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Causal associations between intermediate very-low-density lipoprotein cholesterol-to-total lipids ratio and peptic ulcer:A bidirectional Mendelian randomization study
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作者 Chun-Mei Lin Qian Meng +3 位作者 Ying-Jun Li Shuang-Xi Zhang Qiong-Xi Luo Zhen-Yu Dai 《World Journal of Clinical Cases》 SCIE 2024年第25期5729-5738,共10页
BACKGROUND Previous epidemiologic investigations have consistently demonstrated a strong association between the ratio of cholesterol to total lipids in medium very-lowdensity lipoprotein(VLDL)and the occurrence of pe... BACKGROUND Previous epidemiologic investigations have consistently demonstrated a strong association between the ratio of cholesterol to total lipids in medium very-lowdensity lipoprotein(VLDL)and the occurrence of peptic ulcers(PU).However,the precise causal relationship between these factors remains ambiguous.Consequently,this study aims to elucidate the potential correlation between the ratio of cholesterol to total lipids in medium VLDL and the incidence of peptic ulcer.AIM To investigate the ratio of cholesterol to total lipids in medium very-low-density lipoprotein(VLDL)association with PU via genetic methods,guiding future clinical research.METHODS Genome-wide association study(GWAS)datasets for the ratio of cholesterol to total lipids in intermediate VLDL and peptic ulcer were retrieved from the IEU OpenGWAS project(https://gwas.mrcieu.ac.uk).For the forward Mendelian randomization(MR)analysis,72 single nucleotide polymorphisms(SNPs)were identified as instrumental variables.These SNPs were selected based on their association with the ratio of cholesterol to total lipids in intermediate VLDL,with peptic ulcer as the outcome variable.Conversely,for the inverse MR analysis,no SNPs were identified with peptic ulcer as the exposure variable and the ratio of cholesterol to total lipids in intermediate VLDL as the outcome.All MR analyses utilized inverse variance weighted(IVW)as the primary analytical method.Additionally,weighted median and MR-Egger methods were employed as supplementary analytical approaches to assess causal effects.Egger regression was used as a supplementary method to evaluate potential directional pleiotropy.Heterogeneity and multiplicity tests were conducted using the leave-one-out method to evaluate result stability and mitigate biases associated with multiple testing.RESULTS The genetically predicted ratio of cholesterol to total lipids in medium VLDL was significantly associated with an elevated risk of peptic ulcer(IVW:OR=2.557,95%CI=1.274-5.132,P=0.008).However,no causal association of peptic ulcer with the ratio of cholesterol to total lipids in medium VLDL was observed in the inverse Mendelian randomization analysis.CONCLUSION In conclusion,our study reveals a significant association between the ratio of cholesterol to total lipids in medium VLDL and an elevated risk of peptic ulcers.However,further validation through laboratory investigations and larger-scale studies is warranted to strengthen the evidence and confirm the causal relationship between these factors. 展开更多
关键词 Ratio of cholesterol to total lipids in medium VLDL Peptic ulcer Mendelian randomization Casual effect Single nucleotide polymorphism
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EFFECTS OF HARVEST STAGE ON THE TOTAL LIPID AND FATTY ACID COMPOSITION OF FOUR CYLINDROTHECA STRAINS 被引量:4
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作者 梁英 麦康森 孙世春 《Chinese Journal of Oceanology and Limnology》 SCIE CAS CSCD 2002年第2期157-161,共5页
Four strains of Cylindrotheca (B156, B164, B196, and B200) were harvested at three phases in the growth curve and their total lipid and fatty acid composition were determined. Total lipid reached highest values in the... Four strains of Cylindrotheca (B156, B164, B196, and B200) were harvested at three phases in the growth curve and their total lipid and fatty acid composition were determined. Total lipid reached highest values in the late stationary phase in B156 (24.0%), B164 (26.6%) and B200 (17.3%), in the exponential phase in B196 (15.5%). Saturated fatty acids increased with the development of the culture in B156 and B196, and reached their highest values in the late stationary phase in B156 (41.7%) and B196 (45.1%), in the early stationary phase in B164 (45.4%) and B200 (37.6%). Monounsaturated fatty acids increased with the development of the culture in B196 and B200, and reached their highest values in the late stationary phase in B196 (32.4%) and B200 (32.8%), in the early stationary phase in B164 (31.0%) and in the exponential phase in B156 (29.3%). Polyunsaturated fatty acids decreased in the later phases of the culture in B164, B196 and B200, and peaked in the exponential phase in B164 (29.5%), B196 (42.9%) and B200 (37.3%), and in the early stationary phase in B156 (32.0%). 展开更多
关键词 Cylindrotheca harvest stage total lipid fatty acid
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TOTAL LIPID AND FATTY ACID COMPOSITION OF EIGHT STRAINS OF MARINE DIATOMS 被引量:3
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作者 梁英 麦康森 孙世春 《Chinese Journal of Oceanology and Limnology》 SCIE CAS CSCD 2000年第4期345-349,共5页
Fatty acid composition and total lipid content of 8 strains of marine diatoms ( Nitzschia frustrula, Nitzschia closterium, Nitzschia incerta, Navicula pelliculosa,Phaeodactylum tricornutum, Synedra fragilaroides ) wer... Fatty acid composition and total lipid content of 8 strains of marine diatoms ( Nitzschia frustrula, Nitzschia closterium, Nitzschia incerta, Navicula pelliculosa,Phaeodactylum tricornutum, Synedra fragilaroides ) were examined. The microalgae were grown under defined conditions and harvested at the late exponential phase. The major fatty acids in most strains were 14:0 (1.0%-6.3%), 16:0 (13.5%-26.4%), 16:1n-7 (21.1%-46.3%) and 20:5n-3 (6.5%-19.5%). The polyunsaturated fatty acids 16:2n-4, 16:3n-4, 16:4n-1 and 20:4n-6 also comprised a significant proportion of the total fatty acids in some strains. The characteristic fatty acid composition of diatoms is readily distinguishable from those of other microalgal groups. Significant concentration of the polyunsaturated fatty acid 20:5n-3 (eicosapentaenoic acid) was present in each strain, with the highest proportion in B222 (19.5%). 展开更多
关键词 fatty acid total lipid content marine diatoms
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EFFECT OF LIGHT INTENSITY ON THE TOTAL LIPID AND FATTY ACID COMPOSITION OF SIX STRAINS OF MARINE DIATOMS 被引量:1
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作者 梁英 麦康森 +1 位作者 于道展 孙世春 《Chinese Journal of Oceanology and Limnology》 SCIE CAS CSCD 2001年第3期249-254,共6页
The effect of light intensity (1500 lx and 5000 lx) on the total lipid and fatty acid composition of six strains of marine diatoms Cylindrotheca fusiformis (B211), Phaeodactylum tricornutum (B114, B118 and B221) Nitzs... The effect of light intensity (1500 lx and 5000 lx) on the total lipid and fatty acid composition of six strains of marine diatoms Cylindrotheca fusiformis (B211), Phaeodactylum tricornutum (B114, B118 and B221) Nitzschia closterium (B222) and Chaetoceros gracilis (B13) was investigated. The total lipids of B13, B114, and B211 grown at 5000 lx were lower than those grown at 1500 lx. No evident changes were observed in B118, B221 and B222. Fatty acid composition changed considerably at different light intensity although no consistent correlation between the relative proportion of a single FA and light intensity. The major fatty acids of the 6 strains were 14:0, 16:0, 16:1(n-7) and 20:5(n-3). Cylindrotheca fusiformis had high percentage of 20:4n-6 (9.2-10.9%). The total polyunsaturated fatty acid in all 6 strains decreased with increasing light intensity. The percentage of the highly unsaturated fatty acid eicosapentaenoic acid (EPA) decreased with increasing light intensity in all strains except Chaetoceros gracilis. 展开更多
关键词 DIATOM light intensity total lipid fatty acid composition
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盐度和pH对平凡舟形藻生长和油脂积累的影响 被引量:2
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作者 信宏颖 梁金燕 +4 位作者 王馨彤 刘妍 范亚文 陆欣鑫 隋丰阳 《水生生物学报》 CAS CSCD 北大核心 2024年第2期222-231,共10页
为研究盐度和pH对淡水硅藻生长和油脂含量的影响,对一株分离自野外采集水样中的平凡舟形藻(Navicula trivialis)进行研究,通过设置不同盐度0、0.03、0.06、0.12、0.18和0.24 mol/L和不同pH 4.5、6.0、7.5、8.5、9.5和10.5进行胁迫,测定... 为研究盐度和pH对淡水硅藻生长和油脂含量的影响,对一株分离自野外采集水样中的平凡舟形藻(Navicula trivialis)进行研究,通过设置不同盐度0、0.03、0.06、0.12、0.18和0.24 mol/L和不同pH 4.5、6.0、7.5、8.5、9.5和10.5进行胁迫,测定各处理对平凡舟形藻的生长、叶绿素a含量、叶绿素荧光参数和油脂含量的影响。结果表明:盐浓度为0.12 mol/L、pH 7.5时,平凡舟形藻细胞密度和叶绿素a含量最高;盐浓度为0.24 mol/L、pH 7.5时,总脂含量最高,分别为34.93%和33.5%。结果表明,平凡舟形藻对不同盐度和pH的适应性不同,这在一定程度上影响其生长和油脂含量。 展开更多
关键词 盐度 PH 生长 总脂含量 平凡舟形藻
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Responses in growth, lipid accumulation,and fatty acid composition of four oleaginous microalgae to different nitrogen sources and concentrations 被引量:5
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作者 李涛 万凌琳 +1 位作者 李爱芬 张成武 《Chinese Journal of Oceanology and Limnology》 SCIE CAS CSCD 2013年第6期1306-1314,共9页
Nitrogen deficiency is an effective strategy for enhancing lipid production in microalgae. Close relationships exist among lipid production, microalgal species, and nitrogen sources. We report growth, lipid accumulati... Nitrogen deficiency is an effective strategy for enhancing lipid production in microalgae. Close relationships exist among lipid production, microalgal species, and nitrogen sources. We report growth, lipid accumulation, and fatty acid composition in four microalgae (Chloroeoccum ellipsoideum UTEX972, Chlorococcum nivale LB2225, Chlorococcum tatrense UTEX2227, and Scenedesmus deserticola JNU19) under nitrate- and urea-nitrogen deficiencies. We found three patterns of response to nitrogen deficiency: Type-A (decrease in biomass and increase in lipid content), Type-B (reduction in both biomass and lipid content), and Type-C (enhancement of both biomass and lipid content). Type-C microalgae are potential candidates for large-scale oil production. Chlorococcum ellipsoideum, for example, exhibited a neutral lipid production of up to 239.6 mg/(L'd) under urea-nitrogen deficiency. In addition, nitrogen deficiency showed only a slight influence on lipid fractions and fatty acid composition. Our study provides useful information for further screening hyper-lipid microalgal strains for biofuel production. 展开更多
关键词 oleaginous microalgae nitrogen deficiency BIOMASS total lipids fatty acid composition lipid classification
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血浆致动脉粥样硬化指数与脑小血管病总负荷的相关性研究进展
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作者 刘静 董爱勤 《中外医学研究》 2024年第14期177-180,共4页
脑小血管病(CSVD)是一组由不同病因造成的临床症状和影像学表现相似的疾病,它主要影响着脑内的小动脉及小静脉等高级血管网。目前,CSVD的病理生理机制仍不完全清楚,但动脉粥样硬化(AS)是众所周知的脑部血管疾病的主要病理机制之一,而血... 脑小血管病(CSVD)是一组由不同病因造成的临床症状和影像学表现相似的疾病,它主要影响着脑内的小动脉及小静脉等高级血管网。目前,CSVD的病理生理机制仍不完全清楚,但动脉粥样硬化(AS)是众所周知的脑部血管疾病的主要病理机制之一,而血脂在AS的发病机制中又起着非常重要的作用。随着大量学者的深入研究,目前认为血浆致动脉粥样硬化指数(AIP)及其相关传统血脂指标与CSVD联系密切。此研究从AIP与CSVD的发生发展入手,深入探讨了AIP及相关传统血脂指标与CSVD各分型之间的相关性,整合CSVD影像学总负荷来体现CSVD的严重程度,进一步探讨AIP及传统血脂指标与CSVD总负荷的相关性,最终确定了AIP与CSVD严重程度的相关性。本文对AIP及其相关传统指标与CSVD总负荷的相关性研究进展做一综述,全面阐述了血脂对CSVD总负荷的影响,为临床建立CSVD总负荷综合性评价指标提供新依据。 展开更多
关键词 血浆致动脉粥样硬化指数 脑小血管病 脑小血管病总负荷 血脂 综述
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Temperature effects on lipid properties of microalgae Tetraselmis subcordiformis and Nannochloropsis oculata as biofuel resources 被引量:1
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作者 危立坤 黄旭雄 黄征征 《Chinese Journal of Oceanology and Limnology》 SCIE CAS CSCD 2015年第1期99-106,共8页
Microalgae Tetraselmis subcordiformis and Nannochloropsis oculata were cultured at 15,20,25,30,and 35℃ and their properties as potential biofuel resources were examined.The results indicate that T.subcordiformis and ... Microalgae Tetraselmis subcordiformis and Nannochloropsis oculata were cultured at 15,20,25,30,and 35℃ and their properties as potential biofuel resources were examined.The results indicate that T.subcordiformis and N.oculata grew best at 20℃ and 25℃ and yielded the highest total lipids at 20℃and 30℃,respectively.With increased temperature,neutral lipid and polyunsaturated fatty acids(FAs)decreased while saturated FAs increased,accompanied by increased monounsaturated FAs(MUFAs) in T.subcordiformis and decreased MUFAs in N.oculata;meanwhile,the predicted cetane number of FA methyl esters increased from 45.3 to 47.6 in T.subcordiformis and from 52.3 to 60.3 in N.oculata.Therefore,optimizing culture temperatures is important for improving microalgal biodiesel production. 展开更多
关键词 fatty acids (FAs) lipid class Nannochloropsis oculata temperature Tetraselmis subcordiformis total lipid
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代谢相关脂肪性肝病患者心肺运动能力与肝脏脂肪变严重程度关系的横断面研究
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作者 袁文春 陈金军 +1 位作者 白红莲 周玲 《中国肝脏病杂志(电子版)》 CAS 2024年第3期52-58,共7页
目的探讨代谢相关脂肪性肝病(metabolic associated fatty liver disease,MAFLD)患者肝脏脂肪变严重程度与心肺运动能力的相关性。方法采用横断面研究,以2018年3月至2022年7月在佛山市第一人民医院感染科脂肪肝中心就诊的400例经超声诊... 目的探讨代谢相关脂肪性肝病(metabolic associated fatty liver disease,MAFLD)患者肝脏脂肪变严重程度与心肺运动能力的相关性。方法采用横断面研究,以2018年3月至2022年7月在佛山市第一人民医院感染科脂肪肝中心就诊的400例经超声诊断为MAFLD的患者为研究对象,根据脂肪衰减参数(controlled attenuation parameter,CAP)将患者分为轻度组(240 dB/m<CAP≤265 dB/m)、中度组(265 dB/m<CAP≤295 dB/m)和重度组(CAP>295 dB/m),收集患者体重指数(body mass index,BMI)、肝功能[包括总胆红素、直接胆红素、间接胆红素、丙氨酸氨基转移酶(alanine aminotransferase,ALT)、天门冬氨酸氨基转移酶(aspartate aminotransferase,AST)、γ-谷氨酰转移酶(γ-glutamyl transferase,GGT)]及代谢指标[包括甘油三酯、总胆固醇、胰岛素、空腹血糖、高密度脂蛋白(high-density lipoprotein,HDL)、低密度脂蛋白(low density lipoprotein,LDL)]等临床资料,并进行心肺运动试验。采用有序多分类Logistic回归分析MAFLD严重程度的影响因素。采用Pearson相关分析血脂水平和峰值公斤摄氧量的相关性。结果轻度组、中度组、重度组患者的BMI[(20.68±1.50)kg/m^(2)比(21.56±1.19)kg/m^(2)比(23.13±1.91)kg/m^(2)]、LSM[(8.07±0.93)kPa比(10.18±1.13)kPa比(13.96±1.61)kPa]、HDL[(1.16±0.08)mmol/L比(1.13±0.09)mmol/L比(1.02±0.09)mmol/L]、LDL[(3.28±0.14)mmol/L比(3.34±0.17)mmol/L比(3.51±0.14)mmol/L]、甘油三酯[(1.59±0.08)mmol/L比(1.62±0.06)mmol/L比(1.90±0.20)mmol/L]、总胆固醇[(4.43±0.43)mmol/L比(4.74±0.46)mmol/L比(5.06±0.21)mmol/L]、体脂肪[(31.79±9.47)g/cm^(2)比(33.83±7.67)g/cm^(2)比(34.76±6.95)g/cm^(2)]和体脂肪百分比[(26.20±3.56)%比(28.55±5.73)%比(31.08±4.46)%]差异均有统计学意义(P均<0.05)。有序多分类Logistic回归分析表明BMI(OR=1.16,95%CI:1.05~1.27,P=0.003)、甘油三酯(OR=1.15,95%CI:1.00~1.32,P=0.043)、LDL(OR=1.73,95%CI:1.12~2.67,P=0.013)、LSM(OR=1.36,95%CI:1.19~1.54,P<0.001)、体脂肪(OR=1.04,95%CI:0.84~1.25,P<0.001)和体脂肪百分比(OR=1.07,95%CI:1.03~1.12,P=0.001)为影响MAFLD患者肝脏脂肪变严重程度的危险因素,HDL是保护因素(OR=0.07,95%CI:0.03~0.18,P<0.001)。心肺运动结果表明,峰值公斤摄氧量[轻度组比中度组比重度组:(21.39±1.04)ml/(min·kg)比(20.93±1.11)ml/(min·kg)比(19.51±1.26)ml/(min·kg)]、峰值氧脉搏[轻度组比中度组比重度组:(6.18±0.31)ml/次比(5.97±0.33)ml/次比(5.68±0.19)ml/次]和峰值代谢当量(轻度组比中度组比重度组:6.05±0.25比5.82±0.33比5.57±0.25)随着肝脏脂肪变程度增加而进一步降低(P均<0.05)。峰值公斤摄氧量与HDL水平呈正相关(r=0.40,P<0.0001),与LDL、总胆固醇和甘油三脂水平呈负相关(r值分别为-0.44、-0.40、-0.47,P<0.001)。结论MAFLD患者血脂水平和肝脏脂肪变严重程度与患者的心肺运动能力密切相关。 展开更多
关键词 代谢相关脂肪性肝病 心肺运动能力 血脂 高密度脂蛋白 总胆固醇
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残余脂蛋白胆固醇与慢性完全闭塞性病变患者侧支循坏的相关性分析
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作者 冯兵 闫伟 +1 位作者 王佳瑛 田婵娟 《心肺血管病杂志》 CAS 2024年第4期353-357,377,共6页
目的:本研究主要探索残余脂蛋白胆固醇(remnant-like particle cholesterol, RLP-c)与慢性完全闭塞性病变(chronic total occlusion, CTO)患者侧支循环的相关性。方法:本研究主要回顾性纳入549例CTO患者,依据rentrop分级系统将纳入人群... 目的:本研究主要探索残余脂蛋白胆固醇(remnant-like particle cholesterol, RLP-c)与慢性完全闭塞性病变(chronic total occlusion, CTO)患者侧支循环的相关性。方法:本研究主要回顾性纳入549例CTO患者,依据rentrop分级系统将纳入人群分为两组,即侧支循环充分组(rentrop 2-3级)412例与侧支循环不充分组(rentrop 0-1级)137例。通过多因素回归分析探索RLP-c与侧支循环的相关性。结果:本研究共纳入549例CTO患者,其中侧支循环不充分组137例。与侧支循环充分组相比,侧支循环不充分组RLP-c浓度较高[0.7(0.4, 1.0)vs. 0.5(0.4, 0.7),P<0.001]。不仅在单因素回归分析中,RLP-c与侧支循环形成不良紧密相关(OR=4.658,95%CI:2.731~7.945,P<0.001),通过多因素回归分析校正其他混杂因素影响后,RLP-c仍是侧支循环形成不良的独立危险因素(OR=4.944,95%CI:2.828~8.645,P <0.001)。进一步依据3分位数将RLP-c调整成分类变量后,上述关系仍成立。最后受试者工作特征曲线进一步证实RLP-c可有效预测侧支循环形不充分的发生(曲线下面积0.664,95%CI:0.613~0.716,P <0.001)。结论:独立于传统血脂参数,RLP-c与CTO患者侧支循环形不充分独立相关。 展开更多
关键词 残余脂蛋白胆固醇 慢性完全闭塞性病变 侧支循环 rentrop分级 传统血脂
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低分子肝素联合胰岛素治疗高脂血症性胰腺炎的临床疗效及对血清炎症介质的影响
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作者 牛家泰 《中外医疗》 2024年第10期118-121,共4页
目的探究低分子肝素与胰岛素联合治疗高脂血症性胰腺炎的临床疗效。方法方便选取山东省济南市章丘区中医医院于2021年8月—2023年10月收治的86例高脂血症性胰腺炎患者为研究对象,采用密闭信封法分为对照组(n=43)和研究组(n=43)。所有患... 目的探究低分子肝素与胰岛素联合治疗高脂血症性胰腺炎的临床疗效。方法方便选取山东省济南市章丘区中医医院于2021年8月—2023年10月收治的86例高脂血症性胰腺炎患者为研究对象,采用密闭信封法分为对照组(n=43)和研究组(n=43)。所有患者均进行常规治疗,对照组在此基础上使用胰岛素注射液,研究组在对照组基础上使用低分子肝素钙,两组均治疗1周。对比两组患者临床疗效、不良反应发生率、血脂水平、血淀粉酶水平、血清炎症介质水平。结果研究组治疗有效率高于对照组,差异有统计学意义(P<0.05);治疗后,研究组血脂、血淀粉酶、炎症因子水平低于对照组,差异有统计学意义(P均<0.05);两组患者不良反应发生率对比,差异无统计学意义(P>0.05)。结论高脂血症性胰腺炎患者应用低分子肝素联合胰岛素治疗,能够提高治疗有效率,并改善炎症反应,从而降低血脂、血淀粉酶水平,且不会增加不良反应发生率。 展开更多
关键词 血脂 血淀粉酶 总胆固醇 胰腺炎 血清炎症 不良反应
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血清TC、TG及ApoB在输血后脂质代谢监测中的应用价值
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作者 臧炫月 王明星 +1 位作者 张刘仟 文柯 《分子诊断与治疗杂志》 2024年第11期2202-2205,2210,共5页
目的探讨血清总胆固醇(TC)、甘油三酯(TG)及载脂蛋白B(ApoB)在输血后脂质代谢监测中的应用价值。方法回顾性纳入2022年7月至2023年10月南京医科大学附属淮安第一医院收治的外伤失血性休克患者152例,依据脂质代谢诊断标准将152例患者分... 目的探讨血清总胆固醇(TC)、甘油三酯(TG)及载脂蛋白B(ApoB)在输血后脂质代谢监测中的应用价值。方法回顾性纳入2022年7月至2023年10月南京医科大学附属淮安第一医院收治的外伤失血性休克患者152例,依据脂质代谢诊断标准将152例患者分为脂质代谢正常组86例、脂质代谢异常组66例。比较两组一般资料、TC、TG及ApoB水平变化;分析影响输血后脂质代谢异常的危险因素,绘制ROC曲线评估TC、TG及ApoB单独及联合检测对输血后脂质代谢异常的预测价值。结果两组年龄、性别、吸烟史、饮酒史、糖尿病史、高血压史占比、输血量比较,差异无统计学意义(P>0.05);脂质代谢异常组年高密度脂蛋白胆固醇水平低于脂质代谢正常组,低密度脂蛋白胆固醇水平高于脂质代谢正常组,差异有统计学意义(P<0.05)。脂质代谢异常组TC、TG及ApoB水平均明显高于脂质代谢正常组,差异有统计学意义(P<0.05)。经logistic多因素分析显示:高密度脂蛋白胆固醇(男性<0.91 mmol/L,女性<1.1 mmol/L)、低密度脂蛋白胆固醇(>4.14 mmol/L)、TC(<2.4 mmol/L,>5.7 mmol/L)、TG(<0.4 mmol/L,>1.8 mmol/L)及ApoB(男性<0.43 g/L,>1.28 g/L,女性<0.42 g/L,>1.12 g/L)是影响输血后脂质代谢异常的危险因素(P<0.05)。依据ROC曲线可知,TC、TG及ApoB联合预测输血后脂质代谢异常的敏感度和特异度分别为89.84%、88.24%,AUC为0.898,高于三指标单独检测(P<0.05)。结论TC、TG及ApoB在输血后脂质代谢异常患者中呈高表达,三指标联合检测可全面、客观地反映输血后脂质代谢异常情况,为临床诊断、治疗提供更为准确、可靠的依据。 展开更多
关键词 总胆固醇 甘油三酯 载脂蛋白B 输血 脂质代谢
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甲状腺结节发生与糖脂代谢水平的相关性分析 被引量:1
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作者 杨丽娜 周国灶 林晓玲 《中国卫生标准管理》 2024年第1期123-127,共5页
目的分析甲状腺结节发生与糖脂代谢水平的相关性。方法选取厦门弘爱医院(2022年1—12月)接受甲状腺检查者100例,根据患者的检查结果不同分组,其中检查结果为甲状腺结节的患者50例为研究组,检查结果为未发生甲状腺结节的患者50例为对照... 目的分析甲状腺结节发生与糖脂代谢水平的相关性。方法选取厦门弘爱医院(2022年1—12月)接受甲状腺检查者100例,根据患者的检查结果不同分组,其中检查结果为甲状腺结节的患者50例为研究组,检查结果为未发生甲状腺结节的患者50例为对照组。分析患者的基础资料,明确甲状腺结节发生与糖脂代谢水平[空腹血糖(fasting plasma glucose,FPG)、总胆固醇(total cholesterol,TC)、三酰甘油(triglyceride,TG)、低密度脂蛋白胆固醇(low density lipoprotein cholesterol,LDL-C)及高密度脂蛋白胆固醇(high density lipid-cholesterol,HDL-C)]的相关性。结果研究组FPG、TC、TG和LDL-C水平较对照组更高,差异有统计学意义(P<0.05)。而在HDL-C指标相比之下,差异无统计学意义(P>0.05)。因FT3、FT4、TSH均有不确定值为等级资料行Spearman秩相关分析。TSH与FPG、TC、LDL-C、HDL-C均呈正相关(r值分别为0.105、0.635、0.143、0.704、0.619,P<0.01),而FT3与FPG、TC、LDL-C、HDL-C均呈负相关(r值分别为-0.568、-0.676、-0.352、-0.702、-0.764,P<0.01),FT4与FPG、TC、LDL-C、HDL-C均呈负相关(r值分别为-0.401、-0.547、-0.425、-0.639、-0.493,P<0.01)。结论血清FPG、TC、TG、LDL-C升高,HDL-C降低,为甲状腺结节诱发因素。 展开更多
关键词 甲状腺结节 糖脂代谢水平 总胆固醇 三酰甘油 低密度脂蛋白胆固醇 高密度脂蛋白胆固醇
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番石榴叶总黄酮对高脂血症大鼠血脂、脂代谢酶及血液流变学的影响
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作者 张瑜 赵巧飞 《河南中医》 2024年第6期882-885,共4页
目的:观察番石榴叶总黄酮对脂肪乳剂所致高脂血症大鼠血脂、脂代谢酶及血液流变学的影响。方法:采用脂乳剂灌胃法建立大鼠高脂血症模型,将50只大鼠随机分为空白组、模型组、阿托伐他汀钙片(3.3 mg·kg^(-1))组、番石榴叶总黄酮高剂... 目的:观察番石榴叶总黄酮对脂肪乳剂所致高脂血症大鼠血脂、脂代谢酶及血液流变学的影响。方法:采用脂乳剂灌胃法建立大鼠高脂血症模型,将50只大鼠随机分为空白组、模型组、阿托伐他汀钙片(3.3 mg·kg^(-1))组、番石榴叶总黄酮高剂量(200 mg·kg^(-1))组、番石榴叶总黄酮低剂量(100 mg·kg^(-1))组,每组各10只,连续给药6周。检测血清中三酰甘油(triglyceride,TG)、总胆固醇(triglyceride,TC)、高密度脂蛋白胆固醇(high density lipid protein cholesterol,HDL-C)、低密度脂蛋白胆固醇(low density lipid protein cholesterol,LDL-C)、超氧化物歧化酶(superoxide dismutase,SOD)、谷胱甘肽过氧化物酶(glutathione peroxidase,GSH-Px)、丙二醛(malondialdehyde,MDA)、总抗氧化能力(total antioxidative capability,T-AOC)、谷草转氨酶(aspartate aminotransferase,AST)、谷丙转氨酶(alanine transaminase,ALT)、碱性磷酸酶(alkaline phosphatase,ALP)水平,同时检测全血及血浆的血液流变学相关指标。结果:与模型组比较,番石榴叶总黄酮高剂量组、番石榴叶总黄酮低剂量组及阿托伐他汀钙片组均可不同程度降低大鼠血清中TC、TG、LDL-C、MDA、AST、ALT、ALP水平,升高HDL-C、SOD、GSX-PX、T-AOC水平,降低血液流变学各项指标(P<0.05)。结论:番石榴叶总黄酮可有效调节高脂血症大鼠血脂水平,提高脂代谢酶活性,改善血液流变学指标,有效防治高脂血症。 展开更多
关键词 高脂血症 番石榴叶总黄酮 血脂 脂代谢酶 血液流变学 大鼠
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血脂指标对突发感音神经性聋发病的影响
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作者 严志松 《临床医学研究与实践》 2024年第2期38-41,共4页
目的 探究血脂指标对突发感音神经性聋(SSNHL)发病的影响,为SSNHL辅助诊断指标的选择提供参考依据。方法 选取2017年1月至2022年12月在南通市通州区人民医院耳鼻喉科住院治疗的198例SSNHL患者作为SSNHL组,另选取同期在我院住院治疗、一... 目的 探究血脂指标对突发感音神经性聋(SSNHL)发病的影响,为SSNHL辅助诊断指标的选择提供参考依据。方法 选取2017年1月至2022年12月在南通市通州区人民医院耳鼻喉科住院治疗的198例SSNHL患者作为SSNHL组,另选取同期在我院住院治疗、一般资料与SSNHL组匹配且没有耳部疾病的198例患者作为对照组。收集并比较两组患者的性别、年龄、体质指数、合并慢性疾病种类以及血脂指标,分析SSNHL发病的影响因素。结果 单因素分析结果显示,两组的性别、年龄、体质指数、合并糖尿病、高血压、冠心病占比、甘油三酯(TG)、高密度脂蛋白胆固醇(HDL-C)、载脂蛋白AⅠ(apo AⅠ)、载脂蛋白B(apo B)水平比较,差异不显著(P>0.05);两组的总胆固醇(TC)、低密度脂蛋白胆固醇(LDL-C)及脂蛋白(a)[LP(a)]水平比较,差异具有统计学意义(P<0.05)。多因素Logistic回归分析结果显示,TC、LDL-C是SSNHL发病的独立影响因素(P<0.05)。结论 TC、LDL-C是SSNHL发病的独立影响因素,其可能在SSNHL发病中起重要作用,因此临床诊断SSNHL时应当重点关注TC、LDL-C水平变化,以此作为辅助诊断的常规检测指标。 展开更多
关键词 突发感音神经性聋 总胆固醇 低密度脂蛋白胆固醇 血脂指标
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黄蜀葵花总黄酮介导AKT1信号通路拮抗HepG-2细胞脂质沉积研究
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作者 杨渊 鲍家成 戴宗英 《中医药导报》 2024年第6期29-33,共5页
目的:探讨黄蜀葵花总黄酮(TFA)对棕榈酸(PA)诱导HepG-2细胞脂质沉积模型的干预效应及机制。方法:体外培养人肝源HepG-2细胞,应用PA处理以构建细胞脂质沉积模型,然后从黄蜀葵花中提取TFA,以TFA或蛋白激酶B(AKT)抑制剂作为干预剂,对PA诱... 目的:探讨黄蜀葵花总黄酮(TFA)对棕榈酸(PA)诱导HepG-2细胞脂质沉积模型的干预效应及机制。方法:体外培养人肝源HepG-2细胞,应用PA处理以构建细胞脂质沉积模型,然后从黄蜀葵花中提取TFA,以TFA或蛋白激酶B(AKT)抑制剂作为干预剂,对PA诱导的细胞脂质沉积模型进行预处理,应用油红O染色、酶联免疫吸附实验和免疫印迹实验(Western blotting)检测细胞脂质代谢、AKT1和脂联素(APN)信号通路蛋白表达水平。结果:与PA模型组比较,TFA或AKT抑制剂干预后,细胞脂质沉积程度(%)、游离脂肪酸(FFAs)和甘油三酯(TG)水平降低,而APN水平升高(P<0.05)。Western blotting实验显示PA模型组AKT1和固醇调节元件结合蛋白1(SREBP-1)表达水平上调而APN和糖原合成酶激酶3β(GSK3β)水平下调(P<0.05)。与PA模型组比较,TFA或AKT抑制剂干预显示AKT1下调而APN水平上调,其下游信号GSK3β表达上调而SREBP-1表达下调(P<0.05)。结论:TFA拮抗PA诱导的HepG-2细胞脂质沉积可能与其介导AKT1抑制及APN信号通路激活有关。 展开更多
关键词 黄蜀葵花总黄酮 AKT1 APN 脂质沉积 拮抗效应 HEPG-2细胞
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Influences of blood lipids on the occurrence and prognosis of hemorrhagic transformation after acute cerebral infarction: a case-control study of 732 patients 被引量:64
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作者 Gang Lv Guo-Qiang Wang +5 位作者 Zhen-Xi Xia Hai-Xia Wang Nan Liu Wei Wei Yong-Hua Huang Wei-Wei Zhang 《Military Medical Research》 SCIE CAS CSCD 2019年第3期189-200,共12页
Background: To study the influence of blood lipid levels on hemorrhagic transformation(HT) and prognosis after acute cerebral infarction(ACI).Methods: Patients with ACI within 72 h of symptoms onset between January 1 ... Background: To study the influence of blood lipid levels on hemorrhagic transformation(HT) and prognosis after acute cerebral infarction(ACI).Methods: Patients with ACI within 72 h of symptoms onset between January 1 st, 2015, and December 31 st, 2016, were retrospectively analyzed. Patients were divided into group A(without HT) and group B(HT). The outcomes were assessed after 3 months of disease onset using the modified Rankin Scale(m RS). An m RS score of 0–2 points indicated excellent prognosis, and an m RS score of 3–6 points indicated poor prognosis.Results: A total of 732 patients conformed to the inclusion criteria, including 628 in group A and 104 in group B. The incidence of HT was 14.2%, and the median onset time was 2 d(interquartile range, 1–7 d). The percentages of patients with large infarct size and cortex involvement in group B were 80.8% and 79.8%, respectively, which were both significantly higher than those in group A(28.7 and 33.4%, respectively). The incidence rate of atrial fibrillation(AF) in group B was significantly higher than that in group A(39.4% vs. 13.9%, P<0.001). The adjusted multivariate analysis results showed that large infarct size, cortex involvement and AF were independent risk factors of HT, while total cholesterol(TC) was a protective factor of HT(OR=0.359, 95% CI 0.136–0.944, P=0.038). With every 1 mmol/L reduction in normal TC levels, the risk of HT increased by 64.1%. The mortality and morbidity at 3 months in group B(21.2% and 76.7%, respectively) were both significantly higher than those in group A(8.0% and 42.8%, respectively). The adjusted multivariate analysis results showed that large infarct size(OR=12.178, 95% CI 5.390–27.516, P<0.001) was an independent risk factor of long-term unfavorable outcomes, whereas low-density lipoprotein cholesterol(LDL-C) was a protective factor(OR=0.538, 95% CI 0.300–0.964, P=0.037). With every 1 mmol/L reduction in normal LDL-C levels, the risk of an unfavorable outcome increased by 46.2%. Major therapies, including intravenous recombinant human tissue plasminogen activator(r TPA), intensive lipid-lowering statins and anti-platelets, were not significantly related to either HT or long-term, post-ACI poor prognosis.Conclusions: For patients with large infarct sizes, especially those with cortex involvement, AF, or lower levels of TC, the risk of HT might increase after ACI. The risk of a long-term unfavorable outcome in these patients might increase with a reduction in LDL-C. 展开更多
关键词 Acute cerebral infarction HEMORRHAGIC transformation total cholesterol LOW-DENSITY LIPOPROTEIN Intensive lipid-LOWERING STATINS ANTI-PLATELET Atrial fibrillation modified Rankin scale
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Stabilization of membrane bound ATPases and lipid peroxidation by carotenoids from Chlorococcum humicola in Benzo(a)pyrene induced toxicity
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作者 Bhagavathy S Sumathi P 《Asian Pacific Journal of Tropical Biomedicine》 SCIE CAS 2012年第5期380-384,共5页
Objective:To identify the alleralinn of the membrane polenlial and llie effect of carolenoid extracts from Chlorococcum hnmicola(C.humicola) on membrane hound ATPases and lipid peroxidation.Methods:The lolal carotenoi... Objective:To identify the alleralinn of the membrane polenlial and llie effect of carolenoid extracts from Chlorococcum hnmicola(C.humicola) on membrane hound ATPases and lipid peroxidation.Methods:The lolal carotenoids were extracted from C.humicola.Four groups of Swiss albino mice were treated as control,Benzo(a)pyrene[B(a)P],total carotenoids,B(a)P+ total caralenoids respectively for a period of 60 days.Membrane lipid peroxidation and ATPases(Total ATPases,Ca^(2+)-ATPases.Mg^(2+)-ATPases.Na^+K^+- ATPasei were determined in lung,liver and erythrocyte samples.Results:The activity of lolal ATPase was found to be significantly increased in the B(a)P treated liver and lung tissue.Erythrocyte membrane also showed higher ATPase activity which was significantly reverted on total carolenoid treatment.Conclusions: It can be concluded that the changes in membrane potential favour the functional deterioration of physiological system.The overall findings demonstrates that the animals post treated with carolenoid extract from C.humicola may maintains the alterations in membrane bound ATPase and lipid peroxidation in tissues against the carcinogenic chemical and hence aid in establishing the membrane potential action.Then-fore C.humicola can be further extended to exploits its possible application for various health benefits as neulraceulicals and food additives. 展开更多
关键词 Carotenoids Benzo(a)pyrene lipid peroxidation total ATPase Ca^(2+) ATPase Mg^(2+) ATPase Na^-/K^+ ATPase
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长江口雌性成体刀鲚不同组织的脂肪酸组成分析 被引量:1
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作者 李亚鸽 宋超 +4 位作者 赵峰 冯广朋 黄晓荣 耿智 庄平 《渔业科学进展》 CSCD 北大核心 2023年第6期124-132,共9页
刀鲚(Coilia nasus)是一种江海生殖洄游性鱼类,长江口是刀鲚重要的洄游通道。本研究首次关注洄游至长江口卵巢发育比较成熟的繁殖群体的营养状况,并比较分析了其不同组织总脂和脂肪酸组成,为探明长江口水域刀鲚繁殖群体的营养状况及繁... 刀鲚(Coilia nasus)是一种江海生殖洄游性鱼类,长江口是刀鲚重要的洄游通道。本研究首次关注洄游至长江口卵巢发育比较成熟的繁殖群体的营养状况,并比较分析了其不同组织总脂和脂肪酸组成,为探明长江口水域刀鲚繁殖群体的营养状况及繁殖性能提供参考信息。结果显示,肌肉、肝脏和卵巢中的水分含量依次降低,总脂含量依次增加。饱和脂肪酸(SFA)总量在肝脏中最高,肌肉中最低,3种组织间差异显著(P<0.05);单不饱和脂肪酸(MUFA)中C18:1n9c的含量最高,其在肌肉、肝脏和卵巢中的含量依次为(40.88±0.19)%、(35.06±1.84)%和(42.85±2.14)%,肝脏中含量显著低于其他2个组织(P<0.05);多不饱和脂肪酸(PUFA)、n3-PUFA及二十二碳六烯酸(DHA)含量在肌肉、肝脏和卵巢中依次升高,卵巢中的含量显著高于肝脏和肌肉(P<0.05),而后二者间的差异不显著(P>0.05)。肌肉、肝脏和卵巢中不饱和脂肪酸(UFA)/SFA的比值依次为2.35、1.67和4.49,n3-PUFA/n6-PUFA的比值依次为4.94、3.87和5.13,2组比值均在卵巢中最高,其次为肌肉,肝脏中最低。综上所述,本研究发现,卵巢发育至IV期的刀鲚成体的脂类和多不饱和脂肪酸营养存在向卵巢中选择性积累的特点,这是对该时期刀鲚繁殖活动的一种适应,该结果为进一步探明卵巢不同发育期刀鲚成体的营养需求差异及必需脂肪酸的合成转化途径提供了基础资料。 展开更多
关键词 刀鲚 长江口 肌肉 肝脏 卵巢 总脂 脂肪酸
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The Impact of Statin Intolerance in Lipid Clinic Patients
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作者 Kate Williams Vinita Mishra 《International Journal of Clinical Medicine》 2015年第5期314-321,共8页
Context: Cardiovascular disease is a very common and serious problem in the western world. Statin drug therapy is used in primary, secondary prevention and familial hypercholesterolemia. However, these are frequently ... Context: Cardiovascular disease is a very common and serious problem in the western world. Statin drug therapy is used in primary, secondary prevention and familial hypercholesterolemia. However, these are frequently associated with adverse effects, causing poor adherence and thus putting patients at risk for future cardiovascular events. Aim: The objective of this study was to review the statin intolerance in lipid patients and to assess the impact of alternative lipid lowering therapy on lipid parameters and cardiovascular outcome in statin intolerant patients. Methodology: 50 patients attending the out-patient lipid clinic of our hospital with statin intolerance were identified. Clinical data on the study patients were gathered retrospectively relating to statin intolerance and the clinical effectiveness of alternative lipid lowering therapy on lipid parameters and cardiovascular outcome. Results: Rosuvastatin was the most intolerable whereas pravastatin or fluvastatin was the most tolerable statin in our study patients. Myalgia was the commonly reported adverse effect of statin. The low dose statin monotherapy or combination of low dose statin and ezetemibe was the most tolerable alternative lipid lowering therapy in statin intolerant patients. After an average period of 10 months of initiation of alternative lipid lowering therapy;combination of low dose statin plus ezetimibe showed the largest reduction in serum total cholesterol and low-density lipoprotein (LDL) cholesterol levels. Conclusions: Pravastatin should be preferred in statin intolerant patients. A combination of low dose statin plus ezetimibe appeared to be the most tolerable and clinically effective therapy in statin intolerant patients. 展开更多
关键词 STATIN INTOLERANCE Alternative lipid Lowering Therapy LOW-DENSITY LIPOPROTEIN (LDL) total Cholesterol
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