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2002年临床常见细菌耐药性监测 被引量:460
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作者 马越 李景云 +3 位作者 张新妹 张力 胡昌勤 金少鸿 《中华检验医学杂志》 CAS CSCD 北大核心 2004年第1期38-45,共8页
目的 调查国家细菌耐药性监测网临床常见细菌对各种抗菌药物的耐药性现状。方法 药物敏感性试验采用纸片扩散法 ,耐药性数据分析采用WHONET5软件。结果  2 0 0 2年国家细菌耐药性监测网 8个省、市、自治区的 5 7家三级甲等医院共收... 目的 调查国家细菌耐药性监测网临床常见细菌对各种抗菌药物的耐药性现状。方法 药物敏感性试验采用纸片扩散法 ,耐药性数据分析采用WHONET5软件。结果  2 0 0 2年国家细菌耐药性监测网 8个省、市、自治区的 5 7家三级甲等医院共收集患者首次分离株 4 0 379株 ;大肠埃希菌、绿脓假单胞菌、肺炎克雷伯菌、金黄色葡萄球菌和表皮葡萄球菌是最常见菌 ;甲氧西林耐药金黄色葡萄球菌 (MRSA)和甲氧西林耐药的凝固酶阴性的葡萄球菌 (MRCNS)对临床常用抗菌药物的耐药率明显高于甲氧西林敏感金黄色葡萄球菌 (MSSA)和甲氧西林敏感的凝固酶阴性葡萄球菌(MSCNS) ;屎肠球菌对青霉素、氨苄西林及高浓度庆大霉素和链霉素的耐药率明显高于粪肠球 ;2 4 8%的肺炎链球菌对青霉素耐药 ;肠杆菌科细菌对亚胺培南和美洛培南的耐药率最低 ;产超广谱 β内酰胺酶 (ESBLs)的大肠埃希菌和肺炎克雷伯菌株的检出率分别为 18 2 %和 2 2 6 % ;除大肠埃希菌外 ,环丙沙星和左氧氟沙星对其他肠杆菌科细菌的耐药率均低于 30 % (0~ 2 9 7% ) ;绿脓假单胞菌对亚胺培南和美洛培南的耐药率分别为 19 1%和 15 2 % ,而鲍曼不动杆菌对碳青霉烯类抗生素较敏感。结论 细菌耐药性问题是抗感染治疗的主要威胁 。 展开更多
关键词 2002年 临床常见细菌 耐药性 监测 大肠埃希菌、绿脓假单胞菌 肺炎克雷伯菌 金黄色葡萄球菌
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腹腔镜联合手术 被引量:135
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作者 王秋生 邓绍庆 +1 位作者 李恩宽 温玉 《中华外科杂志》 CAS CSCD 北大核心 1997年第2期84-88,共5页
腹腔镜联合手术是其切口创伤小、灵活机动、便于多病联治优越性的突出体现。作者自1991年以来实施的1000余例腹腔镜外科手术中有52例为联合手术。其中胆囊与阑尾联合切除24例;胆囊切除加非寄生虫性肝囊肿开窗引流2例;胆... 腹腔镜联合手术是其切口创伤小、灵活机动、便于多病联治优越性的突出体现。作者自1991年以来实施的1000余例腹腔镜外科手术中有52例为联合手术。其中胆囊与阑尾联合切除24例;胆囊切除加非寄生虫性肝囊肿开窗引流2例;胆囊切除联合腹股沟斜疝内环夹闭3例;联合脐疝修补1例;胆囊切除加胆总管切开取石、T管引流12例;胆囊与右侧卵巢囊肿、左侧附件联合切除1例;胆囊与子宫肌瘤联合切除1例;胆囊与右肾错构瘤联合切除1例;右腹股沟斜疝修补加左精索曲张静脉高位扎闭2例;食管裂孔疝修补加胃底折叠术3例。52例腹腔镜联合手术中除2例中转开腹外,其余的50例均获得成功。作者认为:只要严格掌握联合手术指征,腹腔镜联合手术能够安全、有效地联合处理两种或两种以上的腹部病变,使此类患者充分享受微创外科手术的优越性,并相对地节省医疗费用,具有一定的社会经济效益。 展开更多
关键词 腹腔镜 外科手术 联合手术
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Support technologies for deep and complex roadways in underground coal mines:a review 被引量:125
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作者 Hongpu Kang 《International Journal of Coal Science & Technology》 EI CAS 2014年第3期261-277,共17页
Based on geological and mining characteristics,coal mine roadways under complex conditions were divided into five types,for each type the deformation and damage characteristics of rocks surrounding roadways were analy... Based on geological and mining characteristics,coal mine roadways under complex conditions were divided into five types,for each type the deformation and damage characteristics of rocks surrounding roadways were analyzed.The recent developments of roadway support technologies were introduced abroad,based on the experiences of supports for deep and complex roadways from Germany,the United States and Australia.The history and achievements of roadway support technologies in China were detailed,including rock bolting,steel supports,grouting reinforcement and combined supports.Four typical support and reinforcement case studies were analyzed,including a high stressed roadway 1,000 m below the surface,a roadway surrounded by severely weak and broken rocks,a chamber surrounded by weak and broken rocks,and a roadway with very soft and swelling rocks.Based on studies and practices in many years,rock bolting has become the mainstream roadway support form in China coal mines,and steel supports,grouting reinforcement and combined supports have also been applied at proper occasions,which have provided reliable technical measures for the safe and high effective construction and mining of underground coal mines. 展开更多
关键词 Coal mines Deep and complex roadways Rock bolts Steel supports GROUTING combined supports
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中国消化性溃疡治疗现状调查报告 被引量:116
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作者 许国铭(整理) 邹多武(整理) 《中华消化杂志》 CAS CSCD 北大核心 2007年第2期114-117,共4页
目的调查中国消化性溃疡治疗情况,为规范治疗提供资料。方法对2006年全国6个大区中27个省(市)300多家医院中经内镜证实的、符合人选标准的活动性消化性溃疡患者,由所在单位医师负责填写调查表格,主要内容包括病程、发病时间、受诊... 目的调查中国消化性溃疡治疗情况,为规范治疗提供资料。方法对2006年全国6个大区中27个省(市)300多家医院中经内镜证实的、符合人选标准的活动性消化性溃疡患者,由所在单位医师负责填写调查表格,主要内容包括病程、发病时间、受诊时间、幽门螺杆菌(Hp)感染、主要症状、药物治疗情况等。由专业公司电话随访,将汇总资料进行统计学分析。结果人组的10575例患者中,电话回访7610例,成功确认6035例。3998例为消化性溃疡患者(66.2%)。其中,十二指肠溃疡(DU)2395例,胃溃疡(GU)1603例,DU:Gu为1.49:1,男性65.5%,女性30.6%(资料缺失3.9%),40~60岁者占34.9%。消化性溃疡患者中,Hp感染阳性2039例(51.0%),接受HP根除治疗1015例(49.8%);Hp阴性748例(18.7%),其中715例(95.6%)未作根除治疗;1211例(30.3%)未查Hp。Hp根除治疗方案中,以质子泵抑制剂(PPI)+阿莫西林+克拉霉素最多。治疗后症状改善3654例(93.9%)。PPI剂量通常为常规用量,疗程以1周最多。结论以PPI为基础的三联抗Hp治疗已成为中国溃疡病治疗的主要方法,可明显改善症状,不良反应小。因而规范消化性溃疡的治疗方案势在必行。 展开更多
关键词 消化性溃疡 药物治疗 联合 多中心研究
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Multimodality treatment in hepatocellular carcinoma patients with tumor thrombi in portal vein 被引量:80
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作者 Jia Fan Zhi Quan Wu +5 位作者 Zhao You Tang Jian Zhou Shuang Jian Qiu Zeng Chen Ma Xin Da Zhou Sheng Long Ye Liver Cancer Institute, Zhongshan Hospital, Fudan University Medical Center (Former Shanghai University), 136 Yixueyuan Road, Shanghai 200032, China 《World Journal of Gastroenterology》 SCIE CAS CSCD 2001年第1期28-32,共5页
AIM: To compare the therapeutic effect and significances of multimodality treatment for hepatocellular carcinoma (HCC) with tumor thrombi in portal vein (PVTT). METHODS: HCC patients (n=147) with tumor thrombi in the ... AIM: To compare the therapeutic effect and significances of multimodality treatment for hepatocellular carcinoma (HCC) with tumor thrombi in portal vein (PVTT). METHODS: HCC patients (n=147) with tumor thrombi in the main portal vein or the first branch of portal vein were divided into four groups by the several therapeutic methods. There were conservative treatment group in 18 out of patients (group A); and hepatic artery ligation(HAL) and/or hepatic artery infusion (HAI) group in 18 patients (group B), in whom postoperative chemoembolization was done periodically; group of removal of HCC with PVTT in 79 (group C) and group of transcatheter hepatic arterial chemoembolization (TACE) or HAI and/or portal vein infusion (PVI) after operation in 32 (group D). RESULTS: The median survival period was 12 months in our series and the 1-,3-, and 5-year survival rates were 44.3%, 24.5% and 15.2%, respectively. The median survival times were 2, 5, 12 and 16 months in group A, B, C and D, respectively. The 1-, 3- and 5-year survival rates were 5.6%, 0% and 0% in group A; 22.2%, 5.6% and 0% in group B; 53.9%, 26.9% and 16.6% in group C; 79.3%, 38.9% and 26.8% in group D, respectively. Significant difference appeared in the survival rates among the groups (P 【 0.05). CONCLUSION: Hepatic resection with removal of tumor thrombi and HCC should increase the curative effects and be encouraged for the prolongation of life span and quality of life for HCC patients with PVTT, whereas the best therapeutic method for HCC with PVTT is with regional hepatic chemotherapy or chemoembolization after hepatic resection with removal of tumor thrombi. 展开更多
关键词 Chemoembolization Therapeutic Neoplasm Circulating Cells Adult Aged Antineoplastic Agents Carcinoma Hepatocellular combined Modality Therapy Comparative Study Female Hepatic Artery Humans LIGATION Liver Neoplasms Male Middle Aged Portal Vein Prognosis Research Support Non-U.S. Gov't Survival Rate
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腹腔镜联合胆道镜治疗胆囊结石合并胆总管结石52例临床疗效观察 被引量:76
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作者 章志军 王波 +2 位作者 黄俊伟 张勤 叶舰遥 《中国医药导刊》 2012年第8期1321-1322,共2页
目的:探讨腹腔镜联合胆道镜治疗胆囊结石合并胆总管结石的临床疗效。方法:本实验组的52例均为我院2008年1月~2011年1月收治的胆囊结石合并胆总管结石患者,采用腹腔镜联合胆道镜治疗。对照组为常规胆囊胆总管切开取石术的52例患者。对... 目的:探讨腹腔镜联合胆道镜治疗胆囊结石合并胆总管结石的临床疗效。方法:本实验组的52例均为我院2008年1月~2011年1月收治的胆囊结石合并胆总管结石患者,采用腹腔镜联合胆道镜治疗。对照组为常规胆囊胆总管切开取石术的52例患者。对两组患者的治疗情况、并发症发生情况、残留结石情况进行比较。结果:实验组患者手术均得到成功,无中转开腹,其中T管引流32例,胆总管一期缝合20例。实验组患者的手术时间与对照组相比差异无统计学意义(P>0.05),术中出血量、住院时间均显著短于对照组(P<0.05)。实验组有1例患者并发胰腺炎,经对症治疗后缓解。有5例患者发生胆汁瘘,经引流后好转。对照组发生肺部感染6例,切口感染3例。随访1年,实验组发现残余结石2例,经胆道镜取石后痊愈。两组患者均未见结石残留。结论:腹腔镜联合胆道镜治疗胆囊结石合并胆总管结石,适用于胆结石过大的患者,是一种可靠的微创手术治疗方法,值得临床上推广使用。 展开更多
关键词 腹腔镜 联合 胆道镜 治疗 胆囊 结石 胆总管
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Soil Heavy Metal Pollution Around the Dabaoshan Mine,Guangdong Province,China 被引量:67
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作者 ZHOU Jian-Min DANG Zhi +1 位作者 CAI Mei-Fang LIU Cong-Qiang 《Pedosphere》 SCIE CAS CSCD 2007年第5期588-594,共7页
Soil contamination in the vicinity of the Dabaoshan Mine, Guangdong Province, China, was studied through determi- nation of total concentrations and chemical speciation of the toxic metals, Cu, Zn, Cd, and Pb, using i... Soil contamination in the vicinity of the Dabaoshan Mine, Guangdong Province, China, was studied through determi- nation of total concentrations and chemical speciation of the toxic metals, Cu, Zn, Cd, and Pb, using inductively coupled plasma mass spectrometry. The results showed that over the past decades, the environmental pollution was caused by a combination of Cu, Zn, Cd, and Pb, with tailings and acid mine drainage being the main pollution sources affecting soils. Significantly higher levels (P ≤ 0.05) of Cu, Zn, Cd, and Pb were found in the tailings as compared with paddy, garden, and control soils, with averages of 1486, 2516, 6.42, and 429 mg kg^-1, respectively. These metals were continuously dispersed downstream from the tallings and waste waters, and therefore their concentrations in the paddy soils were as high as 567, 1 140, 2.48, and 191 mg kg^-1, respectively, being significantly higher (P ≤ 0.05) as compared with those in the garden soils. The results of sequential extraction of the above metals from all the soil types showed that the residual fraction was the dominant form. However, the amounts of metals that were bound to Fe-Mn oxides and organic matter were relatively higher than those bound to carbonates or those that existed in exchangeable forms. As metals could be transformed from an inert state to an active state, the potential environmental risk due to these metals would increase with time. 展开更多
关键词 chemical speciation combined pollution index (CPI) contaminated soil heavy metals
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Combined Pollution and Pollution Index of Heavy Metals in Red Soil 被引量:56
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作者 CHEN HUAIMAN ZHENG CHUNRONG WANG SHENQIANG and TU CONG(Institute of Soil Science, the Chinese Academy of Sciences, P.O. Box 821, Naroing 210008 China) 《Pedosphere》 SCIE CAS CSCD 2000年第2期117-124,共8页
A field experiment was conducted to study the effects of Pb, Cd, Cu, Zn and As coexisting in red soilon growth of rice (Oryza sativa L.), mung bean (Vigna rabiata (Linn.) Wilczek), alfalfa (Medicago sativaL.), slash p... A field experiment was conducted to study the effects of Pb, Cd, Cu, Zn and As coexisting in red soilon growth of rice (Oryza sativa L.), mung bean (Vigna rabiata (Linn.) Wilczek), alfalfa (Medicago sativaL.), slash pine (Pinus elliottii Engelm.) and aspen (Populus L.). Results showed that rice, mung bean andalfalfa were significantly innuenced by combined pollution of the heavy metals. The contents of Pb, cd andAs in rice grains greatly exceeded the National Standards for Food Hygiene of China. Heavy metals at ahigh concentration seriously retarded growth of mung bean and alfalfa, but not so obviously with slash pineand aspen. The composite index is suggested for evaluating the relativity of combined pollution witll heavymetals in soil. 展开更多
关键词 combined pollution composite pollution index plant growth red soil
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Developments and Prospects of Long-Span High-Speed Railway Bridge Technologies in China 被引量:61
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作者 Shunquan Qin Zongyu Gao 《Engineering》 SCIE EI 2017年第6期787-794,共8页
With the rapid developments of the high-speed railway in China, a great number of long-span bridges have been constructed in order to cross rivers and gorges. At present, the longest main span of a constructed high-sp... With the rapid developments of the high-speed railway in China, a great number of long-span bridges have been constructed in order to cross rivers and gorges. At present, the longest main span of a constructed high-speed railway bridge is only 630 m. The main span of Hutong Yangtze River Bridge and of Wufengshan Yangtze River Bridge, which are under construction, will be much longer, at 1092 m each. In order to overcome the technical issues that originate from the extremely large dead loading and the relatively small structural stiffness of long-span high-speed railway bridges, many new technologies in bridge construction, design, materials, and so forth have been developed. This paper carefully reviews progress in the construction technologies of multi-function combined bridges in China, including com- bined highway and railway bridges and multi-track railway bridges. Innovations and practices regarding new types of bridge and composite bridge structures, such as bridges with three cable planes and three main trusses, inclined main trusses, slab-truss composite sections, and steel-concrete composite sections, are introduced. In addition, investigations into high-performance materials and integral fabrication and erection techniques for long-span railway bridges are summarized. At the end of the paper, prospects for the future development of long-span high-speed railwav bridges are provided. 展开更多
关键词 High-speed railway Long-span bridges Multi-function combined bridges High-performance materials Spatial structures with three cable planes Integral fabrication
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舒芬太尼与瑞芬太尼各自复合丙泊酚静脉麻醉在腹腔镜胆囊切除术的效果比较 被引量:60
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作者 陈仁军 沈学用 +2 位作者 倪辉 刘敏 胡传才 《中国普通外科杂志》 CAS CSCD 北大核心 2018年第8期1041-1047,共7页
目的:比较腹腔镜胆囊切除术(LC)中采用舒芬太尼与瑞芬太尼各自复合丙泊酚静脉麻醉复合丙泊酚静脉麻醉的应用效果。方法:纳入2017年3月―2018年3月行LC的患者90例,随机均分为两组,分别行舒芬太尼复合丙泊酚麻醉(舒芬太尼组)与瑞芬太尼复... 目的:比较腹腔镜胆囊切除术(LC)中采用舒芬太尼与瑞芬太尼各自复合丙泊酚静脉麻醉复合丙泊酚静脉麻醉的应用效果。方法:纳入2017年3月―2018年3月行LC的患者90例,随机均分为两组,分别行舒芬太尼复合丙泊酚麻醉(舒芬太尼组)与瑞芬太尼复合丙泊酚麻醉(瑞芬太尼组),比较两组麻醉各时间段的血流动力学指标与血清应激指标、自主呼吸恢复时间、睁眼时间和拔管时间、术后视觉模拟(VAS)评分、术前与术后的简易精神状态量表(MMSE)评分以及麻醉复苏期不良反应情况。结果:与瑞芬太尼组比较,舒芬太尼组在麻醉诱导气管插管即刻、CO_2气腹后5min、拔管即刻的心率与平均动脉压、血清皮质醇与和去甲肾上腺素水平均明显降低(均P<0.05);自主呼吸恢复时间、睁眼时间和拔管时间均明显延长(均P<0.05);术后2、6、12h的VAS评分均明显降低(均P<0.05);术后1d的MMSE评分明显升高(P<0.05);总不良反应发生率明显降低(P<0.05)。结论:相比瑞芬太尼复合丙泊酚麻醉,舒芬太尼复合丙泊酚静脉麻醉用于LC更有利于维持患者血流动力学稳定,应激反应更小,患者术后痛觉感受更轻,认知功能恢复更快,不良反应少。 展开更多
关键词 胆囊切除术 腹腔镜 麻醉药 联用 舒芬太尼
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化学药物对卵巢恶性肿瘤患者血糖代谢的影响 被引量:50
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作者 张俊吉 沈铿 郎景和 《中华妇产科杂志》 CAS CSCD 北大核心 2002年第8期481-483,共3页
目的 探讨化学药物对卵巢恶性肿瘤患者血糖代谢的影响。方法 收集 1997年 1月~2 0 0 1年 12月收治的卵巢恶性肿瘤患者 375例化学药物治疗 (化疗 )前后的血糖检验报告及相关临床资料 ,并对其进行回顾性分析。结果  375例患者中 ,化... 目的 探讨化学药物对卵巢恶性肿瘤患者血糖代谢的影响。方法 收集 1997年 1月~2 0 0 1年 12月收治的卵巢恶性肿瘤患者 375例化学药物治疗 (化疗 )前后的血糖检验报告及相关临床资料 ,并对其进行回顾性分析。结果  375例患者中 ,化疗前合并糖尿病 9例 ,其余化疗前血糖水平正常。化疗后空腹血糖升高 32例 ,占 8 5 %。 32例中明确诊断为糖尿病 14例 ,糖耐量低减 9例 ,一过性血糖升高 9例 ,分别占同期接受化疗的卵巢恶性肿瘤患者的 3 7%、2 4 %和 2 4 %。其中 ,接受以紫杉醇类药物为主的化疗患者 2 0 8例 ,发生血糖异常 2 3例 ,占同类化疗 11 1% (2 3/ 2 0 8) ,占同期化疗 6 1%(2 3/ 375 ) ;接受以铂类药物为主的化疗患者 14 1例 ,发生血糖异常 8例 ,占同类化疗 5 7% (8/ 14 1) ,占同期化疗 2 1% (8/ 375 ) ;接受其他化疗方案患者 2 6例 ,发生血糖异常 1例 ,占同期化疗 0 3% (1/ 375 )。以紫杉醇类为主化疗与以铂类为主化疗引起的血糖异常的发生率相比较 ,差异有显著性 (P <0 0 5 )。化疗诱发的血糖异常多数发生在化疗后 1~ 3个疗程。结论 卵巢恶性肿瘤患者接受化疗后可能会出现血糖异常 ,甚至发生糖耐量低减或糖尿病 ,以紫杉醇类为主的化疗方案治疗中这种情况更加常见 ,且多发生于治疗的第 1? 展开更多
关键词 化学药物 卵巢恶性肿瘤 血糖代谢 临床研究 作用机制
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Experimental study on antitumor effect of arsenic trioxide in combination with cisplatin or doxorubicin on hepatocellular carcinoma 被引量:50
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作者 Wei Wang~1 Shu-Kui Qin~1 Bao-An Chen~2 Hui-Ying Chen~1 1 Chinese PLA Cancer Center,Chinese PLA 81 Hospital,Nanjing 210002,Jiangshu Province,China2 Affliliated Zhongda Hospital of Southeast University Medical College,Nanjing 210087,Jiangsu Province,China 《World Journal of Gastroenterology》 SCIE CAS CSCD 2001年第5期702-705,共4页
INTRODUCTIONThe main component of a traditional Chinese drug 'Pishuang'. arsenic trioxide (As2O3), has obviously selective anti-tumor effect on human hepatocellular carcinoma (HCC)in both in vitro and in vivo ... INTRODUCTIONThe main component of a traditional Chinese drug 'Pishuang'. arsenic trioxide (As2O3), has obviously selective anti-tumor effect on human hepatocellular carcinoma (HCC)in both in vitro and in vivo studies[1-5]. Due to limited effectiveness when any anti-carcinogen is used alone and obviously increased toxicity when the dose is raised, there is no exception for As2O3. Furthermore, combined chemotherapy contributes to improve therapeutic effectiveness, disperse toxicity and surmount drug-resistance,in which the combination of traditional Chinese and modern medicine has more advantages and characteristics. As a result,we made an experimental study on anti-tumor effect of As2O3in combination with cisplantin (PDD) or doxorubicin (ADM)on HCC. to investigate the possibility of AS2O3 in combination with PDD or ADM and nature of interaction between them,and to provide experimental basis for clinical application. 展开更多
关键词 Animals Antineoplastic Agents Antineoplastic combined Chemotherapy Protocols ARSENICALS Carcinoma Hepatocellular CISPLATIN DOXORUBICIN Female Humans Liver Neoplasms Experimental Male MICE Mice Inbred Strains Neoplasm Transplantation Oxides Research Support Non-U.S. Gov't Tumor Cells Cultured
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新型口服避孕药屈螺酮炔雌醇片的多中心随机对照临床观察 被引量:50
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作者 范光升 卞美璐 +9 位作者 程利南 曹晓明 黄紫蓉 韩字研 经小平 李坚 武淑英 熊承良 熊正爱 岳天孚 《中华妇产科杂志》 CAS CSCD 北大核心 2009年第1期38-44,共7页
目的观察屈螺酮炔雌醇片(商品名:优思明)用于健康育龄期妇女的避孕效果、出血模式、副作用及避孕以外的其他作用。方法采用多中心随机对照的研究方法对768例要求避孕的健康育龄期妇女,以3:1的比例随机分配到屈螺酮组(服用屈螺酮... 目的观察屈螺酮炔雌醇片(商品名:优思明)用于健康育龄期妇女的避孕效果、出血模式、副作用及避孕以外的其他作用。方法采用多中心随机对照的研究方法对768例要求避孕的健康育龄期妇女,以3:1的比例随机分配到屈螺酮组(服用屈螺酮炔雌醇片,573例)和去氧孕烯组(服用去氧孕烯一炔雌醇,195例),均服药13个周期,在服药后的第4、7、10和13个周期进行随访,观察身高、体重、月经情况等。在服药前和服药后第7、13个周期完成月经不适问卷(MDQ)。结果屈螺酮组的方法失败率(Pearl指数)为0.208/百妇女年,优于去氧孕烯组的0.601/百妇女年。两组受试者的出血模式相似,发生出血和(或)点滴出血、仅有点滴出血的天数、次数及每次出血最长时间在各个参考时相基本相似。第7个周期与服药前比较,两组受试者用药后在经期水潴留和食欲增加方面的MDQ量表评分变化、月经间期水潴留和身心健康感方面的MDQ量表评分变化,屈螺酮组(分别为-0.297、-0.057、0.033、0.150分)较去氧孕烯组(分别为-0.108、0.023、0.231、-0.023分)改善明显,两组分别比较,差异均有统计学意义(P〈0.05)。在皮肤异常方面,第13个周期月经前期时,屈螺酮组的改善率(18.0%,89/494)较去氧孕烯组(11.3%,19/168)明显增高,两组比较,差异有统计学意义(P〈0.05);在乳房疼痛或触痛方面,在第7个周期经期时,屈螺酮组改善率(12.6%,62/494)较去氧孕烯组(5.4%,9/168)明显增高,两组比较,差异也有统计学意义(P〈0.05)。屈螺酮组妇女的体重呈下降趋势,去氧孕烯组反之;在第13个周期随访时,两组体重的变化(与服药前比较)分别为-0.28、0.57kg,两组比较,差异有统计学意义(P〈0.01)。结论屈螺酮炔雌醇片� 展开更多
关键词 避孕药 口服 复合 雄甾烯类 脱氧孕烯 随机对照试验
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人参皂苷Rg3联合化疗治疗对胃癌术后患者的临床观察 被引量:46
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作者 于学涛 王淑萍 《中华肿瘤防治杂志》 CAS 2010年第10期779-781,共3页
为了观察人参皂苷Rg3联合化疗对胃癌术后患者的临床疗效,将96例进展期胃癌术后患者随机分为治疗组(56例)和对照组(40例)。所有患者术后2周后行ELFP或EAP化疗,治疗组同时服用人参皂苷Rg3(参一胶囊)20mg,2次/d,均完成6个周期治疗。观察患... 为了观察人参皂苷Rg3联合化疗对胃癌术后患者的临床疗效,将96例进展期胃癌术后患者随机分为治疗组(56例)和对照组(40例)。所有患者术后2周后行ELFP或EAP化疗,治疗组同时服用人参皂苷Rg3(参一胶囊)20mg,2次/d,均完成6个周期治疗。观察患者客观疗效、血清VEGF水平、CD3、CD4、CD4/CD8和T淋巴细胞转化率等免疫指标的变化。治疗组总有效率69.6%,明显高于对照组47.5%,P<0.05。治疗组患者治疗后血清VEGF平均下降39.5%(P<0.01),明显低于对照组治疗后血清VEGF水平,P<0.05。治疗组CD3、CD4、CD4/CD8、T淋巴细胞转化率均较治疗前有明显提高(P<0.05),而对照组上述指标均较治疗前有明显下降,P<0.05。初步研究结果提示,人参皂苷Rg3可通过抑制肿瘤新生血管形成、增强患者免疫力等途径提高化疗患者的疗效。 展开更多
关键词 胃肿瘤/药物疗法 人参皂甘/药理学 药物疗法 联合
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Combined detection tumor markers for diagnosis and prognosis of gallbladder cancer 被引量:38
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作者 Yun-Feng Wang Fei-Ling Feng +5 位作者 Xu-Hong Zhao Zhen-Xiong Ye He-Ping Zeng Zhen Li Xiao-Qing Jiang Zhi-Hai Peng 《World Journal of Gastroenterology》 SCIE CAS 2014年第14期4085-4092,共8页
AIM: To clarify the value of combined use of markers for the diagnosis of gallbladder cancer and prediction of its prognosis. METHODS: Serum cancer antigens (CA) 199, CA242, carcinoembryonic antigen (CEA), and CA125 l... AIM: To clarify the value of combined use of markers for the diagnosis of gallbladder cancer and prediction of its prognosis. METHODS: Serum cancer antigens (CA) 199, CA242, carcinoembryonic antigen (CEA), and CA125 levels were measured in 78 patients with gallbladder cancer (GBC), 78 patients with benign gallbladder diseases, and 78 healthy controls using electrochemiluminescence. CA199, CA242, CEA, and CA125 levels and positive rates were analyzed and evaluated pre-and post-operatively. Receiver operator characteristic curves were used to determine diagnostic sensitivity and specificity of GBC. Survival time analysis, including survival curves, and multivariate survival analysis of a Cox proportional hazards model was performed to evaluate independent prognostic factors. RESULTS: Serum CA242, CA125, and CA199 levels in the GBC group were significantly higher when compared with those in the benign gallbladder disease and healthy control groups (P < 0.01). With a single tumor marker for GBC diagnosis, the sensitivity of CA199 was the highest (71.7%), with the highest specificity being in CA242 (98.7%). Diagnostic accuracy was highest with a combination of CA199, CA242, and CA125 (69.2%). CA242 could be regarded as a tumor marker of GBC infiltration in the early stage. The sensitivity of CA199 and CA242 increased with progression of GBC and advanced lymph node metastasis (P < 0.05). The 78 GBC patients were followed up for 6-12 mo (mean: 8 mo), during which time serum CA199, CA125, and CA242 levels in the recurrence group were significantly higher than in patients without recurrence (P < 0.01). The post-operative serum CA199, CA125, and CA242 levels in the non- recurrence group were significantly lower than those in the GBC group (P < 0.01). Multivariate survival analysis using a Cox proportional hazards model showed that cancer of the gallbladder neck and CA199 expression level were independent prognostic factors. CONCLUSION: CA242 is a marker of GBC infiltration in the early stage. CA199 and cancer of the gallbl 展开更多
关键词 Gallbladder cancer Tumor marker combined detection DIAGNOSIS PROGNOSIS
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Detection of serum tumor markers in the diagnosis and treatment of patients with pancreatic cancer 被引量:35
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作者 Xiao-Ting Jiang, Hou-Quan Tao and Shou-Chun Zou Clinical Medical Laboratory and Depart-ment of Surgery , Zhejiang Provincial People’ sHospital, Hangzhou 310014 , China 《Hepatobiliary & Pancreatic Diseases International》 SCIE CAS 2004年第3期464-468,共5页
BACKGROUND: Although a variety of tumor markers areavailable for diagnosis of pancreatic cancer, their sensitivityand specificity have not yet been ideal. The aims of thisstudy was to detect a panel of serum tumor mar... BACKGROUND: Although a variety of tumor markers areavailable for diagnosis of pancreatic cancer, their sensitivityand specificity have not yet been ideal. The aims of thisstudy was to detect a panel of serum tumor markers and toevaluate their significance in the diagnosis and prognosis ofpancreatic cancer patients.METHODS: Eight serum tumor markers including AFP,CEA, CA-50, CA72-4, CA-125, CA153, CA19-9 and CA242were detected in 129 patients with pancreatic cancer by usingchemiluminescence immunoassay, immunofluorescence as-say and immunoradiometric assay, respectively. The levelsof these markers were compared in 99 patients with non-pancreatic malignant tumor, 63 patients with other benigndiseases, and 27 patients with pancreatic cancer after pan-createctomy.RESULTS: Among the 8 tumor markers, CA19-9, CA242,CA-50, and CA72-4 were more sensitive in the diagnosis ofpancreatic cancer. Parallel combined testing could increasethe diagnostic sensitivity to 89.2%, and serial combined exa-mination could increase the diagnostic specificity to 92.3%.The serum tumor markers levels were decreased significant-ly after radical tumor resection.CONCLUSIONS: Serum CA19-9, CA242, CA-50, andCA72-4 are the preferred tumor markers to be used in thediagnosis and follow-up of operated cases of pancreaticcancer. Testing of a panel of multiple serum tumor mark-ers may increase the sensitivity and specificity in the diag-nosis of pancreatic cancer. 展开更多
关键词 tumor markers pancreatic cancer DIAGNOSIS combined testing
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Fermented soybean meal improves the growth performance, nutrient digestibility, and microbial flora in piglets 被引量:36
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作者 Lin Yuan Juan Chang +6 位作者 Qingqiang Yin Min Lu Yuanran Di Ping Wang Zhixiang Wang Erzhu Wang Fushan Lu 《Animal Nutrition》 SCIE 2017年第1期19-24,共6页
In order to increase nutritive values of soybean meal(SBM), 3 species of microbes were used to ferment SBM. Through a 3 x 3 orthogonal design and parameter measurements of soybean peptide and antinutritional factor co... In order to increase nutritive values of soybean meal(SBM), 3 species of microbes were used to ferment SBM. Through a 3 x 3 orthogonal design and parameter measurements of soybean peptide and antinutritional factor contents in the fermented soybean meal(FSBM), it was estimated that the best microbial proportion of Bacillus subtilis, Hansenula anomala and Lactobacillus casei was 2:1:2 for SBM fermentation(P < 0.05). The further piglet feeding experiment showed that 10% FSBM substitute for SBM had no significant effect on growth performance of suckling piglets(d 7-28)(P> 0.05). However, newlyweaned piglets(d 28-38) fed 10% FSBM and different levels of plasma protein obtained higher average daily gain(ADG) and feed conversion ratio(FCR), compared with those without FSBM but with 6% plasma protein(P < 0.05). Piglets(d 38-68) fed diets supplemented with FSBM and soybean protein concentrate(SBPC) at 3.75% and 7.5% respectively increased nutrient digestibility,fecal enzyme activity and lactic acid bacteria counts, and decreased fecal Escherichia coli counts(P < 0.05), compared with the control. These data indicated that FSBM had positive effects on nutrient digestibility and fecal microflora for piglets. 展开更多
关键词 Fermented soybean meal combined microbes Growth performance Nutrient digestibility PIGLETS
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曲美布汀联合双歧杆菌三联活菌胶囊对功能性消化不良重叠IBS-D患者肠道的影响 被引量:37
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作者 王玲玲 吴金明 黄美君 《中国微生态学杂志》 CAS CSCD 2018年第1期59-62,共4页
目的探讨曲美布汀联合双歧杆菌三联活菌胶囊对功能性消化不良(FD)重叠腹泻型肠易激综合征(IBS-D)患者肠道微生态的影响。方法选取90例FD重叠IBS-D患者,随机分为观察组和对照组各45例。两组患者均予以曲美布汀片100mg/次,3次/d,口服;观... 目的探讨曲美布汀联合双歧杆菌三联活菌胶囊对功能性消化不良(FD)重叠腹泻型肠易激综合征(IBS-D)患者肠道微生态的影响。方法选取90例FD重叠IBS-D患者,随机分为观察组和对照组各45例。两组患者均予以曲美布汀片100mg/次,3次/d,口服;观察组在对照组基础上加用双歧杆菌三联活菌胶囊630mg/次,2次/d,餐后约30min温水服用,两组患者均连用8周。观察两组患者治疗前后肠道菌群的变化,并比较其临床效果及不良反应。结果治疗8周后,观察组患者粪便中双歧杆菌和乳杆菌数量增加,而肠杆菌、肠球菌和酵母菌数量下降(P<0.05)。对照组患者粪便中这5种菌的数量治疗前后无明显变化(P>0.05)。治疗8周后,观察组患者总有效率高于对照组(χ~2=4.05,P<0.05)。观察组和对照组患者治疗中分别出现不良反应6例(13.33%)和8例(17.78%),症状均较轻微,两组比较差异无统计学意义(χ~2=0.34,P>0.05)。结论曲美布汀联合双歧杆菌三联活菌胶囊治疗FD重叠IBS-D患者疗效较肯定,安全性较高,其作用机制可能是通过调节肠道菌群,重建肠道微生态平衡,从而改善其消化不良及腹泻症状。 展开更多
关键词 功能性消化不良 腹泻型肠易激综合征 重叠 曲美布汀 双歧杆菌三联活菌胶囊 肠道微生态
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Combined toxicity of copper and cadmium to six rice genotypes (Oryza sativa L.) 被引量:34
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作者 HUANG Yizong, HU Ying, LIU Yunxia Research Center for Eco-Environmental Sciences, Chinese Academy of Sciences, Beijing 100085, China. 《Journal of Environmental Sciences》 SCIE EI CAS CSCD 2009年第5期647-653,共7页
Accumulations of copper (Cu) and cadmium (Cd) in six rice cultivars (94D-22, 94D-54, 94D-64, Gui630, YY-1, and KY1360) were evaluated through exposure to heavy metal contamination (100 mg/kg Cu, 1.0 mg/kg Cd, a... Accumulations of copper (Cu) and cadmium (Cd) in six rice cultivars (94D-22, 94D-54, 94D-64, Gui630, YY-1, and KY1360) were evaluated through exposure to heavy metal contamination (100 mg/kg Cu, 1.0 mg/kg Cd, and 100 mg/kg Cu + 1.0 mg/kg Cd) in a greenhouse. The dry weights of shoot and root, concentrations of Cu and Cd in plant tissues and the Cu, Cd, P, Fe concentrations in the root surface iron plaques were analyzed eight weeks later after treatment. The results indicated that the plant biomass was mainly determined by rice genotypes, not Cu and Cd content in soil. Separated treatment with Cu/Cd increased each metal level in shoot, root and iron plaques. Soil Cu enhanced Cd accumulation in tissues. In contrast, Cu concentrations in shoot and root was unaffected by soil Cd. Compared to single metal contamination, combined treatment increased Cd content by 110.6%, 77.0%, and 45.2% in shoot, and by 112.7%, 51.2% and 18.4% in root for Gui630, YY-1, and KY1360, respectively. The content level of Cu or Cd in root surface iron plaques was not affected by their soil content. Cu promoted Fe accumulation in iron plaques, while Cd has no effect on P and Fe accumulation in it. The translocation of Cu and Cd from iron plaques to root and shoot was also discussed. These results might be beneficial in selecting cultivars with low heavy metal accumulation and designing strategies for soil bioremediation. 展开更多
关键词 Cu Cd combined contamination soil UPTAKE ACCUMULATION root surface iron plaques
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Accurate and rapid error estimation on global gravitational field from current GRACE and future GRACE Follow-On missions 被引量:34
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作者 郑伟 许厚泽 +1 位作者 钟敏 员美娟 《Chinese Physics B》 SCIE EI CAS CSCD 2009年第8期3597-3604,共8页
Firstly, the new combined error model of cumulative geoid height influenced by four error sources, including the inter-satellite range-rate of an interferometric laser (K-band) ranging system, the orbital position a... Firstly, the new combined error model of cumulative geoid height influenced by four error sources, including the inter-satellite range-rate of an interferometric laser (K-band) ranging system, the orbital position and velocity of a global positioning system (GPS) receiver and non-conservative force of an accelerometer, is established from the perspectives of the power spectrum principle in physics using the semi-analytical approach. Secondly, the accuracy of the global gravitational field is accurately and rapidly estimated based on the combined error model; the cumulative geoid height error is 1.985× 10^-1 m at degree 120 based on GRACE Level 1B measured observation errors of the year 2007 published by the US Jet Propulsion Laboratory (JPL), and the cumulative geoid height error is 5.825 × 10^-2 m at degree 360 using GRACE Follow-On orbital altitude 250 km and inter-satellite range 50 km. The matching relationship of accuracy indexes from GRACE Follow-On key payloads is brought forward, and the dependability of the combined error model is validated. Finally, the feasibility of high-accuracy and high-resolution global gravitational field estimation from GRACE Follow-On is demonstrated based on different satellite orbital altitudes. 展开更多
关键词 global gravitational field GRACE Follow-On semi-analytical approach combined error model
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