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急性加重慢性阻塞性肺疾病患者出院准备度的影响因素 被引量:4
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作者 金晶 章群丹 +1 位作者 谢灵芳 王娟 《健康研究》 CAS 2018年第6期628-631,共4页
目的探究急性加重慢性阻塞性肺疾病(acute exacerbation of chronic obstructive pulmonary disease,AECOPD)患者出院准备度的影响因素,为保障患者出院后的安全、提高患者的满意度提供相应依据。方法收集152例AECOPD患者的一般资料,采... 目的探究急性加重慢性阻塞性肺疾病(acute exacerbation of chronic obstructive pulmonary disease,AECOPD)患者出院准备度的影响因素,为保障患者出院后的安全、提高患者的满意度提供相应依据。方法收集152例AECOPD患者的一般资料,采用出院准备度量表评判患者出院准备度。结果 AECOPD患者的出院准备度平均得分为96. 16±17. 32分;多因素回归显示感知自理能力下降、合并症种类、需长期规律服药、工作状态、家庭人均月收入是急性加重慢性阻塞性肺疾病患者出院准备度的独立影响因素(P<0. 05)。结论 AECOPD在出院前已做好出院的相关准备,感知自理能力下降、合并症多、需长期规律服药、工作状态、家庭人均月收入影响患者出院准备度。 展开更多
关键词 急性加重慢性阻塞性肺疾病 出院准备度 影响因素 自理能力
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Effects of caloric vestibular stimulation on serotoninergic system in the media vestibular nuclei of guinea pigs 被引量:1
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作者 MA Fu-rong LIU Jun-xiu +5 位作者 LI Xue-pei MAO Jian-jun zhang qun-dan JIA Hong-bo MAO Lan-quan ZHAO Rui 《Chinese Medical Journal》 SCIE CAS CSCD 2007年第2期120-124,共5页
Background Anatomic and electrophysiological studies have revealed that the neurons located in the media vestibular nuclei (MVN) receive most of the sensory vestibular input coming from the ipsilateral labyrinth and... Background Anatomic and electrophysiological studies have revealed that the neurons located in the media vestibular nuclei (MVN) receive most of the sensory vestibular input coming from the ipsilateral labyrinth and the responses of MVN neurons to caloric stimulation directly reflect changes in primary vestibular afferent activity. The aim of this study was to clarify the intrinsic characteristics of serotonin (5-hydroxytryptamine, 5-HT) release in the MVN during the period of vertigo induced by caloric stimulation. Methods We used an in vivo microdialysis technique to examine the effects of caloric stimulation on the serotoninergic system in MVN. Twenty four guinea pigs were randomly divided into the groups of irrigation of the ear canal with hot water (n=6), ice water (n=6) and 37℃ water (n=4), and the groups of irrigation of the auricle with hot water (n=-4) and ice water (n=4), according to different caloric vestibular stimulation. We examined the animal's caloric nystagmus with a two-channel electronystagmographic recorder (ENG), and meanwhile examine serotonin (5-hydroxytryptamine, 5-HT) level in the MVN with microdialysis technique after caloric stimulation. Results In the caloric test the hot water (44℃) irrigation of the right external auditory canal induced horizontal nystagmus towards the right side lasting about 60 seconds and the ice water irrigation of the right external auditory canal induced it towards the left side lasting for about 90 seconds. No nystagmus was induced by 37℃ water irrigation of the external ear canal. Therefore, it was used as a negative control stimulation to the middle ear. The MVN 5-HT levels significantly increased in the first 5-minute collecting interval and increased to 254% and 189% of the control group in the second collecting interval in response to caloric vestibular stimulation with ice water and hot water respectively. The serotonin release was not distinctly changed by the irrigation of the auricle with ice water or hot water. Conclusions Neither somato-sensory stimulation of the middle ear nor nonspecific cold or hot stress affects the serotonin release. The rise of 5-HT in MVN may be involved in the mechanism of vertigo induced by caloric stimulation. 展开更多
关键词 caloric stimulation VERTIGO media vestibular nuclei 5-HYDROXYTRYPTAMINE MICRODIALYSIS
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