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氟碳铈矿浮选中EDTA对萤石的选择性抑制作用机制 被引量:8
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作者 王介良 曹钊 +2 位作者 王建英 张雪峰 雷霄 《稀有金属》 EI CAS CSCD 北大核心 2020年第6期630-638,共9页
通过单矿物及人工混合矿浮选、Zeta电位和X射线光电子能谱(XPS)测试以及溶液化学计算,研究了乙二胺四乙酸(EDTA)对氟碳铈矿和萤石浮选分离的影响及对萤石的选择性抑制作用机制,结果表明:辛基羟肟酸(OHA)作捕收剂时,EDTA对萤石浮选具有... 通过单矿物及人工混合矿浮选、Zeta电位和X射线光电子能谱(XPS)测试以及溶液化学计算,研究了乙二胺四乙酸(EDTA)对氟碳铈矿和萤石浮选分离的影响及对萤石的选择性抑制作用机制,结果表明:辛基羟肟酸(OHA)作捕收剂时,EDTA对萤石浮选具有较强的抑制作用,而对氟碳铈矿的浮选几乎没有影响,氟碳铈矿和萤石浮选分离指数随EDTA用量的增加而增大,当用量由0增至2×10^-3mol·L^-1时,分离指数由1. 18提高至12. 66;XPS测试表明,EDTA降低了萤石表面以化学吸附形式存在的羟肟酸含量,而对氟碳铈矿表面吸附的羟肟酸影响较小;Zeta电位测试表明,EDTA能大幅度降低羟肟酸作用后萤石表面的Zeta电位,而对羟肟酸作用后氟碳铈矿的Zeta电位降低幅度较小,溶液化学计算表明EDTA可将萤石表面的羟肟酸钙沉淀转化为可溶性的Ca-EDTA络合物,从而减少OHA在萤石表面的吸附,但EDTA不能络合溶解氟碳铈矿表面的羟肟酸铈沉淀,对氟碳铈矿浮选影响较小,从而起到选择性抑制萤石的效果。 展开更多
关键词 氟碳铈矿 萤石 浮选分离 选择性抑制 作用机制
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Platelets and depression in cardiovascular disease:A brief review of the current literature 被引量:22
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作者 Marlene S Williams 《World Journal of Psychiatry》 SCIE 2012年第6期114-123,共10页
Major depression is an independent risk factor for cardiovascular mortality and morbidity. The exact mechanisms linking depression and increased cardiovascular risk remain poorly understood. Several mechanisms have be... Major depression is an independent risk factor for cardiovascular mortality and morbidity. The exact mechanisms linking depression and increased cardiovascular risk remain poorly understood. Several mechanisms have been proposed including increased platelet reactivity. This review focuses on the current literature that examines the platelet hypothesis of depression. To date studies show increased serotonin response, increased platelet serotonin receptor density, decreased serotonin transporter binding, and decreased platelet serotonin levels in individuals with depression. However other studies have shown no change in serotonin uptake. In addition to platelet serotonin specific pathways, other platelet pathways that have shown significant changes in depressed individuals include blunting of the platelet adenosine response, increased platelet thrombin response, increased glycoprotein Ⅰb expression, increased P-selectin, β thromboglobulin, and platelet factor four, as well as decreased platelet brain derived neurotrophic factor. However there are other studies that show conflicting evidence of increased platelet activation as measured by integrin receptor α2b β3. Other conflictingdata include α adrenergic density and platelet response to augmented serotonin. The direction of future research in platelet functional changes in depression and coronary artery disease should continue to focus on serotonin specific pathways with emphasis on potential mechanisms of specific pathway changes. 展开更多
关键词 PLATELETS depression Coronary artery disease SEROTONIN Polymorphism selective SEROTONIN REUPTAKE inhibitor THROMBIN Brain derived NEUROTROPHIC factor
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基于循证理念的人文关怀护理对多胎妊娠选择性减胎术孕妇焦虑抑郁情绪和妊娠结局的影响 被引量:8
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作者 蒋黎黎 杨洁 张路野 《临床与病理杂志》 CAS 2023年第1期153-159,共7页
目的:探究基于循证理念的人文关怀护理对多胎妊娠选择性减胎术孕妇焦虑、抑郁情绪和妊娠结局的影响。方法:选取2020年7月至2021年6月上海市第一妇婴保健院收治的156例多胎妊娠孕妇为研究对象,按随机数字表法随机分为对照组和观察组,每... 目的:探究基于循证理念的人文关怀护理对多胎妊娠选择性减胎术孕妇焦虑、抑郁情绪和妊娠结局的影响。方法:选取2020年7月至2021年6月上海市第一妇婴保健院收治的156例多胎妊娠孕妇为研究对象,按随机数字表法随机分为对照组和观察组,每组78例。对照组予以常规护理,观察组予以基于循证理念的人文关怀护理。比较两组干预前后焦虑自评量表(Self-Rating Anxiety Scale,SAS)、抑郁自评量表(Self-Rating Depression Scale,SDS)评分及治疗依从性、妊娠结局。结果:观察组干预后SAS、SDS评分比较均明显低于对照组(均P<0.001)。观察组治疗依从性明显高于对照组(P=0.001)。观察组术后有69例分娩活婴,对照组有66例分娩活婴,组间比较差异无统计学意义(P>0.05)。观察组剖宫产率、新生儿窒息率及产妇产后出血率均明显低于对照组(均P<0.05);而两组分娩孕周、早产率、新生儿出生体重比较差异均无统计学意义(均P>0.05)。结论:基于循证理念的人文关怀护理可有效减轻多胎妊娠选择性减胎术孕妇的焦虑、抑郁情绪,提高其治疗依从性,改善母婴结局。 展开更多
关键词 循证理念 人文关怀护理 多胎妊娠 选择性减胎术 焦虑 抑郁 妊娠结局
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Application of EDTMPS as a novel calcite depressant in scheelite flotation 被引量:4
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作者 Fen Jiao Wei Li +4 位作者 Xu Wang Congren Yang Zhengquan Zhang Liwen Fu Wenqing Qin 《International Journal of Mining Science and Technology》 SCIE EI CAS CSCD 2023年第5期639-647,共9页
In this study, the innovative use of ethylenediamine tetramethylene phosphonic sodium(EDTMPS) as a calcite depressant in scheelite flotation was investigated by flotation experiments, and its selective depression mech... In this study, the innovative use of ethylenediamine tetramethylene phosphonic sodium(EDTMPS) as a calcite depressant in scheelite flotation was investigated by flotation experiments, and its selective depression mechanism was revealed by contact angle measurement, FTIR analysis, Zeta potential test and XPS analysis. The flotation experiment results showed that scheelite and calcite could be efficiently separated under the following conditions: pulp p H=9.5, Na OL concentration of 1.5×10^(-4)mol/L, EDTMPS concentration of 3.0×10^(-5)mol/L, a scheelite concentrate with WO3grade of 65.49%, recovery of 83.29%and separation efficiency of 65.29% could be obtained from the artificially mixed minerals. The analysis results of mineral surface properties demonstrated that EDTMPS was strongly adsorbed onto the calcite surface through the reaction between the phosphonate group and the calcium ions, which hindered Na OL adsorption and increased the hydrophilicity of calcite. However, EDTMPS had weak adsorption strength on the scheelite surface, which didn’t affect further adsorption of Na OL, hence, the scheelite remained hydrophobic. Consequently, the selective adsorption of EDTMPS on the two minerals’ surfaces increased a difference in wettability and thus enabling them to be separated by flotation. Finally, the mechanism model of this flotation separation process was established. 展开更多
关键词 Ethylenediamine tetramethylene phosphonic sodium SCHEELITE CALCITE FLOTATION selective depression
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Selective serotonin reuptake inhibitors and Alzheimer’s disease 被引量:5
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作者 Bernadette Mdawar Elias Ghossoub Rita Khoury 《Neural Regeneration Research》 SCIE CAS CSCD 2020年第1期41-46,共6页
Given the failure to develop disease-modifying therapies for Alzheimer’s disease(AD),strategies aiming at preventing or delaying the onset of the disease are being prioritized.While the debate regarding whether depre... Given the failure to develop disease-modifying therapies for Alzheimer’s disease(AD),strategies aiming at preventing or delaying the onset of the disease are being prioritized.While the debate regarding whether depression is an etiological risk factor or a prodrome of AD rages on,a key determining factor may be the timing of depression onset in older adults.There is increasing evidence that untreated early-onset depression is a risk factor and that late-onset depression may be a catalyst of cognitive decline.Data from animal studies have shown a beneficial impact of selective serotonin reuptake inhibitors on pathophysiological biomarkers of AD including amyloid burden,tau deposits and neurogenesis.In humans,studies focusing on subjects with a prior history of depression also showed a delay in the onset of AD in those treated with most selective serotonin reuptake inhibitors.Paroxetine,which has strong anticholinergic properties,was associated with increased mortality and mixed effects on amyloid and tau deposits in mice,as well as increased odds of developing AD in humans.Although most of the data regarding selective serotonin reuptake inhibitors is promising,findings should be interpreted cautiously because of notable methodological heterogeneity between studies.There is thus a need to conduct large scale randomized controlled trials with long follow up periods to clarify the dose-effect relationship of specific serotonergic antidepressants on AD prevention. 展开更多
关键词 Alzheimer’s disease AMYLOIDOGENESIS animal models ANTIDEPRESSANT depression onset delay prevention selective SEROTONIN REUPTAKE inhibitor SSRI
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降低镍精矿中氧化镁含量的试验研究 被引量:2
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作者 阴宪卿 李福寿 《矿冶》 EI CAS 2001年第2期42-44,54,共4页
降低镍精矿中氧化镁含量 ,达到冶炼要求 ,在镍矿山的生产经营中有着十分重要的意义。本文介绍了通过加入X -P、CMC等药剂有效地抑制含氧化镁脉石矿物 ,进行镍精矿浮选降镁试验 。
关键词 镍精矿 氧化镁 选择性抑制 浮选 预处理 X-P药剂
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Advances in depressants for flotation separation of Cu–Fe sulfide minerals at low alkalinity:A critical review
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作者 Qicheng Feng Wenhang Yang +3 位作者 Maohan Chang Shuming Wen Dianwen Liu Guang Han 《International Journal of Minerals,Metallurgy and Materials》 SCIE EI CSCD 2024年第1期1-17,共17页
The flotation separation of Cu–Fe sulfide minerals at low alkalinity can be achieved using selective depressants.In the flotation system of Cu–Fe sulfide minerals,depressants usually preferentially interact with the... The flotation separation of Cu–Fe sulfide minerals at low alkalinity can be achieved using selective depressants.In the flotation system of Cu–Fe sulfide minerals,depressants usually preferentially interact with the pyrite surface to render the mineral surface hydrophilic and hinder the adsorption of the collector.This review summarizes the advances in depressants for the flotation separation of Cu–Fe sulfide minerals at low alkalinity.These advances include use of inorganic depressants (oxidants and sulfur–oxygen compounds),natural polysaccharides (starch,dextrin,konjac glucomannan,and galactomannan),modified polymers (carboxymethyl cellulose,polyacrylamide,lignosulfonate,and tricarboxylate sodium starch),organic acids (polyglutamic acid,sodium humate,tannic acid,pyrogallic acid,salicylic acid,and lactic acid),sodium dimethyl dithiocarbamate,and diethylenetriamine.The potential application of specific inorganic and organic depressants in the flotation separation of Cu–Fe sulfide minerals at low alkalinity is reviewed.The advances in the use of organic depressants with respect to the flotation separation of Cu–Fe sulfide minerals are comprehensively detailed.Additionally,the depression performances and mechanisms of different types of organic depressants on mineral surfaces are summarized.Finally,several perspectives on depressants vis-à-vis flotation separation of Cu–Fe sulfide minerals at low alkalinity are proposed. 展开更多
关键词 Cu–Fe sulfide minerals flotation separation selective depressants depression mechanism
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Differences of Plasma Levels of Tryptophan, Serotonin, 5-Hydroxyindole Acetic Acid, and Kynurenine between Healthy People and Patients of Major Monopolar Depression at Various Age and Gender 被引量:1
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作者 Hiroi Tomioka Junichi Masuda +1 位作者 Akikazu Takada Akira Iwanami 《Food and Nutrition Sciences》 2020年第6期431-441,共11页
<b><span style="font-family:Verdana;">Background:</span></b><span style="font-family:""><span style="font-family:Verdana;"> It is not well analyze... <b><span style="font-family:Verdana;">Background:</span></b><span style="font-family:""><span style="font-family:Verdana;"> It is not well analyzed whether there are differences in plasma levels of tryptophan (TRP) metabolites between healthy control people (HC) and patients of major monopolar depression (MMD). </span><b><span style="font-family:Verdana;">Methods:</span></b><span style="font-family:Verdana;"> Ultra high-speed </span></span><span style="font-family:""><span style="font-family:Verdana;">liquid chromatography/mass spectrometry has been used for the simultaneous determination of plasma levels of tryptophan metabolites in depressive </span><span><span style="font-family:Verdana;">patients. </span><b><span style="font-family:Verdana;">Results:</span></b><span style="font-family:Verdana;"> There are no significant differences between plasma levels of TRP between HC and MMD. Plasma levels of TRP of HC are higher in young men, young women, old men, and old women in this order. Serotonin (5-HT) levels are higher in MMD than HC. Plasma levels of 5-HIAA of HC are also higher than those of patients of MMD. Plasma levels of kynurenine (KYN) of healthy old men and old women are higher than those of young men and old women. Plasma levels of KYN are higher in old women and young men of MMD than those of HC. </span><b><span style="font-family:Verdana;">Conclusion:</span></b><span style="font-family:Verdana;"> Plasma levels of 5-HT are higher in patients of MMD than those of HC, which may suggest that use of drugs inhibiting the 5-HT transportation may increase plasma levels of 5-HT in MMD. 展开更多
关键词 depression Monopolar depression Bipolar depression TRYPTOPHAN SEROTONIN 5-Hydroxyindole Acetic Acid KYNURENINE 3-Hydroxykynurenine Kynurenic Acid Anthranilic Acid Xanthurenic Acid Indole-3-Acetic Acid SSRI (selective Serotonin Reuptake Inhibitor) SNRI (Serotonin Norepinephrine Reuptake Inhibitor)
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Comparison of Plasma Levels of Tryptophan Metabolites between Healthy People and Patients of Bipolar Depression at Various Age and Gender
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作者 Hiroi Tomioka Junichi Masuda +1 位作者 Akikazu Takada Akira Iwanami 《Journal of Biomedical Science and Engineering》 2020年第6期120-129,共10页
Background: It is not well analyzed whether there are differences in plasma levels of tryptophan (TRP) metabolites between healthy control people (HC) and patients of type II bipolar depression (BDII). Methods: Ultra ... Background: It is not well analyzed whether there are differences in plasma levels of tryptophan (TRP) metabolites between healthy control people (HC) and patients of type II bipolar depression (BDII). Methods: Ultra high-speed liquid chromatography/mass spectrometry has been used for the simultaneous determination of plasma levels of tryptophan metabolites in depressive patients. Results: Plasma levels of TRP are not different between HC and patients of BDII. Serotonin (5-HT) levels are higher in BDII than HC. Plasma levels of 5-HIAA of HC are higher than those of old women of BDII, but lower in young women of BDII. Plasma levels of kynurenine (KYN) of HC are not different from those of patients of BDII. Conclusion: Plasma levels of 5-HT are higher in patients of BDII than those of HC, which may suggest that use of drugs inhibiting the 5-HT transportation and lower transporter biding may increase plasma levels of 5-HT in patients of BD. 展开更多
关键词 depression Monopolar depression Bipolar depression TRYPTOPHAN SEROTONIN 5-Hydroxyindole Acetic Acid KYNURENINE SSRI (selective Serotonin Reuptake Inhibitor) SNRI (Serotonin Norepinephrine Reuptake Inhibitor) ANXIOLYTIC Antipsychotic
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Comparison of Age and Gender Differences of Tryptophan Metabolites in Patients of Major Monopolar and Bipolar Depression
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作者 Hiroi Tomioka Junichi Masuda +1 位作者 Akikazu Takada Akira Iwanami 《Food and Nutrition Sciences》 2020年第3期172-185,共14页
Background: No research has been done for the determination of plasma levels of tryptophan metabolites in patients of monopolar and bipolar depression. Methods: Ultra high-speed liquid chromatography/mass spectrometry... Background: No research has been done for the determination of plasma levels of tryptophan metabolites in patients of monopolar and bipolar depression. Methods: Ultra high-speed liquid chromatography/mass spectrometry has been used for the simultaneous determination of plasma levels of tryptophan metabolites in depressive patients. Results: No significant age and gender differences were shown in monopolar depressive patients and some differences were shown in bipolar patients. The administration of drugs such as antidepressants, antipsychotics, mood stabilizers do not seem to have affected the results. Conclusion: In patients of major monopolar depression age and gender differences of plasma levels of tryptophan metabolites disappear although significant differences are observed in healthy volunteers. Some differences of age and gender differences were shown between monopolar and bipolar depressive patients. 展开更多
关键词 depression MONOPOLAR depression Bipolar depression TRYPTOPHAN SEROTONIN 5-Hydroxyindole Acetic ACID Kynurenine 3-Hydroxykynurenine Kynurenic ACID Anthranilic ACID Xanthurenic ACID Indole-3-Acetic ACID SSRI (selective SEROTONIN REUPTAKE Inhibitor) SNRI (Serotonin Norepinephrine REUPTAKE Inhibitor) Anxiolytic Antipsychotic
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聚羧酸在白钨矿与萤石浮选分离中的选择性抑制作用及机理 被引量:4
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作者 陈臣 孙伟 +2 位作者 朱海玲 赵中伟 刘润清 《中国有色金属学报》 EI CAS CSCD 北大核心 2021年第9期2551-2560,共10页
通过纯矿物浮选试验研究了油酸钠体系下聚天冬氨酸(PASP)、聚马来酸(HPMA)和聚环氧琥珀酸(PESA)对白钨矿和萤石的选择性抑制作用。结果表明:PASP的选择性抑制作用最强,HPMA的次之,PESA的最差。当pH>9.5时,采用PASP作抑制剂有望实现... 通过纯矿物浮选试验研究了油酸钠体系下聚天冬氨酸(PASP)、聚马来酸(HPMA)和聚环氧琥珀酸(PESA)对白钨矿和萤石的选择性抑制作用。结果表明:PASP的选择性抑制作用最强,HPMA的次之,PESA的最差。当pH>9.5时,采用PASP作抑制剂有望实现白钨矿和萤石的浮选分离。实际矿石浮选试验表明,对于WO3含量为0.16%、CaF2含量为11.28%的浮选给矿,在粗选作业中加入40 g/t PASP作抑制剂,经一粗一扫的闭路实验流程,得到的钨粗精矿中WO3品位由0.70%提高到1.43%,回收率为87.49%,CaF2回收率从41.17%降至23.27%。动电位测试、红外光谱分析和X射线光电子能谱分析结果显示,PASP可通过其分子结构中的羧基与白钨矿和萤石表面的Ca^(2+)作用而发生化学吸附,同时在萤石表面亦有静电吸附。此外,PASP的吸附阻碍了油酸钠在萤石表面的吸附,而对其在白钨矿表面的吸附影响较小,导致其疏水性和可浮性的差异,从而实现浮选分离。 展开更多
关键词 白钨矿 萤石 浮选分离 聚羧酸 选择性抑制
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钼铜混合精矿的浮选分离试验研究 被引量:4
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作者 宋宝旭 李停停 刘四清 《矿冶》 CAS 2016年第2期31-35,共5页
为提高广东某钨矿伴生钼铜硫化矿的浮选分离指标,对钼铜混合精矿进行了合理的药剂制度及选矿工艺研究。分离前进行强化脱药,以JBS作为辉钼矿的捕收剂,采用DSY对黄铜矿进行选择性抑制,可显著改善钼铜分离效果,获得较好的试验指标,钼精矿... 为提高广东某钨矿伴生钼铜硫化矿的浮选分离指标,对钼铜混合精矿进行了合理的药剂制度及选矿工艺研究。分离前进行强化脱药,以JBS作为辉钼矿的捕收剂,采用DSY对黄铜矿进行选择性抑制,可显著改善钼铜分离效果,获得较好的试验指标,钼精矿钼品位和回收率分别为49.25%和91.50%;铜精矿铜品位和回收率分别为21.45%和99.96%。 展开更多
关键词 钼铜硫化矿 强化脱药 捕收剂 选择性抑制
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Value of Chuanjin Qinggan decoction in improving the depressive state of patients with herpes zoster combined with depression
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作者 Yi-Nan Wang Meng-Meng Shi Jin-Ming Zhang 《World Journal of Psychiatry》 SCIE 2023年第12期1037-1045,共9页
BACKGROUND Western medicine is beneficial for the recovery of neurological function in patients with depression,but some patients experience side effects such as headaches,dizziness,nausea,gastrointestinal symptoms,in... BACKGROUND Western medicine is beneficial for the recovery of neurological function in patients with depression,but some patients experience side effects such as headaches,dizziness,nausea,gastrointestinal symptoms,insomnia,and cardiac dysfunction.In recent years,integrative medicine has achieved positive results in the treatment of various diseases.AIM To study Chuanjin Qinggan decoction combined with selective serotonin reuptake inhibitors(SSRIs)in patients with herpes zoster complicated by depression.METHODS Patients with herpes zoster complicated by depression who were treated at the Yantai Hospital of Traditional Chinese Medicine from January 2021 to December 2022 were retrospectively selected as research participants.Among them,43 patients with herpes zoster complicated by depression who received SSRI treatment between January and December 2021 were assigned to the Western medicine group,while those who received combined treatment of traditional Chinese and Western medicine between January and December 2022 were assigned to the combined group.Both groups were treated for eight weeks.The degree of pain,effect of herpes zoster treatment,degree of improvement in depressive symptoms,serum neurotransmitter levels,sleep quality,and occurrence of adverse reactions were compared between the two groups.RESULTS We found that after eight weeks of drug treatment,the two treatment schemes achieved differing efficacy.In further comparison,we found that,compared with patients treated with SSRIs alone,patients treated with Chuanjin Qinggan decoction combined with SSRIs showed more significant improvement in depression and a greater increase in dopamine and 5-hydroxytryptamine levels after treatment(P<0.05).Patients treated with Chuanjin Qinggan decoction combined with SSRIs also experienced lower pain,better treatment efficacy for herpes zoster,better sleep quality,and a lower incidence of adverse reactions compared to those treated with SSRIs alone(P<0.05).All minor adverse reactions occurring during treatment were resolv 展开更多
关键词 Chuanjin Qinggan decoction selective 5-hydroxytryptamine reuptake inhibitor Herpes zoster depression Sleep quality Adverse reaction
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α-淀粉在菱铁矿与赤铁矿分离中的应用 被引量:4
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作者 杨斌 伍喜庆 米夏夏 《矿冶工程》 CAS CSCD 北大核心 2010年第6期46-50,共5页
研究了α-淀粉在菱铁矿与赤铁矿分离中的作用。单矿物浮选研究表明,淀粉对菱铁矿和赤铁矿均具有较强的抑制作用,而α-淀粉对菱铁矿的抑制能力较弱,在菱铁矿与赤铁矿分离中,选择性抑制能力强。表面动电位研究表明,在pH≥10时,α-淀粉对... 研究了α-淀粉在菱铁矿与赤铁矿分离中的作用。单矿物浮选研究表明,淀粉对菱铁矿和赤铁矿均具有较强的抑制作用,而α-淀粉对菱铁矿的抑制能力较弱,在菱铁矿与赤铁矿分离中,选择性抑制能力强。表面动电位研究表明,在pH≥10时,α-淀粉对菱铁矿具有选择性抑制作用。运用红外光谱研究了α-淀粉对菱铁矿和赤铁矿的抑制性能及其作用机理,结果表明,α-淀粉能在菱铁矿表面产生新的特征峰,对菱铁矿有一定的抑制作用,而α-淀粉与赤铁矿的吸附方式是化学吸附,能使赤铁矿强烈亲水,达到抑制的目的。 展开更多
关键词 浮选 Α-淀粉 菱铁矿 赤铁矿 选择性抑制 分离
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柠檬酸与硅线石、石英作用机理研究 被引量:4
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作者 雷东升 许时 《有色金属》 CSCD 1995年第1期24-27,共4页
采用油酸的为捕收剂,柠檬酸为抑制剂,实现硅线石和石英的有效分离;通过ζ电位测定,X射线光电子能谱仪测定,较详细地研究了柠檬酸和硅线石、石英的作用机理。
关键词 柠檬酸 硅线石 石英 选择性抑制
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选择性5-羟色胺再摄取抑制剂对抑郁症患者睡眠结构的影响及与临床疗效的关系研究 被引量:24
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作者 张斌 郝雪利 +1 位作者 李雪丽 刘武汉 《中国全科医学》 CAS CSCD 北大核心 2013年第1期55-58,共4页
目的探究选择性5-羟色胺再摄取抑制剂(SSRIs)对抑郁症患者睡眠结构的影响及与临床疗效的关系。方法从多导睡眠图(PSG)数据库选择了26例接受SSRIs治疗2周以上的抑郁症患者(治疗组),并同时选择了24例近3个月未接受药物治疗的抑郁症患者(... 目的探究选择性5-羟色胺再摄取抑制剂(SSRIs)对抑郁症患者睡眠结构的影响及与临床疗效的关系。方法从多导睡眠图(PSG)数据库选择了26例接受SSRIs治疗2周以上的抑郁症患者(治疗组),并同时选择了24例近3个月未接受药物治疗的抑郁症患者(未治疗组)。评估患者睡眠情况,采用汉密尔顿抑郁量表24项版本(HAMD-24)评估患者治疗前后的抑郁状况,采用Logistic回归分析抑郁症患者睡眠结构变化与临床疗效的关系。结果治疗组和未治疗组的睡眠长度、睡眠潜伏期、非快速动眼时相睡眠(NREM)Ⅱ期与Ⅲ期的睡眠比例差异均无统计学意义(P>0.05)。经过SSRIs治疗,治疗组进入快速动眼时相(REM)的时间与未治疗组相比缩短〔(77±30)min vs.(146±64)min〕,差异有统计学意义(P=0.000),并进入正常范围;治疗组的NREMⅠ期睡眠比例与治疗组相比〔(14±5)%vs.(18±8)%〕和微觉醒指数(AI)〔(14±5)次/h vs.(18±6)次/h〕均减少,但AI仍高于正常值(<5次/h),差异均有统计学意义(P<0.05)。治疗组与未治疗组HAMD-24得分间差异有统计学意义〔(17±6)分vs.(27±10)分,P=0.007〕。Logistic回归显示治疗组患者的REML越短〔OR=0.627,95%CI(0.517,0.923)〕和AI越低〔OR=0.839,95%CI(0.721,0.987)〕,就越容易显示出临床疗效。结论抑郁症的REM睡眠异常应该是抑郁症的核心睡眠节律异常,支持了抑郁症的睡眠时相前移假说;睡眠结构的改变影响临床疗效。 展开更多
关键词 选择性5-羟色胺再摄取抑制剂 睡眠结构 抑郁症 临床疗效
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Molecular mechanism of noradrenaline during the stress-induced major depressive disorder 被引量:12
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作者 Kenjiro Seki Satomi Yoshida Manoj Kumar Jaiswal 《Neural Regeneration Research》 SCIE CAS CSCD 2018年第7期1159-1169,共11页
Chronic stress-induced depression is a common hallmark of many psychiatric disorders with high morbidity rate.Stress-induced dysregulation of noradrenergic system has been implicated in the pathogenesis of depression.... Chronic stress-induced depression is a common hallmark of many psychiatric disorders with high morbidity rate.Stress-induced dysregulation of noradrenergic system has been implicated in the pathogenesis of depression.Lack of monoamine in the brain has been believed to be the main causative factor behind pathophysiology of major depressive disorder(MDD) and several antidepressants functions by increasing the monoamine level at the synapses in the brain.However,it is undetermined whether the noradrenergic receptor stimulation is critical for the therapeutic effect of antidepressant.Contrary to noradrenergic receptor stimulation,it has been suggested that the desensitization of β-adrenoceptor is involved in the therapeutic effect of antidepressant.In addition,enhanced noradrenaline(NA) release is central response to stress and thought to be a risk factor for the development of MDD.Moreover,fast acting antidepressant suppresses the hyperactivation of noradrenergic neurons in locus coeruleus(LC).However,it is unclear how they alter the firing activity of LC neurons.These inconsistent reports about antidepressant effect of NA-reuptake inhibitors(NRIs) and enhanced release of NA as a stress response complicate our understanding about the pathophysiology of MDD.In this review,we will discuss the role of NA in pathophysiology of stress and the mechanism of therapeutic effect of NA in MDD.We will also discuss the possible contributions of each subtype of noradrenergic receptors on LC neurons,hypothalamic-pituitary-adrenal axis(HPA-axis) and brain derived neurotrophic factor-induced hippocampal neurogenesis during stress and therapeutic effect of NRIs in MDD. 展开更多
关键词 major depression stress noradrenaline noradrenaline-reuptake inhibitors serotonin receptors hypothalamic-pituitary-adrenal axis locus coeruleus selective serotonin reuptake inhibitors serotonin noradrenaline-reuptake inhibitors
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选择性5-羟色胺再摄取抑制剂治疗卒中后抑郁疗效的Meta分析 被引量:13
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作者 李丽平 费鹏鸽 宋景贵 《新乡医学院学报》 CAS 2015年第3期235-238,共4页
目的系统评价选择性5-羟色胺再摄取抑制剂(SSRIs)对卒中后抑郁(PSD)患者的疗效。方法以SSRIs、PSD、系统评价等为关键词或主题词检索重庆维普数据库及万方资源数据库、中国生物医学文献数据库1990年1月至2014年8月所有关于SSRIs类抗抑... 目的系统评价选择性5-羟色胺再摄取抑制剂(SSRIs)对卒中后抑郁(PSD)患者的疗效。方法以SSRIs、PSD、系统评价等为关键词或主题词检索重庆维普数据库及万方资源数据库、中国生物医学文献数据库1990年1月至2014年8月所有关于SSRIs类抗抑郁剂治疗PSD的随机对照试验(RCT),评价文献质量。采用汉密顿抑郁量表(HAMD)减分率对符合纳入标准的研究进行疗效评价。结果 Meta分析结果显示:治疗结束,干预组患者HAMD减分率显著优于对照组,即相对于安慰剂组,SSRIs类抗抑郁剂干预可使PSD患者HAMD评分显著降低[有效率:RR=2.88,95%CI(2.44,3.40),P<0.000 01,治愈率:RR=5.33,95%CI(3.79,7.50),P<0.000 01]。结论 SSRIs类抗抑郁剂可有效改善PSD患者的抑郁情绪。 展开更多
关键词 选择性5-羟色胺再摄取抑制剂 卒中后抑郁 系统评价 META分析
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改良电休克疗法联合选择性5-羟色胺再摄取抑制剂治疗中重度抑郁症患者的疗效观察 被引量:12
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作者 李昱 付艳梅 《世界临床药物》 CAS 2018年第3期187-189,210,共4页
目的观察改良电休克疗法(MECT)联合选择性5-羟色胺再摄取抑制剂(SSRI)治疗中重度抑郁症患者的临床疗效及对社会功能的影响。方法纳入2016年6月至12月入院的100例抑郁症患者,随机分为对照组和观察组,各50例,对照组予SSRI治疗,观察组在对... 目的观察改良电休克疗法(MECT)联合选择性5-羟色胺再摄取抑制剂(SSRI)治疗中重度抑郁症患者的临床疗效及对社会功能的影响。方法纳入2016年6月至12月入院的100例抑郁症患者,随机分为对照组和观察组,各50例,对照组予SSRI治疗,观察组在对照组基础上联合MECT治疗,疗程均为4周。两组分别在治疗前、治疗2周和4周后行汉密尔顿抑郁量表(HAMD)和社会功能缺陷量表(SDSS)评定。结果与治疗前相比,治疗2周后,观察组HAMD评分已降低,观察组和对照组的SDSS评分均降低(P<0.01)。治疗4周后,与对照组相比,观察组HAMD评分和SDSS评分均降低(P<0.01)。结论 MECT联合SSRI治疗中重度抑郁症起效快,疗效显著,且可显著改善患者社会功能,值得临床推广应用。 展开更多
关键词 改良电休克治疗(MECT) 选择性5-羟色胺再摄取抑制剂(SSRI) 抑郁症
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选择性5-羟色胺再摄取抑制剂与奥氮平联合治疗难治性抑郁症的临床疗效 被引量:11
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作者 朱羞阳 佟洋 李驰荣 《东南国防医药》 2013年第2期125-127,共3页
目的探讨选择性5-羟色胺再摄取抑制剂与奥氮平联合治疗难治性抑郁症的临床疗效。方法选择2009年1月-2012年1月门诊和住院治疗的难治性抑郁症84例,随机分为对照组和治疗组各42例。对照组单纯应用选择性5-羟色胺再摄取抑制剂;治疗组在对... 目的探讨选择性5-羟色胺再摄取抑制剂与奥氮平联合治疗难治性抑郁症的临床疗效。方法选择2009年1月-2012年1月门诊和住院治疗的难治性抑郁症84例,随机分为对照组和治疗组各42例。对照组单纯应用选择性5-羟色胺再摄取抑制剂;治疗组在对照组药物的基础上加用奥氮平,比较两组药物治疗难治性抑郁症的临床疗效;结果两组患者汉密尔顿抑郁量表评分治疗后均比治疗前有明显降低,差异具有统计学意义(P<0.01);治疗组痊愈21例(50.0%),显著10例(23.8%),总有效率为73.8%;对照组痊愈10例(23.8%),显著11例(26.2%),总有效率为50.0%,治疗组总有效率优于对照组,差异具有统计学意义(P<0.05)。两组患者均出现一些轻微的不良反应,但差异不具有统计学意义(P>0.05))。结论选择性5-羟色胺再摄取抑制剂联合奥氮平治疗难治性抑郁症临床疗效较好,且不良反应较少,两者可联合应用于临床。 展开更多
关键词 选择性5-羟色胺再摄取抑制剂 奥氮平 难治性抑郁症
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