Department of Neurosurgery, Affiliated Hospital of Hebei University of Engineering, Handan, China.
Department of Neurosurgery, The Second Hospital of Hebei Medical University, Shijiazhuang, China,
Eur Neurol. 2020;83(1):73-79. doi: 10.1159/000505776. Epub 2020 Feb 28.
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.
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.
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).
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.
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。
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。
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)。
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。