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轻度脑外伤后前庭功能障碍康复研究进展 被引量:7
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作者 杨洪友 江汉宏 +3 位作者 庞超 娄强 丛文娟 郑遵成 《中国康复理论与实践》 CSCD 北大核心 2020年第7期780-783,共4页
脑外伤是指由于外力导致的脑部创伤性结构损伤和/或脑功能的生理损伤。轻度脑外伤后易出现持续性头晕、眩晕和平衡障碍等前庭功能相关问题。前庭康复训练对轻度脑外伤后前庭功能恢复有积极作用。本文综述轻度脑外伤后前庭功能障碍的可... 脑外伤是指由于外力导致的脑部创伤性结构损伤和/或脑功能的生理损伤。轻度脑外伤后易出现持续性头晕、眩晕和平衡障碍等前庭功能相关问题。前庭康复训练对轻度脑外伤后前庭功能恢复有积极作用。本文综述轻度脑外伤后前庭功能障碍的可能机制、前庭功能常见的评估方法和前庭康复治疗新进展。 展开更多
关键词 轻度脑外伤 前庭功能障碍 康复 综述
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赤峰地区2型糖尿病患者与骨质疏松相关因素分析 被引量:4
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作者 曹玉丽 刘晓云 +4 位作者 门炳玲 葛慧芳 丛文娟 李艳丽 刘绍杰 《内蒙古医学杂志》 2019年第7期775-781,共7页
目的探讨2型糖尿病患者25羟维生素水平及与骨质疏松的相关因素。方法回顾性分析2型糖尿病患者409例,采用美国双能X线骨密度仪测量患者骨密度,同时化验血清25羟维生素D、全段甲状旁腺激素、糖化血红蛋白、血脂等。采用SPSS软件分析之间... 目的探讨2型糖尿病患者25羟维生素水平及与骨质疏松的相关因素。方法回顾性分析2型糖尿病患者409例,采用美国双能X线骨密度仪测量患者骨密度,同时化验血清25羟维生素D、全段甲状旁腺激素、糖化血红蛋白、血脂等。采用SPSS软件分析之间的相关性。结果组间比较t检验及卡方检验结果显示,患者年龄、性别、BMI、吸烟、饮酒、高密度脂蛋白胆固醇、碱性磷酸酶在骨量正常、骨量减少、骨质疏松三组间差异显著。其中甲状旁腺激素在骨量正常及骨量减少组间有差异。25羟维生素D水平在各组间差异不显著。相关分析显示年龄与各部位骨密度呈显著负相关(P<0.01);BMI与各部位骨密度呈显著正相关(P<0.01);ALP与各部位骨密度呈负相关(其中左股骨P<0.05,其它P<0.01);糖尿病病程与左股骨、大粗隆及全部BMD呈负相关(r=-0.115,r=-0.123,r=-0.103,P<0.05);糖化血红蛋白与左股骨、大粗隆骨密度呈负相关(r=-0.101,r=-0.125,P<0.05);甘油三脂与腰及全部BMD呈正相关(r=0.104,r=0.116,P<0.05),高密度脂蛋白胆固醇与腰椎骨密度呈显著负相关(P<0.01);总胆固醇、低密度脂蛋白、PTH、维生素D与各部位骨密度均无相关性。多元回归分析显示年龄、BMI是影响骨质疏松的主要因素。结论2型糖尿病患者随着年龄增长骨质疏松风险增加,低体重指数更易患骨质疏松。2型糖尿病患者普遍存在维生素D缺乏及不足。 展开更多
关键词 2型糖尿病 25羟维生素D BMI PTH
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电针对慢性阻塞性肺疾病大鼠巨噬细胞迁移抑制因子及其受体复合物表达的影响 被引量:17
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作者 鲁静 谢菁菁 +4 位作者 项水英 李尹 丛文娟 林先刚 刘自兵 《针刺研究》 CAS CSCD 北大核心 2018年第12期759-766,共8页
目的:观察电针"足三里"和"肺俞"对慢性阻塞性肺疾病(COPD)大鼠巨噬细胞迁移抑制因子(MIF)及其受体复合物CD 74-CD 44等相关因子表达的影响,并从免疫角度探讨电针在COPD大鼠发病过程中的作用机制。方法:SD大鼠随机... 目的:观察电针"足三里"和"肺俞"对慢性阻塞性肺疾病(COPD)大鼠巨噬细胞迁移抑制因子(MIF)及其受体复合物CD 74-CD 44等相关因子表达的影响,并从免疫角度探讨电针在COPD大鼠发病过程中的作用机制。方法:SD大鼠随机分为正常组、模型组和电针组,每组10只。采用气管滴注脂多糖结合香烟烟熏的方法复制COPD大鼠模型。电针组电针大鼠双侧"足三里"和"肺俞",每次30min,连续7d。各组大鼠于处死前进行肺功能检测;HE染色法观察各组大鼠肺组织病理学变化;ELISA法分别检测各组大鼠血清、肺泡灌洗液(BALF)和肺组织中MIF、肿瘤坏死因子-α(TNF-α)、白介素-1β(IL-1β)、IL-8含量;实时荧光定量PCR和Western blot法分别检测肺组织内MIF、CD 74、CD 44及p 38MAPK mRNA和蛋白表达;免疫组化法观察肺组织中CD 74、CD 44的表达。结果:与正常组比较,模型组大鼠用力肺活量(FVC)、第0.1秒用力呼气量(FEV 0.1)、第0.3秒用力呼气量(FEV 0.3)、FVC 0.1占FVC比值(FEV 0.1/FVC)、FEV 0.3占FVC比值(FEV 0.3/FVC)均显著降低(P<0.01)。与模型组比较,电针组FVC、FEV 0.1、FEV 0.3、FEV 0.1/FVC、FEV 0.3/FVC均显著升高(P<0.01,P<0.05)。与正常组比较,模型组大鼠血清、BALF、肺组织内MIF、TNF-α、IL-1β和IL-8含量均显著升高(P<0.01),电针组以上各指标较模型组明显降低(P<0.01)。模型组较正常组肺组织内MIF、CD 74、CD 44、p 38MAPK mRNA和蛋白表达水平以及CD 74、CD 44阳性表达水平均显著升高(P<0.01),电针组较模型组以上各指标表达水平均显著下降(P<0.01)。其中大鼠肺组织内MIF与p 38MAPK蛋白及mRNA表达呈正相关(P<0.01)。结论:电针"足三里"和"肺俞"穴对大鼠COPD具有治疗作用,其作用机制可能与抑制MIF及其受体复合物活性及受体介导的p 38MAPK信号通路有关。 展开更多
关键词 电针 慢性阻塞性肺疾病 炎性反应 巨噬细胞迁移抑制因子 CD74-CD 44/p 38MAPK信号通路
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Effect of electroacupuncture on expressions of acetylcholine and mucin 5AC in the lungs of rats with chronic obstructive pulmonary disease 被引量:6
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作者 cong wen-juan Li Jing +6 位作者 Liao Yu-jing Zhang Xin-fang Jiang Chuan-wei Xiang Shui-ying Huang Wen-biao Liu Xiao-yun Liu Zi-bing 《Journal of Acupuncture and Tuina Science》 CSCD 2018年第3期133-139,共7页
Objective: To observe the effect of electroacupuncture (EA) on the expressions of acetylcholine (ACh) and mucin 5AC (MUC5AC) in the lungs of rats with chronic obstructive pulmonary disease (COPD), and explore... Objective: To observe the effect of electroacupuncture (EA) on the expressions of acetylcholine (ACh) and mucin 5AC (MUC5AC) in the lungs of rats with chronic obstructive pulmonary disease (COPD), and explore the mechanism of EA in treating COPD. Methods: Thirty Sprague-Dawley (SD) rats were randomly divided into a control group, a COPD group, and an EA group, with 10 rats in each group. The control group was a group of normal rats. The COPD rat model was induced by cigarette smoke combined with lipopolysaccharide (LPS). The COPD rats were treated with EA at bilateral Feishu (BL 13) and Zusanli (ST 36) in the EA group, 30 rain each time, once a day, successively for 14 d. The lung function was tested. The contents of ACh and MUC5AC in lungs and bronchoalveolar lavage fluid (BALF) were detected by enzyme-linked immunosorbent assay (ELISA). Pearson method was used to analyze the correlation between pulmonary function and the content of MUC5AC in lungs. The mRNA and protein expressions of MUC5AC in lung tissues were detected by real-time polymerase chain reaction (RT-PCR) and Western blot (WB), respectively. The immune response of MUC5AC was observed by immunohistochemistry. Results: Eight rats were left in each group, and the other two died. Compared with the control group, the total airway resistance (Raw) increased significantly and dynamic compliance (Cdyn) decreased significantly in the COPD group (P〈0.01); compared with the COPD group, the Raw level declined significantly and Cdyn increased significantly in the EA group (P〈0.01). The contents of ACh and MUC5AC in the lungs and BALF were remarkably higher in the COPD group compared with those in the control group (P〈0.01, P〈0.001); compared with the COPD group, the contents of ACh and MUC5AC were significantly lower in the EA group (P〈0.05, P〈0.001). There was a negative correlation between MUC5AC content and lung function (P〈0.001). The mRNA and protein expressions of MUC5AC in the lungs were significantly higher in the COPD group than in the control group (P〈0.001); compared with the COPD group, the expressions were significantly lower in the EA group (P〈0.01). Compared with the control group, the immune response of MUC5AC in the airway epithelium significantly increased in the COPD group (P〈0.001); the immune response of MUC5AC was significantly lower in the EA group compared with that in the COPD group (P〈0.001). Conclusion: EA treatment can improve the lung function of COPD rats, which may be related to its effect in the down-regulation of ACh and MUC5AC contents in the lungs as well as the inhibition of mucus hypersecretion. 展开更多
关键词 Acupuncture Therapy ELECTROACUPUNCTURE Pulmonary Disease Chronic Obstructive POINT Feishu (BL 13) POINT Zusanli (ST 36) ACETYLCHOLINE Mucin 5AC
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