PDF(Pubmed)
Abstract：
UNASSIGNED: The development of clinical practice guidelines in traditional medicine requires evidence that sufficiently reflects the medical field. Cardiac neurosis is a disease that occurs because of problems in the autonomic nervous system and is characterized by symptoms of the circulatory system that are representative of autonomic dysfunction. In traditional medicine, the heart is considered to be involved in mental health problems, and cardiac neurosis is accompanied by a variety of mental symptoms. Furthermore, there is a categorized diagnosis for cardiac neurosis, and active empirical research is being conducted in China.
UNASSIGNED: This study aimed to systematically review and quantitatively synthesize the effects of Korean medicine treatments in patients with cardiac neurosis to develop evidence-based clinical practice guidelines for the treatment of autonomic dysfunction.
UNASSIGNED: Nine databases were searched for articles published before September 13, 2022. The methodological quality of the studies was assessed using the RoB tool. The primary outcomes were somatization, depression, anxiety, and effectiveness rate. The secondary outcome was the rate of adverse effects.
UNASSIGNED: Based on a systematic literature review, 151 randomized controlled trials were selected and analyzed. For patients with cardiac neurosis, herbal medicine, combined treatment of herbal medicine and Western medicine, combined treatment of herbal medicine and acupuncture, acupuncture, and combined treatment of acupuncture and Western medicine showed better overall effects than Western medicine alone. Furthermore, the combined treatment of herbal medicine and psychotherapy and that of herbal medicine, psychotherapy, and Western medicine showed an overall better effect than the combined treatment of Western medicine and psychotherapy.
UNASSIGNED: A meta-analysis of articles revealed the effectiveness of Korean medicine treatments and verified the effectiveness of a Korean medicine treatment alone, Korean medicine combined treatment, and combined treatment of Korean medicine and Western medicine on cardiac neurosis. Limitations included the inability to verify the cause of high heterogeneity between studies and the poor quality of the included studies. Nevertheless, this systematic review and meta-analysis of cardiac neurosis showed that the disease concept of traditional medicine can also be organized based on the latest research. Future research related to traditional diseases such as these should be conducted.
UNASSIGNED: https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42022347992, identifier CRD42022347992.
UNASSIGNED: This study aimed to systematically review and quantitatively synthesize the effects of Korean medicine treatments in patients with cardiac neurosis to develop evidence-based clinical practice guidelines for the treatment of autonomic dysfunction.
UNASSIGNED: Nine databases were searched for articles published before September 13, 2022. The methodological quality of the studies was assessed using the RoB tool. The primary outcomes were somatization, depression, anxiety, and effectiveness rate. The secondary outcome was the rate of adverse effects.
UNASSIGNED: Based on a systematic literature review, 151 randomized controlled trials were selected and analyzed. For patients with cardiac neurosis, herbal medicine, combined treatment of herbal medicine and Western medicine, combined treatment of herbal medicine and acupuncture, acupuncture, and combined treatment of acupuncture and Western medicine showed better overall effects than Western medicine alone. Furthermore, the combined treatment of herbal medicine and psychotherapy and that of herbal medicine, psychotherapy, and Western medicine showed an overall better effect than the combined treatment of Western medicine and psychotherapy.
UNASSIGNED: A meta-analysis of articles revealed the effectiveness of Korean medicine treatments and verified the effectiveness of a Korean medicine treatment alone, Korean medicine combined treatment, and combined treatment of Korean medicine and Western medicine on cardiac neurosis. Limitations included the inability to verify the cause of high heterogeneity between studies and the poor quality of the included studies. Nevertheless, this systematic review and meta-analysis of cardiac neurosis showed that the disease concept of traditional medicine can also be organized based on the latest research. Future research related to traditional diseases such as these should be conducted.
UNASSIGNED: https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42022347992, identifier CRD42022347992.
摘要：
■传统医学临床实践指南的发展需要充分反映医学领域的证据。心脏神经症是由于自主神经系统中的问题而发生的疾病，其特征在于代表自主神经功能障碍的循环系统症状。在传统医学中,心脏被认为与心理健康问题有关，心脏神经症伴有各种精神症状。此外，心脏神经症有分类诊断，中国正在进行积极的实证研究。
■本研究旨在系统回顾和定量综合韩国药物治疗心脏神经症患者的效果，以制定治疗自主神经功能障碍的循证临床实践指南。
■搜索了9个数据库中2022年9月13日之前发表的文章。使用RoB工具评估研究的方法学质量。主要结果是躯体化，抑郁症,焦虑,和有效率。次要结果是不良反应的发生率。
■在系统文献综述的基础上，选取151项随机对照试验进行分析。对于心脏神经症患者，草药,中西医结合治疗，草药和针灸联合治疗，针灸,针刺和西药联合治疗的总体疗效优于单纯西药。此外，草药和心理治疗以及草药的联合治疗，心理治疗,西医综合治疗效果优于西医和心理治疗。
■对文章的荟萃分析揭示了韩国药物治疗的有效性，并验证了仅韩国药物治疗的有效性，韩国医学联合治疗，韩国医学和西医联合治疗心脏神经症。局限性包括无法验证研究之间高度异质性的原因以及纳入研究的质量差。然而，这项对心脏神经症的系统评价和荟萃分析表明，传统医学的疾病概念也可以根据最新研究进行组织。应该进行与传统疾病相关的未来研究。
■https://www.crd.约克。AC.uk/prospro/display_record.php?ID=CRD42022347992，标识符CRD42022347992。
■本研究旨在系统回顾和定量综合韩国药物治疗心脏神经症患者的效果，以制定治疗自主神经功能障碍的循证临床实践指南。
■搜索了9个数据库中2022年9月13日之前发表的文章。使用RoB工具评估研究的方法学质量。主要结果是躯体化，抑郁症,焦虑,和有效率。次要结果是不良反应的发生率。
■在系统文献综述的基础上，选取151项随机对照试验进行分析。对于心脏神经症患者，草药,中西医结合治疗，草药和针灸联合治疗，针灸,针刺和西药联合治疗的总体疗效优于单纯西药。此外，草药和心理治疗以及草药的联合治疗，心理治疗,西医综合治疗效果优于西医和心理治疗。
■对文章的荟萃分析揭示了韩国药物治疗的有效性，并验证了仅韩国药物治疗的有效性，韩国医学联合治疗，韩国医学和西医联合治疗心脏神经症。局限性包括无法验证研究之间高度异质性的原因以及纳入研究的质量差。然而，这项对心脏神经症的系统评价和荟萃分析表明，传统医学的疾病概念也可以根据最新研究进行组织。应该进行与传统疾病相关的未来研究。
■https://www.crd.约克。AC.uk/prospro/display_record.php?ID=CRD42022347992，标识符CRD42022347992。
