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蛋白酪氨酸激酶抑制剂对肿瘤患者肝毒性作用的 Meta分析▲

刘锦新 陈奕芝 龙玲 吴狄

广西医学Issue(4):414-417,4.
广西医学Issue(4):414-417,4.DOI:10.11675/j.issn.0253-4304.2013.04.09

蛋白酪氨酸激酶抑制剂对肿瘤患者肝毒性作用的 Meta分析▲

Risk of Hepatotoxicity Induced by Protein Tyrosine Kinase Inhibitor in Cancer Patients:A Meta-Analysis

刘锦新 1陈奕芝 2龙玲 3吴狄4

作者信息

  • 1. 广东省深圳市龙岗中心医院肿瘤科,深圳市 518116
  • 2. 广东省深圳市龙岗中心医院信息科,深圳市 518116
  • 3. 广西壮族自治区医学科学情报研究所,南宁市 530022
  • 4. 南方医科大学南方医院肿瘤科,广州市 510515
  • 折叠

摘要

Abstract

Objective To investigate the risk of hepatotoxicity induced by protein tyrosine kinase inhibitor (TKI) in cancer patients.Methods A search for the related case-control studies on TKI for the treatment of cancer patients was conducted in databases including PubMed ,CNKI,CBM,Wangfang,and search engines such as Google , Baidu.The risk of hepatotoxicity induced by TKI was evaluated .Results A total of 6 case-control studies were included.A Meta-analysis showed that the risk of hepatotoxicity in the TKI group increased significantly compared with placebo group (pooled odds ratio(OR)=6.07,95%confidence interval(CI)=3.06-12.05);Taking AST elevation as an observation index,the pooled analysis suggested that the risk of hepatotoxicity increased significantly in the patients treated with TKI(OR=6.84,95%CI=2.87-16.28).Conclusion The risk of hepatotoxicity increases significantly in cancer patients treated with TKI,which suggests that the real-time detection and observation on the patients′liver function should be performed during the treatment .

关键词

酪氨酸激酶抑制/病例对照/肿瘤/肝毒性/Meta分析

Key words

Tyrosine kinase inhibitor/Case-control study/Cancer/Hepatotoxicity,Meta-analysis

分类

医药卫生

引用本文复制引用

刘锦新,陈奕芝,龙玲,吴狄..蛋白酪氨酸激酶抑制剂对肿瘤患者肝毒性作用的 Meta分析▲[J].广西医学,2013,(4):414-417,4.

基金项目

广东省深圳市留深博士后科研资助项目(2013年);广东省深圳市龙岗区医疗卫生科技计划项目 ()

广西医学

OACSTPCD

0253-4304

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