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中国临床药理学与治疗学 ›› 2011, Vol. 16 ›› Issue (8): 925-928.

• 药物治疗学 • 上一篇    下一篇

三七通舒胶囊对颅内外动脉狭窄支架成形术后血清IL-1β和IL-8表达的影响

韩健1, 郭富强2   

  1. 1绍兴市第六人民医院老年科,绍兴 312000,浙江;
    2四川省人民医院神经内科,成都 610072,四川
  • 收稿日期:2011-07-06 修回日期:2011-08-10 出版日期:2011-08-26 发布日期:2011-09-07
  • 通讯作者: 郭富强,男,主任医师,硕士生导师,主要从事脑血管病及神经介入治疗研究。Tel: 15881022688 E-mail: guofuqiang2005@126.com
  • 作者简介:韩健,男,硕士,主治医师,研究方向:脑血管病及神经介入治疗。Tel: 18257585619 E-mail: confidence123456@sina.com

Effect of Sanqitongshu capsule on serum level of IL-1β and IL-8 of the patients with intra-and extra-cranial arteriostenosis after stent-assisted angioplasty

HAN Jian1, GUO FU-qiang2   

  1. 1Department of Geriatrics, the Sixth Municipal People's Hospital, Shaoxing 312000, Zhejiang, China;
    2Department of Neurology, People's Hospital of Sichuan Province, Chengdu 610072, Sichuan, China
  • Received:2011-07-06 Revised:2011-08-10 Online:2011-08-26 Published:2011-09-07

摘要: 目的: 观察三七通舒胶囊对颅内外动脉狭窄支架成形术后患者血清白介素-1β(IL-1β)和血清白介素-8(IL-8)表达的影响。方法: 病人随机分为三七通舒胶囊治疗组(治疗组)和基础治疗组(对照组),术前及术后 1 h、1 d、3 d、7 d 共5个时间点采血,用ELISA法测定血清IL-1β、IL-8的含量。结果: 支架置入前后不同时段IL-1β、IL-8水平单因素方差分析显示:F值分别为 21.03、24.813,提示差异有统计学意义(P=0.0001)。患者的血清IL-1β、IL-8水平在术后 1 h 开始升高,术后 1 d 为表达高峰期。术后1 d IL-1β、IL-8的表达与各个时段差异均有统计学意义(P<0.05)。治疗组IL-1β、IL-8在术后 3 d、7 d 水平明显低于对照组(P<0.05)。结论: 颅内外支架置入术后血清IL-1β、IL-8明显升高,三七通舒胶囊能通过早期降低血清IL-1β、IL-8水平,减轻炎性免疫损伤的级联反应,推测三七通舒胶囊可能对预防支架内再狭窄有一定的作用。

关键词: 三七通舒胶囊, 颅内外动脉狭窄支架成形术, 白细胞介素-1β, 白细胞介素-8

Abstract: AIM: To research the effect of Sanqitongshu capsule on expressions of serum level of IL-1β and IL-8 of patients with the intra-and extra-cranial arteriostenosis after stent-assisted angioplasty.METHODS: Patients were randomly divided into two groups: Sanqitongshu capsule group and control group. The serum level of IL-1β and IL-8 in during different phases (before and 1 h, 1, 3, 7 d after stent-assisted angioplasty) were detected with ELISA.RESULTS: There were significant differences in the levels of serum IL-1β and IL-8 among the 5 time points using one-way ANOVA(F value=21.03, 24.813 respectively)(P=0.0001). IL-1β, IL-8 began to increase 1 h after the operations and reached the maximal value 24 h later. We also found significant differences in the levels of serum IL-1β and IL-8 between 1 d after the operation and the remaining time points (P<0.05). The serum 1evel of IL-1β and IL-8 were significantly decreased in Sanqitongshu capsule group contrasted with the control group in 3 d, 7 d after operation (P<0.05).CONCLUSION: Serum 1evels of IL-1β and IL-8 increases markedly in patients with the intra- and extra-cranial arteriostenosis after stent-assisted angioplasty. Sanqitongshu capsule can decrease the expressions of IL-1β and IL-8 in the early period and reduce the inflammatory reaction of cerebral ischemia cascade reaction effectively.

Key words: Sanqitongshu capsule, Intra-and extra-cranial arteriostenosis stent-assisted angioplasty, IL-1β, IL-8

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