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葛根素注射液致心血管系统不良反应的Meta分析
Adverse Reactions of Cardiovascular System Induced by Puerarin Injection: a Meta analysis
  
DOI:
中文关键词:  葛根素注射液  心血管系统  药品不良反应  Meta分析  亚组分析
英文关键词:Puerarin injection  Cardiovascular system  Adverse drug reaction  Meta analysis  Subgroup analysis
基金项目:
作者单位
胡林1,2 尹桃1 戴婷婷1,2 史传林2 李逃明1 邹乐1 1.中南大学湘雅医院药学部 长沙 4100082.中国药科大学基础医学与临床药学学院 
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中文摘要:
      摘 要 目的:评价葛根素注射液对于心血管系统的安全性。方法:计算机检索CNKI,VIP,WanFang Data,SinoMed,Medline,EMbase,CENTRAL,PubMed,Web of Science数据库公开发表的有关葛根素注射液致心血管系统不良反应的临床研究文献,根据纳入和排除标准收集资料,采用RevMan 5.3软件对葛根素注射液致心血管系统不良反应发生情况进行Meta分析。结果:符合标准并纳入分析的文献共17篇。Meta分析结果显示,与未使用葛根素注射液的对照组相比,葛根素注射液致心血管系统不良反应发生风险较高,两组差异有统计学意义[RR=2.81,95%CI(1.50,5.24),P=0.001]。亚组分析显示:冠心病心绞痛亚组,剂量≥400 mg·d-1亚组、疗程≥14 d亚组中,葛根素注射液致心血管系统不良反应发生风险均高于对照组(P<0.05);而剂量<400 mg·d-1亚组、疗程<14 d亚组、脑梗死亚组、其他疾病亚组中,葛根素注射液致心血管系统不良反应发生风险与对照组的差异均无统计学意义(P>0.05)。结论:葛根素注射液致心血管系统不良反应发生率较高,当治疗冠心病心绞痛且使用剂量≥400 mg·d-1、疗程≥14 d时,临床医师需要注意用药安全性,降低心血管不良反应的发生风险。
英文摘要:
      ABSTRACT Objective:To evaluate the clinical safety on puerarin injection in cardiovascular system. Methods:Collecting clinical research literature by searching CNKI, VIP, WanFang Data, SinoMed, Medline, EMbase, CENTRAL, PubMed,Web of Science that officially published about adverse reactions of cardiovascular system. According to the inclusion and exclusion criteria, making a Meta analysis of adverse reaction rate by using RevMan 5.3 software. Results: Seventeen studies were analysed. Compared with control group that did not use puerarin injection, puerarin injection could increased the risk of adverse reactions of cardiovascular system [RR=2.81, 95%CI (1.50, 5.24), P=0.001]. Subgroup analysis showed that risk of adverse reactions of cardiovascular system in the angina pectoris subgroup,≥400 mg·d-1 subgroups, ≥14 d subgroups was significantly higher than the control group (P<0.05). The risk of adverse reactions of cardiovascular system in <400 mg·d-1 subgroup, <14 d subgroup, cerebral infarction subgroup and other diseases subgroup was no significant difference compared to the control group (P>0.05).Conclusion:The adverse reaction rate of cardiovascular system was higher than the control group. In the treatment of angina and the dose ≥400mg·d 1, the course of treatment ≥14d, the clinicians needed to pay attention to drug safety, and reduce the risk of cardiovascular adverse reations.
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