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Relationship Between Cerebral Blood Flow,Serum NT-3,BDNF and Functional Recovery in Patients with Acute Cerebral Infarction and Hemiplegia after Intervention |
Deng Xingming |
Second ICU Ward,Qingyuan People's Hospital,Qingyuan,Guangdong 511500,China |
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Abstract Objective To explore the relationship between cerebral blood flow,serum neurotrophic factor-3(NT-3),brain-derived neurotrophic factor(BDNF)and functional recovery in patients with acute cerebral infarction(ACI)and hemiplegia after intervention. Methods A total of 60 patients with ACI admitted to the hospital.After admission,all underwent routine treatments(anti-coagulation,anti-platelet,lipid regulation,removal of oxygen free radicals,promoting circulation and removing stasis)and comprehensive rehabilitation therapy.After 4 weeks of continuous intervention,cerebral blood flow [anterior cerebral artery(ACA),middle cerebral artery(MCA)],levels of serum NT-3 and BDNF,and functional recovery [National Institutes of Health Stroke Scale(NIHSS),Fugl-Meyer Assessment Scale(FMA)] were compared before and after treatment. Results After treatment,cerebral blood flow of ACA and MCA was increased(P<0.05).After treatment,level of serum NT-3 was decreased,while BDNF level was increased(P<0.05).After treatment,NIHSS score was decreased,while FMA score was increased(P<0.05).ACA,MCA and BDNF were negatively correlated with NIHSS score,while positively correlated with FMA score(P<0.05).NT-3 was positively correlated with NIHSS score,while negatively correlated with FMA score(P<0.05). Conclusion The cerebral blood flow,levels of serum NT-3 and BDNF significantly improve in patients with acute cerebral infarction and hemiplegia after intervention,which can better reflect the recovery level of limb function and motor function.
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Received: 23 December 2022
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