Review Article

Efficacy and Safety of the Injection of the Traditional Chinese Medicine Puerarin for the Treatment of Diabetic Peripheral Neuropathy: A Systematic Review and Meta-Analysis of 53 Randomized Controlled Trials

Table 1

Characteristics of included articles.

StudySample (T/C)Mean (T/C) Intervention Course of diseaseFollow-upEvaluation
TCTC

Zheng and Guo 2006 [8]61.7/63.297/102Pue (Ivgtt) + scopolamine (IV)Vit B12 (IM)T2DM (6.7 y)4 w①④⑤
Wang et al. 2005 [9]4862/40Pue (Ivgtt) + Mec (Ivgtt)Mec (Ivgtt)T2DM + DPN (1–4 m)2 w①⑤
Huang and Xu 2005 [10]53/5037/34Pue (Ivgtt)Anisodamine (Ivgtt)T2DM (7.6 y) + DPN (2.3 y)T2DM (8.3 y) + DPN (2.1 y)20 d
Yu 2002 [11]56.2/57.240/28Pue (Ivgtt) + anisodamine (Ivgtt)Danshen (Ivgtt)T2DM (11.4 y) + DPN (7.6 y)T2DM (12 y) + DPN (7.3 y)30 d①②③④⑤
Tan and Feng 2004 [12]58.2/56.332/32Pue (Ivgtt) + Vit B1, B6 (Ivgtt)Vit B1, B6 (Ivgtt)DM (10.3 y) + DPN (4.3 y)DM (11.3 y) + DPN (3.5 y)4 w①②③④⑤
Yang 2003 [13]Unclear43/40Pue (Ivgtt) + Mec (IM)Vit B12 (IM)UnclearUnclear12 d
Li 2009 [14]55/5564/62Pue (Ivgtt) + nimodipine (Ivgtt)Nimodipine (Ivgtt)DM (3–21 y) + DPN (4 m–6 y)DM (3–25 y) + DPN (3 m–5 y)4 w
Wang 2008 [15]55/55.532/31Pue (Ivgtt) + nimodipine (Ivgtt)Nimodipine (Ivgtt)DM (5–24 y) + DPN (4 m–6 y)DM (2–25 y) + DPN (3 m–6 y)4 w
Zhao 2011 [16]70.5/38–7940/40Pue (Ivgtt) + Mec (Po)Mec (Po)DM (6.5 y) + DPN (4.2 y)DM (2–24 y) + DPN (1–17 y)8 w
Zhao and Du 2003 [17]58.8/No36/28Pue (Ivgtt) + Mec (Ivgtt)Mec (Ivgtt)DM (6–20 y) + DPN (1–11 y)Unclear6 w①②③④⑤
Yang et al. 2014 [18]56/5629/55Pue (Ivgtt) + Mec (Ivgtt)Mec (Ivgtt)DM + DPN (9.6 y)DM + DPN (9.5 y)4 w①②③④⑤
Chen 2008 [19]55/53.540/38Pue (Ivgtt) + alprostadil (Ivgtt)Alprostadil (Ivgtt)UnclearUnclear6 w
Zhang et al. 2005 [20]57.380/77Pue (Ivgtt) + prostaglandin E1 (Ivgtt)Prostaglandin E1 (Ivgtt)UnclearUnclear14 d
Wang and Wu 2016 [21]62.9/63.241/40Pue (Ivgtt) + Epa (Po)Epa (Po)T2DM + DPN (12.7 y)T2DM + DPN (13.0 y)2 w①②③④⑤
Yu and Tan 2003 [22]58.2/58.832/32Pue (Ivgtt) + Mec (IM)Mec (Ivgtt)DM (2–10 y) + DPN (5–56 m)DM (2.5–11.5 y) + DPN (4–50 m)20 d①②③④⑤
Li and Xu 2003 [23]57.2/58.347/32Pue (Ivgtt) + Mec (Ivgtt)Mec (Po)DM (10.7 y) + DPN (3.5 y)DM (8.8 y) + DPN (3.1 y)4 w①②③④⑤
Li and Wang 2011 [24]47/4748/46Pue (Ivgtt) + Mec (Ivgtt)Mec (Ivgtt)DM (6 m–15 y) + DPN (6 m–5 y)DM (8–15 y) + DPN (7–5 y)6 w①③⑤
Lan 2005 [25]65.5/64.836/36Pue (Ivgtt) + Mec (Ivgtt)Danshen (Ivgtt)DM + DPN (3 y)DM + DPN (3.1 y)6 w
Gong 2004 [26]53.2/52.736/32Pue (Ivgtt) + Mec (IM)Mec (IM)T2DM (10.2 y) + DPN (2.6 y)T2DM (9.7 y) + DPN (2.7 y)8 w③⑤
Dou and Wu 2006 [27]58.5/57.228/30Pue (Ivgtt) + Epa (Po)Epa (Po)DM (6.4 y) + DPN (3.2 y)DM (5.2 y) + DPN (3.0 y)4 w①②③④⑤
Peng 2013 [28]56.2/57.940/40Pue (Ivgtt) + Epa (Po)Epa (Po)T2DM (2–17 y) + DPN (4.1 y)T2DM (2–18 y) + DPN (4.9 y)4 w①②③④⑤
Zhou and Wei 2003 [29]35–7553/42Pue (Ivgtt)Vit B1, B12 (IM)UnclearUnclear30 d①②④⑤
Chen et al. 2003 [30]57.1/5740/40Pue (Ivgtt)Vit B1, B12 (IM)UnclearUnclear4 w①②③④⑤
Liao and Chen 2008 [31]6421/21Pue (Ivgtt)Vit B1, B12 (IM)UnclearUnclear2 w
Ma et al. 2001 [32]58/5521/20Pue (Ivgtt)Vit B1 (Po) + Vit B12 (IM)DM + DPN (13 y)DM + DPN (15 y)15 d
Zhu 2013 [33]61.331/31Pue (Ivgtt)Vit BUnclearUnclear4 w
Chen and Tang 2001 [34]56/5432/20Pue (Ivgtt) + Vit B1, B6 (IM)Vit B1, B12 (IM)DM (8.6 y) + DPN (7.2 y)DM (9 y) + DPN (8 y)20 d
Yang 2010 [35]58.6/58.421/21Pue (Ivgtt) + Mec (Po)Mec (Po)UnclearUnclear1 m①②④⑤
Zhu 2009 [36]59.6/60.325/24Pue (Ivgtt) + α-lipoic acid (Ivgtt)Pue (Ivgtt)T2DM (11.9 y)T2DM (11.6 y)2 w①②③④⑤
Zhu et al. 2001 [37]54/5650/42Pue (Ivgtt)Vit B12 (I.M.)DM (144 m) + DPN (28.3 m)DM (132 m) + DPN (30.4 m)20 d①②③④
Zhong 2011 [38]55/5465/54Sodium ozagrel (Ivgtt) + Pue (Ivgtt)Vit B1, B12 (IM)DM (4 y)DM (3.9)14 d②④
Mo and Wang 2012 [39]65.4/66.230/30Pue (Ivgtt) + Mec (Po)Pue (Ivgtt)UnclearUnclear2 w
Zhang 2007 [40]62/6030/30Pue (Ivgtt) + Mec (IM)Mec (I.M.)T2DM (12.3 y) + DPN (4.3 y)T2DM (11.6 y) + DPN (3.9 y)4 W①②③④⑤
Yang and Zhang 2008 [41]58.6/59.645/45Pue (Ivgtt) + Mec (Po)Mec (Po)T2DM (9.7 y)T2DM (10.0 y)4 w
Yang and Li 2012 [42]57.223/23Pue (Ivgtt)Conventional therapyUnclearUnclear2 w
Dong and Ge 2015 [43]46.4/45.643/43Pue (Ivgtt) + Vit B1, B12Vit B1, B12UnclearUnclear4 w②③④⑤
Zhang 2017 [44]61/59.432/30Pue (Ivgtt) + Vit B1, B12 (IM)Vit B1, B12 (IM)UnclearUnclear14 d①②③④⑤
Lin et al. 2000 [45]58.4/56.966/22Pue (Ivgtt) + Vit B1, B12 (IM)Mec (Po) + Vit B1, B12 (IM)DM (12.8 y) + DPN (4.2 y)DM (11.6 y) + DPN (3.9 y)60 d①②③④⑤
Tan 2001 [46]55.6/56.247/38Pue (Ivgtt) + Vit BVit BDM (1–21 y) + DPN (1 m–10 y)DM (1–20 y) + DPN (1 m–8 y)60 d
Zhu and Quan 2000 [47]Unclear33/32Pue (Ivgtt)Danshen (Ivgtt)UnclearUnclear3 w
T. He and Y. L. He 2002 [48]5636/40Pue (Ivgtt)Danshen (Ivgtt)UnclearUnclear6 w
Zhang 2011 [49]53.3/54.528/29Pue (Ivgtt) + Vit B1, B12Vit B1, B12T2DM (6.5 y)T2DM (6.8 y)3 w
Song and Xu 2000 [50]17–8233/29Pue (Ivgtt) + Mec (IM)Vit B1, B12UnclearUnclear4–8 w
Wang 2007 [51]58.9/59.448/46Pue (Ivgtt) + Mec (Po)Mec (Po)T2DM (15.6 y) + DPN (8.9 y)T2DM (16.2 y) + DPN (8.7 y)3 m①②③④⑤
Feng et al. 2004 [52]58.2/56.332/32Pue (Ivgtt) + Mec (Ivgtt) + Vit B1, B6 (Ivgtt)Mec (Ivgtt) + Vit B1, B6 (Ivgtt)T2DM (10.3 y) + DPN (4.3 y)T2DM (11.3 y) + DPN (3.8 y)4 w①②③④⑤
Hu and Li 2006 [53]4860/40Pue (Ivgtt)Vit B1, B12 (IM)UnclearUnclear2 w
Zuo 2004 [54]56.521/22Pue (Ivgtt)Danshen (Ivgtt)UnclearUnclear3 m①③⑤
Bai 2005 [55]55.3/57.450/30Pue (Ivgtt)Conventional therapyDM (11.8 y) + DPN (6.6 y)DM (12.5 y) + DPN (7.1 y)4 w①②③④⑤
Li 2005 [56]42.9/43.260/30Pue (Ivgtt) + anisodamine (Ivgtt)Anisodamine (Ivgtt)DM + DPN (6.7 y)DM + DPN (7.1 y)3 w②③④⑤
Mao 2006 [57]5432/20Pue (Ivgtt) + Mec (IM)Mec (IM)UnclearUnclear4 w①②③④⑤
Yang 2016 [58]54.36/54.140/40Pue (Ivgtt) + Vit B1, B6 (IM)Vit B1, B6 (IM)DM + DPN (8.24 y)DM + DPN (8.10 y)2 m
Peng and Ren 2005 [59]Unclear60/60Pue (Ivgtt)Conventional therapyDM + DPN (4–16 y)DM + DPN (4–22 y)1 m①④⑤
Dong 2015 [60]54.18/55.340/41Pue (Ivgtt)Conventional therapyUnclearUnclear2 m①②③④⑤

Note. T: treatment group; C: control group; y: years; m: months; w: weeks; d: days; DM: diabetes mellitus; T2DM: type 2 diabetes mellitus; DPN: diabetic peripheral neuropathy; Pue: puerarin; Epa: epalrestat; Mec: mecobalamin; Vit B1, B6, B12: vitamins B1, B6, and B12; IV: intravenous infusion; IM: intramuscular injection; Ivgtt: intravenous guttae; Po: per os; ①: the total effective rate; ②: SNCV of median nerve; ③: SNCV of peroneal nerve; ④: MNCV of median nerve; ⑤: MNCV of peroneal nerve.