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A Systematic Review Of The Therapeutic Effect Of Maxing Shigan Decoction On Community Acquired Pneumonia

Posted on:2017-01-10Degree:MasterType:Thesis
Country:ChinaCandidate:M X ChengFull Text:PDF
GTID:2174330485996793Subject:Internal medicine of traditional Chinese medicine
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Purpose:The evaluation system of Maxingshigan Decoction in the treatment of community acquired pneumonia and alleviate symptomsMaterial and method:The search strategy, through the retrieval of the Chinese biomedical literature database(CBM), CNKI(CNKI), Chinese science and technology journals database(VIP), Wanfang and Pub Med database; literature tentatively into the screen and on into the final of the offer data extraction; using the Cochrane Collaboration. Using Ren Man5.3 software for data analysis(Meta analysis), the modified Jada score table table for the inclusion of the method of quality evaluation of the literature. All the data were searched from inception to December 31, 2015.Results:1. According to the inclusion criteria, using the modified Jada score of the quality of the literatures for analysis and evaluation. This review included 14 references 1 for the high quality of the literature, 13 as low quality literature. As a result, there was the possibility of a larger bias.2. Maxing Gan Decoction in the treatment of community intervention effect of pneumonia:total efficiency effect test results: the combined effect of the amount of or for 4.71[95%CI(2.85, 7.80)], P < 0.000 01. NE% effect test results after treatment: the combined effect of MD was-3.66[95%CI(-6.21,-1.11)], P=0.005. After treatment, WBC count(10 * 109) effect test results: the combined effect of MD was-1.68[95%CI(-2.87, 0.48)], P=0.006. The test results of the effect of the absorption of the image: the combined effect of MD is-4.69[95%CI(-5.58,-3.79)], P < 0.00001. Rales effect test results: the combined effect of the amount of MD-3.20[95%CI(-3.54,-2.86], P < 0.00001.Test results of curative effect of TCM syndrome: the combined effect of OR is 8.91[95%CI(1.59, 0.49.89)], P=0.01. Cough disappeared time effect test results: the combined effect of MD for-2.47[95%CI(-2.74,-2.20)], P < 0.00001. Have statistical significance; treatment time effect test results: the combined effect of MD for-0.94[95%CI(-2.13, 0.24)], P=0.12, no statistical significance.Conclusion:This article through to Maxingshigan Decoction in the treatment of community acquired pneumonia symptoms and effective aspects of the analysis, draw the conclusion:1 of Maxingshigan Decoction in the treatment of community acquired pneumonia has good curative effect;2 can effectively control WBC and NE% index; promote imaging absorption and reduce rales.3 can effectively alleviate the symptoms of patients: Chinese medicine symptoms, cough time has improved.But due to the limitations, clinical should select Maxingshigan Decoction in the treatment of community get pneumonia more rigorous large sample, multi center, randomized controlled standardized "clinical trials, to provide more data and increase the reliability and accuracy of the data and to provide evidence of evidence-based medicine.
Keywords/Search Tags:Pneumonia, mxsgd, a systematic review of randomized controlled trials
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