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用于慢性阻塞性肺疾病急性加重期的中医经典草药方小青龙汤:一项系统评价方案

Traditional Chinese medicine classic herbal formula Xiaoqinglong decoction for acute exacerbation of chronic obstructive pulmonary disease: A systematic review protocol.

作者信息

Zhen Gao, Jing Jing, Fengsen Li

机构信息

Traditional Chinese Medicine Hospital Affiliated to Xinjiang Medical University & National Clinical Research Base of Traditional Chinese Medicine, Urumqi, China.

出版信息

Medicine (Baltimore). 2018 Dec;97(52):e13761. doi: 10.1097/MD.0000000000013761.

Abstract

BACKGROUND

Xiaoqinglong decoction (XQLD) is 1 of the traditional Chinese medicine (TCM) classic herbal formula that is widely used in Asian for acute exacerbation of chronic obstructive pulmonary disease (AECOPD). In recent years, there has been increasing interest in the use of XQLD to treat COPD in China. So it is necessary to update the research and re-evaluate the efficacy and safety of XQLD to provide up-to-date evidence for COPD management. Therefore, we provide a protocol for a systematic review of XQLD for COPD. This protocol is described for a systematic review to investigate the beneficial effects and safety of XQLD for AECOPD.

METHODS

A systematic literature search for article up to October 2018 will be performed in 3 Chinese electronic databases and 2 English electronic databases: Pubmed, Cochrane library, China national knowledge infrastructure (CNKI), Chinese science and technology periodical database (VIP), and Wanfang database. Inclusion criteria are randomized control trials of XQLD in treating AECOPD. The primary outcomes were total clinical efficacy rate, TCM symptom scores, TCM Symptom relief time. The secondary outcome was lung function, blood gas analysis, inflammatory cytokines and C-reactive protein (CRP). The summary results will be pooled using the random-effects model or fixed-effects model according to the heterogeneity of the included studies.

RESULT

This systematic review will provide an evidence of XQLD for AECOPD, and will submit to a peer-reviewed journal for publication.

CONCLUSION

The conclusion of this systematic review will provide evidence to judge whether XQLD is an effective intervention for AECOPD patients.

摘要

背景

小青龙汤是一种传统中药经典方剂,在亚洲被广泛用于慢性阻塞性肺疾病急性加重期(AECOPD)的治疗。近年来,中国对使用小青龙汤治疗慢性阻塞性肺疾病的兴趣日益增加。因此,有必要更新研究并重新评估小青龙汤的疗效和安全性,为慢性阻塞性肺疾病的管理提供最新证据。因此,我们提供了一项关于小青龙汤治疗慢性阻塞性肺疾病的系统评价方案。本方案旨在对小青龙汤治疗AECOPD的有益效果和安全性进行系统评价。

方法

将在3个中文电子数据库和2个英文电子数据库中进行系统的文献检索,检索截至2018年10月的文章:PubMed、Cochrane图书馆、中国知网(CNKI)、中文科技期刊数据库(VIP)和万方数据库。纳入标准为小青龙汤治疗AECOPD的随机对照试验。主要结局为总临床有效率、中医症状评分、中医症状缓解时间。次要结局为肺功能、血气分析、炎症细胞因子和C反应蛋白(CRP)。将根据纳入研究的异质性,使用随机效应模型或固定效应模型汇总总结结果。

结果

本系统评价将为小青龙汤治疗AECOPD提供证据,并将提交给同行评审期刊发表。

结论

本系统评价的结论将为判断小青龙汤是否为AECOPD患者的有效干预措施提供证据。

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