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子宫内膜异位症的中药复方处方:系统评价与Meta分析方案

Chinese herbal compound prescription for Endometriosis: A protocol for systematic review and meta-analysis.

作者信息

Tang Xiusong, Chen Jing, Ou Peiqi, Chen Jingqin, Lan Shaohang, Luo Jiajing, Luo Yehao, Shang Yuzhi, Fang Gang

机构信息

Guangxi university of Traditional Chinese Medicine, Nanning, Guangxi Province, China.

出版信息

Medicine (Baltimore). 2020 Oct 16;99(42):e22698. doi: 10.1097/MD.0000000000022698.

DOI:10.1097/MD.0000000000022698
PMID:33080720
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7571967/
Abstract

BACKGROUND

Endometriosis (EMT) is one of the common diseases of women of childbearing age. EMT destroys the anatomical structure of the pelvis, which leads to abnormal ovulation and endocrine abnormalities. It also affects embryo implantation and makes patients infertile. Recently, it is confirmed that Chinese medicine also have an excellent clinical efficacy on EMT. Compared with the conventional western medicine treatment, it effectively relieve pain and other concomitant symptoms.

METHODS AND ANALYSIS

The following databases will be searched for relevant information before July 2020: PubMed, Embase, Cochrane Library, Web of Science, and CNKI.

MAJOR RESULTS

the overall effective rate, VAS score.

SECONDARY OUTCOMES

blood serum estradiol (E2), progesterone (P), Follicle-Stimulating Hormone (FSH), adverse events. Data will be collected independently by 2 researchers, and the risk of bias in meta-analysis will be evaluated according to "Cochrane Handbook for Systematic Reviews of Interventions". All data analysis will be conducted using Review Manager V.5.3. and Stata V.12.0.

RESULTS

The curative effect and safety of Chinese herbal compound prescription treatment for EMT patients will be evaluated systematically.

CONCLUSION

The systematic review of this study will summarize the currently published evidence of Chinese herbal compound prescription treatment for EMT to further guide its promotion and application.

ETHICS AND DISSEMINATION

The private information from individuals will not be published. This systematic review also will not involve endangering participant rights. Ethical approval is not required. The results may be published in a peer-reviewed journal or disseminated in relevant conferences. OPEN SCIENCE FRAMEWORK (OSF) REGISTRATION NUMBER:: https://osf.io/p5nrk.

摘要

背景

子宫内膜异位症(EMT)是育龄期女性的常见疾病之一。EMT破坏盆腔的解剖结构,导致排卵异常和内分泌紊乱。它还会影响胚胎着床,导致患者不孕。近年来,证实中药对EMT也有良好的临床疗效。与传统西医治疗相比,能有效缓解疼痛等伴随症状。

方法与分析

在2020年7月前检索以下数据库以获取相关信息:PubMed、Embase、Cochrane图书馆、Web of Science和中国知网。

主要结果

总有效率、视觉模拟评分(VAS)。

次要结果

血清雌二醇(E2)、孕酮(P)、促卵泡生成素(FSH)、不良事件。数据将由2名研究人员独立收集,并根据《Cochrane系统评价干预措施手册》评估荟萃分析中的偏倚风险。所有数据分析将使用Review Manager V.5.3和Stata V.12.0进行。

结果

将系统评价中药复方制剂治疗EMT患者的疗效和安全性。

结论

本研究的系统评价将总结目前已发表的中药复方制剂治疗EMT的证据,以进一步指导其推广应用。

伦理与传播

不会公布个人隐私信息。本系统评价也不会涉及危及参与者权益的问题。无需伦理批准。结果可能发表在同行评审期刊上或在相关会议上传播。开放科学框架(OSF)注册号:https://osf.io/p5nrk 。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8c35/7571967/fbd174463349/medi-99-e22698-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8c35/7571967/fbd174463349/medi-99-e22698-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8c35/7571967/fbd174463349/medi-99-e22698-g001.jpg

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本文引用的文献

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Endometriosis: current challenges in modeling a multifactorial disease of unknown etiology.子宫内膜异位症:模拟病因不明的多因素疾病当前面临的挑战。
J Transl Med. 2020 Aug 12;18(1):311. doi: 10.1186/s12967-020-02471-0.
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Association between the Genetic Variants of Glutathione Peroxidase 4 and Severity of Endometriosis.谷胱甘肽过氧化物酶 4 的遗传变异与子宫内膜异位症严重程度的关系。
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Obstetrical complications and outcome in patients with endometriosis.
子宫内膜异位症患者的产科并发症及结局
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Clinical management of endometriosis.子宫内膜异位症的临床管理
Minerva Ginecol. 2020 Apr;72(2):106-118. doi: 10.23736/S0026-4784.20.04544-X.
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Genetic, Epigenetic, and Steroidogenic Modulation Mechanisms in Endometriosis.子宫内膜异位症中的遗传、表观遗传和类固醇生成调节机制。
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Cytokines, Angiogenesis, and Extracellular Matrix Degradation are Augmented by Oxidative Stress in Endometriosis.在子宫内膜异位症中,氧化应激增强了细胞因子、血管生成和细胞外基质降解。
Ann Lab Med. 2020 Sep;40(5):390-397. doi: 10.3343/alm.2020.40.5.390.
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Plasma levels of polychlorinated biphenyl, genetic polymorphisms, and the risk of advanced stage endometriosis.血浆中多氯联苯的水平、基因多态性与晚期子宫内膜异位症风险的关系。
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Endometriosis.子宫内膜异位症
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Current Status of Transvaginal Ultrasound Accuracy in the Diagnosis of Deep Infiltrating Endometriosis Before Surgery: A Systematic Review of the Literature.术前经阴道超声诊断深部浸润型子宫内膜异位症准确性的现状:文献系统评价
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