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二甲双胍对前列腺癌合并糖尿病患者疗效影响的Meta分析
引用本文:任凯斌,方 欢,裴 亮,吕学锋,兰晓煦.二甲双胍对前列腺癌合并糖尿病患者疗效影响的Meta分析[J].现代肿瘤医学,2021,0(12):2099-2103.
作者姓名:任凯斌  方 欢  裴 亮  吕学锋  兰晓煦
作者单位:山西医科大学第二临床医学院,山西 太原 030001
摘    要:目的:通过Meta分析观察二甲双胍对前列腺癌合并糖尿病患者疗效的影响。方法:检索万方、中国知网、Pubmed、Embase、Cochrane Library等数据库,采用Review Manager 5.3软件进行数据分析。结果:有13篇文献被纳入,共37 972名患者。Meta分析结果显示:二甲双胍组可提高患者10年生存率(OR=1.95,95%CI:1.13~3.37,P=0.02)、5年无生化复发生存率(OR=1.93,95%CI:1.07~3.47,P=0.03),并降低5年前列腺癌特异性死亡率(OR=0.86,95%CI:0.81~0.91,P<0.000 01)。结论:二甲双胍在一定程度上可以改善前列腺癌合并糖尿病患者的预后,但上述结论仍需更多的更大样本的研究进一步加以证明。

关 键 词:二甲双胍  前列腺癌  糖尿病  Meta分析

Meta-analysis of the effect of metformin on prostate cancer patients with diabetes mellitus
REN Kaibin,FANG Huan,PEI Liang,LYU Xuefeng,LAN Xiaoxu.Meta-analysis of the effect of metformin on prostate cancer patients with diabetes mellitus[J].Journal of Modern Oncology,2021,0(12):2099-2103.
Authors:REN Kaibin  FANG Huan  PEI Liang  LYU Xuefeng  LAN Xiaoxu
Affiliation:The Second Clinical Medical College of Shanxi Medical University,Shanxi Taiyuan 030001,China.
Abstract:Objective:To observe the effect of metformin on prostate cancer patients with diabetes mellitus by Meta-analysis.Methods:Wanfang,CNKI,Pubmed,Embase,Cochrane Library and other databases were retrieved,and the data were analyzed by Review Manager 5.3 software.Results:Thirteen literatures were included in the criteria,with a total of 37 972 patients.Meta-analysis showed that metformin group could increase 10-year survival rate (OR=1.95,95%CI:1.13~3.37,P=0.02),5-year non-biochemical recurrence survival rate (OR=1.93,95%CI:1.07~3.47,P=0.03),and reduce 5-year specific death rate of prostate cancer (OR=0.86,95%CI:0.81~0.91,P<0.000 01).Conclusion:Metformin can improve the prognosis of prostate cancer patients with diabetes mellitus to a certain extent,but the above conclusion still need more and larger sample studies to further prove.
Keywords:metformin  prostate cancer  diabetes mellitus  Meta-analysis
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