Yuan Bo-Chao, Ma Kun, Zhang Chen-Hui, Yuan Yuan
Xiyuan Hospital,China Academy of Chinese Medicine Sciences Beijing 100091,China.
Zhongguo Zhong Yao Za Zhi. 2019 Mar;44(6):1080-1086. doi: 10.19540/j.cnki.cjcmm.2019.0021.
Meta-analysis of randomized controlled trials( RCTs) was conducted to clarify the effect of Bushen Huoxue herbal medicine in subfertile women with polycystic ovary syndrome. Databases including CNKI,Wan Fang,VIP,Sino Med,PubMed,EMbase,the Cochrane Library were searched until September,2018. Two reviewers independently assessed study eligibility,extracted data,and evaluated the risk of bias for included trials. Meta-analysis used Review Manager 5. 3 software. Seven RCTs( n = 634) were included.RESULTS: of Meta-analysis indicated that,Bushen Huoxue herbal medicine had advantages on increasing pregnancy rate,lowering LH,T and INS. Bushen Huoxue herbal medicine were not clear on increasing ovulation rate,increasing FSH. No serious adverse reaction appearing from Bushen Huoxue herbal medicine was reported in the including researches. The current Meta-analysis showed a promising effect of Bushen Huoxue herbal medicine in subfertile women with polycystic ovary syndrome,but the quality of current evidence was low and possible publication bias.
进行随机对照试验(RCT)的荟萃分析,以阐明补肾活血中药对多囊卵巢综合征不孕妇女的疗效。检索了包括中国知网、万方、维普、中国生物医学文献数据库、PubMed、EMbase、考克兰图书馆在内的数据库,检索截至2018年9月。两名评价者独立评估研究的合格性,提取数据,并评估纳入试验的偏倚风险。荟萃分析使用Review Manager 5.3软件。纳入了7项随机对照试验(n = 634)。结果:荟萃分析表明,补肾活血中药在提高妊娠率、降低促黄体生成素(LH)、睾酮(T)和胰岛素(INS)方面具有优势。补肾活血中药在提高排卵率、增加促卵泡生成素(FSH)方面效果不明确。纳入的研究中未报告补肾活血中药出现严重不良反应。当前的荟萃分析显示,补肾活血中药对多囊卵巢综合征不孕妇女有较好疗效,但当前证据质量较低且可能存在发表偏倚。