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纤维鼻咽喉镜吞咽功能检查对脑卒中吞咽障碍患者摄食训练的指导价值 被引量:7
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作者 潘维花 胡薇薇 宋裕如 《中国内镜杂志》 2023年第2期41-48,共8页
目的分析纤维鼻咽喉镜吞咽功能检查(FEES)对脑卒中吞咽障碍患者摄食训练的指导价值。方法采用随机信封法将2019年1月-2021年1月北京市大兴区中西医结合医院和北京市丰台区南苑医院收治的120例脑卒中吞咽障碍患者分为观察组(n=60)和对照... 目的分析纤维鼻咽喉镜吞咽功能检查(FEES)对脑卒中吞咽障碍患者摄食训练的指导价值。方法采用随机信封法将2019年1月-2021年1月北京市大兴区中西医结合医院和北京市丰台区南苑医院收治的120例脑卒中吞咽障碍患者分为观察组(n=60)和对照组(n=60)。对照组采用标准吞咽功能评估(SSA),在阴性后进行摄食训练,观察组采用FEES,在阴性后进行摄食训练,最终观察组纳入55例,对照组纳入54例。比较治疗前1周和治疗后1周两组患者的动脉血气分析、并发症发生情况、误吸程度、吞咽功能评级和安全性指标水平。结果两组患者治疗后动脉血二氧化碳分压(PaCO_(2))水平、误吸和腹胀发生率均较治疗前降低,且观察组较对照组低;观察组肺部感染发生率低于对照组;两组患者治疗后动脉血氧分压(PaO_(2))和动脉血氧饱和度(SaO_(2))水平均较治疗前升高,且观察组较对照组高;治疗后,两组患者误吸程度均较治疗前减轻,且观察组优于对照组;治疗后,两组患者吞咽功能均较治疗前改善,且观察组优于对照组,差异有统计学意义(P<0.05)。结论脑卒中吞咽障碍患者采用FEES,在阴性后进行摄食训练,能够有效改善动脉血气状态及吞咽功能,减轻误吸程度,降低误吸、肺炎和腹胀的发生率,安全性较高。 展开更多
关键词 脑卒中 吞咽障碍 标准吞咽功能评估 纤维鼻咽喉镜吞咽功能检查 摄食训练
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Advances in treatment of neurodegenerative diseases: Perspectives for combination of stem cells with neurotrophic factors 被引量:10
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作者 Jie Wang wei-wei hu +1 位作者 Zhi Jiang Mei-Jiang Feng 《World Journal of Stem Cells》 SCIE CAS 2020年第5期323-338,共16页
Neurodegenerative diseases,including Alzheimer’s disease,Parkinson’s disease,Huntington’s disease and amyotrophic lateral sclerosis,are a group of incurable neurological disorders,characterized by the chronic progr... Neurodegenerative diseases,including Alzheimer’s disease,Parkinson’s disease,Huntington’s disease and amyotrophic lateral sclerosis,are a group of incurable neurological disorders,characterized by the chronic progressive loss of different neuronal subtypes.However,despite its increasing prevalence among the everincreasing aging population,little progress has been made in the coincident immense efforts towards development of therapeutic agents.Research interest has recently turned towards stem cells including stem cells-derived exosomes,neurotrophic factors,and their combination as potential therapeutic agents in neurodegenerative diseases.In this review,we summarize the progress in therapeutic strategies based on stem cells combined with neurotrophic factors and mesenchymal stem cells-derived exosomes for neurodegenerative diseases,with an emphasis on the combination therapy. 展开更多
关键词 Neurodegenerative diseases Stem cells Brain-derived neurotrophic factor Glial cell line-derived neurotrophic factor Nerve growth factor Combination therapy
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Activation of glutamatergic neurons in the somatosensory cortex promotes remyelination in ischemic vascular dementia
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作者 Yi-Ting Zhou Da-Dao An +8 位作者 Yi-Xin Xu Ying Zhou Qing-Qing Li Hai-Bin Dai Xiang-Nan Zhang Yi Wang Min Lou Zhong Chen wei-wei hu 《Fundamental Research》 CAS CSCD 2024年第1期188-198,共11页
Chronic cerebral hypoperfusion can cause progressive demyelination as well as ischemic vascular dementia,however no effective treatments are available.Here,based on magnetic resonance imaging studies of patients with ... Chronic cerebral hypoperfusion can cause progressive demyelination as well as ischemic vascular dementia,however no effective treatments are available.Here,based on magnetic resonance imaging studies of patients with white matter damage,we found that this damage is associated with disorganized cortical structure.In a mouse model,optogenetic activation of glutamatergic neurons in the somatosensory cortex significantly promoted oligodendrocyte progenitor cell(OPC)proliferation,remyelination in the corpus callosum,and recovery of cognitive ability after cerebral hypoperfusion.The therapeutic effect of such stimulation was restricted to the upper layers of the cortex,but also spanned a wide time window after ischemia.Mechanistically,enhancement of glutamatergic neuron-OPC functional synaptic connections is required to achieve the protection effect of activating cortical glutamatergic neurons.Additionally,skin stroking,an easier method to translate into clinical practice,activated the somatosensory cortex,thereby promoting OPC proliferation,remyelination and cognitive recovery following cerebral hypoperfusion.In summary,we demonstrated that activating glutamatergic neurons in the somatosensory cortex promotes the proliferation of OPCs and remyelination to recover cognitive function after chronic cerebral hypoperfusion.It should be noted that this activation may provide new approaches for treating ischemic vascular dementia via the precise regulation of glutamatergic neuron-OPC circuits. 展开更多
关键词 Chronic cerebral hypoperfusion Optogenetic stimulation Oligodendrocyte progenitor cellIschemic vascular dementia Glutamatergic neuron REMYELINATION
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Lateral Habenula Serves as a Potential Therapeutic Target for Neuropathic Pain 被引量:4
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作者 Yu Du Yu-Xing Wu +7 位作者 Fang Guo Feng-hui Qu Ting-Ting hu Bei Tan Yi Wang wei-wei hu Zhong Chen Shi-Hong Zhang 《Neuroscience Bulletin》 SCIE CAS CSCD 2021年第9期1339-1344,共6页
Dear Editor,Neuropathic pain(NeuP)is known as a common and notorious neurological disease,characterized by spontaneous pain and evoked abnormal pain that includes hypersensitivity to external innocuous(allodynia)and n... Dear Editor,Neuropathic pain(NeuP)is known as a common and notorious neurological disease,characterized by spontaneous pain and evoked abnormal pain that includes hypersensitivity to external innocuous(allodynia)and noxious stimulation(hyperalgesia).Allodynia is especially torturous because gentle touch may trigger pain. 展开更多
关键词 STIMULATION PAIN EVOKED
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Gender difference in acquired seizure susceptibility in adult rats after early complex febrile seizures
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作者 Yun-Jian Dai Zheng-Hao Xu +5 位作者 Bo Feng Ceng-Lin Xu hua-Wei Zhao Deng-Chang Wu wei-wei hu Zhong Chen 《Neuroscience Bulletin》 SCIE CAS CSCD 2014年第6期913-922,共10页
Gender differences are involved in many neurological disorders including epilepsy. However, little is known about the effect of gender difference on the risk of epilepsy in adults with a specific early pathological st... Gender differences are involved in many neurological disorders including epilepsy. However, little is known about the effect of gender difference on the risk of epilepsy in adults with a specific early pathological state such as complex febrile seizures(FSs) in infancy. Here we used a well-established complex FS model in rats and showed that:(1) the susceptibility to seizures induced by hyperthermia, pentylenetetrazol(PTZ), and maximal electroshock(MES) was similar in male and female rat pups, while males were more susceptible to PTZ- and MES-induced seizures than age-matched females in normal adult rats;(2) adult rats with complex FSs in infancy acquired higher seizure susceptibility than normal rats; importantly, female FS rats were more susceptible to PTZ and MES than male FS rats; and(3) the protein expression of interleukin-1β, an infl ammatory factor associated with seizure susceptibility, was higher in adult FS females than in males, which may reflect a gender-difference phenomenon of seizure susceptibility. Our results provide direct evidence that the acquired seizure susceptibility after complex FSs is gender-dependent. 展开更多
关键词 gender difference complex febrile seizures seizure susceptibility EPILEPSY IL-1Β
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Correction to: Gender difference in acquired seizure susceptibility in adult rats after early complex febrile seizures
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作者 Yun-Jian Dai Zheng-Hao Xu +5 位作者 Bo Feng Ceng-Lin Xu hua-Wei Zhao Deng-Chang Wu wei-wei hu Zhong Chen 《Neuroscience Bulletin》 SCIE CAS CSCD 2018年第2期403-404,共2页
In the original publication of the article, the representativeEEG of female rat pups with FS in Figure 1 C and D wasincorrectly intercepted from that of male rat pups. Thiscorrection does not affect the conclusions of... In the original publication of the article, the representativeEEG of female rat pups with FS in Figure 1 C and D wasincorrectly intercepted from that of male rat pups. Thiscorrection does not affect the conclusions of the paper.Figure 1 has been corrected on the online PDF version anddisplayed below. 展开更多
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