榄香烯单药或联合放化疗治疗脑恶性肿瘤的Meta分析

Meta-Analysis of the Effect of Elemene Alone or Elemene Combined with Radiochemotherapy on Malignant Brain Tumor

  • 摘要: 目的:通过Meta 分析评价榄香烯治疗脑恶性肿瘤的近期疗效和1 年生存率,并探讨榄香烯在治疗脑恶性肿瘤中的疗效。方法:通过中国知网、CBM、维普、万方以及Medline数据库,查找1980~2009年的相关文献,制定纳入和排除标准;通过Jadad量表评价纳入研究的质量,近期疗效按WHO规定的肿瘤疗效评价标准:完全缓解(CR),部分缓解(PR),稳定(NC),进展(PD)。有效=CR+PR ,无效=NC+PD ;利用RevMan4.2 软件进行Meta 分析。结果:入选5 篇文献,共有患者351 例。其中5 篇均报道了近期疗效,171 例进入治疗组,180 例进入对照组。3 篇文献报道了1 年生存率,101 例进入治疗组,105 例进入对照组。对结果进行分析后认为,无论榄香烯单药治疗还是联合放疗均有一定疗效,并能提高1 年生存率。结论:榄香烯治疗脑恶性肿瘤已显示出一定的疗效,但仍需要多中心大样本随机对照进一步验证此结果。

     

    Abstract: Objective:To evaluate the short-term effect of elemene treatment on malignant brain tumors and to analyze patients’1-year survival rate using Meta-Analysis. Methods:We searched for related articles (1980-2009) in CNKI, CBM, VIP, Wanfang databases as well as the Medline database, and the standards of inclusion and exclusion were provided. The quality of the included study was evaluated by Jadad scale and the short-term effect was evaluated according to the re-sponse evaluation criteria in tumor provided by WHO: complete response (CR), partial response (PR), no change (NC), and progressive disease (PD). Efficacy was defined as CR/PR and inefficacy was defined as NC/PD. Revman 4.2 soft -ware was used for Meta-Analysis.Results: Five articles were adopted, and the total number of cases was351 . Short-term effect of Elemene was reported in five articles. There were 171 cases in the treatment group and 101 cases in the control group. Three articles reported 1-year survival rate. There were 101 cases in the treatment group and 105 cases in the con-trol group. Elemene alone or combined with radiotherapy improved 1-year survival rate. Conclusion:Elemene is demonstrat-ed effective in treating brain tumors, and it can be widely used. More series of controlled, perspective, randomized, dou-ble-blind, well-designed, and multi-center trials should be performed for further confirmation of the effect of Elemene on ma-lignant brain tumors.

     

/

返回文章
返回