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笑气清醒镇痛在结肠镜检查中的疗效及安全性研究 被引量:1
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作者 唐斌 张俊 +5 位作者 蒋波 唐友攀 李月平 王人彬 舒欧 罗华 《中国社区医师》 2019年第27期52-54,共3页
目的:探讨笑气清醒镇痛在结肠镜检查中的疗效及安全性。方法:收治接受结肠镜检查的患者400 例,分为两组,各200 例。观察组实施笑气吸入清醒镇痛,对照组实施丙泊酚静脉麻醉,比较两组镇痛效果和血氧饱和度下降、心动过缓等相对严重的不良... 目的:探讨笑气清醒镇痛在结肠镜检查中的疗效及安全性。方法:收治接受结肠镜检查的患者400 例,分为两组,各200 例。观察组实施笑气吸入清醒镇痛,对照组实施丙泊酚静脉麻醉,比较两组镇痛效果和血氧饱和度下降、心动过缓等相对严重的不良反应方面的差异。结果:两组镇痛有效率比较,差异无统计学意义(χ2=4.040,P>0.05);观察组相对严重的不良反应发生率较对照组低,差异有统计学意义(χ2=17.755,P<0.05)。结论:笑气吸入清醒镇痛应用于结肠镜检查术中的镇痛效果好且安全性高。 展开更多
关键词 结肠镜检查 笑气 丙泊酚 镇痛
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miRNA-let-7i modulates status epilepticus via the TLR4 pathway 被引量:1
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作者 shu ou Xi Liu +4 位作者 Tao Xu Xinyuan Yu Teng Wang Yangmei Chen Haiyan Luo 《Acta Epileptologica》 2022年第3期175-185,共11页
Background:Status epilepticus(SE)is a neurological emergency associated with high mortality and morbidity.Many SE episodes cannot be quickly and effectively terminated with current medications.miRNA-Let-7i,a member of... Background:Status epilepticus(SE)is a neurological emergency associated with high mortality and morbidity.Many SE episodes cannot be quickly and effectively terminated with current medications.miRNA-Let-7i,a member of the miRNA-Let-7 family,has been found to be associated with a variety of brain pathophysiological and neurological diseases.However,its role in SE remains elusive and requires further clarification.Methods:The expression of miRNA-Let-7i was detected in temporal lobe epilepsy(TLE)patients and SE model rats using the real-time quantitative polymerase chain reaction(RT-qPCR)method.Behavioral assays were performed in pilocarpine-induced SE model,and a whole-cell current clamp technique was employed to examine neuronal excitability.Neuronal apoptosis was evaluated by Nissl staining and terminal deoxynucleotidyl transferase-mediated dUTP end-labeling(TUNEL)assays.Results:The expression of miRNA-Let-7i was significantly reduced in the cortex and hippocampus of SE rats.The miRNA-Let-7i agomir and antagomir effectively regulated the levels of miRNA-Let-7i.In particular,the agomir significantly reduced the degree of SE and prolonged the latent period of SE,whereas the antagomir increased the degree of seizures and shortened the latent period.In addition,the agomir significantly decreased the frequency of action potentials,while the antagomir significantly increased it.Nissl staining and TUNEL assays demonstrated that the agomir increased the survival and decreased the apoptosis,while the antagomir had the opposite effects.In addition,a Toll-like receptor 4(TLR4)inhibitor rescued the effects of antagomir on SE behavior and expression of IL-6 and TNF-α.Similar results on miRNA-Let-7i expression and effects of TLR4 inhibition were found in brain tissues of TLE patients.Conclusions:The miRNA-Let-7i−TLR4 regulatory pathway is involved in SE,which provides insights into the pathogenesis of SE. 展开更多
关键词 miRNA-let-7i Status epilepticus TLR4 APOPTOSIS
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