金匮肾气丸和男宝胶囊对肾阳虚证雄性大鼠生殖能力影响的干预研究

目的:研究金匮肾气丸和男宝胶囊对肾阳虚证雄性大鼠生殖能力的影响及作用机理.方法:用成年雄性SD大鼠80只随机分成4组:空白对照组(正常组)、金匮肾气丸组、男宝胶囊组、模型组.除正常组外,其他组大鼠用氢化可的松注射液制造肾阳虚模型.正常组和模型组用等体积蒸馏水灌胃,治疗组用相应剂量的药物灌胃,持续给药30d.检测各组大鼠左侧睾丸、脾脏、胸腺质量,测血清睾丸酮(T)、促黄体生成激素(LH)、促卵泡生成激素(FSH)水平,精子密度、精子活率改变情况.结果:模型组左侧睾丸、脾脏、胸腺质量低于正常组、金匮肾气丸组和男宝胶囊组(P.∞.05 o模型组血清T、LH、FSH水平低于正常组、金匮肾气丸组和男宝胶囊组(P＜0.05).模型组精子密度、精子活率低于正常组、金匮肾气丸组和男宝胶囊组(P＜0.05).结论:金匮肾气丸和男宝胶囊对肾阳虚证雄性大鼠生殖能力有较好的治疗作用.     

非体外循环与并行循环不停跳冠脉搭桥术炎性因子的比较

目的:通过对比非体外循环与并行循环下不停跳冠脉搭桥术炎性因子的变化,观察不同方法对机体全身炎性反应程度的影响.方法:选择2009年6月～2010年1月在我院行冠脉搭桥术患者30例,其中选取采用并行循环下不停跳冠脉搭桥术(OnP-BH CABG)和非体外循环冠脉搭桥术(OPCABG)患者各15例,即A组和B组.检测T1(术前)、T2(手术结束时)、T3(术后6小时)、T4(术后12小时)、T5(术后24小时)不同时间点血浆肿瘤坏死因子-α(TNF-α)、白介素-6(IL-6)、白介素-8(IL-8)、肌钙蛋白I(cTnI)含量,并记录桥血管数量、精神状况、引流量及ICU入住时间.结果:两组血浆TNF-α、IL-6、IL-8、cTnI舍量T1时无统计学意义(P>0.05),T2、T3、T4、T5均呈升高趋势.A组较B组T2、T3、T4、T5各时间点TNF-α、IL-6、IL-8指标升高差异显著(P<0.01);cTnI升高幅度略缓,T4、T5差异无统计学意义.比较患者术后精神状况及ICU入住时间,B组均优于A组(P>0.05).术中搭桥血管支数无统计学差异、A组引流量较B组多,有统计学意义(p=0.02).结论:并行循环下不停跳冠脉搭桥术与非体外循环冠脉搭桥术相比,心肌损伤略重;体外循环可加重机体全身炎性反应程度.

Abstract：

Objective: The aim of this study was to compare the differences of inflammatory cytokines level and inflammatory reaction in patients between on-pump beating heart CABG and off-pump CABG. Methods: Select the patients from June 2009 to Jan 2010 who underwent the CABG in our hospital with on-pump beating heart CABG and off-pump CABG and each group was 15 patients. That was named Group A and group B. Serial blood samples were collected at the following intervals respectively: before operation and Oh, 6h, 12h, 24h after the operation to evaluate the concentration of TNF-α , IL-6, IL-8 and cTn I. Recorded and compared the grafts, mental status、bleeding and the time of intensive care unit. Results: There was no significant difference between two groups in plasma TNF -α , IL - 6, IL - 8 and cTn I level at T1. The level of TNF -α , IL - 6 and IL - 8 was significantly increased at T2 - T5 compared with that before operation (T1) in both groups. However, the plasma concentrations of TNF -α , IL - 6, IL - 8 were significantly lower in group B than group A. The level of cTnI was significantly increased at T2-T3 compared with T1, and no significantly difference at T4, T5. The general condition of the patients in group B was better than group A. The bleeding was significantly fewer in groups B. Conclusions: Myocardial injury was slightly heavier in patients with on pump beating heart CABG than off pump CABG. Cardiopulmonary bypass can aggravate inflammatory reaction.     

脂阿拉伯甘露糖联合38kD蛋白在结核病诊断中的应用

本研究旨在评价脂阿拉伯甘露糖(LAM)联合38kD蛋白的混合抗原在结核病血清学诊断中的应用价值。选取128例活动性结核病患者(活动性肺结核107例,肺外结核21例)、51例潜伏性结核感染者和68例健康对照者的血清,检测抗LAM和38kD混合抗原的IgG抗体(LAM-38kD-IgG)。结果显示,LAM-38kD-IgG检测的总敏感度为46.88%,特异度为98.53%,阳性预测值为98.36%,阴性预测值为49.63%。其中肺结核组敏感度为46.73%,肺外结核组敏感度为47.62%(P0.05);初治组为45.54%,复治组为51.85%(P0.05)。涂片阳性肺结核组敏感度为52.54%,高于涂片阴性组(39.58%),但差异无统计学意义(P0.05)。LAM-38kD-IgG检测在对照组中的特异度为98.53%。其特异度远高于结核菌素试验(TST)的41.46%(P0.01)。LAM-38kD-IgG水平与结核病病情有一定的相关性。结果提示,应用LAM和38kD混合抗原的酶联免疫吸附试验(ELISA)在诊断活动性结核病方面具有中等敏感度、极高特异度及阳性预测值,不仅可与结核病的其他诊断方法联用以提高诊断的准确性,而且特别适用于细菌学检查阴性结核病和肺外结核病的诊断。     

如何使万艾可更有效的治疗老年性功能障碍(ED)患者(附143例临床观察)

目的:探讨如何使万艾可更有效治疗老年ED患者.方法:采用回顾性调查研究,分析2004年10月-2007年12月在我院男性健康门诊治老年ED患者143例,按性生活频率分为两组,每月3-4次为实验组共60例,比较两组治疗前平均年龄、并发症及最近10个月的用药量及性生活频率.结果:1.实验组IIEF-5评分由用药前平均6.2分提高到平均20分,对照组由平均5.8分提高到平均18分.2药物起效时间,实验组最短15分钟,最长60分钟,平均30分钟,对照组最短时间20分钟,最长120分钟,平均45分钟(p＞0.05).结论:适当增加性生活频率,可减少每次万艾可的用量,并能增加性生活的满意度,使万艾可的治疗效果达到最佳.     

同种异体骨移植治疗大段骨缺损的研究进展

同种异体骨已成为临床上治疗创伤、感染、先天性骨病及肿瘤切除所致的大段骨缺损的重要材料.本文主要从同种异体骨愈合机制、制备保存、临床应用效果、排斥反应及预防方法四个方面就同种异体骨移植治疗大段骨缺损的研究进展作一综述,为临床骨缺损治疗提供理论支持.     

Extracellular superoxide production, viability and redox poise in response to desiccation in recalcitrant Castanea sativa seeds

Reactive oxygen species (ROS) are implicated in seed death following dehydration in desiccation-intolerant 'recalcitrant' seeds. However, it is unknown if and how ROS are produced in the apoplast and if they play a role in stress signalling during desiccation. We studied intracellular damage and extracellular superoxide (O₂^·−) production upon desiccation in Castanea sativa seeds, mechanisms of O₂^·− production and the effect of exogenously supplied ROS. A transient increase in extracellular O₂^·− production by the embryonic axes preceded significant desiccation-induced viability loss. Thereafter, progressively more oxidizing intracellular conditions, as indicated by a significant shift in glutathione half-cell reduction potential, accompanied cell and axis death, coinciding with the disruption of nuclear membranes. Most hydrogen peroxide (H₂O₂)-dependent O₂^·− production was found in a cell wall fraction that contained extracellular peroxidases (ECPOX) with molecular masses of ∼50 kDa. Cinnamic acid was identified as a potential reductant required for ECPOX-mediated O₂^·− production. H₂O₂, applied exogenously to mimic the transient ROS burst at the onset of desiccation, counteracted viability loss of sub-lethally desiccation-stressed seeds and of excised embryonic axes grown in tissue culture. Hence, extracellular ROS produced by embryonic axes appear to be important signalling components involved in wound response, regeneration and growth.     

Foraging areas of Rousettus leschenaulti on the Hainan Island of China

We investigated the foraging area of three individuals (1 female and 2 males) of Rousettus leschenaulti (Chiroptera, Pteropodidae) in suburban Haikou City, Hainan Province, South China from November 2005 to January 2006 using radio telemetry. These animals left the daytime roosting sites about 90 min after sunset with no significant difference in departure time between the male and female bats. The average active times were 391.8 min for males and 533.7 min for the female, respectively. By reconstructing 93...     

肝郁脾虚证模型大鼠血流变及TXB2、PGFla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、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、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...     

非体外循环与并行循环不停跳冠脉搭桥术炎性因子的比较

目的:通过对比非体外循环与并行循环下不停跳冠脉搭桥术炎性因子的变化,研究不同方法对机体全身炎性反应程度的影响.方法:选择2009年6月～2010年1月在我院行冠脉搭桥术患者30例,其中选取采用并行循环下不停跳冠脉搭桥术(OnP-BH CABG)和非体外循环冠脉搭桥术(OPCABG)患者各15例,即A组和B组.检测TI(术前)、T2(手术结束时)、T3(术后6小时)、T4(术后12小时)、T5(术后24小时)不同时间点血浆肿瘤坏死因子-α(TNF-α)、白介素-6(IL-6)、白介素-8(IL-8)、肌钙蛋白I(cTnI)含量,并记录桥血管数量、精神状况、引流量及ICU入住时间.结果:两组血浆TNF-α、IL-6、IL-8、cTnI含量T1时无统计学意义(P＞0.05),T2、T3、T4、T5均呈升高趋势.A组较B组T2、T3、T4、T5各时间点TNF-α、IL-6、IL-8指标升高差异显著(P＜0.01);cTn I升高幅度略缓,T4、T5差异无统计学意义.比较患者术后精神状况及ICU入住时间,B组均优于A组(P＞0.05).术中搭桥血管支数无统计学差异、A组引流量较B组多,有统计学意义(p=0.02).结论:并行循环下不停跳冠脉搭桥术与非体外循环冠脉搭桥术相比,心肌损伤略重;体外循环可加重机体全身炎性反应程度.     

不同干预时间正弦电磁场对大鼠骨髓基质干细胞成骨性分化的影响

目的:研究不同治疗时间正弦电磁场(50 Hz,1.8mT)对体外培养大鼠骨髓间充质干细胞成骨性分化的影响,筛选出最佳临床治疗时间.方法:采用贴壁筛选法培养原代大鼠骨髓间充质干细胞,每天在频率为50 Hz,强度为1.8 mT的磁场环境中处理0.5 h、1.0h、1.5 h、2.0h和2.5h;同时设立未经电磁场处理的细胞作为对照组.于处理后的第3 d、6d、9d和12 d分别测定细胞碱性磷酸酶活性、骨钙素分泌量、钙化结节数以及Ⅰ型胶原表达量,并比较各组间差异;于处理后12 h提取细胞总RNA,用RT Real-Time PCR法检测成骨性分化基因Osterix表达情况.结果:正弦电磁场干预1.0h能明显促进骨髓间充质干细胞的成骨性分化,表现在该组的碱性磷酸酶活性、骨钙素分泌量、钙化结节数、Ⅰ型胶原表达量以及成骨性分化基因的表达量最高,亦显著高于对照组(P＜0.05).结论:50Hz、1.8mT强度的正弦电磁场能促进骨髓间充质干细胞的成骨性分化,以作用1.0h成骨效果最为明显.