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中药复方或联合西药治疗小儿腺样体肥大的疗效与安全性:系统评价与Meta分析方案

The efficacy and safety of Chinese herbal compound or combined with western medicine for pediatric adenoidal hypertrophy: A protocol for systematic review and meta-analysis.

作者信息

Wang Penglin, Kong Weidong, Shan Yanchun

机构信息

Department of Orthodontics, School of Stomatology, Jinan University.

Department of Orthodontics, First Affiliated Hospital of Jinan University.

出版信息

Medicine (Baltimore). 2020 Sep 4;99(36):e22023. doi: 10.1097/MD.0000000000022023.

Abstract

BACKGROUND

Traditional Chinese medicine (TCM) or combined with western medicine in the treatment of pediatric adenoidal hypertrophy has been widely used in clinical practice, but the overall efficacy and safety is still unclear. This paper aims to evaluate the efficacy and safety analysis of TCM or combined with western medicine for pediatric adenoidal hypertrophy.

METHODS

PubMed, EMbase, Cochrane Library, Web of Science, China National Knowledge Infrastructure (CNKI), WanFang, the Chongqing VIP Chinese Science and Technology Periodical Database, and China biomedical literature database (CBM) were searched for randomized controlled trials of TCM or combined with western medicine for pediatric adenoidal hypertrophy from the date of establishment to July 2020, and Baidu Scholar, Google Scholar, International Clinical Trials Registry Platform (ICTRP), and Chinese Clinical Trials Registry (ChiCTR) were searched for unpublished grey literature. Two researchers independently applied RevMan 5.3 software for data extraction and risk assessment of bias.

RESULTS

The effectiveness and safety of TCM or combined with western medicine for pediatric adenoidal hypertrophy is evaluated by means of the Adenoid (A) /(Nasopharyngeal (N) ratio, clinical efficacy, integral score of TCM syndromes, clinical single symptom score, disease specific quality of life for children with obstructive sleep apnea 18 items survey (OSA-18), Interleukin 4 (IL-4) and adverse reaction incidence.

CONCLUSION

This study will provide theoretical support for the clinical application of TCM or combined with western medicine for pediatric adenoidal hypertrophy.

OSF REGISTRATION NUMBER

DOI 10.17605/OSF.IO/J76AG.

摘要

背景

中医或中西医结合治疗小儿腺样体肥大在临床实践中已被广泛应用,但总体疗效和安全性仍不明确。本文旨在评估中医或中西医结合治疗小儿腺样体肥大的疗效及安全性分析。

方法

检索PubMed、EMbase、Cochrane图书馆、Web of Science、中国知网(CNKI)、万方、重庆维普中文科技期刊数据库和中国生物医学文献数据库(CBM),查找自建库至2020年7月期间中医或中西医结合治疗小儿腺样体肥大的随机对照试验,并检索百度学术、谷歌学术、国际临床试验注册平台(ICTRP)和中国临床试验注册中心(ChiCTR)以获取未发表的灰色文献。两名研究人员独立应用RevMan 5.3软件进行数据提取和偏倚风险评估。

结果

通过腺样体(A)/(鼻咽(N)比值、临床疗效、中医证候积分、临床单项症状评分、阻塞性睡眠呼吸暂停患儿疾病特异性生活质量18项调查(OSA-18)、白细胞介素4(IL-4)和不良反应发生率来评估中医或中西医结合治疗小儿腺样体肥大的有效性和安全性。

结论

本研究将为中医或中西医结合治疗小儿腺样体肥大的临床应用提供理论支持。

开放科学框架注册号

DOI 10.17605/OSF.IO/J76AG。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7826/7478751/9f358ae6e73e/medi-99-e22023-g002.jpg

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