Chinese Expert Consensus on the Clinical Application of Monosialotetrahexosylganglioside in Acute Ischemic Stroke

doi:10.3969/j.issn.1673-5765.2026.01.010

Abstract

Abstract: To further standardize the application of monosialotetrahexosylganglioside (GM1) in the treatment of acute ischemic stroke (AIS), ensure medication safety, and optimize therapeutic efficacy, the Chinese Stroke Association convened a panel of experts. Based on a systematic review of the latest clinical research evidence from both domestic and international studies, and incorporating experts’ clinical expertise, the panel developed the Chinese Expert Consensus on the Clinical Application of Monosialotetrahexosylganglioside in Acute Ischemic Stroke through multiple rounds of discussion and revision. This consensus systematically elaborates on the pharmacological mechanisms of GM1, focusing on four key clinical issues: the efficacy and timing of GM1 in the treatment of AIS, its safety and common adverse reactions, its effectiveness in combination with reperfusion therapy, and its application in special AIS populations. Targeted and feasible consensus recommendations have been formed accordingly. The development of this consensus aims to provide scientific reference and guidance for clinicians in China to standardize the use of GM1 in the treatment of AIS.

Key words: Monosialotetrahexosylganglioside; Acute ischemic stroke; Expert consensus

摘要： 为进一步规范单唾液酸四己糖神经节苷脂（monosialotetrahexosylganglioside，GM1）在急性缺血性卒中临床治疗中的应用，保障其用药安全并优化疗效，中国卒中学会成立专家组，在系统梳理国内外最新临床研究证据的基础上，结合专家临床实践经验，通过多次讨论与修改，最终制定了《单唾液酸四己糖神经节苷脂治疗急性缺血性卒中临床应用中国专家共识》。本共识系统阐述了GM1的药理机制，聚焦GM1治疗急性缺血性卒中的4个核心临床问题：有效性和用药时机、安全性和常见不良反应、联合再灌注治疗的疗效，以及在特殊急性缺血性卒中患者中的应用，并就此形成了可行性共识建议。本共识的制订旨在为我国临床医师规范应用GM1治疗急性缺血性卒中提供科学参考与指导。

关键词: 单唾液酸四己糖神经节苷脂; 急性缺血性卒中; 专家共识

CLC Number:

Chinese Stroke Association, Writing Group of Chinese Expert Consensus on the Clinical Application of Monosialotetrahexosylganglioside in Acute Ischemic Stroke. Chinese Expert Consensus on the Clinical Application of Monosialotetrahexosylganglioside in Acute Ischemic Stroke[J]. Chinese Journal of Stroke, 2026, 21(1): 88-98.

中国卒中学会, 《单唾液酸四己糖神经节苷脂治疗急性缺血性卒中临床应用中国专家共识》专家组. 单唾液酸四己糖神经节苷脂治疗急性缺血性卒中临床应用中国专家共识[J]. 中国卒中杂志, 2026, 21(1): 88-98.

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