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Chinese Herbal Medicine Xingnaojing Injection (醒脑静注射液) for Hypoxic Ischemic Encephalopathy in Newborns: A Systematic Review and Meta-Analysis

  • Evidence-Based Integrative Medicine
  • Published:
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Abstract

Objectives

To evaluate the efficacy and safety of Chinese herbal medicine Xingnaojing Injection (醒脑静注射液) for newborns with hypoxic ischemic encephalopathy (HIE).

Methods

Literatures were identified by searching the PubMed, EMBASE, Cochrane Library, Cochrane Central, and four Chinese literature databases from the establishment of database to October in 2013. Relevant reference lists were also screened. Two reviewers independently evaluated the methodological quality of included studies. We also conducted the meta-analysis.

Results

Thirteen trials involving 1,169 patients were included. There was no trial reported death or disability at the end of follow-up period. Meta-analysis of 4 trials (n=371) showed that there was no significant difference in the reduction of mortality [risk ratios (RR)=0.48, 95% confidence intervals (CI, 0.21, 1.13), P=0.09] between the Xingnaojing and control groups. Meta-analysis of 5 trials (n=359) showed that there was significant difference in reducing the major neurodevelopmental disability [RR=0.36, 95% CI (0.19, 0.66), P=0.001]. Meta-analysis of 6 trials (n=447) showed that there was significant difference in the author self-defined symptom improvement [RR=1.25, 95% CI (1.14, 1.37), P<0.01]. No fatal side-effects were reported.

Conclusion

Based on the limited evidence, the routine use of Xingnaojing Injection for treatment of HIE in newborns is not recommended. Further well-conducted trials are justified.

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Authors and Affiliations

  1. Department of Pharmacy, Evidence-Based Pharmacy Centre, West China Second Hospital, Sichuan University, Chengdu, 610041, China

    Chun-song Yang & Yun-zhu Lin

  2. West China Second Hospital, Key Laboratory of Birth Defects and Related Diseases of Women and Children, Sichuan University, Chengdu, 610041, China

    Chun-song Yang, Yun-zhu Lin & Qin Guo

  3. Department of Pediatrics, West China Second Hospital, Sichuan University, Chengdu, 610041, China

    Qin Guo

  4. College of Chemistry and Environment Protection, Southwest University for Nationalities, Chengdu, 610041, China

    Li-li He

Authors
  1. Chun-song Yang
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  2. Yun-zhu Lin
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  3. Qin Guo
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  4. Li-li He
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Corresponding author

Correspondence to Yun-zhu Lin.

Additional information

Supported by the National Natural Science Foundation of China (No. 81373381)

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Yang, Cs., Lin, Yz., Guo, Q. et al. Chinese Herbal Medicine Xingnaojing Injection (醒脑静注射液) for Hypoxic Ischemic Encephalopathy in Newborns: A Systematic Review and Meta-Analysis. Chin. J. Integr. Med. 24, 147–155 (2018). https://doi.org/10.1007/s11655-015-1974-z

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  • DOI: https://doi.org/10.1007/s11655-015-1974-z

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