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Clinical practice guideline for transurethral plasmakinetic resection of prostate for benign prostatic hyperplasia(2021 Edition)

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military medical Research 2022年第5期9卷 515-533页

作者： Xian-Tao Zeng Ying-Hui Jin Tong-Zu Liu Fang-Ming Chen De-Gang Ding Meng Fu Xin-Quan Gu Bang-Min Han Xing Huang Zhi Hou Wan-Li Hu Xin-Li Kang Gong-Hui Li Jian-Xing Li Pei-Jun Li Chao-Zhao Liang Xiu-Heng Liu Zhi-Yu Liu Chun-Xiao Liu Jiu-Min Liu Guang-Heng Luo Yi Luo Wei-Jun Qin Jian-Hong Qiu Jian-Xin Qiu Xue-Jun Shang Ben-Kang Shi Fa Sun Guo-Xiang Tian Ye Tian Feng Wang Feng Wang Yin-Huai Wang Yu-Jie Wang Zhi-Ping Wang Zhong Wang Qiang Wei Min-Hui Xiao Wan-Hai Xu Fa-Xian Yi Chao-Yang Zhu Qian-Yuan Zhuang Li-Qun Zhou Xiao-Feng Zou Nian-Zeng Xing Da-Lin He Xing-Huan Wang 无 department of Urology Institute of UrologyZhongnan Hospital of Wuhan UniversityWuhan430071China Center for Evidence-Based and Translational Medicine Zhongnan Hospital of Wuhan UniversityWuhan430071China department of Urology Tianjin Third Central Hospital Affiliated To Nankai UniversityTianjin300170China department of Urology Henan Provincial People’s HospitalZhengzhou University People’s HospitalZhengzhou450003China department of Urology Beijing Tsinghua Changgung HospitalSchool of Clinical MedicineTsinghua UniversityBeijing102218China department of Urology China-Japan Union Hospital of Jilin UniversityChangchun130033China department of Urology Shanghai General HospitalShanghai Jiao Tong University School of MedicineShanghai200080China department of Urology Qinghai University Affiliated HospitalXi’ning810012China department of Urology People’s Hospital of Hainan ProvinceHainan Affiliated Hospital of Hainan Medical University HaikouHaikou570311China department of Urology Sir Run Run Shaw HospitalZhejiang University School of MedicineHangzhou310016China department of Urology General Hospital of Ningxia Medical UniversityYinchuan750003China department of Urology The First Affiliated Hospital of Anhui Medical UniversityHefei230022China department of Urology Renmin Hospital of Wuhan UniversityWuhan430060China department of Urology The Second Hospital of Dalian Medical UniversityDalian116023LiaoningChina department of Urology Zhujiang Hospital of Southern Medical UniversityGuangzhou510282China department of Urology Guangdong Provincial People’s HospitalGuangdong Academy of Medical SciencesGuangzhou510080China department of Urology surgery Guizhou Province People’s HospitalGuiyang550002China department of Urology Xijing Hospital of Air Force Military Medical UniversityXi’an710032China department of Urology The 980St Hospital of the PLA Joint Logistics Support Force(Bethune International Peace Hospital of PLA)Shijiazhuang050082China department of Urology

Benign prostatic hyperplasia (BPH) is highly prevalent among older men, impacting on their quality of life, sexual function, and genitourinary health, and has become an important global burden of disease. Transurethral plasmakinetic resection of prostate (TUPKP) is one of the foremost surgical procedures for the treatment of BPH. It has become well established in clinical practice with good efficacy and safety. In 2018, we issued the guideline “2018 Standard Edition”. However much new direct evidence has now emerged and this may change some of previous recommendations. The time is ripe to develop new evidence-based guidelines, so we formed a working group of clinical experts and methodologists. The steering group members posed 31 questions relevant to the management of TUPKP for BPH covering the following areas: questions relevant to the perioperative period (preoperative, intraoperative, and postoperative) of TUPKP in the treatment of BPH, postoperative complications and the level of surgeons’ surgical skill. We searched the literature for direct evidence on the management of TUPKP for BPH, and assessed its certainty generated recommendations using the grade criteria by the European Association of Urology. Recommendations were either strong or weak, or in the form of an ungraded consensus-based statement. Finally, we issued 36 statements. Among them, 23 carried strong recommendations, and 13 carried weak recommendations for the stated procedure. They covered questions relevant to the aforementioned three areas. The preoperative period for TUPKP in the treatment of BPH included indications and contraindications for TUPKP, precautions for preoperative preparation in patients with renal impairment and urinary tract infection due to urinary retention, and preoperative prophylactic use of antibiotics. Questions relevant to the intraoperative period incorporated surgical operation techniques and prevention and management of bladder explosion. The application to different

关键词： Transurethral plasmakinetic resection of prostate Benign prostatic hyperplasia Recommendation Treatment Guideline

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基于临床操作技能中心加强研究生的培养

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解放军医院管理杂志 2017年第6期24卷 589-591页

作者：冯娇娇李群冷峰第二军医大学政治部上海200433 第二军医大学训练部上海200433 第二军医大学附属长征医院医教部上海200003

随着医疗卫生体制改革的深入,医学生动手能力的培养受到重视,临床操作技能的培训成为新的研究热点,但是关于临床操作技能中心的管理研究起步较晚,研究成果相对较少。在现代教育技术引领教学模式变革的时代,更好、更有效地发挥现代教育... 详细信息

随着医疗卫生体制改革的深入,医学生动手能力的培养受到重视,临床操作技能的培训成为新的研究热点,但是关于临床操作技能中心的管理研究起步较晚,研究成果相对较少。在现代教育技术引领教学模式变革的时代,更好、更有效地发挥现代教育技术的作用是时代发展需要解决的实践研究课题。该研究以临床操作技能中心日常运行管理中存在的问题为主要出发点,通过提出"临床技能训练超市"的管理设想,深入研究,并以医院研究生为研究主体,不断实践,改进管理方式,采取开放、灵活的临床操作技能中心管理策略。文章通过探讨临床操作技能中心的管理经验,提高医学生临床操作技能的培训效果。

关键词：医院管理临床操作技能中心医学生培养

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直肠癌术前／术后适形／调强放疗靶区勾画共识与图谱

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中华放射肿瘤学杂志 2018年第3期27卷 227-234页

作者：无唐源金晶朱远刘士新袁响林王文玲王小虎章真田野高远红张红雁蔡勇依荷芭丽·迟蒋力明刘正文碧秀张大昕于大海吴君心林少民石梅李晔雄中国医师协会结直肠肿瘤专委会放疗专委会中华医学会放射肿瘤治疗学分会国家癌症中心/中国医学科学院北京协和医学院肿瘤医院放疗科北京100021 国家癌症中心/中国医学科学院北京协和医学院肿瘤医院内科北京100021 国家癌症中心/中国医学科学院北京协和医学院肿瘤医院影像诊断科北京100021 国家癌症中心/中国医学科学院北京协和医学院肿瘤医院结直肠外科北京100021 浙江省肿瘤医院放疗科吉林省肿瘤医院放疗科华中科技大学同济医学院同济医院肿瘤科贵州省肿瘤医院放疗科不详复旦大学附属肿瘤医院放疗科苏州大学附属第二医院放疗科中山大学肿瘤防治中心放疗科安徽省立医院放疗科北京大学肿瘤医院放疗科中山大学附属第一医院放疗科哈尔滨医科大学附属第一医院放疗科江苏省中医院放疗科福建省肿瘤医院放疗科海南省人民医院放疗科第四军医大学西京医院放疗科

目的在三维放疗时代，为直肠癌术前／术后放疗制定靶区勾画的中国专家共识，并辅以高分辨率图谱。方法收集直肠癌放疗靶区勾画的国际指南，结合国内肿瘤中心的经验，起草“直肠癌术前／术后适形调强放疗靶区勾画共识与图谱”。在“中国... 详细信息

目的在三维放疗时代，为直肠癌术前／术后放疗制定靶区勾画的中国专家共识，并辅以高分辨率图谱。方法收集直肠癌放疗靶区勾画的国际指南，结合国内肿瘤中心的经验，起草“直肠癌术前／术后适形调强放疗靶区勾画共识与图谱”。在“中国医师协会结直肠肿瘤专委会放疗专委会”集中会议上进行讨论及投票，由专门的执行小组对最终的结果进行归纳。结果主要针对直肠癌放疗的定位技术、术前放疗靶区定义、根治术后放疗靶区定义、OAR定义、剂量和分割等方面，根据证据的强弱和专家意见一致的程度，给予分级推荐；同时在高分辨率CT上提供了CTV的图示。结论为直肠癌放疗提供中国专家共识，规范直肠癌放疗流程，减少不同单位或不同医生之间勾画的差异。

关键词：直肠肿瘤/放射疗法靶区勾画三维放疗技术

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Validation and evaluation of clinical prediction systems for first and repeated transarterial chemoembolization in unresectable hepatocellular carcinoma: A Chinese multicenter retrospective study

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World Journal of Gastroenterology 2020年第6期26卷 657-669页

作者： Zhe-Xuan Wang En-Xin Wang Wei Bai Dong-Dong Xia Wei Mu Jing Li Qiao-Yi Yang Ming Huang Guo-Hui Xu Jun-Hui Sun Hai-Liang Li Hui Zhao Jian-Bing Wu Shu-Fa Yang Jia-Ping Li Zi-Xiang Li Chun-Qing Zhang Xiao-Li Zhu Yan-Bo Zheng Qiu-He Wang Jing Li Jie Yuan Xiao-Mei Li Jing Niu Zhan-Xin Yin Jie-Lai Xia Dai-Ming Fan Guo-Hong Han china HCC-TACE Study Group department of Liver Disease and Digestive Interventional Radiology National Clinical Research Center for Digestive Diseases and Xijing Hospital of Digestive DiseasesFourth Military Medical UniversityXi’an 710032Shaanxi ProvinceChina department of Radiology the Southwest HospitalThird Military Medical UniversityChongqing 400037China department of hepatobiliary surgery the Second Affiliated Hospital of Third Military Medical UniversityChongqing 400037China department of Minimally Invasive International Therapy the Third Affiliated Hospital of Kunming UniversityTumor Hospital of Yunnan ProvinceKunming 650000Yunnan ProvinceChina department of Interventional Radiology Tumor Hospital of Sichuan ProvinceChengdu 610000Sichuan ProvinceChina department of hepatobiliary and Pancreatic Interventional Cancer the First Affiliated HospitalSchool of MedicineZhejiang UniversityHangzhou 310003Zhejiang ProvinceChina department of Interventional Radiology Henan Cancer Hospitalthe Affiliated Cancer Hospital of Zhengzhou UniversityZhengzhou 450008Henan ProvinceChina department of Interventional Radiology the Affiliated Hospital of Nantong UniversityNantong 226001Jiangsu ProvinceChina department of Oncology the Second Affiliated Hospital of Nanchang UniversityNanchang 330000Jiangxi ProvinceChina department of Interventional Radiology the Affiliated Tumor Hospital of Xinjiang Medical UniversityUrumqi 830001Xinjiang Uygur Autonomous RegionChina department of Interventional Radiology the First Affiliated Hospital of Sun Yatsen UniversityGuangzhou 510080Guangdong ProvinceChina department of Interventional medical Center the Affiliated Hospital of Qingdao UniversityQingdao 266000Shandong ProvinceChina department of Gastroenterology and Hepatology Shandong Province Hospital affiliated to Shandong UniversityJinan 250021Shandong ProvinceChina department of Interventional Radiology The First Affiliated Hospital of Soochow UniversitySuzhou 215006Jiangsu ProvinceChina department of Interventional Radi

BACKGROUND The treatment outcome of transarterial chemoembolization(TACE)in unresectable hepatocellular carcinoma(HCC)varies greatly due to the clinical heterogeneity of the ***,several prognostic systems have been proposed for risk stratification and candidate identification for first TACE and repeated TACE(re-TACE).AIM To investigate the correlations between prognostic systems and radiological response,compare the predictive abilities,and integrate them in sequence for outcome *** This nationwide multicenter retrospective cohort consisted of 1107 unresectable HCC patients in 15 Chinese tertiary hospitals from January 2010 to May *** Hepatoma Arterial-embolization Prognostic(HAP)score system and its modified versions(mHAP,mHAP2 and mHAP3),as well as the six-and-twelve criteria were compared in terms of their correlations with radiological response and overall survival(OS)prediction for first *** same analyses were conducted in 912 patients receiving re-TACE to evaluate the ART(assessment for re-treatment with TACE)and ABCR(alpha-fetoprotein,Barcelona Clinic Liver Cancer,Child-Pugh and Response)systems for post re-TACE survival(PRTS).RESULTS All the prognostic systems were correlated with radiological response achieved by first TACE,and the six-and-twelve criteria exhibited the highest correlation(Spearman R=0.39,P=0.026)and consistency(Kappa=0.14,P=0.019),with optimal performance by area under the receiver operating characteristic curve of 0.71[95%confidence interval(CI):0.68-0.74].With regard to the prediction of OS,the mHAP3 system identified patients with a favorable outcome with the highest concordance(C)-index of 0.60(95%CI:0.57-0.62)and the best area under the receiver operating characteristic curve at any time point during follow-up;whereas,PRTS was well-predicted by the ABCR system with a C-index of 0.61(95%CI:0.59-0.63),rather than ***,combining the mHAP3 and ABCR systems identified candidates suitable for TA

关键词： Transarterial chemoembolization Hepatocellular carcinoma Prognostic system Radiological response Overall survival Predictive ability

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Unsatisfying antiviral therapeutic effect in patients with mother-tochild transmissed chronic hepatitis B virus infection: a prospective multi-center clinical study

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Chinese medical Journal 2019年第22期132卷 2647-2656页

作者： Jun Li Xiao-Qin Dong Zhao Wu An-Lin Ma Shi-Bin Xie Xu-Qing Zhang Zhan-Qing Zhang Da-Zhi Zhang Wei-Feng Zhao Guo Zhang Jun Cheng Qing Xie Jun Li Zhi-Qiang Zou Ying-Xia Liu Gui-Qiang Wang Hong Zhao china Hepatitis B Related Fibrosis Assessment Research Group department of Infectious Diseases Center for Liver DiseasePeking University First HospitalBeijing 100034China department of Infectious Diseases Tongji Hospital of Tongji Medical CollegeHuazhong University of Science and TechnologyWuhanHubei 430030China department of Infectious Diseases China-Japan Friendship HospitalBeijing 100029China department of Infectious Diseases The Third Affiliated Hospital Sun Yat-Sen UniversityGuangzhouGuangdong 510000China department of Infectious Diseases South West Hospital Affiliated to Third Military Medical UniversityChongqing 400038China department of Hepatology Shanghai Public Health Clinical CenterFudan UniversityShanghai 200083China department of Infectious Diseases Second Affiliated Hospital of Chongqing Medical UniversityChongqing 404000China department of Infectious Diseases Xinxiang Medical University Third HospitalXinxiangHenan 453003China department of Infectious Diseases The People's Hospital of Guangxi Zhuang Autonomous RegionNanningGuangxi 530021China department of Infectious Diseases Di Tan Hospital Affiliated to Capital Medical UniversityBeijing 100015China department of Infectious Diseases Rui Jin HospitalShanghai Jiao Tong University School of MedicineShanghai 200090China department of Infectious Diseases The First Affiliated Hospital of Nanjing Medical UniversityNanjingJiangsu 211166China department of Infectious Diseases Yantai City Hospital for Infectious DiseaseYantaiShandong 264001China Shenzhen Key Laboratory of Pathogen and Immunity State Key Discipline of Infectious DiseaseShenzhen Third People's HospitalShenzhenGuangdong 518034China The Collaborative Innovation Center for Diagnosis and Treatment of Infectious Diseases Zhejiang UniversityHangzhouZhejiang 310085China department of Infectious Diseases Peking University International HospitalBeijing 102206China 不详

Background:Few data are available regarding the progression of liver disease and therapeutic efficacy in chronic hepatitis B(HBV)carriers infected by mother-to-child transmission(MTCT).This study aimed to investigate these two aspects by comparing the adult chronic HBV carriers in MTCT group with those in horizontal transmission ***:The 683 adult chronic HBV patients qualified for liver biopsy including 191 with MTCT and 492 with horizontal transmission entered the multi-center prospective study from October 2013 to May *** results from 217 patients at baseline and 78 weeks post antiviral therapy were ***:Patients infected by MTCT were more likely to have e antigen positive(68.6%vs.58.2%,x^2=-2.491,P=0.012)than those with horizontal ***,in patients with MTCT,levels of alkaline phosphatase(ALP)(P=0.031),Fibroscan(P=0.013),N-terminal propeptide of Type III procollagen(PIIINP)(P=0.014),and Laminin(LN)(P=0.006)were high,in contrast to the patients with horizontal transmission for whom the levels of albumin(ALB)(P=0.041),matrix metalloproteinase-3(MMP-3)(P=0.001)were *** 47.2% of patients with MTCT and 36.8%of those with horizontal transmission had significant liver fibrosis(P=0.013).Following antiviral therapy for 78 weeks,21.2%and 38.0%patients with MTCT and horizontal transmission acquired hepatitis B e antigen(HBeAg)clearance,respectively(P=0.043),and the virological response rates were 54.7%and 74.1%in the MTCT and horizontal groups,respectively(P=0.005).MTCT was a risk factor for HBeAg clearance and virological ***:Adult patients with MTCT were more prone to severe liver diseases,and the therapeutic efficacy was relatively poor,which underlined the importance of earlier,long-term treatment and interrupting perinatal transmission.

关键词： Chronic Hepatitis B virus infection Horizontal transmission Mother-to-child transmission Progression of disease Therapeutic efficacy

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食管鳞癌术后随访中国胸外科专家共识

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中国胸心血管外科临床杂志 2022年第2期29卷 141-149页

作者：陈龙奇李小飞傅剑华赵松李印毛友生柳硕岩于振涛谭黎杰李辉韩泳涛陈椿康明强胡坚李志刚李鹤成张仁泉徐世东张临友蔡开灿中国医师协会胸外科医师分会中国医药教育协会胸外科专业委员会四川大学华西医院胸外科成都610041 空军军医大学唐都医院胸外科西安710038 中山大学肿瘤防治中心胸外科广州510060 郑州大学第一附属医院胸外科郑州450052 中国医学科学院肿瘤医院胸外科北京100021 福建省肿瘤医院胸外科福州350014 中国医学科学院肿瘤医院深圳医院胸外科广东深圳518116 复旦大学附属中山医院胸外科上海200032 首都医科大学附属北京朝阳医院胸外科北京100020 电子科技大学附属肿瘤医院(四川省肿瘤医院)胸外科成都610041 福建医科大学附属协和医院胸外科福州350001 浙江大学医学院附属第一医院普胸外科杭州310003 上海市胸科医院胸外科上海200030 上海交通大学医学院附属瑞金医院胸外科上海200025 安徽医科大学第一附属医院胸外科合肥230022 哈尔滨医科大学附属肿瘤医院胸外科哈尔滨150081 哈尔滨医科大学附属第二医院胸外科哈尔滨150081 南方医科大学南方医院胸外科广州510515 不详

外科手术是食管鳞癌最重要的治疗手段之一,术后随访是早期发现和治疗复发转移的有效方法,可提高患者的生活质量,改善预后。本共识旨在完善我国的食管鳞癌术后随访方案,为规范随访提供参考,进一步提高我国食管癌规范化诊疗水平。

关键词：食管鳞癌术后随访专家共识

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慢性阻塞性肺疾病胸部CT检查及评价中国专家共识

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中华放射学杂志 2023年第6期57卷 600-607页

作者：中华医学会放射学分会心胸学组郑敏郭佑民刘士远范丽刘敏金晨望不详文空军军医大学西京医院放射诊断科西安710032 西安交通大学第一附属医院医学影像科西安710061 海军军医大学第二附属医院放射诊断科上海200003 中日友好医院放射诊断科

慢性阻塞性肺疾病(COPD)是全球关注的重大公共卫生问题,近年来胸部CT评价COPD的研究发展迅速,但缺乏一致性认识。为此,中华医学会放射学分会牵头组织心胸学组专家,参考国际COPD的诊疗现状,结合我国胸部CT临床实践,经反复讨论形成以下共... 详细信息

慢性阻塞性肺疾病(COPD)是全球关注的重大公共卫生问题,近年来胸部CT评价COPD的研究发展迅速,但缺乏一致性认识。为此,中华医学会放射学分会牵头组织心胸学组专家,参考国际COPD的诊疗现状,结合我国胸部CT临床实践,经反复讨论形成以下共识,包括COPD临床诊断,胸部CT检查前准备及扫描方案,胸部CT定性、定量、功能评价,COPD急性加重及合并症的胸部CT评价以及胸部CT结构化报告。

关键词：肺疾病,慢性阻塞性体层摄影术,X线计算机专家共识

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院前适度低压复苏对严重创伤出血患者器官功能保护作用观察

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创伤外科杂志 2018年第8期20卷 595-599页

作者：李涛胡平胡弋刘良明陆军军医大学大坪医院野战外科研究所第二研究室重庆400042 重庆市急救医疗中心创伤科重庆400014 陆军军医大学大坪医院麻醉科重庆400042

目的观察严重创伤患者院前允许性低压复苏的效果。方法采用前瞻性研究,对在重庆市急救医疗中心和陆军军医大学大坪医院急救部收治的63例严重创伤患者(ISS 16~25),根据随机数字表法分为常压复苏组(MAP 80mm Hg,38例)和低压复苏组(MAP 60m... 详细信息

目的观察严重创伤患者院前允许性低压复苏的效果。方法采用前瞻性研究,对在重庆市急救医疗中心和陆军军医大学大坪医院急救部收治的63例严重创伤患者(ISS 16~25),根据随机数字表法分为常压复苏组(MAP 80mm Hg,38例)和低压复苏组(MAP 60mm Hg,25例)。其中男性46例,女性17例;道路交通伤52例,刀刺伤7例,坠落伤4例。观察止血前分别采用常压复苏或低压复苏处理对患者输血输液量、血流动力学、血气、凝血功能以及器官功能的影响。结果与常压复苏组相比,手术止血前低压复苏可降低患者运输和手术过程中的输血、输液量,增加血球压积,稳定血流动力学参数和改善氧饱和度,常压复苏组的输液量、术中输液量和术中输血量分别为1 643、3 526和361m L,低压组分别为543、1 801和201m L(P32.3%,显著高于常压组(24.1%,P<0.01);同时低压复苏组患者的器官功能(肝、肾)和凝血功能明显优于常压复苏组。结论适度低压复苏可保护严重创伤患者的器官功能,MAP60mm Hg是较理想的目标复苏压力。

关键词：创伤复苏压力液体复苏出血控制

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急性心肌梗死患者康复前后IL-10、TNF-α及瘦素的变化

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临床心血管病杂志 2018年第3期34卷 259-263页

作者：徐梦云肖成秦鼐李颖张旭睿王先梅成都军区昆明总医院心内科昆明650032 昆明医科大学成都军区昆明总医院临床学院昆明医科大学第二附属医院检验科

目的:通过对经皮冠状动脉介入治疗(PCI)后的急性心肌梗死(AMI)伴心功能不全的患者行个体化的康复训练,检测患者康复训练前后IL-10、肿瘤坏死因子α(TNF-α)及瘦素(LEP)的变化。研究康复训练对IL-10、TNF-α及LEP的影响。方法:选取2016年... 详细信息

目的:通过对经皮冠状动脉介入治疗(PCI)后的急性心肌梗死(AMI)伴心功能不全的患者行个体化的康复训练,检测患者康复训练前后IL-10、肿瘤坏死因子α(TNF-α)及瘦素(LEP)的变化。研究康复训练对IL-10、TNF-α及LEP的影响。方法:选取2016年7—9月于成都军区昆明总医院收治的100例在发病24h内行PCI术的AMI伴心功能不全患者,随机将患者分为康复组和对照组(各50例),剔除部分未按时随访患者的数据后,共67例纳入研究,其中康复组35例,对照组32例。康复组进行康复训练,对照组不进行运动干预。分别检测2组患者入院后24h内、出院后1个月、出院后3个月的IL-10、TNF-α及LEP的变化。结果:(1)患者出院后1、3个月时,康复组的左室射血分数和B型脑钠肽水平与对照组比较差异有统计学意义(P3个月时,康复组与对照组的IL-10、TNF-α、LEP水平比较,差异有统计学意义(P3)IL-10、TNF-α、LEP参与了AMI伴心功能不全患者PCI术后的炎症反应。

关键词：急性心肌梗死康复训练白细胞介素-10 肿瘤坏死因子-α 瘦素

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Consensus on Treatment of Acne Scars in china(2021)

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International Journal of Dermatology and Venereology 2022年第3期5卷 121-131页

作者：无 Sen Yang Zhong Lu Tong Lin Guo-Yu Zhou Min Yao Yi Liu Rong-Ya Yang Zhi-Fei Liu Yuan-Hong Li Dong-Ni Li Xiao-Dong Chen Shu-Xian Yan Lin Gao Qiu-Ning Sun Hong Cai Yan-Hua Liang Rong Xiao Xiao-Ming Jia Jin Chen Jing-Long Cai Cai-Xia Tu Laser Cosmetology Group Medical Aesthetics and Cosmetology Branch of Chinese Medical Association Cosmetic Laser Group Chinese Society of Dermatology Laser Group Cosmetic and Plastic Surgeon Branch of Chinese Medical Doctor Association department of Dermatology The First Affiliated Hospital of Anhui Medical UniversityHefeiAnhui 230022China department of Dermatology Huashan HospitalFudan UniversityShanghai 200040China department of Cosmetic Laser surgery Hospital of DermatologyChinese Academy of Medical SciencesNanjingJiangsu 210042China department of Oral and Maxillofacial-Head Neck Oncology Department of Laser and Aesthetic MedicineShanghai Ninth People's HospitalCollege of StomatologyShanghai Jiao Tong University School of MedicineShanghai 200011China department of Plastic surgery Shanghai Ninth People's HospitalShanghai Jiao Tong University School of MedicineShanghai 200011China Institute of Dermatology Chinese Academy of Medical SciencesNanjingJiangsu 210042China department of Dermatology The Seventh Medical Center of PLA General Hospital(PLA Army General Hospital)Beijing 100700China department of Plastic surgery Peking Union Medical College HospitalChinese Academy of Medical Science and Peking Union Medical CollegeBeijing 100730China department of Dermatology The First Affiliated Hospital of China Medical UniversityShenyangLiaoning 110002China department of Plastic and Reconstructive surgery Guangdong Second Provincial General HospitalGuangzhouGuangdong 510317China department of Dermatology Affiliated Hospital of Nantong UniversityNantongJiangsu 226006China department of Dermatology Xijing HospitalThe Fourth Military Medical UniversityXi’anShaanxi 710032China department of Dermatology Peking Union Medical College HospitalChinese Academy of Medical Science and Peking Union Medical CollegeBeijing 100730China department of Dermatology The Air Force General Hospital of PLABeijing 100142China department of Dermatology Cosmetology and VenereologyShenzhen HospitalSouther

Acne scars are caused by inflammatory reactions,infections,and improper handling of acne *** scars have a high incidence and are difficult to *** are many methods currently used to treat acne scars,including medications,photoelectric technology,surgery,filling,chemical peeling,traditional Chinese medicine,biotherapy,and microneedle therapy,and many new methods are constantly ***,there are still many issues,such as the lack of high-quality clinical studies,non-uniform treatment methods,and unsatisfactory therapeutic *** selection of appropriate methods for the comprehensive treatment of different types of acne scars at different stages in clinical practice remains challenging and is a research topic of great *** the perspective of evidence-based medicine,this consensus aims to provide a reference for the treatment of acne scars in clinical practice.

关键词： acne vulgaris cicatrix practice guideline therapy

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