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三维超声参数预测急性心肌梗死合并左心室室壁瘤经皮冠状动脉介入术后转归的价值 被引量:11
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作者 沈丹 颜紫宁 +1 位作者 范莉 芮逸飞 《中国现代医学杂志》 CAS 北大核心 2022年第8期92-98,共7页
目的探讨实时三维超声心动图(RT-3DE)对急性心肌梗死(AMI)合并左心室室壁瘤(LVA)患者经皮冠状动脉介入(PCI)术后转归的预测价值。方法选取2018年1月—2020年1月在常州市第二人民医院行急诊PCI的80例AMI合并LVA患者。根据LVA病理解剖分... 目的探讨实时三维超声心动图(RT-3DE)对急性心肌梗死(AMI)合并左心室室壁瘤(LVA)患者经皮冠状动脉介入(PCI)术后转归的预测价值。方法选取2018年1月—2020年1月在常州市第二人民医院行急诊PCI的80例AMI合并LVA患者。根据LVA病理解剖分型将患者分为A组(AMI合并功能性LVA)、B组(AMI合并解剖性LVA)和C组(AMI合并血栓性LVA),分别为31例、28例和21例。采用RT-3DE检测患者术前及术后2个月左心室心功能参数,包括左心室射血分数(LVEF)、左心室舒张末期容积(LVEDV)、左心室收缩末期容积(LVESV)、心排血量(CO)、球形指数(SPI),并按照体表面积(BSA)计算左心室舒张末期容积指数(LVEDVI)、左心室收缩末期容积指数(LVESVI)及心脏指数(CI)。比较各组术前及术后2个月上述各参数的变化,分析术前及术后2个月LVEF、SPI与心功能指标的相关性。结果C组患者手术前后LVEDV、LVESV、LVEDVI、LVESVI降低幅度小于A、B组(P<0.05);C组患者手术前后CO、CI升高幅度大于A组,但小于B组(P<0.05);B组患者手术前后LVEDV降低幅度小于A组(P<0.05),CO、CI升高幅度大于A组(P<0.05),LVESVI降低幅度大于A组(P<0.05)。C组患者手术前后LVEF升高幅度小于A、B组(P<0.05),SPI降低幅度小于A组(P<0.05);B组患者手术前后SPI降低幅度小于A组(P<0.05)。AMI合并LVA患者手术前LVEF与LVEDV、LVESV、CO、LVEDVI、LVESVI、CI呈负相关(r=-0.614、-0.736、-0.364、-0.614、-0.739和-0.348,均P<0.05);手术后LVEF与LVEDV、LVESV、CO、LVEDVI、LVESVI、CI呈负相关(r=-0.605、-0.720、-0.335、-0.594、-0.725和-0.320,均P<0.05)。手术前后SPI与LVEDV、LVESV、CO、LVEDVI、LVESVI、CI无相关性(P>0.05)。结论急诊PCI术后2个月AMI合并功能性及解剖性LVA患者心室形态和整体收缩功能均明显改善,手术效果确切,RT-3DE可评估急诊PCI的短期疗效。 展开更多
关键词 急性心肌梗死 左心室室壁瘤 经皮冠状动脉介入术 三维超声 左心室射血分数 球形指数
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Microecology research: a new target for the prevention of asthma 被引量:5
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作者 Hong-Lei Shi Yu-Hao Lan +6 位作者 Zheng-Chuan Hu zi-ning yan Ze-Zhong Liu Xiriaili Kadier Li Ma Jin-yan Yu Jing Liu 《Chinese Medical Journal》 SCIE CAS CSCD 2020年第22期2712-2720,共9页
The incidence and prevalence of asthma have increased remarkably in recent years.There are lots of factors contributing to the occurrence and development of asthma.With the improvement of sequencing technology,it has ... The incidence and prevalence of asthma have increased remarkably in recent years.There are lots of factors contributing to the occurrence and development of asthma.With the improvement of sequencing technology,it has been found that the microbiome plays an important role in the formation of asthma in early life.The roles of the microbial environment and human microbiome in the occurrence and development of asthma have attracted more and more attention.The environmental microbiome influences the occurrence of asthma by shaping the human microbiome.The specific mechanism may be related to the immune regulation of Toll-like receptors and T cells(special Tregs).Intestinal microbiome is formed and changed by regulating diet and lifestyle in early life,which may affect the development and maturation of the pulmonary immune system through the intestinal-pulmonary axis.It is well-recognized that both environmental microbiomes and human microbiomes can influence the onset of asthma.This review aims to summarize the recent advances in the research of microbiome,its relationship with asthma,and the possible mechanism of the microbiome in the occurrence and development of asthma.The research of the microbial environment and human microbiome may provide a new target for the prevention of asthma in children who have high-risk factors to allergy.However,further study of"when and how"to regulate microbiome is still needed. 展开更多
关键词 ASTHMA Environment Intestinal microbiome Respiratory microbiome Sequence analysis
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