Ma Qianwen, Tan Yong, Mo Genlin
Gynecology Department, Zhenjiang Hospital Affiliated to Nanjing University of Chinese Medicine (Zhenjiang Hospital of Traditional Chinese Medicine), Zhenjiang, China.
Reproductive Medicine Department, Affiliated Hospital of Nanjing University of Chinese Medicine, Nanjing, China.
Evid Based Complement Alternat Med. 2020 Feb 19;2020:4367359. doi: 10.1155/2020/4367359. eCollection 2020.
To compare the treatment efficacy of Kuntai capsule with Climen only in the therapy of premature ovarian failure.
Randomized controlled trials were electronically retrieved from PubMed, Cochrane Library, Web of science, CBM, CNKI, Wanfang, and Weipu database. In addition, some related papers were manually checked. All papers were assessed according to the Cochrane Handbook for Systematic Reviews of Interventions, and the effective data were analyzed by Revman 5.3 Software.
11 randomized control trials involving 1068 patients were included. Results of meta-analysis showed that E (estrogen), the total therapeutic effective rate of the group of Kuntai capsule, and hormone were higher than hormone only. The LH (luteinizing hormone), FSH (follicle-stimulating hormone), and Kupperman score of the group of Kuntai capsule and Climen were lower than Climen only.
Available evidence shows that Kuntai capsule with Climen is more effective than Climen in the therapy of premature ovarian failure. Nowadays, the quality of the research studies is low. More large-scaled randomized trials will need to be carried out.
比较坤泰胶囊与单纯使用克龄蒙治疗卵巢早衰的疗效。
通过电子检索PubMed、Cochrane图书馆、Web of science、中国生物医学文献数据库(CBM)、中国知网(CNKI)、万方数据库和维普数据库中的随机对照试验。此外,还手动查阅了一些相关论文。所有论文均按照《Cochrane系统评价干预措施手册》进行评估,并使用Revman 5.3软件对有效数据进行分析。
纳入11项涉及1068例患者的随机对照试验。荟萃分析结果显示,坤泰胶囊组的雌激素(E)、总治疗有效率及激素水平均高于单纯使用激素组。坤泰胶囊联合克龄蒙组的促黄体生成素(LH)、促卵泡生成素(FSH)及库珀曼评分低于单纯使用克龄蒙组。
现有证据表明,坤泰胶囊联合克龄蒙治疗卵巢早衰比单纯使用克龄蒙更有效。目前,研究质量较低,需要开展更多大规模的随机试验。