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超声引导下颈神经根及星状神经节阻滞联合药物治疗带状疱疹后遗神经痛的疗效观察 被引量:29
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作者 彭飞飞 周脉涛 +2 位作者 司波 李国威 余天祥 《中国现代医学杂志》 CAS 2020年第15期55-60,共6页
目的观察超声引导下颈神经根阻滞(CRB)及星状神经节阻滞(SGB)联合药物治疗带状疱疹后遗神经痛(PHN)的临床疗效及安全性。方法选取2016年1月—2019年4月中国人民解放军联勤保障部队第904医院疼痛科确诊的60例头颈部及上肢PHN患者,随机分... 目的观察超声引导下颈神经根阻滞(CRB)及星状神经节阻滞(SGB)联合药物治疗带状疱疹后遗神经痛(PHN)的临床疗效及安全性。方法选取2016年1月—2019年4月中国人民解放军联勤保障部队第904医院疼痛科确诊的60例头颈部及上肢PHN患者,随机分为对照组和实验组,每组30例。对照组:超声引导下SGB联合药物治疗;实验组:超声引导下CRB及SGB联合药物治疗。比较两组治疗前及治疗后l周、4周、3个月的视觉模拟评分法(VAS)、睡眠自评量表(SRSS)评分、抑郁自评量表(SDS)评分及神经阻滞治疗的安全性。结果治疗前后不同时间点的VAS、SRSS、SDS评分有差异(P?<0.05);治疗前后两组的VAS、SRSS、SDS评分有差异(P<0.05),实验组与对照组比较,VAS、SRSS、SDS评分较低;治疗前后两组的VAS、SRSS、SDS评分变化趋势有差异(P<0.05)。两组患者只有声音嘶哑、轻度头晕的并发症出现,差异无统计学意义(P>0.05)。结论超声引导下CRB及SGB联合药物可有效治疗PHN,是安全的治疗方法。 展开更多
关键词 带状疱疹后遗神经痛 颈神经根阻滞 星状神经节阻滞 超声引导
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Aging-independent and size-dependent genotoxic response induced by titanium dioxide nanoparticles in mammalian cells
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作者 Juan Wang Jingjing Wang +7 位作者 Yun Liu Yaguang Nie bo si Tong Wang Ahmed Waqas Guoping Zhao Meimei Wang An Xu 《Journal of Environmental Sciences》 SCIE EI CAS CSCD 2019年第11期94-106,共13页
Titanium dioxide nanoparticles (TiO2 NPs) are subjected to various transformation processes (chemical,physical and biological processes) in the environment,potentially affecting their bioavailability and toxic propert... Titanium dioxide nanoparticles (TiO2 NPs) are subjected to various transformation processes (chemical,physical and biological processes) in the environment,potentially affecting their bioavailability and toxic properties.However,the size variation of TiO2 NPs during aging process and subsequent effects in mammalian cells are largely unknown.The aim of this study was to illustrate the adverse effects of TiO2 NPs in different sizes (5,15 and <100 nm) during aging process on human-hamster hybrid (AL) cells.There was an aging-time dependent enhancement of average hydrodynamic size in TiO2 NPs stock suspensions.The cytotoxicity of fresh TiO2 NPs increased in a size-dependent manner;in contrast,their genotoxicity decreased with the increasing sizes of NPs.No significant toxicity difference was observed in cells exposed to either fresh or 60 day-aged TiO2 NPs.Both Fresh and aged TiO2 NPs efficiently induced mitochondrial dysfunction and activated Caspase-3/7 in a size-dependent manner.Using mitochondrial-DNA deficient (ρ°) AL cells,we further discovered that mitochondrial dysfunction made significant contribution to the size-dependent toxicity induced by TiO2 NPs during the aging process.Taken together,our data indicated that TiO2 NPs could significantly induced the cytotoxicity and genotoxicity in an aging time-independent and size-dependent manner,which were triggered by mitochondrial dysfunction.Our study suggested the necessity to include size as an additional parameter for the cautious monitoring of TiO2 NPs disposal before entering the environment. 展开更多
关键词 TiO2 NPS Aging process Human-hamster hybrid (AL) cells Mitochondria Size-effects
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