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国家自然科学基金(30973205)

作品数:5 被引量:44H指数:3
相关作者:蒋敏邓东锐党静周媛洪莉更多>>
相关机构:华中科技大学佛山市妇幼保健院江苏省苏北人民医院更多>>
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Research on the Expression of HOXA10 in Placental Villi during the Onset of Labor
2012年
Objective To investigate the difference of the expression of HOXAIO gene in placental villi before and after the onset of labor. Methods Immunohistochemistry was used to detect the location of HOXAIO in placental villi. The expression of HOXAIO mRNA and protein were measured by RT-PCR and Western blotting. Results lmmunohistochemistry showed that HOXAIO was only weakly expressed in placental villi of the natural labor group. However, it was strongly expressed in placental Villi of the surgical labor group. RT-PCR and Western blotting showed that the expression of HOXAIO mRNA and protein were significantly lower in the natural labor group than in the surgical labor group (P〈0.05). Conclusion The lower expression of HOXAIO during the onset of labor may be one of the major factors in initiating the normal labor. And to some extent, the lower expression of HOXAIO gene in the natural labor group may be related to "functional progesterone withdrawal".
Hong HEDe-min PURong LIUQiong-hua CHENDong-rui DENGTian LI
关键词:PROGESTERONE
小鼠滋养层细胞原代培养方法的优化被引量:1
2011年
目的建立一种简便、有效的小鼠滋养层细胞原代培养方法,为研究病理妊娠的发生机制奠定基础。方法分别在K.Handschuh和ZhouWH方法的基础上进行改良,获取孕鼠滋养层细胞,进行原代培养,并应用细胞计数及免疫细胞化学法比较滋养层细胞数量和纯度。结果K.Handschuh改良法和ZhouWH改良法获得滋养层细胞数目分别为(11.4±1.8)×10^4个+/mL、(16.3±0.9)×10^4个/mL,纯度分别为95%、96%,在获得滋养层细胞数目方面ZhouWH改良法优于K.Handschuh改良法(P〈0.05)。结论Zhou WH改良法可获得高纯度足量的小鼠滋养层细胞。
李静邓东锐左伟郝海燕凌霞珍
关键词:原代培养细胞鉴定免疫细胞化学
Primary Screening for Breast Diseases among 17618 Women in Wufeng Area, a Region with High Incidence of Cervical Cancer in China被引量:4
2012年
In this study, the current status for breast diseases in a region with high-incidence of cervical cancer were epidemiologically investigated. From March to August, 2009, 17618 women, from Wufeng area of Hubei province, China, were recruited to screen breast diseases by using breast infrared diagnostic apparatus. Other diagnostic methods, such as B-mode ultrasound, X-ray mammography, needle biopsy and pathological examination were, if necessary, used to further confirm the diagnosis. The screening showed that 5990 of 17618 cases (34.00%) had breast diseases, 5843 (33.16%) had mammary gland hyperplasia, 48 (0.27%) had breast fibroadenoma, 11 (0.06%) had breast carcinoma, and 88 (0.50%) had other breast diseases. The peak morbidity of breast cancer was found in the women aged 50–60 ages. The morbidity of breast cancer was significantly increased in women elder than or equal to 50 years old (n=8, 0.157%) in comparison with that in the subjects younger than 50 years old (n=3, 0.024%) (u=2.327, P<0.05). It was shown that the occurrence of breast diseases was concentrated in women aged 20–40 years, while the total morbidity reached its peak at the age of 30 years and then decreased sharply after age of 40. Compared with the patients elder than or equal to 40 years old (n=3289, 27.46%), the morbidity rate of breast diseases was significantly increased in women less than 40 years old (2648 cases, 47.18%; P<0.001). However, there was no significant difference in the morbidity of breast diseases between the age group of 20–29 years and that of 30–39 years (P=0.453), and both of them were high. There was no significant association between the morbidity of breast diseases and cervical cancer. Since the morbidity of breast diseases was higher among young women, more attention should be paid to the screening of breast diseases among young women for early diagnosis.
张庆华刘眈黄传英胡婷沈健胡美玲杨茹陈枝岚来主会刘桂玲梅业冬向群英李雄黄科程王少帅潘秀玉严玉婷李夜陈茜奚玲邓东锐汪辉王世宣卢运萍马丁李双
关键词:SCREENING
武汉同济医院10年间2880例早产的临床分析被引量:22
2014年
目的:分析近十年华中科技大学同济医学院附属同济医院早产相关情况的变迁,旨在为制定早产防治策略提供依据。方法:选择2000年1月至2009年12月分娩的2880例早产产妇(早产组)和系统抽样的方法随机抽样的2880例足月产产妇(对照组)的临床资料进行病例对照研究,并将早产组分为2000~2004年(早产A组)和2005~2009年(早产B组),比较不同时期早产发病状况、相关I临床因素及新生儿预后等情况。结果:①2000~2009年早产率平均为18.5%,从2000年的10.6%上升至2009年的26.1%。②Logistic回归分析,进入回归方程的有:胎膜早破(PROM)、妊娠期高血压疾病(PIH)、妇产科疾病既往史、多胎妊娠、自然流产次数、胎盘粘连、前置胎盘、胎盘早剥、妊娠期肝内胆汁淤积症、胎儿窘迫、妊娠期糖尿病、助孕技术及产检次数;其中早产B组妇产科疾病既往史、PIH、胎儿窘迫及多胎妊娠的构成比均高于早产A组(P〈0.05;P〈0.01)。③早产组新生儿体重、1分钟及5分钟Apgar评分均低于对照组(P〈0.01);早产组新生儿死亡率和转科率均高于对照组(P〈0.01);早产B组新生儿体重及死亡率均低于早产A组(P〈0.01);早产B组转科率、新生儿1分钟及5分钟Apgar评分均高于早产A组(P〈0.05)。结论:我院近年来早产率明显上升,且与PROM、PIH、妇产科疾病既往史、多胎妊娠等多种临床因素有关。早产是新生儿死亡和预后不良的重要原因,近年来早产儿总体预后有所改善,应根据相关临床因素有针对性的加强早产预测和管理以减少早产的发生。
蒋敏邓东锐党静周媛何梦舟李璠璠
关键词:早产回顾性分析
改良骶棘韧带固定术与高位宫骶韧带悬吊术治疗中年女性盆腔脱垂的疗效被引量:17
2018年
目的比较经阴道改良骶棘韧带固定术与腹腔镜高位宫底韧带悬吊术治疗中年女性盆腔脱垂(POP)的疗效以及术后盆底功能。方法前瞻性选择2016年1月至2017年1月在武汉大学人民医院妇科收治的47例POP患者作为研究对象,根据双盲法随机分为改良骶棘韧带固定术(SSLF组,23例)和高位宫骶韧带悬吊术(HUS组,24例)。术前、术后均采用盆腔器官脱垂定量分度法(POP-Q)评估盆腔脱垂程度,记录患者平均手术时间、术中平均出血量、术后自主排尿时间以及术后疼痛发生等。随访1年,记录术后并发症;填写盆底功能障碍性疾病症状问卷(PFDI-20)、盆腔器官脱垂性生活质量问卷-12(PISQ-12)、盆底疾病生活质量影响问卷简表(PFIQ-7)调查问卷,了解患者术后生活质量改善情况。结果 SSLF组与HUS组手术时间、出血量、自主排尿时间、术后疼痛率比较,无显著差异(P> 0. 05)。两组患者的子宫C点位置均较术前抬高,Aa、Ba、Ap、Bp减少,较术前明显改善,差异具有统计学意义(P <0. 05)。术后1年SSLF组与HUS组POP-Q各项指标比较,差异无统计学意义(P> 0. 05)。SSLF组、HUS组患者手术后PFDI-20、PFIQ-7问卷评分较术前降低,PISQ-12较术前提高,差异具有统计学意义(P <0. 05)。SSLF组术后并发症发生率显著低于HUS组,差异具有统计学意义(P <0. 05)。结论改良SSLF与HUS均适用于产后中年女性盆腔脱垂患者,对于宫颈超过5 cm且有性生活要求的患者,建议首选改良SSLF术。
陈敬华洪莉蒋敏
关键词:盆腔器官脱垂
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