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Introduction
Two components of ginkgo are believed to act as
medicine: flavonoids and terpenoids.
Purpose of Study: To investigate the efficacy of Ginkgo biloba extract EGb 761()
in elderly patients with Alzheimer or vascular dementia with neuropsychiatric features.
Tools to Validate Study: P values less than 0.05 for the primary outcome measures were considered
statistically significant. SKT total score improvement by at least 3 points and NPI score improvement by at least
4 points were considered clinically relevant effects.
Sample: 4 RCTs. 1,294 patients analyzed. Patients with a total score of 9-23 in the Syndrom-Kurz test (SKT)
and with a composite score 6 and greater in the Neuropsychiatric Inventory (NPI) were included.
Results: Supports the findings of the RCTs. Safe and well-tolerated. Showed improvements of cognitive
performance and behavioural symptoms, advances in ADLs and a reduced burden to caregivers. In each
placebo-controlled trial, EGb 761() was significantly superior (p < 0.01). In the actively controlled trial, EGb
761() and donezepil had similar effects.
A Systematic Review on Natural Medicines for the Prevention and Treatment
of Alzheimers Disease with Meta-Analyses of Intervention Effect of Ginkgo
Purpose of Study: To investigate the effects of ginkgo biloba on the prevention
and treatment of Alzheimers disease
Study Design: Systematic review
Tools to Validate Study: Two meta-analyses were performed for evaluating the treatment efficacy
of Ginkgo vs. the placebo. One meta-analysis was performed for assessing the preventative effect of
Ginkgo against AD. The dichotomous data of AD incidence was analyzed with random-effects and
Mantel-Haenszel methods. The second meta-analysis looked that the cognitive effects of Ginkgo on
patients AD. Standard mean difference was used to compare between studies.
Sample: 21 studies were included in this review. Eight studies were included in quantitative
synthesis for the comparison between Ginkgo and placebo, of which 6 studies looked at the effect of
treatments and 2 studies looked at the preventative effect of Ginkgo for AD.
Findings: Ginkgo may help established AD patients with cognitive symptoms but cannot prevent the
neurodegenerative progression of the disease.
Yang, M., Xu, D., Zhang, Y., Liu, X., Hoeven, R., Cho, W. (2014). A systematic review on natural medicines for the prevention and treatment of Alzheimers disease with meta-analysis of
intervention effect of ginkgo. American Journal of Chinese Medicine, 42(3), 505-521.
Nursing Considerations
Side effects of Ginkgo biloba include upset stomach, headache, skin
irritation, GI bleeding, and dizziness
Ginkgo can raise or lower insulin levels. Use cautiously with diabetic
patients
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