Naloxone treatment for cerebral infarction:a systematic review
- VernacularTitle:纳洛酮治疗脑梗死的系统评价
- Author:
Xunan DONG
;
He SUN
;
Na MI
- Publication Type:Journal Article
- Keywords:
Naloxone;
Cerebral infarction;
Systematic review
- From:
Chinese Journal of Practical Internal Medicine
2006;0(16):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To assess the efficacy and safety of naloxone for treating cerebral infarction.Methods Randomized controlled trials(RCTs)and quasi-RCTs were identified from MEDLINE(1966-2005.4),EMBASE(1980-2005.4),Cochrane Controlled Trials Register(Cochrane Library issue 2,2005),CBMdisc(1978 -2005.4).We handsearched related published and unpublished data and their references.All naloxone treating for cerebral infarction were included.Data were extracted and evaluated by two reviewers independently with designed extraction form.RevMan 4.2.7 software was used for data analysis.Results Twelve RCTs involving 1075 patients were included.All the results of meta-analysis were listed as follows:(1)Total effective rate:compared with none control,5 studies showed that naloxone had a statistical difference with RR 1.24,95 %CI 1.05 to 1.46;(2)cure rate:compared with none control,naloxone had a statistical differences with RR 1.54,95%CI 1.09 to 2.18;(3)adverse effect:the number of accidence were few and representations were light.Conclusion Naloxone may increase the total effective rate and cure rate of cerebral infarction.More high quality trials are required.