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脂肪乳注射液联合血液灌流对急性有机磷农药中毒患者疗效的影响 被引量:11
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作者 刘磊 韩红 +2 位作者 刘张波 云云 刘珊 《中国现代医学杂志》 CAS 北大核心 2022年第24期96-100,共5页
目的探讨脂肪乳注射液联合血液灌流对急性有机磷农药中毒(AOPP)患者疗效的影响。方法选取2017年1月—2022年1月连云港市第二人民医院收治的72例AOPP患者。将患者分为对照组(血液灌流治疗)和研究组(脂肪乳注射液联合血液灌流治疗),每组3... 目的探讨脂肪乳注射液联合血液灌流对急性有机磷农药中毒(AOPP)患者疗效的影响。方法选取2017年1月—2022年1月连云港市第二人民医院收治的72例AOPP患者。将患者分为对照组(血液灌流治疗)和研究组(脂肪乳注射液联合血液灌流治疗),每组36例。比较两组患者苏醒时间、胆碱酯酶(CHE)恢复正常时间及住院时间。比较两组患者临床疗效、神经功能指标[运动神经传导速度(MCV)、感觉神经传导速度(SCV)]、心功能指标[左室射血分数(LVEF)、左室收缩末期内径(LVIDs)]、心肌酶谱水平及胃肠功能[瓜氨酸(Cit)、二胺氧化酶水平(DAO)]。比较两组患者并发症发生情况。结果研究组苏醒时间、CHE恢复正常、住院时间短于对照组(P<0.05);研究组总有效率高于对照组(P<0.05);研究组治疗后MCV、SCV均高于对照组(P<0.05);研究组治疗后LVEF高于对照组(P<0.05),LVIDs低于对照组(P<0.05);研究组治疗后LDH、CK及CK-MB水平均低于对照组(P<0.05);研究组治疗后Cit高于对照组(P<0.05),DAO低于对照组(P<0.05);研究组与对照组并发症总发生率,差异无统计学意义(P>0.05)。结论脂肪乳注射液联合血液灌流治疗AOPP患者可促进患者恢复,提高临床疗效,并改善神经功能和心功能,减轻心肌损伤,恢复肠胃功能,安全可靠。 展开更多
关键词 急性有机磷农药中毒 脂肪乳 血液灌流 心肌保护 神经功能 胃肠功能
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Protection of ghrelin postconditioning on hypoxia/ reoxygenation in gastric epithelial cells 被引量:1
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作者 zhang-bo liu Su-Juan Fei +4 位作者 Sheng-Ping Zhu Jin-Zhou Zhu Hong-Xia Han Qiu-Ju Dong Jian-Fu Zhang 《World Journal of Gastroenterology》 SCIE CAS CSCD 2012年第38期5377-5388,共12页
AIM: To investigate the protective effect and mechanisms of ghrelin postconditioning against hypoxia/reoxygenation (H/R)-induced injury in human gastric epithelial cells. METHODS: The model of H/R injury was establish... AIM: To investigate the protective effect and mechanisms of ghrelin postconditioning against hypoxia/reoxygenation (H/R)-induced injury in human gastric epithelial cells. METHODS: The model of H/R injury was established in gastric epithelial cell line (GES-1) human gastric epithelial cells. Cells were divided into seven groups: normal control group (N); H/R postconditioning group; DMSO postconditioning group (DM); ghrelin postconditioning group (GH); D-Lys3-GHRP-6 + ghrelin postconditioning group (D + GH); capsazepine + ghrelin postconditioning group (C + GH); and LY294002 + ghrelin postconditioning group (L + GH). 3-(4,5-dimethylthazol-2-yl)-2,5-diphenyl tetrazolium bromide (MTT) assay was used to detect GES-1 cell viability. Hoechst 33258 fluorochrome staining and flow cytometry were conducted to determine apoptosis of GES-1cells. Spectrophotometry was performed to determine release of lactate dehydrogenate (LDH). Protein expression of Bcl-2, Bax, Akt, and glycogen synthase kinase (GSK)-3β was determined by western blotting. Expression of vanilloid receptor subtype 1 (VR1), Akt and GSK-3β was observed by immunocytochemistry. RESULTS: Compared with the H/R group, cell viability of the GH group was significantly increased in a dosedependent manner (55.9% ± 10.0% vs 69.6% ± 9.6%, 71.9% ± 17.4%, and 76.3% ± 13.3%). Compared with the H/R group, the percentage of apoptotic cells in the GH group significantly decreased (12.38% ± 1.51% vs 6.88% ± 0.87%). Compared with the GH group, the percentage of apoptotic cells in the D + GH group, C + GH group and L + GH groups significantly increased (11.70% ± 0.88%, 11.93% ± 0.96%, 10.20% ± 1.05% vs 6.88% ± 0.87%). There were no significant differences in the percentage of apoptotic cells between the H/R and DM groups (12.38% ± 1.51% vs 13.00% ± 1.13%). There was a significant decrease in LDH release following ghrelin postconditioning compared with the H/R group (561.58 ± 64.01 U/L vs 1062.45 ± 105.29 U/L). There was a significant increase in LDH release in the D + GH, C + GH and L + GH groups compared with the GH group (816.89 ± 94.87 U/L, 870.95 ± 64.06 U/L, 838.62 ± 118.45 U/L vs 561.58 ± 64.01 U/L). There were no significant differences in LDH release between the H/R and DM groups (1062.45 ± 105.29 U/L vs 1017.65 ± 68.90 U/L). Compared with the H/R group, expression of Bcl-2 and Akt increased in the GH group, whereas expression of Bax and GSK3β decreased. Compared with the GH group, expression of Bcl-2 decreased and Bax increased in the D + GH, C + GH and L + GH groups, and Akt decreased and GSK-3β increased in the L + GH group. The H/R group also upregulated expression of VR1 and GSK-3β and downregulated Akt. The number of VR1-positive and Akt-positive cells in the GH group significantly increased, whereas the number of GSK-3β-positive cells significantly decreased. These effects of ghrelin were reversed by capsazepine and LY294002.CONCLUSION: Ghrelin postconditioning protected against H/R-induced injury in human gastric epithelial cells, which indicated that this protection might be associated with GHS-R, VR1 and the PI3K/Akt signaling pathway. 展开更多
关键词 Protection of ghrelin postconditioning on hypoxia/ reoxygenation in gastric epithelial cells
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