1. 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.
- Author
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Jiang, De-Qi, Li, Ming-Xing, Wang, Yan, and Wang, Yong
- Subjects
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PROSTAGLANDINS , *VITAMIN B12 , *LIPOIC acid , *NEURAL conduction , *DIABETIC neuropathies , *META-analysis , *PATIENTS - Abstract
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, I 2 = 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, I 2 = 79%) for median MNCV, (thirteen trials; MD 4.73, 95% CI 3.69–5.77, P < 0.00001, I 2 = 85%) for median SNCV, (sixteen trials; MD 4.22, 95% CI 3.32–5.12, P < 0.00001, I 2 = 83%) for peroneal MNCV, (fourteen trials; MD 3.09, 95% CI 2.04–4.14, P < 0.00001, I 2 = 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. [ABSTRACT FROM AUTHOR]
- Published
- 2015
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