传统中医药对格雷夫斯病的影响:一个网络元分析
Zhuoshi Yang1, Na Zhao2, Jinchuang Li1
1First School of Clinical Medicine, Heilongjiang University of Chinese Medicine, Harbin, China.
Frontiers in pharmacology
|September 6, 2024
概括
传统中医药有效治疗格雷夫氏病 (GD),改善结局和甲状腺激素水平. 特定的草药,如阴江颗粒和益康丸,在治疗效果和TSH水平方面表现出卓越的结果.
科学领域:
- 内分泌学 在内分泌学.
- 药理学 药理学 是一个学科.
- 综合医学是一个整体的医学.
背景情况:
- 格雷夫斯病 (GD) 是一种常见的自身免疫性疾病,导致甲状腺功能障碍,目前治疗方法有限.
- 传统中医 (TCM) 提供了一个有前途的途径来管理GD的进展和开发新的治疗方法.
研究的目的:
- 进行网络元分析,比较格雷夫斯病的各种TCM.
- 评估TCM在临床结果和关键甲状腺功能标志物的有效性.
主要方法:
- 在多个数据库 (PubMed,Embase,Cochrane等) 进行了搜索. 对于随机对照试验 (RCT),最长期限为2023年12月.
- 包括35个RCT,包括2828名GD患者,使用R软件分析数据.
- 根据偏差风险评估所包含研究的质量.
主要成果:
- 一些中医药,包括Bailing Capsule和Jiakangling Capsule,表现出比西方医学更好的治疗效果.
- 普鲁内拉俗 (L.) 颗粒和Yikang药丸改善了TSH水平,而普鲁内拉俗 (L.) 颗粒,P. vulgaris (L.) 口服液和Yikang药丸降低了FT3和FT4水平.
- 口服液有效降低了TPOAb和TRAb水平,Yinjia颗粒显示出最好的整体治疗效果.
结论:
- 在改善临床结果和甲状腺激素水平方面,TCM是有效的格雷夫病患者.
- 特定的TCM如Yinjia颗粒,Yikang药丸,Prunella vulgaris (L.) 颗粒和P. vulgaris (L.) 口服液显示出对GD管理的不同方面有显著的好处.
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