Systematic evaluation of brucea javanica oil adjuvant therapy of primary hepatocellular carcinoma
10.3760/cma.j.issn.1008-1372.2016.08.011
- VernacularTitle:鸦胆子油辅助治疗原发性肝癌的系统评价
- Author:
Jingyu LI
;
Ping LI
;
Guangsheng WAN
;
Jue SUN
- Publication Type:Journal Article
- Keywords:
BRUCEA JAVANICA/AD;
Liver neoplasms/ZD
- From:
Journal of Chinese Physician
2016;18(8):1162-1168,1171
- CountryChina
- Language:Chinese
-
Abstract:
Objective To review the efficacy and safety of brucea javanica oil in the adjuvant therapy of primary hepatocellular carcinoma (HCC).Methods China National Knowledge Infrastructure (CNKI),China Biology Medicine (CBM),VIP,Wanfang database,Pubmed,Web of Science,ScienceDirect,and Cochrane Library were searched from their inception to December 2015.Then contact with the field experts and correspondence authors for gray literature.Two reviewers independently searched the databases,performed data extraction,and appraised the publications.The Reviewer Manager 5.3 software was employed for data analysis.Results Fifteen clinical trials with 1 128 HCC patients were included.Meta-analysis confirmed that the brucea javanica oil group,compared to the control group,was more advantageous to reduce the incidence of postoperative fever,bone marrow suppression,and gastrointestinal reaction.In addition,it might reduce the level of alpha fetoprotein (AFP),enhance immunity,and improve clinical symptoms.However,more evidence would be needed to support these results.Conclusions Brucea javanica oil is considered to reduce toxicity and increase efficiency in the adjuvant therapy for the HCC,but more high quality,multi-center,large sample,randomized,double-blind clinical trials are also needed for supporting this view.
