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骆杰伟教授对“长新冠”的中医辨证施治思路
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作者 池武 王劲东 +9 位作者 阮丹郸 张键辉 陈丽 黄昉萌 戴超俊 郭思薇 陈莹 张雪梅 朱耀彬 骆杰伟 《海峡药学》 2023年第11期16-19,共4页
“长新冠”是指新型冠状病毒急性感染控制后在不同时间段内出现不同程度的症状,呈现多系统、异质性、复发性与缓慢性的特征。无论患者新型冠状病毒急性感染的症状严重程度如何,都可能会受到影响。“长新冠”临床表现有疲劳、失眠、焦虑... “长新冠”是指新型冠状病毒急性感染控制后在不同时间段内出现不同程度的症状,呈现多系统、异质性、复发性与缓慢性的特征。无论患者新型冠状病毒急性感染的症状严重程度如何,都可能会受到影响。“长新冠”临床表现有疲劳、失眠、焦虑、血栓、脱发、性功能障碍、肝肾损害、心肌损害、胸痛、甲亢等。骆杰伟教授以阴阳平衡、气血精津液以及藏象学说为理论基础,总结长新冠的症状、证候特点及不同感染人群的体质特征,提出了“长新冠”的中医辨证诊治思路并应用于“阳康门诊”,取得较好的反响与疗效。 展开更多
关键词 长新冠 中医辨证 中医治法
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不同中医证型原发性失眠患者肠道菌群差异研究 被引量:24
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作者 骆杰伟 吴永希 +5 位作者 黄昉萌 陈炜玮 朱耀彬 魏世超 郑星宇 杨笑 《中国中医药信息杂志》 CAS CSCD 2018年第4期28-34,共7页
目的通过高通量16S r DNA测序,探讨不同中医证型原发性失眠患者肠道菌群差异。方法选择原发性失眠患者65例,按中医证型分为肝郁化火组22例、心脾两虚组17例、阴虚火旺组26例,健康体检者47例为对照组。采用高通量16S r DNA测序方法分析... 目的通过高通量16S r DNA测序,探讨不同中医证型原发性失眠患者肠道菌群差异。方法选择原发性失眠患者65例,按中医证型分为肝郁化火组22例、心脾两虚组17例、阴虚火旺组26例,健康体检者47例为对照组。采用高通量16S r DNA测序方法分析患者便菌群结构,QIIME软件与R语言stats包等分析菌群差异。结果共得到1226个不同的基因序列分类单元(OTUs),4组间差异有统计学意义的OTUs共180个(P<0.05),表明样品有丰富的菌落。肝郁化火组、阴虚火旺组测序序列的定位个数多于心脾两虚组及对照组(P<0.05)。非加权Uni Frac分析显示,组间差异显著大于组内差异,表明分组有意义(R=0.103,P=0.002),提示肠道菌群多样性与失眠不同证型高度相关。属水平在不同组间明显差异共57个属(P<0.05),所有物种水平不同组间明显差异共115个物种(P<0.05)。对照组优势菌属包括:普雷沃氏菌属(prevotella)、巨单胞菌属(megamonas)、梭菌属(clostridiumⅪ、clostridiuumⅩⅧ)、魏斯氏菌属(weissella)、拟普雷沃氏菌属(alloprevotella);肝郁化火组优势菌属包括:考拉杆菌属(phascolarctobacterium)、黄杆菌属(flavonifractor)、埃格特菌属(eggerthella)、嗜胆菌属(bilophila);心脾两虚组优势菌属包括:鞘氨醇单胞菌属(sphingomonas)、甲基杆菌属(methylobacterium);阴虚火旺组优势菌属包括:拟杆菌属(bacteroides)、副拟杆菌属(parabacteroides)、parasutterella、butyricimonas、odoribacter。结论原发性失眠患者具有丰富的肠道菌群多样性及不同菌群结构,可能影响着不同中医证候的发生、发展及结局。 展开更多
关键词 原发性失眠 中医证候 16SrDNA 测序 肠道菌群
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高果糖高盐饮食与代谢综合征的关系研究 被引量:2
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作者 张雅娉 朱耀斌 +3 位作者 高琰 李明阳 王志伟 张永 《临床和实验医学杂志》 2022年第15期1569-1572,共4页
目的 研究高果糖高盐摄入是否诱导小鼠代谢综合征(MS)模型。方法 8~10周龄雄性C57BL/6小鼠80只按照随机数字表法分为4组,每组20只。分别给予正常饮食(Con组)、高果糖饮食(HF组)、高盐饮食(HS组)及高果糖联合高盐饮食(HFS组)。饮食干预1... 目的 研究高果糖高盐摄入是否诱导小鼠代谢综合征(MS)模型。方法 8~10周龄雄性C57BL/6小鼠80只按照随机数字表法分为4组,每组20只。分别给予正常饮食(Con组)、高果糖饮食(HF组)、高盐饮食(HS组)及高果糖联合高盐饮食(HFS组)。饮食干预12周后,测定小鼠体重、测量血压水平、检测血脂、血糖水平、肝、肾功能及电解质水平,比较各组之间上述指标的变化。结果 干预12周后,与Con组相比,HS组和HFS组小鼠体重均明显增高,且HFS组体重高于HS组,HF组体重较Con组降低,差异均有统计学意义(P <0.05)。干预12周后,HS组和HFS组的收缩压较Con组升高,且HFS组的收缩压高于HS组,差异均有统计学意义(P <0.05)。与Con组相比,HFS组的舒张压和平均动脉压升高,差异均有统计学意义(P <0.05),但HF组和HS组的舒张压和平均动脉压比较,差异均无统计学意义(P> 0.05)。干预12周后,4组间的血脂、血糖水平、肝、肾功能及电解质水平比较,差异均无统计学意义(P> 0.05)。结论 高果糖高盐饮食引起超重和高血压,不会导致血糖升高和血脂紊乱。高果糖高盐饮食干预不能诱导MS小鼠模型。 展开更多
关键词 小鼠 代谢综合征 高血压 高果糖 高盐
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单纯超声心动图引导下儿童房间隔缺损的介入治疗 被引量:2
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作者 伊寒露 叶赞凯 +4 位作者 朱耀斌 郭健 丁楠 闫道乐 李志强 《中国心血管病研究》 CAS 2020年第9期806-808,共3页
目的探讨单纯超声心动图引导下儿童房间隔缺损(atrial septal defect,ASD)的介入治疗安全性、有效性、可行性.方法2018年3月至2019年12月间我院收治ASD患儿92例,其中男性38例,女性54例,年龄(4.82±3.24)岁,体重(18.61±9.12)kg... 目的探讨单纯超声心动图引导下儿童房间隔缺损(atrial septal defect,ASD)的介入治疗安全性、有效性、可行性.方法2018年3月至2019年12月间我院收治ASD患儿92例,其中男性38例,女性54例,年龄(4.82±3.24)岁,体重(18.61±9.12)kg.心脏畸形均为ASD(其中1例合并动脉导管未闭,直径约1.8 mm,未予特殊处理),均行单纯超声心动图引导下ASD封堵术,其中81例患儿行经皮超声引导下ASD封堵术,7例患儿行经胸ASD封堵术,4例患儿麻醉后经食管超声心动图评估无需行手术治疗.术后常规予口服阿司匹林抗凝治疗6个月,每日3 mg/kg,预防血栓形成.术后即刻、1个月、3~6个月复查超声心动图及心电图,评估治疗效果.结果手术患儿均封堵成功,无封堵器脱落、心脏穿孔和外周血管损伤等并发症.术后随诊超声心动图及心电图提示封堵器位置好,各房室内径基本正常,未见残余分流、心包积液和心律失常等并发症.结论单纯超声心动图引导下儿童ASD应用介入治疗是安全有效的,且具有创伤小、恢复快、并发症少等优点. 展开更多
关键词 超声心动图 房间隔缺损 介入 儿童
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先天性心脏病合并气管狭窄患儿心脏病矫治术同期置入气道支架治疗效果观察
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作者 朱耀斌 闫道乐 李志强 《中华实用诊断与治疗杂志》 2023年第5期464-466,共3页
目的 观察6例先天性心脏病合并气管狭窄患儿心脏病矫治术同期行气道支架置入治疗的效果,探讨其安全性。方法 先天性心脏病合并气管狭窄患儿6例,年龄4~17(9.47±3.98)个月,均于先天性心脏病矫治术后同期行气道支架置入术。记录术后C... 目的 观察6例先天性心脏病合并气管狭窄患儿心脏病矫治术同期行气道支架置入治疗的效果,探讨其安全性。方法 先天性心脏病合并气管狭窄患儿6例,年龄4~17(9.47±3.98)个月,均于先天性心脏病矫治术后同期行气道支架置入术。记录术后CICU治疗时间及呼吸机使用时间;术后1个月行常规支气管镜检查,观察气管内支架形态、位置、有无肉芽组织等;术后3个月行超声心动图检查,观察心脏病矫治术后恢复情况,行增强CT检查评估气管形态后支气管镜下取出支架。随访1年,记录患儿术后恢复情况和生存情况,观察气管发育、肺功能及反复呼吸道感染改善情况。结果 6例患儿均顺利完成心脏矫治术,气道支架均一次性放置成功,术后CICU治疗时间(6.63±4.27)d,呼吸机使用时间(42.01±38.00)h。6例患儿气道支架置入术后均发生刺激性咳嗽,给予止咳等对症治疗后缓解,呼吸困难症状消失。术后1个月,支气管镜检查提示气管内支架形态和位置正常,无肉芽组织形成。术后3个月,增强CT和支气管镜检查显示气管形态良好后顺利取出支架;超声心动图显示心功能正常,心脏结构正常,未见残余分流。随访至2019年2月,6例患儿气管发育和肺功能均正常,无死亡病例。结论 先天性心脏病合并气管狭窄患儿心脏病矫治术同期行气道支架置入术可改善肺部通气,减少呼吸道感染,术后3个月取出支架可维持气管腔开放,不影响气管生长发育。 展开更多
关键词 先天性心脏病 气管狭窄 心脏病矫治术 气道支架置入
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体外循环对血浆内皮细胞来源外泌体含量及外泌体中热休克蛋白表达的影响 被引量:6
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作者 朱耀斌 李志强 +6 位作者 丁楠 伊寒露 沈磊 赵宇东 叶赞凯 刘扬 樊星 《中华实用诊断与治疗杂志》 2018年第5期437-439,共3页
目的探讨体外循环(cardiopulmonary bypass,CPB)下行先天性心脏畸形矫治术患儿血浆内皮细胞来源外泌体含量及外泌体中热休克蛋白(heat shock protein 70,HSP70)表达变化。方法先天性心脏畸形患儿60例,均于CPB下行先天性心脏畸形矫治术,... 目的探讨体外循环(cardiopulmonary bypass,CPB)下行先天性心脏畸形矫治术患儿血浆内皮细胞来源外泌体含量及外泌体中热休克蛋白(heat shock protein 70,HSP70)表达变化。方法先天性心脏畸形患儿60例,均于CPB下行先天性心脏畸形矫治术,分别于CPB前及再灌注1、6、12h采集桡动脉血,采用双抗体夹心法检测血浆心肌肌钙蛋白T(cardiac troponin,cTnT)水平,采用密度梯度离心法分离血浆中内皮细胞来源外泌体,Western blot法检测外泌体中HSP70表达。结果 CPB前内皮细胞来源外泌体直径40~100nm,呈椭圆形或圆形;再灌注6h,内皮细胞来源外泌体直径、形态与CPB前无明显变化;再灌注1、6、12h,血浆cTnT水平[(1.347±0.215)、(1.648±0.235)、(1.254±0.201)μg/L]、内皮细胞来源外泌体含量[(167.14±26.54)×10~6微粒/mL、(210.34±31.20)×10~6微粒/mL、(189.64±26.45)×10~6微粒/mL]、外泌体中HSP70表达(0.76±0.12、0.85±0.14、0.73±0.09)均明显高于CPB前[(0.014±0.001)μg/L、(76.34±13.20)×10~6微粒/mL、0.18±0.03](P<0.05);再灌注6h时各指标均高于再灌注1、12h(P<0.05),再灌注1h与再灌注12h时各指标比较差异均无统计学意义(P>0.05)。结论 CPB可增加行CPB下先天性心脏畸形矫治术患儿血浆中内皮细胞来源外泌体含量及外泌体中HSP70表达。 展开更多
关键词 先天性心脏畸形 体外循环 先天性心脏畸形矫治术 外泌体 热休克蛋白70
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C-型钠尿肽对大鼠心肌成纤维细胞分泌单核细胞趋化蛋白-1及纤溶酶原激活物抑制剂-1的抑制作用 被引量:4
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作者 沈磊 朱耀斌 +5 位作者 郭健 叶赞凯 丁楠 伊寒露 赵宇东 李志强 《中华实用诊断与治疗杂志》 2018年第8期729-732,共4页
目的探讨C-型钠尿肽(C-type natriuretic peptide,CNP)对心肌成纤维细胞分泌单核细胞趋化蛋白-1(monocyte chemoattractant protein-1,MCP-1)以及纤溶酶原激活物抑制剂-1(plasminogen activator inhibitor-1,PAI-1)的作用,并检验CNP对... 目的探讨C-型钠尿肽(C-type natriuretic peptide,CNP)对心肌成纤维细胞分泌单核细胞趋化蛋白-1(monocyte chemoattractant protein-1,MCP-1)以及纤溶酶原激活物抑制剂-1(plasminogen activator inhibitor-1,PAI-1)的作用,并检验CNP对心肌成纤维细胞的下游信号通路的影响。方法将大鼠心肌成纤维细胞分别置于不含CNP的培养基(对照组)和含10-9 mol/L CNP(CNP1组)、10-8 mol/L CNP(CNP2组)、10-7 mol/L CNP(CNP3组)培养基中培养24h;采用反转录定量PCR检测各组心肌成纤维细胞中MCP-1和PAI-1 mRNA的表达;ELISA法测定各组心肌成纤维细胞MCP-1和PAI-1蛋白水平。将心肌成纤维细胞分别应用10-9 mol/L的CNP(实验1组)、ERK1/2抑制剂U0126(10-4 mol/L,实验2组)、联合应用CNP及U0126(联合实验组)预处理30 min,空白对照组不进行预处理,实验分析CNP对细胞外信号调节激酶(extracellular signal-regulated kinase,ERK)1/2的激活作用。结果 CNP1组、CNP2组及CNP3组细胞中MCP-1 mRNA(0.716±0.016、0.671±0.104、0.635±0.108)、PAI-1 mRNA表达(0.802±0.072、0.780±0.021、0.654±0.017)及MCP-1蛋白[(0.814±0.211)、(0.781±0.280)、(0.752±0.171)g/L]、PAI-1蛋白水平[(0.728±0.217)、(0.696±0.274)、(0.643±0.301)g/L)]均低于对照组[1.192±0.037、1.107±0.156,(1.021±0.263)、(1.047±0.207)g/L](P<0.05),CNP1组、CNP2组和CNP3组组间MCP-1、PAI-1 mRNA表达及MCP-1、PAI-1蛋白水平比较差异均无统计学意义(P>0.05);实验1组、实验2组和联合实验组P-ERK1/2蛋白[(0.672±0.301)、(0.569±0.298)、(0.536±0.197)g/L]及MCP-1蛋白[(0.814±0.211)、(0.801±0.188)、(0.764±0.261)g/L)]、PAI-1蛋白[(0.728±0.217)、(0.682±0.287)、(0.543±0.301)g/L)]均低于空白对照组[(1.028±0.129)g/L、(1.021±0.263)g/L、(1.047±0.207)g/L](P<0.05),实验1组、实验2组及联合实验组组间以上指标比较差异均无统计学意义(P>0.05)。结论 CNP可抑制心肌成纤维细胞分泌MCP-1、PAI-1,可能是CNP抗纤维化的新机制。 展开更多
关键词 心肌成纤维细胞 C-型钠尿肽 单核细胞趋化蛋白-1 纤溶酶原激活物抑制剂-1 SD大鼠
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体外循环围手术期不同来源外泌体的变化情况 被引量:3
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作者 李志强 朱耀斌 +6 位作者 丁楠 伊寒露 沈磊 赵宇东 叶赞凯 刘扬 樊星 《中华实用诊断与治疗杂志》 2018年第8期773-776,共4页
目的探讨体外循环(cardiopulmonary bypass,CPB)围手术期内皮细胞、树突状细胞、巨噬细胞、血小板来源外泌体的变化。方法 60例行CPB下先天性心脏畸形矫治手术患儿,分别于CPB前及再灌注1、24、72h采集患儿动脉血,采用双抗体夹心法测定... 目的探讨体外循环(cardiopulmonary bypass,CPB)围手术期内皮细胞、树突状细胞、巨噬细胞、血小板来源外泌体的变化。方法 60例行CPB下先天性心脏畸形矫治手术患儿,分别于CPB前及再灌注1、24、72h采集患儿动脉血,采用双抗体夹心法测定血浆肌钙蛋白(troponin,cTnT)水平;采用密度梯度离心法分离内皮细胞、树突状细胞、巨噬细胞、血小板来源的外泌体,观察其水平变化。结果再灌注1、24h患儿血浆cTnT水平[(1.352±0.233)、(0.623±0.145)μg/L]及外周血内皮细胞来源外泌体[(167.55±26.67)×106微粒/mL、(142.28±4.27)×106微粒/mL]、树突状细胞来源外泌体[(87.51±6.28)×106微粒/mL、(68.37±3.28)×106微粒/mL]、巨噬细胞来源外泌体[(92.16±2.73)×106微粒/mL、(65.45±2.76)×106微粒/mL]、血小板来源外泌体水平[(134.27±4.28)×106微粒/mL、(105.61±2.58)×106微粒/mL]均明显高于CPB前[(0.013±0.001)μg/L、(76.78±13.14)×106微粒/mL、(34.27±4.52)×106微粒/mL、(28.78±2.64)×106微粒/mL、(41.51±2.02)×106微粒/mL](P<0.05),再灌注1h高于再灌注24h(P<0.05);再灌注72h患儿血浆cTnT水平以及内皮细胞、树突状细胞、巨噬细胞、血小板来源外泌体水平与CPB前比较差异均无统计学意义(P>0.05)。结论 CPB可增加外周血内皮细胞、树突状细胞、巨噬细胞、血小板来源外泌体水平,可能与CPB引起的心肌损伤有关。 展开更多
关键词 先天性心脏病 体外循环 内皮细胞 树突状细胞 巨噬细胞 血小板 外泌体
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先天性心脏病改良Blalock-Taussig分流术管道闭塞患儿血小板参数及凝血功能变化及意义 被引量:1
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作者 朱耀斌 张雅娉 +7 位作者 李志强 丁楠 伊寒露 沈磊 赵宇东 叶赞凯 刘扬 樊星 《中华实用诊断与治疗杂志》 2018年第8期767-769,共3页
目的探讨血小板参数及凝血功能的变化情况在先天性心脏病患儿改良Blalock-Taussig(BT)分流术管道闭塞中的意义。方法先天性心脏病行改良BT分流手术患儿579例,根据BT管道是否闭塞分为管道闭塞组18例和管道非闭塞组561例。测定2组患儿血... 目的探讨血小板参数及凝血功能的变化情况在先天性心脏病患儿改良Blalock-Taussig(BT)分流术管道闭塞中的意义。方法先天性心脏病行改良BT分流手术患儿579例,根据BT管道是否闭塞分为管道闭塞组18例和管道非闭塞组561例。测定2组患儿血小板参数和凝血功能指标。结果管道闭塞组血小板分布宽度[(21.03±6.37)%]、平均血小板体积[(15.12±6.59)fL]以及纤维蛋白原[(4.29±0.78)g/L]、D-二聚体水平[(0.57±0.21)mg/L]均高于管道非闭塞组[(14.95±2.14)%、(8.03±3.17)fL、(3.34±0.85)g/L、(0.24±0.15)mg/L](P<0.05),2组血小板计数、血小板压积、凝血酶原时间、凝血酶时间、活化部分凝血活酶时间比较差异均无统计学意义(P>0.05)。结论血小板分布宽度、平均血小板体积、纤维蛋白原、D-二聚体水平升高可增加先天性心脏病改良BT术患儿BT管道闭塞风险。 展开更多
关键词 先天性心脏病 改良Blalock—Taussig分流术 血小板分布宽度 平均血小板体积 纤维蛋白原 D-二聚体
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微信在围手术期的应用现状 被引量:5
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作者 朱耀斌 张金蕊 +5 位作者 赵宇东 丁楠 伊寒露 沈磊 叶赞凯 李志强 《医学信息》 2019年第2期39-42,共4页
微信为目前国内人们进行交流的最常用软件,微信公众平台和微信群可即时向特定人群发送信息、图片、语音和视频,使人与人之间的交流具有即时性和高度交互性。微信在围手术期宣教和管理中的应用取得良好效果:提高术前准备质量、提高围手... 微信为目前国内人们进行交流的最常用软件,微信公众平台和微信群可即时向特定人群发送信息、图片、语音和视频,使人与人之间的交流具有即时性和高度交互性。微信在围手术期宣教和管理中的应用取得良好效果:提高术前准备质量、提高围手术期知识掌握、降低手术取消率、提高手术和麻醉配合度、提高手术效果和术后康复效果、降低术后并发症的发生、改善患者不良情绪、提高术后随访率、改善医护患关系等。本文对微信在围手术期的应用进行综述,为其在围手术期推广应用提供依据。 展开更多
关键词 微信 手术 麻醉 并发症 焦虑 抑郁
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Nur77在深低温停循环对大鼠脑保护中作用
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作者 朱耀斌 闫道乐 李志强 《中华实用诊断与治疗杂志》 2022年第12期1204-1209,共6页
目的观察深低温停循环下大鼠海马组织Nur77表达情况,探讨Nur77在深低温停循环对大鼠脑保护中的作用及可能机制。方法45只SD大鼠均建立体外循环模型,随机分为对照组(常温不停循环20min)15只,常温停循环组(常温10min、停循环10min)15只,... 目的观察深低温停循环下大鼠海马组织Nur77表达情况,探讨Nur77在深低温停循环对大鼠脑保护中的作用及可能机制。方法45只SD大鼠均建立体外循环模型,随机分为对照组(常温不停循环20min)15只,常温停循环组(常温10min、停循环10min)15只,深低温停循环组(深低温10min、停循环10min)15只。术后取3组大鼠海马组织行组织病理检查,采用DAPI染色测定神经细胞凋亡情况,应用透射电镜观察线粒体改变情况,采用Western blot法检测Nur77、Bcl-2、Bax、caspase-3、caspase-9、细胞色素C(cytochrome C,CytC)蛋白相对表达量及细胞核、细胞质Nur77蛋白相对表达量,采用实时荧光定量PCR法检测Nur77mRNA相对表达量,采用免疫荧光法观察Nur77蛋白在细胞中的定位情况。结果对照组海马组织神经细胞及线粒体形态结构正常,细胞核周边连续,染色分布均匀;常温停循环组大量神经细胞变性坏死,凋亡小体出现,线粒体肿胀,数量减少,嵴扭曲变形断裂;深低温停循环组少量神经细胞变性坏死,线粒体轻微肿胀,膜较完整。3组大鼠海马组织Nur77mRNA和蛋白相对表达量比较差异均无统计学意义(P>0.05)。对照组海马区Nur77主要分布于细胞核,细胞质表达较少;常温停循环组细胞质Nur77表达较对照组和深低温停循环组增加。常温停循环组海马组织细胞核Nur77(0.34±0.07)及海马组织Bcl-2(0.11±0.02)蛋白相对表达量均低于对照组(2.12±0.18、0.86±0.09)、深低温停循环组(1.79±0.11、0.34±0.04)(P<0.05),深低温停循环组均低于对照组(P<0.05);常温停循环组细胞质Nur77(0.74±0.05)及海马组织Bax(0.74±0.08)、caspase-3(0.86±0.09)、caspase-9(0.98±0.11)、CytC(0.92±0.08)蛋白相对表达量均高于对照组(0.12±0.02、0.13±0.03、0.13±0.02、0.17±0.03、0.14±0.02)、深低温停循环组(0.21±0.03、0.22±0.04、0.31±0.05、0.43±0.07、0.36±0.06)(P<0.05),深低温停循环组均高于对照组(P<0.05)。结论Nur77参与深低温停循环对大鼠的脑保护作用,其机制可能为深低温阻止Nur77从细胞核易位至细胞质线粒体,抑制神经细胞凋亡和线粒体损伤。 展开更多
关键词 Nur77 深低温 停循环 凋亡 线粒体 海马组织 大鼠
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Nur77线粒体转位对细胞凋亡影响研究进展
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作者 朱耀斌 闫道乐 李志强 《中华实用诊断与治疗杂志》 2022年第12期1294-1296,共3页
Nur77在调控细胞生存和凋亡中发挥重要作用,多种生理信号均可诱导Nur77激活,激活的Nur77对细胞周期、动脉粥样硬化、炎症、代谢、DNA修复及凋亡有调节作用,尤其对细胞凋亡的调控作用越来越受到关注。Nur77在多种细胞中可通过线粒体信号... Nur77在调控细胞生存和凋亡中发挥重要作用,多种生理信号均可诱导Nur77激活,激活的Nur77对细胞周期、动脉粥样硬化、炎症、代谢、DNA修复及凋亡有调节作用,尤其对细胞凋亡的调控作用越来越受到关注。Nur77在多种细胞中可通过线粒体信号通路参与自噬性凋亡,在凋亡信号刺激下从细胞核易位到线粒体,导致线粒体释放细胞色素C,从而诱导凋亡。本文就Nur77线粒体转位对细胞凋亡影响的研究进展作一综述。 展开更多
关键词 Nur77 线粒体 凋亡 自噬
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A novel, stable and reproducible acute lung injury model induced by oleic acid in immature piglet 被引量:11
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作者 zhu yao-bin LIU Ai-jun +5 位作者 LIU Ying-long LING Feng ZHANG Yan-bo WANG Qiang LIU Dong-hai QIAO Chen-hui 《Chinese Medical Journal》 SCIE CAS CSCD 2011年第24期4149-4154,共6页
Background Young children are susceptible to pulmonary injury, and acute lung injury (ALl) often results in a high mortality and financial costs in pediatric patients. A good ALl model will help us to gain a better ... Background Young children are susceptible to pulmonary injury, and acute lung injury (ALl) often results in a high mortality and financial costs in pediatric patients. A good ALl model will help us to gain a better understanding of the real pathophysiological picture and to evaluate novel treatment approaches to acute respiratory distress syndrome (ARDS) more accurately and liberally. This study aimed to establish a hemodynamically stable and reproducible model with ALl in piglet induced by oleic acid. Methods Six Chinese mini-piglets were used to establish ALl models by oleic acid. Hemodynamic and pulmonary function data were measured. Histopathological assessment was performed. Results Mean blood pressure, heart rate (HR), cardiac output (CO), central venous pressure (CVP) and left atrial pressure (LAP) were sharply decreased after oleic acid given, while the mean pulmonary arterial pressure (MPAP) was increased in comparison with baseline (P 〈0.05). pH, arterial partial pressure of 02 (PaO2), PaO2/inspired 02 fraction (FiO2) and lung compliance decreased, while PaCO2 and airway pressure increased in comparison with baseline (P 〈0.05). The lung histology showed severe inflammation, hyaline membranes, intra-alveolar and interstitial hemorrhage. Conclusion This experiment established a stable model which allows for a diversity of studies on early lung injury. 展开更多
关键词 acute respiratory distress syndrome oleic acid PIGLETS bolus injections
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Atrial natriuretic peptide attenuates inflammatory responses on oleic acid-induced acute lung injury model in rats 被引量:9
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作者 zhu yao-bin ZHANG Yan-bo +6 位作者 LIU Dong-hai LI Xiao-feng LIU Ai-jun FAN Xiang-ming QIA0 Chen-hui LING Feng LIU Ying-long 《Chinese Medical Journal》 SCIE CAS CSCD 2013年第4期747-750,共4页
Background An inflammatory response leading to organ dysfunction and failure continues to be a major problem after injury in many clinical conditions such as sepsis, severe burns, and trauma. It is increasingly recogn... Background An inflammatory response leading to organ dysfunction and failure continues to be a major problem after injury in many clinical conditions such as sepsis, severe burns, and trauma. It is increasingly recognized that atrial natriuretic peptide (ANP) possesses a broad range of biological activities, including effects on endothelial function and inflammation. A recent study has revealed that ANP exerts anti-inflammatory effects. In this study we tested the effects of human ANP (hANP) on lung injury in a model of oleic acid (OA)-induced acute lung injury (ALl) in rats. Methods Rats were randomly assigned to three groups (n=6 in each group). Rats in the control group received a 0.9% solution of NaCI (1 ml-kg-l.h1) by continuous intravenous infusion, after 30 minutes a 0.9% solution of NaCI (1 ml/kg) was injected intravenously, and then the 0.9% NaCI infusion was restarted. Rats in the ALl group received a 0.9% NaCI solution (1 ml-kgl-h-~) intravenous infusion, after 30 minutes OA was injected intravenously (0.1 ml/kg), and then the 0.9% NaCI infusion was restarted. Rats in the hANP-treated ALl group received a hANP (0.1 IJg.kg-Lmin~) infusion, after 30 minutes OA was injected intravenously (0.1 ml/kg), and then the hANP infusion was restarted. The anti-inflammation effects of hANP were evaluated by histological examination and determination of serum cytokine levels. Results Serum interleukin (IL)-113, IL-6, IL-10 and tumor necrosis factor (TNF) a were increased in the ALl group at six hours. The levels of all factors were significantly lower in the hANP treated rats (P 〈0.005). Similarly, levels of IL-113, IL-6, IL-10 and TNF-a were higher in the lung tissue in the ALl group at six hours, hANP treatment significantly reduced the levels of these factors in the lungs (P 〈0.005). Histological examination revealed marked reduction in interstitial congestion, edema, and inflammation. Conclusion hANP can attenuate inflammation in OA-induced lung injury in rat model. 展开更多
关键词 acute respiratory distress syndrome atrial natriuretic peptide inflammatory response CYTOKINE RATS
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Partial liquid ventilation decreases tissue and serum tumor necrosis factor-~ concentrations in acute lung injury model of immature piglet induced by oleic acid 被引量:11
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作者 zhu yao-bin FAN Xiang-ming +4 位作者 LI Xiao-feng LI Zhi-qiang WANG Qiang SUN Li-zhong LIU Ying-long 《Chinese Medical Journal》 SCIE CAS CSCD 2012年第1期123-128,共6页
Background Pediatric patients are susceptible to lung injury.Acute lung injury in children often results in high mortality.Partial liquid ventilation (PLV) has been shown to markedly improve oxygenation and reduce h... Background Pediatric patients are susceptible to lung injury.Acute lung injury in children often results in high mortality.Partial liquid ventilation (PLV) has been shown to markedly improve oxygenation and reduce histologic evidence of injury in a number of lung injury models.This study was designed to examine the hypothesis that PLV would attenuate the production of local and systemic tumor necrosis factor (TNF)-α in an immature piglet model of acute lung injury induced by oleic acid (OA).Methods Twelve Chinese immature piglets were induced acute lung injury by OA.The animals were randomly assigned to two groups of six animals,(1) conventional mechanical ventilation (MV) group and (2) PLV with 10 ml/kg FC-77 group.Results Compared with MV group,the PLV group had better cardiopulmonary variables (P 〈0.05).These variables included heart rate,mean blood pressure,blood pH,partial pressure of arterial oxygen (PaO2),PaO2/inspired O2 fraction (FiO2) and partial pressure of arterial carbon dioxide (PaCO2).PLV reduced TNF-α levels both in plasma and tissue compared with MV group (P 〈0.05).Conclusion PLV provides protective effects against TNF-a response in OA-induced acute lung injury in immature piglets. 展开更多
关键词 acute lung injury animal models partial liquid ventilation
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A novel, recovery, and reproducible minimally invasive cardiopulmonary bypass model with lung injury in rats 被引量:5
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作者 LI Ling-ke CHENG Wei +4 位作者 LIU Dong-hai ZHANG Jing zhu yao-bin QIAO Chen-hui ZHANG Yan-bo 《Chinese Medical Journal》 SCIE CAS CSCD 2013年第24期4715-4719,共5页
Background Cardiopulmonary bypass (CPB) has been shown to be associated with a systemic inflammatory response leading to postoperative organ dysfunction. Elucidating the underlying mechanisms and developing protecti... Background Cardiopulmonary bypass (CPB) has been shown to be associated with a systemic inflammatory response leading to postoperative organ dysfunction. Elucidating the underlying mechanisms and developing protective strategies for the pathophysiological consequences of CPB have been hampered due to the absence of a satisfactory recovery animal model. The purpose of this study was to establish a good rat model of CPB to study the pathophysiology of potential complications. Methods Twenty adult male Sprague-Dawley rats weighing 450-560 g were randomly divided into a CPB group (n=10) and a control group (n=10). All rats were anaesthetized and mechanically ventilated. The carotid artery and jugular vein were cannulated. The blood was drained from the right atrium via the right jugular and transferred by a miniaturized roller pump to a hollow fiber oxygenator and back to the rat via the left carotid artery. Priming consisted of 8 ml of homologous blood and 8 ml of colloid. The surface of the hollow fiber oxygenator was 0.075 m~. CPB was conducted for 60 minutes at a flow rate of 100-120 ml. kg-1. min-1 in the CPB group. Oxygen flow/perfusion flow was 0.8 to 1.0, and the mean arterial pressure remained 60-80 mmHg. Blood gas analysis, hemodynamic investigations, and lung histology were subsequently examined. Results All CPB rats recovered from the operative process without incident. Normal cardiac function after successful weaning was confirmed by electrocardiography and blood pressure measurements. Mean arterial pressure remained stable. The results of blood gas analysis at different times were within the normal range. Levels of IL-113 and TNF-a were higher in the lung tissue in the CPB group (P 〈0.005). Histological examination revealed marked increases in interstitialcongestion, edema, and inflammation in the CPB group. Conclusion This novel, recovery, and reproducible minimally invasive CPB model may open the field for various studies on the pathophysiological process of CPB and systemic ischemia-reperfusion injury in vivo. 展开更多
关键词 lung injury cardiopulmonary bypass model rats animal model
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Effect of partial liquid ventilation on lung function in oleic acid-induced lung injury model of piglets 被引量:3
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作者 ZHANG Ji-zhuo LI Ling-ke +3 位作者 ZHANG Yan-bo LI Gang XU Yu-lin zhu yao-bin 《Chinese Medical Journal》 SCIE CAS CSCD 2013年第23期4536-4539,共4页
Background Pediatric patients are susceptible to lung injury that does not respond to traditional therapies.Partial liquid ventilation (PLV) has been developed as an alternative ventilatory strategy for treating sev... Background Pediatric patients are susceptible to lung injury that does not respond to traditional therapies.Partial liquid ventilation (PLV) has been developed as an alternative ventilatory strategy for treating severe lung injury.The aim of this study is to investigate the effect of PLV on lung function in immature piglets.Methods Acute lung injury was induced in 12 Chinese immature piglets by oleic acid (OA).The animals were randomly assigned to two groups (n=6 each group):(1) conventional mechanical ventilation (MV) group and (2) PLV with FC-77 (10 ml/kg) group.Mean arterial blood pressure (MAP),mean pulmonary arterial pressure (MPAP),central venous pressure (CVP),left atrial pressure (LAP),systemic vascular resistance (SVR),pulmonary vascular resistance (PVR),cardiac output (CO),mean pressure of airway (Paw),dynamic lung compliance (Cydn),and arterial blood gases were measured during the observation period.Results No piglet died in either group with severe lung injury.After four hours of ventilation,pH in the MV group gradually decreased to lower than 7.20,while in the PLV group,pH also gradually decreased but remained higher than 7.20 (P <0.05).Partial pressure of oxygen in artery (PaO2) decreased in both groups,but with a significant difference between the PLV group and MV group (P <0.05).Partial pressure of carbon dioxide in artery (PaCO2) increased in both groups,but with a significant difference between the PLV group and MV group (P <0.05).Paw increased in both groups,but was not significantly different (P >0.05).Cydn decreased in both groups,but without a significant difference (P >0.05).At four hours,heart rate (HR) and MAP in both groups decreased.MPAP in both groups increased,and there was a significant difference between the two groups (P <0.05).CVP was stable in both groups.At four hours,PVR and LAP were increased in both groups.CO was decreased in both groups (P <0.05).SVR was stable during the observation time.Conclusion PLV did not improve outcome in changes of lung function. 展开更多
关键词 acute respiratory distress syndrome partial liquid ventilations mechanical ventilation immature piglet
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Total liquid ventilation reduces oleic acid-induced lung injury in piglets 被引量:2
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作者 zhu yao-bin LIU Dong-hai +5 位作者 ZHANG Yan-bo LIU Ai-jun FAN Xiang-ming QIAO Chen-hui WANG Qiang LIU Ying-long 《Chinese Medical Journal》 SCIE CAS CSCD 2013年第22期4282-4288,共7页
Background Pediatric patients are susceptible to lung injury that does not respond to traditional therapies. Total liquid ventilation has been developed as an alternative ventilatory strategy for severe lung injury. T... Background Pediatric patients are susceptible to lung injury that does not respond to traditional therapies. Total liquid ventilation has been developed as an alternative ventilatory strategy for severe lung injury. The aim of this study is to investigate the effect of total liquid ventilation on oleic acid (OA)-induced lung injury in piglets. Methods Twelve Chinese immature piglets were induced acute lung injury by OA. Twelve piglets were randomly treated with conventional gas ventilation (control group) or total liquid ventilation (study group) for 240 minutes. Samples for blood gas analysis were collected before, and at 60-minute intervals after OA-induced lung injury. The degree of lung injury was quantified by histologic examination. The inflammatory cells and the levels of IL-1β, IL-6, IL-10 and TNF-α in plasma, tissue and bronchoalveolar lavage were analyzed. Results Neutrophil and macrophage counts in bronchoalveolar lavage were significantly decreased in the study group (P〈0.05). The total lung injury score was also reduced in the study group (P〈0.05). The concentrations of IL-1β, IL-6, IL-10 and TNF-α in plasma, tissue and bronchoalveolar lavage were significantly reduced in the study group (P〈0.05). Conclusions Total liquid ventilation reduces biochemical and histoloaic OA-induced luna iniurv in nialets. 展开更多
关键词 total liquid ventilation perfluorocarbons acute lung injury oleic acid cytokines
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