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红细胞体积分布宽度和N端脑利钠肽前体水平在评估先天性心脏病相关肺动脉高压患儿病情及预后的作用 被引量:2
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作者 金伶 龙兴江 +1 位作者 杨彤 黄献文 《中国医药指南》 2019年第14期1-2,共2页
目的探讨红细胞体积分布宽度(RDW)、血浆N端脑利钠肽前体(NT-proBNP)水平与先天性心脏病相关肺动脉高压(PAH-CHD)患儿病情严重程度及预后的关系。方法应用队列分析81例PAH-CHD患儿,包括有或无心力衰竭(HF)者的RDW、NT-proBNP水平及预后... 目的探讨红细胞体积分布宽度(RDW)、血浆N端脑利钠肽前体(NT-proBNP)水平与先天性心脏病相关肺动脉高压(PAH-CHD)患儿病情严重程度及预后的关系。方法应用队列分析81例PAH-CHD患儿,包括有或无心力衰竭(HF)者的RDW、NT-proBNP水平及预后。结果PAH+HF组患儿RDW及NT-proBNP明显高于PAH组,差异均有统计学意义(P<0.05),按无HF及有HF者的HF严重程度做出卡方趋势检验提示均有显著统计学意义(P<0.01)。存活组RDW、NT-proBNP明显低于死亡组,差异均有统计学意义(P<0.05)。RDW升高,死亡风险则升高(OR=4.909);NT-proBNP升高,死亡风险也升高(OR=8.571)。结论RDW、NT-proBNP升高在PAH-CHD特别是合并HF患儿中发生率高,RDW、NT-proBNP升高水平与患儿病情严重程度及预后密切相关。 展开更多
关键词 红细胞体积分布宽度 血浆N末端B型钠尿肽 肺动脉高压 心力衰竭 儿童
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哮喘患儿PBMCs中miR-206、NF-κB及血清IL-6水平及与病情的关系 被引量:1
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作者 招军 龙兴江 +2 位作者 袁大华 罗国飞 陈欣 《武警后勤学院学报(医学版)》 CAS 2021年第6期70-72,共3页
儿童哮喘的发生发展能够显著促进患儿临床结局的恶化,增加了患儿后期COPD的发生风险[1,2]。合并有先天性免疫系统疾病的儿童中哮喘的发病率可进一步的上升[3,5]。临床上缺乏对于儿童哮喘患者临床结局预测的相关指标,而通过对于相关预测... 儿童哮喘的发生发展能够显著促进患儿临床结局的恶化,增加了患儿后期COPD的发生风险[1,2]。合并有先天性免疫系统疾病的儿童中哮喘的发病率可进一步的上升[3,5]。临床上缺乏对于儿童哮喘患者临床结局预测的相关指标,而通过对于相关预测性指标的研究,能够为疾病的诊断和治疗判断提供参考。炎症性指标的改变在儿童哮喘的病情演变过程中发挥重要作用。miR-206作为微小RNA家族成员,其能够拮抗炎症反应的激活,进而改善呼吸道炎症状态[6];核因子κB(NF-κB)是炎症性效应因子,其对于下游肿瘤坏死因子a的激活作用,能够提高炎症性因子的播散速度[7];白细胞介素-6(IL-6)能够直接参与呼吸道粘膜及平滑肌细胞的损伤过程,加剧呼吸道平滑肌细胞的痉挛,加剧哮喘病情的进展[8,9]。为了揭示miR-206、NF-B及IL-6的表达与儿童哮喘患者的病情关系,为临床上哮喘患者的病情预后判断提供参考,本次研究选取2017年1月至2019年4月在我院治疗的哮喘患儿109例,探讨了miR-206、NF-B及IL-6的表达情况。 展开更多
关键词 哮喘 单个核细胞 miR-206 核因子ΚB 白细胞介素-6 病情严重程度 儿童
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柳州地区血友病患者临床表现及生活现状分析 被引量:1
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作者 王健琨 谢春红 +7 位作者 韦敏 龙兴江 李天寿 王晓源 温怿涛 姚建光 杨建青 黄锦雄 《血栓与止血学》 2021年第2期189-192,共4页
目的调查分析柳州地区登记在册的41例血友病患者的临床表现特点及生活状况,为制定本地区公共卫生政策提供依据。方法查阅登记信息、发放调查问卷、电话访问,对收集到的资料进行分析。结果41例血友病患者全部为男性,成年患者占56.1%(23/4... 目的调查分析柳州地区登记在册的41例血友病患者的临床表现特点及生活状况,为制定本地区公共卫生政策提供依据。方法查阅登记信息、发放调查问卷、电话访问,对收集到的资料进行分析。结果41例血友病患者全部为男性,成年患者占56.1%(23/41),未成年患者占43.9%(18/41)。汉族占48.8%(20/41),壮族占24.4%(10/41),其他少数民族占26.8%(11/41)。血友病A(HA)占82.9%(34/41),其中轻型11.8%(4/34),中间型23.5%(8/34),重型64.7%(22/34);血友病B(HB)占17.1%(7/41),其中中型42.3%(3/7),重型57.7%(4/7)。成年组和未成年组的中位确诊年龄及诊断延迟时间分别为8岁(0.25~50)VS 0.71岁(0.42~7),7年(0~49)VS 0.08年(0~6)(P<0.05)。成年患者均接受按需治疗,未成年患者33.3%(6/18)接受小剂量预防治疗。25例患者出现关节畸形,其中成年患者21例,未成年患者4例,成年关节畸形患者中42.9%(9/21)为低保户。40%(22/55)的一级和二级医疗机构医务人员知晓血友病,从未接受过血友病相关知识专业培训。结论柳州地区血友病患者存在诊断延迟、儿童患者预防治疗不足、残疾血友病患者生活状况差、基层医疗机构防治能力弱的特点,急需建立本地区血友病分级诊疗体系,重点加强和规范血友病儿童预防治疗,从而降低患者致残率,改善生活质量。 展开更多
关键词 血友病 临床特征 生活质量 柳州地区
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Interactions of the apolipoprotein C-Ⅲ 3238C>G polymorphism and alcohol consumption on serum triglyceride levels
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作者 YIN Rui-xing LI Yi-yang +7 位作者 LI Meng LI Ke-la long xing-jiang ZHANG Lin LIU Wan-ying WU Jin-zhen YANG De-zhai LIN Wei-xiong 《岭南心血管病杂志》 2011年第S1期50-51,共2页
Objectives Both apolipoprotein(Apo)C-Ⅲgene polymorphism and alcohol consumption have been associated with increased serum triglyceride(TG) levels,but their interactions on serum TG levels are not well known.The prese... Objectives Both apolipoprotein(Apo)C-Ⅲgene polymorphism and alcohol consumption have been associated with increased serum triglyceride(TG) levels,but their interactions on serum TG levels are not well known.The present study was undertaken to detect the interactions of the ApoC-Ⅲ3238C】G(rs5128) polymorphism and alcohol consumption on serum TG levels.Methods A total of 516 unrelated nondrinkers and 514 drinkers aged 15-89 were randomly selected from our previous stratified randomized cluster samples. Genotyping of the ApoC-Ⅲ3238C】G was performed by polymerase chain reaction and restriction fragment length polymorphism combined with gel electrophoresis,and then confirmed by direct sequencing.Interactions of the ApoC-Ⅲ3238C】G genotype and alcohol consumption was assessed by using a cross-product term between genotypes and the afore-mentioned factor.Results Serum total cholesterol(TC), TG,high-density lipoprotein cholesterol(HDL-C),ApoA-I and ApoB levels were higher in drinkers than in nondrinkers (P【0.05-0.001).There was no significant difference in the genotypic and allelic frequencies between the two groups. Serum TG levels in nondrinkers were higher in CG genotype than in CC genotype(P【0,01).Serum TC,TG,low-density lipoprotein cholesterol(LDL-C) and ApoB levels in drinkers were higher in GG genotype than in CC or CG genotype(P【0.01 for all).Serum HDL-C levels in drinkers were higher in CG genotype than in CC genotype(P【0.01).Serum TC, TG,HDL-C and ApoA-I levels in CC genotype,TC,HDL-C, ApoA-I levels and the ratio of ApoA-I to ApoB in CG genotype, and TC,TG,LDL-C,ApoA-I and ApoB levels in GG genotype were higher in drinkers than in nondrinkers(P【0.05-0.01).But the ratio of ApoA-I to ApoB in GG genotype was lower in drinkers than in nondrinkers(P【0.01). Multivariate logistic regression analysis showed that the levels of TC,TG and ApoB were correlated with genotype in non drinkers(P【0.05 for all).The levels of TC,LDL-C and ApoB were associated with genotype in drinkers(P【0.01 for all). Serum lipid parameters were also correlated with age,sex,alcohol consumption,cigarette smoking,blood pressure,body weight,and body mass index in both groups.Conclusions This study suggests that the ApoC-Ⅲ3238CG heterozygotes benefited more from alcohol consumption than CC and GG homozygotes in increasing serum levels of HDL-C,ApoA-I, and the ratio of ApoA-I to ApoB,and lowering serum levels of TC and TG. 展开更多
关键词 APOB APOA G polymorphism and alcohol consumption on serum triglyceride levels Interactions of the apolipoprotein C than
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