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Chloride channels in vascular function and disease
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作者 Dayue Darrel Duan Lingyu Linda Ye 《岭南心血管病杂志》 2011年第S1期24-25,共2页
Vascular smooth muscle cells(VSMCs) are the major component of vascular wall which are often stretched and compressed by pounding intravascular pressure.These mechanical signals are usually transformed to electrical... Vascular smooth muscle cells(VSMCs) are the major component of vascular wall which are often stretched and compressed by pounding intravascular pressure.These mechanical signals are usually transformed to electrical signals by the opening or closing of ion channels in VSNCs and endothelial cells.Intravascular pressure causes a graded membrane potential depolarization of the VSMCs and leads to vasoconstriction(i.e.,myogenic response),independent of the vascular endothelium. Although the important role of cation channels including L-type Ca<sup>2+</sup> channels,K<sup>+</sup> channels,and TRP channels in the regulation of vascular tone has been well established the functional roles played by Cl<sup>-</sup> channels in the regulation of the membrane potential and vascular tone remain essentially obscure. Recent emerging evidence implicates very important roles of Cl<sup>-</sup> channels in vascular function ranging from the control of membrane potential equilibrium, vascular contraction and relaxation to the regulation of intracellular pH,cell volume homeostasis,cell proliferation,migration,and apoptosis. 展开更多
关键词 CI Chloride channels in vascular function and disease
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Effects of Vitamin K-1 and Menaquinone-7 on Vascular Function and Blood Pressure in Warfarin-Induced Calcification-Model in Rats
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作者 Aino Siltari Niko Wickholm +5 位作者 Anne SKivimaki Kaisa Olli Krista Salli Kirsti Tiihonen Riitta Korpela Heikki Vapaatalo 《Pharmacology & Pharmacy》 2014年第12期1095-1105,共11页
Given that vascular calcification is inversely correlated with the clinical intake of menaquinone, a rat model of warfarin-induced calcification may be useful for testing menaquinone and vitamin K-1 potential effects ... Given that vascular calcification is inversely correlated with the clinical intake of menaquinone, a rat model of warfarin-induced calcification may be useful for testing menaquinone and vitamin K-1 potential effects on vascular function. The aim of the present study was to investigate effects of vitamin K-1 and menaquinone-7 treatments on blood pressure and vascular function in warfarin-induced vascular calcification model during five-week intervention in normotensive Wistar-Kyoto rats. Blood pressure was measured weekly, and at the end of the intervention in vitro vascular reactivity measurements were done. Alizarin Red S and von Kossa stainings were used to record possible calcification of aortic sections. Routine clinical chemistry was done from serum and urine samples. Vascular calcification was seen only in a few warfarin-treated animals in histological staining. Warfarin-treatment did not change significantly blood pressure of the rats. Warfarin-treatment increased slightly the endothelium-dependent relaxation of aorta after the L-type calcium channels were blocked. Also the vascular relaxation improved after NOS inhibition in the aorta of the healthy controls and menaquinone-7 treated animals, indicating that the relaxation in those groups was not totally dependent on NO. Clinical chemistry from serum showed some differences in urea, creatinine as well as lipid and glucose metabolism between the healthy controls and warfarin-treated rats. 展开更多
关键词 vascular Calcification Vitamin K-1 Menaquinone-7 Blood Pressure vascular function
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Differential effects of Rho-kinase inhibitor and angiotensin Ⅱ type-1 receptor antagonist on the vascular function in hypertensive rats induced by chronic L-NAME treatment
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作者 Bainian Chen Lili Shi +5 位作者 Xiaoyan Yu Jialin Sun Hengai Zhang Shoubao Wang Lianhua Fang Guanhua Du 《Acta Pharmaceutica Sinica B》 SCIE CAS 2012年第5期450-458,共9页
Little attention has been paid to the effect of Rho-kinase inhibitor on the vascular dysfunction of nitric oxide-deficient hypertension.We aimed to investigate whether the Rho-kinase inhibitor fasudil showed beneficia... Little attention has been paid to the effect of Rho-kinase inhibitor on the vascular dysfunction of nitric oxide-deficient hypertension.We aimed to investigate whether the Rho-kinase inhibitor fasudil showed beneficial effect on the vascular dysfunction of the N^(G)-nitro-L-arginine methyl ester(L-NAME)treated rat,as well as to compare the differential effects of fasudil and angiotensin Ⅱ receptor antagonist valsartan on vascular function.In the present study,both valsartan and fasudil exerted antihypertensive action on the L-NAME-treated rats,while only va lsartan attenuated the cardiac hypertrophy.Treatment with valsartan showed improvement on vascular reactivity to norepinephrine,KCl and CaCl_(2),whereas fasudil therapy showed little effect on vasoconstriction.Endothelium-dependent vasodilation to acetylcholine was reduced in the NO-deficient group but was normalized by the fasudil therapy.The increased expression of RhoA and Rho-kinase(ROCK)in the vasculature was corrected well to normal level by either valsartan or fasudil administration,which seemed to be at least partially responsi ble for the beneficial effect of the drug infusion.These findings suggest that the angiotensin Ⅱ receptor antagonist interferes more with the contractile response than Rho-kinase inhibitor,whereas inhibition of Rho-kinase activity exhibits a better improvement on vasorelaxation than blockade of angiotensin Ⅱ receptor. 展开更多
关键词 AngiotensinⅡreceptor antagonist L-NAME-induced hypertension Rho-kinase inhibitor vascular function Cardiac hypertrophy
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Vascular Endothelial Glycocalyx as a Mechanism of Vascular Endothelial Dysfunction and Atherosclerosis 被引量:2
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作者 Minako Yamaoka-Tojo 《World Journal of Cardiovascular Diseases》 2020年第10期731-749,共19页
Atherosclerosis occurs as a result of organized processes that include vascular endothelial dysfunction, lipid accumulation, abnormal inflammatory reaction, excessive reactive oxygen species production, and vascular c... Atherosclerosis occurs as a result of organized processes that include vascular endothelial dysfunction, lipid accumulation, abnormal inflammatory reaction, excessive reactive oxygen species production, and vascular cell proliferation and migration. In patients with atherosclerosis, vascular endothelial dysfunction is commonly observed with the damage of vascular endothelial glycocalyx, which is an extracellular matrix bound to and encapsulating the endothelial cells that line the blood vessel wall. Unhealthy lifestyle choices such as smoking and physical inactivity also induce glycocalyx degradation. Additionally, vascular endothelial glycocalyx can be damaged by various pathological conditions including dehydration, acute infectious disease, trauma, sepsis, acute respiratory distress syndrome, Kawasaki disease, preeclampsia, gestational diabetes mellitus, hypertension, diabetes mellitus, chronic kidney disease, atherosclerosis, stroke, dementia, microvascular angina, acute coronary syndrome, and heart failure. Vascular endothelial glycocalyx has been shown to be important as a physical cytoprotective barrier for vascular endothelial cells and as a regulatory mechanism for intracellular cell signaling. Therefore, vascular endothelial glycocalyx has immense potential in the exploration of novel strategies for the evaluation of beneficial conditions of healthy vasculature. 展开更多
关键词 vascular Endothelial function INFLAMMATION Oxidative Stress Cardiovascular Disease Prevention Disease Management
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Protective effects of sodium ferulate in vascular endothelial function during cardiopulmonary bypass 被引量:1
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作者 廖健毅 《外科研究与新技术》 2011年第3期167-167,共1页
Objective Cardiopulmonary bypass (CPB) and its related ischemia reperfusion injury may cause endothelial cell injury. To study the protective effects of sodium ferulate in vascular endothelial function during CPB by t... Objective Cardiopulmonary bypass (CPB) and its related ischemia reperfusion injury may cause endothelial cell injury. To study the protective effects of sodium ferulate in vascular endothelial function during CPB by testing the changes of vascular endothelial cell(CEC) ,nitric oxide(NO) and endothelin-1 (ET-1) in children with congenital heart disease. Methods Sixty patients 展开更多
关键词 Protective effects of sodium ferulate in vascular endothelial function during cardiopulmonary bypass CEC
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Scalp electroacupuncture at the Baihui acupoint (DU 20) improves functional recovery in rats with cerebral ischemia Association with increased expression of vascular endothelial growth factors 被引量:4
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作者 Min-Wook Kim You Chul Chung +11 位作者 Hee Chan Jung Moon-Seo Park Young-Min Han Yong-An Chung Lee-So Maeng Sang-In Park Jiyeon Lim Seung Chan Kim Woo-Seok Im Jin Young Chung Minky Kim Manho Kim 《Neural Regeneration Research》 SCIE CAS CSCD 2011年第36期2822-2828,共7页
In this study, we induced cerebral infarction in rats by occluding the right middle cerebral artery, and tested the effects of electroacupuncture at the Baihui acupoint (DU 20). Motor and sensory function was tested... In this study, we induced cerebral infarction in rats by occluding the right middle cerebral artery, and tested the effects of electroacupuncture at the Baihui acupoint (DU 20). Motor and sensory function was tested using Garcia’s scale and motor weakness grading, and the expression of vascular endothelial growth factor in the brain was quantified using immunoblotting and immunohistochemistry. We found that scalp electroacupuncture at DU 20 significantly improved motor performance and sensory function in rats with stroke, and this was accompanied by an increased expression of vascular endothelial growth factor in the ischemic brain tissue and peri-ischemic area. In addition, Pearson correlation analysis showed that the improvements in functional recovery were correlated with the increased expression of vascular endothelial growth factor. 展开更多
关键词 ELECTROACUPUNCTURE cerebrovascular disorder vascular endothelial growth factor Baihui acupoint functional improvement
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Crocodile blood supplementation protect svascular function in diabetic mice
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作者 Chui Yiu Bamboo Chook Francis M.Chen +2 位作者 Gary Tse Fung Ping Leung Wing Tak Wong 《Food Production, Processing and Nutrition》 2021年第1期283-295,共13页
Cardiovascular disease is a major cause of mortality in diabetic patients due to the heightened oxidative stress and pro-inflammatory state in vascular tissues.Effective approaches targeting cardiovascular health for ... Cardiovascular disease is a major cause of mortality in diabetic patients due to the heightened oxidative stress and pro-inflammatory state in vascular tissues.Effective approaches targeting cardiovascular health for diabetic patients are urgently needed.Crocodile blood,an emerging dietary supplement,was suggested to have anti-oxidative and anti-inflammatory effects in vitro,which have yet to be proven in animal models.This study thereby aimed to evaluate whether crocodile blood can protect vascular function in diabetic mice against oxidation and inflammation.Diabetic db/db mice and their counterparts db/m+mice were treated daily with crocodile blood soluble fraction(CBSF)or vehicle via oral gavage for 4 weeks before their aortae were harvested for endothelium-dependent relaxation(EDR)quantification using wire myograph,which is a well-established functional study for vascular function indication.Organ culture experiments culturing mouse aortae from C57BL/6 J mice with or without IL-1βand CBSF were done to evaluate the direct effect of CBSF on endothelial function.Reactive oxygen species(ROS)levels in mouse aortae were assessed by dihydroethidium(DHE)staining with inflammatory markers in endothelial cells quantified by quantitative polymerase chain reaction(qPCR).CBSF significantly improved deteriorated EDR in db/db diabetic mice through both diet supplementation and direct culture,with suppression of ROS level in mouse aortae.CBSF also maintained EDR and reduced ROS levels in mouse aortae against the presence of pro-inflammatory IL-1β.Under the pro-inflammatory state induced by IL-1β,gene expressions of inflammatory cytokines were downregulated,while the protective transcripts UCP2 and SIRT6 were upregulated in endothelial cells.Our study suggests a novel beneficial effect of crocodile blood on vascular function in diabetic mice and that supplementation of diet with crocodile blood may act as a complementary approach to protect against vascular diseases through anti-oxidation and anti-inflammation in diabetic patients. 展开更多
关键词 Crocodile blood Diabetes mellitus vascular endothelial function Anti-oxidative ANTI-INFLAMMATORY
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Effect of Carvedilol on the Coronary Vascular Endothelial Function after Percutaneous Transluminal Coronary Angioplasty
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作者 苏显明 马奕 崔长琮 《South China Journal of Cardiology》 CAS 2003年第2期90-92,共3页
Objectives To understand the effect of carvedilol on the coronary vascular endothelial function of the patients with coronary heart disease after percutaneous transluminal coronary angioplasty (PTCA). Methods 51cases,... Objectives To understand the effect of carvedilol on the coronary vascular endothelial function of the patients with coronary heart disease after percutaneous transluminal coronary angioplasty (PTCA). Methods 51cases, having one or more than two branches narrow ( ≥ 70% ) , were diagnosed by coronary angiography. These patients were divided randomly into carvedilol group (n = 28) and control group ( n = 23) who did not take carvedilol. Endothelin (ET) and nitro dioxide (NO) levels of peripheral blood were measured before and after PTCA, before and after two weeks by taking earvedilol. Results Compared with the ET and NO levels before PTCA, ET were markedly increased and NO were decreased after PTCA (p <0. 05) ; compared with the ET and NO levels before taking carvedilol, ET were decreased and NO were increased after two week (p <0.05 ) , but the ET and NO levels of the control group did not change in the period of two weeks observation (p > 0.05). Conclusions Carvedilol may improve the coronary vascular endothelial function after PTCA. 展开更多
关键词 Qercutaneous transluminal coronary angioplasty Endothelin Ntro dioxide vascular endothelial function Carvedilol
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Effects of repetitive transcranial magnetic stimulation on cognitive function and cholinergic activity in the rat hippocampus after vascular dementia 被引量:36
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作者 Xiao-Qiao Zhang Li Li +2 位作者 Jiang-Tao Huo Min Cheng Lin-Hong Li 《Neural Regeneration Research》 SCIE CAS CSCD 2018年第8期1384-1389,共6页
Repetitive transcranial magnetic stimulation (rTMS) is a non-invasive treatment that can enhance the recovery of neurological function after stroke. Whether it can similarly promote the recovery of cognitive functio... Repetitive transcranial magnetic stimulation (rTMS) is a non-invasive treatment that can enhance the recovery of neurological function after stroke. Whether it can similarly promote the recovery of cognitive function after vascular dementia remains unknown, In this study, a rat model for vascular dementia was established by the two-vessel occlusion method. Two days after injury, 30 pulses of rTMS were ad- ministered to each cerebral hemisphere at a frequency of 0.5 Hz and a magnetic field intensity of 1,33 T. The Morris water maze test was used to evaluate learning and memory function. The Karnovsky-Roots method was performed to determine the density of cholinergic neurons in the hippocampal CA1 region. Immunohistochemical staining was used to determine the number of brain-derived neurotroph- ic factor (BDNF)-immunoreactive cells in the hippocampal CA1 region, rTMS treatment for 30 days significantly improved learning and memory function, increased acetylcholinesterase and choline acetyltransferase activity, increased the density of cholinergic neurons, and increased the number of BDNF-immunoreactive cells. These results indicate that rTMS can ameliorate learning and memory deficiencies in rats with vascular dementia, The mechanism through which this occurs might be related to the promotion of BDNF expression and subsequent restoration of cholinergic system activity in hippocampal CA 1 region. 展开更多
关键词 nerve regeneration cholinergic system neurotrophic factor hippocampal CA1 region learning and memory function repetitivetranscranial magnetic stimulation vascular dementia neural regeneration
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Antioxidant Activities and Inhibitory Effects of <i>Auricularia Auricular</i>and Its Functional Formula Diet Against Vascular Smooth Muscle Cell <i>in Vitro</i> 被引量:5
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作者 Yangchao Luo Zhenlei Xiao +2 位作者 Qin Wang Bo Li Baoping Li 《Food and Nutrition Sciences》 2011年第4期265-271,共7页
The functional formula diet AHP, containing polysaccharides from Auricularia auricular, polyphenolic compounds from Hawthorn (Crataegus) and Pueraria radix, has been recently developed as a dietary intervention agains... The functional formula diet AHP, containing polysaccharides from Auricularia auricular, polyphenolic compounds from Hawthorn (Crataegus) and Pueraria radix, has been recently developed as a dietary intervention against dyslipidemia in our previous study. In the present study, its antioxidant activities and protective effects against proliferation of vascular smooth muscle cells (VSMCs) were investigated. AHP possessed the potent radical-scavenging effects against hydroxyl and superoxide radicals, and also the inhibitory effects against peroxidation of low density lipoprotein induced by Cu2+ in vitro. The protective effects of AHP against proliferation of VSMCs were evaluated through the methodology of serum pharmacology. The serum containing AHP significantly inhibited the proliferation of VSMCs induced by oxidized low density lipoprotein in a time- and dose-dependent manner, and also promoted the nitric oxide production of VSMCs. Our study indicated that this functional formula diet would be a potent alternative as a functional diet to prevent atherosclerosis at early stage. 展开更多
关键词 functional DIET AURICULARIA Auricula ANTIOXIDANT Activity vascular Smooth Muscle Cells Serum Pharmacology
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创伤性脊髓损伤急性期前列腺素E1对血管相关因子的调节和微循环功能的保护
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作者 王荣荣 黄玉珊 +1 位作者 李湘淼 白金柱 《中国组织工程研究》 CAS 北大核心 2025年第5期958-967,共10页
背景:前列腺素E1被证明在血管扩张、炎症、白细胞迁移和黏附中发挥调节作用,但其对创伤性脊髓损伤后脊髓微循环的作用尚缺乏深入的研究。目的:探讨在大鼠创伤性脊髓损伤急性期给予前列腺素E1对血管相关因子的调节和微循环功能的保护作... 背景:前列腺素E1被证明在血管扩张、炎症、白细胞迁移和黏附中发挥调节作用,但其对创伤性脊髓损伤后脊髓微循环的作用尚缺乏深入的研究。目的:探讨在大鼠创伤性脊髓损伤急性期给予前列腺素E1对血管相关因子的调节和微循环功能的保护作用机制。方法:将72只雌性SD大鼠随机分为3组(n=24),即假手术组、脊髓损伤组、前列腺素E1组。后两组用Allen’s打击法建立脊髓损伤的体内模型,前列腺素E1组大鼠在脊髓损伤后15 min内立即尾静脉注射脂质前列腺素E110μg/kg。分别在损伤后2,24 h测定脊髓微循环血流量和血氧饱和度、脊髓微血管直径和面积、脊髓含水量、血管功能调节因子(血浆血管性血友病因子、血栓素A2、前列环素、内皮素1)和炎症因子(肿瘤坏死因子α、白细胞介素1β)的表达。结果与结论:①脊髓损伤后2 h,前列腺素E1组大鼠的脊髓微血管直径及面积、脊髓微循环血流量和血氧饱和度均高于脊髓损伤组(P<0.05),脊髓含水量低于脊髓损伤组(P<0.05),血浆血管性血友病因子、脊髓组织血栓素A2/前列环素及内皮素1质量浓度均低于脊髓损伤组(P<0.05);②脊髓损伤后24 h,前列腺素E1组大鼠的脊髓微血管面积、血流量和血氧饱和度均高于脊髓损伤组(P<0.05),脊髓含水量低于脊髓损伤组(P<0.05),血浆血管性血友病因子、脊髓组织血栓素A2/前列环素及内皮素1、肿瘤坏死因子α、白细胞介素1β的质量浓度均低于脊髓损伤组(P<0.05);③脊髓损伤组大鼠损伤后24 h的脊髓微血管直径及面积、脊髓微循环血流量和血氧饱和度均高于损伤后2 h(P<0.05),血浆血管性血友病因子、脊髓组织血栓素A2/前列环素、肿瘤坏死因子α、白细胞介素1β的质量浓度均高于损伤后2 h(P<0.05),但是脊髓组织内皮素1质量浓度低于损伤后2 h(P<0.05);④前列腺素E1组大鼠损伤后24 h的脊髓微循环血流量和血氧饱和度低于损伤后2 h(P<0.05),脊髓微血管直径及面积、脊髓含水量高于损伤后2 h(P<0.05);⑤以上结果表明,脊髓损伤大鼠伤后即刻静脉给予前列腺素E1,可调节血管功能调节因子、炎症因子并改善脊髓损伤后脊髓微循环,这为寻找治疗急性脊髓损伤的药物提供了潜在的基础。 展开更多
关键词 脊髓损伤 前列腺素E1 脊髓微循环 微循环障碍 炎症因子 血管功能调节因子
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INFLUENCE OF ELECTROACUPUNCTURE ON HYPERTENSION VASCULAR DEMENTIA AND ITS RED CELL IMMUNE FUNCTION IN THE RAT
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作者 莫飞智 李坚强 +2 位作者 雷立屏 赖新生 刘颂豪 《World Journal of Acupuncture-Moxibustion》 2000年第2期32-36,共5页
Objective: To probe into the effect of electroacupuncture (EA)on vascular dementia and red cell immune function in the rat. Methods: 30 SD rats were made into renal hypertension rats(RHR) by clamping the kidney arteri... Objective: To probe into the effect of electroacupuncture (EA)on vascular dementia and red cell immune function in the rat. Methods: 30 SD rats were made into renal hypertension rats(RHR) by clamping the kidney arteries with silver clip. 42 days later, their bilateral common carotid arteries were blocked repeatedly to cause cerebral ischemia. The Hypertension vascular dementia model was then set up. Then they were randomly divided into VD model group, EA groupand medication group (Dihydroergotoxine, DHET), with 10 cases in each group. The therapeutic course was 28 days. The ability of learning and memory was using an obs erved by water maze, and the function of red blood cell immune was detected after treatment. Results: the latecy of the EA group and medication group was shorter than that of model group (P<0.05, P<0.005), and that of EA group was shorter than medication group (P<0.05, P<0.005). EA and medication could increase the RBCC 3b receptor flower circle rate and reduce the RBCIC flower circle rate significantly(P<0.05, P< 0.01). Conclusion: The results indicated that EA therapy could raise the ability of learning and memory and improve the function of red cell immune in VD rats, while the therapeutic effect of EAis better than DHET. 展开更多
关键词 vascular Dementia Electroacupuncture Water maze Red blood cell immune function Rat
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数字减影血管造影引导下神经介入取栓术对急性脑梗死患者血管内皮功能及血清血栓素A2、CXC趋化因子配体16水平的影响
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作者 刘冰 霍会永 +3 位作者 赵聪慧 刘晓霞 刘佳佳 张文超 《陕西医学杂志》 CAS 2025年第1期88-92,共5页
目的:探讨数字减影血管造影(DSA)引导下神经介入取栓术对急性脑梗死患者血管内皮功能及血栓素A2(TXA2)、CXC趋化因子配体16(CXCL16)水平的影响。方法:选择急性脑梗死患者122例,通过治疗计划不同分为观察组(n=68)与对照组(n=54)。对照组... 目的:探讨数字减影血管造影(DSA)引导下神经介入取栓术对急性脑梗死患者血管内皮功能及血栓素A2(TXA2)、CXC趋化因子配体16(CXCL16)水平的影响。方法:选择急性脑梗死患者122例,通过治疗计划不同分为观察组(n=68)与对照组(n=54)。对照组方案为阿替普酶(rt-PA)静脉溶栓,观察组为DSA引导下的神经介入取栓术;比较两组患者临床疗效、血清CXCL16、TXA2水平、神经功能和日常生活能力、内皮细胞功能、凝血及血管再通情况。结果:观察组、对照组总有效率分别为91.17%、70.37%(均P<0.05)。经治疗,观察组血清CXCL16、TXA2水平与对照组比较明显降低(均P<0.05)。观察组患者美国国立卫生研究院卒中评分量表(NIHSS)、改良Rankin量表(mRS)评分与对照组比较明显降低(均P<0.05),日常生活能力指数(BI)评分有所提高(P<0.05)。治疗后,观察组血清内皮素-1(ET-1)、TXB2水平明显降低,NO水平升高(均P<0.05),与对照组比较,观察组患者PV、FIB、PAR水平明显降低(均P<0.05)。观察组、对照组血管再通率分别为85.29%、62.96%(均P<0.05)。结论:急性脑梗死患者应用DSA引导下神经介入取栓术可以快速清除病变血管血栓,恢复血流灌注,血管内皮功能改善,降低血清TXA2、CXCL16水平。 展开更多
关键词 脑梗死 数字减影血管造影引导下神经介入取栓术 血管内皮功能 血栓素A2 CXC趋化因子配体16 神经功能
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华佗再造丸联合静脉溶栓治疗急性缺血性脑卒中临床研究
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作者 唐晓刚 姚蓓蓓 谭宇卫 《中西医结合研究》 2025年第1期1-5,共5页
目的 分析华佗再造丸联合静脉溶栓治疗急性缺血性脑卒中患者的临床疗效。方法 收集80例急性缺血性脑卒中患者作为研究对象,将其随机分为对照组和观察组,每组40例。2组均在发病早期行静脉溶栓治疗,在此基础上,对照组给予常规抗血小板治疗... 目的 分析华佗再造丸联合静脉溶栓治疗急性缺血性脑卒中患者的临床疗效。方法 收集80例急性缺血性脑卒中患者作为研究对象,将其随机分为对照组和观察组,每组40例。2组均在发病早期行静脉溶栓治疗,在此基础上,对照组给予常规抗血小板治疗,观察组在对照组基础上增加华佗再造丸治疗,均连续治疗28 d。比较2组临床总有效率、神经功能缺损评分、日常生活能力评分、中医证候积分、凝血功能指标、血管内皮功能指标以及出血风险。结果 治疗后,观察组临床总有效率为100.00%,明显高于对照组的85.00%(P<0.05)。2组患者神经功能缺损评分下降(P均<0.05),日常生活能力评分上升(P均<0.05),且观察组上述评分改善程度明显优于对照组(P均<0.05)。2组口舌歪斜、半身不遂、感觉消退、语言謇涩等中医证候积分均较前下降(P均<0.05),且观察组明显低于对照组(P均<0.05)。2组活化部分凝血活酶时间、凝血酶时间、凝血酶原时间均较前升高(P均<0.05),且观察组上述凝血功能指标均高于对照组(P均<0.05);2组纤维蛋白原水平均较前下降(P均<0.05),且观察组低于对照组(P<0.05)。2组内皮素-1、血管性假血友病因子水平均较前下降(P均<0.05),且观察组低于对照组(P均<0.05);2组一氧化氮水平均较前升高(P均<0.05),且观察组高于对照组(P<0.05)。出血转化发生率组间比较,差异无统计学意义(P>0.05)。结论 在静脉溶栓治疗基础上应用华佗再造丸可显著改善急性缺血性脑卒中患者凝血功能以及血管内皮功能,促进神经功能和日常生活能力的恢复,且安全性良好。 展开更多
关键词 华佗再造丸 静脉溶栓 急性缺血性脑卒中 凝血功能 血管内皮功能
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血清ICAM-1、SCUBE-1、DCN水平与视网膜静脉阻塞患者血管内皮功能及预后相关性研究
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作者 李玉红 马凌葵 武桂云 《陕西医学杂志》 2025年第2期258-262,共5页
目的:探究血清细胞间黏附分子-1(ICAM-1)、信号肽-CUB-表皮生长因子结构域包含蛋白1(SCUBE-1)、核心蛋白多糖(DCN)水平与视网膜静脉阻塞(RVO)患者血管内皮功能及预后的相关性。方法:选取RVO患者58例(研究组)和同期体检健康者60例(对照组... 目的:探究血清细胞间黏附分子-1(ICAM-1)、信号肽-CUB-表皮生长因子结构域包含蛋白1(SCUBE-1)、核心蛋白多糖(DCN)水平与视网膜静脉阻塞(RVO)患者血管内皮功能及预后的相关性。方法:选取RVO患者58例(研究组)和同期体检健康者60例(对照组)。比较两组血清ICAM-1、SCUBE-1、DCN水平和血管内皮功能指标。采用Pearson法分析血清ICAM-1、SCUBE-1、DCN水平与患者血管内皮功能的相关性。根据RVO患者治疗后恢复情况将患者分为预后良好组(21例)和预后不良组(37例)。分析RVO患者预后的影响因素采用多因素Logistic回归。血清ICAM-1、SCUBE-1、DCN对RVO患者预后不良的预测价值通过绘制受试者工作特征(ROC)曲线进行分析。结果:研究组血清ICAM-1、SCUBE-1、DCN水平高于对照组(均P<0.05)。研究组反应性充血指数、一氧化氮水平低于对照组,血管内皮生长因子水平高于对照组(均P<0.05)。血清ICAM-1、SCUBE-1、DCN水平与反应性充血指数及一氧化氮呈负相关,与血管内皮生长因子呈正相关(均P<0.05)。预后良好组血清ICAM-1、SCUBE-1、DCN水平低于预后不良组(均P<0.05)。预后不良组患者合并高血压、视网膜静脉总干部位阻塞的比例高于预后良好组(均P<0.05)。血清ICAM-1、SCUBE-1、DCN、合并高血压、视网膜静脉阻塞部位为RVO患者预后的影响因素(均P<0.05)。血清ICAM-1、SCUBE-1、DCN以及三者联合预测RVO患者预后不良的曲线下面积(AUC)分别为0.804、0.793、0.802、0.933,且三者联合预测的AUC更高(均P<0.05)。结论:RVO患者血清ICAM-1、SCUBE-1、DCN水平升高,与血管内皮功能和预后有关,且三者联合对患者预后具有一定预测价值。 展开更多
关键词 视网膜静脉阻塞 细胞间黏附分子-1 信号肽-CUB-表皮生长因子结构域包含蛋白1 核心蛋白多糖 血管内皮功能 预后
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益气活血通脉汤联合西药对左心疾病相关性肺动脉高压的疗效及内皮功能的影响
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作者 孙春喜 商丹 +1 位作者 刘静 张文川 《广州中医药大学学报》 2025年第3期575-582,共8页
【目的】探究益气活血通脉汤(补阳还五汤为主化裁)联合西药对左心疾病相关性肺动脉高压(PH-LHD)气虚血瘀证患者的疗效及内皮功能的影响。【方法】将2022年3月~2023年12月在商洛市中心医院接受治疗的80例PH-LHD气虚血瘀证患者随机分为研... 【目的】探究益气活血通脉汤(补阳还五汤为主化裁)联合西药对左心疾病相关性肺动脉高压(PH-LHD)气虚血瘀证患者的疗效及内皮功能的影响。【方法】将2022年3月~2023年12月在商洛市中心医院接受治疗的80例PH-LHD气虚血瘀证患者随机分为研究组和对照组,每组各40例。对照组给予西医常规治疗,研究组在对照组的基础上加用益气活血通脉汤治疗,疗程为3周。观察2组患者干预前后中医证候积分、肺循环指标[平均肺动脉压(mPAP)和肺毛细血管楔压(PCWP)]、心肺运动试验(CPET)指标[峰值心率、峰值收缩压、峰值舒张压、峰值氧耗量(VO2max)、峰值氧脉搏]、血管内皮指标[血清一氧化氮(NO)和内皮素1(ET-1)]及生活质量的变化情况,比较2组患者的临床疗效和不良反应情况。【结果】(1)疗效方面,干预3周后,研究组的总有效率为90.00%(36/40),对照组为72.50%(29/40),组间比较(χ²检验),研究组的疗效明显优于对照组(P<0.05)。(2)中医证候积分方面,干预后,2组患者的主症积分、次症积分及总积分均较干预前降低(P<0.05),且研究组的降低幅度均明显优于对照组(P<0.01)。(3)肺循环指标方面,干预后,2组患者的mPAP、PCWP水平均较干预前降低(P<0.05),且研究组的降低幅度均明显优于对照组(P<0.01)。(4)CPET指标方面,干预后,2组患者的峰值心率、峰值收缩压和峰值舒张压均较干预前降低(P<0.05),VO2max和峰值氧脉搏均较干预前升高(P<0.05),且研究组对峰值心率、峰值收缩压和峰值舒张压的降低幅度及对VO2max和峰值氧脉搏的升高幅度均明显优于对照组(P<0.05或P<0.01)。(5)血管内皮指标方面,干预后,2组患者的血清ET-1水平均较干预前降低(P<0.05),血清NO水平均较干预前升高(P<0.05),且研究组对血清ET-1水平的降低幅度及对血清NO水平的升高幅度均明显优于对照组(P<0.01)。(6)生活质量方面,干预后,2组患者健康调查简表(SF-36)的精神健康、情感职能、社会功能、生理功能、活力、总体健康等6个领域的生活质量评分均较干预前升高(P<0.05),且研究组的升高幅度均明显优于对照组(P<0.05或P<0.01)。(7)不良反应方面,研究组的不良反应发生率为20.00%(8/40),对照组为15.00%(6/40),组间比较,差异无统计学意义(P>0.05)。【结论】益气活血通脉汤与西药联合应用能有效提高PH-LHD气虚血瘀证患者临床疗效,改善患者心肺功能及血管内皮功能,提高患者生活质量,且具有较高的安全性。 展开更多
关键词 左心疾病相关性肺动脉高压 气虚血瘀证 益气活血通脉汤 补阳还五汤 临床疗效 心肺功能 血管内皮功能 生活质量
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益智清心方联合温针灸治疗脑梗死后血管性认知障碍的临床观察
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作者 张健 孙岚 +3 位作者 冯立芝 杜娟 陈健 陈振波 《广州中医药大学学报》 2025年第4期900-906,共7页
【目的】观察益智清心方联合温针灸治疗脑梗死后血管性认知障碍(VCI)的临床疗效及对认知功能的影响。【方法】选取2020年2月至2023年2月北京博爱医院收治的110例明确诊断为脑梗死后VCI的患者为研究对象。按随机数字表将患者随机分为对... 【目的】观察益智清心方联合温针灸治疗脑梗死后血管性认知障碍(VCI)的临床疗效及对认知功能的影响。【方法】选取2020年2月至2023年2月北京博爱医院收治的110例明确诊断为脑梗死后VCI的患者为研究对象。按随机数字表将患者随机分为对照组和观察组,每组各55例。对照组给予盐酸多奈哌齐治疗,观察组在对照组治疗的基础上,给予益智清心方联合温针灸治疗,连续治疗4周。治疗1个月后,评价2组临床疗效,观察2组患者治疗前后简易智能精神状态检查量表(MMSE)评分和蒙特利尔认知评估量表(MoCA)评分的变化情况,以及脑血流灌注参数的情况。比较2组患者治疗前后C反应蛋白(CRP)、白细胞介素6(IL-6)、肿瘤坏死因子α(TNF-α)的变化情况。并评价2组的安全性及不良反应的发生情况。【结果】(1)观察组总有效率为96.36%(53/55),对照组为74.55%(41/55)。观察组疗效优于对照组,差异有统计学意义(P<0.05)。(2)治疗后,2组患者的MMSE评分、MoCA评分均明显改善(P<0.05),且观察组在改善MMSE评分、MoCA评分方面明显优于对照组,差异有统计学意义(P<0.05)。(3)治疗后,2组患者的基底节区CBV、MTT、CBF明显改善(P<0.05),且观察组在改善基底节区CBV、MTT、CBF方面明显优于对照组,差异有统计学意义(P<0.05)。(4)治疗后,2组患者的血清CRP、IL-6、TNF-α水平明显改善(P<0.05),且观察组在改善血清CRP、IL-6、TNF-α水平方面明显优于对照组,差异有统计学意义(P<0.05)。(5)观察组不良反应发生率为7.27%(4/55),对照组为5.45%(3/55),两组比较,差异无统计学意义(P>0.05)。【结论】益智清心方联合温针灸治疗脑梗死后血管性认知障碍,可有效减轻脑梗死后VCI患者的认知功能,改善患者的脑血流灌注,抑制炎症因子的释放,从而提高患者生活质量,疗效显著。 展开更多
关键词 益智清心方 温针灸 脑梗死 血管性认知障碍 认知功能 临床观察
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血管性帕金森综合征患者氧化应激反应与认知功能的相关性分析
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作者 孙健 娄展 +4 位作者 郝光 常青 杜静 孔维丹 安娜 《神经损伤与功能重建》 2025年第1期26-31,共6页
目的:分析血管性帕金森综合征(vascular Parkinson'ssyndrome,VPS)患者氧化应激反应与认知功能的相关性。方法:纳入64例VPS患者为VPS组,另选取同期医院接诊的64例帕金森病(Parkinson's disease,PD)患者为PD组,以及同期64例健康... 目的:分析血管性帕金森综合征(vascular Parkinson'ssyndrome,VPS)患者氧化应激反应与认知功能的相关性。方法:纳入64例VPS患者为VPS组,另选取同期医院接诊的64例帕金森病(Parkinson's disease,PD)患者为PD组,以及同期64例健康体检者为健康对照组,以蒙特利尔认知评估量表(MoCA)评分评估受检者认知功能,检测、比较三组氧化应激指标[超氧化物歧化酶(superoxide dismutase,SOD)、丙二醛(malonaldehyde,MDA)]、MoCA评分,根据Hoehn-Yahr(H-Y)分级将VPS组患者分为早期亚组(29例)和中晚期亚组(35例),根据MoCA评分将VPS组患者分为认知障碍亚组(44例)和无认知障碍亚组(20例),Pearson分析血清SOD、MDA与MoCA评分的相关性,绘制受试者工作曲线(ROC),分析SOD、MDA对认知功能障碍的预测价值,单因素、多因素Logistic回归分析VPS患者发生认知功能障碍的危险因素。结果:VPS组的血清MDA水平高于PD组、健康对照组(P<0.05),血清SOD、MoCA评分均低于PD组、健康对照组(P<0.05)。中晚期亚组血清MDA水平高于早期亚组(P<0.05),中晚期亚组血清SOD水平、MoCA评分均低于早期亚组(P<0.05)。认知障碍亚组的血清MDA水平高于无认知障碍亚组(P<0.05),血清SOD水平低于无认知障碍亚组(P<0.05)。Pearson分析显示,血清SOD水平与MoCA评分呈显著正相关(r=0.398,P<0.001),血清MDA水平与MoCA评分呈显著负相关(r=-0.432,P<0.001)。SOD、MDA联合检测预测认知功能障碍的曲线下面积为0.811(95%CI 0.727~0.954),灵敏度(93.28%)、特异度(90.17%)均高于SOD(76.67%、74.09%)、MDA(74.28%、71.46%)单独检测(P<0.05)。年龄、高尿酸血症、血清Hcy、脑梗死部位、脑梗死面积、微出血、SOD、MDA是VPS患者发生认知功能障碍的危险因素(P<0.05)。结论:VPS患者血清MDA呈异常高表达,血清SOD呈异常低表达,与患者认知功能存在一定联系,联合检测MDA、SOD可提高对VPS患者认知功能障碍的预测效能。 展开更多
关键词 血管性帕金森综合征 超氧化物歧化酶 丙二醛 认知功能
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右美托咪定预处理周细胞增强细胞治疗对脓毒症小鼠急性肺损伤的保护作用
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作者 罗茜 张紫森 +3 位作者 杨傲 刘良明 李涛 胡弋 《陆军军医大学学报》 北大核心 2025年第2期101-111,共11页
目的 探究右美托咪定(dexmedetomidine, Dex)预处理的周细胞对脓毒症小鼠急性肺损伤(acute lung injury, ALI)的影响及其作用机制。方法 采用腹腔内注射脂多糖(LPS) 10 mg/kg复制脓毒症小鼠模型。96只C57BL/6小鼠按照随机数字表法分为... 目的 探究右美托咪定(dexmedetomidine, Dex)预处理的周细胞对脓毒症小鼠急性肺损伤(acute lung injury, ALI)的影响及其作用机制。方法 采用腹腔内注射脂多糖(LPS) 10 mg/kg复制脓毒症小鼠模型。96只C57BL/6小鼠按照随机数字表法分为假手术(Sham)组、急性肺损伤(ALI)组、周细胞治疗(PC)组、右美托咪定(1μmol/L)预处理后周细胞治疗(Dex-PC)组。PC组、Dex-PC组尾静脉内分别给予PC和Dex-PC(5×105个/只),Sham组和ALI组尾静脉内给予等量生理盐水作为对照。采用流式细胞术、免疫荧光、全身体积描记系统、ELISA等方法,观察PC定植数量、肺血管通透性和肺功能的变化、血清中TNF-α和IL-6含量,以及72 h小鼠存活率和存活时间。体外使用LPS(10μg/mL)刺激PC和Dex-PC,观察周细胞胞内ROS含量的变化。结果 与Sham组比较,ALI组小鼠肺血管内皮细胞通透性增加,伊文思蓝大量外渗,肺组织结构严重破坏并伴随大量炎性细胞浸润,肺湿/干质量比和血清中TNF-α和IL-6表达显著升高,肺功能显著下降,且72 h无小鼠存活(P<0.05);细胞治疗后,PC组和DexPC组均可有效改善肺血管内皮渗漏、单位组织伊文思蓝含量、肺病理结构、肺功能以及炎症反应,明显提高存活率(P<0.05),其中Dex-PC组的治疗效果明显优于PC组(P<0.05)。LPS刺激PC后,ROS大量蓄积,而Dex预处理能显著抵抗LPS引起的ROS蓄积(P<0.05)。结论 右美托咪定预处理周细胞后可显著增强其对脓毒症小鼠肺血管内皮屏障功能的保护作用,其作用机制可能是其增强了周细胞抗氧化应激能力。 展开更多
关键词 右美托咪定 周细胞 脓毒症 急性肺损伤 肺血管屏障功能
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Vascular protection by high-density lipoprotein-associated sphingosine-1- phosphate 被引量:4
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作者 Xi WANG Fan WANG 《Journal of Geriatric Cardiology》 SCIE CAS CSCD 2017年第11期696-702,共7页
Epidemiological studies and animal experiments have consistently demonstrated cardiovascular protection by high-density lipoprotein (HDL). Findings from a growing number of studies further indicate that sphingosine-... Epidemiological studies and animal experiments have consistently demonstrated cardiovascular protection by high-density lipoprotein (HDL). Findings from a growing number of studies further indicate that sphingosine-l-phosphate (S1P) mediates many of the beneficial effects of HDL on the cardiovascular system, including vasodilatation, angiogenesis, maintenance of endothelial barrier function, and protec- tion against atherosclerosis and ischemiaJreperfusion injury. In this review, we summarize the most recent literature investigating the effects of HDL-S 1 P on cardiovascular health and highlight potential opportunities for clinical translation of these findings. 展开更多
关键词 APOM HDL-associated S1P vascular function
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