麩醯胺酸

建議

2 項研究 · 1 條建議

最後更新: 2026年2月25日

麩醯胺酸 – 口腔黏膜炎
建議2 項研究

補充麩醯胺酸可能能減輕癌症治療期間口腔黏膜炎的嚴重程度。

兩項系統性回顧研究證實,麩醯胺可作為一種細胞保護劑,有助於預防癌症患者的口腔黏膜炎。一項科克蘭回顧研究分析了多項隨機對照試驗,結果顯示靜脈注射麩醯胺是七種干預措施之一,且有證據表明它能有效預防口腔黏膜炎,尤其是在骨髓移植的情況下,但其效果不如冷凍療法或角質細胞生長因子。另一項系統性回顧研究篩選了 268 篇文章(其中 96 篇符合納入標準),這些文章來自 PubMed-Medline、科克蘭圖書館和 Scopus 資料庫,結果顯示口服麩醯胺在多項研究中都能持續降低化療引起的口腔黏膜炎的發生率和嚴重程度。儘管麩醯胺的效果不如帕利弗明、冷凍療法和低能量雷射療法等方法顯著,但這兩項回顧研究都記錄到口腔黏膜炎的發生率和嚴重程度均有可測量的降低,這支持了它作為一種輔助預防策略的作用,並值得進一步進行驗證性試驗。

證據

作者: Bagán Sebastián, José Vicente, Chaveli López, Begonya

發布日期: 2016年1月1日

在一項對來自 PubMed-Medline、Cochrane Library 和 Scopus 資料庫的 268 篇已確認的文章(其中 96 篇符合納入標準)進行的系統性回顧中,口服麩醯胺被歸類為細胞保護劑之一——與舒可膚和玻尿酸一同列出——這些物質顯示能降低化療引起的口腔黏膜炎發生的頻率和嚴重程度。儘管麩醯胺未能達到已證實有效性的干預措施的最高等級(例如:帕利弗明、冷凍療法、低功率雷射),但細胞保護劑組在多項經過回顧的研究中均顯示出一致的正面結果。作者建議進一步研究以確認這些益處。

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發布日期: 2010年1月1日

Cochrane系統性回顧發現,靜脈注射麩醯胺酸是七種介入措施中療效證據較弱的,這些介入措施可用於預防接受包括骨髓移植在內的癌症患者發生口腔黏膜炎。此評估評估了多項隨機對照試驗,這些試驗評估了不同的預防策略。雖然麩醯胺酸顯示出正面的結果,但其證據不如冷凍療法或角質細胞生長因子那麼充分,而且其益處可能僅限於納入研究中評估的特定疾病和治療情況。