Background:The clinical efficiency of routine oxygen therapy is uncertain in patients with acute heart failure(AHF)who do not have hypoxemia.The aim of this study was to investigate the association between oxygen ther...Background:The clinical efficiency of routine oxygen therapy is uncertain in patients with acute heart failure(AHF)who do not have hypoxemia.The aim of this study was to investigate the association between oxygen therapy and clinical outcomes in normoxemic patients hospitalized with AHF using real-world data.Methods:Normoxemic patients diagnosed with AHF on intensive care unit(ICU)admission from the electronic ICU(eICU)Collaborative Research Database were included in the current study,in which the study population was divided into the oxygen therapy group and the ambient air group.Propensity score matching(PSM)was applied to create a balanced covariate distribution between patients receiving supplemental oxygen and those exposed to ambient air.Linear regression and logistic regression models were performed to assess the associations between oxygen therapy and length of stay(LOS),and all-cause in-hospital as well as ICU mortality rates,respectively.A series of sensitivity and subgroup analyses were conducted to further validate the robustness of our findings.Results:A total of 2922 normoxemic patients with AHF were finally included in the analysis.Overall,42.1%(1230/2922)patients were exposed to oxygen therapy,and 57.9%(1692/2922)patients did not receive oxygen therapy(defined as the ambient air group).After PSM analysis,1122 pairs of patients were matched:each patient receiving oxygen therapy was matched with a patient without receiving supplemental oxygen.The multivariable logistic model showed that there was no significant interaction between the ambient air and oxygen therapy for all-cause in-hospital mortality[odds ratio(OR)=1.30;95%confidence interval(CI)0.92–1.82;P=0.138]or ICU mortality(OR=1.39;95%CI 0.83–2.32;P=0.206)in the post-PSM cohorts.In addition,linear regression analysis revealed that oxygen therapy was associated with prolonged ICU LOS(OR=1.11;95%CI 1.06–1.15;P<0.001)and hospital LOS(OR=1.06;95%CI 1.01–1.10;P=0.009)after PSM.Furthermore,the absence of an effect of supplemental oxygen on mortality was consistent in all subgroups.Conclusions:Routine use of supplemental oxygen in AHF patients without hypoxemia was not found to reduce all cause in-hospital mortality or ICU mortality.展开更多
Objective:To study the effect of reactive oxygen species of inducing apoptosis on the heptocacinoma tissues following ischemia and reperfusion and perfusion hyperoxia liquid of hepatocarcinoma. Methods: The hepatocarc...Objective:To study the effect of reactive oxygen species of inducing apoptosis on the heptocacinoma tissues following ischemia and reperfusion and perfusion hyperoxia liquid of hepatocarcinoma. Methods: The hepatocarcinoma animal models ware established by implantation of VX2 tumor constitution mass into the left middle lobe of liver of rabbits. The animals were subjected to 60 min clamp-induced ischemia of hepatic artery distributing in the left middle lobe followed by reperfusion at 1 h, 1 d, 3 d and 7 d, respectively, and perfusion hyperoxia liquid (partial pressure of oxygen, PO2>80 kPa) at the same time with reperfusion beginning. The concentration of MDA and NO ware tested. Apoptotic changes in the hepatocarcinoma and normal hepatic tissues were observed by means of HE staining and terminal deoxynucleotidyl transferase-mediated dUTP nick end-labeling (TUNEL). Results:The concentration of MDA in normal hepatic tissues and hepatocarcinoma tissue increased followed ischemia and reperfusion especially for reperfusion 1 h (4.61±0.40, 3.10±0.23) and restored to normal level at reperfusion 7 d in normal hepatic tissues but still kept high concentration in the hepatocarcinoma tissue. Even though concentration of MDA in normal hepatic tissues is higher than that of before ischemia and reperfusion, no difference have been found after perfusion of hyperoxia liquid, and in the hepatocarcinoma tissue, the increasing of concentration of MDA was obvious after simply ischemia and reperfusion at reperfusion 1 d (4.25±0.45). The concentration of NO in normal hepatic tissues increased for reperfusion 3 d and 7 d(18.17±0.13, 17.45±0.23),while that of hepatocarcinoma tissue decreased at reperfusion 3 d(15.95±043). After perfusion of hyperoxia liquid, the concentration of NO in normal hepatic tissues kept increasing and that decreased in the hepatocarcinoma tissues in all time point and reached the lowest level at reperfusion 1 d(14.62±0.45).The result demonstrated the changes of concentration of NO and MDA in the hepatocarcinoma tissues ware more obvious than that of normal hepatic tissues(P<0.01). Conclusion:Perfusion of hyperoxia liquid from hepatic portal vein can intensify ischemia and reperfusion injury but less so for normal hepatic tissues.展开更多
目的：观察高氧液对急性油酸性肺损伤家兔肺组织形态改变及肺表面活性物质的影响。方法健康家兔30只,雌雄不拘,体质量2.0~2.5 kg,随机分为3组：空白对照组（n=10）；高氧液治疗组（n=10）；盐水对照组（n=10）。3组动物给予相应处理后...目的：观察高氧液对急性油酸性肺损伤家兔肺组织形态改变及肺表面活性物质的影响。方法健康家兔30只,雌雄不拘,体质量2.0~2.5 kg,随机分为3组：空白对照组（n=10）；高氧液治疗组（n=10）；盐水对照组（n=10）。3组动物给予相应处理后分别在 ALI 模型制备前（基础值）、静脉输液前（损伤后）、输液后30 min、1 h、2 h 时观察动脉血气变化,2 h 后处死动物取肺组织做病理切片观察肺组织形态学改变和免疫组化检测肺表面活性物质的变化。结果高氧液治疗组在输注高氧液后2 h PaO2明显高于盐水对照组（P 〈0.001）,而 PaCO2则低于盐水对照组（P 〈0.001）。光镜下高氧液治疗组家兔肺组织损伤程度较盐水对照组轻。免疫组化及肺泡灌洗液测定结果显示,高氧液治疗组肺表面活性物质 A 含量明显高于盐水对照组（P 〈0.001）。结论静脉输注高氧液可减轻肺组织损伤程度,减少肺泡表面活性物质的破坏。展开更多
基金supported by the National Nature Science Foundation of China(81770244)Medical Science and Technology Youth Cultivation Plan(17QNP013 and 20QNPY038)+1 种基金Naval Militar y University Foreign Student Teaching Research and Reform Project(WJYA2018005)Shanghai Municipal Commission of Science and Technology(17ZR1439100)。
文摘Background:The clinical efficiency of routine oxygen therapy is uncertain in patients with acute heart failure(AHF)who do not have hypoxemia.The aim of this study was to investigate the association between oxygen therapy and clinical outcomes in normoxemic patients hospitalized with AHF using real-world data.Methods:Normoxemic patients diagnosed with AHF on intensive care unit(ICU)admission from the electronic ICU(eICU)Collaborative Research Database were included in the current study,in which the study population was divided into the oxygen therapy group and the ambient air group.Propensity score matching(PSM)was applied to create a balanced covariate distribution between patients receiving supplemental oxygen and those exposed to ambient air.Linear regression and logistic regression models were performed to assess the associations between oxygen therapy and length of stay(LOS),and all-cause in-hospital as well as ICU mortality rates,respectively.A series of sensitivity and subgroup analyses were conducted to further validate the robustness of our findings.Results:A total of 2922 normoxemic patients with AHF were finally included in the analysis.Overall,42.1%(1230/2922)patients were exposed to oxygen therapy,and 57.9%(1692/2922)patients did not receive oxygen therapy(defined as the ambient air group).After PSM analysis,1122 pairs of patients were matched:each patient receiving oxygen therapy was matched with a patient without receiving supplemental oxygen.The multivariable logistic model showed that there was no significant interaction between the ambient air and oxygen therapy for all-cause in-hospital mortality[odds ratio(OR)=1.30;95%confidence interval(CI)0.92–1.82;P=0.138]or ICU mortality(OR=1.39;95%CI 0.83–2.32;P=0.206)in the post-PSM cohorts.In addition,linear regression analysis revealed that oxygen therapy was associated with prolonged ICU LOS(OR=1.11;95%CI 1.06–1.15;P<0.001)and hospital LOS(OR=1.06;95%CI 1.01–1.10;P=0.009)after PSM.Furthermore,the absence of an effect of supplemental oxygen on mortality was consistent in all subgroups.Conclusions:Routine use of supplemental oxygen in AHF patients without hypoxemia was not found to reduce all cause in-hospital mortality or ICU mortality.
文摘Objective:To study the effect of reactive oxygen species of inducing apoptosis on the heptocacinoma tissues following ischemia and reperfusion and perfusion hyperoxia liquid of hepatocarcinoma. Methods: The hepatocarcinoma animal models ware established by implantation of VX2 tumor constitution mass into the left middle lobe of liver of rabbits. The animals were subjected to 60 min clamp-induced ischemia of hepatic artery distributing in the left middle lobe followed by reperfusion at 1 h, 1 d, 3 d and 7 d, respectively, and perfusion hyperoxia liquid (partial pressure of oxygen, PO2>80 kPa) at the same time with reperfusion beginning. The concentration of MDA and NO ware tested. Apoptotic changes in the hepatocarcinoma and normal hepatic tissues were observed by means of HE staining and terminal deoxynucleotidyl transferase-mediated dUTP nick end-labeling (TUNEL). Results:The concentration of MDA in normal hepatic tissues and hepatocarcinoma tissue increased followed ischemia and reperfusion especially for reperfusion 1 h (4.61±0.40, 3.10±0.23) and restored to normal level at reperfusion 7 d in normal hepatic tissues but still kept high concentration in the hepatocarcinoma tissue. Even though concentration of MDA in normal hepatic tissues is higher than that of before ischemia and reperfusion, no difference have been found after perfusion of hyperoxia liquid, and in the hepatocarcinoma tissue, the increasing of concentration of MDA was obvious after simply ischemia and reperfusion at reperfusion 1 d (4.25±0.45). The concentration of NO in normal hepatic tissues increased for reperfusion 3 d and 7 d(18.17±0.13, 17.45±0.23),while that of hepatocarcinoma tissue decreased at reperfusion 3 d(15.95±043). After perfusion of hyperoxia liquid, the concentration of NO in normal hepatic tissues kept increasing and that decreased in the hepatocarcinoma tissues in all time point and reached the lowest level at reperfusion 1 d(14.62±0.45).The result demonstrated the changes of concentration of NO and MDA in the hepatocarcinoma tissues ware more obvious than that of normal hepatic tissues(P<0.01). Conclusion:Perfusion of hyperoxia liquid from hepatic portal vein can intensify ischemia and reperfusion injury but less so for normal hepatic tissues.
文摘目的：观察高氧液对急性油酸性肺损伤家兔肺组织形态改变及肺表面活性物质的影响。方法健康家兔30只,雌雄不拘,体质量2.0~2.5 kg,随机分为3组：空白对照组（n=10）；高氧液治疗组（n=10）；盐水对照组（n=10）。3组动物给予相应处理后分别在 ALI 模型制备前（基础值）、静脉输液前（损伤后）、输液后30 min、1 h、2 h 时观察动脉血气变化,2 h 后处死动物取肺组织做病理切片观察肺组织形态学改变和免疫组化检测肺表面活性物质的变化。结果高氧液治疗组在输注高氧液后2 h PaO2明显高于盐水对照组（P 〈0.001）,而 PaCO2则低于盐水对照组（P 〈0.001）。光镜下高氧液治疗组家兔肺组织损伤程度较盐水对照组轻。免疫组化及肺泡灌洗液测定结果显示,高氧液治疗组肺表面活性物质 A 含量明显高于盐水对照组（P 〈0.001）。结论静脉输注高氧液可减轻肺组织损伤程度,减少肺泡表面活性物质的破坏。
