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邝玉慧, 陈欣菊, 徐方飚. 金龙胶囊联合放化疗治疗肝转移瘤的疗效与安全性Meta分析[J]. 肿瘤防治研究, 2020, 47(1): 63-69. DOI: 10.3971/j.issn.1000-8578.2020.19.0619
引用本文: 邝玉慧, 陈欣菊, 徐方飚. 金龙胶囊联合放化疗治疗肝转移瘤的疗效与安全性Meta分析[J]. 肿瘤防治研究, 2020, 47(1): 63-69. DOI: 10.3971/j.issn.1000-8578.2020.19.0619
KUANG Yuhui, CHEN Xinju, XU Fangbiao. Meta-analysis of Efficacy and Safety of Jinlong Capsule Combined with Chemoradiotherapy on Liver Metastases[J]. Cancer Research on Prevention and Treatment, 2020, 47(1): 63-69. DOI: 10.3971/j.issn.1000-8578.2020.19.0619
Citation: KUANG Yuhui, CHEN Xinju, XU Fangbiao. Meta-analysis of Efficacy and Safety of Jinlong Capsule Combined with Chemoradiotherapy on Liver Metastases[J]. Cancer Research on Prevention and Treatment, 2020, 47(1): 63-69. DOI: 10.3971/j.issn.1000-8578.2020.19.0619

金龙胶囊联合放化疗治疗肝转移瘤的疗效与安全性Meta分析

Meta-analysis of Efficacy and Safety of Jinlong Capsule Combined with Chemoradiotherapy on Liver Metastases

  • 摘要:
    目的 系统评价金龙胶囊联合放化疗治疗肝转移瘤的疗效及安全性。
    方法 根据Cochrane指南, 通过计算机检索PubMed、CNKI、维普、万方和CBM数据库中有关金龙胶囊治疗肝转移瘤的随机对照研究的文献, 由2名评价员按统一标准提取资料并独立评价。采用RevMan5.3软件进行分析。
    结果 最终纳入8项研究, 共504例患者。金龙胶囊有效率(P=0.0006)及免疫功能的改善作用(CD3:P=0.0003、CD4:P < 0.00001、CD4/CD8:P < 0.00001)均显著优于对照组, 但对CD8的影响与对照组比较差异无统计学意义(P=0.73), 消化系统不良反应恶心呕吐(P=0.01)、腹痛(P=0.05)等的发生率均显著低于对照组。
    结论 金龙胶囊可以提高患者免疫功能, 减少不良反应, 提高生活质量, 对肝转移瘤具有明显的辅助治疗作用。

     

    Abstract:
    Objective The efficacy and safety of Jinlong Capsule combined with chemoradiotherapy on liver metastases patients.
    Methods A computer-based search was conducted for the literature about the randomized controlled trials of Jinlong Capsule in the treatment of liver metastases in PubMed, CNKI, Weipu, Wanfang and CBM databases according to the Cochrane guidelines. Two evaluators extracted and evaluated the data according to the uniform standard independently. The analysis was performed using RevMan5.3 software.
    Results Eight studies were eventually included, involving 504 patients. The effective rate of Jinlong capsule (P=0.0006) and the improvement of immune function were significantly better than the control group (CD3:P=0.0003, CD4:P < 0.00001, CD4/CD8:P < 0.00001), however, the effect on CD8 was not significantly different (P=0.73). The incidence of digestive system adverse reactions nausea and vomiting(P=0.01) and abdominal pain(P=0.05) were significantly lower than that in the control group.
    Conclusion Jinlong Capsule could improve the immune function of patients, reduce side effects, improve the quality of life and has obvious auxiliary treatment effect on liver metastases.

     

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