Synthesis, Structural Investigations and Biological Screening of Diorganotin(IV) Complexes Derived from 5,5-Diethyl Sodium Barbital

Some biologically important tin（Ⅳ） complexes derived from 5,5-diethyl sodium barbital have been synthesized and characterized through various analytical and spectroscopic techniques such as IR, ^1H-, ^13C-NMR and ^119mSn mossbauer. On the basis of these spectroscopic techniques, octahedral geometry has been assigned to all the novel compounds. These complexes, soluble in DMSO and DMF, were screened against a wide range of microorganisms. The results proved that the diphenyltin（Ⅳ） and dibutyltin（Ⅳ） complexes exhibit excellent activity against all types of microorganisms, while the rest of the compounds show significant activity that can be used during the biological study.

In-situ structural evolution analysis of Zr-doped Na_(3)V_(2)(PO_(4))_(2)F_(3) coated by N-doped carbon layer as high-performance cathode for sodium-ion batteries

With great superiorities in energy density,rate capability and structural stability,Na_(3)V_(2)(PO_(4))_(2) F_(3)(NVPF)has attracted much attentions as cathode of sodium ion battery(SIB),but it also faces challenges on its poor intrinsic electronic conductivity and the controversial de/sodiation mechanism.Herein,a series of Zr-doped NVPF coated by N-doped carbon layer(~5 nm in thickness,homogenously)materials are fabricated by a sol-gel method,and the optimized heteroatom-doping amounts of Zr and N doping improve intrinsic properties on enlarging lattice distance and enhancing electronic conductivity,respectively.Specifically,among all samples of Na_(3) V_(2-x)Zr_(x)(PO_(4))_(2) F_(3)/NC(NVPF-Zr-x/NC,x=0,0.01,0.02,0.05,and 0.1),the optimized electrode of NVPF-Zr-0.02/NC delivers high reversible capacities(119.2 mAh g^(-1) at0.5 C),superior rate capability(98.1 mA h g^(-1) at 20 C)and excellent cycling performance.The structural evolution of NVPF-Zr-0.02/NC electrode,in-situ monitored by X-ray diffractometer,follows a step-wise Na-extraction/intercalation mechanism with reversible multi-phase changes,not just a solid-solutionreaction one.Full cells of NVPF-Zr-0.02/NC//hard carbon demonstrate high capacity(99.8 mA h g^(-1) at 0.5 C),high out-put voltage(3.5 V)and good cycling stability.This work is favorable to accelerate the development of high-performance cathode materials and explore possible redox reaction mechanisms of SIBs.

Optimization of Quantitative Analysis of Naproxin Sodium Using UV Spectrophotometery in Different Solvent Mediums

A new rapid, simple and reproducible UV spectrophotometric method was developed and validated for the estimation of Naproxen Sodium (NpSd) in bulk and pharmaceutical formulation. The quantification of NpSd was done at 230 nm in methanol and in buffer of pH 6.8 and 9. Beer’s law was obeyed in the concentration range of 4 - 36 (r2 = 0.999) in methanol and 5 - 25 μgmL﹣1 in buffer of pH 6.8 and 9 (r2 = 0.988 and 0.997) respectively. The apparent molar absorptivity values were also calculated in all mediums. All parameters according to ICH guideline were tested and validated. The detection and quantitation limits were found to be 0.054, 0.083, 0.073 and 0.181, 0.251, 0.211 μgmL﹣1 respectively. These methods were applied directly to the analysis of the pharmaceutical tablet preparations (Anex? tablet 250 mg). The results demonstrated that the procedure is accurate, precise and reproducible (relative standard deviation 3%), while being simple, cheap and less time consuming and hence can be suitably applied for the estimation of NpSd in dosage forms and dissolution studies.

Change of choline compounds in sodium selenite-induced apoptosis of rats used as quantitative analysis by in vitro 9.4T MR spectroscopy

AIM: To study liver cell apoptosis caused by the toxicity of selenium and observe the alteration of choline compounds using in vitro 9.4T high resolution magnetic resonance spectroscopy. METHODS: Twenty male Wistar rats were randomly divided into two groups. The rats in the treatment group were intraperitoneally injected with sodium selenite and the control group with distilled water. All rats were sacrifi ced and the livers were dissected. 1H-MRS data were collected using in vitro 9.4T high resolution magnetic resonance spectrometer. Spectra were processed using XWINNMR and MestRe-c 4.3. HE and TUNEL staining was employed to detect and confi rm the change of liver cells. RESULTS: Good 1H-MR spectra of perchloric acid extract from liver tissue of rats were obtained. The conventional metabolites were detected and assigned. Concentrations of different ingredient choline compounds in treatment group vs control group were as follows: total choline compounds,5.08 ± 0.97 mmol/L vs 3.81 ± 1.16 mmol/L (P = 0.05); and free choline,1.07 ± 0.23 mmol/L vs 0.65 ± 0.20 mmol/L (P = 0.00). However,there was no statistical signif icance between the two groups. The hepatic sinus and cellular structure of hepatic cells in treatmentgroup were abnormal. Apoptosis of hepatic cells was confi rmed by TUNEL assay. CONCLUSION: High dose selenium compounds can cause the rat liver lesion and induce cell apoptosis in vivo. High resolution 1H-MRS in vitro can detect diversified metabolism. The changing trend for different ingredient of choline compounds is not completely the same at early period of apoptosis.

Thermodynamic analysis on sodium carbonate decomposition of calcium molybdenum

According to the principle of mass balances and thermodynamic data, lg [Me]—pH diagrams (Me=Ca, Mo) for Ca-Mo-CO3-H2O system at 25 ℃ were presented with total dissolved carbon-containing ions concentrations of 0.01 mol/L and 1 mol/L, and lg [Me]—pH diagram for Ca-Mo-H2O system at 25 ℃ was also depicted. The effects of system pH value and total dissolved carbon-containing ions concentrations on the concentrations of the species in Ca-Mo-CO3-H2O system were studied. The results show that the stability region of CaMoO4 reduces significantly in the presence of sodium carbonate. In order to achieve effective leaching of molybdenum from CaMoO4, a certain concentration of sodium carbonate is necessary. High total dissolved carbon-containing ions concentrations and high pH values facilitate to the leaching of CaMoO4 and dissolved sodium carbonate is an efficient leaching agent for decomposing CaMoO4.

An investigation on dissolution kinetics of single sodium carbonate particle with image analysis method

Dissolution kinetics of sodium carbonate is investigated with the image analysis method at the approach of single particle.The dissolution experiments are carried out in an aqueous solution under a series of controlled temperature and p H.The selected sodium carbonate particles are all spherical with the same mass and diameter.The dissolution process is quantified with the measurement of particle diameter from dissolution images.The concentration of dissolved sodium carbonate in solvent is calculated with the measured diameter of particle.Both surface reaction model and mass transport model are implemented to determine the dissolution mechanism and quantify the dissolution rate constant at each experimental condition.According to the fitting results with both two models,it is clarified that the dissolution process at the increasing temperature is controlled by the mass transport of dissolved sodium carbonate travelling from particle surface into solvent.The dissolution process at the increasing pH is controlled by the chemical reaction on particle surface.Furthermore,the dissolution rate constant for each single spherical sodium carbonate particle is quantified and the results show that the dissolution rate constant of single spherical sodium carbonate increases significantly with the rising of temperature,but decreases with the increasing of pH conversely.

Meta-analysis of the traditional Chinese medicine fumigation combined with sodium hyaluronate in the treatment of knee osteoarthritis

Objective:To explore the meta-analysis of traditional Chinese medicine fumigation combined with sodium hyaluronate in the treatment of knee osteoarthritis.Methods: The database was originated from CNKI, Wanfang, Chongqing Weipu database, PubMed and so on. The deadline was April 2017. The database was searched with the keywords of'Chinese herbal fumigation','sodium hyaluronate' and'knee osteoarthritis'. Finally, 13 articles about the treatment of Chinese herbal fumigation combined with sodium hyaluronate were obtained. RCT literatures of knee osteoarthritis identified the outcome indicators as the effective rate and recovery rate. Lysholm's score was observed after treatment in both groups, and all the results were input into Review Manager 5.2 for analysis.Result: A total of 13 RCT literatures about the treatment of knee osteoarthritis with Chinese herbal fumigation and sodium hyaluronate were obtained. The control group was treated with sodium hyaluronate or anti-inflammatory drugs, totaling 619 cases. The study group was treated with sodium hyaluronate and Chinese herbal fumigation, totaling 649 cases. The combined effect of forest map OR=1.82, Z=5.00 (P<0.00001), 95% CI. (1.44, 2.30). Compared with sodium hyaluronate or anti-inflammatory drugs, fumigation with traditional Chinese medicine combined with sodium hyaluronate has obvious advantages in curing knee osteoarthritis. The combined effect of forest chart OR=5.55, Z=7.44 (P<0.00001), 95% CI (3.54, 8.73), indicating that compared with sodium hyaluronate or anti-inflammatory drugs, traditional Chinese medicine is used. Fumigation combined with sodium hyaluronate has obvious advantages in the treatment of knee osteoarthritis;forest map combined effect OR=12.11, Z=5.18 (P<0.00001), 95% CI (7.53, 16.68), indicating that compared with sodium hyaluronate or anti-inflammatory drugs, traditional Chinese medicine fumigation combined with sodium hyaluronate in the treatment of knee osteoarthritis can restore knee joint function. Advantages.Conclusion: Chinese herbal fumigation combined with sodium hyaluronate has obvious advantages in curing and effective rate of knee osteoarthritis, and can better restore knee joint function. Due to the lack of literature and low quality, the exact effect still needs to be confirmed by higher quality RCT literature.

Meta-analysis of the efficacy and safety of sodium fusidate ointment and mupirocin ointment in the treatment of bacteria-infected skin disease

Objective:To evaluate the efficacy and safety of sodium fusidate ointment and mupirocin ointment in the treatment of bacteria-infected skin disease.Methods:The search terms“sodium fusidate ointment”,“mupirocin ointment”,“bacterial infection”,etc.were searched in the database of PubMed,EMbase,Cochrane,Web of Science,Wanfang,VIP,and CNKI.The search time was from inception to November 2019.Randomized controlled trials of sodium fusidate ointment and mupirocin ointment for the treatment of bacteria-infected skin disease were collected.Two studies independently performed literature screening,data extraction,and literature quality evaluation.Meta analysis was performed using RevMan 5.3 software.Results:A total of 14 literature were included,involving 1,825 patients,916 in the experimental group,and 909 in the control group.Meta analysis results showed that the total clinical effective rate of the experimental group(RR=1.12,95%CI(1.06,1.19),P<0.0001),degree of improvement in pruritus score(MD=−1.21,95%CI(−1.78,−0.64),P<0.0001),degree of improvement of eczema area and severity index score(MD=−2.47,95%CI(−3.92,−1.02),P=0.0008),and sensitivity rate of drug sensitivity test(RR=1.35,95%CI(1.24,1.46),P<0.00001)were better than those of control group.The incidence of adverse reactions(RR=0.18,95%CI(0.09,0.39),P<0.00001)was significantly smaller than that of control group.But the bacterial clearance rate(RR=1.22,95%CI(0.98,1.52),P=0.08)compared with the control group,the difference was not statistically significant.Conclusion:Sodium fusidate ointment is better than mupirocin ointment in the treatment of bacteria-infected skin disease,and it helps to improve the severity of disease and itching,and has good safety,which is worthy of clinical promotion.

Systematic pharmacology analysis of Sodium 8-(((carboxymethyl)amino)methyl)-4',7-bishydroxy-isoflavone-3'-sulfonate

The purpose of this study is to use the newly synthesized molecule Sodium 8-(((carboxymethyl)amino)methyl)-4',7-bishydroxy-isoflavone-3'-sulfonate(M)as a research object,the pharmacological mechanism of the molecule was analyzed by using a series of Systematic pharmacology methods.The results show that the M molecule has a higher drug-like DL value of 0.59 and better molecular property parameters,namely Hdon=4,Hacc=10 and AlogP=0.94;A total of 11 M molecules related targets,namely F2,ESR1,AR,F10,CA2,DPP4,CCNA2,PRSS1,CDK2,GSK3B and PTPN1;A total of 140 diseases are associated with M molecule targets,and these diseases are mainly related to cancer and cardiovascular diseases;A total of 52 pathways involve the pharmacological mechanisms of M molecules,which are mainly related to cancer and other related diseases;GO-enriched analysis showed that these targets are closely related to the regulation of peptidase activity and biological processes such as blood coagulation and hemostasis.This article clearly demonstrated the pharmacological mechanism of M molecule,which provides references for exploring the pharmacological mechanism of new compounds.

Analysis of the Suitability of Surface Water for Irrigation Purposes: The Southwestern and Coastal River Systems in Ghana

Surface water basins all over the world are very crucial in irrigation industries. Irrigation schemes are particularly crucial in the agricultural economies due largely to the fact that global climate change has led to drastic changes in rainfall patterns. As a result, rain-fed agriculture alone is no more sustainable and irrigation schemes are being encouraged as poverty reduction/eradication strategies in the developing countries. This study was conducted to assess the overall controls on surface water resources in the coastal and south-western river basins in Ghana, and determine the suitability of these surface waters for irrigation activities. Multivariate statistical methods were applied to data on the physico-chemical parameters from the coastal and southwestern river basins. This study finds that the quality of surface water from these basins is controlled principally by leachate of chemicals from solid and mine wastes, the chemistry of rainfall, weathering of underlying silicate mineral-rich rocks and sediments, agricultural and domestic wastes. All the parameters are within the acceptable national concentration ranges for most domestic and industrial purposes. Sodium adsorption ratio (SAR) was used to assess the quality of water from the two basins for irrigation activities. The SAR values for all the months and years sampled are lower than 4 and the electrical conductivity values are equally low due to generally low ionic concentrations. When plotted on the Wilcox diagram, the data for all the months for the two years of the study, plot within the “excellent to good” category, suggesting that water from the area is of acceptable quality for irrigation activities.

Synthesis, Characterization and Biological Activity of Sodium Barbitone-Group-VIII Metals (viz. Ni(II), Pd(II) and Pt(II)) Complexes

This work aims to characterize, synthesize and evaluate the biological activity of sodium barbitone and their metal chelates Ni(II), Pd(II) and Pt(II). The new synthesized metal chelates are investigated by elemental analysis, IR, mass spectra, thermal analysis and biological activity. Square planer structure of the prepared complexes obtained from the result of analysis. The antibacterial and antifungal of sodium barbitone ligand and its conforming metal chelates were screened against bacterial species Gram positive (Staphylococcus aureus), Gram negative bacteria (Escherichia coli) and fungi Aspergillus flavus and Candida albicans fungi. Ampicillin and amphotericin were used as references for antibacterial and antifungal studies. The activity data show that the platinum group metals chelates have activity data show that some of the platinum group metals (viz. Pt(II) and Pd(II)) chelates have a promising biological activity comparing to sodium barbitone parent free ligand against bacterial and fungal species.

Structural Analysis and Electrical Property of Tungsten BronzePrepared by Rare Earth Gaseous Permeation

The cubic sodium tungsten bronzes, Na_xWO_3(x=0.854 and 0.814)were prepared by rare earths gaseous permeation method. Structural analysis was carried out by Rietveld method from powder X-ray diffraction data. The X-ray diffraction profile calculated with cubic P32 models are in good agreement with the observed X-ray diffraction patterns. There is only a little difference in W-O bond and Na-O bond between Na_(0.854)WO_3 and Na_(0.814)WO_3. Conductivity measurements indicate that Na_xWO_3 show anomalous semiconducting behavior and percolation model was used to interpret it.

Efficacy and Safety of SGLT2 Inhibitors in Patients with Type 1 Diabetes:A Meta-analysis of Randomized Controlled Trials

Objective To assess the efficiency and safety of a novel sodium-glucose co-transporter 2(SGLT2) inhibitor—SGLT2 inhibitors,in combination with insulin for type 1 diabetes mellitus(T1DM). Methods We searched Medline,Embase,and the Cochrane Collaboration Library to identify the eligible studies published between January 2010 and July 2016 without restriction of language. The Food and Drug Administration(FDA) data and Clinical Trials(http://www.clinicaltrials.gov) were also searched. The included studies met the following criteria:randomized controlled trials; T1DM patients aged between 18 and 65 years old; patients were treated with insulin plus SGLT2 inhibitors for more than 2 weeks; patients' glycosylated hemoglobin(HbA1c) levels were between 7% and 12%. The SGLT2 inhibitors group was treated with SGLT2 inhibitors plus insulin,and the placebo group received placebo plus insulin treatment. The outcomes should include one of the following items:fasting blood glucose,HbA1c,glycosuria,or adverse effects. Data were analyzed by two physicians independently. The risk of bias was evaluated by using the Cochrane Collaboration's Risk of Bias tool and heterogeneity among studies was assessed using Chi-square test. Random effect model was used to analyze the treatment effects with Revman 5.3. Results Three trials including 178 patients were enrolled. As compared to the placebo group,SGLT2 inhibitor absolutely decreased fasting blood glucose [mean differences(MD)-2.47 mmol/L,95% confidence interval(CI)-3.65 to-1.28,P<0.001] and insulin dosage(standardized MD-0.75 U,95%CI-1.17 to-0.33,P<0.001). SGLT2 inhibitors could also increase the excretion of urine glucose(MD 131.09 g/24 h,95%CI 91.79 to 170.39,P<0.001). There were no significant differences in the incidences of hyperglycemia [odds ratio(OR) 1.82,95%CI 0.63 to 5.29,P=0.27],urinary tract infection(OR 0.95,95%CI 0.19 to 4.85,P=0.95),genital tract infection(OR 0.27,95%CI 0.01 to 7.19,P=0.43),and diabetic ketoacidosis(OR 6.03,95%CI 0.27 to 135.99,P=0.26) between the two groups. Conclusion SGLT2 inhibitors combined with insulin might be an efficient and safe treatment modality for T1DM patients.

注射用亚胺培南西司他丁钠质量分析

目的 对国内市场中不同企业的注射用亚胺培南西司他丁钠的质量状况进行评价,发现质量风险点,为仿制药一致性评价提供质量控制关键点。方法 采用法定检验结合探索性研究的方法对样品进行检验,统计分析注射用亚胺培南西司他丁钠的整体质量水平,分析不同企业产品的差异。结果 按法定标准检验,80批次抽验样品结果均符合规定。但发现原研产品的复溶时间更快;不同企业的产品有关物质和含量结果差异较大;现行质量标准差异较大亟待提高统一。探索性研究表明,样品复溶时间与制剂中亚胺培南晶癖及粒度相关;采用LC/MS等方法对本品有关物质的来源进行了归属,对部分杂质结构进行了推断;对本品的含量测定方法进行了优化。结论 国内市场中注射用亚胺培南西司他丁钠的质量总体较好;在开展仿制药一致性评价工作中,需关注亚胺培南的晶癖以及制剂的有关物质、含量、充氮工艺和异亚丙基丙酮等质量关键点;现行标准有待统一和提高。

20例钠-葡萄糖共转运蛋白2抑制剂致福涅尔坏疽病例及文献分析

目的探讨钠-葡萄糖共转运蛋白2抑制剂(SGLT-2i)致福涅尔坏疽(FG)的发生特点,为临床安全用药提供参考。方法采用计算机检索PubMed、Embase、中国知网、万方、维普数据库自建库起至2023年6月有关SGLT-2i致FG的病例报道,并对相关数据进行统计和分析。结果共纳入20篇文献,涉及20例患者。其中,男14例(70.00%),女6例(30.00%);年龄(56.0±11.5)岁;12例(60.00%)描述为肥胖,其中5例为极重度肥胖(体质量指数不低于40 kg/m^(2))。FG发生中位时间为425 d,FG发生时糖化血红蛋白(HbA_(1C))平均值为9.2%。SGLT-2i致FG相关性为很可能的有8例,可能的有12例。20例患者经停药、及时清创引流及给予抗菌药物治疗后转归均良好。结论临床使用SGLT-2i时需注意识别其致FG的危险因素,一旦生殖器或会阴区域出现可疑的肿胀、疼痛等不适,需立即就医,并给予积极治疗。

基于Raman的复方柳安咖注射液主要成分分析

本文应用拉曼光谱技术对复方柳安咖注射液的主要成分及含量进行了分析。首先测试分析了62个复方柳安咖注射液样品的拉曼光谱,结果表明62个注射液样品的拉曼光谱主要由水杨酸钠、安替比林和咖啡因的水溶液拉曼谱带组成;进一步利用密度泛函理论(DFT)计算了其主要成分的理论拉曼光谱和红外光谱,与实验测定的固体粉末光谱和溶液光谱进行比较分析,进而对复方柳安咖注射液拉曼光谱谱峰的振动模式进行了归属;最后利用水杨酸钠和安替比林浓度梯度溶液拉曼光谱特征峰的峰高和峰面积,分别建立定量分析模型,对62个复方柳安咖注射液样品中主要成分水杨酸钠和安替比林的含量进行预测,并与液相色谱法测试值进行了对比,结果显示预测值与液相色谱法测试值相近,得到了较好的主要成分含量预测结果。研究结果可为复方柳安咖注射液药剂的生产、药品质量的监控、药品光谱分析研究等方面提供参考。

头孢哌酮钠舒巴坦钠致凝血功能异常的危险因素分析

目的 探讨头孢哌酮钠舒巴坦钠致凝血功能异常的危险因素分析。方法 收集经第三代头孢菌素抗生素(头孢哌酮钠舒巴坦钠)治疗的100例患者为研究对象。根据患者是否出现凝血功能异常分为异常组(n=29)和正常组(n=71)。比较2组性别、年龄、体温、脉搏、治疗疗程、白细胞计数(white cell count,WBC)、白蛋白、尿素氮、总胆红素(total bilirubin,TBIL)、降钙素原(procalcitonin,PCT)、C反应蛋白(C-reactive protein,CRP)、饮食情况、用药剂量、合并基础病等;通过多因素Logistic回归分析明确患者凝血功能异常的危险因素;通过Person系数分析WBC、白蛋白、尿素氮、CRP与凝血酶原时间(prothrombin time,PT)、活化部分凝血酶原时间(activated partial prothrombin time,APTT)的相关性。结果 2组性别、年龄、体温、脉搏、治疗疗程、TBIL、PCT、CRP、合并高血压、合并糖尿病比较差异无统计学意义(P>0.05);异常组白蛋白水平显著低于正常组,WBC、尿素氮、CRP水平、饮食<1 200 mL/d、用药剂量≥3 g/d占比均高于正常组(P<0.05);经ROC分析证实WBC、白蛋白、尿素氮、CPR水平均可用于头孢哌酮钠舒巴坦钠在抗感染过程中凝血功能异常的预测,曲线下面积分别为0.913、0.829、0.920、0.847(P<0.05);经多因素Logistic回归分析证实,饮食<1 200 mL/d、用药剂量≥3 g/d、WBC>11.385×10~9/L、白蛋白<28.815 g/L、尿素氮>14.199μmol/L、CRP>17.629 mg/L是凝血功能异常的危险因素(P<0.05);相关性分析显示,WBC、尿素氮、CPR水平与PT、APTT均呈正相关,白蛋白与PT、APTT呈负相关(P<0.05)。结论 头孢哌酮钠舒巴坦钠在抗感染过程中致凝血功能异常受到诸多因素影响,如较高的WBC、尿素氮、CPR水平,较低的白蛋白水平,较高的用药剂量,较少的饮食等,WBC、尿素氮、CPR水平越高及白蛋白水平越低,患者凝血功能越差。

一测多评法测定大黄碳酸氢钠片中5种游离蒽醌类成分的含量

目的建立一测多评法(QAMS)测定大黄碳酸氢钠片中5种游离蒽醌类成分的含量。方法采用高效液相色谱法,以大黄酚为内参物,确立芦荟大黄素、大黄酸、大黄素和大黄素甲醚与大黄酚的相对校正因子,并与外标法测定结果进行比较,以验证一测多评法在测定该成分的合理性和可行性。结果8批不同生产企业的样品,一测多评法计算值与外标法实测值无明显差异,相对平均偏差均小于1.0%。结论本方法准确可靠,可用于大黄碳酸氢钠片中5种游离蒽醌类成分的含量测定。

依达拉奉联合丙戊酸钠治疗卒中后癫痫的有效性及安全性的系统评价和Meta分析

目的评估依达拉奉联合丙戊酸钠治疗卒中后癫痫的有效性及安全性。方法计算机检索the Cochrane Library、PubMed、Embase、Web of Science、CNKI、万方数据库、VIP数据库,检索时限均为自建库起至2023年5月。收集依达拉奉联合丙戊酸钠对比丙戊酸钠单药治疗癫痫的随机对照试验,使用RoB 2工具评估所纳入文献的偏倚风险,使用RevMan 5.4软件进行Meta分析。结果纳入13篇文献,总计1092例患者。Meta分析结果显示,联合治疗组的有效率显著高于丙戊酸钠组[RR=0.18,95%CI(0.13,0.22),P<0.01]。且不良反应发生率更低[RR=0.73,95%CI(0.48,1.13),P=0.16]。联合治疗组患者发作频次[MD=-0.30,95%CI(-0.43,-0.11),P<0.01]、发作持续时间[MD=-0.81,95%CI(-0.89,-0.72),P<0.01]均显著低于丙戊酸钠组;炎症因子肿瘤坏死因子-α[MD=-8.00,95%CI(-9.15,-6.84),P<0.01]。白细胞介素-2[MD=-10.19,95%CI(-14.61,-5.78),P<0.01]、白细胞介素-8[MD=-5.6,95%CI(-6.48,-4.73),P<0.01]均显著低于丙戊酸钠组;联合治疗组癫痫患者神经元特异性烯醇化酶(NSE)水平治疗后1个月[MD=-4.73,95%CI(-4.99,-4.46),P<0.01]、3个月[MD=-2.10,95%CI(-3.26,-0.95),P<0.01]、6个月[MD=-1.31,95%CI(-2.35,-0.27),P<0.01]显著优于丙戊酸钠组。12个月后NSE水平[MD=0.06,95%CI(-0.07,0.19),P=0.34]无明显差别。结论依达拉奉联合丙戊酸钠治疗卒中后癫痫,可提高患者癫痫控制率,缩短发作频率及发作持续时间,可降低患者体内炎症因子水平,促进NSE水平降低,提高其生活质量,具有一定的安全性。