Meta AnalysisID 7363

银杏二萜内酯联合丁苯酞治疗急性脑梗死的有效性与安全性Meta分析

CRD42023445014

What is the impact of ginkgo biloba diterpenoid lactone meglumine combined with butylphthalide on acute cerebral infarction compared to monotherapy?

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Meta Analysis Id
7363
Evidence Id
15921
Core Evidence Id
15921
Source Meta Analysis Id
7349
Herb2 Meta Analysis Id
HBMA007349
Crd Id
CRD42023445014
Title
Meta-analysis of the efficacy and safety of Ginkgo diterpene lactoneoside combined with butylphthalide in the treatment of acute cerebral infarction
Review Question
What is the impact of ginkgo biloba diterpenoid lactone meglumine combined with butylphthalide on acute cerebral infarction compared to monotherapy?
Study Type Included
All randomized controlled trials, regardless of blinding, were included.
Condition Being Studied
Ginkgolide Meglumine Injection (GMI), as a traditional Chinese medicine compound preparation, has been widely used in the treatment of cerebrovascular diseases in China and has shown certain therapeutic effects. Danaparoid sodium, a commonly used neuroprotective drug, is believed to have therapeutic effects against cerebral ischemia. Although some trials and studies have reported that the combination of Ginkgolide Meglumine and Danaparoid sodium has higher clinical efficacy in the treatment of acute ischemic stroke, systematic analysis of these small-sample clinical trials is currently lacking.
Participant
Inclusion: Acute myocardial infarction patients receiving the combination treatment of ginkgo biloba diterpenolide glucosamine and butylphthalide. Exclusion: Non myocardial infarction patients
Animal
Human Disease Modelled
Intervention
The control group received treatment with butylidenephthalide or ginkgolide glucosamine alone, while the experimental group received combined treatment with ginkgolide glucosamine and butylidenephthalide.
Comparator Control
Control group: treated with butylphthalide or ginkgolide glucosamine alone Experimental group: treated with a combination of ginkgo biloba diterpenoid lactone glucosamine and butylphthalide.
Main Outcome
Outcome measures: The primary outcome measure was effective rate. The evaluation criteria for effectiveness were as follows: significant improvement: NIHSS score reduction of 46% or more after treatment; effective: NIHSS score of 18% to 45% after treatment; ineffective: NIHSS score reduction of less than 18% after treatment. The total effective rate of treatment was calculated as (number of significantly improved cases + number of effective cases) divided by the total number of cases.
Outcome Measure
Additional Outcome
Secondary outcome measures included NIHSS score, ADL score, plasma viscosity, C-reactive protein, TNF-α, and adverse reactions.
Study Method
Meta-analysis, Systematic review
Keyword
3-n-butylphthalide; Brain Ischemia; Diterpenes; Ginkgo biloba; Humans; Infarction; Lactones; Meglumine; Stroke
Contact
LI XINSHUAI [email protected]
Organisational Affiliation
Nantong First People's Hospital
Funding Source
Scientific Research Fund for Young Medical Talents of Nantong Health and Family Planning Commission (QB2019002); Nantong Science and Technology Plan (Guidance) Project (JCZ20076).
Other Selection Criteria
Final Publication
Same Topic Review
Published Protocol
Review Type
Language
English
Country
China
Review Stage
Review Ongoing
First Submission Date
2023-07-14
Registration Date
2023-07-24
Anticipated Start Date
2023-07-14
Anticipated Completion Date
2023-08-24
Title Cn
银杏二萜内酯联合丁苯酞治疗急性脑梗死的有效性与安全性Meta分析
Title En
Meta-analysis of the efficacy and safety of Ginkgo diterpene lactoneoside combined with butylphthalide in the treatment of acute cerebral infarction
Bilingual Status
complete