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白细胞介素2联合顺铂治疗恶性胸腔积液有效性及安全性的Meta分析

孙永苹 汪成琼 陈玲 李娜娜 姚新生 肖政

重庆医学2017,Vol.46Issue(1):84-89,93,7.
重庆医学2017,Vol.46Issue(1):84-89,93,7.DOI:10.3969/j.issn.1671-8348.2017.01.020

白细胞介素2联合顺铂治疗恶性胸腔积液有效性及安全性的Meta分析

Effectiveness and safety of interleukin-2 plus cisplatin for treating malignant pleural effusion:a meta analysis

孙永苹 1汪成琼 2陈玲 1李娜娜 3姚新生 4肖政4

作者信息

  • 1. 遵义医学院附属医院遵义医学院循证医学中心/循证医学教育部网上合作研究中心遵义医学院分中心,贵州遵义 563003
  • 2. 遵义医学院珠海校区循证医学教研组,广东珠海 519100
  • 3. 遵义医学院附属医院呼吸内科/遵义医学院附属医院重大传染性疾病循证与转化研究中心,贵州遵义 563003
  • 4. 遵义医学院附属医院呼吸内科/遵义医学院附属医院重大传染性疾病循证与转化研究中心,贵州遵义 563003
  • 折叠

摘要

Abstract

Objective To systematically evaluate the effectiveness and safety of interleukin-2 plus cisplatin for treating ma-lignant pleural effusion(MPE)to provide a basis for clinical treatment strategy.Methods CBM,CNKI,VIP,Wanfang,Pubmed, Embase,Cochrane library clinical trial registration database were systematically retrieved.The randomized controlled trial(RCT) quality assessment criteria of Cochrane collaboration network was adopted for including the study quality.The data were extracted by meta analysis.Results (1)Thirty-four RCT involving 2 037 MPE patients were included,the quality of included RCT was ordi-nary;(2)compared with simple cisplatin,the merged RR values and their 95%CI of meta-analysis for ORR,fever,were 1.45 (1.36-1.54),2.37 (1.53 -3.66),respectively,the differences between the two groups were statistically significant(P <0.05 ). The merged RR values and their 95%CI of meta-analysis for leukopenia,myelosuppression and thoracalgia were 0.81 (0.61 -1.07),0.83(0.62-1.11)and 1.04(0.84-1.29)respectively,the differences between two groups were not statistically significant (P >0.05).Conclusion This study indicates that IL-2 plus cisplatin can significantly improve the clinical curative effect in the pa-tients with MPE,but has the adverse reactions of fever,etc.and the quality of included RCT is general.

关键词

白细胞介素2/顺铂/胸腔积液,恶性/Meta分析

Key words

interleukin-2/cisplatin/pleural effusion,malignant/meta analysis

分类

医药卫生

引用本文复制引用

孙永苹,汪成琼,陈玲,李娜娜,姚新生,肖政..白细胞介素2联合顺铂治疗恶性胸腔积液有效性及安全性的Meta分析[J].重庆医学,2017,46(1):84-89,93,7.

基金项目

遵义医学院博士启动基金(F-617);贵州省哲学社会科学规划基金(14GZYB58);贵州省第五批科技创新人才团队项目[黔科合(2012)4011]。 ()

重庆医学

1671-8348

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