Effect and safety of Shengxuening (extract from excrement of bombyxin) for renal anemia： a systematic review  

作　　者：Zhang Lei Zhang Wenjin Jin Hua Wang Dong Wei Ning Wang Yiping 

机构地区：[1]Department of Nephrology, the First Affiliated Hospital ofAnhui University of Traditional Chinese Medicine, Hefei 230031, China [2]Graduated School of Anhui University of Traditional Chinese Medicine, Hefei 230038, China

出　　处：《Journal of Traditional Chinese Medicine》2016年第5期588-595,共8页中医杂志（英文版）

基　　金：Supported by National Natural Science Foundation of China(Based on JAK/STAT Signaling Pathway to Discuss the Effect of Qing Shen Granule in Anti Renal Fibrosis,General Program,No.81473673);National Science Fund for Distinguished Young Scholars of China(Based on NF-k B Signaling Pathway and Oxidative Stress to Discuss the Effect of Qingshen Granule in Transdifferentiation of Renal Tubular Epithelial Cells,No.81403372)

摘　　要：OBJECTIVE: To assess the effect and safety of Shengxuening(SXN), extract from excrement of bombyxin, in the treatment of renal anemia, compared to ferrous succinate and ferrous sulfate.METHODS: According to the participant, intervention, comparison, outcomes, study design(PICOS)principles, we searched the Chinese Biomedical Literature Database, China National Knowledge Infrastructure Database, Chinese Evidence-Based Medicine Database, Wanfang Database(From establishment to December 2014). Two reviewers selected articles independently according to the inclusion and exclusion criteria. The quality of included studies was assessed by using the Cochrane Handbook.All statistical analyses were conducted by using Revman(vision 5.2) software.RESULTS: A total of 14 randomized controlled trials(RCTs) were enrolled in the review. The results revealed that, when compared with blank group, SXN significantly improved the hemoglobin(P >) levels[MD = 6.29, 95% CI(1.65-10.94), P < 0.0008] and albumin(ALB) [MD = 10.98, 95% CI(6.97-14.99), P <0.00001]. In addition, SXN could significantly increase the P > levels [MD = 10.98, 95% CI(6.97,14.99), P < 0.00001]. Compared with other oral medicine SXN could improve the P > levels effectively [MD = 8.49, 95% CI(2.40, 14.58), P = 0.006].And the subgroups analysis shown that compared with ferrous-sulfate there were significant differences [MD = 17.4, 95% CI(15.06, 19.73), P < 0.000 01]and the result of ferrous-succinate had significant differences [MD = 5.34, 95% CI(2.12, 8.56), P =0.001] too. Compared with Intravenous iron groups, there were statistical differences [MD =- 5.04, 95% CI(- 9.59,- 0.50), P = 0.03]. In the safety analysis, the rate of adverse reactions in SXN groups and control groups were 19.3% and 3.7%,respectively(P < 0.000 01). Due to our studies were of poor methodological quality, and the sample size were small, the results were influenced by bias.CONCLUSION: Our findings suggest that the SXN had better effect and was safer in the treatment of RA than ferrous succinate anOBJECTIVE： To assess the effect and safety of Shengxuening（SXN）, extract from excrement of bombyxin, in the treatment of renal anemia, compared to ferrous succinate and ferrous sulfate.METHODS： According to the participant, intervention, comparison, outcomes, study design（PICOS）principles, we searched the Chinese Biomedical Literature Database, China National Knowledge Infrastructure Database, Chinese Evidence-Based Medicine Database, Wanfang Database（From establishment to December 2014）. Two reviewers selected articles independently according to the inclusion and exclusion criteria. The quality of included studies was assessed by using the Cochrane Handbook.All statistical analyses were conducted by using Revman（vision 5.2） software.RESULTS： A total of 14 randomized controlled trials（RCTs） were enrolled in the review. The results revealed that, when compared with blank group, SXN significantly improved the hemoglobin（P 〉） levels[MD = 6.29, 95% CI（1.65-10.94）, P 〈 0.0008] and albumin（ALB） [MD = 10.98, 95% CI（6.97-14.99）, P 〈0.00001]. In addition, SXN could significantly increase the P 〉 levels [MD = 10.98, 95% CI（6.97,14.99）, P 〈 0.00001]. Compared with other oral medicine SXN could improve the P 〉 levels effectively [MD = 8.49, 95% CI（2.40, 14.58）, P = 0.006].And the subgroups analysis shown that compared with ferrous-sulfate there were significant differences [MD = 17.4, 95% CI（15.06, 19.73）, P 〈 0.000 01]and the result of ferrous-succinate had significant differences [MD = 5.34, 95% CI（2.12, 8.56）, P =0.001] too. Compared with Intravenous iron groups, there were statistical differences [MD =- 5.04, 95% CI（- 9.59,- 0.50）, P = 0.03]. In the safety analysis, the rate of adverse reactions in SXN groups and control groups were 19.3% and 3.7%,respectively（P 〈 0.000 01）. Due to our studies were of poor methodological quality, and the sample size were small, the results were influenced by bias.CONCLUSION： Our findings suggest that the

关 键 词：Kidney failure CHRONIC ANEMIA REVIEW Shengxuening 

分 类 号：R692[医药卫生—泌尿科学] R556[医药卫生—外科学]