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Quote : 邓奕辉,徐美灵,易亚乔,葛金文.中西医结合治疗糖尿病性脑梗死 文献的评价研究[J].湖南中医药大学学报英文版,2011,31(1):74-77.[Click to copy ]
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中西医结合治疗糖尿病性脑梗死 文献的评价研究
邓奕辉,徐美灵,易亚乔,葛金文
(湖南中医药大学)
摘要:
    〔摘要〕目的参照国际循证医学中心随机对照文献质量评价标准,研究中西医结合治疗糖尿病性脑梗死文献 的研究水平、方法采用计算机和手工相结合的方法检索1978年至2009年中国生物医学文献光盘数据库、中文期 刊网全文数据库、中国优秀博硕士学位论文全文数据库、中文科技期刊中医学文献索引、中国重要会议论文全文数 据库、MEDLINE等文献资料库,收集中西医结合治疗糖尿病性脑梗死临床研究随机对照文献,研究了文献的数量、 质量、干预措施等〔结果共收集中西医结合治疗糖尿病性脑梗死文献1 963篇,其中符合meta一分析要求的文献 59篇,Jaded评分大于3分的高质量文献仅1篇;研究总有效率的文献52篇、神经功能缺损评分18篇、空腹血糖 14篇、糖化血红蛋白6篇、血脂11篇、血液流变学18篇;34篇文献使用了中药汤剂,中药使用频次在10次以上者 依次为黄茂(28)、地龙(27)、丹参(21)、川芍(20)、生地(19)、当归(18)、水妊(15)、麦冬(13),葛根(12)、桃仁(12), 赤芍(11)、石葛蒲(10)〔结论中西医结合治疗糖尿病性脑梗死的临床研究较多,但采用随机对照和双自试验者不 多;有限证据显示糖尿病性脑梗死中医多责之于气阴亏虚、疲血痰浊,中西医结合治疗有较好的疗效和安全性、
关键词:  文献评价/循证医学  糖尿病/脑梗死  中西医结合  随机对照双自/试验
DOI:
  
基金项目:湖南省中医药科研基金资助项日(2009021)
Literatureand westernreviewof therapy combinedmedicine of diabetic cerebralChinese infarction
DENG Yi-hui, XU Mei-ling, YI Ya-qiao,GE Jin-wen
(TCM University of Hunan)
Abstract:
    (Abstract〕 Objective To study the treatise quality of therapy combined Chinese and west- ern medicine of diabetic cerebral infarction according[()the treatise evaluation criteria from In- ternational Center for Evidence -Based Medicine. Method The data bank Chinese Biomedi- cal Literature Database CD -ROM, Chinese Journal Network Full一[ext Database, China's out- standing full text of Theses and Dissertations Database, etc. were used[()be origin literatures. Result 1963 papers were collected from 1978[()2009, in which, 59 papers meet the require- menu of meta-analysis and only 1 paper was classified[()high quality treatise with above 3 Jaded score. In the 59 papers, 52 papers for the total effective rate, 18 for neurological deficit 14 for fasting blood glucose, 6 for glycohemoglobin, 11 for blood lipid, 18 for hemorheology. In 34 papers TCM decoction were used and the using frequencies of Chi- nese medicine above 10 times were successively Astragalus (28), Lumbricus (27),Salvia (21), Chuanxiong (20), Habitat(19), Angelioa(18),Leech(15),Ophiopogon(13),Pueraria(12), Peaoh kernel(12), Paeonia (11), Graminei(10). Conclusion The treatises are me)二but most of them generally are low quality absented with the double -blind randomized controlled trial. The limited evidences demonstrated that the pathogenesis of diabetic cerebral infarction mainly belong [()Qiyin deficiency, blood stasis and phlegm. And the theraoy combined Chinese and west- ern medicine for diabetic cerebral infarction is better efficacy and security.
Key words:  [ Key words ] of Chinese and literature review/medical consultation card t7()n Wf'stern medicine  double-blind randomized diabetes/cerebral infarction  integra- controlled trial/test
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