Keywords: 
• diterpene ginkgolides meglumine injection /
• acute ischemic stroke /
• recovered stroke /
• Meta-analysis /
• randomized controlled trials

Abstract: Objective Diterpene ginkgolides meglumine injection (DGMI) is widely used in patients with stroke, but its efficacy and safety are not consistent. We performed a Meta-analysis to comprehensively evaluate the efficacy and safety of DGMI in acute ischemic stroke and recovered stroke. Methods The wanfang, VIP, CNKI and PubMed were searched, the randomized controlled trials (RCTs) were enrolled. Data collection and quality evaluation of the included RCTs were performed according to Cochrane systematic evaluation method. Meta-analysis was performed by using Stata software. Results 9 RCTs involving 1 129 subjects were included with 706 subjects in DGMI treatment group and 423 subjects in control group. ① For acute ischemic stroke, DGMI group had superior effective rate compared to conventional therapy group (RR=1.19, 95%CI:1.09, 1.31, P<0.000 1), improvement of neurologic impairments (SMD=3.23, 95%CI:2.87, 3.60, P<0.000 1) and improvement of living quality (SMD=3.23, 95%CI:2.87, 3.60, P<0.000 1). ② For recovered stroke, DGMI group had better effective rate than Shuxuening injection group (RR=1.17, 95%CI:1.05, 1.30, P<0.05) and improvement of neurologic impairments (SMD=-0.69, 95%CI:-0.88, -0.49, P<0.000 1). There was no significant difference in adverse events between DGMI and control groups (P>0.05). Conclusion DGMI had superior efficacy over control group for both acute ischemic stroke and recovered stroke. There was no significant difference in adverse events between these two groups. However, we still need better quality RCTs to confirm these results.