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Effect of Xingnaojing Injection on Inflammatory Cytokines and Blood Coagulation Function in Patients with Acute Cerebral Hemorrh

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Effect of Xingnaojing Injection on Inflammatory Cytokines and Blood Coagulation Function in Patients with Acute Cerebral Hemorrh Journal of Hainan Medical University 2017; 23(21): 130-134 130 Journal of Hainan Medical University http://www.hnykdxxb.com Effect of Xingnaojing Injection on inflammatory cytokines and blood coagulation function in patients with acute cerebral hemorrhage Zhen-Bing Cai1, Ying-Hua Huang2, Ting-Kai Jiang1 1. Department of Neurology, Laibin People's Hospital, Sichuan, Laibin 546100, China 2. Department of Rehabilitation Medicine, Laibin People's Hospital, Sichuan, Laibin 546100, China ARTICLE INFO ABSTRACT Article history: Objective: To investigate the effect of Xingnaojing Injection on inflammatory cytokines and Received 25 Oct 2017 blood coagulation function in patients with acute cerebral hemorrhage. A total of 80 Received in revised form 28 Oct 2017 Method: Accepted 2 Nov 2017 patients with acute cerebral hemorrhage admitted to our hospital from October 2015 to May Available online 14 Nov 2017 2017 were randomly divided into the observation group and the control group, each group with 40 cases. Two groups both received conventional treatment; the observation group was given Keywords: Xingnaojing injection additionally. The two groups were treated for two weeks. Changes of Xingnaojing injection serum inflammatory factors TNF-α, hs-CRP, IL-10 and blood coagulation indexes of activated Acute cerebral hemorrhage partial thromboplastin time (APTT), prothrombin time (PT), fibrinogen (Fib), thrombin Inflammatory cytokines time (TT) and D-dimer (DD) of two groups were compared. Results: Before treatment, Coagulation function the differences of inflammatory factors TNF-α, hs-CRP, IL-10 and coagulation function indexes APTT, PT, Fib, TT and DD of the two groups were not statistically significant. After treatment, the levels of TNF-α, hs-CRP of the two groups were significantly decreased, and the IL-10 level of the two groups were significantly increased; the levels of TNF-α, hs-CRP in observation group were significantly lower than the control group, and the IL-10 level in observation group were significantly higher than the control group. After treatment, the levels of APTT, Fib and DD in the control group were significantly increased; the levels of PT and DD in the observation group were significantly decreased and the Fib level was significantly increased. After treatment, the levels of APTT, PT and DD in the observation group were significantly lower than those in the control group, and Fib level was significantly higher than that in the control group, these differences were statistically significant. There was no significant difference of TT levels between the two groups before and after the treatment. Conclusion: Xingnaojing injection treatment of acute cerebral hemorrhage can significantly reduce the level of serum inflammatory factors and promote the restoration of coagulation function. It is worth promoting. local vascular circulation after cerebral hemorrhage, destruction 1. Introduction of blood-brain barrier, high inflammatory response are closely related to the pathological process of cerebral hemorrhage, thus Cerebral hemorrhage (ICH) refers to the bleeding caused by improving abnormal blood coagulation, reducing the release of angiorrhexis of non-traumatic brain parenchyma, which is mainly inflammatory factors, thereby reduced secondary brain injury, associated with cerebrovascular disease, and the death rate in which had important treatment value . Xingnaojing with effect of [3] acute stage is very high . Changes of hematoma around the promoting Qi, had a better effect on cerebral hemorrhage . This [1,2] [4] article discussed the effect of Xingnaojing injection on coagulation function and inflammatory factors in patients with acute cerebral Corresponding author: Huang Yinghua, Department of Rehabilitation Medicine, Laibin People's Hospital, Sichuan, Laibin 546100, China. hemorrhage. The report was as follows. E-mail: [email protected]. Fund Project: Scientific Research Project of Sichuan Provincial Science and Technology Department (No. 0152319). Zhen-Bing Cai et al./ Journal of Hainan Medical University 2017; 23(21): 130-134 131 2.3 Observe indicators 2. Data and methods Before and after treatment, collected with 6 mL of venous blood after 8 h of fasting, and centrifuged at 3 000 r/min for 5 min in 2.1 General data a high-speed centrifuge within 30 min. Then obtained serum to detect levels of TNF-α, hs-CRP and IL-10 by enzyme-linked All cases were obtained from patients with acute cerebral immunosorbent assay (ELISA). The kit was provided by Beijing hemorrhage who were admitted in the Laibin City People's Hospital Bangbian Biomedical Company. Obtained serum to detect blood from October 2015 to May 2017. 80 patients were randomly divided coagulation indexes by German BE coagulation test instrument, into observation group and control group, each group contained 40 including activated partial thromboplastin time (APTT), prothrombin cases. The observation group: 22 males, 18 females, aged from 44 time (PT), fibrinogen (Fib), thrombin time (TT) and D-dimerization to 76 years; control group: 19 males and 21 females, aged from 47 (DD), all the used reagents adopting original matching kits. to 78 years old. There was no significant difference in general data between the two groups (P>0.05). 2.4 Statistic analysis Inclusion criteria: (1) met the diagnostic criteria of acute cerebral The data were analyzed by SPSS 17.0 statistical software. In this hemorrhage , diagnosed through the head CT or magnetic [5] study, the levels of TNF-α, hs-CRP, IL-10 and coagulation function resonance imaging (MRI) examination; admitted in hospital within were all conformed to normal distribution, presented as (Mean ± 24 h after attacking; amount of brain or basal ganglia hemorrhage SD). Comparison of intergroup and intragroup was carried out t test. was less than 30 mL; amount of cerebellum or thalamus bleeding The difference was significant presented as P<0.05. was less than 10 mL; patients or their families agreed to participate in this study and signed informed consent. Exclusion criteria: did not meet the diagnostic criteria; condition 3. Results of disease aggregated severely within 48 h after admission, 3.1 Comparison of inflammatory cytokines accompanied by brain malignancies meanwhile; suffered from mental illness; accompanied by severe cardiovascular, liver, kidney, There was no significant difference in the levels of TNF-α, hs- blood system diseases; allergy to test drug. CRP and IL-10 between the two groups before treatment (P>0.05). After treatment, the levels of TNF-α and hs-CRP in the two groups 2.2 Treatment method were significantly lower than those before treatment (P<0.05), while the levels of IL-10 were significantly higher than before treatment ( <0.05). after treatment the level of TNF-α (30.77 ± 10.27) ng/ Patients in two groups were given symptomatic conventional P L in the observation group was significantly lower than that in the treatment, including hemostasis, appropriate control of blood control group (52.42 ± 11.95) ng/L, hs-CRP level (6.84 ± 2.27) ng/L pressure, reducing intracranial pressure, nourishing brain cells and was significantly lower than that in the control group (14.72 ±4.61) control of infection. Patients needed to surgery undergoing surgical ng/L, IL-10 level (66.19 ± 5.07) ng/L was significantly higher than removal of hematoma or decompression; patients with breathing that in the control group (63.19 ± 6.55) ng/L; Differences in each difficulties conducted tracheal intubation or tracheotomy, mechanical group were statistically significant (P <0.05). As shown in Table 1. ventilation. According to the specific condition, gave the two groups Table 1. of patients with mannitol or glycerol fructose to reduce intracranial Comparison of inflammatory cytokines in two groups before and after pressure; patients in observation group were given additionally treatment (n=40). Xingnaojing injection on this basis (Wuxi Shanhe Pharmaceutical Group Time TNF-α (ng/L) hs-CRP (mg/L) IL-10 (ng/L) Control group Before Co., Ltd., Approval number Z32020563): 20 mL of Xingnaojing treatment 88.54±26.34 31.61±8.41 52.85±23.71 After * * * injection liquid added in 250 mL, 0.9% of the saline intravenous for treatment 52.42±11.95 14.72±4.61 63.19±6.55 intravenous infusion, 1 time/d, during the treatment, forbade raw, Observation Before group treatment 89.21 ±28.51 33.21±8.63 51.17±22.95 cool, spicy food and smoking and drinking, and told the patient After *# *# *# treatment 30.77±10.27 6.84±2.27 66.18±5.07 to maintain emotional stability. 7 d for a course of treatment, two Note: Compared with before treatment, *P<0.05; compared with the control groups of patients were treated for two courses. group at the same time, # P<0.05. Zhen-Bing Cai et al./ Journal of Hainan Medical University 2017; 23(21): 130-134 132 Table 2. Comparison of coagulation function indexes in two groups before and after treatment (n=40). Group Time APTT (s) PT (s) TT (s) Fib (g/L) DD (µg/L) Control group Before treatment 27.09±5.31 14.51±2.27 15.27±3.84 3.24±1.32 3.29±2.26 After treatment 30.84±4.93* 14.27±3.02 15.22±3.67 4.64±1.23* 4.14±1.32* Observation group Before treatment 26.91±4.21 14.21±2.36 15.67±3.12 3.07±1.09 3.41±2.19 After treatment 27.31±5.44# 12.72±3.11*# 14.94±3.01 5.25±0.72*# 0.49±0.14*# Note: Compared with before treatment, *P<0.05; compared with the control group at the same time, # P<0.05. prescription is from Angong Niuhuang pills, consists of musk, 3.2 Comparison of coagulation function indexes [13,14] radix curcumae, borneol, cape jasmine and other active ingredients. There was no significant difference in APTT, PT, TT, Fib and DD Among them, musk has effect of inducing resuscitation, removing levels between the two groups before treatment (P>0.05).
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