New Engl J Med:新的研究为中风治疗提供新指南!

2017-11-12 佚名 medicalxpress

中风治疗的标准指南目前建议仅在中风发作后6小时内清除凝块。但是,在“新英格兰医学杂志”上发表的一项里程碑式的研究结果显示,中风后24小时内的凝块清除导致适当选择的患者的残疾显著降低。

中风治疗的标准指南目前建议仅在中风发作后6小时内清除凝块。但是,在“新英格兰医学杂志”上发表的一项里程碑式的研究结果显示,中风后24小时内的凝块清除导致适当选择的患者的残疾显著降低。

被称为DAWN试验的国际多中心临床研究随机分配了206例卒中患者,他们在6到24小时内到达医院进行了血管内凝血除去治疗(称为血栓切除术)或标准药物治疗。

血栓切除术包括放置在股动脉中的导管,并且将主动脉蛇行并进入脑动脉,在那里阻塞动脉的血块并导致神经症状。

几乎有一半的患者(48.6%)的凝块清除显示残疾显著减少,这意味着他们在治疗后90天的日常生活活动中是独立的。只有13.1%的药物组有类似的下降。死亡率或其他安全性终点事件在两组之间没有差异。

埃默里大学神经病学,神经外科和放射学教授Raul Nogueira博士说:“这些发现可能会影响到世界各地无数的脑卒中患者,这些脑卒中患者在目前的6小时治疗窗口关闭后经常到达医院。

匹兹堡大学医学中心中风研究所联合首席研究员Tudor Jovin医学博士说:“当受到中风影响的不可逆损伤的大脑区域很小时,即使在六小时窗外进行,我们也可以看到去除凝块可以产生显著的积极效果。 “但是,这并不能减轻患者在中风时必须到急诊室的紧迫性。”

为了选择患者进行试验,研究人员使用了一种新的方法,使用脑成像和临床标准,而不仅仅是单纯的时间。

诺盖拉说:“观察大脑的生理状态,评估组织损伤程度和其他临床因素似乎是决定血栓切除术是否有利于患者而不是坚持严格的时间窗口的更好方法。”

研究人员计划在研究期间最多招募500名患者。然而,在200名患者参加试验后,预先计划对治疗有效性进行中期审查,导致独立的数据安全监督委员会监督该研究,建议根据预先确定的标准提前终止试验,证明凝块清除效果显著临床受益的研究患者。

埃默里大学医学院神经病学教授,神经病学主任,马库斯脑卒中与神经科学研究中心主任Michael Frankel博士说:“我们的研究和临床团队对这些突破性发现非常自豪,这些发现非常深刻,可能会导致模式转变,在中风治疗领域多年不会再出现。”

原始出处:

Raul G. Nogueira, Ashutosh P. Jadhav,  Diogo C. Haussen, et.al. Thrombectomy 6 to 24 Hours after Stroke with a Mismatch between Deficit and Infarct. NEJM

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    2018-07-14 spoonycyy
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    2018-04-08 haouestc
  4. 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channel=null, level=null, likeNumber=22, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2017/11/05/dc628308c49d4aa82335673176ebb6d3.jpg, createdBy=153c1955083, createdName=xiaotao112411, createdTime=Sun Nov 12 12:43:07 CST 2017, time=2017-11-12, status=1, ipAttribution=)]
  5. 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channel=null, level=null, likeNumber=22, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2017/11/05/dc628308c49d4aa82335673176ebb6d3.jpg, createdBy=153c1955083, createdName=xiaotao112411, createdTime=Sun Nov 12 12:43:07 CST 2017, time=2017-11-12, status=1, ipAttribution=)]
    2017-11-12 131****1460

    学习了受益匪浅

    0

  6. 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topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2017/11/05/dc628308c49d4aa82335673176ebb6d3.jpg, createdBy=153c1955083, createdName=xiaotao112411, createdTime=Sun Nov 12 12:43:22 CST 2017, time=2017-11-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=260786, encodeId=8f5c260e866c, content=学习学习学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=55, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2017/11/05/dc628308c49d4aa82335673176ebb6d3.jpg, createdBy=153c1955083, createdName=xiaotao112411, createdTime=Sun Nov 12 12:43:18 CST 2017, time=2017-11-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=260785, encodeId=cd69260e85b5, content=学习学习学习, beContent=null, objectType=article, channel=null, level=null, 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    2017-11-12 xiaotao112411

    学习学习学习

    0

  7. 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channel=null, level=null, likeNumber=22, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2017/11/05/dc628308c49d4aa82335673176ebb6d3.jpg, createdBy=153c1955083, createdName=xiaotao112411, createdTime=Sun Nov 12 12:43:07 CST 2017, time=2017-11-12, status=1, ipAttribution=)]
    2017-11-12 xiaotao112411

    学习学习学习

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  8. 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channel=null, level=null, likeNumber=22, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2017/11/05/dc628308c49d4aa82335673176ebb6d3.jpg, createdBy=153c1955083, createdName=xiaotao112411, createdTime=Sun Nov 12 12:43:07 CST 2017, time=2017-11-12, status=1, ipAttribution=)]
    2017-11-12 xiaotao112411

    学习学习学习

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  9. 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topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2017/11/05/dc628308c49d4aa82335673176ebb6d3.jpg, createdBy=153c1955083, createdName=xiaotao112411, createdTime=Sun Nov 12 12:43:22 CST 2017, time=2017-11-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=260786, encodeId=8f5c260e866c, content=学习学习学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=55, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2017/11/05/dc628308c49d4aa82335673176ebb6d3.jpg, createdBy=153c1955083, createdName=xiaotao112411, createdTime=Sun Nov 12 12:43:18 CST 2017, time=2017-11-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=260785, encodeId=cd69260e85b5, content=学习学习学习, beContent=null, objectType=article, channel=null, level=null, 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    2017-11-12 xiaotao112411

    学习学习学习

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  10. 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    2017-11-12 xiaotao112411

    学习学习学习

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