Department of Neurology, Wuhan Wuchang Hospital, No. 116 Yangyuan Street, Wuchang District, Wuhan, Hubei, China.
Pak J Pharm Sci. 2024 May;37(3):705-713.
The investigation's aim was to explore the medical usefulness and mechanism of GBE in the management of elderly ischemic cerebrovascular disease (ICVD).120 cases of elderly patients with ICVD admitted to our hospital from August 2022 to August 2023 were chosen as participants for this research and the sufferer were allocated to the conventional (60 cases) and GBE group (60 cases) using the method of randomized number. NIHSS score, Barthel index, hemodynamic indexes, serum inflammatory factor levels, platelet-activating factor (PAF) and clinical efficacy were recorded before (T0) and after treatment(T1),and recorded the adverse reactions of the two groups during the treatment. At T1, NIHSS score, WBLSV, PV, HCT, TNF-α, IL-6 and PAF in the two groups, which were all notably reduced compared to T0 and the Barthel index demonstrated a significant increase compared to its T0 value (P<0.05). At T1, GBE group exhibited notably reductions in NIHSS score, WBLSV, PV, HCT, TNF-α, IL-6 and PAF compared to conventional group, whereas Barthel index and the total effective rate were considerably elevated (P<0.05). Incidence of adverse reactions were similar in both groups (P>0.05). GBE has good therapeutic benefits in managing elderly ICVD, effectively facilitate the recuperation of patients' neurological function, has obvious anti-inflammatory effect, improves patients' cerebral circulation and hemorheology indexes and makes the patients' daily life ability significantly improved, which has a good clinical application value.
本研究旨在探讨银杏叶提取物(GBE)在老年缺血性脑血管病(ICVD)治疗中的医学作用和机制。选择 2022 年 8 月至 2023 年 8 月我院收治的 120 例老年 ICVD 患者作为研究对象,采用随机数字表法将患者分为常规组(60 例)和 GBE 组(60 例)。记录两组患者治疗前后的美国国立卫生研究院卒中量表(NIHSS)评分、日常生活活动能力量表(Barthel 指数)、血流动力学指标、血清炎症因子水平、血小板活化因子(PAF)及临床疗效,并记录两组患者治疗期间的不良反应。治疗后,两组患者的 NIHSS 评分、全血高切黏度(WBLSV)、血浆黏度(PV)、红细胞压积(HCT)、肿瘤坏死因子-α(TNF-α)、白细胞介素-6(IL-6)及 PAF 水平均较治疗前显著降低,Barthel 指数较治疗前显著升高(P<0.05);且 GBE 组患者的 NIHSS 评分、WBLSV、PV、HCT、TNF-α、IL-6 及 PAF 水平均显著低于常规组,Barthel 指数及总有效率均显著高于常规组(P<0.05)。两组患者不良反应发生率比较差异无统计学意义(P>0.05)。GBE 治疗老年 ICVD 疗效确切,可有效促进患者神经功能恢复,具有显著的抗炎作用,可改善患者脑循环和血液流变学指标,显著提高患者日常生活能力,具有较好的临床应用价值。