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[急性缺血性中风的当前登记研究]

[Current registry studies of acute ischemic stroke].

作者信息

Veltkamp R, Jüttler E, Pfefferkorn T, Purrucker J, Ringleb P

机构信息

Neurologische Klinik, Universitätsklinik Heidelberg, Im Neuenheimer Feld 400, 69120 Heidelberg, Deutschland.

出版信息

Nervenarzt. 2012 Oct;83(10):1270-4. doi: 10.1007/s00115-012-3535-4.

Abstract

Study registries offer the opportunity to evaluate the effects of new therapies or to observe the consequences of new treatments in clinical practice. The SITS-MOST registry confirmed the validity of findings from randomized trials on intravenous thrombolysis concerning safety and efficacy in the clinical routine. Current study registries concerning new interventional thrombectomy techniques suggest a high recanalization rate; however, the clinical benefit can only be evaluated in randomized, controlled trials. Similarly, the experiences of the BASICS registry on basilar artery occlusion have led to the initiation of a controlled trial. The benefit of hemicraniectomy in malignant middle cerebral artery infarction has been demonstrated by the pooled analysis of three randomized trials. Numerous relevant aspects are currently documented in the DESTINY-R registry. Finally, the recently started RASUNOA registry examines diagnostic and therapeutic aspects of ischemic and hemorrhagic stroke occurring during therapy with new oral anticoagulants.

摘要

研究登记处提供了评估新疗法效果或观察新治疗方法在临床实践中后果的机会。SITS-MOST登记处证实了关于静脉溶栓的随机试验结果在临床常规中的安全性和有效性。目前有关新的介入性血栓切除术技术的研究登记处表明再通率很高;然而,临床益处只能在随机对照试验中进行评估。同样,BASICS登记处关于基底动脉闭塞的经验已促使开展一项对照试验。三项随机试验的汇总分析证明了去骨瓣减压术在恶性大脑中动脉梗死中的益处。DESTINY-R登记处目前记录了许多相关方面。最后,最近启动的RASUNOA登记处研究了新型口服抗凝剂治疗期间发生的缺血性和出血性卒中的诊断和治疗方面。

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