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局部枸橼酸抗凝与全身肝素抗凝治疗脓毒症急性肾损伤的效果对比 被引量:16
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作者 张颖萍 秦龙 +3 位作者 刘秋旻 颜卫峰 路建荣 陈喆 《实用老年医学》 CAS 2017年第4期370-372,376,共4页
目的比较局部枸橼酸抗凝与全身肝素抗凝在脓毒症急性肾损伤(AKI)治疗中的效果和安全性。方法纳入2013年3月至2016年3月期间的脓毒症AKI病人82例,按照抗凝治疗方法的不同分为观察组(局部枸橼酸抗凝治疗)和对照组(全身肝素抗凝治疗),比较... 目的比较局部枸橼酸抗凝与全身肝素抗凝在脓毒症急性肾损伤(AKI)治疗中的效果和安全性。方法纳入2013年3月至2016年3月期间的脓毒症AKI病人82例,按照抗凝治疗方法的不同分为观察组(局部枸橼酸抗凝治疗)和对照组(全身肝素抗凝治疗),比较2组的凝血功能、血液净化效果、滤器的使用寿命以及不良事件发生情况。结果治疗后,观察组凝血酶原时间(PT)、活化部分凝血时间(APTT)等凝血指标明显优于对照组,血小板计数(PLT)明显高于对照组,肌酸激酶同工酶(CK-MB)以及肌酐(Cr)水平较对照组显著降低;观察组滤器的使用寿命明显高于对照组,而出血事件发生率明显低于对照组;2组间比较差异均具有统计学意义(P<0.05)。结论局部枸橼酸抗凝治疗对脓毒症AKI病人的凝血功能影响甚微,其可提高血液净化效果,降低出血事件的发生率。 展开更多
关键词 枸橼酸 脓毒症急性肾损伤 连续性肾脏替代治疗 抗凝
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Effects of total replacement of corn silage with sorghum silage on milk yield,composition, and quality 被引量:7
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作者 M.Cattani N.Guzzo +1 位作者 R.Mantovani L.Bailoni 《Journal of Animal Science and Biotechnology》 SCIE CAS CSCD 2017年第3期652-659,共8页
Background: In the last years, difficulties occurring in corn cultivation(i.e., groundwater shortages, mycotoxin contamination) have been forcing dairy farmers to consider alternative silages. Some experiments cond... Background: In the last years, difficulties occurring in corn cultivation(i.e., groundwater shortages, mycotoxin contamination) have been forcing dairy farmers to consider alternative silages. Some experiments conducted on lactating cows have proven that the total replacement of corn silage with sorghum silage did not reduce milk yield.However, this kind of substitution involves supplementing sorghum-based diets with grains, to compensate for the lower starch content of sorghum silage compared to corn silage. Change of silage type and inclusion of starch sources in the diet would influence rumen fermentations, with possible effects on milk composition(i.e., fatty acid profile) and coagulation properties. A worsening of milk coagulation properties would have a negative economic impact in Italy, where most of the milk produced is processed into cheese.This study was designed to compare milk composition and quality, with emphasis on fatty acid profile and coagulation properties, in dairy cows fed two diets based on corn or sorghum silage.Results: The sorghum diet reduced milk yield(P = 0.043) but not 4% fat corrected milk(P = 0.85). Feeding sorghum silage did not influence milk contents of protein(P = 0.07) and lactose(P = 0.65), and increased fat content(P = 0.024).No differences emerged for milk concentrations of saturated(P = 0.61) and monounsaturated fatty acids(P = 0.50),whereas polyunsaturated fatty acids were lower(P 〈 0.001) for the sorghum diet. Concentrations of n-6(P 〈 0.001) and n-3 fatty acids(P = 0.017) were lower in milk of cows fed the sorghum diet. Milk coagulation properties did not differ between the two diets, except the "a30"(the curd firmness, expressed in mm, 30 min after rennet addition), that was lower(P = 0.042) for the sorghum diet.Conclusions: Feeding a forage sorghum silage, properly supplemented with corn meal, as total replacement of corn silage maintained milk composition and did not influence negatively milk coagulation properties, which have a great economic relevance for the Italian dairy industry. Thus, silages obtained from forage sorghums could have a potential as substitute of corn silages in dairy cow diets. 展开更多
关键词 Dairy cows Forage sorghum silage Mean particle size Milk coagulation properties Milk fatty acid profile
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