OBJECTIVE To investigate the potency of Urena lobata leaves extract on the inhibition of hepatic complication on diabetic rats.METHODS This study uses control group post test only with male Sprague dawley rats.Diabeti...OBJECTIVE To investigate the potency of Urena lobata leaves extract on the inhibition of hepatic complication on diabetic rats.METHODS This study uses control group post test only with male Sprague dawley rats.Diabetic rats was induced by high fructose diet(HFD)and single dose streptozotocin 25mg·kg-1 bw intra peritoneal.The rat was administrated orally with water extract of U.lobataleaves in concentrations of 250,500 and 1000mg·kg-1 bw for 4 weeks.After scarifying,liver organ and blood were collected and then superoxyde dismutase(SOD)hepar level,malondialdehyda(MDA),tumor necrosis factor-alpha(TNF-α),serum glutamic oxaloacetic transaminase(SGOT)and serum glutamic piruvic transaminase(SGPT)were examined.The data was analyzed using ANOVA test continued with LSD test(P<0,05).RESULTS The oral administration of U.lobataleaves extract 250,500 and 1000mg·kg-1 bw were able to increase SOD hepar level about 90%,100% and 120%respectively compared to diabetic group(P<0.05),while the MDA hepar level was decreased by 40%,50% and 70% respectively(P<0.05),whereas the TNF-αhepar level was decreased by 30%,50% and 70%respectively(P<0.05).The supplementation of water extract from U.lobatain dose of 250,500 and 1000mg·kg-1 bw decrease SGOT level approximately10%,30% and 50% compared to control group(P<0.05),while the SGPT level was decreased by 10%,20% and 40%respectively(P<0.05).In diabetic groups,SOD heparlevel was decreased compared to normal group(P<0.05)whereas the MDA and TNF-αwere increased(P<0.05).Meanwhile SGOT level and SGPT were increased in diabetic group(P<0.05).CONCLUSION U.lobataleaves extract could inhibit hepatic complication on diabetic rats by increasing of SOD hepar level,decreasing of MDA hepar level,TNF-α,SGOT and SGPT.This effect may be related to active compounds that act as an antioxidant and anti-inflammatory in U.lobata extract.展开更多
目的:探究多学科诊疗模式(multidisciplinary team,MDT)在慢性难愈合创面诊疗中的应用成效,为优化此类疾病的临床诊疗提供新思路。方法:回顾性分析2015年1月至2023年10月在北京大学第三医院接受手术治疗的慢性难愈合创面患者的临床资料...目的:探究多学科诊疗模式(multidisciplinary team,MDT)在慢性难愈合创面诊疗中的应用成效,为优化此类疾病的临床诊疗提供新思路。方法:回顾性分析2015年1月至2023年10月在北京大学第三医院接受手术治疗的慢性难愈合创面患者的临床资料,共纳入患者456例,包括男性290例,女性166例,平均年龄(49.4±16.9)岁。根据是否进行术前MDT讨论,将患者分为MDT讨论组和非MDT讨论组。MDT总体执行流程包括:启动与医务处备案、收集资料与初次MDT讨论、告知患者诊疗方案并严格执行、病情变化需再次MDT讨论。比较两组患者的一般临床资料、麻醉风险分级、合并症(高血压、糖尿病、冠心病)、慢性难愈合创面的发生病因与部位等资料的差异。治疗效果的主要观察与结局指标包括入院后达到创面愈合所需的手术次数、创面愈合后的复发率、围手术期并发症(肺部感染、严重心血管事件、静脉血栓栓塞症、脑卒中及谵妄等)的发生率、患者满意度评分等。结果:MDT讨论组患者189例,非MDT讨论组患者267例,两组患者的年龄、性别、体重指数、美国麻醉医师协会(American Society of Anesthesiologists,ASA)分级、合并症、慢性难愈合创面的病因与部位等临床资料差异无统计学意义(P>0.05)。MDT讨论组与非MDT讨论组患者获得创面愈合所需的平均手术次数分别为(2.1±1.1)次与(2.8±1.6)次,差异有统计学意义(P<0.001),这种差异在糖尿病溃疡、外伤或手术后感染、放疗后不愈合等3个病因造成的慢性难愈合创面中也有统计学意义(P<0.05)。非MDT讨论组患者在创面痊愈后的复发率是18.0%,稍高于MDT讨论组的14.3%,但差异无统计学意义(P>0.05)。在围手术期并发症方面,非MDT讨论组的发生率也较MDT讨论组高(3.7%vs.2.6%),但差异无统计学意义(P>0.05)。患者满意度方面,MDT讨论组的评分显著高于非MDT讨论组,差异有统计学意义(96.5 vs.91.1,P=0.028)。结论:多学科诊疗模式能够显著减少慢性难愈合创面患者的住院手术次数,提升治愈效率,提高患者满意度,是优化慢性难愈合创面临床诊疗成效的推荐模式。展开更多
目的采用文献计量学和可视化分析的方法观察近20年来围术期神经阻滞并发症的研究热点和未来的研究趋势。方法检索Web of Science核心合集(WoSCC)数据库2004年4月1日至2024年7月15日有关围术期神经阻滞并发症的文献,采用CiteSpace和VOSvi...目的采用文献计量学和可视化分析的方法观察近20年来围术期神经阻滞并发症的研究热点和未来的研究趋势。方法检索Web of Science核心合集(WoSCC)数据库2004年4月1日至2024年7月15日有关围术期神经阻滞并发症的文献,采用CiteSpace和VOSviewer,通过知识图谱的方式展示该领域的研究动态,分析不同国家/地区、机构和作者的贡献,结合突发词、共被引文献显示该领域的研究热点和未来发展趋势。结果本研究共纳入WoSCC数据库中3190篇围术期神经阻滞并发症相关的文献,其中包括2642篇论著和548篇综述。文献涉及101个国家和地区、3256个机构和13736位作者。美国的发文量排在第一,被引频次高而且中心性到达0.43。最热门的关键词是analgesia(镇痛),其次是complications(并发症)、regional anesthesia(区域麻醉)、pain(疼痛)和surgery(外科)。关键词共现分析表明plane block(平面阻滞)是该领域的研究趋势。结论神经阻滞并发症这一领域在未来依旧有很强的研究价值,神经损伤以及局麻药全身毒性可能是学者们重点关注的并发症。Pectoral nerve block(胸部神经阻滞)是近些年研究的热点,case report(病例报道)可能是未来神经阻滞并发症主题论文的主要研究方向。另外,全球合作网络尚未形成,发达国家对围术期神经阻滞并发症领域的快速发展做出了更大的贡献。展开更多
基金The project supported by Ministry Education of Indonesia
文摘OBJECTIVE To investigate the potency of Urena lobata leaves extract on the inhibition of hepatic complication on diabetic rats.METHODS This study uses control group post test only with male Sprague dawley rats.Diabetic rats was induced by high fructose diet(HFD)and single dose streptozotocin 25mg·kg-1 bw intra peritoneal.The rat was administrated orally with water extract of U.lobataleaves in concentrations of 250,500 and 1000mg·kg-1 bw for 4 weeks.After scarifying,liver organ and blood were collected and then superoxyde dismutase(SOD)hepar level,malondialdehyda(MDA),tumor necrosis factor-alpha(TNF-α),serum glutamic oxaloacetic transaminase(SGOT)and serum glutamic piruvic transaminase(SGPT)were examined.The data was analyzed using ANOVA test continued with LSD test(P<0,05).RESULTS The oral administration of U.lobataleaves extract 250,500 and 1000mg·kg-1 bw were able to increase SOD hepar level about 90%,100% and 120%respectively compared to diabetic group(P<0.05),while the MDA hepar level was decreased by 40%,50% and 70% respectively(P<0.05),whereas the TNF-αhepar level was decreased by 30%,50% and 70%respectively(P<0.05).The supplementation of water extract from U.lobatain dose of 250,500 and 1000mg·kg-1 bw decrease SGOT level approximately10%,30% and 50% compared to control group(P<0.05),while the SGPT level was decreased by 10%,20% and 40%respectively(P<0.05).In diabetic groups,SOD heparlevel was decreased compared to normal group(P<0.05)whereas the MDA and TNF-αwere increased(P<0.05).Meanwhile SGOT level and SGPT were increased in diabetic group(P<0.05).CONCLUSION U.lobataleaves extract could inhibit hepatic complication on diabetic rats by increasing of SOD hepar level,decreasing of MDA hepar level,TNF-α,SGOT and SGPT.This effect may be related to active compounds that act as an antioxidant and anti-inflammatory in U.lobata extract.
文摘目的:探究多学科诊疗模式(multidisciplinary team,MDT)在慢性难愈合创面诊疗中的应用成效,为优化此类疾病的临床诊疗提供新思路。方法:回顾性分析2015年1月至2023年10月在北京大学第三医院接受手术治疗的慢性难愈合创面患者的临床资料,共纳入患者456例,包括男性290例,女性166例,平均年龄(49.4±16.9)岁。根据是否进行术前MDT讨论,将患者分为MDT讨论组和非MDT讨论组。MDT总体执行流程包括:启动与医务处备案、收集资料与初次MDT讨论、告知患者诊疗方案并严格执行、病情变化需再次MDT讨论。比较两组患者的一般临床资料、麻醉风险分级、合并症(高血压、糖尿病、冠心病)、慢性难愈合创面的发生病因与部位等资料的差异。治疗效果的主要观察与结局指标包括入院后达到创面愈合所需的手术次数、创面愈合后的复发率、围手术期并发症(肺部感染、严重心血管事件、静脉血栓栓塞症、脑卒中及谵妄等)的发生率、患者满意度评分等。结果:MDT讨论组患者189例,非MDT讨论组患者267例,两组患者的年龄、性别、体重指数、美国麻醉医师协会(American Society of Anesthesiologists,ASA)分级、合并症、慢性难愈合创面的病因与部位等临床资料差异无统计学意义(P>0.05)。MDT讨论组与非MDT讨论组患者获得创面愈合所需的平均手术次数分别为(2.1±1.1)次与(2.8±1.6)次,差异有统计学意义(P<0.001),这种差异在糖尿病溃疡、外伤或手术后感染、放疗后不愈合等3个病因造成的慢性难愈合创面中也有统计学意义(P<0.05)。非MDT讨论组患者在创面痊愈后的复发率是18.0%,稍高于MDT讨论组的14.3%,但差异无统计学意义(P>0.05)。在围手术期并发症方面,非MDT讨论组的发生率也较MDT讨论组高(3.7%vs.2.6%),但差异无统计学意义(P>0.05)。患者满意度方面,MDT讨论组的评分显著高于非MDT讨论组,差异有统计学意义(96.5 vs.91.1,P=0.028)。结论:多学科诊疗模式能够显著减少慢性难愈合创面患者的住院手术次数,提升治愈效率,提高患者满意度,是优化慢性难愈合创面临床诊疗成效的推荐模式。
