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光损伤性视网膜病变一例 被引量:2
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作者 王岩 郑日忠 时冀川 《眼外伤职业眼病杂志》 北大核心 2002年第2期202-202,共1页
关键词 光损伤性视网膜病变 病理 诊断 治疗
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光损伤性皮肤病规范化防治体系的构建及应用 被引量:9
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作者 郭美华 徐丹 +7 位作者 刘玮 李利 高兴华 涂颖 齐瑞群 吕乐春 冯家祺 何黎 《皮肤病与性病》 2014年第5期257-258,297,共3页
目的构建光损伤性皮肤病规范化防治体系,提高疾病治愈率,减少复发率。方法基于疾病信息管理软件平台,开设专病门诊,建立信息化患者管理档案,分析疾病发生发展规律,制定个性化治疗方案,长期追踪病人,评估疗效和进行健康教育。结果自2004... 目的构建光损伤性皮肤病规范化防治体系,提高疾病治愈率,减少复发率。方法基于疾病信息管理软件平台,开设专病门诊,建立信息化患者管理档案,分析疾病发生发展规律,制定个性化治疗方案,长期追踪病人,评估疗效和进行健康教育。结果自2004年至2014年,建立患者档案24800例。明确了皮肤癌、多形性日光疹、痤疮和黄褐斑的危险因素。证实光损伤性皮肤病均存在皮肤屏障受损,使用皮肤屏障修复剂是首要治疗措施。制定了日光性角化病、多形性日光疹、痤疮及黄褐斑的规范化诊疗指南。疾病治疗总有效率从73.3%增至93.3%,复发率从76.7%降至30.0%。结论应用规范化防治体系能节省医疗支出、提高人民群众身心健康水平,是今后新医疗模型的发展方向。 展开更多
关键词 防治体系 光损伤性皮肤病 构建 应用
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大鼠光损伤性内层视网膜变性的超微病理学研究 被引量:20
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作者 张纯 王薇 《中华眼底病杂志》 CAS CSCD 2003年第4期222-225,共4页
目的 研究光损伤后大鼠眼内层视网膜的神经原变性。 方法 用波长为 4 80~ 5 2 0 nm,强度为 90 0~ 10 0 0 lx的绿光光照 L ewis大白鼠 2 4 h,然后使其在黑暗中恢复 ,于光照后 1、3、7、14 d处死动物并获得视网膜。以免疫组织化学方... 目的 研究光损伤后大鼠眼内层视网膜的神经原变性。 方法 用波长为 4 80~ 5 2 0 nm,强度为 90 0~ 10 0 0 lx的绿光光照 L ewis大白鼠 2 4 h,然后使其在黑暗中恢复 ,于光照后 1、3、7、14 d处死动物并获得视网膜。以免疫组织化学方法分别标记视网膜内层细胞 ,用光镜和电镜观察。 结果 光损伤后可见大量光感受器细胞死亡。杆双极细胞在光照后第 3天开始变性并逐渐减少数目 ;水平细胞在第 1天即水肿变性但以后逐渐恢复 ;无长突细胞在第 1天显示数目减少 ;神经节细胞在光照后始终呈水肿变性 ;Müller细胞于光照后在视网膜下增殖。超微结构研究显示视网膜内层神经元有固缩和水肿两种变性。 结论 视网膜内层神经元和 Müller细胞参与了光损伤性视网膜变性。不同的神经元表现不同类型的变性。 展开更多
关键词 大鼠 光损伤性 内层视网膜变 超微病理学 疾病模型 病因学
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日光光动力疗法在皮肤科的应用研究进展 被引量:1
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作者 敖春萍 徐良恒 王晓川 《皮肤病与性病》 2022年第5期376-380,共5页
光动力疗法可分为传统光动力疗法和日光-光动力疗法。c-PDT已广泛应用在皮肤科多种疾病的治疗中,但是耗时长、费用高、疼痛明显,严重影响患者治疗的依从性。近年来临床工作者不断寻求更优化的替代疗法。DL-PDT是以日光作为光源,短时间... 光动力疗法可分为传统光动力疗法和日光-光动力疗法。c-PDT已广泛应用在皮肤科多种疾病的治疗中,但是耗时长、费用高、疼痛明显,严重影响患者治疗的依从性。近年来临床工作者不断寻求更优化的替代疗法。DL-PDT是以日光作为光源,短时间外敷光敏剂后即可照光治疗,具有耗时短、操作简单、治疗面积广和无痛等优点。已被国内外指南推荐用于治疗日光性角化病,同时更多的临床研究也将DL-PDT应用在其他皮肤病的治疗中。本文就DL-PDT的作用机制及其在皮肤科的临床应用进展进行综述。 展开更多
关键词 动力疗法 光损伤性皮肤病 痤疮 感染皮肤病
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实验性视网膜光性损伤 被引量:6
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作者 任佩贤 刘舒娅 《中华眼底病杂志》 CAS CSCD 1994年第2期84-85,T005,共3页
我们用Wister大鼠建立了视网膜急性光性损伤实验模型。动物在全麻下照光(白光)1h.照度为200001x。分别于照光后24、48h,1、2、3、4、5周处死实验动物。病理组织学显示视网膜急性光性损伤始于光感受器外节... 我们用Wister大鼠建立了视网膜急性光性损伤实验模型。动物在全麻下照光(白光)1h.照度为200001x。分别于照光后24、48h,1、2、3、4、5周处死实验动物。病理组织学显示视网膜急性光性损伤始于光感受器外节,表现为碎解和消失,随之波及内节和砚网膜色素上皮(RPE),部分标本外核层亦波及。后期(照光后2~3周)有些标本显示内、外节有某种程度修复,另一些标本则无。有一个照光后5周的标本显示外核层,内、外节完全消失。所有标本末显示任何炎症反应,提示视网膜急性光性损伤是一个退行性变性过程。 展开更多
关键词 视网膜 感受器 损伤
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小鼠光性损伤后视网膜神经上皮层移植的初步探讨 被引量:3
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作者 彭清 任佩贤 刘舒娅 《中华眼科杂志》 CAS CSCD 北大核心 1999年第4期265-267,I016,共4页
目的探讨光性损伤后视网膜光感受器能否被拯救的可能性。方法用自制的光损伤箱建立视网膜光性损伤的小鼠模型,将光照后的60只小鼠分为2组,Ⅰ组20只为光损伤组,Ⅱ组40只为移植组,又将Ⅱ组分为ⅡA组20只鼠和ⅡB组20只鼠... 目的探讨光性损伤后视网膜光感受器能否被拯救的可能性。方法用自制的光损伤箱建立视网膜光性损伤的小鼠模型,将光照后的60只小鼠分为2组,Ⅰ组20只为光损伤组,Ⅱ组40只为移植组,又将Ⅱ组分为ⅡA组20只鼠和ⅡB组20只鼠,分别于光性损伤后24h(ⅡA组)和1周(ⅡB组)用外经路方法行视网膜神经上皮层移植,分别于术后6、12、18及30天时处死受体鼠,用光镜检查移植物是否能拯救光性损伤后受体鼠视网膜的光感受器。结果Ⅰ组,可见光感受器的内外节被破坏,出现水肿、碎解、空泡变,外核层排列紊乱,核质固缩、边聚,核层明显变薄。Ⅱ组,光性损伤后,ⅡA及ⅡB组移植物的存活率分别为50%(10/20只眼)及80%(16/20只眼),两组间比较差异有显著性(χ2=3956,P<005)。在移植物存活的标本中,对受体鼠视网膜光感受器的拯救率:ⅡA组为40%(4/10只眼),ⅡB组为50%(8/16只眼),两组间比较差异无显著性(P=0702)。结论光性损伤可导致视网膜光感受器的退行性变性。用视网膜移植的方法可拯救这种退行性变性,其视网膜移植的时间应在光性损伤后1周。 展开更多
关键词 损伤 神经上皮层 视网膜变 视网膜移植
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ROLE OF CASPASE-3 IN ACUTE LIGHT DAMAGE TO RETINA OF RATS 被引量:5
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作者 Xiao Wang Shi-xing Hu +1 位作者 Wei Li Shao-chun Lin 《Chinese Medical Sciences Journal》 CAS CSCD 2007年第1期44-48,共5页
Objective To investigate the role of Caspase-3 in retinal damage caused by hght exposure in rats. Methods Light injury to retina was induced by persistent exposure to illumination (intensity : 30 000 ± 50 lux... Objective To investigate the role of Caspase-3 in retinal damage caused by hght exposure in rats. Methods Light injury to retina was induced by persistent exposure to illumination (intensity : 30 000 ± 50 lux) of operating microscope for 30 minutes in the right eyes of Sprague-Dawley rats. The pathological changes of retina were observed under optical and electron microscopies at different time points, which were 6 hours, 1,3,7, and 15 days after the hght exposure. Apoptosis of retinal cells was analyzed by flow cytometry. The activity of Caspase-3 was evaluated by using the Caspase-3 assay kit. At the same time, the expression of Caspase-3 protease was determined with Western blot analysis. Results The examination results of optical and transmission electron microscopes showed that edema of inner and outer segments of the retina, especially the chondriosome inside the inner segment, became obvious 6 hours after the light exposure. The change was deteriorated along with the increasing time. The structures of the discoidal valve dissociated in the outer segment simultaneously. Disorderly arranged nuclei, karyopycnosis, and thinning in the outer nuclear layer were observed. The retinal pigment epithelium almost disappeared during the later stage. The staining results of Annexin-V combined with PI demonstrated that the proportion of apoptotic cells increased with time. The proportion between 7th day (82.7%) and 15th day (80.4%), however, showed no significant difference. Caspase-3 became remarkably active with the lapse of time, which increased from 0.02 at 6th hour to the peak of 9. 8 at 7th day before it started to descend. The Western blot detected a expression of the active form of Caspase-3 at 7th day and 15th day. Conclusion Apoptosis of photoreceptor cells is markedly involved in the light damage and Caspase-3 protease may play an important role in the apoptotic process of the retina after light exposure in rats. 展开更多
关键词 RETINA light damage CASPASE-3 APOPTOSIS RAT
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Effects of intestinal mucosal blood flow and motility on intestinal mucosa 被引量:15
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作者 Yan-Bin Wang Jing Liu Zhao-Xu Yang 《World Journal of Gastroenterology》 SCIE CAS CSCD 2011年第5期657-661,共5页
AIM: To investigate the role of intestinal mucosal blood flow (IMBF) and motility in the damage of intestinal mucosal barrier in rats with traumatic brain injury. METHODS: Sixty-four healthy male Wistar rats were ... AIM: To investigate the role of intestinal mucosal blood flow (IMBF) and motility in the damage of intestinal mucosal barrier in rats with traumatic brain injury. METHODS: Sixty-four healthy male Wistar rats were divided randomly into two groups: traumatic brain injury (TBI) group (n = 32), rats with traumatic brain injury; and control group (n = 32), rats with sham-operation. Each group was divided into four subgroups (n = 8) as 6, 12, 24 and 48 h after operation. Intestinal motility was measured by the propulsion ratio of a semi-solid colored marker (carbon-ink). IMBF was measured with the laser-Doppler technique. Endotoxin and D-xylose levels in plasma were measured to evaluate the change of intestinal mucosal barrier function following TBI. RESULTS: The level of endotoxin was significantly higher in TBI group than in the control group at each time point (0.382 ± 0.014 EU/mL vs 0.102 ± 0.007 EU/mL, 0.466 ± 0.018 EU/mL vs 0.114 ± 0.021 EU/mL, 0.478± 0.029 EU/mL vs 0.112 ±- 0.018 EU/mL and 0.412± 0.036 EU/mL vs 0.108 ±0.011 EU/mL, P 〈 0.05). D-xylose concentrations in plasma in TBI group were significantly higher than in the control group (6.68 ± 2.37 mmol/L vs 3.66 ±1.07 retool/L, 8.51 ± 2.69 mmol/L vs 3.15 + 0.95 mmol/L, 11.68 ±3.24 mmol/L vs 3.78 ± 1.12 mmol/L and 10.23 ± 2.83 mmol/L vs 3.34 ± 1.23 mmol/L, P 〈 0.05). The IMBF in TBI group was significantly lower than that in the control group (38.5 ± 2.8 PU vs 45.6 ± 4.6 PU, 25.2 ± 3.1 PU vs 48.2 ± 5.3 PU, 21.5 ± 2.7 PU vs 44.9 ± 2.8 PU, 29. 4 ± 3.8 PU vs 46.7 ± 3.2 PU) (P 〈 0.05). Significant decelerations of intestinal propulsion ratio in T8I groups were found compared with the control group (0.48% ± 0.06% vs 0.62%± 0.03%, 0.37% ±0.05% vs 0.64% ± 0.01%, 0.39% ± 0.07% vs 0.63% =1= 0.05% and 0.46% ± 0.03% vs 0.65% ± 0.02%) (P 〈 0.05). CONCLUSION: The intestinal mucosal permeability is increased obviously in TBI rats. Decrease of intestinal motility and IMBF occur early in TBI, both are important pathogenic factors for stress-related damage of the intestinal mucosal barrier in TBI. 展开更多
关键词 Traumatic brain injury Intestinal mucosabarrier STRESS Intestinal mucosa blood flow Intestinalmotility
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Alpha spectral power and coherence in the patients with mild cognitive impairment during a three-level working memory task 被引量:1
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作者 ZHENG Lei-lei JIANG Zheng-yan YU En-yan 《Journal of Zhejiang University-Science B(Biomedicine & Biotechnology)》 SCIE CAS CSCD 2007年第8期584-592,共9页
Objective: The functional relationship between calculated alpha band spectral power and inter-/intra-hemispheric coherence during a three-level working memory task of patients with mild cognitive impairment (MCI) w... Objective: The functional relationship between calculated alpha band spectral power and inter-/intra-hemispheric coherence during a three-level working memory task of patients with mild cognitive impairment (MCI) was investigated. Methods:Subjects included 35 MCI patients according to the DSM-Ⅳ criteria (mean age: 62.3, SD: 6.5) and 34 healthy controls (mean age:57.4, SD: 4.0) were selected from the community at large. All subjects performed a simple calculation and recall task with three levels of working memory load while electroencephalograph (EEG) signal was recorded. The spectral EEG power was computed over alphal (8.0~10.0 Hz) and alpha2 (10.5~13.0 Hz) frequency bands and was compared between rest stage and working memory processing stage by two-way ANOVA. Post hoc testing analyzed the differences between each two levels of working memory load during task processing. The inter-hemisphere EEG coherence of frontal (F3-F4), central (C3-C4), parietal (P3-P4), temporal (T5-T6) as well as occipital (O1-O2) was compared between MCI patients and normal controls. The EEG signals from F3-C3,F4-C4, C3-P3, C4-P4, P3-O1, P4-O2, T5-C3, T6-C4, T5-P3 and T6-P4 electrode pairs resulted from the intra-hemispheric action for alphal and alpha2 frequency bands. Result: There was significantly higher EEG power from MCI patients than from normal controls both at rest and during working memory processing. Significant differences existed between rest condition and three-level working memory tasks (P〈0.001). The inter- and intra-hemispheric coherence during working memory tasks showed a "drop to rise" tendency compared to that at rest condition. There was significantly higher coherence in MCI patients than in the controls.When task difficulties increased, the cortical connectivity of intra-hemispheric diminished while the inter-hemispheric connectivity dominantly maintained the cognitive processing in MCI patients. Conclusion: The results of the present study indicate that the alpha frequency band may be the characteristic band in distinguishing MCI patients from normal controls during working memory tasks. MCI patients exhibit greater inter-hemispheric connectivity than intra-hemispheric connectivity when memory demands increase. MCI patients mobilize a compensatory mechanism to maintain the processing effectiveness while the processing efficiency is reduced. 展开更多
关键词 Spectral power COHERENCE Mild cognitive impairment Working memory
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Determined of antioxidant activity and preventing DNA damage effect of peanut polypeptides by chemiluminescence method
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作者 LIU Li-na LU Jing +1 位作者 HE Dong-ping ZHANG Sheng-hua 《Journal of Life Sciences》 2009年第9期43-48,共6页
To estimate the antioxidant activities of Peanut polypeptides (PPs) by using a chemiluminescence (CL) method in vitro. The scavenging ability of PPs on superoxide anion, hydroxide radical, and hydrogen peroxide wa... To estimate the antioxidant activities of Peanut polypeptides (PPs) by using a chemiluminescence (CL) method in vitro. The scavenging ability of PPs on superoxide anion, hydroxide radical, and hydrogen peroxide was determined by the Pyrogallol-Luminol system, the CuSO4-Phen-Vc-H2O2 system, and the luminol-H2O2 system, respectively. DNA damage preventing the effect of PPs was determined by the CuSO4-Phen-Vc-H2O2-DNA CL system. The results shows that PPs had good effect on the scavenging ability of superoxide anion (IC50=9.68±0.12 mg/ml). PPs could scavenge hydroxide radical effectively (the IC50 value was 46.06±0.08 μg/ml). PPs had a good scavenging ability on hydrogen peroxide, which had a relatively low IC50 value (0.17±0.07 mg/ml). PPs (the IC50 value was0.72±0.11 mg/ml) were powerful on the DNA damage preventing effect. PPs possesses a good scavenging potency on ROS in different systems, but different results exist in different systems. 展开更多
关键词 peanut polypeptides CHEMILUMINESCENCE antioxidant activity in vitro DNA damage
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电焊作业工人黄斑视觉功能损害的危险因素分析 被引量:3
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作者 李清韬 张新芳 《中华劳动卫生职业病杂志》 CAS CSCD 北大核心 2014年第10期759-761,共3页
目的 探讨影响电焊作业工人黄斑视觉功能损害发生的相关危险因素.方法 选择2010年8月-2013年12月本地电焊作业的工厂中专职电焊工86例172眼作为研究对象.眼部检查:包括最佳矫正视力、90 D前置镜眼底检查、眼底彩照和OCT检查,光损伤性... 目的 探讨影响电焊作业工人黄斑视觉功能损害发生的相关危险因素.方法 选择2010年8月-2013年12月本地电焊作业的工厂中专职电焊工86例172眼作为研究对象.眼部检查:包括最佳矫正视力、90 D前置镜眼底检查、眼底彩照和OCT检查,光损伤性黄斑病变的诊断以OCT的检查结果为准.将受试者按年龄、防护程度、工龄和工作时间分组,比较各组间光损伤性黄斑病变的检出率.再将受试者随机分为叶黄素干预组和安慰剂对照组,检测最佳矫正视力、黄斑色素密度值、对比敏感度及眩光敏感度.结果 (1)光损伤性黄斑病变总发病率为32.0%,与年龄无相关性(统计学结果).(2)防护习惯不同各组间光损伤性黄斑病变的发生率分别是21.4%,36.7%,53.6%,采用严格防护者,检出率低于其他两组,非专业防护者检出率最高,三组间差别有统计学意义.(3)随着工龄和每天工作时间的延长,光损伤性黄斑病变的发生率逐渐提高,差别有统计学意义.(4)叶黄素干预组在最佳矫正视力、MPOD和对比敏感度及眩光敏感度方面,显著优于安慰剂对照组.结论 电焊工人中黄斑光损伤的危险相关因素是工龄、工作时间、防护习惯和叶黄素的是否辅助使用,所以应该在这些方面加强. 展开更多
关键词 光损伤性黄斑病变 电焊弧 职业危险
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视觉对比敏感度和OCT在焊工体检中的应用 被引量:9
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作者 王文英 冀向宁 +1 位作者 王志学 王永森 《中华眼外伤职业眼病杂志》 2015年第8期596-600,共5页
目的探讨在焊接工人体检中应用视觉对比敏感度(cs)和光学相干断层扫描(OCT)检查的意义。方法横断面调查研究,以2014年5月在河北省沧州市中心医院体检的某工厂焊接工人86人为研究对象(焊工组),同期体检的焊接作业区以外的工人62... 目的探讨在焊接工人体检中应用视觉对比敏感度(cs)和光学相干断层扫描(OCT)检查的意义。方法横断面调查研究,以2014年5月在河北省沧州市中心医院体检的某工厂焊接工人86人为研究对象(焊工组),同期体检的焊接作业区以外的工人62人为对照(对照组),对上述人群除进行一般的系统体检外,着重进行眼部的检查,包括:自觉症状、视力、检眼镜检查、OCT及CS等检查。采用卡方分析比较两组眼部检查结果;采用Kappa检验分析焊工组人员的自觉症状与视力、检眼镜、OCT、CS检查的一致性;采用等级相关检验分析cs和OCT检查结果的相关性。结果焊工组在自觉症状、视力、检眼镜、CS、OCT检查的异常率分别为:25.6%,5.8%,2.3%,30.2%,22.1%;其中自觉症状、CS(6c/d)和OCT检查结果的异常率明显高于对照组(χ2=7.412,P=0.007)、(χ2=8.982,P=0.003)、(χ2=10.533,P=0.001);焊工组人员OCT、CS(6c/d)检查的结果分别与自觉症状呈高度一致(P0=0.919,K=0.776)、(P0=0.905,K=0.767);焊工组CS(6c/d)和OCT检查结果呈正相关(C=0.7539(2=97.577,P=0.000)。结论部分焊接工人存在明显的视网膜光损伤,cs和OCT检查能够从功能和解剖形态上精确反映这些损伤的存在,适用于焊接工人的电弧光性黄斑损伤筛查。视网膜黄斑区形态的改变可能是功能异常的基础。 展开更多
关键词 黄斑病变 光损伤性 电弧 学相干断层扫描 视觉对比敏感度 一致检验
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《家庭教育(幼儿版)》 2001年第Z1期92-92,共1页
避免紫外线伤害世界卫生组织日前呼吁,人们应避免长时间阳光直接照射,因为医学研究再次证实:过度日照会降低疫苗作用,削弱人体抵抗力。即便是间断日照也能引发多种皮肤病和白内障及其他眼疾。专家提出人一生中受到的日光性损伤有80%发... 避免紫外线伤害世界卫生组织日前呼吁,人们应避免长时间阳光直接照射,因为医学研究再次证实:过度日照会降低疫苗作用,削弱人体抵抗力。即便是间断日照也能引发多种皮肤病和白内障及其他眼疾。专家提出人一生中受到的日光性损伤有80%发生于18岁前,而日光性损伤发生在一天的日照高峰时间(10点~16点和夏季)。 展开更多
关键词 损伤 医学研究 紫外线 世界卫生组织 白内障 长时间 碳酸饮料 日照 高峰时间 皮肤病
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