黄芪对小鼠免疫功能影响的实验研究

目的探讨黄芪醇提取物和水提取物对小鼠免疫功能的影响。方法分别用黄芪的水提取物和醇提取物给小鼠灌胃20d后,检测小鼠体质量、免疫器官重量、单核-腹腔巨噬细胞吞噬能力、淋巴细胞增殖转化的情况。结果黄芪低剂量组比高剂量组的胸腺指数大;高剂量混合组的单核-腹腔巨噬细胞吞噬能力强于低剂量混合组,且黄芪水提取组的吞噬能力强于醇提取组。黄芪对小鼠体质量、脾指数、脾淋巴细胞增殖转化作用的影响无统计学差异（P〉0.05）。结论黄芪有增强免疫功能的作用;其水提取物的增强作用大于醇提取物。     

鸡卵黄免疫球蛋白-IgY对小鼠免疫功能的影响

目的 观察鸡蛋卵黄免疫球蛋白-IgY对小鼠免疫功能的影响。方法 鸡蛋卵黄免疫球蛋白-IgY经口灌胃，观察小鼠单核吞噬细胞碳粒廓清率和小鼠腹腔巨噬细胞吞噬鸡蛋红细胞的吞噬能力。结果鸡卵黄免疫球蛋白-IgY具有提高小鼠单核吞噬细胞碳粒廓清率及增强小鼠腹腔巨噬细胞吞噬鸡蛋红细胞的吞噬能力。结论鸡卵黄免疫球蛋白-IgY能提高小鼠单核吞噬细胞吞噬功能，具有增强小鼠免疫功能的作用。     

鸡卵黄免疫球蛋白(IgY)对小鼠单核吞噬细胞吞噬功能的影响

目的 观察鸡蛋卵黄免疫球蛋白IgY对小鼠单核吞噬细胞吞噬功能的影响.方法 用鸡卵黄免疫球蛋白IgY经口灌胃,观察小鼠单核吞噬细胞碳粒廓清率和小鼠腹腔巨噬细胞吞噬鸡红细胞的吞噬能力.结果 鸡卵黄免疫球蛋白IgY具有提高小鼠单核吞噬细胞碳粒廓清率及增强小鼠腹腔巨噬细胞吞噬鸡红细胞的吞噬能力.结论 鸡卵黄免疫球蛋白IgY能提高小鼠单核吞噬细胞吞噬功能,具有增强小鼠免疫功能的作用.     

自组方剂（蛹虫草多糖、灵芝多糖、水飞蓟提取物）对小鼠的免疫调节作用研究

目的：考察自组方剂（蛹虫草多糖、灵芝多糖、水飞蓟提取物）对小鼠的免疫调节作用。方法：实验小鼠随机分为4组,即低、中、高剂量组和溶剂对照组,连续灌胃30天后分别检测以下指标：脏器/体质量比值,耳廓肿胀度,脾淋巴细胞增殖能力,溶血空斑数,血清半数溶血值,碳廓清能力,鸡红细胞吞噬率与吞噬指数和NK细胞活性。结果：样品中、高剂量可增强小鼠脾淋巴细胞增殖能力和小鼠碳廓清能力及小鼠腹腔巨噬细胞吞噬鸡红细胞能力,对体液免疫功能无影响,不具有增强小鼠NK细胞活性的作用。结论：自组方剂（蛹虫草多糖、灵芝多糖、水飞蓟提取物）具有增强免疫力的功能。     

狗肝菜多糖对免疫功能低下小鼠免疫功能的影响

目的 研究狗肝菜多糖对小鼠免疫功能的影响.方法 建立环磷酰胺(CTX)经直肠给药致免疫低下小鼠模型,测定胸腺和脾脏重量并计算脏器系数,碳粒廓清法测定单核巨噬细胞吞噬功能,比色法测定血清溶血素含量,MTT法测定小鼠脾脏淋巴细胞增殖情况.结果 狗肝菜多糖能对抗环磷酰胺引起的小鼠脾萎缩和胸腺萎缩,提高免疫抑制小鼠对碳粒的吞噬作用,且对小鼠血清溶血素的生成有较强的促进作用,能促进小鼠脾脏淋巴细胞的增殖.结论 狗肝菜多糖能增强免疫抑制小鼠的免疫功能.     

蹄叶橐吾乙醇提取物对小鼠免疫功能的影响

目的研究蹄叶橐吾乙醇提取物对小鼠免疫功能的影响。方法采用多种方法检测该提取物对小鼠单核巨噬细胞系统的吞噬功能、溶血素抗体产生能力及对淋巴细胞增殖能力的影响。结果蹄叶橐吾乙醇提取物能明显抑制小鼠单核巨噬细胞系统的吞噬功能,能明显增加小鼠血清溶血素含量,可以促进脾淋巴细胞增殖。结论蹄叶橐吾乙醇提取物可抑制非特异性免疫,增强特异性免疫反应中的体液免疫应答。     

黄芪冰冻微粉增强免疫力和抗疲劳作用的实验研究

目的:观察黄芪冰冻微粉(HQBDWF)对小鼠单核巨噬细胞吞噬功能的影响及其抗疲劳作用。方法:分别采用碳粒廓清速率、免疫器官重量法以及小鼠持续游泳时间的方法,观察HQBDWF对小鼠单核巨噬细胞吞噬功能的影响及其抗疲劳作用。结果:黄芪冰冻微粉(HQBDWF)可提高小鼠单核巨噬细胞的吞噬功能及持续游泳时间,同对照组和普通黄芪粉比较,有显著性差异。结论:黄芪冰冻微粉(HQBDWF)较普通黄芪粉(HQWF和HQCF)对小鼠具有明显的增强免疫力和抗疲劳作用。     

山苦茶对小鼠非特异性免疫功能的影响

目的:探讨山苦茶对小鼠非特异性免疫功能的影响。方法:80只昆明种健康小鼠随机分为4组:空白对照组(给予无菌蒸馏水0.1mL/10g)及山苦茶低、中、高剂量组(分别给予山苦茶0.5、1.0、2.0g/kg),每组20只,分别作小鼠碳粒廓清试验和腹腔巨噬细胞吞噬试验,计算并比较各组小鼠胸腺指数、脾脏指数、校正吞噬指数a及腹腔巨噬细胞吞噬率、吞噬指数。结果:灌胃不同剂量山苦茶水提物7d后,与空白对照组相比,山苦茶各剂量组小鼠的胸腺指数、脾脏指数以及单核巨噬细胞碳粒廓清能力、吞噬率、吞噬指数均明显增加,差异均有统计学意义(P均<0.05)。结论:山苦茶可通过影响小鼠免疫器官来增强机体的免疫能力;可加快小鼠体内碳颗粒的清除速度,增强小鼠的非特异性免疫能力;能提高小鼠巨噬细胞的吞噬率和吞噬指数,对正常机体的非特异性免疫功能具有增强作用。     

脂麻花醇提取物对环磷酰胺模型小鼠免疫功能的影响

目的探讨脂麻花醇提取物对小鼠免疫功能的影响。方法脂麻花醇提取物（4．0、2．0、1．0g／kg）灌胃给药连续11d，环磷酰胺（Cy）75mg／kg腹腔注射诱导免疫功能低下小鼠模型，观察对小鼠免疫器官重量、血清溶血素水平、单核吞噬细胞系统吞噬功能的影响。结果脂麻花醇提取物可显著提高Cy所致免疫功能低下模型小鼠血清溶血素水平，明显增强小鼠的碳粒廓清率和腹腔巨噬细胞吞噬指数，拮抗Cy所致的小鼠免疫器官重量减轻。结论脂麻花醇提取物能明显改善环磷酰胺所致免疫功能低下模型小鼠的免疫功能。     

蜂胶影响小鼠免疫功能的实验研究

目的研究蜂胶对小鼠免疫功能的影响作用。方法依据卫生部2003年版《保健食品检验与评价》方法进行检测。结果蜂胶能促进小鼠的脾淋巴细胞增殖和转化作用、提高小鼠抗体生成细胞数和血清溶血素水平、促进小鼠单核-巨噬细胞的碳廓清和腹腔巨噬细胞的吞噬能力、能促进小鼠的迟发型变态反应、具有增强免疫力功能作用。结论蜂胶具有增强免疫力功能的作用。     

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…     

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.     

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.     

猪肺磷脂注射液联合经鼻持续气道正压通气对呼吸衰竭早产儿的临床疗效及肌酸激酶同工酶活性的影响

目的 探讨猪肺磷脂注射液联合经鼻持续气道正压通气(NCPAP)对呼吸衰竭早产儿的临床疗效及肌酸激酶同工酶活性(CK-MB)的影响.方法 选取呼吸衰竭早产儿80例,分为观察组和对照组各40例.对照组采用NCPAP给氧治疗,观察组给予NCPAP给氧联合猪肺磷脂气管内给药.观察两组患儿治疗前及治疗12h、24 h后PaO2、PaCO2、血氧饱和度(SaO2)、pH的变化情况,检测治疗前及治疗5d后血清CK-MB水平;评估两组患儿的临床治疗效果.结果 两组患儿PaO2、PaCO2、SaO2、pH比较,差异均有统计学意义(P＜0.05),其中观察组治疗后的PaO2、SaO2、pH均高于对照组,PaCO2则低于对照组.两组的PaO2、SaO2、pH均随观察时间延长而升高(P＜0.05),PaCO2均随观察时间的延长而降低(P＜0.05).观察组治疗有效率为87.5％,显著高于对照组的70.0％ (P ＜0.05).治疗5d后两组患儿血清CK-MB水平均较前降低(P＜0.05),且观察组明显低于对照组(P＜0.05).结论 猪肺磷脂注射液气管内给药联合NCPAP可以显著降低呼吸衰竭早产儿CK-MB的含量,提高治疗有效率,起到很好的呼吸循环支持作用.