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中药浸浴联合功能训练用于儿童手部烧伤康复治疗的临床研究 被引量:4
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作者 余方珍 张建芬 +1 位作者 吴晓霞 卞卫霞 《中华全科医学》 2023年第3期494-497,共4页
目的 针对手部烧伤患儿采取科学、系统、有效的术后康复理疗措施,对于其整体预后水平的提高至关重要。本研究观察中药浸浴联合功能训练对儿童手部烧伤植皮术后的康复治疗效果。方法 选择2019年1月—2022年3月于浙江衢化医院就诊并接受... 目的 针对手部烧伤患儿采取科学、系统、有效的术后康复理疗措施,对于其整体预后水平的提高至关重要。本研究观察中药浸浴联合功能训练对儿童手部烧伤植皮术后的康复治疗效果。方法 选择2019年1月—2022年3月于浙江衢化医院就诊并接受植皮手术治疗的104例手部烧伤患儿为研究对象,使用随机数表法将患儿分为研究组(52例)和对照组(52例),对照组患儿术后实施压力康复治疗,研究组患儿在此基础上增加中药浸浴联合功能训练。干预前后采用数字评定量表(NRS)、面部表情分级评分(FRS)和温哥华瘢痕量表(VSS)评价患肢瘙痒、疼痛及瘢痕症状程度,比较腕关节背伸活动度、手指关节总主动活动度(TAM)和Jebsen手功能测试时间等患肢运动功能指标变化,评估患肢功能恢复情况。结果 干预后,研究组患肢NRS、FRS和VSS评分[(1.49±0.54)分,(1.59±0.62)分,(4.23±0.56)分]低于对照组[(2.16±0.61)分,(2.23±0.73)分,(4.97±0.63)分,均P<0.05]。干预后,研究组患肢腕关节背伸活动度和TAM[(68.59±4.93)°,(157.84±6.29)°]均显著高于对照组[(57.66±4.85)°,(139.71±6.17)°],Jebsen手功能测试时间[(6.14±0.75)min]显著短于对照组[(7.23±0.82)min],均P<0.05。研究组患肢功能恢复优良率显著高于对照组(P<0.05)。结论 中药浸浴联合功能训练有助于缓解手部烧伤患儿瘙痒、疼痛症状,提高烧伤创面愈合美观程度和患肢运动功能恢复水平。 展开更多
关键词 手部烧伤 儿童 中药浸浴 功能训练 康复治疗
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钒化合物药用研究前景展望 被引量:4
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作者 杨晓改 李逸 +2 位作者 刘会雪 卞卫霞 洪艺华 《中国科学:化学》 CAS CSCD 北大核心 2017年第2期144-154,共11页
本文针对钒化合物在药用研究中的挑战,结合国内外在相关领域的主要进展,从其作用机制的化学基础出发,分析了钒化合物可能的作用物种以及钒化合物所诱导产生的活性氧物种在其生物效应中的作用;同时,从疾病之间的相互联系,探讨了如何有效... 本文针对钒化合物在药用研究中的挑战,结合国内外在相关领域的主要进展,从其作用机制的化学基础出发,分析了钒化合物可能的作用物种以及钒化合物所诱导产生的活性氧物种在其生物效应中的作用;同时,从疾病之间的相互联系,探讨了如何有效利用钒化合物生物效应的特点,并进一步指出钒化合物在药用研究中的前景及未来的研究策略. 展开更多
关键词 钒化合物 胰岛素信号通路 活性氧物种 糖尿病 肿瘤 阿尔茨海默症
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Bis(acetylacetonato)-oxidovanadium(Ⅳ) inhibits isoproterenol-induced lipolysis in insulin-resistant 3T3-L1 adipocytes by reducing phosphorylation of perilipin and hormone-sensitive lipase 被引量:1
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作者 胡霞 刘竟成 +2 位作者 于游 卞卫霞 杨晓改 《Journal of Chinese Pharmaceutical Sciences》 CAS CSCD 2016年第11期814-820,共7页
Insulin resistance is characterized as one of crucial pathological changes in type 2 diabetes mellitus(T2DM), and dyslipidaemia is frequently detected in T2DM. A variety of vanadium compounds have been studied as dr... Insulin resistance is characterized as one of crucial pathological changes in type 2 diabetes mellitus(T2DM), and dyslipidaemia is frequently detected in T2DM. A variety of vanadium compounds have been studied as drug candidates for diabetes based on their insulin-like action. However, few studies focus on their antilipolytic effect. In the present study, we established an insulin-resistant model in 3T3-L1 adipocytes to mimic pathological conditions of T2DM according to a well-established method by the treatment of high concentrations of glucose and insulin, which was validated by oil red O staining and the decreased levels of phosphorylated Akt, AS160 and GSK3 after insulin treatment. The results demonstrated that bis(acetylacetonato)-oxidovanadium(Ⅳ)(VO(acac)_2) could inhibit isoproterenol-stimulated lipolysis through the reduction of the phosphorylated HSL and perilipin levels in both insulin-sensitive and insulin-resistant 3T3-L1 adipocytes. Moreover, although the levels of phosphorylated Akt induced by VO(acac)_2 were decreased, the rates of lipolytic inhibition were not significantly altered compared with those under insulin-sensitive condition, indicating that the anti-lipolytic effect of VO(acac)_2 might also function in an Akt-independent way in insulin-resistant adipocytes. Our work here help elucidate the anti-diabetic effects of vanadium compounds. It may not only shed light on the utility of vanadium-based compounds as potential anti-diabetic drugs but also serve as a useful screening model for new anti-diabetic drugs. 展开更多
关键词 Bis(acetylacetonato)-oxidovanadium(Ⅳ) LIPOLYSIS Insulin-resistant 3T3-L1 adipocytes
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Role of vanadyl acetylacetonate-induced elevation of reactive oxygen species in the regulation of lipolysis and glucose metabolism in 3T3L1 adipocytes
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作者 李逸 刘竟成 +3 位作者 于游 卞卫霞 胡霞 杨晓改 《Journal of Chinese Pharmaceutical Sciences》 CAS CSCD 2015年第11期726-733,共8页
In the present study, we investigated the role of reactive oxygen species(ROS) elevation induced by an anti-diabetic vanadium compound, vanadyl acetylacetonate(VO(acac)2), in the regulation of lipolysis and gluc... In the present study, we investigated the role of reactive oxygen species(ROS) elevation induced by an anti-diabetic vanadium compound, vanadyl acetylacetonate(VO(acac)2), in the regulation of lipolysis and glucose metabolism using differentiated 3T3L1 adipocytes as a model system. By confocal laser scanning microscopy, we found that VO(acac)2 induced ROS generation under high glucose stimulation, and the pretreatment of NADPH oxidase inhibitors could significantly reduce the elevated ROS level. Meanwhile, the decreased phosphorylated levels of AKT and the two key modulators of lipolysis(HSL and perilipin) were observed by western blot analysis. We also found that the contents of glycerol release were further reduced as well. In addition, the levels of key regulatory proteins, AS160 and GSK3β, in glucose metabolism pathway were correspondingly reduced. These findings demonstrated that ROS induced by vanadium compounds could act as a metabolic signal to activate AKT pathway to inhibit lipolysis and promote glucose transport and glycogen synthesis rather than by direct action by themselves. Our study contributed to elucidate the anti-diabetic effects of vanadium compounds and provided a theoretical basis for the further development of new vanadium complexes in the prevention and therapeutics of diabetes. 展开更多
关键词 Vanadyl acetylacetonate LIPOLYSIS Reactive oxygen species Glucose metabolism 3T3L1 adipocytes
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