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丙泊酚复合七氟醚麻醉对肝炎肝硬化患者术后苏醒质量的影响 被引量:13
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作者 李德强 尹立军 +1 位作者 陈学军 杜洪印 《中国现代医学杂志》 CAS 2018年第20期84-88,共5页
目的分析肝炎肝硬化患者应用丙泊酚联合七氟醚静-吸复合麻醉对术后苏醒质量的影响。方法选取2015~2017年于天津医科大学宝坻临床学院行手术治疗的肝炎肝硬化患者72例,依据随机原则分为观察组和对照组。观察组予以七氟醚复合丙泊酚静-吸... 目的分析肝炎肝硬化患者应用丙泊酚联合七氟醚静-吸复合麻醉对术后苏醒质量的影响。方法选取2015~2017年于天津医科大学宝坻临床学院行手术治疗的肝炎肝硬化患者72例,依据随机原则分为观察组和对照组。观察组予以七氟醚复合丙泊酚静-吸复合麻醉,对照组予以丙泊酚全程静脉麻醉。于拔管后即刻(T0)、拔管后10(T1)、30(T2)和60 min(T3)分别比较两组改良OAA/S评分与改良Aldrete评分。分别比较两组术后苏醒时间、自主呼吸恢复时间、拔管时间、脑电双频指数(BIS)及躁动发生率。比较两组术后呛咳反应及恶心呕吐等相关并发症发生率的差异。结果不同时间点的改良OAA/S评分与改良Aldrete评分比较有差异(P<0.05);两组的改良OAA/S评分及改良Aldrete评分比较有差异(P<0.05);两组的改良OAA/S评分及改良Aldrete评分变化趋势比较有差异(P<0.05)。对照组苏醒时间、自主呼吸恢复时间、拔管时间、苏醒状态BIS指数及躁动发生率大于观察组(P<0.05)。两组术后麻醉相关并发症发生率比较无差异(P>0.05)。结论丙泊酚联合七氟醚静-吸复合麻醉用于肝炎肝硬化患者手术麻醉,可以提高术后的苏醒质量,苏醒较迅速,且安全性较好。 展开更多
关键词 丙泊酚 七氟醚 静-吸复合麻醉 肝炎肝硬化 苏醒质量
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Overproduction of OsRACK1A,an effector-targeted scaffold protein promoting OsRBOHB-mediated ROS production,confers rice floral resistance to false smut disease without yield penalty 被引量:6
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作者 Guo-Bang li Jia-Xue He +29 位作者 Jin-Long Wu He Wang Xin Zhang Jie liu Xiao-Hong Hu Yong Zhu Shuai Shen Yi-Fei Bai Zong-lin Yao Xin-Xian liu Jing-Hao Zhao de-qiang li Yan li Fu Huang Yan-Yan Huang Zhi-Xue Zhao Ji-Wei Zhang Shi-Xin Zhou Yun-Peng Ji Mei Pu Peng Qin Shigui li Xuewei Chen Jing Wang Min He Weitao li Xian-Jun Wu Zheng-Jun Xu Wen-Ming Wang Jing Fan 《Molecular Plant》 SCIE CAS CSCD 2022年第11期1790-1806,共17页
Grain formation is fundamental for crop yield but is vulnerable to abiotic and biotic stresses.Rice grain production is threatened by the false smut fungus Ustilaginoidea virens,which specifically infects rice floral ... Grain formation is fundamental for crop yield but is vulnerable to abiotic and biotic stresses.Rice grain production is threatened by the false smut fungus Ustilaginoidea virens,which specifically infects rice floral organs,disrupting fertilization and seed formation.However,little is known about the molecular mechanisms of the U.virens-rice interaction and the genetic basis of floral resistance.Here,we report that U.virens secretes a cytoplasmic effector,UvCBP1,to facilitate infection of rice flowers.Mechanistically,UvCBP1 interacts with the rice scaffold protein OsRACK1A and competes its interaction with the reduced nicotinamide adenine dinucleotide phosphate oxidase OsRBOHB,leading to inhibition of reactive oxygen species(ROS)production.Although the analysis of natural variation revealed no OsRACK1A variants that could avoid being targeted by UvCBP1,expression levels of OsRACK1A are correlated with field resistance against U.virens in rice germplasm.Overproduction of OsRACK1A restores the OsRACK1A-OsRBOHB association and promotes OsRBOHB phosphorylation to enhance ROS production,conferring rice floral resistance to U.virens without yield penalty.Taken together,our findings reveal a new pathogenic mechanism mediated by an essential effector from a flower-specific pathogen and provide a valuable genetic resource for balancing disease resistance and crop yield. 展开更多
关键词 rice flower false smut fungal effector scaffold protein reactive oxygen species disease resistance
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