The use of Mexidol in patients with mild (moderate) cognitive disorders: the results of meta -analysis

Author:
V.V. Zakharov, N.V. Vakhnin
FGAOU VO "First Moscow State Medical University named after THEM. Sechenov "Ministry of Health of Russia (Sechenov University), Moscow, Russia

Place of publication:
a journal of neurology and psychiatry named after S.S. Korsakova, 2024, T. 124, No. 1

Summary:
Purpose of the study. Conduct a meta -analysis of the effectiveness of Mexidol therapy in patients with chronic ischemia of the brain (chemical) and mild (moderate) cognitive disorders (KR).

Material and methods. This meta -analysis includes the results of research on the effectiveness of Mexidol with the Kyrgyz Republic, the severity of which was evaluated on the MOCA scale. The assessment of the combined effect included all publications based on the results of independent clinical studies, in which data assessments were presented at the Moca scale at a level sufficient for further statistical analysis. The main result of the meta -analysis was obtained for the final values ​​of the effectiveness indicator in groups of patients receiving Mexidol, in comparison with groups of basic therapy.

Results. The meta -analysis includes the results of 10 prospective clinical studies of the effectiveness of Mexidol against the background of basic therapy in patients with chemical and mild (moderate) cr. The main group was 482 patients, the comparison group was 455. When using the statistical model of random effects, the size of the effect was 2.06 points, 95% of the CI for the difference in efficiency in two groups - [0.98; 3.14 points] (p = 0.0002).

Conclusion. The statistically significant improvement in the cognitive functions of patients with chemicals against the background of the use of Mexidol was demonstrated.

Keywords: chronic brain ischemia, cognitive disorders, ethylmethylhydroxypyridine succinate, mexidol, treatment.

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