DENG Qiaoyin, ZHAO Ying, YU Lili, et al. Systematic Review of Efficacy and Safety of Kuntai Capsules Combined with Hormone Replacement Therapy in the Treatment of Premature Ovarian Failure. [J]. 20(4):463-468(2020)
DENG Qiaoyin, ZHAO Ying, YU Lili, et al. Systematic Review of Efficacy and Safety of Kuntai Capsules Combined with Hormone Replacement Therapy in the Treatment of Premature Ovarian Failure. [J]. 20(4):463-468(2020) DOI: 10.14009/j.issn.1672-2124.2020.04.021.
Systematic Review of Efficacy and Safety of Kuntai Capsules Combined with Hormone Replacement Therapy in the Treatment of Premature Ovarian Failure
运用Rev Man 5. 3软件对患者治疗前后的卵泡刺激素(FSH)、黄体生成素(LH)和雌二醇(E
2
)水平
症状积分
总有效率和不良反应发生情况进行Meta分析。结果:最终纳入15篇文献
涉及1 343例患者。Meta分析结果显示
与单纯使用HRT比较
坤泰胶囊联合HRT能明显降低卵巢早衰患者的FSH水平(MD=-7. 13
95%CI=-8. 08~-6. 19
P
<
0. 000 01)、LH水平(MD=-5. 43
95%CI=-6. 99~-3. 88
P
<
0. 00001)
明显提高E
2
水平(SMD=1. 14
95%CI=0. 73~1. 54
P
<
0. 000 01)
明显降低症状积分(MD=-4. 42
95%CI=-5. 55~-3. 28
P
<
0. 000 01)
明显提高治疗总有效率(OR=3. 53
95%CI=2. 53~4. 94
P
<
0. 000 01)和安全性(OR=0. 56
95%CI=0. 31~1. 01
P=0. 05)
差异均有统计学意义。结论:坤泰胶囊联合HRT有明显优势
能在一定程度上改善卵巢早衰患者的临床症状
减少不良反应
提高安全性
可以作为较好的辅助搭配治疗。
Abstract
OBJECTIVE: To systematically evaluate the efficacy and safety of Kuntai capsules combined with hormone replacement therapy( HRT) in the treatment of premature ovarian failure based on the Meta-analysis method.METHODS: CNKI
VIP database
Wanfang database
CBM and PubMed were retrieved to collect the randomized controlled trials of Kuntai capsules combined with HRT in the treatment of premature ovarian failure( the study group was treated with Kuntai capsules combined with HRT
while the control group received HRT). The retrieval time was from establishment of the database to Dec. 31 st
2018. The risk of bias assessment tool was used for quality assessment. Meta-analysis was conducted on the levels of follicle-stimulating hormone( FSH)
luteinizing hormone( LH) and estradiol( E
2
)
symptom score before and after treatment
total effective rate and incidence of adverse drug reactions by using RevMan 5. 3 software. RESULTS: Totally 15 literature were collected
including 1 343 patients.Meta analysis results showed that compared with HRT alone
Kuntai capsules combined with HRT can significantly reduce the levels of FSH( MD =-7. 13
95% CI =-8. 08--6. 19
P
<
0. 000 01) and LH( MD =-5. 43
95% CI=-6. 99--3. 88
P
<
0. 000 01)
significantly increase the levels of E
2
( SMD = 1. 14
95% CI = 0. 73-1. 54
P
<
0. 000 01)
and significantly reduce the symptom score( MD =-4. 42
95% CI =-5. 55--3. 28
P
<
0. 000 01)
significantly improve the total effective rate( OR = 3. 53
95% CI = 2. 53-4. 94
P
<
0. 000 01) and safety( OR =0. 56
95% CI = 0. 31-1. 01
P = 0. 05)
the differences were statistically significant. CONCLUSIONS: Kuntai capsules combined with HRT has obvious advantages
which can improve the clinical symptoms of patients with premature ovarian failure
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Related Author
GU Hong
KONG Lingxi
WANG Jue
WANG Hongmei
ZHENG Xiaoying
WANG Xin
SHAN Xuefeng
QIU Feng
Related Institution
Dept.of Pharmacy, the First Affiliated Hospital of Chongqing Medical University
Dept. of Gastroenterology,the First Affiliated Hospital of Chongqing Medical University
Dept. of Epidemiology and Biostatistics,the First Affiliated Hospital of Army Medical University