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阿替普酶联合依达拉奉右莰醇治疗老年脑梗死患者的效果
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作者 黄圣明 程洁 +1 位作者 刘书芳 刘刚 《河南医学研究》 CAS 2024年第22期4154-4157,共4页
目的探究阿替普酶、依达拉奉右莰醇联合治疗老年脑梗死患者的效果。方法择取漯河市中心医院116例老年脑梗死患者为研究对象,随机分组。两组均行常规治疗,对照组58例接受阿替普酶治疗,研究组58例增加依达拉奉右莰醇治疗。对比两组疗效。... 目的探究阿替普酶、依达拉奉右莰醇联合治疗老年脑梗死患者的效果。方法择取漯河市中心医院116例老年脑梗死患者为研究对象,随机分组。两组均行常规治疗,对照组58例接受阿替普酶治疗,研究组58例增加依达拉奉右莰醇治疗。对比两组疗效。结果研究组总有效率较对照组高(P<0.05)。治疗后,两组美国国立卫生院卒中量表(NIHSS)、高级中枢损伤严重程度(MESSS)分值均降低,研究组低于对照组(P<0.05);治疗后,两组脑源性神经营养因子(BDNF)、神经生长因子(NGF)水平均升高,神经元特异性烯醇化酶(NSE)、S100B蛋白水平均降低,研究组优于对照组(P<0.05);治疗后,两组血管内皮生长因子(VEGF)水平均升高,单核细胞趋化因子1(MCP-1)、基质金属蛋白酶-9(MMP-9)、钙黏蛋白(cadherin)水平均降低,研究组优于对照组(P<0.05);两组不良反应发生率差异无统计学意义(P>0.05)。结论阿替普酶、依达拉奉右莰醇联合治疗老年脑梗死患者能够促使神经功能恢复,改善神经因子水平及血管内皮功能,提高疗效,且不良反应较少,具有较高的安全性。 展开更多
关键词 脑梗死 阿替普酶 依达拉奉右莰醇 神经功能 神经因子水平
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Effect of electroacupuncture on brain-derived neurotrophic factor mRNA expression in mouse hippocampus following cerebral ischemia-reperfusion injury 被引量:15
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作者 Jianxin Zhao Huazhou Xu +2 位作者 Yuanxiang Tian Manxiang Hu Hongling Xiao 《Journal of Traditional Chinese Medicine》 SCIE CAS CSCD 2013年第2期253-257,共5页
OBJECTIVE: This work aims to observe the effects of electroacupuncture on brain-derived neuro- trophic factor (BDNF) mRNA expression in mouse hippocampus following cerebral ischemia-reperfu- sion injury. METHODS: ... OBJECTIVE: This work aims to observe the effects of electroacupuncture on brain-derived neuro- trophic factor (BDNF) mRNA expression in mouse hippocampus following cerebral ischemia-reperfu- sion injury. METHODS: The models of mouse cerebral isch- emia-reperfusion injury were established. A total of 96 healthy mice were randomly assigned into 4 groups, namely, the sham surgery, model, mod- el + electroacupuncture, and mode + hydergine groups. Mice in the model + electroacupuncturegroup were treated through electroacupuncture at the Shenshu (BL 23), Geshu (BL 17), and Baihui (GV 20) acupoints. Mice in the model+hydergine group were intragastrically administered with hy- dergine (0.77 mg/kg-1.day-l). The levels of BDNF mRNA expressions in the hippocampus were ana- lyzed through a semi-quantitative reverse transcrip- tion-polymerase chain reaction assay on days 1 and 7 after the surgeries. RESULTS: BDNF mRNA expressions in the mouse hippocampus of the model group on days 1 and 7 after the surgery were higher than those of the sham surgery group (both P〈0.01). On days 1 and 7 of the electroacupuncture treatment, BDNF mRNA expression in the mouse hippocampus of the mod- el + electroacupuncture group was significantly ele- vated compared with the model group (both P〈 0.01) or the model + hydergine group (both P〈 0.01). On days 1 and 7 of the hydergine treatment, BDNF mRNA expression in the mouse hippocam- pus of the model + hydergine group tended to in- crease compared with the model group; however, statistical significance was not achieved (both P〉 0.05). CONCLUSION: Electroacupuncture treatment en- hances endogenous BDNF expression, which may improve the survival environment for intracerebral neurons and inhibit the apoptosis of hippocampal cells. 展开更多
关键词 ELECTROACUPUNCTURE Nerve growth fac- tor Reperfusion injury HIPPOCAMPUS Reverse tran-scriptase polymerase chain reaction
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