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丁苯酞对急性脑梗死患者血清C反应蛋白、帕金森病蛋白7、神经营养因子-3及神经功能的影响

Effect of butylphthalide on serum CRP, PARK7, NT-3 and neurological function in patients with acute cerebral infarction.

作者信息

Wang Guangmin, Ma Dandan, Wang Runli

机构信息

Department of Neurosurgery, Pingyi County People's Hospital Pingyi, Linyi, Shandong, China.

Department of Anesthesiology, Yidu Central Hospital Weifang, Shandong, China.

出版信息

Am J Transl Res. 2021 Sep 15;13(9):10388-10395. eCollection 2021.

Abstract

OBJECTIVE

The effects of butylphthalide on serum C-reactive protein (CRP), Parkinson disease protein 7 (PARK7), and neurotrophin-3 (NT-3) levels, and neurological function in patients with acute cerebral infarction (ACI) were explored in order to provide a reference for clinical treatment of the disease.

METHODS

One hundred and twenty patients with ACI treated in our hospital from September 2016 to June 2018 were selected and randomized into the control group and the study group, with 60 cases in each group. Patients in the control group were treated with conventional therapy, while those in the study group were treated with butylphthalide. Clinical efficacy, serum levels of CRP, PARK7, and NT-3, as well as the scores of National Institutes of Health Stroke Scale (NIHSS), Fugl-Meyer Assessment (FMA), and Barthel Index (BI) before and 2 months after treatment were analyzed and compared between the two groups.

RESULTS

The study group had a significantly higher effective rate (93.33%) than the control group (73.33%; P<0.05). Before treatment, differences in serum CRP, PARK7, NT-3, IL-6, IL-8, and IL-10 levels between the study group and the control group were barely notable (P>0.05). After treatment, the study group observed lower serum levels of CRP, PARK7, IL-6, IL-8, and a higher levels of IL-10, NT-3 in comparison with those of the control group (P<0.05). Before treatment, NIHSS, FMA, and BI scores between the two groups did not show significant differences (P>0.05). After treatment, the study group yielded a remarkably lower NIHSS score and higher FMA and BI scores than the control group (P<0.05).

CONCLUSION

Butylphthalide is effective in the treatment of ACI. It can effectively facilitate the recovery of neurological and motor functions of patients, enhance their quality of life and improve serum CRP, PARK7, and NT-3 levels, which is worthy of clinical promotion.

摘要

目的

探讨丁苯酞对急性脑梗死(ACI)患者血清C反应蛋白(CRP)、帕金森病蛋白7(PARK7)、神经营养因子-3(NT-3)水平及神经功能的影响,为该病的临床治疗提供参考。

方法

选取2016年9月至2018年6月在我院治疗的120例ACI患者,随机分为对照组和研究组,每组60例。对照组采用常规治疗,研究组采用丁苯酞治疗。分析比较两组治疗前及治疗2个月后的临床疗效、血清CRP、PARK7、NT-3水平,以及美国国立卫生研究院卒中量表(NIHSS)、Fugl-Meyer评估量表(FMA)和Barthel指数(BI)评分。

结果

研究组有效率(93.33%)显著高于对照组(73.33%;P<0.05)。治疗前,研究组与对照组血清CRP、PARK7、NT-3、白细胞介素-6(IL-6)、白细胞介素-8(IL-8)和白细胞介素-10(IL-10)水平差异不显著(P>0.05)。治疗后,研究组血清CRP、PARK7、IL-6、IL-8水平低于对照组,IL-10、NT-3水平高于对照组(P<0.05)。治疗前,两组NIHSS、FMA和BI评分无显著差异(P>0.05)。治疗后,研究组NIHSS评分显著低于对照组,FMA和BI评分高于对照组(P<0.05)。

结论

丁苯酞治疗ACI有效。它能有效促进患者神经和运动功能恢复,提高生活质量,改善血清CRP、PARK7和NT-3水平,值得临床推广。

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