment tool. The literaturedata was extracted. RevMan5.3 software was used to analyze data and the curative effect of modified ZhenwuDecoction combined with western medicine was objectively evaluated. Results: The response rate of theexperimental group was better than that of the control group [OR = 3.69,95% IC (2.36,5.79)]. The value of EF inthe experimental group was higher than that in the control group after treatment [MD = 5.85, 95% IC (3.90, 7.79) ].The Lee, score of the experimental group was lower than that of the control group after treatment [MD = -1.37,95% IC (-2.23, -0.52) ]. The value of BNP in the experimental group was less than that in the control group aftertreatment [MD = -114.48, 95%IC (-186.28, -42.68)]. The life quality score in the experimental group was less thanthat of the control group after treatment [MD = -8.44, 95%IC (-11.73, -5.15)]. Conclusion: The curative effect ofmodified Zhenwu Decoction combined with western medicine in the treatment of heart failure is better than thesimple western medicine treatment.So modified Zhenwu Decoction combined with western medicine in thetreatment of heart failure is worthy of clinical promotion. However, the results of this study still need further validation by more high quality randomized double blind controlled clinical trial because the overall quality of theresearch included.