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find Author "陈蕾" 48 results
  • 睡眠呼吸暂停致缺血性脑卒中病理机制的研究进展

    睡眠呼吸暂停综合症被定义为7 h 睡眠中呼吸暂停及低通气反复发作在30 次以上, 或呼吸紊乱指数( AHI) ≥5 次/h。由其引起的睡眠时反复发生的低氧血症和高碳酸血症, 不仅可导致呼吸系统的病理生理变化, 同时可引起循环系统、血液系统、内分泌系统及神经系统等一系列连锁反应, 亦可引起包括缺血性脑卒中在内的一些危及生命的危重症[ 1 ] 。缺血性脑卒中是指突然发生的脑组织局部供血动脉血流灌注减少或血流完全中断, 停止供血、供氧、供糖等, 使该局部脑组织崩解破坏。Basetti 等[ 2] 研究发现, 在脑卒中患者中, 阻塞性睡眠呼吸暂停综合征 ( OSAS) 的患病率为44% ~72% , 而在正常人群中仅为4% 。而Fischer 等[ 3 ] 发现OSAS 患者发生脑梗死的概率是无OSAS 的31 倍。一项大型的前瞻性流行病学研究显示, 在校正其他危险因素( 包括高血压) 后, OSAS患者发生脑卒中或出现死亡的危险度为1. 97( 95% CI 1. 12 ~3. 48, P = 0. 02) [ 4 ] 。Arzt 等[ 5] 对1475 例研究对象的研究结果显示, 在校正年龄、性别、体重指数( BMI) 、吸烟及饮酒史等因素的影响后, 有重度OSAS者( AHI gt; 20 次/h) 较无OSAS 者( AHI lt; 5 次/h) 脑卒中发生有明显差异( OR 4. 33; 95% CI 1. 32 ~14. 24, P = 0. 02) , 从而证实了睡眠呼吸暂停综合征为脑卒中发生的独立危险因素。但其发生发展的具体机制尚不完全清楚。从目前国内外的多项研究推测, 可能与下列因素有关。

    Release date:2016-09-13 03:51 Export PDF Favorites Scan
  • 中枢神经系统疾病基因治疗中的病毒载体应用

    Release date:2016-09-08 10:14 Export PDF Favorites Scan
  • A review of clinical trial registration and its application in neurology

    Clinical trial, an important research method, plays a crucial role in the development of medicine. It provides important decision support for medical workers. Medical research proposal should be posted at clinical trial registries. Researchers should update original data and research results, which contributes to data sharing. Clinical trial registration can avoid repetitive research and make clinical trials more transparent and standardized. This paper briefly introduces the clinical trial registration, including the definition, the significance, the history, the scope of registration, the organization of registration, and some common problems in the process of registration. Taking the application of clinical trial registration in the field of neurological research as an example, the article describes the current application status of clinical trial registration and explores it’s value and deficiency in specific clinical research, to provoke the awareness on trial registration, which can help to improve the quality of clinical trials.

    Release date:2018-06-26 08:57 Export PDF Favorites Scan
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  • Different wavelength krypton lasers in treatment of diabetic retinopathy

    Objective To investigate the therapeutic effect of different wavelength krypton lasers on diabetic retinopathy. Methods A total of 55 eyes (35 cases) with diabetic retinopathy underwent different wavelength k rypton lasers photocoagulation treatment, according to the different manifestati on of the affected eyes. The visual acuity, intraocular pressure,visual field,visual evoked potential were examined, and slit-lamp, ophthalmoscopy, Bultraso nography, and fundus fluorescein angiography were performed preoperatively. The patients were followed up for at least 12 months after krypton laser treatment. Results The resulting effect on visual acuity after 12 months of photocoagulation in this series revealed that, 20 eyes (36.4%) i mproved, 34 eyes (61.8%) remained no change, and one eye (1.8%) decreased. Conclusions Different wavelength krypton lasers photoco agulation can be used in treatment of diabetic retinopathy and can improve the visual acuity at certain extent. (Chin J Ocul Fundus Dis, 2001,17:178-180)

    Release date:2016-09-02 06:03 Export PDF Favorites Scan
  • 2023 美国癫痫学会年会荟萃报道(四)

    美国癫痫学会(American Epilepsy Society,AES)年会是每年一度国际癫痫学界及工业界最受关注的会议。本年度的AES年会自2023年12月1日在奥兰多召开,为期5天,讨论了目前最受关注的癫痫学术领域及重点突破。本系列文章将分为五期,分别对大会每日的精彩内容进行荟萃报道:本文对大会第四日学术议程的内容进行了整理汇总,重点内容包括癫痫基因治疗、神经影像、癫痫患者个体化治疗、停药指征与时机等。

    Release date:2024-03-07 01:49 Export PDF Favorites Scan
  • Training of medicine-engineering postgraduates: integrated thinking of China and west countries

    In the new era of development, countries in the world have realized the importance of cultivating interdisciplinary and innovative talents, and China is also paying more and more attention to the cultivation of medicine-engineering talents. Compared with the cultivation of single discipline postgraduates, the cultivation of medicine-engineering postgraduates involves effective integration of multiple disciplines, and its cultivation difficulty is greater. At present, China is still in the exploration stage of the medicine-engineering postgraduates training model. Therefore, this article intends to summarize the relatively mature and advanced medicine-engineering postgraduates training models at home and abroad, and extract experiences that are in line with China’s actual development, providing some suggestions for the establishment of postgraduates training systems of medicine-engineering interdisciplinary in China.

    Release date:2024-02-29 12:02 Export PDF Favorites Scan
  • 2023美国癫痫学会年会荟萃报道(二)

    美国癫痫学会(American Epilepsy Society,AES)年会是每年一度国际癫痫学界及工业界最受关注的会议。本年度的AES年会自2023年12月1日在奥兰多召开,为期5天,讨论了目前最受关注的癫痫学术领域及重点突破。本系列文章将分为五期,分别对大会每日的精彩内容进行荟萃报道:本文对大会第二日学术议程的内容进行了整理汇总,重点内容包括癫痫的基因治疗、表观遗传学治疗、细胞治疗、神经调控、网络成像等前沿诊疗技术的最新进展和未来展望。

    Release date:2024-03-07 01:49 Export PDF Favorites Scan
  • Analysis of hypertension-related clinical trial registration in China based on ClinicalTrials.gov and Chinese Clinical Trial Registry database

    ObjectiveTo investigate the domestic and abroad hypertension-related clinical trial registration and to analyze the registration of hypertension-related clinical researches in China.MethodsUsing hypertension as the keyword, we searched ClinicalTrials.gov and Chinese Clinical Trial Registry (ChiCTR) from January 2008 to December 2018. We analyzed the collected data on the distribution of registered clinical researches, annual trends, sample sizes, trial progress, research types, study designs, blind methods, clinical stages, the number of participating institutions, the leading institutions, etc.ResultsThe total number of registered hypertension-related clinical trails was 4 991 all over the world, and 551 items were conducted in China. Most of the sample sizes of Chinese hypertension-related clinical trials were 100 to 999. The main types of trials were interventional studies (393 items, 71.32%), followed by observational studies (126 items, 22.87%). Randomized parallel control studies (300 items, 76.34%) were the key component of interventional studies, while cohort studies (61 items, 48.41%) were the chief component of observational studies. The main stages of clinical trials were stage Ⅲ (80 items) and stage Ⅳ (122 items). There were 369 domestic single-center clinical trials (66.97%), 89 domestic multi-center clinical trials (16.15%), and 93 international multi-center clinical trials (16.88%). Among the 93 international multi-center trials of hypertension, only 25 were led by China.ConclusionsThe number of Chinese hypertension-related clinical trial registrations increased year by year and then decreased slightly, but the amount of registrations is limited. The quantity and scale of multicenter clinical studies were not as good as America. China should strengthen the awareness of clinical research registration, strengthen the publicity and supervision of the registration of clinical researches by the department of science and management, improve the number of clinical trial registrations, make Chinese clinical researches more transparent, and strive to lead more international multi-center clinical trials.

    Release date:2019-04-22 04:14 Export PDF Favorites Scan
  • 中心性渗出性脉络膜视网膜病变中心外视力患者光相干断层扫描检查

    Release date:2016-09-02 05:48 Export PDF Favorites Scan
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