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快速生物监测法对低温灭菌腔镜器械使用周转率的影响
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作者 彭美君 李芳 黄尚瑜 《中国社区医师》 2022年第22期166-168,共3页
目的:对比30 min快速生物监测法与24 h生物监测法在过氧化氢低温等离子灭菌器灭菌后生物监测结果判读的一致性,分析快速生物监测法对提高腔镜器械使用效率的影响。方法:比较2021年1-3月在中山大学附属第三医院岭南医院消毒供应中心使用2... 目的:对比30 min快速生物监测法与24 h生物监测法在过氧化氢低温等离子灭菌器灭菌后生物监测结果判读的一致性,分析快速生物监测法对提高腔镜器械使用效率的影响。方法:比较2021年1-3月在中山大学附属第三医院岭南医院消毒供应中心使用24 h生物指示剂和30 min快速生物指示剂在相同炉次下生物监测的结果,并对监测结果培养24 h、36 h、48 h后进行一致性研究;选取2020年8月-2021年5月中山大学附属第三医院岭南医院消毒供应中心接收的25799件腔镜器械为研究对象,按照接收时间分为对照组与试验组,对照组11643件,使用24 h生物监测法监测生物结果;试验组14156件,使用30 min快速生物监测法监测生物结果,统计两组器械从回收到发放的时间。结果:两组进行生物监测各79次,结果均合格,临床上无灭菌物相关感染报道事件,生物监测24 h、36 h、48 h判读结果均一致;与对照组比较,试验组能够及时安全发放灭菌器械,器械周转效率明显提高,差异有统计学意义(P<0.05)。结论:在消毒供应中心低温灭菌物品管理方面,30 min快速生物监测结果准确性、稳定性好,操作使用方便,能有效保证低温等离子灭菌器械处理的安全性,提高使用周转率。 展开更多
关键词 30 min快速生物监测 消毒供应中心 器械周转率
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不同疗程舌下含服标准化粉尘螨变应原疫苗治疗儿童支气管哮喘伴变应性鼻炎的有效性和安全性 被引量:9
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作者 彭梅君 田林波 +1 位作者 郭清华 俞德顺 《临床和实验医学杂志》 2018年第10期1094-1096,共3页
目的研究并探讨不同疗程舌下含服标准化粉尘螨变应原疫苗治疗儿童支气管哮喘伴变应性鼻炎的有效性和安全性。方法入组对象为2012年1月至2014年1月期间完成4年特异性免疫治疗的160例儿童支气管哮喘伴变应性鼻炎患儿,对其临床资料进行回... 目的研究并探讨不同疗程舌下含服标准化粉尘螨变应原疫苗治疗儿童支气管哮喘伴变应性鼻炎的有效性和安全性。方法入组对象为2012年1月至2014年1月期间完成4年特异性免疫治疗的160例儿童支气管哮喘伴变应性鼻炎患儿,对其临床资料进行回顾性研究分析。160例儿童支气管哮喘伴变应性鼻炎患儿均接受舌下含服标准化粉尘螨变应原疫苗治疗,分别于患儿治疗1年后、治疗2年后、治疗3年后、治疗4年后对其进行随访评估。比较患儿在不同疗程的鼻炎控制效果、哮喘控制效果、鼻炎症状评分、哮喘症状评分、肺功能指标。结果治疗2年后、治疗3年后、治疗4年后患儿的鼻炎控制总有效率、哮喘控制总有效率均高于治疗1年后(P<0.05)。治疗2年后、治疗3年后、治疗4年后患儿的鼻炎症状评分均低于治疗1年后(P<0.05),其哮喘症状评分均高于治疗1年后(P<0.05)。治疗2年后、治疗3年后、治疗4年后患儿的肺功能指标均高于治疗1年后(P<0.05),治疗3年后、治疗4年后的肺功能指标均高于治疗2年后(P<0.05)。结论舌下含服标准化粉尘螨变应原疫苗可对儿童支气管哮喘伴变应性鼻炎起到显著的治疗效果,尤以3年疗程效果最好,可有效控制其鼻炎和哮喘症状,改善其肺功能。 展开更多
关键词 支气管哮喘 变应性鼻炎 特异性免疫疗法 粉尘螨变应原疫苗
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健听儿童在不同测试环境下声源定位能力初步研究 被引量:1
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作者 周文培 彭美俊 +1 位作者 曾湾 刘丹丹 《中国听力语言康复科学杂志》 2020年第3期203-207,共5页
目的探究健听儿童在不同测试环境下的声源定位能力,考察声源定位能力的发展过程,为听障儿童听力康复评估提供参考。方法选取11例4~14岁健听儿童,采用3种信号类型(言语、纯音和音乐)、4种信号强度(安静环境、0、5、10dB信噪比)和5种测试... 目的探究健听儿童在不同测试环境下的声源定位能力,考察声源定位能力的发展过程,为听障儿童听力康复评估提供参考。方法选取11例4~14岁健听儿童,采用3种信号类型(言语、纯音和音乐)、4种信号强度(安静环境、0、5、10dB信噪比)和5种测试方位(0°、±30°、±60°)为受试儿童进行声源定位能力测试,记录平均角度偏差与角度识别准确率。结果信号强度与声源定位能力呈显著正相关(P<0.05)。信号类型对健听儿童的声源定位能力有显著影响(P<0.05),健听儿童对纯音信号的定位能力显著低于言语和音乐信号(P<0.05),言语和音乐信号的定位能力无显著差异(P>0.05)。结论健听儿童在安静环境和不同信噪比噪声环境中,对纯音、言语、音乐信号的声源定位能力呈现不同结果。本研究测试方法可用于评估听障儿童助听干预后声源定位能力康复情况,为评估结果提供重要参照。 展开更多
关键词 声源定位 角度偏差 角度识别准确率 健听儿童
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Effects of pentoxifylline on Wnt/β-catenin signaling in mice chronically exposed to cigarette smoke 被引量:4
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作者 WANG Zheng ZHANG Jin-nong +5 位作者 HU Xiao-fei CHEN Xue-lin WANG Xiao-rong ZHAO Ting-ting peng mei-jun ZOU Ping 《Chinese Medical Journal》 SCIE CAS CSCD 2010年第19期2688-2694,共7页
Background Previous discovery that long-term administration of pentoxifylline (PTX) to mice chronically exposed to smoke led to the development of pulmonary fibrosis rather than emphysema initiated our curiosity on ... Background Previous discovery that long-term administration of pentoxifylline (PTX) to mice chronically exposed to smoke led to the development of pulmonary fibrosis rather than emphysema initiated our curiosity on whether the Wnt/β-catenin pathway, a set of signaling proteins essential to organ development and lung morphogenesis in particular were activated in the pathogenesis of pulmonary fibrosis. Methods Male BALB/c mice were randomized into four study groups: Group Sm, smoke exposure and taken regular forage; Group PTX, no smoke but taken PTX-rich forage; Group Sm+PTX, smoke exposure and taken PrX-rich forage; Group control: shamed smoke exposure and taken regular forage. Animals were sacrificed at day 120. Morphometry of the lung sections and the expressions of TGF-β1, hydroxyproline, β-catenin, cyclin D1, T cell factor 1 (Tcf-1) and lymphoid enhancer factor 1 (Lef-1) mRNA, etc, in the lung homogenate or in situ were qualitatively or quantitatively analyzed. Results As expected, smoke exposure along with PTX administration for 120 days, lungs of the mice progressed to be a fibrosis-like phenotype, with elevated fibrosis score (3.9±1.1 vs. 1.7±0.6 in Group Sm, P 〈0.05). TGF-β1(pg/g) (1452.4±465.7 VS. 818.9±2.02.8 in Group Sm, P 〈0.05) and hydroxyproline (mg/g) (5.6±0.6, vs. 2.4±0.1 in Group Sm, P 〈0.05) were also consistently increased. The upregulation of β-catenin measured either by counting the cell with positive staining in microscopic field (17.4±7.9 vs. 9.9±2.9 in Group Sm, P 〈0.05) or by estimation of the proportion of blue-stained area by Masson's trichrome (11.8±5.6 vs. 4.7±4 in Group Sm) in Group SM+PTX was much more noticeable as than those in Group Sm. The expression of β-catenin measured by positive cell counts was correlated to TGF-β1 concentration in lung tissue (r=0.758, P 〈0.001). PTX per se caused neither fibrosis nor emphysema though expression of β-catenin and downstream gene cyclin D1 may also be altered by this medication. Conclusions PTX mediated transformation of pulmonary emphysema into pulmonary fibrosis under chronic cigarette smoke exposure is associated with upregulation of β-catenin and elevation of TGF-β1, implying that activation of Wnt/β-catenin signaling may be involved in the pathogenesis of pulmonary fibrosis. 展开更多
关键词 PENTOXIFYLLINE Wnt signaling pathway WNT/Β-CATENIN PULMONARYFIBROSIS pulmonary emphysema
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Pentoxifylline attenuates cigarette smoke-induced overexpression of CXCR3 and IP-10 in mice 被引量:2
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作者 WANG Zheng CHEN Yan-wei +2 位作者 ZHANG Jin-nong HU Xiao-fei peng mei-jun 《Chinese Medical Journal》 SCIE CAS CSCD 2012年第11期1980-1985,共6页
Background Cigarette smoke-induced emphysema is associated with overexpression of the chemokine receptor CXCR3 and its ligands. Previously, we have demonstrated that pentoxifylline (PTX) alleviated cigarette smoke-i... Background Cigarette smoke-induced emphysema is associated with overexpression of the chemokine receptor CXCR3 and its ligands. Previously, we have demonstrated that pentoxifylline (PTX) alleviated cigarette smoke-induced emphysema. The aim of this study was to determine if the overexpression of CXCR3 and its ligand interferon-inducible protein-10 (IP-10) that was elicited by smoke exposure were attenuated by PTX. Methods (1) The study in vitro: a given number of RAW264.7 macrophages with decreasing concentrations of PTX in the culture medium were challenged with cigarette smoke extract (CSE); (2) The study in vivo: male BALB/c mice were randomized into four groups, i.e., sham-smoke, smoke only, smoke with 2 mg/kg PTX, and smoke with 10 mg/kg PTX. The smoke exposure time was 90 minutes once a day, 6 days a week for 16 weeks. PTX was given intraperitoneally before each episode of smoke exposure. Interferon (IFN)-y and IP-10 in broncho-alveolar lavage fluid (BALF) and in culture medium were measured by enzyme-linked immunosorbent assay (ELISA). IP-10 mRNA in lung tissue was assessed by RT-PCR. CXCR3 positive cells in lung sections were visualized by immunochemistry staining. Results Up-regulation of IFN-γ and IP-10 in the culture medium of macrophages elicited by CSE was inhibited by PTX in a dose-dependent manner. Chronic cigarette smoke exposure led to overexpression of IFN-γ and IP-10 in BALF, upregulation of IP-10 mRNA and increased infiltration of CXCR3^+ cells into lung parenchyma. Administration of PTX decreased the level of IFN-y from (6.26±1.38) ng/ml to (4.43±0.66) ng/ml by low dose PTX or to (1.74±0.28) ng/ml by high dose PTX. IP-10 was reduced from (10.35±1.49) ng/ml to (8.19±0.79) ng/ml by low dose PTX or to (7.51±0.60) ng/ml by high dose PTX. The expression of IP-10 mRNA was also down-regulated (P 〈0.05). But only with a high dose of PTX was the ratio of CXCR3^+ cells decreased; 15.2±7.3 vs. 10.4±1.8 (P 〈0.05). Conclusion PTX attenuates cigarette smoke-induced overexpression of chemokine receptor CXCR3 and its ligand IP-10, which is relevant to its inhibitory effect on pulmonary emphysema. 展开更多
关键词 PENTOXIFYLLINE cigarette smoke pulmonary emphysema CXCR3 interferon-inducible protein-10
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