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61.
62.
效应室浓度作为目标浓度靶控输注异丙酚的脑摄取研究 总被引:9,自引:0,他引:9
OBJECTIVE: To study the correlation between the effect compartment concentration (ECC) and the brain uptake of propofol during sedation by target-controlled infusion (TCI). METHOD: Twelve ASA physical status I to II patients with neither cardiac nor intracranial diseases were scheduled for elective abdominal operation. Computer-assisted target-controlled infusion of propofol was performed for general anesthesia in all patients with the target ECC set at 4.0 microgram/ml. The plasma propofol concentrations were measured simultaneously from the radial artery and the jugular bulb at different time points by high performance liquid chromatography (HPLC), and the area under time-concentration curve (AUC(a-jv)) was calculated. RESULT: Before reaching the target propofol concentration of 4.0 microgram/ml (4.7+/-0.16 min), EEC was positively correlated with AUC(a-jv) (r(ECC-AUC)=0.977, P<0.001), but neither the arterial (Ca) nor jugular bulb propofol concentrations (Cjbv) showed such relation to AUC(a-jv) (r(Ca-AUC)= 0.054, P=0.92; r(Cjbv-AUC)=0.335, P=0.516). When ECC was controlled at 4.00 microgram/ml by TCI, Ca was comparable with Cjbv (P=0.512). Positive correlation was noted between AUCa-jv and ECC (r(ECC-AUC)=0.942, P<0.005) after the termination of infusion till the consciousness recovery of the patients, and Ca and Cjbv showed similar correlation with AUC(a-jv) (r(Ca-AUC)=0.986, P<0.001; r(Cjbv-AUC)=0.974, P<0.001). CONCLUSION: During TCI of propofol with ECC as the target concentration, ECC is significantly correlated with AUC(a-jv) to reflect the dynamic changes in cerebral propofol uptake. 相似文献
63.
宫腔镜联合腹腔镜检查不孕症168例分析 总被引:6,自引:3,他引:3
目的探讨宫、腹腔镜联合检查不孕症的诊断价值.方法回顾性分析1999年6月~2003年10月宫、腹腔镜联合检查168例不孕症的临床资料.结果宫腔镜检查发现异常宫腔79例(79/168,47.0%),其中子宫内膜增生、内膜息肉46例(46/79,58.2%).腹腔镜检查发现盆腔器质性病变99例,其中慢性盆腔炎、子宫内膜异位症和多囊卵巢共85例(85/99,85.9%);宫、腹腔镜检均正常15例,均异常39例.宫腔镜下行输卵管通畅检查,输卵管单侧或双侧不通90例(90/168,53.6% );腹腔镜检查输卵管单侧或双侧不通78例(78/168,46.4%).结论宫腔镜联合腹腔镜检查不孕症能够提供准确的诊断依据. 相似文献
64.
65.
Inbred mouse strains have different numbers of midbrain dopaminergic neurons; for example, BALB/cJ mice have 20–25% more neurons than CBA/J mice. As the number of cells decrease, for example in Parkinson's disease and in animals with midbrain dopaminergic cell lesions, the activity of their remaining cells increases. The purpose of the present experiment was to determine whether the functional properties of dopaminergic neurons in the ventral tegmental area (nucleus A10) differ in inbred mouse strains which possess different numbers of cells. The firing rate and autoreceptor sensitivity of A10 dopaminergic cells were examined in the in vitro slice preparation in BALB/cJ, C3H/HeJ, CBA/J, and DBA/2J mouse strains. It was observed that the autoreceptors on mouse dopaminergic neurons exhibit pharmacological properties of dopamine autoreceptors; activation of the autoreceptor produced a marked inhibition (50–70%) in cell firing rate by quinpirole (10−8 M), LY-141865 (10−7 M), (+)-3-(3-hydroxyphenyl)-N-n-propyl-piperidine (10−6 M), propyl-norapomorphine (10−5 M) and dopamine (10−4 M), and this inhibition was blocked or reversed by specific dopamine D2 receptor antagonists [(−) sulphide and spiroperidol, 10−6 M]. The baseline firing rates of the A10 cells did not differ among the four inbred strains [range 2.5 ± 0.2 (C3H/HeJ)−3.4 ± 0.3 (CBA/J) spikes/s ±SEM], and there was no significant difference in autoreceptor sensitivity among the mouse strains as assessed either by superfused dopamine (inhibitory dose 50% ≈150 μM), or by superfused quinpirole (inhibitory dose 50% ≈10 nM). These data indicate that differences in A10 cell numbers of 30% do not significantly influence the baseline firing rate or autoreceptor sensitivity of the cells. 相似文献
66.
OBJECTIVES: Radiopacity is a desirable property for most intra-oral materials. There are established ISO and ANSI/ADA protocols for determining radiopacity using film-based radiography. However, these methods are not always followed by researchers. This study aims to adapt those procedures by using digital radiography, a simplified stepwedge, and examine the effects of target distance and exposure time choice. METHODS: One millimetre thick samples of three dental materials were prepared by placing the materials into a 1.00 mm thick washer sandwiched between two glass slides. The samples were digitally radiographed alongside a stepwedge of aluminum alloy 1100 with an X-ray unit at 70 kVp using five different target distance/exposure time combinations. For each combination, the grey scale values of various thicknesses of the stepwedge were converted into absorbencies and plotted against their thickness. These plots were then linearly regressed in order to correlate absorbance with a thickness of aluminum for each target distance/exposure time combination. The absorbencies of each sample were then converted into radiopacities using these correlations. RESULTS: The correlations between the absorbance of the stepwedge and its thickness were highly linear. This linearity allows the correlation to be accurately deduced from fewer data points than required by the ISO and ANSI/ADA protocols. Varying exposure time did not significantly affect the mean radiopacity measured at a target distance of 30 cm. Varying the target distance did not significantly affect the measured radiopacity as long as the samples were properly exposed. SIGNIFICANCE: A simplified, consistent digital method for determining radiopacity is presented. 相似文献
67.
目的 了解蚌埠医学院在校学生心理状况 ,为素质教育提供服务。方法 采用症状自评量表 (SCL- 90 )对该校 1~ 4年级学生进行调查分析。结果 该校在校生有 5个因子得分高于全国大学生常模 ,高年级学生得分高于低年级 ,男女生在人际、抑郁、敌对、偏执等方面差异有显著性。结论 应针对大学生的心理特点 ,在大学院校进行心理健康教育。 相似文献
68.
创伤性睾丸脱位5例报告 总被引:1,自引:0,他引:1
目的 探讨创伤性睾丸脱位的诊断和治疗。方法 对所收治的5例患的诊治情况进行分析研究,并结合复习有关献。结果 1例手法复位成功,4例行手术复位.1例发生睾丸萎缩后切除患睾。结论 创伤性睾丸脱位临床少见,漏误诊率较高。对骨盆部、会阴部、阴囊部外伤患应警惕本病;详细检查阴囊及睾丸.确诊后尽早行手法或手术复位固定.定期随访。 相似文献
69.
70.
目的:观察重症急性胰腺炎(SAP)大鼠白血病抑制因子(LIF)在肺组织中表达的时相变化, 探讨LIF在SAP病程及肺损伤中的意义.方法:36只♂SD大鼠随机分为正常对照组(N 组,n=6)、假手术组(Sham组,n=6)和重症急性胰腺炎组(SAP组,n=24).采用胰管逆行灌注50 g/L牛磺胆酸钠的方法复制大鼠SAP模型.用RT-PCR法检测肺组织中LIF mRNA的表达水平,免疫组织化学方法检测NLIF在肺组织中的表达变化.结果:SAP组3 h后肺组织LIF mRNA的表达量明显高于对照组和假手术组(灰度值:1.018± 0.065 vs 1.451±0.067,1.322±0.072,P<0,05), 并且6,12,24 h持续升高(0.853±0.058,0.635 ±0.064,0.582±0.089)(P<0.01).同样,SAP组 LIF蛋白表达在3和6 h后明显高于对照组和假手术(127.36±2.76,122.53±2.43 vs 159.46 ±2.78,156.35±3.12,P<0.05),并且12,24 h后也维持在很高的水平(109.37±2.87,102.42± 2.27).结论:LIF作为促炎症因子参与了SAP肺组织的炎症反应. 相似文献