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胸椎旁神经阻滞联合自控静脉镇痛对胸腔镜肺癌根治术后免疫功能及不良反应的影响 被引量:8
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作者 高云飞 哈斯艳 +5 位作者 史少霞 帕力哈提 刘磊 温宗梅 宗华 刘宏宇 《川北医学院学报》 CAS 2021年第3期324-328,共5页
目的:分析胸椎旁神经阻滞(TPVB)联合自控静脉镇痛(PCIA)对胸腔镜肺癌根治术后免疫功能及不良反应的影响。方法:根据自愿接受的镇痛方式将120例于胸腔镜行根治术的非小细胞肺癌(NSCLC)患者分为研究组和对照组,每组各60例。研究组患者采... 目的:分析胸椎旁神经阻滞(TPVB)联合自控静脉镇痛(PCIA)对胸腔镜肺癌根治术后免疫功能及不良反应的影响。方法:根据自愿接受的镇痛方式将120例于胸腔镜行根治术的非小细胞肺癌(NSCLC)患者分为研究组和对照组,每组各60例。研究组患者采用术中TPVB联合术后PCIA进行镇痛;对照组患者仅采用术后PCIA进行镇痛。对两组患者术后48 h内PICA按压次数、术后6 h、12 h、24 h、48 h的静息状态及咳嗽状态下视觉模拟量表(VAS)评分、术前1 d及术后48 h时的外周血CD4~+T淋巴细胞比例、CD8~+T淋巴细胞比例、CD4~+/CD8~+T淋巴细胞比值、血清皮质醇(Cor)、前列腺素E2(PGE2)、术后镇痛不良反应发生率进行记录和对比。结果:在术后48 h内,研究组患者的PICA按压次数少于对照组(P<0.05)。在术后各时点,研究组患者静息及咳嗽状态下的VAS评分均低于对照组,组间效应、组内效应、组间组内交互效应均有统计学意义(P<0.05)。在术后48 h时,两组患者的外周血CD4~+T淋巴细胞比例、CD4~+/CD8~+ T淋巴细胞比值均较术前下降(P<0.05),而外周血CD8~+T淋巴细胞比例及血清Cor、PGE2水平却均较术前上升(P<0.05)。此外,研究组患者的外周血CD4~+T淋巴细胞比例、CD4~+/CD8~+ T淋巴细胞比值高于对照组,而外周血CD8~+T淋巴细胞比例及血清Cor、PGE2水平、术后镇痛不良反应总发生率低于对照组,差异有统计学意义(P<0.05)。结论:相对单独采用PCIA,在胸腔镜NSCLC根治术中采用TPVB联合PCIA的方式能够在术后早期达到更好的镇痛效果,缓解术后免疫功能损害,降低应激水平,减少PCIA的使用频率,降低镇痛不良反应发生率。 展开更多
关键词 肺癌根治术 胸椎旁神经阻滞 自控静脉镇痛 胸腔镜 免疫功能 不良反应
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Expression and Activities Experiment of DNA Transduction Motif Based on GAL4 in Pichia Pastoris
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作者 XU Xiao-hong CHI Bao-rong +7 位作者 LI Xiao YANG En-cheng GAO Peng LIU Yan JIA Peng KAN Shi-fu wen zong-mei JIN Ning-yi 《Chemical Research in Chinese Universities》 SCIE CAS CSCD 2010年第2期221-224,共4页
The genes encoding DNA-binding domain(BD) designed based on the yeast transcriptional activator GAL4 and protein transduction domain of HIV-1 Tat protein were fused via soft linker peptide sequence, and cloned into ... The genes encoding DNA-binding domain(BD) designed based on the yeast transcriptional activator GAL4 and protein transduction domain of HIV-1 Tat protein were fused via soft linker peptide sequence, and cloned into yeast expression vector pPIC9k. The resulted plasmid pTG was linearized and transfected into Pichia pastoris strains GS 115 by electroporation. High copies of transformants were obtained with Muts and HIS+ phenotype identi- fication, PCR amplification and screening of G418. After flask culture and expression induced by methanol, the target protein named TG was well expressed and analyzed by SDS-PAGE and Western blot. Under optimized conditions, the yield of soluble recombinant protein was approximately 39.7 mg/L. DNA binding activity and cell transduction property of TG were analyzed by gel eleetrophoresis and fluorescent microscopy. The results show that the recombinant protein could bind strongly to the plasmid containing upstream activating sequence(UAS). The cell experiments revealed that TG could deliver the binding plasmid into HEK-293 cells effectively. In summary, the work presented here suggests that TG is specific toward UAS containing plasmid and has the potential for use as nonviral DNA delivery agent. 展开更多
关键词 Nonviral DNA delivery Yeast transcription activator(GAL4) Cell-penetrating peptide Upstream activating sequence(UAS) Secrete expression Pichia pastoris
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