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1. 澳门科技大学中医药学院
2. 广州中医药大学第一附属医院妇科
3. 广东药科大学附属第一医院全科医学科
纸质出版日期:2020,
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[1]邓乔尹,赵颖,于丽丽,莫婷婷.坤泰胶囊联合激素替代治疗用于卵巢早衰疗效及安全性的系统评价[J].中国医院用药评价与分析,2020,20(04):463-468.
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]. 2020,20(4):463-468.
[1]邓乔尹,赵颖,于丽丽,莫婷婷.坤泰胶囊联合激素替代治疗用于卵巢早衰疗效及安全性的系统评价[J].中国医院用药评价与分析,2020,20(04):463-468. DOI: 10.14009/j.issn.1672-2124.2020.04.021.
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]. 2020,20(4):463-468. DOI: 10.14009/j.issn.1672-2124.2020.04.021.
目的:基于荟萃分析(Meta分析)方法
系统评价坤泰胶囊联合激素替代治疗(hormone replacement therapy
HRT)用于卵巢早衰的疗效及安全性。方法:检索中国期刊全文数据库、维普数据库、万方数据库、中国生物医学文献数据库和Pub Med数据库
检索时限为建库至2018年12月31日
收集坤泰胶囊联合HRT用于卵巢早衰的随机对照临床研究文献(研究组患者使用坤泰胶囊联合HRT;对照组患者单纯使用HRT)
采用"偏倚风险评估工具"进行质量评价
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。
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
reduce the adverse drug reactions
improve the safety
and can be used as the adjuvant treatment.
卵巢早衰人工周期激素替代治疗坤泰胶囊Meta分析
Premature ovarian failureArtificial cycleHormone replacement therapyKuntai capsulesMetaanalysis
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