首页|中药治疗化疗后癌因性疲乏有效性及安全性的Meta分析

中药治疗化疗后癌因性疲乏有效性及安全性的Meta分析

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目的 系统评价口服中药对癌症患者化疗后癌因性疲乏的疗效与安全性.方法 全面检索有关口服中药治疗癌症患者化疗后癌因性疲乏的临床研究,使用(ROB2)风险评估工具对纳入的文献进行质量评价,使用Stata15软件进行Meta分析.结果 共纳入30篇文献,合并分析结果显示口服中药联合化疗治疗化疗后癌因性疲乏更有效[RR=1.59,95%CI=(1.40-1.80),P<0.01)];Piper 评分更低:[SMD=-1.98,CI=(-2.60,-1.36),P<0.01];生活质量更高[SMD=2.04,95%CI=(1.09,2.98),P<0.01].安全性分析发现,口服中药联合化疗治疗不良反应发生率更低,[RR=0.57,95%CI=(0.48,0.67),P<0.01)].结论 结果表明,口服中药联合化疗与单一治疗相比,可以显著的改善癌症患者癌因性疲乏的各种结局指标,说明口服中药治疗癌症患者化疗后癌因性疲乏具有其临床价值.
Meta-analysis of Effectiveness and Safety of Traditional Chinese Medicine in the Treatment of Cancer-Related Fatigue after Chemotherapy
Objective:To systematically evaluate the effectiveness and safety of oral Chinese medicine on cancer-related fatigue after chemotherapy in cancer patients.Methods:Clinical studies related to oral Chinese medicine treatment of cancer patients with cancer-related fatigue after chemotherapy were comprehensively searched.The qual-ity of included literature was evaluated using(ROB2)risk assessment tool,and meta-analysis was performed using Stata15 software.Results:A total of 30 literature were included.The combined analysis showed that oral Chinese medicine combined with chemotherapy was more effective in treating cancer-related fatigue after chemotherapy[RR=1.59,95%CI=(1.40-1.80),P<0.01].Piper score was lower,[SMD=-1.98,CI=(-2.60,-1.36),P<0.01].Quality of life was higher,[SMD=2.04,95%CI=(1.09,2.98),P<0.01].Safety analysis showed that oral Chinese medicine combined with chemotherapy had a lower incidence of adverse reactions[RR=0.57,95%CI=(0.48,0.67),P<0.01)].Conclusion:The results show that oral Chinese medicine combined with chemother-apy can significantly improve various outcome indexes of cancer-related fatigue in cancer patients when compared with single therapy,indicating that oral Chinese medicine has its clinical value in treating cancer-related fatigue after chemotherapy.

Cancer-Related FatigueChemotherapyOral Chinese MedicineSystematic EvaluationMeta-Analysis

陈琳俪、张阿润、卜文璐、赵欣然、刘传波、孙韬

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北京中医药大学第二临床医学院,北京 100029

北京中医药大学东方医院,北京 100078

癌因性疲乏 化疗 口服中药 系统评价 meta分析

首都卫生发展科研专项北京市中医药重点专科建设项目(十四五)国家重点研发计划

2022-2-1023BJZKBC00032018YFC1705100

2024

云南中医中药杂志
云南省中医中药研究院,云南省中医药学会

云南中医中药杂志

影响因子:0.598
ISSN:1007-2349
年,卷(期):2024.45(5)
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