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超声引导小针刀治疗成人屈指肌肌腱狭窄性腱鞘炎的临床研究 被引量:38
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作者 税云华 张兰 +2 位作者 李培玉 诸源江 雷光磊 《临床超声医学杂志》 CSCD 2019年第12期940-943,共4页
目的探讨超声引导小针刀治疗成人屈指肌肌腱狭窄性腱鞘炎的有效性与安全性。方法选择我院90例屈指肌肌腱狭窄性腱鞘炎患者,根据随机数字表法分为A组、B组、对照组,每组各30例,所有患者均接受小针刀治疗。对照组为传统盲视下操作;A、B组... 目的探讨超声引导小针刀治疗成人屈指肌肌腱狭窄性腱鞘炎的有效性与安全性。方法选择我院90例屈指肌肌腱狭窄性腱鞘炎患者,根据随机数字表法分为A组、B组、对照组,每组各30例,所有患者均接受小针刀治疗。对照组为传统盲视下操作;A、B组在超声引导下操作,A组为短轴平面外超声引导,B组为长轴平面内超声引导,治疗结束后随访6个月,比较三组治疗情况、并发症发生情况及各时点疼痛程度。结果A、B组治愈率(90.0%、83.3%)均高于对照组(56.7%),差异均有统计学意义(均P<0.05);A组与B组比较差异无统计学意义;A、B组治疗时间、患指毛细血管充盈恢复时间、感觉恢复时间均短于对照组,治疗次数少于对照组,差异均有统计学意义(均P<0.05);A组与B组治疗时间、治疗次数比较,差异均无统计学意义;A组毛细血管充盈恢复时间、感觉恢复时间均短于B组,差异均有统计学意义(均P<0.05);各时点,除治疗前各组VAS评分比较差异无统计学意义外,余各时间点三组VAS评分均较治疗前呈下降趋势,以A组下降幅度最大,其次为B组,对照组最小,且组间、时点、组间·时点交互作用比较,差异均有统计学意义(均P<0.05);对照组血管损伤、神经损伤发生率最高,其次为B组,A组发生率最低,组间比较差异无统计学意义(χ^2=2.220、5.185,P=0.330、0.075)。结论超声引导小针刀治疗成人屈指肌肌腱狭窄性腱鞘炎,治愈率高、治疗时间短、治疗次数少,尤其是在短轴平面外超声引导下,治疗效果更佳,患者疼痛缓解明显,患指功能更好更快恢复,在一定程度上减少了血管与神经损伤,安全可靠。 展开更多
关键词 超声引导 短轴 长轴 屈指肌肌腱腱鞘炎 针刀治疗
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超声引导下桡动脉穿刺中短轴与长轴方法的应用 被引量:19
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作者 权哲峰 池萍 +1 位作者 李昕 贺海丽 《临床麻醉学杂志》 CAS CSCD 北大核心 2015年第5期467-468,共2页
目的比较超声引导下桡动脉穿刺中短轴与长轴方法的临床效果。方法选择择期手术拟行桡动脉穿刺患者140例,ASAⅠ~Ⅲ级,性别不限,年龄32~78岁,体重54~83kg。按照随机数字表法将患者分为两组:短轴组和长轴组,每组70例,在局部麻醉下行超... 目的比较超声引导下桡动脉穿刺中短轴与长轴方法的临床效果。方法选择择期手术拟行桡动脉穿刺患者140例,ASAⅠ~Ⅲ级,性别不限,年龄32~78岁,体重54~83kg。按照随机数字表法将患者分为两组:短轴组和长轴组,每组70例,在局部麻醉下行超声引导桡动脉穿刺。记录超声定位时间、首次穿刺成功率、穿刺失败率及并发症发生情况。结果与短轴组比较,长轴组超声定位时间明显延长(P〈0.01),首次穿刺成功率明显增加(P〈0.05)。结论与短轴方法相比,长轴方法在超声引导下桡动脉穿刺时超声定位时间延长,但首次穿刺成功率延高。 展开更多
关键词 桡动脉穿刺 超声引导 短轴 长轴
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Roles of short-chain fatty acids in kidney diseases 被引量:12
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作者 Ling-Zhi Li Si-Bei Tao +1 位作者 Liang Ma Ping Fu 《Chinese Medical Journal》 SCIE CAS CSCD 2019年第10期1228-1232,共5页
Objective: In kidney diseases, uncontrolled blood pressure, inflammation, oxidative stress, imbalanced immunity response, metabolic dysfunction were associated with the progressive deterioration of renal function. Sho... Objective: In kidney diseases, uncontrolled blood pressure, inflammation, oxidative stress, imbalanced immunity response, metabolic dysfunction were associated with the progressive deterioration of renal function. Short-chain fatty acids (SCFAs), as a group of metabolites fermented by gut microbiota exerted regulatory effects on kidney diseases through their activation of transmembrane G protein-coupled receptors and their inhibition of histone acetylation. In this review article, we updated recent research advances that provided an opportunity to explore our understanding in physiology and function of SCFAs in kidney disease. Data sources: We performed a comprehensive search in both PubMed and Embase using short-chain fatty acids55 and "kidney" with no restrictions on publication date. Study selection: After reading through the title and abstract for early screening, the full text of relevant studies was identified and reviewed to summarize the roles of SCFAs in kidney diseases. Results: Though controversial, growing evidence suggested SCFAs appeared to have a complex but yet poorly understood communications with cellular and molecular processes that affected kidney function and responses to injury. From recent studies, SCFAs influenced multiple aspects of renal physiology including inflammation and immunity, fibrosis, blood pressure, and energy metabolism. Conclusions: The roles of intestinal SCFAs in kidney diseases were exciting regions in recent years;however, clinical trials and animal experiments in kidney diseases were still lacked. Thus, more research would be needed to obtain better understanding of SCFAs' potential effects in kidney diseases. 展开更多
关键词 GUT MICROBIOME short-chain FATTY acid KIDNEY disease Gut-kidney axis
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华南沿海地区地震烈度衰减关系 被引量:8
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作者 林金瑛 王善雄 林锦华 《福建地震》 2005年第1期1-9,共9页
建立适合本地区的地震烈度衰减关系,是研究地震背景的重要一环。随着资料积累的增加和人们认识的提高,我们在分析历史资料完整性、可靠性基础上,筛选21次有详细宏观调查报告、有仪器测定震级,震级、烈度分布均衡的54组数据。采用最小二... 建立适合本地区的地震烈度衰减关系,是研究地震背景的重要一环。随着资料积累的增加和人们认识的提高,我们在分析历史资料完整性、可靠性基础上,筛选21次有详细宏观调查报告、有仪器测定震级,震级、烈度分布均衡的54组数据。采用最小二乘法,变换常数R,反复统计、搜索方差小,结果符合客观规律的统计结果,并与原东部和华南地区的衰减关系进行全面的比较。建立更符合客观规律,适合本地区的地震烈度衰减关系。 展开更多
关键词 衰减 长轴 短轴
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微小切口超声乳化术治疗短眼轴白内障的临床观察 被引量:7
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作者 赵星星 崔巍 《国际眼科杂志》 CAS 2015年第7期1161-1164,共4页
目的:观察2.2mm透明角膜切口晶状体超声乳化联合超薄人工晶状体植入术治疗短眼轴白内障的临床疗效和安全性,并与传统的3.0mm透明角膜切口超声乳化手术进行比较。方法:前瞻性随机对照研究。将60例60眼眼轴为17.68-21.32(平均20.35... 目的:观察2.2mm透明角膜切口晶状体超声乳化联合超薄人工晶状体植入术治疗短眼轴白内障的临床疗效和安全性,并与传统的3.0mm透明角膜切口超声乳化手术进行比较。方法:前瞻性随机对照研究。将60例60眼眼轴为17.68-21.32(平均20.35±0.61)mm的年龄相关性白内障患者随机分为两组,分别行2.2mm同轴微小切口白内障超声乳化吸出术(微小切口组,植入Akreos MI60 IOL)和3.0mm同轴小切口白内障超声乳化吸出术(小切口组,植入Akreos Adapt IOL),平均眼轴分别为:20.57±0.39,20.21±0.52mm。分别记录两组患者超声乳化所用的有效超声时间(EPT)和平均超声能量(AVE)。术后随访1,7,30,90d,观察术后最佳矫正视力、眼压、中央前房深度、角膜内皮细胞密度、手术源性散光和手术并发症。结果:两组所用EPT和AVE差异无统计学意义(P〉0.05)。术后1,7,30d微小切口组的手术源性散光低于小切口组,两组间差异均具有统计学意义(P〈0.05),而术后90d的两组间差异没有统计学意义(P〉0.05)。两组间最佳矫正视力在7d两组相比有统计学意义(P〈0.05),但在术后30d和90d两组相比差异无统计学意义(P〉0.05)。两组患者术后7,30,90d角膜内皮细胞密度微小切口组均高于小切口组,两组之间比较差异无统计学意义(P〉0.05)。两组患者术后前房深度较术前明显加深,组间比较无显著性差异。所有患者术中前房稳定,术中及术后均无并发症发生,无切口热烧伤。结论:2.2mm同轴微切口于传统的同轴3.0mm小切口超声乳化手术白内障手术相比,术中具有同样的安全性,且2.2mm同轴微切口手术手术源性散光小、组织损伤小、可显著改善患者的早期视功能。 展开更多
关键词 微小切口 白内障超声乳化吸除术 短眼轴
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斜轴法与短轴法超声引导颈内静脉穿刺的对比临床研究 被引量:5
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作者 马燕 韩峰 +2 位作者 章彦 苑贵敏 王庚 《中国医刊》 CAS 2016年第7期57-59,共3页
目的比较斜轴法和短轴法引导颈内静脉穿刺的效果,包括一次穿刺成功率、总成功率、穿刺置管完成时间和并发症。方法 2014年1月至2015年1月本院60例拟实施右颈内静脉穿刺置管的患者随机分为超声短轴组(n=30)和超声斜轴组(n=30)。患者... 目的比较斜轴法和短轴法引导颈内静脉穿刺的效果,包括一次穿刺成功率、总成功率、穿刺置管完成时间和并发症。方法 2014年1月至2015年1月本院60例拟实施右颈内静脉穿刺置管的患者随机分为超声短轴组(n=30)和超声斜轴组(n=30)。患者常规心电图、血氧饱和度、有创动脉血压监测,全麻诱导采用静脉注射咪达唑仑0.05mg/kg,丙泊酚1mg/kg,芬太尼2~3μg/kg,罗库溴铵0.1mg/kg,行气管内插管,机械通气,潮气量8~10ml/kg,频率12次/分。患者去枕平卧,头低15°,略转向左侧,常规消毒铺巾。超声探头频率为5~10MHz。短轴组超声探头放置使超声波可以横向(短轴视野)观看颈内静脉的粗细、走向、血管壁弹性、血流充盈情况以及与颈动脉和周围组织的关系。超声斜轴组先用短轴法定位血管后旋转探头45°,使探头内侧指向患者对侧乳头或肩膀。超声定位后超声引导下行右颈内静脉穿刺置管。记录颈内静脉试穿成功次数、穿刺置管完成时间、有无并发症发生。结果斜轴组30例患者中一次穿刺成功21例(70%),成功率为100%;短轴组中一次穿刺成功10例(33%),成功率为80%。两组一次穿刺成功率、穿刺成功率差异均有显著性(P〈0.05)。斜轴组平均穿刺次数和穿刺置管时间明显短于短轴组,差异均有显著性(P〈0.05)。斜轴组无血肿病例,短轴组为1例,差异无显著性。结论与短轴法比较斜轴法超声引导颈内静脉穿刺可大大提高颈内静脉穿刺置管成功率及缩短穿刺置管时间,同时减少了并发症发生及邻近组织的损伤,具有临床推广价值。 展开更多
关键词 静脉穿刺 超声引导 斜轴 短轴 中心静脉
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超声引导下短轴与长轴方法在锁骨下静脉穿刺中应用效果的比较 被引量:5
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作者 韩书勤 徐家济 +2 位作者 刘楠 宋桂霞 权哲峰 《广西医学》 CAS 2021年第21期2527-2529,共3页
目的比较超声引导下短轴与长轴方法在锁骨下静脉穿刺中的应用效果。方法将拟接受锁骨下静脉穿刺的127例患者随机分为短轴组(n=64)和长轴组(n=63)。短轴组在超声探头短轴下行锁骨下静脉穿刺,长轴组在超声探头长轴下进行锁骨下静脉穿刺。... 目的比较超声引导下短轴与长轴方法在锁骨下静脉穿刺中的应用效果。方法将拟接受锁骨下静脉穿刺的127例患者随机分为短轴组(n=64)和长轴组(n=63)。短轴组在超声探头短轴下行锁骨下静脉穿刺,长轴组在超声探头长轴下进行锁骨下静脉穿刺。比较两组患者第一次穿刺成功率、穿刺失败率、超声定位时间和穿刺相关并发症的发生率。结果短轴组第一次穿刺成功率高于长轴组,超声定位时间短于长轴组(均P<0.05),但两组穿刺失败率、穿刺相关并发症发生率差异均无统计学意义(均P>0.05)。结论与采用长轴相比,在超声引导下进行锁骨下静脉穿刺时采用短轴方法可以更快、更准确地找到目标血管,第一次穿刺成功率更高,穿刺定位时间更短。 展开更多
关键词 超声引导 锁骨下静脉 短轴 长轴 穿刺成功率
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短轴法超声引导指向外侧进针在颈内静脉穿刺置管中的应用 被引量:5
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作者 胡晓亮 高龙飞 +1 位作者 万贝贝 卢军杰 《海南医学》 CAS 2020年第1期95-97,共3页
目的探讨短轴法超声实时引导指向外侧进针在颈内静脉穿刺置管中的临床效果。方法选择西安市第三医院2018年3~12月需行颈内静脉穿刺置管的全麻手术患者120例,采用随机数表法分为观察组和对照组,每组60例,观察组采用短轴法超声实时引导指... 目的探讨短轴法超声实时引导指向外侧进针在颈内静脉穿刺置管中的临床效果。方法选择西安市第三医院2018年3~12月需行颈内静脉穿刺置管的全麻手术患者120例,采用随机数表法分为观察组和对照组,每组60例,观察组采用短轴法超声实时引导指向外侧进针,对照组采用传统体表标志法,记录两组患者的穿刺置管首次、二次和总成功率,穿刺次数,进针深度,操作时间以及穿刺并发症。结果两组患者的穿刺置管总成功率、穿刺次数、进针深度、操作时间比较差异均无统计学意义(P>0.05);观察组患者的首次成功率为95.0%,明显高于对照组的80.0%,误穿动脉2例(3.3%),明显少于对照组9例(15.0%),差异均有统计学意义(P<0.05);两组患者均无颈部血肿、神经损伤、气胸、血胸等严重并发症。结论短轴法超声引导指向外侧进针行颈内静脉穿刺置管首次成功率高,且降低误穿动脉风险,无严重并发症。 展开更多
关键词 超声引导 短轴 颈内静脉 体表标志 并发症
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Relationship Between Short-chain Fatty Acids and Parkinson’s Disease:A Review from Pathology to Clinic 被引量:1
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作者 Wen-Xiang Duan Fen Wang +1 位作者 Jun-Yi Liu Chun-Feng Liu 《Neuroscience Bulletin》 SCIE CAS CSCD 2024年第4期500-516,共17页
Parkinson’s disease(PD)is a complicated neurodegenerative disease,characterized by the accumulation ofα-synuclein(α-syn)in Lewy bodies and neurites,and massive loss of midbrain dopamine neurons.Increasing evidence ... Parkinson’s disease(PD)is a complicated neurodegenerative disease,characterized by the accumulation ofα-synuclein(α-syn)in Lewy bodies and neurites,and massive loss of midbrain dopamine neurons.Increasing evidence suggests that gut microbiota and microbial metabolites are involved in the development of PD.Among these,short-chain fatty acids(SCFAs),the most abundant microbial metabolites,have been proven to play a key role in brain-gut communication.In this review,we analyze the role of SCFAs in the pathology of PD from multiple dimensions and summarize the alterations of SCFAs in PD patients as well as their correlation with motor and non-motor symptoms.Future research should focus on further elucidating the role of SCFAs in neuroinflammation,as well as developing novel strategies employing SCFAs and their derivatives to treat PD. 展开更多
关键词 Parkinson’s disease short-chain fatty acids Microbial metabolites Brain-gut-microbiota axis
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新冠病毒肺炎疫情对白内障患者就医的影响 被引量:1
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作者 孙敬文 《航空航天医学杂志》 2024年第2期132-135,共4页
目的分析新冠病毒肺炎疫情对短眼轴白内障患者就医及术后疗效的影响。方法选取2020年01月-2022年10月到哈尔滨二四二医院眼科就诊的短眼轴(AL≤22.5)白内障患者60例。观察组30例为膨胀期老年性白内障患者,晶状体膨胀,眼压介于21 mmHg-40... 目的分析新冠病毒肺炎疫情对短眼轴白内障患者就医及术后疗效的影响。方法选取2020年01月-2022年10月到哈尔滨二四二医院眼科就诊的短眼轴(AL≤22.5)白内障患者60例。观察组30例为膨胀期老年性白内障患者,晶状体膨胀,眼压介于21 mmHg-40 mmHg之间;对照组30例为老年性白内障患者未成熟期,晶状体混浊,眼压正常患者。观察组患者入院后给予降眼压治疗(派立明(布林佐胺)眼药水和阿法根(酒石酸溴莫尼定)眼药水,各一日两次点眼)。完善检查后行白内障超声乳化吸除术联合一期人工晶体植入术联合房角分离术;对照组行白内障超声乳化吸除术联合人工晶体植入术,术后1天分别观察两组患者的视力、眼压,术后一个月观察两组患者的视力、眼压、前房深度和视野。结果两组患者在发病年龄、术前视力和患眼眼轴长度三个方面比较,差异无统计学意义(P≥0.05),术前眼压和前房深度的差异有统计学意义(P≤0.01);术中白内障超声乳化时间的差异没有统计学意义(P≥0.05);术后一天观察组和对照组最佳矫正远视力和眼压比较差异均有统计学意义(P≤0.01);术后一个月观察组和的最佳矫正远视力、视野比较差异有统计学意义(P≤0.01),眼压和前房深度比较差异无统计学意义(P≥0.05);观察组的术前眼压分别与术后一天、术后一个月进行比较,差异均有统计学意义(P≤0.01);对照组术前眼压和术后一天、术后一个月比较差异无统计学意义(P≥0.05);两组术前和术后一天、术后一个月前房深度比较差异均有统计学意义(P≤0.01)。结论对于短眼轴的白内障患者,应及时行白内障超声乳化吸除联合人工晶体植入手术,形成有效前房深度,避免由于晶状体膨胀,前房变浅,加重房角粘连,继发青光眼,导致术后视力、视野不佳,甚至需要行二期抗青光眼手术。 展开更多
关键词 新冠病毒肺炎 短眼轴 白内障 视野
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Taper Angle Correction in Cutting of Complex Micro-mechanical Contours with Ultra-Short Pulse Laser 被引量:5
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作者 J. Auerswald A. Ruckli +3 位作者 T. Gschwilm P. Weber D. Diego-Vallejo H. Schliiter 《Journal of Mechanics Engineering and Automation》 2016年第7期334-338,共5页
The objective of this work was to investigate the possibility of taper angle correction in cutting of complex micro-mechanical contours using a TruMicro ultra-short pulse laser in combination with the SCANLAB precSYS ... The objective of this work was to investigate the possibility of taper angle correction in cutting of complex micro-mechanical contours using a TruMicro ultra-short pulse laser in combination with the SCANLAB precSYS micro machining sub system. In a first step, the influence of the process parameters on the kerftaper angle of metallic alloys was systematically investigated without beam inclination. A set of base parameters was derived for the subsequent investigations. In a second step, the kerftaper angle was controlled by static beam inclination. In a third step, the same optics was used in its dynamic precession mode to fabricate micro-mechanical components of complex contours with perpendicular 0~ taper angles. It was found that taper angle adjustments of up to 7.5~ are possible with the used setup for cutting applications. Taper angle control is possible both in the static beam inclination mode and in the dynamic precession mode. The static mode could be interesting for contours with sharp inner radii and for achieving faster cutting times similar to results with fixed optics, but would require excellent synchronization of beam inclination and axis motion. The dynamic precession mode would allow an easier integration of the optics into a laser machine but will result in longer cutting times and limitations with respect to achievable inner radii. 展开更多
关键词 Ultra-short pulse laser cutting kerf taper angle zero taper 5-axis micro machining.
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超声引导下长轴及短轴法在PICC中的应用价值 被引量:4
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作者 叶江 阮佳泉 +1 位作者 梁旭 李倩 《海南医学》 CAS 2018年第9期1296-1298,共3页
目的比较超声引导下长轴及短轴法在经外周静脉穿刺中心静脉置管术(PICC)中的应用价值。方法选取宜宾市第二人民医院2015年1月至2016年12月在超声引导下行外周静脉穿刺置管患者200例,其中超声长轴引导组100例,短轴引导组100例。比较两种... 目的比较超声引导下长轴及短轴法在经外周静脉穿刺中心静脉置管术(PICC)中的应用价值。方法选取宜宾市第二人民医院2015年1月至2016年12月在超声引导下行外周静脉穿刺置管患者200例,其中超声长轴引导组100例,短轴引导组100例。比较两种超声引导法在一次穿刺成功率、穿刺成功用时、穿刺点皮下渗血或血肿发生率及导管异位发生率的差异。结果穿刺血管内径≤3 mm的患者,长轴组一次穿刺成功率为94.3%,明显高于短轴组的75.0%,差异有统计学意义(P<0.05);穿刺血管内径>3 mm的患者,长轴组一次穿刺成功率为100.0%,与短轴组的95.0%比较差异无统计学意义(P>0.05);长轴组穿刺成功平均用时为(33.1±13.2)s,明显少于短轴组的(76.9±13.5)s,差异有统计学意义(P<0.05);长轴组穿刺点皮下渗血或血肿发生率为2.0%,明显低于短轴组的9.0%,差异有统计学意义(P<0.05);长轴组及短轴组导管异位发生率均为0,两组比较差异无统计学意义(P>0.05)。结论超声长轴引导法比短轴引导法一次穿刺成功率高,穿刺成功用时少,且并发症少,可以作为超声引导外周静脉穿刺中心静脉置管的常规技术。 展开更多
关键词 超声引导 长轴 短轴 外周静脉穿刺 中心静脉置管术
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Double-side role of short chain fatty acids on host health via the gut-organ axes
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作者 Yanan Gao Qianqian Yao +2 位作者 Lu Meng Jiaqi Wang Nan Zheng 《Animal Nutrition》 SCIE CAS CSCD 2024年第3期322-339,共18页
Short chain fatty acids(SCFA)exist in dietary foods and are produced by the fermentation of gut microbiota,and are considered an important element for regulating host health.Through blood circulation,SCFA produced in ... Short chain fatty acids(SCFA)exist in dietary foods and are produced by the fermentation of gut microbiota,and are considered an important element for regulating host health.Through blood circulation,SCFA produced in the gut and obtained from foods have an impact on the intestinal health as well as vital organs of the host.It has been recognized that the gut is the“vital organ”in the host.As the gut microbial metabolites,SCFA could create an“axis”connecting the gut and to other organs.Therefore,the“gut-organ axes”have become a focus of research in recent years to analyze organism health.In this review,we summarized the sources,absorption properties,and the function of SCFA in both gut and other peripheral tissues(brain,kidney,liver,lung,bone and cardiovascular)in the way of“gut-organ axes”.Short chain fatty acids exert both beneficial and pathological role in gut and other organs in various ways,in which the beneficial effects are more pronounced.In addition,the beneficial effects are reflected in both preventive and therapeutic effects.More importantly,the mechanisms behinds the gut and other tissues provided insight into the function of SCFA,assisting in the development of novel preventive and therapeutic strategies for maintaining the host health. 展开更多
关键词 short chain fatty acid Intestinal barrier Gut-organ axis Host health Beneficial effect Pathological effect
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Current perspectives on the management of lateral pelvic lymph nodes in rectal cancer 被引量:3
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作者 Jonathan Yu Jin Chua James Chi Yong Ngu Nan Zun Teo 《World Journal of Clinical Oncology》 2023年第12期584-592,共9页
Significant controversies exist with regards to the optimal management of lateral pelvic lymph nodes metastases(mLLN)in patients with low rectal cancer.The differing views held by Japanese and Western clinicians on th... Significant controversies exist with regards to the optimal management of lateral pelvic lymph nodes metastases(mLLN)in patients with low rectal cancer.The differing views held by Japanese and Western clinicians on the management of mLLN have been well documented.However,the adequacy of pelvic lymph node dissection(PLND)or neoadjuvant chemoradiation(NACRT)alone in addition to total mesorectal excision(TME)have recently come into question,due to the relatively high incidence of lateral local recurrences following PLND and TME,or NACRT and TME alone.Recently,a more selective approach to PLND has been suggested,involving a combination of neoadjuvant therapy,followed by PLND only to patients in whom the oncological benefit is likely to outweigh the risk of potential adverse events.A number of studies have attempted to retrospectively identify certain nodal characteristics on preoperative imaging,such as nodal size,appearance,and size reduction following neoadjuvant therapy.However,no consensus has been reached regarding the optimal criteria for a selective approach to PLND,partly due to the heterogeneity and retrospective nature of most of these studies.This review aims to provide an overview of recent evidence with regards to the diagnostic challenges,considerations for,and outcomes of the current management strategies for mLLN in rectal cancer patients. 展开更多
关键词 Pelvic lymph node dissection Lateral pelvic lymph nodes Diagnostic criteria short axis diameter RADIOTHERAPY Rectal cancer
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Gut microbiota-derived short-chain fatty acids ameliorate methamphetamine-induced depression-and anxiety-like behaviors in a Sigmar-1 receptor-dependent manner 被引量:1
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作者 Kaikai Zhang Lijian Chen +9 位作者 Jianzheng Yang Jiali Liu Jiahao Li Yi Liu Xiuwen Li Long Chen Clare Hsu Jiahao Zeng Xiaoli Xie Qi Wang 《Acta Pharmaceutica Sinica B》 SCIE CAS CSCD 2023年第12期4801-4822,共22页
Methamphetamine(Meth)abuse can cause serious mental disorders,including anxiety and depression.The gut microbiota is a crucial contributor to maintaining host mental health.Here,we aim to investigate if microbiota par... Methamphetamine(Meth)abuse can cause serious mental disorders,including anxiety and depression.The gut microbiota is a crucial contributor to maintaining host mental health.Here,we aim to investigate if microbiota participate in Meth-induced mental disorders,and the potential mechanisms involved.Here,15 mg/kg Meth resulted in anxiety-and depression-like behaviors of mice successfully and suppressed the Sigma-1 receptor(SIGMAR1)/BDNF/TRKB pathway in the hippocampus.Mean-while,Meth impaired gut homeostasis by arousing the Toll-like receptor 4(TLR4)-related colonic inflammation,disturbing the gut microbiome and reducing the microbiota-derived short-chain fatty acids(SCFAs).Moreover,fecal microbiota from Meth-administrated mice mediated the colonic inflam-mation and reproduced anxiety-and depression-like behaviors in recipients.Further,SCFAs supple-mentation optimized Meth-induced microbial dysbiosis,ameliorated colonic inflammation,and repressed anxiety-and depression-like behaviors.Finally,Sigmarl knockout(Sigmar1^(-/-))repressed the BDNF/TRKB pathway and produced similar behavioral phenotypes with Meth exposure,and elim-inated the anti-anxiety and-depression effects of SCFAs.The activation of SIGMAR1 with fluvoxamine attenuated Meth-induced anxiety-and depression-like behaviors.Our findings indicated that gut microbiota-derived SCFAs could optimize gut homeostasis,and ameliorate Meth-induced mental disorders in a SIGMAR1-dependent manner.This study confirms the crucial role of microbiota in Methrelated mental disorders and provides a potential preemptive therapy. 展开更多
关键词 METHAMPHETAMINE Gut microbiota short-chain fatty acids Sigma-1 receptor Mental disorders Colonic inflammation Intestinal barrier Gut-brain axis
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超声短轴断面显示穿刺靶点引导下颈脊神经后支射频热凝术治疗颈型颈椎病患者的疗效 被引量:1
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作者 李美睿 田致焕 +3 位作者 孙筱筱 李喆雪 赵婷伟 张广建 《中华疼痛学杂志》 2023年第3期432-438,共7页
目的观察短轴切面超声引导下颈脊神经后支射频热凝治疗颈型颈椎病患者疼痛及改善颈椎活动度的临床效果。方法收集2020年3月至2021年3月在延边大学附属医院疼痛科诊断为颈型颈椎病的患者50例,采用随机数字表法分成两组,每组25例。射频热... 目的观察短轴切面超声引导下颈脊神经后支射频热凝治疗颈型颈椎病患者疼痛及改善颈椎活动度的临床效果。方法收集2020年3月至2021年3月在延边大学附属医院疼痛科诊断为颈型颈椎病的患者50例,采用随机数字表法分成两组,每组25例。射频热凝组采用短轴切面超声引导技术将射频针穿刺至脊神经后支,以50 Hz、0.3~0.5 V测试感觉,以2 Hz、0.6~0.8 V测试运动,分别以60、70、80℃各治疗60 s。药物联合电针组取大椎、天柱、后溪和颈夹脊穴,采取平补平泻法得气后留针30 min,7 d为一个疗程,共14 d,同时口服塞来昔布胶囊和盐酸乙哌立松片。观察两组患者治疗前和治疗后1 d,1、4、12、24、48周时的数字等级评分(NRS)、阿森斯失眠量表(AIS)评分。记录患者术前及术后1、4、12、24、48周时颈椎功能障碍指数评分(NDI)及颈椎活动度变化(前屈、后伸、左旋、右旋)。结果射频热凝组患者治疗后各时点NRS评分、AIS评分及NDI评分均较治疗前降低(P均<0.05),且低于同时点药物联合电针组患者评分(P均<0.05)。射频热凝组患者治疗后1、4、12、24、48周各时点颈椎活动度前屈、后伸、左旋、右旋均较治疗前明显改善。总有效率射频热凝组患者治疗后第24、28周分别为96.0%(24/25例)和96.0%(24/25例),药物联合电针组分别为32.0%(8/25例)和28.0%(7/25例),射频热凝组明显优于药物联合电针组,差异具有统计学意义(P<0.05)。射频热凝组治疗后未见血肿、感染、区域麻木等并发症,药物联合电针组5例患者出现胃部不适。结论短轴切面技术超声引导下行颈脊神经后支射频热凝术治疗可有效减轻颈型颈椎病患者疼痛,改善睡眠障碍及颈椎功能活动度,安全有效。 展开更多
关键词 颈锥病 脊神经后内侧支 短轴切面 射频热凝
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超声引导短轴-平面外桡动脉穿刺在房颤患者中的应用 被引量:2
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作者 董敏 谢丽金 《湖北民族学院学报(医学版)》 2017年第3期24-26,共3页
目的研究超声引导短轴-平面外桡动脉穿刺在房颤患者中的应用。方法选择择期行心脏手术的房颤患者15例,短轴-平面外超声引导下行桡动脉穿刺,记录操作时间,穿刺次数、穿刺成功率,观察并发症的发生率。结果超声引导下桡动脉穿刺置管时间(52... 目的研究超声引导短轴-平面外桡动脉穿刺在房颤患者中的应用。方法选择择期行心脏手术的房颤患者15例,短轴-平面外超声引导下行桡动脉穿刺,记录操作时间,穿刺次数、穿刺成功率,观察并发症的发生率。结果超声引导下桡动脉穿刺置管时间(52.8±17.6)s,11例患者1次穿刺置管成功,2例2次,1例3次,另外1例患者操作3次以上,需更换血管穿刺,总成功率93.3%。全组患者未见明显并发症。结论超声引导短轴-平面外桡动脉穿刺置管在房颤患者中具有较好的临床应用价值。 展开更多
关键词 超声引导 短轴 平面外 桡动脉穿刺
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空心钢管混凝土轴压短柱的有限元分析 被引量:2
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作者 赵亮 马瞻 《山西建筑》 2013年第9期37-38,共2页
在轴压试验结果的基础上,选择合理的材料本构关系模型,应用有限元软件ABAQUS对空心圆钢管混凝土短柱进行了有限元模拟,着重讨论了有限元模型的建立方法,并通过模拟结果与试验结果的对比验证了有限元模型的合理性。
关键词 空心钢管混凝土 短柱 轴压 有限元法
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应用全方向M型超声研究正常短轴方向心肌速度梯度 被引量:2
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作者 郭薇 胡扬 王春 《中国医学影像学杂志》 CSCD 北大核心 2010年第2期157-160,共4页
目的:探讨采用全方向M型超声心动图评价正常人室壁短轴方向心肌速度梯度的价值。材料和方法:应用全方向M型超声心动图技术分别于左室三个水平节段测量40例正常人室间隔、左室各壁收缩与舒张期内外膜速度及厚度,计算内外膜心肌速度梯度,... 目的:探讨采用全方向M型超声心动图评价正常人室壁短轴方向心肌速度梯度的价值。材料和方法:应用全方向M型超声心动图技术分别于左室三个水平节段测量40例正常人室间隔、左室各壁收缩与舒张期内外膜速度及厚度,计算内外膜心肌速度梯度,并进行对比分析。结果:短轴方向上,从二尖瓣水平到心尖水平,速度梯度逐渐降低,左室游离壁速度梯度大于室间隔。结论:正常人室壁运动速度梯度并不完全一致。全方向M型超声心动图可对局部室壁短轴方向的心肌速度梯度做定量分析。 展开更多
关键词 超声心动描记术 心肌速度梯度 短轴
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Fatty acid metabolism and acyl-CoA synthetases in the liver-gut axis 被引量:2
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作者 Yunxia Ma Miljana Nenkov +3 位作者 Yuan Chen Adrian T Press Elke Kaemmerer Nikolaus Gassler 《World Journal of Hepatology》 2021年第11期1512-1533,共22页
Fatty acids are energy substrates and cell components which participate in regulating signal transduction,transcription factor activity and secretion of bioactive lipid mediators.The acyl-CoA synthetases(ACSs)family c... Fatty acids are energy substrates and cell components which participate in regulating signal transduction,transcription factor activity and secretion of bioactive lipid mediators.The acyl-CoA synthetases(ACSs)family containing 26 family members exhibits tissue-specific distribution,distinct fatty acid substrate preferences and diverse biological functions.Increasing evidence indicates that dysregulation of fatty acid metabolism in the liver-gut axis,designated as the bidirectional relationship between the gut,microbiome and liver,is closely associated with a range of human diseases including metabolic disorders,inflammatory disease and carcinoma in the gastrointestinal tract and liver.In this review,we depict the role of ACSs in fatty acid metabolism,possible molecular mechanisms through which they exert functions,and their involvement in hepatocellular and colorectal carcinoma,with particular attention paid to long-chain fatty acids and small-chain fatty acids.Additionally,the liver-gut communication and the liver and gut intersection with the microbiome as well as diseases related to microbiota imbalance in the liver-gut axis are addressed.Moreover,the development of potentially therapeutic small molecules,proteins and compounds targeting ACSs in cancer treatment is summarized. 展开更多
关键词 Long-chain fatty acids short-chain fatty acids Acyl-CoA synthetases MICROBIOTA Liver-gut axis
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