首页|基于PI3K/Akt信号通路分析针刺对脑瘫患儿认知功能的影响

基于PI3K/Akt信号通路分析针刺对脑瘫患儿认知功能的影响

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目的 探讨基于PI3K/Akt信号通路分析针刺对脑瘫患儿认知功能的影响.方法 选择2021年1月-2023年6月河南中医药大学第一附属医院收治的脑瘫患儿67例,随机分为观察组35例、对照组32例.对照组给予常规康复训练,观察组联合针刺治疗.比较两组患儿临床疗效、粗大运动功能(GMFM)评分、peabody精细运动发育量表(PDMS-FM)评分、脑血流动力学指标以及外周血单个核细胞PI3K/Akt通路变化情况.结果 观察组治疗总有效率显著高于对照组(P<0.05).治疗后两组患儿GMFM评分、PDMS-FM评分、WPPSI评分以及脑血流动力学平均血流速度较治疗前显著升高(P<0.05),治疗后观察组患儿各指标显著高于对照组(P<0.05).治疗后两组患儿外周血单个核细胞PI3K表达较治疗前显著升高(P<0.05),Akt较治疗前显著降低(P<0.05),治疗后观察组患儿外周血单个核细胞PI3K表达显著高于对照组(P<0.05),Akt表达显著低于对照组(P<0.05).结论 针刺可有效改善脑瘫患儿粗大运动以及精细运动功能,同时改善患儿认知功能,其作用机制可能与激活PI3 K/Akt通路而发挥相应的神经保护作用有关,值得临床推广.
Effects of Acupuncture on Cognitive Function in Children with Cerebral Palsy Based on Pi3K/Akt Signaling Pathway Analysis
Objective To explore the effect of acupuncture on cognitive function in children with cerebral palsy based on PI3K/Akt signaling pathway analysis.Methods 67 children with cerebral palsy treated in he First Affiliated Hospital of Henan Universi-ty of Traditional Chinese Medicine from January 2021 to June 2023 were randomly divided into observation group(35 cases)and control group(32 cases).The control group was given routine rehabilitation training,and the observation group was treated with acupuncture.The clinical efficacy,gross motor function(GMFM)score,peabody fine Motor Development Scale(PDMS-FM)score,cerebral hemodynamic indexes and the changes of PI3K/Akt pathway in peripheral blood mononuclear cells were compared between the two groups.Results The total effective rate of observation group was significantly higher than that of control group(P<0.05).After treatment,GMFM score,PDMS-FM score,WPPSI score and average cerebral hemodynamic blood flow velocity of the two groups were significantly higher than those before treatment(P<0.05),and the indexes of the observation group were significantly higher than those of the control group(P<0.05).After treatment,PI3K expression in peripheral blood mononuclear cells of the two groups was significantly increased compared with that before treatment(P<0.05),and Akt expression was signif-icantly decreased compared with that before treatment(P<0.05).After treatment,PI3K expression in peripheral blood mononu-clear cells of the observation group was significantly higher than that of the control group(P<0.05),and Akt expression was sig-nificantly lower than that of the control group(P<0.05).Conclusion Acupuncture can effectively improve the gross motor and fine motor functions of children with cerebral palsy,and improve their cognitive functions.The mechanism may be related to the activation of PI3K/Akt pathway and the corresponding neuroprotective effect,which is worthy of clinical promotion.

PI3K/Akt pathwayacupuncturecerebral palsycognitive function

付江平、井小进、张鹤、张争艳

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河南中医药大学第一附属医院,河南郑州 450000

PI3K/Akt通路 针刺 脑瘫 认知功能

2024

实用中医内科杂志
辽宁省中医药学会,中华中医药学会,辽宁省中医药研究院

实用中医内科杂志

影响因子:0.421
ISSN:1671-7813
年,卷(期):2024.38(5)