Kev Kho Mob Ua Tau Zoo Ntawm Cov Tshuaj Suav Tshuaj Hauv Kev Pabcuam Kev Kho Mob Qib 1 Ntshav Qab Zib: Kev Tshuaj Xyuas Txheej Txheem Thiab Meta tsom xam
Mar 18, 2022
Hu rau: Audrey Huaudrey.hu@wecistanche.com
Abstract
Lub Hom Phiaj: Txhawm rau ntsuas qhov ua tau zoo ntawm kev kho mob ntawm cov tshuaj suav tshuaj (TCM) hauv kev pab kho mob ntshav siab qib 1. Cov txheej txheem: Tuam Tshoj National Knowledge Infrastructure, Wan Fang Data, VIP, PubMed tau tshawb xyuas cov ntaub ntawv ntawm kev tswj hwm kev sim ntawm TCM lossis cov kev kho mob tsis yog tshuaj pab cov tshuaj niaj hnub los kho qib I ntshav siab. Lub sijhawm tshawb nrhiav yog los ntawm kev tsim cov ntaub ntawv mus rau Lub Kaum Hli 1, 2020. Revman5.3 tau siv rau kev tshuaj ntsuam meta. Cov qhabnias: 8 suav nrog cov ntawv nyeem. Cov txiaj ntsig ntawm txoj kev tshawb fawb pom tau tias 24h diastolic ntshav siab (DBP), 24h systolic ntshav siab (SBP), DBP txo cov nyhuv, thiab TCM syndrome curative efficiency ntawm pab pawg sim siv TCM yog zoo dua li ntawm pawg tswj. Txawm li cas los xij, TCM ua ke cov tshuaj ib txwm ua tsis tau qhia qhov zoo ntawm SBP txo cov nyhuv, cov nyhuv antihypertensive, thiab tag nrho cov kev kho mob tau zoo. Xaus: TCM muaj txiaj ntsig zoo rau kev txo cov ntshav siab rau kev kho mob ntawm qib 1 kub siab thiab tuaj yeem txhim kho cov tsos mob zoo.
Hot Tags: Qib 1 mob ntshav siab, tshuaj suav tshuaj, Meta-analysis, Systematic review, Effectiveness
Cov tshuaj suav tshuaj: HERB CISTANCHE
Keeb kwm
Qib 1 ntshav siab yog ib qho kev pheej hmoo ntawm tus kab mob plawv, uas feem ntau tshwm sim los ntawm kev nce siab hauv cov hlab ntsha. Nrog rau kev hloov pauv ntawm txoj kev ua neej, kev noj qab haus huv ntau, ntsev, noj zaub mov ntau, tsis muaj kev tawm dag zog, cov neeg muaj ntshav siab tseem ceeb nce ntxiv, thiab nws tau dhau los ua teeb meem kev noj qab haus huv rau pej xeem uas nyiam txhua tus neeg. noob neej [1]. Qib 1 ntshav siab tuaj yeem tsis tsuas yog ua rau lub cev puas tsuaj xws li lub plawv, lub hlwb, thiab ob lub raum tab sis kuj ua rau muaj teeb meem tuag taus xws li lub plawv tsis ua haujlwm thiab lub raum tsis ua haujlwm [2].
Qib 1 ntshav siab yog thawj theem ntawm ntshav siab. Nws hais txog kev ntsuas ntshav siab hauv chaw ua haujlwm peb zaug nyob rau hnub sib txawv, SBP<160 mmhg,≥140mmhg,="" and=""><100 mmhg,≥90="" mmhg,="" mainly="" manifested="" as="" dizziness="" and="" head="" symptoms="" such="" as="" bloating,="" depression,="" and="" irritability="" [3-4].="" according="" to="" incomplete="" statistics,="" about="" 90%of="" the="" hypertensive="" population="" in="" china="" were="" patients="" with="" mild="" to="" moderate="" hypertension,="" of="" which="" more="" than="" 60%suffer="" from="" grade="" 1="" hypertension="" 5].="" if="" the="" blood="" pressure="" of="" patients="" with="" grade="" 1="" hypertension="" fluctuates="" greatly="" for="" a="" long="" time,="" the="" possibility="" of="" developing="" grade="" 2-3="" hypertension="" will="" be="" higher,="" and="" it="" will="" bring="" a="" series="" of="" cardiovascular="" complications="" [6].="" it="" can="" be="" seen="" that="" the="" interventions="" for="" grade="" 1="" hypertension="" need="" to="" be="" studied="" and="" completed="" continuously="" to="" bring="" better="" treatments="" and="" therapeutic="" effects="" for="">
TCM muaj keeb kwm ntev ntawm kev kho mob ntshav siab. Hypertension belongs rau qeb ntawm "vertigo kab mob" hauv TCM. Cua, phlegm, deficiency, thiab ntshav stasis yog lub ntsiab ua rau vertigo. Cov phau ntawv Ancient sau cov kev kho mob ntawm TCM, acupuncture thiab moxibustion, Daoyin, massage, thiab hais txog [7]. TCM muaj qhov muaj txiaj ntsig zoo thiab muaj txiaj ntsig zoo hauv kev kho mob ntshav siab qib 1, vim nws "kev tiv thaiv kab mob" lub tswv yim thiab ntau txoj kev kho mob [8]. Tam sim no, feem ntau cov kev kho mob ntshav siab ntawm TCM suav nrog suav tshuaj kho mob, kho acupuncture, daim ntawv thov acupoint, auricular point pressing, auricular acupuncture therapy, thiab lwm yam. Nyob rau hauv txoj kev tshawb no, ib txoj kev ntsuam xyuas systematic tau siv los ntsuam xyuas cov kev kho mob ntawm TCM rau qib 1 kub siab.
Cov tshuaj suav tshuaj: HERB CISTANCHE EXTRACT
Cov ntaub ntawv thiab cov txheej txheem
Qhov kev tshuaj ntsuam xyuas meta no tau ua los piav qhia txog cov txiaj ntsig ntawm TCM hauv kev pab kho mob ntshav siab qib 1 raws li Cov Lus Qhia Tshaj Lij Tshaj Lij rau Kev Ntsuam Xyuas Txheej Txheem thiab Meta-Analyses (PRISMA) cov lus qhia.
Cov txheej txheem suav nrog
(1) Lub Sijhawm Tshaj Tawm: nruab nrab ntawm cov ntaub ntawv pib thiab Lub Kaum Ob Hlis 31, 2020; (2) Kev Tshawb Fawb Hom: Randomized Controlled Trials (RCT) rau kev kho mob ntawm qib 1 kub siab nrog TCM therapy; (3) Kev Tshawb Fawb Cov Khoom: Cov neeg mob ntshav siab qib 1 : (4) Cov kev cuam tshuam: pab pawg tswj tau raug kho nrog cov tshuaj tiv thaiv kab mob siab, xws li Valsartan, Losartan potassium thiab lwm yam, thiab pawg sim tau kho nrog TCmon raws li pawg tswj hwm; (5) Cov txiaj ntsig ntsuas: 24h ambulatory ntshav Tus nqi siab (24h SBP, 24h DBP), ntshav siab tus nqi (SBP, DBP), TCM syndrome curative effect, antihypertensive curative effect, soj ntsuam tag nrho cov txiaj ntsig zoo, ntshav siab hloov pauv.
Kev cais tawm
(1) Cov ntaub ntawv nrog cov ntaub ntawv tsis tiav lossis tsis raug; (2) Cov ntawv nyeem nrog rov qab luam tawm lossis cov ntaub ntawv; (3) suav nrog cov neeg mob uas muaj kev puas siab puas ntsws lossis lwm yam kab mob loj, xws li mob myocardial infarction, mob stroke, thiab lwm yam; (4) RCTs nrog lub sijhawm cuam tshuam tsawg dua 12 hnub.
Kev txheeb xyuas cov ntaub ntawv thiab tshem tawm cov ntaub ntawv
Tom qab ob tus kws tshawb fawb nruj me ntsis tsim cov txheej txheem suav nrog thiab cais tawm raws li cov ntsiab lus tshawb fawb, lawv tau xa cov ntaub ntawv tshawb fawb mus rau hauv Note Express rau kev tshuaj xyuas ua ntej thiab tshem tawm cov ntawv luam tawm thiab tsis ua raws li cov ntaub ntawv. Tom qab nyeem cov ntaub ntawv tag nrho, cov ntaub ntawv tau rov tshuaj xyuas dua, thiab cov ntaub ntawv kawg tau muab rho tawm. Siv Excel los tsim cov ntaub ntawv rho tawm cov ntaub ntawv los sau cov ntaub ntawv thiab tshuaj xyuas, suav nrog cov ntaub ntawv hauv qab no: tus sau ntawm cov kev tshawb fawb suav nrog, xyoo ntawm kev tshaj tawm thiab lwm yam ntaub ntawv yooj yim, txoj kev tshawb fawb, tus lej ntawm cov qauv, cov yam ntxwv ntawm kev tshawb fawb. cov khoom, kev ntsuas kev cuam tshuam, thiab cov txiaj ntsig ntsuas, raws li pom hauv daim duab 1.
Qhov zoo ntawm cov kev tshawb fawb suav nrog thiab kev pheej hmoo ntawm kev tsis ncaj ncees siv Cochrane phau ntawv ntsuas qhov zoo los ntsuas qhov zoo ntawm cov ntaub ntawv suav nrog thiab kev pheej hmoo ntawm kev tsis ncaj ncees. Cov khoom ntsuam xyuas muaj xws li: (1) Puas yog yuav piav qhia txog qhov kev npaj tsim ua ntu zus; (2) Seb puas yuav siv qhov kev faib zais zais; (3) Puas yog siv qhov muag tsis pom kev; (4) Txawm tias yuav poob cov ntaub ntawv tau txais txiaj ntsig; (5) Txawm li cas los xij yuav xaiv qhia cov txiaj ntsig ; (6) Puas muaj lwm yam kev tsis ncaj ncees. Siv peb theem hauv qab no los qhia txog kev pheej hmoo ntawm kev tsis ncaj ncees: kev pheej hmoo tsawg, tsis meej, thiab muaj kev pheej hmoo siab.
Cov txheej txheem txheeb cais
RevMan5.3 was applied for meta-analysis, the odds ratio(OR) was used for the effect scale of binary variables, the mean difference (MD)was used for the effect scale of continuous variables, and the 95%confidence interval (CI)was used for the effect size. This study used P-value and r value to express heterogeneity. If P>0.1 thiabF Tsawg dua lossis sib npaug li 50 feem pua yog suav tias yog homogeneous, thiab cov qauv teebmeem yuav raug siv. Ntawm qhov tsis sib xws, tus qauv random-ffects yuav raug siv, thiab qhov chaw ntawm heterogeneity yuav raug tshuaj xyuas tib lub sijhawm, Yog tias tsim nyog, kev soj ntsuam rhiab heev thiab pab pawg pawg yuav raug soj ntsuam.
Cov ntaub ntawv retrieval txheej txheem thiab cov txiaj ntsig
190 Cov ntaub ntawv suav thiab 0 cov ntawv Askiv tau muab thiab rub tawm. Tom qab tsis suav cov kev tshawb fawb duplicate, ib puas thiab peb caug-plaub hom ntawv tau txais. ib puas thiab nees nkaum-rau-cov ntaub ntawv tau txais tom qab tsis suav nrog 8 kev tshuaj xyuas thiab cov ntawv tsis yog RCT. Ib puas thiab kaum yim hom ntaub ntawv uas nws cov ntsiab lus tsis ua raws li cov txheej txheem suav nrog raug tshem tawm, thiab 8 cov ntaub ntawv raug suav nrog thaum kawg, tag nrho cov ntawv suav.
Cov tshuaj suav tshuaj: HERB CISTANCHE SUPPLEMENT
Kev tshwm sim
Cov yam ntxwv ntawm cov ntaub ntawv suav nrog
Tag nrho ntawm 8 RCTs tau suav nrog, nrog rau tus qauv loj ntawm 800 tus neeg mob, 399 tus neeg mob hauv pawg sim, thiab 401 tus neeg mob hauv pawg tswj hwm. Tag nrho cov kev tshawb fawb pom tau tias muaj kev sib piv hauv paus. Cov yam ntxwv tseem ceeb ntawm cov ntaub ntawv suav nrog tau qhia hauv Table 1.
Cov txiaj ntsig ntawm kev ntsuam xyuas kev pheej hmoo
Ntawm 8 suav nrog RCTs, 4 txoj kev tshawb fawb [9,10,13,15] tau txais kev xaiv cov lej sib faib pawg thiab lwm tus [11,12,14,16] hais txog randomness, tab sis tsis tau qhia meej tias qhov twg siv randomization. Txhua qhov kev tshawb fawb tsis tau hais txog kev faib zais zais thiab qhov muag tsis pom. Tsis muaj kev cuam tshuam lossis kev tsom xam hauv txhua qhov kev tshawb fawb, tsis muaj cov ntaub ntawv qhia txog cov txiaj ntsig tau raug siv hauv cov kev tshawb fawb suav nrog, thiab nws tsis paub meej tias puas muaj lwm yam kev tsis ncaj ncees. Qhov kev pheej hmoo ntawm kev tsis ncaj ncees piv daim duab ntawm cov ntaub ntawv suav nrog yog qhia hauv daim duab 2.
24h DBP Lub 24h DBP tau muab piv rau ntawm pawg sim thiab pawg tswj hauv 2 txoj kev tshawb fawb [9,12]. Tom qab kuaj heterogeneity, P=0.69 thiab r=0 feem pua tuaj yeem tau. Cov kev tshawb fawb suav nrog muaj homogeneity siab, thiab cov qauv kev cuam tshuam ruaj khov tau txais yuav. Kev soj ntsuam lub lauj kaub hav zoov hauv daim duab 3, nws tuaj yeem pom tau tias 24h DBP txo qis ntawm pawg sim siv TCM zoo dua li ntawm pawg tswj hwm, thiab qhov sib txawv yog qhov tseem ceeb [MD =-8.89,95 feem pua CI(-11.08,{15}}.07), P<>
DBP Plaub cov ntaub ntawv [9,10,11,13] piv rau DBP ntawm pawg sim thiab pawg tswj tom qab kho. Heterogeneity test qhia tau hais tias suav nrog cov kev tshawb fawb muaj ntau heterogeneity (P=0 09, I2=53 feem pua ). Cov kev soj ntsuam rhiab heev tau pom tom qab tsis suav Hu Xiaoqin 2020[9], P=0.47 thiab kuv2=0 feem pua, yog li peb siv tus qauv ruaj khov. Kev cuam tshuam ntawm pab pawg sim hauv HU 2020 yog siv Cangzhu Erchen Soup ua ke nrog Pob Ntseg Nias ntawm lub hauv paus ntawm cov tshuaj ib txwm siv, thaum lwm cov kev tshawb fawb tsuas yog siv tib txoj kev TCM. Nws yog qhov tsim nyog ntseeg tias qhov kev tshawb fawb no yog qhov sib txawv. Kev soj ntsuam cov phiaj xwm hav zoov hauv daim duab 5, nws tuaj yeem pom qhov DBP-txo cov nyhuv ntawm pawg sim siv TCM tau zoo dua li ntawm pawg tswj hwm, thiab qhov sib txawv yog qhov tseem ceeb [MD=-4.23, 95 feem pua. CI (-5.93, -2.54), P < 0.001].="" sbp="" ib="" qho="" tag="" nrho="" ntawm="" 4="" txoj="" kev="" tshawb="" fawb="" [9,10,11,13]="" piv="" rau="" tus="" nqi="" ntawm="" sbp="" hauv="" pawg="" sim="" thiab="" pawg="" tswj="" tom="" qab="" kho.="" cov="" kev="" tshawb="" fawb="" suav="" nrog="" muaj="" qhov="" sib="" txawv="" siab="" nrog="" p="0.01" thiab="" kuv="" 2="73" feem="" pua="" .="" tom="" qab="" kev="" soj="" ntsuam="" rhiab="" heev,="" nws="" tau="" pom="" tias="" cov="" txiaj="" ntsig="" heterogeneity="" nyuaj="" hloov="" pauv,="" yog="" li="" cov="" qauv="" random="" cuam="" tshuam="" tau="" txais="" yuav.="" kev="" txheeb="" xyuas="" cov="" phiaj="" xwm="" hav="" zoov="" hauv="" daim="" duab="" 6="" tau="" pom="" tias="" sbp-txo="" cov="" nyhuv="" ntawm="" pawg="" sim="" siv="" tcm="" tsis="" txawv="" ntawm="" pawg="" tswj="" hwm.="" [md="-4.29," 95="" feem="" pua="" ci="" (-8.63,="" 0.04),="" p="">
TCM syndrome curative efficacy tau soj ntsuam ntawm 2 pawg tom qab kev cuam tshuam hauv 6 kev tshawb fawb [9-13, 16]. Tag nrho ntawm 626 tus neeg raug suav nrog hauv cov kev tshawb fawb, suav nrog 313 tus neeg mob hauv pawg sim thiab 313 tus neeg mob hauv pawg tswj hwm. Tom qab qhov kev ntsuam xyuas heterogeneity, P=0.36, I2=8 feem pua , thiab cov qauv teeb tsa raug xaiv. Raws li pom nyob rau hauv cov txiaj ntsig hauv daim duab 7, pawg sim tau pom tseeb TCM syndrome curative nyhuv piv nrog rau pawg tswj hwm, thiab qhov sib txawv yog qhov tseem ceeb [RR=0.76, 95 feem pua CI (0) .69, 0.83), P <>
Antihypertensive efficacy rate Nyob rau hauv cov kev tshawb fawb suav nrog, 4 kab lus [10,11,13,16] tau tshaj tawm cov txiaj ntsig sib piv ntawm cov tshuaj tiv thaiv kab mob siab ntawm 2 pawg. Tag nrho ntawm 410 cov ntsiab lus tau suav nrog, suav nrog 205 hauv pawg sim thiab 205 hauv pawg tswj hwm. P=0.35, I2=8 feem pua , siv cov qauv tsim kho. Raws li pom nyob rau hauv daim duab 8, cov nyhuv antihypertensive tus nqi ntawm pawg tswj tau ua ntej pawg sim, thiab qhov sib txawv yog qhov tseem ceeb [RR=1.46, 95 feem pua CI (1.27, 1.69), P ＜ 0.001]. Tag nrho cov kws kho mob tau txais txiaj ntsig Peb qhov kev tshawb fawb [9,14,15] tau tshaj tawm cov txiaj ntsig sib piv ntawm tag nrho cov kev kho mob zoo ntawm 2 pawg. Tag nrho ntawm 410 kis tau suav nrog, suav nrog 205 hauv pawg sim thiab 205 hauv pawg tswj hwm. Tsawg heterogeneity tuaj yeem pom tom qab kev soj ntsuam heterogeneity (P=0.60, I{32}} feem pua), yog li cov qauv siv tau siv tas li. Raws li pom nyob rau hauv daim duab 9, tag nrho cov kev soj ntsuam kev ua tau zoo ntawm pawg tswj tau zoo dua li ntawm pawg sim, thiab tsis muaj qhov sib txawv tseem ceeb [RR=1.20, 95 feem pua CI (1.08, 1.33), P=0.0005].
Cov tshuaj suav tshuaj: HERB CISTANCHE SUPPLEMENT
Kev sib tham
Raws li cov ntaub ntawv tshawb fawb, kev tuag ntawm cov kab mob plawv yog thawj zaug hauv Suav teb, cov kev kub ntxhov yog qhov tseem ceeb ua rau cov kab mob plawv thiab tau dhau los ua teeb meem kev noj qab haus huv tseem ceeb hauv ntiaj teb [17]. Thiab nws feem ntau ntseeg tias qhov nyuaj ntawm kev tswj hwm yog qhov tseem ceeb ntawm kev kub siab tseem ceeb, uas tseem yog qhov laj thawj tseem ceeb vim li cas nws tau dhau los ua qhov loj tshaj plaws ntawm kev tuag thoob ntiaj teb [18]. Qib 1 ntshav siab yog thawj theem ntawm ntshav siab thiab nyob rau hauv qeb ntawm "vertigo" hauv TCM. Kev kho mob ntshav siab qib 1 yuav tsum tau kho cov tshuaj tsis siv tshuaj ua ntej, suav nrog kev txhim kho txoj kev ua neej, kev noj zaub mov zoo thiab kev tawm dag zog, thiab tswj lub siab zoo. Kev kho cov tshuaj feem ntau yog siv ib leeg lossis ua ke cov tshuaj tiv thaiv kab mob siab, suav nrog ACEI / ARB, CCB, -receptor antagonists, diuretics, thiab lwm yam [19]. Vim muaj kev nyuaj siab ntxhov plawv pathogenesis thiab kev siv tshuaj ntev ntev, cov neeg mob raug hu kom muaj kev ua raws cai thiab kev koom tes.
Cov neeg mob ntshav siab qib 1 feem ntau tsis muaj cov tsos mob pom tseeb thiab tej zaum yuav tsis xis nyob tom qab noj qee cov tshuaj uas muaj kev phiv thiab muaj zog tiv thaiv. Yog li ntawd, kev ua tsis tau zoo thiab kev txhim kho tsis zoo ntawm cov tsos mob kho mob yog qhov tsis txaus ntawm kev noj tshuaj tiv thaiv kab mob siab [20]. Tsis tas li ntawd, tom qab noj cov tshuaj antihypertensive, cov ntshav siab yuav poob qis dua li qhov xav tau, yog li nws yuav ua rau muaj kev phom sij ntawm cov ntshav tsis txaus rau qee tus neeg mob. Raws li qhov kev xav no, qhov zoo, thiab cov yam ntxwv ntawm TCM yuav tsum pom los ntawm peb. TCM suav nrog kev kho tshuaj thiab tsis siv tshuaj. Vim nws "yooj yim, yooj yim, pheej yig, thiab kev sim" cov yam ntxwv, nws muaj qhov zoo ntawm kev kho mob ntawm qib 1 kub siab [21].
Raws li kev tshawb fawb ntawm cov kws kho mob thaum ub los txog rau tam sim no, cov kev xaiv kho mob rau qib 1 mob ntshav siab suav nrog pob ntseg nias, Baduanjin, TCM syndrome sib txawv kev kho mob, acupuncture, thiab pob ntseg acupuncture. Ntxiv rau nws cov nyhuv antihypertensive, TCM tuaj yeem txhim kho cov tsos mob thiab kev ua neej zoo ntawm cov neeg mob thiab muaj kev phiv me me [22]. Txoj kev tshawb no tau ua ib qho kev ntsuam xyuas ntawm RCTs ntawm TCM pab cov tshuaj ib txwm siv hauv kev kho mob ntshav siab qib 1, thiab tau kawm ntxiv txog kev kho mob ntawm TCM ntawm 24h SBP, 24h DBP, SBP, DBP, thiab antihypertensive nyhuv, TCM syndrome curative cov nyhuv, qhov chaw kho mob tag nrho cov txiaj ntsig zoo.
Cov txiaj ntsig ntawm kev tshawb fawb tau pom tias 24h DBP-txo cov nyhuv ntawm pawg sim siv TCM zoo dua li ntawm pawg tswj hwm, thiab qhov sib txawv yog qhov tseem ceeb [MD=-8.89, 95 feem pua CI ({{ 5}} 08, -6. 24h SBP txo cov nyhuv ntawm pawg sim tom qab kev kho TCM tau zoo dua li ntawm pawg tswj hwm [MD=-10.16, 95% CI (-12.32, -8). {35}}0), P ＜ 0 001]; nrog rau daim ntawv thov ntawm TCM, DBP txo cov nyhuv ntawm pawg sim tau zoo dua li ntawm pawg tswj hwm, thiab qhov sib txawv yog qhov tseem ceeb [MD=-4.23, 95 feem pua CI (-5.93) , - 2.54), P ＜ 0.001]; SBP ntawm pawg sim txo qis cov nyhuv compression tsis ntau txawv ntawm pawg tswj[MD=-4.29, 95 feem pua CI (-8.63, 0.04), P {{37} }.05]; pawg sim tau pom tseeb curative nyhuv ntawm TCM syndromes piv nrog rau pawg tswj , thiab qhov sib txawv yog statisticically tseem ceeb [RR=0.76, 95 feem pua CI (0.69, 0.83), P < 0.001];="" thaum="" cov="" nyhuv="" antihypertensive="" tus="" nqi="" ntawm="" pawg="" tswj="" ua="" ntej="" pawg="" sim,="" thiab="" qhov="" sib="" txawv="" yog="" qhov="" tseem="" ceeb="" [rr="1.46," 95="" feem="" pua="" ci="" (1.27,="" 1.69),="" p＜0.001];="" tag="" nrho="" cov="" kev="" soj="" ntsuam="" kev="" ua="" tau="" zoo="" ntawm="" pawg="" tswj="" tau="" zoo="" dua="" li="" ntawm="" pawg="" sim,="" thiab="" tsis="" muaj="" qhov="" sib="" txawv="" tseem="" ceeb="" [rr="1.20," 95="" feem="" pua="" ci="" (1.08,="" 1.33),="" p="0" .0005].="" piv="" nrog="" rau="" cov="" kev="" kho="" mob="" ib="" leeg="" xwb,="" tcm="" tau="" raug="" pov="" thawj="" tias="" muaj="" txiaj="" ntsig="" zoo="" hauv="" kev="" txo="" cov="" neeg="" mob="" sbp="" thiab="" dbp="" muaj="" txiaj="" ntsig="" zoo="" hauv="" kev="" txhim="" kho="" tcm="">
Kev txwv
Txawm hais tias txoj kev tshawb fawb no tau lees paub tias qee txoj hauv kev TCM muaj qhov pom tseeb los tiv thaiv kev mob ntshav siab thiab txhim kho TCM syndromes hauv kev pab kho mob ntshav siab qib 1, nws kuj muaj qee qhov kev txwv: (1) Tus naj npawb ntawm RCTs suav nrog hauv txoj kev tshawb no muaj tsawg, thiab qhov zoo ntawm ib feem. ntawm cov no tsis siab. Cov txheej txheem randomization thiab kev faib zais zais tsis meej, thiab tsis pom qhov muag tsis pom nyob rau hauv tag nrho; (2) Cov ntaub ntawv suav nrog hauv qhov kev tshawb fawb no yog suav nrog tag nrho cov txiaj ntsig zoo, thiab kev ntseeg siab ntawm cov ntawv tsis ntseeg, yog li muaj peev xwm tshaj tawm kev tsis ncaj ncees; (3) Cov kev tshawb fawb ntawm TCM txoj kev suav nrog tsis muaj kev qhia dav, yog li nws tsis tuaj yeem ua pov thawj qhov kev kho mob ntawm lwm hom TCM txoj hauv kev kho mob ntshav siab qib 1.
Xaus
Txoj kev tshawb no tau txais cov txheej txheem meta-analysis kom paub meej tias qee txoj hauv kev TCM, suav nrog TCM syndrome sib txawv kev kho mob, pob ntseg-point pressing taum, muaj cov txiaj ntsig zoo rau kev kho mob ntawm qib 1 ntshav siab. Qib 1 hypertension yog theem qis ntawm kev kub siab thawj zaug. Kev siv TCM kev cuam tshuam muaj qhov zoo ntawm kev txo cov ntshav siab, ruaj khov antihypertensive teebmeem, txo qis cov kev mob tshwm sim, pom tseeb kev txhim kho cov tsos mob nrog rau, thiab kev hloov kho benign [22]. Txoj kev tshawb no pom tias tseem muaj qhov tsis zoo ntawm RCTs ntawm ntau yam kev cuam tshuam TCM rau qib 1 kub siab hauv kev kho mob. Yog li ntawd, txhawm rau ua kom nrov tshaj qhov kev xav ntawm TCM kev kho mob ntawm qib 1 mob ntshav siab, thiab siv cov khoom zoo, ntau qhov chaw, cov qauv loj hauv chaw kho mob RCTs kom paub meej, muab cov pov thawj muaj zog-raws li lub hauv paus rau daim ntawv thov TCM, thiab nws yog kev txhim kho. kev taw qhia nrog kev tiv thaiv yav tom ntej thiab kev kho mob ntshav siab qib 1.
Cov tshuaj suav tshuaj: HERB CISTANCHE SUPPLEMENT
Cov ntaub ntawv
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