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基于Meta分析的康艾注射液辅助治疗结直肠癌临床评价研究
Meta-analysis on the Randomized Controlled Trials of Kangai Injection Treating for Colorectal Cancer
  
DOI:
中文关键词:  康艾注射液  结直肠癌  随机对照试验  Meta分析
英文关键词:Kangai injection  Colorectal cancer  Randomized controlled trial  Meta analysis
基金项目:国家自然科学基金项目(编号:81473547、81673829)
作者单位
张丹 吴嘉瑞 刘施 王凯欢 段笑娇 张晓朦 张冰 ①北京中医药大学中药学院(北京 100102) 
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中文摘要:
      摘 要 目的:采用Meta分析方法评价康艾注射液联合FOLFOX化疗方案治疗结直肠癌的临床疗效与安全性。方法:通过计算机检索PubMed、the Cochrane Library、Embase、中国期刊全文数据库(CNKI)、中国生物医学文献服务系统(SinoMed)、中文科技期刊数据库(VIP)、万方数据库(Wanfang)中关于康艾注射液联合FOLFOX化疗方案治疗结直肠癌的随机对照试验,检索时间从数据库建库至2016 年10月。由两位研究者独立对纳入研究进行偏倚风险评价,提取资料并通过RevMan 5.3 软件对纳入研究的临床疗效及安全性进行分析。结果:共纳入13项研究,累计患者952例。Meta分析结果显示,康艾注射液联合FOLFOX化疗方案不仅可以提高结直肠癌患者的临床总有效率(RR=1.17,95%CI:1.01~1.35,P=0.03),而且可以改善患者的生存质量(RR=2.06,95%CI:1.67~2.52,P<0.000 01),此外,可以降低不良反应发生率。结论:现有临床证据表明在FOLFOX化疗方案基础上联用康艾注射液对结直肠癌有一定的辅助治疗作用,值得临床推荐使用。但本研究结论尚需更多设计合理、严格执行的大样本随机双盲对照试验加以证实。
英文摘要:
      ABSTRACT Objective:To systemically evaluate the clinical efficacy and safety of Kangai injection combined with FOLFOX chemotherapy regimen in the treatment of colorectal cancer.Methods:The databases such as PubMed, the Cochrane Library, Embase, CNKI, SinoMed, VIP, and Wanfang database were searched to collect the randomized controlled trials (RCTs) about Kangai injection combined with FOLFOX chemotherapy regimen for colorectal cancer since from establishment to October 2016. According to the Cochrane Reviewer's Handbook, two reviewers independently screened the literature, extracted the data and assessed the methodological quality of the included RCTs. Then the Meta analysis was performed by using RevMan 5.3 software.Results:A total of 13 RCTs involving 952 participants were included. In the Meta analysis, Kangai injection combined with FOLFOX chemotherapy regimen can be better than FOLFOX chemotherapy regimen alone in the treatment of colorectal cancer in respect of the total effective rate (RR=1.17, 95%CI: 1.01 1.35, P=0.03), and improvement in life quality (RR=2.06, 95%CI: 1.67 2.52, P<0.000 01). In addition, Kangai injection can reduce the incidence rate of adverse reactions. Conclusion: Our study showed that Kangai injection combined with FOLFOX chemotherapy regimen is beneficial in the treatment of colorectal cancer, while our conclusion should be confirmed by more well designed and large scale randomized controlled trials.
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