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亚低温脑保护在创伤性颅脑损伤治疗中的应用效果分析 被引量:18
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作者 胡学安 胡世颉 +5 位作者 李兵 邹西峰 张磊 曹宝萍 王冰 费舟 《陕西医学杂志》 CAS 2014年第4期398-400,共3页
目的:探讨亚低温脑保护在创伤性颅脑损伤治疗中的临床应用效果。方法:创伤性颅脑损伤患者140例根据入院顺序分为治疗组与对照组各70例,两组都给予常规治疗,在此基础上治疗组给予局部亚低温保护。结果:治疗组与对照组的有效率分别为41.4%... 目的:探讨亚低温脑保护在创伤性颅脑损伤治疗中的临床应用效果。方法:创伤性颅脑损伤患者140例根据入院顺序分为治疗组与对照组各70例,两组都给予常规治疗,在此基础上治疗组给予局部亚低温保护。结果:治疗组与对照组的有效率分别为41.4%和21.4%,治疗组的有效率明显高于对照组(P<0.05)。两组治疗前出血量及水肿带对比差异无统计学意义,治疗后出血量明显下降,而水肿带明显上升,组间对比差异明显(P<0.05)。两组治疗前血清超氧化物歧化酶(SOD)与丙二醛(MDA)含量对比差异无统计学意义,治疗后MDA含量明显下降,而SOD含量明显增加,同时组间对比差异显著(P<0.05)。治疗后治疗组应激性溃疡、肺感染、高血糖、脑心综合征等总体并发症发生率明显少于对照组(P<0.05)。结论:亚低温脑保护在创伤性颅脑损伤治疗中的应用能够通过减少自由基的产生减轻脑出血与脑水肿,从而提高疗效,安全性也比较好。 展开更多
关键词 颅脑损伤 创伤和损伤 @亚低温
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亚低温对大鼠急性脊髓损伤后局部线粒体呼吸功能的影响 被引量:1
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作者 赵鹏 余厚友 +2 位作者 王肖 王慧贤 尹文 《陕西医学杂志》 CAS 2010年第3期288-290,共3页
目的:探讨亚低温治疗对大鼠脊髓损伤后局部线粒体呼吸功能的影响。方法:54只SD大鼠,随机分组为对照组(假手术组)、脊髓损伤组(SCI组)和亚低温治疗组,每组又分为处理后6、12、24h三个时相。每组6只大鼠,采用Allen's打击法造成脊髓损... 目的:探讨亚低温治疗对大鼠脊髓损伤后局部线粒体呼吸功能的影响。方法:54只SD大鼠,随机分组为对照组(假手术组)、脊髓损伤组(SCI组)和亚低温治疗组,每组又分为处理后6、12、24h三个时相。每组6只大鼠,采用Allen's打击法造成脊髓损伤模型,在各时相点提取损伤段脊髓线粒体,测定线粒体呼吸态(R3)、态(R4)、呼吸控制率(RCR)、磷氧比(P/O)。结果:SCI组在脊髓损伤后6、12和24h线粒体R3、RCR和P/O显著低于对照组,R4显著高于对照组,差异有统计学意义;亚低温组脊髓损伤后6、12和24h线粒体R3、RCR和P/O高于SCI组,R4低于SCI组,差异有统计学意义;亚低温组R3、R4和RCR在6h和12h时相与对照组之间无明显差异,24h时相R3、RCR和P/O低于正常对照组,有显著差异。结论:脊髓损伤后局部线粒体呼吸功能明显受到影响,线粒体内膜通透性增加,线粒体氧化磷酸化的偶联程度明显受到抑制。早期使用亚低温治疗可明显改善线粒体的呼吸功能,保护伤段脊髓线粒体的稳定性。 展开更多
关键词 脊髓损伤/病理生理学 线粒体 细胞呼吸 @亚低温 大鼠
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亚低温对脑缺血大鼠VEGF表达及血管生成的影响
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作者 张玉石 李耀彩 +2 位作者 张其梅 李从德 兰晶 《陕西医学杂志》 CAS 北大核心 2008年第12期1589-1591,共3页
目的:观察亚低温对大鼠脑缺血后血管生成及血管内皮生长因子(VEGF)表达的影响,探讨亚低温治疗缺血性脑病的可行性。方法:66只大鼠随机分为假手术组、常温组和亚低温组。栓线法造模,亚低温组大鼠行低温(33~34℃)干预24h后自然复温。免... 目的:观察亚低温对大鼠脑缺血后血管生成及血管内皮生长因子(VEGF)表达的影响,探讨亚低温治疗缺血性脑病的可行性。方法:66只大鼠随机分为假手术组、常温组和亚低温组。栓线法造模,亚低温组大鼠行低温(33~34℃)干预24h后自然复温。免疫组化染色检测缺血边缘区CD31、Ki67阳性细胞密度以及VEGF表达。结果:两组大鼠在脑缺血后各时间点CD31阳性细胞细胞计数无统计学差异;亚低温组Ki67阳性细胞密度与VEGF表达在低温干预期间低于常温组,复温之后两组无显著性差异。结论:亚低温抑制VEGF表达,脑缺血后短期的亚低温治疗不影响血管生成,推测VEGF主要在脑缺血24h后发挥促血管生成作用。 展开更多
关键词 脑缺血/病理生理学 内皮生长因子 @亚低温 动物 实验 大鼠
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亚低温治疗重型颅脑损伤54例
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作者 续梅 《陕西医学杂志》 CAS 2009年第8期1087-1088,共2页
关键词 颅脑损伤/治疗 @亚低温 危重病 护理
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早期亚低温治疗重型颅脑损伤57例观察 被引量:1
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作者 林智 周锐先 +2 位作者 付圆博 任小江 张跃银 《陕西医学杂志》 CAS 2012年第5期559-561,共3页
目的:探讨早期亚低温治疗重型颅脑损伤的疗效及其保护机制。方法:对57例重型颅脑损伤患者进行早期亚低温治疗并观察治疗效果。结果:亚低温组30例,3个月后GOS评分:良好15例,占50.0%;中度残疾5例,占16.7%;重度残疾4例,占13.3%;植物生存2例... 目的:探讨早期亚低温治疗重型颅脑损伤的疗效及其保护机制。方法:对57例重型颅脑损伤患者进行早期亚低温治疗并观察治疗效果。结果:亚低温组30例,3个月后GOS评分:良好15例,占50.0%;中度残疾5例,占16.7%;重度残疾4例,占13.3%;植物生存2例,占6.7%;死亡4例,占13.3%。常规治疗组27例,3个月后GOS评分:良好8例,占29.6%;中度残疾5例,占18.5%;重度4例,占14.8%;植物生存2例,占7.5%;死亡8例,占29.6%。结论:适时适度应用亚低温疗法能够明显改善重型颅脑损伤患者的预后。 展开更多
关键词 脑损伤/治疗 @亚低温
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额颞部对冲性脑损伤118例临床分析 被引量:1
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作者 马小红 罗有才 《陕西医学杂志》 CAS 2009年第7期858-859,共2页
目的:探讨额颞部对冲性脑损伤的临床特点及有效治疗方法。方法:分析118例额颞部对冲性脑损伤的临床特点、影像学检查及治疗方法。手术治疗96例,非手术治疗22例;一侧改良翼点开颅83例,双侧额颞开颅13例;去骨瓣减压72例,骨瓣复位或漂浮复... 目的:探讨额颞部对冲性脑损伤的临床特点及有效治疗方法。方法:分析118例额颞部对冲性脑损伤的临床特点、影像学检查及治疗方法。手术治疗96例,非手术治疗22例;一侧改良翼点开颅83例,双侧额颞开颅13例;去骨瓣减压72例,骨瓣复位或漂浮复位24例;气管切开39例,亚低温治疗17例。结果:随访时间3月至2年,平均9个月;术后存活102例,依照COS功能恢复评定:恢复良好83例,中残12例,重残6例,植物生存状态1例,死亡16例。结论:临床结合CT动态监测,可更好地指导额颞对冲性脑损伤手术时机及方法的选择。大骨瓣减压联合亚低温治疗能显著提高重型额颞脑损伤抢救成功率。 展开更多
关键词 脑损伤伤/外科学 减压术 外科 @亚低温治疗 @大骨瓣减压术
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Observed trends in diurnal temperature range over Nigeria 被引量:1
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作者 DIKE Victor Nnamdi LIN Zhaohui +1 位作者 WANG Yuxi NNAMCHI Hyacinth 《Atmospheric and Oceanic Science Letters》 CSCD 2019年第2期131-139,共9页
The long-term trend of diurnal temperature range(DTR)over Nigeria was examined using daily station-based datasets for the period 1971–2013.The results show that the regionally averaged DTR has decreased significantly... The long-term trend of diurnal temperature range(DTR)over Nigeria was examined using daily station-based datasets for the period 1971–2013.The results show that the regionally averaged DTR has decreased significantly(-0.34°C per decade)over the Nigerian Sahel(north of 10°N),but there has been a slight increasing trend(0.01°C per decade)over the Nigerian Guinea Coast.The annual decreasing trend of DTR in the Nigerian Sahel is mainly attributable to the significant increasing trend in daily minimum temperature(Tmin,0.51°C per decade),which far outstrips the rate of increase in the daily maximum(Tmax,0.17°C per decade).In contrast,the comparable trends in Tmin(0.19°C per decade)and Tmax(0.20°C per decade)may explain the non-significant trend of the DTR averaged over the Guinea Coast region.It is observed that the DTR has decreased more in boreal summer(June–July–August)than in boreal winter(December–January–February)for the regions.Furthermore,it is found that the significant DTR declining trend over the Nigerian Sahel is closely associated with an increasing trend of annual and summer precipitation in the region,but the increasing DTR trend in the Nigerian Guinea Coast region can be attributed to the decreasing trend of cloud cover over the region. 展开更多
关键词 Diurnal temperature range maximum/minimum temperature TREND NIGERIA
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Classification of wintertime large-scale tilted ridges over the Eurasian continent and their influences on surface air temperature 被引量:1
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作者 Da-Wei LIN Cholaw BUEH Zuo-Wei XIE 《Atmospheric and Oceanic Science Letters》 CSCD 2018年第5期404-411,共8页
This study investigates the major patterns of large-scale tilted ridges(LSTRS)over the Eurasian continent and their connections with large-scale surface air temperature during boreal winter.A total number of 134 LSTR ... This study investigates the major patterns of large-scale tilted ridges(LSTRS)over the Eurasian continent and their connections with large-scale surface air temperature during boreal winter.A total number of 134 LSTR events with zonal extent exceeding 90°of longitude on the peak day are identified.Using self-organizing map(SOM),the LSTRs are classified into five clusters that are characterized by different spatial distributions and orientations.The leading two clusters are closely associated with extensive and persistent cold events over different places.Considering the first cluster,LSTRs extend from the Ural Mountains to Northeast Asia and are favorable for the amplification and southeastward extension of the Siberian high.Therefore,this cluster is closely associated with the occurrence of extensive and persistent cold events in china.In comparison with the first cluster,the LSTRs of second group are situated to the west,with starting points from the Kola Peninsula,and cause extensive and persistent cold events over Eastern Europe,central Asia,and central Siberia.The results suggest that the vertical coupling between LSTRs and the corresponding anomalous sea level pressure is crucial for the persistent cold temperature events associated with the leading two SOM clusters. 展开更多
关键词 Large-scale tilted ridges self-organizing map extensive and persistent cold event Siberian high
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Cryopreservation of Veliger Larvae of Trumpet Shell, Charonia sauliae: an Essential Preparation to Artificial Propagation 被引量:1
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作者 KANG Kyoung Ho ZHANG Zhifeng +1 位作者 BAO Zhenmin SHAO Mingyu 《Journal of Ocean University of China》 SCIE CAS 2009年第3期265-269,共5页
Trumpet shell, Charonia sauliae, is an endangered and valuable species, but its artificial propagation protocol has not been successfully established. To estimate the possibility of cryopreservation for larvae of C. s... Trumpet shell, Charonia sauliae, is an endangered and valuable species, but its artificial propagation protocol has not been successfully established. To estimate the possibility of cryopreservation for larvae of C. sauliae, which is a potential preparation for its artificial reproduction and further research, in this study a protocoi for the cryopreservation of veliger larvae of trumpet shell was optimized. Through a two-step cryopreservation procedure, four kinds of cryoprotectants (ethylene glycol, 1, 2-propanediol, dimethyl sulfoxide and glycerol) were employed at three concentrations (1.0, 1.5 and 2.0molL^-1) respectively and survival rates of larvae were determined after a storage of lh. The larvae frozen with these four cryoprotectants after 1 h storage were cultured, and then survival rates were determined at 24, 72 and 120 h after thawing. Dimethyl sulfoxide at a concentration of 1.5 molL^-1 showed the best protective effect in all experiments (p〈0.05). And survival rates of larvae frozen with dimethyl sulfoxide were determined after 1, 7 and 15 d of storage. The survival rates of larvae frozen with 1.5 molL^-1 dimethyl sulfoxide after 1 h, 1 d, 7 d and 15 d of storage were 80.77% ±7.51%, 80.34%±11.28%, 83.10%±9.14% and 77.23%±6.22% respectively. No significant differences in survival rates of larvae frozen with dimethyl sulfoxide were observed after various storage periods (p〉0.05). 展开更多
关键词 trumpet shell Charonia sauliae veliger larva CRYOPRESERVATION
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Changes in and effective factors of microtubule associated protein 2 in traumatic neurons 被引量:2
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作者 张相彤 刘恩重 +1 位作者 刘晓谦 戴钦舜 《Chinese Medical Journal》 SCIE CAS CSCD 2001年第10期27-30,104,共5页
Objective To investigate alterations in the microtubule-associated protein 2 (MAP-2) of neurons in Wistar rats and the effect of nimodipine (Nim), D-2-amino-5-phosphonovaleric acid (D-AP-5) and mild hypothermia on ne... Objective To investigate alterations in the microtubule-associated protein 2 (MAP-2) of neurons in Wistar rats and the effect of nimodipine (Nim), D-2-amino-5-phosphonovaleric acid (D-AP-5) and mild hypothermia on neuronal MAP-2 following fluid percussion injury (FPI).Methods Alterations of MAP-2 in Wistar rat neurons following FPI were measured by a confocal laserscanning microscope using MAP-2 immunofluorescence staining as a MAP-2 indicator.Results MAP-2 immunofluorescence staining was limited to the cell bodies and dendritic compartments of neurons and more intense in dendrites than in cell bodies. The loss of MAP-2 was marked at 3 h posttrauma ( P < 0.01 ), and reached a maximum at 48 h post-trauma. Afterwards, fluorescence recovered partly at 72 h post-trauma. The application of Nim markedly reduced the loss of MAP-2 immunoreectivity within 1 h post-trauma ( P < 0.01 ), and the application of D-AP-5 markedly reduced the loss of MAP-2immunoreactivity within 10 h post-injury ( P < 0.01 ). The application of mild hypothermia decreased the loss of MAP-2 immunoreactivity within 1 h post-injury (P< 0.05).Conclusions The partial recovery of fluorescence at 72 h post-trauma indicate that the partial structure of the neuronal microtubules can be repaired by itself. Nim, D-AP-5 and mild hypothermia reduce the degradation of MAP-2 by different mechanisms. The treatment of neuronal cytoskeleton degradation following FPI must employ multiple therapeutic approaches. 展开更多
关键词 fluid percussion injury · microtubule associated protein 2 · nimodipine · mild hypothermia · D 2 amino 5 phosphonovaleric acid
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Effect of acupuncture plus mild hypothermia on MAPK/ERK pathway of brain tissues in rats with cerebral ischemia-reperfusion injury 被引量:1
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作者 林亚平 刘琴 +5 位作者 陈楚淘 陈文 肖姮 杨茜芸 田浩梅 杨燕萍(译) 《Journal of Acupuncture and Tuina Science》 CSCD 2016年第5期311-319,共9页
Objective: To observe the protective effect of acupuncture plus mild hypothermia on brain tissues in rats with cerebral ischemia-reperfusion injury (CIRI), and the influence on protein expression levels of phosphor... Objective: To observe the protective effect of acupuncture plus mild hypothermia on brain tissues in rats with cerebral ischemia-reperfusion injury (CIRI), and the influence on protein expression levels of phosphorylated Raf-1, MEK-2 and ERK3/2 in the mitogen-activated protein kinase (MAPK)/extracellular regulated protein kinases (ERK) pathway, and to explore the mechanism of acupuncture plus mild hypothermia therapy for the ischemic stroke. Methods: Ninety Sprague-Dawley (SD) rats were randomly divided into a blank control group, a sham operation group, a model group, an acupuncture group, a mild hypothermia group and an acupuncture plus mild hypothermia group, 15 rats in each group. Except the rats in the blank control group, the remaining rats were used to prepare the middle cerebral artery occlusion (MCAO) models according to the modified occlusion method using lines, while only the occlusion lines were inserted without blocking the brain arteries of rats in the sham operation group. When the vital signs of rats were stable, rats in the blank control group did not receive any intervention; rats in the sham operation group and the model group received fastening without treatment; rats in the acupuncture group, the mild hypothermia group, and the acupuncture plus mild hypothermia group were treated with the corresponding therapeutic methods. 72 h later, observed neurologic injury score, evaluated infarction area ratio by 2,3,5-tripheyl tetrazolium chloride (TTC) staining, determined apoptosis by TUNEL assay, and measured the phosphorylated Raf-1, MEK-2 and ERK3/2 protein expression levels in rat ischemic hippocampal tissues by Western blot assay. Results: Compared with the blank control group and the sham operation group, after modeling, the neurologic injury score, infarction area ratio and apoptotic cells were increased, and phosphorylated Raf-1, MEK-2 and ERK:1/2 protein expression levels were significantly increased in the model group; the differences were statistically significant (P〈0.05 or P〈0.01). Compared with the model group, after acupuncture or mild hypothermia therapy, neurologic injury score and infarction area ratio were decreased; apoptotic cells and phosphowlated Raf-1, MEK-2 and ERK1/2 protein expression levels were significantly decreased; the differences were statistically significant (P〈0.05 or P〈0.01). Compared with the acupuncture group, neurologic injury score and phosphorylated Raf-1, MEK-2 and ERK3/2 protein expression levels were decreased in the acupuncture plus mild hypothermia group; differences between the groups were statistically significant (P〈0.05 or P〈0.01). Compared with the mild hypothermia group, phosphorylated Raf-1, MEK-2 and ERK1/2 protein expression levels decreased in the acupuncture plus mild hypothermia group, and differences were statistically significant (P〈0.01). Conclusion: Acupuncture or mild hypothermia therapy can improve neurologic injury, reduce infarction area and apoptosis, which brought about protective effect on the brain tissues, in the MCAO model. The protective effect of acupuncture plus mild hypothermia group is the strongest. The mechanism may involve the MAPK/ERK pathway, by reducing the phosphorylated Raf-l, MEK-2 and ERK:1/2 protein expression levels. 展开更多
关键词 Acupuncture Therapy Reperfusion Injury Hypothermia Induced Brain Ischemia Apoptosis Mitogen-activated Protein Kinases RATS
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A Study on High Subsonic Airfoil Flows in Relatively High Reynolds Number by Using OpenFOAM
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作者 Shinichiro NAKAO Masashi KASHITANI +1 位作者 Takeshi Miyaguni Yutaka YAMAGUCHI 《Journal of Thermal Science》 SCIE EI CAS CSCD 2014年第2期133-137,共5页
In the present study,numerical calculations of the flow-field around the airfoil model are performed by using the OpenFOAM in high subsonic flows.The airfoil model is NACA 64A010.The maximum thickness is 10 % of the c... In the present study,numerical calculations of the flow-field around the airfoil model are performed by using the OpenFOAM in high subsonic flows.The airfoil model is NACA 64A010.The maximum thickness is 10 % of the chord length.The SonicFOAM and the RhoCentralFOAM are selected as the solver in high subsonic flows.The grid point is 158,000 and the Mach numbers are 0.277 and 0.569 respectively.The CFD data are compared with the experimental data performed by the cryogenic wind tunnel in the past.The results are as follows.The numerical results of the pressure coefficient distribution on the model surface calculated by the SonicFOAM solver showed good agreement with the experimental data measured by the cryogenic wind tunnel.And the data calculated by the SonicFOAM have the capability for the quantitative comparison of the experimental data at low angle of attack. 展开更多
关键词 OPENFOAM High Subsonic Flows Cryogenic Wind Tunnel AIRFOIL
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