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1.
目的探讨血必净注射液对重症肺炎患者血清炎性因子及免疫细胞的影响。方法选择2016年3月至2017年3月在该院进行治疗的50例重症肺炎患者,随机分为观察组和对照组,每组25例。对照组进行常规治疗,观察组患者在对照组基础上加用血必净注射液治疗。比较两组患者血清炎性因子及免疫细胞。结果治疗前,两组患者血清炎性因子水平和免疫细胞水平相比,差异均无统计学意义(均P0.05);治疗14 d后,观察组患者肿瘤坏死因子-α(TNF-α)、血清白细胞介素-1(IL-1)和血清白细胞介素-6(IL-6)等血清炎性因子水平和CD8+水平[(13.72±2.07)mg/L、(103.43±19.41)pg/L、(80.34±6.17)pg/L、(36.25±10.01)]%均低于对照组,差异均有统计学意义(均P0.05);观察组患者自然杀伤细胞(NK)和CD4+分别为(28.97±1.04)%、(69.21±1.52)%,均高于对照组,差异均有统计学意义(均P0.05)。结论对重症肺炎患者采用血必净注射液治疗利于改善血清炎性因子水平,增强细胞免疫功能。  相似文献   

2.
目的 探讨解毒化瘀方辅助治疗脓毒症急性肾损伤的疗效及对患者胱抑素-C(Cys-C)水平和炎性应激指标的影响。方法 将本院收治的84例脓毒症急性肾损伤患者随机分为对照组和观察组。对照组予西医常规治疗,观察组联合解毒化瘀方治疗。分别比较2组血清炎性指标、肾脏相关指标、序贯器官衰竭估计评分(SOFA)、急性生理和慢性健康状况评分Ⅱ(APACHEⅡ)、临床总有效率及治疗安全性。结果 观察组治疗后总有效率为85.71%,高于对照组的66.67%(P<0.05),血清炎性指标水平、肾脏相关指标水平、SOFA评分、APACHEⅡ评分变化均优于对照组(P<0.05);2组治疗过程中均未发生胃肠道和肝损伤等不良反应。结论 解毒化瘀方能够调节脓毒症急性肾损伤患者血清炎性指标和肾脏相关指标水平,改善脓毒症所致器官功能损伤。  相似文献   

3.
目的观察乌司他丁联合血必净注射液治疗外伤后并发多器官功能障碍的临床疗效。方法选取2012年1月—2013年6月收治的66例外伤后并发多器官功能障碍患者,随机分为对照组和实验组各33例。对照组使用常规治疗,实验组在对照组治疗的基础上,使用乌司他丁联合血必净注射液治疗,乌司他丁40万U溶于30 ml生理盐水中静脉点滴,2次/d;血必净注射液100 ml加0.9%生理盐水100 ml静脉点滴,2次/d。两组均连续治疗7 d。对比两组疗效及血清白细胞介素-1、白细胞介素-6水平。计量资料采用t检验,计数资料采用χ2检验,P0.05为差异有统计学意义。结果总有效率对照组显72.73%,观察组96.97%,比较差异有统计学意义(P0.05)。治疗前两组白细胞介素-1、白细胞介素-6比较差异均无统计学意义(均P0.05),治疗后对照组白细胞介素-1、白细胞介素-6[(703.7±62.2)、(670.0±61.1)ng/ml]与实验组[(432.3±63.6)、(488.7±55.8)ng/ml]比较差异均有统计学意义(均P0.05)。结论乌司他丁联合血必净注射液治疗外伤后并发多器官功能障碍疗效显著。  相似文献   

4.
目的 探讨血必净联合血液净化治疗重症急性胰腺炎的临疗疗效.方法 将76例重症急性胰腺炎患者根据区组随机化分组方法分为A组(常规治疗组)19例、B组(常规治疗+血必净组)22例、C组[常规治疗+持续静脉-静脉血液滤过(CVVH)组]18例、D组(常规治疗+血必净+ CVVH组)17例,观察四组治疗前及治疗后24、48、72 h血小板、凝血酶原时间、活化部分凝血活酶时间、纤维蛋白原、血肌酐、血尿素氮、尿量、氧合指数、急性生理学和慢性健康状况Ⅱ(APACHEⅡ)评分,比较四组多器官功能障碍综合征的发生情况.结果 治疗后四组血小板、凝血酶原时间、活化部分凝血活酶时间、纤维蛋白原、血肌酐、血尿素氮、尿量、氧合指数较治疗前均有不同程度改善,D组改善更显著,差异有统计学意义(P<0.05);治疗后四组APACHEⅡ评分及多器官功能障碍综合征发生例数均有不同程度下降,D组下降更明显,与A、B、C组比较差异有统计学意义(P<0.05).结论 血必净联合血液净化治疗重症急性胰腺炎可预防多器官功能障碍综合征的发生,降低病死率.  相似文献   

5.
目的分析血必净注射液对早发卒中相关性肺炎患者免疫炎性反应的影响。方法选择2014年2月至2015年8月诊断早发卒中相关性肺炎患者110例,随机分为研究组与对照组各55例。对照组患者在卒中治疗基础上给予单联抗生素治疗。研究组患者在对照组治疗基础上给予血必净注射液治疗。比较两组患者治疗前后水平差异。结果治疗后,研究组与对照组组患者CD4+/CD8+T细胞比例提高、CD4+CD25+调节性T淋巴细胞比例水平下降,两组间比较差异有统计学意义(P<0.05)。血清PCT、IL-6水平下降,两组间比较差异有统计学意义(P<0.05)。结论血必净注射液可以改善早发卒中相关性肺炎患者体内免疫抑制失衡,调节血清炎性反应水平,起到辅助治疗作用。  相似文献   

6.
目的:观察在重症感染性休克急诊救治护理中早期应用血滤机进行高容量血液滤过的效果。方法:选取2018年2~2021年2月收治的88例重症感染性休克急诊患者为研究对象,随机分为对照组(n=44例)和观察组(n=44例)。对照组予以常规护理模式,观察组在护理过程中早期应用血滤机进行高容量血液滤过。比较两组APACHEⅡ、MODS评分、两组炎性因子、心血管功能。结果:两组干预后,观察组APACHEⅡ评分以及MODS评分指数均优于对照组(P<0.05);观察组炎性因子水平显著低于对照组,且观察组心血管功能改善情况优于对照组(P<0.05)。结论:在重症感染性休克患者的急诊救治护理中,早期应用血滤机进行高容量血液滤过具有较高的价值,有利于改善患者器官功能障碍,促进身体机能恢复。  相似文献   

7.
目的 探讨血必净联合利奈唑胺治疗老年重症肺炎(SP)的效果及对患者血清炎性因子水平的影响.方法 选取2020年4月至2021年5月我院收治的66例老年SP患者,随机分为实验组和对照组各33例.对照组采用利奈唑胺治疗,实验组采用血必净联合利奈唑胺治疗,比较两组的临床疗效及治疗前后的血清炎性因子[C-反应蛋白(CRP)、肿...  相似文献   

8.
目的探讨无肾损害的多器官功能障碍综合征(multiple organ dysfunction syndrome , MODS)患者行连续性肾脏替代疗法(continuous renal replacement therapy,CRRT)的疗效。 方法回顾性分析中山大学孙逸仙纪念医院急诊科2012年3月30日至2018年2月1日收治的190例MODS患者,其中男性113例,女性77例;年龄14~97岁,平均(61.8)岁。将190例MODS患者分为两组,87例(其中29例患者无肾损伤)采用包括病因治疗、抗炎、器官功能支持等措施的常规治疗,未选择连续性肾脏替代疗法治疗(常规治疗组),103例(其中20例患者无肾损伤)除常规治疗外加用连续性肾脏替代疗法(CRRT组)。比较两组患者治疗24 h前后Marshall评分、急性生理功能和慢性健康状况评分系统Ⅱ(Acute Physiology and Chronic Health Evaluation Ⅱ,APACHEⅡ)评分、序贯器官衰竭(Sequential Organ Failure Assessment, SOFA)评分及两组患者28 d生存率。再比较这两组患者中无肾损伤(肌酐正常)的两个亚组治疗24 h前后Marshall评分、APACHEⅡ评分、SOFA评分及28 d生存率评价CRRT的疗效。 结果CRRT组治疗前后Marshall评分(7.3±2.6)分&(6.8±2.8)分、APACHEⅡ评分(24.1±7.8)分&(19.8±7.5)分及SOFA评分(11.8±2.6)分&(10.7±3.1)分均明显下降(P均<0.05),而常规治疗组治疗前后Marshall评分(7.0±3.0)分&(7.2±3.0)分、APACHEⅡ评分(23.1±8.3)分&(23.0±8.5)分及SOFA评分(11.0±3.2)分&(11.1±3.4)分均无明显变化。CRRT组28 d生存率显著提高(P<0.05);而无肾损害的CRRT亚组患者治疗前后APACHEⅡ评分(20.5±6.4)分&(18.4±6.8)分也有明显下降(P<0.05)。但Marshall评分(5.7±2.3)分&(5.5±2.4)分、SOFA评分(10.0±2.8)分&(9.5±3.2)分均无明显改善(P>0.05)。无肾损害的常规治疗亚组治疗前后Marshall评分(6.9±3.2)分&(7.2±3.2)分、APACHEⅡ评分(21.9±8.2)分&(21.7±9.0)分及SOFA评分(10.1±3.2)分&(10.3±3.2)分均无明显改善,P>0.05,28 d生存率无显著提高(P>0.05)。 结论早期行连续性肾脏替代疗法治疗多器官功能障碍综合征,可明显改善患者病情,提高患者中期生存率,但无肾损害的多器官功能障碍综合征患者APACHEⅡ评分可显著下降,但Marshall评分、SOFA评分及28 d生存率无显著改善。  相似文献   

9.
目的综述血必净注射液的临床应用进展。方法检索近年来相关的国内外文献,进行分析和总结。结果血必净注射液在治疗由感染及各种非感染因素引发的全身炎性反应综合征及多器官功能障碍综合征、脓毒血症等疾病中,疗效显著。结论血必净注射液有强效广谱抗内毒素的作用,也有强效拮抗内源性炎性介质的作用。  相似文献   

10.
目的 观察血必净注射液对三氯乙烯(trichloroethylene,TCE)药疹样皮炎并发全身炎性反应综合征(systemic inflammatory response syndrome,SIRS)的治疗效果.方法 将16例TCE药疹样皮炎并发SIRS患者随机分为血必净组(7例)与对照组(9例),对照组给予甲泼尼龙及护肝等对症支持治疗,血必净组在对照组治疗的基础上加用血必净注射液,比较两组病例甲泼尼龙初始使用剂量、总剂量、治愈时间及血清肿瘤坏死因子(TNF-α)水平.结果 两组病例均全部治愈.治疗7d后血必净组TNF-α水平[(8.98±1.58)pg/ml]明显低于对照组[(13.88±1.27)pg/ml],差异有统计学意义(P<0.01).血必净治疗组甲泼尼龙使用总剂量[(3882.8±223.3)mg]、治愈时间[(90.3±5.9)d]均明显少于对照组[甲泼尼龙使用总剂量:(4221.7±222.8)mg,治愈时间:(109.7±9.8)d],差异有统计学意义(P<0.01).结论 血必净注射液联合糖皮质激素治疗TCE药疹样皮炎并发SIRS,可明显减少患者甲泼尼龙使用剂量,缩短糖皮质激素的使用时间.  相似文献   

11.
The goal of this study was to investigate the involvement of a tropical Indian estuary in the emergence of antibiotic resistance genes (ARGs)-harboring hypervirulent E. coli of global significance. A total of 300 E. coli isolates was tested for antibiotic susceptibility to β-lactams, aminoglycosides, chloramphenicol, quinolones, sulphonamides, tetracyclines, and trimethoprim. The E. coli isolates were screened for the presence of antibiotic resistance genes (blaTEM, blaCTX-M, tetA, tetB, sul1, sul2, strA, aphA2, catI, dhfr1, and dhfr7), integrase (int1, int2, and int3), Shiga toxin genes (stx1 and stx2) and extraintestinal virulence genes (papAH, papC, sfa/focDE, kpsMT II, and iutA). The highest prevalence of antibiotic resistance was observed for ampicillin, followed by tetracycline, and nalidixic acid. Among E. coli isolates, 64% were resistant to at least one of the 15 antibiotics tested, and approximately 40% were multiple antibiotic-resistant (MAR). More than 40% (n?=?122) of E. coli isolates had ARGs. Integrase 1 (int1) was found in 7.6% of E. coli isolates. Among E. coli isolates, 16.3% (n?=?49) were extraintestinal pathogenic E. coli (ExPEC), and approximately 34.6% (n?=?17) of ExPEC had ARGs. A hypervirulent ARGs-harboring STEC was isolated. The prevalence of Shiga toxin-producing E. coli (STEC) was low (n?=?1). The prevalence of ARGs-harboring pathogenic E. coli isolates was higher in stations close to the City (urban area), than that of other stations. ERIC-PCR (enterobacterial repetitive intergenic consensus sequence polymerase chain reaction) analysis revealed a high degree of genetic diversity among the ARGs-harboring E. coli isolates. The results demonstrate a high prevalence of ARGs-harboring E. coli in estuarine water and confirm the need for a better wastewater treatment facility and proper control measures to reduce the discharge of sewage and wastewater into the aquatic environments.  相似文献   

12.
Our study investigates the relative contribution of genetic and environmental factors to the timing of food timing and related behaviors. Our results show that the heritability of the midpoint of intake, the midpoint between breakfast and dinner, was 64%. In addition, trait heritability was higher for breakfast than lunch, whereas no heritability was detected for dinner. These results suggest that interventions related to food timing may be more effective when targeting afternoon/evening behaviors, such as lunch or dinner times.
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13.
Problem Individual differences in susceptibility to trichloroethylene-induced nephrocarcinogenicity may be conferred by genetic polymorphisms of glutathione S-transferases (GST), because enzymes of this group are pivotal for the metabolic activation of trichloroethylene. Because of a potential involvement of N-acetylation in the detoxication of reactive trichloroethylene metabolite(s) to N-acetyl-cysteine derivatives, polymorphisms of the NAT2 gene may also be relevant. Methods The primary collective used for a re-investigation of these questions was that of a hospital-based case-control study by Brüning et al. (Am J Ind Med 43:274–285, 2003) of 134 renal cell cancer cases (20 cases exposed to trichloroethylene) and 401 matched controls. Genetic polymorphisms of GSTT1, GSTM1, GSTP1 and NAT2 were studied. Additional control collectives of non-diseased persons were used for comparison of allele frequencies. Results No genetic influences on the development of renal cancer due to trichloroethylene were apparent, related to the deletion polymorphisms of GSTT1 and GSTM1, as well as to the NAT2 rapid/slow acetylator states. However, renal cell cancer cases displayed a somewhat higher proportion of the homozygous GSTP1 313A wild type (GSTP1*A), although this was not statistically significant (χ2 test: P = 0.1071, when using only the original controls of Brüning et al. (2003); P = 0.0781 with inclusion of the additional controls). Conclusion The re-investigation does not confirm the working hypothesis of an influence of the deletion polymorphisms of the glutathione S-transferases GSTT1 and GSTM1 on renal cell cancer development due to high occupational exposures to trichloroethylene.  相似文献   

14.
Summary Occupational epidemiology has its roots in classical medicine. However, it became a quantitative discipline only in the 20th century, through the pioneering work of individuals such as Case, Lloyd, and Selikoff and organizations such as the Division of Occupational Health of the U.S. Public Health Service. Studies of chemical dye workers, bituminous coal miners, smelting workers, and uranium miners have been especially important sources of innovations in methodology and in development of logical reasoning leading to acceptance of causal relationships of occupational exposures that lead to respiratory diseases and cancer. The cooperation of labor unions, such as those of steel and asbestos workers, has often been a crucial factor in providing essential data.
Zusammenfassung Fragen der Kausalität in der Geschichte der ArbeitsepidemiologieDie Arbeitsepidemiologie hat ihre Wurzeln in der klassischen Medizin. Allerdings wurde sie erst im 20. Jahrhundert zu einer quantitativen Wissenschaft. Dies dank der Pionierarbeiten von Personen und Organisationen wie Case, Lloyd und Selikoff und der "Division of Occupational Health" (Abteilung für Arbeitsschutz) des "U.S. Public Health Service" (öffentliches Gesundheitswesen). Studien mit Arbeitern in der chemischen Farbenindustrie, in Bitumenkohleminen, Erzhütten und Uranminen haben ganz besonders zu Neuerungen in methodischer Hinsicht, aber auch zur Entwicklung einer logischen Beweisführung beigetragen, was letztendlich zur Akzeptanz von kausalen Zusammenhängen zwischen Umweltbelastungen am Arbeitsplatz und dem Auftreten von Atemwegerkrankungen und Krebs führte. Die Kooperation mit Gewerkschaften, wie jenen der Stahl- und Asbestarbeiter, war für die Erfassung bedeutungsvoller Daten oft ausschlaggebend.

Résumé Questions de causalité dans l'histoire de l'épidémiologie des maladies professionnellesL'épidémiologie des maladies professionnelles plonge ses racines dans la médecine classique. Cependant, elle n'est devenue une discipline quantitative qu'au 20ème siècle, grâce au travail de pionnier d'individus tels que Case, Lloyd et Selikoff, ainsi que des organisations telle que la Division de Santé au Travail du service américain de Santé Publique. Des études sur les ouvriers de l'industrie chimique de la teinture, des mines de charbon, des fonderies ou des mines d'uranium ont été des sources particulièrement importantes d'innovation méthodologique et de développement du raisonnement logique aboutissant ä l'acceptation de relation causale entre des expositions professionnelles et des maladies respiratoires ou le cancer. La collaboration de syndicats professionnels, tels que ceux des ouvriers de la sidérurgie ou travaillant avec l'amiante, a souvent été déterminante pour l'obtention de données essentielles.
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15.

Purpose

This study used prospective data to investigate the validity of a retrospective measure of suicide attempts from four different perspectives.

Methods

Data were retrieved from 883 participants in the Raising Healthy Children project, a longitudinal study of youth recruited from a Pacific Northwest school district. The retrospective measure was collected when participants were 18–19 years of age and results were compared with measures of depressive symptoms collected prospectively.

Results

Results showed strong corroboration between retrospective reports of first suicide attempt and prospective measures of depression, with attempters experiencing significantly more depression than their nonattempting peers, t (df = 853) = 10.26, p < .001. In addition, within the attempter group, depression scores during the year of their reported first attempt were significantly higher than the average depression score across previous years, t (df = 67) = 3.01, p < .01.

Conclusions

Results from this study suggest that the reports of older adolescents regarding their suicide attempts are corroborated by their prospective reports of depression in childhood and earlier adolescence. Thus, there is support that retrospective measures of suicidal behavior, namely suicide attempts, may be a valid method of assessment.  相似文献   

16.
17.
The present study aimed to determine the antioxidant activity and phytochemical contents in 10 underutilized fruits of Andaman Islands (India) namely Malpighia glabra L., Mangifera andamanica L., Morinda citrifolia L., Syzygium aqueum (Burm.f) Alst., Annona squamosa L., Averrhoa carambola L., Averrhoa bilimbi L., Dillenia indica L., Annona muricata L. and Ficus racemosa L. The antioxidant activity varied from 74.27% to 98.77%, and the methanol extract of M. glabra showed the highest antioxidant activity (98.77%; inhibitory concentration, IC50 = 262.46 μg/ml). Methanol was found to be a better solvent than acetone and aqueous for estimating the antioxidant activity. M. glabra was found to be rich in phytochemicals viz. polyphenol (355.74 mg/100 g), anthocyanin (91.31 mg/100 g), carotenoids (109.16 mg/100 g), tannin (24.39 mg/100 g) and ascorbic acid (394.23 mg/100 g). Carbohydrate content was estimated to be highest in M. glabra (548 mg/100 g). Phenols, tannins, anthocyanins and carotenoids contents showed positive correlation (r2 = 0.846, r2 = 0.864, r2 = 0.915 and r2 = 0.806, respectively) with antioxidant activity. The information generated in present study will be useful for bioprospecting of underutilized fruits of Andaman Islands.  相似文献   

18.
目的 将竞争风险模型应用于老年人轻度认知损害(MCI)转归研究,探讨MCI向阿尔茨海默病(AD)转归的影响因素并进行转归预测。方法 利用太原市600例社区老年人2010年10月至2013年5月每6个月随访1次的共6次随访数据,以MCI作为暂态,AD与发生AD前死亡分别作为两个吸收态,发生AD前死亡为AD的竞争风险事件,构建竞争风险模型,获得模型参数,分析MCI向AD转归的影响因素,同时根据多状态模型估计3年转移概率。结果 经过多因素竞争风险模型筛选,高年龄(HR=1.56,95%CI:1.01~2.39)、女性(HR=1.72,95%CI:1.02~2.92)、高文化程度(HR=0.64,95%CI:0.41~1.00)、经常读书看报(HR=0.57,95%CI:0.32~0.99)、有高血压(HR=3.43,95%CI:1.08~10.85)和高SBP(HR=1.67,95%CI:1.04~2.66)是MCI转移为AD的影响因素。MCI 3年后转移为AD的概率为10.7%(95%CI:8.6%~13.2%)。结论 年龄、性别、文化程度、高血压,读书看报和SBP对MCI状态向AD状态的转归过程有影响。竞争风险模型对具有多种潜在结局的纵向资料分析有一定的优势。  相似文献   

19.
Objective: The present study aims to investigate the neuroprotective effect of caffeine against aluminum chloride (AlCl3)-induced neurotoxicity in rats.

Methods: Twenty-one male albino rats were divided into 3 groups: control, AlCl3-intoxicated group that received daily oral administration of AlCl3 (100?mg/kg for 30 days) and protected group injected daily with caffeine (20?mg/kg intraperitoneally) one hour before oral administration of AlCl3 for 30 days. Levels of lipid peroxidation, reduced glutathione, and nitric oxide and the activities of acetylcholinesterase (AchE) and Na+/K+-ATPase were measured spectrophotometrically. Tumor necrosis factor-α (TNF-α) was evaluated by ELISA kit.

Results: The data revealed evidence of oxidative and nitrosative stress in the cerebral cortex, hippocampus, and striatum of AlCl3-intoxicated rats. This was indicated from the increased levels of lipid peroxidation and nitric oxide together with the decreased level of reduced glutathione. Moreover, the daily AlCl3 administration increased AchE and Na+/K+-ATPase activities and the level of TNF-α in the selected brain regions. Protection with caffeine ameliorated the oxidative stress induced by AlCl3 in the cerebral cortex, hippocampus, and striatum. In addition, caffeine restored the elevated level of TNF-α in the hippocampus and striatum. This was accompanied by an improvement in the activities of AchE and Na+/K+-ATPase in the studied brain regions.

Discussion and conclusions: The present findings clearly indicate that caffeine provides a significant neuroprotection against AlCl3-induced neurotoxicity mediated by its antioxidant, anti-inflammatory, and anticholinesterase properties.  相似文献   

20.
目的分析对苯二胺职业接触人员的肺功能以及健康相关的生活质量情况。方法选取某染发剂生产企业中使用对苯二胺作为生产原料的染发剂生产车间的接触工人(100人)以及同一企业内不接触对苯二胺的工人(24人)作为主要对象,使用36项健康调查简表(SF-36)对工人的健康相关生活质量问卷进行调查,并进行职业健康检查,肺功能测试指标包括用力肺活量(FVC),1秒钟用力呼气量(FEV1.0),以及FEV1.0/FVC。结果调查工人中对苯二胺接触组和对照组的收缩压的差异有统计学意义(P<0.05)。接触组的各项肺功能指标FVC、FEV1.0、FEV1.0/FVC都低于对照组,差异有统计学意义(P<0.05),接触组躯体疼痛(P=0.002)、一般健康状况(P=0.029)、精力(P=0.038)、精神健康(P=0.003)在均低于对照组,差异有统计学意义。结论对苯二胺职业接触可能会对职业人群肺功能产生潜在危害,并影响工人的健康相关生活质量。  相似文献   

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