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静脉输液流程再造在灾害医学救援中的应用 被引量:1
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作者 靳立巾 张杰 卢继业 《中国急救复苏与灾害医学杂志》 2017年第2期160-161,共2页
目的探讨静脉输液流程再造前后在救援医学中的应用效果。方法对原有静脉输液流程进行评估,找出原有流程在灾害救援中的局限性,从操作流程、消毒方法、固定方法进行重组改造,并强调灾害救援现场与伤员的沟通,比较静脉输液流程再造前... 目的探讨静脉输液流程再造前后在救援医学中的应用效果。方法对原有静脉输液流程进行评估,找出原有流程在灾害救援中的局限性,从操作流程、消毒方法、固定方法进行重组改造,并强调灾害救援现场与伤员的沟通,比较静脉输液流程再造前后在灾害现场静脉输液时所需时间、留置针Y型接口是否脱落、透明敷料是否卷边、留置针外套管有无脱出。结果两组伤员静脉输液流程再造前后静脉输液所需时间由(5.2±0.3)min下降到(2.1±0.2)min,两组伤员静脉输液流程再造前后留置针Y型接口脱落、透明敷料卷边、留置针外套管部分脱出情况分别由38例、18例、7例下降到0例、1例、0例,与流程再造前比较,差异均有统计学意义(P〈0.01)。结论静脉输液流程再造体现以伤员为中心,灾害现场时间就是生命的理念,提高了留置针穿刺后的效果,保证了灾害救援现场的护理质量。 展开更多
关键词 静脉输液 流程再造 救援应用
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大麻素在神经系统疾病中的临床应用研究进展 被引量:2
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作者 卢继业 张赛 +2 位作者 涂悦 王振国 刘洋 《中国医药》 2020年第1期147-150,共4页
大麻素是大麻的活性成分,属于大麻植物特有的含单萜基团分子和烷基的次生代谢产物,自20世纪90年代发现了内源性大麻素系统以来,人们研究发现内源性大麻素系统参与神经传递、神经胶质激活、氧化应激或蛋白质稳态等重要功能的调节作用,而... 大麻素是大麻的活性成分,属于大麻植物特有的含单萜基团分子和烷基的次生代谢产物,自20世纪90年代发现了内源性大麻素系统以来,人们研究发现内源性大麻素系统参与神经传递、神经胶质激活、氧化应激或蛋白质稳态等重要功能的调节作用,而这些是癫癎、癫帕金森病、多发性硬化症等神经系统疾病中常见的神经病理学特征。因此,通过外源性给药使内源性大麻素水平增加,可能是治疗神经系统疾病的一个有用的策略,从而促进了大麻素对神经退行性疾病的神经保护和治疗作用的研究。本文就大麻素在神经系统疾病中的临床应用进行综述。 展开更多
关键词 癫癎 帕金森病 多发性硬化症 大麻素
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竹皮大丸汤治疗妇女更年期综合征
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作者 卢继业 刘胤炯 《中医药研究》 1994年第4期43-43,共1页
竹皮大丸汤治疗妇女更年期综合征山西省大同市第五人民医院(037006)卢继业太原市北郊区中心医院(030023)刘胤炯竹皮大丸出自《金匮》妇人三篇,原治“妇人乳中虚,烦乱呕转”。对它的应用,临床报导极少,笔者近五年,... 竹皮大丸汤治疗妇女更年期综合征山西省大同市第五人民医院(037006)卢继业太原市北郊区中心医院(030023)刘胤炯竹皮大丸出自《金匮》妇人三篇,原治“妇人乳中虚,烦乱呕转”。对它的应用,临床报导极少,笔者近五年,用治妇女更年期的心下烦乱、轰热汗出... 展开更多
关键词 女性 更年期综合征 竹皮大丸汤 中医药疗法
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百草枯中毒肺损伤机制及治疗的研究现状
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作者 王宏鑫 杨丽荣 +1 位作者 卢继业 彭守春 《武警后勤学院学报(医学版)》 CAS 2014年第1期80-83,共4页
百草枯中毒可引起多脏器损害,但肺是百草枯作用的主要靶器官。百草枯对肺脏的损伤主要是引起不可逆的肺纤维化。目前其损伤机制尚未完全阐明,可能与氧自由基损伤、免疫激活释放大量细胞因子等有关。治疗上目前无特效解毒剂,仍然以支持... 百草枯中毒可引起多脏器损害,但肺是百草枯作用的主要靶器官。百草枯对肺脏的损伤主要是引起不可逆的肺纤维化。目前其损伤机制尚未完全阐明,可能与氧自由基损伤、免疫激活释放大量细胞因子等有关。治疗上目前无特效解毒剂,仍然以支持治疗为主,疗效较差。百草枯治疗的一些新方法如新型抗氧化剂、免疫抑制剂、血液透析和血浆灌流等取得了一定进展。本文对有关百草枯导致肺损伤的机制及其治疗新进展做一综述。 展开更多
关键词 百草枯中毒 急性肺损伤 治疗
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血痹病证治浅谈 被引量:1
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作者 卢继业 《北京中医药大学学报》 CAS CSCD 1995年第3期54-54,共1页
血痹病证治浅谈卢继业(山西大同市第五人民医院大同037006)关键词:血痹病;金匮要略;黄芪桂枝五物汤;病因病机;症状特征《金医要略·血痹虚劳病脉证篇》:“问日:血痹病从何得之?师曰:夫尊荣人骨弱肌肤盛,重因疲劳... 血痹病证治浅谈卢继业(山西大同市第五人民医院大同037006)关键词:血痹病;金匮要略;黄芪桂枝五物汤;病因病机;症状特征《金医要略·血痹虚劳病脉证篇》:“问日:血痹病从何得之?师曰:夫尊荣人骨弱肌肤盛,重因疲劳汗出,卧不时动摇,加被微风送得之—…·... 展开更多
关键词 血痹病 金匮要略 黄芪桂枝五物汤 辨证论治
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Dexamethasone up-regulates TNFAIP3 to attenuate inflammatory response with smoke inhalation-induced acute lung injury based on the GEO database
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作者 Yahui Zhao Li Zhao +6 位作者 Juan Zhao Jiye Lu Wei Tian Jinpeng Hu Bin Su Lihua Fu Ran Guo 《Journal of Chinese Pharmaceutical Sciences》 CAS CSCD 2022年第9期689-697,共9页
To explore the protective effect of dexamethasone(Dex)on early inflammation in mice with smoke inhalation-induced acute lung injury(SI-ALI),we screened and analyzed bioinformatics gene chip data,followed by laboratory... To explore the protective effect of dexamethasone(Dex)on early inflammation in mice with smoke inhalation-induced acute lung injury(SI-ALI),we screened and analyzed bioinformatics gene chip data,followed by laboratory verification.The GEO database was used to search the ALI gene datasets,which were processed by the GEO2R online tool.The differential genes of each dataset were analyzed by Venn diagram to select the differential genes.A protein-protein interaction network was built on the String platform,and key protein modules were screened with Cytoscape software.The online databases DAVID and KOBAS were used for GO and KEGG enrichment analyses.A total of 45 C57BL/6 mice were randomly divided into three groups as follows:control group,smoke inhalation group(smoke group),and smoke inhalation+Dex group(smoke+Dex group),with 15 in each group.Inhalation of smoke for 10 min caused SI-ALI in the smoke group and smoke+Dex group,and the air was given in the control group.Dex(0.4 mg/100 g)was injected in the smoke+Dex group.Animals were sacrificed 24 h later,the bronchoalveolar lavage fluid(BALF)of the left lung was collected,and the levels of IL-1βand IL-6 were detected by ELISA.The expressions of mitogen-activated protein kinase kinase kinase 8(MAP3K8)and tumor necrosis factor-alpha-induced protein 3(TNFAIP3)in the right middle lobe were measured by real-time fluorescent quantitative PCR.GSE1871,GSE2411,and GSE17355 gene datasets were included,and 60 differential genes were selected.The key modules mainly included IL-6,IL-1β,MAP3K8,and TNFAIP3.The biological process of GO was mainly concentrated in inflammation,immune response,and so on.Cell components were mainly concentrated in extracellular and molecular functions.KEGG was mainly concentrated in TNF,Toll-like receptors,and NOD-like receptor signaling pathways.Compared with the control group,the levels of IL-1βand IL-6 in BALF in the smoke group and smoke+Dex group were significantly increased(all P<0.05),and the levels of IL-1βand IL-6 in the smoke+Dex group were lower compared with the smoke group(all P<0.05).Compared with the control group,the expressions of TNFAIP3 and MAP3K8 in the smoke group and smoke+Dex group were increased significantly(all P<0.05),and the expression of TNFAIP3 in the smoke+Dex group was increased compared with the smoke group(t=5.701,P<0.01).Moreover,the expression of MAP3K8 was decreased(t=13.49,P<0.01).It could be concluded that inflammation signal pathways in lung tissues of SI-ALI mice were activated,the secretion of IL-1βand IL-6 was increased,and the expressions of MAP3K8 and TNFAIP3 were increased.Application of Dex could up-regulate TNFAIP3,down-regulate MAP3K8,and decrease the secretion of IL-1βand IL-6.Dex might inhibit MAP3K8 by up-regulating TNFAIP3,thereby negatively regulating the TNF/MAPK signaling pathway to reduce the inflammatory response of SI-ALI. 展开更多
关键词 Acute lung injury SMOKE DEXAMETHASONE Inflammatory response BIOINFORMATICS
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