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Urinary kallidinogenase may assist recovery acute ischemic stroke. This study evaluated the impact of urinary kallidinogenase on NIHSS score, modified Rankin scale (mRS) score and fasting glucose levels in patients with AIS combined with diabetes mellitus and impaired fasting glucose.
Patients with AIS and abnormal glucose metabolism were enrolled in this prospective cohort study and divided into two groups. The HUK group were treated with urinary kallidinogenase and standard treatment, the control group received standard treatment. NIHSS scores, mRS scores and fasting blood glucose were evaluated and compared.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| HUK group | On the basis of routine treatment for cerebral infarction, patients in the HUK group were also given Urinary Kallidinogenase at 0.15 PNA unit/day, for a 10-day course. |
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| control group | The control group were given routine treatment for cerebral infarction, including anti-platelet aggregation, anticoagulation, lipid-lowering and plaque stabilizing, free radical scavenging, nerve nutrition and brain protection. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Urinary Kallidinogenase | Drug |
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| Measure | Description | Time Frame |
|---|---|---|
| NIHSS Score at 90 Days | Comparison of NIHSS score between the control and HUK group at 90 days | at 90 days after admission |
| Measure | Description | Time Frame |
|---|---|---|
| NIHSS Score at 10 Days、30 Days | Comparison of NIHSS score between the control and HUK group at 10days、30days. | at 10 days, 30 days after admission |
| Factors related to Non-General Recovery (90-day NIHSS was reduced by <90%) |
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Inclusion Criteria:
Exclusion criteria:
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Patients with AIS combined with diabetes mellitus and impaired fasting glucose who was meets the Inclusion and Exclusion Criteria were enrolled in this prospective cohort study and divided into two groups.
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| Name | Affiliation | Role |
|---|---|---|
| Xiaopeng Wang, MD | The Second Hospital of Hebei Medical University | Principal Investigator |
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| ID | Term |
|---|---|
| D000083242 | Ischemic Stroke |
| ID | Term |
|---|---|
| D020521 | Stroke |
| D002561 | Cerebrovascular Disorders |
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
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Based on NIHSS score,multivariate analysis was performed to evaluate the factors related to non-general recovery (90-day NIHSS was reduced by <90%) for all patients.
Evaluation of NIHSS score: General recovery was when NIHSS score was reduced by 90%-100%; Non-general recovery referred to when NIHSS score was reduced by <90%.
| at 90 days after admission |
| mRS Score | The mRS score of 10 days after admission was taken as the baseline.Comparison of mRS score between the control and HUK group at 30days、90days. Based on mRS,multivariate analysis was also performed to evaluate the factors related to poor curative effect (90-day mRS ≥3) for all patients. Evaluation of mRS score: mRS score of 0-2 points referred to a good curative effect, and 3-5 points referred to a poor curative effect. | 10 days, 30 days, and 90 days after admission |
| fasting glucose levels | Comparison of the change in fasting glucose levels between the control and HUK group at admission and 10days. | at admission and 10 days after admission |
| D009422 |
| Nervous System Diseases |
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |