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内镜下冷圈套器和热圈套器切除结直肠小息肉疗效和安全性研究的Meta分析 被引量:24
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作者 刘婧 卢静怡 +1 位作者 杨兰芳 姚萍 《中国内镜杂志》 2020年第11期1-7,共7页
目的评价采用冷圈套器或热圈套器切除结直肠小息肉(直径≤10 mm)的有效性和安全性,并进行Meta分析。方法计算机检索2010年-2020年中国知网、维普和PubMed等数据库发表的关于比较冷圈套器和热圈套器切除结直肠小息肉疗效的临床研究,根据... 目的评价采用冷圈套器或热圈套器切除结直肠小息肉(直径≤10 mm)的有效性和安全性,并进行Meta分析。方法计算机检索2010年-2020年中国知网、维普和PubMed等数据库发表的关于比较冷圈套器和热圈套器切除结直肠小息肉疗效的临床研究,根据纳入和排除标准筛选文献。采用RevMan 5.3软件对符合纳入标准的文献进行Meta分析。观察指标包括:完整息肉切除率、息肉回收率、术后并发症和手术时间。结果共纳入研究11篇,包括6196例息肉。冷圈套器和热圈套器切除的完整息肉切除率比较,差异无统计学意义(91.96%vs 91.38%,P>0.05,O^R=0.79,95%CI:0.49~1.26);息肉回收率比较,差异无统计学意义(97.63%vs 98.21%,P>0.05,O^R=0.91,95%CI:0.61~1.36);术后并发症包括术后腹部不适、迟发性出血和穿孔,冷圈套器切除术(CSP)术后腹部不适发生率明显高于热圈套器切除术(HSP)(2.61%vs 0.34%,P<0.05,O^R=9.75,95%CI:1.16~82.11),HSP的穿孔率高于CSP(0.17%vs 0.00%),但两者比较,差异无统计学意义(P>0.05,O^R=0.21,95%CI:0.01~4.49);HSP的迟发性出血率高于CSP(0.87%vs 0.08%,P<0.05,O^R=0.23,95%CI:0.07~0.80);手术时间包括总操作时间和仅息肉切除时间,CSP的总操作时间(P<0.05,MD=-7.44,95%CI:-9.29^-5.60)和仅息肉切除时间(P<0.05,MD=-0.33,95%CI:-0.39~0.26)均短于HSP。结论冷圈套器和热圈套器的息肉完整切除率和回收率比较,差异均无统计学意义;两种术式的穿孔率比较,差异亦无统计学意义;CSP术后腹部不适的发生率较HSP高,但迟发性出血率较低,且手术时间较短。建议切除≤10 mm的小息肉,优先选择CSP。 展开更多
关键词 结直肠小息肉 冷切 热切 META分析
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Precise Microdeletion Detection of Prader-Willi Syndrome with Array Comparative Genome Hybridization 被引量:5
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作者 XIN-Yu SHAO RONG ZHANG +7 位作者 CHENG HU CONG-RONG WANG jing-yi lu WEN QIN HAO-YONG YU YU-QIAN BAO XING-BO CHENG WEI-PING JIA 《Biomedical and Environmental Sciences》 SCIE CAS CSCD 2010年第3期194-198,共5页
Objective Prader-Willi Sydrome (PWS) is a human disorder related to genomic imprinting defect on 15ql 1-13. It is characterized by a series of classic features such as hypotonia, hyperphagia, obesity, osteoporosis, ... Objective Prader-Willi Sydrome (PWS) is a human disorder related to genomic imprinting defect on 15ql 1-13. It is characterized by a series of classic features such as hypotonia, hyperphagia, obesity, osteoporosis, typical facial and body dysmorphosis, hypogonadism, mental and behaviour disorders. Our study was designed to precisely detect the microdeletions, which accounts for 65%-70% of the PWS. Methods Physical and laboratory examinations were firstly performed to diagnose PWS clinically, and to discover novel clinical features. Then the patient was screened with bisulfite-specific sequencing and precisely delineated through high-density array CGH. Results With the bisulfite-specific sequencing, the detected CpG island in the PWS critical region was found homozygously hypermethylated. Then with array CGH, a 2.22 Mb type II microdeletion was detected, covering a region from MKRN3, MAGEL2, NDN, PWRN2, PWRN1, Cl2orf2, SNURF-SNRPN, C/D snoRNAs, to distal of UBE3A. Conclusions Array CGH, after the fast screening of Bisulfite-specific sequencing, is a feasible and precise method to detect microdeletions in PWS patients. A novel feature of metacarpophalangeal joint rigidity was also presented, which is the first time reported in PWS. 展开更多
关键词 Prader-Willi Syndrome array CGH Bisulfite-specific Sequencing DNA Methylation Metacarpophalangeal Joint Rigidity
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Research progress on pharmacological action and effective drug carrier of berberine
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作者 Yue Liu Bai-Jie Ren +3 位作者 Xin-Ying Zou jing-yi lu Lei Wang Dong-Hui Gao 《Journal of Hainan Medical University》 2020年第17期61-65,共5页
Berberine(BBR)is an isoquinoline alkaloid that can be extracted from the traditional Chinese medicine Huang Lian.It has anti-inflammatory,anti-cancer,protection of nerves,hypoglycemic,blood lipid,anti-oxidation,antiba... Berberine(BBR)is an isoquinoline alkaloid that can be extracted from the traditional Chinese medicine Huang Lian.It has anti-inflammatory,anti-cancer,protection of nerves,hypoglycemic,blood lipid,anti-oxidation,antibacterial and other effects.It can be used clinically to treat chronic colitis,bacterial vaginitis,rheumatoid arthritis,breast cancer,liver cancer,Alzheimer's disease,diabetes,obesity and other common diseases.This paper reviews the pharmacological effects of berberine and the research progress of effective drug carriers in order to provide new ideas for the clinical application of berberine. 展开更多
关键词 BERBERINE Pharmacological effects Drug carrier
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