中国全科医学
中國全科醫學
중국전과의학
CHINESE GENERAL PRACTICE
2009年
24期
2265-2267
,共3页
亚健康%中医%针灸疗法%推拿%系统评价
亞健康%中醫%針灸療法%推拿%繫統評價
아건강%중의%침구요법%추나%계통평개
Inferior healthy%Chinese traditional medicine%Acupuncture - moxibustion%Tuina%Massage systems as-sessment
目的 系统评价中医药干预亚健康临床随机对照试验的疗效和安全性.方法 通过检索Cochrane,临床试验注册库、MEDLINE、EMBASE、中国生物医学文献数据库(CBM)、万方数据库、中国知网数据库(CNKI)和维普全文期刊数据库(VIP)等中文数据库(截至2008年8月),全面搜集有关中医药干预亚健康的随机对照试验.由2名评价员对文献进行筛选,纳入中医药干预亚健康的随机对照试验并提取资料和质量评价,质量评价参照Cochrane Re-viewer'S Handbook 5.0提供的标准,数据分析采用Revman 5.0软件.结果 纳入15篇(半)随机对照研究文献,经临床异质性检验,由于其异质性过高无法进行Meta分析,进而进行亚组分析,得出中药干预亚健康有明显的疗效且优于西药,推拿和中药干预亚健康疗效无明显差异.结论 由于中医药干预亚健康的随机对照研究开展较少.纳入研究质量较低,故中医药干预亚健康的有效性和安全性尚缺乏足够的证据,有待进一步研究来验证.
目的 繫統評價中醫藥榦預亞健康臨床隨機對照試驗的療效和安全性.方法 通過檢索Cochrane,臨床試驗註冊庫、MEDLINE、EMBASE、中國生物醫學文獻數據庫(CBM)、萬方數據庫、中國知網數據庫(CNKI)和維普全文期刊數據庫(VIP)等中文數據庫(截至2008年8月),全麵搜集有關中醫藥榦預亞健康的隨機對照試驗.由2名評價員對文獻進行篩選,納入中醫藥榦預亞健康的隨機對照試驗併提取資料和質量評價,質量評價參照Cochrane Re-viewer'S Handbook 5.0提供的標準,數據分析採用Revman 5.0軟件.結果 納入15篇(半)隨機對照研究文獻,經臨床異質性檢驗,由于其異質性過高無法進行Meta分析,進而進行亞組分析,得齣中藥榦預亞健康有明顯的療效且優于西藥,推拿和中藥榦預亞健康療效無明顯差異.結論 由于中醫藥榦預亞健康的隨機對照研究開展較少.納入研究質量較低,故中醫藥榦預亞健康的有效性和安全性尚缺乏足夠的證據,有待進一步研究來驗證.
목적 계통평개중의약간예아건강림상수궤대조시험적료효화안전성.방법 통과검색Cochrane,림상시험주책고、MEDLINE、EMBASE、중국생물의학문헌수거고(CBM)、만방수거고、중국지망수거고(CNKI)화유보전문기간수거고(VIP)등중문수거고(절지2008년8월),전면수집유관중의약간예아건강적수궤대조시험.유2명평개원대문헌진행사선,납입중의약간예아건강적수궤대조시험병제취자료화질량평개,질량평개삼조Cochrane Re-viewer'S Handbook 5.0제공적표준,수거분석채용Revman 5.0연건.결과 납입15편(반)수궤대조연구문헌,경림상이질성검험,유우기이질성과고무법진행Meta분석,진이진행아조분석,득출중약간예아건강유명현적료효차우우서약,추나화중약간예아건강료효무명현차이.결론 유우중의약간예아건강적수궤대조연구개전교소.납입연구질량교저,고중의약간예아건강적유효성화안전성상결핍족구적증거,유대진일보연구래험증.
Objective To assessment the curative effect and the security of Chinese medicine intervening the inferior health. Methods Through retrieval Cochrane, MEDLINE, EMBASE, CBM, CNKI, the comprehensive collection related Chinese medicine intervening the inferior health the stochastic check experiment. Carries on screening by 2 appraisals to the liter-ature , integrates the Chinese medicine to intervene the inferior health the stochastic check experiment and withdraws the material and the quality rating. The quality rating refers to the standard which Cochrane handbook 5. 0 provide, the data analysis uses Revman 5. 0 the software. Results Integrates 15 stochastic comparison research literature, after clinical non -uniformity exami-nation , because its non - uniformity is excessively high is unable to carry on the Meta analysis, then carries on the subnit analysis to obtain the traditional Chinese medicine to intervene the inferior health to have the obvious curative effect, and surpasses the western medicine, the massage and the traditional Chinese medicine intervene the inferior healthy curative effect not obvious difference. Conclusion Because the Chinese medicine intervenes the inferior health the stochastic comparison research develop-ment to be few, integrates the research quality to be low, therefore the Chinese medicine intervenes the inferior health the validity and the security still lacked the enough evidence, waits for further research confirming.
