睡眠障碍通过下丘脑-垂体-卵巢轴影响女性生育能力的临床研究

摘要 目的：探究睡眠障碍是如何通过下丘脑-垂体-卵巢轴影响女性生育能力的。方法：选择2018年10月至2021年10月于我院妇科内分泌科就诊的育龄期女性80例作为研究对象,根据匹兹堡睡眠质量指数量表（PSQI）评估结果,将所有研究对象按照是否存在睡眠障碍分为睡眠障碍组（n=34例）和非睡眠障碍组（n=46例）。对比分析两组PSQI评分,血清性激素水平,月经周期,生育能力,通过Pearson法分析睡眠障碍与女性生育能力的相关性。结果：（1）睡眠障碍组PSQI总分以及睡眠质量、入睡时间、睡眠时间、睡眠效率、睡眠障碍和日间功能障碍各方面得分均显著高于对照组（P<0.05）;（2）睡眠障碍组卵泡刺激素（FSH）、黄体生成素（LH）较非睡眠障碍组升高,而雌二醇（E₂）水平低于非睡眠障碍组（P<0.05）;（3）两组月经周期比较,睡眠障碍组月经紊乱比例显著高于对照组（P<0.05）;（4）两组生育能力比较,睡眠障碍组生育能力显著低于对照组（P<0.05）。（5）睡眠障碍与FSH和LH均存在负相关性,和E₂存在正相关（P<0.05）。结论：睡眠障碍可减弱下丘脑-垂体-卵巢轴的驱动,导致卵泡刺激素释放缓慢,延长了月经周期,并导致黄体功能下降,增加了未受孕或者再次异位妊娠的发生率。     

Interaction between the inducible 70-kDa heat shock protein and autophagy: effects on fertility and pregnancy

A consequence of hsp70 (HSPA1A) induction is the inhibition of autophagy. Evidence of autophagy involvement in all aspects of the reproductive process is reviewed, and possible consequences of hsp70 induction at each developmental stage are postulated. It is proposed that aberrant external or internal stimuli that result in high levels of hsp70 production interfere with normal autophagy-related functions and lead to a decrease in the number of functional ova and spermatozoa, impaired pre- and post-implantation embryo development, and increased susceptibility to premature labor and delivery. The purpose of this review is to increase understanding of hsp70-autophagy interactions during reproduction. Interventions to modulate this interaction will lead to development of novel protocols to improve fertility and pregnancy outcome.     

Relationship between sperm motility, morphology and the fertility of stallions

Sperm quality has an important role in determining fertility. Although there have been numerous studies to document the relationship between sperm quality and fertility, the methods of determining this association and conclusions vary. In the present study, computer-assisted sperm analysis (CASA) was used for evaluation of sperm motility, and differential interference contrast (DIC) microscopy was used for evaluating sperm morphologic features of breeding stallions. Fertility was measured using three endpoints: seasonal pregnancy rate (PR), percent pregnant/cycle (PC), and percent pregnant/first cycle (FCP). Increased total sperm motility (P = 0.08) and progressive path velocity (P = 0.06) tended to be associated with higher PR, whereas percent coiled tails (P = 0.02) was associated with a lower PR. Sperm motility variables associated with an increase in PC and FCP included total, progressive, and rapid sperm motility, and increased path and progressive velocity. Percent pregnant/first cycle was the only fertility measure able to discriminate among high, average, and low fertility groups, based on total and progressive sperm motility. Percent normal sperm was the only morphology variable associated with an increased PC and FCP, whereas increased levels of most sperm morphologic abnormalities (including abnormal and detached heads, proximal and distal droplets, general midpiece abnormality, and coiled tails) were associated with a decline in PC and FCP. Sperm quality variables most highly correlated with fertility included percent total sperm motility (PR, r = 0.37, P < 0.05; PC, r = 0.59, P < 0.05; and FCP, r = 0.64, P < 0.05), and percent morphologically normal sperm (PC, r = 0.42, P < 0.05; and FCP, r = 0.39, P < 0.05).     

江苏省稻田土壤肥力评价与生产潜力

稻田土壤主要分布于淮河以南地区。随着农田水利条件的改善,土壤生态环境发生变化,其耕作制度也随之不断改革。如在北部的徐淮地区大面积的旱改水,稻田面积增加,粮食产量大幅度上升。据调查统计,全省稻田土壤约占总耕地面积的60%左右,而生产的粮食约占粮食总产量的75%左右。稻田土壤因水分特点与土体构型的不同,可分为爽水、滞水、囊水、漏水与测渗五个类型。爽水水稻土主要分布于太湖平原与里下河     

Fertility,Inheritance and Amino Acid Analysis of Lysine Plus Threonine-Resistant Mutant Progenies of Maize

Sixth generation of mutant maize seed homozygous for lysine plus threonine resistancewhich was derived from the resistant callus cultures has been harvested. The resistance could be inherited stably. The fertility, however, was very poor. The resistant homozygotes have been obtained by backcross of the wild type with the resistant plants (W77-R3019 ×R0), and their fertility could be parlty recovered after selection for the resistant plants from backcross progenies. Genetic analysis showed that the resistance inherited as a single dominant nuclear allele. All of the free amino acids except phenylalan inc in the homozygote are increased by 4 folds. and free essential amino acids by 5 folds which are higher than those in the wild types. Total amino acids increased by 5.53%. The dramatic increase (11 times) in free threonine adds up the total threonine by 17.73%. Difference of the protein content between the homozygote and wild type was not obvious. These results show that selection for the resistance to lysine plus threonine in maize and other cereals is probably very useful for improving their value of protein nutrition.     

动物存活率与平均寿命的数学关系

根据动物存活率与平均寿命的定义,推导出存活率与平均寿命的数学关系,即：E=-1lnr,其中E表示动物的平均寿命或期望寿命(可以用日、周、月、年等表示),r表示特定时段内(可以用日、周、月、年等表示)动物的平均存活率,其时间单位与E相对应．根据这种关系,可以利用动物的平均存活率估计其平均寿命(或期望寿命),反之,如果已知动物的平均寿命,也可以用来推算动物的平均存活率．     

健康教育路径对眼科术后患者焦虑情绪的影响

目的探讨应用健康教育路径对眼科术后患者行健康教育后焦虑情绪的变化。方法：240例术后患者分为两组,每纽120例。试验组患者采用健康教育路径进行健康教育,对照组患者为未引用健康教育路径而采用传统健康教育方法进行健康教育。评价两组患者健康教育后的效果、焦虑、住院满意度等。结果：试验组健康教育效果住院满意度优于对照组,术后焦虑程度明显低于对照组,两组比较差异有统计学意义。结论：应用健康教育路径对眼科术后患者进行健康教育可以收到良好的效果,不仅减轻了患者术后的焦虑程度,同时提高了患者对护理的满意度。     

层级护理管理模式在临床护理中的应用

科室层级护理管理模式是护理质量控制的重要组成部分,对科室和全院的护理质量建设起到极大的推动作用。在立足医院科室层级管理模式的基础上,简单介绍临床层级护理模式,并探讨相应的管理对策和建议。     

肝癌患者疾病感知状况、希望水平与生活质量的关系研究

摘要 目的：探讨肝癌患者疾病感知状况、希望水平与生活质量的相关性。方法：选取我院2017年10月～2020年10月收治的肝癌患者126例,采用疾病感知问卷（BIPQ）评估患者的感知状况,利用Herth希望指数量表（HHI）评估希望水平,患者的生活质量经简明生活质量量表（SF-36）评估。分析肝癌患者BIPQ、HHI评分与临床资料的关系。根据肝癌患者BIPQ评分,将其分成BIPQ≥48分组、BIPQ＜48分组,根据HHI评分分成HHI≥24分组、HHI＜24分组,比较不同BIPQ、HHI评分患者的SF-36评分。分析肝癌患者BIPQ、HHI评分与SF-36评分的相关性。结果：受教育年限＜9年、临床分期Ⅲ期、合并肝硬化的患者BIPQ评分高于受教育年限≥9年、临床分期Ⅰ-Ⅱ期、无肝硬化的患者,而受教育年限＜9年、临床分期Ⅲ期、家庭月收入＜3000元、合并肝硬化的患者HHI评分低于受教育年限≥9年、临床分期Ⅰ-Ⅱ期、家庭月收入≥3000元、无肝硬化的患者（P＜0.05）。BIPQ≥48分组的社会功能、躯体功能、躯体疼痛、心理健康、躯体角色功能、精力、情绪角色功能、总体健康评分低于BIPQ＜48分组,HHI≥24分组SF-36各维度评分高于HHI＜24分组（P＜0.05）。BIPQ评分与SF-36各维度评分呈负相关,HHI评分与SF-36各维度评分呈正相关（P＜0.05）。结论：肝癌患者疾病感知状况以及希望水平受多种因素影响,且二者与生活质量密切相关,疾病负面感知越低、希望水平越高的患者生活质量越好。