ЦЕРЕБРОЛИЗИН В ЛЕЧЕНИИ ОСТРОГО ИШЕМИЧЕСКОГО ИНСУЛЬТА
- Авторы: Зиганшина Л.Е.1, Абакумова Т.Р.1
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Учреждения:
- Казанский (Приволжский) федеральный университет, Республика Татарстан, Российская Федерация
- Выпуск: Том 68, № 1 (2013)
- Страницы: 21-29
- Раздел: АКТУАЛЬНЫЕ ВОПРОСЫ ПСИХОЛОГИИ И ПСИХИАТРИИ
- Дата публикации:
- URL: https://vestnikramn.spr-journal.ru/jour/article/view/220
- DOI: https://doi.org/10.15690/vramn.v68i1.533
- ID: 220
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Аннотация
В обзоре обсуждаются существующие доказательства пользы и рисков применения церебролизина ― смеси низкомолекулярных пептидов и аминокислот, полученных из мозговой ткани свиней, с заявленными нейропротективными и нейротрофическими свойствами для лечения острого ишемического инсульта. Авторами проведен систематический поиск и анализ рандомизированных контролируемых клинических испытаний, сравнивающих церебролизин с плацебо у пациентов с острым ишемическим инсультом. На основании критического анализа и оценки пригодности для систематического рассмотрения авторами выбрано единственное исследование, удовлетворяющее критериям качества. Показано отсутствие различий между церебролизином и плацебо по влиянию на смерть и неблагоприятные события. Обоснован вывод об отсутствии достаточных доказательств влияния церебролизина на выживаемость и инвалидизацию при остром ишемическом инсульте.
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Об авторах
Л. Е. Зиганшина
Казанский (Приволжский) федеральный университет, Республика Татарстан, Российская Федерация
Автор, ответственный за переписку.
Email: lezign@gmail.com
PhD, Professor, Head of the Department of Fundamental and Clinical Pharmacology Address: 420008, Kazan, Kremlin St., 18; tel.: (843) 233-73-07 Россия
Т. Р. Абакумова
Казанский (Приволжский) федеральный университет, Республика Татарстан, Российская Федерация
Email: abakumovatarud@mail.ru
PhD, Associate Professor of the Department of Fundamental and Clinical Pharmacology Address: 420008, Kazan, Kremlin St., 18; tel.: (843) 233-73-07
РоссияСписок литературы
- AHA. American Heart Association. Heart and Stroke Disease Statistics. 2007. Available at: http://www.xmarks.com/site/www.americanheart.org/presenter.jhtml%3Fidentifier=3003499
- Bonita R Epidemiology of stroke. Lancet.1992; 339: 342–344.
- Bonita R., Stewart A., Beaglehole R. International trends in stroke mortality: 1970–1985. Stroke.1990; 21: 989–992.
- French B., Forster A., Langhorne P. et al. Repetitive task training for improving functional ability after stroke. Cochr. Database of Syst. Rev. 2006; (3).
- World Health Organization. The Atlas of Heart Disease and Stroke. 2007. Available at: http://www.who.int/cardiovascular diseases/resources/atlas/en/
- Gusev E.I., Skvortsova V.I., Stakhovskaia L.V. Epidemiology of stroke in Russia. Zhurnal Nevrologii i Psikhiatrii Imeni S.S. Korsakova = S.S. Korsakov journal of neurology and psychiatry. 2003; 8: 4–9.
- Vilenskii B.S., Iakhno N.N. The problem of cerebral stroke: Its contemporary state. Vestnik Rossiiskoi Akademii Meditsinskikh Nauk = Annaols of the Russian Academy of medical Sciences. 2006; 9–10: 18–24.
- Sandercock P.A.G., Counsell C., Gubitz G.J., Tseng M.C. Antiplatelet therapy for acute ischaemic stroke. Cochr. Database of Syst. Rev. 2008; (3).
- Wardlaw J.M., Murray V., Berge E., Zoppo G.J. et al. Thrombolysis for acute ischaemic stroke. Cochr. Database of Syst. Rev. 2009; (4).
- Mielke M., Wardlaw J., Liu M. Thrombolysis (different doses, routes of administration and agents) for acute ischaemic stroke. Cochr. Database of Syst. Rev. 2004; (4).
- Righetti E., Celani M.G., Cantisani T. et al. Glycerol for acute stroke. Cochr. Database of Syst. Rev. 2004; (2).
- Liu M., Counsell C., Zhao X.L., Wardlaw J. Fibrinogen depleting agents for acute ischaemic stroke. Cochr. Database of Syst. Rev. 2003; (3).
- Tirilazad International Steering Committee. Tirilazad for acute ischaemic stroke. Cochr. Database of Syst. Rev. 2001; (4).
- Gandolfo C., Sandercock P., Conti M. Lubeluzole for acute ischaemic stroke. Cochr. Database of Syst. Rev. 2002; (1).
- Horn J., Limburg M. Calcium antagonists for acute ischemic stroke. Cochr. Database of Syst. Rev. 2000; (1).
- Asplund K. Haemodilution for acute ischaemic stroke. Cochr. Database of Syst. Rev. 2002; (4).
- Muir K.W., Lees K.R. Excitatory amino acid antagonists for acute stroke. Cochr. Database of Syst. Rev. 2003; (3).
- Gubitz G., Sandercock P., Counsell C. Anticoagulants for acute ischaemic stroke. Cochr. Database of Syst. Rev. 2004; (3).
- Berge E., Sandercock P. Anticoagulants versus antiplatelet agents for acute ischaemic stroke. Cochr. Database of Syst. Rev. 2002; (4).
- Ricci S., Celani M.G., Cantisani A.T., Righetti E. Piracetam for acute ischaemic strokе. Cochr. Database of Syst. Rev. 2006; (2).
- Shuaib A., Lees K.R., Lyden P. et al. NXY-059 for the treatment of acute ischemic stroke. N. Engl. J. Med. 2007; 357(6): 562–571.
- Ciccone A., Santilli I. Glycoprotein IIb-IIIa inhibitors for acute ischaemic stroke. Cochr. Database of Syst. Rev. 2006; (4).
- Zeng X., Liu M., Yang Y. et al. Ginkgo biloba for acute ischaemic stroke. Cochr. Database of Syst. Rev. 2005; (4).
- Leonardi-Bee J., Steiner T., Bath-Hextall F. Naftidrofuryl for acute stroke. Cochr. Database of Syst.Rev. 2007; (2).
- Sandercock P., Counsell C., Tseng M.C. Low-molecular-weight heparins or heparinoids versus standard unfractionated heparin foracute ischaemic stroke. Cochr. Database of Syst. Rev. 2008; (3).
- Bath P.M.W., Bath-Hextall F.J. Pentoxifylline, propentofylline and pentifylline for acute ischaemic stroke. Cochr. Database of Syst. Rev. 2004; (3).
- Bath P.M.W. Theophylline, aminophylline, caffeine and analogues for acute ischaemic stroke. Cochr. Database of Syst. Rev. 2004; (3).
- Bereczki D., Fekete I., Prado G.F., Liu M. Mannitol for acute stroke. Cochr. Database of Syst. Rev.2 007; (3).
- Bath P.M.W., Willmot M., Leonardi-Bee J., Bath-Hextall F.J. Nitric oxide donors (nitrates), L-arginine, or nitric oxide synthase inhibitors for acute stroke. Cochr. Database of Syst. Rev. 2002; (4).
- Blood Pressure in Acute Stroke Collaboration (BASC). Vasoactive drugs for acute stroke. Cochr. Database of Syst. Rev. 2000; (4).
- Blood Pressure in Acute Stroke Collaboration (BASC). Interventions for deliberately altering blood pressure in acute stroke. Cochr. Database of Syst. Rev. 2001; (3).
- Bath P.M.W. Prostacyclin and analogues for acute ischaemic stroke. Cochr. Database of Syst. Rev. 2004; (3).
- Bereczki D., Fekete I. Vinpocetine for acute ischaemic stroke. Cochr. Database of Syst. Rev.1 997; (4).
- Qizilbash N., Lewington S.L., Lopez-Arrieta J.M. Corticosteroids for acute ischaemic stroke. Cochr. Database of Syst. Rev. 2002; (3).
- Candelise L., Ciccone A. Gangliosides for acute ischaemic stroke. Cochr. Database of Syst. Rev. 2001; (4).
- Alvarez X.A., Lombardi V.R., Corzo L. et al. Oral cerebrolysin enhances brain alpha activity and improves cognitive performance in elderly control subjects. J. Neur. Transmission.2000; 59 (Suppl.): 315–328.
- Fragoso Y., Dantas D.C. Cerebrolysin for Alzheimer’s disease. Cochr. Database of Syst. Rev. 2002; (3).
- Schauer E., Wronski R., Patockova J. et al. Neuroprotection of cerebrolysin in tissue culture models of brain ischemia: Post lesion application indicates a wide therapeutic window. J. Neur. Transmission. 2006; 113 (7): 855–868.
- Riley C., Hutter-Paier B., Windisch M. et al. A peptide preparation protects cells in organotypic brain slices against cell death after glutamate intoxication. J. Neur. Transmission. 2006; 113 (1): 103–110.
- Makarenko A.N., Kositsin N.S., Nazimov I.V. et al. A comparative study of antistroke activity of the new drug «cerebral» and its fractions in rats. Eksperimental’naia i Klinicheskaia Farmakologiia = Exp. and Clin. Pharm. 2005; 68 (2): 15–20.
- Sapronov N.S., Bul’on V.V., Kuznetsova N.N., Selina E.N. The neuroprotector effect of a new taurine derivative on a model of compression spinal cord trauma in rats. Eksperimental’naia i Klinicheskaia Farmakologiia = Exp. and Clin. Pharm. 2005; 68 (6): 45–48.
- European Ad Hoc Consensus Group. Neuroprotection as initial therapy in acute stroke, Third report of an Ad Hoc Consensus Group Meeting. Cerebrovasc. Dis. 2008; 8: 59–72.
- Wahlgren N.G., Ahmed N. Neuroprotection in cerebral ischaemia: Facts and fancies ― the need for new approaches. Cerebrovasc. Dis. 2004; 17 (Suppl. 1): 153–166.
- Chukanova E.L. The effect of cerebrolysin on the clinical symptoms and the course of ischemic encephalopathy. Zhurnal Nevrologii i Psikhiatrii Imeni S.S. Korsakova = S.S. Korsakov journal of neurology and psychiatry. 2005; 105 (1): 42–45.
- Gromova O.A., Tret’iakov V.E., Moshkovskii S.A. et al. An oligopep-tide membrane fraction of cerebrolysin. Zhurnal Nevrologii i Psikhiatrii Imeni S.S. Korsakova = S.S. Korsakov journal of neurology and psychiatry. 2006; 106 (7): 68–70.
- Onishchenko L.S., Gaikova O.N., Ianishevskii S.N. Changes in the focus of experimental ischemic stroke under the influence of neuroprotective drugs. Morfologiia = Morfol. 2006; 130 (6): 40–46.
- Gafurov B.G., Alikulova N.A. Clinical and pathogenetical peculiarities and treatment policy in ischemic stroke of elderly and old age. Zhurnal Nevrologii i Psikhiatrii Imeni S.S. Korsakova = S.S. Korsakov journal of neurology and psychiatry. 2004; 104 (Suppl. 11): 44–46.
- Ladurner G., Kalvach P., Moessler H. The Cerebrolysin Study Group, Neuroprotective treatment with cerebrolysin in patients with acute stroke: A randomised controlled trial. J. Neur. Transmission. 2005; 112: 415–428.
- Skvortsova V.I., Stakhovskaya L.V., Gubsky L.V. et al. A randomised,double-blind, placebo-controlled study of cerebrolysin safety and efficacy in the treatment of acute ischaemic stroke. Zhurnal Nevrologii I Psikhiatrii Imeni S.S. Korsakova = S.S. Korsakov journal of neurology and psychiatry. 2004; 0 (11): 51–55.
- Wong G.K., Zhu X.L., Poon W.S. Beneficial effect of cerebrolysin on moderate and severe head injury patients: Result of a cohort study. Acta Neurochirurgica Supplement. 2005; 95: 59–60.
- Review Manager (RevMan) [Computer program]. The Nordic Cochrane Centre. The Cochrane Collaboration, Copenhagen. 2008. Version 5.0.
- Cuparnecu B. Efficacy of cerebrolysin in patients with ischaemic stroke of the middle cerebral artery. Pharmacol. Toxicol. 2001; 89 (Suppl. 1): 136.
- Haffner Z. Cerebrolysin in acute ischemic stroke. Stroke Trials Directory. Internet Stroke Center. 2001. Available at: www.strokecenter.org/trials/
- Haffner Z., Gmeinbauer R., Moessler H. A randomized, doubleblind, placebo-controlled trial with cerebrolysin in acute ischaemic stroke. Cerebrovasc. Dis. 2001; 11(Suppl. 4): 76.
- Hong Z., Li X.W., Chen Q.T. et al. Re-evaluation of cerebrolysin in treatment of early rehabilitation after ischemic stroke. Chinese J. New Drugs and Clin. Remed./Zhongguo Xinyao Yu Linchuang Zaz. 2002; 21 (3): 133–136.
- Hong Z., Zhu G., Chen H. The clinical efficacy of cerebrolysin in the treatment of acute ischemic stroke. Chinese J. Geriatric Heart Brain and Vessel Dis. 2005; 7 (5): 331–333.
- Jin J.B. Efficacy of treating cerebral apoplexy with xingnaojing compared with cerebrolysin, a report of 96 cases. Clin. Medicine/Lin chuang yi xue. 1999; 19 (9): 53–54.
- Kulchikov A.E., Makarenko A.N. Neuroimmunocorrective activity is a future for neuroprotective agent cerebrolysin. Int. J. Stroke. 2008; 3(Suppl. 1): 324–325.
- Kulchikov A.E., Makarenko A.N. The use of neuropeptides as neuroimmunocorrection agents in stroke induced viral complications. Int. J. Stroke. 2008; 3 (Suppl. 1): 456.
- Makarenko A.N., Kulchikov A.E. Treatment of infection complications of the acute stroke by cerebrolysin. Int. J. Stroke. 2006; 1 (Suppl. 1): 81.
- Ren J., Qiu Z., Du Z., Fan L. Effect comparison of injection disodium cytidine triphosphate and cerebrolysin in treatment of acute cerebral vascular disease. China Pharmacist.2002; 5 (1): 45–46.
- Sagatov D.R. Use of emoxepin in the treatment of ischemic stroke in young adult patients. Int. J. Stroke. 2008; 3 (Suppl. 1): 123.
- Shamalov N.A., Stakhovskaya L.V., Gubsky L.V. et al. Effects of the neuroprotective drug cerebrolysin on the infarct volume after acute ischemic stroke. Cerebrovasc. Dis. 2005; 19 (Suppl. 2): 107.
- Skvortsova V.I., Stakhovskaya L.V., Gubsky L.V. et al. Randomised,double-blind, placebo-controlled study of cerebrolysin safety and efficacy in the treatment of acute ischaemic stroke. Zhurnal Nevrologii I Psikhiatrii Imeni S.S. Korsakova = S.S. Korsakov journal of neurology and psychiatry. 2004; 0 (11): 51–55.
- Skvortsova V.I., Shamalov N.A., Moessler H., Novak P.H. Beneficial effects of the neurotrophic drug cerebrolysin on the infarct volume after acute stroke. Cerebrovasc. Dis. 2008; 25 (Suppl. 2): 145.
- Skvortsova V.I., Shamalov N.A., Moessler H., Novak P.H. Positive impacts of the neurotrophic drug cerebrolysin on the infarct volume after acute stroke. Int. J. Stroke. 2008; 3(Suppl. 1): 137.
- Skvortsova V.I., Shamalov N.A., Stakhovskaya L.V. et al. Cerebrolysin in acute ischaemic stroke: Results of randomised, double blind, placebo-controlled study. Cerebrovasc. Dis. 2005; 19 (Suppl. 2): 76.
- Vilensky B.S., Odinak M.M., Shirokov E.A. et al. Experiencewith endolumbar application of cerebrolysin in hemispheric ischemic stroke. Zhurnal Nevrologii i Psikhiatrii Imeni S.S. Korsakova = S.S. Korsakov journal of neurology and psychiatry. 2000; 100 (11): 31–34.
- Vilensky B., Vinogradov O., Kuznetsov A. et al. Favorable influence of repeat cerebrolysin application in stroke patient rehabilitation. Int. J. Stroke. 2006; 1(Suppl. 1): 170.
- Wang H.T. The analysis of the efficacy of insulin, cerebrolysin, nitrendipine in the treatment of cerebral infarction. Practical Geriatrics.1997; 11: 135–136.
- Wu X. Urokinase therapy in acute ischemic stroke. Proceedings of the 4th Chinese Stroke Conference. China. Chengdu.1995. P. 149–150.
- Yavorskaya V.A., Bondar O.B. Clinical features of cerebrolysinum application in patients in acute period of ischemic stroke. Int. J. Stroke.2008; 3(Suppl. 1): 141.
- Zhang Q.Y., Xiong J., Wang R. Study on the effectiveness of cerebrolysin in 27 patients with cerebral infarction. Chinese J. Pharmacoepidemiology. 1994; 3 (4): 181–182.
- Moher D., Schulz K.F., Altman D.G. The CONSORT statement: Revised recommendations for improving the quality of reports of parallel-group randomised trials. Lancet.2001; 357: 1191–1194.
- Ziganshina L.E, Abakumova T., Kuchaeva A. Cerebrolysin for acute ischaemic stroke. Cochr. Database of Syst. Rev. 2010; (4).
- Shi Y.-M. Cerebrolysin in acute cerebral hemorrhage. Chinese J. Nerv. Ment. Dis.1990; 16(4): 228–230.
- Zhang S.H., Lu X.M. Nursing care of the patient with cerebral infarction and aphasia receiving carotid internal drug injection and early speech training. J. Nurs. Sci.1997; 12(1): 34–35.
- Zhu G.-X., Hong Z., Yao J.-L. Yu L.-Y. Double-blind and randomised placebo-controlled trial of cerebrolysin in improvement of nerve function and living ability in patientswith ischemic stroke. Chinese J. Clin. Rehabil. 2003; 7(22): 3084–3085.
- Ladurner G., Gmeinbauer R., Moessler H. Cerebrolysin in acute ischaemic stroke: A randomized, placebo-controlled trial with a neuroprotective agent. Cerebrovasc. Dis.2001; 11: 75.
- Ladurner G. Neuroprotection in acute ischaemic stroke. Stroke. 2001; 32: 323.