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80例脑卒中患者感染肺炎病原菌类型分布与炎症因子表达的研究 被引量:1
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作者 杨丽萍 田家强 《医学检验与临床》 2024年第5期21-25,共5页
目的:探讨80例脑卒中患者感染肺炎病原菌类型分布与炎症因子表达。方法:选取2020年2月-2021年2月在山东国欣颐养集团枣庄中心医院收治的缺血性脑卒中患者80例作为卒中组,根据是否并发肺部感染将其分为肺部感染组(n=43)和未感染组(n=37)... 目的:探讨80例脑卒中患者感染肺炎病原菌类型分布与炎症因子表达。方法:选取2020年2月-2021年2月在山东国欣颐养集团枣庄中心医院收治的缺血性脑卒中患者80例作为卒中组,根据是否并发肺部感染将其分为肺部感染组(n=43)和未感染组(n=37);另同期随机选取健康体检人员80例作为对照组。分析肺部感染组患者病原菌分布情况。比较各组患者血清降钙素原(PCT)、超敏C反应蛋白(hs-CRP)和白细胞介素(IL)-8水平,采用Spearman等级相关性分析血清PCT、hs-CRP和IL-8水平与疾病严重程度的关系。同时随访1年,观察入组患者预后情况,比较感染组不同预后患者的血清学指标水平。结果:43例感染患者共检出病原菌68株,其中革兰阴性菌占60.29%,以铜绿假单胞菌为主,革兰阳性菌占35.30%,以金黄色葡萄球菌为主,真菌占4.41%,以白假丝酵母菌为主。感染组、未感染组患者血清PCT、hs-CRP和IL-8水平均显著高于对照组(P<0.05),且相较于未感染组,感染组患者血清PCT、hs-CRP和IL-8水平更高(P<0.05)。Spearman等级相关性分析显示,血清PCT、hs-CRP和IL-8水平均与疾病严重程度呈正相关(r=0.574、0.437、0.517,P均<0.05)。随访1年后,感染组死亡率为30.23%,明显高于未感染组的5.41%(P<0.05),感染组生存患者血清PCT、hs-CRP和IL-8水平均显著低于死亡者(P<0.05)。结论:缺血性脑卒中并发肺部感染患者的主要致病菌为革兰阴性菌,血清PCT、hs-CRP和IL-8水平呈异常升高,与患者疾病严重程度密切相关,且与患者预后存在联系。 展开更多
关键词 缺血性脑卒中 肺部感染 降钙素原 超敏C反应蛋白 白细胞介素-8
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Antiviral Effects of Interferons and Their Therapeutic Potentials for SARS
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作者 yangli-ping CAOSu-yan SHAOHong 《Journal of Chinese Pharmaceutical Sciences》 CAS 2003年第4期227-230,共4页
Viruses are obligatory intracellular parasites. Most of the cells in animaland human body possess the innate ability to fight viruses. Innate immune function restrictsinfection at the early stage and delay spread of v... Viruses are obligatory intracellular parasites. Most of the cells in animaland human body possess the innate ability to fight viruses. Innate immune function restrictsinfection at the early stage and delay spread of virus. The early stage of infection is the stage ofinteraction between the virus and the host's defence system. Once the latter is breached, the earlynon-specific or innate immune components such as interferon (IFN), natural killer (NK) cells andmacrophages become active. As the infection proceeds, the adaptive (specific) immune responsedevelops, with the appearance of cytotoxic T cells, helper T cells and antiviral antibodies.Antibodies provide a major barrier to virus spread between cells and cells and are particularlyimportant in restriction of virus spread in the blood stream. Virus infection directly activates thetranscription of type Ⅰ IFN (IFN-alfa/beta) genes in infected cells, while the type Ⅱ IFN(IFN-gamma) plays an essential role in the regulation of an adaptive immune response rather thaninnate immune response. Therefore, Type Ⅰ IFN is the first defence for host and neighbouring cellsto resist virus infection. 展开更多
关键词 INTERFERON antiviral effect SARS
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