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枸橼酸咖啡因维持治疗对呼吸窘迫综合征早产儿机械通气后过渡性撤机的影响 被引量:6
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作者 刘凯 应海燕 付玉童 《中国现代医学杂志》 CAS 北大核心 2022年第24期13-18,共6页
目的探讨枸橼酸咖啡因维持治疗对呼吸窘迫综合征(NRDS)早产儿机械通气后过渡性撤机的影响。方法选取2019年5月—2021年10月三二〇一医院收治的82例NRDS早产儿作为研究对象,有创机械通气撤机后将早产儿分为对照组(经鼻间隙正压通气+氨茶... 目的探讨枸橼酸咖啡因维持治疗对呼吸窘迫综合征(NRDS)早产儿机械通气后过渡性撤机的影响。方法选取2019年5月—2021年10月三二〇一医院收治的82例NRDS早产儿作为研究对象,有创机械通气撤机后将早产儿分为对照组(经鼻间隙正压通气+氨茶碱治疗)和观察组(经鼻间隙正压通气+枸橼酸咖啡因维持治疗),每组41例。对比两组早产儿撤机成功率和救治成功率。对比两组早产儿撤机后不同时刻(首次撤机即刻、撤机后48 h和撤机后72 h)血气指标[血氧分压(PaO_(2))、二氧化碳分压(PaCO_(2))]、呼吸力学指标[气道阻力和内源性呼气末正压(PEEPi)]及血清学指标[铁蛋白(SF)、促肾上腺皮质激素(ACTH)]。对比两组早产儿住院期间并发症发生情况。结果观察组撤机成功率和救治成功率高于对照组(P<0.05)。两组早产儿首次撤机即刻、撤机后48 h、72 h的PaO_(2)、PaCO_(2)、气道阻力、PEEPi、SF、ACTH比较,经重复测量设计的方差分析,结果:①不同时间点PaO_(2)、PaCO_(2)、气道阻力、PEEPi、SF、ACTH有差异(P<0.05);②两组早产儿PaO_(2)、PaCO_(2)、气道阻力、PEEPi、SF、ACTH有差异(P<0.05),观察组血气指标改善效果较好;③两组早产儿PaO_(2)、PaCO_(2)、气道阻力、PEEPi、SF、ACTH变化趋势有差异(P<0.05)。观察组住院期间并发症总发生率低于对照组(P<0.05)。结论在NRDS早产儿撤机后采用枸橼酸咖啡因维持治疗可提高撤机成功率和救治成功率,改善血气分析指标、呼吸力学指标及血清学指标,降低并发症发生率。 展开更多
关键词 呼吸窘迫综合征 早产儿 枸橼酸咖啡因 机械通气 过渡性撤机
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Novel matrine derivative MD-1 attenuates hepatic fibrosis by inhibiting EGFR activation of hepatic stellate cells 被引量:20
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作者 Yi Feng hai-yan ying +3 位作者 ying Qu Xiao-bo Cai Ming-yi Xu Lun-gen Lu 《Protein & Cell》 SCIE CAS CSCD 2016年第9期662-672,共11页
Matrine (MT), the effective component of Sophora fla- vescens Air, has been shown to have anti-inflammation, immune-suppressive, anti-tumor, and anti-hepatic fibrosis activities. However, the pharmacological effects... Matrine (MT), the effective component of Sophora fla- vescens Air, has been shown to have anti-inflammation, immune-suppressive, anti-tumor, and anti-hepatic fibrosis activities. However, the pharmacological effects of MT still need to be strengthened due to its relatively low efficacy and short half-life. In the present study, we report a more effective thio derivative of MT, MD-1, and its inhibitory effects on the activation of hepatic stellate cells (HSCs) in both cell culture and animal models. Cytological experiments showed that MD-1 can inhibit the proliferation of HSC-T6 cells with a half-maximal inhibitory concentration (ICs0) of 62 pmollL. In addition, MD-1 more strongly inhibits the migration of HSC-T6 cells compared to MT and can more effectively induce G0/G1 arrest and apoptosis. Investigating the biological mechanisms underlying anti-hepatic fibrosis in the presence of MD-I, we found that MD-I can bind the epidermal growth factor receptor (EGFR) on the surface of HSC-T6 cells, which can further inhibit the phospho- rylaUon of EGFR and its downstream protein kinase B (Akt), resulting in decreased expression of cyclin D1 and eventual inhibition of the activation of HSC-T6 cells. Furthermore, in rats with dimethylnitrosamine (DMN)- induced hepatic fibrosis, MD-1 slowed the development and progression of hepatic fibrosis, protecting hepatic parenchymal cells and improving hepatic functions. Therefore, MD-1 is a potential drug for anti-hepatic fibrosis. 展开更多
关键词 matrine derivative hepatic stellate cellhepatic fibrosis epidermal growth factor receptor signaltransduction pathway
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