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Effect of different interventions on orthodontic tooth movement acceleration:A network meta-analysis
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作者 CHEN Hui-ying ZHANG Li +2 位作者 ZHAN Le WAN Ni mo li-wen 《Journal of Hainan Medical University》 CAS 2024年第2期41-50,共10页
Objective: To explore the effectiveness of various interventions in accelerating tooth movement, a systematic review and net-work meta analysis were used to draw a conclusion. Methods: MEDLINE, EMBASE, Willey Library,... Objective: To explore the effectiveness of various interventions in accelerating tooth movement, a systematic review and net-work meta analysis were used to draw a conclusion. Methods: MEDLINE, EMBASE, Willey Library, EBSCO, Web of Science Databases, and Cochrane Central Register of Controlled Trials databases to identify relevant studies. ADDIS 1.16.6 and Stata 16.0 software were used for NMA. Results: Five thousand five hundred and forty-two articles were searched out. After screening by two independent investigators, forty-seven randomized controlled trials, 1 390 participants, were included in this network meta-analysis. A total of 11 interventions involving Piezocision (Piezo), Photobiomodulation therapy (PBMT), Plate- let-rich plasma(PRP), Electromagnetic field(EF), Low intensity laser therapy(LLLT), Low intensity pulsed ultrasound(LI-PUS), Low-frequency vibrations(LFV), Distraction osteogenesis(DAD), Corticotomy(Corti), Microosteoperforations (MOPS), Traditional orthodontic(OT)were identified and classified into 3 classes including surgical treatment, non-surgical treatment and traditional orthodontic treatment. According to SUCRA probability ranking of the best intervention effect, when orthodontic treatment lasted for 1 month, PBMT (90.6%), Piezo(87.4%) and MOPs(73.6%)were the top three interventions to improve the efficiency of canine tooth movement. When orthodontic treatment lasted for 2 months, Corti (75.7%), Piezo (69.6%) and LFV(58.9%)were the top three interventions for improving the mobility efficiency of canine tooth movement. When orthodontic treatment lasted for 3 months, Cort (73.3%), LLLT(68.4%)and LFV(60.8%)were the top three interventions for improving the mobility efficiency of canine tooth movement. Conclusion: PBMT and Piezo can improve the efficiency of canine tooth movement significantly after 1 month, while Corti and LFV can improve the efficiency of canine tooth movement better after 2 and 3 months. 展开更多
关键词 Orthodontic tooth movement ACCELERATION Network Meta-analysis Randomized controlled trials
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急进高原肾脏适应机制研究进展
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作者 肖丹 莫立稳 +1 位作者 张凡 程悦 《临床肾脏病杂志》 2024年第1期70-75,共6页
高原特殊环境是发生急性肾损伤(acute kidney injury,AKI)的独立危险因素。急进高原早期肾脏便有适应性改变,而进展为AKI的患者病死率增加。鉴于目前对高原环境下肾损伤及其适应机制了解甚少,导致对高原环境下发生的肾损伤认识不足、救... 高原特殊环境是发生急性肾损伤(acute kidney injury,AKI)的独立危险因素。急进高原早期肾脏便有适应性改变,而进展为AKI的患者病死率增加。鉴于目前对高原环境下肾损伤及其适应机制了解甚少,导致对高原环境下发生的肾损伤认识不足、救治策略针对性不强,极易延误病情,错失最佳救治时机。本文拟从急进高原肾脏血流量变化、低氧肾利尿效应、肾脏固有细胞、肾小管间质功能改变等方面做一综述,为急进高原肾损伤的防治提供理论基础。 展开更多
关键词 急性肾损伤 低氧 利尿 肾小管
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葛根素对实验性大鼠牙周炎炎症反应和骨吸收的影响 被引量:1
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作者 万妮 莫礼文 +2 位作者 詹乐 陈荟颖 张黎 《海南医学院学报》 CAS 2023年第8期575-580,共6页
目的:研究葛根素对实验性牙周炎大鼠的炎症和牙槽骨吸收的影响。方法:选用7周龄Sprague Dawley大鼠36只,随机分为3组(n=12)。一组作为对照组,余下大鼠全麻下行左侧上颌第一磨牙牙颈部正畸结扎丝结扎,建立慢性牙周炎模型。3组大鼠采用灌... 目的:研究葛根素对实验性牙周炎大鼠的炎症和牙槽骨吸收的影响。方法:选用7周龄Sprague Dawley大鼠36只,随机分为3组(n=12)。一组作为对照组,余下大鼠全麻下行左侧上颌第一磨牙牙颈部正畸结扎丝结扎,建立慢性牙周炎模型。3组大鼠采用灌胃给药14 d:对照组和牙周炎组给予等量生理盐水,葛根素组给予400 mg/kg浓度葛根素给药。最后一次给药24 h后麻醉大鼠,腹主动脉取血,离心取血清用于外周血中IL-4、IL-10、IL-6、IFN-γ含量的检测;再处死所有大鼠,部分大鼠分离左侧上颌骨,去除左上颌第一磨牙颊腭侧实验处新鲜牙龈组织,余下上颌骨组织用于Micro-CT的检测;部分大鼠左侧上颌骨标本取材后保留牙龈组织,制作切片用于HE染色检测。结果:HE染色显示,与牙周炎组相比,葛根素组炎性细胞浸润明显减少。ELISA分析显示,葛根素促进血清中IL-4和IL-10表达,降低IL-6和IFN-γ表达水平(P均<0.05)。Micro-CT显示与牙周炎组相比,葛根素显著减少牙槽骨吸收(P<0.05)。结论:葛根素给药可以抑制实验性大鼠牙周炎的炎症和牙槽骨吸收。 展开更多
关键词 葛根素 实验性牙周炎 细胞因子 抗炎作用 骨保护
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Effect of puerarin on inflammation and alveolar bone resorption in experimental rats with periodontitis
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作者 WAN Ni mo li-wen +2 位作者 ZHAN Le CHEN Hui-ying ZHANG Li 《Journal of Hainan Medical University》 CAS 2023年第8期15-19,共5页
Objective:To investigate the effect of puerarin on inflammation and alveolar bone resorption in rats with experimental periodontitis.Methods:Thirty-six 7-week-old Sprague-Dawley rats were randomly divided into three g... Objective:To investigate the effect of puerarin on inflammation and alveolar bone resorption in rats with experimental periodontitis.Methods:Thirty-six 7-week-old Sprague-Dawley rats were randomly divided into three groups(n=12).Twelve rats as the control group and the remaining rats were to establish a chronic periodontitis model ligated with orthodontic ligature wire on the cervical part of the left maxillary first molar under general anesthesia.All three groups were administered by gavage for 14 days:equal amounts of saline were given to the control and periodontitis groups,and 400 mg/kg concentration of puerarin was given to the puerarin group.All rats were anesthetized after 24 h of the last administration,blood was collected from the abdominal aorta,and the serum was centrifuged for the detection of IL-4,IL-10,IL-6,and IFN-γin peripheral blood,then all rats were executed,some rats separated from the left maxilla,fresh gingival tissue removed from the buccal-palatal side of the left maxillary first molar,and the remaining maxillary bone tissue used for the detection of Micro-CT;some rats subjected to the left maxillary bone specimens taken with the gingival tissues,used for HE staining detection.Results:HE staining showed that inflammatory cell infiltration was significantly reduced in the puerarin group compared to the periodontitis group.ELISA analysis showed that puerarin promoted IL-4 and IL-10 expression and decreased IL-6 and IFN-γexpression levels in serum(P<0.05).Micro-CT showed that puerarin significantly reduced alveolar bone resorption compared to the periodontitis group(P<0.05).Conclusion:Puerarin may inhibit inflammation and alveolar bone resorption in experimental periodontitis rats. 展开更多
关键词 PUERARIN Experimental periodontitis CYTOKINE Anti-inflammatory effect Bone protection
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持续缓慢低效透析与常规透析序贯治疗在合并糖尿病的尿毒症患者中的应用 被引量:2
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作者 夏玉莲 李向莲 +6 位作者 莫立稳 曾燕 肖丹 张凡 李奕 程彩娟 程悦 《中国血液净化》 CSCD 2022年第9期655-658,共4页
目的观察序贯采用持续缓慢低效透析(sustained low effificiency dialysis,SLED)和间歇性血液透析(intermittent hemodialysis,IHD)治疗合并糖尿病的尿毒症患者的疗效,探索更切实可行的血液透析治疗模式。方法在知情同意的基础上纳入西... 目的观察序贯采用持续缓慢低效透析(sustained low effificiency dialysis,SLED)和间歇性血液透析(intermittent hemodialysis,IHD)治疗合并糖尿病的尿毒症患者的疗效,探索更切实可行的血液透析治疗模式。方法在知情同意的基础上纳入西部战区总医院血液净化中心维持性血液透析大于3个月的糖尿病患者,分为序贯治疗组和常规治疗组。序贯治疗组:每周IHD 2次+SLED 1次;常规治疗组:每周IHD 3次。比较2组患者的血压(透析前、透析2小时和透析后血压)、血压变异性、透析脱水量、脑利尿钠肽(brain natriuretic peptide,BNP)、尿素清除指数(Kt/V)、尿素清除率(urea reduction ratio,URR)等指标有无差异。结果序贯治疗组纳入10例患者,常规治疗组纳入24例患者。2组患者透析前收缩压(t=-1.053,P=0.300)、透析前舒张压(t=-1.020,P=0.315)、透析2h收缩压(t=-1.861,P=0.072)、透析2小时舒张压(t=-1.227,P=0.229)、透析后收缩压(t=-1.901,P=0.066)、透析后舒张压(t=-0.945,P=0.354)、透析期间收缩压变异性(t=-1.784,P=0.084)和透析期间舒张压变异性(t=-1.530,P=0.136)比较,差异均无统计学意义;序贯治疗组透析间期(随诊间)收缩压变异性低于常规治疗组(t=-2.166,P=0.038)。序贯治疗组Kt/V(t=2.878,P=0.007)、URR值(t=2.643,P=0.013)高于常规治疗组。结论与常规IHD相比,采用SLED和IHD序贯治疗能更好地控制透析间期血压变异,保证血流动力学的稳定,同时也能改善透析充分性。 展开更多
关键词 持续缓慢低效透析 间歇性血液透析 糖尿病 尿毒症
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硫化氢在大鼠肢体爆炸伤后肾损伤中的作用
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作者 莫立稳 甯交琳 +1 位作者 张凡 赖西南 《临床肾脏病杂志》 2021年第9期755-760,共6页
目的研究硫化氢(hydrogen sulfide,H 2S)在大鼠肢体爆炸伤后急性肾损伤中的作用,探索H 2S在爆炸伤紧急救治中的价值。方法80 mg二硝基重氮酚纸质点爆源紧贴大鼠左后肢跗关节内侧固定,起爆器引爆致伤。大鼠随机分为致伤组(I组)、硫氢化钠... 目的研究硫化氢(hydrogen sulfide,H 2S)在大鼠肢体爆炸伤后急性肾损伤中的作用,探索H 2S在爆炸伤紧急救治中的价值。方法80 mg二硝基重氮酚纸质点爆源紧贴大鼠左后肢跗关节内侧固定,起爆器引爆致伤。大鼠随机分为致伤组(I组)、硫氢化钠组(NaHS组:10 mg/kg NaHS)、胱硫醚-γ-裂解酶(cystathionine-γ-1yase,CSE)抑制剂组(PAG组,50 mg/kg PAG)和对照组(C组)。致伤6 h后结束实验收集大鼠左肾组织和血标本。测定血尿素氮、血肌酐、血H 2S浓度、左肾组织肿瘤坏死因子-α(tumor necrosis factor-α,TNF-α)浓度、丙二醛(malondialdehyde,MDA)浓度和髓过氧化物酶(myeloperoxidase,MPO)活性、超氧化物歧化酶(superoxide dismutase,SOD)活性、酶胱硫醚-γ-裂解酶(cystathionine-γ-1yase,CSE)活性,制作肾组织病理切片观察病理改变。结果与C组相比,I组大鼠肾CSE活性及血浆H 2S浓度显著下降(P<0.01),肾TNF-α、MDA浓度和MPO活性显著升高(P<0.01),而SOD活性则显著下降(P<0.01),给予10 mg/kg NaHS后肾TNF-α、MDA浓度和MPO活性显著降低(P<0.05),SOD活性显著增加(P<0.01);肾病理损害程度也明显减轻;给予PAG后肾TNF-α、MDA浓度和MPO活性较I组显著下降(P<0.05),而SOD活性有所下降,但差异无统计学意义(P>0.05),肾病理损伤也进一步加重。结论大鼠肢体爆炸伤可引起急性肾损伤;肾CSE/H 2S可能通过减轻炎症反应及过氧化反应等发挥肾脏保护作用。 展开更多
关键词 爆炸伤 硫化氢 肾损伤
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Low- and high-dose hydrogen peroxide regulation of transcription factor NF-E2-related factor 2 被引量:7
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作者 NING Jiao-lin mo li-wen LAI Xi-nan 《Chinese Medical Journal》 SCIE CAS CSCD 2010年第8期1063-1069,共7页
Background Reactive oxygen species (ROS) may play both physiological and pathophysiological roles. Transcription factor NF-E2-related factor 2 (Nrf2) regulates antioxidant response element (ARE)-mediated genes e... Background Reactive oxygen species (ROS) may play both physiological and pathophysiological roles. Transcription factor NF-E2-related factor 2 (Nrf2) regulates antioxidant response element (ARE)-mediated genes expression and coordinates induction of chemoprotective proteins in response to physical and chemical stresses. The exact role of Nrf2 in cellular responses to different levels of oxidative stresses remains unknown. Methods Rat pulmonary microvascular endothelial cells were cultured and treated with 0 mmol/L, 0.125 mmol/L, 0.25 mmol/L, 0.5 mmol/L, 1.0 mmol/L and 2.0 mmol/L hydrogen peroxide solution for 2 hours. Nrf2 gene expression was assayed by reverse transcription-PCR, Nrf2-ARE binding activity was assayed with electrophoretic mobility shift assay (EMSA), and localization of Nrf2 was detected with immunohistochemistry. Results Low and moderate (0.125 mmol/L, 0.25 mmol/L and 0.5 mmol/L) doses hydrogen peroxide exposure of rat pulmonary microvascular endothelial cells led to the nuclear accumulation of Nrf2, increased activity of transcription regulation and up-regulation of ARE-medicated gene expression. In contrast, high doses of hydrogen peroxide (1 mmol/L 2 mmol/L) exposure of the cells led to the nuclear exclusion of Nrf2, decreased activity transcription regulation and down-regulation of ARE-mediated gene expression. Conclusion Low and moderate doses of hydrogen peroxide play protective roles by increasing transcription activity of Nrf2, whereas high- dose hydrogen peroxide plays a deleterious role by decreasing transcription activity of Nrf2. 展开更多
关键词 pulmonary micro-vascular endothelial cells antioxidant responsive element hydrogen peroxide NF-E2-related factor 2
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