丁苯酞对急性脑梗死患者疗效及VEGF、BDNF、bFGF水平的影响

被引:31
作者
刘凌云
汤永红
机构
[1] 南华大学第二附属医院神经内科
关键词
急性脑梗死; 血管内皮生长因子; 脑源性神经营养因子; 碱性成纤维细胞生长因子; 丁苯酞;
D O I
10.16636/j.cnki.jinn.2014.05.013
中图分类号
R743.3 [急性脑血管疾病(中风)];
学科分类号
100204 [神经病学];
摘要
目的观察丁苯酞软胶囊治疗急性脑梗死(ACI)患者疗效及血清中VEGF、BDNF、bFGF水平变化。方法选取符合标准ACI患者80例,随机分为40例治疗组(男性21例,女性19例)和40例对照组(男性20例,女性20例),对照组行常规药物治疗,治疗组在此基础上加用丁苯酞软胶囊。采用美国国立卫生研究院卒中量表(NIHSS)和日常生活活动能力评分量表(ADL量表)评价疗效。采用酶联免疫分析法(ELISA)检测血清中3种因子的水平,比较两组患者治疗前后血清中3种因子水平变化。结果治疗后两组患者血清中3种因子水平均较治疗前显著升高(P<0.01),治疗组比对照组增高更明显(P<0.01)。两组治疗后ADL量表评分较治疗前显著增高(P<0.01),治疗组比对照组增高更明显(P<0.01)。两组治疗后NIHSS评分较治疗前显著减少(P<0.01),治疗组比对照组减少更明显(P<0.01)。结论丁苯酞可提高ACI患者血清BDNF、VEGF、bFGF的表达,疗效优于常规药物且安全。
引用
收藏
页码:419 / 422
页数:4
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