高速气涡轮切割手机联合专用加长裂钻对拔除下颌阻生第三磨牙的效果分析

目的:探讨牙科高速气涡轮切割手机配合阻生牙专用加长裂钻拔牙对口腔外科门诊需要拔除下颌阻生第三磨牙患者的影响。方法:选取我院收治的59例需要拔除下颌阻生第三磨牙患者,按照随机数字表法将所有患者随机分为试验组和对照组两组。其中试验组患者采用牙科高速气涡轮切割手机辅助阻生牙专用加长裂钻进行拔牙,而对照组患者则采取传统的劈骨分牙法,通过两组患者的术后复诊对患者的下唇麻木、断根等发生率以及张口受限、疼痛、肿胀等情况进行评价。结果:根据我院对两组患者的术中情况及术后并发症情况进行统计分析,结果显示试验组患者的手术时间为(25.68±6.83)min,明显低于对照组患者[(35.23±14.23)min,t=3.962,P=0.000]。试验组患者中仅有1例术后出现断根情况,无其他并发症出现;而对照组患者术后则有3例断根情况和1例下唇麻木患者(后逐渐缓解)、1例下颌关节疼痛以及1例舌侧骨板骨折患者。根据我院对两组患者术后1d的临床资料进行统计分析,结果显示试验组患者术后1d面部肿胀程度明显比对照组患者轻(P0.05);试验组患者的疼痛情况明显优于对照组患者(P0.05);试验组患者的张口受限程度明显比对照组患者轻(P0.05)。结论:牙科高速气涡轮切割手机配合阻生牙专用加长裂钻拔牙对口腔外科门诊需要拔除下颌阻生第三磨牙患者具有较好的临床治疗效果,值得在临床上加以广泛推广和运用。     

Putative Nociceptive Modulatory Neurons in the Rostral Ventromedial Medulla of the Rat Display Highly Correlated Firing Patterns

Recent work in this laboratory has identified two classes of putative nociceptive modulating neurons in the rostral ventromedial medulla (RVM) of the rat: “off-cells,” which pause beginning just prior to the tail flick response (TF) evoked by noxious heat, and “on-cells,” which accelerate shortly before the occurrence of the TF. In the unstimulated, lightly anesthetized rat, the spontaneous firing pattern of individual on- and off-cells consists of alternating periods of silence and activity lasting from several seconds to a few minutes.

In the present study, simultaneous recordings were made from pairs of TF-related neurons, and the relationships among the firing patterns of cells within a class and between cells of different classes were determined. All cells of a given class showed fluctuations in spontaneous discharge that were in phase. On the other hand, there was a striking reciprocity of firing between the two cell classes, such that a decrease in activity of cells of one class was accompanied by an increase in activity of cells of the other class.

These observations point to the existence of integrating mechanisms that coordinate the activity of all members of each class of TF-related neurons. Thus, the pattern of activity of any single on- or off-cell provides a useful index of the excitability of all cells of that class. Moreover, because of the highly reciprocal nature of the firing of the two classes, it is possible to infer the current state of both cell populations from the pattern of activity of any single TF-related neuron.     

第一磨牙窝沟封闭预防龋病的两年临床疗效观察

目的:评估窝沟封闭对预防第一磨牙窝沟龋的2年临床疗效。方法:选择贵阳市花溪区200名7-9岁经家长同意并签署窝沟封闭知情同意书的学生为实验组,进行第一磨牙窝沟封闭;因家长不同意而未进行窝沟封闭的200名同龄学生为对照组,两年内复查两组的龋病发病率和封闭剂的保留情况。结果:实验组窝沟封闭后第一年、第二年第一磨牙龋病的发生率分别为1.50%和1.01%,而对照组分别为4.00%和6.57%,第二年实验组的第一磨牙龋病发病率显著低于对照组,差异有统计学意义(P0.05)。实验组第一年、第二年的封闭剂完全保留率分别是85.5%和80.4%。结论:窝沟封闭作为一项健康干预措施,能有效降低学生的龋病发病率。     

Kisspeptin1 modulates odorant‐evoked fear response via two serotonin receptor subtypes (5‐HT1A and 5‐HT2) in zebrafish

Kiss1, a neuropeptide predominantly expressed in the habenula, modulates the serotonin (5‐HT) system to decrease odorant cue [alarm substance (AS)]‐evoked fear behaviour in the zebrafish. The purpose of this study was to assess the interaction of Kiss1 with the 5‐HT system as well as to determine the involvement of the 5‐HT receptor subtypes in AS‐evoked fear. We utilized 0. 28 mg/kg WAY 100635 (WAY), a selective 5‐HT_1A receptor antagonist, to observe the effects of Kiss1 administration on AS‐evoked fear. We found WAY significantly inhibited the anxiolytic effects of Kiss1 (p < 0.001) with an exception of freezing behaviour. Based on this, we utilized 92.79 mg/kg methysergide, a 5‐HT₁ and 5‐HT₂ receptor antagonist, and found that methysergide significantly blocked the anxiolytic effects of Kiss1 in the presence of the AS (p < 0.001). From this, we conclude that Kiss1 modulates AS‐evoked fear responses mediated by the 5‐HT_1A and 5‐HT₂ receptors.

     

PTSD促进大鼠中缝背核细胞色素c表达

目的研究创伤后应激障碍(PTSD)大鼠中缝背核神经元细胞色素C(Cyt-c)的表达变化。方法应用无连续单一刺激(SPS)方法建立PTSD大鼠模型,随机分为SPS刺激后1d、4d、7d和对照组,应用酶组织化学法和RT-PCR方法观察中缝背核神经元Cyt-c的表达变化。结果光镜酶细胞化学法和RT-PCR法显示中缝背核神经元Cyt-c染色阳性细胞于SPS刺激后1d明显高于对照组,4d逐渐增高,并于7d达到高峰。电镜下显示Cyt-c阳性反应产物主要分布在中缝背核神经元线粒体膜,SPS刺激后可见Cyt-c释放到胞浆中。结论 SPS刺激引起Cyt-c在PTSD大鼠中缝背核神经元呈过表达。     

Ghrelin postsynaptically depolarizes dorsal raphe neurons in rats in vitro

Ghrelin promotes growth hormone (GH) secretion and feeding. Recent studies further showed that ghrelin displayed a defending effect against the depressive-like symptoms and affected sleep in animals and humans. Serotonergic system is considered to be implicated in feeding, depression and other mood disorders, and sleep. The dorsal raphe nucleus (DRN) utilizes serotonin (5-HT) as its major neurotransmitter and expresses GH secretagogue receptors (GHS-Rs). Therefore, the present study was carried out to examine the electrophysiological effect of ghrelin on rat DRN neurons in vitro and determine the ionic mechanism involved. Whole-cell recording revealed that ghrelin depolarized DRN neurons dose-dependently in tetrodotoxin-containing artificial cerebrospinal fluid (TTX ACSF). Pretreatment with [d-Lys³]-GHRP-6, a selective antagonist for GHS-Rs, antagonized the ghrelin-induced depolarization. The depolarization was significantly reduced in a low-Na⁺ TTX ACSF and in a high-K⁺ TTX ACSF and was abolished in the combination of both ACSFs, suggesting that the ghrelin-induced depolarization is mediated by a dual ionic mechanism including an increase in nonselective cationic conductance and a decrease in K⁺ conductance. The experiments on the reversal potential also supported an involvement of the dual ionic mechanism in the ghrelin-induced depolarization. On the basis of their electrophysiological and pharmacological properties, approximately 80% of DRN neurons were classified as putative 5-HT-containing neurons and ghrelin depolarized 75% of them. These results suggest that DRN neurons, especially 5-HT-containing neurons, might be involved in the neural mechanisms through which ghrelin participates in the development and/or regulation of feeding behavior, sleep-wake states and depressive-like symptoms.     

Electrophysiological and Pharmacological Analysis of Neuronal Activity in the Midbrain Medial Raphe Nucleus after Acute Immobilization Stress

In albino rats anesthetized with urethane, most medial raphe neurons are characterized by a low rate of the discharges. Acute immobilization stress resulted in a significant enhancement in the number of regularly discharging neurons. After immobilization, the number of neurons with a low-rate impulsation decreased, while the number of neurons with intensive firing increased. Treatment with fluoxetine enhanced the number of regularly firing neurons more than three times, and a predominant part of the neurons demonstrated a high level of background activity. It should be supposed that a significant part of the neurons with high-rate discharges are serotonergic, because their number also increased after fluoxetine administration.     

红腹罗非鱼视网膜色素上皮及光感器的胚后分化

硬骨鱼胚后发育中,边缘生长区及胚胎裂缝代表神经形成的活跃位点,同时对新的神经胶质细胞和光感器(视锥和视杆细胞)的形成有积极作用。此项工作首次研究红腹罗非鱼(硬骨鱼类辐鳍亚纲)视网膜中视网膜色素上皮和光感器的胚后生长及分化。采用光学和透射电子显微镜术分析了四个大小不同的鱼群组。正如至目前为止,在已研究过的大多数其它硬骨鱼中所观察到的结果一样,我们研究的所有样本中,成年红腹罗非鱼的视网膜表现为气球样扩张。此外,尚具有一弯曲的、有开口的胚胎裂缝,表明眼的不对称性胚后生长。在胚后分化过程中,视网膜色素上皮表现为自外周向中央的梯度变化,即边缘生长区周围,该上皮仅含有球形的黑色素体,而在中央部位发育为长形的黑色素体及顶端突起。同样,发育中的光感受器亦表现为由侧面向中央逐步发展变化的程序。光感觉器先形成1内节及其附属的突起,随后内节分化为一椭圆体加一肌样结构,这两种成分与其它已研究过的硬骨鱼视网膜中观察到的胚胎发育程序大致相符。因此提供了另一线索：硬骨鱼胚后视网膜的生长极大地刺激(促进)了胚胎视网膜的发育。本研究表明：双体视锥细胞可能是发育中的单体视锥细胞裂开的结果[动物学报49(6)：813～818,2003]。     

大鼠下丘脑室旁核神经元对电刺激蓝斑和中缝背核的反应

用玻璃微电极细胞外记录大鼠室旁核(PVH)神经元的单位放电,观察它对电刺激蓝斑(LC)和中缝背核(DR)的反应。 在435个被试验单位中,5个单位对LC电刺激呈现逆行反应,75个单位呈现顺行反应。在这75个顺行反应单位中,27个对单刺激发生反应,48个对串刺激发生反应。对电刺激DR发生反应的有74个单位,其中15个对单刺激发生反应,59个对串刺激发生反应而对单刺激不反应。值得注意的是有23个PVH神经元既对LG刺激又对DR刺激发生顺行反应。实验结果提示,PVH与LC、DR之间存在神经联系。