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1.
目的 研究壳三糖在大鼠体内的组织分布及排泄。方法 建立并验证了大鼠组织、尿液和粪便中壳三糖的高效液相色谱-质谱联用(LC-MS/MS)检测方法。大鼠灌胃给药壳三糖35 mg/kg后,分别在0.5、1.5、3 h 摘取组织,0 h - 4 h、4 h - 8 h、8 h - 12 h、12 h - 24 h 、24 h - 36 h、36 – 48 h时间段收集尿液和粪便。用建立的LC-MS/MS方法测定组织、尿液和粪便中的壳三糖含量。结果 组织、尿液和粪便中壳三糖在10 - 10000 ng/mL的浓度范围内线性良好,日内、日间精密度的相对标准偏差(relative standard deviation,RSD )≤14.20%,准确度的相对误差(relative error,RE)为?11.30%~8.33%,提取回收率为85.2% - 97.9%,没有明显的基质效应,在室温放置24 h、反复冻融以及-40℃放置30天的条件下稳定性良好,满足生物样品的检测需求。灌胃给药后,0.5 h就可以在主要组织检测到壳三糖,1.5 h肾脏中壳三糖含量明显升高,3 h未在大脑中检测到壳三糖。48 h后壳三糖在尿液、粪便中的排泄率分别为7.15%、72.80%。结论 壳三糖主要以原型的形式在大鼠体内分布和排泄,壳三糖在大鼠各组织中的分布较为广泛,以肝和肾为主,粪便是壳三糖的主要排泄途径。  相似文献   
2.
ObjectiveTo analyze the effects of electrolysis, through a medium frequency current, associated to aerobic physical activity in the body composition of young women.MethodsThe study was composed of 34 sedentary women (24.35 ± 4.43 years, 71.30 ± 7.08 kg, 1.61 ± 0.06 m, 27.31 ± 1.67 kg/m2) which were evaluated for their anthropometric measures and body composition. The volunteers were randomly assigned to two group: Electrolyphysis plus Aerobic Exercise (gEEA): 17 volunteers were submitted to the application, for 60 min , of the Aussie current, followed by aerobic physical activity (77% of HRmax) on the trampoline for 40 min, through video-lessons of Jump; and Aerobic Exercise group (gEA): 17 volunteers performed only physical activity following the same parameters mentioned above. Each group performed its protocols twice weekly, for 5 weeks, totaling 10 sessions. For the data analysis, measures repeated ANOVA was performed to compare the means of the variables analyzed before and after the treatment protocols using the SPSS - 21.0 software, adopting a p ≤ 0.05.ResultsAlthough gEEA decreased suprailiac skinfold (p = 0.04), abdominal skinfold (p = 0.03) and circumference at umbilical scar (p = 0.02) in an intragroup analysis, these means differences in anthropometric measures were not important between-groups (p > 0.05). Furthermore, there were no effect of treatment on body composition (p > 0.05).ConclusionTo this studied condition, our results suggested that application of medium frequency electrolysis did not enhance the losses on anthropometric measures and body composition.  相似文献   
3.
目的 观察治伤巴布剂对急性软组织损伤(acute soft tissue injury, ASTI)模型p38丝裂原活化蛋白激酶(mitogen-activated protein kinase,MAPK)、丝/苏氨酸蛋白激酶(AKT)信号通路的影响,探讨治伤巴布剂干预ASTI的可能作用机制。方法 将40只雄性SD大鼠按照随机数字表法分为正常对照组、模型对照组、治伤巴布剂组、p38MAPK信号通路抑制剂组、AKT信号通路抑制剂组,每组8只。除正常对照组外,其余四组均予以左侧后肢小腿ASTI造模。造模成功后,治伤巴布剂组于标记部位立即予治伤巴布剂(修剪成1.5x3cm大小)外敷,并用胶布固定;其余四组均予等剂量赋形剂(修剪成1.5×3 cm大小)外敷处理,胶布固定;持续外敷,共持续24 h。p38MAPK信号通路抑制剂组在造模前30 min予腹腔注射p38MAPK信号通路抑制剂SB203580(400 μg/kg/天)1次;AKT信号通路抑制剂组在造模前30 min予腹腔注射AKT信号通路抑制剂perifosine(20 mg/kg/天)1次。分别于0(造模前)、2h、4h、8h、12h、24h测量受伤小腿肌肉处的周长,并计算肌肉肿胀率(muscle swelling rate,MSR)。24 h药物干预结束后,采用颈椎脱臼法处死大鼠。后将左侧后肢小腿损伤中心部位进行取材,分成三份。一部分用于观察组织病理学形态变化;一部分用于逆转录聚合酶链反应(RT-PCR)检测核因子-κB(nuclear factor kappa-B,NF-κB)p65 mRNA、肿瘤坏死因子-α(TNF-α)mRNA、白细胞介素-1β(IL-1β)mRNA表达水平;剩下部分用酶联免疫吸附试验(ELISA)法检测骨骼肌组织TNF-α、IL-1β含量水平及蛋白质免疫印迹(Western-blot)法测定p38MAPK、AKT、NF-κB p65、核因子抑制蛋白α(inhibitor kappa B alpha, IκBα)表达水平。结果 与正常对照组相比,模型对照组MSR显著增加(P<0.01);病理形态学上,骨骼肌组织可见大面积肌细胞排列紊乱,肌细胞变性坏死,间质内可见红细胞聚集及大量炎症细胞浸润;骨骼肌组织TNF-α、IL-1β含量水平显著升高(P<0.01);磷酸化p38MAPK(p-p38)/总p38MAPK(t-p38),磷酸化-AKT(p-AKT)/总-AKT(t-AKT)明显升高(P<0.01),NF-κB p65及NF-κB p65mRNA表达水平明显升高(P<0.01)。与模型对照组相比,治伤巴布剂组MSR在治疗第8 h、12 h、24 h显著下降(P<0.01),且在治疗第24 h,其MSR较p38MAPK、AKT信号通路抑制剂组下降更明显(P<0.05);病理学评分显著下降(P<0.01),且较p38MAPK、AKT信号通路抑制剂组下降更显著(P<0.05);骨骼肌组织TNF-α、IL-1β含量水平明显下降(P<0.01),且较p38MAPK、AKT信号通路抑制剂组更显著(P<0.05);p-p38/t-p38及p-AKT/t-AKT明显下降(P<0.01),NF-κB p65及NF-κB p65 mRNA表达水平显著下降(P<0.01),且较p38MAPK、AKT信号通路抑制剂组在降低NF-κB p65及NF-κB p65 mRNA相对表达值方面更显著(P<0.01)。结论 治伤巴布剂可能同时对p38MAPK、AKT信号通路产生了一定的抑制作用,引起NF-κB活性下调,NF-κB p65蛋白的表达下调,进而引起骨骼肌组织TNF-α、IL-1β炎性细胞因子含量水平下调,减轻ASTI炎症反应,从而改善ASTI。  相似文献   
4.
BackgroundIntraabdominal and retroperitoneal sarcomas (IaRS) are malignant connective tissue tumors. Surgical resection is often the only curative treatment. The primary objective was to report the mid-term outcomes following contemporary treatment protocols and identify prognostic factors.MethodsA retrospective review of consecutive patients (n = 107) with IaRS treated at single center from 2013 until 2018 was conducted. Histological diagnosis, tumor grade, perioperative complications, mortality, and long-time survival were registered and retrieved from patient records. Primary and recurrent tumors were analyzed separately.ResultsA total of 107 patients were identified. Median follow-up time was 3.5 years. Thirty-day mortality was 3.4% and 90-day mortality was 5.6% for all tumors. The major complication rate was 18%. The 5-year estimated survival for primary and recurrent tumors was 55.4% and 48.4%, respectively. Multifocal disease was evident in 32% of the patient cohort, and 58% of patients in the recurrent group. Multivariate analysis for survival revealed a hazard ratio (HR) of 3.1 (95% CI 1.68–8.41) for multifocality, HR 2.9 (95% CI 1.28–6.98) for Clavien-Dindo grade, HR 2.3 (95% CI 1.21–4.31) for tumor grades 2 or 3, and HR 1.002 (95% CI 1.001–1.004) for surgical margins.ConclusionsOur study found overall acceptable morbidity and mortality, and identified prognostic markers for overall survival. Recurrent tumors were not associated with worse survival. Multifocality is associated with a worse overall survival. The prognostic factors identified were; tumor grade, multifocality, intralesional margins and postoperative complications.  相似文献   
5.
In the pelvis, anatomic complexity and difficulty in visualization and access make surgery a formidable task. Surgeons are prone to work-related musculoskeletal injuries from the frequently poor design and flow of their work environment. This is exacerbated by the strain of surgery in the pelvis. These injuries can result in alterations to a surgeons practice, inadvertent patient injury, and even early retirement. Human factors examines the relationships between the surgeon, their instruments and their environment. By bridging physiology, psychology, and ergonomics, human factors allows a better understanding of some of the challenges posed by pelvic surgery. The operative approach involved (open, laparoscopic, robotic, or perineal) plays an important role in the relevant human factors. Improved understanding of ergonomics can mitigate these risks to surgeons. Other human factors approaches such as standardization, use of checklists, and employing resiliency efforts can all improve patient safety in the operating theatre.  相似文献   
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7.
目的 探讨带感觉功能上臂外侧嵌合骨皮瓣修复手指复合组织缺损的临床效果。方法 回顾性研究。纳入2016年11月—2019年11月徐州仁慈医院手外科收治的6例手指软组织缺损伴指骨、神经缺损患者。其中,男4例,女2例;年龄33~61岁,平均47.3岁;右手2例,左手4例;拇、示、中指各1例,环指3例;皮肤缺损面积1.0 cm×1.5 cm~2.5 cm×3.0 cm,骨缺损长度1.5~2.5 cm。6例患者均采用一期创面彻底清创,创面缺损伴指骨、神经缺损先行异种皮覆盖创面,克氏针维持骨折稳定性;二期带感觉功能的上臂外侧嵌合骨皮瓣游离移植修复治疗,皮瓣设计面积1.5 cm×2.0 cm~3.0 cm×3.5 cm,骨瓣切取大小为1.5 cm×1.0 cm×1.0 cm~3.0 cm×1.5 cm×1.0 cm。术后采用中华医学会手外科学会手部功能评定标准评价手功能,英国医学研究委员会(BMRC)制定的感觉分级方法评价皮瓣感觉恢复效果,Michigan手部功能问卷评定标准评定患指外观满意度。结果 本组6例患者手术均顺利完成,术后随访3~7个月,平均13.5个月。6例皮瓣全部成活,骨折均愈合,骨瓣平均愈合时间3~6个月,平均3.5个月。供区直接缝合,创面均一期愈合。手部功能优5例、良1例,手指感觉恢复至S4级4例、S3+级2例,患指外观满意度评价非常满意1例、满意4例、一般1例。结论 带感觉功能的上臂外侧嵌合骨皮瓣游离移植,可同时修复手指软组织缺损和指骨缺损,对供区影响小,术后手指感觉功能恢复好,是修复手指复合组织缺损的备选方案之一。  相似文献   
8.
ObjectivesThis study was conducted to compare the healing response of localized gingival recession defects treated with a coronally advanced flap (CAF) and either an amnion allograft membrane (AM) or a connective tissue graft (CTG).MethodsGingival recession defects were surgically created in six healthy mongrel dogs at the labial root surface of the maxillary canines, bilaterally. Using a split mouth design, the defects were treated with CAF and either AM (CAF/AM) or CTG (CAF/CTG). Three animals for each group were scarified at 1 and 3 months. Segments containing the defects were prepared for histological and histometric analysis.ResultsBoth techniques showed similar clinical findings with adequate root coverage. Histologically, healing was characterized by the formation of new cementum and new connective tissue attachment in the CAF/AM group; in the CAF/CTG group, healing was characterized by junctional epithelium, coronally, and connective tissue fibers parallel to the root surface, apically. Histometrically, the CAF/AM group revealed a substantially shorter epithelial length and a longer, new cementum compared with those of the CAF/CTG group after a healing period of 3 months.ConclusionsWithin the limits of this study, we concluded that the AM allograft could promote periodontal healing in gingival recession defects.  相似文献   
9.
目的 探讨动脉瘤性蛛网膜下腔出血(aSAH)病人经颅多普勒超声(TCD)检测Lindegaard比值(LR)与脑组织氧分压(PbtO2)的相关性。方法 2019年8月至2022年2月前瞻性收集aSAH共46例。使用LICOX-Ⅱ型脑组织氧分压监测系统,采用氧分压探针(Clark型微型电极)记录大脑中动脉供血脑组织PbtO2,其中PbtO2<20 mmHg且持续时间≥10 min定义为局部组织缺氧。TCD检测PbtO2探针同侧MCA和颈内动脉(ICA)颅外段,LR指同侧MCA与ICA颅外段平均血流速度比值,LR≥3存在脑血管痉挛。结果 根据PbtO2监测结果,16例出现脑组织缺氧(缺氧组),30例无脑组织缺氧(非缺氧组);与非缺氧组相比,缺氧组入院GCS评分较低(P=0.041),脑血管痉挛发生率呈增高趋势(P=0.057)。LR判断存在脑血管痉挛37例,无脑血管痉挛9例。LR与PbtO2呈显著负相关(r=-0.305,P=0.039)。LR≥3预测脑组织缺氧的特异性很高(93.3%),但敏感性较低(56.3%);LR对脑组织缺氧的阳性预测值和阴性预测值分别为81.8%和80.0%。结论 aSAH病人在预防性迟发性脑缺血监测时,TCD检测LR是预测脑组织缺氧较好的非侵入性方法,但其敏感性低,不能单纯通过LR结果正常而排除发生迟发性脑缺血的可能。  相似文献   
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