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Genomic DNA Isolation by Phenol/Chloroform Extracting Method from Sheep Blood Clot 被引量:6
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作者 曹果清 莫清珊 陈凤仙 《Agricultural Science & Technology》 CAS 2009年第5期76-78,共3页
[ Objective] The aim was to establish the method of extracting genomic DNA from sheep blood clot on the basis of the improvement of method for extracting genomic DNA from tissues. [Method]The genomic DNA with complete... [ Objective] The aim was to establish the method of extracting genomic DNA from sheep blood clot on the basis of the improvement of method for extracting genomic DNA from tissues. [Method]The genomic DNA with complete primary structure and high purity was obtained from the sheep blood clot after the steps of cutting the sheep blood clot with ophthalmic scissors, cell lysis with tissue DNA extracts and digested by proteinase K, extracting with phenol/chloroform and precipitating with ethanol were performed. [ Result] The concentration of the extracted DNA was 159.90 ±0.70 ng/μl and the ratio of the A260/A280 was 1.80 +0.01. The sheep microsatellite locus of BM203 was amplified by using the extracted DNA from the sheep blood clot as template of PCR, and the PCR result was perfect. [Conclusion]This method is simple and feasible, the quantity and quality of the extracted DNA can satisfy the demands for the subsequent researches. It is worth to extending and using for reference. 展开更多
关键词 Sheep blood clot Phenol/chloroform extracting method DNA extraction
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Blood Flow Through a Catheterized Artery Having a Mild Stenosis at the Wall with a Blood Clot at the Centre
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作者 Anber Saleem Salman Akhtar +2 位作者 Sohail Nadeem Alibek Issakhov Mehdi Ghalambaz 《Computer Modeling in Engineering & Sciences》 SCIE EI 2020年第11期565-577,共13页
The blood flow through a catheterized artery having a mild stenosis at the wall together with a blood clot at the centre is studied in the current investigation.Stenosis can occur in vessels carrying blood to brain(i.... The blood flow through a catheterized artery having a mild stenosis at the wall together with a blood clot at the centre is studied in the current investigation.Stenosis can occur in vessels carrying blood to brain(i.e.,Carotid arteries),Renal arteries that supply blood to kidneys etc.The flow is refined in such vessels by application of catheter.We have used a Newtonian viscous fluid model and also distinct shapes of stenosis,(i.e.,symmetric and non-symmetric shapes)are considered for this study.The entropy generation togetherwith viscous dissipation is also taken into account for a complete description of heat transfer mechanism.Exact solutions are calculated for the problem subject to given“no slip conditions”.The results are discussed graphically.The velocity quickly increases for a non-symmetric stenosis as compared to a symmetric stenosis.When the height of mild stenosis increases and the channel becomes narrow then the velocity increases in the centre but it decreases with the stenosed wall.However,as the height of blood clotσincreases then the velocity of blood flow reduces with the wall having clot but it remains almost same with the stenosed wall.Streamlines are plotted to visualize the flow pattern.The trapping is symmetric for a symmetric stenosis shape but it changes to non-symmetric trapping when we have a non-symmetric shape of stenosis. 展开更多
关键词 blood flow CATHETER stenosed artery blood clot entropy
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Laser induced clot formation in blood treated by EDTA
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作者 Balsam M. Mirdan 《Natural Science》 2013年第7期796-799,共4页
Patients under systemic (ethylenediaminetetraacetic acid) EDTA are at risk of hemorrhage for any accidental trauma even the superficial ones. This research is a trial to use 980 nm wavelength laser light to provide co... Patients under systemic (ethylenediaminetetraacetic acid) EDTA are at risk of hemorrhage for any accidental trauma even the superficial ones. This research is a trial to use 980 nm wavelength laser light to provide coagulation for such patients in a local region without collateral thermal damage. Material and Method: 980 nm Diode laser operating in a continuous mode (CW) was incident on human blood treated with EDTA inDurhamtubes. The used parameters were (2.25, 3, 3.75 and 6.75) W output power for variable exposure times (1, 3, 9 and 27) s. Results: A homogenous clot was performed at 4327.84 J/cm2 deposited energy density with the absence of any thermal stress in the blood. Conclusion: 980 nm laser wavelength provides a local photochemical bond break of the anticoagulant enhancing blood coagulation for medically compromised patients. 展开更多
关键词 980 nm LASER blood clot LASER Tissue INTERACTION PHOTOCHEMICAL INTERACTION
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H-Feedback Control of Heparin-Controlled Blood Clotting Network for Cardiac Surgeries
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作者 Alexander W. Bae 《Journal of Biosciences and Medicines》 CAS 2022年第8期57-67,共11页
This paper presents a solution methodology for H<sub>∞</sub>-feedback control design problem of Heparin controlled blood clotting network under the presence of stochastic noise. The formulaic solution pro... This paper presents a solution methodology for H<sub>∞</sub>-feedback control design problem of Heparin controlled blood clotting network under the presence of stochastic noise. The formulaic solution procedure to solve nonlinear partial differential equation, the Hamilton-Jacobi-Isaacs equation with Successive Galrkin’s Approximation is sketched and validity is proved. According to Lyapunov’s theory, with solutions of the nonlinear PDEs, robust feedback control is designed. To confirm the performance and robustness of the designed controller, numerical and Monte-Carlo simulation results by Simulink software on MATLAB are provided. 展开更多
关键词 Gene Regulatory Network GMA System Galerkin Method Feedback Design of Biomolecular Systems Hamilton-Jacobi Equation Nonlinear Control Heparin-Controlled blood clotting Network
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In silico evidence of Remdesivir action in blood coagulation cascade modulation in COVID-19 treatment
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作者 Luis Gustavo Pagliarin Lucca Miketen de Oliveira +6 位作者 Valentina Nunes Fontoura dos Anjos Cristiano de Bem Torquato de Souza Gabrielle Caroline Peiter Cinthia Façanha Wendel Anderson Dillmann Groto Fabrício Freire de Melo Kádima Nayara Teixeira 《World Journal of Biological Chemistry》 2023年第4期72-83,共12页
BACKGROUND Coronavirus disease 2019(COVID-19)has demonstrated several clinical manifestations which include not only respiratory system issues but also liver,kidney,and other organ injuries.One of these abnormalities ... BACKGROUND Coronavirus disease 2019(COVID-19)has demonstrated several clinical manifestations which include not only respiratory system issues but also liver,kidney,and other organ injuries.One of these abnormalities is coagulopathies,including thrombosis and disseminated intravascular coagulation.Because of this,the administration of low molecular weight heparin is required for patients that need to be hospitalized.In addition,Remdesivir is an antiviral that was used against Middle East Acute Respiratory Syndrome,Ebola,Acute Respiratory Syndrome,and other diseases,showing satisfactory results on recovery.Besides,there is evidence suggesting that this medication can provide a better prognosis for patients with COVID-19.AIM To investigate in silico the interaction between Remdesivir and clotting factors,pursuing a possibility of using it as medicine.METHODS In this in silico study,the 3D structures of angiotensin-converting enzyme 2(ACE2),Factor I(fibrinogen),Factor II(prothrombin),Factor III(thromboplastin),Factor V(proaccelerin),Factor VII(proconvertin),Factor VIII(antihemophilic factor A),Factor IX(antihemophilic factor B),Factor X(Stuart-Prower factor),and Factor XI(precursor of thromboplastin(these structures are technically called receptors)were selected from the Protein Data Bank.The structures of the antivirals Remdesivir and Osetalmivir(these structures are called ligands)were selected from the PubChem database,while the structure of Atazanavir was selected from the ZINC database.The software AutoDock Tools(ADT)was used to prepare the receptors for molecular docking.Ions,peptides,water molecules,and other ones were removed from each ligand,and then,hydrogen atoms were added to the structures.The grid box was delimited and calculated using the same software ADT.A physiological environment with pH 7.4 is needed to make the ligands interact with the receptors,and still the software Marvin sketch®(ChemAxon®)was used to forecast the protonation state.To perform molecular docking,ADT and Vina software was connected.Using PyMol®software and Discovery studio®software from BIOVIA,it was possible to analyze the amino acid residues from receptors that were involved in the interactions with the ligands.Ligand tortions,atoms that participated in the interactions,and the type,strength,and duration of the interactions were also analyzed using those software.RESULTS Molecular docking analysis showed that Remdesivir and ACE2 had an affinity energy of-8.8 kcal/moL,forming a complex with eight hydrogen bonds involving seven atoms of Remdesivir and five amino acid residues of ACE2.Remdesivir and prothrombin had an interaction with six hydrogen bonds involving atoms of the drug and five amino acid residues of the clotting factor.Similar to that,Remdesivir and thromboplastin presented interactions via seven hydrogen bonds involving five atoms of the drug and four residues of the clotting factor.While Remdesivir and Factor V established a complex with seven hydrogen bonds between six antiviral atoms and six amino acid residues from the factor,and Factor VII connected with the drug by four hydrogen bonds,which involved three atoms of the drug and three residues of amino acids of the factor.The complex between Remdesivir and Factor IX formed an interaction via 11 hydrophilic bonds with seven atoms of the drug and seven residues of the clotting factor,plus one electrostatic bond and three hydrophobic interactions.Factor X and Remdesivir had an affinity energy of-9.6 kcal/moL,and the complex presented 10 hydrogen bonds and 14 different hydrophobic interactions which involved nine atoms of the drug and 16 amino acid residues of the clotting factor.The interaction between Remdesivir and Factor XI formed five hydrogen bonds involving five amino acid residues of the clotting factor and five of the antiviral atoms.CONCLUSION Because of the in silico significant affinity,Remdesivir possibly could act in the severe acute respiratory syndrome coronavirus 2 infection blockade by interacting with ACE2 and concomitantly act in the modulation of the coagulation cascade preventing the hypercoagulable state. 展开更多
关键词 clotting factors Coagulating blood cascade COVID-19 treatment Remdesivir SARS-CoV-2
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无偿献血中采血袋内血液凝块产生原因分析及预防策略
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作者 张红卫 《中国社区医师》 2024年第17期155-157,共3页
目前,我国国民素质水平不断提升,越来越多人参与无偿献血,改善了临床血液紧张状况。在采血工作中,部分献血者过于紧张、或血管较细,导致血流缓慢、采血时间延长,使采血袋内的血液产生大小不一的血液凝块,造成血液报废,因此临床亟需优化... 目前,我国国民素质水平不断提升,越来越多人参与无偿献血,改善了临床血液紧张状况。在采血工作中,部分献血者过于紧张、或血管较细,导致血流缓慢、采血时间延长,使采血袋内的血液产生大小不一的血液凝块,造成血液报废,因此临床亟需优化采血工作。该文分析了无偿献血中采血袋内血液凝块的原因,并提出预防策略,包括为献血者开展健康教育、加强采血技术。 展开更多
关键词 采血袋 血液凝块 预防策略 无偿献血
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小剂量肝素钠与低分子肝素钙对脓毒症治疗作用的对比研究
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作者 温亚 白思怡 《临床医药实践》 2024年第2期141-143,147,共4页
目的:对比小剂量肝素钠与低分子肝素钙治疗脓毒症的效果。方法:选取2021年10月—2022年10月脓毒症患者100例,随机分为观察组和对照组,每组50例。对比两组患者的治疗效果。结果:对照组弥散性血管内凝血8例(16.0%),观察组弥散性血管内凝血... 目的:对比小剂量肝素钠与低分子肝素钙治疗脓毒症的效果。方法:选取2021年10月—2022年10月脓毒症患者100例,随机分为观察组和对照组,每组50例。对比两组患者的治疗效果。结果:对照组弥散性血管内凝血8例(16.0%),观察组弥散性血管内凝血1例(2.0%),观察组临床疗效高于对照组(P<0.05)。随访1个月,观察组病死率低于对照组(P<0.05)。观察组各项凝血指标显著优于对照组(P<0.05)。观察组各项炎性因子水平低于对照组(P<0.05)。两组治疗后急性生理与健康评分(APACHEⅡ)优于治疗前,且观察组优于对照组,差异有统计学意义(P<0.05)。结论:低分子肝素钙相比小剂量肝素钠治疗脓毒症更加可行,可降低并发症发生率,改善短期预后。 展开更多
关键词 脓毒症 小剂量肝素钠 低分子肝素钙 凝血系统 弥散性血管内凝血
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多囊卵巢综合征高雄激素血症与凝血功能的关系探讨
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作者 韩倩 辛明蔚 +1 位作者 李冠杉 何军琴 《标记免疫分析与临床》 CAS 2024年第6期1120-1124,共5页
目的探讨多囊卵巢综合征患者合并高雄激素血症的影响因素及高雄激素血症与凝血指标的关系。方法通过收集274例多囊卵巢综合征患者一般资料,测定内分泌相关指标(FSH、LH、AMH、雄激素)、代谢指标(空腹血糖、胰岛素)、凝血相关指标(FIB、P... 目的探讨多囊卵巢综合征患者合并高雄激素血症的影响因素及高雄激素血症与凝血指标的关系。方法通过收集274例多囊卵巢综合征患者一般资料,测定内分泌相关指标(FSH、LH、AMH、雄激素)、代谢指标(空腹血糖、胰岛素)、凝血相关指标(FIB、PT、INR、PA、TT、APTT、D-Dimer、PLT),采用单因素分析及Logistics回归分析探讨多囊卵巢综合征患者合并高雄激素血症的影响因素,进一步分析高雄激素血症与凝血指标的可能关系。结果274例多囊卵巢综合征患者合并高雄激素血症比例为52.55%(144/274),非高雄激素血症比例为47.45%(130/274),两组在年龄、超重或肥胖分布比例及AMH、PT、INR、PA、TT、APTT水平差异无统计学意义(P>0.05),高雄激素血症组月经稀发、LH/FSH≥2.5、胰岛素抵抗分布比例及FIB、D-Dimer、PLT水平均高于非高雄激素血症组(P<0.05);Logistics回归分析结果提示,月经稀发、LH/FSH≥2.5、FIB是PCOS合并高雄激素血症的独立危险因素(OR值分别为2.286、3.105、1.615,P<0.05)。结论多囊卵巢综合征合并高雄激素血症的概率较高,与月经稀发、内分泌及凝血指标相关,高雄激素血症较非高雄激素血症患者具有更显著的高凝风险。 展开更多
关键词 多囊卵巢综合征 高雄激素血症 凝血 影响因素
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不同比例血浆与红细胞输注在产后出血患者输血治疗中的应用效果
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作者 丁丽 叶德胜 《上海医药》 CAS 2024年第2期27-29,62,共4页
目的:观察不同比例血浆与红细胞输注在产后出血患者输血治疗中的应用效果。方法:选取2021年4月至2022年7月收治的90例产后出血患者,用随机数字表法分为A组、B组和C组,每组30例。A组予血浆与红细胞0.5∶1比例输注,B组1∶1比例输注,C组1.5... 目的:观察不同比例血浆与红细胞输注在产后出血患者输血治疗中的应用效果。方法:选取2021年4月至2022年7月收治的90例产后出血患者,用随机数字表法分为A组、B组和C组,每组30例。A组予血浆与红细胞0.5∶1比例输注,B组1∶1比例输注,C组1.5∶1比例输注;对比三组血常规指标[血红蛋白(Hb)、血小板(PLT)]、凝血功能指标[纤维蛋白原(FBG)、凝血酶原时间(PT)、活化部分凝血酶时间(APTT)]、输血量及不良反应发生情况。结果:三组输血24h,Hb、PLT水平均较输血前升高,且B组Hb、PLT水平较A组和C组高,差异有统计学意义(P<0.05)。三组输血24h,FBG水平均较输血前升高,PT、APTT较输血前降低,且B组FBG水平较A组和C组高,PT、APTT较A组和C组低,差异有统计学意义(P<0.05)。三组输血量、不良反应总发生率对比差异无统计学意义(P>0.05)。结论:产后出血患者采用血浆与红细胞1∶1比例输注效果较好,可改善凝血功能,且安全性好。 展开更多
关键词 产后出血 输血治疗 凝血功能
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选择性血液标志物与胶质母细胞瘤预后的相关性
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作者 宋承佩 刘广存 《山东第一医科大学(山东省医学科学院)学报》 CAS 2024年第3期179-185,共7页
神经胶质瘤是脑内最常见的恶性原发性肿瘤,尽管近年来手术切除、免疫治疗和分子靶向治疗在胶质瘤的治疗方面已经取得了很大的进展,但胶质瘤患者的远期生存预后仍然很差,探索安全且精准的生物学标志物用于预测胶质瘤患者不良预后尤为关... 神经胶质瘤是脑内最常见的恶性原发性肿瘤,尽管近年来手术切除、免疫治疗和分子靶向治疗在胶质瘤的治疗方面已经取得了很大的进展,但胶质瘤患者的远期生存预后仍然很差,探索安全且精准的生物学标志物用于预测胶质瘤患者不良预后尤为关键。从血液学检查中获得的炎症相关预后标志物在多种恶性肿瘤中都有报道,如中性粒细胞-淋巴细胞比值(neutrophil-to-lymphocyte ratio,NLR)、预后营养指数(prognostic nutritional index,PNI)、血小板-淋巴细胞比值(platelet-to-Lymphocyte ratio,PLR)、D-二聚体等。此外,一些基于循环血细胞计数和凝血相关的评分系统也被报道用于预测癌症患者的预后,如全身炎症评分(systemic inflammation score,SIS)和血友病因子抗原(von willebrand factor antigen,VWFAg)。最佳生物标志物和最佳截止值的标志物可以预测不同的癌症类型。本综述总结了胶质瘤患者,尤其是胶质母细胞瘤(glioblastoma,GBM)患者中炎症相关标志物对患者预后的影响,旨在为临床诊疗及患者预后判断提供新思路。 展开更多
关键词 中性粒细胞-淋巴细胞比值 血小板-淋巴细胞比值 预后营养指数 凝血 胶质瘤 生存预后
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RDW联合凝血七项对异位妊娠输血治疗不良反应的意义
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作者 文翠翠 《实用妇科内分泌电子杂志》 2024年第8期80-82,共3页
目的分析红细胞分布宽度(RDW)联合凝血七项对异位妊娠输血治疗不良反应的意义。方法选取85例异位妊娠输血治疗患者,根据患者有无发生不良反应将其分为对照组(45例,未发生不良反应)和研究组(40例,发生不良反应)。对比两组治疗前后RDW联... 目的分析红细胞分布宽度(RDW)联合凝血七项对异位妊娠输血治疗不良反应的意义。方法选取85例异位妊娠输血治疗患者,根据患者有无发生不良反应将其分为对照组(45例,未发生不良反应)和研究组(40例,发生不良反应)。对比两组治疗前后RDW联合凝血指标[凝血酶原时间(PT)、活化部分凝血酶原时间(APTT)、凝血酶时间(TT)、纤维蛋白原(FIB)、D-二聚体(D-D)、抗凝血酶Ⅲ(ATⅢ)与纤维蛋白降解产物(FDP)]水平。结果两组输血前RDW、PT、APTT、TT、FIB、D-D、ATⅢ、FDP水平比较,差异无统计学意义(P>0.05),输血后RDW、PT、APTT、TT、FIB、D-D、ATⅢ、FDP水平比较,差异具有统计学意义(P<0.05)。结论RDW联合凝血七项应用于异位妊娠输血治疗患者中,能够有效评估输血后的相关不良反应情况,具有重要的临床价值。 展开更多
关键词 红细胞分布宽度 凝血七项 异位妊娠输血 不良反应
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Intravenous-Accelerated Saline Particles to Unblock Partially Clogged Blood Vessels Using a Microcontroller
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作者 Stephon Stewart Dineshen Chuckravanen 《Journal of Biosciences and Medicines》 CAS 2022年第11期35-44,共10页
This research assesses the speed of saline fluid in vein vessels using venipuncture medical kit as well as DC submersive pumps that are being controlled by a microcontroller. The microcontroller is monitored and gover... This research assesses the speed of saline fluid in vein vessels using venipuncture medical kit as well as DC submersive pumps that are being controlled by a microcontroller. The microcontroller is monitored and governed using a software IDE interface installed on a powerful laptop. Saline solution is being pumped through a medical syringe at variable speeds up to a maximum of 18.39 cm/second to the vein. The novel technique in this research is the usage of two pumps called Pump 1 and Pump 2. Pump 1 is used to physically model the flow of “blood” in human vein and the second pump (Pump 2) is used to generate the accelerated saline particles that are used to break the yellow grease that is placed on the inside of the vein’s wall. A tiny brush is briefly dipped into yellow grease, and then it is used to place one layer (one turn) of yellow grease on the inside of the vein’s wall, and then this procedure is repeated to place consecutive layers of yellow grease onto the inside of the wall of the vein vessel using a tiny brush. It was found that accelerated saline particles can in fact destroy fats that are built up inside the veins’ walls. 展开更多
关键词 blood clot Fat Deposits Fat Removals VEINS MICROCONTROLLER Saline Particles
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A Case of Adverse Reaction to Booster Dose of COVID-19 Vaccination: Could D-Dimer Elevation Suggest Increased Clotting Risk?
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作者 Serafino Fazio Manila Vaccariello Flora Affuso 《Health》 CAS 2022年第2期204-208,共5页
We report the clinical case of a 40-year-old Italian woman, who soon after her booster vaccination with mRNA-1273 after the two previous vaccinations with BNT162b2, developed severe headache, high fever, and Musculo-s... We report the clinical case of a 40-year-old Italian woman, who soon after her booster vaccination with mRNA-1273 after the two previous vaccinations with BNT162b2, developed severe headache, high fever, and Musculo-skeletal pain. She went to the emergency department, where computerized tomography (CT) scans of chest and brain were performed, resulting in both negative for pathologic findings. On the contrary, white blood count was strongly lowered and D-dimer severely elevated. She improved after treatment with enoxaparin and the blood analyses returned in the normal range after ten days. This case supports the hypothesis that COVID-19 vaccines could increase blood clotting in some predisposed subjects. Therefore, we believe that robust and well-designed clinical trials, considering the evaluation of D-dimer levels, should be performed to eliminate any doubts on this issue. 展开更多
关键词 Adverse Reaction COVID-19 VACCINATION blood clotting
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血栓弹力图预测乙型病毒性肝炎慢加急性肝衰竭并发出血风险的应用研究
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作者 张洁 包依夏姆·阿巴拜克力 +4 位作者 姚磊 郑嵘炅 潘金良 柯比努尔·吐尔逊 鲁晓擘 《现代消化及介入诊疗》 2023年第8期942-945,950,共5页
目的应用血栓弹力图(thromboelastography,TEG)检测乙型肝炎病毒相关慢加急性肝衰竭(HBV-related acute-on-chronic liver failure,HBV-ACLF)患者的凝血功能,评估其在发生出血风险及预后方面的价值。方法收集132例HBV-ACLF患者的临床资... 目的应用血栓弹力图(thromboelastography,TEG)检测乙型肝炎病毒相关慢加急性肝衰竭(HBV-related acute-on-chronic liver failure,HBV-ACLF)患者的凝血功能,评估其在发生出血风险及预后方面的价值。方法收集132例HBV-ACLF患者的临床资料,用TEG检测患者全血凝血动力学,同时检测其常规生化、凝血功能等指标;比较消化道出血组和无消化道出血组之间,生存组和死亡组之间上述指标的差异;比较分析凝血参数与TEG各参数[凝血因子活性(R值)、纤维蛋白原功能(K值)、纤维蛋白原功能(α-角)等]在是否出血及是否血栓形成之间的相关性;并用ROC曲线评价TEG的参数R值和PT对HBV-ACLF患者出血预后评估的能力。结果生存组和死亡组两组间的PT、AARC评分、终末期肝病模型(MELD)、D二聚体、乳酸、总胆红素、直接胆红素均存在统计学差异(P<0.05),提示死亡组的PT、AARC、MELD、D二聚体、乳酸、总胆红素、直接胆红素均高于生存组;消化道出血组和未出血组两组间MA、Angle存在统计学差异(P<0.05),提示消化道出血组MA、Angle均较未消化道出血组明显缩短。对HBV-ACLF患者否并发出血风险的预测分析评估中MA、Angle值和K值的AUC曲线下面积分别为0.332、0.359、0.682,K值优于MA、Angle值,P值均<0.001,差异均有统计学意义。结论TEG检测能真实反映HBV-ACLF患者凝血和抗凝功能在低水平的“再平衡”状态,MA、Angle缩短提示患者并发消化道出血的风险增加,K值对于预测消化道出血风险的价值优于MA、Angle值。 展开更多
关键词 血栓弹力图 乙型肝炎病毒 慢加急性肝衰竭 出血 血栓
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半月板非血供区损伤的修复方案 被引量:4
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作者 宁梓文 王旭 +5 位作者 施政良 秦艺华 王国梁 贾笛 王扬 李彦林 《中国组织工程研究》 CAS 北大核心 2023年第3期420-426,共7页
背景:半月板在膝关节的生物力学和软骨保护方面起着关键作用,它具有减震、维持膝关节力线稳定以及减少关节软骨磨损等多种功能,但迄今为止对于半月板红-白区及白-白区损伤的手术修复一直效果不佳,若只行单纯的半月板切除术,膝关节整体... 背景:半月板在膝关节的生物力学和软骨保护方面起着关键作用,它具有减震、维持膝关节力线稳定以及减少关节软骨磨损等多种功能,但迄今为止对于半月板红-白区及白-白区损伤的手术修复一直效果不佳,若只行单纯的半月板切除术,膝关节整体力学结构的改变易导致膝关节骨关节炎进展加快,因此,近年来国内外学者均在尝试采用不同的方式辅助半月板损伤修复,以期改善半月板非血供区损伤的修复效果,减缓患者膝关节骨关节炎的进展。目的:总结近年来基础与临床上半月板的非血供区损伤的辅助修复方法,并对该领域未来发展前景及所面临的挑战进行了展望。方法:采用中国知网、万方数据、PubMed和FMRS数据库进行文献检索,检索2005-2021年发表的相关文献,纳入与半月板损伤修复有关的包含临床研究及组织工程研究在内的所有文献,最终对60篇文献进行综述。结果与结论:①由于半月板特殊的解剖结构,其内侧2/3的区域存在血供较差、出现损伤后难以愈合的问题,目前辅助半月板损伤修复的方法包括:微骨折术、髌下脂肪垫粉碎术、间充质干细胞、富血小板血浆以及纤维蛋白凝块。②不同的修复方式存在其各自的优劣势,微骨折术和髌下脂肪垫粉碎术作为临床应用方法,操作简便,但其操作过程中存在造成医源性损伤、引发术后疼痛及骨关节炎的可能,进一步精细化操作避免损伤的发生是临床不可避免的话题。而间充质干细胞、富血小板血浆虽然在基础研究中表现出了良好的效果,但由于其制备方法多样,运用方法不固定,且富血小板血浆在临床运用时甚至出现了完全相反的临床效果,因此,进一步研究间充质干细胞与富血小板血浆提高半月板修复潜力的机制,规范化其制备流程与运用方法仍是下一步的研究方向。③纤维蛋白凝块则在临床运用上表现出了良好的结果,但目前仍缺乏更多的相关研究。④总之,目前纤维蛋白凝块技术与髌下脂肪垫粉碎术研究内容仍较少,而富血小板血浆在临床上表现出现了两极分化现象,微骨折术与滑膜间充质干细胞的临床运用稳定,是目前较好的辅助修复方法。 展开更多
关键词 半月板 非血供区损伤 修复方法 再生 微骨折 间充质干细胞 富血小板血浆 纤维蛋白凝块 组织工程 临床应用
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磁共振成像在慢性主动脉夹层中的临床价值及研究进展 被引量:1
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作者 邓铁 王文静 +2 位作者 余洪 李传明 李邦国 《中国CT和MRI杂志》 2023年第4期181-183,共3页
主动脉夹层(aortic dissection,AD)是急性主动脉综合征(acute aortic syndrome,AAS)的其中一种,其发病急、进展迅速,临床表现复杂多变,具有较高的致死率和致残率,因此快速准确的诊断非常重要,临床上多采用计算机断层扫描(computed tomog... 主动脉夹层(aortic dissection,AD)是急性主动脉综合征(acute aortic syndrome,AAS)的其中一种,其发病急、进展迅速,临床表现复杂多变,具有较高的致死率和致残率,因此快速准确的诊断非常重要,临床上多采用计算机断层扫描(computed tomography,CT)和超声心动图(echocardiography,ECG)进行诊断。虽然慢性主动脉夹层(chronic aortic dissection,CAD)的病程相对较长、病情较为稳定,但可出现严重并发症(包括动脉瘤及假腔血栓的形成),所以针对CAD进行定期检查并监测并发症的发生就显得尤为重要。众所周知,磁共振成像(magnetic resonance imaging,MRI)作为一项能够开展多序列多维度的影像检查技术,在日常工作中对慢性主动脉夹层的评价具有重要意义。本文将对MRI在慢性主动脉夹层诊疗中的临床价值及研究进展进行综述。 展开更多
关键词 慢性主动脉夹层 磁共振 4D-Flow 假腔 血栓
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恶性血液病患者PICC相关性血栓风险管理模式构建 被引量:1
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作者 张同同 赵宛露 +1 位作者 赵雯雯 李秋环 《中国卫生质量管理》 2023年第10期67-73,91,共8页
目的构建恶性血液病患者经外周静脉穿刺中心静脉置管(PICC)相关性血栓风险管理模式。方法开展课题研究型品管圈活动,构建PICC相关性血栓精准风险预测体系,制订“3+N”防栓策略,建立基于血液病患者人工智能随访系统的PICC相关性血栓风险... 目的构建恶性血液病患者经外周静脉穿刺中心静脉置管(PICC)相关性血栓风险管理模式。方法开展课题研究型品管圈活动,构建PICC相关性血栓精准风险预测体系,制订“3+N”防栓策略,建立基于血液病患者人工智能随访系统的PICC相关性血栓风险管理模式。结果构建了恶性血液病患者PICC相关性血栓风险管理模式,护士与患者PICC相关知识掌握情况均得以提高,PICC相关性血栓发生率降低到1.6%,患者随访满意度提高到100%。结论恶性血液病患者PICC相关性血栓风险管理模式具有一定实用性,可降低恶性血液病患者PICC相关性血栓发生率,提高患者满意度。 展开更多
关键词 品管圈 课题研究型品管圈 恶性血液病 经外周静脉穿刺中心静脉置管 血栓 风险管理
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凝血四项、血栓三项及D-二聚体在妊娠期高血压疾病与妊娠期糖尿病中的临床应用价值 被引量:1
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作者 黄昊川 江长绿 +1 位作者 江文力 付小娟 《实用妇科内分泌电子杂志》 2023年第24期96-98,共3页
目的探究对妊娠期高血压疾病与妊娠期糖尿病患者采用凝血四项、血栓三项及D-二聚体(D-D)检验的临床价值。方法选取19例妊娠期糖尿病患者为观察组,17例妊娠期高血压疾病患者为研究组;另选取同期50例正常妊娠孕妇为参照组。三组均进行凝... 目的探究对妊娠期高血压疾病与妊娠期糖尿病患者采用凝血四项、血栓三项及D-二聚体(D-D)检验的临床价值。方法选取19例妊娠期糖尿病患者为观察组,17例妊娠期高血压疾病患者为研究组;另选取同期50例正常妊娠孕妇为参照组。三组均进行凝血四项、血栓三项及D-D检查,比较其检查结果。结果三组的凝血四项指标比较,差异无统计学意义(P>0.05)。与参照组比较,研究组纤维蛋白降解产物(FDP)、D-D指标明显降低,纤溶酶原(PLG)指标明显升高,观察组抗凝血酶(AT)、PLG、D-D指标明显升高(P<0.05);与观察组比较,研究组PLG明显升高,FDP、AT、D-D指标明显降低(P<0.05)。结论妊娠期糖尿病与妊娠期高血压疾病患者的相关指标较正常孕妇有所差异,具有明显的特异性,可以作为临床诊断标准。 展开更多
关键词 妊娠期高血压疾病 妊娠期糖尿病 凝血四项 血栓三项 D-二聚体
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在骨组织再生过程中聚磷酸盐的作用与机制 被引量:1
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作者 曹金 王安素 +4 位作者 黄妮姣 伍富俊 陈萍 李成梅 王信 《中国组织工程研究》 CAS 北大核心 2023年第21期3375-3381,共7页
背景:大块骨缺损的再生修复仍是临床骨科医生面临的巨大难题之一,聚磷酸盐不仅对骨细胞发育和生长因子释放有着重要作用,还可通过影响局部血凝块的结构来调控机体成骨活动。目的:总结聚磷酸盐与骨组织再生之间的关系,阐述聚磷酸盐在成... 背景:大块骨缺损的再生修复仍是临床骨科医生面临的巨大难题之一,聚磷酸盐不仅对骨细胞发育和生长因子释放有着重要作用,还可通过影响局部血凝块的结构来调控机体成骨活动。目的:总结聚磷酸盐与骨组织再生之间的关系,阐述聚磷酸盐在成骨中的作用机制。方法:检索中国知网、万方、维普、中国生物医学文献数据库和PubMed数据库中与聚磷酸盐在骨组织再生的研究进展相关的文献,并通过阅读摘要进行初筛,最终共纳入80篇文章进行综述分析。结果与结论:聚磷酸盐在骨组织再生中的作用机制可归纳为以下几类:①聚磷酸盐通过诱导相关转录因子Runx2、基质金属蛋白酶1、骨桥蛋白、骨钙素和骨保护素相关基因的表达,增强成纤维细胞生长因子2与受体之间的亲和力,激活成纤维细胞生长因子介导的细胞信号通路,促进间充质干细胞的成骨细胞分化。②在成骨细胞代谢过程中,聚磷酸盐分解后为其提供能量来源,并对降钙素、成骨相关转录因子、骨唾液酸蛋白、组织非特异性碱性磷酸酶基因表达的调节,促进细胞矿化。③由于竞争性抑制的存在,聚磷酸盐抑制破骨细胞中抗酒石酸酸性磷酸酶的酶活性,促使破骨细胞的骨吸收活性下降。④聚磷酸盐激活核转录因子κB信号通路并上调血管细胞黏附分子1、细胞间黏附分子1和选择素E的表达,增强了单核细胞(THP-1)对内皮细胞的黏附。⑤聚磷酸盐与组蛋白4和高迁移率族蛋白B1高亲和力结合,增强血管的通透性信号因子、细胞表面黏附分子、炎症细胞迁移和凋亡的表达。⑥聚磷酸盐通过调节内皮细胞的PI3K/AKT和PLC/PKC/Ca2+信号通路及缓激肽系统,对炎症反应进行调节。⑦聚磷酸盐通过促进血凝块结构中粗纤维的形成,提高凝块的纤维孔径,促进相关细胞及因子渗入,促进局部血管化及骨组织的修复与再生。 展开更多
关键词 聚磷酸盐 骨组织再生 间充质干细胞 成骨细胞 破骨细胞 血管化 血管 血凝块 综述
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少腹逐瘀汤加减治疗原发性痛经寒凝血瘀型疗效探讨
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作者 孔小娇 刘建华 +1 位作者 宋帅华 王慧 《系统医学》 2023年第3期143-146,共4页
目的探讨对中医辨证寒凝血瘀型原发性痛经者予少腹逐瘀汤治疗的效果。方法选择泰兴市中医院2021年2月—2022年4月收治的85例原发性痛经患者为研究对象,随机分为布洛芬缓释胶囊治疗的对照组(n=42)与联合少腹逐瘀汤治疗的观察组(n=43),比... 目的探讨对中医辨证寒凝血瘀型原发性痛经者予少腹逐瘀汤治疗的效果。方法选择泰兴市中医院2021年2月—2022年4月收治的85例原发性痛经患者为研究对象,随机分为布洛芬缓释胶囊治疗的对照组(n=42)与联合少腹逐瘀汤治疗的观察组(n=43),比较两组临床疗效,评估治疗前后中医证候积分及疼痛视觉模拟法(VAS)评分,并检测血流流变学指标评估两组血瘀改善情况。结果观察组在少腹逐瘀汤治疗后总有效率较对照组高(95.35%vs 73.81%),差异有统计学意义(χ^(2)=7.609,P<0.05)。治疗后观察组中医证候积分(4.28±1.17)分、VAS评分(1.32±0.54)分,均低于对照组,差异有统计学意义(t=8.280、7.715,P<0.05)。治疗后观察组红细胞压积(37.62±4.91)mPa·s、血小板粘附率(28.11±4.05)mPa·s、血浆黏度(1.41±0.11)%、全血黏度(7.68±1.12)%,均低于对照组,差异有统计学意义(t=12.483、20.488、15.710、15.996,P<0.05)。结论对中医辨证为寒凝血瘀型的原发性痛经患者予少腹逐瘀汤治疗疗效确切,能改善患者症状及疼痛,且可改善血液流变学指标。 展开更多
关键词 少腹逐瘀汤 原发性痛经 寒凝血瘀型 疼痛 证候积分 血液流变学
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