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人参对 C-反应蛋白水平的影响:临床试验的系统评价和荟萃分析。

Effects of ginseng on C-reactive protein level: A systematic review and meta-analysis of clinical trials.

机构信息

Nutritional Health Research Center, Lorestan University of Medical Sciences, Khorramabad, Iran.

Nutritional Health Research Center, Lorestan University of Medical Sciences, Khorramabad, Iran.

出版信息

Complement Ther Med. 2019 Aug;45:98-103. doi: 10.1016/j.ctim.2019.05.021. Epub 2019 May 22.

Abstract

OBJECTIVE

The aim of this meta-analysis was to assess effects of ginseng supplementation on CRP/hs-CRP levels in clinical trial studies.

DESIGN

A systematic literature search was carried out for clinical trials published in ISI web of Science, Scopus, PubMed and Cochrane Library databases from the beginning to 16th February 2018. Of 83 articles found in the first step of the systematic search, seven studies with nine arms included in this meta-analysis.

RESULTS

Results of pooled random-effect size analysis of nine trials showed non-significant decreasing effects of ginseng supplementation on CRP level (WMD: -0.1 mg/l, 95% CI, -0.26, 0.1; P = 0.27) with significant heterogeneity shown within the studies. The subgroup analysis showed that ginseng supplementation could significantly reduce CRP level by 0.51 (95% CI: -0.68, -0.34; P < 0001, test for heterogeneity: P = 0.44, I = 0.0%) in patients with a baseline serum CRP level of greater than 3 mg/dl. Trial duration and dose of ginseng supplementation included no significant effects on CRP level in this meta-analysis.

CONCLUSION

Results of the current meta-analysis study have shown that ginseng supplementation can decrease significantly serum CRP/hsCRP levels in patients with elevated serum level of this inflammatory marker.

摘要

目的

本荟萃分析旨在评估人参补充剂对临床试验中 CRP/高敏 CRP 水平的影响。

设计

对 ISI 网络科学、Scopus、PubMed 和 Cochrane 图书馆数据库中从开始到 2018 年 2 月 16 日发表的临床试验进行了系统文献检索。在系统检索的第一步中发现了 83 篇文章,其中有 7 项研究,9 个试验组纳入本荟萃分析。

结果

9 项试验的汇总随机效应大小分析结果显示,人参补充剂对 CRP 水平没有显著降低作用(WMD:-0.1mg/l,95%CI:-0.26,0.1;P=0.27),且研究间存在显著异质性。亚组分析显示,对于基线血清 CRP 水平大于 3mg/dl 的患者,人参补充剂可使 CRP 水平显著降低 0.51(95%CI:-0.68,-0.34;P<0.0001,检验异质性:P=0.44,I=0.0%)。本荟萃分析中,试验持续时间和人参补充剂剂量对 CRP 水平无显著影响。

结论

本荟萃分析研究结果表明,人参补充剂可显著降低 CRP/高敏 CRP 水平升高患者的血清 CRP/hsCRP 水平。

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