PMID- 34708623 OWN - NLM STAT- MEDLINE DCOM- 20220223 LR - 20220223 IS - 2589-451X (Electronic) IS - 0255-2922 (Linking) VI - 41 IP - 5 DP - 2021 Oct TI - Effectiveness and safety of traditional Chinese herbs in children with cough variant asthma: a systematic review and Meta-analysi. PG - 661-668 LID - 10.19852/j.cnki.jtcm.2021.05.001 [doi] AB - OBJECTIVE: To systematically investigate the clinical effectiveness and safety of traditional Chinese herbs (TCHs) as an alternative to conventional medicine (CM) in children with cough variant asthma(CVA). METHODS: Randomized controlled trial (RCT) studies that were published from their inceptions to March 31, 2020, were identified from the electronic databases of China National Knowledge Infrastructure, Wangfang, PubMed, and Cochrane Central Library. The primary outcome of the review was the total effective rate (TER), and the secondary outcomes were immunoglobulin E (IgE), peak expiratory flow (PEF), adverse drug reactions, and relapse rates of interventions. RESULTS: For the Meta-analysis, 13 studies involving 992 children with CVA were included. In terms of TER and IgE, the experimental interventions of TCH, when compared with the control interventions of CM, on pediatric CVA were found to be significantly effective (P < 0.0001), whereas for spirometry, PEF was not significantly improved in the TCH group (P = 0.48). The incident rates of adverse drug reaction and relapse were found to be significantly lower in the TCH group than those in the CM group (P = 0.02 and P < 0.0001, respectively). CONCLUSION: Compared with CM therapy, the effects of TCH therapy on pediatric CVA were significantly beneficial in terms of TER and IgE, but not for PEF, and the methodological quality of included studies was poor. Therefore, the results should be interpreted with caution. More randomized controlled trials with rigorous experimental methodologies are required for objectivity in the future. FAU - Kyou-Hwan, Han AU - Kyou-Hwan H AD - Department of data analysis, SBU Research Institute of Integrative Medicine, South Baylo University, 2727 West 6th Street, Los Angeles, CA 90057, USA. FAU - Ki Haeng, Cho AU - Ki Haeng C AD - Department of data analysis, SBU Research Institute of Integrative Medicine, South Baylo University, 2727 West 6th Street, Los Angeles, CA 90057, USA. FAU - Cui, Shan-Qin AU - Cui SQ AD - SBU Research Institute of Integrative Medicine, South Baylo University, 2727 West 6th Street, Los Angeles, CA 90057, USA. FAU - Lily, Lin AU - Lily L AD - Department of Library, South Baylo University, 2727 West 6th Street, Los Angeles, CA 90057, USA. FAU - Jaejong, Kim AU - Jaejong K AD - Department of data analysis, SBU Research Institute of Integrative Medicine, South Baylo University, 2727 West 6th Street, Los Angeles, CA 90057, USA. LA - eng PT - Meta-Analysis PT - Systematic Review PL - China TA - J Tradit Chin Med JT - Journal of traditional Chinese medicine = Chung i tsa chih ying wen pan JID - 8211546 RN - 0 (Drugs, Chinese Herbal) SB - IM MH - *Asthma/drug therapy MH - Child MH - China MH - Cough/drug therapy MH - *Drugs, Chinese Herbal/adverse effects MH - Humans MH - Treatment Outcome OTO - NOTNLM OT - Child OT - Cough variant asthma OT - Drugs, Chinese herbal OT - Meta-analysi OT - Randomized controlled trial OT - Systematic review EDAT- 2021/10/29 06:00 MHDA- 2022/02/24 06:00 CRDT- 2021/10/28 07:04 PHST- 2021/10/28 07:04 [entrez] PHST- 2021/10/29 06:00 [pubmed] PHST- 2022/02/24 06:00 [medline] AID - 10.19852/j.cnki.jtcm.2021.05.001 [doi] PST - ppublish SO - J Tradit Chin Med. 2021 Oct;41(5):661-668. doi: 10.19852/j.cnki.jtcm.2021.05.001.