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巴西公共卫生系统推荐的药用植物治疗化疗、放疗和放化疗引起的副作用的治疗潜力:系统评价。

Therapeutic potential of medicinal plants indicated by the Brazilian public health system in treating the collateral effects induced by chemotherapy, radiotherapy, and chemoradiotherapy: A systematic review.

机构信息

Christus University Center - UNICHRISTUS, Fortaleza, Brazil.

Christus University Center - UNICHRISTUS, Fortaleza, Brazil.

出版信息

Complement Ther Med. 2020 Mar;49:102293. doi: 10.1016/j.ctim.2019.102293. Epub 2020 Jan 2.

Abstract

OBJECTIVE

This study, through a systematic review, evaluated the therapeutic effect of medicinal plants that were of interest to the Unified Health System (SUS) in treating the side effects induced by chemotherapy, radiotherapy and chemoradiotherapy in cancer patients.

METHODOLOGY

According to the PRISMA guidelines, a systematic search was conducted in the PubMed, Lilacs and Scopus databases from January 2009 to December 2018, using the groups of descriptors (Cancer OR Neoplasia OR Tumor) and (controlled clinical trial OR randomized clinical trial) associated with the scientific names of the 71 medicinal plants described in RENISUS. The study is registered in PROSPERO CRD42019129927.

RESULTS

Of the 29 articles selected, only 17 demonstrated the therapeutic potential of plants included in RENISUS to prevent or treat the side effects induced by chemotherapy, radiotherapy or chemoradiotherapy, either solely or through an adjuvant effect from drugs already used in the medical clinic. The two plant-based therapies that had the most studies exploring their therapeutic potential on side effects were Zingiber officinale and Aloe vera.

CONCLUSION

This study showed that some plants listed in RENISUS have shown preventive and curative potential on side effects induced by conventional treatments in patients with different types of cancer. Therefore, the use of scientifically proven herbal products, in conjunction with conventional therapies, can contribute to a better quality of life in cancer patients undergoing conventional treatments.

摘要

目的

本研究通过系统评价,评估了对统一卫生系统(SUS)有兴趣的药用植物在治疗癌症患者化疗、放疗和放化疗引起的副作用方面的治疗效果。

方法

根据 PRISMA 指南,从 2009 年 1 月至 2018 年 12 月,在 PubMed、Lilacs 和 Scopus 数据库中,使用癌症或肿瘤组的描述符(Cancer OR Neoplasia OR Tumor)和(对照临床试验或随机临床试验)与 RENISUS 中描述的 71 种药用植物的科学名称相关联,进行了系统搜索。该研究已在 PROSPERO CRD42019129927 中注册。

结果

在 29 篇入选的文章中,只有 17 篇显示了 RENISUS 中收录的植物在预防或治疗化疗、放疗或放化疗引起的副作用方面的治疗潜力,无论是单独使用还是通过已在临床使用的药物的辅助作用。有两种基于植物的疗法有最多的研究探索其在副作用方面的治疗潜力,分别是姜和芦荟。

结论

本研究表明,RENISUS 中列出的一些植物对不同类型癌症患者的常规治疗引起的副作用具有预防和治疗潜力。因此,使用经过科学验证的草药产品与常规疗法结合使用,可以提高接受常规治疗的癌症患者的生活质量。

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