补阳还五汤治疗中风后遗症的研究进展     

张明明  邱全 《大众科技》2014,(11):126-127

补阳还五汤为清代名医王清任所创,始见于《医林改错》,由黄芪、当归、川芎、地龙、赤芍、桃仁、红花组成,具有补气活血通络的功效。临床的治疗研究与实验证明,本方对于治疗中风后遗症效果良好,尤其以气虚血瘀型效果明显。现代研究表明,补阳还五汤具有抗血栓、抗氧化、抗动脉粥样硬化、和促进神经系统修复等多种作用。文章综述了近年来补阳还五汤对中风后遗症的临床治疗实验及相关研究进展。  相似文献   

History of the preanalytical phase: a personal view     

Walter G. Guder 《Biochemia medica : ?asopis Hrvatskoga dru?tva medicinskih biokemi?ara / HDMB》2014,24(1):25-30

In the 70ies of the last century, ther term “preanalytical phase” was introduced in the literature. This term describes all actions and aspects of the “brain to brain circle” of the medical laboratory diagnostic procedure happening before the analytical phase. The author describes his personal experiences in the early seventies and the following history of increasing awareness of this phase as the main cause of “laboratory errors”. This includes the definitions of influence and interference factors as well as the first publications in book, internet, CD-Rom and recent App form over the past 40 years. In addition, a short summary of previous developments as prerequesits of laboratory diagnostic actions is described from the middle age matula for urine collection to the blood collection tubes, anticoagulants and centrifuges. The short review gives a personal view on the possible causes of missing awareness of preanalytical causes of error and future aspects of new techniques in regulation of requests to introduction of quality assurance programs for preanalytical factors.  相似文献   

Abnormal gel flotation in a patient with apperant pneumonia diagnosis: a case report     

Fethullah Gerin  Dilber Coban Ramazan  Ozgur Baykan  Onder Sirikci  Goncagul Haklar 《Biochemia medica : ?asopis Hrvatskoga dru?tva medicinskih biokemi?ara / HDMB》2014,24(1):180-182

Introduction:

Serum blood collection tubes with separator gel are widely used by many laboratories for chemistry analyses. We describe a case of a primary blood collection tube filled with blood sample and a floating separator gel.

Materials and methods:

The blood sample was collected from a 51 years old female in intensive care unit with the diagnosis of pneumonia into a BD Vacutainer SST tube (Becton Dickinson, NJ, USA) containing serum separator gel and conveyed to the core laboratory of Marmara University Hospital within 30 minutes from collection. Sample was immediately centrifuged at room temperature at 1500 × g for 10 minutes.

Results:

The analyses revealed a highly increased total protein concentration of 145 g/L (reference interval 64–83 g/L). The nephelometric analyses showed an elevated serum IgG concentration of 108 g/L (reference interval 6.5–16 g/L) and IgG lambda monoclonal band was determined by serum immunofixation electrophoresis.

Conclusion:

Limitation of the separator gel tubes in patients with a high plasma density and its possible effects on test results and laboratory costs should be remembered. The clinical diagnosis stated in the information system should also reveal known comorbid conditions besides the apparent admission reason. This information would avoid resampling, additional testing, and communication efforts with the clinicians.  相似文献   

70-year old female patient with mismatch between hematocrit and hemoglobin values: the effects of cold agglutinin on complete blood count     

?erif Ercan  Mustafa ?al??kan  Erhan Koptur 《Biochemia medica : ?asopis Hrvatskoga dru?tva medicinskih biokemi?ara / HDMB》2014,24(3):391-395

Introduction:

There are a number of pre-analytical and analytical factors, which cause false results in the complete blood count. The present case identifies cold agglutinins as the cause for the mismatch between hematocrit and hemoglobin values.

Materials and methods:

70-year old female patient had a history of cerebrovascular diseases and rheumatoid arthritis. During routine laboratory examination, the patient had normal leukocyte and platelet counts; however, the hemoglobin (Hb: 105 g/L) and hematocrit (HCT: 0.214 L/L) results were discordant. Hemolysis, lipemia and cold agglutinin were evaluated as possible reasons for the mismatch between hematocrit and hemoglobin values.

Results:

First blood sample was slightly hemolysed. Redrawn sample without hemolysis or lipemia was analyzed but the mismatch became even more distinct (Hb: 104 g/L and HCT: 0.08 L/L). In this sample, the titration of the cold agglutinin was determined and found to be positive at 1:64 dilution ratios. After an incubation of the sample at 37°C for 2 hours, reversibility of agglutination was observed.

Conclusion:

We conclude that cold agglutinins may interfere with the analysis of erythrocyte and erythrocyte-related parameters (HCT, MCV, MCH and MCHC); however, Hb, leukocyte and platelet counts are not affected.  相似文献   

间歇低氧运动对胰岛素抵抗大鼠体成分及血脂指标的影响     

李旭武  翁锡全  林文弢 《广州体育学院学报》2014,(4):93-96

目的:探讨间歇低氧运动对胰岛素抵抗大鼠体成分及血脂指标的影响。方法:将高糖高脂膳食建模成功的48只胰岛素抵抗大鼠随机均分为常氧安静组、低氧安静组、常氧运动组和间歇低氧运动组,每组12只。每天进行1h跑速为25m/min的跑台运动,间歇低氧暴露为4h/d(14.5%O2),7d/w。干预4周末测量各组大鼠体成分及血清TG、TC、HDL-C、LDL-C浓度。结果:与常氧安静组比较,间歇低氧安静组、常氧运动组和间歇低氧运动组大鼠体重、肾周脂肪及附睾脂肪重量均出现显著性或极显著性下降(P0.05,P0.01),并以间歇低氧运动组下降最多,而股四头肌及腓肠肌虽有下降,但无统计学意义(P0.05),同时,血清脂代谢指标TG、TC和LDL-C均出现显著或极显著性低于常氧安静组(P0.05,P0.01),而HDL-C则极显著性高于常氧安静组(P0.01),且以间歇低氧运动组大鼠的效果最佳。结论:间歇低氧运动可以改善胰岛素抵抗大鼠体成分和血脂代谢。  相似文献   

HiHiLo对女子跆拳道运动员安静及定量负荷运动后血液粘度、红细胞变形能力的影响研究   总被引：1，自引：0，他引：1  

孙杨  熊开宇  胡扬 《北京体育大学学报》2014,37(10):71-76

摘要：目的：观察四周HiHiLo对女子跆拳道运动员安静及定量负荷后血液流变学特征的影响,探讨HiHiLo提高有氧能力的可能机制。对象和方法：8名国家跆拳道女子运动员,在模拟海拔2 500 m的低氧环境下HiHiLo4周。观察HiHiLo前、3 a、4周后安静状态及定量负荷后血液流变性、运动能力的变化。结果：4周HiHiLo后,4000米跑和PWC170成绩有显著提高（P<0.01）;安静状态下,各切变率血液粘度显著低于HiHiLo前,红细胞变形能力显著提高;定量负荷后,HiHiLo4周后,高、中、低切变率下,只有低切的血液粘度显著低于HiHiLo前(P<0.05),红细胞变形能力显著高于HiHiLo前(P<0.05)。急性低氧（3 a）,各指标与HiHiLo前后均无显著性差异。结论：4周HiHiLo能够显著提高受试者的运动能力。HiHiLo4周后,安静状态下血液流变学发生了适应性改变;定量负荷后,低切变率血液粘度和红细胞变形能力的适应性改善有利于微循环的有效灌注。血液流变性的适应性改变可能是HiHiLo提高运动能力的机制之一。急性低氧暴露不能改善血液流变性。  相似文献   

大学生体质量指数（BMI)对血压水平的影响简     

伍淑凤  王林 《军事体育进修学院学报》2014,(1):109-111

目的：探讨大学生人群血压水平与体质量指数（BMI）的相关性.方法：收集广州市6所高校大二学生共6225例的个人资料,对其体重、身高、体质量（BMI）、收缩压（SBP）、舒张压（DBP）进行统计学分析,同时对超重肥胖学生采用运动干预措施.结果：肥胖组SBP与DBP分别为（134.2±15.32）mmHg （88.54±9.21） mmHg,超重组SBP与DBP分别为（121.6±12.54） mmHg、（81.63±8.45）mmHg,体质量正常组SBP与DBP分别为（114.6±11.28） mmHg、（72.31±8.11） mmHg,低体质量组SBP与DBP分别为（102.3±10.35） mmHg、（67.21±8.22） mmHg,两两比较具有统计意义差异（P＜0.05）.对体重肥胖组学生进行有氧运动干预后发现,肥胖组学生BMI、SBP、DBP显著低于干预前,差异有统计学意义（P＜0.05）.经单因素分析可知,BMI与SBP、DBP呈正相关,与性别、年龄、入学时间无相关性.结论：大学生血压随着BMI的升高而升高,体检过程中可将BMI偏高作为预测肥胖大学生高血压的指标之一;通过对肥胖学生进行有氧运动干预可有效控制学生的血压水平.  相似文献   

两种方式的健步走对边缘性血脂升高的中年男性血脂及肺通气功能的研究     

孔淑珍  张葆欣  李洁妮  韩国庆  温晓妮  张明军 《北京体育大学学报》2017,40(9):54-59

摘要：目的：探讨2种方式的健步走对边缘性血脂升高中年男性脑力劳动者血脂及肺功能的影响。方法：选取西安市3所高校从事脑力劳动的科研工作者，筛选出符合（血脂水平分层标准）边缘性血脂升高标准的受试者48人，随机分成匀速组和变速组各24人，实施为期12周的健步走。2组采用的运动强度为，匀速组在第二和第三个10～15 min以60﹪～70﹪HRmax为主，变速组以60﹪～70﹪HRmax和70﹪～80﹪HRmax为主，每周4次，每次40～60 min。重点监测受试者运动前、运动4周、运动12周的血脂六项（TC、TG、HDL-C、LDL-C、Apoa1/Apob）和肺通气功能指标（VC、FVC、FEV1/FVC﹪、MVV、VC/Kg）。结果：1）与运动前比较，运动6周，匀速组血脂及肺通气功能各指标无显著性变化（p>0.05）；变速组TC显著降低（p＜0.05），FEV1/FVC﹪、MVV、VC/Kg显著升高（p＜0.05）。运动12周，匀速组TC、TG显著降低（p＜0.05），FEV1/FVC﹪、MVV、VC/Kg显著增高（p＜0.05）；变速组血脂各指标（除Apoa1/Apob外）和肺功能指标（除FVC外）均有显著差异（p＜0.01或p＜0.05）。2）组间比较：运动6周，两组血脂与肺功能各指标无显著性差异（p>0.05）。运动12周，具有显著性差异（p＜0.05）的指标为HDL-C、LDL-C、MVV。3)在不同的运动周期，血脂和肺功能指标的变化幅度均有显著性变化，运动12周明显优于运动6周，变速组变化幅度优于匀速组。结论：1)匀速健步走运动12周，具有明显的调脂效果和提高肺通气功能；变速健步走运动6周，对血脂异常和肺通气功能有显著的改善。运动12周，调脂效果非常显著基本回归正常范围，肺功能显著提高。2)2种方式的健步走，强度较高的变速运动对血脂异常的调脂效果和肺通气功能的提高显著优于匀速运动。  相似文献   

不同恢复手段对疲劳机体血氨及血尿素的影响     

朱启娥 《湖北体育科技》2010,29(4):435-436,418

目的：探讨大运动量训练致运动疲劳后,按摩和艾灸穴位对疲劳恢复和相关生化指标的影响。方法：以16名体育学院武术专业学生为试验对象,在不同时间（间隔两周）分别进行两次大运动量训练至中等以上疲劳程度,分别对受试对象进行按摩和艾灸穴位,测试不同时间点的血氨和血尿素值,并对两次实验结果进行自身对照。按摩组为A组,艾灸组为B组。结果：B组的血氨浓度在恢复期的各个时间点上都低于A组,第15min钟和第3min差异非常显著（P〈0.01）,第45min和第60min差异显著（P〈0.05）;B组血尿素的恢复速度也快于A组,第90min明显低于A组（P〈0.05）,次日晨B组较A组恢复更加明显（P〈0.01）。结论：艾灸穴位比按摩能更快清除血氨和血尿素,从而更好地促进运动性疲劳的恢复。  相似文献   

有氧运动对中老年人血糖、胰岛素及血脂的影响   总被引：16，自引：0，他引：16  

史亚丽  刘新生  王瑞元 《体育科学》2004,24(4):26-27

采用文献资料调研、追踪调查、测试等研究方法研究了老年人在1年有氧运动前后血糖、胰岛素、血尿素氮及血脂的变化。结果表明，有氧运动组经1年有氧运动后TG、TC、LDL明显下降，HDL水平明显提高。血糖、BUN水平无明显改变，胰岛素水平明显下降。  相似文献