中医药治疗干眼疗效的Meta分析
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国家自然科学基金面上资助项目(No.30772824,81574031); 中医药防治五官科疾病湖南省重点实验室建设项目(No.2017TP1018); 长沙市科技计划项目(No.K1501014-31,kc1704005); 国家中医药管理局中医眼科学重点学科建设项目; 湖南省中医五官科学重点学科建设项目


Meta analysis of traditional Chinese medicine in the treatment of dry eye in recent years
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National Natural Science Foundation of China(No.30772824,81574031); Hunan Provincial Key Laboratory Project for Preventing and Treating Ophthalmology and Otorhinolaryngology(No.2017TP1018); Science and Technology Plan of Changsha City(No.K1501014-31, kc1704005); Key Subject Construction Project for Traditional Chinese Medicine Ophthalmology by the State Administration of Traditional Chinese Medicine; Construction Project of Key Discipline of Traditional Chinese Medicine in Hunan Province

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    摘要:

    目的:运用Meta分析方法系统评价近5a来中医药治疗干眼的疗效。

    方法:按Cochrane系统评价方法,计算机检索Medline(2013-01/2017-10)、EMbase(2013/2017年)、Cochrane图书馆(2017年)、万方数据库(2013/2017年)、维普数据库(2013/2017年)、中国知网数据库(2013/2017年),纳入近5a中医药治疗干眼的随机对照研究,使用RevMan5.0统计软件进行资料提取与Meta分析。

    结果:共纳入10个随机对照研究,其中1篇为英文文献,9篇为中文文献,共包括1 229眼。其中9个研究在疗程结束后进行了BUT的测定,结果显示差异有统计学意义(P<0.00001); 9个研究在疗程结束后进行了泪液流量的测定,结果显示差异有统计学意义(P<0.0001); 2个研究在疗程结束后进行了FL的测定,结果显示差异无统计学意义(P=0.25); 3个研究在疗程结束后进行了干眼症状的测定,结果显示差异有统计学意义(P=0.0003); 总体疗效比较,两组差异有统计学意义(P<0.00001)。

    结论:中医药治疗能显著延长患者泪膜破裂时间(break-up time,BUT)和增加泪液流量,在治疗干眼总体疗效上更有优势。

    Abstract:

    AIM: To evaluate the traditional Chinese medicine(TCM)for the treatment of dry eye effect in the past five years by using meta analysis method.

    METHODS: According to the Cochrane evaluation system method, we searched Medline(January 2013 to October 2017), EMbase(2013-2017), Cochrane Library(2017), Wanfang database(2013-2017), VIP(2013-2017), and CNKI(2013-2017)for studies published. We included randomized controlled trials conducted the TCM in the treatment of dry eye. RevMan 5.0 statistical software data extraction and Meta analysis were conducted.

    RESULTS: A total of 10 studies were identified, nine were from Chinese literature and one was from English literature, of which including 1 229 eyes. Nine of these studies performed BUT measurements at the end of the course of treatment. The results showed a statistically significant difference(P<0.00001). Nine studies performed tear flow measurements at the end of the course of treatment and the results showed a statistically significant difference(P<0.0001). Two studies performed FL measurements after the end of the course of treatment; the results showed no statistically significant difference(P=0.25). Three studies performed dry eye symptoms after the end of the course of treatment; the results showed that the differences were statistically significant(P=0.0003); the overall efficacy comparison, the difference between the two groups was statistically significant(P<0.00001).

    CONCLUSION: TCM treatment can significantly prolong BUT and increase tear flow, and has more advantages in the treatment of dry eye.

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蒋鹏飞,彭 俊,周亚莎,等.中医药治疗干眼疗效的Meta分析.国际眼科杂志, 2018,18(6):1023-1027.

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  • 收稿日期:2017-11-10
  • 最后修改日期:2018-05-11
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  • 在线发布日期: 2018-05-25
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