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穴位按压联合茵栀黄颗粒对新生儿黄疸的影响:一项随机对照试验的系统评价和Meta分析

Effect of acupressure combined with Yinzhihuang granules on neonatal jaundice: a systematic review and meta-analysis of randomized controlled trials.

作者信息

Wu Fang-Fang, Huang Chan, Lin Ming-Jing, Wang Ling, Xu Ke, Zhou Xuan

机构信息

Department of Neonatology, Hainan General Hospital (Hainan Affiliated Hospital of Hainan Medical University), Haikou, China.

Department of Pediatrics, Chengmai County People's Hospital, Chengmai, China.

出版信息

Transl Pediatr. 2022 Feb;11(2):219-228. doi: 10.21037/tp-22-22.

Abstract

BACKGROUND

With the improvement of living standards in recent years, people are paying increasing attention to neonatal jaundice. Yinzhihuang granule is a common Chinese herbal drug for the treatment of neonatal jaundice. The aim of this paper was to study the efficacy of acupressure-assisted Yinzhihuang granule in the treatment of neonatal jaundice by meta-analysis.

METHODS

We performed a search in the databases of PubMed, Embase, Cochrane Library, Chinese Journal Full-text Database (CNKI), VIP, Wanfang Science and Technology Journal Full-text Database, and Chinese Biomedical Literature Search Database (CBM) for articles on the therapeutic effect of acupressure-assisted Yinzhihuang granule on neonatal jaundice from database establishment to October 2021. The software Endnote X9 was used to check and eliminate the articles, screen the articles according to the required inclusion and exclusion criteria, extract the data, and perform quality evaluation according to the risk of bias tool of Cochrane Collaboration. The software Stata 15.1 and RevMan 5.3 were used to record the data, and a meta-analysis was performed on the effective rate of acupressure-assisted Yinzhihuang granule in the treatment of neonatal jaundice, according to serum total bilirubin values after treatment and duration of jaundice. And show the efficacy of Yinzhihuang particles through these results. The reliability of the results was assessed by sensitivity analysis. Funnel plots were used to test the publication bias of the articles.

RESULTS

A total of 3 articles were included. The results of meta-analysis showed that when acupressure-assisted Yinzhihuang granule was used to treat neonatal jaundice, the effective rate of the test group was not significantly different from that in the control group; the serum total bilirubin level in the test group was significantly lower than that in the control group after treatment; the duration of jaundice in the test group was significantly shorter than that in the control group.

DISCUSSION

Acupressure combined with Yinzhihuang granule is effective in treating neonatal jaundice, which has a positive effect on reducing the level of serum total bilirubin and reducing the duration of jaundice.

摘要

背景

近年来随着生活水平的提高,人们对新生儿黄疸越来越关注。茵栀黄颗粒是治疗新生儿黄疸的常用中药。本文旨在通过荟萃分析研究穴位按摩辅助茵栀黄颗粒治疗新生儿黄疸的疗效。

方法

在PubMed、Embase、Cochrane图书馆、中国期刊全文数据库(CNKI)、维普、万方科技期刊全文数据库和中国生物医学文献检索数据库(CBM)中进行检索,查找从数据库建立至2021年10月有关穴位按摩辅助茵栀黄颗粒治疗新生儿黄疸疗效的文章。使用Endnote X9软件对文章进行查重和剔除,根据所需的纳入和排除标准筛选文章,提取数据,并根据Cochrane协作网的偏倚风险工具进行质量评估。使用Stata 15.1软件和RevMan 5.3软件记录数据,并根据治疗后血清总胆红素值和黄疸持续时间,对穴位按摩辅助茵栀黄颗粒治疗新生儿黄疸的有效率进行荟萃分析。并通过这些结果展示茵栀黄颗粒的疗效。通过敏感性分析评估结果的可靠性。使用漏斗图检验文章的发表偏倚。

结果

共纳入3篇文章。荟萃分析结果显示,穴位按摩辅助茵栀黄颗粒治疗新生儿黄疸时,试验组有效率与对照组差异无统计学意义;治疗后试验组血清总胆红素水平显著低于对照组;试验组黄疸持续时间显著短于对照组。

讨论

穴位按摩联合茵栀黄颗粒治疗新生儿黄疸有效,对降低血清总胆红素水平和缩短黄疸持续时间有积极作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/85ac/8905108/01a0ea37b37e/tp-11-02-219-f1.jpg

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