Objective To propose risk prevention and control strategies by sorting out objective studies on hepatocellular carcinoma caused by aristolochic acid(AA).Methods The research progress of hepatocellular carcinoma caused by AA was briefly described.The scientific significance of the re-study of the correlation between AA and hepatocellular carcinoma was elucidated.The objectivity,authenticity,and systematic research content of the study on hepatocellular carcinoma caused by AA by our group were sorted out,and the prevention and control strategies of traditional Chinese medicines containing AA were proposed.Results and Conclusion The result clarified a lack of a correlation between AA and hepatocellular carcinoma.Risk prevention and control strategies for safe use of traditional Chinese medicines and preparations containing aristolochic acid were proposed including clarification of risk-benefit ratios,comprehensive analysis of pharmaceutical research data for regulatory decision-making;adoption of graded management measures for patients with different levels of risk;establishment of quality-control methods for safety and standards for limitations;and establishment of a new method for the scientific cognition and precise evaluation of the use of traditional Chinese medicines.
关键词
马兜铃酸/肝癌/中药安全性/风险防控/质量控制
Key words
aristolochic acid/hepatocellular carcinoma/safety evaluation/risk prevention and control/quality control