草药对喘肺功能的有效性:随机对照试验的系统审查和元分析
Alireza Derakhshan1, Masoumeh Sadeghi2, Amir-Mohammad-Hashem Asnaashari3
1Faculty of Traditional Persian Medicine, School of Persian and Complementary Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
草药可显著改善喘患者的肺功能,作为附加治疗. 成年人与儿童相比,肺功能得到了更大的改善,没有报告任何重大不良事件.
科学领域:
- 肺部病理学 肺部病理学
- 综合医学是一个整体的医学.
- 药理学 药理学是指药理学的学科.
背景情况:
- 喘是一种慢性呼吸道疾病,影响全球数百万人.
- 标准的喘治疗可能对所有患者来说都不够.
- 包括草药在内的补充疗法正在探索喘管理.
研究的目的:
- 系统地审查和元分析草药作为喘补充疗法的疗效.
- 评估草药对喘患者肺功能的影响.
主要方法:
- 在网上数据库的全面搜索中,确定了截至2021年12月的随机对照试验 (RCT).
- 使用Cochrane风险偏见工具评估方法质量.
- 分析使用随机效应模型来计算预测FEV1.1%的加权平均差异 (WMD).
主要成果:
- 九个涉及喘草药的RCT被纳入了元分析.
- 草药显著改善了预测FEV1的% (WMD 3.73,95% CI 1.76-5.70),没有显著的异质性.
- 与儿童相比,成年人在预测FEV1的百分比上表现出更大的改善.
结论:
- 补充使用草药可显著提高喘患者的肺功能.
- 草药似乎是安全的,作为一种附加疗法,没有显著的不良事件.
- 成年喘患者可能从草药补充疗法中获益更多.
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