生物样品中组织胺和去甲肾上腺素的同时测定

建立生物样本中组织胺和去甲肾上腺素的同时测定方法，探讨体内Ｈｉｓｔ和ＮＡ的代谢关系。方法用高效液相色谱－电化学检测器、柱前衍生定量分析生物样本中Ｈｓｔａ和ＮＡ。结论：ＨＰＬＣ／ＥＣＤ法具有灵敏，稳定，特异性高等特点。     

反义寡脱氧核苷酸对人肝癌裸鼠模型生长及转移的影响

目的 观察反义Ｈ－ｒａｓ寡脱氧核苷酸（ＯＤＮ）对高表达蛋白ｐ２１Ｈ- ｒａｓ的人肝癌高转移裸鼠模型ＬＣＩ－Ｄ２０细胞生长、凋亡及转移潜能的影响。方法原代培养ＬＣＩ－Ｄ２０细胞，经１０μｍｏｌ／Ｌ浓度反义ＯＤＮ处理后，以１．５×１０细胞数分别接种于１４只裸鼠皮下缝制皮囊内：６只接种反义Ｈ－ｒａｓＯＤＮ处理细胞，４只接种Ｈ－ｒａｓ非特异性反义ＯＤＮ处理细胞，余４只接种未作处理的对照细胞。结果反义Ｈ－ｒａｓ对ＬＣＩ－Ｄ２０细胞增殖具有显著抑制作用（ｔ＝３１．５２９，Ｐ＜０．０１），反义ＯＤＮ处理细胞，Ｓ期比率（３６．０±１．４）显著低于对照组（５８．５±０．９，ｔ＝１３．５１９，Ｐ＜０．０１），而Ｇ１／Ｇ０期比率（５６．７％±１．１％）高于对照组（３７．４±０．７，ｔ＝１４．８０２，Ｐ＜０．０１）；反义Ｈ－ｒａｓＯＤＮ处理细胞的凋亡发生率（３４．０％±４．５％）显著高于对照组（２．５％±１．２％，ｔ＝１３．４３４，Ｐ＜０．０１）；反义Ｈ－ｒａｓ处理对ＬＣＩ－Ｄ２０细胞在接种动物体内的生长具有显著延迟抑制作用（ｔ＝３．５０９，ｔ＝３．４５２，Ｐ＜０．０１）；接种动物的肺转移率，反义Ｈ－ｒａｓＯＤＮ处理组显著低于对照组。     

大鼠小肠缺血／再灌注休克中一氧化氮,内皮素检测及意义

目的：观察一氧化氮（ＮＯ）对大鼠小肠缺血／再灌注（Ｉ／Ｒ）的作用及内皮素的改变。方法：复制内脏血管阻塞（ＳＡＯ）性休克模型,用左旋精氨酸（Ｌ－Ａｒｇ）及硝基精氨酸甲脂（Ｌ－ＮＡＭＥ）处理动物模型后分别测定血浆中ＥＴｓ、ＭＤＡ、组织蛋白酶Ｄ（ＣＤ）、ＮＯ－２／ＮＯ－３含量。结果：Ｌ－Ａｒｇ减缓了大鼠Ｉ／Ｒ血压下降（Ｐ＜０．０１）,降低了血浆ＭＰＯ、ＬＤＨ、ＣＤ、ＭＤＡ的含量（Ｐ＜０．０１）及肠组织中伊文思蓝（ＥＢ）的含量（Ｐ＜０．０５）;Ｌ－ＮＡＭＥ与Ｌ－Ａｒｇ相反。ＭＰＯ与ＥＢ正相关（Ｐ＜０．０１）,ＮＯ－２／ＮＯ－３与ＥＴｓ负相关（Ｐ＜０．０５）。结论：ＮＯ对小肠Ｉ／Ｒ损伤有保护作用,ＥＴｓ参与ＳＡＯ休克过程。     

Establishment of Bacterial Lobular Pneumonia Model in Mice

ＥｓｔａｂｌｉｓｈｍｅｎｔｏｆＢａｃｔｅｒｉａｌＬｏｂｕｌａｒＰｎｅｕｍｏｎｉａ　ＭｏｄｅｌｉｎＭｉｃｅＴｏｎｇＭｉｎｇｑｉｎｇ，ｅｔａｌ．（ＡＣＴＡＡＣＡＤＥＭＩＡＥＭＥＤＩＣＩＮＡＥＮＡＮＪＩＮＧ，１９９４，１４（１）：１－４）Ａｂｓｔｒａｃｔ：...     

影响糖尿病患者胆固醇水平的多因素分析(附80例临床分析)

本文观察８０例非胰岛素依赖型糖尿病（ＮＩＤＤＭ）患者的病程、糖化血红蛋白（ＧＨｂ）、甘油三脂（ＴＧ）、高密度脂蛋白－胆固醇（ＨＤＬ－Ｃ）、低密度脂蛋白－胆固醇（ＬＤＬ－Ｃ）、ＨＤＬ－Ｃ／ＬＤＬ－Ｃ、载脂蛋白Ａ１（ａｐｏＡ１）、载脂蛋白Ｂ１００（ａｐｏＢ１００）、ａｐｏＡ１／ａｐｏＢ１００、雌二醇（Ｅ２）、睾酮（Ｔ）、Ｅ２／Ｔ、尿白蛋白排泄率（ｕＡＥＲ）等因素对总胆固醇（ＴＣ）的影响，应用ＳＡＳ统计软件进行逐步回归分析。结果显示：ＴＣ与ＬＤＬ－Ｃ、ｕＡＥＲ显著正相关，与Ｅ２或Ｅ２／Ｔ显著负相关；而ｕＡＥＲ又与ＴＣ、ＧＨｂ、病程均显著正相关，提示ＮＩＤＤＭ患者胆固醇异常与脂蛋白代谢、性激素代谢、肾功能以及糖代谢等紊乱有关。     

Clinical Analysis of Cytomegalovirus Infecion in 54 Adults

ＣｌｉｎｉｃａｌＡｎａｌｙｓｉｓｏｆＣｙｔｏｍｅｇａｌｏｖｉｒｕｓＩｎｆｅｃｉｏｎｉｎ５４ＡｄｕｌｔｓＴａｎｇＱｉｎ，ｅｔａｌ．ＡＣＴＡＡＣＡＤＥＭＩＡＥＭＥＤＩＣＩＮＡＥＮＡＮＪＩＮＧ，１９９４，１４（１）：５０－５２Ａｂｓｔｒａｃｔ：Ｆｉｆｔｙ－...     

A Comparison on Four Methods for Cryopreserved Spermatozoa

ＡＣｏｍｐａｒｉｓｏｎｏｎＦｏｕｒＭｅｔｈｏｄｓｆｏｒＣｒｙｏｐｒｅｓｅｒｖｅｄ　ＳｐｅｒｍａｔｏｚｏａＪｉｎＹａｎ，ｅｔａｌ．（ＡＣＴＡＡＣＡＤＥＭＩＡＥＭＥＤＩＣＩＮＡＥＮＡＮＪＩＮＧ，１９９４，１４（１）：９－１２）Ａｂｓｔｒａｃｔ：Ｔｈｅｒｅ...     

A Brief Note on Pathogenesis and Treatment of Perthes Disease

ＡＢｒｉｅｆＮｏｔｅｏｎＰａｔｈｏｇｅｎｅｓｉｓａｎｄＴｒｅａｔｍｅｎｔｏｆＰｅｒｔｈｅｓＤｉｓｅａｓｅ￥ＦａｎＷｅｉｍｉｎ，ｅｔａｌ．ＡＣＴＡＡＣＡＤＥＭＩＡＥＭＥＤＩＣＩＮＡＥＮＡＮＪＩＮＧ，１９９４，１４（１）：４４－４６Ａｂｓｔｒａｃｔ：Ｍｅ...     

HPLC/ECD 同时测定生物样品中的组织胺和去甲肾上腺素

目的：建立了高效液相色谱法（ＨＰＬＣ）配合电化学检测器（ＥＣＤ）同时分析组织和体液中的组织胺（Ｈｉｓ）和去甲肾上腺素（ＮＡ）的方法。方法：用邻苯二甲醛（ＯＰＡ）和２ 巯基乙醇（２－ＭＥ）进行柱前衍生，衍生产物在离子对试剂辛基磺酸钠的作用下，采用ＰａｔｉｓｉｌＯＤＳ柱，乙酸等试剂组成缓冲溶液与乙腈按７∶３配成流动相，３ 甲基组织胺（３ Ｍ Ｈｉｓ）为内标，检测器电位０．７Ｖ，结果：用该方法对小鼠心脏组织和血液中的Ｈｉｓ和ＮＡ进行同时测定，得到了满意的分离和检测结果，最低检测量约为１５ｐｇ（Ｓ／Ｎ＝３）。结论：这个研究提示，用一些特殊试剂与样品产生衍生物，是得到满意的分离结果而不影响灵敏度的途径。     

Sex Chromosomal Analysis of Fifty Cases with Azoospermia

ＳｅｘＣｈｒｏｍｏｓｏｍａｌＡｎａｌｙｓｉｓｏｆＦｉｆｔｙＣａｓｅｓｗｉｔｈＡｚｏｏｓｐｅｒｍｉａ￥ＸｕＣｈａｎｇｆｅｎ，ｅｔａｌ．ＡＣＴＡＡＣＡＤＥＭＩＡＥＭＥＤＩＣＩＮＡＥＮＡＮＪＩＮＧ，１９９４，１４（１）：２２－２５Ａｂｓｔｒａｃｔ：Ｍａｌｅ...     

Value of D-Dimers in patients with acute aortic dissection

Objective: To evaluatel the value of D-dimers in patients with acute aortic dissection (AAD). Methods: This study consisted of 16 patients with AAD and 27 non-AAD patients. Serum D-dimets were measured by Sta-Liatest D-DI immunoturbidimetric assay. Results: D-dimer level was higher (P ＜ 0.001) in patients with AAD(7.91 ± 5.52 μg/ml) than that in non- AAD group(1.57±1.24 μg/ml). D-dimer was positive (＞0.4 μg/ml) in all patients with AAD and in 10 control group patients (37%). Among patients with acute AAD, D-dimers tended to be higher in Stanford A than in Stanford B (8.67 ± 4.31 μg/ml vs. 3.24±1.27 μg/ml, P ＜0.01). D-dimer values tended to be higher in more extended disease(3.84 ± 1.65 μg/ml, 8.57 ± 3.58 μg/ml and 11.87 ± 5.69 μg/ml in thoracic aorta, thoracic and abdominal aorta, thoracic and abdominal aorta and iliacal arteries, respectively, P ＜ 0.05 for both 8.57 ± 3.58 and 11.87 ± 5.69 vs. 3.84 ± 1.65 ). Including the control group into the analysis, we found a sensitivity of 100%, a negative predictive value of 100%, and a specificity of 66% and a positive predictive value of 64% for D-dimer in diagnosis of AAD in our patients with suspected AAD. Conclusion: D-dimer was elevated in patients with AAD. A negative D-dimer test result could be useful in excluding AAD.     

Research of combined liver-kidney transplantation model in rats

Objective： To set up a simple and reliable rat model of combined liver-kidney transplantation. Methods： SD rats served as both donors and recipients. 4℃ sodium lactate Ringer＇s was infused from portal veins to donated livers,and from abdominal aorta to donated kidneys, respectively. Anastomosis of the portal vein and the inferior vena cava （IVC） inferior to the right kidney between the graft and the recipient was performed by a double cuff method, then the superior hepatic vena cava with suture. A patch of donated renal artery was anastomosed to the recipient abdominal aorta. The urethra and bile duct were reconstructed with a simple inside bracket. Results： Among 65 cases of combined liver-kidney transplantation, the success rate in the late 40 cases was 77.5%. The function of the grafted liver and kidney remained normal. Conclusion： This rat model of combined liver-kidney transplantation can be established in common laboratory conditions with high success rate and meet the needs of renal transplantation experiment.     

APPLICATION OF LORNOXICAM TO PATIENT-CONTROLLED ANALGESIA IN PATIENTS UNDERGOING ABDOMINAL SURGERIES

FOR anesthesiologis s ,treatingpostoperativepainhas alwaysbeen a problem.Althoughopioidshave been provedtobe effective,theirsideeffectscouldnotbeignored.With thedevelopmentofscienceand pharmacology,many drugs with aspectsof satisfactoryanalgesicefficacyand couldbe welltoleratedby patientshave been developed.And lornoxicamisone of them, which isa non-steroidalanti-inflammatorydrug (NSAID ), with analgesic, anti-infl-ammatory,andantipyreticproperties.Itseliminationhalf-time(3 to 5 hours) isle…     

BLOOD PRESSURE CHANGE WITH AGE IN SALT-SENSITIVE TEENAGERS

Objective To observe blood pressure change with age in salt-sensitive teenagers whose salt sensitivity were determined by repeated testing.Methods Salt sensitivity was determined through intravenous infusion of normal saline combined with volume-depletion by oral diuretic furosemide in 55 teenagers. After five years, salt sensitivity was re-examined and subject blood pressure was followed up. Blood pressure changes in salt-sensitive teenagers were compared to that of non-salt sensitive teenagers over five years.Results After 5 years, the repetition rate of salt sensitivity determined by intravenous saline loading is 92.7%. In teenagers with salt sensitivity on the baseline, both the systolic blood pressure increments and increment rates were much higher than non-salt sensitive teenagers (12.7±12.1 mmHg vs. 2.8±5.2 mmHg, P＜ 0.01; 12.2%± 12.0% vs. 2.5% ±4.4%, P＜ 0.001,respectively). There was a similar trend for diastolic blood pressure (8.4 ± 6.4 mmHg vs. 3.7 ± 6.4 mmHg, P = 0.052; 13.2% ±10.6 % vs. 6.8%± 10.1%, P = 0.053, respectively).Conclusions Salt sensitivity determined by intravenous saline loading showed good reproducibility. Blood pressure increments with age were much higher in salt-sensitive teenagers than non-salt sensitive teenagers, especially in terms of systolic blood pressure.     

Acupuncture Combined with Spinal Tui Na for Treatment of Primary Dysmenorrhea in 30 Cases

Objective: To observe the therapeutic effects in acupunture treatment of primary dysmenorrhea combined with spinal Tui Na, and study its mechanism. Methods: Thirty cases of the treatment group were treated by acupuncture combined with spinal Tui Na, and thirty cases in the control group were treated by routine acupuncture. Results: The total effective rate was 93.3% in the treatment group, and 73.3% in the control group, with a significant difference between the two groups (P<0.05). Conclusions: Acupuncture combined with spinal Tui Na has good prospects for treatment of primary dysmenorrhea.     

Luo Lingjie's Experience in Treating Chronic Nephropathy

In treating chronic nephropathy,Luo Lingjie,a chief physician,pays attention to regulating the balance between yin and yang,treating infection if present,and removing pathogenic factors.He prescribes gentle drugs and uses carefully strongly warming-tonifying ones,emphasizes the importance of persuading the patient to persist in treatment with medication and nurse one's health for recuperation,and is good at combined use of TCM and western medicine therapy and brings the merits of various therapies into full play,with obvious theraoeutic effects.     

Dr.Zhang Ren's Experience in the Acupuncture Treatment of Different Diseases with the Same Therapeutic Principle

Dr.Zhang Ren,the chief physician,is the chairman of Shanghai Acupuncture and Moxibustion Association.Having been engaged in medicine for about 40 years,he is experienced in treating various intractable diseases.In his long years of clinical practice,he advocates taking the TCM differentiation as the basis to seek for the acupuncture method for treatment of modern intractable diseases.The author of this essay had the fortune to follow Dr.Zhang in study.The following is a summary of Dr.Zhang's experience in the acupuncture treatment for different intractable diseases with the same therapeutic principle.     

安心颗粒对急诊经皮冠状动脉介入术后生活质量影响的研究

目的：评价使用安心颗粒对急诊经皮冠状动脉介入术（PPCI）术后生活质量的影响.方法：将160例接受PPCI的急性ST段抬高型心肌梗死患者随机分为安心颗粒组（术前顿服安心颗粒8.8g,术后安心颗粒4.4 g/次,每日2次）和对照组（仅接受基础药物治疗）.所有患者均服用阿司匹林、氯吡格雷和阿托伐他汀.分别在入院时、出院前1d、出院后180 d时,应用心肌梗死多维度量表（MIDAS）、中文版SF-36评价量表对患者生活质量评分.并观察术后30 d以内的出血并发症、血小板减少症发生情况.结果：入院时和出院前1d,两组患者的心肌梗死MIDAS、SF-36量表评分比较无差异（P＞0.05）;出院后180 d时,与对照组比较,安心颗粒组MIDAS、SF-36评分明显减低（P＜0.05）;组内与入院时比较,两组出院前1d、出院后180 d时,MIDAS、SF-36评分均降低（P＜0.05）.两组患者在随访期间均无大量出血、少量出血、重度和极重度血小板减少症发生,安心颗粒组有4例、对照组有7例发生不明显出血（P＞0.05）.两组发生轻度血小板减少症的患者数比较无差异（P＞0.05）.结论：PPCI使用安心颗粒,能改善急性ST段抬高型心肌梗死患者的生活质量,且不增加出血风险.     

The comparative studies of the influences of Urapidil and Nicardipine on sino-atrial node function, atrio-ventricular node function and hemodynamics

Objective:To investigate the influences of urapidil and nicardipine on rabbit sinus function,atrio-ventricular node function and hemodynamics.Methods:Thirty-two Angora's rabbits were selected and randomly divided into four groups.U1 group:urapidil 0.25 mg/kg;U2 group:urapidil 0.5 mg/kg;N1 group:nicardipine 10 μg/kg;N2 group:nicardipine 20 μg/kg.All these medicine were administrated within 30 seconds.Measurements were taken before and after the administration of urapidil or nicardipine for the following data:mean blood pressure(MAP),heart rate(HR),sino-atrial conduction time(SACT),maximal sinoatrial recovery time(SNRTmax)corrected sinus node recovery time(CSNRT),index of sinus node recovery time(SNRTI),Wenckebach A-V conduction frequency (WB),and P-R interval.Results:Significant MAP and HR changes were identified in all of the four groups before and after administration of both urapidil and nicardipine.No significant changes could be found in the rest of the parameters.Intergroup analysis showed that SACT and CSNRT of N1 and N2 groups were shorter than those of the U2 group(P＜0.01);the MAP decreased(P＜0.01)and the HR increased drastically(P＜0.01).Conclusions:Neither urapidil(0.25 mg/kg,0.5 mg/kg)nor nicardipine(10μg/kg,20μg/kg)has any significant influence on rabbit sinus function or rabbit atrio-ventricular node function.Nicardipine could be a better choice than urapidil for parafunctional sinus node patients.