Mao Dan, Feng Lei, Huang Siqi, Zhang Shaofan, Peng Weijun, Zhang Sifang
Department of Integrated Traditional Chinese and Western Internal Medicine, The Second Xiangya Hospital of Central South University, Changsha, Hunan 410000, China.
Department of Oncology, Hunan Academy of Traditional Chinese Medicine Affiliated Hospital, Changsha, Hunan 410006, China.
Evid Based Complement Alternat Med. 2019 Mar 12;2019:3502460. doi: 10.1155/2019/3502460. eCollection 2019.
To systematically evaluate the efficacy of Xihuang pill (XHP) in breast cancer patients receiving chemotherapy.
Three English and four Chinese databases were searched. Literature was screened using EndNote X7 and data were analyzed by Review Manager.
This review included 13 randomized clinical studies of 1272 patients. The results showed that XHP increased the tumor response [risk ratio (RR) = 2.91; 95% confidence interval (CI): 1.98-4.26] and improved Karnofsky performance score (KPS) for breast cancer patients receiving chemotherapy [RR = 4.96; 95% CI = 2.07-11.86]. In addition, XHP treatment significantly reduced chemotherapy-induced adverse events, including nausea and vomiting [RR = 0.50; 95% CI = 0.33-0.74], WBC reduction [RR = 0.71; 95% CI = 0.47-1.06], platelet reduction [RR = 0.53; 95% CI = 0.19-1.44], hemoglobin reduction [RR = 0.31; 95% CI = 0.19-0.52], and hepatic function damage [RR = 0.63; 95% CI = 0.35-1.11].
XHP combined with chemotherapy in comparison with chemotherapy alone could significantly enhance the tumor response, improve KPS, and alleviate toxicity induced by chemotherapy in breast cancer patients.
系统评价西黄丸(XHP)在接受化疗的乳腺癌患者中的疗效。
检索了三个英文数据库和四个中文数据库。使用EndNote X7进行文献筛选,并通过Review Manager进行数据分析。
本综述纳入了13项随机临床研究,共1272例患者。结果显示,XHP提高了肿瘤反应率[风险比(RR)=2.91;95%置信区间(CI):1.98 - 4.26],并改善了接受化疗的乳腺癌患者的卡氏功能状态评分(KPS)[RR = 4.96;95% CI = 2.07 - 11.86]。此外,XHP治疗显著减少了化疗引起的不良事件,包括恶心和呕吐[RR = 0.50;95% CI = 0.33 - 0.74]、白细胞减少[RR = 0.71;95% CI = 0.47 - 1.06]、血小板减少[RR = 0.53;95% CI = 0.19 - 1.44]、血红蛋白减少[RR = 0.31;95% CI = 0.19 - 0.52]以及肝功能损害[RR = 0.63;95% CI = 0.35 - 1.11]。
与单纯化疗相比,XHP联合化疗可显著增强乳腺癌患者的肿瘤反应,改善KPS,并减轻化疗所致毒性。