生殖道衣原体、支原体感染与盆腔炎症的相关性分析

目的:探讨女性生殖道衣原体、支原体感染发生与盆腔炎症的相关性,并为相应人群提出相应的预防和治疗措施。方法:对我院2012年1月到2013年5月诊治的盆腔炎患者280例及60名健康妇女进行了衣原体、支原体的培养,采用试剂盒进行检查,并进行药敏实验,分析比较两组生殖道衣原体和支原体感染情况。结果:盆腔炎症组中衣原体感染的检出率为58.5%,支原体感染率为26.2%,衣原体合并支原体感染率为12.4%。健康妇女组衣原体感染、支原体感染及衣原体合并衣原体感染的检出率分别为:9.1%,6.2%和4.9%。两组的差异有统计学意义(P0.05)。在盆腔炎症患者组中,30岁人群中单纯衣原体感染和单纯支原体感染检出率分别为51.3%和26.4%,均要明显高于30岁以上的人群,差异有统计学意义(P0.05)。结论:盆腔炎症与生殖道衣原体,支原体感染有密切的相关性,盆腔炎的发病可能与生殖道衣原体、支原体感染有关,针对临床上盆腔炎患者应密切关注生殖道支原体、衣原体的感染问题。     

C:N:P stoichiometry in forest floor litter of evergreen broad-leaved forests at different successional stages in Tiantong,Zhejiang, eastern China

地表凋落物在森林物质循环中起着重要作用, 但是目前缺乏对其不同分解层次中碳(C)、氮(N)、磷(P)演替动态的研究。该文以浙江天童常绿阔叶林为研究对象, 用空间代替时间序列的方法, 通过测定5个演替阶段地表凋落物不同分解层次的凋落物量、有机碳库和氮磷养分库的储量及C:N:P化学计量特征, 探讨地表凋落物特征的演替动态。结果表明: 1)随着演替的进行, 地表凋落物量和有机碳储量呈现下降的趋势。2)在各演替阶段, 有机碳含量在各分解层表现出未分解层(L) > 半分解层(F) > 已分解层(Y)的趋势; 有机碳储量均表现为Y < F。3)演替前期群落氮含量和储量显著低于演替中后期群落; 不同分解层的氮含量在各演替阶段皆表现为: Y > F > L, 且各层氮含量随着演替的进行均趋于升高。4)磷含量在演替中期群落最低, 各演替阶段不同分解层的磷含量皆表现为Y > F > L。磷储量的演替趋势不明显。L层磷储量随着演替进行趋于降低。5)随着演替进行, 凋落物C:N、C:P和N:P皆趋于下降(p < 0.05)。在各分解层之间, C:N和C:P皆表现为Y < F < L, N:P差异不显著。总之, 随着演替进行, 天童常绿阔叶林地表凋落物量降低, 有机碳库及氮磷养分库的含量趋于升高, 储量趋向降低, C:N:P趋于下降, 体现了生态系统碳和养分循环随着演替进行在不断优化。     

不同演替阶段热带森林地表凋落物和土壤节肢动物群落特征

为了解不同演替阶段热带森林土壤节肢动物群落结构特征及其与地表凋落物的关系, 2001年9月采用样线调查法对西双版纳23年次生林、35年次生林、季节雨林地表凋落物及其中的土壤节肢动物进行了调查。所获数据表明, 地表凋落物数量(现存量干重)和质量(N和C/N)总体上表现为35年次生林最好, 23年次生林次之; 蜱螨目和弹尾目为3林地地表凋落物土壤节肢动物群落优势类群, 膜翅目蚂蚁、马陆目、鞘翅目、双翅目和半翅目为常见类群。土壤节肢动物个体密度和个体相对密度均表现为35年次生林>季节雨林>23年次生林。群落的丰富度指数以季节雨林最高, 多样性和均匀度指数显示为23年次生林最高, 35年次生林的优势度指数最高, 3林地土壤节肢动物群落类群组成相似性达到较好水平。相关分析表明, 3种不同演替阶段热带森林土壤节肢动物个体密度与林地地表凋落物现存量呈正相关, 而现存凋落物N元素储量与土壤节肢动物的相关性仅表现在23年次生林和季节雨林。研究认为, 热带森林土壤节肢动物群落的发展与森林植被演替密切相关, 其群落个体数量和多样性受森林地表凋落物数量、质量的调控, 但其他环境因素如捕食效应、人为干扰等影响亦不可忽视。     

Litterfall and forest floor dynamics in Eucalyptus pilularis forests

Abstract Calculations relating the input of litterfall to litter or forest floor mass in forests generally assume that the forest floor reaches an equilibrium state. Based on this assumption, a decomposition factor (k) can be calculated. In the present paper, this basic assumption is questioned and the implications considered. Data on litterfall and forest floor from blackbutt (Eucalyptus pilularis) regrowth forests and plantations were collated from publications and the authors' studies to evaluate both assumptions and relationships. Blackbutt grows over a wide environmental range but its main distribution is in mild temperate to subtropical conditions. Data were from single‐plot studies, sequential studies and chronosequences in both plantations and native regrowth forests. Stands ranged in age from 3 years to maturity in the case of pure, or almost pure blackbutt stands. The forest floor biomass increased up to 12.3 tha^?1 at 33 years of age with no evidence of steady state. Litterfall increased up to 7.8 t ha^?1 year^?1 and was correlated with crown biomass. Regrowth stands were relatively undisturbed and more than 20 years of age, and litterfall ranged from 4.1 to 11.6 tha^?1 year^?1 and was correlated with stand basal area. Forest floor mass in regrowth forests was variable between the different aged stands but did not exceed 18 tha^?1, and there was no evidence that steady state was achieved. The forest floor mass was related to, and approximately 1.7 times the input of litterfall. Although the assumption of steady state was not valid, a k' factor was estimated that related input to forest floor mass and this was relatively constant across all stands and correlated with generalized environmental data. Although assumptions of forest floor equilibrium cannot be supported for E. pilularis, it still should be possible to predict forest floor mass and decomposition from stand conditions and general environmental data.     

高寒森林溪流对凋落叶分解过程中木质素降解的影响

溪流广泛分布于高寒森林地表, 凋落于其中的林木凋落物的分解是整个森林生态系统物质循环的重要环节, 水体流动过程中的冲刷和淋洗作用及其他独特的环境条件可能显著影响凋落物中木质素的降解。该研究采用凋落袋法对比研究了岷江上游高寒森林4种典型且初始质量差异显著的凋落叶, 即康定柳(Salix paraplesia)、高山杜鹃(Rhododendron lapponicum)、方枝柏(Sabina saltuaria)和四川红杉(Larix mastersiana), 在不同生境(林下、溪流和河岸带)下分解过程中木质素残留质量和浓度(质量百分率)的动态变化特征。经过两年的分解, 发现溪流显著促进了凋落叶中木质素的降解; 同一物种凋落叶在不同生境下木质素残留质量差异显著(p < 0.05), 整体表现为溪流<河岸带<林下; 在凋落叶分解的初期木质素有明显的降解, 其浓度表现为先降低后升高, 但不同物种之间存在显著(p < 0.05)的差异; 在整个分解过程中, 木质素残留质量总体呈现出了降低的趋势。此外, 生境类型、分解时期和区域性环境因子(温度、pH值和营养元素的有效性)能显著影响木质素的降解率。这些结果表明, 传统上认为木质素在凋落叶分解初期相对稳定的观点可能并不准确, 其浓度很可能是先下降后升高, 这也与有关木质素动态的最新研究结果相一致。另一方面, 在不同分解时期和不同生境下, 凋落叶木质素降解率表现出了显著差异, 表明区域性环境因子在凋落叶分解和木质素降解过程中具有重要的作用。     

Afforestation effects on SOC in former cropland: oak and spruce chronosequences resampled after 13 years

Chronosequences are commonly used to assess soil organic carbon (SOC) sequestration after land‐use change, but SOC dynamics predicted by this space‐for‐time substitution approach have rarely been validated by resampling. We conducted a combined chronosequence/resampling study in a former cropland area (Vestskoven) afforested with oak (Quercus robur) and Norway spruce (Picea abies) over the past 40 years. The aims of this study were (i) to compare present and previous chronosequence trends in forest floor and top mineral soil (0–25 cm) C stocks; (ii) to compare chronosequence estimates with current rates of C stock change based on resampling at the stand level; (iii) to estimate SOC changes in the subsoil (25–50 cm); and (iv) to assess the influence of two tree species on SOC dynamics. The two chronosequence trajectories for forest floor C stocks revealed consistently higher rates of C sequestration in spruce than oak. The chronosequence trajectory was validated by resampling and current rates of forest floor C sequestration decreased with stand age. Chronosequence trends in topsoil SOC in 2011 did not differ significantly from those reported in 1998, however, there was a shift from a negative rate (1998: ?0.3 Mg C ha^?1 yr^?1) to no change in 2011. In contrast SOC stocks in the subsoil increased with stand age, however, not significantly (P = 0.1), suggesting different C dynamics in and below the former plough layer. Current rates of C change estimated by repeated sampling decreased with stand age in forest floors but increased in the topsoil. The contrasting temporal change in forest floor and mineral soil C sequestration rates indicate a shift in C source‐sink strength after approximately 40 years. We conclude that afforestation of former cropland within the temperate region may induce soil C loss during the first decades followed by a recovery phase of yet unknown duration.     

Altered microbial community structure and organic matter composition under elevated CO2 and N fertilization in the duke forest

The dynamics and fate of terrestrial organic matter (OM) under elevated atmospheric CO₂ and nitrogen (N) fertilization are important aspects of long‐term carbon sequestration. Despite numerous studies, questions still remain as to whether the chemical composition of OM may alter with these environmental changes. In this study, we employed molecular‐level methods to investigate the composition and degradation of various OM components in the forest floor (O horizon) and mineral soil (0–15 cm) from the Duke forest free air CO₂ enrichment (FACE) experiment. We measured microbial responses to elevated CO₂ and N fertilization in the mineral soil using phospholipid fatty acid (PLFA) profiles. Increased fresh carbon inputs into the forest floor under elevated CO₂ were observed at the molecular‐level by two degradation parameters of plant‐derived steroids and cutin‐derived compounds. The ratios of fungal to bacterial PLFAs and Gram‐negative to Gram‐positive bacterial PLFAs decreased in the mineral soil with N fertilization, indicating an altered soil microbial community composition. Moreover, the acid to aldehyde ratios of lignin‐derived phenols increased with N fertilization, suggesting enhanced lignin degradation in the mineral soil. ¹H nuclear magnetic resonance (NMR) spectra of soil humic substances revealed an enrichment of leaf‐derived alkyl structures with both elevated CO₂ and N fertilization. We suggest that microbial decomposition of SOM constituents such as lignin and hydrolysable lipids was promoted under both elevated CO₂ and N fertilization, which led to the enrichment of plant‐derived recalcitrant structures (such as alkyl carbon) in the soil.     

生物反馈电刺激联合Kegel训练对产后盆底功能障碍性疾病患者盆底功能电生理指标和生活质量的影响

目的:观察生物反馈电刺激联合Kegel训练对产后盆底功能障碍性疾病(PFD)患者盆底功能电生理指标和生活质量的影响。方法:研究对象为2018年3月~2020年12月我院收治的80例产后PFD患者。采用双色球随机分组法将患者分为对照组(n=40)和研究组(n=40)。对照组给予Kegel训练,研究组给予生物反馈电刺激联合Kegel训练,两组均治疗8周。对比两组治疗8周后的疗效和尿失禁、盆底器官脱垂程度的改善情况。对比两组治疗前、治疗8周后的盆底功能电生理指标、日常生活质量和性生活质量。结果:治疗8周后,研究组的临床总有效率较对照组高(P<0.05)。治疗8周后,研究组I类肌纤维疲劳度、Ⅱ类肌纤维疲劳度、快肌最大肌电值及阴道动态压力均优于对照组(P<0.05)。研究组治疗8周后尿失禁、盆底器官脱垂程度的改善情况优于对照组(P<0.05)。治疗8周后,研究组盆底功能影响问卷简表(PIFQ-7)评分、盆腔器官脱垂-尿失禁性功能问卷(PISQ-12)评分均低于对照组(P<0.05)。结论:产后PFD患者采用生物反馈电刺激联合Kegel训练治疗疗效明确,可促进尿失禁、盆底器官脱垂程度情况及盆底功能改善,提高患者日常生活质量和性生活质量。     

探讨女性盆底功能障碍性疾病的相关因素及盆底超声测定压力性尿失禁SUI的临床意义

目的:探讨女性盆底功能障碍性疾病的相关因素及盆底超声测定压力性尿失禁SUI的临床意义。方法:选取我院2019年-2020年共收治的63例盆底功能障碍性疾病患者作为研究对象,将其分为研究组,另取同期来我院进行体检的63例健康女性作为对照组,对所有女性应用盆底超声检测,对比两组女性静息状态下和Valsalva状态下的盆底超声检查指标,对通过问卷调查方式,调查两组女性的一般临床治疗,对于女性盆底功能障碍性疾病的相关因素进行单因素分析与多因素分析,最终得出盆底肌功能障碍性疾病的相关因素。结果:在静息状态下通过盆底超声发现,研究组与对照组膀胱尿道后角、肛提肌裂孔面积、尿道倾斜度对比差异显著(P<0.05),两组女性膀胱颈位置、膀胱位置对比无明显差异(P>0.05);在Valsalva状态下通过盆底超声发现,研究组与对照组膀胱尿道后角、肛提肌裂孔面积、尿道倾斜度、膀胱颈位置、膀胱位置对比差异显著(P<0.05);两组女性年龄、BMI、孕次、产次、绝经情况以及白带清洁度是否≥Ⅲ度情况对比差异显著(P<0.05),两组女性子宫肌瘤史情况对比无显著差异(P>0.05);logistic回归分析结果显示,年龄、绝经情况、子宫肌瘤史和白带清洁度≥Ⅲ度不是盆底功能障碍性疾病的独立危险因素(P>0.05),BMI、孕次、产次为盆底功能障碍性疾病的独立危险因素(P<0.05)。结论:盆底肌超声在对盆底功能障碍性疾病患者压力性尿失禁的诊断中具有重要价值,在静息状态下和Valsalva状态下发现患者的膀胱经移动情况与尿道倾斜情况。年龄、BMI、孕次、产次、绝经情况以及白带清洁度是否≥Ⅲ度可能与盆底功能障碍性疾病具有一定关系,BMI、孕次、产次为盆底功能障碍性疾病的独立危险因素。     

电针阴部神经刺激疗法联合Kegel盆底康复训练对产后压力性尿失禁患者盆底肌力、尿流动力学和生活质量的影响

摘要 目的：探讨电针阴部神经刺激疗法联合Kegel盆底康复训练对产后压力性尿失禁（SUI）患者盆底肌力、尿流动力学和生活质量的影响。方法：选取2019年6月~2021年11月期间于我院就诊的产后SUI患者109例,按照入院就诊奇偶顺序分为两组,其中对照组54例,接受Kegel盆底康复训练,研究组55例,接受电针阴部神经刺激疗法联合Kegel盆底康复训练。对比两组疗效、漏尿量、尿失禁程度、盆底肌力、尿流动力学和生活质量。结果：研究组的临床总有效率高于对照组（P<0.05）。两组治疗后盆底肌肌力各指标（手测肌力和Ⅰ类肌纤维最大值、Ⅱ类肌纤维平均值）均升高,且研究组高于对照组（P<0.05）。两组治疗后漏尿量、尿失禁程度评分均下降,且研究组低于对照组（P<0.05）。两组治疗后尿流动力学相关指标[腹压漏尿点压（AL-PP）、最大尿流率（Qmax）和最大尿道闭合压力（MUCP）]均升高,且研究组高于对照组（P<0.05）。两组治疗后尿失禁生活质量量表（I-QOL）各维度（限制性行为、心理影响、社交活动受限）评分及总分均升高,且研究组高于对照组（P<0.05）。结论：电针阴部神经刺激疗法联合Kegel盆底康复训练可有效改善产后SUI患者的盆底肌肌力和尿失禁情况,减少漏尿量,同时可促进尿流动力学恢复,进而提高患者的生活质量。