补肾益骨疗法治疗肾虚型类风湿关节炎临床疗效及安全性meta分析。

Gan Chang, Tao Qingwen, Y I Haoying, Bian Yuting, Wang Jianming
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引用次数: 0

摘要

目的:比较不同中药补肾健骨疗法治疗类风湿关节炎(RA)的疗效和安全性。方法:目前的贝叶斯网络荟萃分析比较了不同的中医补肾和骨强化治疗RA。检索了8个电子数据库和2个试验注册平台。采用RevMan 5.4和Stata 16软件。结果:共纳入42项研究,涉及3779例病例。结果表明,改善疗效最有效的干预措施为万痹汤;补肾祛寒治王汤在降低不良反应发生率方面优于补肾祛寒治王汤;七味通痹口服液能有效降低c反应蛋白水平和红细胞沉降率。结论:中西医结合治疗RA可提高临床疗效,降低炎症指标,安全性较高。然而,这一结论需要更多高质量的随机对照试验来验证。
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Network Meta-analysis of the clinical efficacy and safety of kidney-tonifying and bone-strengthening therapies for the treatment of rheumatoid arthritis with kidney deficiency type.

Objective: To compare the efficacy and safety of different Traditional Chinese Medicine (TCM)-based kidney-tonifying and bone-strengthening therapies for rheumatoid arthritis (RA).

Methods: The current Bayesian network Meta-analysis compared different TCM-based kidney-tonifying and bone-strengthening therapies for RA. Eight electronic databases and two trial registration platforms were searched. RevMan 5.4 and Stata 16 software were employed.

Results: A total of 42 studies involving 3779 cases were included. The results showed that the most effective intervention for improving efficacy was Wanbi decoction; Bushen Quhan Zhiwang decoction was superior in reducing the incidence of adverse reactions; and Qiwei Tongbi oral liquid effectively reduced C-reactive protein and erythrocyte sedimentation rate levels.

Conclusion: Combining TCMs with conventional Western Medicine can improve the clinical efficacy of RA treatments, reduce inflammatory indexes, and result in a higher safety profile. However, this conclusion needs to be verified by more high-quality randomized controlled trials.

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