首页|黄芎抗栓方对急性脑梗死患者血清VEGF、NSE水平的影响

黄芎抗栓方对急性脑梗死患者血清VEGF、NSE水平的影响

Effect of Huangxiong Kangshuan Formula on serum VEGF and NSE levels in patients with acute cerebral infarction

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目的:观察黄芎抗栓方对于急性脑梗死患者血清中血管内皮生长因子(VEGF)和神经元特异性烯醇化酶(NSE)水平的影响.方法:选择2021年10月—2022年10月期间,在安徽中医药大学第一附属医院老年病中心脑病科住院治疗的60例急性脑梗死患者作为研究对象,随机分为对照组和观察组,每组各30例.对照组按照急性脑梗死治疗方案进行常规治疗,观察组在对照组基础上增加黄芎抗栓方治疗.治疗周期均为4周.比较两组患者在治疗前后血清VEGF和NSE水平的变化、美国国立健康研究院的卒中量表(NIHSS)评分、功能独立性评价量表(FIM)评分以及中医证候积分.结果:两组患者在治疗后血清VEGF水平提升,血清NSE水平降低,且观察组改善程度优于对照组,差异具有统计学意义(P<0.05).治疗后两组患者的NIHSS评分均低于治疗前,FIM评分高于治疗前,观察组改善程度优于对照组,差异有统计学意义(P<0.05).两组患者治疗后,中医证候积分均有所下降,且观察组下降更为明显,差异有统计学意义(P<0.05).治疗后,观察组的总有效率(96.67%)远高于对照组(86.67%),差异具有统计学意义(P<0.05).结论:使用黄芎抗栓方治疗急性脑梗死的效果突出,能显著提升患者血清VEGF水平,降低血清NSE水平,有助于神经细胞功能的恢复.同时,也能改善因脑血流不足导致的组织再灌注问题,提高患者的日常生活自理能力.
Objective:To observe the effect of Huangxiong Kangshuan Formula on serum levels of vascular endothe-lial growth factor(VEGF)and neuron specific enolase(NSE)in patients with acute cerebral infarction.Methods:From October 2021 to October 2022,60 patients with acute cerebral infarction who were hospitalized in the Department of En-cephalopathy of Geriatric Center,the First Affiliated Hospital of Anhui University of Chinese Medicine were selected as the research objects.They were randomly divided into the control group and the observation group,with 30 cases in each group.The patients in the control group were given routine treatment according to the treatment plan for acute cerebral in-farction,and the patients in the observation group were treated with Huangxiong Kangshuan Formula on the treatment basis of the control group.The treatment period were both 4 weeks.The changes of serum VEGF and NSE levels,National Insti-tutes of Health Stroke Scale(NIHSS)score,functional independence measure(FIM)score and traditional Chinese medi-cine(TCM)syndrome score were compared between the two groups before and after treatment.Results:After treatment,the serum VEGF levels of the two groups were increased,and the serum NSE levels were decreased,which were better than those before treatment,with the statistical significance(P<0.05).After treatment,the NIHSS scores of the two groups were lower than those before treatment,and the FIM scores were higher than those before treatment,with the statistical sig-nificance(P<0.05).After treatment,the TCM syndrome scores of the two groups decreased,and the scores of the observa-tion group decreased more significantly,with the statistical significance(P<0.05).After treatment,the total effective rate of the observation group(96.67% )was significantly higher than that of the control group(86.67% ),and the difference was statistically significant(P<0.05).Conclusion:The effect of Huangxiong Kangshuan Formula in the treatment of acute ce-rebral infarction is outstanding,which can significantly increase the serum VEGF level,reduce the serum NSE level,and help the recovery of nerve cell function.At the same time,it can also improve the tissue reperfusion caused by insufficient cerebral blood flow and improve the self-care ability of patients.

acute cerebral infarctionHuangxiong Kangshuan FormulaVEGFNSEability to live independently

齐媛、曹仕健、杨医、王兴宇

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安徽中医药大学第一附属医院老年病中心脑病科,安徽 合肥 230031

急性脑梗死 黄芎抗栓方 VEGF NSE 独立生活能力

2022年度安徽省卫生健康科研项目安徽省红十字会中医药传承创新发展研究项目

AHWJ2022b0622022ZYYD06

2024

山西中医药大学学报

山西中医药大学学报

ISSN:
年,卷(期):2024.25(1)
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