Jurnal NERS
Vol. 18 No. 2 (2023): JUNE 2023

Potential effect of green tea extract for adjuvant treatment of acute ischemic stroke by s100íŸ upregulation in non-thrombolysis patient

Abdulloh Machin (Faculty of Medicine, Universitas Airlangga, Surabaya, Indonesia)
Djoko Agus Suprapto (Faculty of Pharmacy, Universitas Airlangga, Surabaya, Indonesia)
Anny Hanifah (Faculty of Medicine, Universitas Hang Tuah, Surabaya, Indonesia)
Isti Suharjanti (Faculty of Medicine, Universitas Airlangga, Surabaya, Indonesia)
Jakfar Shodiq (Indonesian Medical Association (IDI) Pamekasan, Pamekasan, Indonesia)
M Fata Fatihuddin (Faculty of Medicine, Universitas Airlangga, Surabaya, Indonesia)
Beom Joon Kim (Seoul National University, Bundang Hospital, Seoul, South Korea)
Azizah Amimathul Firdha (Indonesian Medical Association (IDI) Surabaya, Surabaya, Indonesia)



Article Info

Publish Date
30 Jun 2023

Abstract

Introduction: In ischemic stroke, the cerebral cortex suffers from hypoxia-ischemia, leading to inflammation and oxidative stress. Green tea extract has an anti-inflammation effect and antioxidant. This study aimed to determine the efficacy of green tea extract for adjuvant treatment of acute ischemic stroke in non-thrombolysis patients. Methods: A double-blind randomised controlled trial was conducted in November 2020-November 2021. The subjects were all acute ischemic stroke patients who presented to the Emergency Room during recruitment, randomised into control (n=13) and intervention groups (n=18); the intervention groups were given green tea extract 350 mg. Treatment was for 30 days. National Institutes of Health Stroke Scale (NIHSS), modified Rankin Scale (mRS), Montreal Cognitive Assessment - Indonesia (MoCAIna), IL-10 and S100íŸ were analysed. Results: Data were compared with a significance level of p<0.05. The differences in NIHSS from day 0 to 7, day 0 to 14 and day 0 to 30 were statistically significant in the intervention group (p=0.019, p=0.002 and p=0.000, respectively). The mRS score was statistically significant in the intervention group on day 30 (p=0.46). The differences in mRS score from day 0 to 14 and day 0 to 30 were statistically significant (p=0.042 and p=0.001, respectively) The S100íŸ were statistically significant in day 7 (p=0.006). The difference in S100íŸ from day 0 to 7 was statistically significant (p=0.001).Conclusions: The green tea extract, through up-regulation S100íŸ, can improve the clinical outcomes of acute ischemic stroke.

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Journal Info

Abbrev

JNERS

Publisher

Subject

Nursing

Description

The scope of this journal includes studies that intend to examine and understand nursing health care interventions and health policies which utilize advanced nursing research. The journal also committed to improve the high quality research by publishing analytic techniques, measures, and research ...