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妊娠糖尿病患者负性情绪及危险因素分析 被引量:10
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作者 杨扬 龚护民 +1 位作者 郭映芳 郭琼华 《中国现代医学杂志》 CAS 2018年第36期115-119,共5页
目的调查妊娠糖尿病(GDM)患者负性情况的发生状况,并分析其危险因素。方法选取2014年6月—2016年6月海南省人民医内分泌科就诊的GDM患者189例,根据医院用焦虑抑郁量表(HADS)评分结果,分为GDM合并负性情绪组(GDM+负性情绪组,HADS>15分... 目的调查妊娠糖尿病(GDM)患者负性情况的发生状况,并分析其危险因素。方法选取2014年6月—2016年6月海南省人民医内分泌科就诊的GDM患者189例,根据医院用焦虑抑郁量表(HADS)评分结果,分为GDM合并负性情绪组(GDM+负性情绪组,HADS>15分)Ⅲ例和GDM不合并负性情绪组(GDM组,HADS≤15分)88例。另根据HADS评分将GDM+负性情绪组分为轻度负性情绪亚组(16≤HADS≤20)39例、中度负性情绪亚组(21≤HADS≤30)37例及重度负性情绪亚组(31≤HADS≤42)35例。采用Pearson相关分析HADS评分水平的相关因素。采用Logistic回归分析GDM患者合并负性情绪的影响因素。结果 (1) GDM患者合并负性情绪的发生率为58.73%(111/189)。GDM+负性情绪组孕前BMI、FPG、HbA1c、TC、TG、HDL-C、HOMA-IR及糖尿病家族史患者比例均高于GDM组(P <0.05);(2)重度负性情绪亚组FPG、Hb A1c、TC、TG、HDL-C及HOMA-IR水平均高于轻度负性情绪亚组和中度负性情绪亚组,且中度负性情绪亚组FPG、Hb A1c、TC及HOMA-IR水平高于轻度负性亚组(P <0.05);(3) Pearson相关分析显示,孕前BMI、孕期体重增加、FPG、HbA1c、TC、TG、HDL-C、HOMA-IR及有糖尿病家族史均与HADS评分相关(P<0.05);(4)孕前BMI、孕期体重增加、HbA1c及糖尿病家族史是GDM合并负性情绪的危险因素(P<0.01)。结论 GDM患者合并负性情绪的发生率仍较高,尤其是孕前BMI高、孕期体重增加、HbA1c水平高及有糖尿病家族史的患者。因此,对该类孕妇应及早的进行心理干预,提供更多的心理辅导,预防负性情绪的发生。 展开更多
关键词 糖尿病 妊娠 负性情绪 危险因素
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Catalpol ameliorates LPS-induced endometritis by inhibiting inflammation and TLR4/NF-κB signaling 被引量:19
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作者 Hua ZHANG Zhi-min WU +8 位作者 Ya-ping YANG Aftab SHAUKAT Jing YANG ying-fang guo Tao ZHANG Xin-ying ZHU Jin-xia QIU Gan-zhen DENG Dong-mei SHI 《Journal of Zhejiang University-Science B(Biomedicine & Biotechnology)》 SCIE CAS CSCD 2019年第10期816-827,共12页
Catalpol is the main active ingredient of an extract from Radix rehmanniae,which in a previous study showed a protective effect against various types of tissue injury.However,a protective effect of catalpol on uterine... Catalpol is the main active ingredient of an extract from Radix rehmanniae,which in a previous study showed a protective effect against various types of tissue injury.However,a protective effect of catalpol on uterine inflammation has not been reported.In this study,to investigate the protective mechanism of catalpol on lipopolysaccharide(LPS)-induced bovine endometrial epithelial cells(bEECs)and mouse endometritis,in vitro and in vivo inflammation models were established.The Toll-like receptor 4(TLR4)/nuclear factor-κB(NF-κB)signaling pathway and its downstream inflammatory factors were detected by enzyme-linked immunosorbent assay(ELISA),quantitative real-time polymerase chain reaction(qRT-PCR),western blot(WB),and immunofluorescence techniques.The results from ELISA and qRT-PCR showed that catalpol dose-dependently reduced the expression of pro-inflammatory cytokines such as tumor necrosis factorα(TNF-α),interleukin(IL)-1β,and IL-6,and chemokines such as C-X-C motif chemokine ligand 8(CXCL8)and CXCL5,both in bEECs and in uterine tissue.From the experimental results of WB,qRT-PCR,and immunofluorescence,the expression of TLR4 and the phosphorylation of NF-κB p65 were markedly inhibited by catalpol compared with the LPS group.The inflammatory damage to the mouse uterus caused by LPS was greatly reduced and was accompanied by a decline in myeloperoxidase(MPO)activity.The results of this study suggest that catalpol can exert an anti-inflammatory impact on LPS-induced bEECs and mouse endometritis by inhibiting inflammation and activation of the TLR4/NF-κB signaling pathway. 展开更多
关键词 CATALPOL ENDOMETRITIS INFLAMMATION Toll-like receptor 4(TLR4) Nuclear factor-κB(NF-κB)
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Erratum to: Catalpol ameliorates LPS-induced endometritis by inhibiting inflammation and TLR4/NF-κB signaling 被引量:4
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作者 Hua ZHANG Zhi-min WU +8 位作者 Ya-ping YANG Aftab SHAUKAT Jing YANG ying-fang guo Tao ZHANG Xin-ying ZHU Jin-xia QIU Gan-zhen DENG Dong-mei SHI 《Journal of Zhejiang University-Science B(Biomedicine & Biotechnology)》 SCIE CAS CSCD 2020年第4期341-341,共1页
Erratum to:J Zhejiang Univ-Sci B(Biomed&Biotechnol)201920(10):816-827 https://doi.org/10.1631/jzus.B1900071The original version of this article unfortunately contained a mistake.In p.823,Figs.8 c and 8 d were inco... Erratum to:J Zhejiang Univ-Sci B(Biomed&Biotechnol)201920(10):816-827 https://doi.org/10.1631/jzus.B1900071The original version of this article unfortunately contained a mistake.In p.823,Figs.8 c and 8 d were incorrect,and the obvious pathological changes were mistakenly placed in the picture. 展开更多
关键词 MISTAKE placed PICTURE
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