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Prostate health index can stratify patients with Prostate Imaging Reporting and Data System score 3 lesions on magnetic resonance imaging to reduce prostate biopsies

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Asian Journal of Andrology 2024年第1期26卷 20-24页

作者： John Shung-Lai Leung Wai-kit Ma Brian Sze-Ho Ho Stacia Tsun-Tsun Chun Rong na Yongle Zhan Chi-Yuen ng Chi-Ho Ip Ada Tsui-Lin ng Yiu-Chung Lam Division of Urology Department of SurgeryQueen Mary HospitalUniversity of Hong KongHong KongChina Division of Urology Department of SurgeryPrincess Margaret HospitalHongKongChina

We aim to evaluate prostate health index as an additional risk-stratification tool in patients with Prostate Imaging Reporting and Data System score 3 lesions on multiparametric magnetic resonance *** with biochemical or clinical suspicion of having prostate cancer who underwent multiparametric magnetic resonance imaging in two tertiary centers(Queen Mary Hospital and Princess Margaret Hospital,Hong k.ng,China)between January 2017 and June 2022 were ***-magnetic resonance imaging fusion biopsies were performed after prostate health index *** who only had Prostate Imaging Reporting and Data System score 3 lesions were further stratified into four prostate health index risk groups and the cancer detection rates were *** of the 747 patients,47.3%had Prostate Imaging Reporting and Data System score 3 lesions *** detection rate of clinically significant prostate cancer in this group was 15.0%.The cancer detection rates of clinically significant prostate cancer had statistically significant differences:5.3%in prostate health indexng the patients,26.9%could have avoided a biopsy with a prostate health indexk of missing clinically significant prostate *** health index could be used as an additional risk stratification tool for patients with Prostate Imaging Reporting and Data System score 3 *** could be avoided in patients with low prostate health index,with a small risk of missing clinically significant prostate cancer.

关键词： biopsy fusion biopsy magnetic resonance imaging prostate cancer prostate health index

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Predictive effect of lipopolysaccharide-stimulated inflammatory cytokines on symptoms of generalized anxiety disorder

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World Journal of Psychiatry 2024年第9期14卷 1308-1318页

作者： Wen-Yuan Wang na Liu Xiao-Xiao Qi Bing Han Jing-na Sun Zheng-Li Chen Ming-Wei Wang Yan-Yong Wang Department of Neurology The First Hospital of Hebei Medical UniversityShijiazhuang 050000Hebei ProvinceChina Department of Neurology Hebei HospitalXuanwu HospitalCapital Medical UniversityShijiazhuang 050000Hebei ProvinceChina Department of Neurological Examination at Treatment Center The First Hospital of Hebei Medical UniversityShijiazhuang 050000Hebei ProvinceChina Department of Clinical Laboratory The First Hospital of Hebei Medical UniversityShijiazhuang 050000Hebei ProvinceChina

BACkGROUND Generalized anxiety disorder(GAD)is a relatively common mental ***,inflammation,an important factor for the development of depression,has attracted increasing *** studies have shown that inflammatory cytokines can affect the pathophysiological processes of several nervous system *** hypothesized that there is a correlation between the levels of lipopolysaccharide(LPS)-stimulated inflammatory cytokines and the clinical symptoms of *** To investigate the predictive effect of LPS-stimulated inflammatory cytokines on symptoms of *** This was a cross-sectional study in which 89 patients with GAD diagnosed at The First Hospital of Hebei Medical University from January 2022 to December 2022 and 70 individuals without anxiety and depression(controls)during the same period were *** venous blood was collected from all the subjects in heparin tubes,and another 3 ml of blood was supplemented with LPS(10 ng/ml).The plasma levels of 12 cytokines[Interleukin(IL)-1β,IL-2,IL-4,IL-5,IL-6,IL-8,IL-10,tumor necrosis factor(TNF)-α,interferon(IFN)-γ,IL-17A,IL-12p70,and IFN-α]were *** Post-LPS stimulation,the levels of IL-1β,IL-6,IL-8,IL-10,and TNF-αin both the control and GAD groups were significantly elevated above those in the nonstimulated groups,with IL-6 and IL-8 showing marked *** in IL-8 and TNF-αwere statistically significant in the GAD group(Png Scale(HAMA)scores(Pnalysis revealed that TNF-αwas associated with mental anxiety,whereas IL-1β,IL-8,and IL-10 were associated with physical anxiety symptoms,with IL-10 showing a negative correlation with physical ***-6 was associated with both mental and physical aspects of *** The physical symptoms of GAD are related to infla

关键词： Lipopolysaccharide Cytokine Generalized anxiety disorder Inflammatory cytokines Anxiety

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Fate of organophosphate esters from the Northwestern Pacific to the Southern Ocean:Occurrence,distribution,and fugacity model simulation

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Journal of Environmental Sciences 2024年第3期137卷 347-357页

作者： Tengda Shi Ruijing Li Jie Fu Chao Hou Hui Gao Guanjie Cheng Haibo Zhang Shuaichen Jin Liang k.ng Guangshui na College of Marine Technology and Environment Dalian Ocean UniversityDalian 116023China Laboratory for coastal marine eco-environment process and carbon sink of Hainan province/Yazhou Bay Innovation Institute Hainan Tropical Ocean UniversitySanya 572022China national Marine Environmental Monitoring Center Dalian 116023China College of Marine Ecology and Environment Shanghai Ocean UniversityShanghai 201306China NCS Testing Technology Co. Ltd.Beijing 10081China

Eleven organophosphate esters(OPEs)in the air and seawater were investigated from the northwestern Pacific Ocean to the Southern Ocean during the 2018 Chinese 34th Antarctic Scientific *** concentration of total OPEs ranged from 164.82 to 3501.79 pg/m~3in air and from 4.54 to 70.09 ng/L in *** halogenated OPEs,tri(chloropropyl)phosphate(TCPP)and tri(2-chloroethyl)phosphate(TCEP),were generally more abundant than the non-halogenated OPEs.A levelⅢfugacity model was developed to simulate the transfer and fate of seven OPEs in the air and seawater regions of the central Ross *** model results indicate that OPEs are transferred from the air to the seawater in the central Ross Sea in summer,during which the Ross Sea acts as a final OPE *** and wet deposition dominated the processes involving OPE transfer to *** OPE degradation process was also found to be more pervasive in the atmosphere than in the seawater *** findings highlights the importance of long-range transport of OPEs and their air–seawater interface behavior in the Antarctic.

关键词： Organophosphate esters(OPEs) Long-range transport Fugacity model Antarctic Fate

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Evaluating serum CXCL12,sCD22,Lp-PLA2 levels and ratios as biomarkers for diagnosis of Alzheimer's disease

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World Journal of Psychiatry 2024年第3期14卷 380-387页

作者： Zeng-Ling Liu Fei-Fei Hua Lei Qu na Yan Hui-Fang Zhang Department of Neurology Dongying People's HospitalDongying 257000Shandong ProvinceChina

BACkGROUND Grasping the underlying mechanisms of Alzheimer's disease(AD)is still a work in progress,and existing diagnostic techniques encounter various ***,the discovery of dependable biomarkers is essential for early detection,track.ng the disease's advancement,and steering treatment *** To explore the diagnostic potential of serum CXCL12,sCD22,Lp-PLA2,and their ratios in AD,aiming to enhance early detection and inform targeted treatment *** The study was conducted in Dongying people's Hospital from January 2021 to December *** included 60 AD patients(AD group)and 60 healthy people(control group).Using a prospective case-control design,the levels of CXCL12,sCD22 and Lp-PLA2 and their ratios were detected by enzyme-linked immunosorbent assay kit in the diagnosis of *** differences between the two groups were analyzed by statistical methods,and the corresponding ratio was constructed to improve the specificity and sensitivity of *** Serum CXCL12 levels were higher in the AD group(47.2±8.5 ng/mL)than the control group(32.8±5.7 ng/mL,Png/mL vs 18.9±3.4 ng/mL,Png/mL vs 89.7±15.2 ng/mL,Png characteristic analysis confirmed high sensitivity and specificity of these markers and their ratios in distinguishing AD,with area under the curves ranging from CONCLUSION Serum CXCL12 and Lp-PLA2 levels were significantly increased,while sCD22 were significantly decreased,as well as increases in the ratios of CXCL12/sCD22 and Lp-PLA2/sCD22,are closely related to the onset of *** biomarkers and their ratios can be used as potential diagnostic indicators for AD,providing an important clinical reference for early intervention and treatment.

关键词： Alzheimer's disease Biomarkers CXCL12 sCD22 Lp-PLA2

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MicroRna-630 alleviates inflammatory reactions in rats with diabetic kidney disease by targeting toll-like receptor 4

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World Journal of Diabetes 2024年第3期15卷 488-501页

作者： Qi-Shun Wu Dan-na Zheng Cheng Ji Hui Qian Juan Jin Qiang He Graduate School Medical College of Soochow UniversitySuzhou 215006Jiangsu ProvinceChina Department of Nephrology Zhejiang Provincial People’s HospitalAffiliated People’s HospitalHangzhou 314408Zhejiang ProvinceChina Department of Nephrology Affiliated Hospital of Jiangsu UniversityZhenjiang 212001Jiangsu ProvinceChina Department of Nephrology Zhejiang Provincial People’s HospitalAffiliated People’s HospitalHangzhou Medical CollegeHangzhou 314408Zhejiang ProvinceChina Molecular Inspection Laboratory School of MedicineJiangsu UniversityZhenjiang 212000Jiangsu ProvinceChina Department of Nephrology The First Affiliated Hospital of Zhejiang Chinese Medical UniversityZhejiang Provincial Hospital of Traditional Chinese MedicineHangzhou 310060Zhejiang ProvinceChina

BACkGROUND Diabetic kidney disease(DkD)is a major complication of diabetes *** tubular epithelial cell(TEC)damage,which is strongly associated with the inflammatory response and mesenchymal trans-differentiation,plays a significant role in DkD;However,the precise molecular mechanism is *** recently identified microRna-630(miR-630)has been hypothesized to be closely associated with cell migration,apoptosis,and ***,the association between miR-630 and DkD and the underlying mechanism remain *** To investigate how miR-630 affects TEC injury and the inflammatory response in DkD *** Streptozotocin was administered to six-week-old male rats to create a hypergly cemic diabetic *** the second week of modeling,the rats were divided into control,DkD,negative control of lentivirus,and miR-630 overexpression *** 8 wk,urine and blood samples were collected for the kidney injury assays,and renal tissues were removed for further molecular *** target gene for miR-630 was predicted using bioinformatics,and the association between miR-630 and toll-like receptor 4(TLR4)was confirmed using in vitro investigations and double luciferase reporter gene *** of miR-630 in DkD rats led to changes in body weight,renal weight index,basic blood parameters and histopathological *** The expression level of miR-630 was reduced in the kidney tissue of rats with DkD(Pnal TECs(NRk-52E)were measured using quantitative reverse transcription polymerase chain *** mRna expression level of miR-630 was significantly lower in the high-glucose(HG)and HG+mimic negative control(NC)groups than in the normal glucose(ng)group(Pna expression level of TLR4 was significantly higher in these groups(Pna expression increased and TLR4 mRna expression significantly decreased in the HG+miR-630 mimic group than in the HG

关键词： Diabetic kidney disease MicroRna-630 Toll-like receptor 4 Mouse model Renal tubular epithelial cells damage Hyperglycemic model

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An innovative indirect competitive immunosorbent approach for precise detetion aflatoxin Bbased on high-affinity IgG coupled CuO-anchored FeOnanozymes

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Food Science and Human Wellness 2024年

作者： Xueqin Wang Chuan Liu Haizhen Tao Xuanping Zhao Mengna Wan Junyan Liu na Li College of Bioengineering， Henan University of Technology Henan Institute of Medical and Pharmaceutical Sciences， Zhengzhou University Henan Provincial key Laboratory of Ultrasound Imaging and Artificial Intelligence， Henan Provincial People's Hospital， Zhengzhou University People's Hospital， Zhengzhou University

Aflatoxin B1(AFB1) is a carcinogenic toxin naturally produced in most food crops that severely threaten human health， and effective methods are urgent to improve the detection accuracy. Herein an indirect competitive immunosorbent approach was elaborately developed based on high-affinity immunoglobulin G (IgG) coupled CuO-anchored Fe3O4nanozymes for precise and ultrasensitive detection of AFB1in food crops including peanut， corn and wheat. The high-affinity nanozymes were fabricated by the assembly of inner core Fe3O4nanoparticles (Fe3O4NPs) and mesoporous silica capping layer， CuO further situated within large aperture of the coating layer via in-situ growth， and then conjugated with ligand rabbit anti-mouse IgG， which can specifically bind with AFB1. The results showed the hybrid high-affinity nanozymes displayed enhanced peroxidase (POD)-mimic activities and catalytic performances， achieving a linear range of 0.06-61.93 ng/mL and a detection limit of 0.0037 ng/mL， 30 times better than that of the conventional ELISA method. The constructed nanozymes were successfully applied to the detection of AFB1in food products with an average spiked recovery of 96.53% and relative standard deviations (RSDs) less than 2.8%. Therefore， the accurate hybrid nanozymes may serve for AFB1detection in various foods in future.

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诺如病毒腹泻患者血清I-FABP、MIP-1α水平检测及诊断价值分析

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中国病原生物学杂志 2024年第3期19卷 345-350页

作者：刘娜刘海军中国医科大学附属盛京医院急诊科辽宁沈阳110000

目的探讨诺如病毒感染性腹泻患者血清肠型脂肪酸结合蛋白(I-FABP)、巨噬细胞炎性蛋白-1α(MIP-1α)水平检测及诊断价值。方法纳入本院收治的诺如病毒感染性腹泻患者90例(诺如组),细菌感染性腹泻患者90例(细菌组)及健康志愿者90例(对照组... 详细信息

目的探讨诺如病毒感染性腹泻患者血清肠型脂肪酸结合蛋白(I-FABP)、巨噬细胞炎性蛋白-1α(MIP-1α)水平检测及诊断价值。方法纳入本院收治的诺如病毒感染性腹泻患者90例(诺如组),细菌感染性腹泻患者90例(细菌组)及健康志愿者90例(对照组)。酶联免疫吸附法检测血清I-FABP、MIP-1α水平,比较3组血清I-FABP、MIP-1α水平差异。诺如组根据脱水分型将其分为:无脱水(28例)、轻度脱水(37例)与严重脱水(25例),分析不同脱水分型患者血清I-FABP、MIP-1α及肿瘤坏死因子-α(TNF-α)、C反应蛋白(CRP)、白介素(IL)-6水平。受试者工作特征(ROC)曲线评价血清I-FABP、MIP-1α对细菌感染性腹泻与诺如病毒感染性腹泻的鉴别价值,Pearson法分析血清I-FABP、MIP-1α水平与炎症因子水平相关性,多元线性回归分析诺如组血清I-FABP或MIP-1α水平的影响因素。结果对照组、诺如组及细菌组患者血清I-FABP[(2.57±0.43)ng/mL、(4.29±0.61)ng/mL、(5.22±0.70)ng/mL]、MIP-1α水平[(109.64±17.88)pg/mL、(173.52±19.05)pg/mL、(201.74±18.46)pg/mL]逐次升高(Png/mL、191.59 pg/mL,AUC分别为0.836、0.884,准确度分别为78.33%、80.00%,而二者联合检测的AUC为0.950,准确度为87.22%,联合检测的AUC优于单独I-FABP、MIP-1α(Z/P=4.453/0.000、3.437/0.001)。与对照组相比,诺如组血清TNF-α、IL-6、CRP水平升高,与细菌组相比,诺如组血清TNF-α、IL-6、CRP水平降低(P<0.05)。无脱水患者血清I-FABP、MIP-1α、TNF-α、IL-6、CRP低于轻度脱水,轻度脱水患者血清I-FABP、MIP-1α及TNF-α、IL-6、CRP水平低于严重脱水(P<0.05)。相关性分析显示,诺如病毒感染性腹泻患者血清I-FABP、MIP-1α水平均与TNF-α、IL-6、CRP呈正相关(P<0.01)。多元线性回归分析,发现血清TNF-α升高、IL-6升高、CRP升高均是I-FABP、MIP-1α的影响因素(P<0.05)。结论诺如病毒感染性腹泻患者血清I-FABP、MIP-1α水平低于细菌性腹泻者,可用于鉴别诺如病毒感染性腹泻与细菌性腹泻,且二者均与炎症因子呈正相关,可能通过调控炎症反应参与诺如病毒感染性腹泻发病过程。

关键词：诺如病毒感染性腹泻肠型脂肪酸结合蛋白巨噬细胞炎性蛋白-1α 炎症因子

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司美格鲁肽与沙格列汀分别联合二甲双胍治疗2型糖尿病伴腹型肥胖患者的临床研究

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中国临床药理学杂志 2024年第10期40卷 1400-1404页

作者：刘永菊李瑞郝娜娜李婉婉安徽医科大学附属阜阳医院内分泌科安徽阜阳236000

目的观察司美格鲁肽和沙格列汀分别与二甲双胍联用治疗2型糖尿病(T2DM)伴腹型肥胖(AO)的疗效和安全性。方法回顾性分析T2DM伴AO患者的病历资料,按队列法分为司美格鲁肽组和沙格列汀组。2组患者均口服二甲双胍,每次0.5 g,每天3次;司美格... 详细信息

目的观察司美格鲁肽和沙格列汀分别与二甲双胍联用治疗2型糖尿病(T2DM)伴腹型肥胖(AO)的疗效和安全性。方法回顾性分析T2DM伴AO患者的病历资料,按队列法分为司美格鲁肽组和沙格列汀组。2组患者均口服二甲双胍,每次0.5 g,每天3次;司美格鲁肽组在二甲双胍治疗的基础上注射司美格鲁肽,每次0.25 mg,2周后调整剂量为每次0.5 mg,均每周1次;沙格列汀组在二甲双胍治疗的基础上口服沙格列汀,每次5 mg,每天1次,均治疗3个月。比较2组患者的糖代谢指标、胰岛功能指标、脂肪因子及药物不良反应。结果司美格鲁肽组48例和沙格列汀组49例。治疗后,司美格鲁肽组和沙格列汀组的空腹血糖(FPG)分别为(7.45±1.22)和(7.98±1.30)mmol·L^(-1),餐后2 h血糖(2 hPG)分别为(9.78±1.64)和(10.55±1.82)mmol·L^(-1),糖化血红蛋白(HbA1c)分别为(5.66±0.94)%和(6.25±0.87)%,空腹胰岛素(FINS)分别为(29.12±6.46)和(34.34±7.15)pmol·L^(-1),空腹C肽(FC-P)分别为(292.66±67.53)和(319.03±77.92)pmol·L^(-1),胰岛素抵抗指数(HOMA-IR)分别为2.51±0.78和2.94±0.89,胰岛素分泌指数(HOMA-β)分别为51.74±15.31和43.72±14.56,血清鸢尾素(Irisin)分别为(4.56±0.32)和(4.17±0.54)ng·L^(-1),血清神经肽(SPX)分别为(0.71±0.15)和(0.64±0.17)ng·mL^(-1),血清白脂素(ASP)分别为(1.22±0.16)和(1.34±0.25)μg·L^(-1),在统计学上差异均有统计学意义(均P0.05)。结论司美格鲁肽联合二甲双胍治疗T2DM伴AO患者可以更显著地降低血糖,改善胰岛功能和脂肪因子,安全性良好。

关键词：司美格鲁肽注射液沙格列汀片二甲双胍片腹型肥胖 2型糖尿病

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血清白细胞介素-6、沉默信息调节因子-1与衰弱的相关性研究

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中华急诊医学杂志 2024年第5期33卷 677-682页

作者：刘慧珍王娜商娜李俊玉刘小蒙郭树彬腾飞首都医科大学康复医学院中国康复研究中心北京博爱医院急诊科北京100068 首都医科大学附属北京朝阳医院急诊医学中心心肺脑复苏北京市重点实验室北京100020

目的研究血清白细胞介素(interleukin,IL)-6、沉默信息调节因子(silent information regulator,SIRT)-1与急诊科老年患者衰弱的相关性。方法本研究为横断面研究,收集2022年1月至12月于北京博爱医院急诊科治疗的60岁及以上患者。入院后2... 详细信息

目的研究血清白细胞介素(interleukin,IL)-6、沉默信息调节因子(silent information regulator,SIRT)-1与急诊科老年患者衰弱的相关性。方法本研究为横断面研究,收集2022年1月至12月于北京博爱医院急诊科治疗的60岁及以上患者。入院后24 h内检测血常规、生化、IL-6水平;同时采集空腹静脉血2 mL,离心后血清放置-80℃储存,采用酶联免疫吸附测定法检测SIRT-1水平。72 h内进行营养风险筛查2002评分,采用Barthel指数进行日常生活能力评定,测量握力。根据Fried衰弱表型(frailty phenotype,FP)评分,将患者分为衰弱与无衰弱组。比较衰弱与无衰弱组间临床资料及实验室指标的差异。采用多因素Logistic回归模型分析血清IL-6、SIRT-1与衰弱的相关性;采用受试者工作特征(receiver operating characteristic,ROC)曲线评价血清IL-6、SIRT-1对衰弱的预测能力。结果本研究纳入患者316例,依据Fried FP标准,分为衰弱组(n=156)和无衰弱组(n=160)。单因素分析示,衰弱组血清IL-6[33.3(13.0,69.2)ng/L vs.20.0(9.2,41.3)ng/L,P=0.001]、SIRT-1[(9.98±1.23)μg/L vs.(8.98±1.65)μg/L,Png/L;SIRT-1预测衰弱的AUC为0.736(95%CI:0.674~0.799,P<0.001),截点值为9.13μg/L;二者联合模型的AUC为0.765(95%CI:0.707~0.823,P<0.001),敏感度为0.776,特异度为0.726,其预测效能优于单独应用IL-6(Z=2.119,P=0.034)。结论血清IL-6和SIRT-1可作为急诊科老年患者衰弱的独立预测因子。

关键词：白细胞介素-6 沉默信息调节因子-1 衰弱相关性

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布地格福治疗AECOPD合并Ⅱ型呼吸衰竭患者的临床研究

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中国临床药理学杂志 2024年第19期40卷 2776-2780页

作者：赵娜车连靖鸡西市鸡矿医院呼吸内科黑龙江鸡西158100 鸡西市人民医院心胸外科黑龙江鸡西158100

目的观察布地格福吸入气雾剂联合无创正压通气(NIPPV)治疗慢性阻塞性肺疾病急性加重期(AECOPD)合并Ⅱ型呼吸衰竭患者的临床疗效和安全性。方法将AECOPD合并Ⅱ型呼吸衰竭患者按队列法分为对照组和试验组。对照组给予NIPPV,每次4 h,tid;... 详细信息

目的观察布地格福吸入气雾剂联合无创正压通气(NIPPV)治疗慢性阻塞性肺疾病急性加重期(AECOPD)合并Ⅱ型呼吸衰竭患者的临床疗效和安全性。方法将AECOPD合并Ⅱ型呼吸衰竭患者按队列法分为对照组和试验组。对照组给予NIPPV,每次4 h,tid;试验组在对照组治疗的基础上,给予布地格福吸入气雾剂,每次344μg,bid,吸入治疗。2组患者均治疗4周。比较2组患者的临床疗效、病情及呼吸情况、肺功能指标[呼气峰值流速(PEF)、第1秒用力呼气容积(FEV_(1))、肺活量(VC)]、血清炎症因子[白细胞介素(IL)-17、IL-6、可溶性细胞间黏附分子(sICAM)-1],并评价安全性。结果对照组入组38例,试验组入组42例。治疗后,试验组和对照组的总有效率分别为92.86%(39例/42例)和76.32%(29例/38例),在统计学上差异有统计学意义(Png·L^(-1),血清sICAM-1分别为(118.63±17.72)和(156.42±24.38)ng·mL^(-1),试验组的上述指标与对照组比较,在统计学上差异均有统计学意义(均P0.05)。结论布地格福吸入气雾剂联合NIPPV治疗能有效控制AECOPD合并Ⅱ型呼吸衰竭患者的病情,缓解呼吸困难情况,改善肺功能,减轻炎症反应,安全性良好。

关键词：布地格福吸入气雾剂慢性阻塞性肺疾病急性加重期 Ⅱ型呼吸衰竭无创正压通气肺功能炎症因子

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