HAN Yan-hong, JIE Ke, ZHANG He, et al. Meta-analysis of Modified Shashen Maidong Tang Combined with Chemotherapy in Treating Patients with Non-small Cell Lung Cancer[J]. Chinese journal of experimental traditional medical formulae, 2016, 22(7): 218-222.
HAN Yan-hong, JIE Ke, ZHANG He, et al. Meta-analysis of Modified Shashen Maidong Tang Combined with Chemotherapy in Treating Patients with Non-small Cell Lung Cancer[J]. Chinese journal of experimental traditional medical formulae, 2016, 22(7): 218-222. DOI: 10.13422/j.cnki.syfjx.2016070218.
Objective: To systemically evaluate the efficacy and the safety of modified Shashen Maidong Tang combined with chemotherapy in treating patients with non-small cell lung cancer. Method: We searched randomized controlled clinical studies on modified Shashen Maidong Tang combined with chemotherapy for non-small cell lung cancer in the databases of CNKI
Wanfang Data
VIP
CBM and PubMed from the database building date to 2015.Articles were selected in accordance with the inclusion/exclusion criteria;quality of included studies was evaluated and data was extracted
then Revmen5.3 software was used for Meta-analysis. Result: The 10 randomized controlled trials were included for systematic review
all of which were of low quality studies with Jadad score<3.Meta results showed that:compared with the control group
the effective rate [OR= 1.70
95%CI (1.25
2.31)
P=0.000 7] and stable rate [OR=2.26
95%CI (1.51
3.37)
P<0.000 1] of Shashen Maidong Tang combined with chemotherapy for non-small cell lung were higher
and it could reduce bone marrow suppression [OR=0.42
95%CI (0.23
0.78)
P=0.006]
with statistically significant difference. In respect of reducing liver function [OR=0.67
95%CI (0.38
1.20)
P=0.18]
renal impairment [OR=0.77
95%CI (0.38
1.57)
P=0.48] and gastrointestinal symptoms [OR=0.61
95%CI (0.34
1.12)
P=0.11]
there was no significant difference between Shashen Maidong Tang combined with chemotherapy group and control group. Conclusion: Shashen Maidong Tang combined with chemotherapy for non-small cell lung cancer have better efficacy and could reduce side effects of chemotherapy such as marrow suppression. However
the existing research evidence level is low
and more large-sample
high-quality
and multi-center randomized controlled trials are still needed for further verification.