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腹直肌鞘联合腹横筋膜平面神经阻滞对脾切除患者术后恢复的影响 被引量:5
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作者 朱敬丽 王雪婷 +3 位作者 龚婧 孙海彬 赵小晴 高伟 《中国现代医学杂志》 CAS 2019年第22期72-77,共6页
目的研究超声引导下腹直肌鞘联合腹横筋膜平面神经阻滞对脾切除患者术后疼痛缓解和恢复的影响。方法选取2018年3月—2018年7月于哈尔滨医科大学附属第二医院择期开腹脾切除术患者150例。患者随机分为对照组、左旋布比卡因组及左旋布比... 目的研究超声引导下腹直肌鞘联合腹横筋膜平面神经阻滞对脾切除患者术后疼痛缓解和恢复的影响。方法选取2018年3月—2018年7月于哈尔滨医科大学附属第二医院择期开腹脾切除术患者150例。患者随机分为对照组、左旋布比卡因组及左旋布比卡因联合吗啡组。所有患者进行超声引导下腹直肌鞘联合腹横筋膜平面神经阻滞,对照组注射生理盐水,左旋布比卡因组注射左旋布比卡因,左旋布比卡因联合吗啡组注射左旋布比卡因联合吗啡。记录术中阿片类药物的用量、手术持续时间、麻醉苏醒时间、术后疼痛评分、术后首次使用镇痛药的时间、吗啡的用量,以及术后首次排气、排便、进食及离床的时间,对患者术后恶心呕吐发生率和患者满意度进行调查。结果左旋布比卡因组和左旋布比卡因联合吗啡组瑞芬太尼使用量、术后苏醒时间较对照组少(P<0.05);左旋布比卡因联合吗啡组静息和咳嗽状态下VAS评分低于对照组(P<0.05),术后4~72 h,左旋布比卡因联合吗啡组静息VAS低于左旋布比卡因组(P<0.05),左旋布比卡因联合吗啡组咳嗽VAS低于左旋布比卡因组(P<0.05);对照组首次使用镇痛药的时间较左旋布比卡因组和左旋布比卡因联合吗啡组短(P<0.05);左旋布比卡因联合吗啡组吗啡总消耗量较对照组少(P<0.05),对照组较左旋布比卡因组少(P<0.05);左旋布比卡因组和左旋布比卡因联合吗啡组术后首次排气、排便和离床时间较对照组短(P<0.05);左旋布比卡因联合吗啡组首次进食时间、止吐药用量较对照组少(P<0.05);左旋布比卡因联合吗啡组满意度评分较左旋布比卡因组和对照组高(P<0.05)。结论使用左旋布比卡因联合吗啡进行腹直肌鞘联合腹横筋膜平面神经阻滞可以缓解术后疼痛,减少术后镇痛药的使用,并促进患者康复。 展开更多
关键词 脾切除术 腹直肌鞘神经阻滞 腹横筋膜平面神经阻滞
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Yangzheng Sanjie decoction regulates proliferation and apoptosis of gastric cancer cells by enhancing let-7a expression 被引量:7
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作者 Hai-Xia Deng Ya-Ya Yu +5 位作者 Ao-Qiang Zhou jing-li zhu Li-Na Luo Wan-Qun Chen Ling Hu Geng-Xin Chen 《World Journal of Gastroenterology》 SCIE CAS 2017年第30期5538-5548,共11页
AIM To explore the let-7a-mediated anti-cancer effect of Yangzheng Sanjie decoction(YZSJD) in gastric cancer(GC) cells.METHODS YZSJD-containing serum(YCS) was prepared using traditional Chinese medicine serum pharmaco... AIM To explore the let-7a-mediated anti-cancer effect of Yangzheng Sanjie decoction(YZSJD) in gastric cancer(GC) cells.METHODS YZSJD-containing serum(YCS) was prepared using traditional Chinese medicine serum pharmacology methods. After YCS treatment, cell proliferation and apoptosis were assessed by cell counting kit-8 assay and flow cytometry, respectively, and mi RNA expression profiles were determined using q PCR arrays. Let-7a expression was examined by in situ hybridization in GC tissues and by q PCR in GC cells. c-Myc protein expression was detected by immunohistochemistry in GC tissues, and by Western blot in cell lines.RESULTS YZSJD significantly inhibited proliferation and induced apoptosis in AGS and HS-746 T GC cells. After treatment with YCS, the mi RNA expression profiles were altered and the reduced let-7a levels in both cell lines were up-regulated, accompanied by a decrease in c-Myc expression. Moreover, decreased let-7a expression and increased c-Myc expression were observed during the progression of gastric mucosa cancerization.CONCLUSION YZSJD inhibits proliferation and induces apoptosis of GC cells by restoring the aberrant expression of let-7a and c-Myc. 展开更多
关键词 胃的癌症 Let-7a C-MYC 增长 APOPTOSIS Yangzheng Sanjie
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Effect of Xuebijing injection on myocardium during cardiopulmonary bypass:A prospective,randomized,double blind trial 被引量:5
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作者 Zhe-Hao Jin Xiao-Qing Zhao +2 位作者 Hai-Bin Sun jing-li zhu Wei Gao 《World Journal of Clinical Cases》 SCIE 2022年第13期4110-4118,共9页
BACKGROUND Cardiopulmonary bypass(CPB)is an essential procedure for maintaining the blood supply to vital organs in patients undergoing cardiac surgery.However,perioperative cardiac injury related to CPB remains a sev... BACKGROUND Cardiopulmonary bypass(CPB)is an essential procedure for maintaining the blood supply to vital organs in patients undergoing cardiac surgery.However,perioperative cardiac injury related to CPB remains a severe complication in these patients.Cardiac protection is important for patients undergoing CPB.AIM To evaluate the potential cardioprotective efficacy of the Chinese medicine preparation Xuebijing injection(XBJ)in patients undergoing CPB.METHODS Sixty patients undergoing cardiac surgery with CPB were randomly allocated to the XBJ and control groups(saline).XBJ was administered intravenously three times:12 h prior to surgery,at the beginning of the surgery,and 12 h after the second injection.Cardiac function was evaluated by echocardiography 48 h after surgery.Circulating inflammation-and oxidative-stress-related markers were measured.Clinical outcomes related to intensive care unit(ICU)stay were recorded.RESULTS Compared to control treatment,XBJ was associated with improved PaO2/FiO2 and cardiac systolic function,but reduced troponin I and creatine kinase fraction after surgery(all P<0.05).The circulating concentrations of tumor necrosis factor-α,interleukin(IL)-1βand IL-8 in the XBJ group were significantly lower than those in the control group(all P<0.05),whereas the circulating concentration of IL-10 was significantly higher in the XBJ group(P<0.05).In addition,the lengths of ICU stay and hospitalization after surgery tended to be shorter in the XBJ group than in the control group,although the differences were not significant.CONCLUSION Perioperative administration of XBJ was associated with attenuated cardiac injury during CPB,likely via anti-inflammatory and antioxidative mechanisms. 展开更多
关键词 Xuebijing injection Cardiopulmonary bypass Cardiac injury CARDIOPROTECTION Circulating inflammation Oxidative stress
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