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改良早期预警评分与急性生理和慢性健康评分系统对急诊内科患者病情的评估作用 被引量:1
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作者 江帆 叶丽萍 +1 位作者 王瑞 朱胜男 《大医生》 2019年第14期156-158,共3页
目的探讨改良早期预警评分与急性生理和慢性健康评分系统对急诊内科患者病情评估作用。方法回顾性分析2016年1月至2018年12月在上海市闵行区中心医院急诊科治疗的80例胃肠疾病患者的临床资料,均行择期胃肠道手术,根据补液的速度和剂量... 目的探讨改良早期预警评分与急性生理和慢性健康评分系统对急诊内科患者病情评估作用。方法回顾性分析2016年1月至2018年12月在上海市闵行区中心医院急诊科治疗的80例胃肠疾病患者的临床资料,均行择期胃肠道手术,根据补液的速度和剂量不同分为两组,每组40例。对照组采用输液的速度和剂量是维持心率和收缩压不低于术前的20%,尿量不少于0.5 mL/(kg·h);观察组采用补液时10 min B超测一次IVC宽度,如IVC<15 mm,RVI大于50%,快速补液,如IVC>20 mm,RVI<50%,停止快速补液,仅给生理需要量。采用改良早期预警评分(MEWS)和急性生理和慢性健康评分系统(APACHEⅡ)进行病情评估。结果观察组的MEWS评分和APACHEⅡ评分明显低于对照组(P<0.05);APACHEⅡ评分的灵敏度高于MEWS评分,而MEWS评分的特异性和阳性预测值高于APACHEⅡ评分(P<0.05)。结论MEWS和APACHEⅡ均对急诊内科患者病情评估有良好预测作用,临床可联合APACHEⅡ评分和MEWS评分共同评估,以提高病情评估的灵敏度、特异性。 展开更多
关键词 急诊内科 改良早期预警评分(MEWS) 急性生理和慢性健康评分系统(APACHE) 病情评估
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Orientation of Pigments in the Isolated PhotosystemⅡSub-core Reaction Center CP47/D1/D2/Cyt b-559 Complexes:A Linear Dichroism Study 被引量:3
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作者 侯建敏 Dominique DEJONGHE +2 位作者 单际修 李良璧 匡廷云 《Acta Botanica Sinica》 CSCD 2000年第12期1211-1214,共4页
Linear dichroism (LD) spectroscopy is an important technique in the study of the orientation and organization of pigments in the photosynthetic membrane complexes in vivo and in vitro . In this work, the orient... Linear dichroism (LD) spectroscopy is an important technique in the study of the orientation and organization of pigments in the photosynthetic membrane complexes in vivo and in vitro . In this work, the orientation of the pigments in the isolated photosystem Ⅱ (PSⅡ) sub_core reaction center complexes was analyzed and characterized by means of low temperature absorption and LD spectroscopy. The preparations containing different amounts of CP47 isolated from spinach (Spinacia oleracea L.) chloroplast were used in order to investigate the orientation of pigments in the PSⅡ sub_core CP47/D1/D2/Cyt b_559 (CP47/D1/D2) complexes. Chlorophyll a (Chl a) absorbing at 680 nm in CP47/D1/D2/Cyt b_559 complex showed an orientation of the Q y transition parallel to the membrane plane. It is proposed that there are two forms of β_carotene (β_Car) in CP47/D1/D2/Cyt b_559 complex, denoted as β_Car (Ⅰ) and β_Car (Ⅱ), with different orientations, β_Car (Ⅰ) at 470 and 505 nm is roughly parallel to the membrane plane, and β_Car (Ⅱ) at 460 and 490 nm seems to be perpendicular orientation. Upon the photoinhibitory experiment β_Car (Ⅱ) was found to be photosensitive and easily photodamaged. It also showed that the positive LD signal observed at 680 nm was quite complicated. This signal is tentatively attributed to P680 and some Chl a of antenna in CP47 protein based upon our measurements. 展开更多
关键词 orientation of pigments photosystem linear dichroism spectroscopy PHOTOINHIBITION
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Kinetic Fluorescence Spectral Analysis of Core Antennas CP43 and CP47 of Photosystem Ⅱ with Ultrafast Time-resolved Technology
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作者 贺俊芳 王水才 +3 位作者 张舒 贺锋涛 单际修 匡廷云 《Acta Botanica Sinica》 CSCD 2001年第7期704-708,共5页
Ultrafast time_resolved fluorescence experiments have been performed with core antennas CP43 and CP47 of PS Ⅱ. Their dynamic fluorescence spectra were obtained with excitation wavelength 514.5 nm. For CP43, the emiss... Ultrafast time_resolved fluorescence experiments have been performed with core antennas CP43 and CP47 of PS Ⅱ. Their dynamic fluorescence spectra were obtained with excitation wavelength 514.5 nm. For CP43, the emission spectrum was found to be from 640 to 780 nm with a peak at ~680 nm and the lifetime of fluorescence was 3.54 ns. For CP47, the emission spectrum was from 630 to 775 nm with a peak at ~691 nm and the fluorescence lifetime was 3.22 ns. The fluorescence emission efficiencies of Chl a in CP43 and CP47 were calculated to be approximately 38.3% and 40.6%, respectively. The energy transfer from β_Car to Chl a in CP43 and CP47 was discussed. The rates of energy transfer from β_Car to Chl a were measured to be about 9.6×10 11 s -1 and 1.3×10 12 s -1 and energy transfer efficiencies 47.5% and 66.5% respectively. The edge_edge distances between β_Car and Chl a in CP43 and CP47 were estimated to be ~0.110 nm and ~0.085 nm respectively. 展开更多
关键词 core antenna CP43 CP47 β-Car Chl a energy transfer PS
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危重病患者应激状态下胰岛素敏感性的变化及意义 被引量:11
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作者 曹赋韬 郑志强 《中国危重病急救医学》 CAS CSCD 北大核心 2008年第8期482-485,共4页
目的观察危重病患者应激状态下血糖、胰岛素浓度以及胰岛素敏感性的变化,探讨这些指标与病情严重程度及预后的关系。方法选择本院综合重症加强治疗病房(ICU)危重病患者54例,于人院24h内进行急性生理学与慢性健康状况评分系统Ⅱ(APA... 目的观察危重病患者应激状态下血糖、胰岛素浓度以及胰岛素敏感性的变化,探讨这些指标与病情严重程度及预后的关系。方法选择本院综合重症加强治疗病房(ICU)危重病患者54例,于人院24h内进行急性生理学与慢性健康状况评分系统Ⅱ(APACHEⅡ)评分,于24h内或次日清晨抽血检测空腹血糖(FBG)和胰岛素(FINS)浓度,并计算胰岛素敏感性指数(ISI)。根据APACHEⅡ分值、脏器受累情况以及预后进行分组,比较各组间FBG、FINS及ISI的差异,并对APACHEⅡ评分与FBG、FINS及ISI进行相关与回归分析。结果按APACHEⅡ评分值分为≤10分、10~20分及〉21分3组,表现为随评分增加,各组APACHEⅡ评分、FBG、FINS均显著增加,ISI显著减少(P〈0.05或P〈0.01)。多个器官功能障碍组APACHEⅡ评分、FBG、FINS较单个器官功能障碍组显著增加,而ISI显著下降(P〈0.05或P〈0.01)。死亡组APACHEⅡ评分、FBG较存活组显著增加,ISI显著下降(P均〈0.01);而FINS差异无统计学意义。54例危重病患者的APACHEⅡ评分与FBG呈显著正相关(r=0.8165,P〈0.01;回归方程:y=0.573x+3.072),与ISI呈显著负相关(r=-0.7039,P〈0.01;回归方程:y=0.107x-3.598),但与FINS无线性相关关系(r=0.2830,P〉0.05)。结论危重病应激状态下存在胰岛素抵抗,FBG及ISI可作为反映危重病严重程度及预后的良好指标,部分患者表现为高胰岛素血症,但FINS不能准确反映危重病的病情及预后。 展开更多
关键词 危重病 高血糖 高胰岛素血症 胰岛素敏感性指数 急性生理学与慢性健康状况评 分系统ⅱ
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