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血清中枢神经特异蛋白S100β检测在新生儿脑损伤疾病中的临床应用价值
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作者 冉英欣 《中文科技期刊数据库(全文版)医药卫生》 2022年第4期70-72,共3页
分析新生儿脑损伤疾病诊断中采取血清中枢神经特异蛋白S100β的检测价值。方法:将我院2020年7月-2021年12月期间新生儿科接收的160例脑损伤疾病患儿作为观察组,包括50例新生儿胆红素脑病、30例新生儿感染性脑损伤、80例新生儿缺氧缺血... 分析新生儿脑损伤疾病诊断中采取血清中枢神经特异蛋白S100β的检测价值。方法:将我院2020年7月-2021年12月期间新生儿科接收的160例脑损伤疾病患儿作为观察组,包括50例新生儿胆红素脑病、30例新生儿感染性脑损伤、80例新生儿缺氧缺血性脑病,选择同期无脑损伤的新生儿为常规组,两组新生儿均接受血清中枢神经特异蛋白S100β检测,比较两组新生儿血清S100β蛋白与NSE水平;比较血清S100β蛋白和NSE诊断新生儿脑损伤的临床价值。结果:观察组S100β蛋白和NSE水平均高于常规组,P<0.05;新生儿缺氧缺血性脑病组S100β蛋白和NSE水平均高于常规组,P<0.05;新生儿胆红素脑病组S100β蛋白和NSE水平均高于常规组,P<0.05;新生儿感染性脑损伤组S100β蛋白和NSE水平均高于常规组,P<0.05;S100β蛋白诊断的最佳临界值为420.0ng/L,NSE诊断的最佳临界值为16.57μg/L;联合检测的灵敏度、特异度、AUC、95%CI均优于单项检测,P<0.05。结论:血清中枢神经特异蛋白S100β与NSE能够作为脑损伤标志物,其诊断价值较高,可以考虑积极推广。 展开更多
关键词 血清中枢神经特异蛋白S100β 在新生儿 脑损伤疾病 检测价值。
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新生儿行为神经测定及早期干预在新生儿脑损伤性疾病中的临床应用分析 被引量:11
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作者 梁景林 杨学群 +2 位作者 李少光 张益忠 张宏成 《中国医学创新》 CAS 2015年第2期134-136,共3页
目的:研究新生儿行为神经测定(neonates behavioral nerve assessment,NBNA)及早期干预应用于新生儿脑损伤性疾病的临床价值。方法:选取2012年5月-2014年5月在本院住院的新生儿468例。选取无脑损伤的212例新生儿为正常组,选疑似脑损伤... 目的:研究新生儿行为神经测定(neonates behavioral nerve assessment,NBNA)及早期干预应用于新生儿脑损伤性疾病的临床价值。方法:选取2012年5月-2014年5月在本院住院的新生儿468例。选取无脑损伤的212例新生儿为正常组,选疑似脑损伤采取早期干预的154例新生儿为观察组,另选疑似脑损伤未采取早期干预的102例新生儿为对照组。比较三组新生儿行为神经评分及后遗症情况。结果:干预前,正常组NBNA评分为(37.85±1.32)分,明显高于观察组的(34.13±1.58)分及对照组的(32.81±1.74)分,比较差异有统计学意义(P<0.05);干预后,观察组NBNA评分为(39.41±1.23)分,明显高于对照组的(36.52±1.87)分,差异有统计学意义(P<0.05);观察组后遗症发生率显著低于对照组(P<0.05)。结论:NBNA可明确了解新生儿行为能力,可及时发现易漏诊的轻微脑损伤及脑细胞发育异常,早期干预可促进新生儿神经系统代偿性的恢复,降低残障发生率,值得临床推广应用。 展开更多
关键词 新生儿损伤疾病 早期干预 NBNA
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CK-MB质量检测与CK-MB活性检测在脑损伤合并胃肠道疾病患者血样中检测结果的比较 被引量:2
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作者 姜振伟 杨为斌 +3 位作者 周凡 唐红梅 欧阳妍雪 张茹茹 《标记免疫分析与临床》 CAS 2021年第9期1603-1606,共4页
目的分析CK-MB质量检测与CK-MB活性检测在脑损伤合并胃肠道疾病患者样本中的检测结果。方法选择2019年8月至2020年8月收治的260例脑损伤合并胃肠道疾病患者作为观察组,30例单纯脑损伤患者作为A组,30例单纯胃肠道疾病患者作为B组,40例健... 目的分析CK-MB质量检测与CK-MB活性检测在脑损伤合并胃肠道疾病患者样本中的检测结果。方法选择2019年8月至2020年8月收治的260例脑损伤合并胃肠道疾病患者作为观察组,30例单纯脑损伤患者作为A组,30例单纯胃肠道疾病患者作为B组,40例健康者作为C组;采用化学发光法开展CK-MB质量检测法,采用抗体抑制酶法开展CK-MB活力检测法;采用线性回归模型分析CK-MB活力和质量间关系,绘制ROC曲线分析CK-MB活力和质量鉴别诊断脑损伤合并胃肠道疾病价值。结果观察组血中CK-MB活力和CK-MB质量均明显高于A组、B组和C组,且差异具有统计学意义(P<0.05),且CK-MB活力和CK-MB质量回归线性模型为CK-MB质量=0.4011×CK-MB活力-0.5462(R^(2)=0.9783);利用回归模型转化后两者患者CK-MB质量和CK-MB活力转化结果差异无统计学意义(P>0.05);CK-MB质量检测预测脑损伤合并胃肠道疾病的灵敏度、特异性均明显高于CK-MB活力,且差异具有统计学意义(P<0.05)。结论CK-MB质量检测预测脑损伤合并胃肠道疾病的灵敏度、特异性均明显高于CK-MB活力,相较于CK-MB活力,检测CK-MB质量的预测价值更高。 展开更多
关键词 CK-MB质量 CK-MB活性 损伤合并胃肠道疾病
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Vojta疗法治疗小儿脑损伤性疾病30例临床观察 被引量:8
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作者 谢高梅 孙芳梅 《中国医师杂志》 CAS 2006年第S1期191-192,共2页
目的探讨Vojta姿势诱导疗法在小儿脑损伤性疾病中的临床应用价值。方法将本院76例首诊年龄为1~9个月的小儿脑损伤性疾病患儿。随机分成治疗组(研究组)和对照组各30例。治疗组按Vojta疗法和综合疗法进行脑康复治疗;对照组按综合治疗方案... 目的探讨Vojta姿势诱导疗法在小儿脑损伤性疾病中的临床应用价值。方法将本院76例首诊年龄为1~9个月的小儿脑损伤性疾病患儿。随机分成治疗组(研究组)和对照组各30例。治疗组按Vojta疗法和综合疗法进行脑康复治疗;对照组按综合治疗方案进行脑康复治疗。结果运用Vojta疗法的治疗组与对照组的疗效比较差异有统计学意义(χ2=6.28,P<0.05),治疗组与对照组的疗效天数比较差异有统计学意义(χ2=6.28,P<0.05)。结论Vojta姿势诱导疗法在小儿脑损伤性疾病脑康复治疗中有一定的临床应用价值。 展开更多
关键词 VOJTA疗法 小儿损伤疾病 ZKS CP
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Role of gastric oxidative stress and nitric oxide in formation of hemorrhagic erosion in rats with ischemic brain
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作者 Chen-Road Hung 《World Journal of Gastroenterology》 SCIE CAS CSCD 2006年第4期574-581,共8页
AIM: To investigate the role of gastric oxidative stress and nitric oxide (NO) in the formation of gastric hemorrhagic erosion and their protection by drugs in rats with ischemic brain. METHODS: Male Wistar rats w... AIM: To investigate the role of gastric oxidative stress and nitric oxide (NO) in the formation of gastric hemorrhagic erosion and their protection by drugs in rats with ischemic brain. METHODS: Male Wistar rats were deprived of food for 24 h. Under chloral hydrate (300 mg/kg) anesthesia, bilateral carotid artery ligation was performed. The pylorus and carotid esophagus of the rats were also ligated. The stomachs were then irrigated for 3 h with either normal saline or simulated gastric juice containing 100 mmol/L HCI plus 17.4 mmol/L pepsin and 54 mmol/L NaCI. Rats were killed and stomachs were dissected. Gastric mucosa and gastric contents were harvested. The rat brain was dissected for the examination of ischemia by triphenyltetrazolium chloride staining method. Changes in gastric ulcerogenic parameters, such as decreased mucosal glutathione level as well as enhanced gastric acid back-diffusion, mucosal lipid peroxide generation, histamine concentration, luminal hemoglobin content and mucosal erosion in gastric samples, were measured. RESULTS: Bilateral carotid artery ligation produced severe brain ischemia (BI) in rats. An exacerbation of various ulcerogenic parameters and mucosal hemorrhagic erosions were observed in these rats. The exacerbated ulcerogenic parameters were significantly (P〈 0.05) attenuated by antioxidants, such as exogenous glutathione and allopurinol. These gastric parameters were also improved by intraperitoneal aminoguanidine (100 mg/kg) but were aggravated by N^G-nitro-L-argininemethyl ester (L-NAME: 25 mg/kg). Intraperitoneal L-arginine (0-500 mg/kg) dose-dependently attenuated BI-induced aggravation of ulcerogenic parameters and hemorrhagic erosions that were reversed by L-NAME. CONCLUSION: BI could produce hemorrhagic erosions through gastric oxidative stress and activation of arginine-nitric oxide pathway. 展开更多
关键词 Lipid peroxide Acid back-diffusion GLUTATHIONE AIIopurinol L-ARGININE Nitric oxide synthase AMINOGUANIDINE
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宁夏特色药用植物的脑保护作用研究与应用
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作者 余建强 刘宁 +11 位作者 马琳 兰小兵 刘悦 魏炜 牛建国 赵建军 黄玉琦 王红波 王伏军 王方舟 石璇 杨敢峰 《中国科技成果》 2022年第18期37-40,共4页
项目针对以缺血性脑卒中和癫痫为代表的脑损伤疾病临床药物治疗不佳、不良反应严重等问题,围绕宁夏特色药用植物,将大数据分析、计算机虚拟筛选、高通量筛选、基础药理学研究技术相结合,系统开展了枸杞、苦豆子、秦等75种宁夏特色药用... 项目针对以缺血性脑卒中和癫痫为代表的脑损伤疾病临床药物治疗不佳、不良反应严重等问题,围绕宁夏特色药用植物,将大数据分析、计算机虚拟筛选、高通量筛选、基础药理学研究技术相结合,系统开展了枸杞、苦豆子、秦等75种宁夏特色药用植物对缺血性脑卒中和癫痫的脑保护作用研究,并从中发现了具有脑保护作用的候选药物并阐明了其作用机制。基于大数据分析寻找到75种具有潜在脑保护作用的宁夏特色药用植物,并构建了含有1337种活性成分的数据库;通过高通量筛选技术,从中筛选出71种具有潜在脑保护作用的活性成分;以此为基础,应用动物和细胞模型,借助经典和现代药理学的研究方法与技术,发现了21种活性成分具有较好的脑保护作用;通过多维度成药性分析以及深入的分子机制研究,确定了牙莱苦苷和异甘草素、氧化苦参碱、龙胆苦苷分别为治疗缺血性脑卒中、新生儿缺血缺氧性脑病、癫痫的候选药物。项目通过10余年的研究,发表论文37篇,出版专著1部,为宁夏特色药用植物精确使用和脑保护作用活性成分深度开发提供科学依据,为从中药材中挖掘更安全、有效的治疗药物提供范例。该项目成果对推动宁夏中药产业健康发展,推进“产学研”体系建设,践行“绿水青山就是金山银山”发展理念,保障人民用药安全,维护民族团结、脱贫攻坚成果等方面具有重要的社会和现实意义。 展开更多
关键词 宁夏特色药用植物 脑损伤疾病 活性成分 候选药物
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Comparative study on cerebral injury after open heart surgery in patients with congenital and rheumatic heart disease 被引量:3
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作者 王咏 肖颖彬 +2 位作者 陈林 钟前进 王学锋 《Chinese Journal of Traumatology》 CAS 2005年第4期249-252,共4页
Objective: To comparatively study the different effects of open heart surgery on brain tissues of patients with congenital and rheumatic heart disease. Methods: Forty patients with congenital heart disease (CHD, CHD g... Objective: To comparatively study the different effects of open heart surgery on brain tissues of patients with congenital and rheumatic heart disease. Methods: Forty patients with congenital heart disease (CHD, CHD group, n=20) or rheumatic heart disease (RHD, RHD group, n=20) underwent on-pump (cardiopulmonary bypass, CPB) heart-beating open heart surgery. Blood samples before CPB, and 20 minutes, 1 hour, 24 hours and 7 days after CPB were collected, and the levels of neuron-specific enolase (NSE) and protein S-100b in the plasma were determined with enzyme-linked immunoadsorbent assay (ELISA), respectively. All the patients were examined with electroencephalogram (EEG) before and 1 week after operation. The changes of NSE, S-100b and EEG compared to verify the difference of postoperative cerebral injury between CHD cases and RHD cases. Results: The plasma level of S-100b increased significantly 20 minutes after CPB and was still higher than the preoperative level at 24 hours after operation in both groups (P< 0.01). The plasma level of NSE increased more significantly in the CHD group than in the RHD group 20 minutes after CPB and it returned to the normal level 24 hours after CPB in the CHD group but remained at a high level in the RHD group (P< 0.01). The levels of NSE and S-100b returned to the normal levels on the 7th day after CPB. Abnormal EEG was found in 75% of the patients in the CHD group and 60% in the RHD group. Conclusions: On-pump heart-beating open heart surgery can cause certain cerebral injury in the patients with CHD or RHD. The injury was more severe and recovered more quickly in the CHD group than in the RHD group. 展开更多
关键词 Brain injuries Rheumatic heart disease Cardiopulmonary bypass Open heart surgery
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miRNAs and lncRNAs in vascular injury and remodeling 被引量:18
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作者 SONG XiaoWei SHAN DongKai +1 位作者 CHEN Jian JING Qing 《Science China(Life Sciences)》 SCIE CAS 2014年第8期826-835,共10页
Vascular injury,remodeling,as well as angiogenesis,are the leading causes of coronary or cerebrovascular disease.The blood vessel functional imbalance trends to induce atherosclerosis,hypertension,and pulmonary arteri... Vascular injury,remodeling,as well as angiogenesis,are the leading causes of coronary or cerebrovascular disease.The blood vessel functional imbalance trends to induce atherosclerosis,hypertension,and pulmonary arterial hypertension.As several genes have been identified to be dynamically regulated during vascular injury and remodeling,it is becoming widely accepted that several types of non-coding RNA,such as microRNAs(miRNAs)and long non-coding RNAs(lncRNAs),are involved in regulating the endothelial cell and vascular smooth muscle cell(VSMC)behaviors.Here,we review the progress of the extant studies on mechanistic,clinical and diagnostic implications of miRNAs and lncRNAs in vascular injury and remodeling,as well as angiogenesis,emphasizing the important roles of miRNAs and lncRNAs in vascular diseases.Furthermore,we introduce the interaction between miRNAs and lncRNAs,and highlight the mechanism through which lncRNAs are regulating the miRNA function.We envisage that continuous in-depth research of non-coding RNAs in vascular disease will have significant implications for the treatment of coronary or cerebrovascular diseases. 展开更多
关键词 vascular injury and remodeling coronary/cerebrovascular disease miRNA lncRNA ANGIOGENESIS endothelial cells smooth muscle cells
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