中药联合克罗米芬治疗排卵障碍性不孕疗效及安全性的Meta分析*
作者:
作者单位:

(1. 陕西中医药大学 陕西 咸阳 712046;2. 陕西中医药大学附属医院,陕西 咸阳 712046)

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R271.14

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收稿日期: 2019 - 07- 25
* 基金项目: 国家自然科学基金项目(81373681);陕西省自然科学基础研究计划(2017JM8091)
第一作者简介: 范美玲(1993-),在读硕士研究生,研究方向:中医药对女性生殖内分泌疾病的研究。
△通信作者: 王海静,E-mail:18292927372@163.com


Meta-analysis on the Efficacy and Safety of Traditional Chinese Medicine Combined with Clomiphene in the Treatment of Ovulatory Infertility
Author:
Affiliation:

(1. Shaanxi University of Chinese Medicine, Xianyang 712046, China;2. Affiliated Hospital of Shaanxi University of Chinese Medicine, Xianyang 712046, China)

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    摘要:

    目的探讨中药联合克罗米芬治疗排卵障碍性不孕症的疗效及安全性,为临床应用提供依据。方法 计算机检索中国知网(CNKI)、万方数据库(WanFang Datebase)、维普数据库(VIP Datebase)及PubMed等中英文数据库,语种为中文或英文,检索时间为建库至2019年5月17日,按照主题词结合自由词的方法进行检索。按照纳入标准及排除标准对检索文献进行检索,提取结局指标,应用Review Manager 5.3软件进行统计分析。结果 共检索1 043篇文献,纳入Meta分析文献23篇,2 010例患者,其中治疗组1 054例,对照组956例。Meta分析结果显示,中药联合克罗米芬在治疗排卵障碍性不孕患者子宫内膜厚度[OR=1.77, 95%CI(1.34,2.21)]、妊娠率 [OR=1.82, 95%CI(1.64,2.02)]、流产率[OR=0.19, 95%CI(0.09,0.41)]方面,较单纯应用克罗米芬效果好;在提高排卵率[OR=0.04, 95%CI(-0.09,0.17)]方面,与克罗米芬疗效相当;敏感性分析提示结果稳健。结论 中药联合克罗米芬疗效明显优于单纯西药,且用药安全,值得推广应用。

    Abstract:

    Objective To explore the efficacy and safety of traditional Chinese medicine combined with clomiphene in the treatment of ovulatory infertility, and to provide a basis for clinical application. Methods The computer searches Chinese and English databases such as China national knowledge infrastructure(CNKI),Wanfang Database, VIP Database and PubMed. The language is Chinese or English. The search time is built until May 17, 2019. The search is based on the combination of subject words and free words. According to the inclusion criteria and exclusion criteria, the search literature was searched, the outcome indicators were extracted, and RevMan 5.3 software was used for statistical analysis. Results A total of 1 043 articles were searched, and 23 meta-analytic articles were included, 2 010 patients, including 1 054 in the treatment group and 956 in the control group. Meta-analysis showed that traditional chinese medicine combined with clomiphene in the treatment of ovulatory infertility patients with endometrial thickness[OR=1.77, 95%CI(1.34, 2.21)], pregnancy rate[OR=1.82, 95%CI(1.64, 2.02)], abortion rate[OR=0.19, 95%CI(0.09, 0.41)], better than the simple application of clomiphene, improve the ovulation rate[OR=0.04, 95%CI(-0.09, 0.17)], comparable to clomiphene. Sensitivity analysis suggests robust results.

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