首页|银杏酮酯滴丸联合尤瑞克林治疗急性脑梗死的效果及对神经因子、PTX3和miR-199a的影响

银杏酮酯滴丸联合尤瑞克林治疗急性脑梗死的效果及对神经因子、PTX3和miR-199a的影响

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目的 探讨银杏酮酯滴丸联合尤瑞克林治疗急性脑梗死的效果及对神经因子、PTX3和miR-199a的影响。方法 选择 2019 年8 月至2022 年 7月收治的 78 例急性脑梗死患者为研究对象,根据入院时间不同将其分为对照组与观察组,各 39 例。两组患者入院后均给予对症治疗,对照组在此基础上给予常规溶栓加尤瑞克林治疗,观察组在对照组基础上加银杏酮酯滴丸治疗。比较两组的治疗效果。结果 观察组的治疗总有效率高于对照组(P<0。05)。治疗后,观察组的髓鞘碱性蛋白(MBP)、神经生长因子(GFAP)水平低于对照组,胶质纤维酸性蛋白(NGF)水平高于对照组(P<0。05)。治疗后,观察组的正五聚蛋白 3(PTX3)水平低于对照组,miR-199a相对表达量高于对照组(P<0。05)。结论 银杏酮酯滴丸联合尤瑞克林治疗急性脑梗死的效果满意,可有效改善患者的神经因子水平,调节PTX3 水平及miR-199a相对表达量。
Effect of ginkgo ketone ester dropping pills combined with urinary kallidinogenase in the treatment of acute cerebral infarction and its influences on nerve factors,PTX3 and miR-199a
Objective To investigate the effect of ginkgo ketone ester dropping pills combined with urinary kallidinogenase in the treatment of acute cerebral infarction and its influences on nerve factors,PTX3 and miR-199a.Methods A total of 78 patients with acute cerebral infarction admitted from August 2019 to July 2022 were selected as the research objects and divided into control group and observation group according to different admission time,with 39 cases in each group.The two groups of patients were given symptomatic treatment after admission,the control group was treated with conventional thrombolysis plus urinary kallidinogenase on this basis,and the observation group was treated with ginkgo ketone ester dropping pills on the basis of the control group.The therapeutic effects of the two groups were compared.Results The total effective rate of treatment in the observation group was higher than that in the control group(P<0.05).After treatment,the levels of myelin basic protein(MBP)and glial fibrillary acidic protein(GFAP)in the observation group were lower than those in the control group,and level of the nerve growth factor(NGF)was higher than that in the control group(P<0.05).After treatment,the level of pentraxin 3(PTX3)in the observation group was lower than that in the control group,and the relative expression of miR-199a was higher than that in the control group(P<0.05).Conclusion The ginkgo ketone ester dropping pills combined with urinary kallidinogenase in the treatment of acute cerebral infarction has satisfactory effect,it can effectively improve the levels of nerve factors of patients,regulate the level of PTX3 and the relative expression of miR-199a.

ginkgo ketone ester dropping pillurinary kallidinogenaseacute cerebral infarctionnerve factorpentraxin 3miR-199a

张菲菲、燕斌

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延安大学咸阳医院神经内科十病区,陕西 咸阳,712000

银杏酮酯滴丸 尤瑞克林 急性脑梗死 神经因子 正五聚蛋白3 miR-199a

2024

临床医学研究与实践

临床医学研究与实践

ISSN:
年,卷(期):2024.9(16)