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中药减轻乳腺癌患者化疗相关副作用的系统评价与Meta分析

Chinese Herbal Medicine for Reducing Chemotherapy-Associated Side-Effects in Breast Cancer Patients: A Systematic Review and Meta-Analysis.

作者信息

Li Sha, So Tsz-Him, Tang Guoyi, Tan Hor-Yue, Wang Ning, Ng Bacon Fung Leung, Chan Chris Kam Wa, Yu Edwin Chau-Leung, Feng Yibin

机构信息

Li Ka Shing Faculty of Medicine, School of Chinese Medicine, The University of Hong Kong, Hong Kong, Hong Kong.

Department of Clinical Oncology, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong, Hong Kong.

出版信息

Front Oncol. 2020 Dec 9;10:599073. doi: 10.3389/fonc.2020.599073. eCollection 2020.

Abstract

BACKGROUND

Chemotherapy usually induces a variety of side-effects in cancer treatment as it cannot tell normal cells apart from cancer cells and kills both. Chinese herbal medicine (CHM) has been regarded as a potential effective intervention for relieving the side-effects of chemotherapy in breast cancer patients.

OBJECTIVE

This study aims to conduct a comprehensive systematic review and meta-analysis to evaluate the efficacy of CHM as adjuvant therapy for reducing the chemotherapy-induced side-effects in the treatment of breast cancer.

METHODS

Main electronic databases were searched up to May 2020 for Randomized Controlled Trials (RCTs) evaluating the effect of CHM on breast cancer patients with chemotherapy. The PRISMA statement was adopted in this study and meta-analyses were performed.

RESULTS

The included studies showed unsatisfied quality. Results based on available literature indicated that the adjunctive use of CHM with chemotherapy may reduce the chemotherapeutic agents-associated adverse events, including nausea and vomiting, diarrhea, alopecia, myelosuppression, and impaired immune function.

CONCLUSION

A confident conclusion could not be have due to the lack of large scale and high quality trials.

摘要

背景

化疗在癌症治疗中通常会引发多种副作用,因为它无法区分正常细胞和癌细胞,两者都会被杀死。中药已被视为缓解乳腺癌患者化疗副作用的一种潜在有效干预措施。

目的

本研究旨在进行全面的系统评价和荟萃分析,以评估中药作为辅助疗法在减轻乳腺癌化疗所致副作用方面的疗效。

方法

检索主要电子数据库至2020年5月,查找评估中药对乳腺癌化疗患者疗效的随机对照试验(RCT)。本研究采用PRISMA声明并进行荟萃分析。

结果

纳入研究的质量不尽人意。基于现有文献的结果表明,中药与化疗联合使用可能会减少与化疗药物相关的不良事件,包括恶心、呕吐、腹泻、脱发、骨髓抑制和免疫功能受损。

结论

由于缺乏大规模高质量试验,无法得出确切结论。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fb66/7756083/d043bbe9ef32/fonc-10-599073-g001.jpg

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