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Size-dependent Biological Effects on Vascular Endothelial Cells Induced by Different Particulate Matters 被引量:3
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作者 程文娟 荣怿 +3 位作者 史廷明 周婷 刘跃伟 陈卫红 《Journal of Huazhong University of Science and Technology(Medical Sciences)》 SCIE CAS 2014年第3期314-321,共8页
Summary: The contribution of particles to cardiovascular mortality and morbidity has been enlightened by epidemiologic and experimental studies. However, adverse biological effects of the particles with different siz... Summary: The contribution of particles to cardiovascular mortality and morbidity has been enlightened by epidemiologic and experimental studies. However, adverse biological effects of the particles with different sizes on cardiovascular cells have not been well recognized. In this study, sub-cultured human umbilical vein endothelial cells (HUVECs) were exposed to increasing concentrations of pure quartz particles (DQ) of three sizes (DQPM1, 〈1 μm; DQPM3-5, 3-5 μm; DQPM5, 5 μm) and carbon black particles of two sizes (CB0.1, 〈0.1 μm; CB 1, 〈 1 μm) for 24 h. Cytotoxicity was estimated by measuring the activity of lactate dehydrogenase (LDH) and cell viability. Nitric oxide (NO) generation and cyto- kines (TNF-α and IL-1β) releases were analyzed by using NO assay and enzyme-linked immunoabsorbent assay (ELISA), respectively. It was found that both particles induced adverse biological effects on HUVECs in a dose-dependent manner. The size of particle directly influenced the biological activity. For quartz, the smaller particles induced stronger cytotoxicity and higher levels of cytokine responses than those particles of big size. For carbon black particles, CB0.1 was more capable of inducing adverse responses on HUVECs than CB 1 only at lower particle concentrations, in contrast to those at higher concentrations. Meanwhile, our data also revealed that quartz particles performed stronger cell damage and produced higher levels of TNF-α than carbon black particles, even if particles size was similar. In conclusion, particle size as well as particle composition should be both considered in assessing vascular endothelial cells injury and inflammation responses induced by particles. 展开更多
关键词 PARTICLES vascular endothelial cells biological effects SIZE-DEPENDENT
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Kongsheng Zhenzhong pill's effect on the learning and memory ability and its neuroprotective effects in vascular dementia rats 被引量:3
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作者 Xuming Ji Huayun Yu +4 位作者 Bin Ouyang Guowei Liu Zhichun Wu Heng Liu Fang Du 《Neural Regeneration Research》 SCIE CAS CSCD 2011年第30期2342-2346,共5页
Clinical reports have demonstrated that the Kongsheng Zhenzhong pill (KSZZP), a classical prescription deriving from Valuable Prescription for Emergencies, has good therapeutic effects on vascular dementia. However,... Clinical reports have demonstrated that the Kongsheng Zhenzhong pill (KSZZP), a classical prescription deriving from Valuable Prescription for Emergencies, has good therapeutic effects on vascular dementia. However, the mechanisms that mediate its effects remain unclear. In this study, the expression of N-methyI-D-aspartate receptor 1 mRNA, the content of nitric oxide, and the concentration of calcium in neurons was determined with in situ hybridization, spectrophotometry and flow cytometry, respectively. In addition, the expressions of N-methyI-D-aspartate receptor 1, nerve growth factor protein, and glial cell line-derived neurotrophic factor protein were detected with immunohistochemistry. We found that KSZZP could significantly decrease the expression of N-methyI-D-aspartate receptor 1 mRNA and protein, the content of nitric oxide, and the concentration of calcium in neurons. KSZZP also increased the expression of nerve growth factor and glial cell line-derived neurotrophic factor protein in the hippocampus CA1 region and in the cerebral cortex. Morris water maze and passive avoidance tests verified that KSZZP ameliorated the cognitive impairments of vascular dementia rats. Moreover, the KSZZP-induced improvements in the cognitive functions of vascular dementia rats were correlated with both inhibition of N-methyl-D-aspartate-induced excitable neurotoxicity and elevation of neurotrophic factor expression. 展开更多
关键词 Kongsheng Zhenzhong pill vascular dementia learning and memory ability neuroprotective effects
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Protective effects of sodium ferulate in vascular endothelial function during cardiopulmonary bypass 被引量:1
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作者 廖健毅 《外科研究与新技术》 2011年第3期167-167,共1页
Objective Cardiopulmonary bypass (CPB) and its related ischemia reperfusion injury may cause endothelial cell injury. To study the protective effects of sodium ferulate in vascular endothelial function during CPB by t... Objective Cardiopulmonary bypass (CPB) and its related ischemia reperfusion injury may cause endothelial cell injury. To study the protective effects of sodium ferulate in vascular endothelial function during CPB by testing the changes of vascular endothelial cell(CEC) ,nitric oxide(NO) and endothelin-1 (ET-1) in children with congenital heart disease. Methods Sixty patients 展开更多
关键词 Protective effects of sodium ferulate in vascular endothelial function during cardiopulmonary bypass CEC
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Observation of curative effects of human growth factor on vascular dementia
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作者 王军民 韩丽琴 陈远芳 《中国临床康复》 CSCD 2002年第19期2978-2978,共1页
Objective To explore the treatment effect of human growth factor(NGF)on vascular dementia.Method47cases with vascular dementia were randomly div ided into two groups(study and control).The study group(24cases)were tre... Objective To explore the treatment effect of human growth factor(NGF)on vascular dementia.Method47cases with vascular dementia were randomly div ided into two groups(study and control).The study group(24cases)were treated with NGF,the control group(23cases)were treated with ordinary medicines.Results The intelligence and cognitive abil ity in the study group were obviously higher than those in the control group(P <0.01).Conclusion Compared with other methods,NGF has a significant curative effect. 展开更多
关键词 人神经生长因子 血管性痴呆 VD 疗效
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Clinical Study on Effect of Yuantong Capsule in Treating Vascular Dementia
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作者 黄俊山 林求诚 +2 位作者 黄荣璋 郑关毅 林智颖 《Chinese Journal of Integrated Traditional and Western Medicine》 2004年第1期77-77,共1页
Objective: To observe the clinical effect of Yuantong Capsule (YTC) in treating vascular dementia (VD). Methods: Eighty-three patients of VD were randomized on ratio of 2 : 1 into two groups, the 54 patients in the tr... Objective: To observe the clinical effect of Yuantong Capsule (YTC) in treating vascular dementia (VD). Methods: Eighty-three patients of VD were randomized on ratio of 2 : 1 into two groups, the 54 patients in the treated group were treated with YTC orally administered, 3 times a 展开更多
关键词 Clinical Study on effect of Yuantong Capsule in Treating vascular Dementia
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Experimental study of the effect of adipose stromal vascular fraction cells on the survival rate of fat transplantation
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作者 付冰川 《外科研究与新技术》 2011年第2期132-132,共1页
Objective To investigate the effect of adipose stromal vascular fraction cells(SVFs)on the survival rate of fat ransplantation.Methods 0.5mL autologous fat tissue was mixed with: ① DiI-labeled autologous SVFs (Group ... Objective To investigate the effect of adipose stromal vascular fraction cells(SVFs)on the survival rate of fat ransplantation.Methods 0.5mL autologous fat tissue was mixed with: ① DiI-labeled autologous SVFs (Group A);② 展开更多
关键词 rate ASCs Experimental study of the effect of adipose stromal vascular fraction cells on the survival rate of fat transplantation
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Glycosylation-independent binding to extracellular domains 11-13 of mannose-6-phosphate/insulin-like growth factor-2 receptor mediates the effects of soluble CREG on the phenotypic proliferation of vascular smooth muscle cells 被引量:5
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作者 LUAN Bo~1,HAN Ya-ling~1,SUN Ming-yu~1,GUO Liang~1,GUO Peng~1,TAO Jie~1,DENG Jie~1,WU Guang-zhe~1,YAN Cheng-hui~1, LI Shao-hua~2 (1.Department of Cardiology,Shenyang Northern Hospital, Shenyang,China 2.Division of Vascular Surgery,Robert Wood Johnson Medical School-UMDNJ,New Jersey,USA) 《岭南心血管病杂志》 2011年第S1期186-186,共1页
Background The present study aimed to investigate the detailed mode and specific sites for their binding as well as the functional relevance of this binding in the phenotypic proliferation of vascular smooth muscle ce... Background The present study aimed to investigate the detailed mode and specific sites for their binding as well as the functional relevance of this binding in the phenotypic proliferation of vascular smooth muscle cells(SMCs). Methods CREG knocked-down SMCs were employed to evaluate the biological activity of wtCREG and mCREG.Expressions of SMC differentiation markers SM myosin heavy chain(SM-MHC),SM-actin,heavy caldesmon and myocardin were determined by Western blotting using specific antibodies. Cellular growth of SMCs was assessed by bromide dewuridine (BrdU) incorporation and cell cycle analysis on fluorescence-activated cell sorting(FACS).A solid-phase binding assay was used to study the binding of CREG to extracellular domains of M6P/IGF2R.The cellular co-localization of the two recombinant CREGs with M6P/IGF2R was detected on SMC surface by immunoprecipitation and immunofluorescence analysis.Results The molecular weight of wtCREG was around 30 kD while that of the mCREG was~25 kD.Treatment of wtCREG with PNGase F reduced its molecular weight from~30 kD to~25 kD,whereas PNGase F treatment had no effect on the molecular weight of mCREG.Both wtCREG and mCREG proteins enhanced SMC differentiation,inhibited BrdU incorporation,and arrested cell cycle progression when added to the culture medium.In CREG knocked-down SMCs,the amount of CREG detected by immunoblotting in M6P/IGF2R immunoprecipitates was significantly reduced when compared to normal cells.Both recombinant CREGs co-immunoprecipitated with M6P/IGF2R, although slightly reduced amount of the mutant CREG was detected in M6P/IGF2R immunoprecipitates.Immunostaining revealed that His-tagged CREGs co-localized with IGF2R on the cell surface in a glycosylation-independent manner.In vitro binding assay showed that CREGs bound to M6P/ IGF2R extracellular domains 7-10 and 11-13 in a glycosylation -dependent and -independent manner,respectively.Further blocking experiments using soluble M6P/IGF2R fragments and M6P/IGF2R neutralizing antibody indicated that the biological activities of recombinant CREGs in SMC growth and the up-regulation of SMC differentiation markers were all abolished by treatment with the M6P/IGF2R neutralizing antibody. However,although the growth inhibitory effect of wtCREG was nearly abolished by D7-10 or D11-13,the effect of mCREG was only reversed by Dll-13,indicating that the binding to domains 11-13 is required for CREG to modulate the proliferation of SMCs.Conclusions These data suggest that solubleCREG proteins can exert their biological function via binding to the extracellular domains 7-10 and 11-13 of cell surface M6P/IGF2R in both a glycosylation-dependent and -independent manner. 展开更多
关键词 CREG Glycosylation-independent binding to extracellular domains 11-13 of mannose-6-phosphate/insulin-like growth factor-2 receptor mediates the effects of soluble CREG on the phenotypic proliferation of vascular smooth muscle cells IGF
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Effects of caffeic acid phenethyl ester on proliferation of vascular smooth muscle cells in rats 被引量:1
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作者 Gang Yang Chao Chang YuQing Wang Yibo Feng ShuLing Rong 《Journal of Nanjing Medical University》 2006年第6期355-359,共5页
Objective: To investigate the inhibitory effect of caffeic acid phenethyl ester(CAPE) on the proliferation of vascular smooth muscle cells (VSMC) activated by lipopolysaccharide (LPS) and to clarify its mechani... Objective: To investigate the inhibitory effect of caffeic acid phenethyl ester(CAPE) on the proliferation of vascular smooth muscle cells (VSMC) activated by lipopolysaccharide (LPS) and to clarify its mechanism. Methods: VSMC activated by LPS (1 mg-L^-1) were treated with CAPE at different concentrations. The inhibitory effecfs of CAPE on the proliferation of VSMC were determined by methabenzthiazuron(MTT) colorimetry. The effects of CAPE on the expression of proliferating cell nuclear antigen (PCNA) and Survivin protein in VSMC were evaluated by immunocytochemistry staining technique (SABC method). Cell cycle was analyzed by flow cytometry(FCM) with propidiumiodide (PI) labeling method. The relative expression level of Survivin mRNA was measured with real-time quantified RT-PCR technique. Results. CAPE exerted significant inhibitory effects on. proliferation of VSMC at concentrations ranging from 5 mg·L^-1 to 80 mg·L^-1, decreased the rate of cells positive for PCNA and Survivin protein and repressed the expressioh of Survivin mRNA in a dose- and time-dependent manner (P 〈 0.05). FCM analysis displayed that CAPE up-regulated the ratio of G0/G1 stages and reduced the percentage of VSMC in S stage (P 〈 0.05). Conclusion: CAPE can significantly inhibit the proliferation of VSMC activated by LPS in a dose- and time-dependent manner, which may be carded out through regulating cell cycle and repressing the expression of PCNA and Survivin. 展开更多
关键词 effect of caffeic acid phenethyl ester vascular smooth muscle cells PROLIFERATION SURVIVIN proliferating cell nuclear antigen
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Advances of Study on Recombinant Vascular Endothelial Growth Factor 被引量:4
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作者 穆尼热 刘景晶 《药物生物技术》 CAS CSCD 2000年第3期190-192,共3页
血管内皮生长因子 (Vascularendothelialgrowthfactor,VEGF)是 1 989年Ferrara等在牛垂体滤泡星状细胞体外培养液中首先纯化出来的。到目前为止已经发现了六个VEGF异构体 ,包括VEGF1 2 1 ,VEGF1 45,VEGF1 6 5,VEGF1 83 ,VEGF1 89,VEGF2 ... 血管内皮生长因子 (Vascularendothelialgrowthfactor,VEGF)是 1 989年Ferrara等在牛垂体滤泡星状细胞体外培养液中首先纯化出来的。到目前为止已经发现了六个VEGF异构体 ,包括VEGF1 2 1 ,VEGF1 45,VEGF1 6 5,VEGF1 83 ,VEGF1 89,VEGF2 0 6。已经发现高亲和力的VEGF受体有两类 ,分别为Flt 1 (Fms liketyrosinekinase)和KDR(kinasedomainregion)。重点介绍了VEGF两个方面的应用前景。一方面用于治疗下肢缺血和心脏病 。 展开更多
关键词 重组血管内皮生长因子 生物功能 单克隆抗体
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A new cerebroside and its anti-proliferation effect on VSMCs from the radix of Cyperus rotundus L. 被引量:5
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作者 Pei Liu Li Liu +2 位作者 Yu Ping Tang Jin Ao Duan Nian Yun Yang 《Chinese Chemical Letters》 SCIE CAS CSCD 2010年第5期606-609,共4页
A new cerebroside,1-O-(β-D-glucopyranosyloxy)-(2S,3R,4E,8Z)-2-[(2′R)-2’-hydroxylignoceranoylamino]-4,8-tetradecene-3- diol was isolated from the 60%EtOH extract of traditional Chinese medical plant Cyperus rotundus... A new cerebroside,1-O-(β-D-glucopyranosyloxy)-(2S,3R,4E,8Z)-2-[(2′R)-2’-hydroxylignoceranoylamino]-4,8-tetradecene-3- diol was isolated from the 60%EtOH extract of traditional Chinese medical plant Cyperus rotundus L.Its structure was determined on the basis of spectroscopic data.This new compound showed anti-proliferation effect on vascular smooth muscle cells(VSMCs). 展开更多
关键词 Cyperus rotundus CEREBROSIDE Anti-proliferation effect vascular smooth muscle cells(VSMCs)
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依达拉奉右莰醇治疗老年急性脑梗死的疗效及对血管内皮功能的影响 被引量:1
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作者 曾芳 章晓富 孙华 《中国药物应用与监测》 2025年第5期774-777,共4页
目的探讨依达拉奉右莰醇治疗老年急性脑梗死的疗效及对血管内皮功能的影响。方法按照简单随机法将2023年12月至2024年11月于郑州市中心医院接受针对性治疗的急性脑梗死老年患者共118例分入对照组(n=59)和联合组(n=59)。对照组患者接受... 目的探讨依达拉奉右莰醇治疗老年急性脑梗死的疗效及对血管内皮功能的影响。方法按照简单随机法将2023年12月至2024年11月于郑州市中心医院接受针对性治疗的急性脑梗死老年患者共118例分入对照组(n=59)和联合组(n=59)。对照组患者接受阿替普酶静脉溶栓治疗,联合组在对照组的基础上加用依达拉奉右莰醇治疗。对照组和联合组的疗程均为14 d。对比对照组和联合组患者的临床疗效,以及治疗前后血管内皮功能指标、脑血流动力学指标及不良反应。结果对照组患者的总有效率为83.05%(49/59),低于联合组(98.31%,58/59),差异有统计学意义(χ^(2)=8.121,P=0.004)。治疗后对照组和联合组患者的血清内皮素1、一氧化氮水平均降低,血清睾酮水平均升高,联合组患者的血清睾酮水平[(5.97±1.36)nmol·L^(-1)]高于对照组[(4.12±1.05)nmol·L^(-1)],血清内皮素1、一氧化氮水平[(65.02±5.85)ng·L^(-1)、(31.01±3.10)μmol·L^(-1)]低于对照组[(72.33±5.78)ng·L^(-1)、(45.03±6.39)μmol·L^(-1)],差异有统计学意义(t=8.266、6.858、15.163,P<0.05)。治疗后对照组和联合组患者的平均脑血流速度、搏动指数水平升高,而血管阻力指数水平下降,联合组患者的平均脑血流速度、搏动指数水平[(64.14±6.78)cm·s^(-1),(23.65±0.95)]高于对照组[(53.02±5.61)cm·s^(-1)、(19.33±0.85)],血管阻力指数水平(0.71±0.02)低于对照组(0.99±0.12),差异有统计学意义(t=9.705、26.021、17.695,P<0.05)。对照组患者的不良反应发生率为3.39%(2/59),联合组为1.69%(1/59),差异无统计学意义(χ^(2)<0.001,P=1.000)。结论采用依达拉奉右莰醇治疗急性脑梗死老年患者可获得较好的临床效果,能够提高血管内皮功能,改善脑血流动力学。 展开更多
关键词 依达拉奉右莰醇 静脉溶栓 急性脑梗死 临床疗效 血管内皮功能
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脑动脉瘤破裂出血患者血管介入栓塞术治疗时机对其疗效及近远期预后的影响观察 被引量:1
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作者 金祥兵 何强 +5 位作者 吴晓宏 邓明均 李吻 朱红斌 肖耀东 吴燕燕 《中华神经外科疾病研究杂志》 2025年第4期88-92,共5页
目的探讨脑动脉瘤破裂出血患者血管介入栓塞术治疗时机对其疗效及近远期预后的影响。方法选取2021年4月至2024年4月,东台市人民医院收治的91例脑动脉瘤破裂出血患者的临床资料。患者均采用血管介入栓塞术治疗,根据治疗时机不同分为对照... 目的探讨脑动脉瘤破裂出血患者血管介入栓塞术治疗时机对其疗效及近远期预后的影响。方法选取2021年4月至2024年4月,东台市人民医院收治的91例脑动脉瘤破裂出血患者的临床资料。患者均采用血管介入栓塞术治疗,根据治疗时机不同分为对照组(发病24 h后治疗,n=43)和研究组(发病24 h内治疗,n=48)。比较两组患者的临床疗效、并发症发生率、炎症因子[白细胞介素6(IL-6)、肿瘤坏死因子α(TNF-α)、基质金属蛋白酶-8(MMP-8)]、日常生活活动能力[改良Barthel指数(MBI)、功能独立性评定量表(FIM)]以及预后转归[格拉斯哥预后评定量表(GOS)]的差异。结果研究组术后动脉瘤完全栓塞率为95.83%高于对照组的81.40%(P<0.05);研究组术后颅内出血控制率为97.92%高于对照组的90.70%(P<0.05);研究组术后并发症发生率为8.33%低于对照组的25.58%(P<0.05);两组患者术后24 h炎症因子IL-6、TNF-α、MMP-8水平均低于同组术前,且研究组低于对照组(P<0.05);研究组患者日常生活活动能力MBI、FIM评分高于对照组(P<0.05)。两组患者术后90 d预后转归GOS评分均高于术后30 d,且研究组术后30 d、90 d的GOS评分均高于对照组,研究组术后良好预后率为87.50%高于对照组的67.44%(P<0.05)。结论脑动脉瘤破裂出血患者接受血管介入栓塞术的治疗时机对其疗效及近远期预后具有显著影响,发病24 h内接受治疗的患者预后更佳。 展开更多
关键词 脑动脉瘤 破裂出血 血管介入栓塞术 治疗时机 疗效 预后
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抽吸取栓技术对急性脑血管闭塞患者血管再通的临床效果分析
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作者 刘华 万栋栋 +3 位作者 吴涛 李阳 喻俊 田龙飞 《宁夏医科大学学报》 2025年第10期1015-1019,共5页
目的分析直接抽吸取栓技术对急性脑血管闭塞患者血管再通的临床效果。方法纳入2022年1月—2024年6月收治的96例急性脑血管闭塞患者,分为对照组(支架取栓50例)和观察组(直接抽吸取栓46例),对比两组手术指标、神经功能(NIHSS评分)、临床... 目的分析直接抽吸取栓技术对急性脑血管闭塞患者血管再通的临床效果。方法纳入2022年1月—2024年6月收治的96例急性脑血管闭塞患者,分为对照组(支架取栓50例)和观察组(直接抽吸取栓46例),对比两组手术指标、神经功能(NIHSS评分)、临床结局预后(mRS评分)、治疗费用及不良事件发生率。结果直接抽吸组患者的穿刺至血管再通时间短于对照组,且观察组患者的再通尝试次数少于对照组(P<0.05);患者术后24 hNIHSS评分分析结果显示,对照组(12.31±2.93)高于观察组(11.12±2.88),差异有统计学意义(P<0.05);直接抽吸组患者的治疗费用低于对照组(P<0.05);两组患者的造影剂渗出、血栓逃逸、再灌注颅内出血、大面积脑梗死发生率差异无统计学意义(P>0.05)。结论急性脑血管闭塞患者采用直接抽吸取栓技术治疗,可减少患者的穿刺至血管再通时间,降低再通尝试次数和治疗费用,血管再通效果理想,有助于促进患者神经功能恢复,改善预后。 展开更多
关键词 直接抽吸取栓技术 急性脑血管闭塞 血管再通 临床效果
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CLINICAL OBSERVATION ON COMBINED TREATMENT OF VASCULAR DEMENTIA WITH ACUPUNCTURE, MOXIBUSTION AND CHINESE MEDICINAL HERBS
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作者 庄礼兴 李艳慧 +1 位作者 郑谅 杨文辉 《World Journal of Acupuncture-Moxibustion》 1998年第4期7-11,共5页
In the present study, the clinical effect of acupuncture, moxibustion plus Chinese medicinal herbs for treatment of 30 cases of vascular dementia (VD) was observed and their mechanisms were analyzed by determining the... In the present study, the clinical effect of acupuncture, moxibustion plus Chinese medicinal herbs for treatment of 30 cases of vascular dementia (VD) was observed and their mechanisms were analyzed by determining the activity of SOD, LPO and GSH-Px. Results showed that after 2 months’combined treatment, of the 30 cases, 12 had marked improvement, 15 had improvement and 3 had not any improvement, with an effective rate of 90%; the activity of SOD and GSH-Px increased considerably while the content of LPO lowered strikingly. There were significant differences between pre-and post-treatment in the activity of SOD and GSH-Px and the content of LPO (P<0. 01). It reveals that this method is capable of improving VD patients’ clinical symptoms and signs such as headache, dizziness, hemi-paralysis or hemianesthesia, forced crying and laughing, etc.and also raising the ability of the body in removing oxygen free radical, and suppressing peroxidization of free radical to reduce its products, thereby alleviating the toxic effect of oxygen free radical on the brain tissues. 展开更多
关键词 vascular DEMENTIA Acupuncture MOXIBUSTION plus Chinese HERBS treatment Clinical effect Oxygen free radical
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医学人物启发下的角色代入式案例教学在肺血管疾病课程中的应用研究
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作者 郭建淑 梁婷 +3 位作者 张燕 闫沛静 张敏 曹云山 《实用医院临床杂志》 2025年第6期176-180,共5页
目的探索医学人物启发下的角色代入式案例教学模式在肺血管疾病教学中的应用效果,并评价其对医学生理论水平、临床技能及综合能力的影响。方法选取电子科技大学医学院2021级与2022级临床医学本科生共61人,采用随机数字法分为传统教学组(... 目的探索医学人物启发下的角色代入式案例教学模式在肺血管疾病教学中的应用效果,并评价其对医学生理论水平、临床技能及综合能力的影响。方法选取电子科技大学医学院2021级与2022级临床医学本科生共61人,采用随机数字法分为传统教学组(A组,30人)和角色代入式案例教学组(B组,31人)。A组采用讲授式教学,B组在课程中引入医学人物(奥斯勒、居里、冯·隆伯格等)的医学思想与贡献,学生以“历史医生”身份参与病例分析。通过出科考试成绩、学生自我评价问卷以及教学质量评估多维度比较两组效果。结果B组理论知识、临床技能考核成绩均显著优于A组(P<0.001)。自我评价方面,B组在学习兴趣、自主学习能力、临床思维、临床实践及团队协作等维度得分均显著高于A组(P<0.01)。教学质量评估显示,B组在课堂互动、反馈及时性、学习氛围及内容应用性等方面评分亦明显优于A组(P<0.001)。结论医学人物启发下的角色代入式案例教学能够有效提升医学生在肺血管疾病课程中的学习兴趣、理论与实践能力以及团队合作意识,优于传统教学方式。该模式有助于培养医学生临床思维、科研素养与医学使命感,具有良好的推广前景。 展开更多
关键词 医学人物 角色代入式案例教学 肺血管疾病 医学教育 教学效果
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Vascular Trauma Registry Analysis in Sulaimani Province of Southern Kurdistan
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作者 Aram Baram Fahmi H. Kakamad +1 位作者 Warzer F. Shali Rebwar Sayed-Nouri 《Surgical Science》 2015年第8期369-375,共7页
Background: Vascular injury presents a great challenge to the trauma and vascular surgeons because it needs urgent diagnosis and intervention. Aims: Prospective cohort study is to determine management and outcome of p... Background: Vascular injury presents a great challenge to the trauma and vascular surgeons because it needs urgent diagnosis and intervention. Aims: Prospective cohort study is to determine management and outcome of peripheral vascular injuries in a tertiary centre with very poor facilities. Methods: Analysis of peripheral vascular injuries during August 2013 to August 2014. Results: Total of 47 patients (3.4%) from 1377 total trauma admissions had vascular injuries. Penetrating trauma was present in 93.6% of cases. Brachial artery injury was the highest (31.9%), followed by superficial femoral and popliteal arteries (each with 17% incidence). Vein injury occurred in 61.7% of cases. End-to-end anastomosis performed in 76.6% of cases;arterial ligation was done in 14.9% of cases;venous graft was harvested in 6.4% of cases;and arterial wall was repaired in 2.1% of cases. Conclusions: Early intervention is the most important determinant factor of outcome. 展开更多
关键词 PERIPHERAL vascular TRAUMA Hard SIGNS Soft SIGNS Long-Term OUTCOME Surgical effect COMPLICATIONS
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活血化瘀药影响肿瘤转移的分子机制研究进展
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作者 朱紫妍 朱芸萱 +5 位作者 陈琼 邹珏瑶 王爱云 赵杨 陆茵 陈文星 《南京中医药大学学报》 北大核心 2025年第9期1251-1257,共7页
活血化瘀法治疗肿瘤在中医肿瘤治疗理论中占有重要地位,但活血化瘀药对肿瘤转移的影响在临床上存在一定的争议,使得活血化瘀药对肿瘤转移的影响研究备受关注。文章结合中医对肿瘤病因病机的认识,从活血化瘀药影响肿瘤血管生成、诱导肿... 活血化瘀法治疗肿瘤在中医肿瘤治疗理论中占有重要地位,但活血化瘀药对肿瘤转移的影响在临床上存在一定的争议,使得活血化瘀药对肿瘤转移的影响研究备受关注。文章结合中医对肿瘤病因病机的认识,从活血化瘀药影响肿瘤血管生成、诱导肿瘤血管正常化、干扰肿瘤细胞Warburg效应等方面详细阐述活血化瘀药及其效应成分影响肿瘤转移的分子机制,为活血化瘀法抗肿瘤治疗理论提供依据。 展开更多
关键词 活血化瘀药 抗肿瘤 肿瘤转移 血管生成 血管正常化 Warburg效应
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基于HIF-1α/VEGF信号通路探讨瑶药肿瘤藤对HepG2肝癌细胞的效应机制 被引量:1
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作者 蒋著椿 彭佩纯 +4 位作者 李小梅 李慧 罗彩玉 邓鑫 《陕西中医》 2025年第6期723-728,共6页
目的:探讨瑶药肿瘤藤通过HIF-1α/VEGF信号通路对HepG2肝癌细胞的影响,以探究其可能的效应机制。方法:体外模拟肝癌细胞缺氧微环境,制备肿瘤藤低、中、高剂量含药血清。随机分为常氧模型组、乏氧模型组、肿瘤藤低、中、高剂量组。CCK-8... 目的:探讨瑶药肿瘤藤通过HIF-1α/VEGF信号通路对HepG2肝癌细胞的影响,以探究其可能的效应机制。方法:体外模拟肝癌细胞缺氧微环境,制备肿瘤藤低、中、高剂量含药血清。随机分为常氧模型组、乏氧模型组、肿瘤藤低、中、高剂量组。CCK-8法检测各组细胞活性情况,采用Hoechst33342染色法检测各组细胞凋亡情况,Transwell实验检测细胞迁移能力,免疫荧光化学染色检测HIF-1α、VEGF阳性细胞表达量,流式细胞术检测细胞凋亡比率,RT-qPCR和Western blot检测各组细胞中HIF-1α、VEGF和Caspase-1 mRNA及蛋白的表达水平。结果:与常氧模型组比较,乏氧模型组细胞活性上升,细胞凋亡比率下降,迁移细胞数增多,HIF-1α、VEGF及Caspase-1 mRNA及蛋白表达水平升高(均P<0.05);与模型组相比,肿瘤藤含药血清各剂量组细胞活性降低,细胞凋亡比率上升,迁移细胞数减少,HIF-1α、VEGF及Caspase-1 mRNA及蛋白表达量下降,且中剂量组效果最佳(均P<0.05)。结论:瑶药肿瘤藤可以通过下调HIF-1α/VEGF信号通路影响HepG2肝癌细胞的侵袭转移并促进其凋亡,从而减少肿瘤区域的血管生成。 展开更多
关键词 肝细胞癌 瑶药肿瘤藤 缺氧诱导因子-1Α 信号通路 血管内皮生长因子 效应机制
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介入溶栓治疗急性脑梗死的疗效及对患者血管内皮功能、基质金属蛋白酶、神经损伤介质的影响
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作者 徐筱彤 陈节 +1 位作者 王涛 胡再虎 《临床和实验医学杂志》 2025年第8期790-794,共5页
目的研究介入溶栓治疗急性脑梗死(ACI)的疗效及对患者血管内皮功能、基质金属蛋白酶(MMP)、神经损伤介质的影响。方法前瞻性纳入2021年7月至2024年6月铜陵市人民医院收治的96例ACI患者,按照随机数字表法将患者分为试验组(n=48)、对照组(... 目的研究介入溶栓治疗急性脑梗死(ACI)的疗效及对患者血管内皮功能、基质金属蛋白酶(MMP)、神经损伤介质的影响。方法前瞻性纳入2021年7月至2024年6月铜陵市人民医院收治的96例ACI患者,按照随机数字表法将患者分为试验组(n=48)、对照组(n=48)。对照组行静脉溶栓治疗,试验组行介入溶栓治疗。观察两组治疗前及治疗14 d后的神经功能[美国国立卫生研究院卒中量表(NIHSS)评分]、血清血管内皮介质[一氧化氮(NO)、血管内皮生长因子(VEGF)及内皮型一氧化氮合酶(eNOS)]水平、MMP-2、MMP-9、MMP-12、神经损伤介质[富含半胱氨酸蛋白61(CYR61)、泛素羧基末端水解酶-1(UCH-L1)、锌指样转录因子2(KLF2)]水平,并比较两组术后不良反应发生情况。结果治疗14 d后,两组NIHSS评分均较治疗前降低,且试验组NIHSS评分为(5.96±0.62)分,低于对照组[(7.50±0.77)分],差异均有统计学意义(P<0.05)。治疗14 d后,两组NO、VEGF、eNOS水平均较治疗前升高,且试验组NO、VEGF、eNOS水平分别为(75.32±7.84)μmol/L、(386.27±40.92)pg/mL、(76.36±7.85)U/mL,均高于对照组[(69.21±7.23)μmol/L、(352.58±37.54)pg/mL、(71.44±7.41)U/mL],差异均有统计学意义(P<0.05)。治疗14 d后,两组MMP-2、MMP-9、MMP-12水平均较治疗前降低,且试验组MMP-2、MMP-9、MMP-12水平分别为(183.44±20.30)、(182.48±20.25)、(12.06±1.31)μg/L,均低于对照组[(202.25±22.34)、(198.28±22.13)、(13.01±1.40)μg/L],差异均有统计学意义(P<0.05)。治疗14 d后,两组CYR61、UCH-L1水平均较治疗前降低,KLF2水平均较治疗前升高,且试验组CYR61、UCH-L1水平分别为(9.02±0.91)、(0.23±0.03)μg/L,均低于对照组[(10.05±1.12)、(0.28±0.04)μg/L],KLF2水平为(1.51±0.17)ng/L,高于对照组[(1.40±0.15)ng/L],差异均有统计学意义(P<0.05)。试验组术后不良反应发生率为2.08%,低于对照组(14.58%),差异有统计学意义(P<0.05)。结论与静脉溶栓相比较,介入溶栓治疗ACI可提高患者术后神经功能,改善患者血管内皮功能及神经损伤介质水平,降低血清MMP水平,减少术后并发症。 展开更多
关键词 脑梗死 基质金属蛋白酶类 介入溶栓 疗效 血管内皮功能 神经损伤介质
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阿利沙坦酯对老年高血压患者血管内皮功能的影响及治疗效果 被引量:2
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作者 刘继云 《中外医疗》 2025年第3期63-66,共4页
目的 探究在老年高血压病治疗中应用阿利沙坦酯的临床疗效及对血管内皮功能的影响。方法 利用2022年12月—2024年1月单县中心医院提供的72例老年高血压患者的临床资料进行研究,根据治疗方法不同分为研究组和常规组,各36例。常规组采用... 目的 探究在老年高血压病治疗中应用阿利沙坦酯的临床疗效及对血管内皮功能的影响。方法 利用2022年12月—2024年1月单县中心医院提供的72例老年高血压患者的临床资料进行研究,根据治疗方法不同分为研究组和常规组,各36例。常规组采用常规降压药物治疗,研究组采用阿利沙坦酯治疗。比较两组血压和血清指标变化、不良反应情况、血管内皮功能及治疗有效率。结果 治疗后,研究组的收缩压和舒张压均低于治疗前,且研究组低于常规组,差异均有统计学意义(P均<0.05)。研究组氨基末端脑钠肽前体水平为(1 805.42±239.58)ng/L,低于常规组的(2 040.31±245.36)ng/L,差异有统计学意义(t=4.110,P<0.05)。研究组不良反应总发生率低于常规组,差异有统计学意义(P<0.05)。治疗后,研究组血管内皮功能指标优于常规组,差异有统计学意义(P<0.05)。研究组治疗总有效率高于常规组,差异有统计学意义(P<0.05)。结论 阿利沙坦酯治疗老年高血压效果显著,可以在有效控制血压的同时,改善患者血管内皮功能,降低不良反应发生率,提高治疗有效率。 展开更多
关键词 血管内皮功能 临床疗效 老年高血压 阿利沙坦酯
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