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生物反馈联合普芦卡必利治疗老年功能性便秘的疗效观察 被引量:2
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作者 程秀琴 王良晶 +3 位作者 潘淑波 窦文欢 孙洁 史肖华 《中国临床新医学》 2023年第2期172-176,共5页
目的观察生物反馈(BF)联合普芦卡必利治疗老年功能性便秘(FC)的效果。方法选择2020年7月至2021年12月苏州科技城医院收治的老年FC患者84例,采用随机数字表法分为观察组和对照组,每组42例。观察组采用BF疗法联合普芦卡必利进行治疗,对照... 目的观察生物反馈(BF)联合普芦卡必利治疗老年功能性便秘(FC)的效果。方法选择2020年7月至2021年12月苏州科技城医院收治的老年FC患者84例,采用随机数字表法分为观察组和对照组,每组42例。观察组采用BF疗法联合普芦卡必利进行治疗,对照组采用普芦卡必利进行治疗,连续治疗6周。比较两组的临床疗效、便秘评分、每周自发性完全排便(SCBM)次数、复发率和不良反应发生情况。结果与治疗前比较,观察组和对照组治疗后的便秘评分降低,每周SCBM次数增加,差异有统计学意义(P<0.05),且观察组较对照组改善更显著(P<0.05)。观察组总有效率高于对照组,差异有统计学意义(83.33%vs 61.90%,χ^(2)=4.850,P=0.028)。随访3个月,观察组复发5例(11.90%),对照组12例(28.57%),两组复发率比较差异有统计学意义(χ^(2)=30.612,P<0.001)。两组不良反应发生率比较差异无统计学意义(7.14%vs 9.52%,χ^(2)=0.000,P=1.000)。结论BF联合普芦卡必利能够有效治疗老年FC,复发率低,且安全性良好。 展开更多
关键词 功能性便秘 生物反馈 普芦卡必利 疗效
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血脂代谢异常与急性胆源性胰腺炎程度相关性研究
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作者 刘杰 朱琪麟 +2 位作者 王良晶 康刘敏 史肖华 《中国社区医师》 2023年第7期41-43,共3页
目的:探讨血脂代谢异常与急性胆源性胰腺炎(ABP)严重程度及其预后的相关性。方法:选取2017年1月—2021年12月苏州科技城医院收治的251例ABP患者为研究对象,根据甘油三酯(TG)水平分为正常TG组、轻度高TG组、中度高TG组。统计三组临床资料... 目的:探讨血脂代谢异常与急性胆源性胰腺炎(ABP)严重程度及其预后的相关性。方法:选取2017年1月—2021年12月苏州科技城医院收治的251例ABP患者为研究对象,根据甘油三酯(TG)水平分为正常TG组、轻度高TG组、中度高TG组。统计三组临床资料(年龄、性别、病史),病情严重度,Ranson评分,全身和局部并发症发生情况,分析血脂水平与ABP严重度的相关性和预后。结果:三组性别,伴有高血压、糖尿病、肥胖患者,平均住院时间比较,差异无统计学意义(P>0.05);轻度高TG组和中度高TG组平均发病年龄均低于正常TG组,差异有统计学意义(P<0.05);轻度高TG组与中度高TG组发病年龄比较,差异无统计学意义(P>0.05)。轻度高TG组和中度高TG组发生中度重症急性胰腺炎(MSAP)的发生率多于正常TG组,差异有统计学意义(P<0.05);轻度高TG组与中度高TG组MSAP的发生率比较,差异无统计学意义(P>0.05)。轻度高TG组与正常TG组重症急性胰腺炎(SAP)的发生率比较,差异无统计学意义(P>0.05);中度高TG组SAP的发生率多于正常TG组和轻度高TG组,差异有统计学意义(P<0.05)。中度高TG组轻症急性胰腺炎(MAP)的发生率少于正常TG组和轻度高TG组,轻度高TG组MAP的发生率少于正常TG组,差异有统计学意义(P<0.05)。轻度高TG组和中度高TG组Ranson评分高于正常TG组,差异有统计学意义(P<0.05);中度高TG组Ranson评分高于轻度高TG组,差异有统计学意义(P<0.05)。轻度高TG组、中度高TG组全身并发症和局部并发症的发生率高于正常TG组,差异有统计学意义(P<0.05)。结论:血脂代谢异常与ABP的严重程度有一定的相关性,与ABP的预后亦有相关性。 展开更多
关键词 血脂代谢异常 急性胆源性胰腺炎 高脂血症性 并发症
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Morphological and pathologic changes of experimental chronic atrophic gastritis (CAG)and the regulating mechanism of protein expression in rats 被引量:13
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作者 wang liang-jing CHEN Shu-jie +2 位作者 CHEN Zhe CAI Jian-ting SI Jian-min 《Journal of Zhejiang University-Science B(Biomedicine & Biotechnology)》 SCIE CAS CSCD 2006年第8期634-640,共7页
Objective: To study the pathologic change and molecular regulation in cell proliferation and apoptosis of gastric mucosa in rats with chronic atrophic gastritis (CAG), and evaluate the possible mechanisms. Methods: Ra... Objective: To study the pathologic change and molecular regulation in cell proliferation and apoptosis of gastric mucosa in rats with chronic atrophic gastritis (CAG), and evaluate the possible mechanisms. Methods: Rats were administered with 60% alcohol or 2% salicylate sodium, 20 mmol/L deoxycholate sodium and 0.1% ammonia water to establish chronic atrophic gastritis (CAG) models. The gastric specimens were prepared for microscopic view with hematoxylin and eosin (H-E) and alcian blue (A-B) stain. The number of infiltrated inflammatory cells, the thickness of the mucosa gland layer (μm) and the number of gastric glands were calculated. The damage of barrier in mucosa with erosion or ulceration, and the thickness of mucin were examined by scanned electron microscope (SEM). The levels of PGE2, EGF (epiderminal growth factor) and gastrin in the serum were measured with radioimmunoassay or ELISA method. The immunohistochemistry method was used to observe the number of G cells, the expression of protein of EGFR (EGF receptor), C-erbB-2, p53, p16 and bcl-2 in gastric tissue. Results: Under SEM observation, the gastric mucosa was diffused erosion or ulceration and the thickness of mucin was decreased. Com- pared with normal rats, the grade of inflammatory cell infiltration in CAG rats was elevated, whereas the thickness and number of gastric gland were significantly lower (P<0.05). Compared with normal level of (0.61±0.28) μg/L, EGF in CAG (2.24±0.83) μg/L was significantly higher (P<0.05). The levels of PGE2 and gastrin in serum were significantly lower in CAG rats than that in normal rats (P<0.05). Immunohistochemistry detection showed that the number of G cell in antrum was lower in CAG group (P<0.05). Immuno-stain showed EGFR protein expression in the basal and bilateral membrane, and the cytoplasma in atrophic gastric gland, while negative expression was observed in normal gastric epithelial cells. Positive staining of p53 and p16 protein was localized in the nucleus of epithelial cells. The former was higher positively expressed in atrophic gland, while the later was higher positively stained in normal gastric tissue. bcl-2 protein was positively stained in the cytoplasma in atrophic gastric gland, while very weakly stained in normal gastric tissue. Conclusion: The pathological findings in gastric gland accorded with the Houston diagnostic criteria of antrum-predominant CAG. CAG in rats was related with the damage of barrier in gastric mucosa and the misbalance of cell proliferation and apoptosis. There was high protein expression of oncogene, while inhibitor of sup- pressor gene in CAG rats indicated high trend of carcinogenesis. 展开更多
关键词 慢性萎缩性胃炎 CAG 大鼠 蛋白质表达 病理 诊断
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Induction of experimental acute ulcerative colitis in rats by administration of dextran sulfate sodium at low concentration followed by intracolonic administration of 30% ethanol 被引量:4
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作者 CHEN Yan SI Jian-min +4 位作者 LIU Wei-li CAI Jian-ting DU Qin wang liang-jing GAO Min 《Journal of Zhejiang University-Science B(Biomedicine & Biotechnology)》 SCIE CAS CSCD 2007年第9期632-637,共6页
Several models of experimental ulcerative colitis have been reported previously. However, none of these models showed the optimum characteristics. Although dextran sulfate sodium-induced colitis results in inflammatio... Several models of experimental ulcerative colitis have been reported previously. However, none of these models showed the optimum characteristics. Although dextran sulfate sodium-induced colitis results in inflammation resembling ulcera-tive colitis, an obvious obstacle is that dextran sulfate sodium is very expensive. The aim of this study was to develop an inex-pensive model of colitis in rats. Sprague-Dawley rats were treated with 2% dextran sulfate sodium in drinking water for 3 d fol-lowed by an intracolonic administration of 30% ethanol. The administration of 2% dextran sulfate sodium followed by 30% ethanol induced significant weight loss, diarrhea and hematochezia in rats. Severe ulceration and inflammation of the distal part of rat colon were developed rapidly. Histological examination showed increased infiltration of polymorphonuclear leukocytes, lymphocytes and existence of cryptic abscesses and dysplasia. The model induced by dextran sulfate sodium at lower concentra-tion followed by 30% ethanol is characterized by a clinical course, localization of the lesions and histopathological features similar to human ulcerative colitis and fulfills the criteria set out at the beginning of this study. 展开更多
关键词 急性溃疡性结肠炎 葡聚糖硫酸钠 大鼠 实验动物模型
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