激光生物学报2005年第14卷总目次

第一期近视散光眼在自然扩瞳和药物散瞳后波面像差的研究李琪,任秋实,李颖(1)………………………………………………激光针灸治疗机理探讨………………………李忠明,张镇西(8)脉冲Nd:YAG激光对单层KB细胞损伤效应的研究陈虹霞,杨在富,张杰,等(12)……………………………………………固定化枯草杆菌生物吸附去除水中Cd的研究曹德菊,谷小伟,庞晓坤(17)…………………………………………………………He-Ne激光照射日本沼虾心脏、鳃和腹神经组织细胞的光学显微镜观察……………………………姚泊,黄丽宜,何文婷,等(22)RasGAP作用下rasP21水…     

近视眼LASIK术后眼高阶像差变化

探讨近视眼LASIK术后眼波阵面像差高阶像差各项的变化。方法:采用NIDEK OPD-Scan ARK-1000型波前像差扫描系统对LASIK治疗近视的62只眼在术前术后眼的波前像差进行了评估。在术前、术后10天、术后一个月分别测量眼的波阵面像差。比较6mm瞳孔下高阶像差各项的变化。结果:在全部接受检查的病例中,总的高阶像差(RMSh)均有所增加。从Zernik各项绝对值来看,球差C12变化最大。术后10天比术前增加6．7742倍(P=0．0001)。其次是彗差C7 C8(X轴、Y轴上的彗差),分别增加了4．883倍(P=0．0001)、3．7523倍(P=0．0001)。结论:LASIK术后眼的总的高阶像差均方根值(RMSh)明显增加,尤其是球差和彗差;但在恢复过程中高阶像差有下降的趋势。用像差仪来指导和评估LASIK等屈光手术可以更全面、更准确。     

基于近红外光谱技术的白茶可溶性糖总量快速测定研究

本文以积分球漫反射模块采集113份不同等级不同年份的白茶近红外光谱图并进行预处理分析,采用蒽酮比色法对来自不同厂家的白茶进行含量测定,运用偏最小二乘法(PLS)建立了白茶可溶性糖总量快速测定模型并对模型进行验证。试验结果表明所建立模型的相关系数(R)为0. 963,校正均方根差(RMSEC)为0. 363 9,验证均方根差(RMSEP)为0. 349,验证集平均相对误差为3. 11%。通过NIRS快速测定白茶总糖含量具有较高的可行性,该方法预测结果较好,能够准确、快速、无损的对白茶可溶性糖总量进行快速定量分析。     

我院抗菌药物实行分级管理后使用情况分析

目的:分析抗菌药物分级管理干预措施的实施及效果。方法:选择2011年5月至2013年5月间我院全院出院患者6622例的病案资料。其中实施分级管理制度之前的患者3238例,实施分级管理制度之后的患者3384例,分析分级管理前后医院抗菌药物使用情况。结果:实施分级管理制度后抗菌药物使用率,人均使用频次及人均抗菌药物费用均明显降低,与实施分级管理制度前比较差异具有统计学意义(P0.05)。实施分级管理制度后一线抗菌药物使用率显著提高,二线、三线抗菌药物使用率降低,与实施分级管理制度前比较差异具有统计学意义(P0.05)。实施分级管理后三联用药比例显著降低(P0.05),送检标本及检出阳性率较实施分级管理前无统计学意义(P0.05)。结论:实施抗菌药物分级管理可以有效的限制抗菌药物滥用情况,对于临床抗菌药物合理应用有积极意义。     

临床药学参与抗生素药物应用管理在重症感染中的作用

目的探讨临床药师参与重症感染抗生素应用的指导作用。方法选取2016年1月~2017年8月在我院ICU的重症感染患者500例,按是否请临床药学指导抗生素使用进行分为研究组263例和对照组237例,比较两组患者抗菌药物联合用药、降阶梯治疗天数、使用疗程以及继发二重感染、住ICU时间、感染相关的病死率情况。结果两组患者的抗菌药物使用情况比较,差异有统计学意义(均P0.01)。研究组抗菌药物单用和二联用均较对照组高,三联及以上联用较对照组低(均P0.01)。研究组降阶梯治疗天数、使用疗程以及继发二重感染、住ICU时间、感染相关的病死率均较对照组低(均P0.05)。结论临床药学参与重症感染的抗生素使用指导有助于促进抗生素的合理应用,提高治疗效果。     

肝郁脾虚证模型大鼠血流变及TXB2、PGF1a的变化

目的:探查中医肝郁脾虚证模型的血流变及相关调节因子的状态。方法:采用慢性束缚应激 过度疲劳 饮食失节法建立大鼠肝郁脾虚证模型,测定大鼠造模三周、自然恢复一周时的血流变和血浆TXB2、PGF1a。结果:与正常组相比,模型组大鼠造模三周150/s、38/s、10/s、5/s切变率下的全血粘度和还原粘度均显著升高(P＜0．001),红细胞聚集指数显著降低(P＜0．001),红细胞压积显著升高(P＜0．01),红细胞变形指数无显著性差异(P＞0．05);血浆TXB2显著升高(P＜0．001),6-keto-PGF1a显著降低(P＜0．05), TXB2/PGF1a显著升高(P＜0．01);模型组大鼠第四周150/s、38/s、10/s、5/s切变率下的全血粘度和还原粘度仍显著升高(P＜0．001或P＜0．01);红细胞聚集指数显著降低(P＜0．001);红细胞压积与变形指数无显著性差异(P＞0．05);血浆TXB2和TXB2/PGF1a显著降低(P＜0．05),6-keto-PGF1a显著升高(P＜0．05)。结论:肝郁脾虚证大鼠存在血液高粘和血栓易形成状态,恢复期血液高粘同时伴有扩血管因素的加强。提示肝郁脾虚证有血流变的异常和血浆TXA2-PGI2的平衡失调,主要涉及到血小板和血浆因素的参与。     

怀地黄叶片中总环烯醚萜苷及总苯乙醇苷含量快速分析模型的建立

本文旨在建立地黄叶片中总环烯醚萜苷及苯乙醇苷定量分析模型。利用紫外-可见分光光度法测定不同种质怀地黄生育期内的128份地黄叶片中总环烯醚萜苷及总苯乙醇苷的含量,并将其作为基础值,结合地黄叶片的近红外光谱图,利用TQ8.0分析软件结合偏最小二乘法(PLS),分别建立地黄叶片中总环烯醚萜苷及总苯乙醇苷的定量分析模型。地黄叶片中总苯乙醇苷定量校正模型决定系数(R2)为0.998 2,校正均方根偏差(RMSEC)为0.089 9,预测均方决定差(RMSEP)为0.142,交叉验证均方根偏差(RMSECV)为0.707 2;总环烯醚萜苷定量校正模型的内部交叉验证决定系数(R2)为0.972 1,校正均方差(RMSEC)为0.259,预测均方决定差(RMSEP)为0.095 4,交叉验证均方根偏差(RMSECV)为0.869 4。预测值与实测值差异无统计学意义。该定量模型可用于怀地黄叶片中总环烯醚萜苷及总苯乙醇苷含量的快速测定。     

胡杨茎叶化学计量和异速生长关系特征随发育阶段变化的性别差异

胡杨(Populus euphratica Oliv.)是荒漠河岸林防风固沙和水土保持的雌雄异株树种。该研究以不同径阶(8、12、16、20 cm)的胡杨雌雄株为研究对象,通过当年生茎、叶化学计量元素(C、N、P、K)含量及生长关系分析,探讨不同器官化学计量随发育阶段的变化及异速生长关系的性别差异。结果表明：(1)胡杨雌雄株叶片C含量表现为大径阶(20 cm)显著高于小径阶(8 cm),而其叶片N含量随着径阶的增加显著增加;雌雄株茎、叶化学计量随着径阶的增加总体上呈增加趋势,且C、N含量均与径阶呈显著正相关关系;随着径阶的增加,雌株叶片P含量呈下降趋势,与径阶呈显著负相关关系,而雌雄株茎的P、K含量呈上升趋势,且与径阶呈显著正相关关系。(2)雌株各径阶叶片的N含量及8、12、20 cm径阶的叶片P含量均显著大于相应雄株,8、16、20 cm径阶当年生茎C含量以及20 cm径阶茎N、P含量均显著高于相应雄株。(3)雌株叶片C与N在20 cm径阶的斜率指数最大,而雄株在12 cm径阶斜率指数最大,雌雄株在各发育阶段N与P的变化较稳定;在相同C含量时,雄株茎能获得更多的N含量,雌株茎在相同N的情况下能获得更多P元素。研究发现,胡杨雌雄株间茎、叶化学计量元素含量和异速生长关系特征在不同发育阶段存在着明显性别差异,成熟雌株叶片需要更多的化学计量特征含量来满足生殖需求,总体反映了自身生长及环境适应的养分分配策略。     

醋甲唑胺治疗2 型糖尿病的临床疗效及安全性观察

目的:评价青光眼治疗药物醋甲唑胺用于2型糖尿病治疗的有效性及安全性。方法:选择我院2型糖尿病初诊患者64例,随机分为两组,其中醋甲唑胺治疗组32例,对照药物二甲双胍32例。观察并比较两组患者治疗前后血糖及糖化血红蛋白水平变化,以及肝肾功能、血尿常规等安全性指标。结果:与治疗前比较,两组患者治疗后糖化血红蛋白水平均下降,差异具有统计学意义(P0.05);但治疗后两组间糖化血红蛋白水平比较,差异无统计学意义(P0.05);两组治疗前后肝功肾功等生化指标之间比较,差异无统计学意义(P0.05);两组用药安全性比较,差异无统计学意义(P0.05)。结论:醋甲唑胺与二甲双胍具有相似的降血糖疗效,可作为新的治疗糖尿病的二线药物选择性使用。     

右美托咪定对下肢手术使用止血带的血流动力学的影响

目的:观察右美托咪定(dexmedetomidine,Dex)对下肢手术使用止血带的血流动力学的影响.方法:选择择期在我院行下肢手术的患者60例,ASA Ⅰ～Ⅱ级,随机分为2组,即右美托咪定组(dexmedetomidine,D组)和对照组(control,C组),每组30例,两组均选择腰硬联合麻醉.麻醉成功后,D组于上止血带前15 min,用微量泵给予Dex负荷量0.8μg/g,10 min静脉泵入,之后输注速度设定为0.4 μg· kg-1·h-1,直至止血带放气;C组用生理盐水代替右美托咪定,用药方法同D组.记录两组药物给负荷量之前(T0)、止血带充气前(T1)、止血带充气后15 rain(T2)、止血带充气后30 min(T3)、止血带充气后45 min(T4)、止血带充气后60 min(T5)及止血带放气后5 min(T6)的平均动脉压(MAP)、心率(HR)及血氧饱和度(SPO2);记录两组高血流动力学的发生率及所用血管活性药物的量.结果:用药前,两组患者的MAP、HR及SPO2比较,差异均无统计学意义(P＞0.05).D组患者给予负荷量后,T2～T5各时点MAP均较T1显著升高(P＜0.05),而T6时MAP下降,与T1比较无明显差异(P＞0.05);T4～T6各时点HR均较T1显著升高(P＜0.05),各时点SPO2比较均无统计学意义(P＞0.05).C组在T2～T6各时点MAP和HR均较T1显著升高(P＜0.05),各时点SPO2比较均无统计学意义(P＞0.05).T2、T4和T6各时点D组患者的MAP具显著低于C组(P＜0.05),T1～T6各时点HR均显著低于C组(P＜0.05).D组T1时HR显著低于TO时(P＜0.05).C组和D组患者高血流动力学反应的发生率分别为66.7％和20％,C组明显高于D组(P＜0.01).两组患者尼卡地平和阿托品的用量差异均无统计学意义(P＞0.05),但D组麻黄碱的用量明显高于C组(P＜0.05),两组患者均未应用艾司洛尔处理.结论:Dex可减少下肢手术使用止血带时引起的血流动力学高反应的发生.     

A Limitation of Hartmann-Shack System in Measuring Wavefront Aberrations for Patients Received Laser Refractive Surgery

PurposeTo explore the relationship between ablation parameters of myopic laser surgery and measurement area of wavefront aberration (WA) with Hartmann-Shack wavefront sensor.Methods58 subjects undergone myopic laser surgeries and 74 uncorrected myopic subjects were enrolled in this experiment. The laser ablation parameters were obtained from surgical records, which included spherical error (Rx), depth, and optical zone (OZ) of ablation. The measured area of WA was tested by the WASCA, and the real pupil size was tested by Pentacam. The corneal eccentricity (E value) and curvature was also measured with the Pentacam. All the measurements were performed under mydriatic condition.ResultsFor uncorrected myopic eyes, the measured area of WA was similar with the real pupil size. But for the corrected eyes, the measured area of WA was smaller than the real pupil size with a mean difference of 0.66 ± 0.54 mm for moderate myopia (t = 6.45, p < 0.0001) and 1.76 ± 0.55 mm for high myopia (t = 18.92, p < 0.0001), but not for mild myopia. The Rx (t = -3.20, p = 0.0017), OZ (t = 64.4, p < 0.0001) and postoperative corneal E value (t = 2.52, p = 0.017) were the independent factors of measured area of WA. Measured area of WA = -0.81*Rx + 1.13*OZ + 0.49*postoperative corneal E value (r² = 0.997).ConclusionsThe WASCA has a limitation in measuring wavefront aberration over the whole pupil area when it’s used for patients received myopic laser surgery. The measured area is smaller than the real pupil size and depends linearly on ablation depth, optical zone and corneal eccentricity.     

Asymmetric Wavefront Aberrations and Pupillary Shapes Induced by Electrical Stimulation of Ciliary Nerve in Cats Measured with Compact Wavefront Aberrometer

To investigate the changes in the wavefront aberrations and pupillary shape in response to electrical stimulation of the branches of the ciliary nerves in cats. Seven eyes of seven cats were studied under general anesthesia. Trains of monophasic pulses (current, 0.1 to 1.0 mA; duration, 0.5 ms/phase; frequency, 5 to 40 Hz) were applied to the lateral or medial branch of the short ciliary nerve near the posterior pole of the eye. A pair of electrodes was hooked onto one or both branch of the short ciliary nerve. The electrodes were placed about 5 mm from the scleral surface. The wavefront aberrations were recorded continuously for 2 seconds before, 8 seconds during, and for 20 seconds after the electrical stimulation. The pupillary images were simultaneously recorded during the stimulation period. Both the wavefront aberrations and the pupillary images were obtained 10 times/sec with a custom-built wavefront aberrometer. The maximum accommodative amplitude was 1.19 diopters (D) produced by electrical stimulation of the short ciliary nerves. The latency of the accommodative changes was very short, and the accommodative level gradually increased up to 4 seconds and reached a plateau. When only one branch of the ciliary nerve was stimulated, the pupil dilated asymmetrically, and the oblique astigmatism and one of the asymmetrical wavefront terms was also altered. Our results showed that the wavefront aberrations and pupillary dilations can be measured simultaneously and serially with a compact wavefront aberrometer. The asymmetric pupil dilation and asymmetric changes of the wavefront aberrations suggest that each branch of the ciliary nerve innervates specific segments of the ciliary muscle and dilator muscle of the pupil.     

人眼波前像差表示、测量及矫正研究

目的:波前像差引导的准分子激光角膜消融是屈光手术的新方法,研究人眼波前像差的测量原理、方法、表示、人眼波前像差准分子激光矫正的原理,以此理论用于准分子激光人眼像差矫正系统。方法:采用理论研究、计算机模拟、实验室实验等手段。分析人眼像差的概念和产生的原因,用数学的Zern ike多项式来表示像差,理论上定量分析Zern ike多项式表示的波前像差与角膜切削深度的关系,研究准分子激光切削角膜的机理,研究准分子激光进行矫正人眼像差的原理框图。结果:通过计算机模拟和实验室实验,用准分子激光矫正低阶和高阶像差是可行的。结论:用波前像差来引导屈光手术,使人眼的视力能够达到20/10上,并能避免当前PRK、LASIK屈光手术前后像差增大而引起的对视觉质量的影响。     

Aberrations of chick eyes during normal growth and lens induction of myopia

Understanding the control of eye growth may lead to the prevention of nearsightedness (myopia). Chicks develop refractive errors in response to defocusing lenses by changing the rate of eye elongation. Changes in optical image quality and the optical signal in lens compensation are not understood. Monochromatic ocular aberrations were measured in 16 chicks that unilaterally developed myopia in response to unilateral goggles with −15D lenses and in 6 chicks developing naturally. There is no significant difference in higher-order root mean square aberrations (RMSA) between control eyes of the goggled birds and eyes of naturally developing chicks. Higher-order RMSA for a constant pupil size exponentially decreases in the chick eye with age more slowly than defocus. In the presence of a defocusing lens, the exponential decrease begins after day 2. In goggled eyes, asymmetric aberrations initially increase significantly, followed by an exponential decrease. Higher-order RMSA is significantly higher in goggled eyes than in controls. Equivalent blur, a new measure of image quality that accounts for increasing pupil size with age, exponentially decreases with age. In goggled eyes, this decrease also occurs after day 2. The fine optical structure, reflected in higher-order aberrations, may be important in understanding normal development and the development of myopia.     

高海拔地区昆明野生动物园大熊猫春季刻板行为探究

2011年2月26日～5月2日,在高海拔地区昆明云南野生动物园,采用连续记录法(Continuous recording) 和焦点动物取样法(Focal animal sampling)记录与分析了3只亚成年雌性大熊猫昼间刻板行为发生频次和持续时间,并就温度、游客流量与刻板行为发生的相关性进行了初步探讨.结果表明,大熊猫刻板行为发生频次(次·h-1)高峰和持续时间( min·h-1)较长的高峰均出现在10:00～11:00和16:00～17:00,各时段行为表达水平存在极显著差异(x2=61.183,P＜0.01;x2 =56.470,P＜0.01).个体间刻板行为持续时间昼间分布无显著差异(x2=3.185,P＞0.05);个体间发生频次在14:00～15:00时段存在显著差异(x2=7.796,P＜0.05),而在其他时段则存在极显著差异(x2=11.536 ～20.212,P＜0.01).温度与刻板行为发生频次、持续时间均无显著相关性(rx=-0.067,P＞0.05;rs=-0.012,P＞0.05);游客流量与持续时间、发生频次有一定的正相关,但不显著(rs =0.187,P＞0.05;rs=0.159,P＞0.05).此外,在刻板行为型时间分配格局中,以刻板踱步最高,占56.78％,其次为爬笼、吮掌,而旋转、摇摆及坐着旋转等其他刻板行为表现较少,其总和仅占1.20％.     

Large field of view correction by using conjugate adaptive optics with multiple guide stars

Adaptive optics has been widely used in the optical microscopy to recover high‐resolution images deep into the sample. However, the corrected field of view (FOV) with a single correction is generally limited, which seriously restricts the imaging speed. In this article, we demonstrate a high‐speed wavefront correction method by using the conjugate adaptive optical correction with multiple guide stars (CAOMG) based on the coherent optical adaptive technique. The results show that the CAOMG method can greatly improve the corrected FOV. For 120‐μm‐thick mouse brain tissue, the corrected FOV can be improved up to ~243 times of the conventional pupil adaptive optics (PAO) without additional time consumption. Therefore, this study shows the potential of high‐speed imaging through scattering medium in biological science.      

敌敌畏对多疣狭口蛙不同发育期蝌蚪的急性毒性影响

为了解农药对不同发育期蝌蚪的毒性,以多疣狭口蛙Kaloula verrucosa蝌蚪为对象,采用水生生物急性毒性试验方法,研究杀虫剂敌敌畏(DDVP)对25期、26期、35期和42期蝌蚪的急性毒性影响.结果表明,在水温19.5～22.0℃条件下,敌敌畏对各期蝌蚪96 h LC50分别为1.13、1.43、1.38和0.61 mg/L,各期蝌蚪对敌敌畏的敏感顺序为42期>25期>35期>26期.由此得出敌敌畏对25期、26期和35期蝌蚪属中等毒性,对42期蝌蚪则表现为高毒.因此建议农药施用应尽量避开蝌蚪的变态期进行.蛙类胚胎期(出膜后)随着发育对外界环境的耐受性增强,蝌蚪期随着发育对外界环境的敏感性增强.鉴于42期蝌蚪意外死亡率高的特点,认为不宜采用变态期蝌蚪进行急性毒性试验.     

Pupillary effects of leucine and methionine enkephalin in rats after intraperitoneal administration

Changes in pupil size after peripheral administration of met-enkephalin, leu-enkephalin, or morphine were studied in the rat. With a simple pupillographic technique, the pupil diameter of male, S.D. rats (250–300 g) was measured by a series of photographs taken every 60 sec for at least 45 min after the last drug injection. Morphine (8 mg/kg, SC) caused mydriasis characterized by rapid and marked fluctuations of pupil size. Mydriasis also occurred after leu-enkephalin (5 and 10 mg/kg, IP) and met-enkephalin (20 mg/kg, IP). Both peptides induced morphine-like fluctuations. When given 15 min after morphine, leu-enkephalin (5 and 10 mg/kg) increased the mydriatic effect of morphine from 172 percent of control to 224 and 272 percent, respectively. Met-enkephalin (20 mg/kg, but not 10 mg/kg) also enhanced the mydriatic response of morphine, to 244 percent of control. These interactions appear to represent simple addition rather than potentiation. The effects of both peptides were reversed by naloxone (1 mg/kg, SC), suggesting an opiate receptor interaction for the pupillary effects of the enkephalins. The rat pupil thus provides one of the few in vivo models permitting quantification of enkephalin action after parenteral administration.     

Wavefront Derived Refraction and Full Eye Biometry in Pseudophakic Eyes

Purpose

To assess wavefront derived refraction and full eye biometry including ciliary muscle dimension and full eye axial geometry in pseudophakic eyes using spectral domain OCT equipped with a Shack-Hartmann wavefront sensor.

Methods

Twenty-eight adult subjects (32 pseudophakic eyes) having recently undergone cataract surgery were enrolled in this study. A custom system combining two optical coherence tomography systems with a Shack-Hartmann wavefront sensor was constructed to image and monitor changes in whole eye biometry, the ciliary muscle and ocular aberration in the pseudophakic eye. A Badal optical channel and a visual target aligning with the wavefront sensor were incorporated into the system for measuring the wavefront-derived refraction. The imaging acquisition was performed twice. The coefficients of repeatability (CoR) and intraclass correlation coefficient (ICC) were calculated.

Results

Images were acquired and processed successfully in all patients. No significant difference was detected between repeated measurements of ciliary muscle dimension, full-eye biometry or defocus aberration. The CoR of full-eye biometry ranged from 0.36% to 3.04% and the ICC ranged from 0.981 to 0.999. The CoR for ciliary muscle dimensions ranged from 12.2% to 41.6% and the ICC ranged from 0.767 to 0.919. The defocus aberrations of the two measurements were 0.443 ± 0.534 D and 0.447 ± 0.586 D and the ICC was 0.951.

Conclusions

The combined system is capable of measuring full eye biometry and refraction with good repeatability. The system is suitable for future investigation of pseudoaccommodation in the pseudophakic eye.