止痛活血化瘀药实验研究

本文研究了止痛活血化瘀药对血液流变性的影响。两类止痛活血化瘀药在改善红细胞聚集性、变形性等血液流变性诸参数的作用是明显不同的。结果表明活血散瘀类药可明显改善四项红细胞流变性参数，即通过降低红细胞表明电荷以增加细胞间的排斥力，防止红细胞聚集，改善变形性，降低纤维蛋白元含量，降低血液粘度，改善血液流变性。另一方面，祛风行气类药则可降低血小板聚集性和粘附性。因此，止痛活血化瘀药的作用机理是不同的     

鼻泰治疗变应性鼻炎的实验研究

鼻泰为治疗变应性鼻炎的中药滴鼻剂。实验表明，该药可抑制大鼠肥大细胞脱颗粒，抑制小鼠皮肤被动过敏反应，抑制实验性变应性鼻炎家兔的鼻粘膜炎症反应并减少其Ｐ物质水平。     

国产榧属植物种子油含量及其脂肪酸测定

目的:分析了国产榧属植物种子油含量及其脂肪酸组成。方法:用重量法和GC法分别测定油含量和脂肪酸组成。结果:种子油含量在42.6%～54.39%;脂肪酸组成以亚油酸和油酸为主;不饱和脂肪酸占脂肪酸总量的76.1%～82.0%;饱和脂肪酸以山俞酸和棕榈酸为主。结论:榧属植物种子油属优质植物油,含量较高的山俞酸为特征性成分。对榧属植物种子油资源潜在的开发利用价值进行了评价。     

肺癌肺叶袖状切除术的安全性和有效性

目的:评价肺癌肺叶袖状切除术后患者的手术安全性和远期生存状况.方法:回顾分析了1999年10月至2003年12月行肺癌根治术的94名病例,其中肺叶袖状切除术11例(Ⅰ组),全肺切除术17例(Ⅱ组),肺叶切除术66例(Ⅲ组).通过比较三组术后气管插管时间、ICU停留时间、吻合口并发症率及围手术期死亡率,评价肺叶袖状切除术的手术安全性,比较Ⅰ、Ⅱ组间的生存期和转移复发率探讨其远期有效性.组间率比较用x2检验或Fisher精确检验,均数比较用t检验,生存分析用Kaplan-Meier法,生存曲线比较用Log rank检验.显著性差异标准α=0.05.结果:Ⅰ、Ⅱ、Ⅲ组的手术死亡率为0,11.8%,3.0%,组间无显著性差异;平均气管插管时间为0.5±2.3天,2.0±7.2天,0.6±4.1天(Ⅰ、ⅢVSⅡ组,P＜0.05);吻合口并发症率为3.0%,0,5.8%,组间无显著性差异.Ⅰ组1年、3年生存率为45.5%、32.5%,Ⅱ组为58.8%、45.8%.两组生存率、远期局部复发率和转移率无显著性差异.结论:肺癌肺叶袖状切除术具有和肺叶切除术相近的手术安全性,优于全肺切除术,而其复发转移率、远期疗效与后者相近,是安全有效的手术方式.     

Bioavailability of long-chain omega-3 polyunsaturated fatty acid enriched luncheon meats

(Nutr Diet 2005;62:130–137) Objective: To determine the acute and chronic effects of low doses of long chain (LC) n‐3 polyunsaturated fatty acids (PUFA) on plasma LC n‐3 PUFA levels. Design: In the acute study, six healthy omnivores, avoiding fish meals on the day prior to the study, provided a fasting blood sample initially and post prandially at four hours. In the chronic study, 12 healthy subjects provided a fasting blood sample at baseline and three weeks after daily consumption of the test food. Main outcome measures: Plasma non‐esterified fatty acid and phospholipid LC n‐3 PUFA composition. Statistical analysis: Differences in plasma non‐esterified fatty acids and phospholipid LC n‐3 PUFA. A pre‐ and post‐consumption of the test food were assessed using paired t‐tests (spss ). Results: The acute study demonstrated that a low dose of LC n‐3 PUFA (25% eicosapentaenoic acid and 75% docosahexaenoic acid) significantly increased eicosapentaenoic acid levels in plasma of human subjects postprandially from 0.30% to 0.42% of total non‐esterified fatty acids, a per cent change of 39% (P < 0.05). The chronic study demonstrated a significant increase in total n‐3 phospholipids from zero weeks (5.48% of total fatty acids) to three weeks (7.92% of total fatty acids), representing a per cent increase of 44% (P = 0.006). The n‐6 to n‐3 ratio of LC PUFA phospholipids demonstrated a significant reduction from 5.1 at zero weeks to 4.07 at three weeks, representing a reduction of 20% (P = 0.006). Conclusions: These findings demonstrate the bioavailability of LC n‐3 PUFA consumed as a low‐fat omega‐3‐enriched luncheon meat.     

Expression of a synapse-associated membrane protein, P84/SHPS-1, and its ligand, IAP/CD47, in mouse retina

P84 and integrin associated protein (IAP) are heterophilic binding partners that are expressed in the central nervous system in addition to a variety of other tissues. Both molecules are known to be involved in cell signaling in nonneural tissues. In the retina, both molecules are expressed prominently in plexiform layers, suggesting a possible association with synapses. Here, we examined the cellular expression and ultrastructural localization of the two molecules in the developing mouse retina. Both appeared to be expressed at one or both sides of synaptic sites, although the expression of IAP in the retina precedes that of P84. Examination of transgenic IAP-null retinae revealed a failure of P84 to become associated with synaptic sites, suggesting the interaction of P84 with IAP was necessary for P84's synaptic localization. These findings suggest that the signaling activities of P84 and IAP are localized to sites of synaptic contact in the retina. Thus this pair of synapse-associated molecules represents a bidirectional signaling system that could function to modify synaptic activity or possibly trophic interactions between central neurons.     

大肠癌并急性肠梗阻一期切除吻合临床分析

目的探讨大肠癌并急性肠梗阻的外科治疗方法及效果。方法回顾性分析1998年10月～2003年10月45例大肠癌并发急性肠梗阻行一期切除吻合的临床资料。结果术后肺部感染2例,伤口感染6例,无吻合口瘘37例,并发症总发生率17.8%。结论一期切除吻合手术治疗大肠癌并急性肠梗阻是可行的,而合理选择手术方式,正确的术中操作和围手术期处理对提高疗效、改善患者生活质量有所裨益。     

重症急性胰腺炎围手术期处理

目的提高重症急性胰腺炎的疗效。方法回顾性分析近10年来14例经手术治疗的SAP患者临床资料。结果14例患者中,合并休克者10例,胰脑病2例,MOF2例,ARDS2例,病死率为28%(4/14)。结论降低死亡率的关键在于围手术期的正确处理,特别是病程早期。首先,应加强围手术期的个体化监护,进行综合治疗,其次,抑制胰腺的外分泌;第三,早期使用足量的有效抗生素;第四,进行周围静脉的营养支持;第五,加强围手术期并发症的防治。     

凝血酶原G20210基因多态性与中国汉族人群肺血栓栓塞症的相关性

目的探讨凝血酶原基因3’端非翻译区20210 G/A多态性与中国汉族人群肺血栓栓塞症(PTE)发生的相关性。方法采用病例-对照研究,病例组为经放射性核素肺通气/灌注显像和(或)螺旋CT肺动脉造影(CTPA)检查,并结合临床资料确诊的PTE患者101例;对照组为与PTE患者来自相同地区,性别、年龄相匹配的健康对照101例。应用碘化钾-氯仿-异丙醇法提取基因组。应用聚合酶链反应(PCR)、HindⅢ限制性内切酶片段长度多态性分析(RFLP)及聚丙烯酰胺凝胶电泳(PAGE)等方法检测凝血酶原G20210多态性。结果健康对照人群GⅡ20210A位点的基因频率符合Hardy-Weinberg平衡定律,PTE病例组及对照组GⅡ20210A位点均为野生型(GG)纯合子,GA、AA基因型频率为0,A等位基因频率为0。结论凝血酶原G20210A基因多态性与中国汉族人群PTE发生可能无关。     

广东汉族人群谷胱甘肽硫转移酶A1基因多态性

目的探讨广东健康汉族人群谷胱甘肽硫转移酶A1（hGSTA1）基因多态性的分布。方法采用聚合酶链反应-限制性片段长度多态性方法（PCR-RFLP）检测217名广东健康汉族人hGSTA1基因型。结果GSTA1基因野生型纯合子（GSTA1＊A／＊A）分布频率为76．0％（165／217），突变型纯合子（GSTA1＊B／＊B）为2．8％（6／217），突变型杂合子（GSTA1＊A／＊B）为21．2％（46／217）；GSTA1基因多态性的性别分布差异无统计学意义（P〉0．05）。结论广东健康汉族人群GSTA1基因多态性分布与日本人相似，但与美国白人、美国黑人存在差异。