[1]余锋,刘静,信梦雪,等.中医药干预急性心肌梗死的系统综述及Meta分析文献质量评价[J].西部中医药,2019,32(03):56-60.
　YU Feng,LIU Jing,XIN Mengxue,et al.Systematic Review of TCM Intervention for Acute Myocardial Infarction and Meta Analysis on Quality of Literature[J].Western Journal of Traditional Chinese Medicine,2019,32(03):56-60.
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中医药干预急性心肌梗死的系统综述及Meta分析文献质量评价
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《西部中医药》[ISSN:2096-9600/CN:62-1204/R]

卷:
32
期数:
2019年03期
页码:
56-60
栏目:
出版日期:
2019-03-15

文章信息/Info

Title:
Systematic Review of TCM Intervention for Acute Myocardial Infarction and Meta Analysis on Quality of Literature
文章编号:
1004-6852(2019)03-0056-05
作者:
余锋1，刘静2，信梦雪1，刘南1，刘红强1
1 广州中医药大学第一附属医院，广东 广州 510405； 2 广州中医药大学第一临床医学院
Author(s):
YU Feng1, LIU Jing2, XIN Mengxue1, LIU Nan1, LIU Hongqiang1
1 The First Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou 510405, China; 2 The First Clinical Medical School, Guangzhou University of Chinese Medicine
关键词:
急性心肌梗死; 系统综述; Meta分析; 中医药; 评价
Keywords:
acute myocardial infarction;  systematic review;  meta analysis;  TCM;  evaluation
分类号:
R541.4
摘要:
目的：评价中医药干预急性心肌梗死的系统综述和Meta分析文献的方法学质量和报告质量。方法：计算机检索万方期刊论文数据库、中国知网(CNKI)、维普期刊网(VIP)、中国生物医学文献数据库(CBM)以及PubMed数据库，检索时间自各数据库建库至2017年3月，对符合纳入标准的文献，按照AMSTAR量表及PRISMA声明的评定条目提取相关信息，采用SPSS 21.0软件进行统计分析。结果：最终纳入文献20篇，包括中文文献17篇，英文文献3篇。其中2013年相关文献发表数量最多，为6篇。施加因素排前两位的分别为参麦针(共5篇，占25%)和生脉针(共3篇，占15%)。纳入分析的文献AMSTAR评分为(6.85±2.18)分，得分在9分以上较高质量的文献仅3篇。PRISMA评分为(18.90±5.45)分，得分在21分以上的文献有8篇。结论：因存在Meta分析所纳入临床研究异质性较大及方法学不规范等问题，对于中医药干预AMI的疗效尚不能得出 可靠的结论,有待针对目前研究较多的干预药物如参麦、生脉及参附注射液开展大样本前瞻性的临床注册研究进一步证实。
Abstract:
Objective: To assess systematic review of TCM intervention for acute myocardial infarction (AMI), methodological quality and report quality for meta analysis of literature. Methods: The computer was used to search WanFang, CNKI, VIP, CBM and PubMed data bases, the retrieval time was from the time of building the database to March, 2017, the related information were abstracted from the paper which met the inclusion criteria according to the evaluation entries in AMSTAR scale and PRISMA state, and analyzed statistically using SPSS21.0 software. Results: Consequently, 20 articles were included, including 17 articles of Chinese literature, three articles of SCI literature. Among them, the publication number of the related literature at the year of 2013 was the most, six articles. The top two application factors were ShenMai injection (five papers altogether, holding 25%) and ShengMai injection(three papers altogether, 15%). AMSTAR scores of the included literature were(6.85±2.18) points, there were only three papers in higher quality scored more than nine points. PRISMA scores were (18.90±5.45) points, and there were eight papers scored more than 21 points. Conclusion: Due to the heterogeneity of clinical study and irregular methodology included in meta analysis, no reliable conclusions could be obtained on clinical effects of TCM intervention for AMI, large sample prospective clinical registration studies for intervention medicine such as ShenMai, ShengMai and ShenFu injection should be launched and need to be further confirmed.

参考文献/References:

A

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备注/Memo

备注/Memo:
收稿日期：2018-02-27 *基金项目：广东省中医药局建设中医药强省科研项目(编号20161126)。 作者简介：余锋(1982—)，男，博士学位，主治医师。研究方向：中西医结合治疗内科危急重症。
更新日期/Last Update: 2019-03-15