目的:系统评价复方黄柏液联合化学药治疗溃疡性结肠炎(UC)的疗效和安全性,为临床提供循证参考。方法:计算机检索中国生物医学文献数据库(CBM)、万方数据库、中文科技期刊全文数据库(VIP)、中国期刊全文数据库(CJFD)、PubMed、EMBase和 Cochrane 图书馆,收集复方黄柏液联合化学药(试验组)对比单纯化学药(对照组)治疗UC的随机对照试验(RCT),筛选文献、提取资料并按照Cochrane reviewer’s handbook 5.1.0评价质量后,采用Rev Man 5.3统计软件进行Meta分析。结果:共纳入8项RCT,合计737例患者。Meta分析结果显示,试验组患者总有效率显著高于对照组,差异有统计学意义[OR=4.69,95%CI(3.00,7.34),P<0.001];两组患者不良反应发生率比较,差异无统计学意义[OR=0.94,95%CI(0.48,1.84),P=0.86]。结论:复方黄柏液联合化学药治疗UC疗效优于单纯化学药,但两者安全性相当。
Abstract
OBJECTIVE: To systematically evaluate the clinical efficacy and safety of Compound Huangbo liquid combined with chemical medicine in the treatment of ulcerative colitis (UC), and to provide evidence-based reference. METHODS: Retrieved from CBM, Wanfang Database, VIP, CJFD, PubMed, EMBase and Cochrane Library, randomized controlled trials (RCTs) about Compound Huangbo liquid combined with chemical medicine (trial group) vs. chemical medicine alone (control group) in the treatment of UC were collected. Meta-analysis was performed by using Rev Man 5.3 statistical sofetware after literature scanning, data extraction and quality evaluation according to Cochrane reviewer’s handbook 5.1.0. RESULTS: A total of 8 RCTs were included, involving 737 patients. The results of Meta-analysis showed that, response rate of trial group was significantly higher than that of control group, with statistical significance [OR=4.69,95%CI(3.00,7.34),P<0.001]; there was no statistical significance in the incidence of ADR between 2 groups [OR=0.94,95%CI(0.48,1.84),P=0.86]. CONCLUSIONS: Compound Huangbo liquid combined with chemical medicine is better than chemical medicine alone for UC, and both have similar safety.