Efficacy and safety of modified Sini San for treating poststroke depression : A meta-analysis of randomized controlled trials

Copyright © 2020. Published by Elsevier Inc..

OBJECTIVE: The aim of this meta-analysis was to evaluate the efficacy and safety of modified Sini San (MSS) for poststroke depression (PSD).

METHODS: Randomized controlled trials of MSS for PSD were identified in the Web of science, PsycINFO, World Cat, CNKI, VIP, Wanfang, DuXiu, and Embase databases according to the inclusion and exclusion criteria.

RESULTS: In total, 7 trials with 548 patients were included in the review. The meta-analysis showed that MSS had superior effects to fluoxetine hydrochloride in terms of response rate in patients with PSD (relative risk (RR): 1.19, 95% confidence interval (CI) [1.10, 1.28], Z = 4.31, P < 0.0001). MSS may be more effective at reducing Hamilton depression rating scale (HAMD) scores and modified Edinburgh-Scandinavia stroke scale (SSS) scores than fluoxetine hydrochloride after 4 and 8 weeks of treatment.

CONCLUSIONS: Our meta-analysis demonstrated that MSS appears to have excellent therapeutic effects on PSD and no serious adverse effects. However, due to the small sample sizes and low quality of the literature, studies with higher methodological quality, larger sample sizes, and placebo controls are recommended in future research on MSS in patients with PSD to enhance the strength of the evidence. Therefore, clinicians should be cautious in using this evidence to make clinical decisions.

Medienart:

E-Artikel

Erscheinungsjahr:

2021

Erschienen:

2021

Enthalten in:

Zur Gesamtaufnahme - volume:17

Enthalten in:

Explore (New York, N.Y.) - 17(2021), 2 vom: 15. März, Seite 162-169

Sprache:

Englisch

Beteiligte Personen:

Cai, Lun [VerfasserIn]
Jiejie, Lin [VerfasserIn]
Hu, Yuying [VerfasserIn]
Chen, Wei [VerfasserIn]
Wei, Liping [VerfasserIn]
He, Qianchao [VerfasserIn]
Hu, Yueqiang [VerfasserIn]

Links:

Volltext

Themen:

Drugs, Chinese Herbal
Journal Article
Meta-Analysis
Meta-analysis
Modified sini
Post-stroke depression
Sini San

Anmerkungen:

Date Completed 03.11.2021

Date Revised 03.11.2021

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1016/j.explore.2020.05.008

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM31106910X