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| 1 | Double-stranded DNA in exosomes: a novel biomarker in cancer detection显示文摘 | Basant Kumar Thakur Haiying Zhang Annette Becker Irina Matei Yujie Huang Bruno Costa-Silva Yan Zheng Ayuko Hoshino Helene Brazier Jenny Xiang Caitlin Williams Ruth Rodriguez-Barrueco Jose M Silva Weijia Zhang Stephen Hearn Olivier Elemento Navid Paknejad Katia Manova-Todorova Karl Welte Jacqueline Bromberg Hector Peinado David Lyden | 2014 | Cell Research2014，24，6： | 98 |
| 2 | 水分胁迫下外源ABA提高甘蔗抗旱性的作用机制显示文摘以抗旱甘蔗品种ROC22为材料,调查水分胁迫及胁迫加喷施脱落酸(ABA)对甘蔗内源ABA合成及相关生理生化作用的影响。结果表明,干旱及干旱加外施ABA的条件下,甘蔗内源ABA合成水平上升,但干旱加ABA处理增幅更显著,甘蔗叶内的脯氨酸(Pro)、H2O2、丙二醛(MDA)含量增加,而ABA处理能缓解MDA的积累,使其含量处于低水平,ABA处理能防止叶绿素降解并对干旱引起的最大光能转化效率(Fv/Fm)、PSII实际量子效率(ΦPSII)下降有明显的缓解作用。干旱条件下,H2O2的积累伴随着抗氧化作用的酶CAT、GPX、GR和APX的活性提高,而ABA处理能进一步提高这些相关酶的活性而逐渐降低H2O2的含量,表明干旱条件下,外施ABA能增强甘蔗的抗氧化防护系统,提高抗旱性。 | 李长宁 Manoj Kumar SRIVASTAVA 农倩 李杨瑞 | 2010 | 作物学报2010，36，5： | 73 |
| 3 | 肛裂临床诊治指南(第三次修订)显示文摘“美国结直肠外科医师协会(American Societyof ColonandRectal Surgeons.ASCRS)”(协会)致力于推进结直肠和肛门疾病的相关理论以及预防和诊疗水平的提高,给患者提供优质的医疗服务。“标准委员会”由协会中在结直肠外科方面有显著专长的成员组成。该委员会的建立是为了引领国际结直肠和肛门疾病诊治的发展,以建立具有循证医学证据的临床诊疗指南。指南是涵盖性的,非指令性的,目的是为临床决策提供信息,而非具体的治疗方法。指南适用于所有相关的医护人员以及希望得到相应指南中疾病的相关诊治信息的患者。 | Farshid Araghizadeh ~ Robin Boushey Sridhar Chalasani George Chang Robert Cima Gary Dunn Daniel Feingold Philip Fleshner Daniel Geisler Jill Genua Sharon Gregorcyk Daniel Herzig Andreas Kaiser Ravin Kumar David Larson Steven Mills John Monson P. Terry Phang Feza Remzi David Rivadeneira Howard Ross Peter Senatore Elin Sigurdson Thomas Stahl Scott Steele Scott Strong Charles Tement Judith Trudel Madhulika Varnna Martin Weiser 丁义江(译) 皇甫少华(译) 丁曙晴(译) | 2013 | 中华胃肠外科杂志2013，16，7： | 70 |
| 4 | Gallbladder cancer epidemiology, pathogenesis and molecular genetics: Recent update显示文摘Gallbladder cancer is a malignancy of biliary tract which is infrequent in developed countries but common in some specific geographical regions of developing countries. Late diagnosis and deprived prognosis are major problems for treatment of gallbladder carcinoma. The dramatic associations of this orphan cancer with various genetic and environmental factors are responsible for its poorly defined pathogenesis. An understanding to the relationship between epidemiology, molecular genetics and pathogenesis of gallbladder cancer can add new insights to its undetermined pathophysiology. Present review article provides a recent update regarding epidemiology, pathogenesis, and molecular genetics of gallbladder cancer. We systematically reviewed published literature on gallbladder cancer from online search engine Pub Med(http://gffzz16a62c593b5540ceh96kv6fv9w6x56pw6.ffgz.tsg.suse.edu.cn/pubmed). Various keywords used for retrieval of articles were Gallbladder, cancer Epidemiology, molecular genetics and bullion operators like AND, OR, NOT. Cross references were manually searched from various online search engines(http://gffzz16a62c593b5540ceh96kv6fv9w6x56pw6.ffgz.tsg.suse.edu.cn/pubmed,http://gffzz141dfffa132442b5s96kv6fv9w6x56pw6.ffgz.tsg.suse.edu.cn/, http://gffzz4cb95a154d71438ch96kv6fv9w6x56pw6.ffgz.tsg.suse.edu.cn/home.jsp). Most of the articles published from 1982 to 2015 in peer reviewed journals have been included in this review. | Aarti Sharma Kiran Lata Sharma Annapurna Gupta Alka Yadav Ashok Kumar | 2017 | World Journal of Gastroenterology2017，23，22： | 68 |
| 5 | Effect of Different Vegetation Systems on Soil Erosion and Soil Nutrients in Red Soil Region of Southeastern China显示文摘The effect of different vegetation systems including bamboo plantation (BP), forest ecosystem (CF),citrus orchard (Ctr) and farmland (FL) on erosion and nutrients of red soil were investigated in hilly region of southeastern China to find effective control measures for soil erosion. The results showed that all the vegetation systems could significantly reduce soil erosion and nutrient losses compared to bare land (Br).The ability of different vegetation systems to conserve soil and water was in the order of Ctr > BP > CF > FL > Br. Vegetation could also improve soil fertility. The soil organic matter, total N and total P contents were much higher in all the vegetation systems than in bare land, especially for the top soils. Vegetation systems improved soil physical properties remarkably. Compared to the bare land, soil organic matter, TP,TK and available K, especially soil microbial biomass C, N and P, increased under all the vegetation covers.However, they were still much lower than expected, thus these biological measurements are still needed to be carried out continuously. | S. KUMAR | 2003 | Pedosphere2003，13，2： | 57 |
| 6 | Mechanism and its regulation of tumor-induced angiogenesis显示文摘Tumor angiogenesis is the proliferation of a network of blood vessels that penetrates into cancerous growths, supplying nutrients and oxygen and removing waste products. The process of angiogenesis plays an important role in many physiological and pathological conditions. Solid tumors depend on angiogenesis for growth and metastasis in a hostile environment. In the prevascular phase, the tumor is rarely larger than 2 to 3 mm3 and may contain a million or more cells. Up to this size, tumor cells can obtain the necessary oxygen and nutrient supplies required for growth and survival by simple passive diffusion. The properties of tumors to release and induce several angiogenic and antiangiogenic factors which play crucial roles in regulating endothelial cell (EC) proliferation, migration, apoptosis or survival, cell-cell and cell-matrix adhesion through different intracellular signaling are thought to be the essential mechanisms during tumor-induced angiogenesis. Tumor angiogenesis actually starts with tumor cells releasing molecules that send signals to surrounding normal host tissue. This signaling activates certain genes in the host tissue that, in turn, make proteins to encourage growth of new blood vessels. In this review, we focus the mechanisms of tumor-induced angiogenesis, with an emphasis on the regulatory role of several angiogenic and anti-angiogenic agents during the angiogenic process in tumors. Advances in understanding the mechanisms of tumor angiogenesis have led to the development of several most effective antiangiogenic and anti-metastatic therapeutic agents and also have provided several techniques for the regulation of cancer's angiogenic switch. The suggestion is made that standard cytotoxic chemotherapy and angiogenesis inhibitors used in combination may produce complementary therapeutic benefits in the treatment of cancer. | Manoj Kumar Gupta | 2003 | World Journal of Gastroenterology2003，9，6： | 51 |
| 7 | Targeting inflammation in diabetes: Newer therapeutic options显示文摘Inflammation has been recognised to both decrease beta cell insulin secretion and increase insulin resis-tance. Circulating cytokines can affect beta cell function directly leading to secretory dysfunction and increased apoptosis. These cytokines can also indirectly affect beta cell function by increasing adipocyte inflamma-tion.The resulting glucotoxicity and lipotoxicity further enhance the inflammatory process resulting in a vicious cycle. Weight reduction and drugs such as metformin have been shown to decrease the levels of C-Reactive Protein by 31% and 13%, respectively. Pioglitazone, insulin and statins have anti-inflammatory effects. In-terleukin 1 and tumor necrosis factor-α antagonists are in trials and NSAIDs such as salsalate have shown an improvement in insulin sensitivity. Inhibition of 12-lipo-oxygenase, histone de-acetylases, and activation of sirtuin-1 are upcoming molecular targets to reduce in-flammation. These therapies have also been shown to decrease the conversion of pre-diabetes state to diabe-tes. Drugs like glicazide, troglitazone, N-acetylcysteine and selective COX-2 inhibitors have shown benefit in diabetic neuropathy by decreasing inflammatory mark-ers. Retinopathy drugs are used to target vascular en-dothelial growth factor, angiopoietin-2, various protein-ases and chemokines. Drugs targeting the proteinases and various chemokines are pentoxifylline, inhibitors of nuclear factor-kappa B and mammalian target of rapa-mycin and are in clinical trials for diabetic nephropathy. Commonly used drugs such as insulin, metformin, per-oxisome proliferator-activated receptors, glucagon like peptide-1 agonists and dipeptidyl peptidase-4 inhibitors also decrease inflammation. Anti-inflammatory thera-pies represent a potential approach for the therapy of diabetes and its complications. | Neeraj Kumar Agrawal Saket Kant | 2014 | World Journal of Diabetes2014，5，5： | 41 |
| 8 | Bt水稻对主要非靶标害虫和蜘蛛优势种田间种群动态的影响显示文摘研究了2个转cry1Ab+cry1Ac杂合基因籼稻品系TT9-3和T19-4对主要非靶标害虫飞虱、叶蝉以及捕食性蜘蛛优势种田间种群动态的影响。结果表明,Bt稻与亲本对照(IR72)田间白背飞虱和黑尾叶蝉成虫的虫口密度在整个水稻生育期间无显著差异,而若虫密度有一定的不同。TT9-3稻田中白背飞虱和黑尾叶蝉若虫密度分别于移栽后早中期和中后期显著高于对照;TT9-4与对照间无显著差异。Bt水稻与亲本对照间锥腹肖蛸、四斑锯螯蛛、食虫沟瘤蛛、拟环纹豹蛛及拟水狼蛛种群数量动态趋势相似,数量上大多无显著差异。综合分析认为,Bt水稻对稻田优势蜘蛛基本上无明显的负影响。 | 刘志诚 叶恭银 胡萃 Swapan Kumar Datta | 2002 | 植物保护学报2002，29，2： | 46 |
| 9 | 患者肠道微生物群失调与肠上皮屏障功能障碍显示文摘最近的证据表明,在动物模型中,肠道病理学和微生物组与高血压之间存在联系。然而,这种关联在人类中是否存在尚不清楚。因此,该研究的目的是检验高血压患者具有明显特异的肠道微生物组以及肠上皮屏障功能标记物和微生物组组成可以预测收缩压变化的假设。研究者通过鸟枪法宏基因组学分析粪便样本显示微生物分类和功能变化,结果显示高血压患者和对照受试者之间丁酸盐产生存在差异。 | Kim S Goel R Kumar A Qi Y Lobaton G Hosaka K Mohammed M Handberg EM Richards EM Pepine CJ Raizada MK 刘青 叶鹏 | 2018 | 中华高血压杂志2018，26，9： | 45 |
| 10 | 美国大陆外来入侵物种斑马纹贻贝(Dreissena polymorpha)潜在生境预测模型显示文摘防止外来生物入侵造成危害的重要手段是阻止可能造成入侵的物种进入适合其生存的地区。论文以1864个美国外来入侵物种斑马纹贻贝定点发生数据和开放式基础地理信息数据库Daymet的34个环境变量为主要信息源,采用逻辑斯蒂回归(LR)、分类与回归树模型(CART)、基于规则的遗传算法(GARP)、最大熵法(Maxent)4种途径,建立美国大陆部分潜在生境预测模型,从接受者运行特征曲线下面积(AUC)、Pearson相关系数、Kappa值3个方面来检验模型预测精度,在此基础上分析斑马纹贻贝的空间分布规律及其环境影响因素。研究结果表明:在3个评价指标中,4个生态位模型预测精度均达到优良水平,其中Maxent在物种现实生境模拟、主要生态环境因子筛选、环境因子对物种生境影响的定量描述方面都表现出了优越的性能;距水源距离、海拔高度、降水频率、太阳辐射是影响物种空间分布的主要环境因子。论文提出的研究方法对中国外来入侵物种生境预测具有较强的借鉴意义,研究结果对中国海洋外来入侵物种沙筛贝的预测与防治,具有一定的指导作用。 | 李明阳 居云为 Sunil Kumar Thomas J.Stohlgren | 2008 | 生态学报2008，28，9： | 38 |
| 11 | Single center experience of capsule endoscopy in patients with obscure gastrointestinal bleeding显示文摘AIM:To identify optimum timing to maximize diagnostic yield by capsule endoscopy (CE) in patients with obscure gastrointestinal bleeding (OGIB).METHODS:We identified patients who underwent CE at our institution from August 2003 to December 2009.Patient medical records were reviewed to determine type of OGIB (occult,overt),CE results and complications,and timing of CE with respect to onset of bleeding.RESULTS:Out of 385 patients investigated for OGIB,284 (74%) had some lesion detected by CE.In 222 patients (58%),definite lesions were detected that could unequivocally explain OGIB.Small bowel ulcer/erosions secondary to Crohn's disease,tuberculosis or non-steroidal anti-inflammatory agent use were the commonest lesions detected.Patients with overt GI bleeding for < 48 h before CE had the highest diagnostic yield (87%).This was significantly greater (P < 0.05) compared to that in patients with overt bleeding prior to 48 h (68%),as well as those with occult OGIB (59%).CONCLUSION:We established the importance of early CE in management of OGIB.CE within 48 h of overt bleeding has the greatest potential for lesion detection. | Mahesh Kumar Goenka Shounak Majumder Sanjeev Kumar Pradeepta Kumar Sethy Usha Goenka | 2011 | World Journal of Gastroenterology2011，17，6： | 39 |
| 12 | Epidemiology of lung cancer and approaches for its prediction:a systematic review and analysis显示文摘Background: Owing to the use of tobacco and the consumption of alcohol and adulterated food, worldwide cancer incidence is increasing at an alarming and frightening rate. Since the last decade of the twentieth century, lung cancer has been the most common cancer type. This study aimed to determine the global status of lung cancer and to evaluate the use of computational methods in the early detection of lung cancer.Methods: We used lung cancer data from the United Kingdom(UK), the United States(US), India, and Egypt. For statistical analysis, we used incidence and mortality as well as survival rates to better understand the critical state of lung cancer.Results: In the UK and the US, we found a significant decrease in lung cancer mortalities in the period of 1990–2014, whereas, in India and Egypt, such a decrease was not much promising. Additionally, we observed that, in the UK and the US, the survival rates of women with lung cancer were higher than those of men. We observed that the data mining and evolutionary algorithms were efficient in lung cancer detection.Conclusions: Our findings provide an inclusive understanding of the incidences, mortalities, and survival rates of lung cancer in the UK, the US, India, and Egypt. The combined use of data mining and evolutionary algorithm can be efficient in lung cancer detection. | Ashutosh Kumar Dubey Umesh Gupta Sonal Jain | 2016 | Chinese Journal of Cancer2016，35，9： | 37 |
| 13 | Moringa oleifera:A review on nutritive importance and its medicinal application显示文摘Moringa oleifera,native to India,grows in the tropical and subtropical regions of the world.It is commonly known as‘drumstick tree’or‘horseradish tree’.Moringa can withstand both severe drought and mild frost conditions and hence widely cultivated across the world.With its high nutritive values,every part of the tree is suitable for either nutritional or commercial purposes.The leaves are rich in minerals,vitamins and other essential phytochemicals.Extracts from the leaves are used to treat malnutrition,augment breast milk in lactating mothers.It is used as potential antioxidant,anticancer,anti-inflammatory,antidiabetic and antimicrobial agent.M.oleifera seed,a natural coagulant is extensively used in water treatment.The scientific effort of this research provides insights on the use of moringa as a cure for diabetes and cancer and fortification of moringa in commercial products.This review explores the use of moringa across disciplines for its medicinal value and deals with cultivation,nutrition,commercial and prominent pharmacological properties of this“Miracle Tree”. | Lakshmipriya Gopalakrishnan Kruthi Doriya Devarai Santhosh Kumar | 2016 | Food Science and Human Wellness2016，5，2： | 36 |
| 14 | Uniform,Highly Conductive,and Patterned Transparent Films of a Percolating Silver Nanowire Network on Rigid and Flexible Substrates Using a Dry Transfer Technique显示文摘Silver nanowire films are promising alternatives to tin-doped indium oxide(ITO)films as transparent conductive electrodes.In this paper,we report the use of vacuum filtration and a polydimethylsiloxane(PDMS)-assisted transfer printing technique to fabricate silver nanowire films on both rigid and flexible substrates,bringing advantages such as the capability of patterned transfer,the best performance among various ITO alternatives(10Ω/sq at 85%transparency),and good adhesion to the underlying substrate,thus eliminating the previously reported adhesion problem.In addition,our method also allows the preparation of high quality patterned films of silver nanowires with different line widths and shapes in a matter of few minutes,making it a scalable process.Furthermore,use of an anodized aluminum oxide(AAO)membrane in the transfer process allows annealing of nanowire films at moderately high temperature to obtain films with extremely high conductivity and good transparency.Using this transfer technique,we obtained silver nanowire films on a flexible polyethylene terephthalate(PET)substrate with a transparency of 85%,a sheet resistance of 10Ω/sq,with good mechanical flexibility.Detailed analysis revealed that the Ag nanowire network exhibits two-dimensional percolation behavior with good agreement between experimentally observed and theoretically predicted values of critical volume。 | Anuj R.Madaria Akshay Kumar Fumiaki N.Ishikawa Chongwu Zhou | 2010 | Nano Research2010，3，8： | 39 |
| 15 | Targeting the PI3K/Akt signaling pathway in gastric carcinoma: A reality for personalized medicine?显示文摘Frequent activation of phosphatidylinositol-3 kinases(PI3K)/Akt/m TOR signaling pathway in gastric cancer(GC) is gaining immense popularity with identification of mutations and/or amplifications of PIK3 CA gene or loss of function of PTEN,a tumor suppressor protein,to name a few; both playing a crucial role in regulating this pathway. These aberrations result in dysregulation of this pathway eventually leading to gastric oncogenesis,hence,there is a need for targeted therapy for more effective anticancer treatment. Several inhibitors are currently in either preclinical or clinical stages for treatment of solid tumors like GC. With so many inhibitors under development,further studies on predictive biomarkers are needed to measure the specificity of any therapeutic intervention. Herein,we review the common dysregulation of PI3K/Akt/m TOR pathway in GC and the various types of single or dual pathway inhibitors under development that might have a superior role in GC treatment. We also summarize the recent developments in identification of predictive biomarkers and propose use of predictive biomarkers to facilitate more personalized cancer therapy with effective PI3K/Akt/m TOR pathway inhibition. | Shikha Satendra Singh Wei Ney Yap Frank Arfuso Shreya Kar Chao Wang Wanpei Cai Arunasalam M Dharmarajan Gautam Sethi Alan Prem Kumar | 2015 | World Journal of Gastroenterology2015，21，43： | 36 |
| 16 | WJSC 6^(th) Anniversary Special Issues(2):Mesenchymal stem cells Mesenchymal stem cells in the treatment of spinal cord injuries:A review显示文摘With technological advances in basic research,the intricate mechanism of secondary delayed spinal cord injury(SCI)continues to unravel at a rapid pace.However,despite our deeper understanding of the molecular changes occurring after initial insult to the spinal cord,the cure for paralysis remains elusive.Current treatment of SCI is limited to early administration of high dose steroids to mitigate the harmful effect of cord edema that occurs after SCI and to reduce the cascade of secondary delayed SCI.R ecent evident-based clinical studies have cast doubt on the clinical benefit of steroids in SCI and intense focus on stem cell-based therapy has yielded some encouraging results.An array of mesenchymal stem cells(MSCs)from various sources with novel and promising strategies are being developed to improve function after SCI.In this review,we briefly discuss the pathophysiology of spinal cord injuries and characteristics and the potential sources of MSCs that can be used in the treatment of SCI.We will discuss the progress of MSCs application in research,focusing on the neuroprotective properties of MSCs.Finally,we will discuss the results from preclinical and clinical trials involving stem cell-based therapy in SCI. | Venkata Ramesh Dasari Krishna Kumar Veeravalli Dzung H Dinh | 2014 | World Journal of Stem Cells2014，6，2： | 32 |
| 17 | Endoscopic management of postoperative bile leaks显示文摘BACKGROUND: Significant bile leak as an uncommon complication after biliary tract surgery may constitute a serious and difficult management problem. Surgical management of biliary fistulae is associated with high morbidity and mortality. Biliary endoscopic procedures have become the treatment of choice for management of biliary Gstulae. METHODS: Ninety patients presented with bile leaks after cholecystectomy ( open cholecystectomy in 45 patients, cholecystectomy with common bile duct exploration in 20 and laparoscopic cholecystectomy in 25). The presence of bile leaks was confirmed by ERCP and the appearance of bile in percutaneous drainage of abdominal collections. Of the 90 patients with postoperative bile leaks, 18 patients had complete transaction of the common bile duct by ERCP and were subjected to bilioenteric anastomosis. In the remaining patients after cholangiography and localization of the site of bile leaks. therapeutic procedures like sphinctero-tomy, biliary stenting and nasobiliary drainage ( NBD ) were performed. If residual stones were seen in the common bile duct, sphincterotomy was followed by stone extraction using dormia basket. Nasobiliary drain or stents of 7F size were placed according to the standard techniques. The NBD was removed when bile leak stopped and closure of the fistula confirmed cholangiographically. The stents were removed after an interval of 6-8 weeks. RESULTS: Bile leaks in 72 patients occurred in the cystic duct (38 patients), the common bile duct (30 ), and the right hepatic duct (4). Of the 72 patients with post-operative bile leak, 24 had associated retained common bile duct stones and 1 had ascaris in common bile duct. All the 72 patients were subjected to therapeutic procedures including sphincterotomy with stone extraction followed by biliary stenting (24 patients), removal of ascaris and biliary stenting (1), sphincterotomy with biliary stenting (18), sphincterotomy with NBD (12), biliary stenting alone (12), and NBD alone (5). Bile leaks stopped in all patients at a median interval of 3 days (range 3-16 days) after endoscopic in- terventions. No difference was observed in efficacy and in time for the treatment of bile leak by sphincterotomy with endoprosthesis or endoprosthesis alone in patients with bile leak after surgery. CONCLUSIONS: Post-cholecystectomy bile leaks occur most commonly in the cystic duct and associated common bile duct stones are found in one-third of cases. Endoscopic therapy is safe and effective in the management of bile leaks and fistulae after surgery. Sphincterotomy with endoprosthesis or endoprosthesis alone is equally effective in the management of postoperative bile leak. | Naresh Agarwal Barjesh Chander Sharma Sanjay Garg Rakesh Kumar Shiv K Sarin | 2006 | Hepatobiliary & Pancreatic Diseases International2006，5，2： | 33 |
| 18 | 浅议大学英语教学中学生跨文化交际能力的培养显示文摘大学英语教学不仅是要教给学生语言知识,培养其听说读写等应用技能,还要着力培养学生跨文化交际的能力。培养大学生跨文化交际能力的路径和方法是:利用现有教材,培养大学生的跨文化意识;在课堂教学中利用对比法、实物讲授法、任务教学法、讨论法和直观法等教学方法,以及在课外活动中,培养大学生的跨文化交际能力;教师要增强自身的跨文化意识,提高教学水平。 | 乐琼 Chauhan Ashok Kumar | 2010 | 教育探索2010，，8： | 31 |
| 19 | MAPK信号通路与骨质疏松关系的研究进展显示文摘该综述介绍了MAPK信号通路(ERK1/2、JNK、P38和ERK5)与骨质疏松相关因子的关系,明确了MAPK信号通路参与骨质疏松的发生与发展。通过药物干预RANKL、OPG、1,25(OH)2D3、PTH、BMP、TGF-β、IL-1、IL-6、TNF-α和雌激素等因子而作用于MAPK信号通路,可提高骨质疏松的治疗效果。但IL6和TNF-α调节MAPK信号通路参与骨质疏松发生发展的作用还不清楚。骨质疏松发病机制复杂,多种相关信号通路之间存在交互和交叉的作用,以及ERK5通路在骨质疏松中发挥的作用还有待进一步研究。 | 张波 耿彬 谭小义 姜金 陈聪 Chandan Kumar Jayswal 吴卓 夏亚一 | 2014 | 中国矫形外科杂志2014，22，23： | 31 |
| 20 | 不同剂量枸橼酸咖啡因和氨茶碱治疗早产儿呼吸暂停的研究显示文摘目的分析不同剂量枸橼酸咖啡因和氨茶碱治疗早产儿呼吸暂停的疗效及安全性。方法选择2013年10月至2015年10月本院新生儿重症监护病房(NICU)收治的呼吸暂停早产儿,随机分为大剂量咖啡因组:负荷量40 mg/(kg·d),维持量20 mg/(kg·d),Qd;小剂量咖啡因组:负荷量20 mg/(kg·d),维持量10 mg/(kg·d),Qd;氨茶碱组:负荷量5 mg/kg,维持量2 mg/kg,Q 12 h(持续给药至呼吸暂停停止7天或纠正胎龄34周)。观察患儿拔管失败率、呼吸暂停发生率、呼吸暂停持续时间、机械通气时间、氧疗时间、住院时间、治疗过程中的不良反应、并发症发生率及死亡率。结果大剂量咖啡因组拔管失败率、呼吸暂停发生率、呼吸暂停持续时间、氧疗时间等均低于小剂量咖啡因组和氨茶碱组,心动过速发生率高于小剂量咖啡因组和氨茶碱组,差异均有统计学意义(P<0.05)。小剂量咖啡因组与氨茶碱组各项指标比较,差异无统计学意义(P>0.05)。各组机械通气时间、持续气道正压通气(CPAP)时间、住院时间及并发症发生率、死亡率等差异无统计学意义(P>0.05)。结论大剂量咖啡因可降低拔管失败率和呼吸暂停发生率,减少呼吸暂停持续时间和氧疗持续时间,除心动过速外,未增加其他不良反应。 | Sanjay Kumar chaudhari 陈厚炎 谭举方 朱晓芳 | 2016 | 中国新生儿科杂志2016，31，5： | 31 |
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