经皮椎板间内镜与椎板小开窗术治疗腰椎间盘突出症临床疗效比较

目的：分析和比较椎板间内镜与椎板小开窗术治疗腰椎间盘突出症的临床疗效和安全性指标。方法：使用回顾性分析的方法 对2012-2014 年共计126 例在我科行椎板间内镜手术或椎板小开窗手术的腰椎间盘突出患者进行分析和比较。通过纳入和排除 标准的筛选,经皮椎板间内镜组纳入48例,椎板小开窗组纳入78 例。结合详实的术后随访,对两组患者在花费,住院时间等一般 性指标,疼痛指标,功能指标,并发症等数据进行分析和比较。结果：两组患者在术后均取得明显的治疗疗效,在疼痛、功能等指标 中都有明显的改善。但两组之间并无明显统计学差异(P>0.05)。而椎板间内镜组在住院时间,出血量,切口长度及并发症等方面明 显的优于小开窗组,具有统计学意义(P<0.05)。结论：经皮椎板间内镜手术作为一种脊柱微创手术,治疗效果确切,安全性好,能体 现微创的优势,可作为椎间孔镜技术在治疗椎间盘突出症的有益补充,在临床中进一步的开展和推广。     

高血压基底节区脑出血患者血清CXCL1、CXCL10与神经损伤指标和微创穿刺引流术后预后的关系研究

摘要 目的：探讨高血压基底节区脑出血（HBGH）患者血清CXC趋化因子配体1（CXCL1）、CXC趋化因子配体10（CXCL10）与神经损伤指标和微创穿刺引流术后预后的关系。方法：选取2020年2月~2023年4月聊城市人民医院东院区收治的行微创穿刺引流术治疗的HBGH患者162例纳入研究组，选取体检健康的志愿者110例纳入对照组。检测对比两组血清CXCL1、CXCL10和神经损伤指标[神经元特异性烯醇化酶（NSE）、胶质纤维酸性蛋白（GFAP）、S100β蛋白]水平。采用Pearson检验分析血清CXCL1、CXCL10与神经损伤指标的相关性。所有患者均随访3个月，根据改良Rankin量表（mRS）评分分为预后良好组和预后不良组。采用多因素Logistic回归模型分析HBGH患者微创穿刺引流术后预后的影响因素。结果：研究组的血清CXCL1、CXCL10水平高于对照组（P<0.05）。研究组的血清NSE、GFAP、S100β蛋白水平高于对照组（P<0.05）。Pearson检验分析结果显示，血清CXCL1、CXCL10与NSE、GFAP、S100β蛋白均呈正相关（P<0.05）。单因素分析结果显示，预后不良与年龄、甘油三酯（TG）、低密度脂蛋白（LDL）、凝血酶原时间（PT）、C反应蛋白（CRP）、血肿破入脑室、血肿体积、术后24 h内血肿清除率、尿激酶冲管次数、术后颅内出血再发、CXCL1、CXCL10有关（P<0.05）。多因素Logistic回归分析结果显示，年龄偏大、LDL偏高、血肿体积偏大、术后24 h内血肿清除率偏低、尿激酶冲管次数偏多、CXCL1偏高、CXCL10偏高是HBGH患者微创穿刺引流术后预后不良的危险因素（P<0.05）。结论：HBGH患者血清CXCL1、CXCL10水平升高可能导致神经损伤和不良预后。年龄、LDL、血肿体积、术后24 h内血肿清除率、尿激酶冲管次数、CXCL1、CXCL10是HBGH患者术后预后不良的危险因素，值得引起重视。     

Occurrence and fate of fetal lumbar rib induced by Scutellariae radix in rats

BACKGROUND: This study was conducted to evaluate the occurrence and fate of fetal lumbar rib induced by Scutellariae radix (SR) in rats. METHODS: Water extracts of SR were orally administered to pregnant rats from day 7 to day 17 of gestation at a dose of 186 mg/kg/day, equivalent to 25 g/kg of starting material, representing a 100‐fold increase over typical human intake level. RESULTS: The incidence of fetal lumbar rib in the SR‐treated group was increased on gestational day 20 and then decreased on postnatal day 50. The weight of fetuses in the SR‐treated group tended to be less than that in the control group. Alkaline phosphatase in SR‐treated dams was increased on gestational day 20, but was decreased on postnatal day 50. There were no significant differences between the vehicle control and SR‐treated groups in maternal body weight, embryological, histopathological, hematological, and serum biochemical changes. CONCLUSIONS: The present data suggest that the appearance of lumbar rib induced by SR is a transient fetal variation rather than teratogenicity or maternal toxicity. Birth Defects Res (Part B) 89:201–206, 2010. © 2010 Wiley‐Liss, Inc.     

Cultivation-dependent and cultivation-independent characterization of the microbial community in acid mine drainage associated with acidic Pb/Zn mine tailings at Lechang, Guangdong, China

Cultivation-based and molecular approaches were used to characterize the phylogenetic composition and structure of the microbial community in an extremely acidic (pH 2.0) acid mine drainage (AMD) associated with Pb/Zn mine tailings that were undergoing vigorous acid generation. Acidophilic bacteria were isolated and enumerated on solid media, and were found to be restricted to isolates related to Acidithiobacillus ferrooxidans and Acidiphilium cryptum. By contrast, cloning and phylogenetic analysis of 16S rRNA genes revealed that, although low in total taxonomically distinct groups, the tailings AMD ecosystem harbored a wide range of phylogenetically diverse microbes. Of the 141 clones examined, 104 were phylogenetically affiliated with the recently discovered, iron-oxidizing Leptospirillum group III within the Nitrospira. It thus appears that iron serves as the major electron donor in this habitat. Thirty clones were affiliated with the Proteobacteria, half of which belonged to organisms related to Alphaproteobacteria species capable of ferric iron reduction. Other clones were grouped with Betaproteobacteria and Gammaproteobacteria (six clones each), and even with Deltaproteobacteria (three clones), a subdivision with anaerobic sulfate or metal (iron) reduction as the predominant physiological trait of its members. Finally, four clones were clustered within the Firmicutes and the Acidobacteria. Approximately half of the sequence types representing the majority of the total clones fell into lineages that are poorly represented by cultured organisms or have thus far been represented by only a few environmental sequences. Thus, the present study extends our knowledge of the biodiversity of microorganisms populating highly acidic AMD environments.     

Selenium in Aquatic Birds From Central California

ABSTRACT After mostly freshwater replaced agricultural drainage water used for wetland management in 1985, Selenium (Se) concentrations in 3 wintering waterfowl species and black-necked stilts (Himantopus mexicanus) from the North and South Grasslands of central California, USA, declined in the years from 1986 to 1988 and 1989 to 1994. However, Se concentrations were still above the threshold for potential reproductive impairment and exceeded background levels for some species. Consequently, we measured Se concentrations in aquatic birds in 2005 after long-term use (20 yr) of predominately freshwater for wetland management in the Grasslands. As in 1986–1994, Se concentrations in 2005 were higher for birds from the South Grasslands, which historically received more undiluted drainage water compared with the North Grasslands. Liver Se concentrations for stilts from the South Grasslands were at levels associated with potential reproductive impairment. All species from the South Grasslands, as well as mallards (Anas platyrhynchos), northern pintails (A. acuta), and American coots (Fulica americana) from the North Grasslands, were above species-specific background levels. From 1994 to 2005, Se levels in some aquatic birds stabilized above background levels likely indicating long-term cycling within the Grasslands. We recommend Se-contaminated drainage water (≥ 2 ppb Se) not be used for management or allowed as an input into arid wetlands throughout the western United States.     

Spatio-temporal distribution patterns and conservation of fish assemblages in a Chilean coastal river

River environments are characterized by extreme spatial and temporal variation in the physical environment. The relationship of fish assemblages to environmental variation is poorly understood in many systems. In Chile zonation patterns of fish assemblages have been documented in several Andean river drainages. Coastal river drainages are comparatively small, but inordinately important because of their highly endemic flora and fauna and their proximity to major human populations. For conservation purposes it is important to understand what environmental factors affect assemblage structure of fishes especially in the comparatively high diversity coastal drainages. We studied patterns of fish distribution and abundance in three rivers of the coastal, Andalien drainage near Concepción, Chile. We used multi-dimensional scaling analyses to compare patterns among zones (rithron, transition and potamon) and high and low flow seasons. Species assemblages differed by zone, but not with season. Assemblages consisted of nested subsets of species characterized by their range of distribution among zones. One species group was composed of widespread species that occurred in all three zones, another species group consisted of species found only in transitional and potamal zones, and a final group was comprised of species found only in the potamal zone. The potamal zone contained the most diverse and abundant fish assemblage. Fish assemblages were related to both water quality and habitat structure variables. This study suggests that the key to conserving the diversity of native fish communities in coastal Chilean rivers is in the conservation of potamal regions. Unfortunately, most protected areas in Chile are in the depauperate headwaters of drainages. Protection of only headwaters is clearly inadequate and will not contribute to the conservation of this unique freshwater fish fauna.     

Acid tolerance of an acid mine drainage bioremediation system based on biological sulfate reduction

The acid tolerance response of an AMD bioremediation system based on sulfate reduction was investigated. Efficient sulfate reduction was observed with a maximum sulfate reduction rate of 12.3±0.8 mg L(-1) d(-1) and easily available organic carbon was released during high acid treatment with an initial pH of 2.0. The rapid increase in sulfate reduction was observed when the extreme acid treatment with an initial pH of 1.0 was stopped. Column experiment on acid shock showed that efficient sulfate reduction was maintained while precipitation of Cu or Zn still occurred during extreme or high acid shock. More than 98% of Cu and 85% of Zn were removed in the high acid column experiment with influent pH of 2.0. The majority bacteria in the remediation system used for high acid drainage belonged to genera Clostridiaceae, Eubacterium, Pseudobutyrivibrio, and Clostridium. These findings showed high acid tolerance of the straw remediation system.     

Plant-derived phenolic compounds impair the remediation of acid mine drainage using treatment wetlands

The use of wetlands to remediate acid mine drainage has expanded rapidly since the realisation that acid coal mine drainage running into natural sphagnum wetlands undergoes an increase in pH and a precipitation of metals. However, our study suggests that the inclusion of plants in the acid mine drainage treatment system may be questionable, due to inefficiencies caused by exudation of dissolved organic carbon (DOC), and in particular its phenolic constituents. They complex with iron, causing increased solubility, the exact opposite of what is required to facilitate amelioration. The addition of minewater to planted wetland mesocosms initially caused a decline in Fe concentrations, typically from over 1100 to a low of 75 mg L⁻¹. However, it increased higher than 300 mg L⁻¹ after 15 days. The rise in iron occurred concurrently with DOC and phenolic increases; 15-69 and 5-15 mg L⁻¹, respectively, for Eriophorum angustifolium. Removal of DOC by precipitation with calcium lowered the DOC abundance, but without a simultaneous decrease in iron concentration. The concentration of one fraction of the DOC, phenolic compounds, did not decline, and we propose that the Fe was complexed with that phenolic DOC pool. The proposal was confirmed by enzymic depletion of the phenolic compounds using phenol oxidase. Our findings suggest that phenolic complexation represents a potent constraint on wetland-based bioremediation of iron in acid mine drainage.     

女子拳击运动员上肢和腰部肌肉力量训练的肌电分析

目的：利用肌电指标分析拳击运动员上肢和腰部肌肉力量训练效果。方法：用Mega公司的ME6000肌电图仪记录分析10名女子拳击运动员上臂肱二头肌（主动肌）与肱三头肌（拮抗肌）、前臂屈肌（主动肌）与伸肌（拮抗肌）和腰部肌群的运动诱发肌电,规定运动为手持2.5 kg的哑铃负荷进行直拳空击运动直至局部肌肉力竭。结果：直拳空击运动至局部肌肉力竭过程中,上肢拮抗肌的中位频率（MF）下降幅度和速度大于相对应的主动肌,且从肌群作功来看,主动肌作功百分比较拮抗肌大。其中9名普通运动员腰肌的肌电频率（MF）均值较1名指定样本世界冠军的下降缓慢,而且其作功百分比都较小。结论：通过对普通女子拳击运动员上肢和腰部肌群肌电指标测试与世界冠军的比较分析,提示本研究中所测普通拳击运动员拮抗肌和腰部肌肉力量训练不足,有待加强该部肌肉的力量训练。     

游离植皮联合负压封闭引流治疗骨科创面的临床研究

目的:观察游离植皮联合负压封闭引流(vacuumsealingdrainage,后文简称VSD)对骨科创面的疗效,并与植皮后传统加压包扎相比较,为临床实践提供更好的治疗方法。方法:对广州中医药大学第一附属医院创伤骨科2008年3月至2010年2月收治的65例感染创面病例采取手术清创后予VSD引流,合理应用抗生素,创面感染得到控制后,创面干净,肉芽生成良好,外露的肌腱、骨膜表面有新鲜的肉芽组织覆盖,达到植皮的要求后,随机分成两组,其中30例(实验组)采用游离植皮联合VSD法闭合创面,35例(对照组)采用游离植皮加压包扎植皮区,对两组术后的平均换药次数、创面平均愈合时间、植皮成活率情况、平均住院时间(植皮后)、平均抗生素应用次数(植皮后)进行统计学分析,采用t检验和卡方检验,对此两种方法进行评价。结果:植皮联合VSD组与植皮加压包扎组,在平均换药次数、创面平均愈合时间、植皮成活率、平均住院时间(植皮后)、平均抗生素应用次数(植皮后)的对比,有显著性差异(P<0.05)。结论:创面达到游离植皮条件后,游离植皮联合VSD负压引流可以促使皮片黏附,保持创面洁净,避免皮下渗液积聚,有利于皮片的存活,与植皮加压包扎组相比,减少了平均换药次数,缩短创面平均愈合时间及平均住院时间(植皮后),减少抗生素平均应用次数,提高了植皮成活率,说明游离植皮联合VSD组优于游离植皮加压包扎组,游离植皮联合VSD法治疗骨科创面有显著疗效。该手术方法操作简单,术后护理方便,是一种较理想的植皮后的固定方法,有利于创面的愈合,值得临床推广应用。