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子宫内膜癌增强MRI定量参数变化与临床特征的关系及对预后的预测价值分析 被引量:3
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作者 杨川桦 姜萍 谢刚 《中国CT和MRI杂志》 2024年第3期148-151,共4页
目的 探究子宫内膜癌(EC)增强MRI定量参数变化与临床特征关系,分析其对预后的预测价值。方法 选取2019年3月~2022年3月本院收治的EC患者98例作为研究组,另选同期子宫内膜良性病变患者98例作为对照组。比较两组增强MRI定量参数[速率常数(... 目的 探究子宫内膜癌(EC)增强MRI定量参数变化与临床特征关系,分析其对预后的预测价值。方法 选取2019年3月~2022年3月本院收治的EC患者98例作为研究组,另选同期子宫内膜良性病变患者98例作为对照组。比较两组增强MRI定量参数[速率常数(K_(ep))、容量转移常数(K^(trans))、血管外细胞外间隙容积比(V_(e))]。比较研究组不同临床特征患者增强MRI定量参数,分析其与临床特征相关性。比较研究组不同预后患者增强MRI定量参数,分析其对预后的预测价值。结果 研究组K_(ep)、K^(trans)、V_(e)高于对照组(P<0.05);K_(ep)、K^(trans)、V_(e)病理分期、淋巴结转移、宫颈间质累及情况、子宫肌层浸润深度呈正相关,而与分化程度呈负相关(p<0.05)预后不良者K_(ep)、K^(trans)、V_(e)高于预后良好者,且与预后不良显著相关(P<0.05);K_(ep)、K^(trans)、V_(e)联合预测预后不良的AUC大于各参数独独预测(P<0.05)。结论 EC患者增强MRI定量参数K_(ep)、K^(trans)、V_(e)升高,且与临床特征、预后密切相关,联合检测各参数对预后不良具有一定预测价值。 展开更多
关键词 子宫内膜癌 增强MRI 临床特征 预后 预测 速率常数 容量转移常数 血管外细胞外间隙容积比
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从肝论治冠状动脉痉挛
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作者 范瑞霞 杨传华 杨洁 《内蒙古中医药》 2024年第2期71-73,共3页
冠状动脉痉挛是多种心血管疾病的重要诱因,但由于目前对于该病研究不够充分,发病机制尚未明确,临床治疗上存在一定困难。本文从中医五脏之一“肝”的角度重新认识冠状动脉痉挛,解析冠状动脉痉挛的发病机制,并提出其病机为气郁血瘀、肝... 冠状动脉痉挛是多种心血管疾病的重要诱因,但由于目前对于该病研究不够充分,发病机制尚未明确,临床治疗上存在一定困难。本文从中医五脏之一“肝”的角度重新认识冠状动脉痉挛,解析冠状动脉痉挛的发病机制,并提出其病机为气郁血瘀、肝风内动、肝血亏虚,疏肝活血、平肝熄风、养血柔肝为治疗原则。 展开更多
关键词 冠状动脉痉挛 辨证论治 中医
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双级振动式精密排种器虚拟样机设计与试验分析
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作者 梁秋艳 仇志锋 +1 位作者 杨传华 周海波 《佳木斯大学学报(自然科学版)》 CAS 2019年第2期243-246,共4页
针对双级振动式精密排种器的设计结构复杂、影响排种性能因素较多且研制时间较长的问题,为得到双级振动式精密排种器的最佳参数值,运用虚拟样机技术建立三维模型。依据设计参数研制实体样机并进行排种均匀性试验,将播种合格率作为目标值... 针对双级振动式精密排种器的设计结构复杂、影响排种性能因素较多且研制时间较长的问题,为得到双级振动式精密排种器的最佳参数值,运用虚拟样机技术建立三维模型。依据设计参数研制实体样机并进行排种均匀性试验,将播种合格率作为目标值,找出样机主要工作参数对排种效果的影响规律。结果表明,对播种合格率影响最大的是输入气体压强,其次是排种盘面倾角,最后是振动方向角。最佳参数组合是输入压强为0.22MPa,排种盘面倾角为7°,振动方向角为35°。该结果为后续气动振盘工作参数的选择提供了依据。 展开更多
关键词 双级振动式精密排种器 虚拟样机 三维建模 试验分析
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长江中游太平口水道维护性疏浚技术 被引量:4
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作者 杨传华 黄蓓蓓 +1 位作者 李明 索文 《水运工程》 北大核心 2019年第11期100-106,117,共8页
太平口水道是长江中游重点碍航水道,目前主要通过维护性疏浚维持航道畅通。以2018年碍航较为严重时为背景,分析河道特点和碍航原因,提出相应的疏浚方案。结果表明,考虑到多方面的碍航原因,本阶段宜采用桥梁防撞与航道管疏、提前预测与... 太平口水道是长江中游重点碍航水道,目前主要通过维护性疏浚维持航道畅通。以2018年碍航较为严重时为背景,分析河道特点和碍航原因,提出相应的疏浚方案。结果表明,考虑到多方面的碍航原因,本阶段宜采用桥梁防撞与航道管疏、提前预测与多轮抢通、双槽交替疏浚与通航相结合的思路,对沿岸槽和2#槽交替进行疏浚。2018年度的碍航形势严峻,疏浚时机的选择宜结合水情,分别在汛前、汛期和枯水期进行多轮疏浚。 展开更多
关键词 太平口水道 维护性疏浚 疏浚方案
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腹腔镜手术治疗老年复杂阑尾炎的临床分析 被引量:4
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作者 刘文能 曹宸 +1 位作者 阳川华 向立历 《实用医院临床杂志》 2019年第3期216-218,共3页
目的对比分析腹腔镜阑尾切除术(LA)与开腹阑尾切除术(OA)治疗老年复杂性阑尾炎(CA)的效果,探讨腹腔镜在老年复杂性阑尾炎的应用价值。方法我院2013年6月至2017年6月收治老年复杂阑尾炎患者189例,其中86例采用腹腔镜治疗(LA组),103例采... 目的对比分析腹腔镜阑尾切除术(LA)与开腹阑尾切除术(OA)治疗老年复杂性阑尾炎(CA)的效果,探讨腹腔镜在老年复杂性阑尾炎的应用价值。方法我院2013年6月至2017年6月收治老年复杂阑尾炎患者189例,其中86例采用腹腔镜治疗(LA组),103例采用开腹治疗(OA组),观察两组患者围手术期相关指标及并发症发生情况。结果两组均顺利完成手术。LA组并发症发生率低于OA组(χ2=4. 067,P=0. 038),术后肠功能恢复时间、进食时间、住院时间及并发症等指标明显优于OA组(P <0. 05),两组手术时间、出血量、住院费用比较差异无统计学意义(P> 0. 05)。结论与开腹手术相比,腹腔镜治疗老年复杂阑尾炎具有病情恢复快、并发症少等优点,可作为治疗老年复杂阑尾炎的安全选择,值得推广应用。 展开更多
关键词 腹腔镜阑尾切除术 开腹阑尾切除术 老年 阑尾炎
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Quercetin Attenuates Atherosclerosis via Modulating Apelin Signaling Pathway Based on Plasma Metabolomics 被引量:1
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作者 LIU Li-qun ZHANG Peng +3 位作者 QI Ying-zi LI Hui JIANG Yue-hua yang chuan-hua 《Chinese Journal of Integrative Medicine》 SCIE CAS CSCD 2023年第12期1121-1132,共12页
Objective:To interpret the pharmacology of quercetin in treatment of atherosclerosis(AS).Methods:Fourteen apolipoprotein E-deficient(ApoE^(-/-))mice were divided into 2 groups by a random number table:an AS model(ApoE... Objective:To interpret the pharmacology of quercetin in treatment of atherosclerosis(AS).Methods:Fourteen apolipoprotein E-deficient(ApoE^(-/-))mice were divided into 2 groups by a random number table:an AS model(ApoE^(-/-))group and a quercetin treatment group(7 in each).Seven age-matched C57 mice were used as controls(n=7).Quercetin[20 mg/(kg·d)]was administered to the quercetin group intragastrically for 8 weeks for pharmacodynamic evaluation.Besides morphological observation,the distribution of CD11b,F4/80,sirtuin 1(Sirt1)and P21 was assayed by immunohistochemistry and immunofluorescence to evaluate macrophage infiltration and tissue senescence.Ultra-performance liquid chromatography/tandem mass spectrometry(UPLC-MSC/MS)was performed to study the pharmacology of quercetin against AS.Then,simultaneous administration of an apelin receptor antagonist(ML221)with quercetin was conducted to verify the possible targets of quercetin.Key proteins in apelin signaling pathway,such as angiotensin domain type 1 receptor-associated proteins(APJ),AMP-activated protein kinase(AMPK),peroxisome proliferator-activated receptor-γcoactivator-1α(PGC-1α),tissue plasminogen activator(TPA),uncoupling protein 1(UCP1)and angiotensinⅡreceptor 1(AT1R),were assayed by Western blot.Results:Quercetin administration decreased lipid deposition in arterial lumen and improved the morphology of ApoE^(-/-)aortas in vivo.Quercetin decreased the densities of CD11b,F4/80 and P21 in the aorta and increased the level of serum apelin and the densities of APJ and Sirt1 in the aorta in ApoE^(-/-)mice(all P<0.05).Plasma metabolite profiling identified 118 differential metabolites and showed that quercetin affected mainly glycerophospholipids and fatty acyls.Bioinformatics analysis suggested that the apelin signaling pathway was one of the main pathways.Quercetin treatment increased the protein expressions of APJ,AMPK,PGC-1α,TPA and UCP1,while decreased the AT1R level(all P<0.05).After the apelin pathway was blocked by ML221,the effect of quercetin was abated significantly,confirming that quercetin attenuated AS by modulating the apelin signaling pathway(all P<0.05).Conclusion:Quercetin alleviated AS lesions by up-regulation the apelin signaling pathway. 展开更多
关键词 QUERCETIN ATHEROSCLEROSIS plasma metabonomics apelin signaling pathway
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Vascular protective effects of aqueous extracts of Tribulus terrestris on hypertensive endothelial injury 被引量:11
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作者 JIANG Yue-Hua GUO Jin-Hao +1 位作者 WU Sai yang chuan-hua 《Chinese Journal of Natural Medicines》 SCIE CAS CSCD 2017年第8期606-614,共9页
Angiotensin Ⅱ(Ang Ⅱ) is involved in endothelium injury during the development of hypertension. Tribulus terrestris(TT) is used to treat hypertension, arteriosclerosis, and post-stroke syndrome in China. The present ... Angiotensin Ⅱ(Ang Ⅱ) is involved in endothelium injury during the development of hypertension. Tribulus terrestris(TT) is used to treat hypertension, arteriosclerosis, and post-stroke syndrome in China. The present study aimed to determine the effects of aqueous TT extracts on endothelial injury in spontaneously hypertensive rats(SHRs) and its protective effects against Ang Ⅱ induced injury in human umbilical vein endothelial cells(HUVECs). SHRs were administered intragastrically with TT(17.2 or 8.6 g·kg^(-1)·d^(-1)) for 6 weeks, using valsartan(13.5 mg·kg^(-1)·d^(-1)) as positive control. Blood pressure, heart rate, endothelial morphology of the thoracic aorta, serum levels of Ang Ⅱ, endothelin^(-1)(ET^(-1)), superoxide dismutase(SOD) and malonaldehyde(MDA) were measured. The endothelial injury of HUVECs was induced by 2 × 10–6 mol·L^(-1) Ang Ⅱ. Cell Apoptosisapoptosis, intracellular reactive oxygen species(ROS) was assessed. Endothelial nitric oxide synthase(eN OS), ET^(-1), SOD, and MDA in the cell culture supernatant and cell migration were assayed. The expression of hypertension-linked genes and proteins were analyzed. TT decreased systolic pressure, diastolic pressure, mean arterial pressure and heart rate, improved endothelial integrity of thoracic aorta, and decreased serum leptin, Ang Ⅱ, ET^(-1), NPY, and Hcy, while increased NO in SHRs. TT suppressed Ang Ⅱ-induced HUVEC proliferation and apoptosis and prolonged the survival, and increased cell migration. TT regulated the ROS, and decreased mR NA expression of Akt1, JAK2, PI3Kα, Erk2, FAK, and NF-κB p65 and protein expression of Erk2, FAK, and NF-κB p65. In conclusion, TT demonstrated anti-hypertensive and endothelial protective effects by regulating Erk2, FAK and NF-κB p65. 展开更多
关键词 Tribulus Terrestris HYPERTENSION Endothelial protection
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