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右美托咪定混合低浓度罗哌卡因用于腹横肌平面阻滞的有效性及安全性 被引量:19
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作者 易红 陈小乐 +1 位作者 黄东升 周大春 《中国现代医学杂志》 CAS 2018年第10期66-72,共7页
目的观察右美托咪定混合低浓度罗哌卡因用于腹横肌平面阻滞的有效性及安全性。方法选择在全身麻醉下行腹腔镜结直肠癌根治术患者60例,所有患者术毕送麻醉恢复室(PACU)后在超声引导下行双侧腹横肌平面阻滞。采用随机数字表法,分成3组:0.... 目的观察右美托咪定混合低浓度罗哌卡因用于腹横肌平面阻滞的有效性及安全性。方法选择在全身麻醉下行腹腔镜结直肠癌根治术患者60例,所有患者术毕送麻醉恢复室(PACU)后在超声引导下行双侧腹横肌平面阻滞。采用随机数字表法,分成3组:0.19%罗哌卡因+生理盐水(19R组)、0.19%罗哌卡因+50μg右美托咪定(19RD组)及0.25%罗哌卡因+生理盐水(25R组),每组分别于两侧腹横肌平面注射药液各30 ml。所有患者术后均使用舒芬太尼静脉自控镇痛(PCIA)。比较3组患者术后2(T1)、4(T2)、8(T3)、12(T4)及24 h(T5)的Ramsay镇静评分、静息及咳嗽时疼痛评分(VAS评分);记录术后3组患者第1次需求PCIA距离手术结束时间(T);24 h镇痛泵PCIA请求与给药次数;不良反应发生的例数、术后镇痛满意度评分及发生局部麻醉药中毒的症状的例数。结果 3组患者不同时点的Ramsay镇静评分比较差异无统计学意义(P>0.05);与25R组比较,19R组静息时VAS评分在T1、T2、T3及T4时较高,19R组咳嗽时VAS评分在T1、T2及T3时较高,两组比较,差异有统计学意义(P<0.05)。19R组患者第1次镇痛泵PCIA请求距离手术结束时间(T)(16.9±13.1)h较25R组的(26.1±15.5)h缩短,差异有统计学意义(P<0.05);19R组患者24 h舒芬太尼PCIA总消耗量(V)、PCIA给药次数(D1)与PCIA请求次数(D2)与25R组比较,差异有统计学意义(P<0.05),19R组均高于25R组;19R组患者镇痛满意度评分与25R组比较,差异有统计学意义(P<0.05),19R组低于25R组;而19RD组与25R组比较,差异无统计学意义(P>0.05)。3组均未见腹横肌平面阻滞穿刺引起的不良反应或局部麻醉药中毒症状。结论超声引导下50μg右美托咪定混合低浓度(0.19%)罗哌卡因可安全有效地用于腹横肌平面阻滞,达到与0.25%罗哌卡因相当的镇痛效果,对腹腔镜结直肠癌根治术患者能提供有效镇痛,并能减少局部麻醉药中毒的风险。 展开更多
关键词 右美托咪定 罗哌卡因 超声引导 腹横肌平面阻滞 术后镇痛
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A recognition survey of granular corneal dystrophy type 2 genetic detection in China
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作者 Xin-Rui Wang Bi-Ting Zhou +8 位作者 Qing-Mei Zheng Ya-Duan Wang Qiu-Kai Huang Xuan Song He Wang Nan-Wen Zhang Yi-Hua Zhu xiao-le chen Ju-Hua Yang 《International Journal of Ophthalmology(English edition)》 SCIE CAS 2020年第12期1976-1982,共7页
AIM:To evaluate the feasibility of promoting genetic detection for granular corneal dystrophy type 2(GCD2)by a questionnaire conducted among citizens in five cities in China.METHODS:The data were collected by question... AIM:To evaluate the feasibility of promoting genetic detection for granular corneal dystrophy type 2(GCD2)by a questionnaire conducted among citizens in five cities in China.METHODS:The data were collected by questionnaire,and analyzed by Chi-square test and one-tailed t test in IBM SPSS statistics.RESULTS:Based on the survey data on the awareness of GCD2 genetic detection in this study and the positive predictive analysis report of the citizens in five cities in China,the vast majority(84.2%)of respondents had never heard of it and did not know that GCD2 patients have been prohibited from performing excimer surgery that can deteriorate GCD2 patients’condition even leading to blindness.Though 3.4%of patients understood GCD2 very much,they have no idea that GCD2 could not be 100%accuracy diagnosed by the conventional inspection methods.CONCLUSION:It is feasible and necessary to use GCD2 genetic detection as an excimer preoperative examination project.In order to promote the development of detection project,a few improvements should be carried out in terms of the promoting efforts,costs,and research progress. 展开更多
关键词 granular corneal dystrophy type 2 corneal opacity excimer laser surgery
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Traditional Chinese Medicine Syndromes Distribution in Colorectal Cancer and its Association with Western Medicine Treatment and Clinical Laboratory Indicators 被引量:5
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作者 Meng-Die Yang xiao-le chen +11 位作者 Xue-Qing Hu Xiao-Zheng Xie Wen-Jun Zhou Chun-Gen Zhou Bin Jiang Qing Ji Qi Li Peng Wang Zhi-Qiang Meng Wen-Hai Wang Yuan-Jia Hu Shi-Bing Su 《World Journal of Traditional Chinese Medicine》 2019年第2期81-87,共7页
Objective:The objective of the study is to explore the traditional Chinese medicine (TCM) syndrome distribution in colorectal cancer (CRC) and its correlation with treatment methods and clinical laboratory indicators.... Objective:The objective of the study is to explore the traditional Chinese medicine (TCM) syndrome distribution in colorectal cancer (CRC) and its correlation with treatment methods and clinical laboratory indicators.Materials and Methods: Using the CRC cases report form of TCM,760 CRC patients with TCM four diagnosis information,western medicine treatment information and clinical laboratory indicators were collected,and TCM syndromes distribution in CRC were summarized.The correlation between TCM syndrome type and western medicine treatments,clinical laboratory indicators such as liver and kidney function,immune function,and tumor biomarkers was analyzed. Results:In 760 cases of CRC, Spleen deficiency syndrome (SDS, 25%),liver and kidney Yin deficiency syndrome (LKYDS, 13%), LKYDS-SDS,12%,spleen deficient Qi stagnation syndrome (SDQSS, 10%),and damp heat syndrome (DHS, 9%) were more common TCM syndrome types.LKYDS, SDS,LKYDS-SDS,and SDQSS were significantly distributed under different treatment methods (P < 0.001).There was no statistically significant difference in the distribution of immune fUnction and cytokine among the five TCM syndromes (P > 0.05),but there was statistically significant difference in the distribution of blood routine,liver and kidney function, and tumor biomarkers (P < 0.05). Conclusion: LKYDS,SDS,LKYDS-SDS, SDQSS,and DHS were the first five TCM syndromes in CRC.There were the significant correlations between the distribution of TCM syndrome and the clinical laboratory indicators,and the distribution of TCM syndromes was affected by surgery, radiotherapy,and chemotherapy. 展开更多
关键词 Clinical laboratory INDICATORS COLORECTAL cancer traditional Chinese medicine syndrome DISTRIBUTION treatment methods
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Ginsenoside Rb1 Pretreatment Attenuates Myocardial Ischemia by Reducing Calcium/Calmodulin-Dependent Protein Kinase Ⅱ-Medicated Calcium Release 被引量:5
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作者 Wen-Jun Zhou Juan-Li Li +5 位作者 Qian-Mei Zhou Fei-Fei Cai xiao-le chen Yi-Yu Lu Ming Zhao Shi-Bing Su 《World Journal of Traditional Chinese Medicine》 2020年第3期284-294,共11页
Objective:The aim of this study was to investigate the protective effects of ginsenoside Rb1 and assess whether these protective effects are related to calcium/calmodulin-dependent protein kinaseⅡ(Ca MKⅡ).Methods:A ... Objective:The aim of this study was to investigate the protective effects of ginsenoside Rb1 and assess whether these protective effects are related to calcium/calmodulin-dependent protein kinaseⅡ(Ca MKⅡ).Methods:A myocardial ischemia(IS)rat.model and a myocardial H9 C2 cell hypoxia model were established.MI was induced by occluding the left anterior descending artery for 120 min.Ginsenoside Rb1(10 mg/kg)was administered 30 min before ischemia induction,and the treatment continued for 7 days.Results:In the rat IS injury model,ginsenoside Rb1 reduced myocardial infarct size,mean left ventricular diastolic pressure,incidence of arrhythmia,and levels of serum creatine kinase,lactate dehydrogenase,and malondialdehyde.However,the mean left ventricular systolic pressure,and maximal rising and falling rates of ventricular pressure(±dp/dtmax)increased.In the myocardial H9 C2 cell hypoxia model,ginsenoside Rb1 reduced intracellular calcium concentrations([Ca2+]i)during hypoxia,and markedly reversed the hypoxia-induced decrease in cell survival.Ginsenoside Rb1 was involved in the downregulation of CaMKⅡand the ryanodine receptor,as well as hypoxia-induced H9 C2 cell survival.Conclusion:The findings of the present study suggest that ginsenoside Rb1 attenuates MI injury in rats,partially through the downregulation of CaMKⅡexpression. 展开更多
关键词 Calcium/calmodulin-dependent protein kinaseⅡ Ginsenoside Rb1 myocardial ischemia ryanodine receptor
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Compound-Target-Pathway Network Analysis and Effective Mechanisms Prediction of Bu-Shen-Jian-Pi Formula 被引量:2
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作者 Xiao-Yan Li Meng-Die Yang +4 位作者 Xue-Qing Hu Fei-Fei Cai xiao-le chen Qi-Long chen Shi-Bing Su 《World Journal of Traditional Chinese Medicine》 2018年第4期170-175,共6页
Objective: The aim of this study was to predict the active compounds, therapy targets, and diseases of Bu-Shen-Jian-Pi formula(BSJPF) through the system pharmacology-based approach.Methods: Traditional Chinese Medicin... Objective: The aim of this study was to predict the active compounds, therapy targets, and diseases of Bu-Shen-Jian-Pi formula(BSJPF) through the system pharmacology-based approach.Methods: Traditional Chinese Medicine Systems Pharmacology(TCMSP) and TCM Database@Taiwan Databases were used to obtain Chinese herbal medicine compounds.Oral bioavailability(OB) and drug-likeness(DL) based on the TCMSP database were used to screen the active compounds of BSJPF and related diseases.Therapy targets were defined according to the DrugBank database.The compounds-targets-disease network was constructed by Cytoscape and function and signaling pathways were also analyzed.Results: A total of 143 of 2106 compounds in BSJPF were screened out(OB ≥30%, DL index ≥0.18).Two hundred and sixty-five targets were found and 334 diseases were enriched.The diseases such as cancer, Alzheimer's disease, inflammation, and asthma were most closely correlated with the formula.BSJPF, Liu-Wei-Di-Huang decoction(LWDHD), and Si-Jun-Zi decoction(SJZD) could regulate cell proliferation and apoptosis; LWDHD also regulated biological processes and cellular processes and regulated stress on chemical stimuli and SJZD focused on the regulation of anabolic reaction.All had enriched the signaling pathways in cancer, nonsmall cell lung cancer, and thyroid cancer pathways.There were more pathways in both BSJPF and LWDHD, mainly including cancer, colorectal cancer pathways, toll-like receptors, T-cell receptors and P53 signaling pathways, and apoptosis.LWDHD was also involved in Wnt, natural killer cell cytotoxicity, and lymphocyte migration signaling pathways.SJZD had no separate pathways.In the tumor-related pathways, targets were more concentrated in the PI3K/Akt pathway and the MAPK/ERK signaling pathway.Conclusions: BSJPF owns multiple targets and pathways to treat various diseases under the guidance of "treating different diseases with the same method." 展开更多
关键词 Bu-Shen-Jian-Pi formula compounds-targets-disease network Liu-Wei-Di-Huang decoction molecular mechanism Si-Jun-Zi decoction
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Therapeutic Effect of Jianpi Decoction Combined with Chemotherapy on Postoperative Treatment of Colorectal Cancer: A Systematic Review and Meta-analysis 被引量:1
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作者 Wen-Jun Zhou Bin Wei +5 位作者 Fei-Fei Cai Meng-Die Yang xiao-le chen Qi-Long chen Ming Zhao Shi-Bing Su 《World Journal of Traditional Chinese Medicine》 2019年第4期228-235,共8页
Objective:The purpose of this systematic review is to assess the therapeutic effect of Jianpi decoctions in Chinese herbal medicines(CHM)combined with chemotherapy on the postoperative treatment of colorectal cancer.M... Objective:The purpose of this systematic review is to assess the therapeutic effect of Jianpi decoctions in Chinese herbal medicines(CHM)combined with chemotherapy on the postoperative treatment of colorectal cancer.Methods:Literatures were obtained from Wanfang database,CNKI,Pub Med,Cqvip,MEDLINE,Cochrane,CBM,and Springer LINK as well as other conference papers and theses.The search included all documents in English or Chinese published before September 2018.We selected randomized controlled trials based on specific criteria and the most important criteria were that Jianpi decoction should be applied in combination with chemotherapy on the postoperative treatment of colorectal cancer.Results:Publications in eight electronic databases were extensively searched and 20 trials were included for analysis eventually.A total of 1652 patients in total were enrolled in these studies.Among them,879 patients received CHM and Western medicine combination therapy and another 773 participants only got Western medicine therapy.Compared with those patients receiving Western medicine alone,the survival rate of 1-year(odds ratio[OR]=2.35,95%confidence limit[Cl]=1.30–4.28,P<0.05),3-year(OR=2.02,95%Cl=1.49–2.73,P<0.001),and 5-year survival rate(OR=2.32,95%Cl=1.56–3.45,P<0.001)of patients in the group of Jianpi decoctions in CHM and chemotherapy combination has significantly increased.Moreover,results also showed positive effects on immunoregulation such as CD3^+(OR=0.68,95%confidence interval[CI]=0.52–0.85,P<0.0001),CD4^+/CD8^+(OR=0.77,95%CI=0.29–1.26,P<0.05).Side effects caused by chemotherapy such as nausea(OR=0.35,95%CI=0.25–0.50,P<0.0001)and vomiting(OR=0.32,95%CI=0.22–0.46,P<0.0001),diarrhea(OR=0.42,95%CI=0.30–0.60,P<0.0001),as well as metastasis and recurrence(OR=0.38,95%CI=0.24–0.61,P<0.001)were remarkably reduced.The quality of life(OR=4.40,95%Cl=2.86–6.77,P<0.0001)has been improved.Moreover,there was no statistically significant bias in the overall studies.Conclusion:This systematic review suggests that Jianpi decoction in CHM can reduce the chemotherapy toxicity,enhance the patient's immunity,prolong their survival rate,improve their quality of life as well as prevent metastasis,and recurrence for patients in postoperative treatment of colorectal cancer. 展开更多
关键词 CHEMOTHERAPY Chinese herbal medicine colorectal cancer jianpi decoction postoperation
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