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SD-OCT评估孔源性视网膜脱离硅油填充术后黄斑区微结构的改变 被引量:4
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作者 梁四妥 张歆 +5 位作者 孔垂普 赵华 卢丽丽 刘雅聪 杨艳 赵青亚 《国际眼科杂志》 CAS 北大核心 2022年第8期1381-1384,共4页
目的:应用频域光学相干断层成像(SD-OCT)评估孔源性视网膜脱离(RRD)硅油填充术后黄斑区微结构的改变。方法:选取2019-11/2021-07就诊于沧州爱尔眼科医院行玻璃体切除联合硅油填充术的RRD患者27例27眼纳入观察组,另选取健康志愿者30例30... 目的:应用频域光学相干断层成像(SD-OCT)评估孔源性视网膜脱离(RRD)硅油填充术后黄斑区微结构的改变。方法:选取2019-11/2021-07就诊于沧州爱尔眼科医院行玻璃体切除联合硅油填充术的RRD患者27例27眼纳入观察组,另选取健康志愿者30例30眼纳入对照组。观察患者手术前后最佳矫正视力(BCVA),并使用SD-OCT量化评估术后黄斑区微结构的改变情况。结果:观察组术后1wk, 3mo BCVA(LogMAR)(0.61±0.23、0.69±0.34)较术前(1.43±0.77)均改善(均P<0.01)。观察组术后3mo黄斑区立方体体积、立方体平均厚度较术后1wk, 1mo及对照组均降低(均P<0.05)。观察组术后1wk, 1、3mo平均神经节细胞-内丛状层(GCIPL)厚度、GCIPL最小厚度、平均黄斑区视网膜神经纤维层(mRNFL)厚度、mRNFL最小厚度均无差异,但较对照组均降低(均P<0.01)。术后随访观察组发生视网膜下积液(SRF)9眼,SRF有逐渐吸收的趋势,但其中1眼继发黄斑裂孔;椭圆体带中断3眼,有逐渐修复趋势;黄斑区视网膜下重水残留2眼;黄斑水肿2眼。结论:SD-OCT可以很好地显示RRD硅油填充术后黄斑区微结构及形态改变,对RRD术前及术后随访评估具有重要的临床价值。 展开更多
关键词 频域光学相干断层成像(SD-OCT) 孔源性视网膜脱离 玻璃体切除 硅油 神经节细胞-内丛状层厚度 黄斑区微结构
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强脉冲光综合治疗睑缘炎相关角结膜病变的短期疗效 被引量:3
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作者 胡晓娟 卢丽丽 +3 位作者 梁四妥 张歆 赵桂珍 张青花 《国际眼科杂志》 CAS 北大核心 2022年第12期2038-2043,共6页
目的:探讨强脉冲光(IPL)综合治疗睑缘炎相关角结膜病变(BKC)的短期疗效。方法:选择2020-12/2021-12就诊于沧州爱尔眼科医院确诊为BKC的患者66例66眼(均选择病情严重的一眼进行研究),根据患者接受的临床治疗方式不同分为两组,对照组30例3... 目的:探讨强脉冲光(IPL)综合治疗睑缘炎相关角结膜病变(BKC)的短期疗效。方法:选择2020-12/2021-12就诊于沧州爱尔眼科医院确诊为BKC的患者66例66眼(均选择病情严重的一眼进行研究),根据患者接受的临床治疗方式不同分为两组,对照组30例30眼,治疗组36例36眼,两组均在接受药物(给予0.1%氟米龙滴眼液、0.3%玻璃酸钠滴眼液、妥布霉素地塞米松眼膏点眼)治疗后1wk,以眼表状态作为基线水平,对照组继续进行药物治疗(给予0.1%氟米龙滴眼液、0.3%玻璃酸钠滴眼液点眼),治疗组在药物治疗基础上需在医院内定期进行IPL综合治疗(雾化熏蒸+IPL+睑板腺按摩+睑缘清洁+冷敷),每2wk 1次,共治疗4次。在药物治疗1wk后、IPL第1次治疗前(基线水平V1)和IPL第3次治疗前(V2)、IPL第4次治疗后2wk(V3)对两组患者进行随访,收集眼表疾病指数(OSDI)、裂隙灯下观察睑缘形态、睑板腺(MG)分泌物性质和分泌物排出难易程度、泪膜破裂时间(NIBUT)、眼红指数及角膜荧光素染色等数据,同时检查最佳矫正视力(BCVA)、眼压、眼前节及眼底,观察有无并发症的发生。结果:两组患者治疗前OSDI、睑缘形态、MG分泌物性质和分泌物排出难易程度、NIBUT、眼表充血、角膜荧光素染色各项评分相比均无差异(P>0.05)。在V2、V3时,两组患者OSDI、睑缘形态、MG分泌物性质和分泌物排出难易程度、眼表充血分析、角膜荧光素染色各项评分均较治疗前(V1)下降,NIBUT较治疗前提高(均P<0.05),组间比较有差异(P<0.05),治疗组各项观察指标改善更明显。所有患者均未见明显并发症发生。结论:IPL综合治疗可以减轻眼表炎症,改善睑板腺功能,可作为BKC物理治疗的新选择。 展开更多
关键词 强脉冲光 睑缘炎 睑缘炎相关角结膜病变 睑板腺功能障碍 睑板腺按摩 睑板腺
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Endothelial injury and inflammation in patients with hyperuricemic nephropathy at chronic kidney disease stages 1-2 and 3-4 被引量:2
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作者 Li Xu li-li lu +4 位作者 Ya-Ting Wang Jia-Bao Zhou Chuan-Xu Wang Jia-Dong Xin Jian-Dong Gao 《World Journal of Clinical Cases》 SCIE 2022年第32期11766-11774,共9页
BACKGROUND Endothelial injury and inflammation are the main pathological changes in hyperuricemic nephropathy(HN);however,they have not been assessed in patients in the early,middle,and late phases of HN.AIM To invest... BACKGROUND Endothelial injury and inflammation are the main pathological changes in hyperuricemic nephropathy(HN);however,they have not been assessed in patients in the early,middle,and late phases of HN.AIM To investigate endothelial injury and inflammatory conditions between patients with HN at chronic kidney disease(CKD)stages 3-4 and CKD 1-2.METHODS This study enrolled 80 patients(49 and 31 with HN at CKD stage 1-2 and 3-4,respectively)from the Department of Nephrology,Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine between July 2021 and January 2022.Plasma levels of heparan sulfate,endocan,oxidized low-density lipoprotein(Ox-LDL),E-selectin,soluble intercellular adhesion molecule-1(slCAM1),interleukin(IL)-1β,and IL-6 and urine levels of lipocalin-type prostaglandin D synthase(L-PGDS),IL-1β,and IL-6 were measured using enzyme-linked immunosorbnent assay.RESULTS Comparison between patients with HN at CKD 1-2 and those with HN at CKD 3-4 showed that age and disease course were significant factors(P<0.001 and P<0.010,respectively).There were no statistical differences in sex,heart rate,body mass index,and systolic and diastolic blood pressures.The incidence of hypertension was also significant(P=0.03).Plasma levels of heparin sulfate(P<0.001),endocan(P=0.034),E-selectin(P<0.001),slCAM1(P<0.001),IL-1β(P=0.006),and IL-6(P=0.004)and the urine levels of L-PGDS(P<0.001),IL-1β(P=0.003),and IL-6(P<0.001)were high in patients with HN at CKD 3-4 than in those with HN at CKD 1-2.The difference in plasma Ox-LDL levels was not significant(P=0.078).CONCLUSION Vascular endothelial injury and inflammation were higher in patients with HN at CKD3-4 than at CKD 1-2.Plasma heparin sulfate and slCAM1 levels are synergistic factors for CKD staging in HN. 展开更多
关键词 Endothelial injury INFLAMMATION Hyperuricemic nephropathy Chronical kidney disease Risk factors
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Correlation of myopia onset and progression with corneal biomechanical parameters in children 被引量:1
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作者 li-li lu Xiao-Juan Hu +4 位作者 Yan Yang Shen Xu Shi-Yong Yang Cui-Yu Zhang Qing-Ya Zhao 《World Journal of Clinical Cases》 SCIE 2022年第5期1548-1556,共9页
BACKGROUND Recent epidemiological studies have shown that general eye measurement parameters and corneal biomechanical properties can predict the speed of myopic progression in children.AIM To investigate the correlat... BACKGROUND Recent epidemiological studies have shown that general eye measurement parameters and corneal biomechanical properties can predict the speed of myopic progression in children.AIM To investigate the correlation between the onset and progression of myopia and corneal biomechanical parameters in children.METHODS The study included 102 cases in the emmetropia group,207 cases in the myopic group,and 109 cases in the hyperopic group.The correlation between the change in corneal biomechanical indexes and the change in general ocular measurement parameters was analyzed.A one-way ANOVA test compared general ocular measurement and corneal biomechanical parameters.Pearson’s correlation coefficient was analyzed to correlate corneal biomechanical and general ocular measurement parameters.RESULTS The general ophthalmometric parameters:Spherical equivalent(SE),intraocular pressure(IOP),and axial length(AL),differed significantly among subjects in myopia,emmetropia,and hyperopic groups.Children’s SE positively correlated with corneal biomechanical parameters:Second velocity of applanation(A2V),peak distance(PD),and deformation amplitude(DA)(P<0.05),and second applanation length(A2L)(P<0.05).But it was negatively correlated with PD,DA and integral radius(IR)(P<0.05).Also,IOP was negatively correlated with A2L and IR(P<0.05).AL positively correlated with A2V and negatively correlated with second applanation time(A2T),highest concavity,and PD.Central corneal thickness positively correlated with first applanation length,first applanation time,first applanation deformation amplitude,A2V,A2L,A2T,second applanation deformation amplitude,central curvature radius at highest concavity(HCR),PD,DA,IR,ambrosia relational thickness-horizontal,first applanation stiffness parameter,corvis biomechanical index,topographic and biomechanics index and the first velocity of applanation.The general ocular Km in children positively correlated with corneal biomechanical parameters DA and IR and negatively correlated with A2L,HCR,and PD.There was a positive correlation between the general ocular measurement parametersΔSE and corneal biomechanical parametersΔA2V andΔA2L,and a negative correlation withΔIR.The increase in general ocular measurement parameterΔKm positively correlated with changes in corneal biomechanical parameters,ΔDA andΔIR,and negatively correlated withΔHCR andΔPD.CONCLUSION Myopia development in children was associated with multiple corneal biomechanical parameters. 展开更多
关键词 CHILDREN MYOPIA Corneal biomechanical parameters Correlation
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Minimal change disease caused by polycythemia vera: A case report
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作者 Li Xu li-li lu Jian-Dong Gao 《World Journal of Clinical Cases》 SCIE 2022年第32期11993-11999,共7页
BACKGROUND Polycythemia vera(PV),often attributed to the JAK2 V617F mutation,is characterized by enhanced red blood cell counts in the peripheral blood.PV-associated renal disease is clinically rare;to date,there have... BACKGROUND Polycythemia vera(PV),often attributed to the JAK2 V617F mutation,is characterized by enhanced red blood cell counts in the peripheral blood.PV-associated renal disease is clinically rare;to date,there have been reports of other chronic kidney diseases related to PV,but no reports on PV-associated minimal change disease.CASE SUMMARY A 37-year-old man presented with proteinuria and high red blood cell count on January 4,2021.The patient underwent bone marrow and renal biopsies,then was subsequently diagnosed with PV and minimal change in disease.Hydroxyurea was administered and proteinuria remission was achieved.The patient’s last visit was on April 14,2022.CONCLUSION We inferred that there may be a causal relationship between PV and minimal change disease. 展开更多
关键词 Polycythemia vera Minimal change disease PROTEINURIA Chronic kidney disease JAK2 V617F mutation Case report
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Rice OsGL 1-1 Is Involved in Leaf Cuticular Wax and Cuticle Membrane 被引量:13
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作者 Bao-Xiang Qin Ding Tang +8 位作者 Jian Huang Ming Li Xin-Ru Wu li-li lu Ke-Jian Wang Heng-Xiu Yu Jian-Min Chen Ming-Hong Gu Zhu-Kuan Cheng 《Molecular Plant》 SCIE CAS CSCD 2011年第6期985-995,共11页
Cuticular wax forms a hydrophobic barrier on aerial plant organs; it plays an important role in protecting a plant from damage caused by many forms of environmental stress. In the present study, we characterized a ric... Cuticular wax forms a hydrophobic barrier on aerial plant organs; it plays an important role in protecting a plant from damage caused by many forms of environmental stress. In the present study, we characterized a rice leaf wax-deficient mutant osgll-1 derived from a spontaneous mutation, which exhibited a wax-deficient and highly hydro- philic leaf phenotype. We cloned the OsGLI-1 gene by the map-based cloning method and performed a complementation test to confirm the function of the candidate gene. Molecular studies revealed that OsGLI-1 was a member of the OsGL1 family, and contained regions that were homologous to some regions in sterol desaturases and short-chain dehydro- genases/reductases. Compared to the wild-type, the osgll-1 mutant showed decreased cuticular wax deposition, thinner cuticular membrane, decreased chlorophyll leaching, increased rate of water loss, and enhanced sensitivity to drought. OsGL 1-1 is expressed ubiquitously in rice. The transient expression of OsGLl-l-green fluorescent protein fusion protein indicated that OsGLI-1 is localized in the cytoplasm, plasma membrane, and nucleus. 展开更多
关键词 Cuticular wax cuticular membrane OsGL1-1 rice.
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