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肥胖儿童non-HDL-C、remnant cholesterol与亚临床动脉粥样硬化的关系 被引量:4
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作者 焦朝艳 刘戈力 +4 位作者 鲍鹏丽 魏莹 杨箐岩 郑荣秀 赵菁 《天津医科大学学报》 2014年第1期25-28,共4页
目的:了解non-HDL-C和remnant cholesterol与肥胖儿童亚临床动脉粥样硬化(AS)的关系。方法:根据甘油三酯(TG)水平将65例肥胖儿童(肥胖组)分为I组(TG≥2.3 mmol/L)32例,II组(TG<2.3 mmol/L)33例,与肥胖组儿童性别年龄相匹配的正常体... 目的:了解non-HDL-C和remnant cholesterol与肥胖儿童亚临床动脉粥样硬化(AS)的关系。方法:根据甘油三酯(TG)水平将65例肥胖儿童(肥胖组)分为I组(TG≥2.3 mmol/L)32例,II组(TG<2.3 mmol/L)33例,与肥胖组儿童性别年龄相匹配的正常体质量儿童30例为III组(对照组)。比较3组儿童血脂指标,对肥胖组各项血脂指标与血浆致动脉粥样硬化指数(AIP)进行相关性分析,肥胖患儿体质指数、血脂指标与颈动脉内径、内膜-中层厚度(c-IMT)、血流参数进行相关性分析。结果:I组、II组的TG、总胆固醇(TC)、低密度脂蛋白胆固醇(LDL-C)、non-HDL-C、remnant cholesterol、AIP均较对照组升高,高密度脂蛋白胆固醇(HDL-C)较对照组降低,且I组的remnant cholesterol、AIP均较II组升高。肥胖组儿童AIP与TG、non-HDL-C、remnant cholesterol呈正相关,与HDL-C呈负相关。37例行颈动脉超声检查的肥胖儿童的c-IMT较正常儿童的增厚。结论:non-HDL-C、remnant cholesterol在肥胖儿童亚临床AS中有重要作用,在肥胖儿童血脂异常的治疗中应关注non-HDL-C、remnant cholesterol的变化。 展开更多
关键词 儿童肥胖 亚临床动脉粥样硬化 non—HDL—C REMNANT CHOLESTEROL 血浆致动脉粥样硬化指数 颈动脉内膜-中层厚度
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Shenqi Fuzheng injection combined with GP chemotherapy in the treatment of advanced non-small cell lung cancer: a meta-analysis 被引量:13
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作者 Qiang Zhang Yi-Huan Fan +2 位作者 Teng Zhang Xiao-Lan Qin Ji-Fang Song 《TMR Integrative Medicine》 2017年第2期68-78,共11页
Objective: To evaluate the clinical efficacy of Shenqi Fuzheng injection combined with gemcitabine plus cisplatin(GP) in the treatment of advanced non-small cell lung cancer (NSCLC). Methods: we performed a syst... Objective: To evaluate the clinical efficacy of Shenqi Fuzheng injection combined with gemcitabine plus cisplatin(GP) in the treatment of advanced non-small cell lung cancer (NSCLC). Methods: we performed a systematicsearch in the electronic databases such as Cochrane Library, Pubmed, Embase, Chinese Journal Full-text Database,Chinese Biomedical Literature Database, Chinese Science and Technology Periodical Full-text Database andWanfang Database up to 30 January 2017. Randomized controlled trials (RCT) of Shenqi Fuzheng Injectioncombined with GP chemotherapy in the treatment of advanced NSCLC were searched, and all the RCTs wereconducted on methodological quality assessment. Data extraction and data analysis were according to standards ofCochrane systematic review. Results: Eight trials were included including a total of 701 patients. Meta-analysisresults: Shenqi Fuzheng injection combined with GP chemotherapy could significantly improve the functionalstatus of patients with NSCLC (OR = 3.44, 95% CI [2.26, 5.25], P 〈 0.0001) and clinical treatment efficacy (OR =(OR = 0.31, 95%CI [0.20, 0.47], P 〈 0.0001. The rate of leukopenia (OR = .31, 95%CI [0.20,0.47], P 〈 0.0001),thrombocytopenia (OR = 0.58, 95%CI [0.37, 0.91], P = 0.020), hemoglobin decline ((OR = 0.31, 95%CI [0.16,0.59], P = 0.0004) and incidence of gastrointestinal reactions (OR = 0.58,P 〈 0.05) could be reduced. Conclusion:Shenqi Fuzheng injection combined with GP chemotherapy in the treatment of advanced NSCLC obtainedsignificantly clinical efficacy. The quality of the literature incorporated is low, the conclusion requires high-qualityresearch to further prove. 展开更多
关键词 Shenqi Fuzheng GP chemotherapy Advanced non - small cell lung cancer Meta analysis
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Analysis of Numerical Results in High Temperature Congealment and Chemistry Non-equilibrium Flow Field
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作者 Hong-tao Zheng Zhi-yong Tan +2 位作者 Hai-ou Sun Chun-liang Zhou Zhi-ming Li 《Journal of Marine Science and Application》 2002年第1期26-34,共9页
Using the air plasma ignition technique, physicochemical process of burning can be accelerated; concentration limit ofretrofires both can be extended; reliability of retrofires and stability of burning can be improved... Using the air plasma ignition technique, physicochemical process of burning can be accelerated; concentration limit ofretrofires both can be extended; reliability of retrofires and stability of burning can be improved. In this paper, using internalequivalent heat area in place of electric are that created Ohm heat, the flow fields of thermodynamic equilibrium chemistry con-gealment and chemistry non-equilibrium in the plasma generator were simulated. The influences of the inlet prerotation angleof air, the inlet total pressure of air and the airflow compression angle of spray nozzle on the temperature on the surface of elec- 展开更多
关键词 plasma GENERATOR CHEMISTRY non - EQUILIBRIUM IGNITION technique numerical calculation
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Turbulent Flow Action of Pulp in Wet - Laid Non - Woven Processes
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作者 程隆棣 黄秀宝 于修业 《Journal of China Textile University(English Edition)》 EI CAS 2000年第3期57-59,共3页
The paper deals with the fluid field of web forming in wet-laid non-woven production.The influence of the turbulent flow on blending fiber and occluded fluid produced in pulp flow has been discussed in theory and prac... The paper deals with the fluid field of web forming in wet-laid non-woven production.The influence of the turbulent flow on blending fiber and occluded fluid produced in pulp flow has been discussed in theory and practice.The suitable use of the imported velocity of pulp is very important in producing wet-laid products of good quality. 展开更多
关键词 WET - laid non - woven fiber PULP FLOW TURBULENT FLOW layer FLUID occluded FLUID .
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CYFRA 21-1 as an early predictor of first line chemotherapy response in advanced non small cell lung cancer
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作者 Kashif Iqbal 《The Chinese-German Journal of Clinical Oncology》 CAS 2007年第3期250-253,共4页
Objective: In an era of ever evolving, promising new therapies for advanced non small cell lung cancer (NSCLC), early predictors of response to therapy, are needed. We evaluated early variations in CYFRA 21-1 serum... Objective: In an era of ever evolving, promising new therapies for advanced non small cell lung cancer (NSCLC), early predictors of response to therapy, are needed. We evaluated early variations in CYFRA 21-1 serum levels of patients with advanced NSCLC receiving first line chemotherapy and correlated the results with objective tumor response. Methods: 29 consecutive, previously untreated, patients of advanced non small cell lung cancer, with measurable disease on CT scan were evaluated. All patients were treated with conventional systemic chemotherapy, although the choice of chemotherapy was left to the discretion of the treating physicians. Serum samples were obtained immediately before the start of 1st and 2nd cycles of chemotherapy. CYFRA 21-1 was measured with an electrochemiluminescense immunoassay on an automatic analyzer (Elecsys 2000; Roche Diagnostics). Response was evaluated using Response evaluation criteria in solid tumors (RECIST) criteria. Results: 10 patients had partial response, 9 patients had stable disease and 9 had progressive disease. None of the patients had complete response. 21/29 (72%) patients had an elevated baseline value of CYFRA 21-1.62% patients (18/29) had a decrease in CYFRA 21-1 after 1 cycle of chemotherapy. The average reduction in the 2nd reading was irrespective of whether baseline value was normal or not. The average reduction was statistically significant (P = 0.002; 95% CI, from 0.8369 to 3.49464; t test). 8 out of 10 (80%) patients with partial response had a reduction in their 2nd reading of. CYFRA (P = 0.019; 95% CI, from 0.81965 to 7.20035; t test) which was significant. We also observed that 6/9 (66%) patients whose disease remains stable also had a decrease in their subsequent reading (P = 0.0106; 95% CI, from -0.44942 to 3.82720; t test), though it was not significant statistically. Although 5 out of 9 (55%) patients, who had an increase in their CYFRA 21-1 level, had progressive disease, but it was not statistically significant (P = 0.537; 95% CI, from -1.20021 to 2.13354; ttest). 14 out of 19 (73%) who either had partial response or had stable disease, had a reduction in their 2nd value of CYFRA 21-1 and was significant statistically (P = 0.004; 95% CI, from 0.74792 to 3.50208; t test). We also observed that except for 1 patient, all patients who had a decrease of 42% or more in their subsequent CYFRA 21-1 level, were those who had either responded to chemotherapy or had stable disease (P = 0.001), which was statistically significant. Conclusion: We can conclude that monitoring of serum marker CYFRA 21-1, early dudng first-line chemotherapy may be a useful prognostic tool for evaluation of early tumor response in patients with advanced NSCLC. 展开更多
关键词 CYFRA 21-1 non small cell lung cancer CHEMOTHERAPY RESPONSE
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MiR-16-5p plays an inhibitory role in human non-small cell lung cancer through Fermitin family member 2
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作者 JUNQI GUO YUN YANG +6 位作者 WEI ZHAO ZHONGHAI YAN XIA YANG YUNFEI YAN RUIMIN HAO JINXIA HU FEI JIAO 《BIOCELL》 SCIE 2021年第3期627-638,共12页
Increasing evidence indicates that aberrant expressions of some microRNAs are associated with cancer progression.However,the roles and biological mechanisms of miRNA-16-5p in human non-small cell lung cancer(NSCLC)are... Increasing evidence indicates that aberrant expressions of some microRNAs are associated with cancer progression.However,the roles and biological mechanisms of miRNA-16-5p in human non-small cell lung cancer(NSCLC)are not to be well studied.Here,we validated that the expression of miR-16-5p was decreased significantly in NSCLC samples and cell lines.The correlation between the clinicopathological features of NSCLC and the miR-16-5p expression showed that the expression of miR-16-5p in non-small cell lung cancer was linked with the advanced TNM stage,positive lymph node metastasis,with short overall survival(OS).Also,a negative correlation between miR-16-5p and Fermitin family member 2(FERMT2)was observed,implying there may be a potential link about their regulation.The hypothesis was further confirmed by in-silico analysis and dual-luciferase reporter assay.Moreover,we demonstrated that the transfections of miR-16-5p mimics could alter some biological characteristics of NSCLC cells remarkably accomplished by the expression variance of FERMT2 in vitro and in vivo assays.Summarily,this study demonstrated that miR-16-5p,as a tumor suppression factor in NSCLC by targeting FERMT2,could serve as one promising biomarker in the prediction for NSCLC patients. 展开更多
关键词 miR-16-5p non–small-cell lung cancer(NSCLC) Fermitin family member 2(FERMT2) APOPTOSIS INVASION Overall survival(OS)
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NF-κB在腹腔镜术后非切口疼痛中的表达及其意义
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作者 陈前 刘维燕 江道文 《皖南医学院学报》 CAS 2011年第5期377-379,共3页
目的:探讨腹腔镜CO2气腹时腹膜NF-κB表达的变化与非切口疼痛的关系。方法:通过选取手术病例,随机分为3组,每组20例:A组(腹腔镜手术);B组(乌斯他丁+腹腔镜手术);C组(开腹手术)。术中取腹膜组织,荧光定量聚合酶链反应法(荧光定量PCR)测定... 目的:探讨腹腔镜CO2气腹时腹膜NF-κB表达的变化与非切口疼痛的关系。方法:通过选取手术病例,随机分为3组,每组20例:A组(腹腔镜手术);B组(乌斯他丁+腹腔镜手术);C组(开腹手术)。术中取腹膜组织,荧光定量聚合酶链反应法(荧光定量PCR)测定NF-κB mRNA表达量变化;术后采用视觉模拟评分法(VAS),观察患者手术后非切口疼痛等症状。结果:腹腔镜CO2气腹后,A组非切口疼痛发生率为75%,VAS评分6.1;B组发生率为30%,共计6例,VAS评分3.1;C组发生率为10%,共计6例,VAS评分1.7,三组有显著差异(P<0.05);NF-κB在各组均有不同程度的表达,腹腔镜CO2气腹两组(A组、B组)比开腹手术组(C组)为高(P<0.05);B组较A组表达有明显下降(P<0.05)。结论:CO2气腹后非切口疼痛与核转录因子-κB(NF-κB)高表达相关,NF-κB阻断剂(乌司他丁)在一定程度阻断NF-κB高表达,减少术后非切口疼痛发生率和程度。 展开更多
关键词 CO2气腹 NF-ΚB 非切口疼痛
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FAREY SEQUENCE OF NONLINEAR DIFFERENTIAL DYNAMIC SYSTEM IN TWO DIMENSIONS 被引量:1
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作者 H. Q. Jin and S. N. Xu Shenyang Institute of Technology , Shenyang 110015 , China 《Acta Metallurgica Sinica(English Letters)》 SCIE EI CAS CSCD 1999年第5期1234-1236,共3页
In this paper , through the discrim ination of Farey sequence in the forced Brusselator withweak coupling , it is proved that there is a topological translation fro m a nonlinear differen tial system ( limit cycle)... In this paper , through the discrim ination of Farey sequence in the forced Brusselator withweak coupling , it is proved that there is a topological translation fro m a nonlinear differen tial system ( limit cycle) to the circle m ap . 展开更多
关键词 non - linearity Farey sequence phase lock CHAOS
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Ways to Overcome Anxiety in the English Listening Class in College (SUN JING-YU KE SU-FEN)
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作者 孙晶玉 柯素芬 《呼伦贝尔学院学报》 1999年第1期74-77,87,共5页
In my ten-yeat experience of tenching English as major in college , I feel that students experience more difficulties in listening lessons than in other lessons. What, then, prevents students from achieving success in... In my ten-yeat experience of tenching English as major in college , I feel that students experience more difficulties in listening lessons than in other lessons. What, then, prevents students from achieving success in the listening class? I suggest that anxiety is one of the major factors, which interferes with students listening comprehension. And I would agree with writers such as Gardner and Horwitz et al. (1991)that anxiety may impede learner’s ability to perform successfully in all aspects of learning a foreign language. I feet it is particularly significant for listening. 展开更多
关键词 LISTENING anxiety creation of non - ANXIETY environment skills and process focus COUNSELLING corner exposure to authentic English
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自制悬吊免气腹单孔腹腔镜手术在子宫肌瘤中的应用
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作者 欧顺 李瑛娜 李水池 《中国当代医药》 2024年第35期74-78,共5页
目的探讨自制悬吊免气腹单孔腹腔镜手术在子宫肌瘤剔除术中的可行性及优势。方法回顾性选取2015年1月至2023年12月湘潭市第二人民医院妇产科收治的有手术指征的72例子宫肌瘤患者作为研究对象,根据手术方式不同分为免气腹组和传统组,每... 目的探讨自制悬吊免气腹单孔腹腔镜手术在子宫肌瘤剔除术中的可行性及优势。方法回顾性选取2015年1月至2023年12月湘潭市第二人民医院妇产科收治的有手术指征的72例子宫肌瘤患者作为研究对象,根据手术方式不同分为免气腹组和传统组,每组36例。免气腹组采用自制悬吊免气腹腹腔镜下子宫肌瘤剔除术,传统组采用传统多孔充气腹腔镜下子宫肌瘤剔除术。收集两组患者围手术期各项资料,比较两组患者的手术时间、术中出血量、术后肠功能恢复时间和术后住院时间以及整体住院经济消耗。结果免气腹组的手术时间短于传统组,术中出血量少于传统组,术后肠道功能恢复时间短于传统组,差异有统计学意义(P<0.05)。两组患者的住院时间、住院经济消耗比较,差异无统计学意义(P>0.05)。结论相较于传统多孔充气腹腔镜手术,子宫肌瘤剔除术中采用自制悬吊免气腹腹腔镜手术缩短了手术时间,减少了术中出血,缩短了患者术后肠功能恢复时间,且该术式简单易行,无需增加额外设备及特殊材料,不增加医院投入及患者经济负担,经济实用,易于临床推广应用。 展开更多
关键词 自制悬吊 免气腹 腹腔镜 子宫肌瘤剔除
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Bioinformatics analysis of the association between miR-942-5p–induced downregulation of PIEZO-type mechanosensitive ion channel component 1 and poor prognosis in non–small cell lung cancer mediated by the mitogen-activated protein kinase pathway signaling pathway
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作者 Lingdi Duan Min Zhao +4 位作者 Hongquan Wei Wei Dong Xiaomin Bi Lin Ang Shan Zhang 《Oncology and Translational Medicine》 CAS 2024年第6期272-280,共9页
Background:Non–small cell lung cancer(NSCLC)is a common malignant tumor with an increasing incidence.PIEZO-type mechanosensitive ion channel component 1(PIEZO1)is a mechanosensitive ion channel whose expression has b... Background:Non–small cell lung cancer(NSCLC)is a common malignant tumor with an increasing incidence.PIEZO-type mechanosensitive ion channel component 1(PIEZO1)is a mechanosensitive ion channel whose expression has been implicated in various cancers.However,its expression patterns,prognostic implications,and specific molecular mechanisms of action in NSCLC remain un-clear.This study aimed to characterize the expression profile of PIEZO1 in NSCLC in vitro and using bioinformatics analyses.Methods:To determine the expression profile of PIEZO1 in normal and cancerous human tissues and the mRNA expression of PIEZO1 in NSCLC,we analyzed data from The Cancer Genome Atlas.Various bioinformatics analyses were performed for correlation analyses,construction of survival curves,and identification of upstream mRNA targets and genes coexpressed with PIEZO1.Furthermore,the coexpressed genes were functionally annotated with Gene Ontology and subjected to pathway enrichment analyses.Additionally,we an-alyzed and compared PIEZO1 expression in normal and cancerous human tissue samples in vitro.Results:NSCLC tissue samples had lower PIEZO1 expression than adjacent tissues.PIEZO1 overexpression inhibited NSCLC progres-sion and cell migration and correlated with improved survival outcomes,as revealed by bioinformatics analyses.Additionally,analysis using the OncomiR database revealed that miR-942-5p upregulation contributed to the downregulation of PIEZO1 in NSCLC.Mechanistic in-vestigations suggested that PIEZO1 modulates NSCLC by regulating the mitogen-activated protein kinase pathway,particularly by targeting FLNA,RRAS,and MAP3K6.Bioinformatics analyses highlighted the potential of PIEZO1 as a therapeutic target and prognostic indicator of NSCLC.Conclusions:These novel findings reveal the expression profile of PIEZO1 in NSCLC and highlight the potential of PIEZO1 and miR-942-5p as diagnostic and therapeutic biomarkers of NSCLC and other cancer types. 展开更多
关键词 non–small cell lung cancer PIEZO1 BIOINFORMATICS MAPK MiR-942-5p
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非气腹腹腔镜用于老年妇科手术对呼吸循环应激及并发症的影响 被引量:7
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作者 李胜华 邓娟 +1 位作者 黄发天 曹云桂 《上海医学》 CAS CSCD 北大核心 2012年第6期505-508,共4页
目的探讨非气腹腹腔镜应用于老年妇科手术对呼吸和循环功能、应激反应及并发症的影响。方法选择行腹腔镜妇科手术的老年患者40例,美国麻醉医师学会分级Ⅱ~Ⅲ级,年龄60~70岁,随机分为非气腹组和气腹组,每组20例。全身麻醉维持期设定潮... 目的探讨非气腹腹腔镜应用于老年妇科手术对呼吸和循环功能、应激反应及并发症的影响。方法选择行腹腔镜妇科手术的老年患者40例,美国麻醉医师学会分级Ⅱ~Ⅲ级,年龄60~70岁,随机分为非气腹组和气腹组,每组20例。全身麻醉维持期设定潮气量为8mL/kg,呼吸频率12次/min,吸呼比1∶2,吸入氧浓度为100%。分别在麻醉后(T1)、悬吊/气腹后10min(T2)、悬吊/气腹后30min(T3)、解除悬吊/气腹后10min(T4)4个时间点,记录平均动脉压(MAP)、中心静脉压(CVP)、心率、脉搏血氧饱和度(SpO2)、胸肺顺应性、气道峰压、气道平台压、血气分析、血皮质醇、白细胞介素(IL)-6、肿瘤坏死因子(TNF)-α水平。比较两组的出血量、手术时间、术后恶心呕吐和肩部疼痛发生率及肠鸣音恢复时间。结果非气腹组的术后肠鸣音恢复时间显著短于气腹组(P<0.05),术后恶心呕吐和肩部疼痛的发生率显著低于气腹组(P<0.05)。两组在各时间点的MAP、心率、SpO2的差异均无统计学意义(P值均>0.05)。非气腹组在不同时间点的CVP和呼吸动力学参数的差异均无统计学意义(P值均>0.05);气腹组在T2、T3时间点的CVP、气道峰压和气道平台压显著高于同组T1时间点及非气腹组相同时间点(P值分别<0.01、0.05),胸肺顺应性显著低于同组T1时间点及非气腹组相同时间点(P值均<0.05)。两组患者的pH值在麻醉开始后均有下降趋势,但与同组T1时间点的差异无统计学意义(P值均>0.05)。气腹组在T2、T3时间点的动脉血氧分压显著低于同组T1时间点及非气腹组相同时间点(P值均<0.05),动脉血二氧化碳分压显著高于同组T1时间点(P值均<0.05)。两组患者血皮质醇、IL-6和TNF-α水平在T2、T3、T4时间点逐渐升高,显著高于同组T1时间点(P值分别<0.01、0.05),气腹组在T2、T3、T4时间点的上述指标均显著高于非气腹组相同时间点(P值均<0.05)。结论在老年妇科手术中,与气腹腹腔镜手术相比,非气腹腹腔镜手术具有对呼吸、循环系统功能干扰小,应激反应轻,肠鸣音恢复快,术后恶心呕吐和肩部疼痛发生率低等优势,有利于患者的康复。 展开更多
关键词 非气腹 妇科手术 腹腔镜 老年人 呼吸 循环 应激
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免气腹与气腹腹腔镜用于老年患者妇科手术的对比研究 被引量:6
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作者 冯丽 梁俊华 +2 位作者 王建军 张晓庆 李怀芳 《腹腔镜外科杂志》 2010年第7期485-488,共4页
目的:探讨免气腹腹腔镜手术治疗老年患者妇科疾病的应用价值及安全性。方法:对比分析2008年2月至2009年2月52例免气腹腹腔镜手术(免气腹组)与54例气腹腹腔镜手术(气腹组)老年患者的临床资料,包括术中出血量、血流动力学及呼吸动力学指... 目的:探讨免气腹腹腔镜手术治疗老年患者妇科疾病的应用价值及安全性。方法:对比分析2008年2月至2009年2月52例免气腹腹腔镜手术(免气腹组)与54例气腹腹腔镜手术(气腹组)老年患者的临床资料,包括术中出血量、血流动力学及呼吸动力学指标、手术时间、术后肛门排气时间、卧床时间、住院时间及术后病率。结果:106例腹腔镜手术均获成功,无一例中转开腹。结果显示,免气腹组术中出血量、手术时间、术后肛门排气时间、卧床时间、住院时间及术后病率均优于气腹组(P<0.05)。免气腹组术中中心静脉压、胸肺顺应性、气道峰压、气道平台压的变化均小于气腹组(P<0.05)。结论:免气腹腹腔镜用于老年患者妇科手术具有安全性好、并发症少、术后康复快的优势,是值得推广应用的微创术式。 展开更多
关键词 免气腹 妇科外科手术 腹腔镜检查 老年人 对比研究
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悬吊式无气腹腹腔镜手术治疗老年结直肠癌的对比研究 被引量:8
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作者 雷跃华 杨玉辉 +2 位作者 陈文兴 王邓超 李曦 《实用医院临床杂志》 2017年第6期120-122,共3页
目的比较无气腹悬吊式与气腹腹腔镜手术治疗老年结直肠癌的可行性和临床疗效。方法选择我院普外科2011年6月至2016年6月收治的年龄≥65岁、合并心肺基础疾病的结直肠癌患者86例,分为无气腹悬吊手术组和传统气腹腹腔镜组各43例,比较两组... 目的比较无气腹悬吊式与气腹腹腔镜手术治疗老年结直肠癌的可行性和临床疗效。方法选择我院普外科2011年6月至2016年6月收治的年龄≥65岁、合并心肺基础疾病的结直肠癌患者86例,分为无气腹悬吊手术组和传统气腹腹腔镜组各43例,比较两组患者的手术时间、术中出血量、术后肛门排气时间、术后平均住院日以及术中2小时节点中心静脉压(CVP)、动脉血气分析PaCO_2数值。结果无气腹组有3例中转开腹、气腹组2例中转开腹,均排除此次研究,余病例手术顺利完成。两组均无死亡病例,手术时间、术中出血量情况比较差异无统计学意义(P>0.05);但术后肛门排气时间、术后平均住院日以及术中2小时节点CVP、PaCO_2数值方面差异有统计学意义(P<0.05)。结论无气腹腹壁悬吊式腹腔镜手术扩大了腹腔镜手术适应症,其避免了CO_2气腹对心肺功能的影响,对于老年、特别是合并有心肺基础疾病患者,无气腹腹壁悬吊腹腔镜手术是一种较理想的微创手术方式。 展开更多
关键词 结直肠癌 无气腹悬吊式手术 腹腔镜
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肌松程度对机器人辅助腹腔镜下前列腺癌根治术病人早期术后恢复的影响 被引量:14
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作者 陈珂 王青 李元海 《安徽医药》 CAS 2019年第9期1762-1765,共4页
目的探讨不同肌松深度(深度肌松和中度肌松)对机器人辅助腹腔镜下前列腺癌根治术病人早期术后恢复的影响。方法选取2017年3月至2018年3月安徽医科大学第一附属医院择期性行机器人辅助腹腔镜下前列腺根治术病人40例,年龄范围为54~85岁,... 目的探讨不同肌松深度(深度肌松和中度肌松)对机器人辅助腹腔镜下前列腺癌根治术病人早期术后恢复的影响。方法选取2017年3月至2018年3月安徽医科大学第一附属医院择期性行机器人辅助腹腔镜下前列腺根治术病人40例,年龄范围为54~85岁,体质量指数<30 kg/m^2,美国麻醉医师协会(ASA)分级II^III级。采用随机数字表法分为深度肌松组(D组)20例,中度肌松组(M组)20例。两组均在肌松监测下采用非去极化肌松药维持肌松程度,D组维持肌松程度强直刺激后单刺激肌颤指数1或2,M组维持肌松程度4个成串刺激保持出现1或2个肌颤。记录肌松(TOF)比值恢复至0.7的时间、手术时间、平均气腹压力、平均胸内压(气道峰压和气道平台压)、气管拔管时间、出术后复苏室(PACU)的时间,病人术后肩部疼痛的评分和同一外科医生对手术条件评估“优”和“良”时平均气腹的压力。结果术中D组平均气腹压、气道峰压和气道平台压分别是(10.5±0.7)mmHg、(20.6±1.1)mmHg、(18.3±1.1)mmHg均低于M组(14.7±1.1)mmHg、(25.7±1.7)mmHg、(23.6±1.1)mmHg(P<0.05)。D组TOF比值恢复至0.7的时间为(36±12)min,M组为(26±11)min,D组比M组延长(t=2.747,P=0.009),D组肩部疼痛评分(1.8±0.6)分,M组为(3.0±0.3)分,D组比M组评分降低(t=-8.000,P<0.001)。气管拔管时间、出PACU的时间无明显变化(t=0.607,P=0.547;t=-0.280,P=0.781)。结论深度肌松能降低术中病人平均气道压及术后肩部疼痛的评分,改善病人的早期预后。 展开更多
关键词 前列腺切除术 机器人 阿曲库铵 非去极化肌肉松弛药 气腹 人工 神经肌肉阻滞
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免气腹与气腹腹腔镜胆囊切除术的对比研究 被引量:12
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作者 宋天豹 姚健 《腹腔镜外科杂志》 2010年第7期489-492,共4页
目的:探讨免气腹腹腔镜胆囊切除术(laparoscopic cholecystectomy,LC)与气腹LC的临床应用价值。方法:随机抽取60例胆囊疾病患者,分为免气腹LCⅠ组与气腹LC组各30例,同时选择合并慢性阻塞性肺病或冠心病的胆囊炎患者10例为免气腹LCⅡ组,... 目的:探讨免气腹腹腔镜胆囊切除术(laparoscopic cholecystectomy,LC)与气腹LC的临床应用价值。方法:随机抽取60例胆囊疾病患者,分为免气腹LCⅠ组与气腹LC组各30例,同时选择合并慢性阻塞性肺病或冠心病的胆囊炎患者10例为免气腹LCⅡ组,进行临床观察和实验研究。结果:免气腹LC在术后镇痛药应用、术后体温、住院费用、并发症、血流动力学指标及免疫功能等均优于气腹LC。结论:(1)免气腹LC具有手术创伤小、术后患者痛苦轻、住院费用少等优点,优于气腹LC,术中出血量、术后应用抗生素时间两组差异无统计学意义;(2)免气腹LC较气腹LC在免疫功能方面更具优越性;(3)气腹改变血流动力学指标;(4)免气腹腹腔镜对因气腹禁忌而失去常规腹腔镜手术机会的患者具有重要的临床价值。 展开更多
关键词 胆囊切除术 腹腔镜 气腹 人工 免气腹 白细胞介素类 血流动力学 对比研究
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免气腹腹腔镜与传统腹腔镜手术治疗卵巢肿瘤的比较 被引量:7
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作者 于江 张玉诺 《腹腔镜外科杂志》 2009年第2期151-152,共2页
目的:探讨免气腹腹腔镜手术治疗妇科肿瘤的应用及其优点和可行性。方法:比较免气腹与气腹法腹腔镜手术分别治疗卵巢良性肿瘤94例与87例的平均手术时间、术中平均出血量、平均肛门排气时间、术中血气分析、术后并发症等指标。结果:两组... 目的:探讨免气腹腹腔镜手术治疗妇科肿瘤的应用及其优点和可行性。方法:比较免气腹与气腹法腹腔镜手术分别治疗卵巢良性肿瘤94例与87例的平均手术时间、术中平均出血量、平均肛门排气时间、术中血气分析、术后并发症等指标。结果:两组手术时间、术中出血量、肛门排气时间、术后发热、术后康复差异无统计学意义(P<0.05)。术后并发症发生率差异有统计学意义(P>0.05)。结论:免气腹腹腔镜手术治疗卵巢良性肿瘤可行,更具安全性,术后并发症发生率低,有较好的临床应用价值。 展开更多
关键词 卵巢囊肿 免气腹 腹腔镜术 血气分析
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氨基酸与钠离子非共价键相互作用的电喷雾质谱研究 被引量:3
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作者 吴胜明 杨松成 +6 位作者 王杰 王鸿丽 刘炳玉 李爱玲 何昆 魏开华 张学敏 《分析测试学报》 CAS CSCD 北大核心 2004年第z1期66-67,共2页
  实验研究中常常观察到钠离子与一些多肽或蛋白质有较强的非共价键结合能力,这种非共价键相互作用可能与生物的一些功能和活性有关.为了进一步了解这一结合作用,我们应用电喷雾质谱研究了常见的20种氨基酸与钠离子在溶液中的非共价...   实验研究中常常观察到钠离子与一些多肽或蛋白质有较强的非共价键结合能力,这种非共价键相互作用可能与生物的一些功能和活性有关.为了进一步了解这一结合作用,我们应用电喷雾质谱研究了常见的20种氨基酸与钠离子在溶液中的非共价键相互作用.实验研究中发现脯氨酸和苯丙胺酸与钠离子有较强的非共价键结合能力.…… 展开更多
关键词 Sodium ion Amino acids non - covalent interaction ESI - MS
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无气腹单孔腹腔镜结直肠癌根治术对结直肠癌患者应激反应及并发症的影响 被引量:5
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作者 张宏林 荣万水 王延召 《癌症进展》 2023年第8期874-876,921,共4页
目的探讨无气腹单孔腹腔镜结直肠癌根治术对结直肠癌患者应激反应及并发症的影响。方法将200例结直肠癌患者按手术方法的不同分为对照组(气腹腹腔镜结直肠癌根治术)和观察组(无气腹单孔腹腔镜结直肠癌根治术),每组100例。比较两组患者... 目的探讨无气腹单孔腹腔镜结直肠癌根治术对结直肠癌患者应激反应及并发症的影响。方法将200例结直肠癌患者按手术方法的不同分为对照组(气腹腹腔镜结直肠癌根治术)和观察组(无气腹单孔腹腔镜结直肠癌根治术),每组100例。比较两组患者手术相关指标、应激反应指标、免疫功能指标、并发症发生情况。结果观察组患者术后肛门排气时间、住院时间均明显短于对照组,差异均有统计学意义(P﹤0.01)。手术开始10 min(T_(1))、术后1 h(T_(2))、术后24 h(T_(3))时,两组患者皮质醇(Cor)、去甲肾上腺素(NE)水平均升高,但观察组患者Cor、NE水平均低于对照组,差异均有统计学意义(P﹤0.05)。手术后,两组患者CD3^(+)、CD4^(+)、CD8^(+)水平及CD4^(+)/CD8^(+)均降低,观察组患者CD3^(+)、CD4^(+)水平及CD4^(+)/CD8^(+)均高于对照组,CD8^(+)水平低于对照组,差异均有统计学意义(P﹤0.05)。两组患者并发症总发生率比较,差异无统计学意义(P﹥0.05)。结论无气腹单孔腹腔镜结直肠癌根治术创伤性较小,可减少手术对患者的刺激,避免患者手术过程中引发应激反应,有助于增强患者的免疫力,且该手术无需建立气腹,可有效加快患者术后肛门排气速度,促使患者恢复,可在一定程度上缩短患者的住院时间。 展开更多
关键词 结直肠癌 无气腹单孔腹腔镜结直肠癌根治术 应激反应 并发症
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免气腹局麻下电刀法经胸前腔镜甲状腺切除术16例报告 被引量:3
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作者 冯泽荣 余俊英 《腹腔镜外科杂志》 2009年第3期188-189,共2页
目的:探讨免气腹局麻下电刀法经胸前腔镜甲状腺切除术的可行性、安全性和优越性。方法:免用CO2气体及全麻,首创颈丛麻醉加胸前壁局麻,应用电钩、双极电凝钳及剪刀经胸前途径,在腹腔镜下行单侧或双侧甲状腺局部或次全切除术。结果:6例双... 目的:探讨免气腹局麻下电刀法经胸前腔镜甲状腺切除术的可行性、安全性和优越性。方法:免用CO2气体及全麻,首创颈丛麻醉加胸前壁局麻,应用电钩、双极电凝钳及剪刀经胸前途径,在腹腔镜下行单侧或双侧甲状腺局部或次全切除术。结果:6例双侧甲状腺多发囊肿患者行甲状腺次全切除术,平均手术时间120min,术中平均出血35ml;4例单发结节性囊肿和6例甲状腺瘤患者行肿物切除术,平均手术时间65min,术中平均出血20ml,1例术中甲状腺组织弥漫性出血中转开放,术后1例声音嘶哑,理疗半月缓解,无头晕、呕吐等并发症发生,术后平均住院3.5d。结论:免气腹局麻下电刀法经胸前腔镜甲状腺切除术安全可行、美观、简便、经济。避免了CO2气体造成的相关并发症。 展开更多
关键词 免气腹 麻醉 局部 腹腔镜术 甲状腺肿瘤 甲状腺切除术
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