Efficacy of combining traditional Chinese medicine fumigation with Western medicine for diabetic peripheral neuropathy: A systematic review and meta-analysis
Objective: A systematic review and meta-analysis was conducted to evaluate the effectiveness of supplementing Western medicine with Traditional Chinese medicine (TCM) fumigation in patients with diabetic peripheral neuropathy. Methods: The China Biomedical Literature, Chinese full-text periodical, C...
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doaj-bd47d120072843af900718e81f92e0ca2020-11-24T21:36:16ZengElsevierInternational Journal of Nursing Sciences2352-01322015-09-012329530310.1016/j.ijnss.2015.08.004Efficacy of combining traditional Chinese medicine fumigation with Western medicine for diabetic peripheral neuropathy: A systematic review and meta-analysisLei Zhang0Xu Tian1Yue Ma2Ying-Hui Jin3Fan-Jie Meng4Graduate College, Tianjin University of Traditional Chinese Medicine, Tianjin 300193, ChinaGraduate College, Tianjin University of Traditional Chinese Medicine, Tianjin 300193, ChinaDepartment of Nursing, Shijiazhuang College of Medicine, Shijiazhuang 050061, ChinaSchool of Nursing, Tianjin University of Traditional Chinese Medicine, Tianjin 300193, ChinaDepartment of Teachers' Development and Evaluation, Tianjin University of Traditional Chinese Medicine, Tianjin 300193, ChinaObjective: A systematic review and meta-analysis was conducted to evaluate the effectiveness of supplementing Western medicine with Traditional Chinese medicine (TCM) fumigation in patients with diabetic peripheral neuropathy. Methods: The China Biomedical Literature, Chinese full-text periodical, China National Knowledge Infrastructure, WanFang, PubMed, EMbase, and Cochrane Library databases were searched for relevant randomized controlled trials published from inception through May 2015. The methodological quality of eligible studies was evaluated using the Cochrane Risk Bias Assessment tool, and summarized effects were calculated using Reviewer Manager 5.1 software. Subgroup analysis was conducted based on the duration of intervention. Results: The initial search identified 312 relevant studies, of which 40 randomized controlled trials involving 3497 patients were eligible for analysis. The results indicated that TCM fumigation significantly improved the curative effects [risk ratio (RR) = 1.34, 95% CI (confidence interval): 1.29–1.39], common peroneal motor nerve conduction velocity [standard mean difference (SMD) = 2.93, 95% CI: 2.26–3.61], common peroneal sensory nerve conduction velocity (SMD = 2.23, 95% CI: 1.46–3.01), and plasma viscosity (SMD = −1.02, 95% CI: −1.35–0.69) compared to Western medicine alone (all p < 0.01). A subgroup analysis indicated that the curative effects were significant after 15 days (RR = 1.31, 95% CI: 1.21–1.42), 30 days (RR = 1.33, 95% CI: 1.26–1.40), and 60 days (RR = 1.50, 95% CI: 1.32–1.71) of combined treatment (all p < 0.01). Conclusion: TCM fumigation significantly improves the clinical outcomes of diabetic peripheral neuropathy, though further confirmatory studies are needed.http://www.sciencedirect.com/science/article/pii/S2352013215000757FumigationDiabeticPeripheral neuropathyTraditional Chinese medicine |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Lei Zhang Xu Tian Yue Ma Ying-Hui Jin Fan-Jie Meng |
spellingShingle |
Lei Zhang Xu Tian Yue Ma Ying-Hui Jin Fan-Jie Meng Efficacy of combining traditional Chinese medicine fumigation with Western medicine for diabetic peripheral neuropathy: A systematic review and meta-analysis International Journal of Nursing Sciences Fumigation Diabetic Peripheral neuropathy Traditional Chinese medicine |
author_facet |
Lei Zhang Xu Tian Yue Ma Ying-Hui Jin Fan-Jie Meng |
author_sort |
Lei Zhang |
title |
Efficacy of combining traditional Chinese medicine fumigation with Western medicine for diabetic peripheral neuropathy: A systematic review and meta-analysis |
title_short |
Efficacy of combining traditional Chinese medicine fumigation with Western medicine for diabetic peripheral neuropathy: A systematic review and meta-analysis |
title_full |
Efficacy of combining traditional Chinese medicine fumigation with Western medicine for diabetic peripheral neuropathy: A systematic review and meta-analysis |
title_fullStr |
Efficacy of combining traditional Chinese medicine fumigation with Western medicine for diabetic peripheral neuropathy: A systematic review and meta-analysis |
title_full_unstemmed |
Efficacy of combining traditional Chinese medicine fumigation with Western medicine for diabetic peripheral neuropathy: A systematic review and meta-analysis |
title_sort |
efficacy of combining traditional chinese medicine fumigation with western medicine for diabetic peripheral neuropathy: a systematic review and meta-analysis |
publisher |
Elsevier |
series |
International Journal of Nursing Sciences |
issn |
2352-0132 |
publishDate |
2015-09-01 |
description |
Objective: A systematic review and meta-analysis was conducted to evaluate the effectiveness of supplementing Western medicine with Traditional Chinese medicine (TCM) fumigation in patients with diabetic peripheral neuropathy.
Methods: The China Biomedical Literature, Chinese full-text periodical, China National Knowledge Infrastructure, WanFang, PubMed, EMbase, and Cochrane Library databases were searched for relevant randomized controlled trials published from inception through May 2015. The methodological quality of eligible studies was evaluated using the Cochrane Risk Bias Assessment tool, and summarized effects were calculated using Reviewer Manager 5.1 software. Subgroup analysis was conducted based on the duration of intervention.
Results: The initial search identified 312 relevant studies, of which 40 randomized controlled trials involving 3497 patients were eligible for analysis. The results indicated that TCM fumigation significantly improved the curative effects [risk ratio (RR) = 1.34, 95% CI (confidence interval): 1.29–1.39], common peroneal motor nerve conduction velocity [standard mean difference (SMD) = 2.93, 95% CI: 2.26–3.61], common peroneal sensory nerve conduction velocity (SMD = 2.23, 95% CI: 1.46–3.01), and plasma viscosity (SMD = −1.02, 95% CI: −1.35–0.69) compared to Western medicine alone (all p < 0.01). A subgroup analysis indicated that the curative effects were significant after 15 days (RR = 1.31, 95% CI: 1.21–1.42), 30 days (RR = 1.33, 95% CI: 1.26–1.40), and 60 days (RR = 1.50, 95% CI: 1.32–1.71) of combined treatment (all p < 0.01).
Conclusion: TCM fumigation significantly improves the clinical outcomes of diabetic peripheral neuropathy, though further confirmatory studies are needed. |
topic |
Fumigation Diabetic Peripheral neuropathy Traditional Chinese medicine |
url |
http://www.sciencedirect.com/science/article/pii/S2352013215000757 |
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