首页|鼠神经生长因子对急性脑梗死患者血清中脑源性神经营养因子、Fibulin-5和颅内血流的影响

鼠神经生长因子对急性脑梗死患者血清中脑源性神经营养因子、Fibulin-5和颅内血流的影响

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目的 分析鼠神经生长因子对急性脑梗死患者血清中脑源性神经营养因子、Fibulin-5和颅内血流的影响.方法 选取2015年9月~2016年9月杭州市中医院收治的98例急性脑梗死患者作为研究对象,分为观察组和对照组,每组各49例.对照组患者采用常规治疗,观察组患者在常规治疗的基础上联合使用鼠神经生长因子,采用酶联免疫吸附法检测血清中脑源性神经营养因子、Fibulin-5,采用颅内超声检测颅内血流情况,对比2组患者治疗前后脑源性神经营养因子、Fibulin-5和颅内血流情况.结果 治疗前,2组患者脑源性神经营养因子(BDNF)、Fibulin-5、血流动力学指标比较,差异无统计学意义.治疗后,观察组BDNF和Fibulin-5水平分别为(5.63±1.34)、(156.63±12.79),明显高于对照组(4.26±1.54)、(115.52±15.66),差异有统计学意义(P<0.05);观察组患者脑血流动力学指标,平均血流量(Qmean)、平均血流速度(Vmean)、动态阻抗(DR)、脑血管特征性阻抗(ZCV)、脑血管外周阻力(R)均明显优于对照组,差异有统计学意义(P<0.05);观察组的预后效果优于对照组,差异有统计学意义(P<0.05).结论 鼠神经生长因子对急性脑梗死进行临床干预有助于促进患者神经功能抑制水平的生长,改善脑血流,预后效果更好.
Effects of mouse nerve growth factor on serum brain-derived neurotrophic factor, Fibulin-5 and intracranial blood flow in acute cerebral infarction
Objective To investigate effects of mouse nerve growth factor on serum brain-derived neurotrophic factor, Fibulin-5 and intracranial blood flow in patients with acute cerebral infarction.Methods 98 patients with acute cerebral infarction in our hospital from September 2015 to September 2016 were selected as the research object, divided into observation group and control group, 49 cases in each group.The control group was treated with conventional treatment of acute cerebral infarction, patients in the observation group on the basis of conventional treatment combined with mouse nerve growth factor, Enzyme-linked immunosorbent assay was used to detect serum brain-derived neurotrophic factor, Fibulin-5, Intracranial ultrasonography was used to detect intracranial blood flow, the brain-derived neurotrophic factor, Fibulin-5, cerebral blood flow were compared between the two groups before and after treatment.Results Before treatment, two groups of patients with brain-derived neurotrophic factor (BDNF), Fibulin-5 and hemodynamics, the difference was not statistically significant.After treatment, the levels of BDNF and Fibulin-5 in the observation group were (5.63 ±1.34), (156.63 ±12.79), significantly higher than the control group (4.26 ±1.54), (115.52 ±15.66), the difference was statistically significant ( P<0.05 ) , the observation group of patients with cerebral hemodynamics index , average blood flow ( Qmean ) , the average blood flow velocity (Vmean), dynamic impedance (DR), cerebral vascular characteristic impedance (ZCV), cerebral vascular peripheral resistance (R) were significantly better than the control group, the difference was statistically significant (P<0.05), the prognosis of the observation group was better than that of the control group, the difference was statistically significant ( P<0.05 ) .Conclusion Clinical effect of mouse nerve growth factor on acute cerebral infarction is helpful to promote the growth of nerve function inhibition, improve cerebral blood flow, better prognosis.

mouse nerve growth factoracute cerebral infarctFibulin-5intracranial blood flowbrain derived neurotrophic factor

叶琦、王华

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杭州市中医院神经外科,浙江杭州310007

鼠神经生长因子 急性脑梗死 Fibulin-5 颅内血流 脑源性神经营养因子

浙江省医学会课题

2015ZAC-A40

2017

中国生化药物杂志
南京生物化学制药研究所,全国生化制药情报中心站,中国生化制药工业协会,中国药品生物制品检定所

中国生化药物杂志

ISSN:1005-1678
年,卷(期):2017.37(3)
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