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Clinical efficacy of intradermal type Ⅰ collagen injections in treating skin photoaging in patients from high-altitude areas
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作者 Bin Yang Ao He +6 位作者 Bin-Bin Bu Gong Zhuo Qing-Zhu Zhou Jia-Hang He Liu Liu Wen-Li Huang Xian Zhao 《World Journal of Clinical Cases》 SCIE 2024年第16期2713-2721,共9页
BACKGROUND Photoaging,a result of chronic sun exposure,leads to skin damage and pigmentation changes.Traditional treatments may have limitations in high-altitude areas like Yunnan Province.Intradermal Col Ⅰ injection... BACKGROUND Photoaging,a result of chronic sun exposure,leads to skin damage and pigmentation changes.Traditional treatments may have limitations in high-altitude areas like Yunnan Province.Intradermal Col Ⅰ injections stimulate collagen production,potentially improving skin quality.This study aims to assess the efficacy and safety of this treatment for photoaging.AIM To evaluate the efficacy and safety of intradermal typeΙcollagen(ColΙ)injection for treating photoaging.METHODS This prospective,self-controlled study investigated the impact of intradermal injections of ColΙon skin photodamage in 20 patients from the Yunnan Province.Total six treatment sessions were conducted every 4 wk±3 d.Before and after each treatment,facial skin characteristics were quantified using a VISIA skin detector.Skin thickness data were assessed using the ultrasound probes of the Dermalab skin detector.The Face-Q scale was used for subjective evaluation of the treatment effect by the patients.RESULTS The skin thickness of the right cheek consistently increased after each treatment session compared with baseline.The skin thickness of the left cheek significantly increased after the third through sixth treatment sessions compared with baseline.The skin thickness of the right zygomatic region increased after the second to sixth treatment sessions,whereas that of the left zygomatic region showed a significant increase after the fourth through sixth treatment sessions.The skin thickness of both temporal regions significantly increased after the fifth and sixth treatment sessions compared with baseline(P<0.05).These findings were also supported by skin ultrasound images.The feature count for the red areas and wrinkle feature count decreased following the treatment(P<0.05).VISIA assessments also revealed a decrease in the red areas after treatment.The Face-QSatisfaction with Facial Appearance Overall and Face-Q-Satisfaction with Skin scores significantly increased after each treatment session.The overall appearance of the patients improved after treatment.CONCLUSION Intradermal ColΙinjection improves photoaging,with higher patient satisfaction and fewer adverse reactions,and could be an effective treatment method for populations residing in high-altitude areas. 展开更多
关键词 PHOTOAGING typeΙcollagen Face-Q High-altitude area Skin photodamage Patient satisfaction
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Analysis of a Type Ⅱ Snowstorm Process in the Early Spring of 2022 in Ulanqab
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作者 Haofeng GUO 《Meteorological and Environmental Research》 2024年第2期4-9,共6页
Based on the observation data of meteorological stations,Doppler radar observation data of Ulanqab City,and ERA-5 reanalysis data,a snowstorm process in Ulanqab City from March 17 to 18,2022 was analyzed.The results s... Based on the observation data of meteorological stations,Doppler radar observation data of Ulanqab City,and ERA-5 reanalysis data,a snowstorm process in Ulanqab City from March 17 to 18,2022 was analyzed.The results show that this was a type Ⅱ snowstorm process generated under the joint influence of upper trough and ground low inverted trough and frontal cyclone.The main period of snowfall can be divided into two time stages,and the total snowfall was more in the south and less in the north,which was consistent with that of average specific humidity field.Water vapor conditions provided by strong water vapor transport and convergence,strong upward movement shown by large vertical velocity field,and the suction action of high-and low-layer divergence and convergence were the reasons for the hourly heavy snowfall on the 18^(th).During the process,radar echoes were mainly sheet-shaped,and composite reflectivity was 15-25 dBZ in most areas.The zero speed line in the first period was positively"S"-shaped,and there was warm advection and southwest wind.On the morning of the 18^(th),after the cold front transited the city,Ulanqab City was gradually controlled by northwest wind,and the snow tended to end. 展开更多
关键词 typesnowstorm Influencing system Diagnostic analysis Radar echo characteristics
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Effect of hydroalcoholic leaf extract of Cassia fistula L.on typeⅡcollagen-induced arthritis in rats
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作者 Vineet Mehta Priyanka Nagu +1 位作者 Arun Parashar Manjusha Chaudhary 《Asian Pacific Journal of Tropical Biomedicine》 SCIE CAS 2023年第5期195-204,共10页
Objective:To explore the effect of Cassia fistula on collagenⅡ-induced arthritis in rats.Methods:The effect of 250 and 500 mg/kg chloroform and hydroalcoholic extract of Cassia fistula leaf on collagenⅡ-induced arth... Objective:To explore the effect of Cassia fistula on collagenⅡ-induced arthritis in rats.Methods:The effect of 250 and 500 mg/kg chloroform and hydroalcoholic extract of Cassia fistula leaf on collagenⅡ-induced arthritis was investigated by evaluating paw volume,arthritis index,spleen index,and biochemical parameters.Histopathological analysis and docking study were also performed.Results:A dose-dependent reduction in paw volume,arthritic index,and spleen index was observed following oral administration of the chloroform and hydroalcoholic extracts.Treatment with Cassia fistula extracts reduced tumor necrosis factor-α,interleukin(IL)-1β,IL-6,prostaglandin E_(2),aspartate aminotransferase,alanine aminotransferase,total leucocyte count,and erythrocyte sedimentation rate while increasing IL-10 level.In addition,Cassia fistula extracts improved joint architecture,and prevented cartilage and bone destruction.Docking analysis demonstrated that the physcion,1-octacosanol,5,3’,4’-trihydroxy-6-methoxy-7-O-α-Lrhamnopyranosyl-(1,2)-O-β-D-galactopyranoside and scopoletin may be responsible for the anti-arthritic effect of Cassia fistula.Conclusions:Cassia fistula suppresses the progression of collagenⅡ-induced arthritis by lowering the inflammatory factors,decreasing paw volume and arthritic index,and alleviating joint architecture.However,further studies are required to confirm the bioactive molecule responsible for the anti-arthritic potential of Cassia fistula. 展开更多
关键词 Cassia fistula Rheumatoid arthritis collagen Inflammatory cytokines DOCKING
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Combined expression of CTGF and tissue inhibitor of metalloprotease-1 promotes synthesis of proteoglycan and collagen type Ⅱ in rhesus monkey lumbar intervertebral disc cells in vitro 被引量:17
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作者 LIU Yong KONG Jie CHEN Bo-hua HU You-gu 《Chinese Medical Journal》 SCIE CAS CSCD 2010年第15期2082-2087,共6页
Background Low back pain has emerged as a widespread disease often caused by intervertebral disc degeneration.This study aimed to establish an in vitro cell culture model of rhesus monkey lumbar intervertebral discs a... Background Low back pain has emerged as a widespread disease often caused by intervertebral disc degeneration.This study aimed to establish an in vitro cell culture model of rhesus monkey lumbar intervertebral discs and to investigate the effect of combined connective tissue growth factor (CTGF) and tissue inhibitor of metalloprotease-1(TIMP-1) expression mediated by adeno-associated virus (AAV) on collagen type Ⅱ and proteoglycan levels.The purpose of these investigations was to explore potential methods for relieving the degeneration of lumbar intervertebral disc cells.Methods Rhesus monkey lumbar intervertebral disc nucleus pulposus cells (NPCs) were isolated by enzyme digestion,cultured, and transduced with rAAV2-CTGF-IRES-TIMP-1, rAAV2-CTGF, or rAAV2-TIMP-1 at a multiplicity of infection (MOl) of 106.The expression of collagen type Ⅱ and proteoglycan was measured using RT-PCR and Western blotting.The synthetic rate of proteoglycan was measured using 35S incorporation.Results Rhesus monkey lumbar intervertebral disc NPCs were transduced with rAAV2-CTGF-IRES-TIMP-1,rAAV2-CTGF, and rAAV2-TIMP-1 and the transduced genes were expressed and detected.Compared to the control,CTGF promoted the synthesis of collagen type Ⅱ and proteoglycan.TIMP-1 showed an enhancing effect on the expression of proteoglycan but no effect on collagen type Ⅱ.Expression of both genes in rhesus monkey lumbar intervertebral disc NPCs significantly enhances the synthesis of proteoglycan and collagen type Ⅱ.Conclusions Single gene transduction of CTGF or TIMP-1 can enhanced synthesis of proteoglycan.CTGF expression can also enhance collagen type Ⅱ protein synthesis.Combined transduction of both CTGF and TIMP1 can significantly promote the expression of proteoglycan and collagen type Ⅱ to levels greater than transduction of a single gene alone.Our study provides a good basis for multi-gene therapy to treat lumbar intervertebral disc degeneration. 展开更多
关键词 connective tissue growth factor tissue inhibitor of metalloprotease-1 collagen type PROTEOGLYCAN intervertebral disc
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Interleukin-1 inhibits Sox9 and collagen type Ⅱ expression via nuclear factor-κB in the cultured human intervertebral disc cells 被引量:12
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作者 YU Zhan-ge XU Ning +3 位作者 WANG Wen-bo PAN Shang-ha LI Ke-shen LIU Jia-kun 《Chinese Medical Journal》 SCIE CAS CSCD 2009年第20期2483-2488,共6页
Background The most significant biological change in intervertebral disc degeneration is the decrease of chondrocyte specific gene and protein expression of Sox9 and collagen type Ⅱ. Interleukin-1 (IL-1) is not exp... Background The most significant biological change in intervertebral disc degeneration is the decrease of chondrocyte specific gene and protein expression of Sox9 and collagen type Ⅱ. Interleukin-1 (IL-1) is not expressed in the normal intervertebral disc tissue but increases in the degenerated intervertebral disc tissue. This suggests that IL-1 may play a role in regulation of the expression of Sox9 and collagen type Ⅱ. Methods Human intervertebral disc cells were isolated and cultured. Sox9 and collagen type Ⅱ expression during treatment with IL-1, with or without the nuclear factor-κB (NF-κB) activity inhibitor curcumin, were detected by using reverse transcription-polymerase chain reaction (RT-PCR) and Western blotting, and the activity of the NF-κB signaling pathway was detected by the electrophoretic mobility shift assay (EMSA). Results IL-1 lowered the mRNA level and protein expression of Sox9 and collagen type Ⅱ in the cultured intervertebral disc cells in a dose dependent manner (P 〈0.05), and this effect was attenuated by curcumin. Curcumin alone had no effect on Sox9 and collagen type Ⅱ expression (P 〉0.05). IL-1 at concentrations of 0.1 ng/ml, 1 ng/ml and 10 ng/ml could stimulate the activity of NF-κB in the intervertebral disc cells in a dose dependent manner (P 〈0.05) that was inhibited by curcumin. Conclusions We demonstrated the previously unknown function of IL-1 in inhibiting Sox9 and collagen type Ⅱ via NF-κB in the intervertebral disc cells. This inhibition can be attenuated by curcumin, which is an effective NF-κB activity inhibitor. 展开更多
关键词 INTERLEUKIN-1 SOX9 collagen type nuclear factor-κB intervertebral disc cells
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TGF-β_1、BMP-2和TypeⅡ Collagen在黄韧带中的表达及意义 被引量:4
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作者 毛兆光 范顺武 +1 位作者 赵凤东 朱有法 《实用骨科杂志》 2006年第2期125-130,共6页
目的研究TGF-1β、BM P-2和typeⅡco llagen在退行性腰椎滑脱(degenerative lum bar spondy lo listhes is,DLS)和腰椎间盘突出症(lum bar d isc hern iation,LDH)黄韧带中的表达及其意义。方法37例手术切除的腰椎椎板间部黄韧带标本分... 目的研究TGF-1β、BM P-2和typeⅡco llagen在退行性腰椎滑脱(degenerative lum bar spondy lo listhes is,DLS)和腰椎间盘突出症(lum bar d isc hern iation,LDH)黄韧带中的表达及其意义。方法37例手术切除的腰椎椎板间部黄韧带标本分为3组,第1组为退行性腰椎滑脱组(DLS)10例;第2组为腰椎间盘突出症组(LDH)17例,第3组为正常对照组10例,其中7例取自腰椎骨折手术病人,3例取自意外死亡者。应用EnV is ion二步免疫组化的方法检测其TGF-1β、BM P-2和typeⅡco llagen的表达情况,普通光镜观察,计算出各标本的表达阳性率和表达强度,数据以x-±s标准差及表达强度表示,结果分别用Spss统计软件和R id it进行分析。结果TGF-1β、BM P-2和typeⅡco llagen的阳性表达产物见于成纤维细胞、成软骨细胞和软骨细胞中,而Ⅱ型胶原染色还可同时见于基质。TGF-1β、BM P-2和typeⅡco llagen在DLS组中的表达明显高于LDH组和正常组(P<0.01或P<0.05),Ⅱ型胶原基质染色明显深于LDH组和对照组。LDH组的TGF-1β和typeⅡco llagen的表达阳性率和表达强度与正常组之间差异无显著性(P>0.05),而BM P-2的表达阳性率和表达强度在LDH组与正常组之间具有统计学意义(P<0.01)。结论黄韧带所受到的异常机械牵张力可以增加TGF-1β在黄韧带细胞中的合成,而TGF-1β则促进退行性腰椎滑脱黄韧带中的Ⅱ型胶原合成,导致黄韧带的退变和肥厚。BM P-2在退变黄韧带中的表达异常增高,可能与黄韧带的软骨化倾向有关。 展开更多
关键词 转化生长因子-Β1 骨形态发生蛋白 型胶原 免疫组化 黄韧带 退变性腰椎滑脱 腰椎间盘突出症
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维药买朱尼含药血清对IL-1β作用下大鼠软骨细胞MMP-13、Type-ⅡCollagen表达的影响 被引量:6
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作者 刘振峰 艾力江阿斯拉 +2 位作者 方锐 洪汉刚 孟庆才 《中医临床研究》 2012年第12期7-8,10,共3页
目的:观察维药买朱尼含药血清对IL-1β作用下体外培养的大鼠关节软骨细胞Type-ⅡCollagen、MMP-1、MMP-13表达的影响,并进一步探讨维药买朱尼防治OA的作用机制。方法:从1周龄SD大鼠关节软骨中分离培养原代软骨细胞,经鉴定后选用第二代... 目的:观察维药买朱尼含药血清对IL-1β作用下体外培养的大鼠关节软骨细胞Type-ⅡCollagen、MMP-1、MMP-13表达的影响,并进一步探讨维药买朱尼防治OA的作用机制。方法:从1周龄SD大鼠关节软骨中分离培养原代软骨细胞,经鉴定后选用第二代细胞随机分为空白对照组、模型组、维药买朱尼组,培养第3d时模型组、维药买朱尼组采用细胞因子IL-1β(10ng/ml)继续培养,分别在培养后第24h、36h、48h采用RealTimePCR方法检测并分析各组软骨细胞中MMP-13、Type-ⅡCollagen的表达情况。结果:在第24h时各组MMP-13表达增加,Type-ⅡCollagen有一定降低,但无统计学差异;而在第36h和48h时空白对照组与模型组MMP-13、Type-ⅡCollagen表达差异均有统计学意义(P<0.05),维药买朱尼组较模型组MMP-13与Type-ⅡCollagen的表达在48h、72h时间点有显著性差异(P<0.05)。结论:维药买朱尼可抑制IL-1β对Type-ⅡCollagen的降解和破坏作用,并能抑制IL-1β对MMP-13的诱导和激活作用。 展开更多
关键词 软骨细胞 型胶原 基质金属蛋白酶
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Collagen typeⅠ在胰腺癌发展中的作用
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作者 康熠星 苏延泽 +5 位作者 张超创 雷德锋 林志恒 王荣悦 陈霄 刘吉奎 《岭南现代临床外科》 2023年第3期277-282,共6页
胰腺癌(PC)是高发病率、高死亡率的恶性肿瘤,尽管目前在胰腺癌的治疗策略中已取得了较大的进展,但胰腺癌的转移、复发及高耐药性仍是大部分患者预后不良的主要原因。Ⅰ型胶原蛋白(Col⁃I)是人体中主要的细胞外基质蛋白,在多种实体肿瘤中... 胰腺癌(PC)是高发病率、高死亡率的恶性肿瘤,尽管目前在胰腺癌的治疗策略中已取得了较大的进展,但胰腺癌的转移、复发及高耐药性仍是大部分患者预后不良的主要原因。Ⅰ型胶原蛋白(Col⁃I)是人体中主要的细胞外基质蛋白,在多种实体肿瘤中表达异常并参与肿瘤的形成。最近研究表明,Col⁃I在胰腺癌中高度表达与胰腺癌的生长、转移、侵袭、耐药以及治疗密切相关,是胰腺癌新的潜在治疗靶点。该文重点介绍了COl⁃I对胰腺癌发生发展的影响,为胰腺癌的诊断和靶向治疗提供新的思路。 展开更多
关键词 Ⅰ型胶原蛋白 胰腺癌 增殖 迁移 粘附
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鲤疱疹病毒二型(CyHV-Ⅱ)疫苗研究进展
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作者 吴琳娇 孙丽芳 +4 位作者 朱春华 张红 董盼盼 陈磊清 吴允昆 《中国农业科技导报》 CAS CSCD 北大核心 2024年第2期137-144,共8页
鲤疱疹病毒Ⅱ型(Cyprinid herpesvirus Ⅱ,CyHV-Ⅱ)对任何发育时期的金鱼、鲫鱼及其杂交品种均具有感染能力,能够引起金鱼疱疹病(goldfish haematopoietic necrosis, GFHN),是一种传染性强且死亡率极高的疫病,给我国金鱼和鲫鱼养殖业造... 鲤疱疹病毒Ⅱ型(Cyprinid herpesvirus Ⅱ,CyHV-Ⅱ)对任何发育时期的金鱼、鲫鱼及其杂交品种均具有感染能力,能够引起金鱼疱疹病(goldfish haematopoietic necrosis, GFHN),是一种传染性强且死亡率极高的疫病,给我国金鱼和鲫鱼养殖业造成巨大经济损失,鱼用疫苗的研发是预防和治疗该疫病最有效的办法。综述了CyHV-Ⅱ灭活疫苗、亚单位疫苗、核酸疫苗、活载体疫苗和纳米递送疫苗的研究进展,并对鱼用疫苗纳米材料的应用前景进行了探讨,以期为金鱼疱疹病害防治和鱼用疫苗研究提供新技术方法和新思路策略。 展开更多
关键词 鲤疱疹病毒二型(CyHV-) 免疫途径 纳米材料 疫苗类型
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Clinical and genetic diagnosis of autosomal dominant osteopetrosis typeⅡin a Chinese family:A case report
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作者 Hong-Ping Gong Yan Ren +4 位作者 Pan-Pan Zha Wen-Yan Zhang Jin Zhang Zhi-Wen Zhang Chun Wang 《World Journal of Clinical Cases》 SCIE 2023年第3期700-708,共9页
BACKGROUND Osteopetrosis is a rare genetic disorder characterized by increased bone density due to defective bone resorption of osteoclasts.Approximately,80%of autosomal dominant osteopetrosis type II(ADO-II)patients ... BACKGROUND Osteopetrosis is a rare genetic disorder characterized by increased bone density due to defective bone resorption of osteoclasts.Approximately,80%of autosomal dominant osteopetrosis type II(ADO-II)patients were usually affected by heterozygous dominant mutations in the chloride voltage-gated channel 7(ClCN7)gene and present early-onset osteoarthritis or recurrent fractures.In this study,we report a case of persistent joint pain without bone injury or underlying history.CASE SUMMARY We report a 53-year-old female with joint pain who was accidentally diagnosed with ADO-II.The clinical diagnosis was based on increased bone density and typical radiographic features.Two heterozygous mutations in the ClCN7 and Tcell immune regulator 1(TCIRG1)genes by whole exome sequencing were identified in the patient and her daughter.The missense mutation(c.857G>A)occurred in the CLCN7 gene p.R286Q,which is highly conserved across species.The TCIRG1 gene point mutation(c.714-20G>A)in intron 7(near the splicing site of exon 7)had no effect on subsequent transcription.CONCLUSION This ADO-II case had a pathogenic CLCN7 mutation and late onset without the usual clinical symptoms.For the diagnosis and assessment of the prognosis for osteopetrosis,genetic analysis is advised. 展开更多
关键词 OSTEOPETROSIS Autosomal dominant osteopetrosis type DIAGNOSIS Genetic analysis Case report
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EFFECT OF LOW SELENIUM ON CHONDROCYTE DIFFERENTIATION AND DIFFERENTIAL EXPRESSION OF COLLAGEN TYPES Ⅰ,Ⅱ AND Ⅹ IN ARTICULAR CARTILAGE FROM MINI-PIGS 被引量:3
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作者 郭雄 于志道 熊咏民 《Academic Journal of Xi'an Jiaotong University》 2000年第2期108-112,172,共6页
关键词 KBD EFFECT OF LOW SELENIUM ON CHONDROCYTE DIFFERENTIATION AND DIFFERENTIAL EXPRESSION OF collagen typeS IN ARTICULAR CARTILAGE FROM MINI-PIGS AND
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EFFECTS OF CEREALS FROM KASHIN-BECK DISEASE ENDEMIC AREA ON FIBRILLOGENESIS IN VITRO OF CARTILAGE COLLAGEN TYPE Ⅱ IN RATS
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作者 付志厚 张矢远 《Journal of Pharmaceutical Analysis》 CAS 1994年第1期26-30,共5页
In this feeding trial rats were fed on diets of cereals from Kashin-Beck Disease (KBD) endemic area, Se-supplemented cereals from the above area, and cereals from Non-KBD endemic area. The purpose of this paper was to... In this feeding trial rats were fed on diets of cereals from Kashin-Beck Disease (KBD) endemic area, Se-supplemented cereals from the above area, and cereals from Non-KBD endemic area. The purpose of this paper was to investigate the effects of cereals from KBD endemic area and Se on the formation kinetics of cartilage type Ⅱ collagen fibril, the stability and ultrastructure of fibrils formed in vitro. The results indicated that low-selenium cereals from KBD endemic area resulted in a decelerated rate and extant of forming the type Ⅱ collagen fibril, the fibril stability reduced, fibril diameters diminished, and fibril banding periods increased or decreased in vitro. Sesupplemented cereals from KBD endemic area partially rectified the pathologic changes mentioned above. These data are important for further studying the etiology and pathology of KBD. 展开更多
关键词 FIBRILLOGENESIS ULTRASTRUCTURE type collagen kashin-beck disease selenium
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改良经腹食管裂孔入路行Siewert Ⅱ型食管胃结合部腺癌根治术的经验总结
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作者 杨根荣 胡宝利 韦海涛 《河南医学研究》 CAS 2024年第13期2343-2346,共4页
目的探讨改良经腹食管裂孔入路实施SiewertⅡ型食管胃结合部腺癌根治术的创新性和优势,总结此改良术式的经验。方法回顾性分析2022年2月至2023年3月接受改良经腹食管裂孔入路的手术方式治疗SiewertⅡ型食管胃结合部腺癌12例病例资料。结... 目的探讨改良经腹食管裂孔入路实施SiewertⅡ型食管胃结合部腺癌根治术的创新性和优势,总结此改良术式的经验。方法回顾性分析2022年2月至2023年3月接受改良经腹食管裂孔入路的手术方式治疗SiewertⅡ型食管胃结合部腺癌12例病例资料。结果12例手术均顺利完成,术中应用切割闭合器打开部分左侧膈肌,联合左侧胸腔辅助操作孔完成下纵膈淋巴结清扫及消化道重建,手术时间(209.0±38.3)min,下纵膈淋巴结清扫数(7.1±2.7)枚,食管切除长度(7.7±0.8)cm,术中出血(168.2±83.1)mL,术后住院时间(11.6±1.8)d。结论改良经腹食管裂孔入路的手术方式治疗SiewertⅡ型食管胃结合部腺癌安全可行,此术式下纵隔淋巴结清扫及消化道重建的难度显著降低,保证足够的食管切缘长度,适合在临床广泛开展。 展开更多
关键词 改良经腹食管裂孔入路 Siewert 型食管胃结合部腺癌 Orvil管形吻合 经验
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8-isoPGF2α、Metrnl、LC3B-Ⅱ/LC3B-Ⅰ与T2MD患者血糖在目标范围内时间的相关性及预测糖尿病周围神经病变的价值
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作者 徐云 陈雪辉 +3 位作者 白立炜 耿锐娜 孟祥雨 覃艳 《海南医学》 CAS 2024年第10期1390-1395,共6页
目的探讨8-异前列腺素F2α(8-isoPGF2α)、镍纹样蛋白(Metrnl)、微管相关蛋白3B-Ⅱ(LC3B-Ⅱ)/微管相关蛋白-Ⅰ(LC3B-Ⅰ)与2型糖尿病(T2MD)患者血糖在目标范围内时间(TIR)的相关性及对糖尿病周围神经病变(DPN)预测价值。方法选取2020年5... 目的探讨8-异前列腺素F2α(8-isoPGF2α)、镍纹样蛋白(Metrnl)、微管相关蛋白3B-Ⅱ(LC3B-Ⅱ)/微管相关蛋白-Ⅰ(LC3B-Ⅰ)与2型糖尿病(T2MD)患者血糖在目标范围内时间(TIR)的相关性及对糖尿病周围神经病变(DPN)预测价值。方法选取2020年5月至2022年10月新乡医学院第一附属医院收治的187例T2DM患者进行前瞻性研究,根据是否合并DPN分为DPN组(n=48)和无DPN组(n=139)。比较两组患者及根据TIR四分位数分组的患者8-isoPGF2α、Metrnl、LC3B-Ⅱ/LC3B-Ⅰ水平,采用Pearson相关性分析8-isoPGF2α、Metrnl、LC3B-Ⅱ/LC3B-Ⅰ与TIR相关性,采用多因素Logistic回归分析DPN的相关影响因素;绘制受试者工作特征曲线(ROC)评价8-isoPGF2α、Metrnl、LC3B-Ⅱ预测DPN的价值。结果DPN组患者的TIR为(51.43±7.68)%,明显低于无DPN组的(56.94±8.12)%,差异有统计学意义(P<0.05);DPN组患者的8-isoPGF2α、Metrnl分别为(162.78±51.33)pg/mL、(259.18±74.42)pg/mL,明显高于无DPN组的(129.56±43.00)pg/mL、(208.37±65.61)pg/mL,LC3B-Ⅱ/LC3B-Ⅰ为0.89±0.27,明显低于无DPN组的1.15±0.31,差异均有统计学意义(P<0.05);根据TIR第25、50、75百分位数将全部患者分为Q1~Q4四组,8-isoPGF2α、Metrnl在Q4组最低,LC3B-Ⅱ/LC3B-Ⅰ在Q4组最高;8-isoPGF2α、Metrnl随着TIR降低逐渐升高,LC3B-Ⅱ/LC3B-Ⅰ随着TIR降低而降低,四组间比较差异均有统计学意义(P<0.05);Pearson相关性分析结果显示,8-isoPGF2α、Metrnl与TIR呈显著负相关(r=-0.786、-0.665,P<0.01),LC3B-Ⅱ/LC3B-Ⅰ与TIR呈显著正相关(r=0.711,P<0.01);多因素Logistic回归分析结果显示,TIR、LC3B-Ⅱ/LC3B-Ⅰ是DPN的独立相关保护因素(P<0.05),8-isoPGF2α、Metrnl是DPN的独立相关危险因素(P<0.05);ROC分析结果显示,单一指标中,Metrnl预测DPN的AUC最大(0.830),特异度最高(87.05%),8-isoPGF2α+Metrnl+LC3B-Ⅱ预测DPN的AUC为0.923(95%CI:0.875~0.957),大于Metrnl,预测敏感度为87.50%,特异度为85.61%(P<0.05)。结论8-isoPGF2α、Metrnl、LC3B-Ⅱ/LC3B-Ⅰ与T2MD患者TIR有关,均是患者并发DPN的预警因素。联合检测三者能为临床分层管理和早期识别DPN高风险人群提供参考。 展开更多
关键词 8-异前列腺素F2Α 镍纹样蛋白 微管相关蛋白3B-/微管相关蛋白-Ⅰ 2型糖尿病 血糖在目标范围内时间 糖尿病周围神经病变 相关性 预测价值
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基于问题为导向的安全管理对无创呼吸机治疗Ⅱ型呼吸衰竭患者自我管理能力、血气及炎性反应情况的影响
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作者 李闪闪 王岚 +1 位作者 宋欣欣 杨亚旭 《四川生理科学杂志》 2024年第5期954-956,共3页
目的:研究基于问题为导向的安全管理对无创呼吸机治疗Ⅱ型呼吸衰竭患者自我管理能力、血气及炎性反应情况的影响。方法:我院2021年2月至2022年12月期间91例行无创呼吸机治疗Ⅱ型呼吸衰竭患者随机分为对照组和观察组。对照组45例实施常... 目的:研究基于问题为导向的安全管理对无创呼吸机治疗Ⅱ型呼吸衰竭患者自我管理能力、血气及炎性反应情况的影响。方法:我院2021年2月至2022年12月期间91例行无创呼吸机治疗Ⅱ型呼吸衰竭患者随机分为对照组和观察组。对照组45例实施常规干预,观察组46例联合以问题为导向的安全教育管理。干预前及干预4 w后,采用血气分析仪检测两组患者血氧分压(Arterial partial pressure of oxygen,PaO_(2))、二氧化碳分压(Partial pressure of carbon dioxide in artery,PaCO_(2))、血氧饱和度(Spot oxygen saturation,SpO_(2))水平;采用酶联免疫吸附法检测白细胞介素-6(Interleukin-6,IL-6)、肿瘤坏死因子-α(Tumor necrosis factor-α,TNF-α)及超敏C反应蛋白(Hypersensitive C-reactive protein,hs-CRP)水平;采用自我护理能力(Exercise of Self-Care Agency Scale,ESCA)量表评估两组患者自我管理能力。结果:与干预前相比,两组PaO_(2)、SpO_(2)、健康认知水平、自我责任感、自我管理技能和自我概念评分均升高,IL-6、TNF-α、hs-CRP、PaCO_(2)水平均降低(P<0.05)。其中观察组变化更为显著(P<0.05)。结论:基于问题为导向的安全管理对无创呼吸机治疗Ⅱ型呼吸衰竭患者效果确切,能够改善患者血气水平,降低炎症反应水平,提高自我管理能力。 展开更多
关键词 安全教育管理 型呼吸衰竭 自我管理能力 炎症反应
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The effects of radiofrequency hyperthermia on type Ⅱ collagen formation in the osteoarthritic knee
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作者 Zhaohua Fu Jiaojiao Zhao +4 位作者 Fei Zhang Yongfei Wu Qingqing Cao Jiao Kong Chunjuan Zhou 《Discussion of Clinical Cases》 2018年第3期1-7,共7页
Objective: To explore the effect of radiofrequency hyperthermia on type Ⅱ collagen expression in a rabbit model of osteoarthri-tis (OA). Methods: Experimental model of knee OA was replicated in the right hind limbs o... Objective: To explore the effect of radiofrequency hyperthermia on type Ⅱ collagen expression in a rabbit model of osteoarthri-tis (OA). Methods: Experimental model of knee OA was replicated in the right hind limbs of 54 male rabbits by using modified Hulth modeling method. The rabbits were randomly divided into Model group, Lugua Polypeptide group and Radiofrequency Hyper-thermia group. After modeling, Lugua Polypeptide group was given intramuscular injection of Lugua polypeptide;Radiofre-quency Hyperthermia group was treated with radiofrequency hyperthermia;Model group was not given any special treatment. On the 7th, 13th and 19th day after radiofrequency hyperthermia, six experimental rabbits were chosen from each group and sacrificed to take out medial femoral condyle cartilages in the right hind limbs. Modified Mankins rating was applied to the morphological evaluation. Meanwhile, quantitative real-time PCR was used to detect the content of type Ⅱ collagen in cartilage tissues of medial femoral condyle. Results: At each time point after treatment, Mankins scores were decreased in all the 3 groups, with that of Model group sig-nificantly higher than those of the other two groups (Model group > Lugua Polypeptide group > Radiofrequency Hyperthermia group). The contents of type Ⅱ collagen in cartilage tissues were increased in all the 3 groups, with that of Radiofrequency Hyperthermia group significantly higher than those of the other two group (Model group < Lugua Polypeptide group < Ra-diofrequency Hyperthermia group). The difference between groups was of statistical significance (p < .05). For Radiofrequency Hyperthermia group, Mankins scores were decreased gradually as the treatment time went by, with the content of type Ⅱ colla-gen in cartilage tissues increased. The difference between time points was of statistical significance (p < .05). Conclusions: Radiofrequency hyperthermia is superior to Lugua polypeptide in the treatment of knee OA, at least in rabbits. Its therapeutic mechanism may be related to the significant increase in type Ⅱ collagen in cartilages. 展开更多
关键词 KNEE OSTEOARTHRITIS RADIOFREQUENCY HYPERTHERMIA type collagen Rabbits
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体外二氧化碳清除治疗Ⅱ型呼吸衰竭的临床初探
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作者 万静怡 鲁杨 +3 位作者 户俊凯 马旭 闫国胜 张宏涛 《中国血液净化》 CSCD 2024年第4期245-249,共5页
目的探讨体外二氧化碳清除(extracorporeal carbon dioxide removal,ECCO_(2)R)治疗接受连续性肾脏替代治疗(continuous renal replacement therapy,CRRT)合并Ⅱ型呼吸衰竭患者的临床疗效。方法回顾性分析2020年12月—2022年7月就诊于... 目的探讨体外二氧化碳清除(extracorporeal carbon dioxide removal,ECCO_(2)R)治疗接受连续性肾脏替代治疗(continuous renal replacement therapy,CRRT)合并Ⅱ型呼吸衰竭患者的临床疗效。方法回顾性分析2020年12月—2022年7月就诊于重症监护室(intensive care unit,ICU)应用ECCO_(2)R治疗合并Ⅱ型呼吸衰竭的CRRT患者(干预组)11例和同期未应用ECCO_(2)R治疗的合并Ⅱ型呼吸衰竭的CRRT患者(对照组)11例,收集患者开始治疗前和治疗24小时后的血气分析结果,比较患者治疗前后动脉血二氧化碳分压(PaCO_(2))、pH值、动脉血氧分压(PaO_(2))、碱剩余(BE)、碳酸氢根(HCO_(3)^(-))、乳酸(Lac)等指标的变化。结果与对照组相比,应用ECCO_(2)R治疗前干预组PaCO_(2)较高(Z=2.988,P=0.002),治疗后差异无统计学意义(Z=-0.230,P=0.847);应用ECCO_(2)R治疗24小时后干预组pH值(t=-3.656,P=0.002)、BE(t=3.185,P=0.001)、HCO_(3)^(-)(t=2.791,P=0.004)、Lac(Z=-2.397,P=0.016)较对照组高。干预组应用ECCO_(2)R治疗后,pH值较治疗前升高(t=-2.948,P=0.008),PaCO_(2)较治疗前下降(Z=-3.447,P<0.001)。结论EC-CO_(2)R可纠正合并Ⅱ型呼吸衰竭CRRT患者的高碳酸血症,但能否改善预后尚需大样本临床研究。 展开更多
关键词 体外二氧化碳清除 连续性肾脏替代治疗 型呼吸衰竭 高碳酸血症
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Ⅱ型子宫内膜癌患者癌组织中IMP3、PTEN表达及其临床意义
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作者 李颖 马媛 李凯丽 《实用癌症杂志》 2024年第5期753-756,共4页
目的分析Ⅱ型子宫内膜癌(EC)患者癌组织中胰岛素样生长因子Ⅱ信使RNA结合蛋白3(IMP3)和磷酸酶与张力蛋白同源物(PTEN)的表达情况,并探讨其临床意义。方法收集60例Ⅱ型EC患者手术切除的癌组织及20例对应癌旁组织的存档石蜡标本,采用免疫... 目的分析Ⅱ型子宫内膜癌(EC)患者癌组织中胰岛素样生长因子Ⅱ信使RNA结合蛋白3(IMP3)和磷酸酶与张力蛋白同源物(PTEN)的表达情况,并探讨其临床意义。方法收集60例Ⅱ型EC患者手术切除的癌组织及20例对应癌旁组织的存档石蜡标本,采用免疫组织化学法(IHC)检测标本中IMP3、PTEN蛋白表达情况;分析IMP3、PTEN蛋白表达与EC患者临床病理特征及预后的关系。结果EC患者癌组织中IMP3阳性表达率高于癌旁组织,PTEN阳性表达率低于癌旁组织,差异均有统计学意义(P<0.05)。EC患者癌组织IMP3阳性表达率与肌层浸润深度、FIGO分期及淋巴结转移有关(P<0.05),即肌层浸润深度越深、FIGO分期越晚、合并淋巴结转移者IMP3阳性表达率越高。PTEN阳性表达率与FIGO分期、淋巴结转移有关(P<0.05),即FIGO分期越晚、合并淋巴结转移者PTEN阳性表达率越低。Spearman相关性分析结果显示,EC患者癌组织中IMP3和PTEN蛋白表达无显著相关性(P>0.05)。IMP3阳性组整体生存情况差于IMP3阴性组,PTEN阳性组整体生存情况优于PTEN阴性组(P<0.05)。结论Ⅱ型EC患者癌组织中IMP3表达上调,而PTEN表达下调,二者表达异常可能参与了Ⅱ型EC的发生与发展,且IMP3阳性表达、PTEN阴性表达与Ⅱ型EC患者不良预后相关。 展开更多
关键词 型子宫内膜癌 胰岛素样生长因子信使RNA结合蛋白3 磷酸酶与张力蛋白同源物 预后
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血清PCT、CTX-Ⅱ、OPG在绝经后骨质疏松诊断中的临床价值分析
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作者 邢智丽 《黑龙江医学》 2024年第13期1592-1594,共3页
目的:分析血清降钙素原(PCT)、Ⅱ型胶原C端肽(CTX-Ⅱ)、骨保护素(OPG)在绝经后骨质疏松中的诊断价值。方法:选取2021年3月—2023年4月河南省西平县中医院收治的96例绝经后骨质疏松患者纳入观察组,另将同期医院收治的90例绝经后骨量减少... 目的:分析血清降钙素原(PCT)、Ⅱ型胶原C端肽(CTX-Ⅱ)、骨保护素(OPG)在绝经后骨质疏松中的诊断价值。方法:选取2021年3月—2023年4月河南省西平县中医院收治的96例绝经后骨质疏松患者纳入观察组,另将同期医院收治的90例绝经后骨量减少者纳入对照组,并将同期体检且骨量正常的89例绝经后妇女纳入健康组,采集三组受试者静脉血,检测对比其血清PCT、CTX-Ⅱ、OPG差异;另绘制受试者工作曲线(ROC),分析三者检测诊断对绝经后骨质疏松的价值。结果:观察组患者PCT、CTX-Ⅱ高于对照组与健康组;OPG低于对照组与健康组,且对照组PCT、CTX-Ⅱ高于健康组,OPG低于健康组,差异有统计学意义(F=2 682.643、433.038、420.719,P<0.05);ROC结果显示,PCT、CTX-Ⅱ、OPG三者联合诊断绝经后骨质疏松的曲线下面积(AUC)为0.898,高于三者单独诊断的0.829、0.828、0.832。结论:PCT、CTX-Ⅱ、OPG在绝经后骨质疏松患者血清内呈异常表达状态,三者联合可有效诊断出疾病,为临床治疗提供可靠参考依据。 展开更多
关键词 绝经后骨质疏松 降钙素原 骨保护素 型胶原C端肽 诊断效能
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无创呼吸机标准化治疗慢性阻塞性肺疾病合并Ⅱ型呼吸衰竭的效果分析
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作者 唐艳茹 《中国标准化》 2024年第12期261-264,共4页
目的:分析无创呼吸机标准化治疗慢性阻塞性肺疾病合并Ⅱ型呼吸衰竭的效果。方法:抽取2021年9月—2023年10月在长江大学附属仙桃市第一人民医院接受治疗的86例慢性阻塞性肺疾病合并Ⅱ型呼吸衰竭患者,应用计算机1:1分组,每组各43例。将实... 目的:分析无创呼吸机标准化治疗慢性阻塞性肺疾病合并Ⅱ型呼吸衰竭的效果。方法:抽取2021年9月—2023年10月在长江大学附属仙桃市第一人民医院接受治疗的86例慢性阻塞性肺疾病合并Ⅱ型呼吸衰竭患者,应用计算机1:1分组,每组各43例。将实施常规治疗的作为对照组,在常规治疗基础上采用无创呼吸机标准治疗的为研究组。分析治疗效果。结果:研究组肺功能各项指标改善效果显著优于对照组(P<0.05);研究组血气指标改善效果优于对照组(P<0.05);研究组较对照组慢性阻塞性肺疾病评估测试评分(CAT)更高,6 min步行距离更远(P<0.05)。结论:慢性阻塞性肺疾病合并Ⅱ型呼吸衰竭患者应用无创呼吸机采取标准化治疗效果良好,对于患者的肺功能和血气指标均有较高的改善效果,并且不良反应更少,预后显著。 展开更多
关键词 慢性阻塞性肺疾病 型呼吸衰竭 无创呼吸机 肺功能 血气指标
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