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Neuroprotective effect of luteolin-7-O-β-D-glucuronide in a rat model offocal cerebral ischemia 被引量:1
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作者 Sheng-qun HOU Jia-ying YE +5 位作者 Hai-feng ZHANG Li-hui LU Xian-chu HAN Ming-ming LIU Ting LI Fang WANG 《中国药理学与毒理学杂志》 CAS CSCD 北大核心 2018年第4期268-269,共2页
OBJECTIVE To investigate the neuroprotective effect and possible mechanisms of lute.olin-7-O-β-D-glucuronide(LGU) against focalcerebral ischemic injury.METHODS The focal cerebral ischemic injury model was established... OBJECTIVE To investigate the neuroprotective effect and possible mechanisms of lute.olin-7-O-β-D-glucuronide(LGU) against focalcerebral ischemic injury.METHODS The focal cerebral ischemic injury model was established by middle cerebral artery occlusion(MCAO).Male Sprague Dawley rats were randomly divided into sham group,model group(MCAO),LGU group(0.24,0.72 and2.16 mg·kg^(-1)) and positive control group(Edaravone at 5 mg·kg^(-1)).LGU was injected intravenously 30 min after MCAO.Neurological severity score,infarct volume and brain water content were detected 24 h after MCAO and the levels of Na+-K+ ATPase,Ca2 + ATPase,TNF-α and IL-1β were detected to explore the possible mechanisms.For the therapeutic time window test,LGU(0.72 mg·kg^(-1)) was injected intrave.nously 0.5,2,4,6,8,10 and 12 h respectively after MCAO.To evaluate motion behavior,LGU were injected intravenously 30 min after MCAO and once per day during detection period.The changes of motor coordination were detected by rotating rod method and grip strength analysis,and the changes of gaits were detected using DigiGait Imaging System.RESULTS LGU improved the neurological severity score,infarct volume ratio and brain water content.The therapeutic time window of LGU for cerebral infarction and brain edema was at least 6 h and for neurological dysfunction was 12 h.LGU also prolonged the latency on rotarod,increased the forelimb tension and improved 8 gait parameters,including stance duration,stride length,stance width,paw area,paw area variability,gait symmetry,ataxia coefficient and tau propulsion.Furthermore,LGU increased Na^+-K^+-ATPase and Ca^(2+)-ATPase levels in the cortex and hippocampus in the ischemic side,reduced the levels of TNF-α and IL-1β in the serum.CONCLUSION LGU has a significant neuroprotective effect against cerebral ischemic injury via improving energy metabolism and reducing inflammation. 展开更多
关键词 缺氧缺血性脑损伤 脑动脉 治疗方法 临床分析
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Effects of reduction of Sheng-Nao-Kang decoction in focal cerebral ischemia/reperfusion model rats
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《中国药理学通报》 CAS CSCD 北大核心 2015年第B11期151-151,共1页
Aim Reduction of Sheng-Nao-Kang decoction (RSNK), is a modified traditional Chinese medicinal formula of Sheng-Nao-Kang pill preparation, which is protective in rats against focal cerebral ischemia/reperfusion (I/R... Aim Reduction of Sheng-Nao-Kang decoction (RSNK), is a modified traditional Chinese medicinal formula of Sheng-Nao-Kang pill preparation, which is protective in rats against focal cerebral ischemia/reperfusion (I/R) injury. In the current study, we investigate the protective effect of RSNK against apoptosis and oxidative damage induced by cerebral I/R and explore the underlying mechanisms. Cerebral I/R injury was induced by in- traluminal middle cerebral artery occlusion (MCAO) for 2 h followed by reperfusion for 24 h in adult male Sprague- Dawley rats. Rats were randomized into seven groups (n- 8): Sham group, I/R group, RSNK-treated groups ( 0.7 g · kg ^- 1, 1 . 4 g · kg ^- 1 and 2. 8 g · kg^ - 1 ) , nimodipine (NMP) -treated group and Whitmania pigra Whitman (WW)-treated group. Neurological deficit scores, cerebral humidity content and cerebral infarction volume were measured after the 24 h reperfusion. Malondialdehyde ( MDA), superoxide dismutase ( SOD), catalase ( CAT), inducible nitric oxide synthase (iNOS) and total nitric oxide synthase (TNOS) in serum were measured by assay kits for biochemical analysis. Histological structures of the cortex of the ipsilateral ischemic cerebral hemisphere in rats were observed by Nissl staining. The caspase-3 protein content in the hippocampus and cortex was detected by immunohistochemistry. Additionally, Bax and Bcl-2 protein expressions in the injured brain were evaluated by Western blot. RSNK administration not only markedly improved neurological deficit scores, but also reduced cere- bral humidity content and cerebral infarction volume, lowered MDA content, up-regulated SOD and CAT levels, down-regulated iNOS and TNOS levels, restrained the expression of caspase-3 positive protein and alleviated the Bax and Bcl-2 protein expressions. 展开更多
关键词 reduction of Sheng-Nao-Kang DECOCTION (RSNK) middle cerebral artery occlusion focal cerebral is-chemia/reperfusion injury anti-apoptosis anti-oxidation protect effect.
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Ginkgo biloba extract-761 improves the motor functions in permanent middle cerebral artery occlusion rats
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作者 ZENG Gui-rong ZHOU Shi-da +6 位作者 SHAO Ya-jie ZHANG Miao-hong SUN Mei-zhen Mudassar Azhar Ayaz Aham LIU Xin-ming JIANG De-jian 《中国药理学与毒理学杂志》 CAS CSCD 北大核心 2016年第10期1030-1030,共1页
OBJECTIVE To study the role of Ginkgo biloba extract-761(EGb-761)in the recovery of gait abnormality and its neuroprotective effect against the brain injury induced by permanent middle cerebral artery occlu-sion in ra... OBJECTIVE To study the role of Ginkgo biloba extract-761(EGb-761)in the recovery of gait abnormality and its neuroprotective effect against the brain injury induced by permanent middle cerebral artery occlu-sion in rats.METHODS Male Sprague Dawley rats(n=200,240-305 g)were anesthetized with 0.2%pentobarbital sodium diluted in physiological saline(2.0 m L·kg-1,ip).Then a monofilament coated with poly-L-lysine,was used to occlude the origin of the middle cerebral artery.It was inserted into the internal carotid artery lumen until it met mild resistance,approximately 20mm beyond the common carotid artery bifurcation.The suture was secured with a ligature and maintained in place until sacrifice.The same surgical procedure was conducted in sham-operated rats in which the middle cerebral artery was not occluded.Motor and behavioral changes were assessed after surgery using a five point scale.The rats securing the point scale above 2 were included in the study.The rats were randomly divided into control,and treated groups:EGb-761(20,50,and 100 mg·kg-1).The treated groups were oral y administered(10 mL·kg-1)for 28 d.On 7th,14th,21st,and 28th day the neurological scores,rotar rod test and gait assessment(the automated computer-assisted method)were performed.The brains were collected for TTC staining and histopathological analysis.RESULTS 1)Weight:On 28th day,EGb-761(20 mg·kg-1,)significantly increased the weight of the rat by^8%as compared to control(~300 g).However,at 50 mg·kg-1,and 100 mg·kg-1,a significant increase of^7-7.6%(control:~232 g),and^7.3-7%,respectively from 14 to 28 days was noted.2)Neurological scores:On 28thday,EGb-761(20,50,and 100 mg·kg-1)significantly decreased the neurological scores by^18%,~22%,~21%,respectively as compared to control(~2.07).3)Rotar rod test:On 28thday,EGb-761(50,and100 mg·kg-1)significantly increased by^69.1%,~74.1%,respectively as compared to control(~28.2).4)Gait assessment:On 7th,14th,21st,and 28thday,EGb-761(20,50,and 100 m·kg-1)significantly reduced the average body angle,on 7th,14th,21st,and 28thday,EGb-761(100 mg·kg-1)significantly increased the walk speed and reduced the average walking cycle,EGb-761(50,and 100 mg·kg-1)significantly the area of the left brain/right brain area percentage and reduced tissue pathologic neuron injury.CONCLUSION Ginkgo biloba extract EGb-761 has obvious improve behavior disorders,and has a protective neuroprotective effect against the brain injury induced by permanent middle cerebral artery occlusion. 展开更多
关键词 permanent middle cerebral artery occlusion
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Effects of Electroacupuncture Combined with Repetitive Transcranial Magnetic Stimulation on the Expression of Nestin in Neural Stem Cell after Focal Cerebral Ischemia in Adult Rats
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作者 HUANG Guofu HUANG Xiaolin +1 位作者 CHEN Hong HAN Xiaohua 《中国康复医学杂志》 CAS CSCD 北大核心 2009年第5期390-393,共4页
Objective:To investigate the influence of electroacupuncture(EA) combined with repetitive transcranial magnetic stimulation(rTMS) on the temporal profile of nestin expression after induction of focal cerebral ischemia... Objective:To investigate the influence of electroacupuncture(EA) combined with repetitive transcranial magnetic stimulation(rTMS) on the temporal profile of nestin expression after induction of focal cerebral ischemia in adult rats and to explore the mechanism of EA combined with rTMS in treating ischemic brain injury.Method:The model of transient focal ischemia was produced by occlusion of middle cerebral artery.Seventy-five Wistar rats were randomly divided into normal group,model group,EA group,rTMS group and EA +rTMS group.The neurologic impairment rating and ability of learning and memory were observed at the 7th、14th and 28th d after infarction respectively.Meanwhile,Western blotting was used to observe the number of nestin expression positive cells.Result:Nestin-positive cells were found in cortex,subgranular zone(SGZ),subventricular zone(SVZ) of the ipsilateral side at different time points after cerebral ischemia.The number of nestin-positive cells peaked at the 7th d,began to decrease at the 14th d and was significantly higher in EA+rTMS group than that in model group(P< 0.05),then almost reached normal at the 28th d.The improvement of neural motor function deficits as well as the indexes of learning and memory were more obvious in EA+rTMS group compared with model group(P<0.01,P<0.05).These effects were most obvious in EA +rTMS group compared with the EA and rTMS group(P<0.05).Conclusion:EA and rTMS possess the potency of building up and can increase the number of nestin-positive cells in some brain regions after focal cerebral ischemia,which might be one of the important mechanisms of EA combined with rTMS in treating ischemia brain injury. 展开更多
关键词 神经系统 神经细胞 康复医学 研究 RTMS
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Neuroprotective effects of kaempferol against 2VO-induced chronic cerebral ischemia in rats 被引量:3
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作者 ZHANG Jun CHENG Xiao +5 位作者 YANG Huan YANG Yin-lin ZHAO Ting-kun WANG Qi WANG Yue-hua DU Guan-hua 《中国药理学与毒理学杂志》 CAS CSCD 北大核心 2016年第10期1028-1029,共2页
OBJECTIVE To investigate the effects of kaempferol(KAE)on chronic cerebral ischemia in rats.METHODS Chronic cerebral ischemia was induced in rats by permanent occlusion of bilateral common carotid arteries(2VO).Then,t... OBJECTIVE To investigate the effects of kaempferol(KAE)on chronic cerebral ischemia in rats.METHODS Chronic cerebral ischemia was induced in rats by permanent occlusion of bilateral common carotid arteries(2VO).Then,the rats with chronic cerebral ischemia were randomly divied into three groups:model group,KAE 10 and 30 mg·kg-1group.Another group rats without occlusion of common carotid arteries were used as the sham-operation group.Memory behavior was investigated by Morris water maze test.Prehensile ability was investigated by prehensile traction test.The structure of hippocampus and cortex neurons was observed with Nissel staining.In addition,the SOD activity and MDA content in brain tissue were determined.The DJ-1protein level was determined by Western blotting.RESULTS KAE 10 and 30 mg·kg-1could significantly improve cognitive impairment and prehensile traction ability(P<0.01)induced by chronic cerebral ischemia in rats.The results of the pathological analysis also suggested that KAE could ameliorate the pathological damage induced by chronic cerebral ischemia.In addition,KAE 30 mg·kg-1significantly increased the activity of SOD(P<0.05),but had no effect on the content of MDA in rat brain tissue.Western-blotting confirmed that KAE 10 and30 mg·kg-1could increase the expression of anti-oxidation proteins DJ-1 in hippocampus(P<0.01).CONCLUSION KAE may attenuate the chronic cerebral ischemic injury in rats. 展开更多
关键词 KAEMPFEROL chronic cerebral ischemia occlusion of bilateral common carotid arteries
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DHEA-neuroprotection and -neurotoxicity after transient cerebral ischemia in rats 被引量:4
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作者 Li, Z. Cui, S. Z. +4 位作者 Zhang, Z. Zhou, R. Ge, Y. B. Sokabe, M. Chen, L. 《南京医科大学学报(自然科学版)》 CAS CSCD 北大核心 2009年第4期511-511,共1页
关键词 DHEA 肿瘤 临床 研究
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IMM-H004 therapy for permanent focal ischemic cerebral injury and cardiopulmonary complications via CKLF1/CCR4-mediated inflammation pathway
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作者 AI Qi-di CHEN Chen +7 位作者 CHU Shi-feng ZHANG Zhao LUO Yun GUAN Fei-fei ZHANG Shuai WANG Sha-sha YAN Xu CHEN Nai-hong 《中国药理学与毒理学杂志》 CAS CSCD 北大核心 2018年第9期675-676,共2页
OBJECTIVE To investigate the effects of IMM-H004 on permanent focal cerebral ischemia injury and associated cardiopulmonary complications,further elucidating the molecular mechanisms.METHODS The effects of IMM-H004 we... OBJECTIVE To investigate the effects of IMM-H004 on permanent focal cerebral ischemia injury and associated cardiopulmonary complications,further elucidating the molecular mechanisms.METHODS The effects of IMM-H004 were investigated in wild-type(WT) and CKLF1-/-rats.The effects of IMM-H004 on ischemic stroke injury and its cardiopulmonary complications were determined using 2,3,5-triphenyltetrazolium chloride(TTC) staining,behavior tests,magnetic resonance imaging(MRI)scans,enzyme-linked immunosorbent assay(ELISA),Nissl staining,and histo-pathological examination.Multiple molecular experiments including immunohistological staining,immunofluorescence staining,quantitative RT-PCR,Western blotting,and co-immunoprecipitation assays were used to elucidate the underlying mechanisms.RESULTS IMM-H004 treatment provided significant protection against ischemic stroke-induced brain injury and associated cardiopulmonary complications,through CKLF1-depedent-anti-inflammation pathway in rats.IMM-H004 downregulated the amount of CKLF1 and disturbed the combination between CKLF1 and C-C chemokine receptor type 4,suppressing the inflammatory response and protecting the damaged organs in ischemic setting.CONCLUSION This preclinical study established efficacy of IMM-H004 as a potential therapeutic medicine for ischemic stroke and associated cardiopulmonary complications.The protective effects of IMM-H004 may due to its specific mechanism through CKLF1.These results support further efforts to develop IMM-H004 for human clinical trials in acute cerebral ischemia,especially for patients who are not suitable for reperfusion therapy. 展开更多
关键词 IMM-H004 PERMANENT focal cere-bral ischemia injury COMPLICATION INFLAMMATION CKLF1/CCR4
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Effects of Electro-acupuncture Preconditioning on Focal Cere bral Blood Flow in Artery and Vein of Rats with Middle Cere bral Artery Occlusion
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作者 JIA Jie GUO Qingchuan +1 位作者 GUO Zhenzhen YANG Xiaojiao 《中国康复医学杂志》 CAS CSCD 北大核心 2013年第12期1085-1092,共8页
Objective:To investigate the effects of electro-acupuncture preconditioning on focal cerebral blood flow(CBF)in artery and vein of rats with middle cerebral artery occlusion(MCAO),and to provide experimental evidences... Objective:To investigate the effects of electro-acupuncture preconditioning on focal cerebral blood flow(CBF)in artery and vein of rats with middle cerebral artery occlusion(MCAO),and to provide experimental evidences for primary prevention of ischemic stroke.Method:Eighteen male Sprague-Dawley rats(two months old)were divided into 3 groups:electro-acupuncture preconditioning group(EA group),ischemia group(Is group)and Dazhui and Baihui sham group(six rats per group).The rats in the EA group were given electro-acupuncture preconditioning at Dazhui and Baihui with 2/15 density wave current for 30 minutes per day,5 days consecutively.After preconditioning,enhanced laser speckle contrast analysis was implemented to get false color images before making middle cerebral ischemia occlusion model.Then getting false color images two hours during ischemia by laser speckle contrast analysis again.Result:④Relative CBF in focal cortical artery:There were significant differences at every time point in EA group and Is group(P<0.01,P<0.05)comparing with that before occlusion respectively.Compared with that before ischemia,there was significant difference at 120 min after ischemia in sham group(P<0.05);compared with that at 30 min after occlusion,there was significant difference at every time point in EA group from the time point 60 min after occlusion;there was significant difference at every time point in EA group and Is group(P<0.05)comparing with sham group;Compared with sham group,there was significant difference at 30min and 60 min after ischemia in EA group(P<0.05).④Relative CBF in focal cortical vein:There was significant difference at every time point in sham group comparing with that before occlusion(P<0.05);compared with that before occlusion,there was significant difference from 45 min after occlusion in EA group(P<0.05);compared with that before occlusion,there was significant difference from 105 min after occlusion in sham group(P<0.05);there was significant difference at 120 min after occlusion comparing with 60 min after occlusion in EA group;compared with sham group,there was significant difference at every time point in EA group and Is group(except 30 min after occlusion)(P<0.05),respectively;compared with Is group,there was significant difference at 30,45,60 min after occlusion in EA group(P<0.05).④The infarct brain volume detected 24 h after reperfusion in EA group was significantly smaller comparing with that in Is group(P<0.05).Conclusion:Electro-acupuncture preconditioning could increase CBF velocity in artery and vein of focal cortex in rats with MCAO,which also had time-dependence.Additionally,electro-acupuncture preconditioning could decrease the infarct volume detected 24h after reperfusion,which possibly was correlated with the blood supply in ischemic penumbra. 展开更多
关键词 康复医学 临床 精神疾病 患者
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Effects of Gastrodia elata and Uncaria rhynchophylla water extract on cerebral ischemic rat revealed by LC-FTICR-MS metabolomics approach
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作者 JiaWenXIAN TaoHUAN +2 位作者 LiangLI WingNangLEUNG ChunWaiCHAN 《中国药理学与毒理学杂志》 CAS CSCD 北大核心 2015年第S1期44-45,共2页
OBJECTIVE To study the treatment effect of Gastrodia elata and Uncaria rhynchophylla water extract(GUW)against cerebral ischemia,and the metabolomic profile of cerebrospinal fluid in GUW treated cerebral ischemia in r... OBJECTIVE To study the treatment effect of Gastrodia elata and Uncaria rhynchophylla water extract(GUW)against cerebral ischemia,and the metabolomic profile of cerebrospinal fluid in GUW treated cerebral ischemia in rat model.METHODS Middle cerebral artery occlusion was performed in male SD rat.GUW or control(PBS)was administered orally for 7d post-operationally.At day 7,the brain of the rat was harvested.The infarct volume of the brain was measured after TTC staining.The brain was subjected to H&E and cresyl violet staining in histological analysis.The cerebrospinal fluid(CSF)of another set of animals was aspirated.The CSF samples were labeled with 13 C-dansyl and 12C-dansyl chloride.The reaction mixture was put into liquid chromatography Fourier-transform ion cyclotron resonance mass spectrometry for analysis of the CSF metabolome.Multivariate statistical analysis will be carried out to determine the differences of metabolomic profile in CSF of GUW versus control group.RESULTS After GUW treatment,the neurological deficit score was significantly improved from day 3 to 7(P<0.001).GUW treated group significantly reduced 55.7%infarct volume on MCAO rats in TTC stained brain slices(P<0.001)and preserved brain histological structure observed in H&E and cresyl violet staining.On the other hand,according to various statistical analyses to compare CSF metabolite in the GUW and control group,volcano plot analysis showed 48 metabolites(P<0.001);OPLS-DA analysis showed 129 metabolites(VIP score >2.0)and 45 metabolites in ROC curve analysis.Among identified metabolites,L-aspartic acid(60%)and glycine(62%)decreased in GUW while threoninyl-alanine increased by 1.6 fold significantly.CONCLUSION GUW ameliorated cerebral ischemic injury,and the metabolomic approach may be a potential means to find biomarker of the Chinese medicine treatment on cerebral ischemia. 展开更多
关键词 cerebral ischemia middle cerebral artery OCCLUSION
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瘤内扰流装置WEB在颅内分叉部宽颈动脉瘤手术中的应用
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作者 陈晓 钟志宏 +3 位作者 江泓 朱军 胡锦清 林东 《中国现代神经疾病杂志》 北大核心 2025年第7期644-649,共6页
目的 初步探讨瘤内扰流装置WEB治疗颅内分叉部宽颈动脉瘤的有效性及安全性。方法 回顾分析2024年1-6月上海交通大学医学院附属瑞金医院应用WEB装置行血管内治疗的12例颅内分叉部宽颈动脉瘤患者的临床经过,动脉瘤位于大脑中动脉分叉部7... 目的 初步探讨瘤内扰流装置WEB治疗颅内分叉部宽颈动脉瘤的有效性及安全性。方法 回顾分析2024年1-6月上海交通大学医学院附属瑞金医院应用WEB装置行血管内治疗的12例颅内分叉部宽颈动脉瘤患者的临床经过,动脉瘤位于大脑中动脉分叉部7例、基底动脉顶端4例、前交通动脉复合体1例。出院时采用改良Rankin量表(mRS)评估神经功能预后,记录术后即刻、术后24~48 h、住院期间及术后30 d并发症发生率。结果 共12例患者计12个动脉瘤,11例为未破裂动脉瘤(术前mRS评分为零),1例为破裂动脉瘤(术前mRS评分为1分),均采取单一WEB装置治疗,一次性成功输送并释放,技术成功率达12/12。出院时11例mRS评分为零(均为未破裂动脉瘤患者),1例为1分(破裂动脉瘤患者)。术后即刻未见新发脑缺血或脑出血,术后24~48 h未见新发脑实质出血、蛛网膜下腔出血及动脉瘤相关新发脑梗死,住院期间无穿刺点出血等并发症,术后30 d亦无缺血性或出血性不良事件及穿刺点出血等并发症。结论 初步认为WEB装置治疗颅内分叉部宽颈动脉瘤安全、有效。 展开更多
关键词 颅内动脉瘤 大脑中动脉 基底动脉 大脑动脉环 栓塞 治疗性
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NOVA支架在症状性大脑中动脉粥样硬化性狭窄患者中的临床应用
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作者 罗静 孙祥荣 +3 位作者 徐霁充 严烁 方淳 马林 《介入放射学杂志》 北大核心 2025年第5期496-499,共4页
目的 评价NOVA支架治疗症状性大脑中动脉粥样硬化性狭窄患者的安全性和有效性。方法 回顾性分析2021年11月至2023年2月于同济大学附属同济医院接受NOVA支架植入治疗的21例重度大脑中动脉粥样硬化性狭窄患者手术结果、围手术期并发症、... 目的 评价NOVA支架治疗症状性大脑中动脉粥样硬化性狭窄患者的安全性和有效性。方法 回顾性分析2021年11月至2023年2月于同济大学附属同济医院接受NOVA支架植入治疗的21例重度大脑中动脉粥样硬化性狭窄患者手术结果、围手术期并发症、影像学及临床随访结果。结果 21例患者均成功植入支架,残余狭窄均小于30%,无出血并发症。支架植入后责任血管狭窄率由治疗前的85.04%降至5.95%,差异有统计学意义(P<0.01)。术后10~14个月随访发现1例(4.76%)支架内再狭窄,1例短暂性脑缺血发作,1例后循环脑梗死,无脑出血及死亡事件发生。术后临床症状稳定16例(76.19%),好转4例(19.04%),加重1例(4.76%)。结论 NOVA支架治疗症状性大脑中动脉粥样硬化性狭窄患者安全有效,但需要通过更大样本量、更长随访期的多中心随机对照研究进一步验证。 展开更多
关键词 大脑中动脉狭窄 颅内动脉粥样硬化 血管内治疗 NOVA支架 脑卒中
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A Model of Focal Cortical Infarctionin Rat:Mini mally Invasive Craniotomy 被引量:6
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作者 薛静 高培毅 +6 位作者 安沂华 SUN Chong-ran LI Jin HUANG Hua 《中国康复理论与实践》 CSCD 2006年第1期11-13,F0003,共4页
目的建立一种稳定的大鼠脑局灶性梗死模型,以用于脑梗死后神经干细胞移植的长期观察。方法37只大鼠随机分为实验组和对照组。微创法经颞骨局部钻孔开颅,采用直接结扎大脑中动脉终段,同时永久结扎同侧颈总动脉、暂时性夹闭对侧颈总动脉... 目的建立一种稳定的大鼠脑局灶性梗死模型,以用于脑梗死后神经干细胞移植的长期观察。方法37只大鼠随机分为实验组和对照组。微创法经颞骨局部钻孔开颅,采用直接结扎大脑中动脉终段,同时永久结扎同侧颈总动脉、暂时性夹闭对侧颈总动脉的方法制备大鼠脑梗死模型。通过大鼠脑梗死后的神经功能评分、墨汁灌注、TTC染色、MRI成像结果对该模型进行评价。结果大鼠术后状态良好,实验组大鼠观察4周后死亡率低为6 .25 %。大鼠神经功能评分均为1分,墨汁灌注及TTC染色观察梗死范围局限于皮层,4周后MRI成像测量梗死体积稳定,平均为83 .52 mm3。结论该模型对大鼠创伤小,梗死灶的位置和体积恒定,长期存活率高,为脑梗死后神经干细胞移植的研究提供了一种理想的动物模型。 展开更多
关键词 脑梗死 动物模型 大脑中动脉 大鼠
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大脑中动脉梗死不同亚型高分辨率磁共振血管壁成像及血流动力学特征分析
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作者 庞舒桐 胡玉瑞 +3 位作者 李文菲 尹雪梅 王玉琳 王占秋 《中国神经精神疾病杂志》 北大核心 2025年第7期406-412,共7页
目的本研究旨在通过高分辨率磁共振血管壁成像(high resolution magnetic resonance vascular wall imaging,HR-MRI VWI)及灌注加权成像(perfusion weighted imaging,PWI)研究大脑中动脉(middle cerebral arteries,MCA)梗死不同亚型斑... 目的本研究旨在通过高分辨率磁共振血管壁成像(high resolution magnetic resonance vascular wall imaging,HR-MRI VWI)及灌注加权成像(perfusion weighted imaging,PWI)研究大脑中动脉(middle cerebral arteries,MCA)梗死不同亚型斑块特征、豆纹动脉(lenticulostriate artery,LSA)特征及血流动力学特征。方法回顾性分析2022年1月至2024年4月于秦皇岛市第一医院接受HR-MRI VWI及PWI检查的单侧急性或亚急性MCA梗死患者,根据梗死类型将患者分为3组:动脉到动脉栓塞(artery-to-artery embolism,AA)组,穿支闭塞性疾病(branch occlusive disease,BOD)组,穿支闭塞性疾病合并动脉到动脉栓塞(branch occlusive disease and artery-to-artery embolism,BOD-AA)组。对比分析三组临床资料、斑块特征、豆纹动脉特征及血流动力学特征。为确定与BOD相关因素,将BOD组和BOD-AA组合并为BOD+组,与AA组比较;为确定与AA组相关因素,将BOD-AA和AA组合并为AA+组,并与BOD组比较。结果根据纳入排除标准共纳入单侧急性或亚急性MCA梗死患者42例,其中AA患者9例,BOD患者14例,BOD-AA患者19例。结果显示,AA+组狭窄程度高于BOD组,差异有统计学意义(Z=-2.536,P<0.05);BOD+组患侧LSA数量高于AA组[2.00(1.50,3.00)vs.3.00(3.00,4.00)],差异有统计学意义(Z=-2.889,P<0.05);AA+组半卵圆中心相对脑血流量(relative cerebral blood flow,rCBF)低于BOD组[0.90(0.84,0.93)vs.0.99(0.97,1.03)],差异有统计学意义(Z=-4.555,P<0.05);BOD+组基底节区rCBF低于AA组[0.89(0.83,0.93)vs.1.01(0.98,1.04)],差异有统计学意义(Z=-4.280,P<0.05)。结论BOD+患者狭窄程度小于AA患者。MCA梗死不同亚型斑块与LSA的空间关系不同,BOD+患者斑块更靠近LSA开口,更易堵塞LSA开口,患侧LSA数量更少,LSA供血区rCBF更低。 展开更多
关键词 高分辨率磁共振血管壁成像 灌注加权成像 大脑中动脉 粥样硬化 豆纹动脉
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3D-FSE-XETA-T_(1)WI平扫序列在评估MCA狭窄中的诊断价值:VWI多序列与DSA的对照研究
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作者 尹雪梅 赵晓慧 +3 位作者 李文菲 吴磊 刘兰祥 张俊 《中国卒中杂志》 北大核心 2025年第7期861-869,共9页
目的探讨磁共振血管壁成像(vessel wall imaging,VWI)多序列与DSA评估大脑中动脉(middle cerebral artery,MCA)狭窄率的差异,明确最优序列的诊断价值。方法回顾性收集2022年3月1日—2023年8月31日在秦皇岛市第一医院接受VWI及DSA检查且... 目的探讨磁共振血管壁成像(vessel wall imaging,VWI)多序列与DSA评估大脑中动脉(middle cerebral artery,MCA)狭窄率的差异,明确最优序列的诊断价值。方法回顾性收集2022年3月1日—2023年8月31日在秦皇岛市第一医院接受VWI及DSA检查且证实MCA-M1段狭窄或闭塞的患者影像及临床资料。利用组内相关系数(intra-class correlation coefficient,ICC)评估VWI 5种序列[三维快速自旋回波序列扩展回波链采集技术(3D fast spin echo with an extended echo train acquisition,3D-FSE-XETA)-T_(1)WI平扫和增强、2D-T_(2)WI、2D-T_(1)WI平扫和增强]与DSA测量MCA-M1段管腔狭窄率之间的一致性,通过绘制ROC曲线比较5种序列诊断重度狭窄及闭塞的效能。结果共纳入70例患者,平均年龄为(58.16±10.68)岁,男性43例(61.4%)。VWI 5种序列与DSA测量MCA-M1段狭窄率总的一致性较高[ICC 0.96(0.94~0.97),P<0.001];其中3D-FSE-XETA-T_(1)WI平扫序列的一致性最好[ICC 0.88(0.81~0.93),P<0.001],诊断重度狭窄及闭塞的效能优于2D序列[AUC 0.78(0.67~0.87),P<0.05],与3D增强序列相当(P=0.143)。结论VWI 3D-FSE-XETA-T_(1)WI平扫序列在评估MCA-M1段狭窄率方面优于其他序列,可作为临床术前辅助DSA评估狭窄程度的一种有效方法。 展开更多
关键词 磁共振血管壁成像 大脑中动脉 狭窄率 数字减影血管造影
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电头针对局灶性脑缺血大鼠皮质区缺血性损伤的治疗作用机制
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作者 田亮 方晓苓 +4 位作者 孙润洁 金钰钧 李兴兰 王金海 杜小正 《世界中医药》 北大核心 2025年第7期1128-1135,共8页
目的:探讨电头针(ESA)对缺血性脑卒中(IS)大鼠皮质区缺血性损伤的治疗作用机制。方法:采用随机数字表法将大鼠分为假手术组、模型组、电头针组、激动剂组、抑制剂组、电头针+抑制剂组各11只,除假手术组外,将其他各组大鼠制备大脑中动脉... 目的:探讨电头针(ESA)对缺血性脑卒中(IS)大鼠皮质区缺血性损伤的治疗作用机制。方法:采用随机数字表法将大鼠分为假手术组、模型组、电头针组、激动剂组、抑制剂组、电头针+抑制剂组各11只,除假手术组外,将其他各组大鼠制备大脑中动脉闭塞(MCAO)模型。造模成功后6 h,电头针组给予电头针治疗,强度1 mA,频率2/100 Hz,30 min/d;激动剂组给予腹腔注射PTEN诱导推定激酶1(PINK1)/人帕金森蛋白2(Parkin)通路激活剂羰基氰化物间氯苯腙(CCCP)溶液4 mg/(kg·d),1次/d;抑制剂组给予腹腔注射Mdivi-1溶液2 mg/(kg·d),1次/d;电头针+抑制剂组给予腹腔注射线粒体分裂抑制剂1(Mitochondrial Division Inhibitor 1,Mdivi-1)溶液并进行ESA疗法干预,30 min/d。各组均连续干预7 d。用神经功能缺损评分(mNSS)评估大鼠神经功能缺损程度;2,3,5-三苯基四氮唑(TTC)染色法测量大鼠脑梗死体积占比;免疫荧光双染技术检测缺血脑组织线粒体外膜转位酶20(TOM20)与微管相关蛋白轻链3(LC3)共定位水平;蛋白质印迹法检测大鼠脑缺血皮质区细胞色素C氧化酶亚基Ⅳ(COXⅣ)、PTEN诱导推定激酶1(PINK1)、人帕金森蛋白2(Parkin)的表达。结果:与假手术组比较,模型组大鼠mNSS评分高(P<0.01);与模型组比较,激动剂组、电头针组mNSS评分低(P<0.01),抑制剂组mNSS评分高(P<0.01);与抑制剂组比较,电头针+抑制剂组mNSS评分低(P<0.01);电头针组与激动剂组mNSS评分比较,差异无统计学意义(P>0.05)。与假手术组比较,模型组大鼠脑梗死体积大(P<0.01);与模型组比较,激动剂组、电头针组、抑制剂组大鼠脑梗死体积小(P<0.01、P<0.05);与抑制剂组比较,电头针+抑制剂组脑梗死体积小(P<0.01);电头针组与激动剂组脑梗死体积比较,差异无统计学意义(P>0.01)。与假手术组比较,模型组缺血皮质区TOM20、LC3的共定位水平低(P<0.01);与模型组比较,电头针组、激动剂组TOM20和LC3的共定位水平高(P<0.01),抑制剂组TOM20和LC3的共定位水平低(P<0.01);与抑制剂组比较,电头针+抑制剂组TOM20和LC3的共定位水平高(P<0.01);电头针组与激动剂组TOM20和LC3的共定位比较,差异无统计学意义(P>0.05)。与假手术组比较,模型组COXⅣ表达高(P<0.01);与模型组比较,电头针组、激动剂组COXⅣ表达低(P<0.05、P<0.01),抑制剂组COXⅣ表达高(P<0.05);与抑制剂组比较,电头针+抑制剂组COXⅣ表达低(P<0.01);电头针组与激动剂组COXⅣ表达比较差异无统计学意义(P>0.05)。与假手术组比较,模型组缺血皮质区PINK1、Parkin蛋白表达低(P<0.01);与模型组比较,电头针组、激动剂组缺血皮质区PINK1、Parkin蛋白表达高(P<0.05、P<0.01),抑制剂组缺血皮质区PINK1、Parkin蛋白表达低(P<0.05);与抑制剂组比较,电头针+抑制剂组缺血皮质区PINK1、Parkin蛋白表达高(P<0.01);电头针组与激动剂组缺血皮质区PINK1、Parkin蛋白表达比较,差异无统计学意义(P>0.05)。结论:电头针通过激活PINK1/Parkin信号通路介导的线粒体自噬减轻缺血性脑损伤。 展开更多
关键词 缺血性脑卒中 电头针 PTEN诱导推定激酶1/人帕金森蛋白2 线粒体自噬 大脑中动脉闭塞 顶颞前斜线 神经功能缺损 脑损伤
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QSM和DTI联合应用探讨单侧大脑中动脉供血区缺血后铁沉积对脑灰质核团微结构变化的影响
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作者 郭晓琳 宋彦澄 +2 位作者 刘凤海 康立清 王潇玉 《磁共振成像》 北大核心 2025年第8期19-24,共6页
目的采用磁共振定量磁敏感图(quantitative susceptibility mapping,QSM)和扩散张量成像(diffusion tensor imaging,DTI)测量单侧大脑中动脉(middle cerebral artery,MCA)供血区缺血后深部核团铁含量及微结构改变,并分析两者间的潜在相... 目的采用磁共振定量磁敏感图(quantitative susceptibility mapping,QSM)和扩散张量成像(diffusion tensor imaging,DTI)测量单侧大脑中动脉(middle cerebral artery,MCA)供血区缺血后深部核团铁含量及微结构改变,并分析两者间的潜在相关性。材料与方法选取31例单侧MCA重度狭窄或闭塞患者进行QSM、DTI、磁共振动脉自旋标记(arterial spin labeling,ASL)和常规MRI扫描。在ASL提示缺血的患者中,分别测量患侧和健侧尾状核、苍白球、壳核、红核及黑质的磁化率值(magnetic susceptibility value,MSV)值、平均扩散率(mean diffusivity,MD)值及各向异性分数(fractional anisotropy,FA)值,运用配对样本t检验比较两侧大脑深部核团间各参数的差异性,并分析患侧各核团MSV与DTI参数值之间的相关性。结果31例患者患侧核团MSV均高于对侧,红核两侧MSV差异无统计学意义(P>0.05),其余多个核团MSV差异有统计学意义(P<0.05)。患侧核团的MD值和FA值差异均较对侧有统计学意义(P<0.05)。尾状核、壳核及黑质FA值与MSV呈正相关(r=0.438、0.710和0.394,P值均<0.05);尾状核及壳核MD值和MSV呈负相关(r=-0.417、-0.593,P<0.05)。结论单侧MCA供血区缺血后,多个大脑灰质核团可能存在铁的异常沉积和微结构的改变,且壳核铁的异常沉积与微结构的改变具有较强的相关性。 展开更多
关键词 缺血性脑卒中 大脑中动脉重度狭窄或闭塞 定量磁敏感图 扩散张量成像 磁共振成像 灰质核团
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大脑中动脉闭塞性急性缺血性卒中血管内治疗后不良预后的危险因素分析及预测模型开发 被引量:1
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作者 蒋兰 傅新民 +1 位作者 孙梦飞 李怡萍 《中国卒中杂志》 北大核心 2025年第4期418-427,共10页
目的探讨大脑中动脉闭塞性急性缺血性卒中(middle cerebral artery occlusive acute ischemic stroke,MCAO-AIS)患者血管内治疗短期预后不良的相关危险因素,并开发预测模型。方法回顾性分析2022年2月—2024年5月在徐州市中心医院接受血... 目的探讨大脑中动脉闭塞性急性缺血性卒中(middle cerebral artery occlusive acute ischemic stroke,MCAO-AIS)患者血管内治疗短期预后不良的相关危险因素,并开发预测模型。方法回顾性分析2022年2月—2024年5月在徐州市中心医院接受血管内治疗的MCAO-AIS患者的临床、影像和手术资料,以及术后实验室检查结果。根据患者在术后第90天的mRS评分,将患者分为预后良好组和预后不良组。通过单因素分析、共线性分析及多因素logistic回归分析来探索患者预后不良的影响因素,并构建预测模型。采用ROC曲线、校准曲线和拟合优度检验对模型的预测性能进行评估和验证。结果共纳入245例患者,其中预后良好组91例,预后不良组154例。多因素logi sti c回归分析显示,发病时NI HSS评分较高(OR 1.017,95%CI 1.026~1.119,P=0.002)、手术时间较长(OR 1.014,95%CI 1.004~1.023,P=0.004)、术后脑水肿(OR 11.396,95%CI 4.884~26.591,P<0.001)、术后肺炎(OR 5.609,95%CI 2.179~14.436,P<0.001)、纤维蛋白原(fibrinogen,FIB)水平较高(OR 1.877,95%CI 1.214~2.903,P=0.005)及S100钙结合蛋白β(S100 calcium binding proteinβ,S100β)水平较高(OR 1.013,95%CI 1.004~1.022,P=0.003)是患者预后不良的独立危险因素,而采用颅内支撑导管辅助取栓支架联合抽吸行机械取栓术(mechanical thrombectomy using stent retriever combined with aspiration under intracranial support catheter assistance,SWIM)联合血管成形术(OR 0.140,95%CI 0.045~0.429,P=0.001)是其独立保护因素。ROC曲线分析显示,基于多因素logistic回归分析确定的7个独立预测变量构建的模型AUC为0.934(95%CI 0.905~0.964),具有较好的预测效能。模型的最佳截断值为0.665,此时模型的敏感度为0.844,特异度为0.890。Hosmer-Lemeshow检验显示预测模型校准良好,校准图显示模型预测曲线和实际曲线贴合度较高。结论基于发病时NIHSS评分、手术时间、术后脑水肿、术后肺炎、FIB、S100β及SWIM联合血管成形术这7个指标构建的模型对MCAO-AIS患者血管内治疗后第90天的不良预后有较好的预测效能。 展开更多
关键词 急性缺血性卒中 大脑中动脉闭塞 血管内治疗 预后 预测模型
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核黄素通过抑制缺血性脑卒中小鼠神经元凋亡缩小梗死范围
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作者 杨维 庞娟 +4 位作者 夏宇航 李俊 杨翰 尚粉青 殷俊茹 《神经解剖学杂志》 北大核心 2025年第1期25-31,共7页
目的:探讨核黄素对小鼠脑缺血损伤后脑组织梗死体积的影响及其抑制神经元凋亡的可能作用途径机制。方法:18只C57BL/6J雄性小鼠随机分为三组:假手术组(Sham)、大脑中动脉栓塞(MCAO)模型组、核黄素干预组(MCAO+RF);核黄素预处理1周后造模,... 目的:探讨核黄素对小鼠脑缺血损伤后脑组织梗死体积的影响及其抑制神经元凋亡的可能作用途径机制。方法:18只C57BL/6J雄性小鼠随机分为三组:假手术组(Sham)、大脑中动脉栓塞(MCAO)模型组、核黄素干预组(MCAO+RF);核黄素预处理1周后造模,24 h后经2,3,5-氯化三苯基四氮唑(TTC)染色观察各组小鼠脑组织梗死范围;采用实时荧光定量聚合酶链式反应(RT-qPCR)检测梗死侧脑组织中凋亡相关蛋白肿瘤蛋白p53(p53)、细胞色素C(CytC)、B淋巴细胞瘤-2基因(Bcl-2)、Bcl-2相关X蛋白(Bax)、半胱氨酸蛋白酶-3(caspase-3)、多腺苷二磷酸核糖聚合酶(PARP)、半胱氨酸蛋白酶-6(caspase-6)、细胞凋亡诱导因子(AIF)的mRNA表达变化,筛查核黄素抑制神经元凋亡的可能的作用途径;Western blot检测乙酰化p53(AC-p53)、caspase-3、PARP的蛋白表达。结果:与MCAO模型组相比,MCAO+RF组脑梗死体积显著减少(P<0.01);核黄素的使用可抑制小鼠脑组织中p53、CytC、caspase-3、PARP、caspase-6、AIF的表达且差异显著(P<0.05);同时AC-p53、caspase-3、PARP的蛋白表达亦显著降低(P<0.05)。结论:核黄素可通过多途径抑制神经元的凋亡,改善缺血性脑卒中导致的大脑损伤。 展开更多
关键词 核黄素 缺血性脑卒中 大脑中动脉栓塞 神经元凋亡 小鼠
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大脑中动脉斑块特征与急性脑梗死严重程度的相关性
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作者 胡梦雪 李雪琪 +6 位作者 高瑾 张贺 朱士光 李中林 王强 徐凯 余苗 《中国医学计算机成像杂志》 北大核心 2025年第3期299-304,共6页
目的:通过高分辨率磁共振血管壁成像(HRMR-VWI)评估大脑中动脉粥样硬化斑块特征与急性脑梗死(ACI)严重程度的相关性.方法:回顾性分析于我院行大脑中动脉HRMR-VWI和颅脑MRI平扫的单侧大脑中动脉狭窄患者的临床及影像学资料.评估大脑中动... 目的:通过高分辨率磁共振血管壁成像(HRMR-VWI)评估大脑中动脉粥样硬化斑块特征与急性脑梗死(ACI)严重程度的相关性.方法:回顾性分析于我院行大脑中动脉HRMR-VWI和颅脑MRI平扫的单侧大脑中动脉狭窄患者的临床及影像学资料.评估大脑中动脉狭窄区域斑块相关指标(斑块分布、斑块负荷、斑块强化、斑块面积等).依据弥散加权成像(DWI)及表观弥散系数(ADC)图像,将患者分为ACI组和非ACI组.按弥散加权成像-Alberta卒中项目早期CT评分(DWI-ASPECTS)将患者分为DWI-ASPECTS≤7分组和DWI-ASPECTS>7分组.分别比较临床指标和斑块特征的组间差异.采用SPSS26.0进行数据处理.结果:共纳入74例患者,男性44例,女性30例;平均年龄(55.89±11.99岁);ACI组44例,非ACI组30例;DWI-ASPECTS≤7分组17例,DWI-ASPECTS>7分组57例.ACI组斑块面积[4.29(2.07,5.55)mm^(2)]大于非ACI组[3.10(1.74,3.93)mm^(2)](P=0.034),ACI组最大斑块厚度[1.80(1.53,2.10)mm]大于非ACI组[1.50(1.30,1.83)mm](P=0.006),ACI组明显强化斑块比例(65.9%)高于非ACI组(13.3%)(P<0.001),ACI组斑块内出血比例(70.5%)高于非ACI组(26.7%)(P<0.001).DWI-ASPECTS≤7分组男性、饮酒及明显强化斑块比例均高于DWI-ASPECTS>7分组(P<0.05).结论:大脑中动脉斑块内出血、斑块最大厚度、斑块面积及斑块强化程度与ACI的发生风险相关,性别、饮酒及斑块强化程度与DWI-ASPECTS评分高低有关. 展开更多
关键词 大脑中动脉 急性脑梗死 斑块特征
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不同针灸介入时机对大脑中动脉供血区急性脑梗死神经功能预后的影响 被引量:4
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作者 杨利 何晓宏 +2 位作者 王小慧 李梦雪 姚生荣 《中华中医药学刊》 CAS 北大核心 2024年第5期196-200,共5页
目的观察不同针灸介入时机对大脑中动脉供血区急性脑梗死神经功能预后的影响。方法回顾性选取2020年1月—2022年8月收治的116例大脑中动脉供血区急性脑梗死患者的临床资料进行分析,根据针灸介入时机分为两组。两组均进行静脉溶栓及常规... 目的观察不同针灸介入时机对大脑中动脉供血区急性脑梗死神经功能预后的影响。方法回顾性选取2020年1月—2022年8月收治的116例大脑中动脉供血区急性脑梗死患者的临床资料进行分析,根据针灸介入时机分为两组。两组均进行静脉溶栓及常规药物治疗,观察组61例患者于发病72 h内给予针灸治疗,对照组55例患者于发病2周时给予针灸治疗。检测两组不同时间点侧支循环代偿情况、脑损伤标志物的水平,评估两组不同时间点简易精神状态检查(Mini-mental state examination,MMSE)评分、神经功能评分、Barthel指数(Barthel index,BI)评分、肢体运动功能评分、中医症状评分的差异,统计两组疗效。结果治疗前,两组侧支循环代偿情况比较,差异无统计学意义(P>0.05)。治疗4周和随访时,两组患侧大脑前动脉平均血流速度与对侧大脑中动脉平均血流速度的比值(Ratio of the average flow ve⁃locity of the affected anterior cerebral artery to the average flow velocity of the contralateral middle cerebral artery,iVACA/cVM⁃CA)较治疗前升高,观察组同时间点较对照组更高(P<0.05);两组患侧大脑后动脉平均血流速度与对侧大脑中动脉平均血流速度的比值(Ratio of the average flow velocity of the affected posterior cerebral artery to the average flow velocity of the contralateral middle cerebral artery,iVPCA/cVMCA)与治疗前比较,差异无统计学意义(P>0.05)。治疗前,两组脑损伤标志物比较,差异无统计学意义(P>0.05)。治疗4周和随访时,两组脑源性神经营养因子(Brain-derived neurotrophic factor,BDNF)较治疗前升高,观察组同时间点较对照组更高(P<0.05);两组钙结合蛋白β(Calcium binding proteinβ,S100β)、神经胶质纤维酸性蛋白(Glial fibrillary acid protein,GFAP)较治疗前下降,观察组同时间点较对照组更低(P<0.05)。治疗前,两组Fugl-Meyer评分、中医症状评分等相关评分比较,差异无统计学意义(P>0.05)。治疗4周和随访时,两组MMSE评分、BI评分及上肢和下肢Fugl-Meyer评分较治疗前升高,观察组同时间点较对照组更高(P<0.05);两组美国国立卫生院神经功能缺损(National institutes of health stroke scale,NIHSS)评分、中医症状评分较治疗前下降,观察组同时间点较对照组更低(P<0.05)。观察组总有效率为88.52%(54/61)高于对照组的72.73%(40/55),差异有统计学意义(P<0.05)。结论发病72h内采用针灸治疗可改善大脑中动脉供血区急性脑梗死脑损伤标志物的表达,改善脑血流,促进神经功能的恢复,有利于疾病的康复。 展开更多
关键词 针灸 大脑中动脉供血区 急性脑梗死 脑损伤标志物 脑血流 神经功能
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