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Meta-analysis of the efficacy and safety of Argatroban combined with Urinary Kallidinogenase in the treatment of acute cerebral infarction |
WANG Qingli LI Zhe MA Zhongliang LIAN Shuai XUE Mengzhou |
Department of Cerebrovascular Diseases, the Second Affiliated Hospital of Zhengzhou University, Henan Province, Zhengzhou 450000, China
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Abstract Objective To systematically review the efficacy and safety of Argatroban combination with Urinary Kallidinogenase in the treatment of acute cerebral infarction. Methods SinoMed, CNKI, Wanfang Data, VIP, PubMed, Cochrane Library, Embase, and Web of Science were searched by computer from the inception to March 2022. Randomized controlled trials of Argatroban combined with Urinary Kallidinogenase for acute cerebral infarction were screened, data extraction and systematic review were conducted, and meta-analysis was performed by RevMan 5.4 software. Results Eight studies were included, involving 789 subjects. Meta-analysis showed that the effective rate (RR=1.22, 95%CI: 1.14 to 1.30, P<0.000 01) and Barthel index (MD=9.77, 95%CI: 7.27 to 12.28, P<0.05) in the Argatroban combined with Urinary Kallidinogenase group were higher than those in the control group, National Institute of Health stroke scale scores were lower than those in the Argatroban control group (MD=-3.30, 95%CI: -3.87 to -2.74, P<0.000 01) and the Urinary Kallidinogenase control group (MD=-1.79, 95%CI: -2.16 to -1.42, P<0.000 01). Conclusion Argatroban combined with Urinary Kallidinogenase is effective in the treatment of acute cerebral infarction, which could effectively improve the degree of neurological deficits and the activities of daily living.
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