神经生长因子联合奥拉西坦治疗高血压脑出血的临床疗效
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Curative efficacy of nerve growth factor and oxiracetam in the treatment of hypertensive cerebral hemorrhage
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    【摘要】 目的 探讨神经生长因子联合奥拉西坦治疗高血压脑出血的临床疗效及对血清白细胞介素1β(IL1β)、白细胞介素6(IL6)、C反应蛋白(CRP)、神经元特异性烯醇化酶(NSE)水平的影响。方法 选择2015年10月~2018年5月在我院治疗的高血压脑出血患者472例,按照随机数字表法将其分为观察组和对照组。观察组采用神经生长因子联合奥拉西坦治疗,对照组使用奥拉西坦治疗。观察和比较两组治疗后临床疗效,治疗前后血清 IL1β、IL6、CRP、NSE水平、NIHSS评分、Barthel指数、MMSE评分及血肿体积的变化。结果 经治疗后,观察组的总有效率为953%,明显高于对照组(822%,P<005);观察组血清 IL1β、IL6、CRP、NSE水平均明显的低于对照组[(411±047)pg/ml vs(537±062)pg/ml;(698±072)pg/ml vs(1261±132)pg/ml;(575±061)mg/ml vs(934±102)mg/ml;(945±104)ng/ml vs(1134±121)ng/ml](P<005);NIHSS评分、血肿体积明显低于对照组,Barthel指数、MMSE 评分均高于对照组(P<005)。结论 奥拉西坦联合神经生长因子治疗高血压脑出血患者,能够显著改善神经功能损伤,降低血清IL1β、IL6、CRP、NSE水平,提高临床疗效。

    Abstract:

    【ABSTRACT】 Objective To study the curative efficacy of nerve growth factor and oxiracetam on the hypertensive cerebral hemorrhage andtheserum levels of IL1β,IL6,CRP and NSE. Methods 472 patients with hypertensive cerebral hemorrhage treated from October 2015 to May 2018 in our hospital were selected, according to the random number table method, were divided into observation group and control group. The patients in observation group were treated by nerve growth factor andoxiracetam, while the patients in control group were treated by oxiracetam. Then the clinical efficacy, the serum levels of IL1β,IL6,CRP and NSE, NIHSS score, Barthel index, MMSE score and hematoma volume changes in the two groups before and after the treatment were observed and compared. Results After treatment, the total effective rate of observation group was 953%, which was higher than that of the control group (822%, P<005). The serum levels of IL1β, IL6, CRP and NSE of observation group were less than the control group. The NIHSS score of observation group was less than the control group. The Barthel index and MMSE score of observation group were higher than the control group, and the hematoma volume of observation group was less than that the control group (P< 005). Conclusion Nerve growth factor and oxiracetamcould significantly improve the nerve function damage, reduce the serum levels of IL1β,IL6,CRP and NSE, and improve the clinical curative effect in the treatment of hypertensive cerebral hemorrhage.

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  • 在线发布日期: 2019-06-27
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