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Meta-analysis evaluation of the treatment of neonatal hypoxic– ischemic encephalopathy with ganglioside
Department of Pediatrics, Qilu Hospital of Shandong University, Jinan, 250012, China
* Address correspondence to: Wen Li,
BIOCELL 2019, 43(1), 7-12. https://doi.org/10.32604/biocell.2019.04763
Abstract
The efficacy and safety of ganglioside in the treatment of neonates who suffer from hypoxic–ischemic encephalopathy (HIE) needs to be fully evaluated. We searched the following databases: PubMed, ScienceDirect, LISTA, CNKI, Chinese biomedical literature database and Wanfang digital journals of full-text database to determine the inclusion and exclusion criteria of papers and a total of 12 papers were included after quality evaluation. Then we conducted the meta-analysis with RevMan5.0 software. The results showed that compared with the control group, the abnormal rate declined in the ganglioside-treated group (relative risk (RR)=0.27, 95% confidence interval (CI)= 0.05– 1.96). NBNA records of the 7, 10–14d neonates were improved effectively: RR (95% CI) were 2.28 (0.86–3.42) and 2.53 (1.04–2.92) respectively. Neural system sequelae incidence was reduced significantly: RR (95% CI) = 0.35: (0.15–0.79). Ganglioside treatment could effectively reduce the abnormality rate of head size, improve the neurological score, reduce the incidence of neurological sequelae, and significantly prompt clinical recovery for neonates with HIE.Keywords
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