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急诊开放手术与支架植入联合择期腹腔镜手术对急性梗阻性结直肠癌患者应激细胞因子ET、IL-6及CRP的影响 被引量:5
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作者 马留学 刘伟国 邹忠东 《中外医学研究》 2019年第10期1-3,共3页
目的:探讨急诊开放手术与支架植入联合择期腹腔镜手术对急性梗阻性结直肠癌患者应激细胞因子ET、IL-6及CRP的影响。方法:选取2016年1月-2018年1月笔者所在医院收治的急性梗阻性结直肠癌患者120例,将其按随机数字表法分为对照组(n=60)和... 目的:探讨急诊开放手术与支架植入联合择期腹腔镜手术对急性梗阻性结直肠癌患者应激细胞因子ET、IL-6及CRP的影响。方法:选取2016年1月-2018年1月笔者所在医院收治的急性梗阻性结直肠癌患者120例,将其按随机数字表法分为对照组(n=60)和研究组(n=60),对照组行急诊开放手术治疗,研究组行支架植入联合择期腹腔镜手术治疗,比较两组治疗前后血清SOD、MDA水平和CAT、GSH、ET水平,以及治疗前后炎性因子、治疗前后免疫功能。结果:治疗后,研究组血清SOD、MDA水平均优于对照组(P<0.05);研究组炎性因子低于对照组(P<0.05);研究组血清CAT、GSH、ET水平均优于对照组(P<0.05);研究组免疫功能优于对照组(P<0.05)。结论:对急性梗阻性结直肠癌患者,使用内支架置入联合腹腔镜手术进行治疗,治疗效果理想,因此,临床上应进一步推广和应用。 展开更多
关键词 急诊开放手术 支架植入 择期腹腔镜手术 急性梗阻性结直肠癌 应激细胞因子
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开腹与腹腔镜结直肠癌手术前后患者ET、NO、IL-6和CRP的变化 被引量:19
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作者 朱兴 《海南医学院学报》 CAS 2014年第4期497-500,共4页
目的:比较开腹与腹腔镜大肠癌手术前后患者内皮素(ET)、一氧化氮(NO)、白细胞介素-6(IL-6)以及C-反应蛋白(CRP)的变化情况。方法:将80例大肠癌患者随机分为开腹组与腹腔镜组,各为40例。比较两组手术前后ET、NO、IL-6及CRP的变化情况。结... 目的:比较开腹与腹腔镜大肠癌手术前后患者内皮素(ET)、一氧化氮(NO)、白细胞介素-6(IL-6)以及C-反应蛋白(CRP)的变化情况。方法:将80例大肠癌患者随机分为开腹组与腹腔镜组,各为40例。比较两组手术前后ET、NO、IL-6及CRP的变化情况。结果:(1)开腹组术后第1、2天ET水平均小于腹腔镜组术后第1、2天,差异具有统计学意义(P<0.05);(2)开腹组手术结束时、术后第1、2天NO水平与手术开始时相比,差异均具有统计学意义(P<0.05),腹腔镜组手术结束时、术后第1天与开始时相比,差异均具有统计学意义(P<0.05),且两组在术后第2天时NO水平比较,差异具有统计学意义(P<0.05);(3)开腹组手术结束时、术后1、2、3天IL-6水平与开始时相比,差异均具有统计学意义(P<0.05),而腹腔镜组手术前后IL-6水平相比,差异均具有统计学意义(P<0.05),且两组术后IL-6水平比较,差异均具有统计学意义(P<0.05);(4)两组术后CRP水平与手术开始时相比,差异均具有统计学意义(P<0.05),且开腹组术后CRP水平均小于腹腔镜组,差异均具有统计学意义(P<0.05)。结论:腹腔镜下大肠癌手术对应激相关细胞因子影响小,比开腹手术应激反应轻、强度低以及持续时间短。 展开更多
关键词 开腹手术 腹腔镜手术 应激细胞因子
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宫腔镜联合子宫动脉栓塞术治疗巨大子宫黏膜下肌瘤临床研究 被引量:6
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作者 张丽琦 《国际医药卫生导报》 2019年第2期273-276,共4页
目的 研究宫腔镜联合子宫动脉栓塞术(UAE)治疗Ⅱ型巨大子宫黏膜下肌瘤患者的短期效果。方法 选取本院2013年2月至2016年12月收治的150例Ⅱ型巨大子宫黏膜下肌瘤患者,按随机数字表法分组,各75例。对照组采取腹腔镜手术切除,观察组采取UAE... 目的 研究宫腔镜联合子宫动脉栓塞术(UAE)治疗Ⅱ型巨大子宫黏膜下肌瘤患者的短期效果。方法 选取本院2013年2月至2016年12月收治的150例Ⅱ型巨大子宫黏膜下肌瘤患者,按随机数字表法分组,各75例。对照组采取腹腔镜手术切除,观察组采取UAE,并于术后1个月采取宫腔镜下子宫黏膜下肌瘤切除术。比较两组手术情况、术后恢复情况、手术前后白细胞、血清应激细胞因子[白细胞介素6(IL-6)、P物质(SP)、皮质醇(Cor)、肿瘤坏死因子α(TNF-α)]水平变化,并随访1年,比较两组月经情况、血红蛋白(Hb)水平及生活质量(SF-36)评分。结果 观察组术中失血量较对照组少,排气时间、住院天数较对照组短,并发症发生率较对照组低(6.67%比17.33%)(P<0.05);观察组手术用时(两次手术时间总和)与对照组比较差异无统计学意义(P >0.05);两组术后12 h白细胞、血清IL-6、SP、Cor、TNF-α水平较术前升高,观察组白细胞、血清IL-6、SP、Cor、TNF-α水平较对照组低(P<0.05);观察组术后1个月、术后3个月SF-36评分较对照组高(P<0.05);两组术后1年经期时间、月经量较术前减少,Hb水平较术前升高(P<0.05)。结论 Ⅱ型巨大子宫黏膜下肌瘤患者采取宫腔镜联合UAE治疗,可优化手术情况,减轻手术应激创伤,减少并发症,加快术后康复,改善月经及贫血情况,提高生活质量。 展开更多
关键词 Ⅱ型巨大子宫黏膜下肌瘤 子宫动脉栓塞术 宫腔镜 腹腔镜 应激细胞因子 月经情况 生活质量
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Possible effect of fluid shear stress on osteoclastogenesis 被引量:1
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作者 Tong Xiaoyu Xia Yayi 《Journal of Medical Colleges of PLA(China)》 CAS 2010年第2期103-109,共7页
Bone remodeling is performed under the joint action of osteoblasts and osteoclasts. Since the effect of osteoclasts has been gradually recognized on bone and joint diseases, targeted researches toward osteoclasts have... Bone remodeling is performed under the joint action of osteoblasts and osteoclasts. Since the effect of osteoclasts has been gradually recognized on bone and joint diseases, targeted researches toward osteoclasts have become a hot research field. This article reviews the relevant medical literature concerning the possible effects of the fluid shear stress (FSS) on the osteoclastogenesis chiefly from the aspects of RANKL-RANK-OPG system, the macrophage colony-stimulating factor (M-CSF), and calcitonin receptor (CTR). On the basis of the changes of the expression of osteoclastic activities, it is suggested that FSS is a potent, important regulator of bone metabolism. 展开更多
关键词 Fluid shear stress (FSS) OSTEOCLASTOGENESIS RANKL M-CSF
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Changes of Bone Remodeling-related Factors of HPDLF Regulated by Estrogen and Tensile Strain
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作者 PENG wei LIAO Chun-hui +1 位作者 ZHONG Xiao-long JI Li 《Chinese Journal of Biomedical Engineering(English Edition)》 2013年第1期37-45,共9页
Estrogen deficiency has been proposed as a risk factor for alveolar bone loss, but whether or not estrogen will influcence the bone rebuilting process during orthodontic tooth movement and what the mechanisms involved... Estrogen deficiency has been proposed as a risk factor for alveolar bone loss, but whether or not estrogen will influcence the bone rebuilting process during orthodontic tooth movement and what the mechanisms involved remain unclear. The paper aims to provide new information that may elucidate the modulatory effect of estrogen on the bone-resorbing cytokines RANKL and its anti-resorptive factor OPG secrected by HPLFs which are already force-stimulated. The expression of OPG mRNA is rising after mechanical loading either with or without stimulated by estrogen before. But HPDL cells exposured to estrogen for 24 h before loaded tend to express more OPG mRNA. Compared with the no-estrogen group, the inhibit trend of RANKL mRNA is much more apparent in with-estrogen group. Moreover, estrogen and mechanic force time-dependently increased OPG expression and attenuated the RANKL expression. 展开更多
关键词 estrogen mechanic force human periodontla ligament cells
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Effects of the serum derived from rats treated with electroacupuncture at different meridian acupoints on EGFR signal transduction pathway in gastric mucosal cells 被引量:3
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作者 杨宗保 严洁 《World Journal of Acupuncture-Moxibustion》 2009年第1期41-48,共8页
Objective To study the effect of the serum derived from the rats treated with electroacupunctre at Stomach Meridian acupoints on the EGFR signal transduction pathway in gastric mucosal cells. Methods Sixty rats were r... Objective To study the effect of the serum derived from the rats treated with electroacupunctre at Stomach Meridian acupoints on the EGFR signal transduction pathway in gastric mucosal cells. Methods Sixty rats were randomly divided into 5 groups: model group, Stomach (ST) Meridian group, Gallbladder (GB) Meridian group, ST+ PD153035 group and GB+ PD153035 group. Water-immersion and restrained stress method was adopted for preparation of the stress-induced gastric ulcer rat model, and the gastric mucosa cells were separated by using pronase digestion method. Gastric mucosa cells were incubated respectively with PD153035, EGFR inhibitor and the serum; PLCγ-1's expression level in gastric mucosa cells was tested by enzyme-linked immunosorbant assay (ELISA), and PKC activity by isotope mingling method; and reverse transcription polymerase chain reaction assay (RT-PCR) was used for testing expression level of c-myc gene. Results The expression levels of PLCγ-1 ,PKC and c- myc gene were lower in gastric mucosa cells in the model group; there were relatively high expression levels of PLCγ-1 ,PKC and c-myc gene in the ST Meridian group and the GB Meridian group, with the highest expression levels of PLCγ-1 ,PKC and c-myc gene in the ST Meridian, and with a significant difference between the ST Meridian group and the GB Meridian group (P〈0.01 ) ; and relative lower expression levels of PLCγ-1, PKC and c-myc gene were seen in the ST + PD153035 group and the GB + PD153035 group; and there was a significant difference between the ST Meridian group and the ST + PD153035 group (P〈0.01). Conclusion There was a close correlation between the healing effect of electroacupuncture and activation of the EGFR signal transduction pathway in the impaired gastric mucosa cells, which was also one proof for the TCM theory: "There is relative specificity between the meridians and viscera". 展开更多
关键词 ELECTROACUPUNCTURE Stomach Meridian Gastric Mucosa Cell Stress-induced Gastric Ulcer Epidermal Growth Factor Receptor
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Leptin in normal physiology and leptin resistance 被引量:10
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作者 Shufen Li Xi Li 《Science Bulletin》 SCIE EI CAS CSCD 2016年第19期1480-1488,共9页
Since the discovery of leptin as an adipokine in 1994, much progress has been made in the research about leptin. Circulating leptin binds to leptin receptor, activates STAT3-dependent and STAT3-independent signaling p... Since the discovery of leptin as an adipokine in 1994, much progress has been made in the research about leptin. Circulating leptin binds to leptin receptor, activates STAT3-dependent and STAT3-independent signaling pathways, and plays an effective role in energy home- ostasis, neuroendocrine function and metabolism mainly through acting on the central nervous system, especially the hypothalamus. Leptin resistance is considered as a key risk factor for obesity. Various mechanisms have been formu- lated in order to explain leptin resistance, including impairment in leptin transport, attenuation in leptin sig- naling, ER stress, inflammation and deficiency in autop- hagy. Here, we review our current knowledge about leptin action, leptin signaling and leptin resistance, hoping to provide new ideas for the battle against obesity. 展开更多
关键词 Leptin biology Leptin function. Leptinsignaling Leptin resistance Energy homeostasis
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The alleviating effect of quercetin on carbon tetrachloride-induced liver fibrosis in rats and its underlying mechanism 被引量:3
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作者 Mingkang Zhang Yuyue Chen +1 位作者 Yan Zhou Xin'an Wu 《Journal of Chinese Pharmaceutical Sciences》 CAS CSCD 2022年第11期840-852,共13页
Quercetin, a phenolic phytochemical widely present in vegetables and fruits, has antioxidant, anti-inflammatory, antiviral, and immunomodulatory activities, and it has been successfully used in the treatment of acute ... Quercetin, a phenolic phytochemical widely present in vegetables and fruits, has antioxidant, anti-inflammatory, antiviral, and immunomodulatory activities, and it has been successfully used in the treatment of acute and chronic diseases. In the present study, we aimed to investigate the alleviation effect of quercetin on rat liver fibrosis and explore its mechanism of action. Healthy male SD rats were randomly divided into the normal group, model group, and quercetin group, with six rats in each group. Liver fibrosis was induced by intraperitoneal injection of 1 m L/kg carbon tetrachloride(50% v/v in olive oil) twice a week for 6 weeks, and quercetin(100 mg/kg/d) was administered orally in the 7th week until the end of the 12th week. Blood and liver samples were collected at 1 h after the last administration. Serum liver function parameters(AST, ALT, ALP, GGT, and TBA) were detected by an automatic biochemical analyzer. H&E, Masson, and Sirius red staining were used to observe the pathological morphology of liver tissue. Western blotting analysis was used to evaluate the expressions of liver fibrotic factors(TGF-β1, α-SMA, MMP2, and MMP9) and bile acid-related regulatory proteins(FXR, CYP7A1, CYP8B1, and CYP27A1). The oxidative stress markers(GSH, GSH-Px, GR, SOD, and MDA) in the liver tissue were detected using corresponding kits. The contents of bile acids in the liver tissue were determined by LC-MS/MS. The results showed that compared with the model group, quercetin treatment could significantly reduce serum AST, ALT, and TBA levels(P < 0.05). The fibrotic liver injury was significantly improved, and the expressions of fibrotic factors TGF-β1, α-SMA, MMP2, and MMP9 were significantly decreased(P < 0.05). Liver GSH, GSH-Px, GR, and SOD levels were significantly increased(P < 0.05), and the MDA level was significantly decreased(P < 0.05). The contents of hepatic bile acids were significantly decreased(P < 0.05), the expression of FXR was significantly increased(P < 0.05), and the expressions of CYP7A1 and CYP8B1 were significantly decreased(P < 0.05). This study suggested that quercetin could effectively alleviate carbon tetrachloride-induced liver fibrosis injury, and its mechanism of action was related to improving the liver’s ability to resist oxidative stress and reducing the expressions of fibrotic factors and bile acid synthesis. 展开更多
关键词 QUERCETIN Liver fibrosis Carbon tetrachloride Oxidative stress Fibrosis cytokines Bile acids
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