Management of Human Papilloma Virus-Related Cervical and Gynaecological Pathogenesis Using Herbal Medicine, Meta Analysis

IF 2.2 4区 医学 Q2 INTEGRATIVE & COMPLEMENTARY MEDICINE Journal of Herbal Medicine Pub Date : 2024-09-03 DOI:10.1016/j.hermed.2024.100933
L. Qiao , X. Fan , Y. Xiao , J. Liang
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Abstract

Introduction

Human papillomavirus (HPV) is a major cause of cervical cancer, particularly types 16 and 18, which are responsible for 70% of cases. The current study’s main aim is to evaluate the impact of using herbal medicine extract for the management of HPV-related cervical and gynaecological pathogenesis.

Methods

A systematic literature was accomplished and 2007 patients with HPV-related diseases were recruited to the current studies; 1 089 of them were treated with herbal extracted products, and 918 were control groups. The inclusion criteria of the current study recruited only randomised clinical trials with a comparison-based design.

Results

Using herbal extracts for the treatment of HPV-related pathogenesis showed a significant improvement in short- and long-term using several plant-based preparations. Improved parameters were the rate of HPV clearance (P < 0.001), rate of cervical intraepithelial neoplasia (P < 0.001), and adverse events (P > 0.05). In contrast to the significant difference between the intervention group and control regarding efficacy-related parameters, there were no significant differences regarding adverse events occurrence rate. The heterogeneity of different model levels was assessed by I2 and ranged from 0% to 86.6%.

Conclusions

Using herbal medicine for the management of HPV-related cervical pathogenesis showed a beneficial impact regarding the clearance rate of high-risk HPV and a higher rate of cervical intraepithelial neoplasia regression. In addition, herbal medicines showed high safety rates compared to control.

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利用中草药治疗人乳头瘤病毒相关宫颈和妇科疾病的发病机制,Meta 分析
导言人类乳头瘤病毒(HPV)是宫颈癌的主要病因,尤其是16型和18型,占70%。本研究的主要目的是评估使用中草药提取物治疗与 HPV 相关的宫颈癌和妇科疾病发病机制的影响。方法 通过系统性文献研究,本研究招募了 2007 名患有 HPV 相关疾病的患者,其中 1 089 人接受了中草药提取物治疗,918 人为对照组。本研究的纳入标准仅包括基于比较设计的随机临床试验。结果使用草药提取物治疗人乳头瘤病毒相关疾病的发病机制显示,使用几种植物制剂在短期和长期治疗中均有显著改善。改善的参数包括 HPV 清除率(P< 0.001)、宫颈上皮内瘤变率(P< 0.001)和不良反应(P> 0.05)。干预组与对照组在疗效相关参数方面存在显著差异,而在不良事件发生率方面则无显著差异。结论使用中药治疗与HPV相关的宫颈发病机制,对高危HPV的清除率和更高的宫颈上皮内瘤变消退率产生了有益的影响。此外,与对照组相比,中药显示出较高的安全性。
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来源期刊
Journal of Herbal Medicine
Journal of Herbal Medicine INTEGRATIVE & COMPLEMENTARY MEDICINE-
CiteScore
3.90
自引率
0.00%
发文量
94
期刊介绍: The Journal of Herbal Medicine, the official journal of the National Institute of Medical Herbalists, is a peer reviewed journal which aims to serve its readers as an authoritative resource on the profession and practice of herbal medicine. The content areas of the journal reflect the interests of Medical Herbalists and other health professionals interested in the clinical and professional application of botanical medicines. The objective is to strengthen the research and educational base of herbal medicine with research papers in the form of case studies, original research articles and reviews, monographs, clinical trials and relevant in vitro studies. It also publishes policy statements, opinion pieces, book reviews, conference proceedings and profession related information such as pharmacovigilance reports providing an information source for not only the Herbal Practitioner but any Health professional with an interest in phytotherapy.
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