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茵陈蒿汤治疗慢性乙型肝炎:系统评价与Meta分析方案

Yinchenhao decoction for chronic hepatitis B: Protocol for a systematic review and meta-analysis.

作者信息

Xu Lu, Xie Tian, Shen Tao, Jian Shengnan

机构信息

School of Basic Medicine, Chengdu University of Traditional Chinese Medicine, Chengdu, Sichuan.

Shenzhen Hospital, Guangzhou University of Chinese Medicine, Guangzhou, Guangdong, China.

出版信息

Medicine (Baltimore). 2019 Feb;98(8):e14648. doi: 10.1097/MD.0000000000014648.

Abstract

BACKGROUND

Chronic hepatitis B (CHB) is a very critical threat to public health worldwide, and is the primary cause of chronic hepatitis, cirrhosis, and hepatocellular carcinoma (HCC). Yinchenhao decoction (YCHD) is a classic prescription of traditional Chinese medicine for the treatment of jaundice. Despite the satisfactory clinical efficacy of YCHD in the treatment of CHB, the safety of YCHD is still uncertain. Therefore, we will provide a systematic review of YCHD in CHB treatments.

METHODS

The purpose of this review is to retrieve relevant literature on YCHD therapy for CHB in the electrical databases, including 4 Chinese databases (e.g., Wanfang database, Chinese National Knowledge Infrastructure (CNKI), Chinese Biomedical database (CBM), Chinese Science and Technology Periodical database (VIP)) and 3 English databases (e.g., PubMed, Cochrane Library, and EMBASE). The literatures involved are from the establishment of the databases to January 2019. The primary outcomes are HBV-DNA, HBeAg, and ALT. We will calculate the data synthesis for meta-analysis using RevMan V.5.3 software if the results are suitable.

RESULTS

This study will offer a high-quality composite of existing evidence for YCHD in CHB treatment according to HBV-DNA quantitative detection, HBeAg qualitative detection, ALT levels, TCM syndrome evaluation criteria, status changes in quality of life assessment participants, and adverse events.

CONCLUSION

This systematic review will provide evidence to assess the clinical efficacy of YCHD in the treatment of patients with CHB.

PROSPERO REGISTRATION NUMBER

PROSPERO CRD42019119720.

摘要

背景

慢性乙型肝炎(CHB)是全球公共卫生面临的一个非常关键的威胁,是慢性肝炎、肝硬化和肝细胞癌(HCC)的主要病因。茵陈蒿汤(YCHD)是治疗黄疸的经典中药方剂。尽管茵陈蒿汤治疗慢性乙型肝炎的临床疗效令人满意,但其安全性仍不确定。因此,我们将对茵陈蒿汤治疗慢性乙型肝炎进行系统评价。

方法

本综述的目的是检索电子数据库中有关茵陈蒿汤治疗慢性乙型肝炎的相关文献,包括4个中文数据库(如万方数据库、中国知网(CNKI)、中国生物医学数据库(CBM)、中文科技期刊数据库(VIP))和3个英文数据库(如PubMed、Cochrane图书馆和EMBASE)。所涉及的文献来自数据库建立至2019年1月。主要结局指标为HBV-DNA、HBeAg和ALT。如果结果合适,我们将使用RevMan V.5.3软件计算用于荟萃分析的数据合成。

结果

本研究将根据HBV-DNA定量检测、HBeAg定性检测、ALT水平、中医证候评价标准、生活质量评估参与者的状态变化以及不良事件,为茵陈蒿汤治疗慢性乙型肝炎提供现有证据的高质量综合分析。

结论

本系统评价将为评估茵陈蒿汤治疗慢性乙型肝炎患者的临床疗效提供证据。

PROSPERO注册号:PROSPERO CRD42019119720。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8b70/6408079/9ccf469c2447/medi-98-e14648-g001.jpg

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