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雾化吸入双黄连注射剂治疗上呼吸道感染效果的Meta分析
Curative Effect of Aerosol Inhalation of Shuanghuanglian Injection in Treatment of Upper Respiratory Infections: A Meta analysis
  
DOI:
中文关键词:  双黄连注射剂  雾化吸入  上呼吸道感染  系统评价
英文关键词:Shuanghuanglian injection  Aerosol inhalation  Upper respiratory infection  Systematic review
基金项目:
作者单位
李晓霞 张俊坡 李晓春 耿鑫 段金菊 ①山西医科大学第二医院药学部(太原 030001)②太原市中心医院药学部③山西医科大学第二医院护理部④山西医科大学药学院。 
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中文摘要:
      摘 要 目的:系统评价双黄连注射剂经雾化吸入治疗上呼吸道感染的有效性和安全性。方法:计算机检索中国知网(CNKI)、维普网(VIP)和万方数据库(WanFang Data)(检索年限为2000年1月1日~2015年11月15日),收集所有双黄连雾化吸入治疗上呼吸道感染的随机对照试验,按照纳入与排除标准独立筛选试验,对纳入研究进行质量评价,并用Stata 12.0软件进行统计分析。结果:共纳入16个研究,合计1 661例上呼吸道感染的患者;Cochrane系统评分均为B级。Meta分析结果显示:与对照组比较,双黄连注射剂雾化吸入在提高上呼吸道感染临床总有效率方面显示出较好疗效(OR=1.30,95%CI:1.13~1.50,P<0.001)。仅1篇文献提及双黄连雾化组未发现不良反应,其他文献均未报道不良反应的结果。结论:双黄连注射剂雾化吸入治疗上呼吸道感染的疗效优于空白组、庆大霉素雾化组或庆大霉素加地塞米松雾化组,但其长期疗效和更全面的安全性尚需开展更多大样本、高质量的RCT加以验证。
英文摘要:
      ABSTRACT Objective:To systemically assess the effect of an aerosol inhalation of Shuanghuanglian injection in treatment of upper respiratory infections. Methods:The quality of included literatures was evaluate, and valid data were extracted. Databases, including CNKI, VIP, WanFang Data were searched to collect randomized controlled trials (RCTs) from January 1, 2000 to November 15, 2015. Studies were screened, data were extracted, and the methodological quality was assessed by two reviewers independently. Meta analyses were conducted by using Stata 12.0 soft ware.Results:16 RCTs including 1 661 patients were included finally. All of the trials described baseline were comparable. With Cochrane scales, 16 trials scored B degree. Compared with the control group, aerosol inhalation of Shuanghuanglian injection preferably improved the clinical total effective rate (OR=1.30, 95%CI:1.13-1.50, P<0.001). Adverse drug reactions were not mentioned in 15 studies, were not observed in 1 study. Conclusion:Aerosol inhalation of Shuanghuanglian injection for treating upper respiratory infections is superior to blank group, gentamycin or gentamycin combined with dexamethasone. However, its long term curative effect and more comprehensive safety still needs to be further verified by more large sample and high quality RCTs.
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