Abstract:Objective To systematically evaluate the clinical efficacy of tanreqing injection combined with antibiotics in the treatment of stroke associated pneumonia. Methods From the establishment of the database to December 30, 2019, CNKI, Wanfang Data, VIP, Cochrane Library clinical controlled trials database, and PubMed database were searched by computer to collect the randomized controlled trials on tanreqing injection combined with antibiotics in the treatment of stroke associated pneumonia, and then the references of the literature included were manually searched to expand the search scope. Meta-analysis of the included literature was performed by using RevMan5.3 software. Results A total of 18 randomized controlled trials (RCTs) with 1 267 subjects were included. Meta analysis showed that the effective rate of tanreqing injection combined with antibiotics in the treatment of stroke associated pneumonia was higher than that of antibiotics alone ; Compared with antibiotics alone, tanreqing injection combined with antibiotics in the treatment of stroke associated pneumonia had a more significant decrease in white blood cell count ; Compared with antibiotics alone, tanreqing injection combined with antibiotics had a more significant decrease in CRP ; Compared with antibiotics alone, tanreqing injection combined with antibiotics had faster recovery of body temperature ; there was no significant difference in the disappearance time of pulmonary rales between tanreqing injection combined with antibiotics and antibiotics alone in the treatment of stroke associated pneumonia ; tanreqing injection combined with antibiotics in the treatment of stroke associated pneumonia had shorter hospitalization time than antibiotics alone, and the difference was statistically significant. Conclusion Compared with the simple antibiotics, tanreqing injection combined with antibiotics in the treatment of stroke associated pneumonia has higher effective rate of symptom improvement, faster recovery of body temperature, shorter hospitalization time, but cannot accelerate the disappearance of lung rales.
陆艳,朱明跃,王训乐. 痰热清注射液联合抗生素治疗卒中相关性肺炎临床疗效的Meta分析[J]. 中国校医, 2020, 34(12): 953-959.
LU Yan, ZHU Ming-yue, WANG Xun-le. Clinical efficacy of tanreqing injection combined with antibiotics in treatment of stroke associated pneumonia: a Meta analysis. Chinese Journal of School Doctor, 2020, 34(12): 953-959.