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交感型颈椎病综合治疗的临床研究 被引量:13
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作者 袁燕 章岩 《中国医药导报》 CAS 2008年第29期39-41,共3页
目的:探讨超短波、牵引、α受体拮抗剂、运动疗法综合治疗交感型颈椎病的近期和远期效果。方法:将80例患者随机分为治疗组和对照组,治疗组采用超短波、牵引、运动治疗、α受体拮抗剂;对照组采用超短波、牵引、电脑中频、药物治疗。观察... 目的:探讨超短波、牵引、α受体拮抗剂、运动疗法综合治疗交感型颈椎病的近期和远期效果。方法:将80例患者随机分为治疗组和对照组,治疗组采用超短波、牵引、运动治疗、α受体拮抗剂;对照组采用超短波、牵引、电脑中频、药物治疗。观察两组患者治疗后的即时疗效和6个月的复发率。结果:治疗12d后评定疗效,治疗组治愈率为65.0%,对照组治愈率为40.0%,χ2=5.01,治疗组近期疗效优于对照组(P<0.05)。治疗后6个月随访时评定,治疗组35例为治愈和显效患者,未发现复发病例;而对照组30例中于6个月内有5例复发,χ2=4.19,6个月后的复发率治疗组明显低于对照组(P<0.05)。结论:超短波、牵引、α受体拮抗剂、运动治疗综合疗法对交感型颈椎病患者有较好的近期和远期效果,适用于交感型颈椎病患者。 展开更多
关键词 交感型颈椎病 超短波 牵引 α受体拮抗剂 运动治疗
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Effects of α-adrenoreceptor antagonists on apoptosis and proliferation of pancreatic cancer cells in vitro 被引量:1
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作者 Su-Gang Shen Dong Zhang Heng-Tong Hu Jun-Hui Li Zheng Wang Qing-Yong Ma 《World Journal of Gastroenterology》 SCIE CAS CSCD 2008年第15期2358-2363,共6页
AIM: To discuss the expression of α-adrenoreceptors in pancreatic cancer cell lines PC-2 and PC-3 and the effects of α1- and α2-adrenoreceptor antagonists, yohimbine and urapidil hydrochloride, on the cell lines in... AIM: To discuss the expression of α-adrenoreceptors in pancreatic cancer cell lines PC-2 and PC-3 and the effects of α1- and α2-adrenoreceptor antagonists, yohimbine and urapidil hydrochloride, on the cell lines in vitro. METHODS: We cultured the human ductal pancreatic adenocarcinoma cell lines PC-2 and PC-3 and analyzed the mRNA expression of α1- and α2-adrenergic receptors by reverse transcription polymerase chain reaction (RT-PCR). The effects of yohimbine and urapidil hydrochloride on cell proliferation were assessed by 3-(4,5-dimethylthiasol-2-yl)- 2,4,-diphenyltetrazolium bromide (MTT) assay. Apoptosis was detected using the terminal deoxyribonucleotidyl transferase (TdT)-mediated biotin-16-dUTP nick-end labeling (TUNEL) assay and flow cytometry (FCM). RESULTS: PC-2 expressed mRNA in α1- and α2- adrenoreceptors. MTT assays showed that urapidil hydrochloride had no effect on PC-3 cell lines. However, exposure to urapidil hydrochloride increased DNA synthesis in PC-2 cell lines as compared to the control group. PC-2 cell lines were sensitive to both drugs. The proliferation of the 2 cell lines was inhibited by yohimbine. Cell proliferation was inhibited by yohimbine via apoptosis induction. CONCLUSION: The expression of α1- and α2- adrenoreceptors is different in PC-2 and PC-3 cell lines, which might be indicative of their different functions. The α2-adrenoceptor antagonist, yohimbine, can inhibit theproliferation of both cell lines and induce their apoptosis, suggesting that yohimbine can be used as an anticancer drug for apoptosis of PC-2 and PC-3 cells. 展开更多
关键词 alpha-adrenoreceptor Pancreatic cancer YOHIMBINE Urapidil hydrochloride
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Adjuvants to local anesthetics: Current understanding and future trends 被引量:18
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作者 Amlan Swain Deb Sanjay Nag +1 位作者 Seelora Sahu Devi Prasad Samaddar 《World Journal of Clinical Cases》 SCIE 2017年第8期307-323,共17页
Although beneficial in acute and chronic pain management, the use of local anaesthetics is limited by itsduration of action and the dose dependent adverse effects on the cardiac and central nervous system. Adjuvants o... Although beneficial in acute and chronic pain management, the use of local anaesthetics is limited by itsduration of action and the dose dependent adverse effects on the cardiac and central nervous system. Adjuvants or additives are often used with local anaesthetics for its synergistic effect by prolonging the duration of sensory-motor block and limiting the cumulative dose requirement of local anaesthetics. The armamentarium of local anesthetic adjuvants have evolved over time from classical opioids to a wide array of drugs spanning several groups and varying mechanisms of action. A large array of opioids ranging from morphine, fentanyl and sufentanyl to hydromorphone, buprenorphine and tramadol has been used with varying success. However, their use has been limited by their adverse effect like respiratory depression, nausea, vomiting and pruritus, especially with its neuraxial use. Epinephrine potentiates the local anesthetics by its antinociceptive properties mediated by alpha-2 adrenoreceptor activation along with its vasoconstrictive properties limiting the systemic absorption of local anesthetics. Alpha 2 adrenoreceptor antagonists like clonidine and dexmedetomidine are one of the most widely used class of local anesthetic adjuvants. Other drugs like steroids(dexamethasone), anti-inflammatory agents(parecoxib and lornoxicam), midazolam, ketamine, magnesium sulfate and neostigmine have also been used with mixed success. The concern regarding the safety profile of these adjuvants is due to its potential neurotoxicity and neurological complications which necessitate further research in this direction. Current research is directed towards a search for agents and techniques which would prolong local anaesthetic action without its deleterious effects. This includes novel approaches like use of charged molecules to produce local anaesthetic action(tonicaine and n butyl tetracaine), new age delivery mechanisms for prolonged bioavailability(liposomal, microspheres and cyclodextrin systems) and further studies with other drugs(adenosine, neuromuscular blockers, dextrans). 展开更多
关键词 Local ANESTHETICS ADJUVANTS Neurotoxicity OPIOIDS KETAMINE MIDAZOLAM Alpha-2 adrenoreceptor ANTAGONISTS
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