Efficacy and Safety of Alteplase Combined with Urinarykallid for Intravenous Thrombolysis on Acute Cerebral Infarction

被引:2
作者
Shao, Jiahui [1 ]
Bao, Linyi [1 ]
Jin, Xinchun [1 ]
Jin, Haimiao [1 ]
Chen, Yun [2 ]
机构
[1] First Peoples Hosp Wenling, Dept Neurol, Wenling 317500, Zhejiang, Peoples R China
[2] Taizhou Cent Hosp, Dept Neurol, Taizhou 318000, Zhejiang, Peoples R China
关键词
alteplase; urinarykallid; acute cerebral infarction; efficacy; safety analysis; ISCHEMIC-STROKE; INFLAMMATION; TRIAL;
D O I
10.1134/S1819712424010203
中图分类号
Q189 [神经科学];
学科分类号
071006 ;
摘要
This study aimed to explore the efficacy and safety of alteplase combined with urinarykallid for the intravenous thrombolysis of patients with acute cerebral infarction. Patients (n = 125) who were admitted to our hospital were included and divided into Group A (n = 60) and Group B (n = 65). Patients in Group A were treated with alteplase for intravenous thrombolysis, based on which urinarykallid was administered to patients in Group B as a combination treatment. Compared to Group A, Group B was significantly lower in hs-CRP and TNF-alpha levels (p < 0.001), total incidence of adverse reactions (p < 0.05), and NIHSS score (p < 0.001) and higher in IL-10 level (p < 0.001), total effective rate (markedly effective + effective/total cases x 100%. Compared to the single administration of alteplase, the combination of alteplase and urinarykallid for the intravenous thrombolysis of patients with acute cerebral infarction can achieve better efficacy at a lower incidence of adverse reactions and play a more significant role in clinical treatment.
引用
收藏
页码:226 / 232
页数:7
相关论文
共 26 条
[1]   A Randomized Trial of Intraarterial Treatment for Acute Ischemic Stroke [J].
Berkhemer, O. A. ;
Fransen, P. S. S. ;
Beumer, D. ;
van den Berg, L. A. ;
Lingsma, H. F. ;
Yoo, A. J. ;
Schonewille, W. J. ;
Vos, J. A. ;
Nederkoorn, P. J. ;
Wermer, M. J. H. ;
van Walderveen, M. A. A. ;
Staals, J. ;
Hofmeijer, J. ;
van Oostayen, J. A. ;
Nijeholt, G. J. Lycklama A. ;
Boiten, J. ;
Brouwer, P. A. ;
Emmer, B. J. ;
de Bruijn, S. F. ;
van Dijk, L. C. ;
Kappelle, L. J. ;
Lo, R. H. ;
Van Dijk, E. J. ;
de Vries, J. ;
de Kort, P. L. M. ;
van Rooij, W. J. J. ;
van den Berg, J. S. P. ;
van Hasselt, B. A. A. M. ;
Aerden, L. A. M. ;
Dallinga, R. J. ;
Visser, M. C. ;
Bot, J. C. J. ;
Vroomen, P. C. ;
Eshghi, O. ;
Schreuder, T. H. C. M. L. ;
Heijboer, R. J. J. ;
Keizer, K. ;
Tielbeek, A. V. ;
den Hertog, H. M. ;
Gerrits, D. G. ;
van den Berg-Vos, R. M. ;
Karas, G. B. ;
Steyerberg, E. W. ;
Flach, H. Z. ;
Marquering, H. A. ;
Sprengers, M. E. S. ;
Jenniskens, S. F. M. ;
Beenen, L. F. M. ;
van den Berg, R. ;
Koudstaal, P. J. .
NEW ENGLAND JOURNAL OF MEDICINE, 2015, 372 (01) :11-20
[2]   Kallikrein-kinin in stroke, cardiovascular and renal disease [J].
Chao, J ;
Chao, L .
EXPERIMENTAL PHYSIOLOGY, 2005, 90 (03) :291-298
[3]   The fate of medications evaluated for ischemic stroke pharmacotherapy over the period 1995-2015 [J].
Chen, Xiaoling ;
Wang, Kewei .
ACTA PHARMACEUTICA SINICA B, 2016, 6 (06) :522-530
[4]   Human urinary kallidinogenase suppresses cerebral inflammation in experimental stroke and downregulates nuclear factor-κB [J].
Chen, Zhi-bin ;
Huang, Dan-qing ;
Niu, Feng-nan ;
Zhang, Xin ;
Li, Er-guang ;
Xu, Yun .
JOURNAL OF CEREBRAL BLOOD FLOW AND METABOLISM, 2010, 30 (07) :1356-1365
[5]  
Collaborative E.S.C.H.D., 1998, Lancet, V352, P1801, DOI [10.1016/S0140-6736(98)03454-0, DOI 10.1016/S0140-6736(98)03454-0]
[6]   ALTEPLASE - A REAPPRAISAL OF ITS PHARMACOLOGICAL PROPERTIES AND THERAPEUTIC USE IN ACUTE MYOCARDIAL-INFARCTION [J].
GILLIS, JC ;
WAGSTAFF, AJ ;
GOA, KL .
DRUGS, 1995, 50 (01) :102-136
[7]   Randomized Assessment of Rapid Endovascular Treatment of Ischemic Stroke [J].
Goyal, M. ;
Demchuk, A. M. ;
Menon, B. K. ;
Eesa, M. ;
Rempel, J. L. ;
Thornton, J. ;
Roy, D. ;
Jovin, T. G. ;
Willinsky, R. A. ;
Sapkota, B. L. ;
Dowlatshahi, D. ;
Frei, D. F. ;
Kamal, N. R. ;
Montanera, W. J. ;
Poppe, A. Y. ;
Ryckborst, K. J. ;
Silver, F. L. ;
Shuaib, A. ;
Tampieri, D. ;
Williams, D. ;
Bang, O. Y. ;
Baxter, B. W. ;
Burns, P. A. ;
Choe, H. ;
Heo, J. -H. ;
Holmstedt, C. A. ;
Jankowitz, B. ;
Kelly, M. ;
Linares, G. ;
Mandzia, J. L. ;
Shankar, J. ;
Sohn, S. -I. ;
Swartz, R. H. ;
Barber, P. A. ;
Coutts, S. B. ;
Smith, E. E. ;
Morrish, W. F. ;
Weill, A. ;
Subramaniam, S. ;
Mitha, A. P. ;
Wong, J. H. ;
Lowerison, M. W. ;
Sajobi, T. T. ;
Hill, M. D. .
NEW ENGLAND JOURNAL OF MEDICINE, 2015, 372 (11) :1019-1030
[8]   Randomised double-blind placebo-controlled trial of thrombolytic therapy with intravenous alteplase in acute ischaemic stroke (ECASS II) [J].
Hacke, W ;
Kaste, M ;
Fieschi, C ;
von Kummer, R ;
Davalos, A ;
Meier, D ;
Larrue, V ;
Bluhmki, E ;
Davis, S ;
Donnan, G ;
Schneider, D ;
Diez-Tejedor, E ;
Trouillas, P .
LANCET, 1998, 352 (9136) :1245-1251
[9]  
Hacke W, 2004, LANCET, V363, P768
[10]   Thrombolysis with alteplase 3 to 4.5 hours after acute ischemic stroke [J].
Hacke, Werner ;
Kaste, Markku ;
Bluhmki, Erich ;
Brozman, Miroslav ;
Davalos, Antoni ;
Guidetti, Donata ;
Larrue, Vincent ;
Lees, Kennedy R. ;
Medeghri, Zakaria ;
Machnig, Thomas ;
Schneider, Dietmar ;
von Kummer, Ruediger ;
Wahlgren, Nils ;
Toni, Danilo .
NEW ENGLAND JOURNAL OF MEDICINE, 2008, 359 (13) :1317-1329