中医非药物疗法治疗原发性高血压 Meta 分析及系统评价

摘要

Objective To discuss the effectiveness of treatment of hypertension for system evaluation for domestic published non-drug therapy of traditional Chinese medicine for the treatment of essential hypertension. Methods Through the computer document retrieval CNKI,VIP,WANFANG database from 2005 until 2015 on the related litera-ture of TCM non-drug treatment of essential hypertension. RevMan 5. 0 analysis software was used to inspect heteroge-neity of documents for conform to the inclusion criteria of literature. Forest graph sensitivity analysis was carried out on the results,and funnel plot was used to analyze published bias. Results Compared with drug treatment,drug therapy and non-drug therapy of traditional Chinese medicine group could improve more effective for the treatment of essential hypertension,P < 0. 01. The result was similar to the original results to eliminate small sample after the sensitivity a-nalysis. Map of non-drug therapy funnel was asymmetric graphics. Conclusion On the basis of drug therapy of TCM combined with non-drug therapy for the treatment of essential hypertension is superior to pure drugs.%目的：对国内已发表的中医非药物疗法治疗原发性高血压的效果进行系统评价，探讨其治疗高血压的有效性。方法通过计算机文献检索 CNKI、VIP，万方数据库2005—2015年间发表的有关中医非药物治疗原发性高血压的相关文献。对符合纳入标准的文献资料利用 RevMan 5.0分析软件对其进行异质性检验。再用森林图进行敏感性分析，绘制漏斗图分析发表性偏倚。结果相对于药物治疗组，药物治疗加中医非药物治疗组更能提高治疗原发性高血压的有效率，P <0.01。对剔除小样本后进行敏感性分析，结果与原结果相似。绘制非药物疗法的漏斗图，但图形不对称。结论在药物治疗的基础上结合中医非药物疗法治疗原发性高血压的效果明显优于单纯药物治疗，但由于文献数量较少，尚需进一步研究。