目的系统评价银杏二萜内酯葡胺注射液治疗急性脑梗死的疗效。方法检索中国期刊全文数据库、维普中文科技全文数据库、万方数据库等,收集银杏二萜内酯葡胺注射液治疗急性脑梗死的随机对照试验,采用Rev Man 5.3软件分析数据。结果初检出7...目的系统评价银杏二萜内酯葡胺注射液治疗急性脑梗死的疗效。方法检索中国期刊全文数据库、维普中文科技全文数据库、万方数据库等,收集银杏二萜内酯葡胺注射液治疗急性脑梗死的随机对照试验,采用Rev Man 5.3软件分析数据。结果初检出78篇文献,经筛选后纳入16篇随机对照研究文献。Meta分析结果显示,干预组与对照组治疗后神经功能缺损评分比较有统计学异质性[MD=-1.51,95%CI(-1.73,-1.29),P<0.000 01];临床有效率有统计学异质性[OR=2.99,95%CI(2.24,3.99),P<0.000 01];6篇研究中报道有轻微不良反应事件。结论银杏二萜内酯葡胺注射液治疗急性脑梗死疗效确切,且不良反应发生率低。基于当前对银杏二萜内酯葡胺注射液的研究依据,其长期疗效和安全性尚需远期高质量的研究来支持。展开更多
The Xingnao Jieyu capsule has been shown to effectively relieve neurologic impairments and les- sen depression. It remains poorly understood whether this capsule can be used to treat post-stroke depression. Thus, in t...The Xingnao Jieyu capsule has been shown to effectively relieve neurologic impairments and les- sen depression. It remains poorly understood whether this capsule can be used to treat post-stroke depression. Thus, in the present study, we established a rat model of post-stroke depression using left middle cerebral artery occlusions in combination of chronic unpredictable stress and solitary housing during development. Experimental rats received intragastric perfusion with 0.82, 0.41, and 0.20 g/kg Xingnao Jieyu capsules separately dissolved in 2 mL distilled water. Fluoxetine served as a positive control. The treatment was conducted over 28 days. Sugar water consumption test, open-field test, real-time fluorescent quantitative PCR and immunohistochemical staining results demonstrated that intragastric perfusion with various doses of Xingnao Jieyu capsules increased sugar water consumption, voluntary behaviors and synaptotagmin mRNA and protein expression in rats with post-stroke depression. These therapeutic effects were similar to those of fluoxetine. These results indicate that Xingnao Jieyu capsules upregulate synaptotagmin expression in hip pocampi of rats with post-stroke depression, and exert antidepressant effects.展开更多
文摘目的系统评价银杏二萜内酯葡胺注射液治疗急性脑梗死的疗效。方法检索中国期刊全文数据库、维普中文科技全文数据库、万方数据库等,收集银杏二萜内酯葡胺注射液治疗急性脑梗死的随机对照试验,采用Rev Man 5.3软件分析数据。结果初检出78篇文献,经筛选后纳入16篇随机对照研究文献。Meta分析结果显示,干预组与对照组治疗后神经功能缺损评分比较有统计学异质性[MD=-1.51,95%CI(-1.73,-1.29),P<0.000 01];临床有效率有统计学异质性[OR=2.99,95%CI(2.24,3.99),P<0.000 01];6篇研究中报道有轻微不良反应事件。结论银杏二萜内酯葡胺注射液治疗急性脑梗死疗效确切,且不良反应发生率低。基于当前对银杏二萜内酯葡胺注射液的研究依据,其长期疗效和安全性尚需远期高质量的研究来支持。
基金funded by the Key Science and Technology Project of Shaanxi Provincial "13115"Technology Innovation Engineering,No.2010ZDKG-65
文摘The Xingnao Jieyu capsule has been shown to effectively relieve neurologic impairments and les- sen depression. It remains poorly understood whether this capsule can be used to treat post-stroke depression. Thus, in the present study, we established a rat model of post-stroke depression using left middle cerebral artery occlusions in combination of chronic unpredictable stress and solitary housing during development. Experimental rats received intragastric perfusion with 0.82, 0.41, and 0.20 g/kg Xingnao Jieyu capsules separately dissolved in 2 mL distilled water. Fluoxetine served as a positive control. The treatment was conducted over 28 days. Sugar water consumption test, open-field test, real-time fluorescent quantitative PCR and immunohistochemical staining results demonstrated that intragastric perfusion with various doses of Xingnao Jieyu capsules increased sugar water consumption, voluntary behaviors and synaptotagmin mRNA and protein expression in rats with post-stroke depression. These therapeutic effects were similar to those of fluoxetine. These results indicate that Xingnao Jieyu capsules upregulate synaptotagmin expression in hip pocampi of rats with post-stroke depression, and exert antidepressant effects.
