Objective:To systematically evaluate the efficacy and safety of Longshengzhi Capsules(龙生蛭胶囊)in the treatment of cerebral infarction.Materials and methods:A randomized controlled trial of Longshengzhi Capsules(龙...Objective:To systematically evaluate the efficacy and safety of Longshengzhi Capsules(龙生蛭胶囊)in the treatment of cerebral infarction.Materials and methods:A randomized controlled trial of Longshengzhi Capsules(龙生蛭胶囊)for cerebral infarction was screened out by searching CNKI,Wanfang Data,VIP,Sino Med,Cochrane Library,Pub Med,Embase,Web of Science in a systematic way and was based on Handbook 5.1 evaluation criteria and tools and Rev Man 5.3 software for Meta-analysis of the final inclusion of the study.Results:A total of 12 studies were included,including 9 meta-analysis of studies and 3 other studies,with a total sample size of 1446 cases,including 746 cases in the experimental group and 700 cases in the control group.The results of Meta-analysis showed that the Chinese Stroke Chinical Neurological Deficit Scales Score(CSS)of Longshengzhi Capsules(龙生蛭胶囊)combined with conventional treatment for cerebral infarction was better than that of conventional treatment alone(MD=–6.98,95%CI[–7.41,–6.55],P<0.00001).The National Institues of Health Sroke Scales(NIHSS)score of Longshengzhi Capsules(龙生蛭胶囊)combined with conventional treatment for cerebral infarction was better than that of conventional treatment alone(MD=–1.49,95%CI[–1.78,–1.20],P<0.00001);The quality of life score of Longshengzhi Capsules(龙生蛭胶囊)combined with conventional treatment for cerebral infarction was better than that of conventional treatment(MD=6.65,95%CI[3.97,9.33],P<0.00001).Longshengzhi Capsules(龙生蛭胶囊)combined with conventional treatment in treating cerebral infarction was better than conventional treatment in Homocysteine(Hcy)(MD=–2.44,95%CI[–2.89,–1.99],P<0.00001).There was no significant difference in the incidence of adverse reactions between Longshengzhi Capsules(龙生蛭胶囊)and conventional treatment for cerebral infarction(RR=0.58,95%CI[0.31,1.06],P=0.08).The main adverse reactions were skin rash,gastrointestinal reaction,headache,dizziness,abdominal pain,irritability,chills,urticaria,blood pressure reduction,dyspnea,vomiting,fever and urinary tract infection,which did not affect the treatment.Due to the small sample size,a large sample is needed for further verification.Conclusion:Longshengzhi Capsules(龙生蛭胶囊)combined with conventional treatment for cerebral infarction reduced CSS and NIHSS scores,improved quality of life scores,and reduced Hcy,without serious adverse reactions,and the incidence of adverse reactions was similar to that of conventional treatment.However,the quality of the study is not high,and it is necessary to improve the level of evidence quality by using clinical trial schemes with large samples,rigorous design and compliance with international standards.展开更多
Objective:The effectiveness and safety of Tianma Gouteng Granules(天麻钩藤颗粒)in the treatment of dizziness were systematically evaluated.Methods:A randomized controlled trial of Tianma Gouteng Granules for dizziness...Objective:The effectiveness and safety of Tianma Gouteng Granules(天麻钩藤颗粒)in the treatment of dizziness were systematically evaluated.Methods:A randomized controlled trial of Tianma Gouteng Granules for dizziness was screened out by searching CNKI,Wanfang Data,VIP,SinoMed,Cochrane Library,PubMed,Embase,Web of Science in a systematic way and was based on Handbook 5.1 evaluation criteria and tools and RevMan 5.3 software for meta-analysis of the final inclusion of the study.Results:A total of 7 studies were included,6 studies were included in meta-anlysis and 1 other study,with a total sample size of 568 cases,including 328 cases in the experiential group and 240 cases in the control group.The systolic pressure of Tianma Gouteng Granules alone or combined with conventional treatment in the treatment of dizziness is better than conventional treatment alone(MD=-3.38,95%CI[-4.90,-1.86],P<0.00001).The diastolic pressure of Tianma Gouteng Granules alone or combined with conventional treatment in the treatment of dizziness had no difference compared with conventional treatment alone(MD=-1.35,95%CI[-2.36,-0.34],P=0.72).The TCM syndromes score of Tianma Gouteng Granules alone or combined with conventional treatment in the treatment of dizziness was better than conventional treatment(MD=-5.18,95%CI[-6.89,-5.47],P<0.00001).The marked effective rate of Tianma Gouteng Granules combined with conventional treatment in the treatment of dizziness was better than conventional treatment(RR=2.09,95%CI[1.35,3.24],P=0.001).The marked effective rate of Tianma Gouteng Granules in the treatment of dizziness was better than conventional treatment(RR=1.85,95%CI[1.34,2.54],P=0.0002).Adverse actions included stomach discomfort,dry mouth,headache,dizziness,nausea,insomnia,rash,etc.The number of reported cases in both groups was small.Conclusion:The treatment of systolic pressure,TCM syndrome score and marked effective rate of Tianma Gouteng Granules alone or combined with conventional treatment for dizziness was better than conventional treatment.There was no difference between Tianma Gouteng Granules alone or combined with conventional treatment on diastolic pressure.No serial reverse actions were reported,and all reverse actions were reported after drug withdrawal or dose reduction,and the sample size was small,requiring large samples for further verification.However,the quality of the study is not high,and it is necessary to improve the level of evidence quality by using clinical trial schemes with large samples,rational design and compliance with international standards.展开更多
Objective:To systemically evaluate the effectiveness and safety of Changyanning Granules(肠炎宁颗粒)combined with conventionally Western medicine in the treatment of diarrhea.Methods:Chinese and English database retri...Objective:To systemically evaluate the effectiveness and safety of Changyanning Granules(肠炎宁颗粒)combined with conventionally Western medicine in the treatment of diarrhea.Methods:Chinese and English database retrieval system:CNKI,Wanfang,VIP,Sinomed,Pub Med,Cochrane Library,Embase,and Web of Science screened out a randomized controlled trial(RCT)of Changyanning Granules in the treatment of diarrhea.Meta-analysis was performed on the included studies according to the Cochrane Handbook 5.1 evaluation criteria,tools and Rev Man 5.3 software.Results:A total of 5 studies were included,all of which were included in the Meta-analysis.The total sample size was 628 cases,with the maximum sample size of 240 cases and the minimum sample size of 78 cases,including 354 cases in the experiential group and 274 cases in the control group.Results of Meta-analysis showed that Changyanning Granules combined with conventional treatment,Changyanning Granules combined with Xiyanping Injection(喜炎平注射液)and conventional treatment,Changyanning Granules combined with smecta and conventional treatment were better than conventional treatment or Xiyanping Injection combined with conventional treatment(MD=-1.80,95%CI[-2.22,-1.38],P<0.00001).The antidiarrhoea time of Changyanning Granules combined with conventional treatment in the treatment of diarrhea was better than that of conventional treatment alone(MD=-1.70,95%CI[-1.89,-1.52],P<0.00001)when literatures with greater heterogeneity were removed.The IL-6 index of Changyanning Granules combined with conventional treatment in the treatment of diarrhea was better than that of conventional treatment alone(MD=-7.05,95%CI[-9.58,-4.52],P<0.00001).The effectiveness of Changyanning Granules combined with conventional treatment,Changyanning Granules combined with smecta and conventional treatment in the treatment of diarrhea was better than that of conventional treatment alone(RR=1.31,95%CI[1.16,1.47],P<0.0001).The adverse action rate of Changyanning Granules combined with conventional treatment,Changyanning Granules combined with smecta and conventional treatment in the treatment of diarrhea had no difference compared with conventional treatment alone(RR=2.50,95%CI[0.50,12.60],P=0.27).Adverse actions reported in the study included constipation,abdominal discomfort,nausea,and vomiting,and the incidence of reverse actions was similar between the experimental group and the control group.The number of reported ADR cases was relatively small,requiring further proof of large sample size.Conclusion:Based on the existing data and methods,the antidiarrhoea time,IL-6 index,time of absolute pain and significant efficiency of Changyanning Granules alone or combined with conventional treatment are better than conventional treatment alone in the treatment of diarrhea.Adverse actions,including nausea,vomiting,and dizziness,were reported in fewer cases and were less common in the experimental group than in the control group.However,due to the small number and low quality of the included research literatures,and the existence of certain bias,large sample and high quality literatures are needed for further verification.展开更多
基金The Ministry of Science and Technology,2018 National Key R&D Program"Research on Modernization of Traditional Chinese Medicine"project"Evidence-based evaluation of ten types of proprietary Chinese medicines and classic prescriptions for the treatment of major diseases after marketing and demonstration research on their effect mechanisms"(2018YFC1707400)。
文摘Objective:To systematically evaluate the efficacy and safety of Longshengzhi Capsules(龙生蛭胶囊)in the treatment of cerebral infarction.Materials and methods:A randomized controlled trial of Longshengzhi Capsules(龙生蛭胶囊)for cerebral infarction was screened out by searching CNKI,Wanfang Data,VIP,Sino Med,Cochrane Library,Pub Med,Embase,Web of Science in a systematic way and was based on Handbook 5.1 evaluation criteria and tools and Rev Man 5.3 software for Meta-analysis of the final inclusion of the study.Results:A total of 12 studies were included,including 9 meta-analysis of studies and 3 other studies,with a total sample size of 1446 cases,including 746 cases in the experimental group and 700 cases in the control group.The results of Meta-analysis showed that the Chinese Stroke Chinical Neurological Deficit Scales Score(CSS)of Longshengzhi Capsules(龙生蛭胶囊)combined with conventional treatment for cerebral infarction was better than that of conventional treatment alone(MD=–6.98,95%CI[–7.41,–6.55],P<0.00001).The National Institues of Health Sroke Scales(NIHSS)score of Longshengzhi Capsules(龙生蛭胶囊)combined with conventional treatment for cerebral infarction was better than that of conventional treatment alone(MD=–1.49,95%CI[–1.78,–1.20],P<0.00001);The quality of life score of Longshengzhi Capsules(龙生蛭胶囊)combined with conventional treatment for cerebral infarction was better than that of conventional treatment(MD=6.65,95%CI[3.97,9.33],P<0.00001).Longshengzhi Capsules(龙生蛭胶囊)combined with conventional treatment in treating cerebral infarction was better than conventional treatment in Homocysteine(Hcy)(MD=–2.44,95%CI[–2.89,–1.99],P<0.00001).There was no significant difference in the incidence of adverse reactions between Longshengzhi Capsules(龙生蛭胶囊)and conventional treatment for cerebral infarction(RR=0.58,95%CI[0.31,1.06],P=0.08).The main adverse reactions were skin rash,gastrointestinal reaction,headache,dizziness,abdominal pain,irritability,chills,urticaria,blood pressure reduction,dyspnea,vomiting,fever and urinary tract infection,which did not affect the treatment.Due to the small sample size,a large sample is needed for further verification.Conclusion:Longshengzhi Capsules(龙生蛭胶囊)combined with conventional treatment for cerebral infarction reduced CSS and NIHSS scores,improved quality of life scores,and reduced Hcy,without serious adverse reactions,and the incidence of adverse reactions was similar to that of conventional treatment.However,the quality of the study is not high,and it is necessary to improve the level of evidence quality by using clinical trial schemes with large samples,rigorous design and compliance with international standards.
基金2018 National Key R&D Program of the Ministry of Science and Technology"Research on modernization of traditional Chinese medicine"project"Demonstration study on evidence-based evaluation and effect mechanism of the treatment of major diseases after the marketing of ten large varieties of proprietary Chinese medicines and classic formulas"(2018YFC1707400)。
文摘Objective:The effectiveness and safety of Tianma Gouteng Granules(天麻钩藤颗粒)in the treatment of dizziness were systematically evaluated.Methods:A randomized controlled trial of Tianma Gouteng Granules for dizziness was screened out by searching CNKI,Wanfang Data,VIP,SinoMed,Cochrane Library,PubMed,Embase,Web of Science in a systematic way and was based on Handbook 5.1 evaluation criteria and tools and RevMan 5.3 software for meta-analysis of the final inclusion of the study.Results:A total of 7 studies were included,6 studies were included in meta-anlysis and 1 other study,with a total sample size of 568 cases,including 328 cases in the experiential group and 240 cases in the control group.The systolic pressure of Tianma Gouteng Granules alone or combined with conventional treatment in the treatment of dizziness is better than conventional treatment alone(MD=-3.38,95%CI[-4.90,-1.86],P<0.00001).The diastolic pressure of Tianma Gouteng Granules alone or combined with conventional treatment in the treatment of dizziness had no difference compared with conventional treatment alone(MD=-1.35,95%CI[-2.36,-0.34],P=0.72).The TCM syndromes score of Tianma Gouteng Granules alone or combined with conventional treatment in the treatment of dizziness was better than conventional treatment(MD=-5.18,95%CI[-6.89,-5.47],P<0.00001).The marked effective rate of Tianma Gouteng Granules combined with conventional treatment in the treatment of dizziness was better than conventional treatment(RR=2.09,95%CI[1.35,3.24],P=0.001).The marked effective rate of Tianma Gouteng Granules in the treatment of dizziness was better than conventional treatment(RR=1.85,95%CI[1.34,2.54],P=0.0002).Adverse actions included stomach discomfort,dry mouth,headache,dizziness,nausea,insomnia,rash,etc.The number of reported cases in both groups was small.Conclusion:The treatment of systolic pressure,TCM syndrome score and marked effective rate of Tianma Gouteng Granules alone or combined with conventional treatment for dizziness was better than conventional treatment.There was no difference between Tianma Gouteng Granules alone or combined with conventional treatment on diastolic pressure.No serial reverse actions were reported,and all reverse actions were reported after drug withdrawal or dose reduction,and the sample size was small,requiring large samples for further verification.However,the quality of the study is not high,and it is necessary to improve the level of evidence quality by using clinical trial schemes with large samples,rational design and compliance with international standards.
基金The 2018 National Key R&D Program of the Ministry of Science and Technology"Research on the Modernization of Traditional Chinese Medicine"project"Evidence-based evaluation and demonstration study on the mechanism of effects of the treatment of major diseases after the marketing of ten large varieties of proprietary Chinese medicines and classic formulas"(2018YFC1707400)
文摘Objective:To systemically evaluate the effectiveness and safety of Changyanning Granules(肠炎宁颗粒)combined with conventionally Western medicine in the treatment of diarrhea.Methods:Chinese and English database retrieval system:CNKI,Wanfang,VIP,Sinomed,Pub Med,Cochrane Library,Embase,and Web of Science screened out a randomized controlled trial(RCT)of Changyanning Granules in the treatment of diarrhea.Meta-analysis was performed on the included studies according to the Cochrane Handbook 5.1 evaluation criteria,tools and Rev Man 5.3 software.Results:A total of 5 studies were included,all of which were included in the Meta-analysis.The total sample size was 628 cases,with the maximum sample size of 240 cases and the minimum sample size of 78 cases,including 354 cases in the experiential group and 274 cases in the control group.Results of Meta-analysis showed that Changyanning Granules combined with conventional treatment,Changyanning Granules combined with Xiyanping Injection(喜炎平注射液)and conventional treatment,Changyanning Granules combined with smecta and conventional treatment were better than conventional treatment or Xiyanping Injection combined with conventional treatment(MD=-1.80,95%CI[-2.22,-1.38],P<0.00001).The antidiarrhoea time of Changyanning Granules combined with conventional treatment in the treatment of diarrhea was better than that of conventional treatment alone(MD=-1.70,95%CI[-1.89,-1.52],P<0.00001)when literatures with greater heterogeneity were removed.The IL-6 index of Changyanning Granules combined with conventional treatment in the treatment of diarrhea was better than that of conventional treatment alone(MD=-7.05,95%CI[-9.58,-4.52],P<0.00001).The effectiveness of Changyanning Granules combined with conventional treatment,Changyanning Granules combined with smecta and conventional treatment in the treatment of diarrhea was better than that of conventional treatment alone(RR=1.31,95%CI[1.16,1.47],P<0.0001).The adverse action rate of Changyanning Granules combined with conventional treatment,Changyanning Granules combined with smecta and conventional treatment in the treatment of diarrhea had no difference compared with conventional treatment alone(RR=2.50,95%CI[0.50,12.60],P=0.27).Adverse actions reported in the study included constipation,abdominal discomfort,nausea,and vomiting,and the incidence of reverse actions was similar between the experimental group and the control group.The number of reported ADR cases was relatively small,requiring further proof of large sample size.Conclusion:Based on the existing data and methods,the antidiarrhoea time,IL-6 index,time of absolute pain and significant efficiency of Changyanning Granules alone or combined with conventional treatment are better than conventional treatment alone in the treatment of diarrhea.Adverse actions,including nausea,vomiting,and dizziness,were reported in fewer cases and were less common in the experimental group than in the control group.However,due to the small number and low quality of the included research literatures,and the existence of certain bias,large sample and high quality literatures are needed for further verification.