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脑电双频谱指数与听觉诱发电位指数用于神经外科术中唤醒的比较 被引量:6
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作者 罗国万 胡礼宏 韩新生 《实用医学杂志》 CAS 北大核心 2013年第5期764-766,共3页
目的:比较脑电双频谱指数(BIS)监测与听觉诱发电位指数(AAI)监测在神经外科手术术中唤醒的应用。方法:30例择期行脑功能区手术的患者,随机分为AAI监测组(A组)和BIS监测组(B组),在全凭静脉麻醉下行术中唤醒。观察各组麻醉前(T0)、唤醒前... 目的:比较脑电双频谱指数(BIS)监测与听觉诱发电位指数(AAI)监测在神经外科手术术中唤醒的应用。方法:30例择期行脑功能区手术的患者,随机分为AAI监测组(A组)和BIS监测组(B组),在全凭静脉麻醉下行术中唤醒。观察各组麻醉前(T0)、唤醒前即刻(T1)、对指令有反应(T2)和加深麻醉后(T3)各时间点MBP、HR、BIS、AAI值和唤醒时间以及唤醒评分。结果:两组患者均成功施行术中唤醒,两组MBP和HR在T2时显著升高(P<0.01),但仍在正常范围,两组间差异无显著性。两组间唤醒时间、唤醒评分比较差异无显著性,唤醒期间A组AAI值和B组BIS值在T2时最高。结论:两组患者成功施行术中唤醒,组间唤醒时间、唤醒评分比较差异无显著性,说明BIS可安全应用于神经外科术中唤醒,可以有效预测患者能否按照指令反应,对唤醒起重要指导作用。 展开更多
关键词 诱发电位 听觉 脑电双频谱指数 神经外科 麻醉 术中唤醒
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不同脑电双频指数指导七氟醚吸入全麻在老年患者关节脱位手法复位术中的比较 被引量:12
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作者 罗振国 滕云鹏 +3 位作者 董补怀 王仿 吴刚 薛荣亮 《临床麻醉学杂志》 CAS CSCD 北大核心 2013年第10期986-988,共3页
目的比较不同脑电双频指数(BIS)指导七氟醚吸入全麻在老年患者关节脱位手法复位术中的麻醉效果及安全性。方法老年关节脱位患者48例,ASAⅠ或Ⅱ级,男28例,女20例,年龄65-85岁。随机分为三组,A组:55≤BIS%60,B组:50≤BIS〈55,... 目的比较不同脑电双频指数(BIS)指导七氟醚吸入全麻在老年患者关节脱位手法复位术中的麻醉效果及安全性。方法老年关节脱位患者48例,ASAⅠ或Ⅱ级,男28例,女20例,年龄65-85岁。随机分为三组,A组:55≤BIS%60,B组:50≤BIS〈55,C组:45≤BIS%50。建立静脉通路后吸入8%七氟醚,调节七氟醚浓度使BIS值处于相应的范围。记录麻醉前、复位前和复位时三组患者的MAP、HR,记录麻醉效果和苏醒时间。记录呼吸抑制和苏醒期躁动、恶心呕吐等发生情况。结果与麻醉前比较,复位前C组MAP明显降低,HR明显减慢(P〈0.05)。与复位前比较,复位时A组患者HR明显增快(P〈0.05)。与C组比较,A、B组患者的苏醒时间明显缩短(P〈0.05)。A组患者的麻醉效果优良率明显低于B、C两组(P〈0.05)。C组呼吸抑制发生例数明显多于A、B两组(P〈0.05)。结论50≤BIS〈55时,七氟醚吸入麻醉用于老年关节脱位手法复位麻醉效果满意,安全性较高。 展开更多
关键词 老年 关节脱位 手法复位 BIS 七氟醚
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雌激素预处理增强肝缺血再灌注损伤大鼠雌激素受体表达
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作者 胡礼宏 韩新生 郭建荣 《中国药理学与毒理学杂志》 CAS CSCD 北大核心 2011年第3期269-274,共6页
目的探讨雌激素预处理对肝缺血再灌注(I/R)损伤大鼠雌激素受体(ERα)表达的影响。方法采用Pringle法阻断大鼠第一肝门制作95%肝I/R模型。肝缺血前1 h大鼠ip给予雌二醇4 mg·kg-1(雌二醇+I/R组)。分别取肝缺血前(0)、再灌注1,3,6和2... 目的探讨雌激素预处理对肝缺血再灌注(I/R)损伤大鼠雌激素受体(ERα)表达的影响。方法采用Pringle法阻断大鼠第一肝门制作95%肝I/R模型。肝缺血前1 h大鼠ip给予雌二醇4 mg·kg-1(雌二醇+I/R组)。分别取肝缺血前(0)、再灌注1,3,6和24 h共5个时间点的血液标本,检测血清谷丙转氨酶(ALT)水平;ELISA法测定血清肿瘤坏死因子-α(TNF-α)水平;HE染色观察肝组织形态学变化,免疫组化方法检测肝核因子κB(NF-κB)和ERα的表达。结果与假手术组相比,I/R模型组和雌二醇+I/R组血清ALT和TNF-α水平、肝组织NF-κB和ERα表达明显升高(P<0.01);与假手术组相比,再灌注6 h,I/R和雌二醇+I/R组血清ALT水平分别升高了11.7倍和8.1倍(P<0.01),TNF-α水平分别升高5.2倍和3.2倍(P<0.01),但雌二醇+I/R组升高幅度明显低于I/R组(P<0.05);与假手术组相比,再灌注6 h I/R组和雌二醇+I/R组肝组织NF-κB表达分别升高了8.6倍和4.8倍,但雌二醇+I/R组升高幅度明显低于I/R组(P<0.01);ERα表达分别升高了4.2倍和7.4倍,雌二醇+I/R组升高幅度明显高于I/R组(P<0.01);雌二醇+I/R组肝组织损伤明显轻于I/R组。结论雌激素预处理可减轻I/R导致的肝组织损伤程度,此作用与增强ERα表达有关。 展开更多
关键词 雌激素 受体 雌激素 缺血再灌注损伤
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Relationship between transmembrane signal transduction pathway and DNA repair and the mechanism after global cerebral ischemia-reperfusion in rats 被引量:2
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作者 薛荣亮 何家璇 +3 位作者 王宁 姚凤珍 吕建瑞 吴刚 《Neuroscience Bulletin》 SCIE CAS CSCD 2009年第3期115-121,共7页
Objective To !nvestigate the protein levels of phospho-ERK and phospho-APE/Ref-1 in hippocampal neurons after global cerebral ischemia reperfusion in rats, and observe the relationship between transmembrane signal tra... Objective To !nvestigate the protein levels of phospho-ERK and phospho-APE/Ref-1 in hippocampal neurons after global cerebral ischemia reperfusion in rats, and observe the relationship between transmembrane signal transduction and repair of DNA damage. The role of ERK signal transduction pathway following global cerebral ischemia reperfusion in rats is further discussed. Methods Ninety healthy male SD rats were divided into 3 groups randomly: Sham group (S group), Ischemia reperfusion group (IR group) and Pd98059 pretreatment/ischemia reperfusion group (PD group). Global cerebral ischemia reperfusion model was established by four-vessel occlusion (4-VO) method, and reperfusion was performed 5 minutes following ischemia. Protein levels of phospho-ERK and phospho-APE/Ref-1 were detected using immunohistochemical method at 2 h, 6 h, 12 h, 24 h, 48 h and 72 h after reperfusion, and neuron apoptosis was observed by HE and TUNEL staining. Results In CA1 region of IR group, TUNEL positive cells began to appear at 6 h after IR, and reached the apex during 24 h to 48 h. However, TUNEL positive was most strongly exhibited in PD group. In IR group, phospho-ERK was obviously detected in CA3 region at 2 h after IR, and its level was phospho-ERK expression in PD group was weaker than gradually decreased from 6 h until totally absent at 48 h. Besides, that in IR group. For phospho-APE/Ref-1, its expression began to appear in CA1 region in IR group at 2 h after IR, with no obvious changes during 2 h to 12 h. Phospho-APE/Ref-1 expression began to decrease at 24 h and this decrease continued thereafter. Expression level of phospho-APE/Ref-1 in PD group was lower than that in IR group. Results showed the concurrence of decreased phospho-ERK expression level and increased neuron apoptosis after cerebral ischemia reperfusion, the former of which was consistent with the decrease of phospho-APE/ Ref- 1 expression. Also, the greater the inhibition of ERK phosphorylation was, the greater decrease of APE/Ref- 1 expression occurred. Conclusion Activation of ERK signal transduction pathway increased the expression of phospho-APE/Ref-1, and thus faciliated the repair of DNA damage. So, activation of ERK signal transduction pathway may protect neurons from apoptosis after cerebral ischemia reperfusion. 展开更多
关键词 cerebral ischemia/reperfusion injury ERK APE/REF-1 DNA repair APOPTOSIS
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