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[欧洲低温治疗急性缺血性中风疗效试验:一项由欧盟资助的关于轻度治疗性低温对急性缺血性中风疗效的治疗研究]

[EuroHYP-1 trial: EU-funded therapy study on the effectiveness of mild therapeutic hypothermia for acute ischemic stroke].

作者信息

Kollmar R, Gebhardt B, Schwab S

机构信息

Klinik für Neurologie und Neurogeriatrie, Klinikum Darmstadt, Grafenstr. 9, 64283 Darmstadt, Deutschland.

出版信息

Nervenarzt. 2012 Oct;83(10):1252-9. doi: 10.1007/s00115-012-3533-6.

DOI:10.1007/s00115-012-3533-6
PMID:23052890
Abstract

Therapeutic hypothermia (TH) improves the neurological outcome in experimental brain trauma models as well as in patients suffering from cardiac arrest and perinatal asphyxia. So far the efficacy of TH has not been proven in acute ischemic stroke due to lack of clinical data. The EuroHYP-1 study will investigate whether TH with an individual target range temperature between 34 and 35 °C administered for 24 h will improve the neurological outcome in ischemic stroke patients treated within 6 h from symptom onset. The target patient number of 1,500 to be included in EuroHYP-1 is sufficiently powered to detect the efficacy of TH.

摘要

治疗性低温(TH)可改善实验性脑创伤模型以及心脏骤停和围产期窒息患者的神经学预后。迄今为止,由于缺乏临床数据,TH在急性缺血性卒中中的疗效尚未得到证实。欧洲低温治疗研究1(EuroHYP-1)将调查,对症状发作6小时内接受治疗的缺血性卒中患者给予24小时的个体化目标体温范围在34至35摄氏度之间的TH,是否会改善其神经学预后。纳入EuroHYP-1的目标患者数量为1500例,足以检测TH的疗效。

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2
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本文引用的文献

1
Mild hypothermia of 34°C reduces side effects of rt-PA treatment after thromboembolic stroke in rats.34°C的轻度低温可减轻大鼠血栓栓塞性中风后rt-PA治疗的副作用。
Exp Transl Stroke Med. 2012 Mar 7;4(1):3. doi: 10.1186/2040-7378-4-3.
2
Part 9: post-cardiac arrest care: 2010 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care.第九部分:心脏停搏后治疗:2010 美国心脏协会心肺复苏和紧急心血管急救指南。
Circulation. 2010 Nov 2;122(18 Suppl 3):S768-86. doi: 10.1161/CIRCULATIONAHA.110.971002.
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Intravenous thrombolysis plus hypothermia for acute treatment of ischemic stroke (ICTuS-L): final results.
脑保护中的目标温度管理:一项基于证据的综述。
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Critical care for patients with massive ischemic stroke.大缺血性脑卒中患者的重症监护。
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[News and perspectives in neurocritical care].[神经重症监护的新闻与观点]
Nervenarzt. 2014 Aug;85(8):928-38. doi: 10.1007/s00115-014-4040-8.
6
Therapeutic hypothermia for neuroprotection: history, mechanisms, risks, and clinical applications.用于神经保护的治疗性低温:历史、机制、风险及临床应用
Neurohospitalist. 2014 Jul;4(3):153-63. doi: 10.1177/1941874413519802.
7
Neuroprotection in stroke: past, present, and future.中风中的神经保护:过去、现在与未来。
ISRN Neurol. 2014 Jan 21;2014:515716. doi: 10.1155/2014/515716. eCollection 2014.
8
In cold blood: intraarteral cold infusions for selective brain cooling in stroke.冷血疗法:动脉内冷输注用于卒中的选择性脑冷却。
J Cereb Blood Flow Metab. 2014 May;34(5):743-52. doi: 10.1038/jcbfm.2014.29. Epub 2014 Feb 12.
9
Hypothermia protects human neurons.体温过低对人类神经元具有保护作用。
Int J Stroke. 2014 Jul;9(5):544-52. doi: 10.1111/ijs.12224. Epub 2014 Jan 3.
10
Endovascular therapeutic hypothermia for acute ischemic stroke: ICTuS 2/3 protocol.血管内治疗性低温治疗急性缺血性脑卒中:ICTuS 2/3 方案。
Int J Stroke. 2014 Jan;9(1):117-25. doi: 10.1111/ijs.12151. Epub 2013 Nov 10.
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Lancet. 2010 May 15;375(9727):1695-703. doi: 10.1016/S0140-6736(10)60491-6.
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J Cereb Blood Flow Metab. 2010 Jun;30(6):1079-93. doi: 10.1038/jcbfm.2010.44. Epub 2010 Mar 31.
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10
Ice-cold saline for the induction of mild hypothermia in patients with acute ischemic stroke: a pilot study.冰冷生理盐水用于急性缺血性中风患者轻度低温诱导的初步研究。
Stroke. 2009 May;40(5):1907-9. doi: 10.1161/STROKEAHA.108.530410. Epub 2009 Jan 29.