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纳洛酮在急性酒精中毒患者中的临床效果观察及对胃黏膜炎性细胞因子的影响研究 被引量:8
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作者 焦方刚 《世界华人消化杂志》 CAS 2018年第6期360-364,共5页
目的探讨纳洛酮在急性酒精中毒患者中的临床效果及对炎症因子的影响.方法选择2015-05/2017-06自愿到科室接受治疗的急性酒精中毒患者150例,随机数字法分为醒脑静组(n=75例)和纳洛酮组(n=75例).2组均给予吸氧、心电监护、洗胃及胃黏膜保... 目的探讨纳洛酮在急性酒精中毒患者中的临床效果及对炎症因子的影响.方法选择2015-05/2017-06自愿到科室接受治疗的急性酒精中毒患者150例,随机数字法分为醒脑静组(n=75例)和纳洛酮组(n=75例).2组均给予吸氧、心电监护、洗胃及胃黏膜保护药物治疗,醒脑静组采用醒脑静治疗,纳洛酮组采用纳洛酮治疗,记录2组苏醒、症状消失、急诊留观、肢体运动功能恢复及住院时间;采用酶联免疫吸附试验测定2组治疗不同时间点胃黏膜肿瘤坏死因子-a(tumor necrosis factora,TNF-a)及白细胞介素-8(interleukin-8,IL-8)水平;采用格拉斯哥昏迷评分对2组治疗不同时间点睁眼反应、语言反应及肢体运动评分进行评估,比较2组临床疗效及对胃黏膜炎性细胞因子的影响.结果纳洛酮组经纳洛酮治疗后苏醒时间1.23 h±0.32 h、症状消失239.51 min±23.41 min、急诊留观时间4.53 d±1.21 d、肢体运动功能恢复时间3.12 h±0.74h及住院时间1.23 d±0.32 d,短于醒脑静组(P<0.05);纳洛酮组治疗后胃黏膜TNF-a(10.88mg/m L±2.09mg/m L)及IL-8(43.92 ng/m L±4.38 ng/m L),均低于醒脑静组(P<0.05);纳洛酮组治疗后1 d(3.61分±0.89分)、2 d(2.11分±0.72分)及3 d(1.21分±0.59分)格拉斯哥昏迷评分低于醒脑静组(P<0.05);纳洛酮组治疗后不良反应发生率12.00%,低于醒脑静组26.67%(P<0.05).结论纳洛酮用于急性酒精中毒患者中有助于缩短症状改善时间,改善患者胃黏膜炎性细胞因子,药物安全性较高,值得推广应用. 展开更多
关键词 纳洛酮 醒脑静 酶联免疫吸附试验 黏膜炎性细胞因子 GCS量表
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纳洛酮在急性酒精中毒患者中的效果观察及对胃黏膜炎性细胞因子的影响 被引量:3
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作者 彭文科 袁林 《医学理论与实践》 2020年第12期1961-1962,共2页
目的:探究在急性酒精中毒患者中应用纳洛酮的临床效果及对其胃黏膜炎性细胞因子的影响。方法:将我院2018年1月-2019年3月接受治疗的70例急性酒精中毒患者按照治疗方法的不同分为实施醒脑静治疗的对比组(35例)和实施纳洛酮治疗的实验组(3... 目的:探究在急性酒精中毒患者中应用纳洛酮的临床效果及对其胃黏膜炎性细胞因子的影响。方法:将我院2018年1月-2019年3月接受治疗的70例急性酒精中毒患者按照治疗方法的不同分为实施醒脑静治疗的对比组(35例)和实施纳洛酮治疗的实验组(35例),比对两组患者的治疗恢复时间、胃黏膜炎性细胞因子(TNF-α与IL-8)、格拉斯哥昏迷评分(GCS)与不良反应发生情况。结果:实验组苏醒时间、肢体运动恢复时间、症状消失时间均较对比组短(P<0.05);实验组TNF-α、IL-8、GCS评分及不良反应率较对比组低(P<0.05)。结论:在急性酒精中度患者中应用纳洛酮治疗可显著缩短患者恢复时间,有助于改善患者的胃黏膜炎性细胞因子水平情况。 展开更多
关键词 纳洛酮 急性酒精中毒 黏膜炎性细胞因子
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百合乌药泻心汤治疗脾胃湿热型浅表性胃炎 被引量:2
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作者 赵海送 陈学武 +1 位作者 蔡道修 邱龙 《长春中医药大学学报》 2023年第4期407-411,共5页
目的探讨百合乌药泻心汤对脾胃湿热型浅表性胃炎患者临床症状、胃镜病理表现及胃黏膜细胞因子水平的影响。方法选择120例脾胃湿热型浅表性胃炎患者作为研究对象,随机分为观察组与对照组,各60例。对照组予阿莫西林、奥美拉唑、克拉霉素... 目的探讨百合乌药泻心汤对脾胃湿热型浅表性胃炎患者临床症状、胃镜病理表现及胃黏膜细胞因子水平的影响。方法选择120例脾胃湿热型浅表性胃炎患者作为研究对象,随机分为观察组与对照组,各60例。对照组予阿莫西林、奥美拉唑、克拉霉素三联疗法进行治疗,观察组在对照组基础上联合百合乌药泻心汤口服,持续用药2周。比较2组临床疗效、中医证候、胃镜黏膜征象、病理学组织表现和胃黏膜细胞因子。结果观察组治疗后总有效率(95.00%,57/60)与对照组(91.67%,55/60)无显著差异(P>0.05)。治疗后2组胃脘疼痛、痞满不适和恶心欲吐中医证候评分均低于治疗前,且观察组低于对照组(P<0.05)。治疗后2组黏膜血管显露、黏膜皱襞变薄和黏膜色泽异常胃镜黏膜征象评分均低于治疗前,且观察组低于对照组(P<0.05);治疗后2组病理学组织表现明显改善,且观察组优于对照组(P<0.05);治疗后2组血清白细胞介素-6(IL-6)、肿瘤坏死因子-α(TNF-α)和IL-8水平均低于治疗前,且观察组低于对照组(P<0.05)。结论百合乌药泻心汤可以显著改善脾胃湿热型浅表性胃炎患者胃脘疼痛、痞满不适和恶心欲吐临床症状,减轻胃黏膜组织病变程度,控制炎症水平。 展开更多
关键词 浅表性 百合乌药泻心汤 镜病理表现 胃黏膜细胞因子
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黄芪建中汤加减治疗法对胃溃疡患者的效果及对胃黏膜bFGF的影响分析 被引量:3
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作者 李永娜 《中国现代药物应用》 2021年第23期206-208,共3页
目的 分析黄芪建中汤加减治疗法对胃溃疡患者的效果及对胃黏膜碱性成纤维细胞生长因子(bFGF)的影响。方法 82例胃溃疡患者,采用随机数字表法分为实验组和对照组,每组41例。对照组患者实施西药治疗,实验组患者实施黄芪建中汤加减治疗。... 目的 分析黄芪建中汤加减治疗法对胃溃疡患者的效果及对胃黏膜碱性成纤维细胞生长因子(bFGF)的影响。方法 82例胃溃疡患者,采用随机数字表法分为实验组和对照组,每组41例。对照组患者实施西药治疗,实验组患者实施黄芪建中汤加减治疗。对比两组患者临床疗效、治疗前后胃黏膜bGFG水平。结果 实验组患者总有效率为97.56%,高于对照组的82.93%,差异具有统计学意义(P<0.05)。治疗前,两组患者胃黏膜bGFG水平对比差异无统计学意义(P>0.05);治疗后,两组患者胃黏膜bGFG水平均高于本组治疗前,且实验组患者胃黏膜bGFG水平(39.25±2.56)pg/ml高于对照组的(23.12±1.98)pg/ml,差异具有统计学意义(P<0.05)。结论 胃溃疡患者采用黄芪建中汤加减治疗效果显著,能够满足患者的自身治疗需求,对维护控制患者治疗指标有一定帮助,所以可推广到临床。 展开更多
关键词 黄芪建中汤 溃疡 黏膜碱性成纤维细胞生长因子 影响
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Attenuation of gastric mucosal inflammation induced by aspirin through activation of A_(2A) adenosine receptor in rats 被引量:7
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作者 MasaruOdashima MichiroOtaka +9 位作者 MarioJin KogaKomatsu IsaoWada YouheiHorikawa TamotsuMatsuhashi NatsumiHatakeyama JinkoOyake ReinaOhba SumioWatanabe Joel Linden 《World Journal of Gastroenterology》 SCIE CAS CSCD 2006年第4期568-573,共6页
AIM: To determine whether a specific adenosine A2A receptor agonist (ATL-146e) can ameliorate aspirin-induced gastric mucosal lesions in rats, and reduce neutrophil accumulation and production of pro-inflammatory c... AIM: To determine whether a specific adenosine A2A receptor agonist (ATL-146e) can ameliorate aspirin-induced gastric mucosal lesions in rats, and reduce neutrophil accumulation and production of pro-inflammatory cytokines. METHODS: Gastric lesions were produced by oral gavage of aspirin (200 mg/kg) and HCI (0.15 mol/L, 8.0 mL/kg). 4-{3-[6-Amino-9-(5-ethylcarbamoyl-3,4- dihydroxy-tetrahydro-furan-2-yl)-9H-purin-2-yl]-prop-2- ynyl}-cyclohexanecarboxylic acid methyl ester (ATL-146e, 2.5-5μg/kg, IP) was injected 30 min before the administration of aspirin. Tissue myeloperoxidase (MPO) concentration in gastric mucosa was measured as an index of neutrophil infiltration. Gastric mucosal concentrations of tumor necrosis factor-α (TNF-α) and interleukin-1β (IL-1β) were determined by ELISA. Also, we examined the effect of ATL-146e on tissue prostaglandin E2 (PGE2) production and gastric secretion. RESULTS: Intragastric administration of aspirin induced multiple hemorrhagic erosions in rat gastric mucosa. The total length of gastric erosions (ulcer index) in control rats was 29.8±7.75 mm and was reduced to 3.8±1.42 mm alter pretreatment with 5.0 g/kg ATL-146e (P〈 0.01). The gastric contents of MPO and pro-inflammatory cytokines were all increased after the administration of aspirin and reduced to nearly normal levels by ATL-146e. Gastric mucosal PGE2 concentration was not affected by intraperitoneal injection of ATL-146e. CONCLUSION: The specific adenosine A2A receptor agonist, ATL-146e, has potent anti-ulcer effects presumably mediated by its anti-inflammatory properties. 展开更多
关键词 ASPIRIN Pro-inflammatory cytokine Adenosine A2A receptor ATL-146e Gastric injury
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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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Effects of moxibustion pretreatment on extracellular signal-regulated kinase signaling transduction pathway in the gastric tissues of rats with gastric mucosal damage 被引量:3
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作者 舒文娜 杨青 +7 位作者 钟欢 刘密 潘思安 郭礼娜 赵钊 王超 常小荣 杨燕萍(译) 《Journal of Acupuncture and Tuina Science》 CSCD 2016年第3期149-155,共7页
Objective: To observe the effects of moxibustion pretreatment on the protein expressions of epidermal growth factor receptor (EGFR), phosphorylation extracellular signal-regulated kinase I/2 (p-ERKI/2) and activa... Objective: To observe the effects of moxibustion pretreatment on the protein expressions of epidermal growth factor receptor (EGFR), phosphorylation extracellular signal-regulated kinase I/2 (p-ERKI/2) and activated protein-1 (AP-2), the key factors of extracellular signal-regulated kinase signaling transduction pathway in gastric tissue of rats with stress-induced gastric mucosal damage, and to discuss the mechanisms of moxibustion therapy in promoting the restoration of damaged gastric mucosa. Methods: Thirty Sprague-Dawley (SD) rats were randomly divided into a normal group, a model group, and a moxibustion group using the random digits table, 10 in each group. Except the rats in the normal group, rats in the other two groups were used to make stress-induced gastric mucosal damage model using restraint and cold stress. Before modeling, rats in the moxibustion group were alternately treated with moxibustion a/t Zusanli (ST 36) and Zhongwan (CV 12), or Pishu (BL 20) and Weishu (BL 22), once a day, for a total of 8 d. Histolo^cal changes of gastric mucosa were observed under the light microscopy, the expression of gastric tissue p-ERKI/2 was detected by immunohistochemistry assay, and the protein levels of EGFR and AP-I were measured by Western blots. Results: Compared with rats in the normal group, gastric mucosal damage was more serious, and protein expressions of gastric tissue EGFR, p-ERK1/2 and AP-1 increased in the model group (P〈0.01, P〈O.05, P〈0.05). Compared with rats in the model group, gastric mucosal damage was milder, and protein expressions of gastric tissue EGFR, p-ERK1/2 and AP-1 increased in the moxibustion group (all P〈0.01). Conclusion: Moxibustion at Zusanli (ST 36), Zhongwan (CV 12), Pishu (BL 20) and Weishu (BL 21) could increase EGFR, p-ERK1/2 and AP-1 expression levels in gastric tissue of stress-induced gastric mucosal damage rats, maintain the information transfer function of ERK signaling transduction pathway, and promote restoration of gastric mucosal damage. 展开更多
关键词 Moxibustion Therapy Moxa Stick Moxibustion Gastric Mucosal Damage Receptor Epidermal Growth Factor Extracellular Signal-regulated Kinases Rats
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