Review Article

Adjuvant Application of Shenmai Injection for Sepsis: A Systematic Review and Meta-Analysis

Table 2

Summary of comparisons of relevant measurements among the sepsis patients receiving Shenmai injection plus regular treatment versus regular treatment alone.

OutcomeNo. of studiesNo. of participantsHeterogeneityStatistical methodEffect estimates
I2Effect size (95% CI)P value

Coagulation function
 PT645684%<0.00001SMD, Fixed−1.35 (−1.55, −1.14)<0.00001
 TT325625%0.27SMD, Fixed−1.76 (−2.05, −1.47)<0.00001
 APTT641988%<0.00001SMD, Random−0.85 (−1.45, −0.25)0.005
 FIB427269%0.02SMD, Random1.24 (0.76, 1.73)<0.00001
 PLT643290%<0.00001SMD, Random1.05 (0.37, 1.73)0.002
 D-D535682%0.0002SMD, Random−0.97 (−1.51, −0.43)0.0005

Immune function
 CD321580%0.41SMD, Fixed0.58 (0.27, 0.90)0.0003
 CD421520%0.48SMD, Fixed0.97 (0.64, 1.31)<0.00001
 CD8215289%0.003SMD, Random−0.51 (−1.57, 0.55)0.35
 CD4/CD8215825%0.25SMD, Fixed0.74 (0.42, 1.07)<0.00001
 NK326494%<0.00001SMD, Random0.24 (−0.77, 1.25)0.65

Inflammation factor
 IL-1430298%<0.00001SMD, Random−0.15 (−2.1, 1.8)0.88
 IL-8325295%<0.00001SMD, Random−1.66 (−2.99, −0.33)0.01

Organ function
 ALT325298%<0.00001SMD, Random−4.85 (−8.13, −1.57)0.004
 AST32520%0.97SMD, Fixed−6.13 (-6.73, −5.53)<0.00001
 BUN325287%0.0004SMD, Random−1.63 (−1.92, −1.34)<0.00001
 Cr537598%<0.00001SMD, Random−2.71 (−4.79, −0.64)0.01
 LDH217236%0.21SMD, Fixed−2.00 (−2.45,−1.5)<0.00001
 CK435896%<0.00001SMD, Random−1.57 (−2.82, −0.33)0.01
 CK-MB751384%<0.00001SMD, Random−1.07 (−1.55, −0.59)<0.0001
 BNP426142%0.16SMD, Fixed−0.45 (−0.69, −0.20)0.0004
 TnI319829%0.24SMD, Random−0.67 (−1.02, −0.31)0.0003

Others
 WBC31800%0.76SMD, Fixed−0.11 (−0.41, 0.18)0.44
 Hb31630%0.78SMD, Fixed14.59 (9.7, 19.48)<0.00001

Note. No., number; EG, experimental group; CRP, C-reaction protein; IL-6, interleukin-6; NK, natural killer; ALT, alanine transaminase; AST, aspartate transaminase; BUN, blood urea nitrogen; Cr, creatinine; LDH, lactate dehydrogenase; CK, creatine kinase; CK-MB, creatine kinase isoenzyme-MB; APTT, activated partial thromboplastin time; PT, prothrombin time; TT, thrombin time; FIB, fibrinogen; PLT, platelet; D-D, D-dimer; IL-1, interleukin-1; TNF-α, tumor necrosis factor-α; IL-8, interleukin-8; WBC, white blood cell; Hb, hemoglobin; BNP, B-brain natriuretic peptide; TnI, troponin I.