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中风后左旋多巴的应用:一项系统评价

Use of Levodopa After a Stroke: A Systematic Review.

作者信息

Moncayo Juan A, Yepez Mario, Camacho Mikaela, Aguirre Alex S, Ojeda Diego, Ortiz Juan Fernando, Sen Meghdeep, Argudo Jennifer, Proano Lucia, Cordova Steven, Kothari Nishel

机构信息

Neurology, Pontificia Universidad Católica del Ecuador, Quito, ECU.

Faculty of Health Sciences, Universidad Católica Santiago de Guayaquil, Guayaquil, ECU.

出版信息

Cureus. 2022 Apr 27;14(4):e24529. doi: 10.7759/cureus.24529. eCollection 2022 Apr.

Abstract

Stroke is a leading cause of death and disability, especially in certain ethnic groups. Impaired consciousness is a common outcome in stroke patients, serving as a predictor of prognosis and mortality. Lately, there has been increased interest in drugs such as Levodopa (LD), which have been found to promote wakefulness. To further appreciate this association, we gathered updated evidence of this novel therapeutic approach and compared it, evaluating its clinical use in an acute stroke setting. We carried out a systematic review of clinical trials conducted exclusively on stroke patients who received levodopa. Four clinical trials were reviewed and analyzed after applying the inclusion/exclusion criteria. The use of levodopa showed positive results in four of the clinical trials, and statistically significant results in 3/4 of the studies; however, more studies need to be conducted to corroborate these results.

摘要

中风是导致死亡和残疾的主要原因,在某些种族群体中尤为如此。意识障碍是中风患者的常见结局,可作为预后和死亡率的预测指标。最近,人们对左旋多巴(LD)等药物的兴趣有所增加,这些药物已被发现可促进觉醒。为了进一步了解这种关联,我们收集了这种新型治疗方法的最新证据并进行比较,评估其在急性中风环境中的临床应用。我们对专门针对接受左旋多巴治疗的中风患者进行的临床试验进行了系统评价。在应用纳入/排除标准后,对四项临床试验进行了审查和分析。左旋多巴的使用在四项临床试验中显示出阳性结果,在3/4的研究中具有统计学意义;然而,需要进行更多研究来证实这些结果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dc45/9138904/42842dfb8ae6/cureus-0014-00000024529-i01.jpg

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