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Effect of ultrasound-guided lumbar square muscle block on stress response in patients undergoing radical gastric cancer surgery
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作者 Xin-Ran Wang dan-dan xu +3 位作者 Meng-Jiao Guo Yi-Xin Wang Meng Zhang Dong-Xiao Zhu 《World Journal of Gastrointestinal Oncology》 SCIE 2023年第12期2093-2100,共8页
BACKGROUND Radical surgery is a common treatment for patients with gastric cancer;however,it can lead to postoperative complications and intestinal barrier dysfunction.Ultrasound-guided quadratus lumborum block is oft... BACKGROUND Radical surgery is a common treatment for patients with gastric cancer;however,it can lead to postoperative complications and intestinal barrier dysfunction.Ultrasound-guided quadratus lumborum block is often used for postoperative analgesia,but its effects on stress response and intestinal barrier function are not well understood.AIM To investigate the effects of an ultrasound-guided quadratus lumborum block on stress response and intestinal barrier function in patients undergoing radical surgery for gastric cancer.METHODS A total of 100 patients undergoing radical surgery for gastric cancer were randomly categorized into observation and control groups.Plasma adrenaline and cortisol levels,intestinal mucosal barrier indexes,and complication rates were compared between the two groups before,during,and 1 day after surgery.RESULTS The observation group had significantly lower plasma adrenaline and cortisol levels during surgery and at 1 day postoperatively than that of the control group(P<0.05).Additionally,intestinal barrier indexes(endotoxin and D-dimer)at 1 day postoperatively were significantly lower in the observation group than in the control group(P<0.05).CONCLUSION Ultrasound-guided quadratus lumborum block could reduce stress response,protect intestinal barrier function,and decrease the incidence of complications in patients undergoing radical surgery for gastric cancer.This technique has the potential for clinical applications. 展开更多
关键词 Ultrasound-guided quadratus lumborum block Radical gastric cancer surgery Stress response Intestinal barrier function Postoperative analgesia Rehabilitation
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3-N-Butylphthalide mitigates high glucose-induced injury to Schwann cells:association with nitrosation and apoptosis 被引量:7
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作者 dan-dan xu Wen-Ting Li +4 位作者 Dan Jiang Huai-Guo Wu Ming-Shan Ren Mei-Qiao Chen Yuan-Bo Wu 《Neural Regeneration Research》 SCIE CAS CSCD 2019年第3期513-518,共6页
A high glucose state readily causes peripheral axon atrophy, demyelination, loss of nerve fiber function, and delayed regeneration. However, few studies have examined whether nitration is also critical for diabetic pe... A high glucose state readily causes peripheral axon atrophy, demyelination, loss of nerve fiber function, and delayed regeneration. However, few studies have examined whether nitration is also critical for diabetic peripheral neuropathy. Therefore, this study investigated the effects of high glucose on proliferation, apoptosis, and 3-nitrotyrosine levels of Schwann cells treated with butylphthalide. In addition, we explored potential protective mechanisms of butylphthalide on peripheral nerves. Schwann cells were cultured in vitro with high glucose then stimulated with the peroxynitrite anion inhibitors uric acid and 3-n-butylphthalide for 48 hours. Cell Counting Kit-8 and flow cytometry were used to investigate the effects of uric acid and 3-n-butylphthalide on proliferation and apoptosis of Schwann cells exposed to a high glucose environment. Effects of uric acid and 3-n-butylphthalide on levels of 3-nitrotyrosine in Schwann cells were detected by enzyme-linked immunosorbent assay. The results indicated that Schwann cells cultured in high glucose showed decreased proliferation, but increased apoptosis and intracellular 3-nitrotyrosine levels. However, intervention with uric acid or 3-n-butylphthalide could increase proliferation of Schwann cells cultured in high glucose, and inhibited apoptosis and intracellular 3-nitrotyrosine levels. According to our data, 3-n-butylphthalide may inhibit cell nitrification and apoptosis, and promote cell proliferation, thereby reducing damage to Schwann cells caused by high glucose. 展开更多
关键词 nerve REGENERATION Schwann cells 3-N-BUTYLPHTHALIDE 3-NITROTYROSINE nitration stress uric acid PEROXYNITRITE anions diabetic peripheral neuropathy APOPTOSIS proliferation neural REGENERATION
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Toric IOL矫正角膜散光的疗效和残余散光的矢量分析 被引量:4
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作者 曾庆森 胡东瑞 +3 位作者 金赣英 李琦 徐丹丹 阮罗梦 《国际眼科杂志》 CAS 北大核心 2020年第11期1991-1995,共5页
目的:观察Toric人工晶状体(Toric IOL)植入术矫正角膜散光的临床疗效,并对残余散光和角膜散光进行矢量分析。方法:回顾性病例观察研究。选取2018-09/2019-10于我院行白内障超声乳化摘除联合Toric IOL植入术的白内障患者63例77眼。术后1w... 目的:观察Toric人工晶状体(Toric IOL)植入术矫正角膜散光的临床疗效,并对残余散光和角膜散光进行矢量分析。方法:回顾性病例观察研究。选取2018-09/2019-10于我院行白内障超声乳化摘除联合Toric IOL植入术的白内障患者63例77眼。术后1wk,1、3mo观察裸眼远视力(UCDVA)、最佳矫正远视力(BCDVA)、主觉验光的残余散光,散瞳后采用OPD-scanⅢ测量Toric IOL轴位,计算IOL轴位偏差度(LAD)。结果:术后1wk,1、3mo,本组患者UCDVA(LogMAR)分别为0.22(0.15,0.40)、0.30(0.15,0.40)、0.30(0.15,0.40),均较术前UCDVA[0.82(0.60,1.22)]、BCDVA[0.52(0.30,0.70)]明显改善(P<0.008);残余散光分别为0.75(0.50,1.00)、0.75(0.38,1.00)、0.50(0.25,1.00)D,均较术前角膜散光[2.19(1.73,2.69)D]明显下降(P<0.008)。术后3mo,UCDVA(LogMAR)≤0.301的患者占比69%,残余散光≤0.75D的患者占比73%。术后1wk,1、3mo,本组患者LAD中位数分别为2.0°、2.0°、3.0°,LAD≤5°的患者占比分别为81%、82%、77%,最大LAD值为11°。散光矢量分析显示,本组患者术前角膜散光为2.31±0.80D,质心值为1.44D@177°±1.99D;预测术后残余散光为0.14±0.17D,质心值为0.02D@58°±0.22D;术后3mo残余散光为0.69±0.53D,质心值为0.05D@142°±0.88D。结论:Toric IOL可以有效矫正白内障患者角膜散光且具有良好的旋转稳定性。散光矢量分析可直观显示预测术后散光与实际残余散光的差异,有利于分析优化角膜散光的测量、IOL度数计算、手术设计、术后观察等环节。 展开更多
关键词 TORIC人工晶状体 角膜散光 残余散光 矢量分析
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利用OPD scanⅢ与传统裂隙灯法评估Toric IOL轴位的对比研究 被引量:3
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作者 胡东瑞 曾庆森 +4 位作者 金赣英 李琦 卓优儿 徐丹丹 阮罗梦 《国际眼科杂志》 CAS 北大核心 2020年第9期1514-1518,共5页
目的:分析利用OPD ScanⅢ(光程差分析仪)与传统裂隙灯法评估散光矫正型人工晶状体(Toric IOL)轴位的一致性和准确性。方法:前瞻性观察对照研究。选取2018-07/2019-10在我院行白内障超声乳化摘除联合Toric IOL植入术的患者118例156眼。术... 目的:分析利用OPD ScanⅢ(光程差分析仪)与传统裂隙灯法评估散光矫正型人工晶状体(Toric IOL)轴位的一致性和准确性。方法:前瞻性观察对照研究。选取2018-07/2019-10在我院行白内障超声乳化摘除联合Toric IOL植入术的患者118例156眼。术后1wk,1、3mo随访观察残余散光,并分别在小瞳孔下和散瞳后采用OPD scanⅢ测量Toric IOL轴位(轴位眼内散光法和轴位OPD法),同时采用传统裂隙灯法测量Toric IOL轴位(轴位Slit法),分析三种方法测量结果的差异性和一致性,并计算三种方法测量结果与目标轴位相比的IOL轴位偏差度(LAD)。结果:术后1wk,1、3mo本组患者残余散光度均较术前明显降低(P<0.05),术后3mo残余散光度≤0.75D者占73.7%。术后3mo,轴位Slit法、轴位OPD法、轴位眼内散光法测得Toric IOL轴位分别为111.0°(10,178)°、113.5°(12,180)°、113.0°(15,178)°。一致性分析结果显示,术后3mo,轴位OPD法与轴位Slit法、轴位眼内散光法与轴位Slit法、轴位OPD法与轴位眼内散光法测量结果差值的均值分别是-0.58°、-0.19°、0.40°,均接近于0°,一致性较高,95%LoA分别为(-7.01~5.84)°、(-12.44~12.07)°、(-10.69~11.49)°。术后3mo,轴位Slit法、轴位OPD法、轴位眼内散光法测得LAD≤5°的患者占比分别为82.0%、80.1%、59.0%。结论:OPD scanⅢ可以散瞳直接测量Toric IOL轴位,是一种客观准确的测量方法,可以代替传统裂隙灯法测量轴位,避免主观局限性,也可在小瞳孔下通过眼内散光法测出Toric IOL轴位,结合眼科临床有一定的实际应用价值。 展开更多
关键词 散光矫正型人工晶状体 Toric IOL 轴位测量 OPD scanⅢ 散光 轴位
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Responses of phreatophyte transpiration to falling water table in hyper-arid and arid regions,Northwest China 被引量:2
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作者 Li-he Yin dan-dan xu +2 位作者 Wu-hui Jia Xin-xin Zhang Jun Zhang 《China Geology》 2021年第3期410-420,共11页
Quantitative assessment of the impact of groundwater depletion on phreatophytes in(hyper-)arid regions is key to sustainable groundwater management.However,a parsimonious model for predicting the response of phreatoph... Quantitative assessment of the impact of groundwater depletion on phreatophytes in(hyper-)arid regions is key to sustainable groundwater management.However,a parsimonious model for predicting the response of phreatophytes to a decrease of the water table is lacking.A variable saturated flow model,HYDRUS-1D,was used to numerically assess the influences of depth to the water table(DWT)and mean annual precipitation(MAP)on transpiration of groundwater-dependent vegetation in(hyper-)arid regions of northwest China.An exponential relationship is found for the normalized transpiration(a ratio of transpiration at a certain DWT to transpiration at 1 m depth,T_(a)^(*))with increasing DWT,while a positive linear relationship is identified between T_(a)^(*)and annual precipitation.Sensitivity analysis shows that the model is insensitive to parameters,such as saturated soil hydraulic conductivity and water stress parameters,indicated by an insignificant variation(less than 20%in most cases)under±50%changes of these parameters.Based on these two relationships,a universal model has been developed to predict the response of phreatophyte transpiration to groundwater drawdown for(hyper-)arid regions using MAP only.The estimated T_(a)^(*)from the model is reasonable by comparing with published measured values. 展开更多
关键词 Groundwater depletion Phreatophytes Transpiration Numerical assessment Water table depth(DWT) Mean annual precipitation(MAP) (Hyper-)arid regions Hydrogeological survey engineering Northwest China.
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Stellar dynamical modeling-accuracy of 3D density estimation for edge-on axisymmetric galaxies
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作者 Richard J.Long Sheng-Dong Lu dan-dan xu 《Research in Astronomy and Astrophysics》 SCIE CAS CSCD 2021年第6期403-423,共21页
From Rybicki’s analysis using the Fourier slice theorem,mathematically it is possible to reproduce uniquely an edge-on axisymmetric galaxy’s 3D light distribution from its 2D surface brightness.Utilizing galaxies fr... From Rybicki’s analysis using the Fourier slice theorem,mathematically it is possible to reproduce uniquely an edge-on axisymmetric galaxy’s 3D light distribution from its 2D surface brightness.Utilizing galaxies from a cosmological simulation,we examine the ability of Syer and Tremaine’s madeto-measure method and Schwarzschild’s method for stellar dynamical modeling to do so for edge-on oblate axisymmetric galaxies.Overall,we find that the methods do not accurately recover the 3D distributions,with the made-to-measure method producing more accurate estimates than Schwarzschild’s method.Our results have implications broader than just luminosity density,and affect other luminosity-weighted distributions within galaxies,for example,age and metallicity. 展开更多
关键词 galaxies:kinematics and dynamics galaxies:structure methods:numerical
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