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补中益气汤联合手术治疗直肠脱垂的疗效与安全性:系统评价与Meta分析方案

Efficacy and safety of Buzhong Yiqi decoction combined with surgery for rectal prolapse: A protocol for systematic review and meta analysis.

作者信息

Xie Yanpeng, Fan Yihua, Yang Chen, Wan Renhong, Cheng Xiaoen, Yang Xiangdong, Hu Yuanzhang, Deng Changyou

机构信息

Chengdu Anorectal Hospital, Chengdu, Sichuan Province.

First Teaching Hospital of Tianjin University of Traditional Chinese Medicine.

出版信息

Medicine (Baltimore). 2020 Oct 9;99(41):e22732. doi: 10.1097/MD.0000000000022732.

Abstract

BACKGROUND

It is extremely easy for rectal prolapse to relapse with surgery alone. Clinical practice indicates that Buzhong Yiqi decoction combined with surgery has certain therapeutic advantages, while there is a lack of evidence-based medicine support. This study aimed to systematically investigate the efficacy and safety of Buzhong Yiqi decoction combined with surgery in the treatment of rectal prolapse.

METHODS

The English databases (PubMed, Embase, Web of Science, the Cochrane Library) and Chinese databases (China National Knowledge Infrastructure [CNKI], Wanfang, China Science and Technology Journal Database [VIP], China Biology Medicine disc) were searched by computer. In addition, Baidu Scholar and Google Scholar were searched manually. A randomized controlled clinical study of Buzhong Yiqi decoction combined with surgery in the treatment of rectal prolapse was performed from the establishment of databases to September 2020. Two investigators independently conducted data extraction and assessed the literature quality of the included studies. The Revman5.3 software was used for meta-analysis of the included literature.

RESULTS

The efficacy and safety of Buzhong Yiqi decoction combined with surgery in the treatment of rectal prolapse were evaluated in terms of efficiency, symptom score, recurrence rate, adverse reaction rate, and so on.

CONCLUSIONS

Thisstudy provides reliable evidence-based support for the clinical application of Buzhong Yiqi decoction combined with surgery in the treatment of rectal prolapse.

OSF REGISTRATION NUMBER

DOI: 10.17605/OSF.IO/K3PJX.

摘要

背景

直肠脱垂单纯手术极易复发。临床实践表明,补中益气汤联合手术具有一定治疗优势,但缺乏循证医学支持。本研究旨在系统探究补中益气汤联合手术治疗直肠脱垂的疗效及安全性。

方法

通过计算机检索英文数据库(PubMed、Embase、Web of Science、Cochrane图书馆)和中文数据库(中国知网、万方、维普、中国生物医学文献数据库)。此外,手动检索百度学术和谷歌学术。从数据库建立至2020年9月开展补中益气汤联合手术治疗直肠脱垂的随机对照临床研究。两名研究者独立进行数据提取并评估纳入研究的文献质量。采用Revman5.3软件对纳入文献进行荟萃分析。

结果

从有效率、症状评分、复发率、不良反应率等方面评估补中益气汤联合手术治疗直肠脱垂的疗效及安全性。

结论

本研究为补中益气汤联合手术治疗直肠脱垂的临床应用提供了可靠的循证支持。

开放科学框架注册号

DOI: 10.17605/OSF.IO/K3PJX。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ec01/7544326/c29aba9fbd4c/medi-99-e22732-g002.jpg

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