Meta-analysis of TCM in the Treatment of AIDS Diarrhea

Shaotian Wu, Liran Xu, Feng Sang, Liangping Li, Yaya Guo
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Abstract

Abstract Objective  The aim of the study is to systematically evaluate the effect of Traditional Chinese medicine (TCM) in the treatment of AIDS diarrhea. Methods  The computer system was used to comprehensively search database of Wanfang (WF), VIP, and China National Knowledge Infrastructure (CNKI) for relevant literature on the application effect of Chinese medicine in the treatment of AIDS diarrhea. The retrieval time was set from January 1, 2010 to August 15, 2021. The documents that did not meet the inclusion criteria were eliminated, and the quality of the qualified literature was evaluated according to the improved Jadad scoring standard. The main outcome indicators were entered into the literature, and Review Manager 5.0 software was used for meta-analysis. Results  Eight eligible articles were included, a total of 536 cases of AIDS diarrhea patients were included. All eight eligible articles observed the clinical efficacy of TCM in the treatment of AIDS diarrhea, among which four observed the TCM syndrome changes in the treatment of AIDS diarrhea, and four observed adverse reactions of TCM in the treatment of AIDS diarrhea. All articles were extracted for valid data. After entering all the main observation index data, the results of meta-analysis showed that the effect of TCM in the treatment of AIDS diarrhea was better, the difference was statistically significant [ MD  = 2.92, 95% CI (1.81, 4.70), p <0.001]; TCM in the treatment of AIDS diarrhea was more conducive to improving the TCM syndrome scores of patients, the difference was statistically significant [ MD  = −2.55, 95% CI (−3.37, −1.73), p < 0.001]; the adverse effects of TCM in the treatment of AIDS diarrhea were mild, and the difference was statistically significant [ MD  = 1.70, 95% CI (0.48, 5.97), p  = 0.41]. Conclusion  The effect of TCM in the treatment of AIDS diarrhea patients is remarkable, which can effectively improve the TCM symptom scores of patients without increasing the incidence of adverse reactions.
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中医药治疗艾滋病腹泻的meta分析
摘要目的系统评价中药治疗艾滋病腹泻的临床疗效。方法利用计算机系统综合检索中国万方数据库(WF)、维普数据库(VIP)和中国知网(CNKI),查找中药治疗艾滋病腹泻的相关文献。检索时间设定为2010年1月1日至2021年8月15日。剔除不符合纳入标准的文献,按照改进的Jadad评分标准对符合条件的文献质量进行评价。将主要结局指标录入文献,采用Review Manager 5.0软件进行meta分析。结果纳入8篇符合条件的文献,共纳入536例艾滋病腹泻患者。8篇符合条件的文章均观察了中医药治疗艾滋病腹泻的临床疗效,其中4篇观察了治疗艾滋病腹泻的中医证候变化,4篇观察了中医药治疗艾滋病腹泻的不良反应。所有文章均被提取为有效数据。输入所有主要观察指标数据后,meta分析结果显示,中药治疗艾滋病腹泻的效果更好,差异有统计学意义[MD = 2.92, 95% CI (1.81, 4.70), p <0.001];中医药治疗艾滋病腹泻更有利于提高患者中医证候评分,差异有统计学意义[MD =−2.55,95% CI(−3.37,−1.73),p < 0.001];中医药治疗艾滋病腹泻不良反应较轻,差异有统计学意义[MD = 1.70, 95% CI (0.48, 5.97), p = 0.41]。结论中药治疗艾滋病腹泻患者疗效显著,可在不增加不良反应发生率的情况下,有效提高患者中医症状评分。
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