Meta-analysis of therapeutic effect of retention enema with traditional Chinese medicine on ulcerative colitis.
10.19540/j.cnki.cjcmm.20190827.501
- Author:
Jun-Fu PENG
1
;
Wan WANG
2
;
Ji-Sheng PENG
3
;
Hui ZHAO
4
Author Information
1. Beijing Shijitan Hospital,Capital Medical University Beijing 100038,China.
2. Beijing University of Chinese Medicine Beijing 100029,China.
3. the Third Affiliated Hospital,Beijing University of Chinese Medicine Beijing 100029,China.
4. China Academy of Chinese Medical Sciences Beijing 100700,China.
- Publication Type:Meta-Analysis
- Keywords:
Meta-analysis;
traditional Chinese medicine retention enema;
ulcerative colitis
- MeSH:
Colitis, Ulcerative;
Drugs, Chinese Herbal;
Enema;
Humans;
Male;
Medicine, Chinese Traditional
- From:
China Journal of Chinese Materia Medica
2019;44(19):4263-4271
- CountryChina
- Language:Chinese
-
Abstract:
To evaluate the therapeutic effect of traditional Chinese medicine( TCM) retention enema in treating ulcerative colitis( UC) by Meta-analysis method. Randomized controlled trials( RCTs) of TCM retention enema in treatment of UC were retrieved from databases as CNKI,Wan Fang,CBM,VIP and PubMed from inception to June 2019. The quality of RCTs was assessed by using the Cochrane collaboration's tool for assessing risk of bias,Meta-analysis were performed with Rev Man 5. 3 software and publication bias was tested by using Stata 15. 1 software. There were twenty-eight articles enrolled,and 2 477 patients were included. The result of Meta-analysis showed that retention enema with TCM had significantly better effectiveness in overall curative effect( RRSASP= 1. 18,95%CI[1. 13,1. 22],Z = 8. 32,P < 0. 01; RR5-ASA= 1. 13,95% CI[1. 03,1. 21],Z = 2. 61,P < 0. 01) symptom curative effect( RR =1. 44,95%CI[1. 22,1. 71],Z = 4. 25,P<0. 01) than those of the control group,and the treatment group was lower than the control group in terms of recurrence( RR = 0. 31,95% CI[0. 17,0. 56],Z = 3. 88,P< 0. 01) and adverse events( RR = 0. 38,95% CI[0. 18,0. 78],Z = 2. 64,P<0. 01),with statistically significant differences. However,there was no significant difference in Meta-analysis result of colonoscopic mucosal change between the two groups. TCM enema is an effective method to treat ulcerative colitis.
