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华西医学  2012 

卡培他滨联合伊立替康治疗转移性结直肠癌的Meta分析

, PP. 687-692

Keywords: 卡培他滨,伊立替康,结直肠肿瘤,Meta分析

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Abstract:

目的 评价卡培他滨+伊立替康与氟尿嘧啶/醛氢叶酸(5-FU/LV)+伊立替康治疗转移性结直肠癌的有效性和安全性。方法 计算机检索PubMed、CENTRAL、Embase、中国生物医学数据库、中国期刊全文数据库、维普数据库和万方数据库,检索时间均从建库至2011年9月。对符合纳入标准的随机对照试验进行质量评价和Meta分析。结果 纳入3个随机对照试验,共计419例患者,卡培他滨+伊立替康在中位生存期、完全缓解率RR=1.58,95%CI(0.27,9.11),P=0.61、部分缓解率RR=0.86,95%CI(0.68,1.09),P=0.20、总有效率RR=0.88,95%CI(0.71,1.09),P=0.26上表现出与5-FU/LV+伊立替康相似的效果,安全性方面卡培他滨+伊立替康有较高的Ⅲ/Ⅳ级恶心RR=1.92,95%CI(1.05,3.54),P=0.04、腹泻RR=3.23,95%CI(2.14,4.89),P<0.00001发生风险和较低的Ⅲ/Ⅳ级中性粒细胞减少RR=0.72,95%CI(0.53,0.98),P=0.04发生风险。结论 根据当前现有证据,5-FU/LV+伊立替康可能较卡培他滨+伊立替康更为有利于转移性结直肠癌患者的治疗,但仍需结合临床实际情况进行化疗方案的优选。

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