小柴胡汤联合经导管动脉栓塞化疗治疗原发性肝癌的有效性与安全性的系统评价

张雯雯; 蒋吟啸; 杨丹; 胡启超; 文建霞; 郭耀光; 曾进浩; 李浩田; 马骁

doi:10.14009/j.issn.1672-2124.2020.02.005

您当前的位置：

首页 >

文章列表页 >

小柴胡汤联合经导管动脉栓塞化疗治疗原发性肝癌的有效性与安全性的系统评价

本期特稿 | 更新时间：2022-10-08

- 小柴胡汤联合经导管动脉栓塞化疗治疗原发性肝癌的有效性与安全性的系统评价
- Systematic Review of Efficacy and Safety of Xiaochaihu Decoction Combined with Transcatheter Arterial Chemoembolization in the Treatment of Primary Liver Cancer
- 中国医院用药评价与分析 2020年20卷第2期页码：149-153
- 作者机构：
  
  1. 成都中医药大学药学院中药材标准化教育部重点实验室
  2. 成都中医药大学临床医学院
  3. 解放军总医院第五医学中心药学部
- 作者简介：
- 基金信息：
  
  国家自然科学基金项目（No.81703725）;四川省科技厅应用基础项目（No.2019YJ0492）;成都中医药大学教改建设项目（No.JGZD201918）;成都中医药大学杏林学者学科人才科研提升计划（No.QNXZ2018025）
- DOI：10.14009/j.issn.1672-2124.2020.02.005
  中图分类号： R735.7
- 纸质出版日期：2020，
扫描看全文
[1]张雯雯,蒋吟啸,杨丹,胡启超,文建霞,郭耀光,曾进浩,李浩田,马骁.小柴胡汤联合经导管动脉栓塞化疗治疗原发性肝癌的有效性与安全性的系统评价[J].中国医院用药评价与分析,2020,20(02):149-153+157.

ZHANG Wenwen, JIANG Yinxiao, YANG Dan, et al. Systematic Review of Efficacy and Safety of Xiaochaihu Decoction Combined with Transcatheter Arterial Chemoembolization in the Treatment of Primary Liver Cancer[J]. 2020,20(2):149-153.
[1]张雯雯,蒋吟啸,杨丹,胡启超,文建霞,郭耀光,曾进浩,李浩田,马骁.小柴胡汤联合经导管动脉栓塞化疗治疗原发性肝癌的有效性与安全性的系统评价[J].中国医院用药评价与分析,2020,20(02):149-153+157. DOI： 10.14009/j.issn.1672-2124.2020.02.005.

ZHANG Wenwen, JIANG Yinxiao, YANG Dan, et al. Systematic Review of Efficacy and Safety of Xiaochaihu Decoction Combined with Transcatheter Arterial Chemoembolization in the Treatment of Primary Liver Cancer[J]. 2020,20(2):149-153. DOI： 10.14009/j.issn.1672-2124.2020.02.005.

摘要

目的:基于荟萃分析（Meta分析）方法

系统评价小柴胡汤联合经导管动脉栓塞化疗（transcatheter arterial chemoembolization

TACE）治疗原发性肝癌的有效性与安全性。方法:计算机检索中国知网、万方数据库、维普数据库、中国生物医学文献数据库、PubMed、EMBase及the Cochrane Library等数据库

纳入关于小柴胡汤联合TACE治疗原发性肝癌的随机对照试验文献（研究组患者采用小柴胡汤联合TACE治疗

对照组患者采用TACE治疗）

提取资料并评价方法学质量后

采用Rev Man 5. 3软件进行Meta分析。结果:共纳入9篇文献

涉及880例患者。Meta分析结果显示

治疗后

研究者患者的总有效率明显高于对照组（≤1个月:RR=1. 47

95%CI=1. 21～1. 79

P=0. 000 1;>1个月:RR=2. 01

95%CI=1. 46～2. 75

P<0. 000 1）

丙氨酸氨基转移酶（MD=-27. 34

95%CI=-50. 63～-4. 04

P=0. 02）、天门冬氨酸氨基转移酶（MD=-29. 41

95%CI=-48. 36～-10. 45

P=0. 002）水平明显低于对照组

差异均有统计学意义;两组患者总胆红素水平的差异无统计学意义（MD=-2. 71

95%CI=-5. 72～0. 31

P=0. 08）;研究组患者肝癌组织中耐药基因P糖蛋白阳性表达率明显低于对照组（RR=0. 61

95%CI=0. 44～0. 86

P=0. 005）、血清甲胎蛋白降低率明显高于对照组（RR=1. 29

95%CI=1. 02～1. 63

P=0. 03）

差异均有统计学意义;研究组患者的生活质量提高率明显高于对照组

差异有统计学意义（RR=1. 93

95%CI=1. 43～2. 61

P<0. 000 1）。结论:小柴胡汤联合TACE治疗原发性肝癌疗效显著

可显著提高患者的生活质量。

Abstract

OBJECTIVE: To systematically evaluate the clinical efficacy and safety of Xiaochaihu decoction combined with transcatheter arterial chemoembolization（ TACE） in the treatment of primary liver cancer based on Meta-analysis. METHODS: CNKI

Wanfang database

VIP database

CBM

Pubmed

EMBase and the Cochrane Library were retrieved to collect the clinical randomized controlled trial（ RCT） of Xiaochaihu decoction combined with TACE in the treatment of primary liver cancer（ the study group was given Xiaochaihu decoction combined with TACE

while the control group received TACE）. After the data were extracted and the quality of the included literature was evaluated

Meta-analysis was conducted by RevMan 5. 3 software. RESULTS: Totally 9 literature were collected

including 880 patients. After treatment

the total effective rate in the study group was significantly higher than that in the control group（ ≤1 month: RR = 1. 47

95% CI = 1. 21-1. 79

P = 0. 000 1; >1 month: RR = 2. 01

95% CI = 1. 46-2. 75

P < 0. 000 1）

alanine aminotransferase（ MD =-27. 34

95% CI =-50. 63--4. 04

P = 0. 02） and aspartic aminotransferase（ MD =-29. 41

95% CI =-48. 36--10. 45

P = 0. 002） were significantly lower than those in the control group

with statistically significant differences. There was no significant difference in total bilirubin levels between two groups（ MD =-2. 71

95% CI =-5. 72-0. 31

P = 0. 08）. The positive expression rate of drug resistance gene P-gp in liver cancer tissues of the study group was significantly lower than that of the control group（ RR = 0. 61

95%CI = 0. 44-0. 86

P = 0. 005）

and decrease rate of serum alpha fetoprotein of the study group was significantly higher than that of the control group（ RR = 1. 29

95% CI = 1. 02-1. 63

P = 0. 03）

with statistically significant differences. The improvement rate of quality of life in the study group was significantly higher than that in the control group

with statistically significant differences（ RR = 1. 93

95% CI = 1. 43-2. 61

P < 0. 000 1）. CONCLUSIONS: The efficacy of Xiaochaihu decoction combined with TACE in the treatment of primary liver cancer is significant

which can effectively improve patients’ quality of life.

关键词

小柴胡汤经导管动脉栓塞化疗原发性肝癌Meta分析

Keywords

Xiaochaihu decoctionTranscatheter arterial chemoembolizationPrimary liver cancerMeta-analysis

references

查看原文

浏览量

130

下载量

CSCD

文章被引用时，请邮件提醒。

提交

工具集

关联资源

回生口服液对非小细胞肺癌患者凝血功能、疗效及安全性影响的系统评价

丹田降脂丸联合他汀类药物治疗高脂血症疗效与安全性的系统评价

润燥止痒胶囊联合抗组胺药治疗慢性荨麻疹的系统评价

良附丸中药配方颗粒治疗胃脘痛临床疗效和安全性的系统评价

基于Meta分析的替格瑞洛联合瑞舒伐他汀治疗不稳定型心绞痛的疗效和安全性评价