目的 通督调神针法联合补阳还五汤治疗卒中偏瘫的临床疗效观察。方法 纳入80例卒中偏瘫患者,并将其随机分为观察组及对照组,每组40例。两组均给予常规治疗,对照组给予普通针刺治疗,观察组给予通督调神针法联合补阳还五汤,两组患者均治疗...目的 通督调神针法联合补阳还五汤治疗卒中偏瘫的临床疗效观察。方法 纳入80例卒中偏瘫患者,并将其随机分为观察组及对照组,每组40例。两组均给予常规治疗,对照组给予普通针刺治疗,观察组给予通督调神针法联合补阳还五汤,两组患者均治疗2周。观察两组患者治疗后的临床总有效率、美国国会卫生研究院卒中量表(National Institute of Health stroke scale, NIHSS)评分、蒙特利尔认知评估量表(Montreal Cognitive Assessmen, MoCA)、福格-米勒运动功能评分量表(Fugl-Meyer motor function assessment, FMA)评分及巴塞尔指数(Barthel index, BI)评分水平。结果 经2周治疗后,观察组总有效率为92.50%(37/40),显著优于对照组的75.00%(30/40)(P<0.05);两组NIHSS及MoCA评分均较治疗前有所改善(P<0.05),且观察组显著优于对照组(P<0.05);两组患者FMA评分均较治疗前升高(P<0.05),观察组显著优于对照组;两组的BI评分较治疗前均有显著改善(P<0.05),观察组显著优于对照组。结论 通督调神针法联合补阳还五汤治疗卒中偏瘫,可显著提高临床疗效、改善患者神经功能、运动功能及生活质量。展开更多
OBjECTIVE: To investigate the effect of Flavone from Zhongjiefeng(Herba Sarcandrae Glabrae) on the platelet number in immune-induced bone marrow failure(BMF) and its mechanism of mitochondrial apoptotic pathway.METHOD...OBjECTIVE: To investigate the effect of Flavone from Zhongjiefeng(Herba Sarcandrae Glabrae) on the platelet number in immune-induced bone marrow failure(BMF) and its mechanism of mitochondrial apoptotic pathway.METHODS: Immune-induced BMF model, established in mice, was randomly divided into four groups: normal control group without BMF, BMF control group, cyclosporine(CSA) group and flavone group(n = 10 in each group). Mice were given0.027 g/kg cyclosporine or 0.2 g/kg flavone lavage daily in either the cyclosporine or flavone group respectively. Platelet count, mitochondrial transmembrane potential(ΔΨm), cytochrome C(Cyt C), phosphatidylserine(PS), changes of calcium ion(Ca^(2+)),and protein expression of mitochondrial apoptotic pathway including B-cell lymphoma-2(bcl-2) Homologous Antagonist-Killer Protein(Bak), bcl-2-associated X protein(Bax), caspase-3, caspase-8, and caspase-9 were examined and compared.RESULTS: Compared with the normal control group, the BMF group had significantly lower levels of platelet count, ΔΨm, and expressions of caspase family proteins as well as higher levels of Cyt C, PS,Ca^(2+), and expressions of Bak and Bax(all P < 0.05).Compared with the BMF group, the CSA and flavone groups had significantly higher ΔΨm and expressions of caspase family proteins(all P < 0.05)whereas the levels of Cyt C, PS, Ca^(2+), and expressions of Bak and Bax were reduced(all P < 0.05).More importantly, the flavone group had higher levels of Cyt C, Ca^(2+)and expressions of Bak and Bax compared with the CSA group(all P < 0.05), while the levels of PS and caspase family proteins were reduced(all P < 0.05).CONCLUSION: Flavone from Zhongjiefeng(Herba Sarcandrae Glabrae) significantly increases the platelet number and prevents its apoptosis through mitochondrial pathway.展开更多
文摘目的 通督调神针法联合补阳还五汤治疗卒中偏瘫的临床疗效观察。方法 纳入80例卒中偏瘫患者,并将其随机分为观察组及对照组,每组40例。两组均给予常规治疗,对照组给予普通针刺治疗,观察组给予通督调神针法联合补阳还五汤,两组患者均治疗2周。观察两组患者治疗后的临床总有效率、美国国会卫生研究院卒中量表(National Institute of Health stroke scale, NIHSS)评分、蒙特利尔认知评估量表(Montreal Cognitive Assessmen, MoCA)、福格-米勒运动功能评分量表(Fugl-Meyer motor function assessment, FMA)评分及巴塞尔指数(Barthel index, BI)评分水平。结果 经2周治疗后,观察组总有效率为92.50%(37/40),显著优于对照组的75.00%(30/40)(P<0.05);两组NIHSS及MoCA评分均较治疗前有所改善(P<0.05),且观察组显著优于对照组(P<0.05);两组患者FMA评分均较治疗前升高(P<0.05),观察组显著优于对照组;两组的BI评分较治疗前均有显著改善(P<0.05),观察组显著优于对照组。结论 通督调神针法联合补阳还五汤治疗卒中偏瘫,可显著提高临床疗效、改善患者神经功能、运动功能及生活质量。
基金Supported by NSFC(No.12001418)Special Research Foundation of Education Department of Shaanxi Province(No.18JK0442)Research Foundation of Xi'an University of Architecture and Technology(No.ZR18035)。
基金Supported by Research Project of Shanghai Municipal Health and Family Planning Commission:Flavone from Zhongjiefeng(Herba Sarcandrae Glabrae)Inhibits Platelet Apoptosis in Immune-induced Bone Marrow Failure Through Mitochondrial Pathway(No.201640144)Baoshan Health Systems of Young Medical Talent Training Project(No.bswsyq-2016-A11)National Nature Science Foundation Project of Shanghai Baoshan Hospital of Integrated Traditional Chinese and Western Medicine:Research on Xijiao Dihuang Decoction Suppressing Platelet Apoptosis in Bone Marrow Failure Secondary to Abnormal Immune Response Based on Mitochondria-mediated Pathway(No.GZRPYJJ-201601)
文摘OBjECTIVE: To investigate the effect of Flavone from Zhongjiefeng(Herba Sarcandrae Glabrae) on the platelet number in immune-induced bone marrow failure(BMF) and its mechanism of mitochondrial apoptotic pathway.METHODS: Immune-induced BMF model, established in mice, was randomly divided into four groups: normal control group without BMF, BMF control group, cyclosporine(CSA) group and flavone group(n = 10 in each group). Mice were given0.027 g/kg cyclosporine or 0.2 g/kg flavone lavage daily in either the cyclosporine or flavone group respectively. Platelet count, mitochondrial transmembrane potential(ΔΨm), cytochrome C(Cyt C), phosphatidylserine(PS), changes of calcium ion(Ca^(2+)),and protein expression of mitochondrial apoptotic pathway including B-cell lymphoma-2(bcl-2) Homologous Antagonist-Killer Protein(Bak), bcl-2-associated X protein(Bax), caspase-3, caspase-8, and caspase-9 were examined and compared.RESULTS: Compared with the normal control group, the BMF group had significantly lower levels of platelet count, ΔΨm, and expressions of caspase family proteins as well as higher levels of Cyt C, PS,Ca^(2+), and expressions of Bak and Bax(all P < 0.05).Compared with the BMF group, the CSA and flavone groups had significantly higher ΔΨm and expressions of caspase family proteins(all P < 0.05)whereas the levels of Cyt C, PS, Ca^(2+), and expressions of Bak and Bax were reduced(all P < 0.05).More importantly, the flavone group had higher levels of Cyt C, Ca^(2+)and expressions of Bak and Bax compared with the CSA group(all P < 0.05), while the levels of PS and caspase family proteins were reduced(all P < 0.05).CONCLUSION: Flavone from Zhongjiefeng(Herba Sarcandrae Glabrae) significantly increases the platelet number and prevents its apoptosis through mitochondrial pathway.
