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依达拉奉对脑梗死患者神经功能及肿瘤坏死因子-α、白细胞介素 8 水平的影响。

Effects of Edaravone on Neurological Function and Tumor Necrosis Factor Alpha and Interleukin 8 Levels in Patients with Cerebral Infarction.

机构信息

Department of Neurosurgery, Affiliated Hospital of Hebei University of Engineering, Handan, China.

Department of Neurosurgery, The Second Hospital of Hebei Medical University, Shijiazhuang, China,

出版信息

Eur Neurol. 2020;83(1):73-79. doi: 10.1159/000505776. Epub 2020 Feb 28.

Abstract

OBJECTIVE

The present study aimed to explore the effects of edaravone on neurological function, tumor necrosis factor α (TNF-α), and interleukin (IL)-8 levels in patients with cerebral infarction.

METHODS

A total of 96 patients with cerebral -infarction who were admitted to the department of neurology in our hospital were enrolled in the present study, and they were randomly assigned to Group A (n = 48) and Group B (n = 48). Group A was treated with conventional therapy plus edaravone for 2 weeks and Group B with conventional therapy alone for 2 weeks. Enzyme-linked immunosorbent assay was used to determine serum TNF-α and IL-8 levels before and after treatment, and Pearson correlation analysis was conducted to analyze the correlation between serum TNF-α and IL-8 levels as well as National Institutes of Health Stroke Scale (NIHSS) score.

RESULTS

After treatment, Group A had a lower NIHSS score and serum TNF-α and IL-8 levels as well as higher activities of daily living score than Group B (all p < 0.05). In addition, after treatment, no significant differences were observed between the 2 groups in terms of the presence of adverse reactions (p > 0.05). Pearson correlation analysis revealed a significant positive correlation between serum TNF-α and IL-8 levels as well as NIHSS score (r = -0.567 and r = -0.556, both p < 0.05).

CONCLUSION

Edaravone can improve the neurological function of patients without causing evident adverse reactions, thereby improving quality of life, which may be correlated to decreased serum TNF-α and IL-8 levels.

摘要

目的

本研究旨在探讨依达拉奉对脑梗死患者神经功能、肿瘤坏死因子-α(TNF-α)和白细胞介素(IL)-8 水平的影响。

方法

选取我院神经内科收治的脑梗死患者 96 例,采用随机数字表法分为 A 组(n=48)和 B 组(n=48)。A 组在常规治疗的基础上加用依达拉奉治疗 2 周,B 组单纯给予常规治疗 2 周。采用酶联免疫吸附法检测治疗前后血清 TNF-α和 IL-8 水平,采用 Pearson 相关性分析血清 TNF-α和 IL-8 水平与美国国立卫生研究院卒中量表(NIHSS)评分的相关性。

结果

治疗后,A 组 NIHSS 评分及血清 TNF-α、IL-8 水平低于 B 组,日常生活能力评分高于 B 组(均 P<0.05)。此外,治疗后 2 组不良反应发生率比较差异无统计学意义(P>0.05)。Pearson 相关性分析显示,血清 TNF-α和 IL-8 水平与 NIHSS 评分均呈显著负相关(r=-0.567、r=-0.556,均 P<0.05)。

结论

依达拉奉可改善脑梗死患者的神经功能,且无明显不良反应,提高患者生活质量,其作用机制可能与降低血清 TNF-α和 IL-8 水平有关。

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