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内镜下硬化剂联合组织胶治疗食管胃底静脉曲张76例疗效分析 被引量:6
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作者 郭依心 李之印 +3 位作者 叶月芳 王敏 郑蓓怡 蔡腾伟 《中国实用内科杂志》 CAS CSCD 北大核心 2021年第5期421-423,427,共4页
目的探讨针对肝硬化食管胃底静脉中重度曲张需二级预防的患者,内镜下使用硬化剂联合组织胶仅注射于胃底曲张静脉的疗效及并发症情况。方法收集2015年1月至2016年9月杭州师范大学附属医院诊断为食管静脉与胃底静脉相通的肝硬化食管胃底... 目的探讨针对肝硬化食管胃底静脉中重度曲张需二级预防的患者,内镜下使用硬化剂联合组织胶仅注射于胃底曲张静脉的疗效及并发症情况。方法收集2015年1月至2016年9月杭州师范大学附属医院诊断为食管静脉与胃底静脉相通的肝硬化食管胃底静脉中重度曲张需二级预防,且在内镜下治疗的151例患者的临床资料。随机分为观察组(76例)和对照组(75例),观察组是内镜下使用硬化剂联合组织胶注射胃底曲张静脉,对照组使用硬化剂联合组织胶注射胃底曲张静脉+单纯硬化剂注射食管曲张静脉。术后比较两组的临床疗效及并发症情况。结果观察组在再出血率及食管狭窄方面与对照组无明显差异,两组差异无统计学意义(P>0.05)。在发热、胸骨后疼痛及食管溃疡发生率上,观察组明显低于对照组,差异有统计学意义(P<0.05)。两组疗效在总有效率方面相差不大,两组差异无统计学意义(P>0.05)。结论内镜下使用硬化剂联合组织胶治疗肝硬化食管胃底静脉曲张的患者时,两组方法效果相当,但仅注射于胃底静脉比注射食管+胃底静脉在并发症方面更有优势。 展开更多
关键词 肝硬化 食管胃底静脉曲张 硬化剂 组织胶 多层螺旋CT门静脉血管成像
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Uncoupling protein and nonalcoholic fatty liver disease 被引量:4
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作者 JIN Xi XIANG Zun +3 位作者 CHEN Yi-peng MA Kui-fen ye yue-fang LI You-ming 《Chinese Medical Journal》 SCIE CAS CSCD 2013年第16期3151-3155,共5页
Objective To review the current advances on the role of uncoupling protein (UCP) in the pathogenesis and progress of nonalcoholic fatty liver disease (NAFLD).Data sources A comprehensive search of the PubMed liter... Objective To review the current advances on the role of uncoupling protein (UCP) in the pathogenesis and progress of nonalcoholic fatty liver disease (NAFLD).Data sources A comprehensive search of the PubMed literature without restriction on the publication date was carried out using keywords such as UCP and NAFLD.Study selection Articles containing information related to NAFLD and UCP were selected and carefully analyzed.Results The typical concepts,up-to-date findings,and existing controversies of UCP2 in NAFLD were summarized.Besides,the effect of a novel subtype of UCP (hepatocellular down regulated mitochondrial carrier protein,HDMCP) in NAFLD was also analyzed.Finally,the concept that any mitochondrial inner membrane carrier protein may have,more or less,the uncoupling ability was reinforced.Conclusions Considering the importance of NAFLD in clinics and UCP in energy metabolism,we believe that this review may raise research enthusiasm on the effect of UCP in NAFLD and provide a novel mechanism and therapeutic target for NAFLD. 展开更多
关键词 nonalcoholic fatty liver disease uncoupling protein PHOSPHORYLATION hepatocellular down regulated mitochondrial carrier protein
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Changes of CD8+ T cells in dextran sulfate sodium-induced colitis mice pretreated with oral immune regulation 被引量:1
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作者 ye yue-fang JIN Xi +2 位作者 CHEN Shao-hua YUE Min LI You-ming 《Chinese Medical Journal》 SCIE CAS CSCD 2012年第12期2173-2179,共7页
Background It has been reported that CD8+ regulatory cells could be induced upon oral tolerance. The purpose of this study was to investigate the changes of CD8a+ T cells in dextran sulfate sodium (DSS)-induced co... Background It has been reported that CD8+ regulatory cells could be induced upon oral tolerance. The purpose of this study was to investigate the changes of CD8a+ T cells in dextran sulfate sodium (DSS)-induced colitis mice pretreated by oral immune regulation. Methods The effects of five low oral doses of colitis-extracted proteins (CEP) on colitis were evaluated by clinical manifestation and histological lesions. The percentages of CD8a+ T cells gating on CD3+ T cells were evaluated in the gut-associated lymphoid tissues (GALT) and the spleens by flow cytometry. Differences between the two groups were compared by Student's t test or Mann-Whitney U test. Results Compared to bovine serum albumin (BSA)-fed control mice, administration of CEP resulted in marked alleviation of colitis. The proportion of CDSa+ T ceils, not only in intraepithelial lymphocytes (IELs) and lamina propria lymphocytes (LPLs) of the large intestine (LI) but also in spleen from CEP-fed colitis mice, was significantly higher than that from BSA-fed colitis mice (LI-IELs: (71.5±5.4)% vs. (60.1±4.3)%, P 〈0.01; LI-LPLs: (60.7±5.2)% vs. (51.9±4.7)%, P 〈0.01; spleen: (24.1±3.6)% vs. (20.3±4.1)%, P 〈0.05; n=8). Mucosal repair in repair-period mice five days after termination of DSS treatment was also accompanied by an increase of CD8a+ T cells in large intestinal mucosal lymphocytes (LI-IELs: (72.1±3.7)% vs. (61.5±4.5)%, P 〈0.01; LI-LPLs: (62.1±5.7)% vs. (52.7±3.6)%, P 〈0.01; n=8). The proportion of CD3+ T cells increased in Peyer's patches (PPs) and decreased in mesenteric lymph nodes (MLNs) from colitis mice compared to untreated mice, whereas the change pattern of CD3+T cells in PPs and MLNs from CEP-fed colitis mice was just on the contrary. Conclusion Improvement of DSS-induced colitis resulted from oral immune regulation is associated with an increase in CD8a+T cells in spleen and large intestinal mucosa. 展开更多
关键词 dextran sulfate sodium COLITIS MOUSE oral tolerance CD8a+ T cells
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