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老年直肠癌患者运用小切口开腹手术的机体应激反应 被引量:3
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作者 刘畅 罗翼 +3 位作者 汪晓东 贾留群 侯林 李立 《昆明医学院学报》 CAS 2011年第4期30-35,47,共7页
目的比较小切口和开腹直肠癌根治术对老年患者全身应激反应的影响.方法按标准回顾性纳入2007年2月至2009年12月期间接受治疗的患者278名.按照年龄将所有患者分为老年组(年龄≥60岁,A组)和非老年组(年龄<60岁,B组);两组根据开腹切口... 目的比较小切口和开腹直肠癌根治术对老年患者全身应激反应的影响.方法按标准回顾性纳入2007年2月至2009年12月期间接受治疗的患者278名.按照年龄将所有患者分为老年组(年龄≥60岁,A组)和非老年组(年龄<60岁,B组);两组根据开腹切口的长度将患者划分为小切口组和标准切口组.于术前3 d和术后1 d采集患者静脉血,测定C-反应蛋白(C-reactive Protein,CRP)和血清淀粉样蛋白(SerumAmyloid A,SAA)水平,并比较手术安全性、术后并发症和恢复情况.结果小切口患者术后1 d的血清CRP和SAA炎症因子水平低于开腹组,但差异没有统计学意义(P>0.05),较术前增幅的差异也没有统计学意义(P>0.05);行小切口的患者术后首次排便的时间早于行标准切口的患者(P<0.05);不同年龄患者术后并发症的发生率没有区别(P>0.05).结论老年患者运用小切口手术获得创伤反应的下降,创造了更为安全的近期效果,降低术后手术风险. 展开更多
关键词 直肠癌 老年人 小切口 应激症反应
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腹腔镜胆囊切除术对胆囊结石患者疗效及炎症应激反应、外周血T淋巴细胞的影响 被引量:3
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作者 高俊 陈功 《黑龙江医学》 2022年第1期23-25,共3页
目的:探讨腹腔镜胆囊切除术(LC)治疗胆囊结石的效果及对患者炎症应激反应、外周血T淋巴细胞的影响。方法:选取2016年4月—2020年8月南京市高淳人民医院手术治疗的108例胆囊结石患者作为研究对象,其中62例采用LC手术(LC组)、46例患者采... 目的:探讨腹腔镜胆囊切除术(LC)治疗胆囊结石的效果及对患者炎症应激反应、外周血T淋巴细胞的影响。方法:选取2016年4月—2020年8月南京市高淳人民医院手术治疗的108例胆囊结石患者作为研究对象,其中62例采用LC手术(LC组)、46例患者采用传统开腹手术治疗(对照组),对比两组患者的手术时间、出血量、肛门首次排气时间、住院时间,手术前后的血清C反应蛋白(CRP)、白细胞介素-6(IL-6)、血糖、皮质醇(Cor)、外周血T淋巴细胞的影响。结果:LC组的手术时间、出血量、肛门首次排气时间、住院时间均显著低于对照组(t=-4.796、-12.084、-7.821、-9.295,P<0.05)。术前,两组患者的血清CRP、IL-6、血糖、Cor水平差异无统计学意义(t=-0.443、0.917、0.673、0.894,P>0.05);术后24 h,LC组的血清CRP、IL-6、血糖、Cor水平均显著低于对照组,差异有统计学意义(t=-7.803、-9.904、-3.4831、-6.005,P<0.05)。术前,两组患者的外周血中CD3^(+)、CD4^(+)、CD8^(+)、CD4^(+)/CD8^(+)水平差异无统计学意义(t=-0.475、0.492、1.179、-0.301,P>0.05);术后24 h,LC组的CD3^(+)、CD4^(+)CD4^(+)/CD8^(+)水平高于对照组(t=2.589、2.587、3.672,P<0.05),CD8^(+)低于对照组(t=-2.189,P<0.05)。结论:LC治疗胆囊结石的效果与开腹手术相当,同时具有手术后炎症应激反应程度小、对患者免疫功能影响小的优势。 展开更多
关键词 腹腔镜胆囊切除术 胆囊结石 应激反应 T淋巴细胞
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战胜“电脑应激反应症”
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作者 郭世琮 《海峡科技》 1999年第12期38-38,39,共2页
关键词 电脑应激反应 风险管理 人体健康 治疗方法
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Endurance exercise and gut microbiota:A review 被引量:21
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作者 Núria Mach Dolors Fuster-Botella 《Journal of Sport and Health Science》 SCIE 2017年第2期179-197,共19页
Background: The physiological and biochemical demands of intense exercise elicit both muscle-based and systemic responses. The main adaptations to endurance exercise include the correction of electrolyte imbalance, a ... Background: The physiological and biochemical demands of intense exercise elicit both muscle-based and systemic responses. The main adaptations to endurance exercise include the correction of electrolyte imbalance, a decrease in glycogen storage and the increase of oxidative stress, intestinal permeability, muscle damage, and systemic inflammatory response. Adaptations to exercise might be influenced by the gut microbiota, which plays an important role in the production, storage, and expenditure of energy obtained from the diet as well as in inflammation,redox reactions, and hydration status.Methods: A systematic and comprehensive search of electronic databases, including MEDLINE, Scopus, Clinical Trials.gov, Science Direct,Springer Link, and EMBASE was done. The search process was completed using the keywords: "endurance", "exercise", "immune response","microbiota", "nutrition", and "probiotics".Results: Reviewed literature supports the hypothesis that intestinal microbiota might be able to provide a measureable, effective marker of an athlete's immune function and that microbial composition analysis might also be sensitive enough to detect exercise-induced stress and metabolic disorders. The review also supports the hypothesis that modifying the microbiota through the use of probiotics could be an important therapeutic tool to improve athletes' overall general health, performance, and energy availability while controlling inflammation and redox levels.Conclusion: The present review provides a comprehensive overview of how gut microbiota may have a key role in controlling the oxidative stress and inflammatory responses as well as improving metabolism and energy expenditure during intense exercise. 展开更多
关键词 ENDURANCE EXERCISE Immune response MICROBIOTA NUTRITION PROBIOTICS
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被外星人绑架
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作者 Michael Shermer 魏小巍 《科学(中文版)》 2005年第4期18-19,共2页
1983年8月8号凌晨,我骑自行车行驶在前往内布拉斯加州海格雷的一条寂静的乡间公路上.此时一艘闪着耀眼光芒的巨大飞船赶上我,迫使我停在公路的一边.外星人走出飞船,他们绑架了我90分钟,之后我发现自己重又回到公路上,但是对飞船里所发... 1983年8月8号凌晨,我骑自行车行驶在前往内布拉斯加州海格雷的一条寂静的乡间公路上.此时一艘闪着耀眼光芒的巨大飞船赶上我,迫使我停在公路的一边.外星人走出飞船,他们绑架了我90分钟,之后我发现自己重又回到公路上,但是对飞船里所发生的一切已经全无记忆了.我能证明这事确实发生过,因为事后不久我还对一个影片摄制组讲述了事情的经过. 展开更多
关键词 外星人 绑架事件 想象力 精神生理学 “创伤后应激反应紊乱
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Telomeres,cardiovascular aging,and potential intervention for cellular senescence 被引量:5
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作者 ZHANG WeiLi HUI RuTai YANG ShuJun 《Science China(Life Sciences)》 SCIE CAS 2014年第8期858-862,共5页
A consistent association has been observed between leukocyte telomere length(LTL)and atherosclerosis,but the mechanisms underlying these associations are still not well understood.Premature biology aging was evident i... A consistent association has been observed between leukocyte telomere length(LTL)and atherosclerosis,but the mechanisms underlying these associations are still not well understood.Premature biology aging was evident in atherosclerotic plaques,characterized by reduced cell proliferation,irreversible growth arrest and apoptosis,and telomere attrition.As atherosclerosis is a state of chronic low-grade inflammation and increased oxidative stress,shortened LTL in patients with atherosclerosis might stem from the two sources,one is an accelerated rate in hematopoietic stem cells(HSCs)replication to replace leukocytes consumed in the inflammatory process,and another is the increase in the loss of telomere repeats per replication.Thus,diminished HSC reserves at birth and age-dependent telomere attrition afterward are mirrored in shortened LTL during the adulthood.In addition,the inter-individual variation of LTL in the general population can be partly explained by genetic factors regulating telomere maintenance and the rate of HSCs replication.Atherosclerosis is an aging-related disease,and practically all humans develop atherosclerosis if they live long enough.Here we overview the potential roles of LTL dynamics in the imbalance between injurious oxidative stress/inflammation and endothelial repair during the pathogenesis of age-related atherosclerosis,and discuss the possibility that preventing accelerated cellular senescence is a potential target in prevention of atherosclerosis. 展开更多
关键词 TELOMERE aging ATHEROSCLEROSIS vascular cell senescence
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Epac2-deficiency leads to more severe retinal swelling, glial reactivity and oxidative stress in transient middle cerebral artery occlusion induced ischemic retinopathy 被引量:13
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作者 LIU Jin YEUNG Patrick Ka Kit +3 位作者 CHENG Lu LO Amy Cheuk Yin CHUNG Stephen Sum Man CHUNG Sookja Kim 《Science China(Life Sciences)》 SCIE CAS CSCD 2015年第6期521-530,共10页
Ischemia occurs in diabetic retinopathy with neuronal loss, edema, glial cell reactivity and oxidative stress. Epacs, consisting of Epac 1 and Epac2, are cAMP mediators playing important roles in maintenance of endoth... Ischemia occurs in diabetic retinopathy with neuronal loss, edema, glial cell reactivity and oxidative stress. Epacs, consisting of Epac 1 and Epac2, are cAMP mediators playing important roles in maintenance of endothelial barrier and neuronal functions To investigate the roles of Epacs in the pathogenesis of ischemic retinopathy, transient middle cerebral artery occlusion (tMCAO) was performed on Epacl-deficient (Epacl-/- ) mice, Epac2-deficient (Epac2-/-) mice, and their wild type counter-parts (Epacl+/+ and Epac2+/+). Two-hour occlusion and 22-hour reperfusion were conducted to induce ischemia/reperfusion injury to the retina. After tMCAO, the contralateral retinae displayed similar morphology between different genotypes. Neu-ronal loss, retinal edema and increase in immunoreactivity for aquaporin 4 (AQP4), glial fibrillary acidic protein (GFAP), peroxiredoxin 6 (Prx6) were observed in ipsilateral retinae. Epac2 / ipsilateral retinae showed more neuronal loss in retinal ganglion cell layer, increased retinal thickness and stronger immunostaining of AQP4, GFAP, and Prx6 than those of Epac2+/+. However, Epacl-/- ipsilateral retinae displayed similar pathology as those in Epacl+/+ mice. Our observations suggest that Epac2-deficiency led to more severe ischemic retinopathy after retinal ischemia/reperfusion injury. 展开更多
关键词 Epac RETINA ischemia RETINOPATHY
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