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上海市城区产后妇女意外妊娠及影响因素分析 被引量:17
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作者 黄咏梅 康建中 +2 位作者 胡晓宇 陈瑞珠 程利南 《生殖与避孕》 CAS CSCD 北大核心 2008年第5期286-291,共6页
目的:了解上海市城区产后妇女意外妊娠的发生及其影响因素。方法:通过结构式问卷,对1767名产后1-2年妇女的产后意外妊娠情况进行调查。结果:产后第1年和第2年意外妊娠发生密度分别为4.64/100人年和6.57/100人年。产后性生活恢复、避孕... 目的:了解上海市城区产后妇女意外妊娠的发生及其影响因素。方法:通过结构式问卷,对1767名产后1-2年妇女的产后意外妊娠情况进行调查。结果:产后第1年和第2年意外妊娠发生密度分别为4.64/100人年和6.57/100人年。产后性生活恢复、避孕开始、母乳喂养和产后闭经的中位时间分别为产后4个月、5个月、6个月和4个月。产后妇女最常用的3种避孕措施为避孕套、安全期和体外排精。产后1年内意外妊娠单因素分析显示:不同年龄组、文化程度、户籍、产后性生活开始早晚、母乳喂养及闭经时间长短间意外妊娠的发生密度差异有统计学意义(P<0.05)。多元Cox逐步回归分析显示,产妇年龄越大、母乳喂养时间越长、性生活开始时间越晚,产后1年内意外妊娠发生的风险越小;而外来人口意外妊娠发生的风险高于户籍人口。结论:产后妇女避孕开始滞后于性生活恢复,大多使用避孕效果相对不太稳定的避孕方法。外来人口、年轻产妇、产后开始性生活较早、母乳喂养时间较短的人群是产后1年内意外妊娠的高危人群。产后应尽早落实可靠的避孕措施及加强避孕套正确使用的宣教。 展开更多
关键词 产后 意外妊娠 影响因素
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中药熏蒸治疗产后会阴切口水肿的效果观察 被引量:15
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作者 姚金兰 《护士进修杂志》 2012年第17期1574-1575,共2页
会阴切开缝合术是产科常用的手术,但术后常可并发切口感染和切口裂开,尤其是会阴水肿者发生率更高^[1]。2011年1~12月,我校附属医院对产后会阴切口水肿的产妇采用中药熏蒸治疗,其效果明显优于传统的红外线理疗。现报告如下。
关键词 中药熏蒸 产后 会阴切口 水肿 护理
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通元针法联合隔药盐灸神阙对产后抑郁症模型大鼠下丘脑-垂体-性腺轴的影响 被引量:13
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作者 吴晓玲 张贵锋 +2 位作者 李力强 曾统军 祝晓忠 《针灸临床杂志》 2020年第5期75-80,共6页
目的:通过观察通元针法联合隔药盐灸神阙穴对产后抑郁症模型大鼠下丘脑-垂体-性腺轴相关激素水平的影响,分析针灸治疗产后抑郁症的疗效作用机制。方法:雌性SD大鼠120只,随机分为空白组20只、假手术组20只、造模组80只;空白组不予干预,... 目的:通过观察通元针法联合隔药盐灸神阙穴对产后抑郁症模型大鼠下丘脑-垂体-性腺轴相关激素水平的影响,分析针灸治疗产后抑郁症的疗效作用机制。方法:雌性SD大鼠120只,随机分为空白组20只、假手术组20只、造模组80只;空白组不予干预,假手术组实施不摘除卵巢的假手术,造模组确认造模成功后,造模大鼠随机分为模型组、药物组、常规针刺组、实验组,每组20只;模型组大鼠不予治疗,药物组大鼠采用盐酸氟西汀灌胃治疗,常规针刺组大鼠电针百会穴和太冲穴,实验组大鼠采用通元针法联合隔药盐灸神阙进行治疗。在干预后的第2周末、第4周末每组各随机选取大鼠10只,检测行为学指标后处死,再检测血清GnRH、FSH、LH、E2、P水平。结果:与空白组大鼠比较,模型组大鼠的旷场实验水平评分、垂直活动评分、糖水消耗量评分显著降低(P<0.05),强迫游泳实验不动时间显著延长(P<0.05);与模型组大鼠比较,干预后药物组、常规针刺组和实验组大鼠的旷场实验水平评分、垂直活动评分、糖水消耗量显著增高(P<0.05),强迫游泳实验不动时间显著缩短(P<0.05)。干预后的第2周、第4周,空白组和假手术组大鼠血清GnRH、LH、FSH、E2、P水平无显著差异(P>0.05);与模型组大鼠比较,药物组、常规针刺组和实验组大鼠血清GnRH、E2水平显著增高(P<0.05),LH、FSH、P水平显著降低(P<0.05)。干预后的第4周,实验组大鼠血清GnRH、E2水平与空白组大鼠差异无统计学意义(P>0.05),显著高于药物组和常规针刺组大鼠(P<0.05);实验组大鼠血清FSH水平与药物组和空白组大鼠无统计学意义(P>0.05),显著低于常规针刺组大鼠(P<0.05);实验组大鼠血清LH、P水平与药物组、常规针刺组和空白组大鼠无统计学意义(P>0.05)。结论:通元针法联合隔药盐灸神阙能有效改善产后抑郁症模型大鼠的抑郁症状,作用机制可能与调节下丘脑-� 展开更多
关键词 通元针法 隔药盐灸 产后 抑郁症 下丘脑-垂体-性腺轴
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A Comprehensive Transcriptomic Analysis of Infant and Adult Mouse Ovary 被引量:10
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作者 Linlin Pan Wei Gong +3 位作者 Yuanyuan Zhou Xiaonuan Li Jun Yu Songnian Hu 《Genomics, Proteomics & Bioinformatics》 SCIE CAS CSCD 2014年第5期239-248,共10页
Ovary development is a complex process involving numerous genes. A well-developed ovary is essential for females to keep fertility and reproduce offspring. In order to gain a better insight into the molecular mechanis... Ovary development is a complex process involving numerous genes. A well-developed ovary is essential for females to keep fertility and reproduce offspring. In order to gain a better insight into the molecular mechanisms related to the process of mammalian ovary development, we performed a comparative transcriptomic analysis on ovaries isolated from infant and adult mice by using next-generation sequencing technology (SOLID). We identified 15,454 and 16,646 trans- criptionally active genes at the infant and adult stage, respectively. Among these genes, we also identified 7021 differentially expressed genes. Our analysis suggests that, in general, the adult ovary has a higher level of transcriptomic activity. However, it appears that genes related to primordial follicle development, such as those encoding Figla and Nobox, are more active in the infant ovary, whereas expression of genes vital for follicle development, such as Gdj~, Bmp4 and Bmpl5, is upreg- ulated in the adult. These data suggest a dynamic shift in gene expression during ovary development and it is apparent that these changes function to facilitate follicle maturation, when additional func- tional gene studies are considered. Furthermore, our investigation has also revealed several impor- tant functional pathways, such as apoptosis, MAPK and steroid biosynthesis, that appear to be much more active in the adult ovary compared to those of the infant. These findings will provide a solid foundation for future studies on ovary development in mice and other mammals and help to expand our understanding of the complex molecular and cellular events that occur during postnatal ovary development. 展开更多
关键词 FOLLICULOGENESIS postnatal ovary develop-ment TRANSCRIPTOME RNA-seq
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Developmental Toxicity in Mice Following Paternal Exposure to Di-N-Butyl-Phthalate (DBP) 被引量:9
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作者 Malgorzata M.DOBRZY SKA Ewa J.TYRKIEL Krzysztof A.PACHOCKI 《Biomedical and Environmental Sciences》 SCIE CAS CSCD 2011年第5期569-578,共10页
Objective The aim of the present study was to investigate the effects of paternal Di‐N‐butyl‐phthalate (DBP) exposure pre‐ and postnatally on F1 generation offspring,and prenatally on F2 generation offspring.Met... Objective The aim of the present study was to investigate the effects of paternal Di‐N‐butyl‐phthalate (DBP) exposure pre‐ and postnatally on F1 generation offspring,and prenatally on F2 generation offspring.Methods Male mice were exposed to either 500 mg/kg or 2 000 mg/kg of DBP for 8 weeks,and mated with non‐exposed females.Three‐quarters of the females were sacrificed a day prior to parturition,and examined for the number of living and dead implantations,and incidence of gross malformations.Pups from the remaining females were assessed for developmental markers,growth parameters,as well as sperm quantity and quality.Results There were no changes in the fertility of parents and in intrauterine development of the offspring.Pups of DBP‐exposed males demonstrated growth‐retardation.Following paternal exposure to 500 mg/kg bw of DBP,there were almost twice the number of males than females born in the F1 generation.F1 generation females had a 2.5‐day delay in vaginal opening.Paternal exposure to 2 000 mg/kg bw of DBP increased the incidence of sperm head malformations in F1 generation males;however,there were no changes in the fertility and viability of foetuses in the F2 generation.Conclusion Paternal DBP exposure may disturb the sex ratio of the offspring,delay female sexual maturation,and deteriorate the sperm quality of F1 generation males. 展开更多
关键词 Di‐n‐butyl phthalate Paternal exposure Pre‐ and postnatal effects Male‐mediated developmental toxicity
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Rapid screening for Klinefelter syndrome with a simple high-resolution melting assay: a multicenter study 被引量:7
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作者 Dong-Mei Fu Yu-Lin Zhou +6 位作者 Jing Zhao Ping HU Zheng-Feng Xu3 Shi-Ming Lv Jun-Jie HU Zhong-Min Xia Qi-Wei Guo 《Asian Journal of Andrology》 SCIE CAS CSCD 2018年第4期349-354,共6页
Klinefelter syndrome (KS) is the set of symptoms that result from the presence of an extra X chromosome in males. Postnatal population-based KS screening will enable timely diagnosis of this common chromosomal disea... Klinefelter syndrome (KS) is the set of symptoms that result from the presence of an extra X chromosome in males. Postnatal population-based KS screening will enable timely diagnosis of this common chromosomal disease, providing the opportunity for early intervention and therapy at the time point when they are most effective and may prevent later symptoms or complications. Therefore, through this study, we introduced a simple high-resolution melting (HRM) assay for KS screening and evaluated its clinical sensitivity and specificity in three medical centers using 1373 clinical blood samples. The HRM assay utilized a single primer pair to simultaneously amplify specific regions in zinc finger protein, X-linked (ZFX) and zinc finger protein, Y-linked (ZFY). In cases of KS, the ratios of ZFX/ZFYare altered compared to those in normal males. As a result, the specific melting profiles differ and can be differentiated during data analysis. This HRM assay displayed high analytical specificity over a wide range of template DNA amounts (5 ng-50 ng) and reproducibility, high resolution for detecting KS mosaicism, and high clinical sensitivity (100%) and specificity (98.1%). Moreover, the HRM assay was rapid (2 h per run), inexpensive (0.2 USD per sample), easy to perform and automatic, and compatible with both whole blood samples and dried blood spots. Therefore, this HRM assay is an ideal postnatal population-based KS screening tool that can be used for different age groups. 展开更多
关键词 high-resolution melting Klinefelter syndrome multicenter study postnatal population-based screening
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社区女性孕期和产后压力性尿失禁情况及影响因素分析 被引量:9
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作者 杨子樱 郝岩 +1 位作者 李爱平 赵红 《护理管理杂志》 2013年第3期224-226,共3页
目的调查社区女性孕期及产后压力性尿失禁的患病情况及其影响因素。方法采用尿失禁问卷对北京市某社区101名产后3年内的女性进行问卷调查。结果 41.58%的女性在孕期或产后发生压力性尿失禁。产后压力性尿失禁的影响因素为年龄和分娩方... 目的调查社区女性孕期及产后压力性尿失禁的患病情况及其影响因素。方法采用尿失禁问卷对北京市某社区101名产后3年内的女性进行问卷调查。结果 41.58%的女性在孕期或产后发生压力性尿失禁。产后压力性尿失禁的影响因素为年龄和分娩方式。结论社区产后女性发生压力性尿失禁的情况较普遍,今后有必要就这一方面在社区开展健康教育,并对该病的防治手段进行推广。 展开更多
关键词 压力性尿失禁 孕期 产后 社区卫生服务
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Postnatal feeding with high-fat diet induces obesity and precocious puberty in C57BL/6J mouse pups: a novel model of obesity and puberty 被引量:6
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作者 Rahim Ullah Yan Su +10 位作者 Yi Shen Chunlu Li Xiaoqin Xu Jianwei Zhang Ke Huang Naveed Rauf Yang He Jingjing Cheng Huaping Qin Yu-Dong Zhou Junfen Fu 《Frontiers of Medicine》 SCIE CAS CSCD 2017年第2期266-276,共11页
Childhood obesity and obesity-related metabolic complications are induced by a high-fat postnatal diet. The lack of a suitable animal model, however, remains a considerable challenge in obesity studies. In the current... Childhood obesity and obesity-related metabolic complications are induced by a high-fat postnatal diet. The lack of a suitable animal model, however, remains a considerable challenge in obesity studies. In the current study, we provided high-fat diet (HFD) to dams during lactation and to pups after weaning. We also developed a novel model of C57BL/6J mouse pups with HFD-induced postnatal obesity. Results showed that feeding with HFD induces fat deposition and obesity in pups. Furthermore, HFD more potently increased the body weight (BW) of male than female pups. HFD-fed female pups were obese, underwent precocious puberty, and showed increased kisspeptin expression in the hypothalamus. However, parental obesity and precocious puberty exerted no synergistic effects on the HFD-induced postnatal weight gain and puberty onset of the pups. Interestingly, some HFD-fed litters with normal BW also exhibited precocious puberty. This finding suggested that diet composition but not BW triggers puberty onset. Our model suggests good construction validity of obesity and precocious puberty. Furthermore, our model can also be used to explore the mutual interactions between diet-induced postnatal childhood obesity and puberty. 展开更多
关键词 postnatal HFD feeding OBESITY KISSPEPTIN HPG axis precocious puberty
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Does Antenatal Fear of Childbirth Predict Postnatal Fear of Childbirth? A Study of Japanese Women 被引量:6
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作者 Mizuki Takegata Megumi Haruna +3 位作者 Masayo Matsuzaki Mie Shiraishi Tadaharu Okano Elisabeth Severinsson 《Open Journal of Nursing》 2015年第2期144-152,共9页
The study aimed to determine whether antenatal fear of childbirth (expectation) could predict postnatal fear of childbirth (experience) by taking account of other antenatal psychological variables (anxiety and depress... The study aimed to determine whether antenatal fear of childbirth (expectation) could predict postnatal fear of childbirth (experience) by taking account of other antenatal psychological variables (anxiety and depression) as well as birth outcomes in Japanese women. A longitudinal observational study was conducted at a clinic in Tokyo, Japan, in 2011. Self-report questionnaires were distributed to 240 Japanese women at 37 gestational weeks (Time 1) and on the second day after delivery (Time 2). Regression analyses by means of structural equation modelling were conducted in both the primiparous and the multiparous group. The models exhibited good fit (chisquare value/degree of freedom = 1.10 - 1.62, comparative fit index = 0.92 - 0.99 and root mean square error of approximation = 0.03 - 0.07). Antenatal fear of childbirth was the most predictive variable of postnatal fear of childbirth in both the primiparous (β = 0.58, p = 0.002) and the multiparous group (β = 0.62, p < 0.001). In conclusion, antenatal fear of childbirth was a significant predictor of postnatal fear of childbirth when other antenatal psychological variables and birth outcomes were taken into account. Pregnant women who are strongly afraid of childbirth need special attention before and after delivery. 展开更多
关键词 ANTENATAL FEAR of CHILDBIRTH JAPANESE Women postnatal FEAR of CHILDBIRTH Relationship
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Comparison of Soleus Muscle Fibers in Rats and Rabbits at Different Stages of Postnatal Development 被引量:5
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作者 朱道立 王康乐 陈佩林 《Zoological Research》 CAS CSCD 北大核心 2004年第6期543-550,共8页
In the present study,the effects of postnatal development on the number and distribution of skeletal muscle fibers of different types in hind leg of rat and rabbit were studied.The soleus muscles of rats aged 2 days,2... In the present study,the effects of postnatal development on the number and distribution of skeletal muscle fibers of different types in hind leg of rat and rabbit were studied.The soleus muscles of rats aged 2 days,2,4,6,8,and 10 weeks (body weight 10,32,95,190,280,and 320 g),and rabbits aged 2 days,2,4,8,12,16,20,and 24 weeks (body weight 100,220,400,750,1 200,1 600,2 100,and 2 500 g) were stained with succinic dehydrogenase.With an image analysis system,the X-Y coordinates of fibers were used to analyze the growth-related changes.The results of present study showed that three types of fibers were found in the soleus muscles of rat and rabbit,i.e.,type Ⅰ (slow oxidative),ⅡX (fast oxidative),and ⅡA (fast oxidative glycolytic).The type Ⅰ fibers were present throughout the muscle that had a uniform distribution and tended to increase in number with aging.Type ⅡX fibers were scattered throughout the muscle and decreased markedly in number with aging.Type ⅡA fibers were located at the central and deep regions,and showed a little or no change in number and distribution with aging.While be of age,type ⅡA and ⅡX fibers became restricted to the superficial region.No type ⅡB fibers were detected.Type ⅡA fibers had the largest diameter,type Ⅰ intermediate and type ⅡX the smallest.Mean cross-sectional area of each type fibers of rabbits was larger than that of rats.The present results indicate that the number and distribution of muscle fibers of different types in hind limb of rat and rabbit change with the process of postnatal growth. 展开更多
关键词 RAT RABBIT Muscle fiber type postnatal development
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Evaluation of spermatogenesis and fertility in F1 male rats after in utero and neonatal exposure to extremely low frequency electromagnetic fields 被引量:5
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作者 M.K.Chung S.J.Lee +4 位作者 Y.B.Kim S.C.Park D.H.Shin S.H.Kim J.C.Kim 《Asian Journal of Andrology》 SCIE CAS CSCD 2005年第2期189-194, ,共6页
Aim:To determine whether in utero and neonatal exposure to a 60 Hz extremely low frequency electromagnetic field (EMF) results in spermatotoxicity and reproductive dysfunction in the F1 offspring of rats.Methods:Age-m... Aim:To determine whether in utero and neonatal exposure to a 60 Hz extremely low frequency electromagnetic field (EMF) results in spermatotoxicity and reproductive dysfunction in the F1 offspring of rats.Methods:Age-matched, pregnant Sprague-Dawley rats were exposed continuously (21 h/day) to a 60 Hz EMF at field strengths of 0 (sham control),5,83.3 or 500 μT from day 6 of gestation through to day 21 of lactation.The experimentally generated magnetic field was monitored continuously (uninterrupted monitoring over the period of the study) throughout the study.Results:No exposure-related changes were found in exposed or sham-exposed animals with respect to the anogenital distance,preputial separation,testis weight,testicular histology,sperm count,daily sperm production, sperm motility,sperm morphology and reproductive capacity of F1 offspring.Conclusion:Exposure of Sprague- Dawley rats to a 60 Hz EMF at field strengths of up to 500 μT from day 6 of gestation to day 21 of lactation did not produce any detectable alterations in offspring spermatogenesis and fertility. 展开更多
关键词 SPERMATOGENESIS electromagnetic fields prenatal exposure postnatal exposure rat
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Postnatal calpeptin treatment causes hippocampal neurodevelopmental defects in neonatal rats 被引量:5
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作者 Zhu-Jin Song San-Juan Yang +2 位作者 Lan Han Bin Wang Guoqi Zhu 《Neural Regeneration Research》 SCIE CAS CSCD 2019年第5期834-840,共7页
Our previous studies showed that the early use of calpain inhibitors reduces calpain activity in multiple brain regions, and that postnatal treatment with calpeptin may lead to cerebellar motor dysfunction. However, i... Our previous studies showed that the early use of calpain inhibitors reduces calpain activity in multiple brain regions, and that postnatal treatment with calpeptin may lead to cerebellar motor dysfunction. However, it remains unclear whether postnatal calpeptin application affects hippocampus-related behaviors. In this study, Sprague-Dawley rats were purchased from the Animal Center of Anhui Medical University of China. For the experiments in the adult stage, rats were intraperitoneally injected with calpeptin, 2 mg/kg, once a day, on postnatal days 7–14. Then on postnatal day 60, the Morris water maze test was used to evaluate spatial learning and memory abilities. The open field test was carried out to assess anxiety-like activities. Phalloidin staining was performed to observe synaptic morphology in the hippocampus. Immunohistochemistry was used to count the number of NeuN-positive cells in the hippocampal CA1 region. DiI was applied to label dendritic spines. Calpeptin administration impaired spatial memory, caused anxiety-like behavior in adulthood, reduced the number and area of apical dendritic spines, and decreased actin polymerization in the hippocampus, but did not affect the number of NeuN-positive cells in the hippocampal CA1 region. For the neonatal experiments, neonatal rats were intraperitoneally injected with calpeptin, 2 mg/kg, on postnatal days 7 and 8. Western blot assay was performed to analyze the protein levels of Akt, Erk, p-Akt, p-Erk1/2, Erk1/2, SCOP, PTEN, mTOR, p-mTOR, CREB and p-CREB in the hippocampus. SCOP expression was increased, and the phosphorylation levels of Akt, mTOR and CREB were reduced in the hippocampus. These findings show that calpeptin administration after birth affects synaptic development in neonatal rats by inhibiting the Akt/mTOR signaling pathway, thereby perturbing hippocampal function. Therefore, calpeptin administration after birth is a risk factor for neurodevelopmental defects. 展开更多
关键词 NERVE REGENERATION postnatal calpeptin learning and memory hippocampus SPINE development SCOP AKT mTOR neural REGENERATION
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Association between antibiotic exposure and adverse outcomes of children and pregnant women: evidence from an umbrella review 被引量:3
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作者 Ya Li Lin-Hu Liu +4 位作者 Zhong-Yu Jian Pu-Han Li Xi Jin Hong Li Kun-Jie Wang 《World Journal of Pediatrics》 SCIE CSCD 2023年第12期1139-1148,共10页
Background Antibiotics are widely prescribed among children and pregnant women,but their safety profile is controversial.This study aimed to summarize and appraise current evidence for the potential impact of antibiot... Background Antibiotics are widely prescribed among children and pregnant women,but their safety profile is controversial.This study aimed to summarize and appraise current evidence for the potential impact of antibiotic exposure on pregnancy outcomes and children’s health.Methods PubMed,Embase,Web of Science and the Cochrane Database of Systematic Reviews were searched from inception to June 2022.Meta-analyses of any study design comparing the impact of antibiotic exposure with nonexposure among children,pregnant women and prepregnant women on adverse health outcomes of children and pregnancy were retrieved.The quality of evidence was assessed by a Measurement Tool to Assess Systematic Reviews 2(AMSTAR2)and the Grading of Recommendations,Assessment,Development and Evaluation(GRADE).Data were reanalyzed,and the credibility of the evidence was determined.Results Out of 2956 studies identified,19 articles with 39 associations were included.Totally 19 of the associations(48.72%)were statistically significant with a P value≤0.05,while only six were supported by highly suggestive evidence.Children with postnatal antibiotic exposure had a higher risk of developing asthma odds ratio(OR):1.95,95%confidence interval(CI):1.76–2.17,wheezing(OR:1.81,95%CI 1.65–1.97)and allergic rhinoconjunctivitis(OR:1.66,95%CI 1.51–1.83),with prediction intervals excluding the nulls.Quality assessed by both AMSTAR2 and GRADE of included meta-analyses were very low in general.Conclusions Antibiotic exposure in early life was associated with children’s long-term health,especially in cases of allergic diseases.Prenatal exposure might also influence children’s health in some aspects but requires more high-quality evidence.Potential adverse effects of antibiotics on pregnancy outcomes were not observed in our study.Studies with higher quality and better quantification of antibiotic exposure are needed in the future. 展开更多
关键词 Antibiotic exposure Gut microbiome Prenatal exposure postnatal exposure Umbrella review
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先天性心脏病三级综合防控技术的应用示范和评价 被引量:7
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作者 陈寄梅 《中山大学学报(医学科学版)》 CAS CSCD 北大核心 2020年第3期352-357,共6页
先天性心脏病作为我国发病率最高的出生缺陷,给患者家庭和社会造成巨大的负担,其发病由遗传和环境因素共同作用。目前国内尚缺乏先心病孕前-产前-生后一体化的三级综合防控体系。通过有效的风险预测并进行一级预防,开展产前早期无创筛... 先天性心脏病作为我国发病率最高的出生缺陷,给患者家庭和社会造成巨大的负担,其发病由遗传和环境因素共同作用。目前国内尚缺乏先心病孕前-产前-生后一体化的三级综合防控体系。通过有效的风险预测并进行一级预防,开展产前早期无创筛查诊断、产后早期干预诊疗技术,健全成人先天性心脏病全生命周期健康管理体系,建立符合中国国情且具有代表性的先天性心脏病综合干预模式,有望提高我国先天性心脏病防控能力,改善出生人口素质。本文将围绕先天性心脏病孕前-产前-生后一体化的三级综合防控技术的研究及体系的建立展开论述总结。 展开更多
关键词 先天性心脏病 风险预测 产前 产后 三级防控
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综合护理干预对产后抑郁症的影响 被引量:7
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作者 曾瑛 《临床合理用药杂志》 2011年第6期33-34,共2页
目的探讨综合护理干预对产后抑郁症的影响。方法 180例产妇随机分为观察组和对照组各90例。对照组采用常规护理,观察组从产前至产后实施综合护理干预。采用抑郁自评量表(SDS)和焦虑自评量表(SAS)于入院当天和产后14d对所有产妇进行心理... 目的探讨综合护理干预对产后抑郁症的影响。方法 180例产妇随机分为观察组和对照组各90例。对照组采用常规护理,观察组从产前至产后实施综合护理干预。采用抑郁自评量表(SDS)和焦虑自评量表(SAS)于入院当天和产后14d对所有产妇进行心理评估,观察2组产后抑郁的发生情况。结果观察组入院前与产后14d的SDS与SAS评分比较差异无统计学意义(P>0.05)。对照组产后14d SDS与SAS评分均高于入院前,差异有统计学意义(P<0.05)。观察组产后14d SDS与SAS评分均低于对照组,差异均有统计学意义(P<0.05)。观察组产后抑郁症发生率为13.3%低于对照组的31.1%,差异有统计学意义(P<0.05)。结论综合护理干预可减少产后抑郁症的发生。 展开更多
关键词 综合护理 抑郁症 产后 影响
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Relationship between depression and diabetes in pregnancy: A systematic review 被引量:4
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作者 Glynis P Ross Henrik Falhammar +3 位作者 Roger Chen Helen Barraclough Ole Kleivenes Ian Gallen 《World Journal of Diabetes》 SCIE CAS 2016年第19期554-571,共18页
AIM To systematically review the literature on women with both diabetes in pregnancy(DIP) and depression during or after pregnancy. METHODS In this systematic literature review, PubM ed/MEDLINE and EMBASE were searche... AIM To systematically review the literature on women with both diabetes in pregnancy(DIP) and depression during or after pregnancy. METHODS In this systematic literature review, PubM ed/MEDLINE and EMBASE were searched(13 November 2015) using terms for diabetes(type 1, type 2, or gestational), depression, and pregnancy(no language or date restrictions). Publications that reported on women who had both DIP(any type) and depression or depressive symptoms before, during, or within one year after pregnancy were considered for inclusion. All study types were eligible for inclusion; conference abstracts, narrative reviews, nonclinical letters, editorials, and commentaries were excluded, unless they provided treatment guidance.RESULTS Of 1189 articles identified, 48 articles describing women with both DIP and depression were included(sample sizes 36 to > 32 million). Overall study quality was poor; most studies were observational, and only 12 studies(mostly retrospective database studies) required clinical depression diagnosis. The prevalence of concurrent DIP(any type) and depression in general populations of pregnant women ranged from 0% to 1.6%(median 0.61%; 12 studies). The prevalence of depression among women with gestational diabetes ranged from 4.1% to 80%(median 14.7%; 16 studies). Many studies examined whether DIP was a risk factor for depression or depression was a risk factor for DIP. However, there was no clear consensus for either relationship. Importantly, we found limited guidance on the management of women with both DIP and depression. CONCLUSION Given the increasing prevalence of diabetes and depression, high-quality research and specific guidance for management of pregnant women with both conditions are warranted. 展开更多
关键词 DEPRESSION DIABETES Postpartum DEPRESSION DEPRESSIVE disorder Gestational DIABETES mellitus PERINATAL CARE postnatal CARE Pregnancy
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酮体调控出生后器官发育的研究进展
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作者 种丹阳 张心格 +1 位作者 赵梦飞 李朝军 《中国细胞生物学学报》 CAS CSCD 2024年第4期761-771,共11页
酮体是在诸如低糖饮食、长时间禁食或剧烈运动等特定条件下,由肝脏通过脂肪酸氧化代谢过程产生的一系列衍生代谢物,包括β-羟基丁酸、乙酰乙酸和丙酮。酮体不仅在能量供应不足时能为机体提供能量,还能作为信号分子,发挥多样的生物学功能... 酮体是在诸如低糖饮食、长时间禁食或剧烈运动等特定条件下,由肝脏通过脂肪酸氧化代谢过程产生的一系列衍生代谢物,包括β-羟基丁酸、乙酰乙酸和丙酮。酮体不仅在能量供应不足时能为机体提供能量,还能作为信号分子,发挥多样的生物学功能,如通过与特定受体结合激活信号转导通路,或参与调节表观遗传修饰,影响细胞增殖、分化和凋亡等过程。在该课题组前期研究基础上,通过查询相关研究资料,文章就酮体对出生后器官发育的调控作用,尤其是酮体如何调控心脏、生殖器官和神经系统等关键器官的发育方面的研究进展进行了综述并分析了酮体在维护这些器官结构和功能完整性方面的作用,旨在为治疗相关的代谢紊乱和发育缺陷提出新策略,为未来临床干预提供科学依据。 展开更多
关键词 酮体 代谢 出生后 器官发育
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Abnormal adipose tissue-derived microbes drive metabolic disorder and exacerbate postnatal growth retardation in piglet
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作者 Tongxing Song Ming Qi +11 位作者 Yucheng Zhu Nan Wang Zhibo Liu Na Li Jiacheng Yang Yanxu Han Jing Wang Shiyu Tao Zhuqing Ren Yulong Yin Jinshui Zheng Bie Tan 《Life Metabolism》 2024年第2期55-69,共15页
Postnatal growth retardation(PGR)frequently occurs during early postnatal development of piglets and induces high mortality.To date,the mechanism of PGR remains poorly understood.Adipose tissue-derived microbes have b... Postnatal growth retardation(PGR)frequently occurs during early postnatal development of piglets and induces high mortality.To date,the mechanism of PGR remains poorly understood.Adipose tissue-derived microbes have been documented to be associated with several disorders of metabolism and body growth.However,the connection between microbial disturbance of adipose tissue and pig PGR remains unclear.Here,we investigated piglets with PGR and found that the adipose tissue of PGR piglets was charac-terized by metabolism impairment,adipose abnormality,and specific enrichment of culturable bacteria from Proteobacteria.Gavage of Sphingomonas paucimobilis,a species of Sphingomonas genus from the alphaproteobacteria,induced PGR in piglets.Moreover,this bacterium could also lead to metabolic disorders and susceptibility to acute stress,resulting in weight loss in mice.Mechanistically,multi-omics analysis indicated the changes in lipid metabolism as a response of adipose tissue to abnormal microbial composition.Further experimental tests proved that one of the altered lipids phosphatidylethanolamines could rescue the metabolism disorder and growth retardation,thereby suppressing the amount of Sphingomonas in the adipose tissue.Together,these results highlight that the microbe–host crosstalk may regulate the metabolic function of adipose tissue in response to PGR. 展开更多
关键词 adipose tissue MICROBE metabolic disorder postnatal growth retardation PIGLET
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The characterization of protein lactylation in relation to cardiac metabolic reprogramming in neonatal mouse hearts
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作者 Tongyu Zhang Yingxi Zhu +6 位作者 Xiaochen Wang Danyang Chong Haiquan Wang Dandan Bu Mengfei Zhao Lei Fang Chaojun Li 《Journal of Genetics and Genomics》 SCIE CAS CSCD 2024年第7期735-748,共14页
In mammals,the neonatal heart can regenerate upon injury within a short time after birth,while adults lose this ability.Metabolic reprogramming has been demonstrated to be critical for cardiomyocyte proliferation in t... In mammals,the neonatal heart can regenerate upon injury within a short time after birth,while adults lose this ability.Metabolic reprogramming has been demonstrated to be critical for cardiomyocyte proliferation in the neonatal heart.Here,we reveal that cardiac metabolic reprogramming could be regulated by altering global protein lactylation.By performing 4D label-free proteomics and lysine lactylation(Kla)omics analyses in mouse hearts at postnatal days 1,5,and 7,2297 Kla sites from 980 proteins are identified,among which 1262 Kla sites from 409 proteins are quantified.Functional clustering analysis reveals that the proteins with altered Kla sites are mainly involved in metabolic processes.The expression and Kla levels of proteins in glycolysis show a positive correlation while a negative correlation in fatty acid oxidation.Furthermore,we verify the Kla levels of several differentially modified proteins,including ACAT1,ACADL,ACADVL,PFKM,PKM,and NPM1.Overall,our study reports a comprehensive Kla map in the neonatal mouse heart,which will help to understand the regulatory network of metabolic reprogramming and cardiac regeneration. 展开更多
关键词 Lactylation Metabolicrep rogramming postnatal heart regeneration Cell proliferation
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盆底肌训练预防或治疗产后尿失禁干预时间的Meta分析 被引量:2
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作者 王建宁 吴丽萍 +2 位作者 宋然 李卫涛 吉雅昕 《循证护理》 2023年第12期2129-2135,共7页
目的:系统评价预防或治疗产后尿失禁的盆底肌训练方法,以期为盆底肌训练干预开始时间、训练持续时间提供参考。方法:检索时限为建库至2022年6月,检索PubMed、EMbase、Web of Science、OVID、the Cochrane Library、中国知网、万方数据... 目的:系统评价预防或治疗产后尿失禁的盆底肌训练方法,以期为盆底肌训练干预开始时间、训练持续时间提供参考。方法:检索时限为建库至2022年6月,检索PubMed、EMbase、Web of Science、OVID、the Cochrane Library、中国知网、万方数据库、维普数据库和中国生物医学文献数据库中发表的采取盆底肌训练预防或治疗产后尿失禁的随机对照试验,使用RevMan 5.4软件进行Meta分析,比较产后3个月、产后6个月2个时间节点,干预组和对照组尿失禁发生率的差异,按照干预开始时间(妊娠中晚期和产后)和训练持续时间(≤3个月和>3个月)进行亚组分析。结果:现有证据表明,共纳入9篇文献,涉及盆底肌训练组(干预组)1136例、对照组1115例。Meta分析结果显示:盆底肌训练与常规护理相比,对产后3个月[RR=0.76,95%CI(0.65,0.90),Z=3.25,P=0.001]、产后6个月[RR=0.65,95%CI(0.53,0.80),Z=4.14,P<0.0001]的尿失禁发生率均有改善作用。不同干预开始时间和持续时间亚组间差异无统计学意义(P>0.05)。结论:现有证据表明,孕期及产后进行盆底肌训练能有效改善产后压力性尿失禁发生率,不同时间开始进行训练及持续不同的训练时间对改善产后3个月、6个月尿失禁的效果差异无统计学意义。 展开更多
关键词 尿失禁 妊娠期 产后 盆底肌训练 META分析 循证护理
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