中国神经再生研究(英文版) ›› 2016, Vol. 11 ›› Issue (7): 1115-1121.doi: 10.4103/1673-5374.187046

• 原著:脑损伤修复保护与再生 • 上一篇    下一篇

臭氧自体血回输治疗急性脑梗死的磁共振弥散张量成像

  

  • 出版日期:2016-07-30 发布日期:2016-07-30
  • 基金资助:
    广东省科技计划项目(2013B021800164);广东省医学科研项目(B200258)

Magnetic resonance diffusion tensor imaging following major ozonated autohemotherapy for treatment of acute cerebral infarction

Xiao-na Wu1, 2, #, Tao Zhang3, #, Jun Wang4, Xiao-yan Liu2, Zhen-sheng Li2, Wei Xiang2, Wei-qing Du4, Hong-jun Yang2, Tie-gen Xiong2, Wen-ting Deng2, Kai-run Peng2, *, Su-yue Pan1, *   

  1. 1 Department of Neurology, Nanfang Hospital of Southern Medical University, Guangzhou, Guangdong Province, China 2 Department of Neurology, Guangzhou General Hospital of Guangzhou Military Command, Guangzhou, Guangdong Province, China 3 Department of Orthopedics, Guangzhou General Hospital of Guangzhou Military Command, Guangzhou, Guangdong Province, China 4 Department of MRI, Guangzhou General Hospital of Guangzhou Military Command, Guangzhou, Guangdong Province, China
  • Online:2016-07-30 Published:2016-07-30
  • Contact: Su-yue Pan, M.D. or Kai-run Peng, pansuyue82@126.com or 13889902718@139.com.
  • Supported by:
    This research was supported by the Science and Technology Project of Guangdong Province of China, No. 2013B021800164; the Scientific Research Project in Medicine of Guangdong Province of China, No. B200258.

摘要:

课题组以往研究发现,臭氧自血回输治疗可促进急性脑梗死患者上肢运动功能的恢复,但是否对远隔性损伤有影响尚未见报道。我们假设臭氧自体血回输疗法可能通过减轻梗死后远隔损害促进急性脑梗死的临床功能恢复。将年龄在30-80岁的急性脑梗死患者60例随机分为臭氧治疗组和对照组,每组各30例,臭氧治疗组采用药物基础治疗联合47 mg/L臭氧100 mL自体血回输治疗(10±2) d,对照组仅给予药物基础治疗。结果显示,与对照组比较,治疗后臭氧治疗组美国国立卫生院神经功能缺损评分及Rankin量表评分、头部磁共振弥散张量成像的部分弥散各向异性值下降幅度明显下降,脑梗死功能改善,临床有效率明显增高,且无明显不良反应。结果说明,臭氧自体血回输疗法可能通过减轻梗死后远隔损害,促进急性脑梗死患者的神经功能恢复,且安全性较高。

orcid: 0000-0003-2744-1984 (Su-yue Pan) 0000-0003-4784-2451 (Kai-run Peng)

关键词: 神经再生, 臭氧, 脑梗死, 磁共振, 神经再生, 弥散张量成像, 各向异性, 白质, 内囊, 皮质脊髓束, 大脑脚

Abstract: Major ozonated autohemotherapy has been shown to promote recovery of upper limb motor function in patients with acute cerebral infarction, but whether major ozonated autohemotherapy affects remote injury remains poorly understood. Here, we assumed that major ozonated autohemotherapy contributes to recovery of clinical function, possibly by reducing remote injury after acute cerebral infarction. Sixty acute cerebral infarction patients aged 30–80 years were equally and randomly allocated to ozone treatment and control groups. Patients in the ozone treatment group received medical treatment and major ozonated autohemotherapy (47 mg/L, 100 mL ozone) for 10 ± 2 days. Patients in the control group received medical treatment only. National Institutes of Health Stroke Scale score, modified Rankin scale score, and reduced degree of fractional anisotropy values of brain magnetic resonance diffusion tensor imaging were remarkably decreased, brain function improved, clinical efficiency significantly increased, and no obvious adverse reactions detected in the ozone treatment group compared with the control group. These findings suggest that major ozonated autohemotherapy promotes recovery of neurological function in acute cerebral infarction patients by reducing remote injury, and additionally, exhibits high safety.

Key words: nerve regeneration, ozone, cerebral infarction, magnetic resonance, diffusion tensor imaging, anisotropy, internal capsule, white matter, corticospinal tract, cerebral peduncle, neural regeneration