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顽固性高血压治疗手段取得新进展——经皮导管去肾动脉交感神经法疗效得到确认
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《中国心血管病研究》 CAS 2011年第12期891-892,共2页
“近年来我国人群高血压患病率一直处于增长态势,每5个成人中2人患高血压;2002年发病人数1.6亿,估计目前全国高血压患者至少达到2亿人。但我国在高血压知晓率、治疗率和控制率方面却远远落后于发达国家。天津市第一中心医院卢成志... “近年来我国人群高血压患病率一直处于增长态势,每5个成人中2人患高血压;2002年发病人数1.6亿,估计目前全国高血压患者至少达到2亿人。但我国在高血压知晓率、治疗率和控制率方面却远远落后于发达国家。天津市第一中心医院卢成志主任借鉴国际上的治疗经验,在我国率先运用经导管射频消融法去肾动脉交感神经治疗顽固性高血压取得了良好的效果,无疑是我国高血压诊疗水平提升的又一个新的里程碑。”这是中国医师协会心血管医师分会会长霍勇教授在顽固性高血压诊疗新进展媒体见面会上做出的中肯评价。 展开更多
关键词 顽固性高血压 交感神经 治疗率 肾动脉 皮导管 天津市第一中心医院 中国医师协会 导管射频消融法
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骨科重症患者短期经皮置入中心静脉导管的应用与护理
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作者 章海慈 欧阳庆 吴丹 《中国社区医师》 2020年第28期178-179,共2页
目的:研究治疗骨科重症患者中应用短期经皮置入中心静脉导管的方法及置管使用护理干预的效果。方法:2018年10月-2019年11月收治骨科重症患者80例,按不同术式分为两组,各40例。对照组进行常规置管;试验组进行短期经皮置入中心静脉导管,... 目的:研究治疗骨科重症患者中应用短期经皮置入中心静脉导管的方法及置管使用护理干预的效果。方法:2018年10月-2019年11月收治骨科重症患者80例,按不同术式分为两组,各40例。对照组进行常规置管;试验组进行短期经皮置入中心静脉导管,并配合相应护理干预。比较两组静脉输液状况、护理中预防感染效果及穿刺情况。结果:试验组并发症发生率及平均每日住院费用均低于对照组,预防感染效果和穿刺操作整体质量均优于对照组,差异有统计学意义(P<0.05)。结论:对骨科重症患者使用外周置入中心静脉导管并施以针对性护理,不仅能使置管后并发症发生率降低,还可促进患者病情恢复时间,节省治疗费用。 展开更多
关键词 短期经置入中心静脉导管 重症患者 骨科护理 穿刺情况 预防感染
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The effect of alphastatin peptide suppressing the hypoxia-induced vasculogenic mimicry formation of glioma 被引量:1
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作者 Zhang Xi Guo Shiwen Wei Chunyan 《Journal of Medical Colleges of PLA(China)》 CAS 2010年第5期267-274,共8页
Objective:To investigate the vasculogenic mimicry formation induced by hypoxia in Ⅱ-Ⅲ human glioma cell and the effect of alphastatin peptide suppressing the hypoxia-induced vasculogenic mimicry formation and the me... Objective:To investigate the vasculogenic mimicry formation induced by hypoxia in Ⅱ-Ⅲ human glioma cell and the effect of alphastatin peptide suppressing the hypoxia-induced vasculogenic mimicry formation and the mechanism.Methods:MTT,Transwell and three-dimentional culture were used to detect the proliferation,migration and tubule formation of SHG44.The expression of vascular endothelial growth factor-α(VEGF-α),erythropoietin-producing hepatocellular carcinoma-A2 (EphA2) and matrix metalloproteinases 2 (MMP2) was detected by RT-PCR and Western blotting analysis.Results:The OD 490 in hypoxia group was 0.60±0.06 and in control group was 0.46±0.05.The number of cell migration was 178.71±18.81 in hypoxia group and 85.86±17.92 in control group.The tubule formation was 56.80±12.21 in hypoxia group and 4.20±2.62 in control group.The proliferation,migration and tubule formation in hypoxia group were significantly higher than that in control group.The expression of VEGF-α,EphA2 and MMP2 was upregulated in hypoxia.When various concentrations of alphastatin (100,1 000,10 000 nmol/L) were added to hypoxia group,the numbers of cell migration were 142.57±12.12,92.71±17.68,30.00±7.72 and the tubule formation were 47.71±10.58,18.86±8.40,8.43±5.62.The cell migration and tubule formation were significantly suppressed by alphastatin in a dose-dependent manner.In alphastatin group,the phosphorylation of EphA2 protein (P=0.037,F=4.629) and activation of MMP2 protein (P=0.005,F=9.331) were significantly suppressed but there was no change in VEGF-α protein.Conclusion:Ⅱ-Ⅲ human glioma cell is able to form vasculogenic mimicry induced by hypoxia and alphastatin peptide can suppress the hypoxia-induced vasculogenic mimicry.VEGF-α induced EphA2 phospharilation and MMP2 activation maybe the key pathway to form vasculogenic mimicry. 展开更多
关键词 HYPOXIA Ⅱ-Ⅲ grade glioma Vasculogenic mimicry Alphastatin MECHANISM
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