Bai Yu, Li Yu-Xiang, Shi Yu-Jing, Zhao Hai-Yu
Institute of Chinese Materia Medica, China Academy of Chinese Medical Sciences Beijing 100700, China.
Wangjing Hospital, China Academy of Chinese Medical Sciences Beijing 100102, China.
Zhongguo Zhong Yao Za Zhi. 2020 May;45(9):2203-2209. doi: 10.19540/j.cnki.cjcmm.20200102.501.
To systematically review the effectiveness and safety of Pudilan Xiaoyan Oral Liquid on child upper respiratory infection and conduct Meta-analysis. We electronically retrieved databases, including PubMed, Web of Science, VIP, WanFang and CNKI, for published articles of randomized controlled trials(RCTs) of Pudilan Xiaoyan Oral Liquid on child upper respiratory infection from inception to April 2019. According to the inclusion and exclusion criteria, two reviewers independently screened out literatures, extracted data and assessed the risk of bias in included studies. Then, Meta-analysis were conducted by Stata 15.0 software. A total of 16 RCTs involving 1 924 patients with upper respiratory infection were included. The results of Meta-analysis showed that the improvement of clinical symptoms, such as fever subsided time(WMD=-3.66, 95%CI[-4.61,-2.72], P<0.001), cough time(WMD=-1.89, 95%CI[-2.51,-1.27], P<0.001), time of runny noses(WMD=-4.60, 95%CI[-5.85,-3.34], P<0.001) and time of sore throat(WMD=-2.62, 95%CI[-3.54,-1.70], P<0.001). Meanwhile, the results of Meta-analysis showed the improvement of laboratory indications, including TNF-α(WMD=-2.68, 95%CI[-2.98,-1.58], P<0.001) and IL-6(WMD=-2.26, 95%CI[-3.36,-2.36], P<0.01). The current evidence shows that Pudilan Xiaoyan Oral Liquid may significantly improve the effectiveness and safety. According to the limited quality of included studies, the above conclusion needs be to verified with more high-quality studies.
系统评价蒲地蓝消炎口服液治疗儿童上呼吸道感染的有效性和安全性并进行Meta分析。通过电子检索PubMed、Web of Science、维普、万方和中国知网等数据库,收集从建库至2019年4月发表的关于蒲地蓝消炎口服液治疗儿童上呼吸道感染的随机对照试验(RCT)文献。根据纳入与排除标准,由两名研究者独立筛选文献、提取数据并评价纳入研究的偏倚风险。然后,采用Stata 15.0软件进行Meta分析。共纳入16项RCT,涉及1924例上呼吸道感染患儿。Meta分析结果显示,蒲地蓝消炎口服液可显著改善临床症状,如发热消退时间(加权均数差[WMD]=-3.66,95%可信区间[CI][-4.61,-2.72],P<0.001)、咳嗽时间(WMD=-1.89,95%CI[-2.51,-1.27],P<0.001)、流涕时间(WMD=-4.60,95%CI[-5.85,-3.34],P<0.001)和咽痛时间(WMD=-2.62,95%CI[-3.54,-1.70],P<0.001)。同时,Meta分析结果显示,蒲地蓝消炎口服液可改善实验室指标,包括肿瘤坏死因子-α(WMD=-2.68,95%CI[-2.98,-1.58],P<0.001)和白细胞介素-6(WMD=-2.26,95%CI[-3.36,-2.36],P<0.01)。现有证据表明,蒲地蓝消炎口服液可能显著提高治疗的有效性和安全性。鉴于纳入研究质量有限,上述结论尚需更多高质量研究予以验证。