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丙泊酚复合七氟醚麻醉对肝炎肝硬化患者术后苏醒质量的影响 被引量:12
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作者 李德强 尹立军 +1 位作者 陈学军 杜洪印 《中国现代医学杂志》 CAS 2018年第20期84-88,共5页
目的分析肝炎肝硬化患者应用丙泊酚联合七氟醚静-吸复合麻醉对术后苏醒质量的影响。方法选取2015~2017年于天津医科大学宝坻临床学院行手术治疗的肝炎肝硬化患者72例,依据随机原则分为观察组和对照组。观察组予以七氟醚复合丙泊酚静-吸... 目的分析肝炎肝硬化患者应用丙泊酚联合七氟醚静-吸复合麻醉对术后苏醒质量的影响。方法选取2015~2017年于天津医科大学宝坻临床学院行手术治疗的肝炎肝硬化患者72例,依据随机原则分为观察组和对照组。观察组予以七氟醚复合丙泊酚静-吸复合麻醉,对照组予以丙泊酚全程静脉麻醉。于拔管后即刻(T0)、拔管后10(T1)、30(T2)和60 min(T3)分别比较两组改良OAA/S评分与改良Aldrete评分。分别比较两组术后苏醒时间、自主呼吸恢复时间、拔管时间、脑电双频指数(BIS)及躁动发生率。比较两组术后呛咳反应及恶心呕吐等相关并发症发生率的差异。结果不同时间点的改良OAA/S评分与改良Aldrete评分比较有差异(P<0.05);两组的改良OAA/S评分及改良Aldrete评分比较有差异(P<0.05);两组的改良OAA/S评分及改良Aldrete评分变化趋势比较有差异(P<0.05)。对照组苏醒时间、自主呼吸恢复时间、拔管时间、苏醒状态BIS指数及躁动发生率大于观察组(P<0.05)。两组术后麻醉相关并发症发生率比较无差异(P>0.05)。结论丙泊酚联合七氟醚静-吸复合麻醉用于肝炎肝硬化患者手术麻醉,可以提高术后的苏醒质量,苏醒较迅速,且安全性较好。 展开更多
关键词 丙泊酚 七氟醚 静-吸复合麻醉 肝炎肝硬化 苏醒质量
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CagA^+ H.pylori Induces Akt1 Phosphorylation and Inhibits Transcription of p21^(WAF1/CIP1) and p27^(KIP1) via PI3K/Akt1 Pathway 被引量:4
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作者 SHU-PING LI xue-jun chen +2 位作者 AI-HUA SUN JIN-FANG ZHAO JIE YAN 《Biomedical and Environmental Sciences》 SCIE CAS CSCD 2010年第4期273-278,共6页
Objective Cytotoxin-associated protein (CagA) of H. pylori has been confirmed to be closely associated with gastric inflammation and tumorigenesis, but the mechanism behind it is little understood. In this study, we... Objective Cytotoxin-associated protein (CagA) of H. pylori has been confirmed to be closely associated with gastric inflammation and tumorigenesis, but the mechanism behind it is little understood. In this study, we try to determine roles of CagA+ strain in activating PI3K/Akt1 signaling pathway, and affecting expression of p21WAF1/CIP1 and p27KIP1, and also in releasing IL-8 in host cells. Methods Akt1 phosphorylation and IL-8 levels of CagA+ and CagAˉ strain infected AGS cells were detected by ELISAs. Two quantitative RT-PCRs were established to measure p21WAF1/CIP1 and p27KIP1 mRNA levels in the CagA+ and CagAˉ strain infected cells. LY294002, an inhibitor of PI3K/Akt pathway, was used to define effect of the pathway in IL-8 release. Results CagA+ strain could induce an obvious elevation of Akt1 phosphorylation in the infected AGS cells while CagAˉ strain failed to do so. The CagA+ H. pylori strain infected AGS cells showed significant drops both in p21WAF1/CIP1 and p27KIP1 mRNA levels, whereas the CagAˉ H. pylori strain caused a remarkable increase in p21WAF1/CIP1 mRNA without affecting p27KIP1 gene transcription in the AGS cells. Both the CagA+ and CagAˉ H. pylori strains enabled AGS cells to produce close elevated levels of IL-8, and the LY294002 block resulted in unexpected elevations of IL-8 levels. Conclusion CagA can activate PI3K/Akt1 pathway that plays an inhibitory role in IL-8 release in H. pylori infected AGS cells. Activation of PI3K/Akt1 pathway and subsequent negative regulation of p21^WAF1/CIP1 and p27^KIP1 expression might be involved in CagA-associated carcinogenesis. 展开更多
关键词 Helicobater pylori CagA PI3K AKT1 P21^WAF1/CIP1 P27^KIP1 IL-8
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前哨淋巴结活检与乳腺癌分子分型的关系 被引量:2
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作者 李想娣 陈雪君 +1 位作者 林思园 尉承泽 《中国现代医学杂志》 CAS 2020年第6期29-35,共7页
目的探讨前哨淋巴结活检结果与乳腺癌分子分型的关系。方法选取2015年1月-2018年12月于东莞市松山湖中心医院接受全乳切除术或保乳术加前哨淋巴结活检的302例早期乳腺癌患者作为研究对象,采用免疫组织化学法检测肿瘤组织中雌激素受体(ER... 目的探讨前哨淋巴结活检结果与乳腺癌分子分型的关系。方法选取2015年1月-2018年12月于东莞市松山湖中心医院接受全乳切除术或保乳术加前哨淋巴结活检的302例早期乳腺癌患者作为研究对象,采用免疫组织化学法检测肿瘤组织中雌激素受体(ER)、孕激素受体(PR)、人体表皮生长因子受体-2(Her-2)、Ki-67的表达,并将患者划分为Luminal A型、Luminal B型、HER-2阳性型及三阴性型。分析前哨淋巴结转移与患者分型的关系。结果患者中Luminal A型134例、Luminal B型91例、Her-2阳性型32例及三阴性型45例,各亚型中前哨淋巴结阳性者分别有31、37、7及6例。前哨淋巴结阳性组年龄≤52岁、T2期、Luminal B型占比均高于阴性组(P<0.05),TNM分期是前哨淋巴结阳性的危险因素[OR^^=3.531(95%CI:1.936,6.438),P=0.000],Luminal A型[OR^^=0.242(95%CI:0.121,0.483),P=0.000]、年龄[OR^^=0.202(95%CI:0.101,0.405),P=0.000]是其保护因素。前哨淋巴结阳性组年龄≤52岁、T2期、Luminal B型占比均高于阴性组(P<0.05),年龄[OR^^=0.250(95%CI:0.063,0.987),P=0.000]是前哨淋巴结阳性数的保护因素。检出组年龄≤52岁、T2期、阳性前哨淋巴结数量≥2枚、前哨淋巴结宏转移者占比均高于未检出组(P<0.05),前哨淋巴结阳性数量≥2枚[OR^^=27.926(95%CI:6.433,121.222),P=0.000]、前哨淋巴结宏转移[OR^^=10.662(95%CI:1.620,70.177),P=0.014]是非前哨淋巴结转移的危险因素。结论分子分型与前哨淋巴结阳性有一定关系,其中Luminal A型患者前哨淋巴结阳性风险低于Luminal B型患者,但分子分型与是否伴非前哨淋巴结转移无关。 展开更多
关键词 乳腺肿瘤 分子分型 前哨淋巴结活组织检查
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Design of Equal Precision Frequency Meter Based on FPGA 被引量:5
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作者 Yi-yuan Fang xue-jun chen 《Engineering(科研)》 2012年第10期696-700,共5页
To overcome the shortcoming that the traditional frequency measurement method does not meet the requirement of equal precision, a design method of equal precision frequency meter based on FPGA is proposed. The system ... To overcome the shortcoming that the traditional frequency measurement method does not meet the requirement of equal precision, a design method of equal precision frequency meter based on FPGA is proposed. The system modules are all realized in Altera’s FPGA chip EP2C35F672C8. Experimental results show that the system can measure frequencies with equal precision in the whole frequency range, and the measurement error is small. It achieves the requirement of equal precision measurements. 展开更多
关键词 FPGA Equal PRECISION FREQUENCY MEASUREMENT
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