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康复新液对颅脑损伤机械通气患者早期肠内营养的辅助作用 被引量:2
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作者 张宏伟 魏立友 +2 位作者 刘淑正 张振宇 张静 《中国基层医药》 CAS 2018年第9期1113-1116,共4页
目的 研究康复新液对颅脑损伤机械通气患者早期肠内营养的辅助作用及其对机械通气所产生的间接影响.方法 选择行早期肠内营养的颅脑损伤机械通气患者60例,采用随机数字表法分为治疗组和对照组各30例,两组患者均给予常规治疗和营养支持,... 目的 研究康复新液对颅脑损伤机械通气患者早期肠内营养的辅助作用及其对机械通气所产生的间接影响.方法 选择行早期肠内营养的颅脑损伤机械通气患者60例,采用随机数字表法分为治疗组和对照组各30例,两组患者均给予常规治疗和营养支持,治疗组在此基础上给予康复新液治疗.治疗前及治疗后7 d,检测两组清蛋白(ALB)、前白蛋白(PA)、总蛋白(TP);观察两组7 d内腹胀、反流、误吸发生率;观察两组机械通气时间、ICU住院时间;比较两组28 d病死率.结果 治疗后7 d,治疗组与对照组ALB[(33.47±4.82)g/L比(30.47±4.64)g/L]、PA[(206.21±41.87)mg/L比(185.62±38.94)mg/L]、TP[(57.82±5.96)g/L比(54.47±6.17)g/L]差异均有统计学意义(t=2.456、2.338、2.139,均P〈0.05).治疗组与对照组腹胀发生率(20.00%比53.33%)、反流发生率(16.67%比43.33%)、机械通气时间[(11.76±2.02)d比(13.02±1.96)d]、ICU住院时间[(13.74±2.31)d比(15.43±2.14)d]差异均有统计学意义(χ2=7.177、5.07,t=2.452、2.940,均P〈0.05).两组28 d病死率差异无统计学意义(P〉0.05).结论 康复新液对颅脑损伤机械通气患者早期肠内营养具有辅助作用,并能缩短机械通气时间. 展开更多
关键词 康复新液 颅脑损伤 呼吸 人工 肠道营养
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Association of gene polymorphisms of tumour necrosis factor-α and interleukin-13 with chronic obstructive pulmonary disease in Han nationality in Beijing 被引量:23
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作者 JIANGLing hebei +3 位作者 ZHAOMing-wu NINGLan-ding LIXiao-ying YAOWan-zhen 《Chinese Medical Journal》 SCIE CAS CSCD 2005年第7期541-547,共7页
Background Genetic factors are believed to play a role in the individual susceptibility to chronic obstructive pulmonary disease (COPD). A single nucleotide polymorphism (SNP) of tumour necrosis factor-α (TNF-α) has... Background Genetic factors are believed to play a role in the individual susceptibility to chronic obstructive pulmonary disease (COPD). A single nucleotide polymorphism (SNP) of tumour necrosis factor-α (TNF-α) has been reported but inconsistent results may arise from different populations and phenotypes of COPD. There are only a few published studies of interleukin-13 (IL-13) SNPs on COPD. The SNPs of TNF-α and IL-13 have not been studied in the Chinese population. This research was conducted to study the frequencies of IL-13 gene promoter 1055 (IL-13-1055) and TNF-α gene-308 polymorphisms in the patients with COPD and to investigate the effect of those genetic polymorphisms on COPD in the Chinese population.Methods A cohort of COPD patients and age matched controls were recruited from an inpatient hospital service in Beijing. Venous blood was obtained and genomic DNA was extracted from peripheral blood monocytes using standard method. Genomic DNA was used as a template for amplification by polymerase chain reaction (PCR) to determine the polymorphism at -1055 in the IL-13 gene promoter region. PCR restriction fragment length polymorphism (RFLP) was used to determine polymorphisms in the TNF-α gene-308 position. The products were investigated by sequence analysis also. Results One hundred and eleven COPD patients and 97 controls were studied. Seventy-five cases were current smokers in COPD patients and 36 were current smokers in controls. The frequencies of TT genotype in the IL-13 gene promoter region were 11.7% (13/111) in the COPD group and 13.4% (13/97) in the controls (P=0.713). However, the OR value of TT genotype was significantly increased to 6.4 (95% CI 1.62-25.39) in the smokers with COPD. TT genotype was also positively related to family history of COPD, OR=7.7 (95% CI 1.37-43.80). The frequencies of A allele in the TNF-α gene were 5.9% in COPD and 3.1% in controls (P=0.131). The OR value of A allele was 5.0 (95% CI 1.011 to 25.059) in smokers with COPD. Conclusions There is no significant difference in the frequencies of the TT genotype of IL-13-1055 or the A allele of the TNF-α between Han Chinese patients with COPD versus control. Thus, it does not appear that theseSNPs are independent factors in COPD for Han nationality in (Beijing. However,)these SNPs may increase the risk of COPD among smokers. 展开更多
关键词 INTERLEUKIN-13 tumour necrosis factor-α single nucleotide polymorphism chronic obstructive pulmonary disease
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