Wang Ping, Huang Hefei, Zhong Jingya, Cai Hairong, Huang Yonglian, Chen Dongjie, Huang Yaxiu, Li Shaoping, Cao Qifeng, Peng Xiaohong
Department of Critical Care Medicine, Beijing University of Chinese Medicine Shenzhen Hospital.
The Second Clinical Medical School, Guangzhou University of Chinese Medicine, Guangzhou, Guangdong Province, China.
Medicine (Baltimore). 2019 Mar;98(9):e14761. doi: 10.1097/MD.0000000000014761.
Sepsis is the most common critical illness in the clinic, with a high incidence and mortality. Qingwen Baidu decoction (QWBDD) has been widely applied in the treatment of sepsis, however, there is no systematic review or meta-analysis of QWBDD in the treatment of sepsis. Hence, we provide a protocol of systematic review and meta-analysis to evaluate the efficacy and safety of QWBDD in the treatment of sepsis.
The databases including Cochrane Library, PubMed, Embase, Web of Science, Cochrane Clinical Trial Database, World Health Organization International Clinical Trial Registration Platform, CNKI, CBM, VIP, and WanFang Database will be searched from the time when the respective databases were established to January 2019. All randomized controlled trials (RTCs) published in Chinese and English assessing QWBDD for sepsis will be included. Continuity data are expressed as mean difference (MD) or standard mean difference (SMD), and dichotomous data is expressed as relative risk. Analyses will be performed by using RevMan V.5.3.5 software.
This study will provide high-quality synthesis of current evidence of QWBDD in the treatment of sepsis from the following aspects, including 28-day mortality, mean arterial pressure (MAP), blood lactate, procalcitonin (PCT), tumor necrosis factor-α (TNF-α), interleukin-6 (IL-6), hypersensitive C-reactive protein (hs-CRP), acute physiology and chronic health score (APACHE-II), intensive care unit stay, mean hospital stay, mechanical ventilation time, etc. CONCLUSION:: Our systematic review will provide evidence for judging whether QWBDD is an effective intervention for sepsis.
PROSPERO CRD 42019123078.
脓毒症是临床上最常见的危重症,发病率和死亡率都很高。清瘟败毒饮已广泛应用于脓毒症的治疗,然而,尚无关于清瘟败毒饮治疗脓毒症的系统评价或荟萃分析。因此,我们提供一项系统评价和荟萃分析方案,以评估清瘟败毒饮治疗脓毒症的疗效和安全性。
检索Cochrane图书馆、PubMed、Embase、Web of Science、Cochrane临床试验数据库、世界卫生组织国际临床试验注册平台、中国知网、中国生物医学文献数据库、维普数据库和万方数据库,检索时间从各数据库建库至2019年1月。纳入所有发表的中英文评估清瘟败毒饮治疗脓毒症的随机对照试验。连续性数据以均数差(MD)或标准化均数差(SMD)表示,二分数据以相对危险度表示。采用RevMan V.5.3.5软件进行分析。
本研究将从以下方面对清瘟败毒饮治疗脓毒症的现有证据进行高质量的综合分析,包括28天死亡率、平均动脉压(MAP)、血乳酸、降钙素原(PCT)、肿瘤坏死因子-α(TNF-α)、白细胞介素-6(IL-6)、超敏C反应蛋白(hs-CRP)、急性生理与慢性健康评分(APACHE-II)、重症监护病房住院时间、平均住院时间、机械通气时间等。结论:我们的系统评价将为判断清瘟败毒饮是否为脓毒症的有效干预措施提供证据。
PROSPERO注册号:PROSPERO CRD 42019123078。