治疗缺血性中风的天然产品提取物:一个方法评估和元流行病学分析
Sijin Wang1, Minghui Zhang2, Yao Lu3
1Dongzhimen Hospital, Beijing University of Chinese Medicine, Beijing, China.
Frontiers in pharmacology
|January 21, 2026
概括
对治疗缺血性中风的天然产品提取物进行系统审查,其质量不佳,冗余性很高. 遵守PRISMA指南可以改善方法,但透明的流程对于可靠的证据综合至关重要.
科学领域:
- 神经学 神经学
- 药理学 药理学是指药理学的学科.
- 基于证据的医学基于证据的医学.
背景情况:
- 对于缺血性中风中的天然产品提取物 (NPE) 存在许多系统性审查 (SR) 和元分析 (MA).
- 然而,它们的方法质量和冗余性仍未得到量化,PRISMA的影响尚不清楚.
研究的目的:
- 评估缺血性中风的NPE上SRs/MAs的方法质量.
- 评估PRISMA声明对方法质量的影响.
- 量化该领域冗余出版物的频率.
主要方法:
- 对缺血性中风的NPE的SRs/MAs进行系统搜索.
- 使用AMSTAR-2评估的方法质量.
- 使用PIC框架 (人口,干预,比较) 分类的冗余性.
主要成果:
- 86.1%的SRs/MAs在质量方面被评为"非常低",主要是由于未注册的方案和缺失的排除研究清单.
- 在PRISMA 2020之后的出版物显示了协议注册,偏差风险评估和统计组合方法的显著改进.
- 在GBE和PNE集中SR/MA中,85.5%是多余的,包括概念和过度复制.
结论:
- 对缺血性中风的NPE的SR/MA表现出低于最佳的方法质量和高冗余性.
- PRISMA声明对方法质量产生了积极的影响.
- 未来的协议注册和透明的搜索流程对于增强证据综合是必不可少的.
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