*僅供醫(yī)學(xué)專業(yè)人士閱讀參考
自1995年NINDS研究問世以來,靜脈溶栓治療已成為急性缺血性卒中(AIS)再灌注治療最主要的手段。其中阿替普酶為主要的溶栓藥物,顯著改善了AIS患者的預(yù)后[1]。替奈普酶作為一種新型纖溶酶原激活物,因其獨(dú)特的藥理學(xué)特性及操作簡便性,近年來已成為再灌注治療領(lǐng)域的研究熱點(diǎn),已被視為AIS患者溶栓治療的新標(biāo)準(zhǔn)。
*以下內(nèi)容僅供在中國大陸執(zhí)業(yè)的
醫(yī)療衛(wèi)生專業(yè)人士瀏覽。
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參考文獻(xiàn):
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[2]國家衛(wèi)生健康委加強(qiáng)腦卒中防治工作減少百萬新發(fā)殘疾工程專家委員會,吉訓(xùn)明. 《2024年中國腦卒中防治報(bào)告》概要[J]. 首都醫(yī)科大學(xué)學(xué)報(bào),2025.
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[7]中華醫(yī)學(xué)會神經(jīng)病學(xué)分會,中華醫(yī)學(xué)會神經(jīng)病學(xué)分會腦血管病學(xué)組. 中國急性缺血性卒中診治指南2023[J]. 中華神經(jīng)科雜志,2024,57(06):523-559.
[8]Keyt BA, Paoni NF, Refino CJ, et al. A faster-acting and more potent form of tissue plasminogen activator. Proc Natl Acad Sci U S A. 1994 Apr 26;91(9):3670-4.
[9]Zhu A, Rajendram P, Tseng E,et al. Alteplase or tenecteplase for thrombolysis in ischemic stroke: An illustrated review. Res Pract Thromb Haemost. 2022 Sep 20;6(6):e12795.
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[11]Menon BK, Buck BH, Singh N, et al. Intravenous tenecteplase compared with alteplase for acute ischaemic stroke in Canada (AcT): a pragmatic, multicentre, open-label, registry-linked, randomised, controlled, non-inferiority trial. Lancet. 2022 Jul 16;400(10347):161-169.
[12]Muir KW, Ford GA, Ford I, et al. Tenecteplase versus alteplase for acute stroke within 4·5 h of onset (ATTEST-2): a randomised, parallel group, open-label trial. Lancet Neurol. 2024 Nov;23(11):1087-1096.
[13]Parsons MW, Yogendrakumar V, Churilov L, et al. Tenecteplase versus alteplase for thrombolysis in patients selected by use of perfusion imaging within 4·5 h of onset of ischaemic stroke (TASTE): a multicentre, randomised, controlled, phase 3 non-inferiority trial. Lancet Neurol. 2024 Aug;23(8):775-786.
[14]Palaiodimou L, Katsanos AH, Turc G,et al. Tenecteplase vs Alteplase in Acute Ischemic Stroke Within 4.5 Hours: A Systematic Review and Meta-Analysis of Randomized Trials. Neurology. 2024 Nov 12;103(9):e209903.
[15]Meng X, Li S, Dai H, et al. Tenecteplase vs Alteplase for Patients With Acute Ischemic Stroke: The ORIGINAL Randomized Clinical Trial. JAMA. 2024 Nov 5;332(17):1437-1445.
[16]熊云云,等.卒中:回眸2024[J].中國卒中雜志,2025,20(1):1-19.
[17]Powers WJ, Rabinstein AA, Ackerson T, et al. Guidelines for the Early Management of Patients With Acute Ischemic Stroke: 2019 Update to the 2018 Guidelines for the Early Management of Acute Ischemic Stroke: A Guideline for Healthcare Professionals From the American Heart Association/American Stroke Association. Stroke. 2019 Dec;50(12):e344-e418.
[18]Alamowitch S, Turc G, Palaiodimou L,et al. European Stroke Organisation (ESO) expedited recommendation on tenecteplase for acute ischaemic stroke. Eur Stroke J. 2023 Mar;8(1):8-54.
[19]中國卒中學(xué)會, 《中國卒中學(xué)會急性缺血性卒中再灌注治療指南》編寫組, 王擁軍. 中國卒中學(xué)會急性缺血性卒中再灌注治療指南2024.中國卒中雜志,2024,19(12):1460-1478.
[20]Sk?rlund M, ?sberg S, Eriksson M, et al. Tenecteplase compared to alteplase in real-world outcome: A Swedish Stroke Register study. Ups J Med Sci. 2024 Oct 9;129.
[21]Warach SJ, Dula AN, Milling TJ, et al. Prospective Observational Cohort Study of Tenecteplase Versus Alteplase in Routine Clinical Practice. Stroke. 2022 Dec;53(12):3583-3593.
[22]Gao L, Moodie M, Mitchell PJ, et al. Cost-Effectiveness of Tenecteplase Before Thrombectomy for Ischemic Stroke. Stroke. 2020 Dec;51(12):3681-3689.
[23]原研替奈普酶說明書.
審批號:SC-CN-18259,有效期至2026年12月1日
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