治疗过敏性鼻炎的药用植物:系统审查和元分析
Xin Yi Lim1, Mei Siu Lau1, Nor Azlina Zolkifli1
1Herbal Medicine Research Centre, Institute for Medical Research, National Institutes of Health, Ministry of Health, Setia Alam, Malaysia.
与安慰剂相比,单个药用植物可能会对过敏性鼻炎症状提供一些缓解,包括鼻塞和打喷. 然而,仍然缺乏明确的有益证据,需要更多的研究.
科学领域:
- 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.
- 过敏学 过敏学
背景情况:
- 草药广泛被过敏性鼻炎患者使用.
- 单一药用植物对过敏性鼻炎的疗效和安全性需要系统评估.
研究的目的:
- 进行系统审查和元分析,评估单个药用植物对过敏性鼻炎的疗效和安全性.
主要方法:
- 在 MEDLINE,CENTRAL 和 Web of Science 搜索了针对成人和儿童过敏鼻炎单一药用植物的随机对照试验 (RCT).
- 包括29个RCT (n=1879),其中27个 (n=1769) 参与了元分析.
- 评估偏差风险并确定异质性的来源.
主要成果:
- 与安慰剂相比,单个药用植物显示了非常低至低确定性证据,改善了总鼻腔症状 (SMD -0.31) 和犀牛结膜炎生活质量 (RQLQ) 评分 (MD -0.46).
- 中等确定性证据表明,药用植物和抗胰岛素之间对于整体症状没有明显的区别.
- 作为辅助疗法,药用植物在注入鼻腔时改善了SNOT-22分数 (MD -7.47).
结论:
- 药用植物似乎可以耐受长达8周.
- 目前缺乏单一药用植物在过敏性鼻炎管理中的明确有益证据.
- 需要在草药试验中改进报告,以便在未来的研究中进行批判性评估.
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