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Design,delivery and efficacy testing of therapeutic nucleic acids used to inhibit hepatitis C virus gene expression in vitro and in vivo 被引量:9
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作者 Wolfgang H.Caselmann Matthias Serwe +3 位作者 Thomas Lehmann János Ludwig Brian S.Sproat Joachim W.Engels 《World Journal of Gastroenterology》 SCIE CAS CSCD 2000年第5期626-629,共4页
Despite major achievements in the treatment ofchronic hepatitis C with the combination ofinterferons and the nucleoside analog ribavirin themajority of patients with chronic hepatitis C virus(HCV) infection cannot be ... Despite major achievements in the treatment ofchronic hepatitis C with the combination ofinterferons and the nucleoside analog ribavirin themajority of patients with chronic hepatitis C virus(HCV) infection cannot be treated effectively.Toimprove this response rate we used antisensetechnologies to inhibit HCV translation as possibleadditional option for experimental treatment.Antisense oligodeoxynucleotides(ODN) are 展开更多
关键词 hepatitis C-like viruses/therapy gene expression in VITRO in vivo nucleic acids/therapeutic use CYTOMEGALOVIRUS
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Therapeutic and Medicinal Uses of <i>Aloe vera</i>: A Review 被引量:5
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作者 Pankaj K. Sahu Deen Dayal Giri +5 位作者 Ritu Singh Priyanka Pandey Sharmistha Gupta Atul Kumar Shrivastava Ajay Kumar Kapil Dev Pandey 《Pharmacology & Pharmacy》 2013年第8期599-610,共12页
The plant Aloe vera is used in Ayurvedic, Homoeopathic and Allopathic streams of medicine, and not only tribal community but also most of the people for food and medicine. The plant leaves contains numerous vitamins, ... The plant Aloe vera is used in Ayurvedic, Homoeopathic and Allopathic streams of medicine, and not only tribal community but also most of the people for food and medicine. The plant leaves contains numerous vitamins, minerals, enzymes, amino acids, natural sugars and other bioactive compounds with emollient, purgative, anti-microbial, anti inflammatory, antioxidant, aphrodisiac, anti-helmenthic, antifungal, antiseptic and cosmetic values for health care. This plant has potential to cure sunburns, burns and minor cuts, and even skin cancer. The external use in cosmetic primarily acts as skin healer and prevents injury of epithelial tissues, cures acne and gives a youthful glow to skin, also acts as extremely powerful laxative. 展开更多
关键词 ALOE vera Antimicrobial therapeutic MEDICINAL useS Cosmetic Application
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Continuous Wear of Hydrogel Contact Lenses for Therapeutic Use
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作者 Daisuke Kudo Hiroshi Toshida +1 位作者 Toshihiko Ohta Akira Murakami 《Open Journal of Ophthalmology》 2012年第4期110-113,共4页
Purpose: To investigate the efficacy and complications of continuous wear of etafilcon A for therapeutic use. Materials and Methods: The subjects were 228 eyes of 219 outpatients prescribed contact lens (CL) for one w... Purpose: To investigate the efficacy and complications of continuous wear of etafilcon A for therapeutic use. Materials and Methods: The subjects were 228 eyes of 219 outpatients prescribed contact lens (CL) for one week of continuous therapeutic wear during 10 years. The reason for prescription of CLs, the primary disease, the duration of CL wear and the complications were assessed retrospectively. Results: The predominant reason for prescription of CLs was relief of pain or a foreign-body sensation (62.3%) and protection of the corneal epithelium (20.6%). The primary disease was post-penetrating keratoplasty (36.8%), followed by corneal epithelial erosion (14.5%), post-lamellar keratoplasty (14.0%) and bullous keratopathy (12.2%). The average duration of wearing single lens was 6.5 ± 3.2 days. The average duration of wearing CLs in total was 9.2 ± 10.7 months. The most frequent problem associated with continuous wear of CLs was their dropping out of CLs (12.3%). The complications associated with CLs included conjunctivitis with papillary hyperplasia, corneal erosion and superficial punctate keratitis, but corneal ulcer and corneal infiltrates were not found. Conclusion: Serious complications were not shown changing the lenses every week to keep to the prescribed time limit for continuous therapeutic wear, even if corneal epithelial barrier function is impaired. 展开更多
关键词 therapeutic use BANDAGE Soft Contact LENS CONTINUOUS WEAR COMPLICATION
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Comparison of long-lasting therapeutic effects between succimer and penicillamine on hepatolenticular degeneration 被引量:3
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作者 REN Ming Shan, ZHANG Zhi, WU Jun Xia, LI Fei, XUE Ben Chun and YANG Ren Min 《World Journal of Gastroenterology》 SCIE CAS CSCD 1998年第6期75-77,共3页
INTRODUCTIONHepatolenticulardegeneration(HLD)isanautosomalrecesivedisorderthatcauseschangesinthebasalganglia... INTRODUCTIONHepatolenticulardegeneration(HLD)isanautosomalrecesivedisorderthatcauseschangesinthebasalgangliaandliverthatrespe... 展开更多
关键词 hepatolenticular degeneration/drug THERAPY succimer/therapeutic use penicillamine/therapeutic use
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Functional dyspepsia of ulcer-dysmotility type:clinical incidence and therapeutic strategy 被引量:3
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作者 WANG XiaoZhong and LIN GuZhen 《World Journal of Gastroenterology》 SCIE CAS CSCD 1998年第4期95-96,共2页
Functionaldyspepsiaofulcerdysmotilitytype:clinicalincidenceandtherapeuticstrategyWANGXiaoZhongandLINGuZhe... Functionaldyspepsiaofulcerdysmotilitytype:clinicalincidenceandtherapeuticstrategyWANGXiaoZhongandLINGuZhenSubjectheaadings... 展开更多
关键词 dyspepsia/drug therapy famotidine/therapeutic use cisapride/therapeutic use peptic ULCER gastrointestinal motility
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Therapeutic role of template-based lymphadenectomy in urothelial carcinoma of the upper urinary tract 被引量:5
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作者 Tsunenori Kondo Toshio Takagi Kazunari Tanabe 《World Journal of Clinical Oncology》 CAS 2015年第6期237-251,共15页
Lymphadenectomy for urothelial carcinoma of the upper urinary tract has attracted the attention of physicians. The mapping study of lymphatic spread has shown that a relatively wide area should comprise the regional n... Lymphadenectomy for urothelial carcinoma of the upper urinary tract has attracted the attention of physicians. The mapping study of lymphatic spread has shown that a relatively wide area should comprise the regional nodes for tumors of the right renal pelvis or the right upper two-thirds of the ureter. A prospective study showed that an anatomical templatebased lymphadenectomy significantly improved patient survival in tumors of the renal pelvis. This benefit was more evident for patients with p T2 stage tumors or higher. The risk of regional node recurrence is significant reduced by template-based lymphadenectomy,which is likely to be associated with improved patient survival. The removal of lymph node micrometastases is assumed to be the reason for therapeutic benefit following lymphadenectomy. The number of resected lymph nodes can be used to assess the quality of lymphadenectomy,but not to determine the extent of lymphadenectomy. The guidelines currently recommend lymphadenectomy for patients with muscle-invasive disease,even though the current recommendation grades are still low. The present limitation of lymphadenectomy is the lack of standardization of the extent of lymphadenectomy and the randomized trials. Further studies are warranted to collect the evidence to support lymphadenectomy. 展开更多
关键词 LYMPHADENECTOMY LYMPH node EXCISION UROTHELIAL carcinoma Treatment outcome therapeutic uses Diagnosis GUIDELINE
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Controversies regarding transplantation of mesenchymal stem cells
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作者 Tsvetelina Velikova Tereza Dekova Dimitrina Georgieva Miteva 《World Journal of Transplantation》 2024年第2期48-61,共14页
Mesenchymal stem cells(MSCs)have tantalized regenerative medicine with their therapeutic potential,yet a cloud of controversies looms over their clinical tran-splantation.This comprehensive review navigates the intric... Mesenchymal stem cells(MSCs)have tantalized regenerative medicine with their therapeutic potential,yet a cloud of controversies looms over their clinical tran-splantation.This comprehensive review navigates the intricate landscape of MSC controversies,drawing upon 15 years of clinical experience and research.We delve into the fundamental properties of MSCs,exploring their unique immuno-modulatory capabilities and surface markers.The heart of our inquiry lies in the controversial applications of MSC transplantation,including the perennial debate between autologous and allogeneic sources,concerns about efficacy,and lingering safety apprehensions.Moreover,we unravel the enigmatic mechanisms surro-unding MSC transplantation,such as homing,integration,and the delicate balance between differentiation and paracrine effects.We also assess the current status of clinical trials and the ever-evolving regulatory landscape.As we peer into the future,we examine emerging trends,envisioning personalized medicine and innovative delivery methods.Our review provides a balanced and informed perspective on the controversies,offering readers a clear understanding of the complexities,challenges,and potential solutions in MSC transplantation. 展开更多
关键词 Mesenchymal stem cells Transplantation controversies Regenerative medicine Autoimmune diseases Chronic inflammatory illnesses Tumor growth METASTASIS therapeutic potential Clinical use of mesenchymal stem cell
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Clinacanthus nutans:a review of the medicinal uses,pharmacology and phytochemistry 被引量:10
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作者 Md.Ariful Alam Sahena Ferdosh +4 位作者 Kashif Ghafoor Md.Abdul Hakim Abdul Shukor Juraimi Alfi Khatib Md.Zaidul I.Sarker 《Asian Pacific Journal of Tropical Medicine》 SCIE CAS 2016年第4期393-399,共7页
Clinacanthus nutans Lindau is known as snake grass belonging to the Acanlhaceae family.This plant has diverse and potential medicinal uses in traditional herbal medicine for treating skin rashes,insects and snake bite... Clinacanthus nutans Lindau is known as snake grass belonging to the Acanlhaceae family.This plant has diverse and potential medicinal uses in traditional herbal medicine for treating skin rashes,insects and snake bites,lesions caused by herpes simplex virus,diabetes,and gout in Malaysia.Indonesia.Thailand and China.Phylochemieal investigations documented the varied contents of bioaclive compounds from litis plant namely flavonoids,glycosides,glycoglyeerolipids.cerebrosides and monoacylmonogalatosylglycerol.The pharmacological experiment proved that various types of extracts and pure compounds from this species exhibited a broad range of biological properties such as anti-inflammatory,antiviral,antioxidant,and anti-diabetic activities.The lindings of toxicity study showed that extracts from this plant did not show any toxicity thus it can be used as strong therapeutic agents for specific diseased conditions.However,further experiments on chemical components and their mode of action showing biological activities are required to elucidate the complete phytochemical profile and assess to confirm their suitability tor future drugs.This review summarizes the medicinal uses,phytochemistry and pharmacology of this plant in order to explore its therapeutic potential and gaps necessitating for prospected research work. 展开更多
关键词 Clinacanthus nutans MEDICINAL useS PHYTOCHEMICALS PHARMACOLOGY therapeutic potential
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High-intensity focused ultrasound extracorporeal ablation of liver tissuesin rabbits
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《World Journal of Gastroenterology》 SCIE CAS CSCD 1998年第2期16-16,共1页
HighintensityfocusedultrasoundextracorporealablationoflivertissuesinrabbitsCHENGShuQun1,ZHOUXinDa1,TANGZ... HighintensityfocusedultrasoundextracorporealablationoflivertissuesinrabbitsCHENGShuQun1,ZHOUXinDa1,TANGZhaoYou1,YUYao1,B... 展开更多
关键词 LIVER neoplasms experimental/therapy ultrasonic THERAPY iodized oil/therapeutic use liver/radiation effects randomized controlled trials
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The role of drug utilization evaluation in medical sciences
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作者 Ruby Gangwar Arvind Kumar +2 位作者 Abrar Ahmed Zargar Amit Sharma Ranjeet Kumar 《Global Health Journal》 2023年第1期3-8,共6页
Background:Drug utilization evaluation(DUE)is defined by the World Health Organization(WHO)and focuses on the medical,social,and economic consequences of pharmaceutical marketing,distribution,prescribing,and usage in ... Background:Drug utilization evaluation(DUE)is defined by the World Health Organization(WHO)and focuses on the medical,social,and economic consequences of pharmaceutical marketing,distribution,prescribing,and usage in society.The WHO recommends a physician to every 1000 people.According to the recent data from the Health Ministry in 2019,in which 1.16 million doctors are of active population with just 80%,or 0.9 million,practicing.As a result,a ratio of 0.68 doctors for every 1000 people,which is much below as per the WHO reports.This article describes history,types,WHO guidelines,need and purpose of DUE.Objective:The main aim of this paper is to provide information about the rational use of medication in outpa­tient and inpatient department with special emphasis of DUEs.It also provides awareness directly to healthcare professionals,researchers,academicians,pharmacist and nurses to reduce the irrationality of medicines.Methods:The method used to compile this review information gathered from websites,Google scholar,PubMed,Research gate,and studies published on DUE from July 20 to Oct 22 were included as source of information.Results:We studied more than 35 published study on DUE,that reveals most of the physicians prescribed branded drugs not generic drugs,but WHO prescribing indicator allows to prescribe generic drugs in the hospital pharmacy to maintain better inventory control.It may also help to prevent pharmacist misunderstanding during dispensing.Conclusion:The use of generic prescription names avoids the possibility of medication product duplication and lowers patient costs.It is important to remember that incorrect medication prescriptions have impact on both patients and their family members.WHO indicators identify irrational prescribing behaviours to make therapy more rational and cost-effective. 展开更多
关键词 Anatomical therapeutic chemical classification Drug utilization evaluation Prescribing indicators Pregnancy risk classification Rational use of the drug
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右美托咪定在无痛胃镜中的应用效果
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作者 柏也一 《中国当代医药》 CAS 2023年第4期129-131,共3页
目的探究右美托咪定在无痛胃镜中的应用效果。方法选取2020年2月至2022年2月上海市浦东新区周浦医院麻醉科收治的100例行无痛胃镜的患者作为研究对象,按照随机数字表法分为观察组(50例)与对照组(50例),观察组采用右美托咪定麻醉,对照组... 目的探究右美托咪定在无痛胃镜中的应用效果。方法选取2020年2月至2022年2月上海市浦东新区周浦医院麻醉科收治的100例行无痛胃镜的患者作为研究对象,按照随机数字表法分为观察组(50例)与对照组(50例),观察组采用右美托咪定麻醉,对照组采用丙泊酚麻醉。比较两组的检查时间、麻醉诱导时间、苏醒时间、定向力恢复时间、镇痛镇静效果不良事件发生率。结果观察组检查时间、麻醉诱导时间、苏醒时间、定向力恢复时间均短于对照组,差异有统计学意义(P<0.05)。观察组镇静镇痛优良率高于对照组,差异有统计学意义(P<0.05)。观察组不良事件发生率低于对照组,差异有统计学意义(P<0.05)。结论右美托咪定应用于无痛胃镜中,麻醉效果显著,且安全性高,值得研究和推广。 展开更多
关键词 无痛胃镜 右美托咪定 麻醉 治疗效果 安全性
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USE OF CELL-BASED BIOASSAY FOR THE QUALITY CONTROL OF BOTANICAL THERAPEUTICS
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作者 Doo Suk Lee Min-Jung Bae Sunyoung Kim 《World Journal of Traditional Chinese Medicine》 2015年第4期91-91,共1页
The single most important factor in modernization efforts of traditional oriental medicines is the limited understanding of active compounds responsible for claimed therapeutic effects.Indeed,the unknown identity of b... The single most important factor in modernization efforts of traditional oriental medicines is the limited understanding of active compounds responsible for claimed therapeutic effects.Indeed,the unknown identity of biologically active molecules generates major difficulties associated with botanical therapeutics in general.This includes management of raw materials,poor understanding of 展开更多
关键词 use OF CELL-BASED BIOASSAY FOR THE QUALITY CONTROL OF BOTANICAL therapeuticS PG
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右美托咪啶辅助丙泊酚靶控输注在颅内动脉瘤介入栓塞中的麻醉效果 被引量:11
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作者 李坤 牛金柱 +3 位作者 王献章 刘明 兰海涛 李艳朔 《解放军医药杂志》 CAS 2014年第1期73-77,共5页
目的 探讨右美托咪啶(dexmedetomodine,DEX)辅助丙泊酚靶控输注用于颅内动脉瘤介入栓塞手术患者的麻醉效果.方法 选择2011年8月-2013年2月择期行颅内动脉瘤介入栓塞手术患者60例,随机分为观察组和对照组,每组30例.患者均未用术前药,... 目的 探讨右美托咪啶(dexmedetomodine,DEX)辅助丙泊酚靶控输注用于颅内动脉瘤介入栓塞手术患者的麻醉效果.方法 选择2011年8月-2013年2月择期行颅内动脉瘤介入栓塞手术患者60例,随机分为观察组和对照组,每组30例.患者均未用术前药,观察组在麻醉诱导前15 min静脉泵注DEX,然后以0.4 μg/(kg·h)速度持续静脉泵注至手术结束前20 min,对照组静脉注射等量的0.9%氯化钠注射液.麻醉诱导:两组均依次静脉注射咪达唑仑、芬太尼、丙泊酚、顺阿曲库铵,插管后行机械通气.麻醉维持:靶控输注丙泊酚,根据麻醉深度和血流动力学变化调节丙泊酚靶控浓度,静脉输注芬太尼、顺阿曲库铵.记录两组麻醉诱导前15 min(T0)、麻醉诱导前(T1)、插管前(T2)、插管后即刻(T3)、介入栓塞时(T4)、拔管即刻(T5)、拔管后5 min(T6)的平均动脉压(MAP)、心率、血氧饱和度(SpO2)及脑电双频指数(BIS);记录气管导管拔除时间和清醒时间、麻醉药总使用量、血管活性药物使用次数,不良反应发生率及术后24 h随访情况.结果 两组手术、拔管和清醒时间,以及芬太尼、顺阿曲库铵用量比较差异无统计学意义(P〉0.05);观察组丙泊酚总使用量少于对照组,麻黄碱、艾司洛尔、硝酸甘油使用率均低于对照组,阿托品使用率高于对照组(P〈0.05).对照组MAP及BIS在T2~4时点、心率在T2时点均低于T0,而在T5、T6时点MAP及心率均高于T0(P〈0.05).观察组MAP在T1时点高于T0,T2~4时点高于对照组,T5、T6时点低于对照组,心率在T1~4时点低于T0,在T1~6时点低于对照组,BIS在T1~4时点均低于T0和对照组(P〈0.05).观察组围麻醉期不良反应发生率均低于对照组(P〈0.05).两组无术中知晓发生.结论 DEX辅助丙泊酚靶控输注用于颅内动脉瘤介入栓塞手术患者的麻醉可使围麻醉期血流动力学平稳,不良反应发生率降低. 展开更多
关键词 右美托咪啶 异丙酚 麻醉药 静脉 颅内动脉瘤 栓塞 治疗性
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右美托咪定对颅内动脉瘤介入治疗患者血流动力学的影响 被引量:10
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作者 冯顺华 韩超 +2 位作者 余露 葛志军 许清清 《医学临床研究》 CAS 2016年第2期223-225,共3页
【目的】评估右美托咪定对全身麻醉下颅内动脉瘤介入治疗患者血流动力学及苏醒质量的影响。【方法】将本院全身麻醉下行动脉瘤栓塞术、ASA分级Ⅰ~Ⅱ级患者40例随机均分成两组(n=20),两组麻醉和诱导方法相同。右美托咪定组于麻醉诱导... 【目的】评估右美托咪定对全身麻醉下颅内动脉瘤介入治疗患者血流动力学及苏醒质量的影响。【方法】将本院全身麻醉下行动脉瘤栓塞术、ASA分级Ⅰ~Ⅱ级患者40例随机均分成两组(n=20),两组麻醉和诱导方法相同。右美托咪定组于麻醉诱导前15 min静脉输注右美托咪定0.6 μg/(kg·10 min),继之0.4 μg/(kg·h)持续输注;生理盐水组患者则静脉泵注相同剂量生理盐水。记录输注前、输注10 min、插管后、手术结束、拔管前、拔管后即刻及拔管后5 min、10 min时患者的平均动脉压(MAP)和心率(HR),苏醒时间、拔管时间、拔管时躁动、呛咳评分及拔管后10 min时Ramsay镇静评分。【结果】两组患者手术时间、苏醒和拔管时间相比较差异均无显著性(P〉0.05)。气管插管、拔管前、拔管即刻及拔管后5 min右美托咪定组患者MAP、HR显著低于生理盐水组患者(P均〈0.05);拔管后10 min时Ramsay镇静评分高于生理盐水组患者,而呛咳反应评分、拔管即刻躁动评分均显著低于生理盐水组患者(P〈均0.05)。【结论】颅内动脉瘤介入治疗患者麻醉诱导前输注负荷剂量右美托咪定0.6 μg/(kg·10 min)、术中以0.4 μg/(kg·h)维持可稳定患者血流动力学,同时提高患者苏醒质量。 展开更多
关键词 右美托咪定/治疗应用 颅内动脉瘤/治疗 栓塞 治疗性 血流动力学
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右美托咪啶对脂多糖致伤大鼠肾小管上皮细胞TLR_4表达的影响 被引量:3
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作者 雷安锋 段晶 +2 位作者 陈燕 彭春晓 王秋月 《陕西医学杂志》 CAS 2015年第9期1112-1113,共2页
目的:观察右美托咪啶对脂多糖致伤大鼠肾小管上皮细胞TLR4表达影响,探讨其可能机制。方法:将大鼠肾小管上皮细胞复苏后培养,加入10ng/ml脂多糖(LPS),均经培养后分为3组,A组为空白对照组,B组为对照组,加入右美托咪定2.5μg,C组为实验组,... 目的:观察右美托咪啶对脂多糖致伤大鼠肾小管上皮细胞TLR4表达影响,探讨其可能机制。方法:将大鼠肾小管上皮细胞复苏后培养,加入10ng/ml脂多糖(LPS),均经培养后分为3组,A组为空白对照组,B组为对照组,加入右美托咪定2.5μg,C组为实验组,先加入阿替美唑10μg后30min加入右美托咪定2.5μg,培养12h,免疫组化法检测TLR4蛋白表达及TLR4mRNA水平,并测定细胞凋亡率。结果:B组应用右美托咪定后,TLR4水平为(45.1±13.5)×103均低于A组、B组(tBA=6.549,tBC=5.660,P<0.05);B组TLR4mRNA相对表达值为0.46±0.02,均低于A组、C组(tBA=27.599,tBC=24.749,P<0.05)。B组使用右美托咪定后,细胞凋亡率为(34.6±7.6)%,均明显低于A组、C组(P<0.05)。结论:右美托咪啶可下调脂多糖致伤大鼠肾小管上皮细胞TLR4表达,且右美托咪啶对TLR4的调节与α2AR被激动相关。 展开更多
关键词 肾疾病/化学诱导 脂多糖类 右美托咪啶/治疗应用 上皮细胞/代谢 动物 实验 大鼠 @TLR4
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右美托咪定预处理减轻离体大鼠心脏缺血/再灌注损伤的线粒体相关机制 被引量:28
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作者 姜翠翠 夏满莉 +1 位作者 王敏 陈士票 《浙江大学学报(医学版)》 CAS CSCD 北大核心 2013年第3期326-330,共5页
目的:研究右美托咪定(dexmedetomidine,Dex)预处理对心肌缺血/再灌注(I/R)损伤的作用及其与线粒体渗透性转换孔(mPTP)和/或线粒体ATP敏感性钾通道(mitoKATP)的关系。方法:分离SD雄性大鼠心脏置于Langendorff系统行全心停灌30 min,再灌注... 目的:研究右美托咪定(dexmedetomidine,Dex)预处理对心肌缺血/再灌注(I/R)损伤的作用及其与线粒体渗透性转换孔(mPTP)和/或线粒体ATP敏感性钾通道(mitoKATP)的关系。方法:分离SD雄性大鼠心脏置于Langendorff系统行全心停灌30 min,再灌注120 min建立心肌I/R损伤模型,停灌前15 min给予Dex(10 nmol/L)处理。测定左心室动力学、再灌注期间冠脉流量及再灌注5 min时中乳酸脱氢酶(LDH)含量,实验结束测定心肌组织formazan含量以反映心肌梗死状况。结果:与正常对照组相比,I/R组明显降低了再灌注期间的左室发展压、冠脉流量及再灌注末心肌组织formazan含量,显著升高了再灌注左室舒张末压、心肌LDH渗出;Dex预处理明显改善了I/R心脏功能及心肌组织活性(P<0.01);mPTP开放剂苍术苷(20μmol/L,再灌注前给药20min)及mitoKATP抑制剂5-羟基癸酸(100μmol/L,停灌前给药20 min)可取消Dex预处理产生的抗心脏I/R损伤作用。结论:围手术期常用的辅助麻醉药Dex具有减轻离体大鼠心脏I/R损伤作用,且该心肌保护作用可能与Dex促进缺血前mitoKATP的开放,抑制再灌注早期mPTP的开放有关。 展开更多
关键词 右美托咪啶/治疗应用 缺血预处理 心肌/药物疗法 线粒体/药物作用 钾通道/药物作用 腺苷三磷酸酶类/代谢 心肌再灌注损伤/预防和控制
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右旋美托咪定在小儿七氟醚麻醉后苏醒躁动中的效果研究 被引量:11
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作者 赵建奎 王高翔 《陕西医学杂志》 CAS 2017年第9期1176-1177,共2页
目的:探讨应用右旋美托咪定治疗小儿七氟醚麻醉后苏醒躁动的效果。方法:将92例行七氟醚麻醉患儿随机分为研究组与对照组,研究组患儿给予右旋美托咪定,对照组给予生理盐水,分析两组患儿术后唤醒时间、麻醉维持时间、苏醒期躁动发生率及P... 目的:探讨应用右旋美托咪定治疗小儿七氟醚麻醉后苏醒躁动的效果。方法:将92例行七氟醚麻醉患儿随机分为研究组与对照组,研究组患儿给予右旋美托咪定,对照组给予生理盐水,分析两组患儿术后唤醒时间、麻醉维持时间、苏醒期躁动发生率及PAED得分的变化。结果:两组患儿在术后唤醒时间、麻醉维持时间上差异无统计学意义(P>0.05),但研究组的躁动发生率及刚回病房、回房5min的PAED得分明显低于生理盐水组(P<0.05),两组患儿回房10min后的躁动严重程度差异不再具有统计学意义(P>0.05)。结论:小儿七氟醚麻醉后运用右旋美托咪定对减少苏醒期躁动发生率及发生严重程度均具有较好效果。 展开更多
关键词 麻醉 全身 麻醉药 全身/治疗应用 精神运动性激动/副作用 精神运动性激动/药物疗法 @右旋美托咪定
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右美托咪定联合氟比洛芬酯用于肺癌根治术患者超前镇痛效果观察 被引量:17
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作者 朱兆平 郭艾芳 《陕西医学杂志》 CAS 2018年第1期108-110,共3页
目的:探讨右美托咪定联合氟比洛芬酯用于肺癌根治术患者超前镇痛的效果。方法:选取拟行肺癌根治术的患者84例,按随机数字表法分为两组,各42例。对照组患者行麻醉诱导前注射氟比洛芬酯,观察组患者给予超前注射右美托咪定联合氟比洛芬酯,... 目的:探讨右美托咪定联合氟比洛芬酯用于肺癌根治术患者超前镇痛的效果。方法:选取拟行肺癌根治术的患者84例,按随机数字表法分为两组,各42例。对照组患者行麻醉诱导前注射氟比洛芬酯,观察组患者给予超前注射右美托咪定联合氟比洛芬酯,比较两组心率(HR)水平、平均动脉压(MAP)水平、视觉模拟评分法(VAS)评分、舒适度评分量表(BCS)评分、拔管质量评分及不良反应情况。结果:麻醉诱导前(T_1)时,两组HR、MAP水平比较,差异无统计学意义(P>0.05);插管(T_2)、拔管(T_3)时,观察组HR、MAP均明显低于对照组(P<0.05);观察组拔管质量评分明显低于对照组(P<0.05);术后及术后12h,观察组VAS评分明显低于对照组,BCS评分较高,差异有统计学意义(P<0.05);两组不良反应情况比较,差异无统计学意义(P>0.05)。结论:右美托咪定联合氟比洛芬酯对行肺癌根治术的患者行超前镇痛效果显著,可有效缓解术中应激反应,减轻术后疼痛程度,且未产生明显不良反应。 展开更多
关键词 镇痛 右美托咪定/治疗应用 氟比洛芬酯/治疗应用 肺癌根治术
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不同靶控浓度右美托咪定对开颅动脉瘤夹闭术患者脑氧代谢及脑损伤的影响 被引量:4
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作者 牛宣耀 齐丽君 杨中贞 《麻醉安全与质控》 2020年第5期278-282,共5页
目的探讨右美托咪定对开颅动脉瘤夹闭术患者围术期脑氧代谢、神经损伤标志物以及认知功能的影响。方法选取我院2016-01/2019-10期间接受的60例颅内动脉瘤患者作为研究对象,根据随机数字表法分为高剂量组(n=20)、低剂量组(n=20)、对照组(... 目的探讨右美托咪定对开颅动脉瘤夹闭术患者围术期脑氧代谢、神经损伤标志物以及认知功能的影响。方法选取我院2016-01/2019-10期间接受的60例颅内动脉瘤患者作为研究对象,根据随机数字表法分为高剂量组(n=20)、低剂量组(n=20)、对照组(n=20)。高剂量组和低剂量组分别给予5 ng/mL和3 ng/mL的右美托咪定,对照组给予等量生理盐水,维持该浓度直至手术结束。比较各组麻醉诱导前、手术1 h、手术2 h和手术结束时心率(HR)、平均动脉压(MAP)、动脉颈内静脉球部血氧含量差(Da-jvO2)和脑氧摄取率(CEO2)的差异,比较各组麻醉诱导前、手术结束时以及术后24 h髓鞘碱性蛋白酶(MBP)和神经元特异性烯醇化酶(NSE)的变化,比较各组麻醉诱导前、术后3 d及术后7 d简易智力状态量表(MMSE)评分的变化。结果麻醉诱导前3组的HR、MAP、Da-jvO2、CEO2均无统计学意义(P>0.05),手术1 h、2 h和手术结束时低剂量组与高剂量组的HR、MAP、Da-jvO2、CEO2均明显低于对照组,高剂量组的HR、MAP、Da-jvO2和CEO2均明显低于低剂量组(P<0.05);诱导麻醉前3组的MBP和NSE均无统计学意义(P>0.05),手术结束以及术后24 h时低剂量组与高剂量组的MBP和NSE均明显低于对照组,高剂量组的MBP和NSE均明显低于低剂量组(P<0.05);诱导麻醉前3组的MMSE评分均无统计学意义(P>0.05),术后3 d及术后7 d低剂量组和高剂量组的MMSE评分均明显高于对照组,高剂量组的MMSE评分明显高于低剂量组(P<0.05)。结论动脉瘤夹闭术治疗颅内动脉瘤的过程中使用5 ng/mL的右美托咪定可以改善脑氧代谢,减轻神经功能损伤,改善认知功能。 展开更多
关键词 右美托咪定 颅内动脉瘤 疗效 脑氧代谢
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盐酸右美托咪定在小儿骶麻镇静中的临床价值 被引量:5
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作者 王岳 《安徽医药》 CAS 2016年第7期1388-1391,共4页
目的探讨盐酸右美托咪定在小儿骶麻镇静中的临床价值。方法将85例择期行一次性根治术的肛周脓肿患儿分为两组,全部患儿均采用骶管麻醉,研究组采用盐酸右美托咪定辅助镇静,对照组采用丙泊酚辅助镇静,对比两组患儿在T0(桡动脉穿刺成功时... 目的探讨盐酸右美托咪定在小儿骶麻镇静中的临床价值。方法将85例择期行一次性根治术的肛周脓肿患儿分为两组,全部患儿均采用骶管麻醉,研究组采用盐酸右美托咪定辅助镇静,对照组采用丙泊酚辅助镇静,对比两组患儿在T0(桡动脉穿刺成功时)、T1(切皮时)、T2(探查内口时)、T3(切除病灶时)的心率(HR)、动脉压(MAP)、脑电双频谱指数(BIS值)、血糖、血清皮质醇(COR)、肾上腺素(E)的水平变化,观察并记录两组患儿苏醒时间及呼吸抑制、术后躁动发生情况。结果两组在各时间点BIS值对比差异无统计学意义(P〉0.05);在T2和T3时,研究组HR、MAP水平显著低于对照组,差异有统计学意义(t=4.145、4.216、4.576、4.350,P〈0.05);在T1、T2、T3时,研究组COR、E水平均低于对照组,差异有统计学意义(t=3.596、3.531、3.887、4.748、4.334、4.767,P〈0.05);对照组术中COR、E水平明显升高,差异有统计学意义(F=4.337、5.120,P〈0.05);研究组术后苏醒时间高于对照组,差异有统计学意义(t=11.068,P〈0.05);研究组出现呼吸抑制、术后躁动的发生率低于对照组,差异有统计学意义(χ^2=5.439、6.609,P〈0.05)。结论盐酸右美托咪定用于小儿肛周脓肿一次性根治术骶管麻醉辅助镇静,能有效减轻应激反应,降低呼吸抑制及术后躁动的发生。 展开更多
关键词 麻醉 脊尾 右美托咪啶/治疗应用 儿童
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