复方丹参滴丸联合沙库巴曲缬沙坦对老年心肌梗死患者PCI术后炎性反应、心室重塑和心肌灌注的影响

摘要 目的：探讨复方丹参滴丸联合沙库巴曲缬沙坦对老年心肌梗死患者经皮冠状动脉介入术（percutaneous coronary intervention,PCI）术后炎性反应、心室重塑和心肌灌注的影响。方法：采用随机数字表法将本院2017年3月至2020年2月间收治的行PCI治疗的68例老年心肌梗死为研究对象,分为对照组（34例）和观察组（34例）。两组均行常规药物治疗,在此基础上予以对照组沙库巴曲缬沙坦治疗,予以观察组复方丹参滴丸联合沙库巴曲缬沙坦治疗。比较两组治疗前后血浆中超敏C反应蛋白（high-sensitivity creactive protein,hs-CRP)、肿瘤坏死因子-α（Tumor necrosis factor-α,TNF-α）、白细胞介素-8（interleukin-8,IL-8）、N末端脑钠肽前体（N-terminal-pro-brain-natriuretic-peptide,NT-proBNP）、左室舒张末期前后径（left ventricular end-diastolic diamete,LVEDD）、左室射血分数（left ventricular ejection fraction,LVEF）、左室质量指数（left ventricular mass index,LVMI）以及治疗后TIMI血流分级。结果：两组血浆hs-CRP、TNF-α、IL-8和NT-proBNP水平以及LVEDD和LVMI水平较治疗前明显降低,LVEF水平明显增加（P<0.05）。观察组治疗后血浆hs-CRP、TNF-α、IL-8和NT-proBNP水平以及LVEDD和LVMI水平明显低于对照组,LVEF水平明显高于对照组（P<0.05）。两组术后20 minTIMI血流分级均明显好转,观察组术后20 min时TIMI血流分级明显优于对照组（P<0.05）。两组不良反应总发生率比较无明显差异（P>0.05）。结论：复方丹参滴丸联合沙库巴曲缬沙坦能够明显降低老年心肌梗死患者PCI术后炎性反应,抑制心室重塑,改善心肌灌注,安全性较高。     

复方丹参滴丸联合阿司匹林治疗冠心病的疗效及对患者血脂水平的影响

目的:探讨复方丹参滴丸联合阿司匹林治疗冠心病患者的疗效及其对血脂水平的影响。方法:选取2015年1月至2016年1月我院收治的冠心病患者86例,按照随机数字表法将其分为对照组和实验组,各43例,两组均给予常规治疗,对照组在常规治疗基础上联用阿司匹林,实验组在常规治疗基础上联用阿司匹林和复方丹参滴丸。治疗8周后,对比两组患者临床疗效、甘油三酯(TG)、总胆固醇(TC)、低密度脂蛋白胆固醇(LDL-C)、高密度脂蛋白胆固醇(HDL-C)水平;并对比两组患者的不良反应发生情况。结果:实验组总有效率为86.05%,显著高于对照组的37.21%(P0.05);治疗8周后,实验组TC、TG以及LDL-C较治疗前下降,HDL-C较治疗前升高,差异均有统计学意义(P0.05);治疗8周后,实验组患者血脂TC、TG、LHL均较对照组降低,HDL较对照组升高(P0.05)。治疗期间,实验组不良反应发生率为4.65%,对照组为6.98%,两组患者不良反应发生率无统计学差异(P0.05)。结论:冠心病患者采用复方丹参滴丸联合阿司匹林治疗具有较好的疗效,并能有效改善患者血脂水平,且安全性较高,具备临床推广价值。     

复方丹参滴丸联合阿司匹林对冠心病患者血小板聚集功能及血脂水平的影响

目的:探讨复方丹参滴丸联合阿司匹林对冠心病(CHD)患者血小板聚集功能及血脂水平的影响。方法:选取2011年10月到2016年12月在我院接受治疗的CHD患者320例作为本次研究对象,采用乱数表法将所有患者分为对照组和观察组各160例,两组患者均采用扩冠、抗凝和降压药物等常规内科治疗,在此基础上对照组给予阿司匹林治疗,观察组给予复方丹参滴丸联合阿司匹林治疗,两组均治疗6个月。对比两组临床疗效、甘油三酯(TG)、总胆固醇(TC)、低密度脂蛋白(LDL)及高密度脂蛋白(HDL)、血栓素B2(TXB2)水平,记录血小板最大聚集率(PAGM)及不良事件发生率。结果:治疗后观察组的总有效率为93.13%,显著高于对照组的68.75%(P0.05)。治疗6个月后观察组HDL水平高于治疗前和对照组,LDL、TC、TG水平低于治疗前和对照组(P0.05)。治疗6个月后两组患者PAGM、TXB2水平均有明显下降,且观察组PAGM、TXB2水平低于对照组(P0.05)。观察组不良事件发生率为2.50%,显著低于对照组的18.13%(P0.05)。结论:复方丹参滴丸与阿司匹林联合治疗CHD临床疗效较好,可以有效抑制血小板凝聚,调节血脂,降低不良事件发生率,值得在临床上推广。     

棘胸蛙繁育特性研究

对棘胸蛙繁育特性进行研究,发现棘胸蛙有不滴水不产卵的习性,通过营造滴水环境可以诱导棘胸蛙年产卵次数达6～7次,年产卵量达1960粒;另外,设计了一种新方法,可使棘胸蛙卵的孵化率和蝌蚪的变态率达96.1%和96.8%.     

长期服用复方丹参滴丸对老年急性心肌梗死患者PCI术后左室重构及炎症因子水平的影响

目的:探讨长期服用复方丹参滴丸对老年急性心肌梗死患者PCI术后左室重构及炎症因子水平的影响。方法:收集我院收治的的120例急性心肌梗死患者,随机分为实验组和对照组,每组60例。所有患者均行经皮冠状动脉介入术,术后对照组患者给予阿司匹林肠溶片和波立维治疗;实验组患者在对照组基础上给予复方丹参滴丸治疗。观察并比较两组患者治疗前后血清氨基末端脑钠肽(NT-pro BNP)、多普勒超声心动图[左舒张末期内径(LVEDD)、室间隔厚度(IVS)、左室舒张末期内径(LVD)水平]、血清白介素-6(IL-6)以及白介素-8(IL-8)水平。结果:与治疗前相比,两组患者治疗后的血清NT-pro BNP、IL-6、IL-8、LVEDD、IVS、LVD水平均下降,差异具有统计学意义(P0.05);与对照组相比,实验组患者的NT-pro BNP、IL-6、IL-8、LVEDD、IVS、LVD水平较低,差异具有统计学意义(P0.05)。结论:长期服用复方丹参滴丸能够明显抑制老年急性心肌梗死患者PCI术后的左室重构,这可能与其降低血清IL-6、IL-8水平有关。     

An environmental approach to correcting iodine deficiency: Supplementing iodine in soil by iodination of irrigation water in remote areas

OBJECTIVE: Iodine deficiency disorders continue to be a severe problem in many parts of Central Asia, causing delayed mental development and cretinism in indigenous populations. In some areas, iodized salt has not succeeded in controlling this problem. In southern Xinjiang Province of China, we tried a new method of supplying iodine to rural populations by dripping potassium iodate into irrigation water canals. By this means iodine was distributed into soil, crops, animals and people. This proved feasible and cost effective; it reached all the people, required no medical expertise, required no continuing effort after the initial dripping, and had the important added benefit of improving livestock production. METHODS: We serially monitored iodine concentrations in soil, crops, animal products and human urine for several years after the last dripping. In a similar project in Inner Mongolia, total soil iodine was determined in addition. Here, iodine concentrations in soil, crops, animals and people have been monitored for 4 years after supplementation. RESULTS: After dripping, total iodine increased two-fold, while soluble iodine increased 4-5-fold. Iodine added to soil is available for more than 4 years after a single application. CONCLUSIONS: Potassium iodate added to soil appears to increase soluble iodine out of proportion to the amount added. This effect and the long persistence of dripped iodate in soil contribute to the efficacy and cost effectiveness of this method of iodine supplementation.     

老年心肌梗死患者PCI术后心率变异性的变化及丹参滴丸的临床疗效研究

目的:探究老年心肌梗死患者经皮冠状动脉介入治疗(PCI)术后心率变异性的变化及实施PCI治疗后给予丹参滴丸的临床疗效。方法:收集2015年3月到2016年3月来我院就诊的老年急性心肌梗死患者56例,根据随机数字表法分为试验组及对照组,各28例,对所有患者实施PCI术,术后对照组使用基础药物治疗,试验组使用基础药物治疗联合复方丹参滴丸。比较PCI治疗前后心率变异性的变化及两组患者的心功能。结果:PCI术后,患者测定指标SDNN、SDNN Index及SDANN相对于术前均有升高(P0.05);频域分析指标HF及LF相对于术前均升高,LF/HF比值降低(P0.05)。治疗结束后,两组患者LVEF、SV及CI均明显升高,LVEDD明显降低(P0.05),与对照组相比,试验组患者LVEF、SV及CI较高,LVEDD较低(P0.05)。结论:PCI术能够改善老年心肌梗死患者心率变异性,而复方丹参滴丸对于PCI术后老年心肌梗死患者心功能指标均有明显改善,临床疗效较好。     

Five-Year Monitoring of Bacterial Communities in Dripping Water from the Heshang Cave in Central China: Implication for Paleoclimate Reconstruction and Ecological Functions

Microbial lipids in stalagmites are increasingly used to reconstruct the paleoclimate change, necessitating the investigations on microbial communities in dripping waters. A pilot molecular survey was conducted on bacterial communities of dripping waters at two sites (1D and 3D) in Heshang Cave of Hubei Province in central China for a period of 2008 to 2013. The samples were subjected to genome DNA extraction, 16S rRNA gene amplification, clone library construction and phylogenetic analysis to explore the seasonal variation of bacterial communities and their association with environmental factors including regional air temperature, precipitation, cave temperature, pH, conductivity and dripping rate of the water samples. Seasonal variations were clearly observed in components and diversities of bacterial communities at both sites. Bacterial community was dominated by Gammaproteobacteria in autumn and winter, whereas Betaproteobacteria became dominant in samples collected in summer and spring. Among the environmental factors investigated, regional air temperature was found to have a strong impact on bacterial communities indicated by cluster and redundancy analysis. Moreover the bacterial biodiversity was observed to increase with the temperature rising. Bacteria identified in dripping water were either oligotrophs or able to acquire nutrients from minerals under oligotrophic conditions. They may also be able to induce calcite precipitation in cave systems. Our data shed light on the potential of microbes used as a tool for the reconstruction of paleo-temperature as well as on the ecological functions of bacterial communities in oligotrophic caves.     

生物药剂滴施对棉花黄萎病及根际土壤微生物数量和多样性的影响

生物农药是当前棉花黄萎病绿色防治的重要途径.本研究设置田间小区试验,研究了4种生物药剂不同滴施用量(枯草芽孢杆菌粉剂15、30、45 kg·hm^-2,“施倍健”哈茨木霉菌剂15、18、24 kg·hm^-2,渝峰“99植保”15、22.5、30 kg·hm^-2,中农绿康30、45 和60 kg·hm^-2)对棉花黄萎病的防治效果及土壤微生物群落组成和多样性的影响.结果表明: 各施药处理均不同程度降低了棉花黄萎病发病率和发病指数,全生育期平均防病效果达到50.0%~77.4%;木霉菌剂施药量18 kg·hm^-2的防效显著高于15 和24 kg·hm^-2,其他3种药剂防病效果均与施药量呈正相关.施药后土壤中病原菌大丽轮枝菌的相对丰度显著降低,且与防病效果呈极显著负相关.土壤细菌的数量与物种丰度随着施药量的增加而显著增加.施药后土壤放线菌的数量与物种丰度也显著增加,但放线菌数量在不同施药量间相差较大.土壤真菌的数量与物种丰度除木霉菌剂随施药量增加而增加外,其他3种药剂随着施药量的增加而减少.Pearson相关性分析显示,施药组的防病效果与细菌和放线菌数量呈正相关关系,而与真菌数量呈显著负相关;与放线菌、硝化螺旋菌门细菌、子囊菌门真菌、壶菌门真菌丰度呈现显著正相关,而与半知菌门真菌丰度呈显著负相关.建议在滴施用量上渝峰“99植保”30 kg·hm^-2、中农绿康60 kg·hm^-2、枯草芽孢杆菌可湿粉剂45 kg·hm^-2、“施倍健”哈茨木霉菌剂18 kg·hm^-2.