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转变思维:大力培养神经泌尿复合型医生
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作者 贾春松 欧彤文 廖利民 《继续医学教育》 2021年第6期4-6,共3页
神经泌尿学是一门新兴的医学交叉学科,它主要研究神经源性膀胱的诊治。神经源性膀胱患者众多,病因复杂且病源分散。我国目前神经泌尿知识普及不够,神经泌尿专科医生少,神经源性膀胱的诊治水平亟需提高。文章从普及神经泌尿知识的重要性... 神经泌尿学是一门新兴的医学交叉学科,它主要研究神经源性膀胱的诊治。神经源性膀胱患者众多,病因复杂且病源分散。我国目前神经泌尿知识普及不够,神经泌尿专科医生少,神经源性膀胱的诊治水平亟需提高。文章从普及神经泌尿知识的重要性、国内外神经泌尿发展现状、国内神经泌尿发展缓慢的原因、笔者团队神经泌尿医生培养的经验等方面,提出应培养神经泌尿复合型医生,并指出神经泌尿复合型医生应具备的基本素质以及培养途径。通过培养神经泌尿复合型医生,能够将神经源性膀胱筛查和治疗的关口前移至首诊医生,达到提高神经源性膀胱诊治水平的目的。 展开更多
关键词 神经泌尿 神经源性膀胱 交叉学科 复合型医生 基本素质 培养途径
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2024年EAU年会热点速递:尿控领域诊疗进展
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作者 黄海 罗添龙 廖利民 《中华泌尿外科杂志》 CAS CSCD 北大核心 2024年第5期335-338,共4页
2024年欧洲泌尿外科协会(EAU)年会探讨了尿控领域的多个临床热点和争议话题本文主要介绍会议中聚焦的下尿路症状的诊治与相关临床转化研究、膀胱过度活动症、神经泌尿进展、尿失禁进展等内容.
关键词 尿路症状 膀胱过度活动症 神经泌尿 尿失禁
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EFFECT OF ERYTHROMYCIN ON GASTRIC DYSMOTILITY AND NEUROENDOCRINE PEPTIDES IN RATS WITH DIABETES MELLITUS 被引量:3
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作者 Lin Lin Min Ji Hong-jie Zhang Zheng Lin Zhi-quan Zhao 《Chinese Medical Sciences Journal》 CAS CSCD 2005年第3期176-180,共5页
Objective To investigate the effect of erythromycin on the contractive activity of the isolated gastric antrum smooth muscle and somatostatin (SS), vasoactive intestinal peptide (VIP), motilin (MTL), and substan... Objective To investigate the effect of erythromycin on the contractive activity of the isolated gastric antrum smooth muscle and somatostatin (SS), vasoactive intestinal peptide (VIP), motilin (MTL), and substance P (SP) in plasma and isolated gastric antrum tissue of diabetes mellitus (DM) rat models. Methods Thirty male Sprague-Dawley rats were divided into three groups: control group (n = 10), DM group (n = 10), and erythromycin group (DM models with erythromycin treatment, n = 10). A single dose of streptozotocin (100 mg/kg, dissolved in 0. I mol/L citric acid buffer, pH4.5) was injected intraperitoneally. After 48 to 72 hours, rats with blood glucose above 16.7 mmol/L and urine glucose level to be (+++ ) to (++++) over one week were considered successful DM models. The resting tension, mean contractile amplitude and fi'equency of spontaneous change in isolated longitudinal and circular gastric antrum smooth muscle strips were measured. SS, VIP, MTL, and SP levels in plasma and gastric antrum tissue were measured using radioimmunoassay. Results (1) In the isolated gastric antrum smooth muscle strips, the gastric motility parameters were lower in DM group than those in control group except circular smooth muscle contractile amplitude and longitudinal smooth muscle contractile fi'equency. The gastric motility parameters were significantly strengthened in erythromycin group, compared with DM group except longitudinal smooth muscle resting tension (P 〈 0.01 ). (2) Plasma SS, VIP, and MTL concentrations in DM group were higher than those in control (P 〈 0.05), while the SP level decreased (P 〈 0.05). In the gastric antrum, SS of DM group was significantly higher than that of control group (P 〈 0.01 ), while SP and MTL levels were lower than those of control group (P 〈 0.05 and P 〈 0.01, respectively). However, the level of VIP in gastric antrum tissue did not change among three groups. The plasma level of SS in erythromycin group was higher than that of DM group (P 〈 0.05). (3) The blood glucose was lower in erythromycin group than DM group (P 〈 0.01 ). Conclusions Erythromycin has direct effects on contractive activity of gastric smooth muscle in diabetic rats, but there are few effects on neuroendocrine peptides. Gastric-motility disorders in diabetic rats have a correlation with the changes of neuroendocrine peptide levels in plasma and gastric antrum tissue. 展开更多
关键词 diabetes mellitus gastric dysmotility ERYTHROMYCIN SOMATOSTATIN vasoactive intestinal peptide MOTILIN substance P
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