{"title":"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","authors":"L. Qiao , X. Fan , Y. Xiao , J. Liang","doi":"10.1016/j.hermed.2024.100933","DOIUrl":null,"url":null,"abstract":"<div><h3>Introduction</h3><p>Human papillomavirus (<strong>HPV</strong>) 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.</p></div><div><h3>Methods</h3><p>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.</p></div><div><h3>Results</h3><p>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 (<em>P</em> < 0.001), rate of cervical intraepithelial neoplasia (<em>P</em> < 0.001), and adverse events (<em>P</em> > 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<strong>.</strong> The heterogeneity of different model levels was assessed by I<sup>2</sup> and ranged from 0% to 86.6%.</p></div><div><h3>Conclusions</h3><p>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.</p></div>","PeriodicalId":2,"journal":{"name":"ACS Applied Bio Materials","volume":null,"pages":null},"PeriodicalIF":4.6000,"publicationDate":"2024-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Management of Human Papilloma Virus-Related Cervical and Gynaecological Pathogenesis Using Herbal Medicine, Meta Analysis\",\"authors\":\"L. Qiao , X. Fan , Y. Xiao , J. Liang\",\"doi\":\"10.1016/j.hermed.2024.100933\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Introduction</h3><p>Human papillomavirus (<strong>HPV</strong>) 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.</p></div><div><h3>Methods</h3><p>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.</p></div><div><h3>Results</h3><p>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 (<em>P</em> < 0.001), rate of cervical intraepithelial neoplasia (<em>P</em> < 0.001), and adverse events (<em>P</em> > 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<strong>.</strong> The heterogeneity of different model levels was assessed by I<sup>2</sup> and ranged from 0% to 86.6%.</p></div><div><h3>Conclusions</h3><p>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.</p></div>\",\"PeriodicalId\":2,\"journal\":{\"name\":\"ACS Applied Bio Materials\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":4.6000,\"publicationDate\":\"2024-09-03\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"ACS Applied Bio Materials\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S2210803324000903\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"MATERIALS SCIENCE, BIOMATERIALS\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"ACS Applied Bio Materials","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2210803324000903","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"MATERIALS SCIENCE, BIOMATERIALS","Score":null,"Total":0}
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.