Distribution of traditional Chinese medicine pattern types and prognostic risk factors in patients undergoing percutaneous coronary intervention (PCI): a systematic review and meta-analysis
10.1016/j.dcmed.2024.04.003
- VernacularTitle:经皮冠状动脉介入治疗（PCI）患者的中医证型分布及预后危险因素： 系统评价和 meta 分析
- Author:
LI Jieyun
1
,
2
;
HONG Leixin
1
,
2
;
LIN Jiekee
1
,
2
;
XIA Yumo
1
,
2
;
XIAO Xin’ang
1
,
2
;
XU Zhaoxia
1
,
2
Author Information
1. School of Traditional Chinese Medicine, Shanghai University of Traditional Chinese Medicine, Shanghai 201203, China
2. Shanghai Key Laboratory of Health Identification and Assessment, Shanghai 201203, China
- Publication Type:期刊论文
- Keywords:
Coronary heart disease (CHD);
Traditional Chinese medicine (TCM);
Percutaneous coronary intervention (PCI);
Risk factor;
Systematic review;
Meta-analysis
- From:
Digital Chinese Medicine
2024;7(1):13-28
- CountryChina
- Language:English
-
Abstract:
Objective :To clarify the distribution of traditional Chinese medicine (TCM) pattern and its associated risk factors after percutaneous coronary intervention (PCI), and evaluate the reporting quality of existing studies to guide future research standardization.
Methods:English databases including PubMed, Cochrane Library, and Web of Science, as well as Chinese databases including China National Knowledge Infrastructure (CNKI), China Scientific Journal Database (VIP), and Wanfang Database were searched to retrieve papers about PCI. The time span for the paper retrieval was set from the foundation of the databases to October 1, 2023. Statistical analyses were performed using Stata 12 and Python (V 3.9). The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statement was used to assess the reporting quality of included studies.
Result:Overall, 1 356 articles were selected, and 40 cross-sectional studies were included with 10 270 participants. The most common TCM patterns before, one to two weeks after, and six months to one year after PCI was Qi stagnation and blood stasis (n = 261, 36.45%), intertwined phlegm and blood stasis (n = 109, 27.18%), and Qi deficiency and blood stasis (n = 645, 37.03%), respectively. Smoking [odds ratio (OR) = 1.15, 95% confidence interval (CI) (0.83 – 1.47), I 2 = 24.7%, P = 0.257], pattern of congealing cold and Qi stagnation [OR = 4.62, 95% CI (1.37 – 7.86), I 2 = 61.6%, P = 0.074], and low-density lipoprotein (LDL) [OR = 1.38, 95% CI (0.92 – 1.85), I 2 = 12.2%, P = 0.286] were risk factors for restenosis. Hypertension [OR = 7.26, 95% CI (3.54 – 14.88), I 2 = 91.6%, P = 0.001], and overweight [i.e., body mass index (BMI) > 23] [OR = 1.20, 95% CI (1.07 – 1.35), I 2 = 85.3%, P = 0.009] were significant risk factors of concomitant anxiety.
Conclusion:This systematic review andet a-analysis revealed that patients with different TCM pattern types have distinct characteristics and risk factors after PCI. More high-qualitystudies are warranted to provide supportive evidence for future research and clinical practice.
- Full text:2024060310564435071(已瘦身)lijieyun.pdf
