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直接前入路与后外侧入路初次全髋关节置换术患者的临床疗效比较 被引量:7
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作者 白文艺 吴晗 +4 位作者 吴一博 于浩然 吕浩 姚运峰 程文丹 《中国现代医学杂志》 CAS 北大核心 2021年第20期18-23,共6页
目的研究经直接前入路和后外侧入路初次全髋关节置换术(THA)患者的临床疗效。方法选取2016年1月—2019年7月于安徽医科大学第二附属医院骨科行初次单侧全髋关节置换术285例患者的临床资料。其中采用直接前入路(DAA)患者100例作为DAA组,... 目的研究经直接前入路和后外侧入路初次全髋关节置换术(THA)患者的临床疗效。方法选取2016年1月—2019年7月于安徽医科大学第二附属医院骨科行初次单侧全髋关节置换术285例患者的临床资料。其中采用直接前入路(DAA)患者100例作为DAA组,后外侧入路(PLA)患者185例作为PLA组。观察并分析两组患者失血量、手术时间等围手术期指标,VAS评分、Harris评分及髋关节活动(屈曲、后伸、内收、外展、内旋、外旋)等功能评价指标。结果DAA组失血总量、隐性失血量、隐性失血量占比小于PLA组(P<0.05),手术时间、直腿抬高时间短于PLA组(P<0.05)。两组患者不同时间点的Harris评分、VAS评分、ROM指标比较,经重复测量设计的方差分析,结果:(1)不同时间点Harris评分、VAS评分、ROM指标有差异(P<0.05);(2)两组患者Harris评分、VAS评分有差异(P<0.05),ROM指标无差异(P>0.05);(3)两组患者Harris评分、VAS评分变化趋势有差异(P<0.05),ROM指标变化趋势比较无差异(P>0.05)。结论采用DAA行初次单侧THA可有效降低围手术期的失血量、缩短手术时间、减少术后疼痛,有利于早期功能恢复。 展开更多
关键词 全髋关节置换术 失血 手术 治疗结果
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Evolution and roles of cytokinin genes in angiosperms 2:Do ancient CKXs play housekeeping roles while non-ancient CKXs play regulatory roles? 被引量:1
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作者 Xiaojing Wang Jing Ding +7 位作者 Shanshan Lin Decai Liu Tingting Gu hanwu Robert N.Trigiano Richard McAvoy Jinling Huang Yi Li 《Horticulture Research》 SCIE 2020年第1期2486-2500,共15页
Cytokinin oxidase/dehydrogenase(CKX)is a key enzyme responsible for the degradation of endogenous cytokinins.However,the origins and roles of CKX genes in angiosperm evolution remain unclear.Based on comprehensive bio... Cytokinin oxidase/dehydrogenase(CKX)is a key enzyme responsible for the degradation of endogenous cytokinins.However,the origins and roles of CKX genes in angiosperm evolution remain unclear.Based on comprehensive bioinformatic and transgenic plant analyses,we demonstrate that the CKXs of land plants most likely originated from an ancient chlamydial endosymbiont during primary endosymbiosis.We refer to the CKXs retaining evolutionarily ancient characteristics as“ancient CKXs”and those that have expanded and functionally diverged in angiosperms as“non-ancient CKXs”.We show that the expression of some non-ancient CKXs is rapidly inducible within 15 min upon the dehydration of Arabidopsis,while the ancient CKX(AtCKX7)is not drought responsive.Tobacco plants overexpressing a non-ancient CKX display improved oxidative and drought tolerance and root growth.Previous mutant studies have shown that non-ancient CKXs regulate organ development,particularly that of flowers.Furthermore,ancient CKXs preferentially degrade cis-zeatin(cZ)-type cytokinins,while non-ancient CKXs preferentially target N6-(Δ2-isopentenyl)adenines(iPs)and trans-zeatins(tZs).Based on the results of this work,an accompanying study(Wang et al.https://doi.org/10.1038/s41438-019-0211-x)and previous studies,we hypothesize that non-ancient CKXs and their preferred substrates of iP/tZ-type cytokinins regulate angiosperm organ development and environmental stress responses,while ancient CKXs and their preferred substrates of cZs play a housekeeping role,which echoes the conclusions and hypothesis described in the accompanying report(Wang,X.et al.Evolution and roles of cytokinin genes in angiosperms 1:Doancient IPTs play housekeeping while non-ancient IPTs play regulatory roles?Hortic Res 7,(2020).https://doi.org/10.1038/s41438-019-0211-x). 展开更多
关键词 EVOLUTION drought ancient
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