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依达拉奉联合针灸对老年颅内出血术后脑损伤的治疗作用

姜连浩 余剑波

中国中西医结合外科杂志2017,Vol.23Issue(1):50-54,5.
中国中西医结合外科杂志2017,Vol.23Issue(1):50-54,5.DOI:10.3969/j.issn.1007-6948.2017.01.014

依达拉奉联合针灸对老年颅内出血术后脑损伤的治疗作用

Effect of Edaravone Combined Acupuncture Therapy on Brain Injury after Operation in eldly Patients with Intracranial Hemorrhage

姜连浩 1余剑波2

作者信息

  • 1. 天津医科大学南开临床学院,天津300100
  • 2. 天津市环湖医院麻醉科,天津300222
  • 折叠

摘要

Abstract

Objective To investigate the effect of edaravone combined with acupuncture therapy on cognitive function of elderly patients with intracranial hemorrhage after operation.Methods Total 100 elderly patients with intracranial hemorrhage were divided into two group randomly.The observation group received edaravone treatment combined with acupuncture and moxibustion,light quantum blood auto infusion therapy,and the control group received just edaravone therapy.GCS,NIHSS score and event related potential P300 were detected in the patients.The peripheral blood CRP,MMP-9 and T-SOD were measured before and after treatment.Results The curative effect of observation group was better than that of control group (P < 0.05).There was no significant difference in GCS score and NIHSS score between the two groups before treatment (P > 0.05).After treatment,the GCS in observation group was (51.2±6.7) score,which was better than that in control group (P < 0.05).After treatment,the NIHSS was (35.4 ± 11.2) score,which was better than that of control group (P < 0.05).There was no significant difference in latency,amplitude of T-SOD,MMP-9,CRP and P300 between the two groups before treatment (P > 0.05).The T-SOD was (51.2±6.7) U/L and P300 was (5.99± 0.54) V in observation group,which were higher than those in the control group.MMP-9 was (35.4 ±11.2) mg/L,CRP was (54.2± 16.7) mg/L and P300 latency was (295.68±18.07) ms,which were lower than that of control group (P< 0.05).Conclusion Edaravone combined acupuncture in the treatment of acute intracranial hemorrhage in the brain injury can block the oxygen free radical cascade reaction,and then make the brain's bio-electrical activity to normal,so as to improve the cognitive function of patients.

关键词

依达拉奉/针灸/颅内出血/脑损伤

Key words

Edaravone/acupuncture/intracranial hemorrhage/brain injury

分类

医药卫生

引用本文复制引用

姜连浩,余剑波..依达拉奉联合针灸对老年颅内出血术后脑损伤的治疗作用[J].中国中西医结合外科杂志,2017,23(1):50-54,5.

基金项目

国家自然科学基金项目(81372096) (81372096)

天津市卫计委科技基金(2014KZ048) (2014KZ048)

中国中西医结合外科杂志

OACSTPCD

1007-6948

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