Meta AnalysisID 6051

灯盏生脉胶囊治疗缺血性脑卒中的新视角:随机对照试验的系统评价和Meta分析

CRD42021238445

1. What is the efficacy of the Dengzhan Shengmai capsule for ischemic stroke? 2. Is it safe to treat ischemic stroke? 3. Does the Dengzhan Shengmai capsule have any effect on cognitive impairment caused by ischemic strok

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Record Fields

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Meta Analysis Id
6051
Evidence Id
14609
Core Evidence Id
14609
Source Meta Analysis Id
6034
Herb2 Meta Analysis Id
HBMA006034
Crd Id
CRD42021238445
Title
A new perspective of Dengzhan Shengmai capsule in the treatment of ischemic stroke: a systematic review and meta-analysis of randomized controlled trials
Review Question
1. What is the efficacy of the Dengzhan Shengmai capsule for ischemic stroke? 2. Is it safe to treat ischemic stroke? 3. Does the Dengzhan Shengmai capsule have any effect on cognitive impairment caused by ischemic stroke?
Study Type Included
Randomized controlled trials (RCTs) were eligible. We included RCTs studying the Dengzhan Shengmai capsule in the acute stage and the convalescence (or sequelae) stage of ischemic stroke. We applied no restrictions regarding the language of publication and combined multiple publications reporting the same trial into one study.
Condition Being Studied
Stroke is nervous system damage caused by acute focal injury of the central nervous system. Ischemic stroke is the most common type of stroke and the second most common cause of death and disability in the world. The intervention and treatment of ischemic stroke are of great significance to reduce the recurrence rate and mortality, improve the prognosis of patients and improve the quality of life of patients. Dengzhan Shengmai capsule is derived from the combination of traditional Chinese medicine Dengzhanhua and Shengmai Powder (Ginseng, Ophiopogon japonicus, Schisandra Chinensis). Studies have shown that the drug has the functions of scavenging oxygen free radicals, reducing reperfusion injury after cerebral ischemia, anti-inflammatory and anti-oxidation, anti-platelet aggregation, and anticoagulation. Recent studies have found that Dengzhan Shengmai capsule can also improve cognitive function after ischemic stroke. Although similar systematic reviews (only included RCTs before May 2016) on the Dengzhan Shengmai capsule in the treatment of ischemic stroke have shown its efficacy, there is no meta-analysis on improving cognitive dysfunction, lipid metabolism, hemorheology. Besides, in recent years, there have been many new RCTs of ischemic stroke on the Dengzhan Shengmai capsule. Thus, we will conduct a new systematic review and meta-analysis.
Participant
Participants with ischemic stroke were included. They should be diagnosed by brain Computed Tomography (CT) or Magnetic Resonance Imaging (MRI) to confirm infarction and exclude hemorrhage regardless of their age, sex, race, or disease stage.
Animal
Human Disease Modelled
Intervention
Chinese patent medicine Dengzhan Shengmai capsule or combined with conventional medicine was regarded as the intervention, regardless of its dosage and duration.
Comparator Control
Comparisons include placebo or conventional medicine.
Main Outcome
Primary outcomes include the following: 1. The global neurological deficit, e.g., the National Institutes of Health Stroke Scale (NIHSS); the Neurological Function Deficit Score (NFDS). 2. All-cause mortality. 3. Recurrence of stoke. 4. Cardiovascular events. 5. Dependence assessed by Barthel Index (BI) scores and modified Rankin Scale. Measures of effect At the end of the scheduled treatment or follow-up period.
Outcome Measure
Additional Outcome
Secondary outcomes include the following: 1. Cognitive function measured by scales. 2. Related hemorheology and lipid metabolism outcomes. 3. Quality of life. 4. Adverse events. Measures of effect At the end of the scheduled treatment or follow-up period.
Study Method
Intervention, Meta-analysis, Systematic review
Keyword
Brain Ischemia; Drugs, Chinese Herbal; Humans; Ischemic Stroke; Randomized Controlled Trials as Topic; Stroke; dengzhan shengmai capsule
Contact
Xueyan Liu [email protected]
Organisational Affiliation
Fujian medical university; Fujian university of traditional Chinese medicine; Professional Committee for Post-listing Re-evaluation of the World Federation of Chinese Medicine Societies. http://www.fjmu.edu.cn/
Funding Source
This study was supported by the Startup Fund for scientific research, Fujian Medical University (Grant number: 2019QH1297), and the Scientific Foundation of Fuzhou City (Grant number: 2020-WS-57)
Other Selection Criteria
Final Publication
Same Topic Review
Published Protocol
Review Type
Language
English
Country
China
Review Stage
Review Ongoing
First Submission Date
2021-02-20
Registration Date
2021-03-18
Anticipated Start Date
2021-01-01
Anticipated Completion Date
2021-04-01
Title Cn
灯盏生脉胶囊治疗缺血性脑卒中的新视角:随机对照试验的系统评价和Meta分析
Title En
A new perspective of Dengzhan Shengmai capsule in the treatment of ischemic stroke: a systematic review and meta-analysis of randomized controlled trials
Bilingual Status
complete