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杏ISSR反应体系的优化和指纹图谱的构建 被引量:59
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作者 刘威生 冯晨静 +3 位作者 杨建民 刘冬成 张爱民 李绍华 《果树学报》 CAS CSCD 北大核心 2005年第6期626-629,共4页
以杏品种清密沙为试材,用引物UBC825〔序列为(AC)8T〕研究了PCR反应体系的主要成分及退火温度对杏ISSR扩增结果的影响。结果表明:Primer、Mg2+、Taq酶浓度对扩增效果有明显影响,而模板DNA和dNTPs含量对扩增结果影响不大。优化的反应体系... 以杏品种清密沙为试材,用引物UBC825〔序列为(AC)8T〕研究了PCR反应体系的主要成分及退火温度对杏ISSR扩增结果的影响。结果表明:Primer、Mg2+、Taq酶浓度对扩增效果有明显影响,而模板DNA和dNTPs含量对扩增结果影响不大。优化的反应体系为:20μL的反应体系中含10ng模板DNA、0.1mmol/LdNTP、0.25μmol/LPrimer、2.5mmol/LMg2+,0.5UTaqPolymerase。适宜退火温度为50-52.1℃。用引物UBC825和UBC868〔序列为(GAA)5〕在优化的反应条件下建立了5个种12份杏材料的ISSR指纹图谱。 展开更多
关键词 ISSR(inter—simple SEQUENCE repeat) 反应体系 退火温度 优化
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剖宫产术后再次妊娠阴道分娩的产前评估及影响因素分析 被引量:66
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作者 郭娜 白瑞苗 +4 位作者 屈鹏飞 黄谱 贺译平 王彩丽 米阳 《中华妇产科杂志》 CAS CSCD 北大核心 2019年第6期369-374,共6页
目的探讨剖宫产术后再次妊娠阴道分娩(VBAC)的影响因素,建立适合剖宫产术后再次妊娠阴道试产(TOLAC)风险的预测模型.方法回顾性分析2016年1月至2018年12月于西北妇女儿童医院分娩的TOLAC孕妇共694例,并根据最终的分娩方式分为VBAC组和TO... 目的探讨剖宫产术后再次妊娠阴道分娩(VBAC)的影响因素,建立适合剖宫产术后再次妊娠阴道试产(TOLAC)风险的预测模型.方法回顾性分析2016年1月至2018年12月于西北妇女儿童医院分娩的TOLAC孕妇共694例,并根据最终的分娩方式分为VBAC组和TOLAC失败中转剖宫产组(TOLAC失败组),同时选取同期自愿行选择性再次剖宫产(ERCS)组700例孕妇为对照.采用单因素分析和多因素logistic回归分析VBAC的影响因素,并比较3组孕妇的妊娠结局.结果(1)总体VBAC率为76.1%(528/694),TOLAC失败中剖宫产的孕妇166例(23.9%,166/694).(2)单因素分析发现,VBAC组与TOLAC失败组孕妇的妊娠前体质指数(BMI)[分别为(22.0±3.0)、(23.3±2.7)kg/m2],既往自然分娩史者的比例[10.4%(55/528)、3.6%(6/166)],入院子宫颈评分[分别为(5.2±1.9)、(4.3±1.6)分]、新生儿出生体重[分别为(3 315±468)、(3 484±274)g]分别比较,差异均有统计学意义(P均<0.05).(3)3组孕妇的妊娠结局:VBAC组孕妇的新生儿出生体重、产时出血量[(255±121)ml]均低于TOLAC失败组[出血量为(325±173)ml]及ERCS组[(3 572±344)g、(281±125)ml];3组间比较,差异均有统计学意义(P均<0.05).TOLAC失败组孕妇剖宫产术中出现2例(1.2%,2/166)膀胱损伤.3组孕妇的输血、产褥感染的发生率、新生儿5分钟Apgar评分、转新生儿ICU的比例分别比较,差异均无统计学意义(P均>0.05);无孕妇及围生儿死亡.(4)多因素logistic回归分析显示,孕妇的分娩年龄(OR=0.92,95%CI为0.87~0.98)、妊娠前BMI(OR=0.92,95%CI为0.86~0.98)、既往自然分娩史(OR=3.31,95%CI为1.35~8.01)、入院子宫颈评分(OR=1.29,95%CI为1.13~1.42)及新生儿出生体重<3 300 g(OR=3.15,95%CI为2.02~4.90)均是VBAC的独立影响因素,受试者工作特征曲线下面积为0.74.结论VBAC的影响因素为孕妇的分娩年龄、妊娠前BMI、既往自然分娩史、入院子宫颈评分和新生儿出生体重<3 300 g.对于剖宫产术后再次妊娠的孕妇进行 展开更多
关键词 剖宫产后阴道分娩 剖宫产术 妊娠结局 预测
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Rice MtN3/Saliva/SWEET Family Genes and Their Homologs in Cellular Organisms 被引量:60
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作者 Meng Yuan Shiping Wang 《Molecular Plant》 SCIE CAS CSCD 2013年第3期665-674,共10页
The MtN3/saliva/SWEET-type genes, existing either alone or in a family group, are found in diverse organisms, from monocellular protozoa to higher eukaryotes, indicating their importance in cellular organisms. These g... The MtN3/saliva/SWEET-type genes, existing either alone or in a family group, are found in diverse organisms, from monocellular protozoa to higher eukaryotes, indicating their importance in cellular organisms. These genes encode polytopic membrane proteins that feature an MtN3/saliva domain, also known as a PQ loop repeat, The rice MtN3/saliva/SWEET gene family consists of 21 members and is among the largest families in sequenced organisms. Accumulating data suggest that these genes are involved in multiple physiological processes, including reproductive development, senescence, environmental adaptation, and host-pathogen interaction, in different species. In rice, some members of the family, including Xa13/Os8N3/OsSWEET11, which is essential for reproductive development, are used by the pathogenic bacterium Xanthomonas oryzae pv. oryzae to invade its host. Emerging data have also revealed that at least some MtN3/saliva/SWEET-type proteins may regulate different physiological processes by facilitating ion transport via interaction with ion transporters or as sugar transporters. The accumulating knowledge about MtN3/saliva/SWEET- type genes will help to elucidate the molecular bases of their function in different organisms. 展开更多
关键词 MtN3/saliva PQ loop repeat membrane protein SWEET transporter.
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剖宫产术后再次妊娠阴道试产孕妇的妊娠结局分析 被引量:50
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作者 屈在卿 马润玫 +9 位作者 肖虹 田玉芹 李白鸾 梁琨 杜明钰 陈卓 耿力 杨明晖 陶艳萍 朱蓓 《中华妇产科杂志》 CAS CSCD 北大核心 2016年第10期748-753,共6页
目的探讨剖宫产术后再次妊娠阴道试产(TOLAC)孕妇的妊娠结局。方法2013年7月至2016年6月昆明医科大学第一附属医院共实施TOLAC614例,回顾性分析其中既往有1次剖宫产术史、单活胎、孕周/〉28周的586例TOLAC孕妇的临床资料,并根据分... 目的探讨剖宫产术后再次妊娠阴道试产(TOLAC)孕妇的妊娠结局。方法2013年7月至2016年6月昆明医科大学第一附属医院共实施TOLAC614例,回顾性分析其中既往有1次剖宫产术史、单活胎、孕周/〉28周的586例TOLAC孕妇的临床资料,并根据分娩方式分为TOLAC成功者[即剖宫产术后再次妊娠阴道分娩(VBAC)组]481例,TOLAC失败中转剖宫产者(TOLAC失败组)105例;另选取同期剖宫产术后再次妊娠(孕周I〉28周、单活胎、1次剖宫产术史)直接行选择性再次剖宫产术(ERCS)者(ERCS组)1145例作为对照。比较3组不同分娩方式孕妇的妊娠结局,并采用多元logistic回归分析3组新生儿入住新生儿ICU(NICU)治疗的独立危险因素。结果(1)研究期间本院分娩的孕周I〉28周孕妇共16112例(其中有剖宫产史者2073例),共实施TOLAC614例,其中VBAC507例;总TOLAC率为29.62%(614/2073),VBAC率为82.6%(507/614),VBAC降低了同期总剖宫产率3.147%(507/16112)。(2)妊娠结局的比较:VBAC组孕妇的产后出血量为(431±299)ml,产后发热率为6.4%(31/481),新生儿出生体质量为(3085±561)g,大于胎龄儿率为2.9%(14/481),均低于TOLAC失败组和ERCS组(P〈0.05)。VBAC组的子宫破裂率为0.2%(1/481)、膀胱损伤率为0、产后出血/〉1500ml的发生率为1.0%(5/481)、输血率为3.7%(18/481),分别与TOLAC失败组和ERCS组比较,差异均无统计学意义(P〉0.05)。(3)新生儿结局的比较:VBAC组新生儿5分钟Apgar评分〈7分的发生率为0.4%(2/481)、脐动脉血pH〈7.0的发生率为0.6%(3/481)、转NICU率为12.3%(59/481)、围产儿死亡率为0,与TOLAC失败组和ERCS组分别比较,差异均无统计学意义(P〉0.05)。新生儿人住NICU治疗的独立危险因素依次为:早产(OR=16.71,95%CI为1 展开更多
关键词 剖宫产后阴道分娩 剖宫产术 试分娩 妊娠结局
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瘢痕子宫阴道试产成功的影响因素及妊娠结局:前瞻性队列研究 被引量:44
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作者 魏素花 叶晓东 +6 位作者 仇黎丽 戴毅敏 王志群 李洁 岳嫒媛 张斐然 郑明明 《中华围产医学杂志》 CAS CSCD 2017年第9期649-655,共7页
目的探讨瘢痕子宫孕妇阴道分娩试产成功的影响因素,比较不同分娩方式的产妇及新生儿结局。方法本研究为前瞻性队列研究。研究对象为2014年1月至2014年12月期间在南京大学医学院附属鼓楼医院分娩的剖宫产术后再次妊娠产妇。排除子宫下... 目的探讨瘢痕子宫孕妇阴道分娩试产成功的影响因素,比较不同分娩方式的产妇及新生儿结局。方法本研究为前瞻性队列研究。研究对象为2014年1月至2014年12月期间在南京大学医学院附属鼓楼医院分娩的剖宫产术后再次妊娠产妇。排除子宫下段瘢痕愈合不良、子宫下段厚度〈3mm,或有其他严重产科并发症、合并症或此次妊娠新出现的剖宫产指征(如前置胎盘、胎盘植入、双胎妊娠、臀位、重度子痫前期等)的产妇,符合剖宫产后阴道试产(trialoflaboraftercesarean,TOLAC)纳入标准的产妇共287例,其中142例选择TOLAC,其余145例选择再次剖宫产(electiverepeatcaesareansection,ERCS)终止妊娠。收集TOLAC组、ERCS组患者临床资料,分析影响试产成功的因素。采用t检验、秩和检验、矿检验(或Fisher精确概率法),对数据资料进行统计学分析。结果(1)TOLAC组阴道试产成功率为90.8%(129/142)。TOLAC成功组与失败组孕妇年龄、孕周、子宫下段厚度、距前次剖宫产分娩时间、新生儿体重无明显差异,2组发生产后出血和新生儿窒息的比例差异也无统计学差异(户值均〉0.05),但TOLAC失败组产后的失血量高于成功组[425(195~675)ml与200(50~1400)ml],羊水胎粪污染率高于成功组[6/13与17.1%(22/129)1(P值均〈0.05)。TOLAC组142例中,141例(99.3%)产程中持续胎心监护;1例发生子宫不全破裂,转急诊剖宫产,其母婴结局良好。13例TOLAC失败,原因分别为难忍疼痛、产程异常、胎儿窘迫和先兆子宫破裂。(2)TOLAC组距上次分娩间隔时间短于ERCS组[5(2-18)与6(2~19)年],年龄小于ERCS组[(31±4)与(33±4)岁],产后出血量也少于ERCS组[200(50~1400)与300(100~1500)m1](P值均〈0.05)。结论本研究人群中,距上次分娩间隔时间较短、年龄较轻的孕妇,更� 展开更多
关键词 剖宫产后阴道分娩 试分娩 剖宫产术 外科手术 选择性 妊娠结局 前瞻性研究
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SSR分子标记在作物遗传育种中的应用 被引量:31
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作者 李丽 王海岗 +1 位作者 张晓丽 彭锁堂 《山西农业科学》 2008年第3期15-18,共4页
SSR(Simple Sequence Repeat)是建立在PCR技术上的一种广泛应用的分子标记,具有含量丰富、多态性高、共显性等优点。简要介绍了SSR标记技术的发现、原理和特点,并总结了该技术在作物遗传多样性、遗传图谱构建、分子标记辅助选择等方面... SSR(Simple Sequence Repeat)是建立在PCR技术上的一种广泛应用的分子标记,具有含量丰富、多态性高、共显性等优点。简要介绍了SSR标记技术的发现、原理和特点,并总结了该技术在作物遗传多样性、遗传图谱构建、分子标记辅助选择等方面的应用。 展开更多
关键词 SSR(Simple SEQUENCE repeat) 分子标记 作物 应用
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14份杏种质的ISSR分析 被引量:26
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作者 冯晨静 张元慧 +4 位作者 徐秀英 师国洪 刘威生 孟庆瑞 杨建民 《河北农业大学学报》 CAS CSCD 北大核心 2005年第5期52-55,62,共5页
以冀光为试材,研究了PCR反应体系的主要成分及退火温度对杏ISSR扩增结果的影响.同时,从42对ISSR引物中筛选出12对扩增条带清晰、多态性好的引物进行扩增,并运用UPGMA聚类分析法,分析了12份杏种质的亲缘关系及多样性.结果表明:在20 μL... 以冀光为试材,研究了PCR反应体系的主要成分及退火温度对杏ISSR扩增结果的影响.同时,从42对ISSR引物中筛选出12对扩增条带清晰、多态性好的引物进行扩增,并运用UPGMA聚类分析法,分析了12份杏种质的亲缘关系及多样性.结果表明:在20 μL的反应体系中,模板DNA含量在10~80 ng均能得到较好的扩增;dNTP用量对扩增无明显影响;而引物、Mg2+的最适浓度分别为0.25 μmol/L、0.25 mmol/L;Taq酶在0.5~4 U均能得到好的扩增条带;退火温度在50~52.1℃范围内均能得到清晰的条带;并在此基础上建立了杏ISSR反应体系.当相似系数在0.444~0.452之间时,将12份杏材料划分为3类:①普通杏(Amentaca vulgaris),西伯利亚杏(A.sibirica),辽杏(A.mandshurica),藏杏(A.holosericea)类型;②仁用杏品种一窝蜂;③紫杏(A. dasycarpa). 展开更多
关键词 ISSR(inter-simple SEQUENCE repeat) 品种鉴定 亲缘关系 反应体系
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二孩政策背景下剖宫产率及剖宫产指征的变化 被引量:34
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作者 肖喜荣 李碧 +2 位作者 顾蔚蓉 李笑天 熊钰 《中华围产医学杂志》 CAS CSCD 北大核心 2018年第1期39-45,共7页
目的分析二孩政策背景下剖宫产率及剖宫产指征变化的情况。 方法回顾性分析2013年1月至2016年12月复旦大学附属妇产科医院住院分娩的62 007例产妇的病历资料和术前小结,获取产妇基本信息及分娩方式,同时记录剖宫产指征。剖宫产指征分... 目的分析二孩政策背景下剖宫产率及剖宫产指征变化的情况。 方法回顾性分析2013年1月至2016年12月复旦大学附属妇产科医院住院分娩的62 007例产妇的病历资料和术前小结,获取产妇基本信息及分娩方式,同时记录剖宫产指征。剖宫产指征分为母胎因素、瘢痕子宫(剖宫产史)、社会因素、产程异常、胎儿窘迫等16项,并计算年度剖宫产率和指征别剖宫产率。采用单因素方差分析、χ2检验或Fisher精确概率法进行统计学分析。利用Joinpoint回归分析指征别剖宫产率的平均年度变化百分比,进而探讨各手术指征在影响剖宫产率方面的贡献比。 结果2013年至2016年,我院剖宫产率从45.2%(6 683/14 798)降至38.3%(6 546/17 104);社会因素、产程异常的指征别剖宫产率下降最为显著,差异有统计学意义(χ2值分别为49.402和14.617,P值均〈0.05)。产程异常的指征别剖宫产率下降最快,从14.7‰下降到0.9‰,平均每年下降48.0%(95%CI:-67.6%~-21.5%),其次为社会因素,从119.3‰下降到40.7‰,平均每年下降30.1%(95%CI:-31.3% ~-28.9%)。肌瘤术后的瘢痕子宫虽然基数较小,但指征别剖宫产率增速最快,从1.4‰增加到2.9‰,平均每年上升32.3%(95%CI:10.1%~60.9%);其次为产前发热,从6.6‰增加到16.4‰,平均每年增加27.4%(95%CI:11.0%~46.5%);瘢痕子宫(剖宫产史)的指征别剖宫产率从67.6‰增加到113.9‰,平均每年增加19.0%(95%CI:5.0%~34.6%)。社会因素和产程异常的剖宫产减少对降低剖宫产率影响最大,贡献比分别为144.2%和27.7%,而瘢痕子宫(剖宫产史)和产前发热对提高剖宫产率贡献比最大,分别为102.3%和18.9%。 结论二孩政策背景下,积极控制社会因素剖宫产和使用新产程可以降低剖宫产率。 展开更多
关键词 剖宫产术 剖宫产术 社会控制政策
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手术干预控制60例瘢痕子宫再次剖宫产产后出血的疗效观察 被引量:30
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作者 蒲才秀 李秀泉 +2 位作者 黄婵 周玮 但阳 《重庆医学》 CAS 北大核心 2016年第22期3089-3090,3095,共3页
目的探讨手术方式预防瘢痕子宫再次剖宫产产后出血的疗效。方法选取瘢痕子宫再次剖宫产产妇60例(观察组)进行手术干预预防产后出血,与非瘢痕子宫产妇108例(对照组)进行对比,比较两组并发症的发生率及产后出血发生率。结果观察组并发症... 目的探讨手术方式预防瘢痕子宫再次剖宫产产后出血的疗效。方法选取瘢痕子宫再次剖宫产产妇60例(观察组)进行手术干预预防产后出血,与非瘢痕子宫产妇108例(对照组)进行对比,比较两组并发症的发生率及产后出血发生率。结果观察组并发症的发生率和术中出血量明显高于对照组(P<0.05),通过术中手术方式干预处理后,两组产后出血发生率比较差异无统计学意义(P>0.05)。结论手术方式的干预能有效减少瘢痕子宫再次剖宫产产后出血,值得推广。 展开更多
关键词 产后出血 剖宫产术 子宫 瘢痕 手术方式
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The Stripe Rust Resistance Gene Yr10 Encodes an Evolutionary-Conserved and Unique CC-NBS-LRR Sequence in Wheat 被引量:27
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作者 Wei Liu Michele Frick +8 位作者 Rene Huel Cory L. Nykiforuk Xiaomin Wang Denis A. Gaudet Francois Eudes Robert L. Conner Alan Kuzyk Zhensheng Kang Andre Laroche 《Molecular Plant》 SCIE CAS CSCD 2014年第12期1740-1755,共16页
The first seedling or all-stage resistance (R) R gene against stripe rust isolated from Moro wheat (Triticum aes- tivum L.) using a map-based cloning approach was identified as Yr10. Clone 4B of this gene encodes ... The first seedling or all-stage resistance (R) R gene against stripe rust isolated from Moro wheat (Triticum aes- tivum L.) using a map-based cloning approach was identified as Yr10. Clone 4B of this gene encodes a highly evolutionary- conserved and unique CC-NBS-LRR sequence. Clone 4E, a homolog of Yr10, but lacking transcription start site (TSS) and putative TATA-box and CAAT-box, is likely a non-expressed pseudogene. Clones 4B and 4E are 84% identical and divergent in the intron and the LRR domain. Gene silencing and transgenesis were used in conjunction with inoculation with differen- tially avirulent and virulent stripe rust strains to demonstrate Yr10 functionality. The Yr10 CC-NBS-LRR sequence is unique among known CC-NBS-LRR R genes in wheat but highly conserved homologs (E = 0.0) were identified in Aegilops tauschii and other monocots including Hordeum vulgare and Brachypodium distachyon. Related sequences were also identified in genomic databases of maize, rice, and in sorghum. This is the first report of a CC-NBS-LRR resistance gene in plants with limited homologies in its native host, but with numerous homologous R genes in related monocots that are either host or non-hosts for stripe rust. These results represent a unique example of gene evolution and dispersion across species. 展开更多
关键词 seedling or all-stage stripe rust resistance gene functionality TRANSGENESIS gene silencing homolog sequences coiled-coil region nucleot de-b nding site leucine-rich repeat domain.
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Phenotypic heterogeneity of mutations in androgen receptor gene 被引量:23
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作者 Singh Rajender Lalji Singh Kumarasamy Thangaraj 《Asian Journal of Andrology》 SCIE CAS CSCD 2007年第2期147-179,共33页
Androgen receptor (AR) gene has been extensively studied in diverse clinical conditions. In addition to the point mutations, trinucleotide repeat (CAG and GGN) length polymorphisms have been an additional subject ... Androgen receptor (AR) gene has been extensively studied in diverse clinical conditions. In addition to the point mutations, trinucleotide repeat (CAG and GGN) length polymorphisms have been an additional subject of interest and controversy among geneticists. The polymorphic variations in triplet repeats have been associated with a number of disorders, but at the same time contradictory findings have also been reported. Further, studies on the same disorder in different populations have generated different results. Therefore, combined analysis or review of the published studies has been of much value to extract information on the significance of variations in the gene in various clinical conditions. AR genetics has been reviewed extensively but until now review articles have focused on individual clinical categories such as androgen insensitivity, male infertility, prostate cancer, and so on. We have made the first effort to review most the aspects of AR genetics. The impact of androgens in various disorders and polymorphic variations in the AR gene is the main focus of this review. Additionally, the correlations observed in various studies have been discussed in the light of in vitro evidences available for the effect of AR gene variations on the action of androgens. 展开更多
关键词 androgen receptor androgen insensitivity prostate cancer breast cancer CAG repeat GGN repeat
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新疆维吾尔族产妇剖宫产术后再次妊娠的适宜分娩方式探讨 被引量:27
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作者 丁新 阿达来提·艾麦尼乐孜 +2 位作者 金燕 吾日古丽·阿布都拉 阴赪宏 《中华妇产科杂志》 CAS CSCD 北大核心 2014年第10期736-740,共5页
目的 探讨新疆维吾尔自治区维吾尔族妇女剖宫产术后再次妊娠产妇的适宜分娩方式.方法 2011年1月至2012年12月新疆维吾尔自治区洛浦县人民医院妇产科分娩的产妇总数5 154例,其中1次剖宫产后再次妊娠的维吾尔族产妇178例,再次妊娠距前次... 目的 探讨新疆维吾尔自治区维吾尔族妇女剖宫产术后再次妊娠产妇的适宜分娩方式.方法 2011年1月至2012年12月新疆维吾尔自治区洛浦县人民医院妇产科分娩的产妇总数5 154例,其中1次剖宫产后再次妊娠的维吾尔族产妇178例,再次妊娠距前次剖宫产为1~17年;记录178例产妇中阴道试产产妇的例数及其前次剖宫产的原因或指征,对再次行剖宫产的指征进行分析,对阴道分娩和剖宫产分娩产妇的产后2h内出血量、新生儿出生体质量、新生儿窒息及产后发热率(≥38 ℃)发生率、住院天数进行比较.结果 (1)178例产妇中阴道试产119例,阴道试产率为66.9%(119/178);阴道试产且分娩成功113例(即为阴道分娩组),试产成功率为95.0%(113/119),阴道分娩成功率为63.5%(113/178).119例阴道试产产妇前次剖宫产的原因或指征分别为:妊娠并发症81例(68.1%,81/119),巨大儿6例(5.0%,6/119),产程停滞17例(14.3%,17/119),妊娠合并症6例(5.0%,6/119),要求的剖宫产手术9例(7.6%,9/119).阴道分娩组发生产后出血15例,产后出血发生率为13.3%(15/113),总产程时间平均为(507±182) min.119例阴道试产产妇中有6例阴道试产失败,遂改为剖宫产术分娩.(2)178例产妇中共有59例再次行剖宫产术分娩(即为剖宫产术组),再次剖宫产率为33.1%(59/178).再次剖宫产指征分别为:骨盆狭窄3例(5%,3/59),妊娠并发症25例(42%,25/59),巨大儿12例(20%,12/59),距前次剖宫产术时间≤2年7例(12%,7/59),要求剖宫产12例(20%,12/59).(3)阴道分娩组和剖宫产术组产妇分娩孕周、新生儿窒息发生率比较,差异均无统计学意义(P>0.05);阴道分娩组孕产妇产后2h出血量平均为(259±213) ml、产后发热发生率为10.6%(12/113)、新生儿出生体质量平均为(3 272±477)g、住院天数平均为(1.8±1.6)d,剖宫� 展开更多
关键词 剖宫产术 剖宫产术 剖宫产后阴道分娩
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再次剖宫产产后出血的发生率及相关因素分析 被引量:25
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作者 李小庆 邓小凤 《重庆医学》 CAS 2020年第9期1478-1481,共4页
目的探讨再次剖宫产产后出血的发生率及其相关因素。方法回顾性分析2018年3月至2019年3月在该院接受再次剖宫产手术的138例产妇的临床资料,统计再次剖宫产产后出血发生情况,根据产后出血情况将138例产妇分为非出血组(n=112)和出血组(n=2... 目的探讨再次剖宫产产后出血的发生率及其相关因素。方法回顾性分析2018年3月至2019年3月在该院接受再次剖宫产手术的138例产妇的临床资料,统计再次剖宫产产后出血发生情况,根据产后出血情况将138例产妇分为非出血组(n=112)和出血组(n=26),比较两组产妇基线资料及手术前后相关情况,多因素Logistic回归分析再次剖宫产产后出血的危险因素。结果138例产妇再次剖宫产产后出血26例,术后出血发生率为18.84%。两组产妇年龄、体质量指数、孕周、流产史、距前次剖宫产时间、子宫前壁下段厚度,以及妊娠合并子宫肌瘤、妊娠期糖尿病、妊娠期高血压、血小板减少、肝功能异常、肾功能异常发生情况比较,差异均无统计学意义(P>0.05)。出血组产妇产前贫血、前置胎盘、胎盘粘连、胎盘植入、胎膜早破、盆腹腔粘连、宫缩乏力发生率明显高于非出血组,胎儿体质量、术中失血量明显大于非出血组,手术时间、住院时间明显长于非出血组,两组产妇上述指标比较差异均有统计学意义(P<0.05)。多因素Logistic回归分析显示,产前贫血、前置胎盘、胎盘粘连、宫缩乏力、胎盘植入、手术时间过长是再次剖宫产产后出血的危险因素(P<0.05)。结论严格掌握剖宫产指征,降低剖宫产率及再次剖宫产的发生,对减少产后出血有重要意义。 展开更多
关键词 剖宫产 产后出血 发生率 危险因素
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右美托咪定静脉输注与硬膜外注射对再次剖宫产术麻醉效果及新生儿的影响 被引量:25
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作者 刘智娜 白延平 胡彬 《解放军医药杂志》 CAS 2018年第10期101-105,共5页
目的分析右美托咪定静脉输注与硬膜外注射对再次剖宫产术硬膜外麻醉效果的影响。方法选取2015年9月—2017年3月收治的再次剖宫产术产妇108例。根据麻醉方式分为A、B和C组,每组36例。A组给予右美托咪定静脉输注联合罗哌卡因硬膜外注射,B... 目的分析右美托咪定静脉输注与硬膜外注射对再次剖宫产术硬膜外麻醉效果的影响。方法选取2015年9月—2017年3月收治的再次剖宫产术产妇108例。根据麻醉方式分为A、B和C组,每组36例。A组给予右美托咪定静脉输注联合罗哌卡因硬膜外注射,B组给予罗哌卡因联合右美托咪定硬膜外注射,C组给予罗哌卡因硬膜外注射。比较3组手术不同时间的心率、平均动脉压(MAP),记录和评估3组麻醉效果及不良反应发生情况,评估对新生儿的影响。结果硬膜外注药完毕后10 min和30 min以及手术结束即刻,C组心率和MAP水平均高于麻醉前即刻,A组和B组低于C组(P <0. 05)。与A组和C组比较,B组的麻醉起效时间和达峰效应时间明显缩短,麻醉平面持续时间明显延长(P <0. 05)。3组新生儿出生后1 min和5 min的Apger评分比较差异无统计学意义(P>0. 05)。A组和B组的Ramsay镇静评分高于C组,术中牵拉反应程度以及寒战发生率明显低于C组(P <0. 05)。结论右美托咪定静脉给药和硬膜外给药都能较好地辅助再次剖宫产硬膜外麻醉的效果,且对新生儿无明显影响,同时硬膜外给予右美托咪定联合罗哌卡因可明显缩短起效时间,延长麻醉持续时间。 展开更多
关键词 剖宫产术 右美托咪定 输注 静脉内 注射 硬膜外 麻醉硬膜外
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Factors Influencing Migrant Workers’ Employment and Earnings——The Role of Education and Training 被引量:23
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作者 王德文 蔡昉 张国庆 《Social Sciences in China》 2010年第3期123-145,共23页
In the urban labor market, the rural labor force can choose whether to become self- employed or work for wages depending on their stock of human capital and local labor market conditions. A simple Mincer earnings regr... In the urban labor market, the rural labor force can choose whether to become self- employed or work for wages depending on their stock of human capital and local labor market conditions. A simple Mincer earnings regression shows that the rate of return to schooling for wage earners is two percentage points higher than that for the self-employed. After correcting for bias in sample selection, the expanded Mincer earnings equation estimated the rate of return to schooling for wage earners at between 5.3 and 6.8 percent. From the standpoint of training, we found that the simplest form of training, short-term training and formal training played an important role in promoting migrant workers’ repeat mobility. However, the simplest form of training did not have a significant effect on earnings,whereas short-term and formal training played an important determining role in this respect. Moreover, rights protection issues such as wage arrears also had an important effect on migrant workers’ repeat mobility. In handling heterogeneity and endogenous educational variables among migrant workers, the authors found that the years of schooling of the parents of migrant workers were not an ideal instrumental variable. 展开更多
关键词 migrant workers employment choices repeat mobility rate of return to education and training treatment effects modely
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Pure laparoscopic hepatectomy for hepatocellular carcinoma with chronic liver disease 被引量:21
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作者 Zenichi Morise Norihiko Kawabe +6 位作者 Jin Kawase Hirokazu Tomishige Hidetoshi Nagata Hisanori Ohshima Satoshi Arakawa Rie Yoshida Masashi Isetani 《World Journal of Hepatology》 CAS 2013年第9期487-495,共9页
Pure laparoscopic hepatectomy is a less invasive procedure than conventional open hepatectomy for the resection of hepatic lesions. Increases in experiences with the technique, in combination with advances in technolo... Pure laparoscopic hepatectomy is a less invasive procedure than conventional open hepatectomy for the resection of hepatic lesions. Increases in experiences with the technique, in combination with advances in technology, have promoted the popularity of pure laparoscopic hepatectomy. However, indications for usage and potential contraindications of the procedure remain unresolved. The characteristics and specific advantages of the procedure, especially for hepatocellular carcinoma(HCC) patients with chronic liver diseases,are reviewed and discussed in this paper. For cirrhotic patients with liver tumors, pure laparoscopic hepatectomy minimizes destruction of the collateral blood and lymphatic flow from laparotomy and mobilization, and mesenchymal injury from compression. Therefore, pure laparoscopic hepatectomy has the specific advantage of minimal postoperative ascites production that leads to lowering the risk of disturbance in water or electrolyte balance and hypoproteinemia. It minimizes complications that routinely trigger postoperative serious liver failure. Under adequate patient positioning and port arrangement, the partial resection of the liver in the area of subphrenic space, peri-inferior vena cava area or next to the attachment of retro-peritoneum is facilitated in pure laparoscopic surgery by providing good vision and manipulation in the small operative field.Furthermore, the features of reduced post-operative adhesion, good vision, and manipulation within the small area between the adhesions make this procedure safer in the context of repeat hepatectomy procedures.These improved features are especially advantageous for patients with liver cirrhosis and multicentric and/or metachronous HCCs. 展开更多
关键词 Laparoscopic HEPATECTOMY Hepatocellular carcinoma LIVER cirrhosis Chronic LIVER disease LIVER Tumor LIVER RESECTION repeat HEPATECTOMY Bridging therapy to transplantation ASCITES POSTOPERATIVE LIVER failure
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超声检测孕晚期子宫前壁下段厚度在预测瘢痕子宫术中破裂风险中的应用价值 被引量:22
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作者 邓华东 邹凯华 +1 位作者 许敬华 施红卫 《中国全科医学》 CAS 北大核心 2017年第15期1894-1897,共4页
目的探讨经腹超声检测孕晚期子宫前壁下段厚度在预测瘢痕子宫再次分娩时术中发生破裂风险的价值。方法 2015年1月—2016年1月选择于丽水市人民医院分娩的瘢痕子宫孕妇150例,再次剖宫产前3 d内,应用经腹超声检测子宫前壁下段厚度。分析... 目的探讨经腹超声检测孕晚期子宫前壁下段厚度在预测瘢痕子宫再次分娩时术中发生破裂风险的价值。方法 2015年1月—2016年1月选择于丽水市人民医院分娩的瘢痕子宫孕妇150例,再次剖宫产前3 d内,应用经腹超声检测子宫前壁下段厚度。分析术中所见子宫前壁下段破裂情况(分为破裂组和未破裂组)与子宫前壁下段厚度之间的关系。绘制受试者工作特征(ROC)曲线评价子宫前壁下段厚度预测瘢痕子宫术中破裂风险的价值。结果破裂组53例,未破裂组97例。破裂组与非破裂组子宫前壁下段厚度分别为(1.21±0.34)、(2.17±0.53)mm,差异有统计学意义(t=12.009,P<0.05)。子宫前壁下段厚度预测瘢痕子宫术中破裂风险的截断值为1.55 mm,其灵敏度为0.903,特异度为0.210,ROC曲线下面积为0.913。结论当子宫前壁下段厚度<1.55 mm时提示瘢痕子宫术中发生破裂的风险较高。 展开更多
关键词 瘢痕子宫 剖宫产术 超声检查 妊娠 子宫下段厚度 子宫破裂
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The rice OsV4 encoding a novel pentatricopeptide repeat protein is required for chloroplast development during the early leaf stage under cold stress 被引量:20
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作者 Xiaodi Gong Qianqian Su +5 位作者 Dongzhi Lin Quan Jiang Jianlong Xu Jianhui Zhang Sheng Teng Yanjun Dong 《Journal of Integrative Plant Biology》 SCIE CAS CSCD 2014年第4期400-410,共11页
Pentatricopeptide repeat (PPR) proteins, charac- terized by tandem arrays of a 35 amino acid motif, have been suggested to play central and broad roles in modulating the expression of organelle genes in plants. Howe... Pentatricopeptide repeat (PPR) proteins, charac- terized by tandem arrays of a 35 amino acid motif, have been suggested to play central and broad roles in modulating the expression of organelle genes in plants. However, the molecular mechanisms of most rice PPR genes remains unclear. In this paper, we isolated and characterized a temperature-conditional virescent mutant, OsV4, in rice (Oryza sativa cultivar Jiahual (WT, japonica rice variety)). The mutant displays albino phenotype and abnormal chloroplasts at the three leaf stage, which gradually turns green after the four leaf stage at a low temperature (20℃). But the mutant always develops green leaves and well-developed chloroplasts at a high temperature (32℃). Genetic and molecular analyses uncovered that OsV4 encodes a novel chloroplast-targeted PPR protein including four PPR motifs. Further investigations show that the mutant phenotype is associated with changes in chlorophyll content and chloroplast development. The OsV4 transcripts only accumulate to high levels in young leaves, indicating that its expression is tissue-specific. In addition, transcript levels of some ribosomal components and plastid- encoded polymerase-dependent genes are dramatically re- duced in the albino mutants grown at 20℃. These findings suggest that OsV4 plays an important role during early chloroplast development under cold stress in rice. 展开更多
关键词 Chloroplast development pentatricopeptide repeat plastid-encoded polymerase RICE virescent
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腹主动脉球囊阻断应用于植入型凶险型前置胎盘剖宫产中的效果 被引量:21
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作者 刘善凯 张大忠 +1 位作者 殷建林 吴志平 《中国介入影像与治疗学》 北大核心 2019年第12期741-744,共4页
目的探讨腹主动脉球囊阻断在植入型凶险型前置胎盘产妇剖宫产术中的临床应用效果。方法回顾性分析18例接受腹主动脉球囊阻断联合剖宫产手术的植入型凶险型前置胎盘产妇的临床资料。记录术中出血量、输血量、球囊阻断有效率、总阻断时间... 目的探讨腹主动脉球囊阻断在植入型凶险型前置胎盘产妇剖宫产术中的临床应用效果。方法回顾性分析18例接受腹主动脉球囊阻断联合剖宫产手术的植入型凶险型前置胎盘产妇的临床资料。记录术中出血量、输血量、球囊阻断有效率、总阻断时间、子宫切除情况及并发症等。结果 18例产妇均成功行腹主动脉球囊阻断辅助剖宫产术,技术成功率为100%(18/18)。剖宫产术中平均出血量为(1 276.11±761.59)ml,平均输入悬浮少白红细胞(2.86±1.51)U,无一例因出血而死亡。球囊阻断有效率100%(18/18),球囊有效阻断时间(24.06±26.19)min。4例(4/18,22.22%)产妇在胎儿娩出后行子宫切除术,均由于胎盘植入严重,甚至广泛侵犯宫颈、膀胱、肠道。剖宫产前后产妇均未出现与球囊阻断、介入栓塞相关的严重并发症。结论对于凶险型前置胎盘产妇,腹主动脉球囊可以有效阻断血流,减少剖宫产术中出血量、输血量,降低子宫切除率及手术风险。 展开更多
关键词 前置胎盘 主动脉 剖宫产术 球囊阻断
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Inheritance and Gene Mapping of Resistance to Soybean Mosaic Virus Strain SC14 in Soybean 被引量:19
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作者 Hai-Chao Li Hai-Jian Zhi Jun-Yi Gai Dong-Quan Guo Yan-Wei Wang Kai Li Li Bai Hua Yang 《Journal of Integrative Plant Biology》 SCIE CAS CSCD 2006年第12期1466-1472,共7页
Soybean mosaic virus (SMV) is one of the most broadly distributed diseases worldwide. It causes severe yield loss and seed quality deficiency in soybean (Glycine max (L.) Merr.). SMV Strain SC14 isolated from Sh... Soybean mosaic virus (SMV) is one of the most broadly distributed diseases worldwide. It causes severe yield loss and seed quality deficiency in soybean (Glycine max (L.) Merr.). SMV Strain SC14 isolated from Shanxi Province, China, was a newly identified virulent strain and can infect Kefeng No. 1, a source with wide spectrum resistance. In the present study, soybean accessions, PI96983, Qihuang No. 1 and Qihuang No. 22 were identified to be resistant (R) and Nannong 1138-2, Pixianchadou susceptible (S) to SC14. Segregation analysis of PI96983 x Nannong 1138-2 indicated that a single dominant gene (designated as Rsc14) controlled the resistance to SC14 at both V2 and R1 developmental stages. The same results were obtained for the crosses of Qihuang No. 1 × Nannong 1138-2 and Qihuang No. 22 x Nannong 1138-2 as in PI96983 x×Nannong 1138-2 at V2 stage, but at R1 stage, the F1 performed as necrosis (a susceptible symptom other than mosaic), F2 segregated in a ratio of 1R:2N:IS, and the progenies of necrotic (N) F2 individuals segregated also in R, N and S. It indicated that a single gene (designated as Rsc140, to be different from that of PI96983) controlled the resistance to SC14, its dominance was the same as in PI96983 × Nannong 1138-2 (without symptoms) at V2 stage and not the same at R1 stage. The tightly linked co-dominant simple sequence repeat (SSR) marker Satt334 indicated that all the heterozygous bands were completely corresponding to the necrotic F2 individuals, or all the necrotic F2 individuals were heterozygotes. It was inferred that necrosis might be due to the interaction among SMV strains, resistance genes, genetic background of the resistance genes, and plant development stage. Furthermore, the bulked segregant analysis (BSA) of SSR markers was conducted to map the resistance genes. In F2 of PI96983 × Nannong 1138-2, five SSR markers, Sat_297, Sat_234, Sat_154, Sct_033 and Sat_120, were found closely linked to Rsc14, with genetic distances of 展开更多
关键词 bulked segregant analysis gene mapping resistance gene simple sequence repeat marker soybean (Glycinemax soybean mosaic virus
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