世界中医药
文章摘要
引用本文:师帅,胡元会,宋庆桥,褚瑜光,石晶晶,汪九重.补阳还五汤治疗高脂血症的系统评价[J].世界中医药,2018,(11):.  
补阳还五汤治疗高脂血症的系统评价
Systematic Review of the Efficacy of Buyang Huanwu Decoction in Treating Hyperlipidemia
投稿时间:2017-12-25  
DOI:10.3969/j.issn.1673-7202.2018.11.060
中文关键词:  补阳还五汤  高脂血症  系统评价  Meta分析  随机对照试验  血脂康  他汀类药物  循证医学
English Keywords:Buyang Huanwu Decoction  Hyperlipidemia  Systematic Review  Meta-analysis  RCTs  Xuezhikang  Statins  Evidence-based medicine
基金项目:北京市自然科学基金资助项目(7172188);中国中医科学院广安门医院南区所级课题(Y2017-12)
作者单位
师帅,胡元会,宋庆桥,褚瑜光,石晶晶,汪九重 中国中医科学院广安门医院北京100053 
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中文摘要:
      目的:系统评价补阳还五汤治疗高脂血症的疗效和安全性;方法:计算机检索Cochrane图书馆、PubMed、Embase、CNKI、CBM、VIP、万方数据库等数据库,纳入相关RCTs,并进行评价,采用Revman5.3软件分析数据;结果:纳入6篇随机对照试验,共626例受试者。相比对照组,补阳还五汤的血脂总疗效高于对照组(RR=1.30,95%CI[1.15,1.48],P=0.001)。治疗后总胆固醇低于对照组(WMD=-0.38,95%CI[-0.68,-0.08],P=0.01)。治疗后三酰甘油与对照组效果接近(WMD=-0.16,95%CI[-0.44,0.12],P=0.28)。治疗后高密度脂蛋白水平与对照组效果接近(WMD=0.05,95%CI[-0.11,0.21],P=0.55)。治疗后低密度脂蛋白水平与对照组效果接近(WMD=0.09,95%CI[-0.64,0.82],P=0.80),与他汀类药物比较,补阳还五汤治疗后LDL-C水平较低(WMD=-0.48,95%CI[-0.67,-0.29],P=0<0.00001)。纳入研究均未报道不良反应发生。结论:补阳还五汤治疗高脂血症疗效较好,对TC、TG、HDL-C、LDL-C的改善有效,对TC的改善较为明显。与他汀类药物比较,对TC、LDL-C改善较明显。
English Summary:
      To assess the efficacy and safety of Buyang Huanwu Decoction in treating hyperlipidemia.Methods:RCTs were collected by computer,using Revman5.3 software,from databases including the Cochrane library,PubMed,Embase,CNKI,CBM,VIP and Wanfang database.Results:A total of 6 RCTs were included,with 626 subjects in total.The total effect of lipid of Buyang Huanwu Decoction of the treatment group was higher than that of control group(RR=1.30,95%CI [1.15,1.48],P=0.001).The total cholesterol(TC)level of Buyang Huanwu Decoction was lower after treatment(WMD=-0.38,95%CI [-0.68,-0.08],P=0.01).The triglyceride(TG)level of Buyang Huanwu Decoction was indiscriminate with the control group after treatment(WMD=-0.16,95%CI [-0.44,0.12],P=0.28).The HDL-C level of Buyang Huanwu Decoction was indiscriminate with the control group after treatment(WMD=0.05,95%CI [-0.11,0.21],P=0.55).The level of low-density lipoprotein(LDL)was similar to that of the control group after treatment(WMD=0.09,95% CI[-0.64,0.82],P=0.80).Compared with statins,the LDL-C level of Buyang Huanwu Decoction was lower(WMD=-0.48,95%CI [-0.67,-0.29],P=0<0.00001).There were no relevant reports about the incidence of adverse reactions.Conclusion:Buyang Huanwu Decoction may effectively improve hyperlipidemia,including TC,TG,HDL-C and LDL-C,and especially in TC.Buyang Huanwu Decoction is more effective in the improvement of TC and LDL-C than others.It is recommended that this treatment of hyperlipidemia should be used in clinical and to add more high quality relevant studies.
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