ZHANG Shuo,XIONG Xing-jiang,DUAN Jin-long,et al.Efficiency of Qiangli Dingxuan Tablet combined with western medicine for vertigo and Meta analysis on safety[J]. Beijing Journal of Traditional Chinese Medicine,2022,41(04):456-462.
ZHANG Shuo,XIONG Xing-jiang,DUAN Jin-long,et al.Efficiency of Qiangli Dingxuan Tablet combined with western medicine for vertigo and Meta analysis on safety[J]. Beijing Journal of Traditional Chinese Medicine,2022,41(04):456-462. DOI: 10.16025/j.1674-1307.2022.04.028.
Efficiency of Qiangli Dingxuan Tablet combined with western medicine for vertigo and Meta analysis on safety
摘要
目的,2,系统评价强力定眩片治疗眩晕的疗效和安全性。,方法,2,从中国知网、万方数据知识服务平台、维普数据库、中国生物文献数据库、Cochrane Library、Embase、Medline、Springerlink、Web of Science以及中国临床试验注册系统、美国临床试验注册系统中检索从建库到2020年11月4日有关强力定眩片治疗眩晕的中英文文献,在Note Express中对纳入文献进行筛选和资料提取,使用Cochrane协作工具评估偏倚风险,并使用Rev Man 5.3进行疗效和安全性评价。,结果,2,最终纳入27篇文献,涉及2 766例眩晕患者。Meta分析结果显示,强力定眩片联合与对照组一致西药、强力定眩片联合对照组部分西药治疗眩晕的临床疗效分别是单独使用西药的1.22倍[,RR,=1.22,95%,CI,(1.17,1.26),,P,<,0.01];1.35倍[,RR,=1.35,95%,CI,(1.23,1.47),,P,<,0.01]。强力定眩片联合西药能降低治疗的不良反应[,RR,=0.33,95%,CI,(0.12,0.89),,P,<,0.01],且能改善患者眩晕、头痛症状,增加脑血流量、降低血压。,结论,2,强力定眩片联合西药能够明显改善患者眩晕症状,具有显著的临床疗效,安全性良好,但还需要更多的高质量研究支持该结论。
Abstract
关键词
强力定眩片眩晕Meta分析
Keywords
references
MUIR SW,BERG K,CHESWORTH B,et al.Quantifying the magnitude of risk for balance impairment on Falls in community-dwelling older adults:a systematic review and meta-analysis[J].J Clin Epidemiol,2010,63(4):389-406.
WALTHER LE.Dizziness and vertigo in older individuals [J].MMW Fortschr Med, 2014, 156(13): 48-52.
WALTHER LE, KLEEBERG J, REJMANOWSKI G, et al.Falls and fall risk factors. Are they relevant in ENT outpatient medical care? [J].HNO, 2012, 60(5): 446,448-456.
HEGEMANN SC,PALLA A.New methods for diagnosis and treatment of vestibular diseases[J].F1000 Med Rep,2010,2:60.
STRUPP M,ZWERGAL A,FEIL K,et al.Pharmacotherapy of vestibular and cerebellar disorders and downbeat nystagmus:translational and back-translational research[J].Ann N Y Acad Sci,2015,1343:27-36.
HAIN TC,YACOVINO D.Pharmacologic treatment of persons with dizziness[J].Neurol Clin,2005,23(3):831-853.
GREEN S,HIGGINS JP.Preparing a cochrane review[M]//Cochrane Handbook for Systematic Reviews of Interventions.Chichester,UK:John Wiley&Sons,Ltd,2008:11-30.
HIGGINS JP,THOMPSON SG,DEEKS JJ,et al.Measuring inconsistency in meta-analyses[J].BMJ,2003,327(7414):557-560.
HANSSON L,ZANCHETTI A,CARRUTHERS SG,et al.Effects of intensive blood-pressure lowering and low-dose aspirin in patients with hypertension:principal results of the Hypertension Optimal Treatment (HOT) randomised trial.HOT Study Group[J].Lancet,1998,351(9118):1755-1762.