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白内障术前应用不同浓度聚维酮碘的疗效观察 被引量:10
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作者 樊芳 赵智华 +4 位作者 赵晓彬 付维 李科军 马清敏 贾志旸 《国际眼科杂志》 CAS 北大核心 2019年第4期626-630,共5页
目的:比较白内障术前应用不同浓度聚维酮碘(PI)在结膜囊作用不同时间,观察PI的消毒效果,以及对结膜囊菌群、眼表的影响,筛选PI的最佳浓度和作用时间。方法:本研究为前瞻性研究,选择2015-06/2017-06于我院行白内障手术患者270例270眼,根... 目的:比较白内障术前应用不同浓度聚维酮碘(PI)在结膜囊作用不同时间,观察PI的消毒效果,以及对结膜囊菌群、眼表的影响,筛选PI的最佳浓度和作用时间。方法:本研究为前瞻性研究,选择2015-06/2017-06于我院行白内障手术患者270例270眼,根据用药浓度(5、1、0.5g/L)随机分为三组,每组90眼。根据不同作用时间(30s,1、2min)进一步随机分配各个亚组,每亚组各30眼。患者按分组情况进行术前PI结膜囊冲洗,并于冲洗前后进行结膜囊细菌样本采集,比较PI冲洗前后结膜囊细菌菌群变化和细菌培养阳性情况。同时比较术前3d与术后1、3d,1wk,1、3mo的泪膜破裂时间(BUT)、角膜荧光素染色(CFS)变化,观察PI冲洗结膜囊对眼表的影响。结果:(1)结膜囊菌群变化:PI冲洗前结膜囊细菌培养共12种,其中革兰氏阳性菌9种,革兰氏阴性菌3种;PI冲洗后结膜囊细菌培养共4种,其中革兰氏阳性菌2种,革兰氏阴性菌2种。(2)结膜囊细菌培养阳性情况的比较:PI冲洗前结膜囊细菌培养阳性15眼,冲洗后细菌培养阳性5眼,PI冲洗前后细菌培养阳性眼数减少(P<0.05)。(3)安全性:所有患者术后末次随访,术眼均未发生眼内炎,除0.5g/L、30s组及5g/L、2min组外的所有组别,BUT均在术后3mo恢复术前水平。0.5g/L、30s组BUT术后1mo就恢复到术前水平,5g/L、2min组BUT至术后3mo仍未恢复至术前;所有组别CFS均在术后1mo恢复至术前水平。结论:0.5g/L PI结膜囊冲洗30s能有效减少结膜囊细菌,较其他作用时间和浓度组对眼表的损伤更小,用于白内障术前结膜囊消毒是安全有效的。 展开更多
关键词 聚维酮碘 浓度 时间 白内障 眼内炎 眼表
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斜视青少年手术后眼表及睑板腺功能特征变化及影响因素分析 被引量:6
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作者 赵智华 李科军 +4 位作者 马清敏 樊芳 张海芳 牛佳琳 贾志旸 《国际眼科杂志》 CAS 北大核心 2021年第3期515-519,共5页
目的:探究斜视青少年手术后眼表及睑板腺功能特征变化,并分析相关影响因素。方法:回顾性研究。选取2019-01/12在我院行斜视手术的患儿168例224眼作为研究对象。根据手术切口将分为角膜缘切口组(A组,54例78眼),跨肌止端切口组(B组,48例62... 目的:探究斜视青少年手术后眼表及睑板腺功能特征变化,并分析相关影响因素。方法:回顾性研究。选取2019-01/12在我院行斜视手术的患儿168例224眼作为研究对象。根据手术切口将分为角膜缘切口组(A组,54例78眼),跨肌止端切口组(B组,48例62眼),近穹窿切口组(C组,66例84眼)。根据手术累及肌肉条数分为单条眼外肌组(68眼),双条眼外肌组(106眼)及三条眼外肌组(50眼)。评估患儿眼表健康状况,并采用LipiView眼表干涉仪等分析泪膜脂质层厚度(LLT)、泪河高度(TMH)、角膜荧光素染色评分(CFSS)、泪膜破裂时间(TBUT)、泪液分泌试验(SⅠt)和睑板腺开口情况。结果:术后1wk,三组患儿眼表及睑板腺功能均无明显差异。术后1mo,不同手术切口及手术累积不同肌肉条数患儿眼表及睑板腺功能均有明显改善(P<0.05),其中B组患儿TBUT明显高于A组(P<0.05),C组患儿的OSDI、CFSS、TBUT显著优于A组(P<0.05);且双条组患儿TMH显著高于单条组(P<0.05),三条组患儿的OSDI高于单条组(P<0.05)。术后3mo,各组患儿眼表及睑板腺功能均较术后1wk,1mo有显著改善(P<0.05);其中,C组患儿的OSDI、LLT、TMH、CFSS、TBUT及SⅠt均显著优于A组(P<0.05);双条组患儿TMH、CFSS、SⅠt及睑板腺开口情况均优于三条组,但差异无统计学意义(P>0.05),而双条和三条组患儿睑板腺开口评分低于单条组(P<0.05)。患儿OSDI、CFSS及睑板腺开口评分与手术累及肌肉数呈显著相关(P<0.05)。结论:近穹窿切口组患儿眼表及睑板腺功能恢复优于采用角膜缘切口组及跨肌止端切口组;且单条组患儿眼表及睑板腺功能恢复优于双条组及三条组患儿。采取的近穹窿切口,减少手术累及肌肉数,有利于青少年斜视术后眼表及睑板腺功能的恢复。 展开更多
关键词 斜视 眼表健康 睑板腺功能 影响因素分析
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原发性急性闭角型青光眼患者房水中IL-8和IL-12p70的表达及其临床意义 被引量:2
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作者 樊芳 李科军 +4 位作者 闵思 马清敏 赵智华 王玲 贾志旸 《国际眼科杂志》 CAS 北大核心 2022年第3期443-446,共4页
目的:对原发性急性闭角型青光眼(AACG)和年龄相关性白内障(ARC)患者房水中IL-8及IL-12p70浓度进行检测,并探讨其临床意义。方法:选取2019-10/2020-12于我院治疗的原发性AACG急性发作期患者29例29眼作为研究组,同期于我院行手术治疗的AR... 目的:对原发性急性闭角型青光眼(AACG)和年龄相关性白内障(ARC)患者房水中IL-8及IL-12p70浓度进行检测,并探讨其临床意义。方法:选取2019-10/2020-12于我院治疗的原发性AACG急性发作期患者29例29眼作为研究组,同期于我院行手术治疗的ARC患者17例17眼作为对照组,通过流式液相蛋白定量技术检测患者房水中IL-8及IL-12p70水平,同时收集患者的一般资料进行相关性分析。结果:与ARC患者相比,AACG患者房水中IL-8浓度显著升高(Z=-5.384,P<0.05),但两组患者房水中IL-12p70水平无差异(Z=-1.587,P=0.112)。AACG患者房水中IL-8水平与急性发作持续时间呈正相关(r_(s)=0.387,P=0.038),其中滤过性手术患者房水中细胞因子IL-8、IL-12p70浓度均显著高于非滤过性手术患者(P<0.05)。结论:AACG患者房水中炎症相关因子IL-8浓度明显升高,免疫相关因子IL-12p70浓度随着疾病的进展出现差异性表达增加,提示炎症和免疫可能参与AACG的病理过程。 展开更多
关键词 急性闭角型青光眼 房水 细胞因子 IL-8 IL-12p70 炎症 免疫
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2型糖尿病患者睑板腺形态与功能的改变及其对泪膜功能的影响 被引量:1
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作者 李科军 赵智华 +2 位作者 樊芳 杜颖华 贾志旸 《国际眼科杂志》 CAS 北大核心 2022年第8期1267-1270,共4页
目的:探究2型糖尿病患者睑板腺形态与功能的改变及其对泪膜功能的影响。方法:选取2018-01/2020-01来我院就诊的2型糖尿病患者52例104眼,根据眼底改变分为无明显视网膜病变组(NDR组,31例62眼)、糖尿病视网膜病变组(DR组,21例42眼)。选取... 目的:探究2型糖尿病患者睑板腺形态与功能的改变及其对泪膜功能的影响。方法:选取2018-01/2020-01来我院就诊的2型糖尿病患者52例104眼,根据眼底改变分为无明显视网膜病变组(NDR组,31例62眼)、糖尿病视网膜病变组(DR组,21例42眼)。选取同一时期就诊的无糖尿病的白内障患者38例76眼作为对照组。比较三组患者睑缘和睑板腺形态及功能评分、角膜荧光素染色评分、泪膜破裂时间(BUT)、泪膜脂质层厚度(LLT)、瞬目次数(BT)及不完全瞬目频率(PBR)的差异。结果:DR组和NDR组睑缘和睑板腺形态及功能评分、角膜荧光素染色评分显著高于对照组,且DR组显著高于NDR组(均P<0.05)。DR组和NDR组BUT显著低于对照组,且DR组显著低于NDR组(均P<0.05)。三组间LLT、BT及PBR均有差异(P<0.05),且DR组和NDR组LLT、BT明显低于对照组,PBR显著高于对照组(均P<0.05),但DR组和NDR组间无显著差异(均P>0.05)。睑板腺形态异常的2型糖尿病患者泪膜功能异常的发生率更高。结论:2型糖尿病患者易出现睑板腺短缩和缺失,睑板腺功能障碍,泪膜稳定性下降,而DR患者睑板腺形态异常与功能障碍更显著,泪膜稳定性更差。 展开更多
关键词 2型糖尿病 糖尿病视网膜病变 睑板腺形态 睑板腺功能障碍 泪膜功能
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K-115增强自噬调控TGF-β1诱导的人Tenon囊成纤维细胞活化
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作者 樊芳 田净净 +3 位作者 赵智华 马清敏 李科军 贾志旸 《国际眼科杂志》 CAS 北大核心 2022年第9期1441-1445,共5页
目的:研究K-115对人Tenon囊成纤维细胞(HTFs)增殖和迁移的影响,并探讨其相关作用机制,为青光眼术后抗瘢痕治疗提供新思路。方法:选取2018-09/2019-09于河北省人民医院行青光眼手术患者的Tenon囊组织,采用组织块法进行HTFs原代培养,应用... 目的:研究K-115对人Tenon囊成纤维细胞(HTFs)增殖和迁移的影响,并探讨其相关作用机制,为青光眼术后抗瘢痕治疗提供新思路。方法:选取2018-09/2019-09于河北省人民医院行青光眼手术患者的Tenon囊组织,采用组织块法进行HTFs原代培养,应用转化生长因子-β1(TGF-β1)诱导HTFs模拟青光眼滤过性手术后的细胞活化模型,并采用K-115处理细胞。将细胞分为4组:对照组采用溶剂二甲基亚砜(DMSO)处理;TGF-β1组采用10μg/L TGF-β1处理24h;TGF-β1+5 K-115组采用5μmol/L K-115预处理2h后加入10μg/L TGF-β1处理24h;TGF-β1+10 K-115组采用10μmol/L K-115预处理2h后加入10μg/L TGF-β1处理24h。通过细胞增殖实验观察细胞的增殖能力;划痕试验检测细胞的迁移能力;透射电子显微镜观察细胞内自噬小体的形成;Hoechst 33342/PI染色观察细胞凋亡情况。结果:细胞增殖实验结果提示K-115可以抑制TGF-β1诱导的HTFs增殖;划痕试验提示K-115可以抑制TGF-β1诱导的HTFs迁移;透射电子显微镜结果显示K-115可以增强TGF-β1诱导的HTFs自噬。Hoechst 33342/PI染色提示K-115并未诱导细胞凋亡。结论:K-115可能是通过增加HTFs自噬而非诱导凋亡机制调控TGF-β1诱导的HTFs增殖及迁移能力。 展开更多
关键词 K-115 RHO激酶抑制剂 自噬 人Tenon囊成纤维细胞 瘢痕化 青光眼
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RhoC,vascular endothelial growth factor and microvascular density in esophageal squamous cell carcinoma 被引量:9
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作者 zhi-hua zhao Yan Tian +2 位作者 Jian-Pin Yang Jun Zhou Kui-Sheng Chen 《World Journal of Gastroenterology》 SCIE CAS 2015年第3期905-912,共8页
AIM:To investigate the expression of Ras homolog(Rho)C,vascular endothelial growth factor(VEGF) and CD105 in esophageal squamous cell carcinoma.METHODS:Semi-quantitative reverse transcriptase polymerase chain reaction... AIM:To investigate the expression of Ras homolog(Rho)C,vascular endothelial growth factor(VEGF) and CD105 in esophageal squamous cell carcinoma.METHODS:Semi-quantitative reverse transcriptase polymerase chain reaction,in situ hybridization and immunohistochemical streptavidin-biotin- peroxidase methods were used to detect expression of Rho C m RNA and protein,and VEGF protein in 62 cases with esophageal squamous cell carcinoma,31 cases with adjacent atypical hyperplastic tissues,and 62 cases with normal esophageal mucosa.CD105 antibody labeling was used to measure microvascular density.Expression levels were compared according to clinicopathologic and patient parameters.RESULTS:Expression of Rho C m RNA showed a positive correlation with the protein level in esophageal squamous cell carcinoma,as well as with VEGF protein levels.Rho C m RNA expression was mainly located within the cytoplasm of the tumor cells,appearing as blue to purple particles by in situ hybridization.The differences in Rho C m RNA expression in esophageal squamous cell carcinoma,adjacent atypical hyperplasia and normal esophageal mucosa were significant(P < 0.05).The relative expression of Rho C m RNA in cancer tissues with lymph node metastasis was significantly higher than in the tissues without lymph node metastasis(P < 0.05).VEGF protein expression was consistent with microvascular density(t = 25.52,P < 0.05).Positive expression of VEGF protein in esophageal squamous cell carcinoma of different histologic gradings did not differ significantly.Positive expression of VEGF protein in carcinoma tissues with deep infiltration was significantly higher than in tissues with only superficial infiltration(P < 0.05).The positive expression of VEGF protein in cancer tissues with lymph node metastasis was significantly higher than in the tissues without lymph node metastasis(P < 0.05).CONCLUSION:Rho C protein may upregulate VEGF expression,thereby promoting tumor angiogenesis.Rho C m RNA and protein expression was correlated with metastasis. 展开更多
关键词 ESOPHAGEAL SQUAMOUS cell CARCINOMA Gene SILENCING
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Gastroduodenal intussusception due to gastric schwannoma treated by billroth Ⅱ distal gastrectomy:One case report 被引量:5
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作者 Jia-Hua Yang Min Zhang +3 位作者 zhi-hua zhao Yu Shu Jun Hong Yi-Jun Cao 《World Journal of Gastroenterology》 SCIE CAS 2015年第7期2225-2228,共4页
Schwannomas are rarely observed in the gastrointestinal tract.The most common symptoms of a gastric schwannoma are abdominal pain or dyspepsia,gastrointestinal bleeding,and an abdominal mass.Many gastric schwannomas a... Schwannomas are rarely observed in the gastrointestinal tract.The most common symptoms of a gastric schwannoma are abdominal pain or dyspepsia,gastrointestinal bleeding,and an abdominal mass.Many gastric schwannomas are asymptomatic and are discovered incidentally or at postmortem.The diagnosis of a schwannoma is based on immunohistochemical positivity for S-100 protein.Wepresent a case report of a rare complication of gastric schwannoma causing gastroduodenal intussusception that was successfully managed by a BillrothⅡdistal gastrectomy.In this rare case,the patient had intermittent,colicky abdominal pain,nausea,and vomiting for over 4wk accompanied by a weight loss.A diagnosis of gastric intussusception was made by computed tomography.A BillrothⅡdistal gastrectomy was then performed,and complete en bloc removal(R0 resection)was achieved.Pathology confirmed a gastric schwannoma through positive immunohistochemical staining for S-100 protein. 展开更多
关键词 GASTRODUODENAL INTUSSUSCEPTION GASTRIC SCHWANNOMA
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Effect of trimetazidine combined with bisoprolol on the cardiac function, ventricular remodeling and neuroendocrine factors in patients with chronic heart failure 被引量:1
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作者 zhi-hua zhao 《Journal of Hainan Medical University》 2017年第9期25-29,共5页
Objective:To study the effect of trimetazidine combined with bisoprolol on the cardiac function, ventricular remodeling and neuroendocrine factors in patients with chronic heart failure.Methods: A total of 52 patients... Objective:To study the effect of trimetazidine combined with bisoprolol on the cardiac function, ventricular remodeling and neuroendocrine factors in patients with chronic heart failure.Methods: A total of 52 patients with chronic heart failure who were treated in our hospital between January 2012 and November 2015 were collected and divided into the control group (n=26) who received bisoprolol therapy and the observation group (n=26) who received trimetazidine combined with bisoprolol therapy according to the double-blind randomized control method, and both groups were treated for 3 months. Before treatment and after 3 months of treatment, cardiac color Doppler diasonograph was used to determine the levels of cardiac function parameters and ventricular remodeling parameters, and RIA method was used to determine the levels if peripheral blood neuroendocrine factors.Results: Before treatment, the differences in cardiac function, ventricular remodeling and neuroendocrine factor levels were not statistically significant between two groups of patients. After 3 months of treatment, cardiac function parameters LVEDd and LVESD levels of observation group were lower than those of control group while LVEF level was higher than that of control group, and ventricular remodeling parameters LVPWT, IVSS, PWD, PWS and LVMI levels were lower than those of control group;peripheral blood neuroendocrine factors NE, ALD, AngⅡ, ANP and ET contents of observation group were lower than those of control group.Conclusion:Trimetazidine combined with bisoprolol can optimize the cardiac function, suppress the ventricular remodeling process and regulate the neuroendocrine factor secretion in patients with chronic heart failure, and it contributes to the patients' overall optimization. 展开更多
关键词 Chronic heart failure TRIMETAZIDINE BISOPROLOL CARDIAC function VENTRICULAR REMODELING NEUROENDOCRINE factor
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Effect of Occupational Extremely Low-Frequency Electromagnetic Field Exposure on the Thyroid Gland of Workers:A Prospective Study
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作者 Yuan-yuan FANG Qian TU +5 位作者 Yu-ting ZHANG Jian LIU Hui-guo LIU zhi-hua zhao Hua WU Tie-jun YIN 《Current Medical Science》 SCIE CAS 2022年第4期817-823,共7页
Objective:The aim of this study was to investigate the biological effects of occupational extremely low-frequency electromagnetic field(ELF-EMF)exposure on the thyroid gland.Methods:We conducted a prospective analysis... Objective:The aim of this study was to investigate the biological effects of occupational extremely low-frequency electromagnetic field(ELF-EMF)exposure on the thyroid gland.Methods:We conducted a prospective analysis of 85 workers(exposure group)exposed to an ELF-EMF(100μT,10-100 Hz)produced by the electromagnetic aircraft launch system and followed up on thyroid function indices,immunological indices,and color Doppler images for 3 years.Additionally,116 healthy volunteers were randomly selected as controls(control group),the thyroid function of whom was compared to the exposure group.Results:No significant difference was observed in thyroid function between the exposure and control groups.During the follow-up of the exposure group,the serum free triiodothyronine(FT3)level was found to slowly decrease and free thyroxine(FT4)level slowly increase with increasing exposure time.However,no significant difference was found in thyroid-stimulating hormone(TSH)over the three years,and no significant difference was observed in the FT3,FT4 and TSH levels between different exposure subgroups.Furthermore,no significant changes were observed in thyroid autoantibody levels and ultrasound images between subgroups or over time.Conclusion:Long-term exposure to ELF-EMF may promote thyroid secretion of T4 and inhibit deiodination of T4 to T3.ELF-EMF has no significant effect on thyroid immune function and morphology. 展开更多
关键词 extremely low-frequency electromagnetic field thyroid function thyroid autoantibody thyroid ultrasound thyroid nodule
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Expression and significance of IL-1β and COX-2 in gingiva tissues in rat periodontitis model with different estrogen levels
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作者 Li-Bo Ku Guo-Quan Xu +3 位作者 Hui Wang zhi-hua zhao Shi-Yu Ding Li Ma 《Journal of Hainan Medical University》 2017年第1期1-3,共3页
Objective:To explore the expressions of IL-1β and COX-2 in the gingiva tissues in rat periodontitis model with different estrogen levels, and the effect of estrogen level on periodontitis.Methods:A total of 40 female... Objective:To explore the expressions of IL-1β and COX-2 in the gingiva tissues in rat periodontitis model with different estrogen levels, and the effect of estrogen level on periodontitis.Methods:A total of 40 female Wistar rats were randomized into 4 groups, i.e. normal control group (n=10), periodontitis group (n=10), castraction periodontitis group (n=10), and estrogen therapy group (n=10). RT-PCR was used to detect the expressions of IL-1β and COX-2 in the gingiva tissues in each group.Results:The expression intensity of IL-1β and COX-2 in the estrogen therapy group was significantly lower than that in the castraction periodontitis group (P<0.05).Conclusions:Estrogen can significantly down regulate the expressions of IL-1β and COX-2 in order to alleviate the symptoms of periodontitis. 展开更多
关键词 PERIODONTITIS CYTOKINE ESTROGEN
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