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腹腔镜下胃癌根治术对胃癌患者临床应激指标及术后并发症的临床研究 被引量:2
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作者 蔡军 涂建成 +2 位作者 黄龙 顾益洲 唐日波 《系统医学》 2020年第24期72-75,共4页
目的以胃癌患者为研究对象,研究和分析患者应用腹腔镜下胃癌根治术对其临床应激指标及术后并发症产生的影响。方法将2018年1月-2019年12月在该院进行手术治疗的胃癌患者66例随机分为观察组(n=33)与对照组(n=33),予以观察组腹腔镜下胃癌... 目的以胃癌患者为研究对象,研究和分析患者应用腹腔镜下胃癌根治术对其临床应激指标及术后并发症产生的影响。方法将2018年1月-2019年12月在该院进行手术治疗的胃癌患者66例随机分为观察组(n=33)与对照组(n=33),予以观察组腹腔镜下胃癌根治术,予以对照组开腹胃癌根治术,比较两组手术前后临床应激指标变化情况、手术相关指标及术后并发症指标。结果术毕两组WBC、N%差异无统计学意义(t=0.029、0.315,P>0.05),观察组CRP及COR水平均低于对照组,差异有统计学意义(t=2.294、2.034,P<0.05),术后3 d两组WBC、N%及COR水平均差异无统计学意义(t=0.545、1.062、0.114,P>0.05),观察组CRP水平低于对照组,差异有统计学意义(t=63.786,P<0.05)。观察组手术操作时间、术后肛门排气时间、下床活动时间及术后住院时间均较对照组短,术中失血量少于对照组,差异有统计学意义(t=9.432、5.671、4.703、10.233、12.609,P<0.05)。观察组胃无力、吻合口瘘等术后并发症总发生率较对照组低,其中,观察组总发生率为6.06%,对照组为24.24%,两组差异有统计学意义(χ^2=4.243,P<0.05)。结论胃癌患者应用腹腔镜下胃癌根治术能够减轻临床应激反应并可减少术后并发症。 展开更多
关键词 腹腔镜下胃癌根治术 胃癌患者 临床应激指标 术后并发症
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社会支持对临床应激的心理效应分析
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作者 糟艳丽 阎小娟 《健康教育与健康促进》 2016年第5期359-361,377,共4页
分析了"社会支持"的心理学内涵,在梳理临床活动中的疾病相关应激源与资源相关应激源的基础上,总结了主客观社会支持的内在、外在资源在临床中的心理效应,提出在临床医疗和心理干预的同时,提供基本医疗保险、心理素质教育等政... 分析了"社会支持"的心理学内涵,在梳理临床活动中的疾病相关应激源与资源相关应激源的基础上,总结了主客观社会支持的内在、外在资源在临床中的心理效应,提出在临床医疗和心理干预的同时,提供基本医疗保险、心理素质教育等政策性环境支持,可提高医疗卫生资源利用率和临床服务效果,进而实现"生物—心理—社会"模式下的积极临床心理效应。 展开更多
关键词 社会支持 临床应激 心理效应 “生物—心理—社会”模式
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帕金森患者采用多巴丝肼联合艾地苯醌治疗对降低临床应激反应的效果研究
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作者 滕秀涵 《中文科技期刊数据库(全文版)医药卫生》 2021年第7期95-95,共1页
探讨帕金森患者采用多巴丝肼联合艾地苯醌治疗对降低临床应激反应的效果。方法:课题分析对象为本院帕金森病患者,共计82例。病例采集时间为2016年3月初始,截至2021年3月。抓阄法分设单药组(n=41例,多巴丝肼治疗);双药组(n=41例,联合艾... 探讨帕金森患者采用多巴丝肼联合艾地苯醌治疗对降低临床应激反应的效果。方法:课题分析对象为本院帕金森病患者,共计82例。病例采集时间为2016年3月初始,截至2021年3月。抓阄法分设单药组(n=41例,多巴丝肼治疗);双药组(n=41例,联合艾地苯醌治疗),比对两组临床氧化应激反应指标及帕金森病评分水平。结果:双药组临床氧化应激反应水平指标较单药组更高,双药组治疗后帕金森病评分水平较单药组同期显著更高,数据比较有意义(P<0.05);结论:于帕金森诊疗中采用多巴丝肼联合艾地苯醌治疗可强化机体氧化活性,对临床症状改善有显著增益效果。 展开更多
关键词 帕金森 多巴丝肼 艾地苯醌 临床应激反应
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临床用创伤后应激障碍诊断量表中文版信效度研究 被引量:32
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作者 蓝薇 施琪嘉 《神经损伤与功能重建》 2014年第4期291-293,356,共4页
目的:检验临床用创伤后应激障碍(PTSD)诊断量表(CAPS)中文版的信效度。方法:在四川省什邡市某中学筛查出PTSD症状高分被试104例,由评估者进行CAPS结构式访谈;其中37例被试接受2位评估者的独立访谈,收集数据测算评分者信度。在某心理专... 目的:检验临床用创伤后应激障碍(PTSD)诊断量表(CAPS)中文版的信效度。方法:在四川省什邡市某中学筛查出PTSD症状高分被试104例,由评估者进行CAPS结构式访谈;其中37例被试接受2位评估者的独立访谈,收集数据测算评分者信度。在某心理专科医院纳入ETI高分的被试35例进行CAPS访谈。在访谈结束3d后,再由评估者对被试进行人格障碍定式临床晤谈(SCID)问卷的PTSD模块访谈,收集数据测算校标效度。结果:2名评定者对37例被试的PTSD总体诊断的Kappa系数为1,CAPS总分及三项分量表得分的皮尔逊相关系数均>0.9,两者的评分显著相关(n=37,P<0.01),显示很强的评分者信度。CAPS量表总体的alpha系数>0.9,三项分量表的alpha系数均>0.75(n=139),显示CAPS中文版在总体水平和分量表水平上都具有可接受的同质性信度。CAPS与SCIDPTSD模块两个工具在总诊断上的Kappa值达到0.75(n=35),在总分及各项分量表得分上显著相关,说明作为测量PTSD的工具,CAPS具有良好的效标效度。结论:CAPS中文版是一项测量PTSD的可靠且有效的工具。 展开更多
关键词 创伤后应激障碍 临床用创伤后应激障碍诊断量表 测量学属性
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猪应激综合症的防治
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作者 刘国信 《畜牧市场》 2008年第8期12-13,共2页
猪的应激综合征是在现代养猪生产条件下,猪受到多种不良因素的刺激而引起的非特异性应激反应。近年来,随着集约化、规模化养猪业的兴起,饲养密度大,人为干扰多,使生猪应激反应综合征的发生率大幅度上升,对生猪生产和猪肉品质都造成了一... 猪的应激综合征是在现代养猪生产条件下,猪受到多种不良因素的刺激而引起的非特异性应激反应。近年来,随着集约化、规模化养猪业的兴起,饲养密度大,人为干扰多,使生猪应激反应综合征的发生率大幅度上升,对生猪生产和猪肉品质都造成了一定的影响。因此,加强预防工作显得尤为必要。 展开更多
关键词 病因 发病机理 应激表现形式与临床症状 防制措施
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Resveratrol attenuates oxidative stress and histological alterations induced by liver ischemia/reperfusion in rats 被引量:14
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作者 Ercan Gedik Sadullah Girgin +3 位作者 Hayrettin Ozturk Basra Deniz Obay Hulya Ozturk Huseyin Buyukbayram 《World Journal of Gastroenterology》 SCIE CAS CSCD 2008年第46期7101-7106,共6页
AIM: To investigate the effects of resveratrol on liver ischemia/reperfusion (I/R) injury in rats. METHODS: A total of 40 male Sprague-Dawley rats weighing 240-290 g were randomized into four groups of ten: (1)... AIM: To investigate the effects of resveratrol on liver ischemia/reperfusion (I/R) injury in rats. METHODS: A total of 40 male Sprague-Dawley rats weighing 240-290 g were randomized into four groups of ten: (1) controls: data from unmanipulated animals; (2) sham group: rats subjected to the surgical procedure, except for liver I/R, and given saline; (3) I/R group: rats underwent liver ischemia for 45 rain followed by reperfusion for 45 rain; (4) I-R/Resveratrol group: rats pretreated with resveratrol (10 umol/L, iv). Liver tissues were obtained to determine antioxidant enzyme levels and for biochemical and histological evaluation. RESULTS: Plasma aminotransferase activities were higher in the I/R group than in the I-R/Resveratrol group. Malondialdehyde levels and the hepatic injury score decreased, while superoxide dismutase, catalase, and glutathione peroxidase levels increased in group 4 compared to group 3. In group 4, histopathological changes were significantly attenuated in resveratroltreated livers. CONCLUSION: These results suggest that resveratrol has protective effects against hepatic I/R injury, and is a potential therapeutic drug for ischemia reperfusionrelated liver injury. 展开更多
关键词 INJURY ISCHEMIA/REPERFUSION Liver RESVERATROL
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Transient stress cardiomyopathies in the elderly: Clinical & Pathophysiologic considerations 被引量:1
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作者 Michael A Chen 《Journal of Geriatric Cardiology》 SCIE CAS CSCD 2012年第1期38-48,共11页
Transient stress-induced cardiomyopathies have been increasingly recognized and while rare,they tend to affect elderly women more than other demographic groups.One type,often called tako-tsubo cardiomyopathy (TTC),i... Transient stress-induced cardiomyopathies have been increasingly recognized and while rare,they tend to affect elderly women more than other demographic groups.One type,often called tako-tsubo cardiomyopathy (TTC),is typically triggered by significant emotional or physical stress and is associated with chest pain,electrocardiogram (ECG) changes and abnormal cardiac enzymes.Significant left ventricular regional wall motion abnormalities usually include an akinetic "ballooning" apex with normal or hyperdynamic function of the base.A second type,often called neurogenic stunned myocardium,typically associated with subarachnoid hemorrhage,also usually presents with ECG changes and positive enzymes,but the typical wall motion abnormalities seen include normal basal and apical left ventricular contraction with akinesis of the mid-cavity in a circumferential fashion.The pathophysiology,clinical care and typical courses,are reviewed. 展开更多
关键词 Stress-cardiomyopathy Tako-tsubo cardiomyopathy Subarachnoid hemorrhage Neurogenic stunned myocardium
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Effi cacy of tricyclic antidepressants in irritable bowel syndrome:A meta-analysis 被引量:22
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作者 Roja Rahimi Shekoufeh Nikfar +1 位作者 Ali Rezaie Mohammad Abdollahi 《World Journal of Gastroenterology》 SCIE CAS CSCD 2009年第13期1548-1553,共6页
We aimed to evaluate the efficacy of tricyclic antidepressants(TCAs) as a therapeutic option for irritable bowel syndrome(IBS) through meta-analysis of randomized controlled trials.For the years 1966 until September 2... We aimed to evaluate the efficacy of tricyclic antidepressants(TCAs) as a therapeutic option for irritable bowel syndrome(IBS) through meta-analysis of randomized controlled trials.For the years 1966 until September 2008,PubMed,Scopus,Web of Science,and Cochrane Central Register of Controlled Trials were searched for double-blind,placebo-controlled trials investigating the effi cacy of TCAs in the management of IBS.Seven randomized,placebo-controlled clinical trials met our criteria and were included in the metaanalysis.TCAs used in the treatment arm of these trials included amitriptyline,imipramine,desipramine,doxepin and trimipramine.The pooled relative risk for clinical improvement with TCA therapy was 1.93(95% CI:1.44 to 2.6,P<0.0001).Effect size of TCAs versus placebo for mean change in abdominal pain score among the two studies was -44.15(95% CI:-53.27 to -35.04,P<0.0001).It is concluded that low dose TCAs exhibit clinically and statistically signifi cant control of IBS symptoms. 展开更多
关键词 Systematic review META-ANALYSIS Tricyclic antidepressants Irritable bowel syndrome EFFICACY Clinical response Abdominal pain
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Confocal laser endomicroscopy and immunoendoscopy for real-time assessment of vascularization in gastrointestinal malignancies 被引量:6
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作者 Dan Ionut Gheonea Tatiana Crtnǎ +3 位作者 Tudorel Ciurea Carmen Popescu Anca Bǎdǎrǎu Adrian Sǎftoiu 《World Journal of Gastroenterology》 SCIE CAS CSCD 2011年第1期21-27,共7页
Gastrointestinal cancers represent a major cause of morbidity and mortality,with incomplete response to chemotherapy in the advanced stages and poor prognosis.Angiogenesis plays a crucial part in tumor growth and meta... Gastrointestinal cancers represent a major cause of morbidity and mortality,with incomplete response to chemotherapy in the advanced stages and poor prognosis.Angiogenesis plays a crucial part in tumor growth and metastasis,with most gastrointestinal cancers depending strictly on the development of a new and devoted capillary network.Confocal laser endomicroscopy is a new technology which allows in vivo microscopic analysis of the gastrointestinal mucosa and its microvascularization during ongoing endoscopy by using topically or systemically administered contrast agents.Targeting markers of angiogenesis in association with confocal laser endomicroscopic examination(immunoendoscopy),as a future challenge,will add functional analysis to the morphological aspect of the neoplastic process.This review describes previous experience in endomicroscopic examination of the upper and lower digestive tract with emphasis on vascularization,resulting in a broad spectrum of potential clinical applications,and also preclinical research that could be translated to human studies. 展开更多
关键词 Confocal laser endomicroscopy Immunoendoscopy Fluoresceine ACRIFLAVINE CANCER
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A clinical application of laser direction in anastomosis for inferior canalicular laceration 被引量:3
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作者 梁涛 赵可晓 张凌云 《Chinese Journal of Traumatology》 CAS 2006年第1期34-37,共4页
Objective: To study the therapeutic efficiency and effecacy of laser-directing approach on searching for the nasal broken end of lacerated lacrimal canaliculus in anastomosis for canalicular laceration. Methods : F... Objective: To study the therapeutic efficiency and effecacy of laser-directing approach on searching for the nasal broken end of lacerated lacrimal canaliculus in anastomosis for canalicular laceration. Methods : Forty-nine patients ( 49 eyes ) suffering from traumatic inferior canalicular laceration were divided into control group and laser-directing group. The distance between the lacrimal puncture and the nasal broken end of lacerated lacrimal canaliculus was more than 6 ram. During the course of management of eyelid trauma, the patients were treated by canalicular anastomosis operation with traditional method and laser-directing method in searching for the nasal broken end of lacerated lacrimal canaliculus respectively. The silicone tube of 1 mm diameter was intubated in the lacrimal passage as a stent for 4 to 6 months. Results: In the laser-directing group, the mean time in searching for the nasal broken end of lacerated lacrimal canaliculus was (5.75 ± 1.49) minutes and the mean time of operation was (49.21 ±3.37) minutes; both were significantly shorter than that of the control group (P 〈 0.01 ). The cure rate of the laser-directing group was 96.55 %, higher than that of the control group but without statistical significance ( P 〉 0.05 ). Conclusions: The laser-directing method is much quicker and more convenient to searching for the nasal broken end of the lacerated lacrimal canaliculus than the traditional approach, and patients suffer less pain and damaging in canalicular anastomosis operation. 展开更多
关键词 LASERS Anastomosis surgical Canalicular laceration
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Clinical Study on Treatment of the Earthquake-caused Post-traumatic Stress Disorder by Cognitive-behavior Therapy and Acupoint Stimulation 被引量:5
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作者 张滢 冯斌 +2 位作者 谢建平 徐方忠 陈炯 《Journal of Traditional Chinese Medicine》 SCIE CAS CSCD 2011年第1期60-63,共4页
Objective: To study the curative effect of acupoint stimulation on the earthquake-caused post-traumatic stress disorder (PTSD). Methods: The 91 PTSD patients in Wenchuan hit by a strong earthquake were randomly di... Objective: To study the curative effect of acupoint stimulation on the earthquake-caused post-traumatic stress disorder (PTSD). Methods: The 91 PTSD patients in Wenchuan hit by a strong earthquake were randomly divided into a control group of 24 cases treated by the cognitive-behavior therapy, and a treatment group of 67 cases treated by both cognitive-behavior therapy and acupoint stimulation. The scores were evaluated according to Chinese version of the incident effect scale revised (IES-R) and the self-compiled questionnaire for the major post-traumatic psychological condition, and the curative effect was compared between the two groups. Results: The total scores of IES-R, the scores of all factors and the total scores of the questionnaire in the two groups after treatment were much lower than those before treatment (P〈0.01). The comparison of reduction in the factor scores between the two groups showed that the curative effect inthe treatment group was better that of in the control group. Conclusion: The acupoint stimulation is effective for the PTSD patients, with better results than that of cognitive-behavior therapy used alone 展开更多
关键词 earthquake elecctro-acupuncture plus cognitive-behavior therapy post-traumatic stress disorder (PTSD)
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Metabolic memory: mechanisms and implications for diabetic vasculopathies 被引量:4
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作者 ZHANG ErLi WU YongJian 《Science China(Life Sciences)》 SCIE CAS 2014年第8期845-851,共7页
In the past decades,a persistent progression of diabetic vascular complications despite reversal of hyperglycemia has been observed in both experimental and clinical studies.This durable effect of prior hyperglycemia ... In the past decades,a persistent progression of diabetic vascular complications despite reversal of hyperglycemia has been observed in both experimental and clinical studies.This durable effect of prior hyperglycemia on the initiation and progression of diabetic vasculopathies was defined as"metabolic memory".Subsequently,enhanced glycation of cellular proteins and lipids,sustained oxidative stress,and prolonged inflammation were demonstrated to mediate this phenomenon.Recently,emerging evidence strongly suggests that epigenetic modifications may account for the molecular and phenotypic changes associated with hyperglycemic memory.In this review,we presented an overview on the discovery of metabolic memory,the recent progress in its molecular mechanisms,and the future implications related to its fundamental research and clinical application. 展开更多
关键词 diabetic vascular complications metabolic memory oxidative stress INFLAMMATION epigenetic modifications
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