宫颈癌放疗患者生活质量评价

目的　探讨中晚期宫颈癌放疗患者生活质量变化及影响因素 ,评估疾病和治疗对患者生活质量的影响。方法　用生活质量问卷 (EORTCQLQ C30 )及其他调查表等对 132例宫颈癌放疗患者进行评定。结果　治疗期间总体健康状况为疗中 >疗前 >疗后。方差分析提示疼痛、呼吸困难和腹泻指标在放疗过程中有显著性变化 (P <0 .0 5 )。多因素分析表明放疗前影响患者生活质量的因素为疼痛和抑郁 ,放疗中为恶心呕吐 ,放疗后为社会功能和经济困难。结论　宫颈癌放疗患者生活质量受多种因素影响 ,放疗过程中辅助有效的对症处理和干预措施对提高生活质量具有重要临床意义。     

各种实验因素对建立大鼠吗啡依赖模型的影响

目的　评价在建立大鼠吗啡依赖模型中 ,各种实验因素对吗啡依赖形成的影响。方法　将 130只大鼠随机分为正常组和依赖组 ,比较在不同剂量、不同时间及恒量法、递增法给药时 ,正常组和依赖组的戒断症状评分。结果　在DG1、DG2 、DG3 不同剂量组中 ,DG2 、DG3 剂量组的正常组与依赖组之间均有显著性差异 (P <0 .0 5 ) ,在依赖组内 ,DG2 、DG3 剂量组与DG1组之间也有显著性差异 (P <0 .0 5 ) ;在 3、5、7d不同给药时间组中 ,7d组的正常组与依赖组之间有显著性差异 (P <0 .0 5 ) ,在依赖组内 ,7d组和 3、5d组相比较有显著性差异 (P <0 .0 5 ) ;在恒量组和递增组中 ,正常组和依赖组之间均有显著性差异 (P <0 .0 5 ) ,在依赖组中 ,剂量恒定组与递增组之间相比较也有显著性差异 (P <0 .0 5 )。结论　不同给药剂量、不同给药时间、恒量给药和递增给药对吗啡依赖的形成均有明显的影响。因此 ,在进行吗啡依赖机制的研究中要重视这些影响因素 ,选择最佳实验方法。     

抑郁症患者血清甲状腺激素水平变异分析

目的　了解血清甲状腺激素水平与抑郁症的关系。方法　对 6 4例门诊及住院抑郁症患者中双相抑郁障碍 34例、单相抑郁障碍 30例治疗前后血清三碘甲状腺原氨酸 (T3 )、甲状腺素 (T4)和促甲状腺激素 (TSH)进行检测 ,同时以30名健康志愿者作为对照组。治疗前后应用汉密尔顿抑郁量表 (HAMD)和Montgomery Asbery抑郁量表 (MADRS) ,评定抑郁症状的严重程度。结果　患者组治疗前后T3 [(1.98± 0 .5 2 )nmol·L-1,(1.90± 0 .5 8)nmol·L-1]均明显高于对照组 [(1.5 8± 0 .2 7)nmol·L-1],单相抑郁障碍患者治疗后T4[(93.4 1± 2 9.4 1)nmol·L-1]低于治疗前 [(10 4± 2 0 .2 4 )nmol·L-1],并恢复到正常范围 ,HAMD和MADRS评分也随之明显下降。结论　提示抑郁症患者甲状腺激素水平改变与症状的消失有关 ,甲状腺激素异常是继发于情绪障碍 ,双相抑郁障碍与单相抑郁障碍在病因学方面可能不同。     

人脾脏巨噬细胞的分离与纯化

目的　探索分离纯化大量人脾脏巨噬细胞 (MΦ)的方法。方法　选取 10例手术切除的脾脏 ,机械研磨法获得脾脏组织细胞混悬液。采用贴壁培养的方法进行MΦ的分离与纯化 ,相差显微镜下动态观察 ,明确贴壁培养的合适时间 ,详细记录MΦ分离纯化过程各步骤所需时间。收获的MΦ ,台盼蓝染色判定活力并计数 ,统计出平均每克脾脏组织收获的MΦ数及其纯度。相差显微镜、透射电镜观察分离纯化MΦ的形态特征。结果　分析贴壁培养各时间段的细胞纯度及活力 ,确定MΦ培养的合适时间为 2～ 3h。贴壁培养纯化后 ,平均从每克脾脏组织可收获 (0 .2 5± 0 .0 3)× 10 8个MΦ ,纯度为 (90± 5 ) % ,细胞活力≥ 99% ,细胞结构及各种细胞器结构均完整。结论　贴壁培养方法分离纯化人脾脏MΦ是成功可行的 ,收获的MΦ数量大、纯度高、活力好 ,为脾脏MΦ功能的深入研究奠定了基础     

TSH RECEPTOR GENETIC ALTERATIONS IN THE AUTONOMOUSLYFUNCTIONING THYROID ADENOMAS

Objective To determine the relationship between TSH receptor gene mutations and autonomously functioning thyroid adenomas (AY‘]rAs). Methods The thyroid samples from 14 cases of diagnosed AFTAs were analyzed, with normal thyroid specimens adjacent to the tumors as controls. The 155 base pairs DNA fragments which encompassed the third cytoplasmic loop and the sixth transmembrane segments in the TSH receptor gene exon 10 were amplified by Polymerase chain reaction (PCR) and analyzed by the single-strand conformation polymorphism (SSCP). Direct sequencing of the PCR products was performed with Prism Dye Terminator Cycle Sequencing Core Kit.Results 6 of 14 AFTA specimens displayed abnormal migration in SSCP analysis. In sequence analysis of 3 abnormally migrated samples, one base substitution at nucleotide 1957 (A to C) and two same insertion mutations of one adenosine nucleotide between nucleotide 1972 and 1973 were identified. No mutations were found in controls. Conclusion This study confirmed the presence of TSH receptor gene mutations in AFTAs; both one-point substitution mutation and onebase insertion mutation were found to be responsible for the pathogenesis of AFTAs.     

THE STUDY ON THE CHANGES OF ZINC, COPPER, CALCIUM AND MAGNESIUM IN PLASMA AND ERYTHROCYTES DURING CARDIOPULMONARY BYPASS

Objective To study the changes and their influence factors involved of zinc, copper, calcium and magnesium in plasma and erythrocytes during cardiopulmonary hypass(CPB). Methods Zinc, copper, calcium and magnesium values in plasma and erythrocytes were measured by atomic absorption spectrophotometer during CPB. Results Zinc and copper levels in plasma were significantly elevated above preinduction level before perfusion, hut calcium and magnesium levels did not change significantly; zinc, copper and calcium levels in plasma were significantly below preoperation level during CPB, hut magnesium level in plasma was significantly increased above preoperation; zinc level in plasma was increased to preoperation level after CPB and began to decrease again at 8 hours after CPB,copper level in plasma was increased to preoperation level at 20 hours after CPB, calcium in plasma was increased significantly from beginning to 8 hours after CPB, magnesium level in plasma was decreased to preoperation level at 8 hours afterCPB. Concentration of zinc , copper, calcium and magnesium in erythrocytes did not change significantly. Conclusion During CPB, the changes of zinc, copper, calcium and magnesium had relation to hemodilution, operative wound, carrier protein, stress and component of priming Solution and cardioplegic solution, hut no relation to transferfrom plasma erythrocytes. The results indicate that it is beneficial to patient‘s recovery to supplement zinc, copper, calcium and magnesium properly by different ways during cardiac perioperation.     

EFFECTS OF FILTER MEMBRANES ADSORBING INFLAMMATORY MEDIATORS IN HEMOFILTRATION

Sepsisischaracterizedbyreleaseofexcessiveamountofproinflammatorycytokinesinthecircu lation ,leadingtoa generalizedanduncontrolledhostresponse .Aconsiderablenumberofexperimen talandclinicalinvestigatorshavereportedemploy inghemofiltration (HF)toeliminatecytokinesandchemokines .Thisexcessiveinflammatoryresponsecouldbedownregulatedwithremovalofcytokinesandothermediators .Thesedatashowedthatthemechanismofmediatorseliminationwaslinkedtoconvectionandadsorptionbyhemofiltration .Ad sorptionappearstob…     

MITOCHONDRIAL DNA POLYMORPHISM IN CONTROL REGION FROM CHINESE YUGU POPULATION

Objective To investigate the mitochondrial DNA sequence polymorphism sites in Chinese YUGU ethnic group and to provide basic data used in forensic purpose. Methods Genomic DNA was extracted from the hole blood of 100 unrelated individuals of Chinese YUGU ethnic group by standard chelex-100 method. The sequence polymorphism sites was determined by PCR amplification and direct sequencing. Results 54 polymorphic sites were noted in mtDNA np16091-16418 region, and 46 haplotypes were identified. The genetic diversity was calculated to be 0. 9691, and the genetic identity was calculated to be 0. 0406. Conclusion There are some particular polymorphism sites in Chinese YUGU ethnic group. The results suggest that sequence polymorphism from np]6091 -- 16418 in human mitochondrial DNA can be used as a biological marker for forensic identity.     

EXPRESSION OF NESTIN AND GLIAL FIBRILLARY ACIDIC PROTEIN IN DIFFERENT PERIOD AFTER SPINAL INJURY IN ADULT RATS

Objective To study the expression of Nestin and glial fibrillary acidic protein (GFAP) in different period after spinal injury in adult rats. Methods Animal moels were created by artery clamp. Expression of Nestin and GFAP in different period ( 1,3,5days; 1-8 weeks) and different area( injury locus and its surrounding tissue ) after spinal injury were observed pathologicaly using immunofluorescence and LeicaQ5001W imaging processing system.Results There was expression of Nestin and GFAP in injured area 1 day after injury. The expression increased not only in in injured area but its sourrounding 3--7 days later and gradually got to peak value. As the time went on, expression of Nestin and GFAP dereased. Conclusion Spinal injury can induce the expression of Nestin. Nerve stem cell has response to spinal injury. There is positive correlation between expression of Nestin and hyperplasia of reactivity astrocyte. Nerve stem cell maybe invovled in the repair of central nervous system (CNS).     

银杏叶提取物防治肝纤维化的实验研究

目的　探讨银杏叶提取物 (EGb)对慢性肝炎的防治作用及其机制。方法　SD大鼠随机分为正常组、模型组、EGb防治组和秋水仙碱组。用四氯化碳皮下注射法建立慢性肝损伤模型 ,分别用生理盐水或药物灌胃治疗。对比观察EGb对慢性肝损伤大鼠肝纤维化和脂质过氧化指标的影响 ,结合肝病理组织学及肝组织内Ⅰ、Ⅲ型胶原表达的变化加以探讨。结果　EGb防治组大鼠肝组织中PCⅢ、透明质酸、层黏连蛋白和CⅣ型胶原含量明显降低 ,血中过氧化物歧化酶、谷胱甘肽过氧化物酶活性明显升高 ,丙二醛含量明显降低 ,与模型组比较差异均有显著性意义 (P <0 .0 5或P <0 .0 1) ;形态学观察 ,EGb防治组大鼠肝组织损伤明显轻于模型对照组和秋水仙碱对照组 :HE染色显示肝组织炎症损伤减轻 ,VG染色显示肝组织纤维化程度明显减低 ,免疫组化染色显示肝组织中Ⅰ、Ⅲ型胶原表达明显减少。结论　EGb具有抑制脂质过氧化损伤 ,防治大鼠实验性肝纤维化的作用。