Stroke
Conditions
Brief summary
Investigators aimed to investigate the changes of glymphatic function after remote ischemic postcondioning treatment in acute ischemic stroke .
Interventions
remote ischemic postcondioning twice daily, for three consecutive days,the upper arm of the lighter paralyzed side was pressurized to 200mmHg, pressurized 5min and relaxed for 5 minutes for 4 cycles as a complete remote ischemic postcondioning
received standardized treatment
Sponsors
Study design
Eligibility
Inclusion criteria
* The patient was 18-80 years old; * The NIHSS score was ≤ 25 and NIHSS \> 5,Glasgow coma score ≥ 8; * The patients were diagnosed as anterior circulation cerebral infarction and could start remote ischemic postcondioning within 24 hours after onset * Normal to random time within 24 hours * Written informed consent signed by patients or their families
Exclusion criteria
* patients receiving thrombolysis or endovascular therapy; * modified Rankin scale (mRS) score ≥ 2 before this attack; * other intracranial lesions, such as cerebral hemorrhage, cerebral venous disease, severe subclavian artery stenosis and other diseases involving the brain; * Arterial blood pressure ≤ 90/60mmHg or ≥ 180/100mmHg after treatment.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Changes of glial lymphatic system | from baseline to 3 day | The size of the vascular spaces was assessed by brain magnetic resonance of ischemic postcondioning group and standard therapy group |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Differential expression pattern of differential proteins | from baseline to 3 day | Differential expression pattern of differential proteins in blood of patients with remote ischemic postcondioning group and standard therapy group |