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复合手术治疗5例Riles 1A型颈总动脉闭塞 被引量:1
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作者 姜世豪 夏源 +10 位作者 苏日青 卡合尔曼·卡德尔 阿西木江·阿西尔 王凯 尼扎米丁江·热夏提 李映婷 麦麦提亚生·麦麦提吐尔逊 艾孜买提江·吐尔逊 王增亮 买买提力·艾沙 成晓江 《中国神经精神疾病杂志》 CAS CSCD 北大核心 2023年第8期456-461,共6页
目的探讨复合手术在治疗Riles 1A型颈总动脉闭塞(common carotid artery occlusion,CCAO)患者中的技术要点、疗效及特殊案例分析。方法回顾性收集2021年6月至2022年6月应用复合手术技术开通的5例Riles 1A型CCAO患者的临床资料,记录围手... 目的探讨复合手术在治疗Riles 1A型颈总动脉闭塞(common carotid artery occlusion,CCAO)患者中的技术要点、疗效及特殊案例分析。方法回顾性收集2021年6月至2022年6月应用复合手术技术开通的5例Riles 1A型CCAO患者的临床资料,记录围手术期并发症,术后3个月、6个月复查头颈部CTA及DSA观察颈部血管重建情况,采用改良Rankin评分量表(mRS)评估临床预后。结果5例患者病因均为动脉粥样硬化,且均完成手术,4例患者成功开通闭塞血管,1例患者导丝无法突破纤维帽开通失败。所有患者术后临床症状均得到改善。1例患者术后发生高灌注综合征,表现为患侧头痛、恶心、呕吐、血压升高,积极控制血压,给予少量镇痛镇静类药物及甘露醇静脉滴注等后病情好转出院。无患者新发卒中事件,无患者死亡。5例患者均随访6个月,无再狭窄及其他并发症发生,mRS评分平均为0.4分。结论复合手术治疗Riles 1A型CCAO患者安全可行,可能是该类患者的理想手术方案,短期疗效满意。 展开更多
关键词 颈总动脉闭塞 内膜剥脱术 支架 复合手术 疗效 围手术期 高灌注综合征
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治疗血管性痴呆药物最佳配伍筛选的实验研究 被引量:6
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作者 王振华 秦艳 +4 位作者 贾冬 刘畅 盛亮亮 李纪桐 刘文君 《中华中医药学刊》 CAS 2010年第5期1078-1080,共3页
目的:分析由临床常用的8味中药组成的血管性痴呆治疗方剂的主药、辅药和相应的剂量。方法:以脑缺血小鼠模型为实验对象,采用正交t值法进行试验设计,观察不同的药物组合对模型小鼠脑组织中乙酰胆碱酯酶(AChE)活力的影响。结果:确定了药... 目的:分析由临床常用的8味中药组成的血管性痴呆治疗方剂的主药、辅药和相应的剂量。方法:以脑缺血小鼠模型为实验对象,采用正交t值法进行试验设计,观察不同的药物组合对模型小鼠脑组织中乙酰胆碱酯酶(AChE)活力的影响。结果:确定了药物的组成和剂量。结论:新的处方可通过改善AChE活性,从而改善血管性痴呆学习记忆能力,对血管性痴呆具有显著治疗意义。 展开更多
关键词 正交T值法 血管性痴呆 乙酰胆碱酯酶 单侧颈动脉结扎 筛方
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Neuroprotective effects of kaempferol against 2VO-induced chronic cerebral ischemia in rats 被引量:3
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作者 ZHANG Jun CHENG Xiao +5 位作者 YANG Huan YANG Yin-lin ZHAO Ting-kun WANG Qi WANG Yue-hua DU Guan-hua 《中国药理学与毒理学杂志》 CAS CSCD 北大核心 2016年第10期1028-1029,共2页
OBJECTIVE To investigate the effects of kaempferol(KAE)on chronic cerebral ischemia in rats.METHODS Chronic cerebral ischemia was induced in rats by permanent occlusion of bilateral common carotid arteries(2VO).Then,t... OBJECTIVE To investigate the effects of kaempferol(KAE)on chronic cerebral ischemia in rats.METHODS Chronic cerebral ischemia was induced in rats by permanent occlusion of bilateral common carotid arteries(2VO).Then,the rats with chronic cerebral ischemia were randomly divied into three groups:model group,KAE 10 and 30 mg·kg-1group.Another group rats without occlusion of common carotid arteries were used as the sham-operation group.Memory behavior was investigated by Morris water maze test.Prehensile ability was investigated by prehensile traction test.The structure of hippocampus and cortex neurons was observed with Nissel staining.In addition,the SOD activity and MDA content in brain tissue were determined.The DJ-1protein level was determined by Western blotting.RESULTS KAE 10 and 30 mg·kg-1could significantly improve cognitive impairment and prehensile traction ability(P<0.01)induced by chronic cerebral ischemia in rats.The results of the pathological analysis also suggested that KAE could ameliorate the pathological damage induced by chronic cerebral ischemia.In addition,KAE 30 mg·kg-1significantly increased the activity of SOD(P<0.05),but had no effect on the content of MDA in rat brain tissue.Western-blotting confirmed that KAE 10 and30 mg·kg-1could increase the expression of anti-oxidation proteins DJ-1 in hippocampus(P<0.01).CONCLUSION KAE may attenuate the chronic cerebral ischemic injury in rats. 展开更多
关键词 KAEMPFEROL chronic cerebral ischemia occlusion of bilateral common carotid arteries
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Curcumin alters expression of glial fibrillary acidic protein and nestin following chronic cerebral ischemia 被引量:1
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作者 Peng Zhang 《Neural Regeneration Research》 SCIE CAS CSCD 2011年第9期651-655,共5页
Astrocytes can alter their appearance and become reactive following chronic cerebral ischemia. In the present study, a rat model of chronic cerebral ischemia was treated with 50 and 100 mg/kg curcumin. Results showed ... Astrocytes can alter their appearance and become reactive following chronic cerebral ischemia. In the present study, a rat model of chronic cerebral ischemia was treated with 50 and 100 mg/kg curcumin. Results showed that pathological changes of neuronal injury in hippocampal CA1 area of rats induced by chronic cerebral ischemia were attenuated, as well as upregulated expression of glial fibriliary acidic protein and nestin, in a dose-dependent manner. 展开更多
关键词 CURCUMIN chronic cerebral ischemia glial fibrillary acidic protein NESTIN NIDOGEN permanent occlusion of bilateral common carotid arteries
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Transplanted bone marrow stromal cells improve cognitive dysfunction due to aging hypoperfusion in rats
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作者 HUANG Jing YIN Shao-jun +4 位作者 CHEN Yu-juan BIAN Wei-hong YU Jing ZHAO Yu-wu LIU Xue-yuan 《Chinese Medical Journal》 SCIE CAS CSCD 2010年第24期3620-3625,共6页
Background Aging is an important risk factor for vascular dementia, and D-galactose (D-gal) injection can simulate the pathology of aging. Two-vessel occlusion of common carotid arteries (2VO) is the most popular ... Background Aging is an important risk factor for vascular dementia, and D-galactose (D-gal) injection can simulate the pathology of aging. Two-vessel occlusion of common carotid arteries (2VO) is the most popular model for vascular dementia. This study was aimed to investigate the possibility of D-gal injection plus 2VO simulating cognitive impairment of aging vascular dementia; and whether transplanted bone marrow stromal cells (BMSCs) can improve the cognitive function induced by D-gal injection plus 2VO.Methods Totally 30 male Sprague-Dawley rats were divided into 5 groups equivalently: control group, D-gal group,D-gal+2VO group, D-gal+2VO+saline water group, and D-gal+2VO+BMSCs group. Aging hypoperfusion rats were created by subcutaneous injection of D-gal and occlusion of two common carotid arteries. BMSCs or saline water was stereotactically transplanted into the subventricular zone as treatment vehicles at 24 hours post operation. Two-way repeat analysis of variance (ANOVA) was used for significance analysis of 5 groups at 6 weeks post transplantation;moreover, Tamhane's test (equal variance not assumed) and least significant difference (LSD) test (equal variance assumed) were used for pairwise comparison in Morris water maze (MWM).Results Transplanted BMSCs distributed around the lateral ventricles and acquired the phenotypes of neurons and astrocytes. In terms of swimming path distance and escape latency in MWM, D-gal+2VO+BMSC group showed significant improvement than the D-gal+2VO group but was still obviously worse than the control group (both P <0.05).There was no significant difference in swimming speed for all 5 groups.Conclusions D-gal plus 2VO induces cognitive dysfunction. The engrafted BMSCs exhibit the beneficial effect on cognitive function via promotion interactively with host brain. 展开更多
关键词 AGING HYPOPERFUSION bone marrow stromal cells D-GALACTOSE two-vessel occlusion of common carotid arteries
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Bis(7)-Tacrine Ameliorates Cognitive Impairment Caused by Cerebral Hypoperfusion in Rats
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作者 Peng Fang-fang Zhang Bai-fang +1 位作者 Zhang Jiang-zhou Wu Dong-cheng 《Wuhan University Journal of Natural Sciences》 CAS 2002年第2期248-252,共5页
The effects ofbis(7)-tacrine, a novel acetylcholinesterase inhibitor, on cognitive impairment and neuronal degeneration induced by permanent ligation of bilateral common carotid arteries (2VO) were investigated using ... The effects ofbis(7)-tacrine, a novel acetylcholinesterase inhibitor, on cognitive impairment and neuronal degeneration induced by permanent ligation of bilateral common carotid arteries (2VO) were investigated using the Morris water maze in rats. Once daily oral administration ofbis(7)-tacrine (0.025, 0.05 and 0.1 mg?kg?1) was started 14 days after 2VO operation. Over a three-week treatmentbis(7)-tacrine effectively reversed 2VO-induced spatial memory deficits in a dose-dependent fashion. Furthermore, histological observation showedbis(7)-tacrine decreased the neuropathological changes in the 2VO rats brain. These results suggest thatbis(7)-tacrine has therapeutic potential for the treatment of dementia caused by chronic cerebral hypoperfusion. 展开更多
关键词 bis(7)-tacrine acetylcholinesterase inhibitor permanent bilateral occlusion of common carotid arteries vascular dementia
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