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    find Author "高建" 2 results
    • 對腎移植術后高血壓患者實施連續護理干預的探討

      目的探討對腎移植術后高血壓患者實施連續護理干預的效果。 方法將2011年1月-2013年1月就診的60例腎移植術后高血壓患者分為干預組和對照組,兩組在相同血壓監測和藥物治療基礎上,干預組患者根據指導手冊予以腎病高血壓相關知識的健康教育,1次/周,連續4周,收集兩組患者就診時和干預后3個月的問卷資料及就診后1、2、3個月末自我監測血壓的平均值,比較兩組患者干預前后生活質量及移植腎出現排斥反應的情況。 結果干預組腎移植術高血壓知識知曉率得分、健康教育滿意度、生活質量改善程度分別為91.0分、90.0%、90.0%,均較對照組的75.8分、80.0%、73.3%高。干預組1例發生排斥反應,發生率3.3%,對照組3例發生排斥反應,發生率10.0%,兩組比較差異有統計學意義(P<0.05)。 結論連續護理干預有助于提高患者對疾病的自我管理控制水平,改善生活質量,利于及早發現移植腎排異的臨床表現,降低急性排斥反應發生率。

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    • Inhibition effect of complement factor small interference RNA on the angiogenesis of choroidal neovascularization induced by photocoagulation in rats

      Objective To observe the inhibitory effects of construction of complement factor (CFB)small interference RNA (siRNA) on choroidal neovascularization(CNV)induced by photocoagulation in rats.Methods We constructed an expression vector of CFBsiRNA by cutting CFBsiRNA and plasmid pRNATU61/Neo. Experimental CNV was induced by photocoagulation in 42 Brown Norway rats. After the model was set up, the rats were randomly divided into tail intravenous injection, vitreous injection, subretinal injection, and control group; each group except the control one had a corresponding blank plasmid control group. CFBsiRNA was injected 1, 3, and 5 days respectively after photocoagulation in the injection groups; the dosage was 50, 20, and 10 mu;g in tail intravenous injection, vitreous injection, and subretinal injection group respectively, while no injection was give to the control group after photocoagulation. Before and 14 days after photocoagulation, fundus fluorescein angiograoph (FFA) was performed and CNV development was judged by the leakage; the expression of vascular endothelial growth factor (VEGF) and factor Ⅷ were detected by immunohistochemistry. Results The leakage of fluorescein was obvious lower in tail intravenous injection group than that in the control group (chi;2=15.1620,Plt;0.05). The expression of VEGF and factor VIII in tail intravenous injection group at different time points after photocoagulation didnprime;tdiffer much (F=20.35,18.33; Pgt;0.05); while was apparently lower than that in the other groups at different time points (F=77.96,55.68; Plt;0.05).All of the groups, except tail intravenous injection group, had higher expression of VEGF and factor VIII 14 days after photocoagulation compared with that 7 days after photocoagulation (F=60.89, 61.12; Plt;0.05).Conclusions Constructed CFBsiRNA can inhibite CNV by downregulating the expression of VEGF and factor Ⅷ.

      Release date:2016-09-02 05:40 Export PDF Favorites Scan
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  • 松坂南