GnRH类似物联合化疗对绝经前女性卵巢功能保护的Meta分析

目的:探讨在化疗过程中促性腺激素释放激素(Gn RH)类似物对绝经前女性卵巢功能的保护。方法:计算机检索Pub Med、EMbase、Cochrane Library、中国知识资源总库(CNKI系列数据库)、中国生物医学文献数据库(CBM)、维普数据库、万方数据库,检索时间2000年1月—2017年7月。全面收集Gn RH类似物联合化疗对绝经前女性卵巢功能影响的临床试验,采用Cochrane系统评价的方法,提取数据,评价研究质量,并采用Rev Man 5.3软件进行合并分析。结果:共纳入13项随机对照试验(RCT)研究,包括1 539例患者。Gn RH类似物联合化疗可明显保护绝经前女性卵巢功能...

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Published in国际妇产科学杂志 Vol. 45; no. 1; pp. 94 - 100
Main Author 王倩;郎琳;贾英
Format Journal Article
LanguageChinese
Published 400016,重庆医科大学第一附属医院 2018
Subjects
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ISSN1674-1870
DOI10.3969/j.issn.1674-1870.2018.01.020

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Abstract 目的:探讨在化疗过程中促性腺激素释放激素(Gn RH)类似物对绝经前女性卵巢功能的保护。方法:计算机检索Pub Med、EMbase、Cochrane Library、中国知识资源总库(CNKI系列数据库)、中国生物医学文献数据库(CBM)、维普数据库、万方数据库,检索时间2000年1月—2017年7月。全面收集Gn RH类似物联合化疗对绝经前女性卵巢功能影响的临床试验,采用Cochrane系统评价的方法,提取数据,评价研究质量,并采用Rev Man 5.3软件进行合并分析。结果:共纳入13项随机对照试验(RCT)研究,包括1 539例患者。Gn RH类似物联合化疗可明显保护绝经前女性卵巢功能(OR=2.42,95%CI:1.48-3.95,P=0.000 4)。其中7篇文献报道了妊娠率,结果显示Gn RH类似物联合化疗可增加妊娠率(OR=1.69,95%CI:1.06-2.69,P=0.03)。结论:Gn RH类似物联合化疗能够保护绝经前女性卵巢功能,提高妊娠率。
AbstractList 目的:探讨在化疗过程中促性腺激素释放激素(Gn RH)类似物对绝经前女性卵巢功能的保护。方法:计算机检索Pub Med、EMbase、Cochrane Library、中国知识资源总库(CNKI系列数据库)、中国生物医学文献数据库(CBM)、维普数据库、万方数据库,检索时间2000年1月—2017年7月。全面收集Gn RH类似物联合化疗对绝经前女性卵巢功能影响的临床试验,采用Cochrane系统评价的方法,提取数据,评价研究质量,并采用Rev Man 5.3软件进行合并分析。结果:共纳入13项随机对照试验(RCT)研究,包括1 539例患者。Gn RH类似物联合化疗可明显保护绝经前女性卵巢功能(OR=2.42,95%CI:1.48-3.95,P=0.000 4)。其中7篇文献报道了妊娠率,结果显示Gn RH类似物联合化疗可增加妊娠率(OR=1.69,95%CI:1.06-2.69,P=0.03)。结论:Gn RH类似物联合化疗能够保护绝经前女性卵巢功能,提高妊娠率。
目的:探讨在化疗过程中促性腺激素释放激素(GnRH)类似物对绝经前女性卵巢功能的保护.方法:计算机检索PubMed、EMbase、Cochrane Library、中国知识资源总库(CNKI系列数据库)、中国生物医学文献数据库(CBM)、维普数据库、万方数据库,检索时间2000年1月—2017年7月.全面收集GnRH类似物联合化疗对绝经前女性卵巢功能影响的临床试验,采用Cochrane系统评价的方法,提取数据,评价研究质量,并采用RevMan 5.3软件进行合并分析.结果:共纳入13项随机对照试验(RCT)研究,包括1539例患者.GnRH类似物联合化疗可明显保护绝经前女性卵巢功能(OR=2.42,95%CI:1.48~3.95,P=0.0004).其中7篇文献报道了妊娠率,结果显示GnRH类似物联合化疗可增加妊娠率(OR=1.69,95%CI:1.06~2.69,P=0.03).结论:GnRH类似物联合化疗能够保护绝经前女性卵巢功能,提高妊娠率.
Abstract_FL Objective:To estimate whether gonadotropin-releasing hormone (GnRH) analog administration during chemotherapy can protect premenopausal women against the ovarian toxicity. Methods:We searched the electronic bibliographic databases,including the Cochrane Library,PubMed,EMbase,CBM,CNKI,VIP database and Wanfang database to assemble relevant clinical trials.The search covered January 2000 to July 2017 and clinical studies related to GnRH analog co-treatment with chemotherapy to ovarian function in premenopausal women. Data were extracted and evaluated using the methods recommended by Cochrane handbook.The RevMan 5.3 software was used for Meta-analysis. Results:Thirteen RCTs involving 1 539 patients were included.GnRH analog co-treatment significantly increase ovarian function resumption (OR=2.42,95%CI:1.48~3.95,P=0.000 4).Seven trials mentioned pregnancy rates.The occurrence of spontaneous pregnancy showed statistically significant difference between GnRH analog co-treatment and the control groups (OR=1.69,95%CI:1.06~2.69,P=0.03). Conclusions:Evidence from RCTs suggests a potential benefit of GnRH analog co-treatment with chemotherapy in premenopausal women,with higher rates of resumption of ovarian function and improvement in pregnancy.
Author 王倩;郎琳;贾英
AuthorAffiliation 重庆医科大学第一附属医院,400016
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WANG Qian
LANG Lin
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DocumentTitle_FL Adjuvant Gonadotropin-Releasing Hormone Analog for the Prevention of Chemotherapy to Preserve Ovarian Function in Premenopausal Women:A Meta-Analysis
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Keywords premature
抗肿瘤联合化疗方案
Ovarian failure
肿瘤
促性腺素释放激素类似物
Antineoplastic combined chemotherapy protocols
Gonadotropin-releasing hormone analog
卵巢功能早衰
Neoplasms
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PublicationTitle 国际妇产科学杂志
PublicationTitleAlternate Foreign Medical Sciences(Obstet Gynecol Fascicle)
PublicationTitle_FL Journal Of International Obstetrics And Gynecology
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Snippet 目的:探讨在化疗过程中促性腺激素释放激素(Gn RH)类似物对绝经前女性卵巢功能的保护。方法:计算机检索Pub Med、EMbase、Cochrane Library、中国知识资源总库(CNKI系列数...
目的:探讨在化疗过程中促性腺激素释放激素(GnRH)类似物对绝经前女性卵巢功能的保护.方法:计算机检索PubMed、EMbase、Cochrane Library、中国知识资源总库(CNKI系列数据库)、中...
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SubjectTerms 促性腺素释放激素类似物
卵巢功能早衰
抗肿瘤联合化疗方案
肿瘤
Title GnRH类似物联合化疗对绝经前女性卵巢功能保护的Meta分析
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