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Influence of mouse nerve growth factor combined with hyperbaric oxygen on serum cytokines and cognitive function in patients with delayed encephalopathy after carbon monoxide poisoning 被引量:1
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作者 Ling Qi Jie Liu Cheng-Wei Wang 《Journal of Hainan Medical University》 2017年第11期154-158,共5页
Objective:To study the influence of mouse nerve growth factor (mNGF) combined with hyperbaric oxygen on serum cytokines and cognitive function in patients with delayed encephalopathy after carbon monoxide poisoning (D... Objective:To study the influence of mouse nerve growth factor (mNGF) combined with hyperbaric oxygen on serum cytokines and cognitive function in patients with delayed encephalopathy after carbon monoxide poisoning (DEACMP).Methods: 218 patients with DEACMP who were treated in our hospital between June 2012 and September 2016 were chosen as research subjects and retrospectively divided into the control group (n=100) who underwent hyperbaric oxygen treatment and the observation group (n=118) who underwent mouse nerve growth factor combined with hyperbaric oxygen treatment. Serum contents of nerve injury indexes and inflammatory mediators were compared between two groups of patients and cognitive function was assessed.Results:Before treatment, differences in serum levels of nerve injury indexes and inflammatory mediators, total MMSE score and each dimension score were not statistically significant between two groups of patients. After treatment, serum contents of nerve injury indexes creatine kinase-BB (CK-BB), neuron-specific enolase (NSE), S-100β protein (S-100β) and lactate (Lac) in observation group were lower than those in control group;serum contents of inflammatory mediators interleukin-6 (IL-6), interleukin-10 (IL-10), interleukin-18 (IL-18), hypersensitive C-reactive protein (hs-CRP) and tumor necrosis factor (TNF-α) were lower than those in control group;total MMSE score and each dimension score were higher than those of control group.Conclusion:mNGF combined with hyperbaric oxygen treatment of DEACMP is helpful to reduce the nerve injury and systemic inflammatory response, and improve the cognitive function. 展开更多
关键词 Delayed ENCEPHALOPATHY AFTER carbon MONOXIDE POISONING mouse nerve growth factor HYPERBARIC oxygen Cognitive function
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Maternal Lead Exposure Induces Down-regulation of Hippocampal Insulin-degrading Enzyme and Nerve Growth Factor Expression in Mouse Pups
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作者 LI Xing LI Ning +6 位作者 SUN Hua Lei YIN Jun TAO Yu Chang MAO Zhen Xing YU Zeng Li LI Wen Jie John D BOGDEN 《Biomedical and Environmental Sciences》 SCIE CAS CSCD 2017年第3期215-219,共5页
Lead exposure is a known potential risk factor for neurodegenerative diseases such as Alzheimer’s disease (AD). Exposure to lead during the critical phase of brain development has been linked with mental retardatio... Lead exposure is a known potential risk factor for neurodegenerative diseases such as Alzheimer’s disease (AD). Exposure to lead during the critical phase of brain development has been linked with mental retardation and hypophrenia in later life. 展开更多
关键词 AD Maternal Lead Exposure Induces Down-regulation of Hippocampal Insulin-degrading Enzyme and nerve growth factor Expression in mouse Pups IDE NGF
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Effect of calcitonin gene-related peptide and nerve growth factor on spatial learning and memory abilities of rats following focal cerebral ischemia/reperfusion
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作者 Guangshun Zheng1, Yongjie Yang2, Xiubin Fang3 1Department of Neurosurgery, Second Hospital of Xiamen, Xiamen 361021, Fujian Province, China 2Department of Neurosurgery, Second Hospital Affiliated to China Medical University, Shenyang 110004, Liaoning Province, China 3Department of Neurobiology, Basic Medical College of China Medical University, Shenyang 110001, Liaoning Province, China 《Neural Regeneration Research》 SCIE CAS CSCD 2006年第8期673-676,共4页
BACKGROUND: Calcitonin gene-related peptide (CGRP) and nerve growth actor (NGF) cam improve spatial learning and memory abilities of rats with cerebral ischemia/reperfusion; however, the effect of combination of them ... BACKGROUND: Calcitonin gene-related peptide (CGRP) and nerve growth actor (NGF) cam improve spatial learning and memory abilities of rats with cerebral ischemia/reperfusion; however, the effect of combination of them on relieving learning and memory injury following cerebral ischemia/reperfusion should be further studied. OBJECTIVE: To study the effects of exogenous CGRP and NGF on learning and memory abilities of rats with focal cerebral ischemia/reperfusion. DESIGN: Randomized controlled animal study. SETTING: Department of Neurosurgery, the Second Hospital of Xiamen; Department of Neurosurgery, the Second Affiliated Hospital of China Medical University; Department of Neurobiology, Basic Medical College of China Medical University. MATERIALS: A total of 30 healthy male SD rats, aged 8 weeks, of clean grade, weighing 250-300 g, were provided by Experimental Animal Department of China Medical University. All rats were randomly divided into sham-operation group, ischemia/reperfusion group and treatment group with 10 in each group. The main reagents were detailed as the follows: 100 g/L chloral hydrate, 0.5 mL CGRP (2 mg/L, Sigma Company, USA), and NGF (1× 106 U/L, 0.5 mL, Siweite Company, Dalian). METHODS: The experiment was carried out in the Department of Neurobiology, Basic Medical College of China Medical University from February to July 2005. Rat models of middle cerebral artery occlusion were established by method of occlusion, 2 hours after that rats were anesthetized and the thread was slightly drawn out for 10 mm under direct staring to perform reperfusion. Rats in the ischemia/reperfusion group received intraperitoneal injection of 1 mL saline via the abdomen at two hours later, while rats in the treatment group at 2 hours later received intraperitoneal injection of 2 mg/L CGRP (0.5 mL) and 1×106 U/L NGF (0.5 mL) once a day for 10 successive days. First administration was accomplished within 15 minutes after ischemia/reperfusion. Rats in the sham-operation group were separated of the vessels without occlusion or administration. The neural function was evaluated with Zea Longa 5-grade scale. Animals with the score of one, two and three points received Morris water-maze test to measure searching time on platform (omitting platform-escaping latency). Meanwhile, leaning and memory abilities of animals were reflected through testing times of passing through platform per minute. MAIN OUTCOME MEASURES: Experimental results of omitting platform-escaping latency and spatial probe. RESULTS: Three and two rats in the ischemia/reperfusion group and treatment group respectively were not in accordance with the criteria in the process, and the rest were involved in the final analysis. ① Comparisons of platform-escaping latency during Morris water-maze test in all the three groups: Ten days after modeling, the platform-escaping latency in the ischemia/reperfusion group was obviously longer than that in sham-operation group (P < 0.01), and was significantly shorter than that in the treatment group (P < 0.01). ② Comparisons of times of passing through platform in all the three groups: Times of passing through platform were remarkably less in the ischemia/reperfusion group than those in the sham-operation group [(1.79±0.39), (4.30±0.73) times/minute, P < 0.01], and those were markedly more in the treatment group than the ischemia/reperfusion group [(3.16±1.03), (1.79±0.39) times/minute, P < 0.01]. CONCLUSION: CGRP and NGF are capable of ameliorating the abilities of spatial learning and memory in MCAO rats, which indicates that CGRP and NGF can protect ischemic neurons. 展开更多
关键词 effect of calcitonin gene-related peptide and nerve growth factor on spatial learning and memory abilities of rats following focal cerebral ischemia/reperfusion CGRP MCAO gene
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Efficacy and safety of nerve growth factor for the treatment of neurological diseases:a meta-analysis of 64 randomized controlled trials involving 6,297 patients 被引量:12
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作者 Meng Zhao Xiao-yan Li +1 位作者 Chun-ying Xu Li-ping Zou 《Neural Regeneration Research》 SCIE CAS CSCD 2015年第5期819-828,共10页
OBJECTIVE: China is the only country where nerve growth factor is approved for large-scale use as a clinical medicine. More than 10 years ago, in 2003, nerve growth factor injection was listed as a national drug. The... OBJECTIVE: China is the only country where nerve growth factor is approved for large-scale use as a clinical medicine. More than 10 years ago, in 2003, nerve growth factor injection was listed as a national drug. The goal of this article is to evaluate comprehensively the efficacy and safety of nerve growth factor for the treatment of neurological diseases. DATA RETRIEVAL: A computer-based retrieval was performed from six databases, including the Cochrane Library, PubMed, EMBASE, Sino Med, CNKI, and the VIP database, searching from the clinical establishment of nerve growth factor for treatment until December 31, 2013. The key words for the searches were "nerve growth factor, randomized controlled trials" in Chinese and in English. DATA SELECTION: Inclusion criteria: any study published in English or Chinese referring to randomized controlled trials of nerve growth factor; patients with neurological diseases such as peripheral nerve injury, central nerve injury, cranial neuropathy, and nervous system infections; patients older than 7 years; similar research methods and outcomes assessing symptoms; and measurement of nerve conduction velocities. The meta-analysis was conducted using Review Manager 5.2.3 software. MAIN OUTCOME MEASURES: The total effective rate, the incidence of adverse effects, and the nerve conduction velocity were recorded for each study. RESULTS: Sixty-four studies involving 6,297 patients with neurological diseases were included. The total effective rate in the group treated with nerve growth factor was significantly higher than that in the control group (P 〈 0.0001, RR: 1.35, 95%CI: 1.30-1.40). The average nerve conduction velocity in the nerve growth factor group was significantly higher than that in the control group (P 〈 0.00001, MD. 4.59 m/s, 95%CI: 4.12-5.06). The incidence of pain or sclero- ma at the injection site in the nerve growth factor group was also higher than that in the control group (P 〈 0.00001, RR: 6.30, 95%CI: 3.53-11.27), but such adverse effects were mild. CONCLUSION: Nerve growth factor can significantly improve nerve function in patients with nervous system disease and is safe and effective. 展开更多
关键词 nerve regeneration neurological diseases nerve growth factor randomized controlledtrials META-ANALYSIS adverse effects nerve conduction velocity neural regeneration
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Observation of curative effects of human growth factor on vascular dementia
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作者 王军民 韩丽琴 陈远芳 《中国临床康复》 CSCD 2002年第19期2978-2978,共1页
Objective To explore the treatment effect of human growth factor(NGF)on vascular dementia.Method47cases with vascular dementia were randomly div ided into two groups(study and control).The study group(24cases)were tre... Objective To explore the treatment effect of human growth factor(NGF)on vascular dementia.Method47cases with vascular dementia were randomly div ided into two groups(study and control).The study group(24cases)were treated with NGF,the control group(23cases)were treated with ordinary medicines.Results The intelligence and cognitive abil ity in the study group were obviously higher than those in the control group(P <0.01).Conclusion Compared with other methods,NGF has a significant curative effect. 展开更多
关键词 人神经生长因子 血管性痴呆 VD 疗效
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Effects of Urinary Kallidinogenase combined with mNGF on neurotrophic status, apoptosis and oxidative stress in patients with ischemic stroke
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作者 Qing-Yan Wen Hao-Lin Ou Qiao-Song Sun 《Journal of Hainan Medical University》 2018年第6期25-28,共4页
Objective:To study the effects of Urinary Kallidinogenase combined with mouse nerve growth factor (mNGF) on neurotrophic status, apoptosis and oxidative stress in patients with ischemic stroke.Methods: Patients with a... Objective:To study the effects of Urinary Kallidinogenase combined with mouse nerve growth factor (mNGF) on neurotrophic status, apoptosis and oxidative stress in patients with ischemic stroke.Methods: Patients with acute ischemic stroke who were treated in Jiangmen Central Hospital between March 2015 and October 2017 were selected and divided into two groups according to random number table method, the control group received conventional therapy, and the observation group received Urinary Kallidinogenase combined with mNGF therapy on the basis of routine therapy. The contents of neurotrophic cytokines, soluble apoptosis molecules and oxidative stress markers in serum were measured before treatment and 14d after treatment.Results:Serum BDNF, NTF, VEGF, HGF and IGF-1 levels of observation group after treatment were higher than those before treatment whereas serum BDNF, NTF, VEGF, HGF and IGF-1 levels of control group after treatment were not significantly different from those before treatment;serum sFas, sFasL, sTRAIL, 8-OHdG, Hcy and MDA levels of both groups after treatment were lower than those before treatment whereas Livin, Bcl-2, SOD and GSH-Px levels were higher than those before treatment;serum sFas, sFasL, sTRAIL, 8-OHdG, Hcy and MDA levels of observation group after treatment were lower than those of control group whereas BDNF, NTF, VEGF, HGF, IGF-1, Livin, Bcl-2, SOD and GSH-Px levels were higher than those of control group.Conclusion: Urinary Kallidinogenase combined with mNGF can improve the neurotrophic state and inhibit the apoptosis and oxidative stress response in patients with ischemic stroke. 展开更多
关键词 ISCHEMIC stroke URINARY Kallidinogenase mouse nerve growth factor NEUROTROPHY APOPTOSIS Oxidative stress
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鼠神经生长因子联合丙种球蛋白治疗慢性格林巴利综合征临床疗效观察
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作者 李雪 王梦涵 +1 位作者 张艳 张晶晶 《实用医院临床杂志》 2024年第1期155-158,共4页
目的探讨鼠神经生长因子(mNGF)联合丙种球蛋白(IVIG)治疗格林巴利综合征(GBS)的临床疗效及对炎性因子及肌力评分的影响。方法我院收治的73例GBS患者,按治疗方法分为观察组(mNGF联合IVIG治疗)40例和对照组(IVIG治疗)33例。对比两组临床... 目的探讨鼠神经生长因子(mNGF)联合丙种球蛋白(IVIG)治疗格林巴利综合征(GBS)的临床疗效及对炎性因子及肌力评分的影响。方法我院收治的73例GBS患者,按治疗方法分为观察组(mNGF联合IVIG治疗)40例和对照组(IVIG治疗)33例。对比两组临床疗效、炎性因子、肌力评分及肢体功能Hughes量表评分,并记录治疗期间不良反应发生率。结果观察组治疗总有效率显著高于对照组(P<0.05);治疗后观察组血清IL-4水平高于对照组,IL-21、IL-23水平低于对照组(P<0.05);治疗后观察组上、下肢肌力评分高于对照组,肢体功能Hughes评分低于对照组(P<0.05)。结论mNGF联合IVIG对慢性GBS的临床效果优于单纯使用IVIG治疗,二者联合治疗可有效抑制相关促炎因子的表达,明显改善患者肌力和肢体功能。 展开更多
关键词 鼠神经生长因子 丙种球蛋白 慢性格林巴利综合征 炎性因子 肌力评分
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维生素B6联合鼠神经生长因子治疗难治性癫痫
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作者 王瑞丽 柳晓艳 《中国微侵袭神经外科杂志》 CAS 2024年第7期409-413,共5页
目的探讨维生素B6联合鼠神经生长因子治疗难治性癫痫(refractory epilepsy,RE)患儿的疗效。方法选取RE患儿89例,根据住院号随机分为观察组(n=43)和对照组(n=46)。对照组在原抗癫痫药物治疗基础上联合应用左乙拉西坦片,观察组在对照组基... 目的探讨维生素B6联合鼠神经生长因子治疗难治性癫痫(refractory epilepsy,RE)患儿的疗效。方法选取RE患儿89例,根据住院号随机分为观察组(n=43)和对照组(n=46)。对照组在原抗癫痫药物治疗基础上联合应用左乙拉西坦片,观察组在对照组基础上辅助应用维生素B6联合鼠神经生长因子治疗。比较两组患儿临床疗效,治疗前后外周血miR-99a-5p、miR-125b-5p、泛素羧基末端水解酶L1(ubiquitin C-terminal hydrolase-L1,UCH-L1)水平变化和对脑电活动的影响,评估患儿智力水平和生活质量改善情况。结果观察组治疗总有效率高于对照组,差异有统计学意义(P<0.05)。治疗后,观察组miR-99a-5p、miR-125b-5p、UCH-L1和θ波水平,均明显低于对照组,差异有统计学意义(P<0.05)。治疗后,观察组语言智商、操作智商和总智商评分,儿童癫痫生活质量量表(quality of life in childhood epilepsy,QOLCE)总分,均明显高于对照组,差异有统计学意义(P<0.05)。结论维生素B6联合鼠神经生长因子治疗难治性癫痫效果较佳,可显著降低患儿外周血miR-99a-5p、miR-125b-5p、UCH-L1水平,控制脑电活动,从而改善患儿智力水平和生活质量。 展开更多
关键词 癫痫 难治性 维生素B6 鼠神经生长因子
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mNGF结合免疫球蛋白治疗急性脱髓鞘病的疗效
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作者 王爱滨 李飞飞 +3 位作者 陈保增 陈孝伟 郝强 陶伟 《川北医学院学报》 CAS 2024年第4期484-487,共4页
目的:探讨鼠神经生长因子(mNGF)结合免疫球蛋白治疗急性脱髓鞘病疗效及其对患者神经功能和血清尿酸(UA)、同型半胱氨酸(Hcy)水平的影响。方法:选取70例急性脱髓鞘病患者为研究对象,根据治疗方案不同分为免疫组与mNGF组,每组各35例。免... 目的:探讨鼠神经生长因子(mNGF)结合免疫球蛋白治疗急性脱髓鞘病疗效及其对患者神经功能和血清尿酸(UA)、同型半胱氨酸(Hcy)水平的影响。方法:选取70例急性脱髓鞘病患者为研究对象,根据治疗方案不同分为免疫组与mNGF组,每组各35例。免疫组患者给予免疫球蛋白治疗;mNGF组患者给予免疫球蛋白联合mNGF治疗。比较两组患者临床疗效,治疗前后肢体与神经功能[肢体功能评分(Hughes)与斯堪的那维亚卒中量表(SSS)评分]、电生理指标[运动神经传导速度(MCV)、复合肌肉动作电位(CMAP)波幅、F波潜伏期、感觉神经传导速度(SCV)、感觉神经动作电位(SNAP)波幅]、血清UA与Hcy水平及不良反应发生情况。结果:mNGF组临床疗效高于免疫组(P<0.05);治疗后,两组患者Hughes、SSS、F波潜伏期、Hcy均下降(P<0.05),且mNGF组显著低于免疫组(P<0.05);MCV、CMAP波幅、SCV、SNAP波幅、UA均上升(P<0.05),且mNGF组高于免疫组(P<0.05)。两组患者治疗期间不良反应发生率无统计学差异(P>0.05)。结论:mNGF联合免疫球蛋白可有效提高急性脱髓鞘病患者的治疗疗效,且安全好,值得临床推广使用。 展开更多
关键词 鼠神经生长因子 免疫球蛋白 急性脱髓鞘病 神经功能
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嗅觉训练和神经生长因子对感觉神经性嗅觉障碍患者的疗效分析
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作者 邢栋 肇越 +2 位作者 张浩 辛泽恩 魏宏权 《中国中西医结合耳鼻咽喉科杂志》 2024年第2期105-109,共5页
目的 观察嗅觉训练联合神经生长因子治疗感觉神经性嗅觉障碍的疗效。方法 选取近期接诊的头部外伤或上呼吸道感染所致嗅觉障碍患者30例作为观察组,经鼻给予神经生长因子治疗,同时指导患者进行嗅觉训练。另取我科既往接诊的头部外伤或上... 目的 观察嗅觉训练联合神经生长因子治疗感觉神经性嗅觉障碍的疗效。方法 选取近期接诊的头部外伤或上呼吸道感染所致嗅觉障碍患者30例作为观察组,经鼻给予神经生长因子治疗,同时指导患者进行嗅觉训练。另取我科既往接诊的头部外伤或上呼吸道感染所致嗅觉障碍并已行嗅觉训练治疗患者30例作为对照组。两组患者分别于治疗前、治疗后1个月、治疗后3个月行Sniffin Sticks嗅棒检测评分,比较两组治疗有效率差异。结果 观察组的总有效率为66.67%,对照组为33.33%,组间差异具有显著性统计学意义(P<0.05)。其中,上呼吸道感染后嗅觉障碍者对照组与观察组总有效率分别为41.18%和82.35%(P<0.05),且治疗后1个月和3个月时的Sniffin Sticks嗅觉测试评分与治疗前比较两组均有统计学意义(P<0.05);外伤后嗅觉障碍者两组有效率分别为23.08%和46.15%,差异无明显统计学意义(P>0.05),观察组治疗1个月后嗅觉测试评分与治疗前无明显差异(P>0.05),但于治疗3个月后,其评分结果与治疗前有显著性差异(P<0.05)。结论 嗅觉训练联合神经生长因子治疗上呼吸道感染及外伤后嗅觉障碍的疗效优于单纯嗅觉训练,该疗法可以作为感觉神经性嗅觉障碍的治疗方法应用于临床。 展开更多
关键词 嗅觉障碍 嗅觉训练 神经生长因子 联合疗法 疗效
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鼠神经生长因子联合低剂量重组人促红细胞生成素对早产儿脑损伤后神经发育的影响
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作者 吴珺珺 吴斌 +1 位作者 文艺 田丽 《中国合理用药探索》 CAS 2024年第4期63-68,共6页
目的:探讨鼠神经生长因子(mNGF)联合低剂量重组人促红细胞生成素(rh Epo)对早产儿脑损伤后神经发育的影响。方法:选取2021年3月~2022年3月期间某院收治的200例脑损伤早产儿作为研究对象,依据随机数字表法分为对照组和观察组,每组100例... 目的:探讨鼠神经生长因子(mNGF)联合低剂量重组人促红细胞生成素(rh Epo)对早产儿脑损伤后神经发育的影响。方法:选取2021年3月~2022年3月期间某院收治的200例脑损伤早产儿作为研究对象,依据随机数字表法分为对照组和观察组,每组100例。两组患儿均给予营养支持、水电解质纠正、血糖、血压维持等常规治疗,对照组在常规治疗基础上给予注射用鼠神经生长因子,观察组在对照组治疗基础上静脉注射低剂量重组人促红素注射液(CHO细胞)。比较两组患儿脑损伤相关因子[神经元特异性烯醇化酶(NSE)、S100钙结合蛋白β(S100β)、8-羟基脱氧鸟苷(8-OHdG)、8-异前列腺素F2α(8-iso-PGF2α)]、炎症因子[肿瘤坏死因子-α(TNF-α)、白介素-18(IL-18)、Toll样受体4(TLR4)]水平、神经发育异常情况、智能等级及不良反应发生情况。结果:治疗后,两组患儿NSE、S100β、8-OHdG、8-iso-PGF2α水平均降低(P<0.05),且观察组低于对照组(P<0.05);两组患儿TNF-α、IL-18、TLR4水平均降低(P<0.05),且观察组低于对照组(P<0.05);观察组患儿神经发育异常项目≥3项及异常项目≥1项的发生率均低于对照组(P<0.05);两组患儿智能等级均呈升高趋势(P<0.05),且观察组升高趋势更明显(P<0.05);两组患儿不良反应总发生率比较无统计学差异(P>0.05)。结论:在常规治疗基础上联用m NGF、低剂量rhEpo可有效降低患儿脑损伤相关因子水平及神经发育异常率,提高智能等级,且未增加不良反应的发生风险。 展开更多
关键词 早产儿 脑损伤 神经发育 鼠神经生长因子 重组人促红细胞生成素 脑损伤相关因子 智能等级 安全性
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胃溃疡出血患者胃液PH、EGF、PGE_(2)和胃动素水平与其消化内镜治疗效果及胃肠功能的关系
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作者 帅娟 吴迎 安丽娜 《现代消化及介入诊疗》 2024年第7期784-788,共5页
目的 探讨胃溃疡出血患者胃液PH、表皮生长因子(EGF)和前列腺素E_(2)(PGE_(2))水平与其消化内镜治疗效果及胃肠功能的关系。方法 选取2022年1月至2024年5月于武汉大学中南医院行消化内镜治疗的胃溃疡出血患者67例。对患者消化内镜治疗... 目的 探讨胃溃疡出血患者胃液PH、表皮生长因子(EGF)和前列腺素E_(2)(PGE_(2))水平与其消化内镜治疗效果及胃肠功能的关系。方法 选取2022年1月至2024年5月于武汉大学中南医院行消化内镜治疗的胃溃疡出血患者67例。对患者消化内镜治疗时收集的胃液中PH、EGF和PGE_(2)水平进行检测。评价患者的疾病治疗有效率。比较不同疗效患者的胃液PH、EGF和PGE_(2)水平,并采用ROC曲线下面积评价其胃液PH、EGF和PGE_(2)水平对消化内镜治疗效果的早期评估效能。收集患者术后肠鸣音恢复时间、肛门排气时间、止血时间、住院时间、溃疡愈合时间等胃肠功能和恢复指标,并通过Pearson相关法分析其胃液PH、EGF和PGE_(2)水平与术后胃肠功能和恢复指标的关系。结果 胃溃疡出血患者67例的临床治疗有效率为71.64%(48/67)。与治疗有效患者比较,治疗无效患者的胃液PH、EGF和PGE_(2)水平均较低(P<0.05)。ROC曲线分析结果显示,胃液PH、EGF和PGE_(2)水平对消化内镜治疗效果均具备一定的预测价值,以三者联合检测的早期评估效能最佳。患者术后肠鸣音恢复时间、肛门排气时间、止血时间、住院时间、溃疡愈合时间分别为(7.16±2.38)min、(26.96±6.41)h、(20.66±4.37)h、(4.52±1.16)d和(23.14±4.18)d。Pearson相关分析结果显示,胃溃疡出血患者胃液PH、EGF和PGE_(2)水平与其术后肠鸣音恢复时间、肛门排气时间、止血时间、住院时间、溃疡愈合时间等胃肠功能和恢复指标均呈负相关(P<0.05)。结论 胃溃疡出血患者胃液PH、EGF和PGE_(2)水平与其消化内镜治疗效果、术后胃肠功能和恢复情况均相关,可作为胃溃疡出血内镜治疗患者疗效的早期评估参考指标。 展开更多
关键词 胃溃疡出血 胃液 PH 表皮生长因子、前列腺素E_(2) 消化内镜 治疗效果 胃肠功能 关系
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参芎葡萄糖注射液联合鼠神经生长因子治疗新生儿缺氧缺血性脑病的临床研究
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作者 黄丽 杨依 《联勤军事医学》 CAS 2024年第8期694-697,714,共5页
目的 探讨参芎葡萄糖注射液(Shenxiong glucose injection,SGI)联合鼠神经生长因子(mouse nerve growth factor,mNGF)治疗新生儿缺氧缺血性脑病(hypoxic-ischemic encephalopathy,HIE)的疗效及对血清髓鞘碱性蛋白(myelin basic protein,... 目的 探讨参芎葡萄糖注射液(Shenxiong glucose injection,SGI)联合鼠神经生长因子(mouse nerve growth factor,mNGF)治疗新生儿缺氧缺血性脑病(hypoxic-ischemic encephalopathy,HIE)的疗效及对血清髓鞘碱性蛋白(myelin basic protein,MBP)和神经生长因子(nerve growth factor,NGF)水平的影响。方法 选择2021-08/2023-11月收治的HIE患儿120例,利用分层随机化分组法将其分为对照组和观察组,每组60例。对照组使用SGI进行治疗,观察组使用SGI+mNGF进行治疗。观察两组患者的治疗效果、运动表现测试(test of infant motor performance,TIMP)评分、行为神经测定(neonatal behavioral neurological assessment,NBNA)评分、血气指标[乳酸(lactic acid,Lac)、酸碱度(pondus hydrogenii,pH)、二氧化碳分压(partial pressure of carbon dioxide,PaCO_(2))、碱剩余(base excess,BE)、氧分压(partial pressure of oxygen,PaO_(2))]、MBP及NGF水平,同时观察用药期间两组患儿不良反应发生情况。结果 观察组患儿治疗总有效率(91.67%)显著高于对照组(75.00%),差异有统计学意义(P<0.05)。两组患儿pH、PaO_(2)、BE、TIMP、NBNA和NGF在治疗后均显著升高,且观察组高于对照组,差异均有统计学意义(P均<0.05);PaCO_(2)、Lac、MBP水平均显著降低,且观察组低于对照组,差异均有统计学意义(P均<0.05);两组患儿不良反应发生率差异无统计学意义(P>0.05)。结论 使用SGI联合mNGF治疗新生儿HIE具有显著疗效,且可以改善患儿血液氧合功能,提高其运动能力,在降低MBP水平的同时,还可提高NGF水平,对修复新生儿神经功能损伤效果显著。 展开更多
关键词 新生儿 缺氧缺血性脑病 参芎葡萄糖注射液 鼠神经生长因子 血清髓鞘碱性蛋白 神经生长因子
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高压氧联合鼠神经生长因子对高血压脑出血患者术后弥散张量成像参数的影响
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作者 徐琨 杜文军 刘丽爽 《检验医学与临床》 CAS 2024年第16期2427-2430,共4页
目的 探讨高压氧联合鼠神经生长因子(mNGF)对高血压脑出血患者术后弥散张量成像(DTI)参数的影响。方法 选取2021年2月至2023年2月首都医科大学附属北京康复医院收治的96例高血压脑出血患者作为研究对象,采用随机数字表法将其分为对照组... 目的 探讨高压氧联合鼠神经生长因子(mNGF)对高血压脑出血患者术后弥散张量成像(DTI)参数的影响。方法 选取2021年2月至2023年2月首都医科大学附属北京康复医院收治的96例高血压脑出血患者作为研究对象,采用随机数字表法将其分为对照组和观察组,每组48例。在常规对症治疗的基础上,对照组予以高压氧治疗,观察组予以高压氧+mNGF治疗。比较两组DTI参数[主要包括大脑脚、内囊后肢各向异性分数比值(rFA)]、神经功能[采用美国国立卫生研究院卒中量表(NIHSS)进行评估]、运动功能[采用改良Barthel指数(MBI)量表进行评估]、日常生活能力[采用简式Fugl-Meyer运动功能量表(FMA)进行评估]、炎症因子水平及不良反应发生情况。结果 治疗后两组NIHSS评分低于治疗前,FMA评分和MBI评分高于治疗前,差异均有统计学意义(P<0.05)。观察组治疗后NIHSS评分低于对照组,FMA评分和MBI评分高于对照组,差异均有统计学意义(P<0.05)。治疗后两组超敏C反应蛋白(hs-CRP)、白细胞介素-10(IL-10)、白细胞介素-1β(IL-1β)水平均低于治疗前,且观察组治疗后IL-1β、IL-10、hs-CRP水平低于对照组,差异均有统计学意义(P<0.05)。治疗后两组大脑脚rFA、内囊后肢rFA高于治疗前,且观察组治疗后大脑脚rFA、内囊后肢rFA高于对照组,差异均有统计学意义(P<0.05)。对照组与观察组不良反应发生率(8.33%vs.10.42%)比较,差异无统计学意义(P>0.05)。结论 高压氧联合mNGF可促进高血压脑出血患者神经纤维修复,提高rFA,改善神经及运动功能,降低炎症水平,促进患者术后恢复。 展开更多
关键词 高压氧 鼠神经生长因子 高血压脑出血 弥散张量成像 神经功能 运动功能
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鼠神经生长因子在新生儿缺氧缺血性脑病中的应用
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作者 田领 胡延涛 +4 位作者 宋梦真 王红伟 慕春雨 陈言伟 郭世燕 《中国实用神经疾病杂志》 2024年第6期762-766,共5页
目的探究鼠神经生长因子在新生儿缺氧缺血性脑病(HIE)中的应用价值。方法回顾性分析选取2019-01-01—2023-12-01中国人民解放军联勤保障部队第九八九医院收治的132例HIE病患儿临床资料。对照组76例,采用单唾液酸四己糖神经节苷脂钠注射... 目的探究鼠神经生长因子在新生儿缺氧缺血性脑病(HIE)中的应用价值。方法回顾性分析选取2019-01-01—2023-12-01中国人民解放军联勤保障部队第九八九医院收治的132例HIE病患儿临床资料。对照组76例,采用单唾液酸四己糖神经节苷脂钠注射液干预,试验组56例,采用鼠神经生长因子干预。比较2组患儿临床治疗效果与康复指标[肌张力恢复、意识恢复、意识反射恢复、吸吮恢复时间、住院时间]及治疗前、后血气指标[动脉血氧分压(PaO_(2))、pH值、动脉二氧化碳分压(PaCO_(2))]、超氧化物歧化酶(SOD)、神经元特异性烯醇化酶(NSE)以及干预前和干预2、3、4周新生儿行为神经测定量表(NBNA)。结果132例患儿总有效率为86.36%(114例),试验组、对照组治疗总有效率(87.50%比85.53%)差异无统计学意义(P>0.05)。试验组、对照组4项指标恢复时间及住院时间比较差异无统计学意义(P>0.05)。干预前后,试验组、对照组3项血气指标比较差异无统计学意义(P>0.05)。干预后2组SOD、NSE均有改善,且试验组改善更明显(P<0.05)。NBNA评分时点比较,差异有统计学意义(F_(时点)=719.128,P<0.01),NBNA评分有随时间变化趋势,但组间无统计学差异(P>0.05)。结论鼠神经生长因子对HIE治疗效果较好,与单唾液酸四己糖神经节苷脂钠相比,更能改善神经因子水平。 展开更多
关键词 缺氧缺血性脑病 鼠神经生长因子 新生儿 单唾液酸四己糖神经节苷脂钠注射液 神经康复 神经因子
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注射用鼠神经生长因子联合纤溶酶注射液对急性脑梗死患者脑血流动力学及氧化应激反应的影响
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作者 黄会会 薛青青 罗中旭 《药品评价》 CAS 2024年第8期1000-1003,共4页
目的研究注射用鼠神经生长因子(NGF)联合纤溶酶注射液对急性脑梗死(ACI)患者脑血流动力学及氧化应激反应的影响。方法本研究回顾性选取2022年1月至2024年1月周口市中医院收治的ACI患者93例,按不同治疗方案分为参照组45例、研究组48例。... 目的研究注射用鼠神经生长因子(NGF)联合纤溶酶注射液对急性脑梗死(ACI)患者脑血流动力学及氧化应激反应的影响。方法本研究回顾性选取2022年1月至2024年1月周口市中医院收治的ACI患者93例,按不同治疗方案分为参照组45例、研究组48例。参照组采用纤溶酶注射液治疗,研究组采用注射用NGF联合纤溶酶注射液治疗。比较两组临床疗效,脑卒中专用生活质量量表(SS-QOL),神经功能缺损程度(NDS)评分,日常生活能力量表(ADL)评分,脑血流动力学[(平均血流速度Vm)、舒张期末血流速度(Vd)、阻力指数(RI)],氧化应激指标[超氧化物歧化酶(SOD)、谷胱甘肽过氧化物酶(GSH-Px)、丙二醛(MDA)],不良反应发生率。结果研究组总有效率(93.75%)高于参照组(75.56%)(P<0.05),且两组不良反应总发生率比较无明显差异(P>0.05)。治疗后,与参照组对比,研究组Vm、Vd、SOD高,RI、GSH-Px、MDA低(P<0.05)。两组治疗后SS-QOL、ADL评分升高,NDS评分降低,其中联合组改善更为明显(P<0.05)。结论注射NGF联合纤溶酶注射液治疗ACI患者效果显著,可有效促进神经功能恢复,提高患者生活质量,改善脑血液循环,降低氧化应激反应,且具有一定安全性。 展开更多
关键词 鼠神经生长因子 纤溶酶 急性脑梗死 氧化应激
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康复训练联合鼠神经生长因子治疗小儿脑瘫的临床效果观察
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作者 许志伟 陈盼 《中国医药指南》 2024年第26期91-93,共3页
目的探讨康复训练联合鼠神经生长因子在小儿脑瘫临床治疗中的应用效果。方法选取本院2021年1月至2023年10月收治的291例小儿痉挛型脑瘫患儿作为研究对象,应用随机数字表法分为观察组(康复训练联合鼠神经生长因子,146例)和对照组(康复训... 目的探讨康复训练联合鼠神经生长因子在小儿脑瘫临床治疗中的应用效果。方法选取本院2021年1月至2023年10月收治的291例小儿痉挛型脑瘫患儿作为研究对象,应用随机数字表法分为观察组(康复训练联合鼠神经生长因子,146例)和对照组(康复训练,145例),对比两组脑功能康复情况、S-S语言发育情况。结果治疗后,观察组患儿的粗大运动功能评估量表(GMFM)评分、0~6岁小儿神经心理发育量表发育商(DQ)评分比对照组高(P<0.05),观察组Ashworth量表评分比对照组低(P<0.05)。观察组语言发育低于实际年龄≥3个阶段、低于实际年龄≥2个阶段的患儿比例比对照组更低,语言发育低于实际年龄≥1个阶段的患儿比例比对照组更高(P<0.05)。结论在小儿脑瘫的临床治疗中,实施康复训练的基础上应用鼠神经生长因子进行治疗能够让患儿的脑功能得到更好的恢复,促进语言发育。 展开更多
关键词 小儿脑瘫 康复训练 鼠神经生长因子 脑功能 语言发育
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注射用鼠神经生长因子联合康复训练治疗脑性瘫痪患儿的临床疗效分析
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作者 张艳梅 《中国现代药物应用》 2024年第13期10-13,共4页
目的探究注射用鼠神经生长因子与康复训练联合应用治疗脑性瘫痪的疗效。方法选取300例脑性瘫痪患儿,经信封法分为对照组(150例,康复训练)、观察组(150例,注射用鼠神经生长因子+康复训练)。对比两组粗大运动功能、精细运动功能、语言功... 目的探究注射用鼠神经生长因子与康复训练联合应用治疗脑性瘫痪的疗效。方法选取300例脑性瘫痪患儿,经信封法分为对照组(150例,康复训练)、观察组(150例,注射用鼠神经生长因子+康复训练)。对比两组粗大运动功能、精细运动功能、语言功能、治疗效果。结果治疗3个月后,两组卧位、坐位、爬跪、站立、走跑跳评分均较治疗前升高,且观察组卧位、坐位、爬跪、站立、走跑跳评分分别为(40.23±5.46)、(50.63±4.78)、(34.23±3.98)、(31.25±4.35)、(58.64±5.78)分,较对照组的(32.18±5.35)、(41.27±4.62)、(29.01±3.86)、(26.54±4.21)、(51.05±5.63)分高(P<0.05)。治疗3个月后,两组上肢关节活动、视觉追踪、手眼协调能力、抓握能力、操作能力评分均较治疗前升高,且观察组上肢关节活动、视觉追踪、手眼协调能力、抓握能力、操作能力评分分别为(28.76±2.45)、(19.92±1.67)、(45.76±2.99)、(30.25±2.54)、(33.54±2.56)分,较对照组的(25.43±2.40)、(16.87±1.62)、(39.02±2.84)、(27.11±2.43)、(28.46±2.45)分高(P<0.05)。治疗3个月后,两组语言理解、语言表达评分均较治疗前升高,且观察组语言理解评分(64.76±3.45)分、语言表达评分(62.89±3.25)分较对照组的(59.62±3.37)、(57.04±3.17)分高(P<0.05)。观察组治疗总有效率95.33%高于对照组的76.67%(P<0.05)。结论脑性瘫痪患儿联用注射用鼠神经生长因子、康复训练,可提高粗大运动功能、精细运动功能、治疗效果,值得临床推广。 展开更多
关键词 脑性瘫痪 脑血流动力学 注射用鼠神经生长因子 治疗效果 康复训练 精细运动功能 粗大运动功能
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伏美替尼与吉非替尼治疗EGFR敏感突变的晚期非小细胞肺癌的临床效果
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作者 樊成涛 鱼芳 《国际医药卫生导报》 2024年第6期913-917,共5页
目的探究伏美替尼与吉非替尼治疗表皮生长因子受体(EGFR)敏感突变的晚期非小细胞肺癌(NSCLC)的疗效和安全性。方法本研究采用前瞻性、随机、对照、单中心临床研究方法设计。选择2021年4月至2022年4月商洛市中心医院接诊的90例晚期NSCLC... 目的探究伏美替尼与吉非替尼治疗表皮生长因子受体(EGFR)敏感突变的晚期非小细胞肺癌(NSCLC)的疗效和安全性。方法本研究采用前瞻性、随机、对照、单中心临床研究方法设计。选择2021年4月至2022年4月商洛市中心医院接诊的90例晚期NSCLC患者,按照随机数字表法分为试验组和对照组。试验组筛选45例,剔除2例,最终43例纳入分析,其中男性29例,女14例,年龄(51.79±6.28)岁,腺癌43例;对照组筛选45例,剔除3例,最终42例纳入分析,其中男性26例,女16例,年龄(52.06±5.41)岁,腺癌42例。两组患者均静脉滴注培美曲塞500 mg/m2,1次/21 d,每个治疗周期首日用药。对照组口服吉非替尼片250 mg/次,1次/d,21 d为1个治疗周期;试验组口服甲磺酸伏美替尼片40 mg/次,2次/d,21 d为1个治疗周期。两组均维持治疗3个周期。比较两组的癌胚抗原(CEA)、糖类抗原19-9(CA19-9)、细胞角质蛋白19片段抗原21-1(CYFRA21-1)、基质金属蛋白酶-9(MMP-9)、基质金属蛋白酶抑制蛋白-1(TIMP-1)水平及临床疗效、安全性。随访18个月,记录生存预后。采用独立样本t检验、配对t检验、χ^(2)检验。结果治疗后,试验组和对照组的总有效率分别为69.77%(30/43)和47.62%(20/42),差异有统计学意义(χ^(2)=4.303,P=0.038)。治疗后,试验组和对照组的CEA水平分别为(20.21±5.72)µg/L、(25.31±4.16)µg/L,CA19-9水平分别为(26.85±3.92)µg/L、(29.62±4.15)µg/L,CYFRA21-1水平分别为(2.61±0.76)µg/L、(3.62±0.91)µg/L,MMP-9水平分别为(102.86±20.37)µg/L、(117.41±22.06)µg/L,TIMP-1水平分别为(608.31±60.43)µg/L、(635.93±61.15)µg/L,差异均有统计学意义(均P<0.05)。试验组和对照组的总药物不良反应发生率分别为39.53%(17/43)和30.95%(13/42)(χ^(2)=0.685,P=0.408)。随访结束,试验组失访2例,中位无进展生存期(PFS)8个月,死亡8例;对照组失访2例,中位PFS 14个月,死亡17例。两组均未达到中位总生存期(OS),两组OS生存曲线比较,差异有统计学意义(Log-rankχ^(2)=4.939,P=0.026)。结论相比于吉非替尼,伏美替尼治疗晚期NSCLC更有助于提高疾病缓解率,延长PFS和OS,安全性良好。 展开更多
关键词 非小细胞肺癌 晚期 表皮生长因子受体 表皮生长因子受体-酪氨酸激酶抑制剂 疗效 生存
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不同阈值程序性死亡配体-1的表达在非表皮生长因子受体突变的肺腺癌患者中的临床意义
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作者 宋开放 李桂芳 孙江涛 《实用癌症杂志》 2024年第7期1087-1092,1096,共7页
目的 评估不同阈值程序性死亡配体-1(PD-L1)的表达对非表皮生长因子受体(EGFR)突变的肺腺癌患者的治疗效果及其预后的影响。方法 回顾性分析75例接受PD-L1免疫治疗的非EGFR突变的肺腺癌患者的临床资料,应用免疫组化检测患者中不同阈值下... 目的 评估不同阈值程序性死亡配体-1(PD-L1)的表达对非表皮生长因子受体(EGFR)突变的肺腺癌患者的治疗效果及其预后的影响。方法 回顾性分析75例接受PD-L1免疫治疗的非EGFR突变的肺腺癌患者的临床资料,应用免疫组化检测患者中不同阈值下PD-L1的表达水平。分析比较不同阈值PD-L1表达水平与患者临床资料的相关性以及对患者预后的影响。结果 75例患者中,PD-L1<1%和PD-L1≥1%组中,PD-L1的表达水平与患者性别、年龄、ECOG评分、TNM分期、Ki-67和淋巴结转移等因素无关(P>0.05);PD-L1<5%和PD-L1≥5%组中,PD-L1的表达与Ki-67及淋巴结转移有关(P<0.05)。PD-L1<1%和PD-L1≥1%组中,PD-L1的表达与化疗客观有效率、PFS及OS均无统计学差异(ORR 58.5%vs 38.2%,P=0.106;mPFS 18.4个月vs 21.2个月,P=0.158;mOS 28.1个月vs 32.7个月,P=0.156)。PD-L1<5%和PD-L1≥5%组中,PD-L1的表达与化疗客观有效率、PFS有统计学差异(ORR 36.8%vs 61.1%,P=0.013;mPFS 17.1个月vs 23.2个月,P=0.020)。以TPS 5%为界,单因素分析Ki-67≥15%、淋巴结转移及PD-L1表达阳性是影响非EGFR突变肺腺癌患者PFS的危险因素(P=0.031,P=0.003,P=0.004);多因素分析中PD-L1表达阳性是影响无病生存期的独立危险因素(P=0.001)。结论 不同阈值PD-L1的表达在非EGFR突变的肺腺癌患者中存在较大差异,提示不同阈值界定的PD-L1的表达可作为该类患者个体化治疗的预测指标。 展开更多
关键词 非小细胞肺癌 腺癌 程序性死亡配体-1 表皮生长因子受体 治疗效果 预后
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