Dang Shen [Codonopsis pilosula (Franch.) Nannf] Herbal Formulae for Chronic Obstructive Pulmonary Disease: A Systematic Review and Meta-analysis

  • 文献类型:   Review
  • 作  者:   SHERGIS JL, LIU SN, CHEN XK, ZHANG AL, GUO XF, LU CJ, XUE CC
  • 关键词:   chronic obstructive pulmonary disease, copd, dang shen, codonopsis pilosula, herbal formulae, systematic review
  • 出版物名称:   PHYTOTHERAPY RESEARCH
  • ISSN:   0951-418X EI 1099-1573
  • 通讯作者地址:   RMIT Univ
  • 被引频次:   9
  • DOI:   10.1002/ptr.5248
  • 出版年:   2015
  • 研究对象:   药用植物
  • 研究主题:   药物疗效

▎ 摘  要

This systematic review and meta-analysis assessed the efficacy and safety of Dang shen [Codonopsis pilosula (Franch.) Nannf., root] formulae for the treatment of chronic obstructive pulmonary disease (COPD). English and Chinese databases were searched, and 48 randomized controlled trials were included. Dang shen formulae improved lung function forced expiratory volume in 1s compared with conventional pharmacotherapy (CP) [mean difference (MD) 0.22L, 95% confidence interval (CI) 0.13-0.31, p<0.001, I-2=5%] and quality of life (St. Georges Respiratory Questionnaire) compared with placebo (MD -7.19, 95% CI -10.82 to -3.56, p<0.001, I-2=0%) and when combined with CP versus CP (MD -9.05, 95% CI -12.72 to -5.38, p<0.001, I-2=89%). Dang shen formulae also increased distance walked in 6min when combined with CP versus CP alone (MD 51.43m, 95% CI 30.06-72.80, p<0.001, I-2=27%) and reduced frequency/days with COPD exacerbations. Risk of bias was evaluated using the Cochrane tool. Methodological shortfalls were identified. Adverse events were low and not different between intervention and control groups. Thirty-three events were reported, including gastrointestinal upset, dry mouth, and insomnia. Dang shen formulae appear to improve some aspects of the included COPD outcomes. However, owing to methodological flaws, the current evidence is inadequate to support the routine use of Dang shen formulae outside of Chinese medicine practice. However, these results justify further investigation. Copyright (c) 2014 John Wiley & Sons, Ltd.

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