کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
6280988 1615105 2015 7 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Effects of prostaglandin E1 plus methylcobalamin alone and in combination with lipoic acid on nerve conduction velocity in patients with diabetic peripheral neuropathy: A meta-analysis
موضوعات مرتبط
علوم زیستی و بیوفناوری علم عصب شناسی علوم اعصاب (عمومی)
پیش نمایش صفحه اول مقاله
Effects of prostaglandin E1 plus methylcobalamin alone and in combination with lipoic acid on nerve conduction velocity in patients with diabetic peripheral neuropathy: A meta-analysis
چکیده انگلیسی
This report was to evaluate the efficacy of lipoic acid, prostaglandin E1 and methylcobalamin (L + P + M) for the treatment of diabetic peripheral neuropathy (DPN) in comparison with that of prostaglandin E1 plus methylcobalamin (P + M), in order to provide the basis and reference for clinical rational drug use. Randomized controlled trials (RCTs) of L + P + M for DPN published up to 3rd August, 2014 were searched. A random or fixed effect model was used to analyze outcomes which were expressed as risk ratios (RRs) or mean difference (MD) with a 95% confidence interval (CI). Eighteen RCTs with 1410 participants were included. Clinical efficacy of L + P + M therapy was significantly better than P + M therapy (fifteen trials; RR 1.32, 95% CI 1.24-1.41, P < 0.00001, I2 = 32%). As compared with P + M therapy, the pooled effects of L + P + M therapy on nerve conduction velocities (NCVs) were (fifteen trials; MD 4.70, 95% CI 3.77-5.63, P < 0.00001, I2 = 79%) for median MNCV, (thirteen trials; MD 4.73, 95% CI 3.69-5.77, P < 0.00001, I2 = 85%) for median SNCV, (sixteen trials; MD 4.22, 95% CI 3.32-5.12, P < 0.00001, I2 = 83%) for peroneal MNCV, (fourteen trials; MD 3.09, 95% CI 2.04-4.14, P < 0.00001, I2 = 82%) for peroneal SNCV. There was no serious adverse events associated with drugs intervention. L + P + M therapy was superior to P + M therapy for improvement of clinical efficacy and NCVs in DPN patients. These findings should be further verified by high-quality RCTs.
ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Neuroscience Letters - Volume 594, 6 May 2015, Pages 23-29
نویسندگان
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