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血液透析联合血液灌流治疗尿毒症脑病效果及对患者血清脑源性神经营养因子和神经肽Y的影响 被引量:18
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作者 张绎平 韩亚荣 +5 位作者 刘云霞 张宝桐 任丽丽 郭冬慈 吴丹 富丽 《陕西医学杂志》 CAS 2019年第8期1028-1031,共4页
目的:探讨血液透析(HD)联合血液灌流(HP)对尿毒症脑病的治疗效果,同时观察血清中脑源性神经营养因子(BDNF)和神经肽Y(NPY)含量的变化。方法:选择94例尿毒症脑病患者,随机分为两组,每组各47例,对照组应用HD治疗,观察组应用HD+HP治疗。分... 目的:探讨血液透析(HD)联合血液灌流(HP)对尿毒症脑病的治疗效果,同时观察血清中脑源性神经营养因子(BDNF)和神经肽Y(NPY)含量的变化。方法:选择94例尿毒症脑病患者,随机分为两组,每组各47例,对照组应用HD治疗,观察组应用HD+HP治疗。分别于治疗前、后检测血清中血尿素氧(BUN)、血肌酐(Scr)、全段甲状旁腺激素(iPTH)、β2-微球蛋白(β2-MG)、BDNF和NPY的水平。结果:观察组的总有效率80.9%明显高于对照组的61.7%(χ2=4.209,P<0.05),两组治疗后BUN、Scr、iPTH和β2-MG均下降,但是观察组的下降值更明显。两组治疗后BDNF和NPY均升高,但是观察组的升高值更明显。结论:尿毒症脑病患者应用HD+HP治疗的效果明显,对清除尿毒症毒素,提高治疗效果有明显价值,同时能调节血清中BDNF和NPY的含量。 展开更多
关键词 尿毒症脑病 治疗 血液透析 血液灌流 脑源性神经营养因子 神经肽Y
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Stem cells modified by brain-derived neurotrophic factor to promote stem cells differentiation into neurons and enhance neuromotor function after brain injury 被引量:24
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作者 张赛 刘晓智 +4 位作者 刘振林 王延民 胡群亮 马铁柱 孙世中 《Chinese Journal of Traumatology》 CAS 2009年第4期195-199,共5页
Objective: To promote stem cells differentiation into neurons and enhance neuromotor function after brain injury through brain-derived neurotrophic factor (BDNF) induction. Methods: Recombinant adenovirus vector ... Objective: To promote stem cells differentiation into neurons and enhance neuromotor function after brain injury through brain-derived neurotrophic factor (BDNF) induction. Methods: Recombinant adenovirus vector was applied to the transfection of BDNF into human-derived umbilical cord mesenchymal stem cells (UCMSCs). Enzyme linked immunosorbent assay (ELISA) was used to determine the secretion phase of BDNF. The brain injury model of athymic mice induced by hydraulic pressure percussion was established for transplantation of stem cells into the edge of injury site. Nerve function scores were obtained, and the expression level of transfected and non-transfected BDNF, proportion of neuron specific enolase (NSE) and glial fibrillary acidic protein (GFAP), and the number of apoptosis cells were compared respectively. Results: The BDNF expression achieved its stabilization at a high level 72 hours after gene transfection. The mouse obtained a better score of nerve function, and the proportion of the NSE-positive cells increased significantly (P〈0.05), but GFAP-positive cells decreased in BDNF- UCMSCs group compared with the other two groups (P〈0.05). At the site of high expression of BDNF, the number of apoptosis cells decreased markedly. Conclusion: BDNF gene can promote the differentiation of the stem cells into neurons rather than glial cells, and enhance neuromotor function after brain injury. 展开更多
关键词 brain-derivedneurotrophicfactor Stem cells Cell differentiation Brain injuries
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