25硫辛酸治疗糖尿病周围神经病变的Meta分析_唐果.pdf

中国药物应用与监测2012年2月第9卷第1期 Chinese Journal of Drug Application and Monitoring, Vol.9, No.1, February 2012 α- 硫辛酸治疗糖尿病周围神经病变的Meta 分析 1 2 3 （1. 解放军总医院内分泌科，北京 100853 ；2. 北京中医药大学中医学，北京 100029 ；3. 解放军总医院医 唐 果 ，张 蕾 ，曹秀堂 疗统计科，北京 100853 ） α α [摘要] 目的：运用Meta 分析方法，对 - 硫辛酸治疗糖尿病周围神经病变的临床效果进行评价。方法：全面检索 - 硫辛酸治 α 疗糖尿病周围神经病变的临床研究文献，并按照文献选择标准进行筛选，对单独使用 - 硫辛酸治疗和应用甲钴胺等药物治 α 疗的随机对照试验进行Meta 分析。结果：共纳入7 篇文献，- 硫辛酸治疗糖尿病周围神经病变的疗效高于对照组，无明显不 α 良反应。合并RR ＝1.31，95% 可信区间（CI ）为(1.2 ，1.45) 。结论：- 硫辛酸治疗糖尿病周围神经病变的疗效优于对照组，但 由于入选文献存在的方法学问题，有可能影响研究结果的真实性，有待进行设计严谨的大样本、多中心、随机对照试验。 [关键词] α- 硫辛酸；糖尿病周围神经病变；Meta 分析；随机对照试验 [ 中图分类号] R969.4 [文献标识码] A [文章编号] 1672 – 8157(2012)01 – 0012 – 04 Meta-analysis of α- lipoic acid in treatment of diabetic peripheral neuropathy 1 2 3 TANG Guo , ZHANG Lei , CAO Xiu-tang (1. Department of Endocrinology, PLA General Hospital, Beijing 100853, China; 2. Chinese Traditional Medicine, Beijing University of Chinese Medicine, Beijing 100029, China; 3. Department of Medical Statistics, PLA General Hospital, Beijing 100853, China) [ABSTRACT] Objective: To assess the effectiveness of α-lipoic acid in treatment of diabetic peripheral neuropathy by meta- analysis. Methods: Papers of clinical study of α-lipoic acid in treatment of diabetic peripheral neuropathy were collected and selected according to the standard. The effectivenesses of α-lipoic acid and methylcobalamin were compared and meta-analysis was made. Results: There were 7 articles included in our study, effectiveness of α-lipoic acid in treatment group was superior to control group such as methylcobalamin in trea