Jarosz Konrad, Kojder Klaudyna, Andrzejewska Agata, Solek-Pastuszka Joanna, Jurczak Anna
Department of Specialist Nursing, Pomeranian Medical University, Rybacka 1, 70-204 Szczecin, Poland.
Anesthesiology and Intensive Care Department, Pomeranian Medical University, Rybacka 1, 70-204 Szczecin, Poland.
Brain Sci. 2023 Mar 17;13(3):507. doi: 10.3390/brainsci13030507.
TBI (traumatic brain injury) is one of the most common causes of deaths and failure to return to society according to the latest statistics. Cerebrolysin is a drug approved for use in patients diagnosed with TBI. It is a mixture of neuropeptides derived from purified porcine brain proteins and multiple experimental studies have proven its neuroprotective and neurorestorative properties both in vitro and in vivo. In our meta-analysis, we analyze the latest clinical study reports on the use of Cerebrolysin in patients with TBI. The authors searched the databases: Pub Med, Cinahl, Web Of Science, and Embase from database inception until 11th July 2022. Ten clinical studies were eligible and included in the final analysis, including both retrospective and prospective studies of 8749 patients. Treatment with Cerebrolysin was associated with a statistically significant change in GCS and GOS. Mortality of any cause and the length of stay was not affected by the treatment. Our findings support and confirm the beneficial effects of Cerebrolysin treatment on the clinical outcome of patients after TBI. Further multi-center studies to optimize dosing and time of administration should be conducted.
根据最新统计数据,创伤性脑损伤(TBI)是导致死亡和无法回归社会的最常见原因之一。脑蛋白水解物是一种被批准用于诊断为TBI患者的药物。它是一种从纯化猪脑蛋白中提取的神经肽混合物,多项实验研究已在体外和体内证明了其神经保护和神经修复特性。在我们的荟萃分析中,我们分析了关于脑蛋白水解物用于TBI患者的最新临床研究报告。作者检索了数据库:从数据库建立至2022年7月11日的PubMed、护理学与健康领域数据库(Cinahl)、科学网(Web Of Science)和Embase。十项临床研究符合条件并纳入最终分析,包括对8749例患者的回顾性和前瞻性研究。使用脑蛋白水解物治疗与格拉斯哥昏迷量表(GCS)和格拉斯哥预后量表(GOS)的统计学显著变化相关。任何原因导致的死亡率和住院时间均不受该治疗影响。我们的研究结果支持并证实了脑蛋白水解物治疗对TBI后患者临床结局的有益作用。应开展进一步的多中心研究以优化给药剂量和给药时间。