Tongmai Yangxin Pills in treatment for angina pectoris of coronary heart disease: a systematic review of randomized clinical trails.
10.19540/j.cnki.cjcmm.20190305.005
- Author:
Wen-Tai PANG
1
;
Jun-Hua ZHANG
1
;
Jing-Bo ZHAI
1
;
Feng-Wen YANG
1
;
Xin-Yao JIN
1
;
Zhao-Chen JI
1
;
Hu-Cheng WANG
1
;
Hai-Yin HU
1
Author Information
1. Evidence-based Medicine Center, Tianjin University of Traditional Chinese Medicine Tianjin 300193, China.
- Publication Type:Journal Article
- Keywords:
Meta-analysis;
Tongmai Yangxin Pills;
angina pectoris of coronary atherosclerotic heart disease;
randomized controlled trials;
systematic review
- MeSH:
Angina Pectoris;
drug therapy;
Coronary Disease;
drug therapy;
Drugs, Chinese Herbal;
therapeutic use;
Electrocardiography;
Humans;
Medicine, Chinese Traditional;
Randomized Controlled Trials as Topic
- From:
China Journal of Chinese Materia Medica
2019;44(11):2390-2396
- CountryChina
- Language:Chinese
-
Abstract:
To systematically review the efficacy and safety of Tongmai Yangxin Pills in treatment for angina pectoris of coronary heart disease. CNKI, WanFang, VIP, SinoMed, PubMed, EMbase and the Cochrane Library databases were retrieved online to collect randomized controlled trials(RCTs) of Tongmai Yangxin Pills for angina pectoris of coronary heart disease since the establishment to November 2018. Two investigators screened out literatures independently, extracted data and assessed the risk of bias of included studies. The risk assessment of included references was made according to criteria recommended by Cochrane Handbook 5.3. Meta-analysis was then performed by RevMan 5.3 software. A total of 9 RCTs were included. The results of Meta-analysis showed that compared with the single application of chemotherapy, the combined administration with Tongmai Yangxin Pills and Western medicine could significantly improve the clinical efficacy of angina(RR=1.22, 95%CI[1.13, 1.31]), the improvement rate of electrocardiogram(RR=1.31, 95%CI[1.21, 1.42]), and the clinical efficacy of traditional Chinese medicine(TCM) syndrome(RR=1.17, 95%CI[1.02, 1.35]). Only one study reported adverse events, while 5 studies reported no adverse event. According to current evidences, in the treatment of angina pectoris of coronary heart disease, Tongmai Yangxin Pills has a better clinical efficacy in the treatment of angina pectoris of coronary heart disease in terms of the improvement rate of electrocardiogram and the clinical efficacy of TCM syndrome. Due to the limited quality and quantity of the included studies, more high-quality studies are required to verify the above conclusions.
