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右美托咪定对气管插管全身麻醉妇科腹腔镜手术患者应激的影响 被引量:2
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作者 杨红霞 陈晶玉 《外科研究与新技术》 2022年第4期266-269,共4页
目的 分析右美托咪定对气管插管全麻醉妇科腹腔镜手术患者应激的影响。方法 选取2019年5月—2022年5月行气管插管全麻醉妇科腹腔镜手术的患者90例,按随机数字表法分为3组,分别为A组(右美托咪定0.2μg/kg,n=30),B组(右美托咪定0.4μg/kg,... 目的 分析右美托咪定对气管插管全麻醉妇科腹腔镜手术患者应激的影响。方法 选取2019年5月—2022年5月行气管插管全麻醉妇科腹腔镜手术的患者90例,按随机数字表法分为3组,分别为A组(右美托咪定0.2μg/kg,n=30),B组(右美托咪定0.4μg/kg,n=30),C组(右美托咪定0.6μg/kg,n=30)。对比分析各组患者诱导前5 min、插管后5 min、手术完成时应激指标、血清去甲肾上腺素和肾上腺素水平差异。结果 3组患者在诱导前5 min、插管后5 min以及手术完成时SpO_(2)水平比较,差异均无统计学意义(P>0.05);3组患者在诱导前5 min和插管后5 min手术完成时的平均动脉压(MAP)和心率(HR)比较差异均无统计学意义(P>0.05),而在手术完成时,MAP和HR比较,差异有统计学意义(P<0.05)。3组患者在诱导前5 min的血清去甲肾上腺素水平比较,差异均无统计学意义(P>0.05);在插管后5 min、手术完成时血清去甲肾上腺素水平比较,B组显著低于其他各组(P<0.05)。3组患者在诱导前5 min的肾上腺素水平比较,差异均无统计学意义(P>0.05);在插管后5 min、手术完成时肾上腺素水平比较,B组显著低于其他各组(P<0.05)。结论 右美托咪定可以减少气管插管全麻醉妇科腹腔镜手术患者的应激反应,降低血清去甲肾上腺素与肾上腺素水平,值得临床推广使用。 展开更多
关键词 右美托咪定 气管插管全麻醉妇科腹腔镜手术 应激指标 血清去甲肾上腺素 肾上腺素水平
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Suspended moxibustion relieves chronic visceral hyperalgesia and decreases hypothalamic corticotropin-releasing hormone levels 被引量:15
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作者 En-Hua Zhou Xiao-Mei Wang +4 位作者 Guang-Hong Ding Huan-Gan Wu Li Qi Hui-Rong Liu Shu-Jing Zhang 《World Journal of Gastroenterology》 SCIE CAS CSCD 2011年第5期662-665,共4页
AIM:To evaluate the effect of suspended moxibustion(SM) on rectal sensory thresholds and to analyze the possible mechanisms involved in SM treatment of chronic visceral hypersensitivity(CVH) in rats.METHODS:SM was adm... AIM:To evaluate the effect of suspended moxibustion(SM) on rectal sensory thresholds and to analyze the possible mechanisms involved in SM treatment of chronic visceral hypersensitivity(CVH) in rats.METHODS:SM was administered once daily to 37-dold CVH rats for 7 d.The two pairs of acupoints(ST25 and ST37,bilateral) were simultaneously treated with SM.Each treatment lasted for 30 min.Rats undergoing treatment with SM were not anesthetized.Untreated CVH rats and normal rats were used as controls.The abdominal withdrawal reflex was determined 30-90 min after the seven treatments.The hypothalamic corticotropin-releasing hormone(CRH) mRNA level was measured using real-time quantitative reverse transcriptionpolymerase chain reaction.RESULTS:We found that SM treatment significantly decreased visceral sensitivity to colorectal distention in this rat model.In treated animals,SM also decreased the relative hypothalamic CRH mRNA expression level to control levels.CONCLUSION:Lower hypothalamic CRH levels may mediate the beneficial effects of SM in this rat irritable bowel syndrome model. 展开更多
关键词 Chronic visceral hypersensitivity Corticotro-pin-releasing hormone Irritable bowel syndrome RAT Suspended moxibustion
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Expressions of cardiac sympathetic norepinephrine transporter and β_1-adrenergic receptor decreased in aged rats 被引量:11
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作者 He LI Xiao-qing MA +5 位作者 Fan YE Jing ZHANG Xin ZHOU Zhi-hong WANG Yu-ming LI Guo-yuan ZHANG 《Journal of Zhejiang University-Science B(Biomedicine & Biotechnology)》 SCIE CAS CSCD 2009年第3期203-210,共8页
Evidence suggests that the deterioration of communication between the sympathetic nervous system and cardiovascular system always accompanies the aging of human and animals. Cardiac sympathetic norepinephrine(NE) tran... Evidence suggests that the deterioration of communication between the sympathetic nervous system and cardiovascular system always accompanies the aging of human and animals. Cardiac sympathetic norepinephrine(NE) transporter(NET) on presynaptic membrane is a predominant component to eliminate released NE in the synaptic cleft and maintains the sensitivity of the β-adrenergic receptor(β-AR). In the present study,we investigated NET and β1-AR mRNA levels and sympathetic nerve density in cardiac sympathetic ganglion and left ventricular myocardium in 2-and 16-month-old rats with Northern blot analysis and immunohistochemistry. The expression levels of NET mRNA,NET protein and β1-AR mRNA in the ganglia or myocardia of 16-month-old rats were markedly reduced by 67%,26%,and 43%,respectively,in comparison with those in 2-month-old rats. Our results also show that aging induces a strong decrease of the catecholaminergic nerve fiber density. 展开更多
关键词 Norepinephrine transporter (NET) β1-adrenergic receptor (β1-AR) Cardiac sympathetic ganglion AGING
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Effects of neuro-immuno-modulation on healing of wound combined with local radiation injury in rats 被引量:1
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作者 Qiong Ma Jin-ling Cai +5 位作者 Xiu-Jie Pan Li Du Xiao-Yun Yang Yong-Xue Liu Qing-Lin Zhang Yu-Fang Cui 《Chinese Journal of Traumatology》 CAS CSCD 2017年第5期270-274,共5页
Purpose: To investigate effects of neuro-immuno-modulation on wound healing by observing changes of cytokines and hypothalamic-pituitary-adrenal (HPA) axis hormones in acute stress reaction in rats with wound and c... Purpose: To investigate effects of neuro-immuno-modulation on wound healing by observing changes of cytokines and hypothalamic-pituitary-adrenal (HPA) axis hormones in acute stress reaction in rats with wound and combined local radiation injury. Methods: Sixty female Wistar rats (weighting 200 ± 20 g) were randomly divided into normal control group, wound group and combined wound-local radiation (CWR) group (25 Gy local radiation post wound), 20 rats in each group. Contents of IL-1β, IL-6 and IFN-γ and IL-4 in serum were measured and changes of adrenocorticotropic hormone (ACTH) and glucocorticoid (GC) in serum were analyzed by using enzyme-linked immunosorbent assay and radioimmunologic assay, respectively at different time points post wound and radiation. Results: (1) The level of IFN-γ, one of the Thl cell cytokines increased significantly at 14 d post CWIL which was markedly higher than that in control group and wound group. However, the level of IL-4, IL-1β and IL-6, one of the Th2 cell cytokines, did not show obvious change. (2) Ratio of Thl/Th2 (IFN-γ/IL-4) in wound group and CWR group increased significantly at 7 d after wound and radiation, which suggested that Thl/Th2 balance drifted to Thl immune response. The ratio of Thl/Th2 in wound group returned to the normal level up to 14 d after the wound and radiation, while the Thl/Th2 ratio in CWR group increased persistently and was much higher than that in control and wound groups. (3) Level of serous ACTH and CC in CWR group increased at 3 d post wound and radiation, and among them, level of CC showed statistically significant increase, which was much higher than that in control and wound groups. Conclusion: Level of serous neurohormone CC in rats increased significantly immediately after wound and radiation; while the level of IFN-γ showed significant increase only up to 14 d after wound and radiation, and the Th1/Th2 imbalance sustained till 28 d post wound and radiation. In order to reduce acute damage caused by CWR, organic immune system and nerve system showed up a marked regulate effects simultaneously and mutually. Nonetheless, the excessive stress induced by CWR causes distur- bance of immunoregulation, which is one of the key reasons for delayed wound healing in CWR. 展开更多
关键词 Radiation Combined wound Stress Hypothalamo-pituitary-adrenal axis Cytokines
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