Chinese Herbal Medicine for Osteoporosis: A Systematic Review of Randomized Controlled Trails

被引:50
作者
Wang, Zhi-qian [1 ]
Li, Jin-long [1 ]
Sun, Yue-li [1 ]
Yao, Min [1 ]
Gao, Jie [1 ]
Yang, Zhu [1 ]
Shi, Qi [1 ]
Cui, Xue-jun [1 ]
Wang, Yong-jun [1 ]
机构
[1] Shanghai Univ Tradit Chinese Med, Longhua Hosp, Shanghai 200032, Peoples R China
关键词
OVX-INDUCED OSTEOPOROSIS; INDUCED BONE LOSS; CURCULIGO-ORCHIOIDES; DRYNARIAE-RHIZOMA; EXTRACT; PROLIFERATION; MECHANISM; PLANT;
D O I
10.1155/2013/356260
中图分类号
R [医药、卫生];
学科分类号
10 ;
摘要
Background. Osteoporosis is a major health problem for the elderly population. Chinese herb may be beneficial to osteoporosis due to its capability. Objectives.. is study was designed to evaluate the effectiveness of Chinese medicine treatment on the patients with osteoporosis. Search Methods. Randomized controlled trials were retrieved from different 9 databases. Results.. is meta analysis included 12 RCTs involving 1816 patients to compare Chinese herbs with placebo or standard anti-osteoporotic therapy in the treatment of bone loss.. e pooled data showed that the percent change of increased BMD in the spine is higher with Chinese herb compared to placebo (lumber spine: WMD = 0.07, 95% CI: 0.01-0.04). In the femoral, Chinese herb showed significantly higher increments of BMD compared to placebo (femoral neck: WMD = 0.06, 95% CI: -0.02-0.13). Compared to the other standard anti-osteoporotic drugs, Chinese herbs also show advantage in BMD change (lumber spine: WMD = 0.03, 95% CI: -0.01-0.08; femoral: WMD = 0.01, 95% CI: -0.01-0.02). Conclusions. Our results demonstrated that Chinese herb significantly increased lumbar spine BMD as compared to the placebo or other standard anti-osteoporotic drugs.
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页数:11
相关论文
共 51 条
[1]   Phytoestrogens and bone [J].
Anderson, JJB ;
Garner, SC .
BAILLIERES CLINICAL ENDOCRINOLOGY AND METABOLISM, 1998, 12 (04) :543-557
[2]  
[Anonymous], 1994, WHO TECHN REP SER, V843
[3]   Soy isoflavones' osteoprotective role in postmenopausal women: mechanism of action [J].
Arjmandi, BH ;
Smith, BJ .
JOURNAL OF NUTRITIONAL BIOCHEMISTRY, 2002, 13 (03) :130-137
[4]   Immunostimulatory effect of methanol extract of Curculigo orchioides on immunosuppressed mice [J].
Bafna, AR ;
Mishra, SH .
JOURNAL OF ETHNOPHARMACOLOGY, 2006, 104 (1-2) :1-4
[5]   Curculigo orchioides, a traditional Chinese medicinal plant, prevents bone loss in ovariectomized rats [J].
Cao, D. P. ;
Zheng, Y. N. ;
Qin, L. P. ;
Han, T. ;
Zhang, H. ;
Rahman, Khalid ;
Zhang, Q. Y. .
MATURITAS, 2008, 59 (04) :373-380
[6]  
Dai Yi, 2007, Zhongguo Zhong Yao Za Zhi, V32, P2409
[7]   Protective effect of plant extract from Onobrychis ebenoides on ovariectomy-induced bone loss in rats [J].
Dontas, I ;
Halabalaki, M ;
Moutsatsou, P ;
Mitakou, S ;
Papoutsi, Z ;
Khaldi, L ;
Galanos, A ;
Lyritis, GP .
MATURITAS, 2006, 53 (02) :234-242
[8]   Changing the knowledge base in Western herbal medicine [J].
Evans, Sue .
SOCIAL SCIENCE & MEDICINE, 2008, 67 (12) :2098-2106
[9]   Herbal Medicine Today: Clinical and Research Issues [J].
Firenzuoli, Fabio ;
Gori, Luigi .
EVIDENCE-BASED COMPLEMENTARY AND ALTERNATIVE MEDICINE, 2007, 4 :37-40
[10]   Assessing the quality of reports of randomized clinical trials: Is blinding necessary? [J].
Jadad, AR ;
Moore, RA ;
Carroll, D ;
Jenkinson, C ;
Reynolds, DJM ;
Gavaghan, DJ ;
McQuay, HJ .
CONTROLLED CLINICAL TRIALS, 1996, 17 (01) :1-12