中西医结合治疗慢性胆囊炎临床疗效的meta分析  

Clinical Effect of Combined Treatment of Traditional Chinese Medicine and Western Medicine in Treatment of Chronic Cholecystitis: a Meta-analysis

作　　者：赵清涛[1] 崔欣[2] 陈迪[3] 

机构地区：[1]解放军白求恩国际和平医院肝胆外科,石家庄050082 [2]解放军白求恩国际和平医院神经内科,石家庄050082 [3]中国中医科学院广安门医院,北京100053

出　　处：《解放军医药杂志》2014年第12期67-71,共5页Medical & Pharmaceutical Journal of Chinese People’s Liberation Army

摘　　要：目的运用meta分析方法系统分析、比较中西医结合治疗与单纯西医治疗慢性胆囊炎的临床疗效。方法收集1990年1月—2014年8月发表的有关中西医结合治疗与单纯西医治疗慢性胆囊炎随机对照试验的文献,对纳入文献进行质量评价,利用Revman 5.2分析软件对疗效进行meta分析。结果本研究共纳入40篇文献,包括4743例慢性胆囊炎患者。纳入文献质量属于低、中质量,全部文献评价得分为1~2分。meta分析结果显示,中西医结合治疗比单纯西医治疗存在明显优势,有效率RR=1.20（95%CI：1.15,1.25）。结论中西医结合治疗慢性胆囊炎的疗效优于单纯西药治疗,但仍需随机对照试验进行验证。Objective To compare the clinical effect between combined treatment of traditional Chinese medi- cine and western medicine with only western medicine in treatment of chronic cholecystitis using systemic meta-analysis. Methods Relevant literature published between January 1990 and August 2014 was collected. The quality of the includ- ed studies were evaluated, and the meta-analysis was performed for clinical effects by RevMan 5.2 software. Results A total of 40 RCTs were recruited in this study, which included 4743 patients with chronic cholecystitis. The quality of the included studies were that of low or middle level, and the evaluated score of the studies were 1-2 score. The meta-analysis indicated that combined treatment of traditional Chinese medicine and western medicine had better efficacy than that by only western medicine treatment, and the effective rate was RR = 1.20 （95% CI： 1.15, 1.25）. Conclusion The com- bined treatment of traditional Chinese medicine and western medicine in treatment of chronic cholecystitis has better effi- cacy compared with that by only western medicine treatment, but the result need to be further confirmed by randomized controlled trials.

关 键 词：中西医结合疗法 胆囊炎 随机对照试验 META分析 

分 类 号：R575.61[医药卫生—消化系统]