Lancet Gastroen Hepatol:黄连素可降低结直肠腺瘤切除后复发风险

2020-01-09 MedSci MedSci原创

研究发现,黄连素可安全有效地降低结直肠腺瘤复发的风险,并可作为腺瘤切除术后化学预防的潜在手段

结直肠腺瘤和直肠癌的化学预防仍然是一个重要的公共卫生课题。近日研究人员考察了黄连素预防结直肠腺瘤复发的临床潜力和安全性。

这项双盲、随机、安慰剂对照试验是在中国六个省的七个医院开展,年龄在18-75岁,存在1-6个组织学证实的结直肠腺瘤患者参与研究,在6个月前接受了完整的腺瘤切除。患者随机接受黄连素(0.3g每日两次)或安慰剂。研究的主要的疗效终点是腺瘤复发。

553名患者接受黄连素治疗,555名接受安慰剂,分别有429名黄连素组和462名安慰剂组患者完成研究。在随访期间,黄连素组155名(36%)患者和安慰剂组216名(47%)患者有复发性腺瘤(复发相对危险率为0.77)。随访期间未发现直肠癌病例。最常见的不良事件是便秘,未有其他严重不良事件报告。

研究发现,黄连素可安全有效地降低结直肠腺瘤复发的风险,并可作为腺瘤切除术后化学预防的潜在手段。

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    2020-11-14 lovetcm

    #黄连素#可降#低结直肠腺瘤#,但是#辣椒素#可能正好相反,从#中医#角度,一寒一热,属性相反!!但是黄连素对很多肿瘤可能具有促进作用,或恶化作用,因为大部分实体瘤,都是寒凝为主。

    0

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    2020-03-08 许安
  4. [GetPortalCommentsPageByObjectIdResponse(id=899177, encodeId=717e8991e76b, content=<a href='/topic/show?id=c1841032099d' target=_blank style='color:#2F92EE;'>#黄连素#</a>可降<a href='/topic/show?id=a11010402651' target=_blank style='color:#2F92EE;'>#低结直肠腺瘤#</a>,但是<a href='/topic/show?id=48fc938643d' target=_blank style='color:#2F92EE;'>#辣椒素#</a>可能正好相反,从<a href='/topic/show?id=c01b2138812' target=_blank style='color:#2F92EE;'>#中医#</a>角度,一寒一热,属性相反!!但是黄连素对很多肿瘤可能具有促进作用,或恶化作用,因为大部分实体瘤,都是寒凝为主。, beContent=null, objectType=article, channel=null, level=null, likeNumber=176, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=103209, encryptionId=c1841032099d, topicName=黄连素), TopicDto(id=104026, encryptionId=a11010402651, topicName=低结直肠腺瘤), TopicDto(id=93864, encryptionId=48fc938643d, topicName=辣椒素), TopicDto(id=21388, encryptionId=c01b2138812, topicName=中医)], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20220519/c2ab253484ee4527a2d4e9589a4821ac/45de9bf494a54becb2ea4369c9d11e85.jpg, createdBy=7a3710, createdName=lovetcm, createdTime=Sat Nov 14 17:19:01 CST 2020, time=2020-11-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1712265, encodeId=c6651e12265e2, content=<a href='/topic/show?id=9a1c289680' target=_blank style='color:#2F92EE;'>#AST#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=29, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=2896, encryptionId=9a1c289680, topicName=AST)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=8b9831894722, createdName=ms24272190615788285182, createdTime=Sun Jun 07 20:02:00 CST 2020, time=2020-06-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=2072849, encodeId=ebb320e28499c, content=<a href='/topic/show?id=9d4ee84647' target=_blank style='color:#2F92EE;'>#GAS#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=31, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=7846, encryptionId=9d4ee84647, topicName=GAS)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=e2dd327, createdName=许安, createdTime=Sun Mar 08 15:02:00 CST 2020, time=2020-03-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1905545, encodeId=f4ea190554593, content=<a href='/topic/show?id=0eb34259ea1' target=_blank style='color:#2F92EE;'>#复发风险#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=32, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=42597, encryptionId=0eb34259ea1, topicName=复发风险)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=ca20190, createdName=wushaoling, createdTime=Fri May 22 08:02:00 CST 2020, time=2020-05-22, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1830399, encodeId=5b78183039986, content=<a href='/topic/show?id=1b6210686b2' target=_blank style='color:#2F92EE;'>#Lancet#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=38, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=10686, encryptionId=1b6210686b2, topicName=Lancet)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=3f0227, createdName=howi, createdTime=Sun Mar 22 05:02:00 CST 2020, time=2020-03-22, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1427371, encodeId=548b142e3718e, content=<a href='/topic/show?id=221d685172' target=_blank style='color:#2F92EE;'>#EPA#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=24, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=6851, encryptionId=221d685172, topicName=EPA)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=4a9b4077760, createdName=gwc384, createdTime=Sat Jan 11 10:02:00 CST 2020, time=2020-01-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1453337, encodeId=61a5145333e96, content=<a href='/topic/show?id=098ee8679ad' target=_blank style='color:#2F92EE;'>#结直肠#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=31, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=78679, encryptionId=098ee8679ad, topicName=结直肠)], attachment=null, authenticateStatus=null, createdAvatar=/v1.0.0/img/user_icon.png, createdBy=9ace5575596, createdName=crystal0564, createdTime=Sat Jan 11 10:02:00 CST 2020, time=2020-01-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=377985, encodeId=61a13e798582, content=向二甲双胍学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=59, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=090d49833, createdName=LaserDermatol, createdTime=Fri Jan 10 01:12:32 CST 2020, time=2020-01-10, status=1, ipAttribution=)]
  5. [GetPortalCommentsPageByObjectIdResponse(id=899177, encodeId=717e8991e76b, content=<a href='/topic/show?id=c1841032099d' target=_blank style='color:#2F92EE;'>#黄连素#</a>可降<a href='/topic/show?id=a11010402651' target=_blank style='color:#2F92EE;'>#低结直肠腺瘤#</a>,但是<a href='/topic/show?id=48fc938643d' target=_blank style='color:#2F92EE;'>#辣椒素#</a>可能正好相反,从<a href='/topic/show?id=c01b2138812' target=_blank style='color:#2F92EE;'>#中医#</a>角度,一寒一热,属性相反!!但是黄连素对很多肿瘤可能具有促进作用,或恶化作用,因为大部分实体瘤,都是寒凝为主。, beContent=null, objectType=article, channel=null, level=null, likeNumber=176, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=103209, encryptionId=c1841032099d, topicName=黄连素), TopicDto(id=104026, encryptionId=a11010402651, topicName=低结直肠腺瘤), TopicDto(id=93864, encryptionId=48fc938643d, topicName=辣椒素), TopicDto(id=21388, encryptionId=c01b2138812, topicName=中医)], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20220519/c2ab253484ee4527a2d4e9589a4821ac/45de9bf494a54becb2ea4369c9d11e85.jpg, createdBy=7a3710, createdName=lovetcm, createdTime=Sat Nov 14 17:19:01 CST 2020, time=2020-11-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1712265, encodeId=c6651e12265e2, content=<a href='/topic/show?id=9a1c289680' target=_blank style='color:#2F92EE;'>#AST#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=29, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=2896, encryptionId=9a1c289680, topicName=AST)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=8b9831894722, createdName=ms24272190615788285182, createdTime=Sun Jun 07 20:02:00 CST 2020, time=2020-06-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=2072849, encodeId=ebb320e28499c, content=<a href='/topic/show?id=9d4ee84647' target=_blank style='color:#2F92EE;'>#GAS#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=31, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=7846, encryptionId=9d4ee84647, topicName=GAS)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=e2dd327, createdName=许安, createdTime=Sun Mar 08 15:02:00 CST 2020, time=2020-03-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1905545, encodeId=f4ea190554593, content=<a href='/topic/show?id=0eb34259ea1' target=_blank style='color:#2F92EE;'>#复发风险#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=32, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=42597, encryptionId=0eb34259ea1, topicName=复发风险)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=ca20190, createdName=wushaoling, createdTime=Fri May 22 08:02:00 CST 2020, time=2020-05-22, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1830399, encodeId=5b78183039986, content=<a href='/topic/show?id=1b6210686b2' target=_blank style='color:#2F92EE;'>#Lancet#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=38, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=10686, encryptionId=1b6210686b2, topicName=Lancet)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=3f0227, createdName=howi, createdTime=Sun Mar 22 05:02:00 CST 2020, time=2020-03-22, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1427371, encodeId=548b142e3718e, content=<a href='/topic/show?id=221d685172' target=_blank style='color:#2F92EE;'>#EPA#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=24, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=6851, encryptionId=221d685172, topicName=EPA)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=4a9b4077760, createdName=gwc384, createdTime=Sat Jan 11 10:02:00 CST 2020, time=2020-01-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1453337, encodeId=61a5145333e96, content=<a href='/topic/show?id=098ee8679ad' target=_blank style='color:#2F92EE;'>#结直肠#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=31, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=78679, encryptionId=098ee8679ad, topicName=结直肠)], attachment=null, authenticateStatus=null, createdAvatar=/v1.0.0/img/user_icon.png, createdBy=9ace5575596, createdName=crystal0564, createdTime=Sat Jan 11 10:02:00 CST 2020, time=2020-01-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=377985, encodeId=61a13e798582, content=向二甲双胍学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=59, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=090d49833, createdName=LaserDermatol, createdTime=Fri Jan 10 01:12:32 CST 2020, time=2020-01-10, status=1, ipAttribution=)]
    2020-03-22 howi
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    2020-01-11 gwc384
  7. [GetPortalCommentsPageByObjectIdResponse(id=899177, encodeId=717e8991e76b, content=<a href='/topic/show?id=c1841032099d' target=_blank style='color:#2F92EE;'>#黄连素#</a>可降<a href='/topic/show?id=a11010402651' target=_blank style='color:#2F92EE;'>#低结直肠腺瘤#</a>,但是<a href='/topic/show?id=48fc938643d' target=_blank style='color:#2F92EE;'>#辣椒素#</a>可能正好相反,从<a href='/topic/show?id=c01b2138812' target=_blank style='color:#2F92EE;'>#中医#</a>角度,一寒一热,属性相反!!但是黄连素对很多肿瘤可能具有促进作用,或恶化作用,因为大部分实体瘤,都是寒凝为主。, beContent=null, objectType=article, channel=null, level=null, likeNumber=176, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=103209, encryptionId=c1841032099d, topicName=黄连素), TopicDto(id=104026, encryptionId=a11010402651, topicName=低结直肠腺瘤), TopicDto(id=93864, encryptionId=48fc938643d, topicName=辣椒素), TopicDto(id=21388, encryptionId=c01b2138812, topicName=中医)], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20220519/c2ab253484ee4527a2d4e9589a4821ac/45de9bf494a54becb2ea4369c9d11e85.jpg, createdBy=7a3710, createdName=lovetcm, createdTime=Sat Nov 14 17:19:01 CST 2020, time=2020-11-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1712265, encodeId=c6651e12265e2, content=<a href='/topic/show?id=9a1c289680' target=_blank style='color:#2F92EE;'>#AST#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=29, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=2896, encryptionId=9a1c289680, topicName=AST)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=8b9831894722, createdName=ms24272190615788285182, createdTime=Sun Jun 07 20:02:00 CST 2020, time=2020-06-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=2072849, encodeId=ebb320e28499c, content=<a href='/topic/show?id=9d4ee84647' target=_blank style='color:#2F92EE;'>#GAS#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=31, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=7846, encryptionId=9d4ee84647, topicName=GAS)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=e2dd327, createdName=许安, createdTime=Sun Mar 08 15:02:00 CST 2020, time=2020-03-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1905545, encodeId=f4ea190554593, content=<a href='/topic/show?id=0eb34259ea1' target=_blank style='color:#2F92EE;'>#复发风险#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=32, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=42597, encryptionId=0eb34259ea1, topicName=复发风险)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=ca20190, createdName=wushaoling, createdTime=Fri May 22 08:02:00 CST 2020, time=2020-05-22, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1830399, encodeId=5b78183039986, content=<a href='/topic/show?id=1b6210686b2' target=_blank style='color:#2F92EE;'>#Lancet#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=38, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=10686, encryptionId=1b6210686b2, topicName=Lancet)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=3f0227, createdName=howi, createdTime=Sun Mar 22 05:02:00 CST 2020, time=2020-03-22, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1427371, encodeId=548b142e3718e, content=<a href='/topic/show?id=221d685172' target=_blank style='color:#2F92EE;'>#EPA#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=24, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=6851, encryptionId=221d685172, topicName=EPA)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=4a9b4077760, createdName=gwc384, createdTime=Sat Jan 11 10:02:00 CST 2020, time=2020-01-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1453337, encodeId=61a5145333e96, content=<a href='/topic/show?id=098ee8679ad' target=_blank style='color:#2F92EE;'>#结直肠#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=31, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=78679, encryptionId=098ee8679ad, topicName=结直肠)], attachment=null, authenticateStatus=null, createdAvatar=/v1.0.0/img/user_icon.png, createdBy=9ace5575596, createdName=crystal0564, createdTime=Sat Jan 11 10:02:00 CST 2020, time=2020-01-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=377985, encodeId=61a13e798582, content=向二甲双胍学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=59, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=090d49833, createdName=LaserDermatol, createdTime=Fri Jan 10 01:12:32 CST 2020, time=2020-01-10, status=1, ipAttribution=)]
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    2020-01-10 LaserDermatol

    向二甲双胍学习

    0

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