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依达拉奉对脑梗死的治疗作用及对患者血清中MMP-3和MMP-9的影响 被引量:1

The Clinical Efficacy and MMP-3 and MMP-9 Detection in Cerebral Infarction by Edaravone Treatment
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摘要 目的探讨依达拉奉治脑梗死患者的临床效果,关注患者治疗后血清中基质金属蛋白酶-3(MMP-3)和基质金属蛋白酶-9(MMP-9)的变化,以探讨其临床价值。方法选择在两院确诊的脑梗死患者,共116例,按入院顺序分为二组,对照组共58例,应用降颅压、减轻脑水肿、抗血小板制剂及脑细胞保护剂等为主的常规治疗,观察组共58例,在常规治疗基础上加用依达拉奉进地治疗。检测治疗后血清中MMP-3和MMP-9的表达差别。结果观察组患者治疗后的总有效率明显高于对照组。观察组患者治疗后血清中MMP-3和MMP-9的表达水平明显低于对照组。结论依达拉奉佐治脑梗死的临床疗效确切,且能有效降低血清中MMP-3和MMP-9的表达,有效阻断MMP-3和MMP-9介导的对疾病的促进作用,临床中可以积极应用。 Objective To investigate the effect and the expressions of MMP-3 and MMP-9 in patients with cerebral infarction by Edaravone treatment,for providing help to clinical work.Methods 116 cases with acute cerebral infarction were divided into two groups.The observation group(58 cases) was treated by routine and Edaravone treatment.The control group(58 cases) was only treated by routine treatment.The expressions of MMP-3 and MMP-9 were detected in post-treatment of Edaravone by ELISA methods.Results The total effect were higher in observation group than in the control group.The expressions of MMP-3 and MMP-9 were obviously lower in the observation group than in the control group after treatment.Conclusions The Edaravone can increase the effect in patients with cerebral infarction,decrease the expressions of MMP-3 and MMP-9,is worthy to be commened in clinical treatment.
出处 《中国医药指南》 2012年第2期40-41,共2页 Guide of China Medicine
关键词 脑梗死 依达拉奉 基质金属蛋白酶-3 基质金属蛋白酶-9 临床价值 Cerebral infarction Edaravone MMP-3 MMP-9 Clinical value
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参考文献9

  • 1Yang JT, Lee TH,Lee IN,et al.Dexamethasone inhibits ICAM-I and MMP-9 expression and reduces brain edema in intracerebral hemorrhagic rats[J].Acta Neurochir (Wien),2011,153(ll): 2197- 2203.
  • 2杨虹,魏桂荣,李红戈.脑梗死血清MMP-3与MMP-9的动态变化及临床意义[J].中国康复,2005,20(5):278-280. 被引量:12
  • 3Arii K,Kumon Y, Sugahara K,et al.Edaravone inhibits collagen- induced arthritis possibly through suppression of nuclear factor- kappa B[J].Mol Immunol,2008,45(2): 463-469.
  • 4Yang Y, Rosenberg GA.MMP-mediated disruption of claudin-5 in the blood-brain barrier of rat brain after cerebral ischemia[J]. Methods Mol Biol,2011,762(1): 333-345.
  • 5Brouns R,Wauters A,De Surgeloose D,et al.Biochemical markers for blood-brain barrier dysfunction in acute ischemic stroke correlate with evolution and outcome[J].Eur Neurol,2011,65(1): 23-31.
  • 6郭正清,肖小华.脑梗死血清MMP-3的测定及临床意义[J].江苏大学学报(医学版),2004,14(30):208-209. 被引量:6
  • 7Hansson J,Vasan RS,.Arnlov J,et al.Biomarkers of extracellular matrix metabolism (MMP-9 and TIMP-I) and risk of stroke, myocardial infarction,and cause-specific mortality: cohort study [J].PLoS One,2011,6(1 ): e 16185.
  • 8Yagi K, Kitazato KT, Uno M,et al.Edaravone,a free radical scavenger, inhibits MMP-9-related brain hemorrhage in rats treated with tissue plasminogen activator[J].Stroke,2009,40(2): 626-631.
  • 9宋学云.依达拉奉辅助治疗急性脑梗死20例疗效观察[J].山东医药,2009,49(27):58-58. 被引量:2

二级参考文献15

  • 1中华神经科学会.脑血管疾病分类诊断要点,神经功能缺损程度评分标准[J].中华神经科杂志,1996,29(6):376-376.
  • 2Neumann-ttaefelin T,Kastrup A,Crespigny A,et al. Serial MRI after transient focal cerebral ischemia in rats, dynamics of tissue injury, blood brain barrier damage, and edema formation[J].Stroke,2000,31:1968-1973.
  • 3Rosenberg GA, Estrad BS,Dencoff JE. Matrix metalloproteinases and TIMPs areassociated with blood brain barrier opening after reperfusion in rat brain[J]. Stroke, 1998,29:2189-2195.
  • 4Rosenberg GA, Navatil M, Borane F, et al. Proteolytic cascade enzymes increase in focal cerebral ischemia in rat[J].J Cereb Blood Flow Metab,1996,16:360-366.
  • 5Zalewska T,Ziemka-Naleez M,Sarnowska A,et al. Involvenment of MMPs in delayed neuronal death after global ischemia[J].Acta Neurobio Expe,2002,62(2):53-61.
  • 6Cuzner ML,Gveric D,Strand C,et al.The expression of tissue type plasminogen activator,matrix metrix metalloproteinases and endogenous inhibitors in the central nervous system in mutiplesclerosis; comparison of stages in lesion evolusion[J].J Neuropathol Expurol,1996,55:1194-1204.
  • 7Neumann-ttaefelin T;Kastrup A;Crespigny A.Serial MRI after transient focal cerebral ischemia in rats, dynamics of tissue injury, blood brain barrier damage, and edema formation,2000.
  • 8Rosenberg GA;Estrada BS;Dencoff JE.Matrix metalloproteinases and TIMPs are associated with blood brain barrier opening after reperfusion in rat brain,1998.
  • 9Rosenberg GA;Navratil M;Barone F.Proteolytic cascade enzymes increase in focal cerebral ischemia in rat[J],1996.
  • 10Cuzner ML;Gveric D;Strand C.The expression of tissue type plasminogen activator, matrix metalloproteinases and endogenous inhibitors in the central nervous system in mutiplesclerosis; comparison of stages in lesion evolution[J],1996.

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