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

IF 4.6 Q2 MATERIALS SCIENCE, BIOMATERIALS ACS Applied Bio Materials Pub Date : 2024-09-03 DOI:10.1016/j.hermed.2024.100933
L. Qiao , X. Fan , Y. Xiao , J. Liang
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引用次数: 0

摘要

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

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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来源期刊
ACS Applied Bio Materials
ACS Applied Bio Materials Chemistry-Chemistry (all)
CiteScore
9.40
自引率
2.10%
发文量
464
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