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Efficacy of free-frying Chinese medicine granules as replacement of Chinese herbal medicine in treating hypertension:a Meta analysis |
WANG Xiaoli1 ZHANG Huiling2 LI Xuejing1 LIU Yang1 LIU Guoqiang1 |
1.Department of Pharmacy, the Third Hospital of Hebei Medical University, Hebei Province, Shijiazhuang 050051, China;
2.Department of Traditional Chinese Medicine, the Third Hospital of Hebei Medical University, Hebei Province, Shijiazhuang 050051, China |
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Abstract Objective To systematically review the efficacy of free-frying Chinese medicine granules as replacement of Chinese herbal medicine in treating hypertension, and to provide the evidence for clinical treatment and the selection of therapy. Methods A systematic search by online databases was performed, including CNKI, WanFang, VIP and PubMed, searching period from the inception to December 3rd, 2017. Randomized controlled trials (RCTs) of free-frying Chinese medicine granules vs. Chinese herbal medicine were collected. According to the Cochrane Handbook, data of the articles conforming to inclusion criteria was extracted and the quality of the articles was evaluated, The meta analysis was performed via RevMan 5.2 software. Results A total of 8 trails were enrolled, which included 1433 cases. Meta analysis results showed that there was no significant difference in efficiency, blood pressure target achievement ratio and TCM symptom score between the treatment of free-frying Chinese medicine granules and Chinese herbal medicine (P > 0.05). Conclusion There is no significant difference between and Chinese herbal medicine in the treating efficacy of hypertension. In the selection of clinical therapy, the minimum cost method in pharmacoeconomics can be the reference for selection, and the treating plan with the minimum cost advantage is the optimal one.
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[1] 张生潭,兰新宇,杨达宇,等.国产与进口降压药物治疗高血压患者临床疗效的荟萃分析[J].河北医科大学学报,2015,36(6):632-637.
[2] Maryues-Lopes J, Lynch MK,Van Kempen TA,et al. Female protection from slow-pressor effects of angiotensin Ⅱ involves prevention of ROS production independent of NMDA receptor trafficking in hypothalamic neurons expressing angiotensin 1A receptors [J]. Synapse,2015,69(3):148-165.
[3] 钞文露,钟晴,易亚乔,等.对于高血压病的认知及运用中药进行治疗的研究进展[J].湖南中医药杂志,2017,33(6):188-190.
[4] 禹琪.中药配方颗粒与中药饮片治疗1~2级原发性高血压疗效的比较研究[D]北京:中国中医科学院,2014.
[5] Hao P,Jiang F,Cheng J,et al. Traditional Chinese Medic- ine for Cardiovascular Disease:Evidence and Potential Mechanisms [J]. J Am Coll Cardiol,2017,69(24):2952-2966.
[6] 袁良杰.中药配方颗粒与传统中药饮片临床疗效比较[J].亚太传统医药,2017,13(1):148-149.
[7] 黄志洪.我院2009~2011年中药免煎颗粒临床应用分析[J].中国药房,2012,23(31):2957-2958.
[8] 李金华,周加林.配方颗粒与传统饮片汤剂治疗1~2级高血压的降压疗效[J].中西医结合心血管病杂志,2017, 5(1):175-176.
[9] 宋志刚.不同中药剂型治疗1~2级原发性高血压的临床效果对比[J].四川中医,2017,35(7):71-74.
[10] 莫望春.中药配方颗粒与中药饮片治疗原发性高血压临床对比研究[J].北方药学,2016,13(11):83-84.
[11] 衷敬柏,冯学功,鲁卫星,等.中药配方颗粒剂治疗原发性高血压的多中心、随机对照、非劣效性临床研究[J].上海中医药杂志,2015,49(10):35-38.
[12] 张勇.中药配方颗粒与中药饮片治疗原发性高血压临床效果对比[J].中国保健营养,2017,27(18):399.
[13] 秦风莲.天麻钩藤颗粒与天麻钩藤汤干预原发性高血压临床效果比较[J].中国当代医药,2010,17(10):72-73.
[14] 马丹.中药饮片和中药颗粒治疗原发性高血压的临床效果比较[J].内蒙古中医药,2017,36(16):30.
[15] 齐冬梅,孙英新,闫琴,等.中药饮片精制颗粒免煎剂治疗几种内科常见病临床研究[J].时珍国医国药,1999, 10(3):206-207.
[16] Kearney PM,Whelton M,Reynolds K,et al. Global burden of hypertension:analysis of world wide data [J]. Lancet,2005,365(9455):217-223.
[17] 杜浩,戴小华.养血清脑颗粒治疗高血压伴随症状的Meta分析[J].安徽中医药大学学报,2014,33(1):8-11.
[18] 夏楠,赵卫,邵春林,等.自拟降压汤联合氯沙坦治疗肾血管性高血压的临床疗效及安全性[J].疑难病杂志,2016, 15(8):782-786.
[19] Xu R,Chen W.中医药治疗高血压作用机制的研究进展[J].中华高血压杂志,2017,25(2):111-114.
[20] 王丽君,李亚冬,高绪霞,等.医院门诊抗高血压药物应用现况研究[J].中国医药,2018,13(3):354-358.
[21] 陈红林,杨检美,汪兰,等.高效液相色谱技术在中药配方颗粒质量控制中应用现状[J].中国中医药信息杂志,2016,23(12):133-136.
[22] 张斐姝,蔡舒婷,舒忻,等.中药配方颗粒的临床运用概况与未来趋势[J].中国医药导报,2016,13(16):70-73.
[23] 孙永慧,赵静,孙楠.HPLC法测定健腰通颗粒中黄芪甲苷的含量[J].中国当代医药,2016,23(33):140-142. |
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