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乙酰亮氨酸治疗眩晕和头晕的疗效:一项随机对照试验的系统评价。

Efficacy of acetylleucine in vertigo and dizziness: a systematic review of randomised controlled trials.

机构信息

Department of General Medicine, University of Poitiers, 6 rue de la Milétrie, TSA 51115, 86073, Poitiers Cedex 9, France.

Clinical Research Unit, Henri Laborit Hospital, 370 av. Jacques cœur, CS 10587, 86021, Poitiers, France.

出版信息

Eur J Clin Pharmacol. 2019 May;75(5):603-607. doi: 10.1007/s00228-018-02617-6. Epub 2019 Jan 6.

DOI:10.1007/s00228-018-02617-6
PMID:30613860
Abstract

PURPOSE

To assess the efficacy of acetylleucine to improve or stop an attack of vertigo and dizziness (vertigo/dizziness).

METHODS

Systematic review by 2 independent reviewers. Consultation of the Medline, Cochrane and ClinicalTrials.gov databases until September 2018. Keywords used: Acetylleucine, Tanganil®, Acetyl-DL-leucine, Acetyl-leucine. Trial selection: randomised controlled trials (RCTs) comparing acetylleucine against placebo.

RESULTS

Up until 2018, no RCTs have been published on the efficacy of acetylleucine in vertigo/dizziness.

CONCLUSION

There is no solid evidence of the efficacy of acetylleucine in vertigo/dizziness. Given its frequent prescription and the cost generated for the French social security system, high-quality randomised trials should be carried out to assess its efficacy.

摘要

目的

评估乙酰亮氨酸改善或停止眩晕和头晕(眩晕/头晕)发作的疗效。

方法

由 2 名独立评审员进行系统评价。检索 Medline、Cochrane 和 ClinicalTrials.gov 数据库,检索时间截至 2018 年 9 月。使用的关键词:乙酰亮氨酸、坦甘尼、乙酰-DL-亮氨酸、乙酰亮氨酸。试验选择:比较乙酰亮氨酸与安慰剂的随机对照试验(RCT)。

结果

截至 2018 年,尚未发表关于乙酰亮氨酸治疗眩晕/头晕疗效的 RCT。

结论

乙酰亮氨酸治疗眩晕/头晕的疗效尚无确凿证据。鉴于其频繁处方以及给法国社会保障系统带来的费用,应开展高质量的随机试验来评估其疗效。

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本文引用的文献

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BMC Neurol. 2017 Jan 10;17(1):7. doi: 10.1186/s12883-016-0786-x.
2
Betahistine for symptoms of vertigo.倍他司汀用于治疗眩晕症状。
Cochrane Database Syst Rev. 2016 Jun 21;2016(6):CD010696. doi: 10.1002/14651858.CD010696.pub2.
3
An anecdotal report by an Oxford basic neuroscientist: effects of acetyl-DL-leucine on cognitive function and mobility in the elderly.
SK通道调制加速单侧前庭神经切断大鼠的平衡恢复。
Pharmaceuticals (Basel). 2021 Nov 26;14(12):1226. doi: 10.3390/ph14121226.
4
Safety and Efficacy of Acetyl-DL-Leucine in Certain Types of Cerebellar Ataxia: The ALCAT Randomized Clinical Crossover Trial.乙酰-DL-亮氨酸治疗某些类型小脑共济失调的安全性和疗效:ALCAT 随机临床交叉试验。
JAMA Netw Open. 2021 Dec 1;4(12):e2135841. doi: 10.1001/jamanetworkopen.2021.35841.
5
Is cinnarizine/betahistine combination superior to respective monotherapies in treatment of vertigo? Comment on a randomized triple-blind placebo-controlled trial.桂利嗪/倍他司汀联合用药在眩晕治疗中是否优于各自的单一疗法?对一项随机三盲安慰剂对照试验的评论
Eur J Clin Pharmacol. 2020 Apr;76(4):607-608. doi: 10.1007/s00228-020-02833-z. Epub 2020 Jan 14.
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