Systematic Reviews Of Treaments In Psoriasis

The conscientions explicit and judicions use of current best evidence in making decisions about the care of individual patients. Psoriasis is a chronic, recurrent , inflammatory dermatosis. It occurs young people and often recurren that often requires lifelong treatment and have great effects on body and psyche. Psoriasis may express as a few coin-sized erythemato-squamous plaques up to widespread. Heredity, infestation, metabolite disturbance .endocrinologic mental factors may induce episode or aggravate. Psoriasis may present vulgaris pustular aTthropathica erythrodermic in clinical, progressive ,guiescent and regression phase in process. Therefore, acitretin and Tripterygium wilfordii are commen treat methods, we do not find more effetive way to cure psoriasis. The objective of this article is evaluate the effiency and safety of acitretin and Tripterygium wilfordii by systematic review of the randomized or quasi-randomized controlled trials.This systematic review use Evidence-Based Medicine.Criteria for considering studies for this review are the randomized or quasi-randomized controlled trials of acitretin and Tripterygium wilfordii in patients with psoriasis from The Cochrane library2004.4th, CBMdsic, nstl, and Vip ,some Chinese journals. It is be removed that the patients having heart ,liver ,renal and hematopoietic desease or hypersensitive to acitretin and Tripterygium wilfordii.Methodolgical quality assessment and data extraction assessment for methodological quality was using a modification of criterriagive in the Cochrane Reviewers' Handbook and the criteria of Jadad . Based on these criteria, studies were broadly subdivided into the following three categories by randomized allocation :A--all quality criteria met :low risk of bias. B--one or more of the quality criteria only partly met: moderate risk of bias. C--one or more criteria not met :high risk of bias.