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痔肿宽中胶囊治疗功能性消化不良的疗效:一项随机对照试验的荟萃分析。

Effect of Zhizhu Kuanzhong Capsules () on Treatment of Functional Dyspepsia: A Meta-Analysis of Randomized Controlled Trials.

机构信息

Department of Respiratory, Shandong Chest Hospital, Jinan, 250013, China.

Department of Gastroenterology, The General Hospital of Jinan Military Command, Jinan, 250031, China.

出版信息

Chin J Integr Med. 2019 Aug;25(8):625-630. doi: 10.1007/s11655-018-2846-0. Epub 2018 Aug 30.


DOI:10.1007/s11655-018-2846-0
PMID:30159646
Abstract

OBJECTIVE: To evaluate the effect of Zhizhu Kuanzhong Capsules (, ZKC) for functional dyspepsia (FD) through meta-analysis. METHODS: Online databases, including PubMed, EM base, China National Knowledge Infrastructure, Wanfang Data, VIP database and Cochrane Library, were searched for randomized controlled trials (RCTs) of ZKC for FD from the inception to April, 2016. Trials were selected according to inclusion criteria and were evaluated with quality assessment standards in the Cochrane Handbook for Systematic Reviews of Interventions and Jadad scale. RevMan 5.3 and GRADEprofiler 3.6 were used for statistical analysis and evidence quality assessment. RESULTS: Twenty-three trials with 2,496 patients were included and most of them were of poor methodological quality. ZKC alone or ZKC combined with routine Western medicine (WM) showed a better clinical effect rate compared with the control group of WM [odds ratio (OR)=3.32, 95% confidence interval (2.66, 4.15), P<0.00001]. No serious adverse reactions were reported. CONCLUSIONS: ZKC alone or ZKC combined with routine WM could significantly improve the clinical effective rate in the treatment of FD. The quality of the evidence is low, so it is necessary to design multicenter, strictly randomized and double-blind controlled trials with large samples to validate the conclusions.

摘要

目的:通过荟萃分析评价枳术宽中胶囊(ZKC)治疗功能性消化不良(FD)的疗效。

方法:计算机检索PubMed、EMbase、中国知网、万方数据知识服务平台、维普数据库和 Cochrane Library,搜集 ZKC 治疗 FD 的随机对照研究(RCT),检索时限均为建库至 2016 年 4 月。根据纳入和排除标准筛选文献,采用 Cochrane 系统评价手册和 Jadad 量表评价文献质量,然后用 RevMan 5.3 和 GRADEprofiler 3.6 软件进行统计分析和证据质量评价。

结果:共纳入 23 个 RCT,包含 2496 例患者,均为低质量研究。ZKC 单药治疗或联合常规西药(WM)治疗与 WM 对照组相比,临床有效率更高[比值比(OR)=3.32,95%可信区间(2.66,4.15),P<0.00001]。未报道严重不良反应。

结论:ZKC 单药治疗或联合常规 WM 治疗可显著提高 FD 的临床有效率,但纳入研究质量均较低,需要设计更多大样本、多中心、严格随机、双盲的 RCT 来验证上述结论。

相似文献

[1]
Effect of Zhizhu Kuanzhong Capsules () on Treatment of Functional Dyspepsia: A Meta-Analysis of Randomized Controlled Trials.

Chin J Integr Med. 2018-8-30

[2]
Effect of Zhizhu Kuanzhong capsule on functional dyspepsia: Protocol for a systematic review and meta-analysis of randomized controlled trials.

Medicine (Baltimore). 2018-2

[3]
[Long-term efficacy and safety research on functional dyspepsia treated with electroacupuncture and Zhizhu Kuanzhong capsule].

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[4]
[Four Chinese patent medicines for regulating stomach for functional dyspepsia: a rapid health technology assessment].

Zhongguo Zhong Yao Za Zhi. 2022-9

[5]
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[6]
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J Gastroenterol Hepatol. 2018-10-12

[7]
Meta-analysis of traditional Chinese medicine in treating functional dyspepsia of liver-stomach disharmony syndrome.

J Tradit Chin Med. 2012-12

[8]
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J Tradit Chin Med. 2014-4

[9]
Zhizhu Kuanzhong Capsule in treating patients with functional dyspepsia postprandial distress syndrome: study protocol for a multicenter, randomized, double-blind, placebo-controlled, parallel-group clinical trial.

Trials. 2022-6-2

[10]
[Systematic review and meta-analysis of randomized controlled trials of Chinese herbal medicine in the treatment of Sjogren's syndrome].

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引用本文的文献

[1]
Stigma and Efficacy of Zhizhu Kuanzhong Capsules Versus Doxepin in the Treatment of Refractory Functional Dyspepsia: A Randomized Controlled Trial.

J Neurogastroenterol Motil. 2023-7-30

[2]
Zhizhu Kuanzhong, a traditional Chinese medicine, alleviates gastric hypersensitivity and motor dysfunction on a rat model of functional dyspepsia.

Front Pharmacol. 2022-11-17

[3]
Zhizhu Decoction Alleviates Intestinal Barrier Damage via Regulating SIRT1/FoxO1 Signaling Pathway in Slow Transit Constipation Model Mice.

Chin J Integr Med. 2023-9

[4]
Zhizhu Kuanzhong Capsule in treating patients with functional dyspepsia postprandial distress syndrome: study protocol for a multicenter, randomized, double-blind, placebo-controlled, parallel-group clinical trial.

Trials. 2022-6-2

[5]
Role of Traditional Chinese Herbal Medicines in Functional Gastrointestinal and Motility Disorders.

Curr Gastroenterol Rep. 2022-3

[6]
A Comparative Study for License Application Regulations on Proprietary Chinese Medicines in Hong Kong and Canada.

Front Med (Lausanne). 2021-3-9

[7]
Herbal medicines in functional dyspepsia-Untapped opportunities not without risks.

Neurogastroenterol Motil. 2021-2

本文引用的文献

[1]
Helicobacter pylori eradication therapy for functional dyspepsia: Systematic review and meta-analysis.

World J Gastroenterol. 2016-3-28

[2]
Functional Dyspepsia.

N Engl J Med. 2015-11-5

[3]
Functional gastroduodenal disorders.

Gastroenterology. 2006-4

[4]
Health-related quality of life in functional dyspepsia.

Aliment Pharmacol Ther. 2003-8-15

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