机构:[1]Department of Nursing, Chongqing Medical and Pharmaceutical College, Chongqing 401331, China[2]Nursing Department, Guangdong Province Hospital of Chinese Medicine, Guangzhou University of Chinese Medicine, Guangzhou, Guangdong 510120, China大德路总院珠海院区护理部护理部护理部广东省中医院[3]Department of Nephrology, The Third Affiliated Hospital of Sun Yat‑Sen University, Guangzhou, Guangdong 510632, China中山大学附属第三医院[4]Department of Neurology, Guangdong Province Hospital of Chinese Medicine, Guangzhou University of Chinese Medicine, Guangzhou, Guangdong 510120, China广东省中医院深圳市中医院深圳医学信息中心[5]Department of Neurology, Huaihua Hospital of Traditional Chinese Medicine, Huaihua, Hunan 418000, China[6]Department of Economics and Management, Guangzhou University of Chinese Medicine, Guangzhou, Guangdong 510120, China[7]The Second Clinical Medical College, Guangzhou University of Chinese Medicine, Guangzhou, Guangdong 510120, China广东省中医院
Background: Remote ischemic postconditioning (RJPostC) appears to protect distant organs from ischemia-reperfusion injury (IRI). However, cerebral protection results have remained inconclusive. In the present study, a meta-analysis was performed to compare stroke patients with and without RIPostC. Methods: CNKI, WanFang, VIP, CBM, PubMed, and Cochrane Library databases were searched up to July 2016. Data were analyzed using both fixed-effects and random-effects models by Review Manager. For each outcome, risk ratio (RR) and mean difference (MD) with 95% confidence interval (CI) were calculated. Results: A total of 13 randomized controlled trials that enrolled a total of 794 study participants who suffered from or are at risk for brain IRI were selected. Compared with controls, RIPostC significantly reduced the recurrence of stroke or transient ischemic attacks (RR = 0.37; 95% CL 0.26-0.55; P < 0.00001). Moreover, it can reduce the levels of the National Institutes of Health Stroke Scale score (MD: 1.96; 95% C: 2.18-1.75; P < 0.00001), modified Rankin Scale score (MD: 0.73; 95% C: 1.20-0.25; P = 0.00300), and high-sensitivity C-reactive protein (MD: 4.17; 95% CI: 4.71-3.62; P < 0.00001) between the two groups. There was no side effect of RIPostC using tourniquet cuff around the limb on ischemic stroke treating based on different intervention duration. Conclusion: The present meta-analysis suggests that RIPostC might offer cerebral protection for stroke patients suffering from or are at risk of brain IRI.
基金:
Science
and Technology Project Foundation of Guangdong
Province (No. 2014A02012455), and the Science Project
Foundation of Guangdong Province Hospital of Chinese
Medicine (No. YN2015QN21).
第一作者机构:[1]Department of Nursing, Chongqing Medical and Pharmaceutical College, Chongqing 401331, China
通讯作者:
通讯机构:[4]Department of Neurology, Guangdong Province Hospital of Chinese Medicine, Guangzhou University of Chinese Medicine, Guangzhou, Guangdong 510120, China[*1]Department of Neurology, Guangdong Province Hospital of Chinese Medicine, Guangzhou University of Chinese Medicine, Guangzhou, Guangdong 510120, China
推荐引用方式(GB/T 7714):
Zhao Jing-Jing,Xiao Hui,Zhao Wen-Bo,et al.Remote Ischemic Postconditioning for Ischemic Stroke: A Systematic Review and Meta-Analysis of Randomized Controlled Trials[J].CHINESE MEDICAL JOURNAL.2018,131(8):956-965.doi:10.4103/0366-6999.229892.
APA:
Zhao, Jing-Jing,Xiao, Hui,Zhao, Wen-Bo,Zhang, Xiao-Pei,Xiang, Yu...&Wei, Lin.(2018).Remote Ischemic Postconditioning for Ischemic Stroke: A Systematic Review and Meta-Analysis of Randomized Controlled Trials.CHINESE MEDICAL JOURNAL,131,(8)
MLA:
Zhao, Jing-Jing,et al."Remote Ischemic Postconditioning for Ischemic Stroke: A Systematic Review and Meta-Analysis of Randomized Controlled Trials".CHINESE MEDICAL JOURNAL 131..8(2018):956-965