Objective:To assess the protective effects of trigonelline against spinal cord injury(SCI)in rats.Methods:Rats(Sprague-Dawley,male)were randomly assigned to seven groups(n=15 per group):normal,sham,SCI control(1%DMSO)...Objective:To assess the protective effects of trigonelline against spinal cord injury(SCI)in rats.Methods:Rats(Sprague-Dawley,male)were randomly assigned to seven groups(n=15 per group):normal,sham,SCI control(1%DMSO),methylprednisolone(30 mg/kg),and trigonelline(50,100,and 200 mg/kg).Rats received respective treatment daily for 28 days.SCI was induced by using a temporary aneurysm clip.Behavioral,biochemical,and histological analyses were performed to investigate the neuroprotective effect of trigonelline.Results:Trigonelline(100 and 200 mg/kg)treatment effectively(P<0.05)mitigated SCI-induced changes in mechano-tactile sensation,allodynia,hyperalgesia,and motor nerve conduction velocity.It notably(P<0.05)downregulated apoptotic(Bax and caspase-3)and inflammatory(COX-Ⅱ)markers,while upregulating Bcl-2 and BDNF mRNA expression in the spinal cord(P<0.05).Furthermore,trigonelline effectively alleviated(P<0.05)SCI-induced alterations in mitochondrial complex levels,resulting in enhanced nicotinamide adenine dinucleotide dehydrogenase,succinate dehydrogenase,redox activity,and cytochrome-C levels.Histological examination of spinal cord tissue indicated that trigonelline significantly(P<0.05)ameliorated the histological damage caused by SCI,thereby improving neuronal degeneration,inflammatory cell infiltration,and necrosis.Conclusions:Trigonelline shows neuroprotective properties in SCI rats by reducing allodynia,hyperalgesia,and inflammation,stabilizing mitochondrial enzyme complexes,and modulating apoptotic and neurotrophic factors.Thus,trigonelline holds promise as a potential neuroprotective agent.展开更多
Objective:To investigate the effect of Yiqi Huoxue decoction combined with neuromuscular electrical stimulation on improving intensive care unit(ICU)acquired debility in mechanically ventilated patients.Methods:50 pat...Objective:To investigate the effect of Yiqi Huoxue decoction combined with neuromuscular electrical stimulation on improving intensive care unit(ICU)acquired debility in mechanically ventilated patients.Methods:50 patients who were admitted to the ICU and received mechanical ventilation treatment in our hospital from June 2022 to June 2023 and were complicated with ICU-acquired neurasthenia were selected,and randomly grouped using the randomized envelope method into two groups:control group with 25 patients who received neuromuscular electrical stimulation alone;observation group with 25 patients who received the traditional Chinese medicine Yiqi Huoxue decoction.Comparison indexes:treatment efficiency,degree of emotional recovery(APACHEⅡscore),muscle strength status(MRC score),motor status(FAC rating),and self-care ability(BI index score).Results:The treatment efficiency of patients in the observation group patients was higher as compared to those in the control group(P<0.05).There was no significant difference in the comparison of the results of the scores(ratings)of each index between the two groups before treatment(P>0.05).After the treatment,the APACHEⅡscores of patients in the observation group were significantly lower as compared to those in the control group,while the MRC scores,FAC ratings,and BI index scores were higher in the observation group than those of the control group patients(P<0.05).Conclusion:The combined application of Yiqi Huoxue decoction and neuromuscular electrical stimulation in the treatment of patients with ICU-acquired neurasthenia complicated by mechanical ventilation significantly enhanced the clinical efficacy,the patient’s muscle strength,motor status,and ability of self-care.Hence,it has high application value and is worthy to be popularized.展开更多
文摘Objective:To assess the protective effects of trigonelline against spinal cord injury(SCI)in rats.Methods:Rats(Sprague-Dawley,male)were randomly assigned to seven groups(n=15 per group):normal,sham,SCI control(1%DMSO),methylprednisolone(30 mg/kg),and trigonelline(50,100,and 200 mg/kg).Rats received respective treatment daily for 28 days.SCI was induced by using a temporary aneurysm clip.Behavioral,biochemical,and histological analyses were performed to investigate the neuroprotective effect of trigonelline.Results:Trigonelline(100 and 200 mg/kg)treatment effectively(P<0.05)mitigated SCI-induced changes in mechano-tactile sensation,allodynia,hyperalgesia,and motor nerve conduction velocity.It notably(P<0.05)downregulated apoptotic(Bax and caspase-3)and inflammatory(COX-Ⅱ)markers,while upregulating Bcl-2 and BDNF mRNA expression in the spinal cord(P<0.05).Furthermore,trigonelline effectively alleviated(P<0.05)SCI-induced alterations in mitochondrial complex levels,resulting in enhanced nicotinamide adenine dinucleotide dehydrogenase,succinate dehydrogenase,redox activity,and cytochrome-C levels.Histological examination of spinal cord tissue indicated that trigonelline significantly(P<0.05)ameliorated the histological damage caused by SCI,thereby improving neuronal degeneration,inflammatory cell infiltration,and necrosis.Conclusions:Trigonelline shows neuroprotective properties in SCI rats by reducing allodynia,hyperalgesia,and inflammation,stabilizing mitochondrial enzyme complexes,and modulating apoptotic and neurotrophic factors.Thus,trigonelline holds promise as a potential neuroprotective agent.
文摘Objective:To investigate the effect of Yiqi Huoxue decoction combined with neuromuscular electrical stimulation on improving intensive care unit(ICU)acquired debility in mechanically ventilated patients.Methods:50 patients who were admitted to the ICU and received mechanical ventilation treatment in our hospital from June 2022 to June 2023 and were complicated with ICU-acquired neurasthenia were selected,and randomly grouped using the randomized envelope method into two groups:control group with 25 patients who received neuromuscular electrical stimulation alone;observation group with 25 patients who received the traditional Chinese medicine Yiqi Huoxue decoction.Comparison indexes:treatment efficiency,degree of emotional recovery(APACHEⅡscore),muscle strength status(MRC score),motor status(FAC rating),and self-care ability(BI index score).Results:The treatment efficiency of patients in the observation group patients was higher as compared to those in the control group(P<0.05).There was no significant difference in the comparison of the results of the scores(ratings)of each index between the two groups before treatment(P>0.05).After the treatment,the APACHEⅡscores of patients in the observation group were significantly lower as compared to those in the control group,while the MRC scores,FAC ratings,and BI index scores were higher in the observation group than those of the control group patients(P<0.05).Conclusion:The combined application of Yiqi Huoxue decoction and neuromuscular electrical stimulation in the treatment of patients with ICU-acquired neurasthenia complicated by mechanical ventilation significantly enhanced the clinical efficacy,the patient’s muscle strength,motor status,and ability of self-care.Hence,it has high application value and is worthy to be popularized.
