Abdulloh Machin and Djoko Agus Suprapto and Anny Hanifah and Isti Suharjanti and Jakfar Shodiq and M Fata Fatihuddin and Beom Joon Kim and Azizah Amimathul Firdha (2023) Potential Effect Of Green Tea Extract For Adjuvant Treatment Of Acute Ischemic Stroke by S100ß Upregulation In Non Thrombolysis Patient. Jurnal Ners, 18 (2). pp. 145-153. ISSN ISSN:1858-3598E-ISSN:2502-5791

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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 S100ß 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 S100ß were statistically significant in day 7 (p=0.006). The difference in S100ß from day 0 to 7 was statistically significant (p=0.001).Conclusions: The green tea extract, through up-regulation S100ß, can improve the clinical outcomes of acute ischemic stroke

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