Xu Yong, Peng Wen-Pan, Han Di, Feng Fan-Chao, Wang Zhi-Chao, Gu Cheng, Zhou Xian-Mei
Affiliated Hospital of Nanjing University of Chinese Medicine Nanjing 210029, China.
Zhongguo Zhong Yao Za Zhi. 2020 Aug;45(16):3967-3973. doi: 10.19540/j.cnki.cjcmm.20200115.503.
To systemically evaluate the efficacy and safety of Banmao Capsules in the adjuvant treatment for non-small cell lung cancer(NSCLC). All of randomized controlled trials(RCT) about Banmao Capsules in adjuvant treatment for non-small cell lung cancer were retrieved in PubMed, EMbase, Cochrane Library, CNKI, VIP, CBM, WanFang database from database inception to August 2019. Two researchers extracted data and assessed literature quality separately, and made a Meta-analysis by RevMan 5.3 software. Thirteen trials involving 1 148 patients, including 595 in treatment group and 553 in control group, were enrolled in the review. The Meta-analysis showed that compared with conventional treatment, adjuvant treatment of NSCLC with Banmao Capsules can enhance the objective tumor response rate(RR=1.43,95%CI[1.30,1.58],P<0.01), and the disease control rate(RR=1.16,95%CI[1.11,1.22],P<0.01); improve the quality of life(RR=1.56,95%CI[1.27,1.92],P<0.01); reduce the incidence of myelosuppression(RR=0.41,95%CI[0.26,0.66],P<0.01), gastrointestinal reactions(RR=0.46,95%CI[0.33,0.65],P<0.01), liver and kidney dysfunction(RR=0.44,95%CI[0.29,0.66],P<0.01). The results showed that in the treatment of NSCLC, Banmao Capsules can increase the short-term efficacy, improve the quality of life of patients, and reduce the side effects of platinum-based chemotherapy drugs. More high-quality and large-scale randomized controlled trials are required in the future.
系统评价斑蝥胶囊在非小细胞肺癌(NSCLC)辅助治疗中的疗效和安全性。检索PubMed、EMbase、Cochrane图书馆、中国知网、维普资讯、中国生物医学文献数据库、万方数据库中从建库至2019年8月关于斑蝥胶囊辅助治疗非小细胞肺癌的所有随机对照试验(RCT)。两名研究者分别提取数据并评估文献质量,采用RevMan 5.3软件进行Meta分析。纳入13项试验,共1148例患者,其中治疗组595例,对照组553例。Meta分析结果显示,与传统治疗相比,斑蝥胶囊辅助治疗NSCLC可提高客观肿瘤缓解率(RR=1.43,95%CI[1.30,1.58],P<0.01)、疾病控制率(RR=1.16,95%CI[1.11,1.22],P<0.01);改善生活质量(RR=1.56,95%CI[1.27,1.92],P<0.01);降低骨髓抑制发生率(RR=0.41,95%CI[0.26,0.66],P<0.01)、胃肠道反应发生率(RR=0.46,95%CI[0.33,0.65],P<0.01)、肝肾功能损害发生率(RR=0.44,95%CI[0.29,0.66],P<0.01)。结果表明,在NSCLC治疗中,斑蝥胶囊可提高近期疗效,改善患者生活质量,降低铂类化疗药物的副作用。未来需要更多高质量、大规模的随机对照试验。