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艾迪联合5-氟尿嘧啶治疗胃肠肿瘤术后的疗效和安全性的meta分析

Efficacy and Safety of Aidi Injection Combined with 5-fluorouracil and Aidi in the Treatment of Gastrointestinal Neoplasms after Surgery: A Meta-analysis

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【作者】 周张杰沈伟付淑娟吴婷婷夏晓婷刘新华钟薏

【Author】 Zhou Zhangjie;Shen Wei;Fu Shujuan;Wu Tingting;Liu Xinhua;Xia Xiaoting;Zhong Yi;Oncology Department, Shanghai TCM-integrated Hospital Affiliated to Shanghai University ofTraditional Chinese Medicine;Anorectal Department, Xinhua Hospital Affiliated toShanghai Jiaotong University;Science and Technology Experiment Center,Shanghai University of Traditional Chinese Medicine;

【通讯作者】 钟薏;

【机构】 上海中医药大学附属上海市中西医结合医院肿瘤科上海交通大学附属新华医院肛肠外科上海中医药大学科技实验中心

【摘要】 5-氟尿嘧啶是治疗胃肠肿瘤术后的常用化疗药,艾迪注射液是临床的常用注射剂,两药联合在临床上常见组合,需要其疗效及安全性的进行评估,以便更好地指导临床。本文系统地检索了检索维普、万方、知网数据库相关资料,对符合标准的文献进行质量分析,并使用Review Manger5.2软件进行分析,发现联合用药组患者疗效更好(RR=2.29,95%CI:1.44-3.62,P<0.001),生活质量改善(RR=1.22,CI在95%:10.14至1.31,P<0.001),白细胞减少(RR=0.53,95%CI 0.46-0.62,P<0.001),血小板减少(RR=0.48,95%CI:0.37-0.63,P<0.001)。这说明艾迪注射液在患者胃肠肿瘤术后进行化疗辅助使用,能够增强化疗的肿瘤杀伤作用,并且对于其常见副作用,如骨髓抑制、呕吐、腹泻等具有极好的预防作用,值得临床推广。

【Abstract】 5-fluorouracil is a commonly used chemotherapy drug for the treatment of gastrointestinal cancer. Aidi injection is a commonly used injection in clinical practice. The combination of the two drugs is commonly used in clinical practice. It needs the evaluation of its efficacy and safety for better guidance. clinical. This article systematically searched the relevant data of the database of Vip, Wanfang, and How Net, analyzed the quality of the literature that met the standards, and used Review Manger 5.2 software to analyze and found that patients in the combination group had better efficacy(RR=2.29,95). %CI: 1.44-3.62, P<0.001), quality of life improved(RR = 1.22, CI at 95%: 10.14 to 1.31,P<0.001), leucopenia(RR=0.53, 95% CI 0.46-0.62, P<0.001), Thrombocytopenia(RR = 0.48, 95% CI: 0.37-0.63, P<0.001). This shows that Aidi injection in the treatment of patients with gastrointestinal cancer chemotherapy after use,can enhance the tumor killing effect of chemotherapy, and for its common side effects, such as bone marrow suppression,vomiting, diarrhea, etc. have an excellent preventive effect, worthy of clinical promotion.

【基金】 上海市科学技术委员会科研计划项目(15401930300):健脾固肠方异病同治对晚期肺癌、肠癌化疗患者肠道屏障功能以及机体免疫的影响,负责人:钟薏;上海市卫生和计划生育委员会中医优势病种培育项目(zybz-2017015):结肠癌项目,负责人:钟薏
  • 【文献出处】 世界科学技术-中医药现代化 ,Modernization of Traditional Chinese Medicine and Materia Medica-World Science and Technology , 编辑部邮箱 ,2018年05期
  • 【分类号】R735
  • 【被引频次】2
  • 【下载频次】131
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