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中重度创伤性脑损伤患者在接受脑蛋白水解物治疗1年及治疗后定量脑电图减慢情况的改善。

Reductions in qEEG slowing over 1 year and after treatment with Cerebrolysin in patients with moderate-severe traumatic brain injury.

作者信息

Alvarez X Antón, Sampedro Carolina, Figueroa Jesús, Tellado Iván, González Andrés, García-Fantini Manuel, Cacabelos Ramón, Muresanu Dafin, Moessler Herbert

机构信息

Department of Neuropharmacology, EuroEspes Biomedical Research Center, Santa Marta de Babío, Bergondo, A Coruña, Spain.

出版信息

J Neural Transm (Vienna). 2008 May;115(5):683-92. doi: 10.1007/s00702-008-0024-9. Epub 2008 Feb 14.

Abstract

Changes in quantitative EEG (qEEG) recordings over a 1-year period and the effects of Cerebrolysin (Cere) on qEEG slowing and cognitive performance were investigated in postacute moderate-severe traumatic brain injury (TBI) patients. Time-related changes in qEEG activity frequency bands (increases of alpha and beta, and reductions of theta and delta relative power) and in qEEG slowing (reduction of EEG power ratio) were statistically significant in patients with a disease progress of less than 2 years at baseline, but not in those patients having a longer disease progress time. Slowing of qEEG activity was also found to be significantly reduced in TBI patients after 1 month of treatment with Cere and 3 months later. Therefore, Cere seems to accelerate the time-related reduction of qEEG slowing occurring in untreated patients. The decrease of qEEG slowing induced by Cere correlated with the improvement of attention and working memory. Results of this exploratory study suggest that Cere might improve the functional recovery after brain injury and encourage the conduction of further controlled clinical trials.

摘要

在急性中度至重度创伤性脑损伤(TBI)患者中,研究了1年期间定量脑电图(qEEG)记录的变化以及脑蛋白水解物(Cere)对qEEG减慢和认知表现的影响。在基线疾病进展小于2年的患者中,qEEG活动频段的时间相关变化(α和β增加,θ和δ相对功率降低)以及qEEG减慢(EEG功率比降低)具有统计学意义,但在疾病进展时间较长的患者中则无统计学意义。在用Cere治疗1个月后及3个月后,TBI患者的qEEG活动减慢也显著降低。因此,Cere似乎加速了未治疗患者中发生的与时间相关的qEEG减慢减少。Cere诱导的qEEG减慢减少与注意力和工作记忆的改善相关。这项探索性研究的结果表明,Cere可能改善脑损伤后的功能恢复,并鼓励进行进一步的对照临床试验。

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