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基于Meta分析的艾迪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 Aidi Injection Treating for Colorectal Cancer
  
DOI:
中文关键词:  艾迪注射液  结直肠癌  随机对照试验  Meta分析
英文关键词:Aidi 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
张丹吴嘉瑞刘施段笑娇王凯欢张晓朦张冰 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分析方法评价艾迪注射液辅助FOLFOX化疗方案治疗结直肠癌的临床疗效及安全性。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),检索时间从数据库建库至2016 年10月1日,纳入艾迪注射液联合FOLFOX化疗方案治疗结直肠癌的随机对照试验。由2位研究者独立对纳入文献进行偏倚风险评价,提取资料并通过 RevMan 5.3软件进行数据分析。结果:共纳入12项研究,累计患者932例。Meta分析结果显示,在FOLFOX化疗方案的基础上,联用艾迪注射液不仅可以改善患者的生存质量(RR=2.05,95%CI:1.69~2.49,P<0.000 01),而且有助于缓解化疗药物产生的不良反应,改善患者的免疫功能;同时,艾迪注射液能够提高临床总有效率(RR=1.16,95%CI:1.00~1.35,P=0.05)。结论:现有临床证据表明在FOLFOX化疗方案基础上联用艾迪注射液对结直肠癌有一定的辅助治疗作用。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 systematically evaluate the clinical effectiveness and safety of Aidi injection combined with FOLFOX chemotherapy regimen in the treatment of colorectal cancer. Methods:Eligible studies were searched in PubMed, the Cochrane library, Embase, CNKI, SinoMed, VIP, and Wanfang databases from establishment to October 2016. Two researchers independently identified RCTs of Aidi injection treating for colorectal cancer. The methodological quality of the included RCTs was evaluated, and then the data were extracted and Meta analyzed by RevMan5.3 software. Results:12 RCTs involving 932 patients were included. In the Meta analysis, Aidi injection combined with FOLFOX chemotherapy regimen can be better than FOLFOX chemotherapy regimen alone in the treatment of colorectal cancer in respect of improvement in life quality (RR=2.05, 95%CI:1.69-2.49, P<0.000 01). In addition, Aidi injection can reduce the adverse reactions, and improve immunologic function. However, the total effective rate was also improved in colorectal cancer patients with Aidi injection combined with FOLFOX chemotherapy regimen (RR=1.16, 95%CI: 1.00-1.35,P=0.05). Conclusion:Thus, our study showed that Aidi 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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