臭氧自体血回输治疗急性脑梗死抗氧化指标的对照研究A control study on the effect of ozone autohemotherapy on antioxidant indices in treatment of acute cerebral infarction
彭凯润;武肖娜;刘晓燕;张涛;
摘要(Abstract):
目的研究臭氧自体血回输治疗急性脑梗死患者血浆抗氧化指标,进一步探讨其治疗急性脑梗死的作用机制。方法选取我院收治的60例急性脑梗死患者(具有单侧大脑中动脉供血区的皮质下累及内囊的单一病灶),随机分为治疗组和对照组各30例。2组基础用药均为拜阿司匹林肠溶片0.3g,1次/晚+血栓通注射液0.45g,1次/d,治疗组除基础治疗外加用臭氧自体血回输治疗,1次/d,(10±2)d一疗程;对照组仅使用基础治疗。于治疗前及治疗(10±2)d后,分别对2组进行抗氧化指标、如超氧化物歧化酶(SOD)、丙二醛(MDA)、一氧化氮(NO)的测定。结果治疗(10±2)d后,2组血浆中SOD、NO含量均较治疗前升高,且NO含量治疗组升高幅度高于对照组(P<0.05);2组血浆中MDA含量均较治疗前下降,治疗组下降幅度大于对照组(P<0.01)。结论臭氧可能通过抗氧化、清除自由基等途径减轻梗死灶局部及远隔部位的损伤而发挥治疗作用。
关键词(KeyWords): 臭氧;脑梗死;超氧化物歧化酶;丙二醛;一氧化氮
基金项目(Foundation): 广东省医学科学技术研究基金资助,编号:B200258
作者(Authors): 彭凯润;武肖娜;刘晓燕;张涛;
参考文献(References):
- [1]Clavo B,CataláL,Pérez JL,et al.Ozone Therapy on Cerebral Blood Flow:A Preliminary Report[J].Evid Based Complement Alternat Med,2004,1(3):315-319.
- [2]刘玉,刘庆英,崔玉国,等.高压臭氧治疗急性脑梗死的疗效分析[J].中国当代医药,2009,16(12):40-41.
- [3]Wu X,Li Z,Liu X,et al.Major ozonated autohem-otherapy promotes the recovery of upper limb motor function in patients with acute cerebral infarction[J].Neural Regen Res,2013,8(5):461-468.
- [4]Granger DN,Rutili G,McCord JM.Superoxide redicals in feline intestinal ischemia[J].Gastroenterology,1981,81(1):22-29.
- [5]Watanabe T,Egawa M.Effects of an antistroke agent MCI-186on cerebral arachi-donate cascade[J].J Pharmacol Exp Ther,1994,271(3):1 624-1 629.
- [6]冯建利,姚博,杜怡峰.银杏达莫对急性脑梗死病人血浆氧化修饰低密度脂蛋白水平的影响[J].中国新药与临床杂志,2007,26(2):125-128.
- [7]Han JS.Axiom of Neurology[M].Beijing:Beijing Medicine University Publishing House,1999:555-569.
- [8]Larini A,Bianchi L,Bocci V.The ozone toleranc:Enhancement of antioxidant enzymes is ozone dose-dependent in Jurkat cells[J].Free Radic Res,2003,37(11):1 163-1168.
- [9]Calunga JL,Trujillo Y,Menendez S,et al.Ozone oxidative post-conditioning in acute renal failure[J].J PharmPharmacol,2009,61(2):221-227.
- [10]Chen H,Xing B,Liu X,et al.Ozone oxidative preconditioning protects the rat kidney from reperfusion injury:the role of nitric oxide[J].J Surg Res,2008,149(2):287-295.