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谷红注射液治疗急性缺血性脑卒中的多中心、随机、双盲、安慰剂对照临床研究

夏健 肖波 殷俊 熊涛 狄政莉 孙冰 王兵 胡仁琳 龙泓宇 黄清

国际神经病学神经外科学杂志2024,Vol.51Issue(4):1-7,7.
国际神经病学神经外科学杂志2024,Vol.51Issue(4):1-7,7.DOI:10.16636/j.cnki.jinn.1673-2642.2024.04.001

谷红注射液治疗急性缺血性脑卒中的多中心、随机、双盲、安慰剂对照临床研究

Clinical efficacy and safety of guhong injection in treatment of acute ischemic stroke:A multicenter,randomized,double-blind,placebo-controlled clinical trial

夏健 1肖波 1殷俊 1熊涛 2狄政莉 3孙冰 4王兵 5胡仁琳 2龙泓宇 1黄清1

作者信息

  • 1. 中南大学湘雅医院,湖南长沙 410008
  • 2. 武汉市第五医院,湖北武汉 430050
  • 3. 西安市中心医院,陕西西安 710003
  • 4. 洛阳市第三人民医院,河南洛阳 471002
  • 5. 淮安市中医院,江苏淮安 223001
  • 折叠

摘要

Abstract

Objective To investigate the clinical efficacy and safety of guhong injection in the treatment of patients with acute ischemic stroke.Methods A multicenter prospective study was conducted with a randomized,double-blind,parallel-controlled clinical trial design.A total of 2 000 patients with acute ischemic stroke who attended 31 hospitals from July 22,2021 to April 30,2024 were enrolled,and after screening and randomization,999 patients were enrolled in the experimental group and 1 000 were enrolled in the control group.The patients in the experimental group were given Guhong injection,while those in the control group were given placebo(normal saline),and the course of treatment was 10 days for both groups.The two groups were compared in terms of the change in modified Rankin Scale(mRS)score on day 90 after disease onset,as well as the proportion of subjects with an mRS score of ≤2 after treatment,and the adverse reactions during treatment were observed and recorded for both groups.Results On day 90 after disease onset,the experimental group had a significantly higher proportion of patients with an mRS score of ≤2 than the control group[71.10%(710/999)vs 65.10%(651/1 000),P<0.05].There was no significant difference in the incidence rate of adverse reactions between the experimental group and the control group during treatment(0.70%vs 0.40%,P>0.05).The experimental group showed comparable safety to the control group based on a comprehensive safety assessment of adverse reactions,clinical laboratory tests,electrocardiographic findings,and vital signs.Conclusions Guhong injection has the advantages of marked clinical efficacy and good safety and reliability and can effectively improve clinical compliance and the clinical symptoms and quality of life of patients with acute ischemic stroke,and therefore,it holds promise for clinical application.

关键词

急性缺血性脑卒中/谷红注射液/随机对照试验/Rankin量表评分

Key words

acute ischemic stroke/guhong injection/randomized controlled trial/modified Rankin Scale

分类

医药卫生

引用本文复制引用

夏健,肖波,殷俊,熊涛,狄政莉,孙冰,王兵,胡仁琳,龙泓宇,黄清..谷红注射液治疗急性缺血性脑卒中的多中心、随机、双盲、安慰剂对照临床研究[J].国际神经病学神经外科学杂志,2024,51(4):1-7,7.

基金项目

吉林省科技厅医药健康产业发展专项资金项目(20190003) (20190003)

吉林省科技厅医药健康产业发展专项资金项目(20200407007MH). (20200407007MH)

国际神经病学神经外科学杂志

OACSTPCD

1673-2642

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