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不同外科修补方案治疗剖宫产术后子宫切口憩室的疗效比较 被引量:17
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作者 吴佳莹 张文渊 黄筱竑 《中国内镜杂志》 2018年第3期50-54,共5页
目的探讨宫腹腔镜联合与经阴道修补术式对剖宫产术后子宫切口憩室(PCSD)患者月经时间、宫内妊娠率及复发率的影响。方法选取该院2014年1月-2016年1月收治PCSD患者共100例,根据手术方案差异分为A组(50例)和B组(50例),分别采用宫腹腔镜联... 目的探讨宫腹腔镜联合与经阴道修补术式对剖宫产术后子宫切口憩室(PCSD)患者月经时间、宫内妊娠率及复发率的影响。方法选取该院2014年1月-2016年1月收治PCSD患者共100例,根据手术方案差异分为A组(50例)和B组(50例),分别采用宫腹腔镜联合修补术式和经阴道修补术式治疗,比较两组患者手术用时、术中失血量、首次肛门排气时间、术后阴道流血时间、住院时间、月经时间恢复效果、治疗前后憩室宽度和深度、随访宫内妊娠率及复发率。结果 B组患者手术用时明显优于A组(P<0.05);A组患者术中失血量、术后阴道流血时间及住院时间均明显优于B组(P<0.05);两组患者首次肛门排气时间比较差异无统计学意义(P>0.05);两组患者月经时间恢复效果比较差异无统计学意义(P>0.05);两组患者治疗后子宫憩室宽度和深度明显短于治疗前(P<0.05);两组患者治疗后子宫憩室宽度和深度组间比较差异无统计学意义(P>0.05);两组患者随访期内宫内妊娠率和复发率比较差异无统计学意义(P>0.05)。结论两种手术修补方案治疗PCSD总体疗效接近,但宫腹腔镜联合修补术式有助于降低医源性创伤程度,减少术后阴道流血和住院时间,而经阴道修补术式则操作更为简便,手术难度显著降低。 展开更多
关键词 手术 剖宫产术后子宫切口憩室(PCSD) 宫腔镜 腹腔镜 经阴道
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生物反馈电刺激对围绝经期子宫全切妇女的影响 被引量:7
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作者 吴佳莹 张文渊 黄筱竑 《中国现代医学杂志》 CAS 2018年第30期121-124,共4页
目的探究生物反馈电刺激对围绝经子宫全切妇女的影响。方法选取2013年6月-2016年6月该院收治的98例围绝经期子宫全切治疗后盆底功能障碍患者作为研究对象,采用随机数字表法将其分为对照组和观察组,每组各49例。对照组采用盆底肌训练联... 目的探究生物反馈电刺激对围绝经子宫全切妇女的影响。方法选取2013年6月-2016年6月该院收治的98例围绝经期子宫全切治疗后盆底功能障碍患者作为研究对象,采用随机数字表法将其分为对照组和观察组,每组各49例。对照组采用盆底肌训练联合雌三醇阴道给药治疗,观察组在对照组的治疗基础上辅以生物反馈电刺激治疗。比较两组治疗前、后的盆底肌张力情况、盆腔脏器脱垂情况及压力性尿失禁(SUI)分度。结果治疗前观察组与对照组阴道收缩压(VSP)、阴道静息压(VRP)及阴道收缩持续时间(PT)比较,差异无统计学意义(P>0.05);治疗6个月后两组VSP、VRP及PT较治疗前均改善,且治疗后观察组与对照组VSP、VRP及PT比较,差异有统计学意义(P <0.05),观察组VSP、VRP及PT高于对照组。治疗后3及6个月观察组与对照组盆腔脏器脱垂情况比较,差异有统计学意义(P <0.05),观察组阴道、膀胱及直肠脱垂发生率低于对照组。治疗后3和6个月观察组与对照组SUI分度比较,差异有统计学意义(P <0.05),观察组SUI分度优于对照组。结论给予围绝经期子宫全切治疗后盆底功能障碍患者综合康复疗法较盆底肌训练联合雌三醇阴道治疗能改善患者的盆底肌张力和尿失禁情况,降低盆腔脏器脱垂发生率,可在临床进一步推广和使用。 展开更多
关键词 围绝经期 子宫全切术 盆底肌训练 雌三醇 生物反馈电刺激
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Astragalus polysaccharides can regulate cytokine and P-glycoprotein expression in H22 tumor-bearing mice 被引量:31
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作者 Qing-E Tian Huan-De Li +3 位作者 Miao Yan Hua-Lin Cai Qin-You Tan wen-yuan zhang 《World Journal of Gastroenterology》 SCIE CAS CSCD 2012年第47期7079-7086,共8页
AIM:To investigate the adjunct anticancer effect of Astragalus polysaccharides in H22 tumor-bearing mice.METHODS:To establish a solid tumor model,5.0 × 10 6 /mL H22 hepatoma cells were inoculated subcutaneously i... AIM:To investigate the adjunct anticancer effect of Astragalus polysaccharides in H22 tumor-bearing mice.METHODS:To establish a solid tumor model,5.0 × 10 6 /mL H22 hepatoma cells were inoculated subcutaneously into the right armpit region of Kunming mice(6-12 wk old,18-22 g).When the tumors reached a size of 100 mm 3,the animals were treated as indicated,and the mice were randomly assigned to seven groups(n = 10 each).After ten days of treatment,blood samples were collected from mouse eyes,and serum was harvested by centrifugation.Mice were sacrificed,and the whole body,tumor,spleen and thymus were weighed immediately.The rate of tumor inhibition and organ indexes were calculated.The expression levels of serum cytokines,P-glycoprotein(P-GP) and multidrug resistance(MDR) 1 mRNA in tumor tissues were detected using enzyme-linked immunosorbent assay,Western blotting,and quantitative myeloid-derived suppressor cells reverse transcription-polymerase chain reaction,respectively.RESULTS:The tumor inhibition rates in the treatment groups of Adriamycin(ADM) + Astragalus polysaccharides(APS)(50 mg/kg),ADM + APS(100 mg/kg),and ADM + APS(200 mg/kg) were significantly higher than in the ADM group(72.88% vs 60.36%,P = 0.013;73.40% vs 60.36%,P = 0.010;77.57% vs 60.36%,P = 0.001).The spleen indexes of the above groups were also significantly higher than in the ADM group(0.65 ± 0.22 vs 0.39 ± 0.17,P = 0.023;0.62 ± 0.34 vs 0.39 ± 0.17,P = 0.022;0.67 ± 0.20 vs 0.39 ± 0.17,P = 0.012),and the thymus indexes of the ADM + APS(100 mg/kg) and ADM + APS(200 mg/kg) groups were significantly higher than in the ADM group(0.20 ± 0.06 vs 0.13 ± 0.04,P = 0.029;0.47 ± 0.12 vs 0.13 ± 0.04,P = 0.000).APS was found to exert a synergistic antitumor effect with ADM and to alleviate the decrease in the sizes of the spleen and thymus induced by AMD.The expression of interleukin-1α(IL-1α),IL-2,IL-6,and tumor necrosis factor-α(TNF-α) was significantly higher in the ADM + APS(50 mg/kg),ADM + APS(100 mg/kg) and ADM + APS(200 mg/kg) groups than in the ADM group;and IL-10 was significantly lower in the above groups than in the ADM group.APS could increase IL-1α,IL-2,IL-6,and TNF-α expression and decrease IL-10 levels.Compared with the ADM group,APS treatment at a dose of 50-200 mg/kg could downregulate MDR1 mRNA expression in a dose-dependent manner(0.48 ± 0.13 vs 4.26 ± 1.51,P = 0.000;0.36 ± 0.03 vs 4.26 ± 1.51,P = 0.000;0.21 ± 0.04 vs 4.26 ± 1.51,P = 0.000).The expression level of P-GP was significantly lower in the ADM + APS(200 mg/kg) group than in the ADM group(137.35 ± 9.20 mg/kg vs 282.19 ± 20.54 mg/kg,P = 0.023).CONCLUSION:APS exerts a synergistic anti-tumor effect with ADM in H22 tumor-bearing mice.This may be related to its ability to enhance the expression of IL1α,IL-2,IL-6,and TNF-α,decrease IL-10,and downregulate MDR1 mRNA and P-GP expression levels. 展开更多
关键词 荷瘤小鼠 P-糖蛋白 黄芪多糖 节细胞 因子和 WESTERN印迹 IL-10 酶联免疫吸附试验
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Chronic stress causes protein kinase C epsilon-aldehyde dehydrogenase 2 signaling pathway perturbation in the rat hippocampus and prefrontal cortex,but not in the myocardium 被引量:4
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作者 wen-yuan zhang Ke-Yi Wang +2 位作者 Yun-Jing Li Ying-Ran Li Rong-Zhi Lu 《Neural Regeneration Research》 SCIE CAS CSCD 2018年第7期1225-1230,共6页
Chronic stress is strongly associated with the occurrence and development of depression and cardiovascular disease.Stress can induce altered mitochondrial function and activation of apoptosis in the cardio-cerebral sy... Chronic stress is strongly associated with the occurrence and development of depression and cardiovascular disease.Stress can induce altered mitochondrial function and activation of apoptosis in the cardio-cerebral system.However,it is unknown whether the protein kinase C ε(PKCε)-aldehyde dehydrogenase 2(ALDH2) pathway is altered under chronic stress,and this study sought to address this question.A rat model of depression was established using a chronic unpredictable mild stress(CUMS) protocol.After experiencing CUMS for 4 weeks,the sucrose preference test and the forced swim test verified depressive-like behaviors.Enzyme linked immunosorbent assays showed that ALDH2 activity was decreased in the rat hippocampus and prefrontal cortex,but was not altered in the myocardium.Western blot assays demonstrated reduced levels of ALDH2 and PKCε,but increased levels of 4-hydroxy-2-nonenal(4 HNE) adducts.Caspase-3 expression did not obviously alter,but active forms of caspase-3 were increased in the hippocampus and prefrontal cortex.In the myocardium,expression of ALDH2,PKCε and 4 HNE adducts did not remarkably alter;while caspase-3 expression was reduced and the active forms of caspase-3 were upregulated.Pearson's correlation test demonstrated that expression of 4 HNE adducts was positively correlated with levels of the active forms of caspase-3 in the hippocampus and prefrontal cortex,but not in the myocardium.In conclusion,chronic stress can damage the PKCε-ALDH2 signaling pathway in the hippocampus and prefrontal cortex,but not in the myocardium.Moreover,4 HNE is associated with active forms of caspase-3 in the hippocampus and prefrontal cortex. 展开更多
关键词 nerve regeneration stress depression protein kinase C ε aldehyde dehydrogenase 2 4-hydroxy-2-nonenal apoptosis hippocampus prefrontal cortex myocardium neural regeneration
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Radial Distribution Characteristics of Microstructure and Mechanical Properties of Ti–6Al–4V Butt Joint by Rotary Friction Welding 被引量:4
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作者 Hai-Yan Chen Li Fu +1 位作者 wen-yuan zhang Fen-Jun Liu 《Acta Metallurgica Sinica(English Letters)》 SCIE EI CAS CSCD 2015年第10期1291-1298,共8页
Ti-6Al-4V rods were butt-welded by rotary friction welding in this study. Additionally, the radial differences in microstructure and mechanical property of joints were investigated by hierarchy slicing method. The res... Ti-6Al-4V rods were butt-welded by rotary friction welding in this study. Additionally, the radial differences in microstructure and mechanical property of joints were investigated by hierarchy slicing method. The results displayed that the width of weld zone and heat-affected zone of joints became wider along radial direction. Meanwhile, the tensile strength of joints decreased gradually along the radial direction. According to the theoretical analysis, the temperature gradient and inhomogeneous forging pressure leaded to the radial differences. Through K-type thermocouples, the actual temperatures at different locations were measured, and the results were consistent with the theoretical analysis. Theoretically, the radial differences of rotary friction welding joint are an inherent phenomenon; thus, the size of weldment should be limited strictly below the corresponding critical size. In order to prevent radial differences from enlarging, the welding surface profile of weldment can be processed into oval shape, and a larger forging pressure can be used within the scope of the joint deformation allowed according to causes for radial differences. 展开更多
关键词 Titanium alloys Friction welding MICROSTRUCTURE Mechanical property
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Sulfur dioxide sensing properties of MOF-derived ZnFe_(2)O_(4) functionalized with reduced graphene oxide at room temperature 被引量:3
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作者 Lan-Juan Zhou Xi-Xi zhang wen-yuan zhang 《Rare Metals》 SCIE EI CAS CSCD 2021年第6期1604-1613,共10页
In this paper,ZnZnFe_(2)O_(4) nanorods were prepared using Zn/Fe metal organic framework(MOF)as precursors,and ZnZnFe_(2)O_(4)/reduced graphene oxide(rGO)was prepared by hydrothermal method.The morphology and composit... In this paper,ZnZnFe_(2)O_(4) nanorods were prepared using Zn/Fe metal organic framework(MOF)as precursors,and ZnZnFe_(2)O_(4)/reduced graphene oxide(rGO)was prepared by hydrothermal method.The morphology and composition of the ZnZnFe_(2)O_(4)/rGO nanocomposite were characterized,and the results showed that the MOF-derived ZnZnFe_(2)O_(4) nanorods are uniformly modified on the surface of rGO.The ZnZnFe_(2)O_(4)/rGO nanocomposite exhibits better SO_(2) gas sensing performance than the single ZnZnFe_(2)O_(4) nanorods at room temperature.The sensing characteristics of single ZnZnFe_(2)O_(4) film sensor,single rGO film sensor and ZnZnFe_(2)O_(4)/rGO composite film sensor at SO_(2)gas concentration(1×10^(-6)-100×10^(-6))were tested.The response of ZnZnFe_(2)O_(4)/rGO composite sensor can reach 18.32%at room temperature.Compared with single ZnZnFe_(2)O_(4) and rGO film sensors,the ZnZnFe_(2)O_(4)/rGO composite sensor has better transient response,good sensitivity and selectivity.In this work,the improvement of the sensor performance is not only due to the p-n heterostructure between ZnZnFe_(2)O_(4) nanorods and rGO nanosheets,but also to the excellent electrical properties of rGO.It provides a new idea for the detection of SO_(2) at room temperature. 展开更多
关键词 Ternary metal oxide ZnFe_(2)O_(4)nanorods Reduced graphene oxide SO_(2)gas sensor
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