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腹腔镜操联合体位疗法缓解腹腔镜术后非切口疼痛的疗效观察
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作者 温桂香 范彩连 黄素嫦 《国际医药卫生导报》 2022年第7期929-933,共5页
目的探讨腹腔镜操联合体位疗法缓解腹腔镜术后非切口疼痛的临床疗效。方法本研究为临床干预研究。研究对象为广东省第二中医院妇科2019年7月至2021年7月完成腹腔镜手术后出现非切口疼痛的患者,共90例,按随机数字表法分为3组,对照组、观... 目的探讨腹腔镜操联合体位疗法缓解腹腔镜术后非切口疼痛的临床疗效。方法本研究为临床干预研究。研究对象为广东省第二中医院妇科2019年7月至2021年7月完成腹腔镜手术后出现非切口疼痛的患者,共90例,按随机数字表法分为3组,对照组、观察1组、观察2组,每组30例。对照组年龄(34.36±4.25)岁,观察1组年龄(35.41±3.26)岁,观察2组年龄(34.48±3.56)岁。对照组:腹腔镜术后常规给予饮食指导、运动指导、心理护理等;观察1组:在对照组的基础上采用膝胸卧位;观察2组:在观察1组的基础上指导患者做腹腔镜操。对比3组患者腹腔镜术后非切口疼痛干预后的疼痛评分、疼痛持续时间、护理满意度的差异。采用方差分析、χ^(2)检验、秩和检验。结果(1)疼痛评分:3组患者干预后6 h的疼痛评分比较,F=26.824,P<0.001;3组患者干预后24 h的疼痛评分比较,F=28.577,P<0.001;3组患者干预后48 h的疼痛评分比较,F=43.037,P<0.001。(2)疼痛持续时间:观察1组与对照组比较,χ^(2)=7.460,P=0.024;观察2组与观察1组比较,χ^(2)=0.543,P=0.762;观察2组与对照组比较,χ^(2)=11.416,P=0.003。(3)护理满意度:对照组、观察1组、观察2组护理满意度分别为90.0%(27/30)、96.7%(29/30)、100.0%(30/30)。观察1组与对照组比较,Z=-2.065,P=0.039;观察2组与观察1组比较,Z=-2.051,P=0.040。结论腹腔镜操联合体位疗法能明显缓解腹腔镜术后非切口疼痛,缩短疼痛持续的时间,提高患者护理满意度,且操作简单,不产生费用,无不良反应,值得临床推广。 展开更多
关键词 腹腔镜手术 非切口疼痛 腹腔镜操 体位疗法
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Therapeutic potential of alkaloid extract from Codonopsis Radix in alleviating hepatic lipid accumulation: insights into mitochondrial energy metabolism and endoplasmic reticulum stress regulation in NAFLD mice
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作者 fan cailian WANG Guan +3 位作者 CHEN Miao LI Yao TANG Xiyang DAI Yi 《Chinese Journal of Natural Medicines》 SCIE CAS CSCD 2023年第6期411-422,共12页
Alkaloids are a class of naturally occurring bioactive compounds that are widely distributed in various food sources and Traditional Chinese Medicine.This study aimed to investigate the therapeutic effects and underly... Alkaloids are a class of naturally occurring bioactive compounds that are widely distributed in various food sources and Traditional Chinese Medicine.This study aimed to investigate the therapeutic effects and underlying mechanisms of alkaloid extract from Codonopsis Radix(ACR)in ameliorating hepatic lipid accumulation in a mouse model of non-alcoholic fatty liver disease(NAFLD)induced by a high-fat diet(HFD).The results revealed that ACR treatment effectively mitigated the abnormal weight gain and hepatic injury associated with HFD.Furthermore,ACR ameliorated the dysregulated lipid metabolism in NAFLD mice,as evidenced by reductions in serum triglyceride,total cholesterol,and low-density lipoprotein levels,accompanied by a concomitant increase in the high-density lipoprotein level.ACR treatment also demonstrated a profound anti-oxidative effect,effectively alleviating HFD-induced oxidative stress and promoting ATP production.These effects were achieved through the up-regulation of the activities of mitochondrial electron transfer chain complexes Ⅰ,Ⅱ,Ⅳ,and Ⅴ,in addition to the activation of the AMPK/PGC-1α pathway,suggesting that ACR exhibits therapeutic potential in alleviating the HFD-induced dysregulation of mitochondrial energy metabolism.Moreover,ACR administration mitigated HFD-induced endoplasmic reticulum(ER)stress and suppressed the overexpression of ubiquitin-specific protease 14(USP14)in NAFLD mice.In summary,the present study provides compelling evidence supporting the hepatoprotective role of ACR in alleviating lipid deposition in NAFLD by improving energy metabolism and reducing oxidative stress and ER stress.These findings warrant further investigation and merit the development of ACR as a potential therapeutic agent for NAFLD. 展开更多
关键词 Codonopsis Radix ALKALOIDS Mitochondrial energy metabolism Endoplasmic Reticulum stress NAFLD
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Targeted isolation and identification of bioactive pyrrolidine alkaloids from Codonopsis pilosula using characteristic fragmentation-assisted mass spectral networking
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作者 TANG Xiyang fan cailian +7 位作者 ZENG Jiaxing ZHAO Pengcheng WANG Xiaoxing CAI Wanjun LI Ting DAI Yi YAO Zhihong YAO Xinsheng 《Chinese Journal of Natural Medicines》 SCIE CAS CSCD 2022年第12期948-960,共13页
Codonopsis pilosula(CP),a well-known food medicine homology plant,is commonly used in many countries.In our preliminary study,a series of pyrrolidine alkaloids with high MS responses were detected as characteristic ab... Codonopsis pilosula(CP),a well-known food medicine homology plant,is commonly used in many countries.In our preliminary study,a series of pyrrolidine alkaloids with high MS responses were detected as characteristic absorbed constituents in rat plasma after oral administration of CP extract.However,their structures were unclear due to the presence of various isomers and the lack of reference standards.In the present study,an MS-guided targeted isolation of pyrrolidine alkaloids of CP extract was performed by ultra-performance liquid chromatography coupled with quadrupole time-of-flight tandem mass spectrometry(UPLC/Q-TOF MS).For data analysis under fast data directed acquisition mode(Fast-DDA),an effective approach named characteristic fragmentation-assisted mass spectral networking was successfully applied to discover new pyrrolidine alkaloids with high MS response in CP extract.As a result,seven new pyrrolizidine alkaloids[codonopyrrolidiums C–I(3–9)],together with two known ones(1 and 2),were isolated and identified by NMR spectral analysis.Among them,codonopyrrolidium B(1),codonopyrrolidium D(4)and codonopyrrolidium E(5)were evaluated for lipid-lowering activity,and they could improve high fructose-induced lipid accumulation in HepG2 cells.In addition,the characteristic MS/MS fragmentation patterns of these pyrrolizidine alkaloids were investigated,and 17 pyrrolidine alkaloids were identified.This approach could accelerate novel natural products discovery and characterize a class of natural products with MS/MS fragmentation patterns from similar chemical scaffolds.The research also provides a chemical basis for revealing in vivo effective substances in CP. 展开更多
关键词 Codonopsis pilosula(CP) Targeted isolation UPLC/Q-TOF MS Characteristic fragmentation-assisted mass spectral networking Pyrrolidine alkaloids Lipid-lowering activity
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