Li, N., Li, Yq., Li, Hy. et al. Efficacy of externally applied Chinese herbal drugs in treating psoriasis: A systematic review., Chin. J. Integr. Med. 18, 222–229 (2012). https://doi.org/10.1007/s11655-012-1004-3
Nuo Li, Yue-qing Li, Hong-yan Li, et al. Efficacy of externally applied Chinese herbal drugs in treating psoriasis: A systematic review[J]. Chinese Journal of Integrative Medicine, 2012,18(3):222-229.
Li, N., Li, Yq., Li, Hy. et al. Efficacy of externally applied Chinese herbal drugs in treating psoriasis: A systematic review., Chin. J. Integr. Med. 18, 222–229 (2012). https://doi.org/10.1007/s11655-012-1004-3DOI:
Nuo Li, Yue-qing Li, Hong-yan Li, et al. Efficacy of externally applied Chinese herbal drugs in treating psoriasis: A systematic review[J]. Chinese Journal of Integrative Medicine, 2012,18(3):222-229. DOI: 10.1007/s11655-012-1004-3.
Efficacy of externally applied Chinese herbal drugs in treating psoriasis: A systematic review
摘要
To assess the efficacy and safety of external application of Chinese herbal drugs (ex-CHD) in the treatment of psoriasis. Literature regarding randomized clinical trials (RCTs) of psoriasis treatments with ex-CHD
either alone or combined with Western medicine (WM) or physiotherapy
controlled by untreated
placebo or WM treatment were found in electronic databases
including PubMed/MEDLINE
EMBASE
Cochrane Library
Cochrane Central Register of Controlled Trials
China Biology Medicine Disc (CBM)
Chinese National Knowledge Infrastructure (CNKI)
Wanfang database and VIP database from their inception through July 2011. Study selection
data extraction
quality assessment
and data analyses were conducted according to the Cochrane standards. A total of 10 randomized trials (involving 1
435 patients) were included. Because both test and control drugs used in the RCTs were different from each other
the effects can only be described singly and calculated. Regarding the total effective rate for the treatment of psoriasis
ex-CHD in combination with ultraviolet radiation b (UVB) or narrow band ultraviolet radiation b (NB-UVB)
which was reported in 6 trials
was superior to UVB alone. One study reported that ex-CHD and externally applied WM had equivalent effects. In another study
ex-CHD showed better results than placebo. However
another two comparisons of ex-CHD and WM (all in combining with oral WM) showed uncertain outcomes. Nine trials reported adverse reactions. Of these
7 RCTs included statistical analysis. The results showed that the side-effects that occurred in ex-CHD combined with UVB were less severe than those caused by UVB alone
but the incidence was roughly the same as WM. The evidence supporting the efficacy of ex-CHD with respect to treating psoriasis is quite limited and must be strengthened by high-quality studies.
Abstract
To assess the efficacy and safety of external application of Chinese herbal drugs (ex-CHD) in the treatment of psoriasis. Literature regarding randomized clinical trials (RCTs) of psoriasis treatments with ex-CHD
either alone or combined with Western medicine (WM) or physiotherapy
controlled by untreated
placebo or WM treatment were found in electronic databases
including PubMed/MEDLINE
EMBASE
Cochrane Library
Cochrane Central Register of Controlled Trials
China Biology Medicine Disc (CBM)
Chinese National Knowledge Infrastructure (CNKI)
Wanfang database and VIP database from their inception through July 2011. Study selection
data extraction
quality assessment
and data analyses were conducted according to the Cochrane standards. A total of 10 randomized trials (involving 1
435 patients) were included. Because both test and control drugs used in the RCTs were different from each other
the effects can only be described singly and calculated. Regarding the total effective rate for the treatment of psoriasis
ex-CHD in combination with ultraviolet radiation b (UVB) or narrow band ultraviolet radiation b (NB-UVB)
which was reported in 6 trials
was superior to UVB alone. One study reported that ex-CHD and externally applied WM had equivalent effects. In another study
ex-CHD showed better results than placebo. However
another two comparisons of ex-CHD and WM (all in combining with oral WM) showed uncertain outcomes. Nine trials reported adverse reactions. Of these
7 RCTs included statistical analysis. The results showed that the side-effects that occurred in ex-CHD combined with UVB were less severe than those caused by UVB alone
but the incidence was roughly the same as WM. The evidence supporting the efficacy of ex-CHD with respect to treating psoriasis is quite limited and must be strengthened by high-quality studies.
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相关作者
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相关机构
Department of Traditional Chinese Medicine, Peking Union Medical College Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences
Department of Nephrology, Chinese PLA General Hospital, Chinese PLA Institute of Nephrology, State Key Laboratory of Kidney Diseases, National Clinical Research Center for Kidney Diseases
Division of Infectious Diseases, Chinese PLA Hospital
Department of Nephrology, Zhongshan Hospital, Xiamen University
Evidence-Based Medicine Center, College of Basic Medicine, Lanzhou University