Real-world Study of Citicoline on the Neurological Prognosis of Acute and Convalescent Patients with Ischemic Stroke
Download PDF

Keywords

Ischemic stroke
Citicoline
Neurological function
Safety
MMSE
NIHSS

DOI

10.26689/cnr.v3i4.13342

Submitted : 2025-12-09
Accepted : 2025-12-24
Published : 2026-01-08

Abstract

Objective: To evaluate the effect and safety of citicoline on the improvement of neurological function in patients with ischemic stroke. Methods: The Mini-Mental State Examination (MMSE) score and National Institutes of Health Stroke Scale (NIHSS) score were analyzed in 8780 patients with ischemic stroke who received citicoline therapy from January 2023 to April 2024 at 1 month, 2 months, and 3 months after treatment. Results: With the prolongation of treatment, the MMSE and NIHSS scores of the patients improved significantly, and the total clinical effectiveness rate at three months was 43.08%. The incidence of adverse reactions was 0.14%, mainly mild gastrointestinal reactions and central nervous system reactions. Conclusion: Citicoline has a significant effect on improving neurological function in patients with ischemic stroke, and its safety is high.

References

Zhao J, Gao Y, Li G, 2022, Analysis of the Current Situation and Influencing Factors of Social Alienation in Patients with Ischemic Stroke Sequelae. South China Preventive Medicine, 48(7): 854–856 + 860.

Liu L, Shi Z, Yan Q, et al., 2011, Meta-Analysis of the Effect of Citicoline in the Treatment of Acute Stroke. Chinese Journal of Evidence-Based Medicine, 11(4): 404–412.

Wang X, 1998, Key Points of Diagnosis of Various Cerebrovascular Diseases (Revised for the Third Time at the Second National Conference on Cerebrovascular Diseases of the Chinese Medical Association in 1986). Chinese Journal of Neuropsychiatry, 21(1): 60.

Chinese Medical Association, Journal of Chinese Medical Association, General Practice Branch of Chinese Medical Association, et al., 2021, Guidelines for Primary Diagnosis and Treatment of Stroke by General Practitioners with Ischemic Courage (2021). Chinese Journal of General Practitioners, (9): 927–946.

Hou R, 2003, Clinical Application of Citicoline. Medical Herald, (S1): 67–68.

Zhang F, 2014, Cerebral Microbleeds and Cognitive Dysfunction. International Journal of Cerebrovascular Diseases, (9): 700–703.