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丹红注射液对急性缺血性脑卒中患者神经功能恢复及不良事件的影响:一项随机、双盲、安慰剂对照的临床研究方案。

Effect of Danhong injection on neurological recovery and adverse events in patients with acute ischemic stroke: A protocol for a randomized, double-blind, placebo-controlled clinical study.

机构信息

Hai'an Hospital Affiliated to Nantong Medical College, Hai'an, Jiangsu Province, China.

出版信息

Medicine (Baltimore). 2021 Nov 19;100(46):e27683. doi: 10.1097/MD.0000000000027683.

Abstract

BACKGROUND

Acute ischemic stroke (AIS) is characterized by high disabling and recurrent recurrence, and its severe neurological impairment and vascular adverse events (AEs) limit the recovery of patients. Danhong injection is a complementary alternative to the treatment of AIS, and previous studies have demonstrated its efficacy and safety. However, there is no long-term follow-up and rigorous clinical study to evaluate the effect of Danhong injection on neurological recovery and AEs in patients with AIS.

METHODS

This is a prospective randomized, double-blind, placebo-controlled trial investigating the effect of Danhong injection on neurological recovery and AEs in patients with AIS. Participants were randomly divided into treatment and control groups in a 1:1 ratio. The treatment group was treated with Danhong injection and the control group were treated with placebo under the guideline recommended basic treatment. After 14 days of continuous treatment, the follow-up period was 6 months. Observation indicators include: National Institute of Health Stroke Scale, modified Rankin scale, symptomatic intracranial hemorrhage, the incidence of new major vascular events within 6 months, and all-cause mortality. Finally, the data were analyzed statistically using the SPASS 22.0 software.

DISCUSSION

This study will evaluate the effect of Danhong injection on neurological recovery and AEs in AIS. The results will provide a reference for the clinical use of AIS.

摘要

背景

急性缺血性脑卒中(AIS)具有高致残率和高复发率的特点,其严重的神经功能损伤和血管不良事件(AEs)限制了患者的恢复。丹红注射液是 AIS 的一种补充治疗方法,既往研究已经证实了其疗效和安全性。但是,目前还没有长期随访和严格的临床研究来评估丹红注射液对 AIS 患者神经功能恢复和 AEs 的影响。

方法

这是一项前瞻性、随机、双盲、安慰剂对照试验,旨在研究丹红注射液对 AIS 患者神经功能恢复和 AEs 的影响。将参与者按照 1:1 的比例随机分为治疗组和对照组。治疗组采用丹红注射液治疗,对照组在指南推荐的基础治疗下采用安慰剂治疗。连续治疗 14 天后,随访 6 个月。观察指标包括:美国国立卫生研究院卒中量表、改良 Rankin 量表、症状性颅内出血、6 个月内新发主要血管事件的发生率和全因死亡率。最后,使用 SPASS 22.0 软件进行统计分析。

讨论

本研究将评估丹红注射液对 AIS 患者神经功能恢复和 AEs 的影响。研究结果将为 AIS 的临床应用提供参考。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/29bb/8601334/a2e96b3248af/medi-100-e27683-g001.jpg

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