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连花清瘟胶囊治疗流感的有效性和安全性:一项系统评价

[Efficacy and safety of Lianhua Qingwen capsule for influenza: a systematic review].

作者信息

Niu Qian-Qian, Chen Yu, Liu Ye, Mao Si-Zhu, Wang Hui, Zheng Wen-Ke, Zhang Jun-Hua

机构信息

College of Traditional Chinese Medicine, Tianjin University of Traditional Chinese Medicine, Tianjin 300193, China.

Center for Evidence-Based Medicine Tianjin University of Traditional Chinese Medicine, Tianjin 300193, China.

出版信息

Zhongguo Zhong Yao Za Zhi. 2017 Apr;42(8):1474-1481. doi: 10.19540/j.cnki.cjcmm.2017.0044.

Abstract

To evaluate the efficacy and safety of Lianhua Qingwen capsule for influenza. All reports of the randomized controlled trials (RCTs) on Lianhua Qingwen capsule treating influenza were retrieved from database of CNKI, WANFANG DATA, VIP, PubMed, the Cochrane Library by February 2017. The studies were screened according to the inclusion and exclusion criteria, the data were extracted by 2 authors, the quality of the included RCTs was assessed, and meta-analysis was performed using Revman5.3 software. A total of 1 525 patients and 10 studies were included. The results of meta analysis showed that compared with oseltamivir, Lianhua Qingwen capsule was more effective in alleviating flu symptoms, including the time of headaches disappeared [SMD=-0.25,95% CI(-0.48, -0.01)], the time of sore throat disappeared [SMD=-0.53,95% CI(-0.72, -0.34)], the time of cough disappeared [SMD=-0.39,95%CI(-0.57, -0.21)], whole body aches disappeared [ SMD=-0.49, 95% CI (-0.78, -0.21)], the time of weak disappeared [SMD=-0.56,95%CI (-0.82, -0.29)], and the time of abatement of fever [SMD=-3.47,95%CI(-6.27, -0.67)]. Also, there were some statistical significant differences between the two groups except nasal congestion and the time of virus turning negative. Compared with Ribavirin, Lianhua Qingwen capsule was more effective in terms of the rate of temperature effect, [RR=1.53, 95% CI (1.24, 1.90)], the difference between the two groups was statistically significant. Compared with Ankahuangmin capsules, significant differences were found in terms of the he rate temperature effect [RR=1.37, 95%CI (1.19,1.57)]. Current evidence shows that Lianhua Qingwen capsule is more effective and safer than Oseltamivir, Ribavirin and Ankahuangmin capsules. Due to the low quality of the clinical research, the accuracy of this conclusion needs to be conducted to verify.

摘要

评价连花清瘟胶囊治疗流感的有效性和安全性。检索中国知网、万方数据、维普、PubMed、考克兰图书馆数据库中截至2017年2月关于连花清瘟胶囊治疗流感的随机对照试验(RCT)的所有报告。根据纳入和排除标准筛选研究,由2名作者提取数据,评估纳入RCT的质量,并使用Revman5.3软件进行荟萃分析。共纳入1525例患者和10项研究。荟萃分析结果显示,与奥司他韦相比,连花清瘟胶囊在缓解流感症状方面更有效,包括头痛消失时间[标准化均数差(SMD)=-0.25,95%可信区间(CI)(-0.48,-0.01)]、咽痛消失时间[SMD=-0.53,95%CI(-0.72,-0.34)]、咳嗽消失时间[SMD=-0.39,95%CI(-0.57,-0.21)]、全身酸痛消失时间[SMD=-0.49,95%CI(-0.78,-0.21)]、乏力消失时间[SMD=-0.56,95%CI(-0.82,-0.29)]以及退热时间[SMD=-3.47,95%CI(-6.27,-0.67)]。此外,除鼻塞和病毒转阴时间外,两组之间还存在一些统计学显著差异。与利巴韦林相比,连花清瘟胶囊在体温恢复有效率方面更有效,[相对危险度(RR)=1.53,95%CI(1.24,1.90)],两组之间的差异具有统计学意义。与氨咖黄敏胶囊相比,在体温恢复有效率方面存在显著差异[RR=1.37,95%CI(1.19,1.57)]。目前的证据表明,连花清瘟胶囊比奥司他韦、利巴韦林和氨咖黄敏胶囊更有效、更安全。由于临床研究质量较低,这一结论的准确性需要进一步验证。

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