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Relationship between Serum Hyaluronic Acid Level and Patient Prognosis in Hepatocellular Carcinoma Patients Who Underwent Hepatectomy
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作者 Atsushi Nanashima Takafumi Abo +6 位作者 Goushi Murakami Masaki Kunizaki Hiroaki Takeshita Shigekazu Hidaka Kazuo To Tomoshi Tsuchiya Takeshi Nagayasu 《Journal of Cancer Therapy》 2013年第2期359-366,共8页
We examined the relationship between hyaluronic acid (HA) and tumor-related factors after hepatectomy in 158 patients with hepatocellular carcinoma (HCC) who underwent hepatectomy. We examined serum HA levels before h... We examined the relationship between hyaluronic acid (HA) and tumor-related factors after hepatectomy in 158 patients with hepatocellular carcinoma (HCC) who underwent hepatectomy. We examined serum HA levels before hepatectomy by evaluating data for clinicopathological parameters, surgical records, postoperative complications and survival. The mean HA level was 190 ± 202 ng/ml. Patients were divided into 3 groups: group A had serum HA levels less than 50 ng/ml (normal range), group B had levels between 50 and 190 ng/ml, and group C had levels over 190 ng/ml. Group C had a higher rate of poor liver function compared to others. Multiple tumors were significantly more frequent in groups B and C compared to A. The grade of fibrosis and the inflammatory responses were positively correlated with the serum HA level. Postoperative long-term ascites was significantly more frequent in group C compared to others. Although the recurrence rate and the relapse-free period were not significantly related to the serum HA level, the serum HA level was significantly associated with overall survival after hepatectomy (p 0.05). Cox’s multivariate analysis did not show a significant relationship between HA level and survival. Serum HA reflects progression and survival in HCC patients. 展开更多
关键词 HEPATOCELLULAR CARCINOMA HEPATECTOMY serum hyaluronic acid LEVEL PROGNOSIS
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A Face Serum Containing Palmitoyl Tripeptide-38, Hydrolyzed Hyaluronic Acid, Bakuchiol and a Polyherbal and Vitamin Blend Improves Skin Quality
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作者 Brett J. West Ifedayo Alabi Shixin Deng 《Journal of Cosmetics, Dermatological Sciences and Applications》 2021年第3期237-252,共16页
A face serum composed of a combination of biologically active compounds was evaluated for safety and efficacy <em>in vitro</em>, in a repeat insult patch test and in a human clinical efficacy trial. The se... A face serum composed of a combination of biologically active compounds was evaluated for safety and efficacy <em>in vitro</em>, in a repeat insult patch test and in a human clinical efficacy trial. The serum inhibited tyrosinase activity modestly, decreased collagenase activity and exhibited notable free radical scavenging activity <em>in vitro</em>. It is gentle to the skin, as the serum did not irritate the skin or produce symptoms of allergic contact dermatitis in the 55 healthy adults that participated in the repeat insult patch test. In the efficacy trial, daily application of the face serum for 30 days significantly increased skin hydration, with all 35 volunteers experiencing improvement. Substantial improvements in skin elasticity, roughness (fine lines and wrinkles), and brightness also occurred during the trial. Dermatological examination also revealed a trend for reduced comedone count with use of the serum. Self-assessment responses revealed that all volunteers experienced improvements in multiple skin quality parameters and that participant perceptions are consistent with the results of the instrumental analyses. These findings indicated that the measured improvements in skin quality are not only statistically significant but are also clinically relevant as they were great enough for users of the face serum to feel and recognize. 展开更多
关键词 Face serum BAKUCHIOL Palmitoyl Tripeptide-38 hyaluronic acid Repeat Insult Patch Test Tyrosinase Collagenase Antioxidant Clinical Trial
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Relationship between Obesity, Serum Uric Acid, Serum Potassium and Glomerular Filtration Rate with Electric Left Ventricular Hypertrophy in Blacks Central Africans with High Blood Pressure 被引量:1
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作者 Bertrand Fikahem Ellenga Mbolla Paul Macaire Ossou Nguiet +6 位作者 Richard Loumingou Meo Stéphane Ikama Narcisse Ngangoue Thierry Raoul Gombet Henri Germain Monabeka Benjamn Longo Mbenza Gisèle Kimbally Kaky 《World Journal of Cardiovascular Diseases》 2018年第4期248-255,共8页
The authors conducted a retrospective study over a period of 6 months in a hypertensive population in order to determine the correlation between serum uric acid on glomerular filtration rate (GFR) and estimated serum ... The authors conducted a retrospective study over a period of 6 months in a hypertensive population in order to determine the correlation between serum uric acid on glomerular filtration rate (GFR) and estimated serum potassium with left ventricular hypertrophy (LVH) and obesity. This study enrolled 122 patients including 63 women (51.6%). The mean age was 55.9 ± 10.6 years (range 30 to 74 years). Obesity weight was found in 38 cases (31.1%) of which 20?were men (33.9%) and 18 women (28.6%). Abdominal obesity was found in 104 cases (85.2%). The average serum uric acid in patients with obesity weight was 63.3 ± 18.9 mg/L vs 62.4 ± 14.2 mg/L for no-obese patients (p?= 0.63). The average serum potassium in obese patients was 4.06 ± 0.42 mEq/L vs 4.02 ± 0.46 mEq/L for no-obese (p?= 0.65). The average GFR was 73.4 ± 21.4 ml/L in obese patients vs 66.6 ± 22.6 ml/min in no-obese (p?= 0.03). The LVH was found in 81 cases (66.4%). The LVH was found in 65 (62.5%) obese patients vs?16 (88%) non-obese patients (OR = 4.8, 95% 1.04?-?22?p?= 0.02). Only abdominal?obesity has been correlated with left ventricular hypertrophy after multivariate analysis. Emphasis must be focused on public health actions for effective and appropriate measures against obesity and hypertension, whose prevalence is increasing in our region. 展开更多
关键词 OBESITY High blood Pressure Glomerular FILTRATION Rate Uric acid serum POTASSIUM Black AFRICAN
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Expression and clinical significance of short-chain fatty acids in patients with intrahepatic cholestasis of pregnancy
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作者 Shuai-Jun Ren Jia-Ting Feng +3 位作者 Ting Xiang Cai-Lian Liao Yu-Ping Zhou Rong-Rong Xuan 《World Journal of Hepatology》 2024年第4期601-611,共11页
BACKGROUND Intrahepatic cholestasis of pregnancy(ICP)is a pregnancy-specific liver condition that typically arises in the middle and late stages of pregnancy.Short-chain fatty acids(SCFAs),prominent metabolites of the... BACKGROUND Intrahepatic cholestasis of pregnancy(ICP)is a pregnancy-specific liver condition that typically arises in the middle and late stages of pregnancy.Short-chain fatty acids(SCFAs),prominent metabolites of the gut microbiota,have significant connections with various pregnancy complications,and some SCFAs hold potential for treating such complications.However,the metabolic profile of SCFAs in patients with ICP remains unclear.AIM To investigate the metabolic profiles and differences in SCFAs present in the maternal and cord blood of patients with ICP and determine the clinical significance of these findings.METHODS Maternal serum and cord blood samples were collected from both patients with ICP(ICP group)and normal pregnant women(NP group).Targeted metabolomics was used to assess the SCFA levels in these samples.RESULTS Significant differences in maternal SCFAs were observed between the ICP and NP groups.Most SCFAs exhibited a consistent declining trend in cord blood samples from the ICP group,mirroring the pattern seen in maternal serum.Correlation analysis revealed a positive correlation between maternal serum SCFAs and cord blood SCFAs[r(Pearson)=0.88,P=7.93e-95].In both maternal serum and cord blood,acetic and caproic acids were identified as key metabolites contributing to the differences in SCFAs between the two groups(variable importance for the projection>1).Receiver operating characteristic analysis demonstrated that multiple SCFAs in maternal blood have excellent diagnostic capabilities for ICP,with caproic acid exhibiting the highest diagnostic efficacy(area under the curve=0.97).CONCLUSION Compared with the NP group,significant alterations were observed in the SCFAs of maternal serum and cord blood in the ICP group,although they displayed distinct patterns of change.Furthermore,the SCFA levels in maternal serum and cord blood were significantly positively correlated.Notably,certain maternal serum SCFAs,specifically caproic and acetic acids,demonstrated excellent diagnostic efficiency for ICP. 展开更多
关键词 Intrahepatic cholestasis of pregnancy Short-chain fatty acids Maternal serum Cord blood Caproic acid
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The Roles of Key Electrolytes in Balancing Blood Acid-Base and Nutrient in Broiler Chickens Reared under Tropical Conditions 被引量:2
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作者 Ibukun Olukorede Popoola Oluwabukola Rashidat Popoola +2 位作者 Matthew Oluwatobi Ojeniyi Oluwaseyi Olamide Olajide Eustace Ayemere Iyayi 《Natural Science》 2020年第1期4-11,共8页
The loss of electrolyte balance in diets of broiler chickens has resulted in a serious distur-bance of blood acid-base balance, coupled with elevated body temperature. The body losses carbon dioxide (CO2) and bicarbon... The loss of electrolyte balance in diets of broiler chickens has resulted in a serious distur-bance of blood acid-base balance, coupled with elevated body temperature. The body losses carbon dioxide (CO2) and bicarbonate (HCO3), resulting in respiratory alkalosis or acidosis. Under tropical conditions of high environmental temperatures, the balance of electrolytes in feeds must be set much higher as to maintain equal metabolic and digestive efficiency. However, information on the ideal dietary electrolyte balance (DEB) that could effectively correct acid-base imbalance in broiler chickens under severe heat stress condition is scanty. Therefore, the effects of varying electrolyte balance in diets on haematology, blood glucose and serum inorganic elements were assessed in broiler chickens at starter (0 - 21 d) and finisher (22 - 35 d) phases, under temperature-humidity index of 24.97 - 35.19. One day-old Arbor Acre chicks (n = 300) were procured and randomly allotted to diets supplemented with potassium chloride and sodium bicarbonate, to balance monovalent ions (sodium, potassium and chloride) at 210 (T1), 240 (T2), 270 (T3), 300 (T4), 330 (T5) and 360 (T6) mEq/kg DEB, in a completely randomised design. On days 21 and 35, blood (5 mL) samples were collected from birds in each replicate whose weights were closest to the mean class weight for haematology and serum biochemical indices using standard procedures. Data were analysed using descriptive statistics and ANOVA at α = 0.05. Different levels of DEB did not significantly affect (P > 0.05) haematology and blood glucose at starter phase. However, at finisher phase, heterophil: lymphocyte of birds on 270 and 240 mEq/kg DEB were lower (P < 0.05) compared to other dietary treatments. Blood acid-base balance was relatively enhanced in birds on aggregate DEB level of 360 mEq/kg with reduced chloride ion and relatively lower incidence of hemodilution with respect to high haemoglobin levels as this level is advantageous in balancing blood acid to base ratio in broiler chickens reared under severe environmental temperatures higher than 43?C ± 5?C as against some previous opinions that did not take into consideration, the inherent dietary electrolyte balance in feedstuff, other functional mono or divalent ions, and the severity of environmental factors. 展开更多
关键词 blood acid-BASE Monovalent Ions BROILERS blood GLUCOSE Heat Stress serum MINERALS
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玛咖灵芝片缓解小鼠体力疲劳的研究
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作者 于金玲 谢宏泉 +4 位作者 解微 任喜运 梁菲 刘万 刘影 《哈尔滨商业大学学报(自然科学版)》 CAS 2024年第1期3-8,共6页
研究玛咖灵芝片对改善小鼠体力劳动过度的疲倦状态,增加体力和身体机能的作用.本次实验采用清洁级雄性ICR小鼠作为动物模型,以体重为划分依据随机分组,包括低、中、高剂量组和阴性对照组4组.其中低、中、高剂量组分别给予剂量为0.38、0... 研究玛咖灵芝片对改善小鼠体力劳动过度的疲倦状态,增加体力和身体机能的作用.本次实验采用清洁级雄性ICR小鼠作为动物模型,以体重为划分依据随机分组,包括低、中、高剂量组和阴性对照组4组.其中低、中、高剂量组分别给予剂量为0.38、0.75、2.25 g/kg·bw的玛咖灵芝片药剂进行灌胃;阴性对照组为20 mL/kg·bw的蒸馏水灌胃.每天给药1次,共给药30 d.实验期间,小鼠每日进行负重游泳实验,与此同时,使用比色法对血清中尿素、肝糖原和血乳酸的含量进行检测.比色法检测结果显示,与阴性对照组相比较,玛咖灵芝片不同剂量组的小鼠负重游泳的时间明显延长(P<0.05).另外,玛咖灵芝片不同剂量组的小鼠负重游泳后,其血浆尿素浓度均明显低于阴性对照组(P<0.05),肝脏糖原含量均显著高于阴性对照组(P<0.05),血乳酸浓度均显著低于阴性对照组(P<0.05).玛咖灵芝片可通过提高肝糖原含量和阻止血乳酸堆积的方式有效改善小鼠体力劳动过度的疲倦状态,增加体力和身体机能. 展开更多
关键词 玛咖灵芝片 抗疲劳 负重游泳时间 尿素 肝糖原 乳酸
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糖尿病患者空腹血糖与血尿酸对糖尿病视网膜病变的交互作用分析 被引量:3
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作者 谢连凤 刘琳琳 +1 位作者 蒋贻平 谭述香 《眼科新进展》 CAS 北大核心 2024年第2期143-148,共6页
目的探讨空腹血糖(FBG)与血尿酸(SUA)的交互作用对糖尿病(DM)患者视网膜病变(DR)的影响。方法选取2019年1月至2021年1月于赣南医学院第一附属医院确诊的并接受全面眼科检查的DM患者306例。依据有无DR将所有患者分为DR组(178例)和NDR组(... 目的探讨空腹血糖(FBG)与血尿酸(SUA)的交互作用对糖尿病(DM)患者视网膜病变(DR)的影响。方法选取2019年1月至2021年1月于赣南医学院第一附属医院确诊的并接受全面眼科检查的DM患者306例。依据有无DR将所有患者分为DR组(178例)和NDR组(128例)。比较两组患者的一般临床资料,采用最小绝对收缩和选择栓子(LASSO)回归法和多因素Logistic回归分析筛选DM患者发生DR的独立影响因素,并计算危险因素比值比,使用E值法对结果进行敏感性分析。通过相加交互模型分析FBG、SUA对DM患者发生DR的交互作用。构建DM患者发生DR的Nomogram模型并进行内部验证。采用受试者工作特征曲线(ROC)对FBG、SUA及其交互作用对DM患者发生DR的影响进行评估。结果与NDR组患者相比,DR组患者的DM病程较长,有口服药物治疗史比例较低,有胰岛素治疗史患者比例较高,总胆固醇、甘油三酯、高密度脂蛋白胆固醇、低密度脂蛋白胆固醇、血尿素氮、血肌酐、SUA和FBG水平均明显较高,差异均有统计学意义(均为P<0.05)。胰岛素治疗史、DM病程≥9.66年、甘油三酯≥2.07 mmol•L^(-1)、SUA≥297.73μmol•L^(-1)、FBG≥8.92 mmol•L^(-1)是影响DM患者发生DR的危险因素,口服药物治疗史是影响DM患者发生DR的保护因素。利用以上独立危险因素构建的Nomogram模型在预测DM患者发生DR准确性良好。SUA和FBG对DM患者发生DR具有交互作用。SUA和FBG交互作用对DR的诊断价值大于二者单独对DR的诊断价值。结论SUA≥297.73μmol•L^(-1)及FBG≥8.92 mmol•L^(-1)是影响DM患者发生DR的危险因素。FBG、SUA二者协同交互作用对DM伴DR的诊断价值大于二者单独存在对DR的诊断价值。 展开更多
关键词 空腹血糖 血尿酸 交互作用 糖尿病 视网膜病变
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糖尿病及糖尿病前期人群中血尿酸与血糖的关联:基于协变量均衡广义倾向性评分法
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作者 陶子琨 韩梅 +6 位作者 杨希 卜伟晓 穆华夏 徐雅琪 孔雨佳 石福艳 王素珍 《郑州大学学报(医学版)》 CAS 北大核心 2024年第5期625-629,共5页
目的:探讨2型糖尿病(T2DM)及糖尿病前期人群中血尿酸(SUA)与血糖的关联。方法:从2020年1月至2022年12月于淄博市某三级医院体检的人群中,选取新确诊的T2DM患者1012人,糖尿病前期1025人。分别利用两个人群数据,采用随机森林算法筛选与血... 目的:探讨2型糖尿病(T2DM)及糖尿病前期人群中血尿酸(SUA)与血糖的关联。方法:从2020年1月至2022年12月于淄博市某三级医院体检的人群中,选取新确诊的T2DM患者1012人,糖尿病前期1025人。分别利用两个人群数据,采用随机森林算法筛选与血糖关系密切的关键协变量,采用协变量均衡广义倾向性评分法均衡关键协变量后,对SUA与血糖水平进行加权线性回归。结果:筛选出甘油三酯、年龄、谷氨酰胺转肽酶、谷草转氨酶、肌酐、低密度脂蛋白、总胆固醇、碱性磷酸酶、尿素、谷草/谷丙为关键协变量。在T2DM人群中,均衡后协变量与SUA的相关系数均值为0.0044;在糖尿病前期人群中,均衡后相关系数均值为0.0781。加权线性回归结果显示,在T2DM人群中,血尿酸(100倍)水平与血糖变化呈负关联,β(95%CI)为-0.424(-0.601~-0.247);在糖尿病前期人群中两者的关联没有统计学意义,β(95%CI)为0.001(-0.020~0.021)。结论:T2DM患者血尿酸水平与血糖呈负关联。 展开更多
关键词 糖尿病 血尿酸 血糖 协变量均衡广义倾向性评分
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解郁清痤汤联合透明质酸注射治疗肝郁血热型玫瑰痤疮的临床观察
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作者 曹立新 姚凤鸣 胡军 《中国美容医学》 CAS 2024年第8期77-80,共4页
目的:探讨解郁清痤汤联合透明质酸注射治疗肝郁血热型面部玫瑰痤疮的疗效。方法:选取2020年3月-2022年3月于笔者医院被诊断为肝郁血热型面部玫瑰痤疮的80例患者为研究对象,随机进行分组。对照组(n=40)给予透明质酸注射治疗,研究组(n=40... 目的:探讨解郁清痤汤联合透明质酸注射治疗肝郁血热型面部玫瑰痤疮的疗效。方法:选取2020年3月-2022年3月于笔者医院被诊断为肝郁血热型面部玫瑰痤疮的80例患者为研究对象,随机进行分组。对照组(n=40)给予透明质酸注射治疗,研究组(n=40)在对照组的基础上联合解郁清痤汤治疗,观察两组治疗效果。结果:研究组疗效总有效率高于对照组(P<0.05);治疗后,研究组患者红斑、毛细血管扩张、丘疹等中医证候积分低于对照组(P<0.05);痤疮特异性生活质量量表(Acne-QoL)各方面评分均高于对照组(P<0.05)。结论:解郁清痤汤联合透明质酸注射治疗肝郁血热型面部玫瑰痤疮患者疗效显著,能够明显改善患者红斑、毛细血管扩张、丘疹、瘙痒等症状,提高生活质量。 展开更多
关键词 解郁清痤汤 透明质酸注射 肝郁血热型 玫瑰痤疮 疗效
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透明质酸修饰血清白蛋白纳米粒在肿瘤诊疗中的研究进展
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作者 唐嘉 周莉莉 《中南药学》 CAS 2024年第8期2131-2138,共8页
传统检测和治疗肿瘤的方法存在局限性,如靶向性不足、灵敏度有限等。科学家们开发出的一种新型纳米系统,即利用透明质酸修饰血清白蛋白构建一种生物相容性和降解性都得到改善的纳米系统,有望提供一种新的肿瘤诊疗方法。此外,该纳米系统... 传统检测和治疗肿瘤的方法存在局限性,如靶向性不足、灵敏度有限等。科学家们开发出的一种新型纳米系统,即利用透明质酸修饰血清白蛋白构建一种生物相容性和降解性都得到改善的纳米系统,有望提供一种新的肿瘤诊疗方法。此外,该纳米系统还具有独特的双重靶向效应,可间接提高肿瘤成像的灵敏度和治疗的准确性。本文旨在探讨透明质酸血清白蛋白纳米粒在肿瘤成像诊断、治疗和治疗一体化应用中的最新研究进展,并指出现阶段仍面临的挑战及须解决的问题,进而为抗肿瘤靶向纳米制剂的开发提供理论依据及方法指导。 展开更多
关键词 透明质酸 血清白蛋白纳米粒 肿瘤靶向 成像诊断 联合治疗
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伴精神病性症状的双相情感障碍患者血浆白蛋白及血清炎症因子、血尿酸水平变化及临床意义 被引量:1
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作者 杨旭宁 吕晓静 李晓红 《河南医学研究》 CAS 2024年第2期260-264,共5页
目的探讨伴精神病性症状的双相情感障碍患者血浆白蛋白及血清炎症因子、血尿酸水平变化及临床意义。方法选取2020年9月至2022年10月在医院进行治疗的108例伴精神病性症状的双相情感障碍患者纳入观察组,另选取同期在医院治疗的71例不伴... 目的探讨伴精神病性症状的双相情感障碍患者血浆白蛋白及血清炎症因子、血尿酸水平变化及临床意义。方法选取2020年9月至2022年10月在医院进行治疗的108例伴精神病性症状的双相情感障碍患者纳入观察组,另选取同期在医院治疗的71例不伴有伴精神病性症状的双相情感障碍患者纳入对照组,对比两组血浆白蛋白及血清炎症因子、血尿酸水平变化。另根据患者不同发作状态分成不同亚组,比较不同发作状态患者血浆白蛋白及血清炎症因子、血尿酸水平变化。根据是否存在自杀意念将其分为不同亚组,分析自杀意念与血浆白蛋白及血清炎症因子、血尿酸水平关系。结果观察组血浆白蛋白低于对照组,血尿酸及血清白细胞介素-6(IL-6)、IL-4、IL-1β水平高于对照组(P<0.05);躁狂发作、抑郁发作患者血浆白蛋白低于混合发作状态患者,血尿酸及血清IL-6、IL-4、IL-1β水平高于混合发作状态患者(P<0.05),但躁狂发作者与抑郁发作者以上指标差异无统计学意义(P>0.05);伴精神病性症状的双相情感障碍患者中伴自杀意念者白蛋白水平低于不伴自杀意念者,尿酸、IL-6、IL-4、IL-1β高于不伴自杀意念者(P<0.05)。结论监测双相情感障碍患者血浆白蛋白、血尿酸及血清炎症因子水平,在评估伴或不伴精神病性症状及患者自杀意念中有重要价值。 展开更多
关键词 精神病性症状 双相情感障碍 血浆白蛋白 血清炎症因子 血尿酸
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糖尿病肾病的相关因素分析
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作者 申超辉 罗永兰 +3 位作者 张美玲 钟冰冰 陈广清 周素娴 《华夏医学》 CAS 2024年第3期123-130,共8页
目的通过分析血清胱抑素C(Cys-C)、β2微球蛋白(β2-MG)、尿酸(UA)等联合项目与糖尿病肾病(DN)的相关性,从而找出准确诊断DN的相关因素。方法选取259名糖尿病(DM)患者,收集Cys-C、β2-MG、UA等相关项目指标,运用相应的统计学方法分析相... 目的通过分析血清胱抑素C(Cys-C)、β2微球蛋白(β2-MG)、尿酸(UA)等联合项目与糖尿病肾病(DN)的相关性,从而找出准确诊断DN的相关因素。方法选取259名糖尿病(DM)患者,收集Cys-C、β2-MG、UA等相关项目指标,运用相应的统计学方法分析相关项目与尿白蛋白/肌酐比值(UACR)的关系。结果UACR≥30 mg/g作为DN的诊断临界点时,显示Cys-C、β2-MG、UA、收缩压(SBP)、餐后2 h血糖(2 h PG)、病程等6个项目是UACR的独立危险因素,当某一DM患者Cys-C≥1.435 mg/L、β2-MG≥2.055 mg/L、UA≥320μmol/L、SBP≥145 mmHg、2 h PG≥8.5 mmol/L、病程≥4.5年时,患者发展成早期DN的风险较大,相对应的临界值患病概率为81.5%。结论联合检测Cys-C、β2-MG、UA、SBP、2 h PG、病程等6个项目可以较好预测DN的发生。 展开更多
关键词 糖尿病肾病 尿白蛋白/肌酐比值 血清胱抑素C Β2微球蛋白 尿酸 收缩压 餐后2 h血糖
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孕妇血清邻苯二甲酸酯浓度与妊娠期糖尿病之间的关系
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作者 陈蓉蓉 王铮铮 +5 位作者 朱海豹 瞿剑里 高愉 袁启娴 张莹莹 赵美蓉 《环境化学》 CAS CSCD 北大核心 2024年第4期1127-1137,共11页
邻苯二甲酸酯(PAEs)广泛暴露于人体,对孕妇有许多不利影响.迄今为止,已发表了许多关于PAE对妊娠期糖尿病(GDM)风险影响的研究,但这些研究的结果存在争议.本研究共采集了2011年至2012年158例孕妇血清样本(包括104名GDM孕妇和54名未患GDM... 邻苯二甲酸酯(PAEs)广泛暴露于人体,对孕妇有许多不利影响.迄今为止,已发表了许多关于PAE对妊娠期糖尿病(GDM)风险影响的研究,但这些研究的结果存在争议.本研究共采集了2011年至2012年158例孕妇血清样本(包括104名GDM孕妇和54名未患GDM孕妇),利用气相色谱-质谱(GC-MS)测量了血清中16种PAEs的浓度,并研究了血清中PAEs浓度与孕妇患GDM风险和血糖水平之间的关系.结果表明,邻苯二甲酸二(2-乙基)己酯(DEHP,平均值为32.95 ng·mL^(-1))是孕妇血清中浓度最高的PAEs,其次是邻苯二甲酸二丁酯(DBP,平均值为20.55 ng·mL^(-1))和邻苯二甲酸丁基苄基酯(BBP,平均值为9.89 ng·mL^(-1)).Logistic回归分析结果指出,孕妇血清中的邻苯二甲酸二甲酯(DMP,odds ratio(OR)=2.39,95%置信区间(CI):1.14,3.85),DBP(OR=3.54,95%CI:1.25,5.70),邻苯二甲酸二异丁酯(DIBP,OR=2.32,95%CI:1.78,4.14)和DEHP(OR=4.19,95%CI:2.89,5.99)浓度与GDM发病率呈显著正相关.此外,孕妇的血清中DBP、DIBP和DEHP浓度与2 h血糖呈正相关(未调整模型:β_(DBP)=0.13,95%CI:0.09,0.42,P<0.05;β_(DIBP)=0.19,95%CI:0.04,0.65,P<0.05;β_(DEHP)=0.32,95%CI:0.10,0.53,P<0.05.调整后模型:β_(DBP)=0.12,95%CI:0.07,0.38,P<0.05;β_(DIBP)=0.25,95%CI:0.10,0.69,P<;0.05;β_(DEHP)=0.38,95%CI:0.15,0.58,P<0.05).总结而言,暴露于DBP、DIBP、DMP和DEHP可能会增加孕妇患GDM的风险. 展开更多
关键词 邻苯二甲酸酯 血清浓度 妊娠期糖尿病 血糖
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血清尿酸和血脂在心血管疾病中的研究进展
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作者 杨培娟 魏莉娟 《标记免疫分析与临床》 CAS 2024年第5期953-957,共5页
随着现代社会人群生活方式、饮食结构发生巨大的变化,加之人口老龄化问题日益严重,我国心血管发病率与死亡率一直在上升,已成为我国重要公共卫生问题之一。已有众多研究发现临床上血清尿酸水平和血脂水平与心血管疾病(CVD)的发生、发展... 随着现代社会人群生活方式、饮食结构发生巨大的变化,加之人口老龄化问题日益严重,我国心血管发病率与死亡率一直在上升,已成为我国重要公共卫生问题之一。已有众多研究发现临床上血清尿酸水平和血脂水平与心血管疾病(CVD)的发生、发展和预后密切相关。本文根据既往学者研究成果就血清尿酸和血脂在CVD中的研究进展进行综述,以期在临床上为预防、治疗CVD以及改善其预后提供科学依据。 展开更多
关键词 血清尿酸 血脂 心血管疾病 科学依据
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血浆尿酸水平与多种慢性病及其指标的因果关系分析
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作者 赵旭 李波 《临床肾脏病杂志》 2024年第11期922-929,共8页
目的关于血尿酸(serum uric acid,SUA)水平与心血管疾病和代谢性疾病相关的研究很多,但其与这些慢性疾病是否存在因果关系尚不清楚。本研究旨在探讨SUA与多种慢性疾病之间的因果关系。方法采用逆方差加权法(inverse variance weighted,I... 目的关于血尿酸(serum uric acid,SUA)水平与心血管疾病和代谢性疾病相关的研究很多,但其与这些慢性疾病是否存在因果关系尚不清楚。本研究旨在探讨SUA与多种慢性疾病之间的因果关系。方法采用逆方差加权法(inverse variance weighted,IVW)、MR-Egger回归法、加权中位数法(weighted median,WM)、简单模式法和加权模式法进行孟德尔随机化(mendelian randomization,MR)分析。选取东亚人群的全基因组关联分析数据集,以SUA水平数据作为暴露因素,以冠心病(coronary artery disease,CAD)、收缩压(systolic blood pressure,SBP)、舒张压(diastolic blood pressure,DBP)、平均动脉压(mean arterial pressure,MAP)、心房颤动(atrial fibrillation,AF)、Ⅱ型糖尿病(diabetes mellitus type 2,T2DM)、慢性阻塞性肺部疾病(chronic obstructive pulmonary disease,COPD)、充血性心力衰竭(congestive heart failure,CHF)、缺血性中风(ischemic stroke,IS)、骨质疏松症(osteoporosis,OP)和外周动脉疾病(peripheral artery disease,PAD)数据作为结局。进行MR分析和敏感性分析,通过对数据进行异质性检验、水平多效性检验和留一法检验结果的稳健性。结果SUA水平与CAD(OR=1.240,95%CI:1.152~1.335,P<0.001)、DBP(OR=1.074,95%CI:1.030~1.120,P<0.001)、MAP(OR=1.050,95%CI:1.016~1.086,P=0.004)和CHF(OR=1.146,95%CI:1.032~1.274,P=0.011)发病风险正相关,与SBP、AF、T2DM、COPD、IS、OP和PAD无因果关联。由于水平多效应的存在,SUA与CAD的因果关系并不稳健。结论SUA水平与DBP、MAP和CHF之间存在正向因果关系,SUA水平升高增加DBP、MAP水平和CHF的风险。 展开更多
关键词 血尿酸 孟德尔随机化分析 舒张压 平均动脉压 心力衰竭
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帕金森病不同亚型与血清维生素D及其他指标的相关性分析
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作者 翟志远 黄悦 +2 位作者 郝思佳 桑雪莲 郑金龙 《医学研究杂志》 2024年第3期147-151,157,共6页
目的 探讨血清维生素D(vitaminD,VitD)、尿酸(uric acid, UA)、总胆固醇(cholesterol, TC)、甘油三酯(triglyceride, TG)、红细胞压积(hematokrit, HCT)与帕金森病(Parkinson′s disease, PD)不同运动亚型及疾病严重程度的关系。方法 选... 目的 探讨血清维生素D(vitaminD,VitD)、尿酸(uric acid, UA)、总胆固醇(cholesterol, TC)、甘油三酯(triglyceride, TG)、红细胞压积(hematokrit, HCT)与帕金森病(Parkinson′s disease, PD)不同运动亚型及疾病严重程度的关系。方法 选取2019年9月~2022年9月于淮安市第一人民医院就诊的原发性PD患者83例,另选取同期健康查体的35例志愿者作为对照组,根据国际运动障碍协会统一帕金森病评定量表评分中的震颤部分和非震颤部分评分平均值之比将PD患者分为震颤为主(tremor dominant, TD)组、姿势步态障碍(postural instability and gait difficult, PIGD)组和混合(indeterminate, IT)组,比较不同运动亚型患者和对照组的血清VitD、HCT、UA、TC及TG水平,分析上述指标与疾病严重程度之间的相关性,采用Logistic回归分析评价不同疾病亚型的危险因素。结果 TD组、PIGD组、IT组和对照组之间的性别、病程、HCT、UA、TC和TG差异均无统计学意义(P>0.05);4组间的年龄、H-Y分期、VitD水平比较,差异均有统计学意义(P<0.05),4组间的等效剂量(levodopa equivalent doses, LED)具有微小的显著性(P=0.051)。组间两两比较可知,对照组的年龄显著低于PIGD组(P=0.0172)和IT组(P=0.0035);TD组的H-Y分期显著低于PIGD组(P=0.0024);TD组的LED显著低于PIGD组(P=0.0471);对照组的VitD水平显著高于PIGD组(P=0.0002)和IT组(P=0.0125)。VitD水平与总PD患者疾病严重程度呈负相关,且差异有统计学意义(r=-0.241,P=0.028);年龄的增加是发生PIGD和IT型PD的危险因素[相对危险度(relative risk, RR)=1.09,95%CI:1.03~1.16]和(RR=1.12,95%CI:1.05~1.19),VitD水平的降低是发生PIGD型(RR=0.85,95%CI:0.78~0.93)和IT型(RR=0.89,95%CI:0.82~0.97)PD的危险因素和。结论 血清VitD可能参与不同亚型PD的发病机制,血清VitD水平降低可能是特定亚型PD患者的危险因素。 展开更多
关键词 帕金森病 血清维生素D 血尿酸 运动亚型
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叶酸片联合胰岛素强化治疗在糖尿病视网膜病变患者中的临床应用
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作者 刘先利 郑桂花 《中国实用医药》 2024年第16期117-120,共4页
目的分析在糖尿病视网膜病变患者中应用叶酸片联合胰岛素强化治疗的效果。方法60例糖尿病视网膜病变患者作为研究对象,按照入院时间先后顺序分为对照组、试验组,每组30例。对照组用胰岛素强化治疗,试验组在对照组基础上增加叶酸片治疗... 目的分析在糖尿病视网膜病变患者中应用叶酸片联合胰岛素强化治疗的效果。方法60例糖尿病视网膜病变患者作为研究对象,按照入院时间先后顺序分为对照组、试验组,每组30例。对照组用胰岛素强化治疗,试验组在对照组基础上增加叶酸片治疗。对比两组视野检测指标[丢失方差(LV)、平均缺陷(MD)、刺激丢失方差(sLV)],患眼动脉血流速度[收缩期峰值速度(PSV)、舒张末期速度(EDV)],血清指标[C反应蛋白、胰岛素样生长因子-1(IGF-1)、血管内皮生长因子(VEGF)],空腹血糖及血清超氧化物歧化酶(SOD)、丙二醛(MDA)水平,治疗效果,视网膜黄斑厚度、脉络膜厚度。结果治疗后,试验组MD(3.21±1.02)dB、LV(14.05±1.62)dB、sLV(3.09±0.99)dB低于对照组的(4.35±1.22)、(20.14±2.95)、(5.15±1.33)dB(P<0.05)。治疗后,试验组PSV(39.15±7.66)cm/s、EDV(10.24±2.51)cm/s高于对照组的(34.51±8.71)、(7.26±1.21)cm/s(P<0.05)。治疗后,试验组C反应蛋白(4.21±1.08)mg/L、IGF-1(90.24±23.51)ng/L、VEGF(82.15±13.51)pg/L低于对照组的(7.62±3.04)mg/L、(136.57±36.54)ng/L、(113.51±27.92)pg/L(P<0.05)。治疗后,试验组空腹血糖(6.22±0.85)mmol/L及血清MDA(3.62±0.51)nmol/ml低于对照组的(7.88±4.25)mmol/L、(5.85±0.27)nmol/ml,而血清SOD(118.61±4.30)U/ml高于对照组的(88.24±4.34)U/ml(P<0.05)。试验组治疗总有效率100.0%高于对照组的83.3%(P<0.05)。试验组视网膜黄斑厚度(331.22±13.51)μm、脉络膜厚度(244.75±25.66)μm均小于对照组的(348.51±15.01)、(370.88±36.50)μm(P<0.05)。结论在糖尿病视网膜病变患者的治疗中采用叶酸片联合胰岛素强化治疗,效果显著,可以在改善患眼动脉血流速度的同时改变血清指标,降低空腹血糖、视网膜黄斑厚度、脉络膜厚度,值得推荐。 展开更多
关键词 糖尿病视网膜病变 叶酸片 胰岛素强化治疗 动脉血流速度 血清指标 视网膜黄斑厚度 脉络膜厚度
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急性呼吸衰竭患者机械通气过程中血乳酸、血清白蛋白的变化及其对撤机结局的影响
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作者 胡燕平 《四川生理科学杂志》 2024年第10期2303-2305,共3页
目的:分析急性呼吸衰竭患者机械通气过程中血乳酸、血清白蛋白的变化及其对撤机结局的影响。方法:回顾性收集本院2020年6月-2022年5月期间接受机械通气治疗的106例急性呼吸衰竭患者的临床资料。并于撤机前完成血清白蛋白、血乳酸水平检... 目的:分析急性呼吸衰竭患者机械通气过程中血乳酸、血清白蛋白的变化及其对撤机结局的影响。方法:回顾性收集本院2020年6月-2022年5月期间接受机械通气治疗的106例急性呼吸衰竭患者的临床资料。并于撤机前完成血清白蛋白、血乳酸水平检测。根据撤机结局将患者分为撤机失败组和撤机成功组。设计基线资料收集表,将可能的影响因素纳入。经Logistic回归分析检验找出影响急性呼吸衰竭患者机械通气撤机结局的因素。结果:106例急性呼吸衰竭患者资料中撤机失败31例,占比29.25%。撤机失败组中长期吸烟史占比、血乳酸水平均显著高于撤机成功组,机械通气时间显著长于撤机成功组,血清白蛋白水平显著低于撤机成功组(P<0.05)。两组的年龄、性别、体重指数、动脉血氧分压、动脉二氧化碳分压进行比较,差异均无统计学意义(P>0.05)。经Logistic回归分析结果显示,长期吸烟史、机械通气时间长及血乳酸高表达是急性呼吸衰竭患者机械通气撤机结局的危险因素(OR>1,P<0.05),血清白蛋白高表达是其保护因素(OR<1,P<0.05)。结论:急性呼吸衰竭患者机械通气过程中血乳酸高表达、血清白蛋白低表达可增加撤机失败的风险,且长期吸烟史、机械通气时间与急性呼吸衰竭患者撤机结局有关。 展开更多
关键词 急性呼吸衰竭 机械通气 血乳酸 血清白蛋白 撤机结局
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Spectrofluorimetric Determination of Magnesium (Ⅱ) with 7-(8-Hydroxy-3, 6-Disulfonaphthylazo)-8-Hydroxyquinoline-5-Sulfonic Acid
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作者 Zhang Xian, Wang Hong, Zhang Hua shan College of Chemisitry and Molecular Science, Wuhan University, Wuhan 430072, China 《Wuhan University Journal of Natural Sciences》 CAS 2001年第4期831-835,共5页
A new fluorescent reagent, 7 (8 hydroxy 3, 6 disulfonaphthylazo) 8 hydroxyquinoline 5 sulfonic acid (HDNHQ) for the determination of magnesium has been developed. It reacted with magnesium to form a 1∶1 fluor... A new fluorescent reagent, 7 (8 hydroxy 3, 6 disulfonaphthylazo) 8 hydroxyquinoline 5 sulfonic acid (HDNHQ) for the determination of magnesium has been developed. It reacted with magnesium to form a 1∶1 fluorescent complex with λ ex / λ em =356/495 nm immediately at room temperature in ammonia ammonium chloride buffer (pH 10.7). A linear relationship was obtained in the magnesium concentration range of 0 160 ng·mL -1 with the detection limit of 0.04 ng·mL -1 . The proposed method was simple, rapid and sensitive. It has been successfully applied to the determination of trace magnesium in blood serum with recoveries of 103.75% and 98.16%, respectively. 展开更多
关键词 Hydroxy 3 6 disulfonaphthylazo) 8 hydroxyquinoline 5 sulfonic acid magnesium SPECTROFLUORIMETRY blood serum
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Effects and correlates of continuous training programme on psychosocial status and white blood cell count in men with essential hypertension: A randomized controlled trial
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作者 Sikiru Lamina Chuba Goddy Okoye +3 位作者 Charles Ikechukwu Ezema Uche A. Ezugwu Augustine A. Amaeze Maduabuchukwu Joseph Nwankwo 《Health》 2013年第9期1397-1405,共9页
Aim: The aim of this study was to determine the effect and relationship of continuous training programme on WBCc and psychosocial status of black African (Nigerian) subjects with hypertension. Methods: Nigerian subjec... Aim: The aim of this study was to determine the effect and relationship of continuous training programme on WBCc and psychosocial status of black African (Nigerian) subjects with hypertension. Methods: Nigerian subjects with diagnosis of hypertension attending the hypertensive clinic of Murtala Muhammed Specialist Hospital (MMSH), Kano, Nigeria form the population for the study. 217 subjects with mild to moderate (systolic blood pressure [SBP] between 140-180 & diastolic blood pressure [DBP] between 90-109 mmHg) essential hypertension were age matched and randomly grouped into continuous (112) & control groups (105). The continuous group involved in an 8 weeks continuous training (60%-79% HR max) of between 45 minutes to 60 minutes, 3 times per week, while the controls group remain sedentary. SBP, DBP, WBCc, VO2max and psychosocial status were assessed. Student t test and Pearson correlation test were used in data analysis. Results: The study revealed a significant beneficial effect of continuous training programmes on VO2max, SBP, DBP, WBCc and psychosocial status (p < 0.05). Psychosocial status and WBCc were positively and negatively correlated respectively with VO2max at p < 0.01. Conclusions: This study supports the recommendations of moderate intensity (continuous) training program as an adjunct multi-therapy in blood pressure, inflammatory and psychosocial stress management in hypertension. 展开更多
关键词 Hypertension blood Pressure PSYCHOSOCIAL Stress serum Uric acid AFRICAN NIGERIAN
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