Therapeutic effects of traditional Chinese medicine fumigation plus Yang-He decoction for patients with ankylosing spondylitis: systematic review and network meta-analysis

IF 2.2 4区 医学 Q2 INTEGRATIVE & COMPLEMENTARY MEDICINE
Xuan Li , Peng Dai , Jing Mao , Jiewen Deng , Yunnan Li
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引用次数: 0

Abstract

Introduction

To compare and rank the therapeutic effects of traditional Chinese medicine fumigating (TCMF) plus Yang-He decoction (YHD), TCMF plus acupuncture, TCMF, YHD, acupuncture, and Western medicine (WM) in patients with ankylosing spondylitis (AS).

Methods

The PubMed, Embase, Cochrane Library, China National Knowledge Infrastructure, Wanfang, and VIP electronic databases were searched for eligible randomised controlled trials (RCTs) from their inception until April 2023. The primary endpoint was the efficacy rate.

Results

Nineteen RCTs involving 1 432 AS patients were selected. The surface under the cumulative ranking (SUCRA) probabilities indicated TCMF plus acupuncture (SUCRA: 78%) and TCMF plus YHD (SUCRA: 71%) exhibited relatively better efficacy. TCMF plus WM versus WM yielded a lower Visual Analogue Scale (VAS) score (P = 0.043), shorter morning stiffness time (MST) (P = 0.002), and Bath Ankylosing Spondylitis Disease Activity Index (BASDAI) (P = 0.003). Moreover, YHD plus WM versus WM was associated with a lower VAS score (P < 0.001), finger-floor distance (P < 0.001), pillow-wall distance (PWD) (P = 0.001), Bath Ankylosing Spondylitis Functional Index (BASFI) (P = 0.001), erythrocyte sedimentation rate (P < 0.001), or C-reactive protein (CRP) (P < 0.001), elevated Schober test (P < 0.001), thoracic expansion (P < 0.001), spinal column activity (SCA) (P < 0.001), and shorter MST (P < 0.001). TCMF plus YHD versus WM achieved a lower VAS score (P = 0.002), BASDAI (P < 0.001), BASFI (P < 0.001) or CRP (P = 0.038), and elevated SCA (P = 0.002). TCMF plus acupuncture versus WM showed lower VAS score (P < 0.001) and BASFI (P < 0.001). Finally, TCMF plus acupuncture versus acupuncture showed lower PWD (P = 0.004) and CRP (P = 0.031).

Conclusion

TCMF plus acupuncture and TCMF plus YHD provided better therapeutic effects in patients with AS.
中药熏洗加养和汤治疗强直性脊柱炎的疗效:系统评价与网络meta分析
目的比较中药熏洗加养和汤、中药熏洗加针灸、中药熏洗加养和汤、针灸加西医治疗强直性脊柱炎(AS)的疗效并进行排序。方法检索PubMed、Embase、Cochrane图书馆、中国国家知识基础设施、万方和VIP电子数据库自成立至2023年4月的符合条件的随机对照试验(RCTs)。主要终点是有效率。结果共纳入19项随机对照试验,共纳入AS患者1 432例。表面下累积排序概率(SUCRA)显示,TCMF +针刺(SUCRA: 78%)和TCMF + YHD (SUCRA: 71%)的疗效相对更好。与WM相比,TCMF加WM的视觉模拟评分(VAS)较低(P = 0.043),晨僵时间(MST)较短(P = 0.002),浴强直性脊柱炎疾病活动指数(BASDAI)较短(P = 0.003)。此外,YHD + WM与WM相比与较低的VAS评分相关(P <;0.001),指底距离(P <;0.001),枕壁距离(PWD) (P = 0.001),浴缸强直性脊柱炎功能指数(BASFI) (P = 0.001),红细胞沉降率(P <;0.001)或c反应蛋白(CRP) (P <;0.001), Schober检验升高(P <;0.001),胸廓扩张(P <;0.001),脊柱活动(SCA) (P <;0.001), MST较短(P <;0.001)。TCMF + YHD与WM相比,VAS评分较低(P = 0.002), BASDAI (P <;0.001), BASFI (P <;0.001)或CRP (P = 0.038), SCA升高(P = 0.002)。中西医结合治疗与中西医结合治疗VAS评分较低(P <;0.001)和BASFI (P <;0.001)。最后,中西医结合针刺与针刺相比,PWD (P = 0.004)和CRP (P = 0.031)均较低。结论中药加针刺、中药加YHD治疗AS疗效较好。
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来源期刊
Journal of Herbal Medicine
Journal of Herbal Medicine INTEGRATIVE & COMPLEMENTARY MEDICINE-
CiteScore
3.90
自引率
0.00%
发文量
94
期刊介绍: The Journal of Herbal Medicine, the official journal of the National Institute of Medical Herbalists, is a peer reviewed journal which aims to serve its readers as an authoritative resource on the profession and practice of herbal medicine. The content areas of the journal reflect the interests of Medical Herbalists and other health professionals interested in the clinical and professional application of botanical medicines. The objective is to strengthen the research and educational base of herbal medicine with research papers in the form of case studies, original research articles and reviews, monographs, clinical trials and relevant in vitro studies. It also publishes policy statements, opinion pieces, book reviews, conference proceedings and profession related information such as pharmacovigilance reports providing an information source for not only the Herbal Practitioner but any Health professional with an interest in phytotherapy.
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