中国汉族群体D4S111位点的遗传多态性研究

目的：研究中国汉族群体中α－艾杜糖苷酶基因Ｄ４Ｓ１１１位点的遗传多态性。方法：采用扩增片段长度多态性分析技术，检测了广州地区汉族无血缘关系健康个体９７名，结果：Ｄ４Ｓ１１１位点，在９７名无关个体中发现５个等位基因和９种基因型，等位基因片段长度为８３０￣５１０ｂｐ，基因频率为０．００５２￣０．３６０８，ＰＩＣ为０．５９６６，杂合性为０．７８。结论：中国汉族群体中Ｄ４Ｓ１１１位点具有高度多态性，并与其     

石家庄地区汉族人群DIS80(pMCT118)位点VNTR基因频率分布调查

本文采用ＰＣＲ技术对石家庄地区２１６名无关个体ＤＩＳ８０（ｐＭＣＴ１１８）位点扩增片段长度多态性的等位基因频率进行调查。ＰＣＲ扩增产物采用聚丙烯酰胺凝胶电泳分型及溴化乙锭染色，共检出７０种基因型，２５个等位基因，其中以１８、２４、３０三个等位基因频率最高。将本文结果与日本人群在ＤＩＳ８０（ｐＭＣＴ１１８）位点多态性结果进行比较，石家庄地区汉族人群ＤＩＳ８０（ｐＭＣＴ１１８）位点基因频率分布符合ＨａｒｄｙＷｅｉｎｂｅｒｇ平衡定律，该位点非父排除率为０．７１，个体识别率为０．９，杂合度为０．８５。     

中国成都汉族和大理白族群体D3S1545基因座的遗传多态性研究

为了解我国成都汉族群体和大理白族群体 Ｄ３ Ｓ１５４５ 基因座的遗传多态性,获得中国汉族和大理白族 Ｄ３ Ｓ１５４５ 基因座的群体遗传学数据。采集了 １４８ 名无血缘关系的中国成都汉族个体和９６ 名无血缘关系的大理白族个体的 Ｅ Ｄ Ｔ Ａ 抗凝血样。 Ｃｈｅｌｅｘ 法提取 Ｄ Ｎ Ａ。 Ｐ Ｃ Ｒ 扩增样本 Ｄ Ｎ Ａ,聚丙烯酰胺凝胶水平电泳分型。结果显示：在中国成都汉族群体中, Ｄ３ Ｓ１５４５ 共发现 ９ 个等位基因,等位基因频率为 Ｄ３ Ｓ１５４５８：００６４２; Ｄ３ Ｓ１５４５９：０００３４; Ｄ３ Ｓ１５４５１０：０．００６８; Ｄ３ Ｓ１５４５１１：０．０２０３; Ｄ３ Ｓ１５４５１２：０．１８２４; Ｄ３ Ｓ１５４５１３：０．３０７５; Ｄ３ Ｓ１５４５１４：０３２４３; Ｄ３ Ｓ１５４５１５：０．０８４４; Ｄ３ Ｓ１５４５１６：０．００６８。在大理白族群体中, Ｄ３ Ｓ１５４５ 共发现６ 个等位基因,等位基因频率为 Ｄ３ Ｓ１５４５８：０．００７８１; Ｄ３ Ｓ１５４５１１：０．０２６１; Ｄ３ Ｓ１５４５１２：０．１７１９; Ｄ３ Ｓ１５４５１３：０．３９０６; Ｄ３ Ｓ１５４５１４：０２４４８; Ｄ３ Ｓ１５     

阿尔茨海默病患者载脂蛋白E等位基因的多态性

目的：探讨载脂蛋白Ｅ（ａｐｏＥ）等位基因多态性在散发性阿尔茨海默病（ＳＡＤ）发病机制中的作用。方法：应用聚合酶链反应—限制性片段长度多态性（ＰＣＲＲＦＬＰ）方法检测６８名ＳＡＤ患者和６６名正常老年人的ａｐｏＥ等位基因多态性分布。结果：ＳＡＤ组ａｐｏＥ２等位基因频率明显低于对照组（Ｐ＜００１）;ａｐｏＥ４等位基因频率高于对照组,但两组比较无统计学意义（Ｐ＞００５）。结论：ａｐｏＥ２基因可能具有保护ＳＡＤ发病的作用;不支持ａｐｏＥ４是中国人ＳＡＤ发病高危因素的结论     

湖南汉族群体HLA—DQA1位点等位基因多态性分析

目的：分析湖南汉族群体ＨＬＡ－ＤＱＡ位点等位基因多态性。方法;应用ＰＣＲ／ＳＳＰ和银染ＰＣＲ／ＳＳＣＰ技术对６０名无血缘关系湖南汉族健康个体作ＨＬＡ－ＤＱＡ１基因分型。结果：检出１０种ＨＬＡ－ＤＱＡ１等位基因。基因频率范围为０．０１６７～０．２２５４,ＨＬＡ－ＤＱＡ１＊０３０２,＊０５０１,＊０１０２常见等位基因,ＨＬＡ－ＤＱＡ１＊０１０１,＊０２０１,＊０４０１为少见等位基因。检出２６种基因型,     

人体硬组织DNA遗传多态性的研究

用ＰＣＲ扩增片段长度多态性技术分析了３０５名汉族人群ＶＮＴＲ位点ＤＩＳ８０、Ｄ１７Ｓ３０遗传多态性，结果发现：Ｄ１Ｓ８０有２２个等基因，基因频率０．５７－３３．１４，杂合度８２．６３％；Ｄ１７Ｓ３０有１３个等位基因，基因频率０．７８－３５．８８，杂合度８２．６３％。家系分析证实，这些ＶＮＴＲ位点等位基因遗传符合孟德尔遗传规律。同时对同一体的血骨、血牙样本ＤＮＡ进行研究，均获得一致性分析结果。表明骨     

中国成都汉族和大理白族群体D3S1545基因座的遗传多态性研究

为了解我国成都汉放肆本和大理白族群体Ｄ３Ｓ１５４５基因座的遗传多态性,获得中国汉族和大理白族Ｄ３Ｓ１５４５基因座的群体遗传学数据。采集了１４８名无血缘的中国成都汉族个体和９６名无血缘关系的大理白族个体的ＥＤＴＡ抗凝血ｈｅｌｅｘ法提取ＤＮＡ。ＰＣＲ扩增样本ＤＮＡ,聚丙烯酰胺凝胶水平电泳分开。结果显示：在中国成都汉群体中,Ｄ３Ｓ１５４５共发现９个等位基因,等位基因频率为Ｄ３Ｓ１５４６＊８;０．０６５２     

D1S80座位的等位基因扩增片段长度多态性分析

目的：对天津地区１１２ 名无关个体的Ｄ１Ｓ８０ 基因座位进行了扩增片段长度多态性分析，检测其等位基因和基因频率。方法： 应用聚合酶链反应，小型聚丙烯酰胺凝胶电泳和银染方法观察长度多态性。结果：发现了２６ 个等位基因，大小在３５５～７７１ｂｐ 之间，基因频率为０．００４５～０．１３８４，杂合度为７３％ 。７０ 种基因型，个人鉴别力为０．９８５。对６ 个家系２３ 名相关个体的分析结果符合孟德尔定律。结论： Ｄ１Ｓ８０ 基因座位个人鉴别力高，ＰＣＲ方法简便、灵敏，可在个人识别和亲子鉴定中发挥重要作用     

石家庄地区汉族人群DIS80（pMCT118）位点VNTR基在频率分布调查

本文采用ＰＣＲ技术对石家庄地区２１６名无关个体ＤＩＳ８０（ｐＭＣＴ１１８）位点扩增片段长度多态性的等位基因频率进行调查，ＰＣＲ扩增产物采用聚丙烯酰胺胶电泳分型及溴化乙锭染色，共检出７０种基因型，２５个等位基因，其中以１８，２４，３０三个等位基因频率最高，将本文结果与日本人群在ＤＩＳ８０（ｐＭＣＴ１１８）位点多态性结果进行比较，石家庄地区汉族人群ＤＩＳ８０（ｐＭＣＴ１１８）位点基因频率分布符合Ｈａｒ     

河北汉族人群D17S30位点扩增片段长度多态性

探讨河北省汉族人群Ｄ１７Ｓ３０位点的基因频率分布，为法医的基因认定提供依据。方法用聚合酶链式反应对河北汉族人群２０１名无关个体Ｄ１７Ｓ３０位点进行扩增，扩增产物采取聚丙烯酰胺凝胶电泳及溴化乙锭染色，依据扩增片段长度确定各等位基因，分别使用ＰＯＭＳ软件和自编软件。     

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.     

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.     

Expression of OPGmRNA and ODFmRNA in the patients of hip fracture due to osteoporosis

Objective：To investigate the gene expression of osteoprotegerin（OPG） and osteoclast differentiation factor（ODF） in the bone tissue of patients with hip fracture due to osteoporosis. Methods：OPGmRNA and ODFmRNA in the bone tissue in 50 cases of osteoporosis sufferers（over 50 years old） with hip fracture（Observer Group） and 30 cases of hip facture sufferers with no osteoporosis（Control group） were analyzed with the Semi-Quantitative RT-PCR method. Results：The mRNA expressed of ODF, OPG were both high in the patients with hip fracture. In the control group, the expression of OPG mRNA was observed, while the expression of ODF mRNA was very slight. Conclusion：Aged patients contained all signals including OPG, ODF that are essential for inducing osteoclastogenesis and promoting bone resorption.     

The clinicopathological and immuohistochemical analysis of solid-pseudopapillary tumor of the pancreas： report of 9 cases

Objective：To investigate the clinical features, pathological characteristics and immunophenotype of solid-pseudopapillary tumor of the pancreas（SPTP）. Methods：Nine surgically treated cases of SPTP were retrospectively reviewed. Hematoxylin and Eosin（HE） staining and immunohistochemical staining were used to analyze all cases, and the general clinical data was collected. Results：Six patients were asymptomatic except for a palpable mass. Two patients complained of vague-epigastric pain. One patient appeared jaundice. The tumor was encapsulated and solid tissues alternately with cystic tissues. Histologically, the histological structure of solid portion was pseudopapillary with a fibrovascular core. Tumor cells were uniform and medium-sized which were arranged in sheets ets or nests or pseudopapillary patterns. Immunohistochemical studies demonstrated that SPTP proved positive in vimentin（9/9 cases）, AAT（9/9 cases）, NSE（9/9 cases）, ACT（7/9 cases）, CK20（2/9 cases）, CgA（1/9 cases）, S-100（3/gcases）, PR（4/gcases）, Syn（3/9 cases） and CD56（5/9cases）, negative in CEA and ER. Conclusion：SPTP is a tumor predominantly occurring in young women frequently without special symptoms. This tumor has various characteristical histological patterns with different immunophenotype.     

Electro-Acupuncture Combined with the Trigger Point Needle-Embedding for Treatment of Primary Trigeminal Neuralgia in 31 Cases

In recent years, the author of this essay has applied electro-acupuncture combined with the trigger point needle-embedding for treatment of primary trigeminal neuralgia in 31 cases, yielding satis- factory results as reported in the following.     

Investigation of Matrix Metalloproteinase -1, 2 and tissue inhibitor of matrix metalloproteinases-1 in Endometriosis

Objective： To explore the role of matrix metalloproteinase-1,2 （MMP-1, MMP-2） and tissue inhibitor of matrix metalloproteinases-1 （TIMP-1） in endometriosis. Methods： The eutopic and ectopic endometria from 40 subjects suffering from endometriosis and regular.endometria from 40 subjects （excluding endometriosis） were collected and examined by in situ hybridization technology and western blot assay. Results： Both expressions of MMP-1 and -2 were stronger in ectopic endometrium and eutopic endometrium than in normal endometrium. On the contrary, the expression of TIMP-1 in ectopic endometrium and eutopic endometrium was lower. The differences were significant （P 〈 0.01 ）. Moreover, there was no relationship among the expressions of MMP-1, 2 and TIMP-1 in ectopic endometrium. Conclusion： The expressions of MMP-1, 2 and TIMP-1 lose balance and lack of periodic changes in ectopic endometrium , which explains the biological invasive behavior of endometriosis. It was suggested-that regulating the balance between the MMPs and TIMP-1 should be an ideal therapeutic target to endometriosis.     

Shi Da-zhuo (史大卓) —An outstanding cardiologist of integrative medicine

Prof. SHI Da-zhuo, Ph.D., male, was born on March 20, 1960. Prof. SHI entered the Ph.D. program in 1990 at the China Academy of Chinese Medical Sciences under the supervision of Prof. CHEN Ke-ji, majoring in the treatment of cardiovascular diseases. After receiving his Ph.D. degree in 1993, Prof. SHI started working at the Cardiovascular Center in Xiyuan Hospital affiliated to China Academy of Chinese Medical sciences.     

Persist in and Carry Forward the Integrative Medical Research——Speech at the 6th National General Congress of Chinese Association of Integrative Medicine by Academician CHEN Zhu,Minister of Ministry of Health

The 6th National General Congress of Chinese Association of Integrative Medicine （CALM） was convened at 19-20, April 2008 in Beijing. Academician CHEN Zhu, the minister of Ministry of Health indicated at the congress that the integration of Chinese and Western medicine is very well in keeping with the situation of our country and the general rule of development in medical science; and as a good integration of Chinese medicine and Western medicine, it is mutually beneficial and advantageous to both of them. Seeing the creativity shown in integrative medical investigation in theoretic and methodological sides, we should and must persist in and develop it.