Meta refers to a scientific clinical research activity, refers to a comprehensive collection of all relevant studies and rigorous evaluation and analysis one by one, and then quantitative synthetic methods of statistical processing of information to draw comprehensive conclusions of the whole process; the following is the meta analysis paper I carefully recommended for you, I hope to be able to help you.
meta analysis paper aMeta-analysis of the causes of medical disputes in China
[Abstract] Purpose To analyze the causes of medical disputes and the departments in which more disputes occur, with a view to better deepening the implementation of the medical system reform of health care institutions to provide guidance for the specific measures. Methods The method of meta-analysis in statistics was used to process the collected literature that met the inclusion criteria, and to compare the composition ratio of the causes of medical disputes and the proportion of medical disputes occurring in each department. Results The top 3 causes of disputes were poor professional diagnosis, treatment and nursing skills (22.95%), poor service attitude (21.24%), and communication barriers between doctors and patients (12.61%); in the distribution of medical disputes by department, surgery accounted for the highest proportion (34.80%), and surgery was the first department in which medical disputes occurred. Conclusion Medical institutions should further deepen the reform of the medical system; medical staff should enhance their professionalism, improve their service consciousness, and emphasize and improve doctor-patient communication; and strengthen the management of departments with more medical disputes to ensure the quality of medical care and reduce and avoid medical disputes.
[Keywords] Medical disputes; Causes analysis; Meta-analysis
[CCS] R197.32 [Literature ID] B [Article ID] 1673-7210(2012)02(c)-0160-03
Meta-analysis of medical dispute causes in China
Meta-analysis of medical dispute causes in China. causes in China
GAO Xiaofei1,2 ZHOU Weiyan1,2 SUN Zhonghe1▲
1.The Affiliated Nanjing First Hospital of Nanjing Medical University, Jiangsu Province, Nanjing 210006, China. The Affiliated Nanjing First Hospital of Nanjing Medical University, Jiangsu Province, Nanjing 210006, China; 2.School of Clinical Medicine, Nanjing Medical University, Jiangsu Province, Nanjing 210029, China
[ Abstract] Objective To provide better guidance for those medical institutions in implementing specific measures associated with the reform of medical system by analyzing the reasons and departmental requirements. system by analyzing the reasons and department distribution for the medical disputes was conducted. Methods The statistical method of Meta-analysis to The statistical method of Meta-analysis to collect was used and analyzed all the literature which met the inclusion criteria, thus to get results about the composition of the causes, as well as some The statistical method of Meta-analysis to collect was used and analyzed all the literature which met the inclusion criteria, thus to get results about the composition of the causes, as well as some department happening proportion of medical disputes. Dispute reasons ranking first three were unsatisfactory professional medical technical level (22.95%), bad service attitude (21.24%), the doctor-patient communication obstacles (12.61%), respectively; surgical constituted 34.80% which was the primary department where medical disputes occurred. Conclusion Medical institutions to deepen the reform of medical system, the staff need further strengthen professional business level, and to improve the quality of medical services. Medical institutions to deepen the reform of medical system, the staff need further strengthen professional business level, and promote the service consciousness, emphasize and improve doctor-patient communication, reinforce the management of departments with more medical disputes, ultimately to ensure the medical quality, reduce and avoid medical disputes.
[Key words] Medical disputes; Cause analysis; Meta-analysis
Individual variability, disease complexity, and limitations of diagnostic and therapeutic means are mixed together, which determines the high degree of difficulty and high risk in the medical industry. In the process of transforming the medical model from a purely biomedical model to a biopsychosocial model, the doctor-patient relationship has become more complex and tends to be tense, and even Chinese doctors have often become the victims of violence in medical disputes [1]. It is urgent to understand and analyze the reasons for the occurrence of doctor-patient disputes in China, as well as the distribution ratio of departments where the disputes occur, and put forward targeted countermeasures to reduce and avoid the disputes. This paper uses Meta-analysis to comprehensively analyze and discuss the causes of medical disputes and the proportion of departmental distribution, in order to provide guidance for medical institutions to better deepen the implementation of specific measures to reform the medical system.
1 Materials and Methods
1.1 Search strategy
Through the method of direct computerized literature search and literature tracing, the databases of PubMed, China Knowledge Network (CNKI), Wanfang and other databases were searched for literature on the analysis of the causes of medical disputes before May 2011. The search keywords were ? doctor-patient conflict? , ? doctor-patient disputes? , medical disputes? medical disputes? and? Causes? The causes and consequences of medical disputes. causes?
1.2 Inclusion and exclusion criteria
Inclusion criteria: ① Chinese and English literature on the analysis of the causes of medical disputes that can be retrieved from PubMed, CNKI and other databases; ② literature that can be viewed in full text.
Inclusion criteria: ① articles that do not contain original data; ② literature on the causes of medical disputes that are not clearly categorized or generalized (such as the cause of disputes for poor quality of care); ③ literature on the causes of disputes according to the number of cases; ④ literature with a sample size of less than 50; ⑤ literature on the causes of fatal disputes alone; ⑥ literature on the causes of disputes that overlap in time and have the same source of disputes; ⑦ literature that is repeatedly published; ⑦ literature on the causes of medical disputes. The results of this study are summarized in the following table.
1.3 Causes of medical disputes and departmental classification
In the process of medical activities, disputes caused by imperfections or faults in technology, service, and doctor-patient communication are important causes of medical disputes in hospitals. In this paper, the causes of medical disputes are divided into: ① poor service attitude: lack of responsibility and medical ethics; ② poor professional diagnostic nursing skills: a variety of missed diagnosis and misdiagnosis, dependence on medical equipment, improper choice of treatment options, incomplete grasp of the surgical indications, incorrect use of medication, operational errors, the operation of a variety of medical complications; ③ medical costs: some hospitals do not have fee transparency, prescribe expensive medicines, prescribe large Medical costs: some hospitals do have non-transparent charges, prescribe expensive drugs, prescribe large tests, indiscriminate charges, or patients have doubts about the cost; ④ hospital management system is not in place (mainly core medical systems and technical procedures), including the section and the section of poor cooperation between each other, shirking and other bad phenomena; ⑤ doctor-patient communication barriers: the doctor as the leading side, failed to characterize a full range of information through a variety of multi-channel exchanges, so that both sides to reach a **** knowledge of the failure to establish The patient's reasons: the patient's lack of medical knowledge, unilateral lack of understanding, high expectations, unreasonable, and seeking financial compensation; (7) other: including such as patients walking, slipping and falling, money and property theft, suicide and other accidents, the quality of instruments, medical materials and drugs, adverse drug reactions, interns operate without teacher care, waiting time is too long, the environment of the clinic is poor, and other medical disputes such as dissatisfaction with the hardware and equipment of the hospital, and so on. Other medical dispute cases such as dissatisfaction with hardware and equipment. In this paper, the dispute departments are divided into: internal medicine (including dermatology), surgery, obstetrics and gynecology, pediatrics, ophthalmology (including ophthalmology, stomatology, otorhinolaryngology), emergency medicine (including ICU), medical technology (including a variety of auxiliary examination departments), other departments (including neurology, etc.).
1.4 Quality control
The data were collected according to the literature inclusion criteria and excluded from the literature with small sample size (<50 cases), poor quality, duplicate publication, no original data, or the original text could not be traced; in addition, all the data established by the literature were double-checked for accuracy.
1.5 Statistical methods
For the selected literature to organize the establishment of the database, the data were tested for consistency before analysis. Because of the large heterogeneity in this study (I2>50%), a random effects model was chosen. Data processing was completed using Stata 11 statistical software, using the heterogeneity test, with P < 0.05 as the difference was statistically significant.
2 Results
2.1 Literature search
Relevant literature on the analysis of the causes of doctor-patient disputes was obtained through PubMed and CNKI and other databases, totaling 458 articles, and 30 articles were finally retained according to the inclusion and exclusion criteria, with a total of 6,970 medical dispute cases. The main sources of medical dispute cases are medical departments of medical institutions at all levels, medical malpractice appraisal medical associations, and hospital departments. Literature clear disputes originated from tertiary hospitals *** 19 articles (17 articles of three A, two articles of three B), two articles of the second level of hospitals, the remaining nine articles of medical institutions level is not clearly stated.
2.2 Causes of medical disputes
The results showed that among all the causes of medical disputes, the service attitude and the level of diagnosis and treatment and care accounted for the highest proportion, 21.24% (95% CI: 14.70% to 28.62%) and 22.95% (95% CI: 16.66% to 29.94%), respectively. Doctor-patient communication accounted for the next highest proportion, 12.61% (95% CI: 8.07% to 17.99%). The smaller proportions of each reason were poor implementation of the hospital system (9.98%), medical costs (3.19%), patient reasons (6.71%), and other reasons (5.72%). There was a statistically significant difference between the reasons (Z = 20.82, P < 0.01). See Table 1.
Table 1 Analysis of the causes of medical disputes (%)
Note: REM is a random effect model (random effect model)
2.3 Proportion of the distribution of medical dispute departments
In the collected literature *** there are 10 pieces of literature related to the analysis of the proportion of distribution of the departments of the doctor-patient disputes, and statistically derived: the Department of Surgery had the highest proportion (34.80%), followed by internal medicine (18.92%) and obstetrics and gynecology (11.53%), pediatrics (5.24%), pentacameral medicine (3.85%), emergency medicine (3.24%), and medical technology (7.32%), and other departments (2.95%) had the least. The difference between departments was highly statistically significant (Z = 14.32, P < 0.01). See Table 2.
Table 2 Distribution analysis of medical disputes (%)
Note: REM is random effect model (random effect model)
3 Discussion
This Meta-analysis of the causes of medical disputes showed that the top 3 causes of disputes were poor professional diagnosis and treatment and nursing care skills ( 22.95%), poor service attitude (21.24%), and communication barriers between doctors and patients (12.61%), which are significantly higher than the doctor-patient disputes caused by the patient's unilateral factors (6.71%), indicating that there is more room for improvement in improving the tension between doctors and patients.
3.1 The three major causes of disputes all reflect the hospital? soft competitiveness?
3.1.1 China's medical status quo is worrying Due to the defects of the health care system, all levels of government investment in hospitals is only about 7% of the average hospital expenditures [2]. Survival? has become the top priority of public hospitals, and some hospitals can only rely on medical services to generate income. The ratio of medical personnel in each medical institution is too small, more patients, fewer doctors and nurses, and the pressure of medical and nursing work is great. Even so, the treatment of medical personnel in China is generally inferior to that in foreign countries. In addition, the training of medical personnel than other professions need to pay more time, money and effort, employment, high pressure, high risk and treatment of unsatisfactory contrast, medical personnel have heart gap, physical and mental fatigue, work enthusiasm is not high, motivation hit, which may result in a poor service attitude, lack of responsibility. The problem is that it is not easy to correct the problem of medical ethics driven by economic interests.
3.1.2 More emphasis should be placed on the patient's psychological and social environment on the health, the impact of the disease Both doctors and patients should focus on communication and communication. Doctors should not only focus on the disease itself and ignore the patient is a complete social person. The process of providing medical services should not be mechanized, and doctors and patients are not in a command-and-obey relationship. Seeing a doctor is not the same as analyzing all kinds of laboratory tests and checklists. Doctors should learn to listen to their patients and communicate effectively with them. Medical treatment is the interaction between doctors and patients, both sides to take the initiative in the process, with the increasing awareness of patients' rights, the determination of medical programs need to consult the patient's opinion, the use of drugs need to explain to the patient, explain. The medical side needs to take certain interventions for patients, such as written guidelines, video courses, face-to-face teaching and other measures to train patients to learn to communicate with health care personnel, improve patient participation, the formation of a consultative doctor-patient relationship [3].
3.2 Strengthening surgical medical technology
Medical disputes departmental distribution ratio of surgery accounted for 34.8%, similar to the results of the statistical analysis done by Wang Xi et al [4] (36.7%), the difference is highly statistically significant (P < 0.01). Surgical trauma patients are more, the condition is urgent and serious, the patient's family members have complex feelings, a little attitude is not good will feel cold. If intraoperative complications occur due to surgical operation errors, even if they are unavoidable complications of non-medical origin, they are very likely to lead to disputes. Surgery emphasizes the mutual cooperation between the surgical staff, strictly grasp the indications for surgery, do not disregard the existing medical level of the hospital, the patient promises too much. Surgery should also strive to improve the professional and technical level of doctors on the basis of efforts to manage the preoperative, intraoperative, postoperative these three important links, and strengthen the quality control of surgical medical materials such as plates, stents, etc., in order to make patients satisfied with the quality of care.
3.3 Establishment of an effective management system for the prevention of medical disputes
The establishment of an effective management system for the prevention of medical disputes mainly consists of the following measures: ① Improvement of the service model, enhancement of service awareness, reflecting humanistic care; ② standardization of medical behavior, strict implementation of medical rules and regulations; ③ emphasis on the study of medical theories to improve the level of medical technology [5]; ④ reasonable fees, increase the transparency of fees; ⑤ enhancement of the transparency of medical fees, increase the transparency of medical fees, increase the transparency of medical fees; ⑤ enhancement of the transparency of medical fees; ⑤ increase of the transparency of medical fees. Reasonable fees, increase the transparency of fees; ⑤ enhance the communication between doctors and patients, medical staff should strengthen psychology, sociology, interpersonal communication and other social disciplines of theoretical learning and practice; ⑥ carry out medical social work, follow the value of helping people to help themselves, the use of professional knowledge and methods of social work, to provide all kinds of help to patients; ⑦ strengthen the management of medical writing; ⑧ the introduction of third-party mediation mechanism [6-8], the correct treatment of doctor-patient disputes, improve the autopsy rate of death disputes Disputes, improve the autopsy rate of death disputes.
[References]
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[2] Li B, Sun XY, Wang JF. A review of research on the factors of doctor-patient communication barriers[J]. China Health Care Management, 2009, 26(5):303-304.
[3] Harrington J, Noble LM, Newman SP, et al. Improving patients' communication with doctors: a systematic review of intervention studies [J]. Patient Educ Couns, 2004,(52):7-16.
[4] Wang X, Lin CY, Wang Y. Analysis of the causes of medical disputes and countermeasures [J]. Journal of Naval Medicine, 2004, 25(3):269-272.
[5] Xiong Baili, He Xiaoxia, Chai Zhongping. Conducting outpatient drug counseling to improve the quality of medical care[J]. Journal of Pediatric Pharmacy, 2007, 13(3):37-38.
[6] Sun Zhonghe, Pan Huaining, Qi Jianwei, et al. The main modes of alternative dispute resolution mechanism for doctor-patient disputes[J]. China Hospital Management, 2010, 30(12):37-38.
[7] Sun Zhonghe, Ma Jun. The main countermeasures to improve the people's mediation mechanism of doctor-patient disputes[J]. China Medicine Herald, 2011, 8(20):181-182.
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meta-analysis paper IIMeta-analysis of Chinese medicine in the treatment of epilepsy
Abstract Objective To evaluate the overall efficacy of Chinese medicine in the treatment of epilepsy by meta-analysis, and to compare it with that of pure Western medicine. METHODS Randomized controlled trials (RCTs) of TCM in the treatment of epilepsy were searched through the e-service system of China's multi-database platform, and statistically analyzed using RevMan 4.2, a software specially designed for the Cochrane Collaboration. Randomized controlled trials (RCTs) of Chinese medicine in the treatment of various types of epilepsy meeting the inclusion criteria of RCTs were searched and analyzed using RevMan 4.2. The results of meta-analysis showed that TCM treatment of epilepsy could improve the control and remission rates of epilepsy and reduce the recurrence rate. Conclusion Traditional Chinese medicine treatment of epilepsy can not only stabilize the efficacy, but also reduce the recurrence, and traditional Chinese medicine treatment can also play the role of reducing toxicity and increasing efficiency.
Keywords Epilepsy; Chinese medicine; meta-analysis; systematic evaluation
[Abstract] Objective To evaluate the therapeutic effect of the traditional Chinese medicine in epilepsy(EP) Methods Searched the literature with the keywords of the traditional Chinese with western medicine in epilepsy(EP) by Searched the literature with the keywords of the traditional Chinese with western medicine in epilepsy(EP) by domestic multi-database platform for electronic services system.Then statistical analysis was carried on by Rev Man 4.2 of the corporative net-work. Results According with the standard of RCTs was 13,on children was 6.The analysis showed that the total relieving rate was raised and the relapse rate The analysis showed that the total relieving rate was raised and the relapse rate lowered with the treatment of the traditional Chinese.The therapeutic effect of the traditional Chinese in EP can be obviously enhanced.Conclusion The traditional Chinese is effective in the treatment of EP. The therapeutic effect of the traditional Chinese in EP can be obviously enhanced. But the precise effect should be further proved by the multicentre, large sample, randomized and controlled trials.
[Key words] epilepsy(EP);traditional Chinese medicine;meta-analysis;systematic review
Epilepsy is a group of diseases and syndromes characterized by neurons in the brain. syndromes, characterized by intermittent central nervous system dysfunction caused by repeated sudden abnormal overdischarges of neurons in the brain. Currently, western medical treatment can inhibit seizures in most types of epilepsy, but long-term use of western drugs is prone to a variety of toxic side effects, and long-term use also produces dependence or resistance to drugs. These suggest that we need to open up new ways and methods to prevent and treat epilepsy. In recent years, with the research and clinical application of traditional Chinese medicine, to a certain extent, to make up for the adverse effects of western drug treatment, at the same time can enhance the efficacy of treatment, reduce recurrence, most studies show that the treatment of epilepsy with traditional Chinese medicine has a stable effect and the clinical adverse effects of less.
1 Data and Methods
1.1 Inclusion Criteria
1.1.1 Types of Studies Published and unpublished RCTs on the treatment of epilepsy with Chinese herbal medicine in China in the past 10 years.
1.1.2 Interventions Chinese herbal medicine treatment is the treatment group; conventional antiepileptic western medicine treatment is the control group.
1.1.3 Type of data Count data with a clear and similar course of treatment.
1.1.4 Efficacy evaluation criteria Adults' efficacy evaluation criteria refer to the Ministry of Health's "Guidelines for Clinical Research on New Chinese Medicines for the Treatment of Epilepsy": obvious effect: seizure frequency reduced by more than 75%, or compared with the pre-treatment seizure intervals, prolonged seizure-free for more than one year, and the electroencephalogram changes have been significantly improved; effective: seizure frequency reduced by 50%-75%, or seizure symptoms significantly reduced, and duration shortened by 50%. Effective: seizure frequency reduced by 50% to 75%, or seizure symptoms reduced by more than 50%, duration shortened by more than 50%, EEG changes improved; Ineffective: seizure frequency, degree, seizure symptoms, EEG are not improved or worsened. Observation time: 3-6 months. Pediatric efficacy evaluation criteria refer to the first national epilepsy society of the Chinese Medical Association to formulate the 4-level efficacy determination standard[1]: control: no seizure; obvious effect: seizure frequency reduction?75% or more; effective: seizure frequency reduction?50% or more; ineffective: seizure frequency reduction<50%.
1.2 Exclusion criteria: cases of non-epileptic paroxysmal disorders; specific epileptic syndromes; cases of ictal sensory abnormalities; cases of ictal mental status changes.
1.3 Literature search
1.3.1 Deadline for literature search April 1, 2008
1.3.1 Literature search.
1.3.2 Electronic search databases Chinese Biomedical Literature Database (CBM disc), Chinese Periodicals Full Text Database (CNKI, 1994-2007), Chinese Excellent Master's Degree Thesis Full Text Database (CNKI, 1999-2007), Chinese Doctoral Dissertation Full Text Database (CNKI, 1999-2007), Wipro Chinese Science and Technology Journal Database (1989-2007).
1.3.3 Search keywords The keywords of Chinese medicine for epilepsy and epilepsy were used as keywords and combined into different searches, which included screening from reference literature.
1.3.4 Data extraction Relevant data were extracted from the literature that met the requirements for further analysis and evaluation. The data are related to study characteristics and design, characteristics of subjects and treatments, and clinical outcomes.
1.3.5 Data synthesis The statistical software was RevMan 4.2, a special software of the Cochrane Collaboration. Heterogeneity test was performed on the literature data, such as P>0.05, it is considered that the homogeneity is good, and selected to be analyzed with the fixed effect model; the count data were analyzed by the dominance ratio (OR), and the results of the analysis were all expressed by the 95% confidence interval (95% CI).
2 Results
2.1 General information of the study
2.1.1 Literature search analysis In accordance with the inclusion criteria, **** searched the Chinese medicine treatment of epilepsy in the domestic literature **** 13, the study of the case statistics from 2000 to 2007. 6 of the 13 literature on pediatric epilepsy treatment.
2.1.2 Results of the Jadad scale method of evaluation of the included studies All 13 papers were randomized using the double-blind method, and none of them reported the number of dropouts or lost visits and their reasons. All of the literature Jadad scores were 1 to 2, which were low quality literature [2-14] (Table 1). Table 1 Basic information of the 13 literature on herbal medicine for epilepsy included in the study Note: Antiepileptic drugs (AEDS): carbamazepine (CBZ); phenytoin sodium (phenobarbital, PHT); valproate (VPA); phenobarbital ( phenobarbital, PB); topiramate (topiramate, TPM)
2.1.3 Subjects included in the study Cases of epilepsy treated with traditional Chinese medicine: the number of cases observed in the 13 studies ranged from 20 to 200 cases, ****1,769 cases were included in the observation subjects, 1,067 cases in the traditional Chinese medicine group***1,067 cases, and 702 cases in the western medicine control group***. Duration of the disease: the shortest 6 months, the longest 25 years.
2.1.4 Interventions All types of epilepsy were treated with antiepileptic western drugs single or combined with conventional treatment as the control group, epileptic status quo was treated with Valium sedation as the control group, and traditional Chinese medicine treatment of epilepsy was treated as the treatment group.
2.1.5 Bias status The cases in the treatment and control groups were well-balanced, with no significant differences in gender, age, and duration of disease, and the inclusion of the study had a small selective bias, and no other treatment was received before or after the treatment, and the implementation bias of the study was also small.
2.2 Efficacy analysis Heterogeneity analysis of literature quality and model selection Literature heterogeneity was expressed by the test statistic Q, which conforms to ? = K-1 of ?2 distribution, the analysis results of this study showed all P>0.05, that the homogeneity of the study is good, using fixed effect model analysis, see Figures 1 to 2.
2.2.1 Comparative analysis of the effectiveness rate of the treatment of epilepsy in the traditional Chinese medicine group and the western medicine group See Figure 1. 13 studies were enrolled in this study, the traditional Chinese medicine treatment group*** 1,067 cases, and the western medicine control group*** 702 cases, the comprehensive The results showed good homogeneity (heterogeneity test P>0.05), and the statistical results showed: OR=4.68, 95% CI (3.52-6.23)>0, P<0.01. The rhombus shape was completely located on the right side of the vertical line, so it can be concluded that the traditional Chinese medicine group is effective in the treatment of epilepsy.
2.2.2 Comparative analysis of the effectiveness of the Chinese medicine group and western medicine group in the treatment of epilepsy in children See Figure 2.
Figure 1 Comparison of the effectiveness of the Chinese medicine group and western medicine group in the treatment of epilepsy Figure 2 Comparative analysis of the effectiveness of the Chinese medicine group and western medicine group in the treatment of epilepsy in children Six studies were enrolled, 430 cases in the Chinese medicine group***, and 260 cases in the control group***, and the combined results showed good homogeneity (heterogeneity test P&>0.05). gt;0.05), and the statistical results showed that OR=4.36, 95% CI (2.75-6.92)>0, P<0.01. The rhombus is completely located on the right side of the vertical line, so it can be concluded that the traditional Chinese medicine group is effective in the treatment of epilepsy.
3 DiscussionThe treatment of epilepsy by traditional Chinese medicine has had a relatively rapid development in recent years, especially in the last 5 years, and most of the literature selected for this formula was published within the last 5 years, involving the traditional Chinese medicines Gallus gallus, Dilophylax, Semixia, Chenpi, Acorus calamus, Tienmai, Stiffy silkworms, Salvia miltiorrhiza, leeches, and so on. Formulas introduced include Tongjiao and blood activating soup and Dingkaiwan, in addition to self-prescribed formulas. Treatment is based on the basic principles of clearing the liver and diarrhea, dispelling phlegm and fixing convulsions, quenching wind and cleansing phlegm, calming the heart and opening the orifices, strengthening the spleen, benefiting the qi, nourishing the blood and softening the liver, and adding and subtracting according to the disease diagnosis. However, so far, there is still no more unified treatment plan for the treatment of epilepsy with traditional Chinese medicine and the combination of traditional Chinese and Western medicine. In the present study, the meta-analysis of domestic clinical trials on the treatment of epilepsy with traditional Chinese medicine (TCM) was used to calculate the OR of complete remission rate between the TCM group and the western medicine control group; the OR of complete remission rate between the two groups of primary epilepsy in children; the OR of complete remission rate between the two groups of traumatic epilepsy; as well as their respective 95% CIs, and we concluded that the remission rate of epilepsy treated with TCM includes primary epilepsy in children as well as secondary epilepsy caused by traumatic injury and cerebral infarction. The remission rate of epilepsy utilizing traditional Chinese medicine is effective, while reducing the recurrence rate. Synthesizing the included literature, the following characteristics of domestic clinical trials were found: (1) poor quality, with all 13 literature having a quality score of 1, which is a low-quality study; (2) inconsistent or non-detailed regimens; (3) widely varying follow-up times and most of them had no follow-up; (4) no specific method of random assignment; (5) no accounting for loss of visits or withdrawals; and (6) varying sample sizes, most of which were smaller. In addition, meta-analysis is only an observational study and not an experimental study, and its quality control standards cannot be completely unified, and there may be publication bias in its research process. The results of this meta-analysis showed that traditional Chinese medicine can improve the clinical remission rate of epilepsy and reduce the recurrence of epilepsy. However, because the quality of the literature included in this study is not high and the number is too small, the reliability of the conclusion is yet to be further confirmed by large-scale, multicenter RCTs.
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