Review Article

Safety and Clinical Efficacy of Yangxue Qingnao Granules in the Treatment of Chronic Cerebral Circulation Insufficiency: A Systematic Review and Meta-Analysis

Table 1

Characteristics of 15 included randomized controlled trials.

IDSample size (T/C)Mean age (years)Diagnostic standardsInterventionComparisonCourse duration (days)OutcomeAdverse effects

Zhou and Liu [24]86 (46/40)T: 46 ± 2
C: 48 ± 1.80
Chinese diagnosis and treatment of CCCI guidelines (2004)YXQN granules 4 g po tid + routine treatmentFlunarizine 5 mg po qn + routine treatment28Efficacy rateNone
Ding and Zhang [20]102 (54/48)T: 47
C: 49
Chinese diagnosis and treatment of CCCI guidelines (2004)YXQN granules 4 g po tid + routine treatmentFlunarizine 5 mg po qn + routine treatment28Efficacy rateNone
He et al. [21]65 (34/31)T: 63.30 ± 5.60
C: 63.70 ± 7.40
Diagnostic criteria from the Japanese Ministry of Health (1990)YXQN granules 4 g po tid + routine treatmentNimodipine tablet 20 mg po tid + routine treatment30Efficacy rate, hemorheology (erythrocyte, fibrinogen, erythrocyte sedimentation rate)None
Gu et al. [16]83 (42/41)T: 67.20
C: 69.20
Diagnostic criteria from the Japanese Ministry of Health (1990)YXQN granules 4 g po tid + routine treatmentNimodipine tablet 20 mg po tid + routine treatment56Efficacy rate, TCD (MCA, BA, PCA, VA)None
Wang [32]87 (44/43)T: 62 ± 7.50
C: 61.50 ± 8.50
Diagnostic criteria from the Japanese Ministry of Health (2007)YXQN granules 4 g po tid + routine treatmentNimodipine tablet 20 mg po tid + routine treatment30Efficacy rate, TCD (ICA, BA, VA)NR
Chang [25]52 (26/26)T: 62.50 ± 4.60
C: 61.30 ± 4.20
Diagnostic criteria from the 16th Stroke Society of Japan (2000)YXQN granules 4 g po tid + routine treatmentNimodipine tablet 20 mg po tid + routine treatment84Efficacy rate, MMSE, ADLNone
Li [31]80 (43/37)T: 62 ± 6.30
C: 63 ± 5.80
Chinese diagnosis and treatment of CCCI guidelines (unclear)YXQN granules 4 g po tid + routine treatmentNimodipine tablet 20 mg po tid + routine treatment30Efficacy rate, TCD (VA, BA was unclear)NR
Shen [30]102 (52/50)T: 58 ± 6.80
C: 57 ± 7.80
Chinese diagnosis and treatment of CCCI guidelines (2007)YXQN granules 4 g po tid + routine treatmentNimodipine tablet 20 mg po tid + routine treatment30Efficacy rate, TCD (ICA, BA, VA)
Wang [33]74 (37/37)T: 54.30 ± 3.20
C: 54.20 ± 3.20
Diagnostic criteria from the 16th Stroke Society of Japan (2000)YXQN granules 4 g po tid + routine treatmentRoutine treatment14Efficacy rateNR
Zhu et al. [28]96 (48/48)NRDiagnostic criteria from the 16th Stroke Society of Japan (2000)YXQN granules 4 g po tid + routine treatmentRoutine treatment14Different efficacy rate, blood flowT: 5
C: 0
Li et al. [26]52 (26/26)T: 84.60
C: 86.60
Diagnostic criteria for CCCI (unclear)YXQN granules 4 g po tid + routine treatmentRoutine treatment90Efficacy rateNone
Liang [27]54 (27/27)T: 66.40
C: 62.60
Diagnostic criteria for CCCI (unclear)YXQN granules 4 g po tid + routine treatmentTroxerutin tablet 0.2 g po tid + routine treatment90Efficacy rateNR
Jia [29]90 (45/45)NRDiagnostic criteria from the 16th Stroke Society of Japan (2000)YXQN granules 4 g po tid + routine treatmentTroxerutin tablet 0.2 g po tid + routine treatment90Efficacy rate, TCD (MCA, PCA, BA)None
Zhang and Shi [22]104 (56/48)T: 56 ± 7
C: 55 ± 5
Diagnostic criteria for CCCI (unclear)YXQN granules 4 g po tid + routine treatmentTroxerutin tablet 0.2 g po tid + routine treatment30Efficacy rate, TCD PI and RI (MCA, ACA, PCA), blood fluidNone
Bi and Chen [23]84 (42/42)NRChinese diagnosis and treatment of CCCI guidelines (2002)YXQN granules 4 mg po tid + routine treatmentCinnarizine tablet 25 mg tid + routine treatment (specific drug was unclear)30Efficacy rate, TCD (MCA, VCA, ACA, VA, BA)None

Routine treatment included antihypertensive, hypoglycemic, and lipid-lowering treatments, or the specific drug was unclear; NR, not reported; T, treatment group; C, control group; TCD transcranial Doppler ultrasound; VA, vertebral artery; BA, basilar artery; MCA, middle cerebral artery; PCA, posterior cerebral artery; ICA, internal carotid artery; ACA, anterior cerebral artery; PI, pulsatility index; RI, resistance index.