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复方丹参滴丸联合西药治疗糖尿病视网膜病变的疗效:一项随机对照试验的系统评价和荟萃分析。

Efficacy of Compound Danshen Dripping Pills combined with western medicine in the treatment of diabetic retinopathy: a systematic review and meta-analysis of randomized controlled trials.

机构信息

Department of Ophthalmology, Hospital of Chengdu University of Traditional Chinese Medicine, Chengdu, China.

Department of Ophthalmology, Xi'an Hospital of Traditional Chinese Medicine, Xi'an, China.

出版信息

Ann Palliat Med. 2021 Oct;10(10):10954-10962. doi: 10.21037/apm-21-2563.

Abstract

BACKGROUND

The Compound Danshen Dripping Pills have been widely used in the treatment of diabetic retinopathy (DR), but there is a lack of systematic review of reports on this topic. To explore the efficacy of Compound Danshen Dripping Pills combined with western medicine in the treatment of diabetic retinopathy, we conducted a meta-analysis.

METHODS

Randomized controlled trials published in the Chinese Medical Literature Database (CBM), Embase, PubMed, and Medline databases from January 2010 to August 2021 were searched. After screening the qualified literature, literature quality was evaluated by the Cochrane Handbook for Systematic Reviews of Interventions. Meta-analysis was performed on outcome measures including effective rate, visual field gray value, hemangioma volume, hemorrhagic plaque area, and visual acuity after diabetic retinopathy treatment with Compound Danshen Dripping Pills using Revman 5.3 analysis software to comprehensively evaluate the utility of Compound Danshen Dripping Pills.

RESULTS

A total of 167 documents were preliminarily searched, and 8 studies involving 524 patients were included for meta-analysis. Meta-analysis showed that the statistical value of the effective rate of diabetic retinopathy treatment in the intervention group and control group was OR =5.00, 95% CI: 2.84, 8.83, P<0.0001. The statistical value of visual field gray value comparison was MD =-0.93, 95% CI: -0.98, -0.89, P<0.00001. The statistical value of hemangioma volume was MD =-3.16, 95% CI: -3.48, -2.84, P<0.00001. The statistical value of hemorrhagic plaque area comparison was MD =-0.65, 95% CI: -0.97, -0.32, P<0.0001. The statistical value of visual acuity comparison was MD =0.15, 95% CI: 0.10, 0.19, P<0.00001.

DISCUSSION

The Compound Danshen Dripping Pills combined with western medicine are effective and safe in the treatment of diabetic retinopathy.

摘要

背景

复方丹参滴丸在糖尿病视网膜病变(DR)的治疗中被广泛应用,但缺乏关于这一主题的系统评价报告。为了探讨复方丹参滴丸联合西药治疗糖尿病视网膜病变的疗效,我们进行了一项荟萃分析。

方法

检索中国生物医学文献数据库(CBM)、Embase、PubMed 和 Medline 数据库 2010 年 1 月至 2021 年 8 月发表的随机对照试验。筛选合格文献后,使用 Cochrane 系统评价干预手册评价文献质量。使用 Revman 5.3 分析软件对包括有效率、视野灰度值、血管瘤体积、出血斑块面积和糖尿病视网膜病变治疗后视力在内的结局指标进行荟萃分析,综合评价复方丹参滴丸的疗效。

结果

共初步检索到 167 篇文献,纳入 8 项研究,共 524 例患者进行荟萃分析。Meta 分析结果显示,干预组和对照组糖尿病视网膜病变治疗有效率的统计值为 OR=5.00,95%CI:2.84,8.83,P<0.0001。视野灰度值比较的统计值为 MD=-0.93,95%CI:-0.98,-0.89,P<0.00001。血管瘤体积的统计值为 MD=-3.16,95%CI:-3.48,-2.84,P<0.00001。出血斑块面积比较的统计值为 MD=-0.65,95%CI:-0.97,-0.32,P<0.0001。视力比较的统计值为 MD=0.15,95%CI:0.10,0.19,P<0.00001。

讨论

复方丹参滴丸联合西药治疗糖尿病视网膜病变有效且安全。

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