Effect of Tongqiao Huoxuetang on Serum Neuro-biology Markers and Cerebrospinal Fluid p73, p38 Factor Expressions of Patients of Posttraumatic Water-stasis Stagnation Type Hydrocephalus
FENG Hui, ZANG Li, ZHANG De-zhong. Effect of Tongqiao Huoxuetang on Serum Neuro-biology Markers and Cerebrospinal Fluid p73, p38 Factor Expressions of Patients of Posttraumatic Water-stasis Stagnation Type Hydrocephalus[J]. Chinese journal of experimental traditional medical formulae, 2017, 23(13): 185-190.
FENG Hui, ZANG Li, ZHANG De-zhong. Effect of Tongqiao Huoxuetang on Serum Neuro-biology Markers and Cerebrospinal Fluid p73, p38 Factor Expressions of Patients of Posttraumatic Water-stasis Stagnation Type Hydrocephalus[J]. Chinese journal of experimental traditional medical formulae, 2017, 23(13): 185-190. DOI: 10.13422/j.cnki.syfjx.2017130185.
目的:探讨通窍活血汤对外伤后水瘀互结型脑积水患者血清神经生化标志物及脑脊液p73,p38表达和认知功能的影响。方法:选取新乡医学院第一附属医院就诊并诊断为外伤后脑积水患者74例,按照随机数字表法分为两组,对照组(37例)给予常规对症及支持治疗,观察组(37例)在对照组基础上予通窍活血汤治疗,观察并记录两组患者治疗前后人脑髓鞘碱性蛋白(myelin basic protein,MBP),中枢神经特异蛋白(Protein S100β),神经元特异性烯醇化酶(neuron-specificenolase,NSE)水平,脑脊液p73,p38水平,术前简易精神状态评价量表(minimum mental state examination,MMSE),格拉斯哥昏迷评分(Glasgow coma scale,GCS),同时对比临床疗效及不良反应发生情况。结果:对照组治疗有效率低于观察组(P<0.05);与治疗前比较,两组治疗后血清MBP,S100β,NSE水平均较治疗前明显降低(P<0.05),且观察组显著低于对照组(P<0.05);两组治疗后患者的脑脊液p73,p38蛋白表达均升高(P<0.05),且观察组高于对照组(P<0.05);两组治疗后患者的MMSE,GCS评分均升高(P<0.05),且观察组高于对照组(P<0.05)。结论:通窍活血汤能有效改善患者临床症状,可能与其降低外伤后水瘀互结型脑积水患者血清MBP,S-100β,NSE水平,提高脑脊液p73,p38蛋白表达水平有关。
Abstract
Objective: To investigate the effect of Tongqiao Huoxuetang on serum neuro-biology markers
cerebrospinal fluid p73
p38 factor expressions and cognitive ability of patients of posttraumatic water-stasis stagnation type hydrocephalus. Method: A total of 74 cases of posttraumatic hydrocephalus treated at our hospital were selected and randomly divided into 2 groups. The 37 cases in control group were treated with conventional therapy
while the 37 cases in experiment group were treated with Tongqiao Huoxuetang in addition of the conventional therapy of control group. The levels of serum myelin basic protein (MBP)
Protein S100β
Neuron-Specificenolase (NSE)
p73 factor
p38 factors
Mini-mental State Examinatlon (MMSE)
and Glasgow coma scale (GCS) were observed and recorded. Meanwhile
clinical efficacy and adverse reactions were compared. Result: After 2 weeks of treatment
the total efficiency of experiment group was higher than that of control group(P<0.05). Compared with before treatment
levels of serum MBP
S-100β and NSE in both of the 2 groups decreased. Compared with control group
the levels of serum MBP
S-100β and NSE in experiment group were lower (P<0.05). Compared with before treatment
levels of p38
p73 factor in cerebrospinal fluid increased. Compared with control group
the levels of p38
p73 factor in cerebrospinal fluid in the experiment group were higher (P<0.05). Compared with before treatment
the levels of serum MBP and NSE in both of the 2 groups increased. Compared with the control group
the levels of serum MBP and NSE in the experiment group were higher (P<0.05). Conclusion: Tongqiao Huoxuetang can effectively alleviate clinical symptoms of the patients
which may be correlated with decrease in serum MBP
S-100β
NSE of patients of posttraumatic water-stasis stagnation type hydrocephalus