Several recent large-scale clinical trials aimed at improving subarachnoid hemorrhage(SAH) outcomes have concluded with negative results, failing to enhance the prognosis for these patients. Consequently, there is an urgent demand for novel treatment strategies and approaches to address the challenges posed by SAH. Remote ischemic conditioning(RIC) has gained considerable attention in the treatment of stroke, particularly ischemic stroke, with numerous studies demonstrating its potential to enhance neurological outcomes compared to conventional treatments alone.RIC for the treatment of SAH is an investigative strategy in its initial stages. The neuroprotective effects of RIC, particularly its potential to preserve cranial nerve function and ameliorate neurological deficits, confer significant value in the treatment of SAH patients. The precise manner in which SAH patients may benefit from RIC treatment, and the mechanisms by which it improves neurological function, remain to be fully understood. Consequently, randomized controlled trials are necessary to validate the efficacy of RIC in this patient population and to delineate the optimal therapeutic protocols for its application. Based on the above discussion, this study aims to explore the efficacy and safety of RIC in the treatment of SAH.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
QUADRUPLE
Enrollment
500
Remote Ischemic Conditioning is given twice a day with 60mmHg pressure.
Remote Ischemic Conditioning is given twice a day with 200mmHg pressure.
Beijing Tiantan Hospital
Beijing, China
Proportion of mRS (0-2)
Modified Rankin Scale, mRS; min:0, max:6; A smaller score indicates a better prognosis.
Time frame: 90±7 days
Proportion of mRS (0-1)
Modified Rankin Scale, mRS; min:0, max:6; A smaller score indicates a better prognosis.
Time frame: 90±7 days
mRS Score as ordinal variable
Modified Rankin Scale, mRS; min:0, max:6; A smaller score indicates a better prognosis.
Time frame: 7±1 days
mRS Score as ordinal variable
Modified Rankin Scale, mRS; min:0, max:6; A smaller score indicates a better prognosis.
Time frame: 30±7 days
Cognitive function score as ordinal variable
Montreal Cognitive Assessment, MoCA. The total score is 30, with higher scores indicating better cognitive function.
Time frame: 7±1 days
The complete blood count
up to 30 days
Time frame: During hospitalization
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