连续性血液净化治疗联合乌司他丁对急性胰腺炎患者TLR4、血浆炎症因子及白介素的影响

目的:探究连续性血液净化联合乌司他丁对急性胰腺炎患者TLR4、白介素及血浆炎症因子的影响。方法:选择2014年1月至2016年1月我院接诊的72例急性胰腺炎患者,并采用随机的方法分为实验组与对照组各36例。实验组与对照组均进行基础治疗和乌司他丁治疗,而实验组还要进行连续性血液净化治疗。记录治疗后APACHEⅡ评分、住院时间、腹痛消失时间、血清淀粉酶恢复时间,测量患者治疗前和治疗一周后的TLR4、血浆炎症因子及白介素水平。结果:(1)实验组患者治疗后住院时间、血清淀粉酶恢复时间、APACHEⅡ评分、腹痛消失时间均显著低于或少于对照组患者(P0.05)。(2)相较于治疗前,两组患者治疗一周后的TLR4、CRP、IL-6和TNF-α水平均显著降低(p0.05);实验组患者治疗一周后的TLR4、CRP、IL-6和TNF-α的水平均显著低于对照组(p0.05)。(3)实验组的治愈率(34.29%)和总有效率(74.29%)均显著高于对照组的治愈率(14.29%)和总有效率(48.57%)。结论:连续性血液净化治疗联合乌司他丁对急性胰腺炎患者的抗炎效果相较于单独使用乌司他丁疗效显著,能更好地降低炎症反应,使得TLR4、血浆炎症因子及白介素等炎症因子降低。     

O型孕妇产前IgG血型抗体效价与新生儿溶血病的相关性

目的:探讨O型孕妇产前IgG血型抗体效价与新生儿溶血病(HDN)的相关性。方法:选择2013年1月至2015年12月期间,在我院分娩的夫妻ABO血型不合的O型Rh(D)阳性孕妇432例及新生儿为研究对象,观察孕妇血清IgG抗体效价情况,新生儿HDN发病情况,并分析二者相关性。结果:432例孕妇中血清IgG抗A(B)效价大于或等于1:64的有189例,占43.75%,随IgG抗A(B)效价升高,孕妇比例逐渐减少。随孕次增加,孕妇血清IgG抗A(B)效价逐渐增高,各组孕妇血清IgG抗A(B)效价比较有统计学差异(P0.05)。随年龄增加,孕妇血清IgG抗A(B)效价逐渐增高,各组孕妇血清IgG抗A(B)效价比较有统计学差异(P0.05)。随IgG抗A(B)效价升高,HDN发生率显著升高,各组比较有统计学差异(P0.05)。等级相关检验显示,孕妇血清IgG抗A(B)与HDN发生呈正相关(r=0.732,P0.05)。结论:O型孕妇产前IgG血型抗体是引起HDN的主要原因,其水平与HDN呈正相关,值得临床重视。     

富氢盐水对高压电烧伤大鼠微循环内红细胞流速及组织病理损伤的影响

目的:探讨富氢盐水对高压电烧伤大鼠微循环内红细胞流速及组织病理损伤的影响。方法:80只大鼠随机分为四组,分别为烧伤组、治疗组、对照组和阳性对照组,治疗组烧伤后给予富氢盐水治疗,阳性对照组给予罂粟碱溶液治疗。每组分成三个亚组用于血气分析,肺组织形态学观察和红细胞流动速度检测。结果:治疗组和阳性对照组大鼠肺组织湿干重比均显著低于烧伤组(P0.05),治疗组和阳性对照组大鼠肺组织湿干重比差异不显著(t=0.585,P0.05)。治疗组和阳性对照组大鼠生存时间均显著高于烧伤组(P0.05),治疗组和阳性对照组大鼠生存时间差异不显著(t=0.448,P0.05)。治疗组和阳性对照组氧分压均显著高于烧伤组(P0.05);治疗组和阳性对照组氧分压差异不显著(t=0.424,P0.05)。治疗组和阳性对照组二氧化碳分压均显著低于烧伤组(P0.05);治疗组和阳性对照组二氧化碳分压差异不显著(t=1.285,P0.05)。治疗组和阳性对照组大鼠红细胞流动速度分压均显著高于烧伤组(P0.05);治疗组和阳性对照组之间大鼠红细胞流动速度差异不显著(P0.05)。结论:富氢盐水能够促进烧伤大鼠微循环内红细胞的流动,改善微循环,恢复受损肺组织,在高压电烧伤患者的治疗方面具有较好的应用前景。     

神经节苷脂联合高压氧对重度脑外伤急性期患者凝血功能的影响及促醒作用

目的:分析神经节苷脂联合高压氧对重度脑外伤急性期患者凝血功能的影响及促醒作用。方法:收集我院2014年2月至2015年2月收治的重度脑外伤急性期患者120例,对照组60例行常规治疗,研究组60例在常规治疗基础上联合神经节苷脂及高压氧治疗,比较两组治疗后内皮功能、凝血功能、Barthel指数及格拉斯哥加昏迷量表(GCS)评分变化,清醒时间、并发症及预后情况。结果:治疗后,研究组内皮功能明显优于对照组,D-二聚体(D-D)、凝血酶原时间(PT)、活化部分凝血酶原时间(APTT)低于对照组,Barthel生活指数及GCS评分高于对照组,清醒时间短于对照组,并发症率低于对照组,预后良好率高于对照组,差异均具有统计学意义(P0.05)。结论:神经节苷脂联合高压氧可有效改善重度脑外伤急性期患者的凝血功能,促进患者苏醒,改善患者的预后。     

高血压患者血压控制水平、血脂水平及颈动脉斑块与冠脉病变的关系

目的:探讨血压控制水平、血脂水平和颈动脉斑块与高血压患者冠脉病变程度和病变支数的关系。方法:回顾性分析2014年01月至2016年05月收住于南京中医药大学附属江苏省中西医结合医院心血管科的原发性高血压患者273例,按血压控制水平分为达标组和未达标组。按颈动脉超声结果判断有无斑块,冠状动脉造影结果使用Gensini评分和病变支数表示,并检测血脂指标。结果:血压控制达标者130人(47.61%),颈动脉有斑块者193例(70.70%)。与血压控制达标患者相比,血压控制不达标者冠脉病变支数及冠脉狭窄程度得分均明显增加(P0.05)。血压不达标合并斑块患者冠脉病变支数和狭窄程度与血压达标无斑块、血压达标合并斑块及血压不达标无斑块患者相比均明显增加(P0.001)。患者HDL-C水平与冠状动脉狭窄程度呈负相关(r=-0.139,P=0.022),AI与冠状动脉狭窄程度呈正相关(r=0.136,P=0.025),LDL/HDL-C和AI与冠脉病变支数均呈正相关,分别为(r=0.128,P=0.035)和(r=0.137,P=0.023)。结论:血压控制不佳,高血脂和颈动脉斑块形成可增加高血压患者冠脉病变的严重程度。     

Enhanced evapotranspiration was observed during extreme drought from Miscanthus,opposite of other crops

The impact of extreme drought and heat stress that occurred in the Midwestern U.S. in 2012 on evapotranspiration (ET), net ecosystem productivity (NEP), and water‐use efficiency (WUE) of three perennial ecosystems (switchgrass, miscanthus, prairie) and a maize/soybean agroecosystem was studied as part of a long‐term experiment. Miscanthus had a slower initial response but an eventually drastic ET as drought intensified, which resulted in the largest water deficit among the crops. The substantially higher ET at peak drought was likely supplied by access to deep soil water, but suggests that stomatal conductance of miscanthus during the drought may respond differently than the other ecosystems, consistent with an anisohydric strategy. While there was a discrepancy in the water consumption of maize and switchgrass/prairie in the early time of drought, all these ecosystems followed a water‐saving strategy when drought intensified. The gross primary production (GPP) of miscanthus dropped, but was reversible, when temperature reached 40 °C and still provided the largest total GPP among the ecosystems. Increased ET for miscanthus during 2012 resulted a large decline in ecosystem WUE compared to what was observed in other years. The biophysical responses of miscanthus measured during an extreme, historic drought suggest that this species can maintain high productivity longer than other ecosystems during a drought at the expense of water use. While miscanthus maintained productivity during drought, recovery lagged associated with depleted soil moisture. The enhanced ET of miscanthus may intensify droughts through increase supply of deep soil moisture to the atmosphere.     

Removal of naturally grown human biofilm with an atmospheric pressure plasma jet: An in‐vitro study

The removal of biofilm is a prerequisite for a successful treatment of biofilm‐associated diseases. In this study, we compared the feasibility of an atmospheric pressure plasma device with a sonic powered brush to remove naturally grown supragingival biofilm from extracted teeth. Twenty‐four periodontally hopeless teeth were extracted. Argon jet plasma with an oxygen admixture of 1 vol% and a sonically driven brush were used to remove biofilm with application times of 60 s, 180 s and 300 s. The treatment efficiency was assessed with light microscopy, scanning electron microscopy (SEM) and X‐ray photoelectron spectroscopy (XPS). The highest biofilm removal rate was observed after an application time of 180 s/300 s with the sonic brush (80.4%/86.2%), plasma (75.5%/89.0%). These observations were confirmed by SEM. According to XPS analysis, plasma treatment decreased the amount of carbon and nitrogen, indicative of an extensive removal of proteins. Plasma treatment of naturally grown biofilm resulted in an effective cleaning of the tooth surface and was comparable to mechanical treatment. Treatment time had a significant influence on plaque reduction. These results showed that plasma could be a useful adjuvant treatment modality in cases where biofilm removal or reduction plays a decisive role, such as periodontitis and peri‐implantitis.

Plasma‐treated biofilm on an extracted tooth.     

水稻抗逆相关基因的分子进化分析

植物在进化过程中为了适应外界环境,已经具有一套完整的抵抗外界特殊环境的调控系统。但是,关于水稻抗逆相关基因的分子进化方面的研究还未见报道。文章通过Plant Tolerance Gene Database数据库,获得22个水稻抗逆相关基因。利用比较基因组学和生物信息学方法对水稻抗逆相关基因的进化动态进行研究,结果表明水稻抗逆相关基因在低等植物中比较保守;随着植物的不断进化和生存环境的改变,其基因数量也随之增加。具有相似抗性功能的基因往往具有相似的基因结构和基序(motif)结构。文章还发现4个保守motif 的存在：HRDXK、DXXSXG、LLPR和GXGXXG(X代表任意氨基酸)。在GSK1、RAN2抗逆基因中发现了3个特有的motif结构：GSK1特有的P-rich motif,RAN2特有的G-rich motif和E-rich motif。推测这些保守的motif结构与基因的抗逆功能密切相关。进化速率分析结果表明,尽管植物抗逆性相关基因在进化过程中受到较强的纯化选择作用,但是仍然有50%的抗逆性相关基因存在正选择位点。这些正选择位点的存在有可能为基因适应外界环境变化提供了重要的物质基础。     

Change in Vascular Adhesion Protein‐1 and Metabolic Phenotypes after Vertical Banded Gastroplasty for Morbid Obesity

Objective: The association between circulating vascular adhesion protein‐1 (VAP‐1) and metabolic phenotypes has been shown to be inconsistent. The current study explored whether the changes in serum VAP‐1 levels correlate with the changes in metabolic phenotypes after weight reduction surgery. Research Methods and Procedures: Clinical characteristics and serum VAP‐1 levels in 20 morbidly obese subjects (mean BMI 38.84 kg/m²) were measured before and after vertical banded gastroplasty. Results: Before surgery, serum VAP‐1 levels correlated positively with fasting plasma glucose (γ = 0.56, p = 0.01) and negatively with insulin levels (γ = ?0.51, p = 0.021). After surgery, the changes in serum VAP‐1 levels were negatively correlated with the changes in waist circumference (γ = ?0.57, p = 0.011), diastolic blood pressure (DBP) (γ = ?0.56, p = 0.015), and mean arterial pressure (γ = ?0.46, p = 0.055). In multivariate regression, serum VAP‐1 levels were negatively correlated with waist circumference (β = ?2.36, p = 0.014) and DBP (β = ?3.02, p = 0.017) after adjusting for age and gender. The change in DBP was negatively correlated with the change in VAP‐1 levels after adjusting for age, gender, and steady‐state plasma glucose. Discussion: The results suggest that VAP‐1 levels are correlated with fasting glucose and insulin levels in morbidly obese subjects. After surgery, the changes in VAP‐1 levels were associated with changes in visceral adiposity and DBP. Serum VAP‐1 might modulate DBP independently from the changes in insulin resistance in morbidly obese people.