本文選題：坐浴　切入點：中藥　出處：《云南中醫(yī)中藥雜志》2017年02期 　論文類型：期刊論文

【摘要】：目的定量分析中藥坐浴治療痔瘡術(shù)后并發(fā)癥的臨床療效,為臨床決策與實踐提供科學(xué)有效、實用可行的證據(jù)。方法電子檢索2016年8月前全文發(fā)表在國內(nèi)期刊雜志上的隨機對照實驗,篩選出符合納入標(biāo)準(zhǔn)的文獻(xiàn)并追蹤相關(guān)參考文獻(xiàn),另手工檢索《中華護(hù)理雜志》進(jìn)行補充,采用Cochrane協(xié)作網(wǎng)的文獻(xiàn)質(zhì)量標(biāo)準(zhǔn)對文獻(xiàn)質(zhì)量進(jìn)行評鑒,并用Revman5.3軟件進(jìn)行Meta分析、敏感性分析、偏倚的識別。結(jié)果共11篇文獻(xiàn)符合納入標(biāo)準(zhǔn)但總體質(zhì)量為中等;中藥坐浴治療痔瘡術(shù)后并發(fā)癥的總體療效較高錳酸鉀坐浴有一定優(yōu)勢,合并效應(yīng)量OR=10.11,95%CI為6.31-16.21,z=9.60,P0.00001;敏感性分析結(jié)果與原結(jié)果無本質(zhì)差別,Meta分析結(jié)果穩(wěn)定可靠;漏斗圖不對稱,考慮存在發(fā)表性偏倚。結(jié)論在治療痔瘡術(shù)后并發(fā)癥方面,中藥坐浴治療痔瘡術(shù)后并發(fā)癥的總體療效較高錳酸鉀坐浴有一定優(yōu)勢,但由于一定偏倚因素的影響,研究結(jié)果的真實性、可信性有待于更高質(zhì)量的證據(jù)的支持。
[Abstract]:Objective to quantitatively analyze the clinical efficacy of traditional Chinese medicine in the treatment of postoperative complications of hemorrhoids, and to provide scientific and effective methods for clinical decision-making and practice. Methods Electronic retrieval of the full text published in domestic journals before August 2016, randomized controlled trials, selected documents that met the inclusion criteria, and followed up related references. In addition, the Chinese Journal of Nursing was manually searched for supplement, and the literature quality standard of Cochrane Cooperative Network was used to evaluate the literature quality. The Meta analysis and sensitivity analysis were carried out with Revman5.3 software. Results 11 articles met the inclusion criteria but the overall quality was medium. The overall curative effect of traditional Chinese medicine in treating postoperative complications of hemorrhoids was superior to that of potassium permanganate sitting bath. The CI of the combined effect was 6.31-16.21 ~ 9.60 P0.00001. There was no essential difference between the sensitivity analysis results and the original results. The results of Meta-analysis were stable and reliable. The funnel graph was asymmetric and the published bias was considered. Conclusion in the treatment of postoperative complications of hemorrhoids, there is no significant difference between the results of sensitivity analysis and the original results, and the results of Meta-analysis are stable and reliable. Conclusion in the treatment of postoperative complications of hemorrhoids, The overall curative effect of traditional Chinese medicine in treating postoperative complications of hemorrhoids is superior to that of potassium permanganate, but due to the influence of certain bias factors, the authenticity of the research results and the credibility of the results need to be supported by higher quality evidence.
【作者單位】： 云南中醫(yī)學(xué)院;云南省傳染病專科醫(yī)院;
【分類號】：R266

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