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中国临床研究:2019,32(3):381-384
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鼠神经生长因子对脑梗死患者VEGF、BDNF、IGF-1及血清细胞因子水平的影响
(无锡市中医医院脑病科,江苏 无锡 214123)
Effects of rat nerve growth factor on VEGF, BDNF, IGF-1 and serum cytokines in patients with cerebral infarction
(Department of Encephalopathy, Wuxi Hospital of Traditional Chinese Medicine, Wuxi, Jiangsu 214123, China)
摘要
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投稿时间:2018-09-14   网络发布日期:2019-03-22
中文摘要: 目的 探析鼠神经生长因子对脑梗死患者血管内皮生长因子(VEGF)、脑源性神经营养因子(BDNF)、胰岛素样生长因子(IGF)-1及血清细胞因子水平的影响。方法 采用回顾性研究方法,以2015年3月至2017年6月收治的216例急性脑梗死患者为研究对象,根据治疗方案的不同将患者分为对照组和观察组,各108例。对照组采取常规脑梗死治疗方案,观察组在对照组基础上采用肌内注射鼠神经生长因子。比较两组治疗前后神经功能缺损程度、血清VEGF、BDNF、IGF-1及血清细胞因子水平。结果 治疗14 d后,两组NIHSS评分较治疗前均明显下降,且观察组明显低于对照组,差异均有统计学意义(P<0.01);两组VEGF、BDNF、IGF-1水平较治疗前均明显升高,且观察组均明显高于对照组,差异均有统计学意义(P<0.05,P<0.01);两组血清相关细胞因子白介素(IL)-1β、IL-6、超敏C反应蛋白(hs-CRP)、肿瘤坏死因子(TNF)-α水平较治疗前均明显下降,且观察组均明显低于对照组(P<0.05,P<0.01)。结论 对急性脑梗死患者应用鼠神经生长因子可显著减轻其神经损伤程度,上调患者血清VEGF、BDNF、IGF-1 水平,并且对部分血清细胞因子能起到明显的抑制作用。
Abstract:Objective To explore the effects of rat nerve growth factor on the levels of vascular endothelial growth factor (VEGF), brain-derived neurotrophic factor (BDNF), insulin-like growth factor-1 (IGF-1) and serum cytokines in patients with cerebral infarction. Methods A total of 216 patients with acute cerebral infarction admitted to hospital from March 2015 to June 2017 were included and divided into control group and observation group (n=108, each) according to the different treatment schemes.The routine treatment of cerebral infarction was performed in control group, while the intramuscular injection of rat nerve growth factor was given based on the routine treatment in observation group.The degree of neurological deficit, serum levels of VEGF, BDNF, IGF-1 and serum cytokines were compared between two groups. Results After 14 d of treatment, the scores of National Institutes of Health Stroke Scale (NIHSS) were significantly lower than those before treatment in both groups and was statistically lower in observation group than that in control group (all P<0.05); levels of VEGF, BDNF, IGF-1 were obviously higher than those before treatment in both groups and were statistically higher in observation group than those in control group (P<0.05); levels of serum interleukin (IL)-1β, IL-6, high sensitivity C-reactive protein (hs-CRP)and tumour necrosis factor-α (TNF-α) significantly decreased in both groups compared with before treatment and were significantly lower in observation group than those in control group (all P<0.05). Conclusion For patients with acute cerebral infarction, application of rat nerve growth factor can significantly reduce the degree of nerve injury, increase the serum levels of VEGF, BDNF and IGF-1 and inhibit the production of some serum related cytokines obviously.
文章编号:     中图分类号:R 743.3    文献标志码:B
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引用文本:
于广石,周小荣.鼠神经生长因子对脑梗死患者VEGF、BDNF、IGF-1及血清细胞因子水平的影响[J].中国临床研究,2019,32(3):381-384.

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