基于中医“治未病”理论的健康管理改善高血压前期人群健康结局的Meta分析  

Meta Analysis of Health Management Based on the Theory of"Preventive Treatment of Disease"in Traditional Chinese Medicine to Improve the Health Outcomes of People with Prehypertension

作　　者：张亦然 朱盛财 罗岗[2] 朱璐 王康美 黄沂[2] ZHANG Yiran;ZHU Shengcai;LUO Gang;ZHU Lu;WANG Kangmei;HUANG Yi(College of Nursing,Guangxi University of Traditional Chinese Medicine,Nanning Guangxi 530200,China;The First Affiliated Hospital of Guangxi University of Chinese Medicine,Nanning Guangxi 530023,China)

机构地区：[1]广西中医药大学护理学院,广西南宁530200 [2]广西中医药大学第一附属医院,广西南宁530023

出　　处：《中医药导报》2024年第7期141-147,共7页Guiding Journal of Traditional Chinese Medicine and Pharmacy

基　　金：国家自然科学基金项目(72164003);广西中医药重点学科建设项目(GZXK-Z-20-56)。

摘　　要：目的:系统评价中医健康管理改善高血压前期人群健康结局的有效性。方法:计算机检索中国知网、万方数据库、维普数据库、中国生物医学文献数据库、Cochrane Library、PubMed、Web of Science、CINAHL中有关中医“治未病”理论的健康管理改善高血压前期人群健康结局的随机对照试验及类实验研究,检索时限为建库至2023年8月10日。由2名研究者进行文献筛选、质量评价及提取资料工作,采用RevMan 5.4及Stata 17软件进行分析。结果:共纳入9项随机对照试验、2项实验研究。干预组收缩压[MD=-5.08,95%CI(-6.44,-3.72),P<0.00001]、舒张压[MD=-3.78,95%CI(-5.13,-2.44),P<0.00001]、头痛发生率[OR=0.35,95%CI(0.25,0.49),P<0.00001]、眩晕发生率[OR=-0.15,95%CI(-0.21,-0.08),P<0.00001]、全血黏度[MD=-1.05,95%CI(-1.14,-0.96),P<0.00001]、甘油三酯[MD=-0.67,95%CI(-0.75,-0.59),P<0.00001]均低于对照组,差异均有统计学意义。结论:基于中医“治未病”理论的健康管理能有效改善高血压前期人群的健康结局,但其模式仍需进一步规范。Objective:To systematically evaluate the effectiveness of traditional Chinese medicine(TCM)health management in improving the health outcomes of people with prehypertension.Methods:Computer searches were conducted on China National Knowledge Infrastructure,Wanfang Database,VIP Database,Chinese Biomedical Literature Database,Cochrane Library,PubMed,Web of Science,and CINAHL for randomized controlled trials and similar experimental studies on the health management of TCM theory of"preventive treatment of disease"to improve the health outcomes of prehypertensive populations.The search period was from the establishment of the database to August 10,2023.Literature screening,quality evaluation and data extraction were carried out by two researchers.RevMan5.4 and Stata 17 software were used for analysis.Result:A total of 9 randomized controlled trials and 2 experimental studies were included.Intervention group systolic blood pressure[MD=-5.08,95%CI(-6.44,-3.72),P<0.00001],diastolic blood pressure[MD=-3.78,95%CI(-5.13,-2.44),P<0.00001],incidence of headache[OR=0.35,95%CI(0.25,0.49),P<0.00001],incidence of dizziness[OR=-0.15,95%CI(-0.21,-0.08),P<0.00001],whole blood viscosity[MD=-1.05,95%CI(-1.14,-0.96),P<0.00001],triglycerides[MD=-0.67,95%CI(-0.75,-0.59),P<0.00001]were all lower than the control group,and the differences were statistically significant.Conclusion:Health management based on the theory of"preventive treatment of disease"in TCM can effectively improve the health outcomes of pre hypertensive populations,but its model still needs further standardization.

关 键 词：高血压前期人群 正常高值血压 中医健康管理 治未病 健康结局 META分析 

分 类 号：R255.3[医药卫生—中医内科学]