Therapeutics of integrative medicine ameliorate immunological disorders of the nervous system: A meta-analysis

IF 4.3 3区 医学 Q1 INTEGRATIVE & COMPLEMENTARY MEDICINE World Journal of Traditional Chinese Medicine Pub Date : 2022-01-01 DOI:10.4103/2311-8571.336837
Jin-Yun Ma, J. Cruz, Jason G. Jin, Xiaoyan Peng, Ai-Ming Zhang, Xiaowei Cheng
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Abstract

Objective: The objective of the study is to evaluate the therapeutic efficacy of integrative medicine in the treatment of immunological disorders of the nervous system. Methods: The Preferred Reporting Items for Systematic Reviews and Meta-Analysis guidelines were adopted to conduct this study, which included randomized controlled trials with a confirmed diagnosis of multiple sclerosis (MS), myasthenia gravis (MG), and Guillain–Barre syndrome (GBS), all of which were treated with integrative medicine. The effective rate, recurrent frequency, and disease score were used as the markers of outcome variables for the meta-analysis. Results: A total of 48 randomized control trials were included. The effective rates of treatment with integrative medicine were noticeably higher than those with Western medicine alone for the three diseases. The recurrence frequency for MS and the recurrence rate for MG treated with integrative medicine were reduced more than those with Western medicine alone. The Extended Disability Status Scale, acetylcholine receptor antibody, and Hughes scores for MS, MG, and GBS, respectively, treated with integrative medicine were significantly lower than those with Western medicine alone. The risks of bias in the literature evaluation showed that the quality of the included studies was not high. Conclusions: Compared to treatment with Western medicine alone, integrative medicine might ameliorate immunological disorders of the nervous system.
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中西医结合治疗改善神经系统免疫紊乱的荟萃分析
目的:评价中西医结合治疗神经系统免疫性疾病的疗效。方法:采用系统评价首选报告项目和荟萃分析指南进行本研究,包括确诊为多发性硬化症(MS)、重症肌无力(MG)和格林-巴利综合征(GBS)的随机对照试验,所有这些都接受了综合药物治疗。有效率、复发频率和疾病评分被用作荟萃分析的结果变量标记。结果:共纳入48项随机对照试验。三种疾病的中西医结合治疗有效率明显高于单纯西药治疗。中西医结合治疗MS的复发率和MG的复发率明显低于单纯西药治疗。综合医学治疗的MS、MG和GBS的扩展残疾状态量表、乙酰胆碱受体抗体和Hughes评分分别显著低于单纯西药治疗。文献评估中的偏倚风险表明,纳入的研究质量不高。结论:与单纯西药治疗相比,中西医结合治疗可改善神经系统免疫功能紊乱。
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来源期刊
World Journal of Traditional Chinese Medicine
World Journal of Traditional Chinese Medicine Medicine-Complementary and Alternative Medicine
CiteScore
5.40
自引率
2.30%
发文量
259
审稿时长
24 weeks
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