超声引导下腔内射频消融联合点式剥脱治疗下肢静脉曲张的临床效果观察

目的:探讨超声引导下腔内射频消融(radiofrequency endovenous obliteration,RFO)联合点式剥脱治疗下肢静脉曲张的临床疗效及安全性。方法:选取2017年10月至2018年10月哈尔滨医科大学附属第一医院收治的下肢静脉曲张患者共320例(320条肢体),将其随机分为观察组200例和对照组120例。观察组200例(200条肢体)采用超声引导下腔内射频消融联合点式剥脱进行治疗,对照组120例(120条肢体)采用传统大隐静脉高位结扎剥脱、曲张静脉点式剥脱治疗。比较两组患者平均住院时间、术后并发症的发生情况及术后1年下肢静脉的彩超随访情况。结果:观察组患者平均住院时间较对照组显著缩短,术后皮肤瘀斑、皮下血肿、隐神经损伤、切口感染的发生率显著低于对照组(P0.05),两组患者术后1年复查,其复发率及大隐静脉主干闭塞情况比较差异没有统计学意义(P0.05)。结论:与传统大隐静脉高位结扎剥脱、曲张静脉点式剥脱治疗相比,超声引导下腔内射频消融联合点式剥脱治疗下肢静脉曲张的疗效及安全性均更高,有利于患者术后康复。     

中心静脉导管引流对单孔胸腔镜肺癌根治术患者术后胸腔引流的应用分析

目的:探讨中心静脉导管引流对单孔胸腔镜肺癌根治术患者术后胸腔引流的应用效果。方法:回顾性选取2019年1月至2019年12月期间我院收治的行单孔胸腔镜肺癌根治术患者80例的临床资料,根据引流方式的不同分为A组(n=40,传统引流)和B组(n=40,中心静脉导管引流),对比两组患者临床指标、生活质量、炎性因子及并发症发生情况。结果:B组引流操作时间、术后住院时间短于A组(P0.05)。两组术后3个月生活质量简表(SF-36)各维度评分均较术前升高,且B组高于A组(P0.05)。两组术前、术后3d、术后7d白介素-6(IL-6)、C反应蛋白(CRP)、肿瘤坏死因子-α(TNF-α)呈先升高后下降趋势,且术后3d、术后7d B组以上指标低于A组(P0.05)。两组术后并发症发生率比较无差异(P0.05)。结论:与传统引流相比,单孔胸腔镜肺癌根治术患者术后采用中心静脉导管引流,效果显著,可减少炎性刺激,安全可靠,有效改善患者术后生活质量。     

微创肺表面活性物质对呼吸窘迫综合征新生儿肝肾功能、氧合功能及呼吸功能的影响

目的:探讨微创肺表面活性物质(pulmonary surfactant,PS)对呼吸窘迫综合征新生儿氧合功能、肝肾功能及呼吸功能的影响。方法:选择2018年3月至2019年3月我院收治的66例新生呼吸窘迫综合征的患儿作为研究对象,并按照随机数字表法分为观察组(n=33)和对照组(n=33)。对照组患儿采取常规的治疗方式,观察组患儿则在对照组治疗基础上应用微创PS治疗。观察比较两组患儿的动脉血气指标、Ⅱ型肺泡细胞表面抗原(KL-6)、巨噬细胞移动抑制因子-1(MIF-1)、高迁移率族蛋白1(HMGB-1)、肝肾功能、氧合指数及呼吸机参数。结果:治疗后,两组的氧分压(PaO_2)、二氧化碳总量(TCO_2)、氧饱和度(SaO_2)均较治疗前显著增高;且观察组以上指标均高于对照组。两组的Ⅱ型肺泡细胞表面抗原(KL-6)、巨噬细胞移动抑制因子-1 (MIF-1)、高迁移率族蛋白1(HMGB-1)均较治疗前显著降低,且观察组的以上指标均低于对照组。两组的谷草转氨酶(AST)、谷丙转氨酶(ALT)、尿素氮(BUN)、肌酐(CRE)水平均较治疗前显著降低,且观察组的以上指标均明显低于对照组。观察两组的呼吸机参数和氧合指数,发现两组的吸入氧浓度(FiO_2)、吸气峰压(PIP)、呼吸末正压(PEEP)、氧合指数(PaO_2/FiO_2,OI)均较治疗前有所改善,且观察组的以上指标均要优于对照组(P0.05)。结论:应用微创PS治疗新生儿呼吸窘迫综合征的效果显著,能明显改善患儿的动脉血气指标、肝肾功能以及氧合功能,减轻炎症反应,并减少机械通气的参数。     

重大入侵害虫草地贪夜蛾的研究进展

草地贪夜蛾Spodoptera frugiperda是一种杂食性检疫害虫,原产于美洲热带和亚热带地区,寄主超过350种,尤其喜欢禾本科作物,特别是玉米,具有迁飞能力强、繁殖能力强、暴食性和抗药性进化快的特点。该虫最初于2019年1月由缅甸入侵我国云南省,现已蔓延至我国26个省份。为全面了解和有效防治草地贪夜蛾,本文对其分布范围、扩散途径和原因、生活习性、危害特点以及防治措施等进行了总结和整理,并对未来的研究方向进行了讨论。     

What and where? Predicting invasion hotspots in the Arctic marine realm

The risk of aquatic invasions in the Arctic is expected to increase with climate warming, greater shipping activity and resource exploitation in the region. Planktonic and benthic marine aquatic invasive species (AIS) with the greatest potential for invasion and impact in the Canadian Arctic were identified and the 23 riskiest species were modelled to predict their potential spatial distributions at pan‐Arctic and global scales. Modelling was conducted under present environmental conditions and two intermediate future (2050 and 2100) global warming scenarios. Invasion hotspots—regions of the Arctic where habitat is predicted to be suitable for a high number of potential AIS—were located in Hudson Bay, Northern Grand Banks/Labrador, Chukchi/Eastern Bering seas and Barents/White seas, suggesting that these regions could be more vulnerable to invasions. Globally, both benthic and planktonic organisms showed a future poleward shift in suitable habitat. At a pan‐Arctic scale, all organisms showed suitable habitat gains under future conditions. However, at the global scale, habitat loss was predicted in more tropical regions for some taxa, particularly most planktonic species. Results from the present study can help prioritize management efforts in the face of climate change in the Arctic marine ecosystem. Moreover, this particular approach provides information to identify present and future high‐risk areas for AIS in response to global warming.     

Competitive abilities and distribution ranges of four asexual Daphnia pulex lineages and Daphnia mitsukuri in Eurasian continental islands

Daphnia pulex and D. mitsukuri are morphologically similar and distributed in small lowland Japanese lakes. Daphnia pulex in Japan reproduces by obligate parthenogenesis and is composed of four different lineages (JPN1–JPN4) with North American origins. Although this species is found throughout Japan, JPN1 has the largest distribution range, followed by JPN2. Daphnia mitsukuri is a putatively endemic species that is now rarely found in Japan. Since Daphnia share the same algal food, the difference in distribution ranges among the four asexual D. pulex lineages and D. mitsukuri may be caused by exploitative competition for algal food. To examine this possibility, we measured the threshold food concentration (TFC) at zero-net growth rate and the food concentration required for 50% of the individuals to survive (FC50). In addition, we examined the effects of temperature on the somatic growth rate (SGR) and the mortality rates of four asexual D. pulex lineages and D. mitsukuri. The experiments showed that TFC was lowest in D. pulex JPN1 and highest in D. mitsukuri, supporting the idea that the largest distribution range of JPN1 is due to its superiority in inter-lineage competition, and that the distribution area of D. mitsukuri is reduced through exploitative competition with D. pulex. However, although JPN2 was found in relatively large areas, it had higher TFC than JPN3 and JPN4, which appear in very limited areas. These results clearly showed that the difference in distribution ranges among D. pulex lineages are not necessarily determined by their competitive superiority alone.     

Integrating management techniques to restore subtropical forests invaded by Hedychium coronarium J. Köenig (Zingiberaceae) in a biodiversity hotspot

The restoration of areas invaded by non‐native plants is challenging as invasive plants may affect both biotic and abiotic components of ecosystems, leading to impacts that constrain recolonization by native species after invaders are eliminated. In such a scenario, restoration techniques as topsoil transposition might accelerate colonization by native species in forests. Hedychium coronarium J. Koenig (Zingiberaceae) is a Himalayan herbaceous rhizomatous plant recognized as invasive in several countries. This study aimed to experimentally evaluate the response of plant assemblages to topsoil transposition on a site invaded by H. coronarium after chemical control. Four treatments were applied: chemical control integrated with topsoil transposition, chemical control of H. coronarium alone, topsoil transposition alone, and no intervention (control). Plots were evaluated prior to the application of treatments and then monthly for 11 months after treatments. Parameters were measured for H. coronarium (number of ramets, ramet height, and cover) and other species (species richness, abundance, and cover). Plots treated with chemical control (regardless of topsoil transposition) were similar in terms of all parameters measured and species composition, with dominance of herbs and shrubs. Plots managed solely with topsoil transposition had lower species richness, abundance, and cover, but more diverse life‐forms, being equally rich in climbers, trees, and herbs. Chemical control was effective to control invasion by H. coronarium and increase species richness and abundance on the managed site. Topsoil transposition promoted colonization by species that might accelerate restoration.