Department of Breast Surgery (Integrated Traditional and Western Medicine), Long Hua Hospital affiliated to Shanghai University of Traditional Chinese Medicine, Shanghai, China.
Shanghai University of Traditional Chinese Medicine, Shanghai, China.
Medicine (Baltimore). 2022 Jul 29;101(30):e29691. doi: 10.1097/MD.0000000000029691.
To assess the benefits and harmful effects of Chinese herbal medicine (CHM) formulations in preventing anthracyclines (ANT)-induced cardiotoxicity.
The Cochrane Library, Pubmed and EMBASE databases were electronically searched for relevant randomized controlled trials (RCTs) published till December 2021 in English or Chinese-language, in addition to manual searches through the reference lists of the selected papers, and the Chinese Conference Papers Database. Data was extracted by 2 investigators independently.
Seventeen RCTs reporting 11 different CHMs were included in this meta-analysis. The use of CHM reduced the occurrence of clinical heart failure (RR 0.48, 95% CI 0.39 to 0.60, P < .01) compared to the control group. Data on subclinical heart failure in terms of LVEF values showed that CHM reduced the occurrence of subclinical heart failure (RR 0.47, 95% CI 0.35 to 0.62, P < .01) as well.
CHM is an effective and safe cardioprotective intervention that can potentially prevent ANT-induced cardiotoxicity. However, due to the insufficient quality of the included trials, our results should be interpreted with cautious.
评估中草药(CHM)制剂预防蒽环类药物(ANT)诱导性心脏毒性的益处和有害影响。
电子检索 Cochrane 图书馆、Pubmed 和 EMBASE 数据库中截至 2021 年 12 月以英文或中文发表的相关随机对照试验(RCT),此外还通过对选定论文的参考文献列表以及中国会议论文数据库进行手工检索。由 2 名调查员独立提取数据。
这项荟萃分析纳入了 17 项 RCT,报告了 11 种不同的 CHM。与对照组相比,使用 CHM 可降低临床心力衰竭的发生(RR 0.48,95%CI 0.39 至 0.60,P<.01)。关于左心室射血分数(LVEF)值的亚临床心力衰竭的数据表明,CHM 也可降低亚临床心力衰竭的发生(RR 0.47,95%CI 0.35 至 0.62,P<.01)。
CHM 是一种有效且安全的心脏保护干预措施,可能预防 ANT 诱导性心脏毒性。然而,由于纳入试验的质量不足,我们的结果应谨慎解释。