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分次小容量聚乙二醇电解质溶液对于上午接受无痛结肠镜检查患者肠道清洁效果及耐受性的影响 被引量:8
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作者 张燕燕 倪志 +3 位作者 张清勇 张雪菲 陈金湖 张荣春 《中国内镜杂志》 2023年第1期55-61,共7页
目的 对比不同容量的分剂量聚乙二醇电解质(PEG)溶液用于上午接受无痛结肠镜检查者的肠道清洁效果和耐受性。方法 选取2019年7月-2020年12月厦门弘爱医院上午接受无痛肠镜检查的患者520例,肠道清洁剂为PEG溶液,随机将患者分为3.0 L组(1.... 目的 对比不同容量的分剂量聚乙二醇电解质(PEG)溶液用于上午接受无痛结肠镜检查者的肠道清洁效果和耐受性。方法 选取2019年7月-2020年12月厦门弘爱医院上午接受无痛肠镜检查的患者520例,肠道清洁剂为PEG溶液,随机将患者分为3.0 L组(1.0 L+2.0 L)和2.0 L组(0.5 L+1.5 L)。主要观察终点为肠道准备充分程度,采用波士顿肠道准备评分(BBPS),评分≥6分且每一个肠段的评分≥2分为高质量的肠道准备。次要终点包括患者的依从性、不良反应以及腺瘤检出率。结果 最终纳入519例患者,3.0 L组259例,2.0 L组260例。两组患者在高质量肠道准备比率和总体BBPS之间无差异(P> 0.05)。2.0 L组更倾向于可以积极完成或愿意再次接受该方案进行肠道准备(P <0.05)。在不良反应方面,2.0 L组腹胀更少(P=0.000),睡眠缺失更少(P=0.000)。两组患者腺瘤检出率比较,差异无统计学意义(P> 0.05)。末次服用肠道清洁剂的时间至结肠镜检查开始之间的等候时间与肠道黏膜的清洁度呈负相关(P <0.05)。结论将分剂量2.0 L容量的PEG溶液用于上午时段接受无痛结肠镜检查的患者,肠道准备效果满意,与分剂量3.0 L方案效果相似,但2.0 L方案可减轻肠道准备带来的腹部不适,耐受性更好,对患者睡眠影响少。 展开更多
关键词 聚乙二醇电解质 无痛结肠镜检查 肠道准备 波士顿肠道准备评分 腺瘤检出率
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Mitofusin-2 ameliorates high-fat diet-induced insulin resistance in liver of rats 被引量:14
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作者 Ke-Xin Gan Chao Wang +2 位作者 jin-hu chen Chun-Jing Zhu Guang-Yao Song 《World Journal of Gastroenterology》 SCIE CAS 2013年第10期1572-1581,共10页
AIM:To investigate the effects of mitofusin-2(MFN2) on insulin sensitivity and its potential targets in the liver of rats fed with a high-fat diet(HFD).METHODS:Rats were fed with a control or HFD for 4 or 8 wk,and wer... AIM:To investigate the effects of mitofusin-2(MFN2) on insulin sensitivity and its potential targets in the liver of rats fed with a high-fat diet(HFD).METHODS:Rats were fed with a control or HFD for 4 or 8 wk,and were then infected with a control or an MFN2 expressing adenovirus once a week for 3wk starting from the 9th wk.Blood glucose(BG),plasma insulin and insulin sensitivity of rats were determined at end of the 4th and 8th wk,and after treatment with different amounts of MFN2 expressing adenovirus(108,109 or 1010 vp/kg body weight).BG levels were measured by Accu-chek Active Meter.Plasma insulin levels were analyzed by using a Rat insulin enzymelinked immunosorbent assay kit.Insulin resistance was evaluated by measuring the glucose infusion rate(GIR) using a hyperinsulinemic euglycemic clamp technique.The expression or phosphorylation levels of MFN2 and essential molecules in the insulin signaling pathway,such as insulin receptor(INSR),insulin receptor substrate 2(IRS2),phosphoinositide-3-kinase(PI3K),protein kinase beta(AKT2) and glucose transporter type 2(GLUT2) was assayed by quantitative real-time polymerase chain reaction and Western-blotting.RESULTS:After the end of 8wk,the body weight of rats receiving the normal control diet(ND) and the HFD was not significantly different(P>0.05).Compared with the ND group,GIR in the HFD group was significantly decreased(P<0.01),while the levels of BG,triglycerides(TG),total cholesterol(TC) and insulin in the HFD group were significantly higher than those in the ND group(P<0.05).Expression of MFN2 mRNA and protein in liver of rats was significantly downregulated in the HFD group(P<0.01) after 8 wk of HFD feeding.The expression of INSR,IRS2 and GLUT2 were down-regulated markedly(P<0.01).Although there were no changes in PI3K-P85 and AKT2 expression,their phosphorylation levels were decreased significantly(P<0.01).After intervention with MFN2 expressing adenovirus for 3wk,the expression of MFN2 mRNA and protein levels were up-regulated(P<0.01).There was no difference in body weight of rats between the groups.The levels of BG,TG,TC and insulin in rats were lower than those in the Ad group(P<0.05),but GIR in rats infected with Ad-MFN2 was significantly increased(P<0.01),compared with the Ad group.The expression of INSR,IRS2 and GLUT2 was increased,while phosphorylation levels of PI3K-P85 and AKT2 were increased(P<0.01),compared with the Ad group.CONCLUSION:HFDs induce insulin resistance,and this can be reversed by MFN2 over-expression targeting the insulin signaling pathway. 展开更多
关键词 Mitofusin-2 HIGH-FAT diet INSULIN resistance INSULIN pathway LIVER
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