中西药联合治疗抽动障碍疗效及安全性的Meta分析  

Therapeutic Effects and the Safety of Integrative Medicine in the Treatment of Tic Disorder:A Meta Analysis

作　　者：郭宁 李亚平[1] 张颖颖 李征 王琛 GUO Ning;LI Yaping;ZHANG Yingying;LI Zheng;WANG Chen(First Teaching Hospital of Tianjin University of TCM/National Clinical Research Center for Chinese Medicine Acupuncture and Moxibustion,Tianjin 300382,China)

机构地区：[1]天津中医药大学第一附属医院/国家中医针灸临床医学研究中心,天津300382

出　　处：《西部中医药》2025年第4期84-88,共5页Western Journal of Traditional Chinese Medicine

基　　金：国家重点研发计划重点专项(2016YFC1306100,2016YFC1306103)。

摘　　要：目的:分析评价中西药联合治疗抽动障碍(tic disorders,TD)的疗效及安全性。方法:通过计算机检索中英文数据库中国知网、万方数据、维普、PubMed、EMbase,收集从2010年1月1日至2020年12月31日关于中西药联合治疗TD的临床对照研究,参照Cochrane系统评价方法进行文献筛选,并进行文献质量评价,采用软件RevMan 5.4进行Meta分析。结果:共纳入符合标准的文献10篇,共计969例,中西药联合组496例,单纯西药组473例。中西药联合治疗组治疗TD临床总有效率高于单纯西药组(OR=3.43,95%CI:2.51~4.68,P<0.00001)、愈显率(OR=2.91,95%CI:1.99~4.25,P<0.00001)、在耶鲁综合抽动严重程度量表(the Yale global tic severity scale,YGTSS)评分改善(MD=-3.67,95%CI:-4.19~-3.16,P<0.00001);在安全性方面,中西药联合组不良反应发生率(OR=0.19,95%CI:0.11~0.34,P<0.00001)。结论:中西药联合治疗TD疗效优于单纯西药;虽两组均有不良反应发生,但中西药联合应用不良反应发生率较低,说明中药有助于减少不良反应的发生。由于纳入文献质量偏低,需要大样本、多中心、高质量的进一步研究。Objective:To analyze and evaluate clinical effects and the safety of integrative medicine in the treatment of tic disorders.Methods:Clinical controlled trials on integrative medicine in the treatment of tic disorders were retrieved from CNKI,Wanfang,VIP,PubMed and EMbase via computer between January 1st,2010 and December 31st,2020,literature screening was conducted in light of Cochrane systematic evaluation method,in order to assess the quality of literature,software RevMan 5.4 was adopted to perform Meta analysis.Results:Ten articles that met the criteria were included,involving 969 cases in total,including 496 cases in the integrative medicine group and 473 cases in the single Western medicine group.Clinical total effective rate of the treatment of tic disorders in the integrative medicine group was higher than that in the single Western medicine group(OR=3.43,95%CI:2.51-4.68,P<0.00001),while the cure rate and markedly effective rate(OR=2.91,95%CI:1.99-4.25,P<0.00001),the Yale global tic severity scale(YGTSS)scores were improved(MD=-3.67,95%CI:-4.19--3.16,P<0.00001);in terms of safety,the incidence of adverse reaction in the integrative medicine group showed(OR=0.19,95%CI:0.11-0.34,P<0.00001).Conclusion:Clinical effects of integrative medicine are better than these of single Western medicine in the treatment of tic disorders;the adverse reaction occurred in the two groups,but the integrative medicine group presents lower incidence of adverse reactions,demonstrating that herbs could help reduce the occurrence of adverse reactions.further research with large samples,multiple centers and high quality is needed due to the low quality of the included literature.

关 键 词：抽动障碍 中西药 META分析 系统评价 疗效 

分 类 号：R256.44[医药卫生—中医内科学]