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以疏肝为主要治法治疗冠心病心绞痛疗效的Meta分析
引用本文:黄浩洋,郭志华. 以疏肝为主要治法治疗冠心病心绞痛疗效的Meta分析[J]. 中医药临床杂志, 2021, 33(3): 474-478. DOI: 10.16448/j.cjtcm.2021.0319
作者姓名:黄浩洋  郭志华
作者单位:湖南中医药大学 湖南长沙410000;湖南中医药大学 湖南长沙410000;湖南中医药大学第一附属医院 湖南长沙410000
基金项目:湖南省“国内一流建设学科”中医开放基金项目(2018ZYX43)。
摘    要:目的:系统评价以疏肝为主要治法治疗冠心病心绞痛的有效性。方法:检索CNKI、VIP、CBM、WangFang、PubMed等数据库,检索自建库以来至2020年4月30日的所有相关文献,筛选符合纳入标准的文献并选用心绞痛疗效、心电图疗效为效应指标,采用Cochrane协作网所提供的RevMan5.3进行统计分析。结果:心绞痛疗效RR=1.24,95%CI[1.17,1.31],Z=7.36,P<0.00001;心电图疗效RR=1.30,95%CI[1.20,1.42],Z=6.22,P<0.00001。两组均具有统计学意义,治疗组优于对照组。结论:以疏肝为主要治法治疗冠心病心绞痛具有一定的优势,但因受限于纳入文献的质量,尚需更多高质量的临床研究进一步验证。

关 键 词:冠心病  心绞痛  疏肝  中医药  META分析

Meta Analysis of Efficacy of Treating Angina in Coronary Heart Disease with Shugan as Main Methods
HUANG Haoyang,GUO Zhihua. Meta Analysis of Efficacy of Treating Angina in Coronary Heart Disease with Shugan as Main Methods[J]. Clinical journal of traditional chinese medicine, 2021, 33(3): 474-478. DOI: 10.16448/j.cjtcm.2021.0319
Authors:HUANG Haoyang  GUO Zhihua
Affiliation:(Hunan University of Chinese Medicine,Hunan Changsha 410000,China;The First Affiliated Hospital of Hunan University of Traditional Chinese Medicine,Hunan Changsha 410000,China)
Abstract:Objective:To systematically evaluate the effectiveness of treating coronary heart disease and angina pectoris with soothing the liver as the main therapy.Methods:Search CNKI,VIP,CBM,WangFang,PubMed and other databases,search all relevant literature from the establishment of the database to April 30,2020,select the literature that meets the inclusion criteria and select the efficacy of angina pectoris and the efficacy of electrocardiogram as the effect indicators.RevMan 5.3 provided by the Cochrane Collaboration for statistical analysis.Results:Angina pectoris curative effect RR=1.24,95%CI[1.17,1.31],Z=7.36,P<0.00001;ECG curative effect RR=1.30,95%CI[1.20,1.42],Z=6.22,P<0.00001.Both groups are statistically significant,and the treatment group is better than the control group.Conclusion:The treatment of coronary heart disease and angina pectoris with soothing the liver as the main treatment has certain advantages,but due to the limitation of the quality of the included literature,more high-quality clinical studies are needed for further verification.
Keywords:Coronary heart disease  Angina pectoris  Shugan  Traditional Chinese Medicine  Meta analysis
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