Protective Effect of Edaravone on Nerve Function and Its Relationship with Serum D-Dimer and Total Bilirubin Levels in Patients Undergoing Intracranial Aneurysm Clipping
WANG Peng, HAI Lan
The First People's Hospital of Tianshui, Gansu Tianshui 741000, China
Abstract:Objective: To explore the effects of edaravone on nerve function, serum D-dimer (D-D) and total bilirubin (TBil) levels in patients undergoing intracranial aneurysm clipping, and to analyze correlation between nerve function and serum D-D, TBil levels after treatment.Methods: Sixty patients who underwent intracranial aneurysm clipping from January 2018 to September 2019 were enrolled and divided into observation group and control group with the simple random grouping method, 30 cases in each group.Both groups were given routine treatment of albumin, dopamine, low-molecular dextran, mannitol) for 10 days.On this basis, observation group was given edaravone for 14 days.NIHSS score, levels of serum D-D and TBil, and prognosis were compared between the two groups.Results: The NIHSS scores, D-D and TBil levels in the observation group before treatment and 14d after treatment were higher than those in control group (P<0.05).14d after treatment, serum D-D level was positively correlated with NIHSS score (r=0.426, P<0.05), while serum TBil level was negatively correlated with NIHSS score (r=-0.359, P<0.05).3 months after treatment, good rate of prognosis in observation group was higher than that in control group (70.00% vs 43.33%) (P<0.05).Conclusion: Edaravone treatment after intracranial aneurysm clipping can protect nerve function, which is related to changes in serum D-D and TBil levels.
王鹏, 海澜. 依达拉奉对颅内动脉瘤夹闭术患者神经功能保护作用及其与血清D-二聚体总胆红素水平的关系[J]. 河北医学, 2020, 26(9): 1469-1472.
WANG Peng, HAI Lan. Protective Effect of Edaravone on Nerve Function and Its Relationship with Serum D-Dimer and Total Bilirubin Levels in Patients Undergoing Intracranial Aneurysm Clipping. HeBei Med, 2020, 26(9): 1469-1472.
[1] Signorelli F, Sela S, Gesualdo L, et al. Hemodynamic stress inflammation and intracranial aneurysm development and rupture: a systematic review[J]. World Neurosurg,2018, 7(115):234~244. [2] 刘朝元,黄怀忠,杜军,等.低温联合依达拉奉治疗重型颅脑损伤临床观察[J].解放军医药杂志,2017,29(5):38~40. [3] 于小琪,秦琴保,王双艳,等.不同卒中亚型脑梗死病人早期血浆D-二聚体水平与急性期神经功能改善及预后的相关性[J].中西医结合心脑血管病杂志,2018,16(12):1762~1764. [4] 王汉东.复合手术治疗颅内动脉瘤[J].医学研究生学报,2018,31(3):225~228. [5] 刘新志,赵恒,晏文强,等.依达拉奉辅助治疗颅内动脉瘤术后患者的临床效果及对其神经功能和自由基相关指标水平的影响[J].中国医药,2018,13(11):1670~1674. [6] 王晓旻,安堃,范诚,等.依达拉奉辅助脑苷肌肽对重症颅脑损伤患者的保护作用[J].中华急诊医学杂志,2019,28(3):319. [7] Hu J, Luo J, Wang H, et al. The active participation of p22phox-214T/C in the formation of intracranial aneurysm and the suppressive potential of edaravone[J]. Int Mol Med,2018, 42(5):2952~2960. [8] Thakkar M, Edelenbos J, Doré S. Bilirubin and ischemic stroke: rendering the current paradigm to better understand the protective effects of bilirubin[J]. Mol Neurobiol, 2019,56(8):5483~5496.