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Shafqat R. Chaudhry Ilana S. Lendvai Sajjad Muhammad Philipp Westhofen Johannes Kruppenbacher Lukas Scheef Henning Boecker Dirk Scheele Rene Hurlemann Thomas M. Kinfe 《Brain stimulation》2019,12(3):643-651
Objective
To assay peripheral inter-ictal cytokine serum levels and possible relations with non-invasive vagus nerve stimulation (nVNS) responsiveness in migraineurs.Methods
This double-blinded, sham-controlled study enrolled 48 subjects and measured headache severity, frequency [headache days/month, number of total and mild/moderate/severe classified attacks/month], functional state [sleep, mood, body weight, migraine-associated disability] and serum levels of inflammatory markers [inter-ictal] using enzyme-linked immunoassays at baseline and after 2 months of adjunctive nVNS compared to sham stimulation and suitably matched controls.Results
No significant differences were observed at baseline and after 2 months for headache severity, total attacks/month, headache days/month and functional outcome [sleep, mood, disability] between verum and sham nVNS. However, the number of severe attacks/month significantly decreased in the verum nVNS group and circulating pro-inflammatory IL-1β was elevated significantly in the sham group compared to nVNS. Levels of anti-inflammatory IL-10 were significantly higher at baseline in both groups compared to healthy controls, but not at 2 months follow-up [p?<?0.05]. Concentrations of high-mobility group box-1 (HMGB-1), IL-6, tumor-necrosis factor-α (TNF-α), leptin, adiponectin, ghrelin remained unchanged [p?>?0.05]. No severe device-/stimulation-related adverse events occurred.Conclusion
2 months of adjunctive cervical nVNS significantly declined the number of severe attacks/month. Pro-inflammatory IL-1β plasma levels [inter-ictal] were higher in sham-treated migraine patients compared to verum nVNS. However, pro- [IL-6, HMGB-1, TNF-α, leptin] and anti-inflammatory [IL-10, adiponectin, ghrelin] mediators did not differ statistically. Profiling of neuroinflammatory circuits in migraine to predict nVNS responsiveness remains an experimental approach, which may be biased by pre-analytic variables warranting large-scale biobank-based systematic investigations [omics]. 相似文献3.
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目的 观察“龙虎交战”针法针刺八脉交会穴对无先兆偏头痛(Migraine without aura,MO)患者头痛天数及外周血降钙素基因相关肽(Calcitonin gene related peptide,CGRP)表达水平的影响。方法 按照头痛程度将90例MO受试者区层随机分为治疗Ⅰ组、治疗Ⅱ组和对照组各30例。治疗Ⅰ组施以“龙虎交战”针法针刺八脉交会穴(外关和足临泣),治疗Ⅱ组施以平补平泻针法针刺八脉交会穴(外关和足临泣),对照组施以平补平泻针法针刺非经非穴点,每次留针30分钟,5次/周,共治疗20次。于治疗前、治疗结束4周后的随访分别记录三组患者头痛天数的变化情况以判定疗效,并采集患者治疗前、治疗结束4周后随访的肘部静脉血用ELISA法检测血清中的CGRP含量的变化。结果 ①各组治疗前患者的头痛天数无显著差异(P > 0.05),治疗Ⅰ组、治疗Ⅱ组和对照组治疗结束4周后随访的头痛天数较治疗前均显著降低(P < 0.05);治疗Ⅰ组头痛天数的降低显著优于治疗Ⅱ组和对照组(P < 0.001),治疗Ⅱ组头痛天数的降低显著优于对照组(P < 0.05);②3组治疗前CGRP的表达无显著差异,治疗Ⅰ组、治疗Ⅱ组治疗结束4周后随访CGRP的表达较治疗前均显著下降(P < 0.001),对照组治疗结束4周后随访CGRP的表达较治疗前差异无显著性(P > 0.05);治疗Ⅰ组CGRP治疗结束4周随访的表达较治疗Ⅱ组和对照组均显著下降(P < 0.01),治疗Ⅱ组CGRP的表达较对照组显著下降(P < 0.01)。结论 ①八脉交会穴施以“龙虎交战”针法针刺能明显改善MO患者的头痛天数,同时降低MO患者血清CGRP的表达水平,这可能是针刺八脉交会穴治疗MO的机制之一;②非经非穴点的针刺效应无持续性,而八脉交会穴的针刺效应具有持续性;③八脉交会穴可以充分发挥复式针刺手法的治疗效应,提示我们在临床上治疗疾病时不仅要注意腧穴配伍,恰当的针刺手法更是提高临床疗效、事半功倍的关键。 相似文献
5.
目的探讨精子冷冻环无保护剂玻璃化冷冻方法的可行性。方法正常精液标本上游处理后,进行常规冷冻和冷冻环无保护剂的玻璃化冷冻,复苏后分别从活力参数及电镜下超微结构等指标比较两种冷冻方法的效果。结果两种方法冷冻后精子存活率、活动率之间差异无显著性(48%∶48%;44.5%∶43.5%,P>0.05),但均较未冷冻的89%和88.5%明显下降(P<0.001)。超微结构亦较未冷冻时发生了一定的改变,但核结构基本保持完整。结论精子冷冻环无保护剂的玻璃化冷冻是一种简单、方便而行之有效的冷冻方法。 相似文献
6.
7.
Abstract Migraine without aura is typically considered a female condition. The purpose of this study was to determine if there have
been any changes in the female-to-male ratio of the disease over time. We included in the study all patients with migraine
without aura (n=3457) referred to the Parma University Headache Centre between 1976 and 1995. They were divided into subgroups with respect
to gender and year-range of onset of migraine (before 1960, in the 1960s, in the 1970s, in the 1980s, and between 1990 and
1995). Gender ratio ranged from 3.6:1 (in patients with onset before 1960) to 2.8:1 (in patients with onset in the 1980s),
with no statistically significant changes during the observation period. 相似文献
8.
应用无死腔气管插管提高正常和急性肺损伤兔的机械通气效率 总被引:2,自引:1,他引:1
目的:观察无死腔气管插管能否提高急性呼吸衰竭常规机械通气的效果。方法:应用一种新型无死腔气管插管和普通聚氯乙烯气管插管对正常和急性肺损伤兔进行常规通气,对两种气管插管的肺气体交换和气道内气体动力学及血流动力学变化进行比较。无死腔气管插管用2根Potex气管插管远端3cm处纵切后对粘而成。5只新西兰成年兔,麻醉下气管切开,在持续应用潘龙阻断自主呼吸条件下,随机用新型气管插管和普通气管插管Servo900C进行机械通气,每次持续30分钟,测定并记录动脉血压、气道压力、血流动力学参数和呼气末CO2浓度。结果:在正常肺和急性肺损伤条件下,新型气管插管可使所有动物的PaCO2和生理死腔/潮气量(VD/VT)下降,PaCO2分别下降1.40±0.20kPa(1kPa=7.5mmHg)和1.60±0.30kPa(P<0.01),VD/VT分别下降0.13±0.02和0.15±0.04(P<0.01);PaO2、气道压力和血流动力学无显著变化。结论:无死腔气管插管可明显提高常规机械通气效率。 相似文献
9.
U. Meyding-Lamadé K. Rieke D. Krieger W. Hacke Michael Forsting Klaus Sartor Christian Sommer 《Journal of neurology》1995,242(5):335-343
Acute ischaemia of the vertebrobasilar circulation leads to a variety of clinical manifestation and is mostly due to cardiogenic or artery-to-artery embolism. We describe four neurological emergency situations involving vertebrobasilar artery aclusion of other origins: basilar migraine, extrinsic compression by rheumatoid inflammatory tissue, generalized vasculitis in subacute rheumatic fever and basilar artery dissection. The differential diagnosis of acute vertebrobasilar artery occlusion may have an important impact on patient management. 相似文献
10.
A case of MELAS (mitochondrial encephalomyopathy, lactic acidosis, and stroke-like episodes) which presented as migraine
complicated by stroke is reported. Strokes associated with migraine have often been reported, but the mechanism remains unclear
and may include a variety of pathologies. MELAS also presents with migrainous headache, vomiting, and stroke-like symptoms.
Magnetic resonance imaging demonstrates characteristic findings. MELAS should be considered in the differential diagnosis
of infarct-like lesions with migrainous headaches in young adults, especially if the symptoms fluctuate and are accompanied
by a homonymous hemianopia.
Received: 23 September 1996 Accepted: 19 February 1997 相似文献