中西医结合治疗习惯医性流产文献系统评价.pdfVIP

提 要 目的：通过统计分析1990年～2011年中西医结合治疗习惯性流产的文献资料， 评价中西医结合治疗该病的临床疗效，以期对习惯性流产的临床治疗及科研提供帮 助。 方法：采用循证医学的系统评价方法,对治疗习惯性流产的临床疗效进行 Meta 分析。第一部分对纳入文献的质量进行评价，包括对文献基本资料、临床科研方案设 计情况等方面的质量分析；第二部分进行最后纳入文献的 Meta 分析，得出合并后的 OR值及其95%CI。 结果：共 13 篇文献符合纳入标准，其中 10 篇可进行 Meta 分析。数据合并结果 显示，中西医结合治疗方法对习惯性流产的疗效有统计学意义，OR 值（95%CI）为 4.33([2.83～6.62])；以西医为对照组的亚组分析显示OR值（95%CI）为4.39（[2.79～ 6.92]）。 结论：中西医结合治疗习惯性流产疗效确切。 关键词 习惯性流产；滑胎；中西医结合；系统评价；Meta分析 System Analysis of Literature about Combination of TCM and Western Medicine therapy in Treating Habitual abortion Speciality: Gynecology of Traditional Chinese Medicine Graduate: Han Jincen Tutor: Prof. Wang Dongmei Abstract Purpose ：This paper make system evaluation about the clinical effects of combination of TCM and Western Medicine in treating habitual abortion, using the methods of analyzing articles from 1990～2011 to help the clinical treatment and further researches of habitual abortion. Method ：Use evidence-based medicine approach to analyse the clinical effects of combination of TCM and Western Medicine in treating habitual abortion by Meta-analysis. The first chapter is the quality evaluation of selected literatures, including the qualitative analysis about the basic information of literatures and the designing situation of clinical scientific research; the second chapter is the Meta-analysis of selected literatures. Results ：There are 13 literatures have been selected,of which there are 10 literatures can take Meta-analysis.Statistics show that the effects of combination of TCM and Western Medicine in treating habitual abortion is clear, the total efficiency of OR(95%CI) is 4.33([2.83~6.62]);the sub-analysis of control group’s efficiency of OR(95%CI)