摘要
目的:评价补肾健脾活血排毒法中西医结合治疗慢性肾功能不全疗效。方法:检索中国期刊全文数据库(CNKI)、中国生物医学文献数据库(CBM)和中文科技期刊全文数据库(维普),并追查所有纳入研究的参考文献。检索年限从1995-2008年。纳入以补肾健脾活血排毒法为主要组方依据的临床随机对照试验(RCT)。运用Cochrane协作网提供的RevMan4.2分析软件,计数资料计算合并的OR值,计量资料采用WMD和SMD法,并进行显著性检验。结果:治疗组相对于对照组有效率OR=3.82(95%CI,2.72~5.38),P<0.05,血肌酐SMD=-0.72(95%CI,-1.08^-0.35),血尿素氮WMD=-3.32(95%CI,-4.34^-2.29),均P<0.05。结论:研究显示补肾健脾活血排毒原则中西医结合治疗慢性肾功能不全有效,但临床上运用本治法进行临床随机对照试验的研究质量有待提高,应采用严格的设计确保试验结果的可信度。
Objective: The evaluation of curative effect of CRF by Bushen Jianpi Huoxue Paidu and combination western medicine. Method : Gather articles mainly of VIP Information and Wanfang Data of the decade to cure CRF by Bushen Jianpi Huoxue Paidu and combination western medicine with random controlled way, and geostatistical analyse with RevMan4. 2 downloading from Cochrane Collaboration. Result: The control group was 3.82 (95% CI, 2.72 - 5.38 ) , in neurofunction 2 al impairment. The serum creatinine SMD = -0. 72(95%CI, - 1. 08- -0. 35). Urea Nitrogen WMD = -3. 32(95%CI, -4. 34- -2. 29), P 〈0. 05. Conclusion: In addition to the routine treatment, the method of Bushen Jianpi Huoxue Paidu can be used by using some Chinese drugs to enhance the clinical effect.
出处
《中国中药杂志》
CAS
CSCD
北大核心
2009年第16期2097-2100,共4页
China Journal of Chinese Materia Medica
基金
江苏省科技厅课题(MB20067i3)
关键词
慢性肾功能不全
中西医结合
补肾健脾
META分析
chronic renal failure, combination of traditional Chinese and western medicine, Bushen Jianpi, meta analysis