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Influence of dexamethasone on inflammatory mediators and NF-κB expression in multiple organs of rats with severe acute pancreatitis 被引量:43
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作者 Xi-Ping Zhang Ling Zhang +5 位作者 Lin-Jie Chen Qi-Hui Cheng Jian-Mei Wang Wei Cai Hai-Ping Shen Jun Cai 《World Journal of Gastroenterology》 SCIE CAS CSCD 2007年第4期548-556,共9页
AIM: To observe the therapeutic effects of dexamethasone on rats with severe acute pancreatitis (SAP) and investigate the influences of dexamethasone on the inflammatory mediators and NF-κB expression in multiple org... AIM: To observe the therapeutic effects of dexamethasone on rats with severe acute pancreatitis (SAP) and investigate the influences of dexamethasone on the inflammatory mediators and NF-κB expression in multiple organs of SAP rats as well as the mechanisms involved. METHODS: Ninety Sprague-Dawley (SD) rats with SAP were randomly divided into the model group (n = 45) and dexamethasone treatment group (n = 45), and another 45 rats were selected for the sham operation group. All groups were randomly subdivided into the 3 h, 6 h and 12 h groups, each group containing 15 rats. The survival of all groups and pathological changes of multiple organs (liver, kidney and lung) were observed at different time points after the operation. The pathologicalscore of multiple organs was carried out, followed by the determination of amylase, endotoxin and TNF-α contents in blood. The tissue microarray was used to detect the expression levels of NF-κB p65 protein in multiple organs. RESULTS: There was no marked difference between the model group and treatment group in the survival rate. The amylase content of the treatment group was significantly lower compared to the model group at 12 h (P < 0.01, 7791.00 vs 9195.00). Moreover, the endotoxin and TNF-α levels of the treatment group were significantly lower than that of the model group at 6 h and 12 h (P < 0.01, 0.040 vs 0.055, 0.042 vs 0.059 and P < 0.05, 58.30 vs 77.54, 38.70 vs 67.30, respectively). Regarding the changes in liver NF-κB expression, the model group significantly exceeded the sham operation group at 3 h (P < 0.01, 1.00 vs 0.00), and the treatment group significantly exceeded the sham operation group at 12 h (P < 0.01, 1.00 vs 0.00), whereas no marked difference was observed between the model group and treatment group at all time points. The kidney NF-κB expression level in the treatment group significantly exceeded the model group (P < 0.05, 2.00 vs 0.00) and the sham operation group (P < 0.01, 2.00 vs 0.00) at 12 h. No NF-κB expression in the lung was found in any group. CONCLUSION: Dexamethasone can lower the amylase, endotoxin and TNF-α levels as well as mortality of SAP rats. NF-κB plays an important role in multiple organ injury. Further studies should be conducted to determine whether dexamethasone can ameliorate the pathological changes of multiple organs by reducing the NF-κB expression in the liver and kidney. The advantages of tissue microarrays in pancreatitis pathological examination include time- and energy- saving, and are highly efficient and representative. The restriction of tissue microarrays on the representation of tissues to various extents due to small diameter may lead to the deviation of analysis. 展开更多
关键词 Severe acute pancreatitis DEXAMETHASONE NF-ΚB Tissue microarrays Mutiple organs
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Experimental study of therapeutic efficacy of Baicalin in rats with severe acute pancreatitis 被引量:23
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作者 Xi-Ping Zhang Ling Zhang +4 位作者 Jin-Xian He Rui-Ping Zhang Qi-Hui Cheng Yi-Feng Zhou Bei Lu 《World Journal of Gastroenterology》 SCIE CAS CSCD 2007年第5期717-724,共8页
AIM: To observe the therapeutic efficacy of Baicalin in rats with severe acute pancreatitis (SAP) and explore its therapeutic mechanisms. METHODS: The SAP rat models were randomly divided into the model control gr... AIM: To observe the therapeutic efficacy of Baicalin in rats with severe acute pancreatitis (SAP) and explore its therapeutic mechanisms. METHODS: The SAP rat models were randomly divided into the model control group, Baicalin treatment group, octreotide treatment group and sham operation group. All groups were randomly subdivided into 3 h, 6 h and 12 h groups with 15 rats in each group. The survival, ascites volume and pathological changes of pancreas in all rats were observed at different time points after operation. The plasma amylase content and serum TNF-α, IL-6, malonaldehyde (MDA) and PLA2 contents were also determined. RESULTS: The survival was not obviously different between the treated groups, and was significantly higher in treated groups at 12 h compared to the model control group (P 〈 0.05, 15 vs 10). The ascites/body weight ratio at 3 h and 6 h was significantly lower in Baicalin treatment group compared to the model control group and octreotide treatment group (P 〈 0.05, 1.00 vs 2.02 and 1.43 and P 〈 0.001, 2.29 (1.21) vs 2.70 (0.80) and 2.08 (2.21), respectively). The contents of amylase, TNF-α, IL-6, MDA and PLA2 were significantly lower in the treated groups than in the model control group (P 〈 0.05, 4342 vs 5303, 5058 vs 6272 in amylase, P 〈 0.01, 21.90 vs 36.30, 23.80 vs 39.70, 36 vs 54.35 in MDA and 56.25 vs 76.10 in PIA2, or P 〈 0.001, 65.10 and 47.60 vs 92.15 in TNF-α, 3.03 vs 5.44, 2.88 vs 6.82, 2.83 vs 5.36 in IL-6, respectively). The pathological scores of pancreas in the treated groups were significantly lower than that in the model control group (P 〈 0.05, 9.00 vs 10.05, 6.00 vs 9.00, 8.00 vs 10.05), but no marked difference was found between the treated groups. CONCLUSION: The Baicalin injection has significant therapeutic effects on SAP rats, its effects are similar to those of octreotide. The Baicalin injection is also cheap and has a big application range, quite hopefully to be used in clinical treatment of SAP. 展开更多
关键词 Severe acute pancreatitis BAICALIN Octreotide Rats Serum amylase TNF-α IL-6 MALONALDEHYDE PLA2
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南通市通州区二甲人民医院住院围绝经期妇女的临床特征分析 被引量:1
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作者 吴亚萍 《当代医学》 2019年第25期41-43,共3页
目的探究本院住院围绝经期妇女的临床特征.方法选取本院2014年1月至2018年1月收治的围绝经期妇女住院患者427例作为研究对象,采用查询患者住院病志,问卷调查方法进行统计,统计所选取住院患者的临床特征,统计内容包括:患者年龄,住院时间... 目的探究本院住院围绝经期妇女的临床特征.方法选取本院2014年1月至2018年1月收治的围绝经期妇女住院患者427例作为研究对象,采用查询患者住院病志,问卷调查方法进行统计,统计所选取住院患者的临床特征,统计内容包括:患者年龄,住院时间,主诉症状,慢性病患病情况以及围绝经期综合征症状.结果 51~60岁围绝经期患者(70.0%)多于40~50岁患者(29.9%),差异有统计学意义(P<0.05);427例围绝经期妇女的平均住院时间为(14.1±2.6)d,其中40~50岁患者的平均住院时间为(9.6±2.5)d,51~60岁患者的平均住院时间为(19.7±2.4)d,差异有统计学意义(t=4.564,P<0.05);住院围绝经期妇女的主诉症状排在前5位(76.2%)的为胸痛、心痛、头痛、眩晕、腹痛;40~50岁患者中有103(80.4%)例患有慢性病,51~60岁患者中有281(93.9%)例患有慢性病,慢性病发生率比较差异有统计学意义(P<0.05);40~50岁患者中有112(87.5%)例患者有1种以上围绝经期综合征症状,51~60岁患者中有228(76.2%)例患者有1种以上围绝经期综合征症状,差异有统计学意义(P<0.05).结论住院围绝经期妇女平均年龄为(51±6.2)岁,其失眠、潮热、疲乏等综合征较为常见,慢性病常发,在医院医疗中应给予足够重视. 展开更多
关键词 围绝经期 临床特征 综合征
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低分子肝素与利伐沙班对大隐静脉曲张患者术后下肢深静脉血栓的形成及其对炎症因子水平的影响
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作者 韩永生 《系统医学》 2024年第8期54-58,共5页
目的探究利伐沙班与低分子肝素治疗大隐静脉曲张对患者术后下肢深静脉血栓形成与炎症因子水平的影响。方法选取2020年1月—2023年6月通州区二甲中心卫生院外科收治的62例大隐静脉曲张患者作为研究对象。按照随机数表法分为两组,各31例,... 目的探究利伐沙班与低分子肝素治疗大隐静脉曲张对患者术后下肢深静脉血栓形成与炎症因子水平的影响。方法选取2020年1月—2023年6月通州区二甲中心卫生院外科收治的62例大隐静脉曲张患者作为研究对象。按照随机数表法分为两组,各31例,两组均采用常规治疗,参照组患者术后采用低分子肝素治疗,研究组采用利伐沙班治疗。对比两组患者治疗前后C反应蛋白(C-reactive Protein,CRP)、肿瘤坏死因子-α(Tumor Necrosis Factor-α,TNF-α)、D-二聚体(D-dimer,D-D)、凝血酶时间(Thrombin Time,TT)、纤维蛋白原(Fibrinogen,FIB)等指标变化情况、下肢深静脉血栓发生率、下肢静脉曲张复发率、并发症发生情况。结果治疗后研究组CRP、TNF-α、D-D、TT、血沉、低切血黏度与高切血黏度指标值、并发症发生率均比参照组低,血浆黏度水平、FIB水平比参照组高,差异有统计学意义(P均<0.05)。结论经手术治疗的大隐静脉曲张患者采用低分子肝素和利伐沙班治疗,对其术后下肢深静脉血栓的形成都有预防作用,但利伐沙班治疗大隐静脉曲张可以降低患者的炎症因子水平,改善患者的凝血功能与血流变学指标,且能在一定程度上预防患者术后出现各种并发症,具有较高的治疗效果。 展开更多
关键词 低分子肝素 利伐沙班 大隐静脉曲张
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COEFFICIENT INEQUALITIES AND GEOMETRICAL INEQUALITIES
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作者 龚昇 《Chinese Science Bulletin》 SCIE EI CAS 1987年第11期732-736,共5页
To give the geometrical meanings of some coefficient inequalities in classical function theory is the purpose of this note. It also offers some possibilities to extend these inequalities into a new point of view. We o... To give the geometrical meanings of some coefficient inequalities in classical function theory is the purpose of this note. It also offers some possibilities to extend these inequalities into a new point of view. We only consider the class S, for it can be done without any difficulties for the other function classes. The S is the class of functions f(z) 展开更多
关键词 possibilities derivative INVARIANTS equiv INEQUALITY valent 土卫 五心 curvature LANDAU
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