目的系统评估不同中药复方制剂联合高效抗反转录病毒疗法(highly active anti-retroviral therapy,HAART)治疗艾滋病的疗效与安全性。方法计算机检索知网(CNKI)、维普(VIP)、万方、中国生物医学文献数据库(CBM)、Embase、PubMed、Cochra...目的系统评估不同中药复方制剂联合高效抗反转录病毒疗法(highly active anti-retroviral therapy,HAART)治疗艾滋病的疗效与安全性。方法计算机检索知网(CNKI)、维普(VIP)、万方、中国生物医学文献数据库(CBM)、Embase、PubMed、Cochrane Library、Web of Science数据库中口服中药复方制剂联合HAART治疗艾滋病的随机对照试验,检索时限为自建库至2022年1月28日。筛选文献及提取数据后,通过Cochrane推荐的风险偏倚评价工具评估纳入文献的质量,运用Stata14.0分析数据。结果最终纳入28篇文献,共2566例患者,治疗组1442例,对照组1124例,中药复方制剂9种。在提升CD4+T细胞水平方面,抗艾扶正胶囊[SMD=1.33,95%CI(0.38,2.28)]>艾复康胶囊[SMD=0.91,95%CI(-0.03,1.85)]>艾灵颗粒[SMD=0.54,95%CI(-0.22,1.30)];在改善CD8+T细胞水平方面,清毒胶囊[SMD=-0.67,95%CI(-1.39,0.05)]>艾可清胶囊(颗粒)[SMD=-0.32,95%CI(-0.79,0.14)]>芪灵汤[SMD=-0.33,95%CI(-0.87,0.21)];在提升CD4/CD8值方面,艾复康胶囊[MD=0.15,95%CI(0.03,0.27)]>康爱保生胶囊(胶囊)[MD=0.11,95%CI(-0.03,0.25)]>艾灵颗粒[MD=0.02,95%CI(-0.12,0.15)];在控制病毒载量方面,艾复康胶囊/艾可清胶囊(颗粒)[SMD=-0.34,95%CI(-0.59,-0.08)]>康生爱保胶囊(胶囊)[SMD=-0.27,95%CI(-0.47,-0.07)]>艾复康胶囊[SMD=-0.21,95%CI(-0.54,0.12)]。在不良反应方面,中西医结合疗法发生不良反应的情况较少,安全性较高。结论在抗病毒的基础上联合中药复方制剂治疗能提高艾滋病临床的综合疗效,其中艾复康胶囊和艾灵颗粒总体疗效较突出,但因纳入文献质量偏低,故需更多高质量的临床研究加以验证。展开更多
As an important representative of the modernization of the Chinese medicine industry,traditional Chinese medicine(TCM)compound preparations are an indispensable part of the development of TCM.The complex ingredients a...As an important representative of the modernization of the Chinese medicine industry,traditional Chinese medicine(TCM)compound preparations are an indispensable part of the development of TCM.The complex ingredients and unclear action mechanism of TCM compound preparations restrict the development of TCM.In line with this problem,the modern TCM research has made extensive remarkable achievements.From the single indicator in the past to multiple indicator,the research on the combination of TCM fingerprints and pharmacodynamics also has made great progress.The introduction of quality evaluation methods such as the"quantitative analysis of multi-components by a single marker","dose-effect"indicator,"Bioactive Equivalent Combinatorial Components"(BECCs)and TCM quality markers have brought new ideas for quality control of TCM compound preparations.展开更多
文摘目的系统评估不同中药复方制剂联合高效抗反转录病毒疗法(highly active anti-retroviral therapy,HAART)治疗艾滋病的疗效与安全性。方法计算机检索知网(CNKI)、维普(VIP)、万方、中国生物医学文献数据库(CBM)、Embase、PubMed、Cochrane Library、Web of Science数据库中口服中药复方制剂联合HAART治疗艾滋病的随机对照试验,检索时限为自建库至2022年1月28日。筛选文献及提取数据后,通过Cochrane推荐的风险偏倚评价工具评估纳入文献的质量,运用Stata14.0分析数据。结果最终纳入28篇文献,共2566例患者,治疗组1442例,对照组1124例,中药复方制剂9种。在提升CD4+T细胞水平方面,抗艾扶正胶囊[SMD=1.33,95%CI(0.38,2.28)]>艾复康胶囊[SMD=0.91,95%CI(-0.03,1.85)]>艾灵颗粒[SMD=0.54,95%CI(-0.22,1.30)];在改善CD8+T细胞水平方面,清毒胶囊[SMD=-0.67,95%CI(-1.39,0.05)]>艾可清胶囊(颗粒)[SMD=-0.32,95%CI(-0.79,0.14)]>芪灵汤[SMD=-0.33,95%CI(-0.87,0.21)];在提升CD4/CD8值方面,艾复康胶囊[MD=0.15,95%CI(0.03,0.27)]>康爱保生胶囊(胶囊)[MD=0.11,95%CI(-0.03,0.25)]>艾灵颗粒[MD=0.02,95%CI(-0.12,0.15)];在控制病毒载量方面,艾复康胶囊/艾可清胶囊(颗粒)[SMD=-0.34,95%CI(-0.59,-0.08)]>康生爱保胶囊(胶囊)[SMD=-0.27,95%CI(-0.47,-0.07)]>艾复康胶囊[SMD=-0.21,95%CI(-0.54,0.12)]。在不良反应方面,中西医结合疗法发生不良反应的情况较少,安全性较高。结论在抗病毒的基础上联合中药复方制剂治疗能提高艾滋病临床的综合疗效,其中艾复康胶囊和艾灵颗粒总体疗效较突出,但因纳入文献质量偏低,故需更多高质量的临床研究加以验证。
基金Supported by Project of National Natural Science Foundation of China(81560691)Special Fund Project for Innovation Driven Development of Guangxi(Gui Ke AA17202046)+8 种基金Program of Scientific Research Third-level Laboratory"Chinese(Zhuang)Medicine Chemical and Quality Analysis Laboratory"of State Administration of Traditional Chinese Medicine(Guo Zhong Yi Yao Fa 2009[21])Program of Key Laboratory for Purification and Quality Analysis of TCM Extraction in Guangxi Universities(Gui Jiao Ke Yan[2014]No.6)Program of Collaborative Innovation Center of Zhuang and Yao Medicine(Gui Jiao Ke Yan:2013 No.20)Program of Key Laboratory of Zhuang and Yao Medicine[Gui Ke Ji Zi:2014 No.32]Bagui Scholar Program of Key Discipline of Guangxi"Study on Innovation Theory and Efficacy of Traditional Chinese Medicine"[Gui Ke Zheng Zi:2013 No.25]High-level Talent Team Cultivation Program of"Qihuang Project"of Guangxi University of Chinese Medicine(2018002)Open Program for Construction of TCM Pharmacy Doctor Station in Guangxi University of Chinese Medicine(201410-06)High Level Innovation Team and Excellent Scholar Program of Guangxi Universities(Gui Jiao Shi Fan 2019 No.52)Guangxi One Thousand Young and Middle-aged College and University Backbone Teachers Cultivation Program(Gui Jiao Ren2019 No.5).
文摘As an important representative of the modernization of the Chinese medicine industry,traditional Chinese medicine(TCM)compound preparations are an indispensable part of the development of TCM.The complex ingredients and unclear action mechanism of TCM compound preparations restrict the development of TCM.In line with this problem,the modern TCM research has made extensive remarkable achievements.From the single indicator in the past to multiple indicator,the research on the combination of TCM fingerprints and pharmacodynamics also has made great progress.The introduction of quality evaluation methods such as the"quantitative analysis of multi-components by a single marker","dose-effect"indicator,"Bioactive Equivalent Combinatorial Components"(BECCs)and TCM quality markers have brought new ideas for quality control of TCM compound preparations.
