目的：对广西地区中医药治疗慢性心力衰竭（CHF）的临床研究文献进行系统评价。方法在 CNKI上检索从1980-2014年的临床研究文献，按标准纳入文献，提取其研究方法及内容，建立数据库，运用统计软件进行分析。结果在131项纳入研究中，明确诊断标准的116篇（88.54％），有辨证分型的32篇（24.43％），有疗效标准的123篇（93.89％），明确规定观察结局指标的89篇（67.94％），随机对照试验108篇（82.44％），对数据进行统计学分析的119篇（90.84％），不良反应报告的47篇（35.88％），随访报告的8篇（6.11％）。结论 CHF 中医治疗性临床研究呈递增趋势，但临床方法学设计仍存在很多问题有待提高。应该开展多中心大样本试验，规范诊断标准和疗效标准，完善统计方法、不良反应报告和随访等。%objective To review initially on the clinical research literature of the treatment of chronic heart failure with Chinese medicine. Methods The clinical research literature of the treatment of chronic heart failure with Chi-nese medicine was searched(1980 - 2014)from Chinese Biological and Medical Database according to the inclusion criteria. The research methods and contents were collected for the establishment of clinical research literature data-base,which was then reviewed generally by using statistical software. Results Among 131 clinical research items in-cluded there were 116 items(88. 54% )having diagnostic standards,32(24. 43% )having syndrome differentiation and treatment,123( 93. 89% ) having curative effect standard,89( 67. 94% ) having outcome indicator,108 (82. 44% )for random control test,119(90. 84% )having statistical analysis,47(35. 88% )with side effects,and 8 (6. 11% )with follow-up reports. Conclusion The clinical research of the treatment of chronic heart failure with Chinese medicine has an increasing trend,but it should be improved. The test of multi-center and large-sample should be carried out,advanced review criteria and indexes should be applied,and the statistical methods,side-effect reports and follow-up visits should be developed.
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