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Efficacy of Chinese Herbal Formula Sini Zuojin Decoction in Treating Gastroesophageal Reflux Disease: Clinical Evidence and Potential Mechanisms

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机构: [1]Guangzhou University of Chinese Medicine, Guangzhou, China [2]Department of Otolaryngology, Guangdong ProvincialHospital of Traditional Chinese Medicine, Guangzhou, China [3]Department of Endodontics, Guanghua School ofStomatology, Sun Yat-sen University, Guangzhou, China [4]Department of Gastroenterology, Guangdong Provincial Hospitalof Traditional Chinese Medicine, Guangzhou, China
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关键词: Sini Zuojin decoction gastroesophageal reflux disease Chinese herbal formula systematic review network pharmacology

摘要:
Background Based on 122 cases reported in China, data mining indicated that Sini Powder (SNP) and the Zuojin Pill (ZJP) are both widely used as the basic recipe for treating Gastroesophageal Reflux Disease (GERD). Objectives To evaluate the intervention effects of Sini Zuojin Decoction (SNZJD) in patients with GERD. Methods A comprehensive collection of randomized controlled trials (RCTs) using SNZJD in patients with GERD that were published in domestic and foreign journals was made by computer retrieval. RevMan 5.3 software was used for meta-analysis and bias risk assessment, Stata 14.0 software was used for sensitivity analysis, GRADE profiler 3.6 was used to evaluate the level of evidence, and trial sequential analysis (TSA), employed to control for random errors, was performed to assess the main outcomes. Network pharmacology analysis was applied to preliminarily study the mechanisms of action of SNZJD on GERD. Results Thirteen articles were eventually included, covering a total of 966 patients. Meta-analysis indicated that: the SNZJD plus traditional stomach medicines (SPTSM) group was more effective than the traditional stomach medicines (TSM) group (RR = 1.16, 95% CI [1.04, 1.29], P = 0.009); the experimental group with SNZJD was significantly better than TSM controls in improving heartburn, substernal chest pain, acid regurgitation, and food regurgitation symptoms (P < 0.0001); SPTSM could significantly decrease total symptom scores with substantial effectiveness (P < 0.00001). The recurrence rate and adverse effects of SNZJD treatment were significantly reduced (P < 0.05). TSA showed that the effective rate of meta-analysis might be reliable, but the recurrence and safety results were still uncertain. According to the evaluation by the GRADE method, the quality of evidence was low. Besides, SNZJD might treat GERD by acting on related targets and pathways such as inflammation, hormone regulation, and so on. Conclusions SNZJD might be useful in the treatment of GERD, but its long-term effects and specific clinical mechanisms are unclear. Due to the poor quality of the evidence, more samples and high-quality clinical studies should be tested and verified in the future.

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出版当年[2019]版:
大类 | 2 区 医学
小类 | 2 区 药学
最新[2025]版:
大类 | 3 区 医学
小类 | 3 区 药学
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出版当年[2018]版:
Q1 PHARMACOLOGY & PHARMACY
最新[2023]版:
Q1 PHARMACOLOGY & PHARMACY

影响因子: 最新[2023版] 最新五年平均 出版当年[2018版] 出版当年五年平均 出版前一年[2017版] 出版后一年[2019版]

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第一作者机构: [1]Guangzhou University of Chinese Medicine, Guangzhou, China
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通讯机构: [1]Guangzhou University of Chinese Medicine, Guangzhou, China [4]Department of Gastroenterology, Guangdong Provincial Hospitalof Traditional Chinese Medicine, Guangzhou, China
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