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学科主题: 临床医学
题名:
Integration of Traditional Chinese Medicines and Western Medicines for Treating Diabetes Mellitus with Coronary Heart Disease: A Systematic Review
作者: Li, Wei-Wei1; Guo, Hao2; Li, Hong-Hao3; Wang, Lin-Lin1; Fu, Hong1; Wang, Xue-Mei1
刊名: JOURNAL OF ALTERNATIVE AND COMPLEMENTARY MEDICINE
发表日期: 2013-06-01
DOI: 10.1089/acm.2012.0568
卷: 19, 期:6, 页:492-500
收录类别: SCI
文章类型: Review
WOS标题词: Science & Technology
类目[WOS]: Integrative & Complementary Medicine
研究领域[WOS]: Integrative & Complementary Medicine
关键词[WOS]: QUALITY ; TRIALS
英文摘要:

Purpose: Diabetes mellitus with coronary heart disease (DM with CHD) poses a health challenge to people in China and elsewhere in the world. In Traditional Chinese Medicine (TCM), DM with CHD is classified as a type of disease called Xiaoke and Xiongbi. In Asia, TCM has been used to treat Xiaoke and Xiongbi conditions for centuries, especially in China. In this study, it was evaluated whether integrated strategies incorporating both TCM and Western medicines (iTCWM) could improve the curative efficacy of DM with CHD.

Methods: An extensive search for randomized clinical trials (RCTs) published up to November 2011 in either English or Chinese about iTCWM for DM with CHD was conducted. All listings in PubMed, EMBASE, the Cochrane Library, CBM, CNKI, VIP, and the Wanfang database were included in the literature search. The quality of each trial was assessed using the Cochrane Reviewers′ Handbook 5.0. Data analysis was performed by the RevMan 5.0 provided by the Cochrane Collaboration.

Results: After an initial selection of 207 articles, 21 RCTs and quasi-RCTs were ultimately included in the analysis for this study. All of these trials were conducted in China and published in Chinese journals. The methodological quality of the trials was low in most studies. Selection bias and measurement bias were common in all of the studies. A meta-analysis was not conducted, due to the poor quality of the available studies.

Conclusions: The current state of the literature regarding the utility of iTCWM for the treatment of DM with CHD is inadequate. The poor quality of the available trials makes it difficult to draw any conclusions regarding the efficacy of iTCWM for the treatment of DM with CHD. This study highlights the paucity of reliable clinical evidence for iTCWM and the need for higher quality RCTs to be conducted in the future.

语种: 英语
所属项目编号: 81102683 ; 30973813 ; 20110001120055
项目资助者: National Natural Science Foundation of China ; Ministry of Education of China
WOS记录号: WOS:000319909800002
Citation statistics:
内容类型: 期刊论文
URI标识: http://ir.bjmu.edu.cn/handle/400002259/50693
Appears in Collections:北京大学第一临床医学院_期刊论文

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作者单位: 1.Peking Univ, Hosp 1, Inst Integrated Chinese & Western Med, Beijing 100034, Peoples R China
2.Tianjin Univ Tradit Chinese Med, Minist Educ, Key Lab Pharmacol Tradit Chinese Med Formulae, Tianjin, Peoples R China
3.Hunan Agr Univ, Lib Hunan Agr Univ, Changsha, Hunan, Peoples R China

Recommended Citation:
Li, Wei-Wei,Guo, Hao,Li, Hong-Hao,et al. Integration of Traditional Chinese Medicines and Western Medicines for Treating Diabetes Mellitus with Coronary Heart Disease: A Systematic Review[J]. JOURNAL OF ALTERNATIVE AND COMPLEMENTARY MEDICINE,2013,19(6):492-500.
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