Meta-analysis of Qi-Tonifying and Blood-Activating Therapy for Idiopathic Pulmonary Fibrosis
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摘要:
目的:评价益气活血法治疗特发性肺纤维化的临床有效性。方法:通过检索CNKI、VIP及万方数据库中2001—2015年间益气活血法治疗特发性肺纤维化的临床RCT文献,采用改良Jadad量表对入选文献进行质量评价,并采用Rev Man 5.3软件进行Meta分析。结果:共纳入7篇文献进行分析,共有病例169例。经Meta分析结果显示,益气活血法在治疗特发性肺纤维化的临床有效率方面与西医治疗组具有差异性,合并OR值为3.08,其95%CI为[1.91~4.96],2组比较差异具有统计学意义(P<0.01);在改善氧分压方面,SMD=3.27,95%CI为[1.41~5.13],益气活血组优于西医治疗组(P<0.01)。结论:益气活血法治疗特发性肺纤维化疗效肯定,且在临床有效率、改善氧分压方面优于西医治疗组。
Abstract:
ObjectiveTo evaluate the clinical effectiveness of qi-tonifying and blood-activating therapy for idiopathic pulmonary fibrosis.MethodsBased on the retrieval of China National Knowledge Infrastructure(CNKI),VIP,and Wanfang Database,literatures of clinical randomized controlled trials(RCT)about qi-tonifying and blood-activating therapy for idiopathic pulmonary fibrosis from 2001 to 2015 were selected.The quality of selected literatures was evaluated by modified Jadad scale,and the meta-analysis was conducted via Rev Man 5.3 software.ResultsSeven pieces of literature including 169 cases were brought into the meta-analysis.Resultsshowed that the difference was found in qi-tonifying and blood-activating therapy group and western medicine group for idiopathic pulmonary fibrosis in terms of clinical effective rate(combined odds ratio[OR],3.08;95%confidence interval[CI],1.91 to 4.96),the difference being significant(P < 0.01).From the perspective of the improvement of oxygen partial pressure,the sauter mean diameter was 3.27(95%CI,1.41 to 5.13).The results indicated that qi-tonifying and blood-activating therapy group was superior to western medicine group(P<0.01).ConclusionQi-tonifying and blood-activating therapy is effective in treating idiopathic pulmonary fibrosis,which is superior to western medicine group in terms of clinical effective rate and the improvement of oxygen partial pressure.