对于炎症性肠病的天然 (Qing dai):系统性审查和元分析
Rinkalben Kakdiya1, Daya Krishna Jha2, Arup Choudhury3
1Surat Institute of Digestive Science, Surat, Gujarat, India.
Clinics and research in hepatology and gastroenterology
|November 25, 2023
概括
天然在治疗性结肠炎方面表现出显著的疗效,在系统性审查中观察到高临床反应和缓解率. 需要进一步的研究来比较其与其他治疗方法的有效性.
科学领域:
- 胃肠病学 胃肠病学
- 药理学 药理学是指药理学的学科.
- 传统中国医药 传统中国医药
背景情况:
- 天然 (Qing dai) 是一种传统的草药疗法.
- 在炎症性肠道疾病 (IBD),特别是性结肠炎 (UC) 方面有事报告.
- 对其在IBD中的疗效和安全性的证据需要进行系统的评估.
研究的目的:
- 系统地审查Indigo naturalis在治疗IBD中的疗效和安全性.
- 评估临床反应,缓解和内镜/组织学结果.
- 为了评估与Indigo naturalis使用相关的不良事件.
主要方法:
- 在PubMed,Embase和Scopus数据库中的系统文献搜索.
- 包括9项研究,包括299名被诊断患有IBD的患者.
- 提取关于临床反应,缓解,不良事件和研究质量评估的数据.
主要成果:
- 在性结肠炎患者中,综合临床响应率为0.796,缓解率为0.668.
- 在随机试验中,Indigo naturalis组与安慰剂相比,临床反应显著更高 (RR 3.82).
- 通常是轻微的不良事件,有一例可逆性肺动脉高血压.
结论:
- 天然在治疗性结肠炎方面表现出有效性.
- 内镜和组织学改善支持其治疗作用.
- 未来的研究应该调查与现有疗法的比较疗效.
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