This is a randomized, controlled clinical study conducted across multiple centers. The neurosurgical robot can be used to treat patients with acute intracerebral hemorrhage (ICH). Establish a cohort comprising 200 participants with cognitive impairment after robot-assisted neurosurgery treatment for ICH. Two hundred participants are randomly assigned to either an experimental group (n=100) or a control group (n=100). The experimental group receive conventional treatment and oral administration of Fufang Congrong Yizhi Capsules (FCYC) for 12 weeks, while the control group receive only conventional treatment. The object of the current study is 1) to observe the security and effectiveness of FCYC and 2) to decipher the contributing factors to cognitive impairment after robot-assisted neurosurgery treatment for intracerebral hemorrhage.
The mortality and disability rate for intracerebral hemorrhage (ICH) is high, which places a severe burden on both families and society. Robot-assisted neurosurgery is a significant advancement in the development of minimally invasive surgery for ICH. Compared to conventional surgery, the advantages of robotic surgery include precise positioning, a shorter operative time, and greater stability. Cognitive impairment is a common comorbidity in patients with ICH, which significantly affects their daily life. The effectiveness of Fufang Congrong Yizhi Capsules (FCYC) in treating vascular dementia (VaD) and vascular cognitive impairment (VCI) is well established and has been documented in guidelines and expert consensus. So the primary objective of this clinical study is to observe the safety and efficacy of Fufang Congrong Yizhi Capsules (FCYC) of cognitive impairment after robot-assisted neurosurgery treatment for intracerebral hemorrhage
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
200
Conventional treatment combined with oral administration of FCYC (four capsules, three times a day, orally) for a 12-week course of treatment.
The control group will receive the current gold standard treatment for ICH according to the guidelines (AHA/ASA 2022). This involves blood pressure and care.
Second Affiliated Hospital of Tsinghua University
Beijing, Beijing Municipality, China
RECRUITINGQinhuangdao Hospital of Traditional Chinese Medicine
Qinhuangdao, Hebei, China
RECRUITINGKaifeng Third People's Hospital
Kaifeng, Henan, China
RECRUITINGShandong Public Health Clinical Center
Jinan, Shandong, China
RECRUITINGWeifang Hospital of Traditional Chinese Medicine
Weifang, Shandong, China
RECRUITINGKunming Sanbo Brain Hospital
Kunming, Yunnan, China
RECRUITINGChange in cognitive functioning measured by Montreal Cognitive Assessment (MoCA)
It is a widely used screening assessment for detecting cognitive impairment. Low score is worse outcome.
Time frame: at baseline, 3 months, 6 months, 12 months
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