研究疾病:
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认知障碍
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研究疾病代码:
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Target disease:
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Cognitive impairment
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Target disease code:
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研究类型:
Study type:
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干预性研究
Interventional study
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研究设计:
Study design:
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随机平行对照
randomized controlled trial(parallel group design)
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研究所处阶段:
Study phase:
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探索性研究/预试验
Pilot clinical trial
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研究目的:
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(1)明确聪明汤治疗风痰阻络型型急性脑梗死后认知功能障碍碍的临床疗效。
(2)从炎症角度探讨利水消肿、开窍豁痰、宁心止忘方剂聪明汤治疗急性缺血性卒中后认知功能障碍碍的作用机制。
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Objectives of Study:
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(1) Objective to clarify the clinical effect of Congming Decoction on cognitive dysfunction after acute cerebral infarction of wind phlegm obstructing collaterals type.
(2) From the perspective of inflammation, to explore the mechanism of Lishui Xiaozhong, Kaiqiao Huotan, Ningxin zhiforgetting recipe Congming Decoction in the treatment of cognitive dysfunction after acute ischemic stroke.
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药物成份或治疗方案详述:
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聪明汤颗粒试验药物与聪明汤颗粒安慰剂剂型相同,重量相近,均为煎煮颗粒剂,由江阴天江药业有限公司生产制备。聪明汤颗粒试验药物每袋含茯神15克、远志15克、石菖蒲15克(每日服用2次,每次1袋,每日总剂量为茯神30克、远志30克、石菖蒲30克);安慰剂含2%茯神、远志、石菖蒲,其余外观、包装、剂量、颜色、气味、服用方法同试验药物。患者入组后、尽早服用聪明汤颗粒试验药物或安慰剂或西药,试验组和安慰剂组每日2次,每次一包,疗程均为8周,即56天。 两组基础治疗相同。
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Description for medicine or protocol of treatment in detail:
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Congming Tang granule test drug and Congming Tang granule placebo dosage form is the same, the weight is similar, both are Decoction granules, produced by Jiangyin Tianjiang Pharmaceutical Co., Ltd. The test drug of Congming Tang granule contains 15 g of Fu Shen, 15 g of Polygala and 15 g of Acorus tatarinowii (2 times a day, 1 bag each time, with a total daily dose of 30 g Fu Shen, 30 g Polygala and 30 g Acorus tatarinowii); the placebo contains 2% Fu Shen, Polygala and Acorus tatarinowii, and the other appearance, package, dosage, color, smell and administration method are the same as those of the test drug. The patients in the experimental group and placebo group took the test drug of Congming Decoction granules or placebo or western medicine as soon as possible. The experimental group and the placebo group were given a package twice a day for 8 weeks, that is, 56 days. The basic treatment of the two groups was the same.
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纳入标准:
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(1)符合风痰阻络型急性缺血性卒中后诊断标准;
(2)MMSE<27分,MoCA评分<26分;
(3)年龄≥50岁;
(4)患者或家属知情同意。
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Inclusion criteria
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(1) According to the diagnostic criteria of acute ischemic stroke with wind phlegm obstructing collaterals;
(2) MMSE < 27, MOCA < 26;
(3) Aged >= 50 years;
(4) Informed consent was obtained from patients or their families.
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排除标准:
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(1)GCS评分小于等于5分;
(2)24小时内计划外科手术治疗者;
(3)发病前存在残障者;
(4)合并有心脑血管、肝、肾和造血系统等严重危及生命的原发性疾病以及精神病患者;
(5)过敏体质者。
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Exclusion criteria:
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(1) GCS score is less than or equal to 5 points;
(2) Patients who plan surgical treatment within 24 hours;
(3) People with disabilities before the onset of the disease;
(4) The patients were complicated with serious life-threatening primary diseases such as cardio cerebrovascular system, liver, kidney and hematopoietic system, as well as psychiatric patients;
(5) Allergic constitution.
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研究实施时间:
Study execute time:
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从From
2020-10-01
至To
2022-09-30
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征募观察对象时间:
Recruiting time:
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从From
2020-10-01
至To
2022-09-30
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