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| Analysis of clinical trials of traditional Chinese medicine in elderly patients with simple systolic hypertension |
| Hits 57 Download times 31 Received:December 28, 2023 |
| View Full Text View/Add Comment Download reader |
| DOI
10.11656/j.issn.1673-9043.2024.03.06 |
| Key Words
core index set;simple systolic hypertension in the elderly;traditional Chinese medicine;randomized controlled trial |
| Author Name | Affiliation | E-mail | | GE Zhao | The First Affiliated Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin 300381, China
Graduate School of Tianjin University of Traditional Chinese Medicine, Tianjin 301617, China | | | LIU Chunxiang | Center for Evidence-based Medicine, Tianjin University of Traditional Chinese Medicine, Tianjin 301617, China | | | YANG Zhihua | Graduate School of Tianjin University of Traditional Chinese Medicine, Tianjin 301617, China | | | WANG Xianliang | The First Affiliated Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin 300381, China | xlwang1981@126.com |
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| Abstract
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| [Objective] To sort out the evaluation indexes of randomized controlled trials （RCT） of traditional Chinese medicine（TCM） in the treatment of isolated systolic hypertension（ISH） in the elderly，and to construct the core index set of clinical trials of TCM in the treatment of ISH in the elderly. [Methods] PubMed，CoChrane library， Embase，CNKI database，Wanfang database，VIP database were searched for randomized controlled clinical trials of TCM combined with long-acting calcium antagonist（CCB） or renin-angiotensin-aldosterone system blocker（ACEI or ARB） in the intervention of ISH in the elderly. The retrieval time limit was from the establishment of the database to December 31，2019. [Results] 38 RCTS were included，with a total of 2848 patients，involving 396 indicators. The top 16 indicators in frequency rank were as follows：Office systolic blood pressure（7.04%），antihypertensive effective rate（6.31%），TCM syndrome efficacy（6.31%），office diastolic blood pressure（5.56%），liver function（4.29%）， renal function（4.29%），blood routine（4.04%），urine routine（3.79%），incidence of adverse reactions（3.54%），night average systolic blood pressure（3.28%），24-hour mean systolic blood pressure（3.03%），daytime mean systolic blood pressure（3.03%），TCM syndrome score（3.03%），office pulse pressure difference（2.78%），daytime mean diastolic blood pressure（2.78%） and night mean diastolic blood pressure（2.78%）. [Conclusion] There are many problems in the selection of indicators for the treatment of ISH in the elderly with TCM，such as large differences， large differences in measurement time points of indicators，and lack of characteristics of TCM. It is necessary to accelerate the development of ISH in the elderly. Set of core metrics. |
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