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复杂颅内动脉瘤患者围手术期出血并发症的预防性护理干预研究 被引量:12
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作者 孙方贞 梁婧婧 +3 位作者 申云飞 赵静萱 王丽伟 刘云娥 《介入放射学杂志》 CSCD 北大核心 2022年第1期91-94,共4页
目的探讨预防性护理干预在减少复杂颅内动脉瘤患者围手术期出血并发症中的应用效果。方法从2018年1月开始对行复合手术治疗的颅内复杂动脉瘤患者应用预防性护理干预方案,将此前应用常规护理的患者纳入对照组(n=22),将应用预防性护理干... 目的探讨预防性护理干预在减少复杂颅内动脉瘤患者围手术期出血并发症中的应用效果。方法从2018年1月开始对行复合手术治疗的颅内复杂动脉瘤患者应用预防性护理干预方案,将此前应用常规护理的患者纳入对照组(n=22),将应用预防性护理干预方案的患者纳入干预组(n=22)。预防性护理干预方案包括实施风险评估与分级管理、预防性宣教、围手术期血压精细化管理、心理干预等措施。比较两组患者围手术期出血并发症发生率、患者知识掌握程度及患者满意度。结果实施预防性护理干预患者的知识掌握程度、满意度明显高于对照组(P<0.01),且并发症发生率低于对照组,差异有统计学意义(P<0.05)。结论通过实施预防性护理干预,能够减少围手术期出血并发症发生,提高护理质量。 展开更多
关键词 复杂颅内动脉瘤 复合手术 预防性护理干预 出血
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我国脑卒中病人隐性误吸筛查及干预的研究进展 被引量:4
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作者 刘云娥 孙方贞 +1 位作者 王丽娜 陈洁 《护理研究》 北大核心 2022年第13期2361-2363,共3页
对我国脑卒中病人隐性误吸的筛查方法及干预措施的研究进展进行综述,为临床医护人员筛查并管理隐性误吸提供参考,以降低卒中相关性肺炎的发生。
关键词 脑卒中 误吸 筛查 干预 综述
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灾害护理的实践与思考 被引量:6
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作者 刘云娥 刘亚华 +4 位作者 朱艳秋 汤海燕 梁婧婧 孙方贞 祝成红 《中国急救复苏与灾害医学杂志》 2022年第2期263-265,274,共4页
目的灾害护理工作的有效开展对提高人员救治效果及圆满完成任务有十分重要的意义,通过总结灾害救援演练中的护理工作实践,为进一步提高急救技能提供参考。方法回顾分析灾害救援演练任务中的护理实践,包括快速展开、防护到位、优化流程... 目的灾害护理工作的有效开展对提高人员救治效果及圆满完成任务有十分重要的意义,通过总结灾害救援演练中的护理工作实践,为进一步提高急救技能提供参考。方法回顾分析灾害救援演练任务中的护理实践,包括快速展开、防护到位、优化流程、注重细节等。结果灾害护理救援演练成功实施,护理人员在数量有限的情况下,较好地完成了救援任务。同时存在以下问题:人员编制少、护理救治流程未标准化、救治经验少、装备信息化水平不高。结论为提高护理人员灾害救援能力,应积极培养“全科人才”,标准化护理救治流程,采取平战结合多形式培训方式,及研发新型救援装备。 展开更多
关键词 灾害 应急医学救援 护理实践 思考
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慢性颈内动脉闭塞复合术后患者高灌注综合征的风险评估及护理 被引量:4
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作者 梁婧婧 祝成红 +2 位作者 孙方贞 王明珠 刘云娥 《中华护理杂志》 CSCD 北大核心 2020年第11期1706-1709,共4页
总结65例慢性颈内动脉闭塞复合术后患者高灌注综合征的风险评估及护理要点.通过成立高灌注综合征风险评估管理小组、总结高风险因素、制订风险评估表,对患者进行风险评估及分级.护理上,对高风险患者加强风险管理,提高预警意识;实施血压... 总结65例慢性颈内动脉闭塞复合术后患者高灌注综合征的风险评估及护理要点.通过成立高灌注综合征风险评估管理小组、总结高风险因素、制订风险评估表,对患者进行风险评估及分级.护理上,对高风险患者加强风险管理,提高预警意识;实施血压三级管理,严格控制血压;密切观察病情,进行专科病情监测.该组患者经过上述风险评估与护理,高灌注综合征发生率为3.08%,低于5.40%的报告数据,且预后较好,均痊愈出院. 展开更多
关键词 高灌注综合征 风险筛查 围手术期护理
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The new sideway of CNTF sig-nal transduction pathway 被引量:1
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作者 YAN Jin HE Cheng +5 位作者 LU Changlin WANG Chenghai BAO Xuan TANG Tieshan HUANG Xiuying sun fangzhen 《Chinese Science Bulletin》 SCIE EI CAS 2001年第6期477-480,共4页
The action of ciliary neurotrophic factor (CNTF) on intercellular free Ca2+ concentrations [Ca2+]1 induced by glutamate (Glu) in primary cultured hippocampal neurons were detected with Fura2/AM, a Ca2+-sensitive fluor... The action of ciliary neurotrophic factor (CNTF) on intercellular free Ca2+ concentrations [Ca2+]1 induced by glutamate (Glu) in primary cultured hippocampal neurons were detected with Fura2/AM, a Ca2+-sensitive fluorophore. and the morphological influence of G-protein on it was ob-jected. Glu could induce rapid increase of [Ca2+]1 in hippo-campal neurons. CNTF had no significant action on [Ca2+]1 in resting hippocampal neurons. However, after incubation of CNTF for 5 min, the increase of [Ca2+]1 in hippocampal neurons rapidly induced by Glu was inhibited. Pretussis toxin (PTX)-sensitive G protein could block the action. These results indicate that a new non-genomic rapid sideway might exist in the upper stream of CNTF signal transduction pathway, which was related to Ca2+ signal transduction. 展开更多
关键词 CILIARY NEUROTROPHIC factor glutamate INTERCELLULAR free Ca2+ concentration signal TRANSDUCTION hippocampal neuron.
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HLA-G inhibits xenogenetic cytotoxicity mediated by human NK cells and T lymphocytes against PECs 被引量:1
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作者 SHI Bin YIN Huijun +1 位作者 HUANG Xiuying sun fangzhen 《Chinese Science Bulletin》 SCIE CAS 2003年第2期148-153,共6页
In order to investigate whether the non-classi- cal HLA-G classⅠmolecule protects the porcine endothelial cells (PECs) from the lysis mediated by human immune cells in pig to human discordant xenotransplantation, we ... In order to investigate whether the non-classi- cal HLA-G classⅠmolecule protects the porcine endothelial cells (PECs) from the lysis mediated by human immune cells in pig to human discordant xenotransplantation, we have cloned HLA-G cDNA from a human placenta by RT-PCR. Mammalian expression vector, pEFG-neo, was constructed by insertion of HLA-G cDNA in pEF-neo. We obtained effi-ciently expressed PECs by stable transfection. Cytotoxicity assay showed that overexpression of HLA-G on PECs was sufficient to inhibit human NK-92 cell lysis. The level of lysis was equal to or less than that of the lysis of human umbilical vein endothelial cells mediated by human NK-92 cells. It also indicated that HLA-G inhibited the lysis of PECs mediated by xeno-antigen specific T lymphocytes. The reduction of lysis ranged between 59.1% and 88.9%. These findings sug-gest that the transgenic approach to overexpress HLA-G is believed to be a new immunotherapy in overcoming the im-mune rejections in xenotransplantion, including delayed xenograft rejection and cell-mediated rejection. 展开更多
关键词 HLA-G xenotrasplantation immune rejection gene overexpression CYTOTOXICITY
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Novel gene expressed during early embryogenesis of zebrafish identified by mRNA differential display
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作者 Li Shuhong Guo Shaodong sun fangzhen 《Chinese Science Bulletin》 SCIE EI CAS 1998年第11期936-940,共5页
Following the revelation of the molecular mechanism of morphogenesis in fruitfly, research on the molecular mechanism of morphogenesis in vertebrate becomes the focus of developmental biology. The isolation of genes c... Following the revelation of the molecular mechanism of morphogenesis in fruitfly, research on the molecular mechanism of morphogenesis in vertebrate becomes the focus of developmental biology. The isolation of genes controlling the embryogenesis of zebrafish, a vertebrate model animal, is considered as an initial step toward investigating this issue. There are several approaches that can be used to isolate developmental genes, each of which is suited to a particular situation. In this note, mRNA differential display was utilized to demonstrate the mRNA differences among zebrafish embryos at 4, 5 and 6 h post fertilization (28.5℃, corresponding to oblong, dome and shield stages, respectively, called blastula, gastrula and neurula in this note). One cDNA tag that was specific to embryos at neurula stage was cloned and sequenced. After sequence comparison in Genbank, we found that this cDNA tag represents a novel gene. The expression of this gene in the developing zebrafish embryos was examined by whole mount in situ hybridization. The hybridization results confirmed that this gene was specifically expressed in zebrafish neurula embryos. 展开更多
关键词 mRNA DIFFERENTIAL DISPLAY ZEBRAFISH MORPHOGENESIS gene.
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