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A Case of Muscle Contraction-Induced Ischemic Limb Hyperemia in a Patient with Peripheral Arterial Disease during Incremental Repeat Isometric Knee Extensor Workloads
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作者 Takuya Osada 《World Journal of Cardiovascular Diseases》 2020年第12期796-808,共13页
<div style="text-align:justify;"> <strong>Background: </strong><span "="">To determine whether muscle contraction-induced leg blood flow (LBF) during exercise may be al... <div style="text-align:justify;"> <strong>Background: </strong><span "="">To determine whether muscle contraction-induced leg blood flow (LBF) during exercise may be altered in a patient with an ischemic limb due to peripheral arterial disease (PAD) compared with the non-PAD limb. <b>Case Presentation: </b>A 66-year-old male patient with intermittent claudication due to PAD in the right leg (ankle brachial pressure index, 0.69) showed complete obstruction in both common iliac arteries including internal/external segments with collaterals above the femoral artery and popliteal artery with collaterals, and in the healthy left non-PAD-leg (1.06). He attempted unilateral repeat isometric knee extensions at a target contraction rhythm with each leg at incremental contraction intensities (5%, 10%, and 30% of maximum voluntary contraction [MVC] for 3 min at each intensity). Blood velocity/flow (Doppler ultrasound) in the femoral artery, blood pressure, and leg vascular conductance (LVC) were measured. Isometric thigh MVC strength pre-exercise was similar between the PAD-leg (48.0 kg) and non-PAD-leg (48.7 kg). Pre-exercise LBF (ml/min) was also similar between the PAD-leg (316) and non-PAD-leg (327). Blood pressure increases were similar during exercise. Average exercising LBF in ml/min in the last 1 min at each intensity was higher in the PAD-leg than the non-PAD-leg: 1087 vs. 471 at 5%, 2097 vs. 712 at 10%, and 2656 vs. 1517 at 30% MVC with a close positive linear relationship between LBF and %MVC in the non-PAD-leg (r = 0.999, P</span> <span "="">< 0.01), in agreement with previous findings, but less significant in the PAD-leg (r = 0.879, P = NS), indicating intense vasodilation (increasing LVC) in the PAD-leg compared with the non-PAD-leg. <b>Conclusion: </b>Knee extensor exercising LBF in the femoral artery was dissimilar between the PAD-leg and non-PAD-leg at the same exercise intensity, even though pre-exercising LBF was the same. Further research on the time-course in hemodynamics during leg exercise in PAD might potentially provide insight for the cardiovascular adjustment in severity of arteriosclerosis, stenosis and/or collaterals reserve.</span> </div> 展开更多
关键词 Leg Blood Flow Peripheral arterial Disease Collaterals Flow Repeat Isometric knee Extensor Exercise Doppler Ultrasound
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Arterial sunoly of the meniscus of knee ioint
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作者 李瑞锡 何光篪 陈尔瑜 《Journal of Medical Colleges of PLA(China)》 CAS 1993年第2期169-174,共6页
The arterial supply of the genicular meniscus was studied with macro-microanatomical and histological examinations,translucent preparations and scanning electronmicroscopy.It was found that the menisci were supplied b... The arterial supply of the genicular meniscus was studied with macro-microanatomical and histological examinations,translucent preparations and scanning electronmicroscopy.It was found that the menisci were supplied by the articular branches of thepopliteal artery except the lateral superior genicular branch and the descending genicularartery.Among them there were two genicular branches with independent stems from thepopliteal artery,named as the posterior medial and posterior lateral genicular artery,whichsupplied the posterior part of the corresponding meniscus.The genicular branchesanastomosed with each other to form a vascular circle around the menisci,and minutebranches from the circle formed an arterial network around the menisci and terminated incapillaries in 3 types of anastomotic forms.The surgical approach to the menisci and theprognosis of an injured meniscus were discussed on the basis of the arterial distributionsinside and outside of the menisci. 展开更多
关键词 MENISCUS knee joint arteries MICROVASCULAR architecture genicular ARTERY
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Inhibition of Notch 1 signaling in the subacute stage after stroke promotes striatal astrocyte-derived neurogenesis 被引量:4
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作者 Xiao-Zhu Hao Cheng-Feng Sun +5 位作者 Lu-Yi Lin Chan-Chan Li Xian-Jing Zhao Min Jiang Yan-Mei Yang Zhen-Wei Yao 《Neural Regeneration Research》 SCIE CAS CSCD 2023年第8期1777-1781,共5页
Inhibition of Notch1 signaling has been shown to promote astrocyte-derived neurogenesis after stroke.To investigate the regulatory role of Notch1 signaling in this process,in this study,we used a rat model of stroke b... Inhibition of Notch1 signaling has been shown to promote astrocyte-derived neurogenesis after stroke.To investigate the regulatory role of Notch1 signaling in this process,in this study,we used a rat model of stroke based on middle cerebral artery occlusion and assessed the behavior of reactive astrocytes post-stroke.We used theγ-secretase inhibitor N-[N-(3,5-diuorophenacetyl)-1-alanyl]-S-phenylglycine t-butylester(DAPT)to block Notch1 signaling at 1,4,and 7 days after injury.Our results showed that only administration of DAPT at 4 days after stroke promoted astrocyte-derived neurogenesis,as manifested by recovery of white matter fiber bundle integrity on magnetic resonance imaging,which is consistent with recovery of neurologic function.These findings suggest that inhibition of Notch1 signaling at the subacute stage post-stroke mediates neural repair by promoting astrocyte-derived neurogenesis. 展开更多
关键词 ASTROCYTE diffusion kurtosis imaging magnetic resonance imaging middle cerebral artery occlusion N-[N-(3 5-diuorophenacetyl)-1-alanyl]-Sphenylglycine t-butylester neural repair NEUROGENESIS neuron Notch1 signaling subacute stage
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Delayed Management of Popliteal Artery Injury Following Knee Dislocation—A Case Report
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作者 Olomi Jimmy Said Abdulmajid 《Open Journal of Orthopedics》 2023年第10期427-434,共8页
Knee dislocations frequently involve vascular injuries that demand early diagnosis and timely intervention. Time of ischemia is pivotal in determining the outcome for the limb, delays in treatment beyond 8 hours signi... Knee dislocations frequently involve vascular injuries that demand early diagnosis and timely intervention. Time of ischemia is pivotal in determining the outcome for the limb, delays in treatment beyond 8 hours significantly increase the risk of limb loss. Unfortunately, this critical window is often missed in resource-limited settings. Here we report a 25-year-old female sustained a left knee injury after falling into a trench. She was diagnosed with an open knee dislocation accompanied by a popliteal artery injury. However, revascularization was delayed for 18 hours due to limited resources, including the unavailability of a thrombectomy catheter. Postoperatively, the patient received anticoagulation therapy with serial limb assessments and after 3 weeks the laceration healed and the limb was still viable. Knee dislocations frequently result in vascular injury (popliteal artery most common), making prompt diagnosis and intervention essential for limb preservation. In settings with limited resources, like ours, delayed presentation and transfer to specialized centers contribute to prolonged ischemic times. Nonetheless, viable limbs should be revascularized in stable patients, even with prolonged ischemia. This case highlights the importance of limb revascularization despite delay. Efforts should be made to improve prompt diagnosis, timely referral, and availability of necessary equipment for vascular repair to optimize outcomes in similar cases. 展开更多
关键词 knee Dislocation Popliteal Artery Injury Delayed Repair Vascular Injury Limb Salvage Ischemic Time
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IPACK阻滞与LIA在膝关节矫形术的应用效果比较
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作者 董星 李欣 赵克非 《黑龙江医学》 2024年第9期1061-1063,共3页
目的:比较腘动脉与膝关节后囊间隙(IPACK)阻滞与关节周围局部浸润镇痛(LIA)在膝关节矫形术后镇痛中的效果。方法:招募60例膝关节矫形术患者,随机分为IPACK阻滞组(I组)和LIA组(L组)。I组行IPACK阻滞,L组行LIA。记录疼痛评分、满意度评分... 目的:比较腘动脉与膝关节后囊间隙(IPACK)阻滞与关节周围局部浸润镇痛(LIA)在膝关节矫形术后镇痛中的效果。方法:招募60例膝关节矫形术患者,随机分为IPACK阻滞组(I组)和LIA组(L组)。I组行IPACK阻滞,L组行LIA。记录疼痛评分、满意度评分、主动屈膝最大角度、步行距离、镇痛补救率和不良事件发生情况。结果:与L组比较,8h(T2)时点I组静态疼痛评分降低,差异有统计学意义(Z=-2.171,P<0.05);与L组比较,T2,24h(T3)时点I组动态疼痛评分降低,差异有统计学意义(Z=-1.277、-2.841,P<0.05);与L组比较,I组羟考酮应用率降低,差异有统计学意义(χ^(2)=6.667,P<0.05);与L组比较,I组术后2~3d患者主动屈膝最大角度增加,差异有统计学意义(Z=-2.088、-2.426,P<0.05)。结论:IPACK阻滞较LIA更适合于膝关节矫形术后镇痛。 展开更多
关键词 腘动脉与膝关节后囊间隙阻滞 关节周围局部浸润镇痛 膝关节矫形术
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收肌管阻滞联合腘动脉-膝关节囊后间隙阻滞或胫神经阻滞在全膝关节置换术中的应用 被引量:17
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作者 王春光 刘蕊 +5 位作者 李艳军 李永旺 王旭伟 胡蕴伟 李艳青 赵景 《临床麻醉学杂志》 CAS CSCD 北大核心 2021年第3期229-232,共4页
目的比较收肌管阻滞(ACB)联合腘动脉-膝关节囊后间隙阻滞(IPACK)或选择性胫神经阻滞(TNB)用于全膝关节置换术的镇痛效果及对运动功能的影响。方法选择2020年4—6月行全膝关节置换术老年患者60例,男28例,女32例,年龄65~84岁,ASAⅡ或Ⅲ级... 目的比较收肌管阻滞(ACB)联合腘动脉-膝关节囊后间隙阻滞(IPACK)或选择性胫神经阻滞(TNB)用于全膝关节置换术的镇痛效果及对运动功能的影响。方法选择2020年4—6月行全膝关节置换术老年患者60例,男28例,女32例,年龄65~84岁,ASAⅡ或Ⅲ级。采用随机数字表法分为两组:IPACK组(I组)和TNB组(T组)。I组于术前采用含肾上腺素0.1 mg的0.25%罗哌卡因20 ml行IPACK,T组于术前采用含肾上腺素0.1 mg的0.25%罗哌卡因20 ml行TNB。I组与T组完成IPACK或TNB后行ACB,并留置神经周围导管,术后连接患者自控神经阻滞镇痛泵。术后VAS疼痛评分>4分时,患者按压镇痛泵,30 min未缓解,皮下注射羟考酮5 mg进行补救镇痛。记录术后4 h腓总神经运动阻滞情况及术前、术后24、48、72 h静息、运动时VAS疼痛评分。记录术后1~3 d患者主动屈膝最大角度及步行距离。记录术后72 h内患者补救镇痛及不良事件发生情况。结果与T组比较,I组腓总神经运动阻滞率明显降低(P<0.05);术后1、2 d步行距离明显增加(P<0.05)。两组不同时点静息、运动时VAS疼痛评分、补救镇痛率、术后3 d步行距离及术后1~3 d主动屈膝最大角度差异无统计学意义。结论ACB联合IPACK或TNB均可为全膝关节置换术患者提供有效地术后镇痛,但IPACK对运动功能影响小于TNB。 展开更多
关键词 腘动脉-膝关节囊后间隙阻滞 胫神经阻滞 收肌管阻滞 全膝关节置换术
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腘动脉-膝关节后囊间隙阻滞与关节周围注射对全膝关节置换术后镇痛效果的meta分析 被引量:4
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作者 张慧 吴耀华 郝泉水 《中国微创外科杂志》 CSCD 北大核心 2022年第11期853-858,共6页
目的评价腘动脉-膝关节后囊间隙(infiltration between the popliteal artery and the capsule of the posterior knee,iPACK)阻滞对比关节周围注射(periarticular injection,PAI)在全膝关节置换(total knee arthroplasty,TKA)术后镇痛... 目的评价腘动脉-膝关节后囊间隙(infiltration between the popliteal artery and the capsule of the posterior knee,iPACK)阻滞对比关节周围注射(periarticular injection,PAI)在全膝关节置换(total knee arthroplasty,TKA)术后镇痛中的作用。方法检索PubMed、EMBASE、Web of Science、中国生物医学文献数据库(CBM)、中文科技期刊全文数据库(VIP)、中国期刊全文数据库(CNKI)及万方数据库中iPACK对比PAI对TKA术后镇痛的随机对照试验(RCT),时间均从建库至2021年12月。2位研究者按照纳入标准筛选文献、提取资料,2位评价员独立对纳入文献的质量进行评价,采用RevMan5.3进行meta分析。结果纳入6个RCT共440例患者。与PAI相比,iPACK组术后24 h吗啡累积使用量较少(MD=-4.21,95%CI:-7.18~-1.24,P=0.005),术后12 h运动状态和24、48 h静息状态、运动状态下疼痛视觉模拟评分(Visual Analogue Scale,VAS)降低,差异有统计学意义(P<0.05),术后12 h静息状态VAS差异无统计学意义(P>0.05);2组术后第1天、第2天行走距离相当,差异无统计学意义(P>0.05)。结论与PAI相比,iPACK阻滞能更有效地减轻TKA术后疼痛,减少阿片类药物用量,不影响术后活动,用于TKA术后镇痛安全有效。 展开更多
关键词 收肌管阻滞 腘动脉-膝关节后囊间隙阻滞 关节周围注射 全膝关节置换术 术后镇痛 META分析
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膝下动脉血运重建的临床实践中国专家共识
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作者 国家心血管病专家委员会血管外科专业委员会下肢动脉疾病学组 中国医药教育协会血管外科专业委员会 +1 位作者 纪东华 刘暴 《中国循环杂志》 CSCD 北大核心 2024年第2期116-122,共7页
膝下动脉粥样硬化常累及多支膝下动脉,且多为多节段性病变,临床上多表现为肢体慢性威胁性缺血,最终导致截肢事件发生,严重影响患者生活质量,甚至危及生命。随着腔内血管外科技术和器械的发展,其治疗理念和技术有了很大的改变,本共识根... 膝下动脉粥样硬化常累及多支膝下动脉,且多为多节段性病变,临床上多表现为肢体慢性威胁性缺血,最终导致截肢事件发生,严重影响患者生活质量,甚至危及生命。随着腔内血管外科技术和器械的发展,其治疗理念和技术有了很大的改变,本共识根据国内近年来的临床实践经验,结合最新循证资料以及国外相关指南,提出适合中国人群特点的临床实践推荐意见,旨在为国内血管外科及相关领域医师提供最新的临床实践依据。 展开更多
关键词 膝下动脉 足弓 肢体慢性威胁性缺血 血运重建 临床实践
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Impacts of angiotensin II on retinal artery changes in apolipoprotein E deficient mice
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作者 Li-Hui Meng Shi-Yu Cheng +5 位作者 He Chen Yue-Lin Wang Wen-Fei Zhang Huan Chen Xin-Yu Zhao You-Xin Chen 《International Journal of Ophthalmology(English edition)》 SCIE CAS 2024年第1期16-24,共9页
AIM:To investigate the impacts of angiotensin II(Ang II)on retinal artery changes in apolipoprotein E deficient(apoE^(-/-))mice.METHODS:ApoE^(-/-)male mice were infused by minipumps with Ang II at 1000 ng/kg·min(... AIM:To investigate the impacts of angiotensin II(Ang II)on retinal artery changes in apolipoprotein E deficient(apoE^(-/-))mice.METHODS:ApoE^(-/-)male mice were infused by minipumps with Ang II at 1000 ng/kg·min(Ang II group)or saline(control group)for 28d.They were underwent ophthalmic fundus examination on day 0,14,and 28 of infusion.Histopathologic examination,ribonucleic acid(RNA)sequencing and local Ang II measurement of retinas were conducted.RESULTS:Ophthalmic fundus examination showed Ang II infusion promoted the formation of retinal arterial aneurysm-like lesions on day 28.Optical coherence tomography revealed the ganglion cell and inner plexiform layer(GCIPL)thickness in the control group was significantly thinner than that in Ang II group(P<0.001).Hematoxylin-eosin staining demonstrated diffused swelling of GCIPL layer and its disordered structure in Ang II group.Transmission electron microscopy showed Ang II infusion caused aggravation of atherosclerotic lesions,including increased swelling,roughness,disorganization of the retinal vasculature,and vacuoles formation.RNA-sequencing and gene ontology enrichment analysis demonstrated that the structure and function of cellular membrane might be disturbed and visual function might be compromised by Ang II.The local level of Ang II was higher in Ang II infusion group but did not show significant differences compared to the control group(P=0.086).CONCLUSION:Ang II infusion promotes the formation of retinal arterial aneurysm-like lesions in apoE^(-/-)mice,causing aggravation of atherosclerotic lesions,more severe disorganization of the retinal vasculature and disturbance of the cellular membrane. 展开更多
关键词 angiotensin II retinal artery ANEURYSM apoE^(-/-)mice
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超声引导下IPACK神经阻滞联合ACB在老年全膝关节置换术后镇痛中的应用效果
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作者 何荣 郁娜 +2 位作者 高维龙 翟小猛 赵伟 《山东医药》 CAS 2024年第26期36-40,共5页
目的探讨超声引导下腘动脉与膝关节后囊间隙(IPACK)神经阻滞联合收肌管神经阻滞(ACB)在老年全膝关节置换术(TKA)后镇痛中的应用效果。方法选取择期行初次单侧全膝关节置换术的老年患者126例,采用随机数字表法分为ACB组、IPACK组、IPACK+... 目的探讨超声引导下腘动脉与膝关节后囊间隙(IPACK)神经阻滞联合收肌管神经阻滞(ACB)在老年全膝关节置换术(TKA)后镇痛中的应用效果。方法选取择期行初次单侧全膝关节置换术的老年患者126例,采用随机数字表法分为ACB组、IPACK组、IPACK+ACB组各42例。三组均在椎管内麻醉下行TKA,ACB组于术毕连接PCIA泵,并在超声引导下行ACB;IPACK组于椎管内麻醉完成后、手术开始前在手术侧行IPACK阻滞,术毕连接PCIA泵;IPACK+ACB组于椎管内麻醉完成后、手术开始前在超声引导下行IPACK阻滞,术毕连接PCIA泵,并在超声引导下行ACB。分别于术后8、12、24、48 h对患者膝关节静息、活动和膝关节后部进行视觉模拟疼痛评分(VAS),评价疼痛程度;术后24、48 h时测量主动屈膝的最大角度,评价膝关节主动活动度;记录术后PCIA泵有效按压次数、补救性镇痛次数,计算补救性镇痛率。观察患者术后24 h内不良反应的发生情况,包括恶心呕吐、头晕、神经损伤、神经阻滞穿刺部位感染出血等;对患者进行满意度评分。结果术后8 h和12 h时,ACB组、IPACK+ACB组静息及活动VAS均低于IPACK组,ACB组膝关节后部VAS高于其他两组(P均<0.05);术后24 h和48 h时,三组静息、活动及膝关节后部VAS比较差异均无统计学意义(P均>0.05)。术后24 h时IPACK+ACB组膝关节主动屈膝最大角度大于其他两组(P均<0.01),术后48 h时三组膝关节主动屈膝最大角度比较差异无统计学意义(P均>0.05)。与IPACK组相比,ACB组和IPACK+ACB组24 h内补救镇痛率降低,患者满意度提高,恶心、呕吐发生率降低(P<0.05或<0.01)。结论超声引导下ACB联合IPACK阻滞可减轻TKA术后膝关节后部疼痛,增加膝关节主动活动度,且不增加术后不良反应发生率,为老年TKA患者提供良好的术后镇痛。 展开更多
关键词 全膝关节置换术 神经阻滞术 腘动脉与膝关节后囊间隙阻滞 收肌管阻滞 术后镇痛 老年人
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骨性关节病全膝关节置换术后区域镇痛的研究进展
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作者 唐子一 康立恒 +1 位作者 张承启 秦云植 《国际老年医学杂志》 2024年第3期365-368,共4页
中国已进入老龄化社会,以慢性膝关节软骨病变为特征的膝关节骨性关节炎也逐年增加,终末期的膝关节病通常采用全膝关节置换术进行治疗。术后患者的疼痛问题,一直是关节骨病科的常见困难。本文从区域镇痛理念出发,对硬膜外阻滞、股神经及... 中国已进入老龄化社会,以慢性膝关节软骨病变为特征的膝关节骨性关节炎也逐年增加,终末期的膝关节病通常采用全膝关节置换术进行治疗。术后患者的疼痛问题,一直是关节骨病科的常见困难。本文从区域镇痛理念出发,对硬膜外阻滞、股神经及坐骨神经阻滞、收肌管阻滞、腘动脉与关节囊后间隙阻滞的相关机理作一综述,以探究神经阻滞对术后镇痛的影响,为改善全膝关节置换术后的患者疼痛提供镇痛选择。 展开更多
关键词 全膝关节置换术 区域镇痛 收肌管阻滞 腘动脉与关节囊后间隙阻滞 术后镇痛
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全膝关节置换术中采用隐神经联合膝关节后囊间隙阻滞的镇痛效果及安全性观察
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作者 谢安 《大医生》 2024年第9期35-38,共4页
目的探讨隐神经阻滞(SNB)联合膝关节后囊间隙(IPACK)阻滞用于全膝关节置换术(TKA)患者的镇痛效果和安全性,为临床提供参考。方法选取2021年1月至2022年1月德阳市人民医院收治的60例行单侧TKA患者为研究对象,按照随机数字表法分为对照组... 目的探讨隐神经阻滞(SNB)联合膝关节后囊间隙(IPACK)阻滞用于全膝关节置换术(TKA)患者的镇痛效果和安全性,为临床提供参考。方法选取2021年1月至2022年1月德阳市人民医院收治的60例行单侧TKA患者为研究对象,按照随机数字表法分为对照组(采用SNB进行阻滞)和观察组(采用SNB联合IPACK阻滞),各30例。比较两组患者围术期指标、疼痛数字评价量表(NRS)评分、膝关节活动度和不良反应发生情况。结果两组患者手术时间、麻醉持续时间比较,差异均无统计学意义(均P>0.05);观察组患者术后48 h内静脉自控镇痛(PCIA)按压频率少于对照组,镇痛补救占比低于对照组,首次下床时间、住院时间均短于对照组(均P<0.05)。两组患者NRS评分具有时间、组间、交互效应差异。两组术后72 h低于术后24、48 h,术后48 h低于术后24 h但高于术后2 h,术后24 h高于术后2 h(均P<0.05)。两组患者膝关节活动度具有时间、组间、交互效应差异。两组术后14 d大于术后1、7 d,术后7 d大于术后1 d但小于术前,术后1 d小于术前(均P<0.05)。两组患者不良反应总发生率比较,差异无统计学意义(P>0.05)。结论SNB联合IPACK阻滞用于TKA可提高术后镇痛效果、促进患者膝关节活动度恢复,安全性理想。 展开更多
关键词 隐神经阻滞 膝关节后囊间隙阻滞 全膝关节置换术 镇痛效果 安全性
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椎-基底动脉夹层的影像学诊断进展 被引量:2
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作者 刘天怡 李国忠 +1 位作者 钟镝 陈洪苹 《脑与神经疾病杂志》 2018年第4期256-259,共4页
椎-基底动脉夹层(vertebrobasilar artery dissection,VAD)是指各种原因导致的椎动脉或基底动脉内膜撕裂,血液通过破损的内膜进入血管壁而形成血肿,或动脉壁内自发性血肿,致使血管狭窄、闭塞或破裂的一种疾病,它可以引起脑组织血液灌注... 椎-基底动脉夹层(vertebrobasilar artery dissection,VAD)是指各种原因导致的椎动脉或基底动脉内膜撕裂,血液通过破损的内膜进入血管壁而形成血肿,或动脉壁内自发性血肿,致使血管狭窄、闭塞或破裂的一种疾病,它可以引起脑组织血液灌注不足、血栓形成及假性动脉瘤的形成,从而出现颅脑缺血症状、脑干压迫症状及蛛网膜下腔出血(subarachnoid hemorrhage,SAH)等[1]。以往认为VAD的发病率很低,但近年来研究它是引起中青年脑卒中的第二大病因[2],随着影像学技术的进展,VAD的检出率也在逐年提升[3]。 展开更多
关键词 -基底 动脉夹层 影像学诊断 HEMORRHAGE 动脉内膜撕裂 蛛网膜下腔出血 自发性血肿 artery
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丁咯地尔联合银杏达莫治疗椎-基底动脉供血不足58例疗效观察 被引量:2
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作者 聂方华 张东旭 《重庆医学》 CAS CSCD 2007年第12期1229-1230,共2页
关键词 -基底动脉供血不足 银杏达莫注射液 丁咯地尔 疗效观察 治疗 缺血性脑血管病 artery 常见病症
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Silencing miRNA-324-3p protects against cerebral ischemic injury via regulation of the GATA2/A1R axis 被引量:3
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作者 An-Qi Zhang Lu Wang +11 位作者 Yi-Xiu Wang Shan-Shan Hong Yu-Shan Zhong Ru-Yi Yu Xin-Lu Wu Bing-Bing Zhou Qi-Min Yu Hai-Feng Fu Shuang-Dong Chen Yun-Chang Mo Qin-Xue Dai Jun-Lu Wang 《Neural Regeneration Research》 SCIE CAS CSCD 2022年第11期2504-2511,共8页
Previous studies have suggested that miR-324-3p is related to the pathophysiology of cerebral ischemia,but the mechanism underlying this relationship is unclea r.In this study,we found that miR-324-3p expression was d... Previous studies have suggested that miR-324-3p is related to the pathophysiology of cerebral ischemia,but the mechanism underlying this relationship is unclea r.In this study,we found that miR-324-3p expression was decreased in patients with acute ischemic stroke and in in vitro and in vivo models of ischemic stro ke.miR-324-3p agomir potentiated ischemic brain damage in rats subjected to middle cerebral artery occlusion,as indicated by increased infarct volumes and cell apoptosis rates and greater neurological deficits.In a PC12 cell oxygen-glucose deprivation/reoxygenation model,a miR-324-3 p mimic decreased cell viability and expression of the anti-apoptotic protein BCL2 and increased expression of the pro-apoptotic protein BAX and rates of cell apoptosis,whereas treatment with a miR-324-3p inhibitor had the opposite effects.Silencing miR-324-3p increased adenosine A1 receptor(A1R)expression thro ugh regulation of GATA binding protein 2(GATA2).These findings suggest that silencing miR-324-3p reduces ischemic brain damage via the GATA2/A1R axis. 展开更多
关键词 acute ischemic stroke adenosine A1 receptor apoptosis cerebral ischemia-reperfusion injury cortical neurons GATA2 middle cerebral artery occlusion miR-324-3p oxygen-glucose deprivation/reoxygenation PC12 cells
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超声引导下股神经-腘窝坐骨神经阻滞麻醉在老年膝骨关节炎手术患者中的应用效果 被引量:2
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作者 李昆锋 《中国民康医学》 2022年第18期71-74,共4页
目的:观察超声引导下股神经-腘窝坐骨神经阻滞麻醉在老年膝骨关节炎手术患者中的应用效果。方法:选取2019年9月至2020年6月该院收治的108例行手术治疗的老年膝骨关节炎患者进行前瞻性研究,按随机数字表法将其分为观察组与对照组各54例... 目的:观察超声引导下股神经-腘窝坐骨神经阻滞麻醉在老年膝骨关节炎手术患者中的应用效果。方法:选取2019年9月至2020年6月该院收治的108例行手术治疗的老年膝骨关节炎患者进行前瞻性研究,按随机数字表法将其分为观察组与对照组各54例。对照组采用超声引导下腰丛-坐骨神经麻醉,观察组采用超声引导下股神经-腘窝坐骨神经麻醉,比较两组麻醉效果,运动阻滞、感觉阻滞起效时间和持续时间,不同时间[麻醉前(T_(0))及麻醉后15 min(T_(1))、30 min(T_(2))、60 min(T_(3))]血流动力学指标(心率、平均动脉压)水平、术后疼痛程度[视觉模拟评分法(VAS)]评分,以及不良反应发生率。结果:观察组麻醉优良率为98.05%(53/54),高于对照组的85.19%(46/54),差异有统计学意义(P<0.05);观察组感觉阻滞、运动阻滞起效时间均短于对照组,感觉阻滞持续时间长于对照组,运动阻滞持续时间短于对照组,差异均有统计学意义(P<0.05);T_(1)、T_(2)、T_(3)时,两组心率均低于T_(0)时,但组间比较,差异无统计学意义(P>0.05);T_(1)时,观察组平均动脉压低于对照组,但与T_(0)时比较,差异无统计学意义(P>0.05);T_(2)、T_(3)时,两组平均动脉压均高于T_(0)时,但观察组低于对照组,差异有统计学意义(P<0.05);术后10、20 h,观察组VAS评分低于对照组,差异有统计学意义(P<0.05);观察组并发症发生率为1.85%(1/54),低于对照组的14.81%(8/54),差异有统计学意义(P<0.05)。结论:超声引导下股神经-腘窝坐骨神经阻滞麻醉应用于老年膝骨性关节手术患者可提高麻醉优良率,缩短运动阻滞起效时间,延长感觉阻滞持续时间,以及降低T_(2)、T_(3)时平均动脉压水平和并发症发生率,其效果优于腰丛-坐骨神经麻醉。 展开更多
关键词 超声引导阻滞麻醉 股神经 腘窝坐骨神经 老年膝骨关节炎 平均动脉压 并发症
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The potential therapeutic effect DL0805-2 on experimental pulmonary hypertensive rats and the underlying mechanisms
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《中国药理学通报》 CAS CSCD 北大核心 2015年第B11期60-61,共2页
Aim DL0805-2 is a novel Rho-kinases inhibitor which has been found to have potent cardiovascular effects. In the present research, we aimed to study the potential of DL0805-2 in the treatment of pulmonary arterial hyp... Aim DL0805-2 is a novel Rho-kinases inhibitor which has been found to have potent cardiovascular effects. In the present research, we aimed to study the potential of DL0805-2 in the treatment of pulmonary arterial hypertension (PAH) and discuss the underlying mechanisms preliminarily. Methods A classical PAH animal model was used, which was established by single injection of 50 mg · kg^-1 monocrotaline (MCT). One week later, the rats were administrated with 1, 3, 10 mg · kg^-1 DL0805-2 via intraperitoneal injection for 18 days. At the end of the experiment, the body weight and survival rate were recorded. Meanwhile, the respiration function, heart function, blood pressure and pulmonary artery pressure were detected. Serum was collected for biochemical index analysis. The weight of vital organs was used to calculate the organ index. Histopathology examination was em-ployed to observe the subtle changes in hearts, vessels and lungs. Furthermore, the mechanisms were studied main- ly by the method of western blotting. Results DL0805-2 did not show significant influence on body weight of PAH rats. But the survival rate of PAH rats treated with 3 and 10 mg · kg^-1 DL0805-2 was increased up to 90. 9% com- pared with the model group (68.2%). DL0805-2 improved the pulmonary artery blood flow especially the maximal -1 -1 velocity (PV max) from 397.2 cm · s^-1 to 506.5, 540. 1 and 574.0 cm · s^-1 respectively. The results of echocar- diography and electrocardiogram show that DL0805-2 had little effect on left ventricle and systemic circulation but attenuated right ventricle injury and decreased the right ventricle pressure from 73.73 mmHg to 47.80, 42.64 and 46.45 mmHg respectively after DL0805-2 intervention. Disease markers of PAH including NT-proBNP in serum and ET-1 in lung tissue homogenate and serum biochemical indicators, ALT, AST and LDH, were reduced by DL0805-2. DL0805-2 also relieved edema of lungs and decreased inflammatory cytokines production. Through the examination on histopathologic slide of pulmonary main artery, right ventricle and lung, DL0805 derivatives were found to have significant protection effect on structural changes of organs induced by pulmonary hypertension. Ac- cording to the preliminary study on the mechanisms of DL0805-2 in PAH, Rho/ROCK pathway was significantly in- hibited by DL0805 derivatives. In addition, DL0805 derivatives showed effect on BMPRII/p-Smad pathway and ap- optosis related pathway. Conclusion DL0805-2 has showed potent treatment effect on the PAH rats. And the un- derlying mechanisms studies also indicated that RhoA/ROCK and BMPRII pathways were involved. This work will provide basis experimental data for the further research and development of DL0805-2. 展开更多
关键词 DL0805-2 PULMONARY ARTERY hypertension MECHANISMS MONOCROTALINE Rho/ROCK pathway inflamma-tion vascular REMODELING
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Dilative action of 3,4,5-trihydroxystibene-3-β-mono-D-glucoside on rabbit's blood vessels
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作者 骆苏芳 张佩文 李锐松 《Journal of Medical Colleges of PLA(China)》 CAS 1992年第2期183-186,共4页
Study was carried out in rabbits to determine whether 3,4’,5-trihydroxystibene-3-β-nono-D-glucoside(PD)has wasodilative action using volumetric method.The result showed PD(1.71 mol/L)caused a right shift of the cumu... Study was carried out in rabbits to determine whether 3,4’,5-trihydroxystibene-3-β-nono-D-glucoside(PD)has wasodilative action using volumetric method.The result showed PD(1.71 mol/L)caused a right shift of the cumulative concentration-reponse curve of uorepinephfine(NE)and lowered the maximal response of rabbit’s pulmonary arteries.It implies that PD couldinhibit the vasoconstfictive effect of NE in a noncompetitive manner.PD dilated the pulmonaryarteries(4.09 and 5.12mmol/L)and the carotid(5.12mmol/L)of rabbits.This PD-induced relax-ation of puhnonary artenes was weakened by propranolol(87.8μmol/L). 展开更多
关键词 3 4’5 -trihydroxystibene-3-β-mnono-D-glucoside(PD) pulmonary artery vasodilation norepinephrine animal rabbits
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远端入路膝关节囊后间隙阻滞对老年全膝关节置换术患者围术期血流动力学及苏醒质量的影响观察 被引量:3
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作者 苏鸿莉 李玲霞 +1 位作者 刘艳玲 白延斌 《中国临床新医学》 2023年第9期941-945,共5页
目的观察远端入路膝关节囊后间隙阻滞对老年全膝关节置换术(TKA)患者围术期血流动力学及苏醒质量的影响。方法招募2019年10月至2021年10月延安大学附属医院收治的老年TKA患者84例,采用随机数字表法将其分为观察组和对照组,每组42例。对... 目的观察远端入路膝关节囊后间隙阻滞对老年全膝关节置换术(TKA)患者围术期血流动力学及苏醒质量的影响。方法招募2019年10月至2021年10月延安大学附属医院收治的老年TKA患者84例,采用随机数字表法将其分为观察组和对照组,每组42例。对照组采用近端入路膝关节囊后间隙阻滞,观察组采用远端入路膝关节囊后间隙阻滞。比较两组围术期[完成阻滞后(T_(1))、手术开始后10 min(T_(2))、关节置换时(T_(3))、术毕(T_(4))]血流动力学指标、苏醒质量、术后镇痛效果、膝关节活动度及不良反应发生率。结果在T_(1)~T_(4)时间点,观察组平均动脉压(MAP)、心率(HR)低于对照组,差异有统计学意义(P<0.05)。观察组自主呼吸恢复时间、呼之睁眼时间、完全清醒时间均短于对照组,差异有统计学意义(P<0.05)。在术后12 h、24 h、48 h,观察组运动及静息状态视觉模拟量表(VAS)评分低于对照组,差异有统计学意义(P<0.05)。在术后12 h、24 h、48 h,观察组膝关节活动度大于对照组,差异有统计学意义(P<0.05)。两组术后不良反应发生率比较差异无统计学意义(9.52%vs 11.90%;χ^(2)=0.000,P=1.000)。结论远端入路膝关节囊后间隙阻滞能有效调节老年TKA患者的围术期血流动力学,提高苏醒质量,术后镇痛效果好,有利于患者术后快速康复。 展开更多
关键词 全膝关节置换术 老年 远端入路 膝关节囊后间隙阻滞 血流动力学 苏醒质量
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收肌管阻滞联合IPACK在全膝关节置换术患者中的应用 被引量:1
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作者 石磊 付永金 李彦平 《海南医学》 CAS 2023年第14期2012-2015,共4页
目的 探讨收肌管阻滞(ACB)联合腘动脉-膝关节囊后间隙阻滞(IPACK)在全膝关节置换术患者中的应用效果。方法 选择2021年5月至2022年5月安康市中心医院收治的200例拟行全膝关节置换术的患者作为研究对象,按照随机数表法分为观察组和对照组... 目的 探讨收肌管阻滞(ACB)联合腘动脉-膝关节囊后间隙阻滞(IPACK)在全膝关节置换术患者中的应用效果。方法 选择2021年5月至2022年5月安康市中心医院收治的200例拟行全膝关节置换术的患者作为研究对象,按照随机数表法分为观察组和对照组各100例。对照组行ACB麻醉,观察组行ACB联合IPACK麻醉;两组患者均行术后静脉镇痛。比较两组患者围术期情况,术后6 h、12 h、24 h、48 h的静息时、活动时视觉模拟评分法(VAS)评分、肌力及术前、术后7 d时的膝关节活动度、最大屈曲角度,同时比较两组患者的不良反应发生情况。结果 观察组患者的术后首次补救镇痛时间、下床时间分别为(9.18±1.47) h、(3.53±0.68) d,均优于对照组的(6.23±1.26) h、(4.87±0.55) d,镇痛泵按压次数、舒芬太尼用量分别为(0.96±0.14)次、(65.82±13.47)μg,明显少于对照组的(2.13±0.56)次、(87.35±15.91)μg,差异均有统计学意义(P<0.05);观察组患者术后6 h、12 h静息时VAS评分分别为(1.82±0.37)分、(1.91±0.24)分,明显低于对照组的(3.06±0.28)分、(3.17±0.32)分,术后6 h、12 h活动时VAS评分分别为(1.96±0.30)分、(2.05±0.28)分,明显低于对照组的(3.26±0.21)分、(3.41±0.39)分,差异均具有统计学意义(P<0.05),但两组患者术后24 h、48 h静息时、活动时的VAS评分比较差异均无统计学意义(P>0.05);两组患者术后6 h、12 h、24 h、48 h的肌力比较差异均无统计学意义(P>0.05);术后7 d,观察组患者的膝关节活动度、最大屈曲角度分别为(91.02±9.69)°、(97.32±11.29)°,明显大于对照组的(86.33±7.17)°、(90.03±10.65)°,差异均有统计学意义(P<0.05);观察组和对照组患者不良反应发生率分别为5.00%和8.00%,差异无统计学意义(P>0.05)。结论 ACB联合IPACK在全膝关节置换术患者中的应用效果较好,安全性高。 展开更多
关键词 全膝关节置换术 收肌管阻滞 腘动脉-膝关节囊后间隙阻滞 疼痛 肌力
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