Meta AnalysisID 731

丁苯酞联合阿替普酶治疗急性脑梗死:一项系统评价与Meta分析

CRD42022351510

The aim of this meta-analysis is to systematically evaluate the efficacy and safety of Dl-3-n-Butylphthalide combined with alteplase in the treatment of acute stroke

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Record Fields

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Meta Analysis Id
731
Evidence Id
9289
Core Evidence Id
9289
Source Meta Analysis Id
708
Herb2 Meta Analysis Id
HBMA000708
Crd Id
CRD42022351510
Title
Dl-3-n-Butylphthalide combined with alteplase for acute cerebral infarction: a systematic review and meta-analysis
Review Question
The aim of this meta-analysis is to systematically evaluate the efficacy and safety of Dl-3-n-Butylphthalide combined with alteplase in the treatment of acute stroke
Study Type Included
Randomized controlled trial (RCT)
Condition Being Studied
Stroke disease, is abrupt faint servant, unconscious, hemiplegia, mouth eye askew, language disadvantage is the main disease syndrome. Acute period is within 2 weeks after onset, the viscera can be extended to 1 month. Stroke is the second cause of death among people over 60 years old worldwide and has become the first cause of death for elderly patients in China. High morbidity, high mortality and high disability rate are the important characteristics of this disease. Western medicine mainly focuses on routine treatment, including airway patency, intracranial pressure reduction and brain protection.
Participant
Inclusion criteria: Patients diagnosed as ischemic stroke were confirmed by CT/MRI according to the diagnostic criteria of acute cerebral infarction published in the 2019 Chinese Guidelines for the Diagnosis and Treatment of Acute cerebral infarction or other authoritative institutions; Patients diagnosed with acute stage of ischemic stroke, cerebral infarction and cerebral thrombosis confirmed by CT/MRI according to The 2018 Guidelines for the Diagnosis and Treatment of Acute Ischemic Stroke .There are no country, age or gender restrictions Exclusion criteria: The diagnostic criteria of the design scheme are not clear; Cerebrovascular diseases caused by trauma, intracranial vascular malformation and cerebral arteritis; Repeated publication;Animal experiments, conference documents, expert experience, case reports and reviews.
Animal
Human Disease Modelled
Intervention
The experimental group was treated with Dl-3-n-Butylphthalide and alteplase on the basis of conventional treatment .
Comparator Control
The control group received alteplase and/or routine treatment
Main Outcome
Clinical effective rate, infarct size, NIHSS score,Barthel score, ADLscore,
Outcome Measure
Additional Outcome
inflammatory factors(TNF-α, CRP, IL-6, IL-1, IL-8), Oxidative stress, SOD, MDA,Vascular endothelial function(VEGF), NO,ET-1
Study Method
Meta-analysis, Systematic review
Keyword
3-n-butylphthalide; Benzofurans; Cerebral Infarction; Humans; Myocardial Infarction; Tissue Plasminogen Activator
Contact
xinxin Liu [email protected]
Organisational Affiliation
Shandong University of Traditional Chinese Medicine
Funding Source
Key R & D Program of the People’s Republic of China (2019YFC1711700)
Other Selection Criteria
Final Publication
Same Topic Review
Published Protocol
Review Type
Language
English
Country
China
Review Stage
Review Ongoing
First Submission Date
2022-08-05
Registration Date
2022-08-15
Anticipated Start Date
2022-08-20
Anticipated Completion Date
2022-09-30
Title Cn
丁苯酞联合阿替普酶治疗急性脑梗死:一项系统评价与Meta分析
Title En
Dl-3-n-Butylphthalide combined with alteplase for acute cerebral infarction: a systematic review and meta-analysis
Bilingual Status
complete