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自体骨髓间充质干细胞反复脑室内移植治疗慢性出血性卒中的临床结果。一年随访

Clinical Outcomes of Repeated Intraventricular Transplantation of Autologous Bone Marrow Mesenchymal Stem Cells in Chronic Haemorrhagic Stroke. A One-Year Follow Up.

作者信息

Al Fauzi Asra, Sumorejo Purwati, Suroto Nur Setiawan, Parenrengi Muhammad Arifin, Wahyuhadi Joni, Turchan Agus, Mahyudin Ferdiansyah, Suroto Heri, Rantam Fedik Abdul, Machfoed Mochammad Hasan, Bajamal Abdul Hafid, Lumenta Christianto Benjamin

机构信息

Department of Neurosurgery, Faculty of Medicine, Universitas Airlangga, Dr. Soetomo General Hospital, Surabaya Neuroscience Institute, Surabaya, Indonesia.

Cell and Tissue Bank, Dr. Soetomo General Hospital, Surabaya, Indonesia.

出版信息

Open Neurol J. 2017 Dec 19;11:74-83. doi: 10.2174/1874205X01711010074. eCollection 2017.

Abstract

OBJECT

Stroke, one of the most devastating diseases, is a leading cause of death and disability throughout the world and is also associated with emotional and economic problems. The main goal of this study was to investigate the clinical outcome of the intraventricular transplantation of bone marrow mesenchymal stem cells (BM-MSCs) in post-haemorrhagic stroke patients.

METHOD

This study was done consisting of eight patients with supratentorial haemorrhagic stroke, who had undergone 24 weeks of standard treatment of stroke with stable neurological deficits. All of the patients received stem cell transplantation intraventricularly using autologous BM-MSCs. Six months and Twelve months after stem cells treatment, the clinical outcomes were measured using the National Institute of Health Stroke Scale (NIHSS) and adverse effect also observed.

RESULT

The results of this study showed improvement of NIHSS score values before and after the treatment in five patients. No adverse effects or complications were detected during the 1-year observation.

CONCLUSION

Intraventricular transplantation of BM-MSCs has shown benefits in improving the functional status of post-haemorrhagic stroke patients with no adverse effect.

摘要

目的

中风是最具毁灭性的疾病之一,是全球死亡和残疾的主要原因,还会引发情感和经济问题。本研究的主要目的是调查脑出血性中风患者脑室内移植骨髓间充质干细胞(BM-MSCs)的临床疗效。

方法

本研究纳入了8例幕上脑出血性中风患者,这些患者接受了24周的中风标准治疗,神经功能缺损稳定。所有患者均通过自体BM-MSCs进行脑室内干细胞移植。在干细胞治疗6个月和12个月后,使用美国国立卫生研究院卒中量表(NIHSS)测量临床疗效,并观察不良反应。

结果

本研究结果显示,5例患者治疗前后NIHSS评分值有所改善。在1年的观察期内未检测到不良反应或并发症。

结论

脑室内移植BM-MSCs已显示出改善脑出血性中风患者功能状态的益处,且无不良反应。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a8a1/5738743/e4224ee00cb4/TONEUJ-11-74_F1.jpg

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