星状神经节阻滞术对大鼠急性心肌梗死后炎症反应的影响

目的 探讨星状神经节阻滞术（SGB）对大鼠急性心肌梗死（AMI）后心肌细胞炎症的保护作用。方法 选取8周龄雄性SPF级Wistar大鼠60只,体重200～250 g,随机分为假手术组、AMI组和SGB组,每组20只。假手术组只打开胸腔暴露心脏,不结扎冠状动脉;AMI组结扎冠状动脉左前降支复制AMI模型;SGB组在AMI模型复制成功后行SGB。模型复制成功后1周采集各组大鼠血清及心脏组织,qRT-PCR检测各组大鼠心肌组织中炎症因子（IL-6、IL-1β及TNF-α）mRNA;酶联免疫吸附试验检测各组大鼠血清中炎症因子（IL-6、IL-1β及TNF-α）,全自动生化分析仪检测各组大鼠血清中心肌酶（AST、LDH和CK-MB）。结果 各组大鼠心肌组织中炎症因子IL-6、IL-1β及TNF-α mRNA相对表达量比较,差异有统计学意义（P <0.05）,SGB组IL-6、IL-1β及TNF-α mRNA的相对表达量均较AMI组降低（P <0.05）。各组大鼠血清中炎症因子IL-6、IL-1β及TNF-α表达水平比较,差异有统计学意义（P <0.05）,AMI组、SGB组IL-6、IL-1β及TNF-α表达水平较假手术组升高（P <0.05）,SGB组IL-6、IL-1β及TNF-α表达水平较AMI组降低（P <0.05）。各组大鼠血清AST、LDH及CK-MB表达水平比较,差异有统计学意义（P <0.05）,AMI组、SGB组AST、LDH及CK-MB表达水平较假手术组升高（P <0.05）,SGB组AST、LDH和CK-MB表达水平较AMI组降低（P <0.05）。结论 SGB对大鼠AMI后心肌细胞炎症有一定的保护作用。     

熊果酸抑制AngⅡ诱导大鼠心肌细胞肥大实验研究

目的 探讨熊果酸（ursolic acid,UA）对血管紧张素Ⅱ（angiotensin Ⅱ,AngⅡ）诱导大鼠心肌细胞肥大的抑制作用及其可能机制。方法 按常规方法分离并培养新生大鼠心肌细胞。CCK-8法确定UA（2、4、8、16μmol/L）对心肌细胞的最佳作用浓度,利用AngⅡ诱导建立新生大鼠心肌细胞肥大模型。实验分对照组（control组）、AngⅡ组、UA干预组、LY294002（PI₃K/Akt通路抑制剂）干预组共4组。UA和LY294002均预处理心肌细胞30min。以心肌细胞表面积、β-肌球蛋白重链（β-MHC）mRNA和脑钠肽（BNP）mRNA表达作为心肌细胞肥大标志,同时使用蛋白免疫印迹法检测T-Akt（total Akt）和p-Akt（phospho-Akt）蛋白表达。结果 显微镜下观察各组心肌细胞生长良好。与control组相比,AngⅡ组和UA干预组大鼠心肌细胞表面积增加（P<0.05）,LY294002干预组心肌细胞表面积差异无统计学意义（P>0.05）;与AngⅡ组相比,UA干预组和LY294002干预组大鼠心肌细胞表面积减小（P<0.05）。与control组相比,AngⅡ组的p-Akt蛋白、BNP mRNA和β-MHC mRNA表达显著增加（P<0.05）;与AngⅡ组相比,UA干预组和LY294002干预组的p-Akt蛋白、BNP mRNA和β-MHC mRNA表达均降低（P<0.05）;UA干预组和LY294002干预组之间p-Akt蛋白、BNP mRNA和β-MHC mRNA表达均差异无统计学意义（P>0.05）;4个实验组间T-Akt蛋白水平差异无统计学意义（P>0.05）。结论 （1）AngⅡ诱导的新生大鼠心肌细胞肥大模型中,心肌细胞表面积增加,BNP mRNA和β-MHC mRNA表达升高,同时伴有p-Akt蛋白表达增加,提示PI₃K/Akt通路在AngⅡ致心肌细胞肥大中起重要作用。（2）UA能减轻AngⅡ诱导的大鼠心肌细胞肥大,使心肌细胞表面积减小,p-Akt蛋白、BNP mRNA和β-MHC mRNA表达减少,这与LY294002作用一致,提示UA可能是通过抑制PI₃K/Akt通路而发挥抗心肌肥大作用。     

GLP-1类似物利拉鲁肽对糖尿病神经病变大鼠坐骨神经PARP-1/NF-κB表达的影响

目的：　通过构建大鼠糖尿病周围神经病变（diabetic peripheral neuropathy,DPN）模型探究胰高血糖素样肽1（glucagon-like peptide 1,GLP-1）类似物利拉鲁肽对DPN大鼠坐骨神经聚腺苷二磷酸核糖聚合酶/激活核因子-κB（poly ADP-ribose polymerase/nuclear factor kappa-B,PARP/NF-κB）表达的影响。方法：　SD大鼠84只,随机选12只作为正常组;其余大鼠均采用链脲佐菌素诱导建立DPN模型。建模成功后,抽取72只大鼠随机分为模型组,胰岛素组,甲钴胺组,利拉鲁肽低、中、高剂量组。正常组和模型组皮下注射等体积生理盐水,胰岛素组给予胰岛素治疗,甲钴胺组给予甲钴胺治疗,给药组给予不同剂量利拉鲁肽治疗,共治疗8周。记录各组大鼠体质量和血糖,测定神经反应速度,ELISA检测炎症因子,流式细胞术检测细胞凋亡,Western blot检测PARP-1、NF-κB蛋白表达,EMSA检测NF-κB转录活性。选择RSC96细胞建立高糖环境下细胞损伤模型,应用基因芯片预测PARP-靶基因,并通过转染PARP-1进行检验。结果：　与模型组比较,利拉鲁肽治疗后大鼠体质量显著增加,血糖显著降低,神经反应速度提高（P<0.05）;大鼠实验和细胞实验显示利拉鲁肽给药后细胞炎症因子含量及PARP和NF-κB蛋白表达较模型组显著降低,高剂量组降低幅度更明显（P<0.05）;大鼠神经细胞凋亡率较模型组显著降低（P<0.05）;利拉鲁肽抑制了NF-κB的转录活性;PARP-1转染组炎症因子和PARP-1、NF-κB蛋白水平显著高于中剂量组（P<0.05）,PARP-1/NF-κB是GLP-1对糖尿病神经病变大鼠抗炎症作用的重要靶点。结论：　利拉鲁肽可以降低DPN大鼠坐骨神经PARP-1和NF-κB的表达水平,从而降低大鼠坐骨神经损伤,起到防治糖尿病周围神经病变损伤的作用。     

MicroRNA-27b在高血压脑出血大鼠脑组织中的表达及对星形胶质细胞生物学功能的影响

目的 探讨microRNA-27b（miR-27b）在高血压脑出血（HICH）大鼠脑组织中的表达及对星形胶质细胞生物学功能的影响。方法 选取15只健康WKY大鼠作为对照组,15只自发性高血压大鼠作为HICH组。HICH组通过自体血脑内注射法复制HICH大鼠模型,对照组进行假手术但不注射自体血。HE染色和TUNEL染色检测大鼠脑组织损伤和凋亡情况,实时荧光定量聚合酶链反应（qRT-PCR）检测miR-27b mRNA相对表达量。将星形胶质细胞分为NC组、miR-27b mimic组及miR-27b inhibitor组,分别转染miR-27b mimic和miR-27b inhibitor质粒,过表达和抑制miR-27b水平。qRT-PCR检测各组细胞miR-27b mRNA相对表达量,CCK-8法检测各组细胞增殖及凋亡情况。结果 HICH组大鼠出血脑组织出现显著损伤,凋亡指数（35.91±3.24）高于对照组（2.75±0.36）（P <0.05）;HICH组miR-27b mRNA相对表达量（3.45±0.48）高于对照组（1.00±0.12）（P <0.05）;miR-27b mimic组的miR-27b mRNA相对表达量高于NC组,增殖活力低于NC组,凋亡率高于NC组（P <0.05）。miR-27b inhibitor组的miR-27b mRNA相对表达量低于NC组,增殖活力高于NC组,凋亡率低于NC组（P <0.05）。结论 miR-27b mRNA相对表达量在HICH大鼠脑组织中显著升高,并抑制星形胶质细胞的增殖,促进星形胶质细胞凋亡。     

RNA结合蛋白ABCF1在AML发生发展过程中的功能研究

目的：　研究RNA结合蛋白ABCF1在人急性髓系白血病（acute myeloid leukemia,AML）发生发展过程中的功能。方法：　以临床初诊的AML患者为实验组,正常人为对照组,采用RT-qPCR检测ABCF1 mRNA在正常人外周血中单个核细胞（peripheral blood mononuclear cells,PBMCs）和AML患者骨髓有核细胞中的表达;用针对ABCF1的2个shRNA慢病毒颗粒感染人单核细胞白血病细胞株THP-1,用CCK-8法检测THP-1细胞的增殖,用PI、Annexin V染色结合流式细胞仪检测细胞凋亡和细胞周期。利用ss-m6A和ss-A探针进行RNA pull-down实验,分析ABCF1与m6A的结合能力。结果：　ABCF1在实验组AML患者中的表达明显高于对照组（P<0.01）,在THP-1细胞中抑制内源ABCF1的表达能够促进细胞凋亡（P<0.05）,抑制细胞增殖（P<0.0001）,同时明显减少细胞周期S期细胞的比例。与ss-A探针相比,ABCF1蛋白具有特异的m6A结合能力。结论：　ABCF1在AML细胞来源的THP-1细胞中发挥原癌基因作用,调控THP-1细胞的生理功能。     

微RNA-21通过激活沉默信息调控因子1信号通路缓解多柔比星心肌毒性

目的 探讨微RNA-21（miR-21）能否减轻多柔比星（DOX）心肌毒性,并阐明沉默信息调控因子1（SIRT1）信号通路是否介导其作用。方法 用DOX（1 μmol/L）处理大鼠原代心肌细胞构建DOX心肌毒性模型。将心肌细胞分为8组：对照组、miR-21组、miR-21抑制剂组、DOX组、miR-21+DOX组、miR-21抑制剂+DOX组、Sirtinol+miR-21+DOX组、Sirtinol+DOX组,miR-21 mimics、miR-21抑制剂和Sirtinol（SIRT1抑制剂）分别于DOX处理前24 h加入细胞培养液中。DOX处理24 h后检测心肌细胞的细胞活力、凋亡率、凋亡相关蛋白和SIRT1信号通路表达情况。结果 与对照组相比,DOX处理24 h后心肌细胞活力降低,Bcl-2和SIRT1表达量降低,而Bax和cleaved Caspase-3表达量增加,细胞凋亡率增高,差异均有统计学意义（P<0.05）。与DOX组相比,miR-21可明显提高心肌细胞活力,上调Bcl-2和SIRT1表达,下调Bax和cleaved Caspase-3表达,降低细胞凋亡率,差异均有统计学意义（P<0.05）。抑制SIRT1信号通路可削弱miR-21对心肌细胞的保护作用（P<0.05）。结论 miR-21可通过激活SIRT1信号通路抑制心肌细胞凋亡,提高细胞活力,缓解DOX心肌毒性。     

盐酸纳美芬对大脑中动脉缺血再灌注模型大鼠脑组织的作用及其机制研究

目的 探究盐酸纳美芬对大脑中动脉缺血再灌注（MCAO/R）模型大鼠的神经保护作用。方法 将36只大鼠随机分为假手术组、模型组、盐酸纳美芬组，各12只。盐酸纳美芬组大鼠复制MCAO/R模型前10 min尾静脉注射20 μg/kg盐酸纳美芬注射液，假手术组和模型组注射等体积生理盐水。随后除假手术组外，其余两组采用线栓法复制MCAO/R模型。采用Longa评分标准评估大鼠神经功能，酶联免疫吸附试验（ELISA）检测脑组织超氧化物歧化酶（SOD）活性、丙二醛（MDA）含量，苏木精-伊红（HE）染色和TUNEL染色观察脑组织病理变化和细胞凋亡情况，Western blotting检测脑组织Caspase-3、Bcl-2、Bax蛋白的表达。结果 假手术组大鼠神经功能评分低于模型组和盐酸纳美芬组（P <0.05）；盐酸纳美芬组大鼠神经功能评分低于模型组（P <0.05）。模型组、盐酸纳美芬组SOD活性低于假手术组（P <0.05），MDA含量高于假手术组（P <0.05）；与模型组比较，盐酸纳美芬组SOD活性升高（P <0.05），MDA含量降低（P <0.05）。HE染色结果显示，假手术组细胞轮廓清晰，排列有序；模型组细胞破损，数量减少，炎症浸润严重；盐酸纳美芬组细胞数量较多，轮廓清晰，炎症浸润减少。模型组、盐酸纳美芬组凋亡细胞数多于假手术组（P <0.05）；盐酸纳美芬组凋亡细胞数少于模型组（P <0.05）。模型组、盐酸纳美芬组Caspase-3、Bax蛋白相对表达量高于假手术组（P <0.05），Bcl-2蛋白相对表达量低于假手术组（P <0.05）；与模型组相比，盐酸纳美芬组Caspase-3、Bax蛋白相对表达量降低（P <0.05），Bcl-2蛋白相对表达量升高（P <0.05）。结论 盐酸纳美芬可以降低MCAO/R大鼠脑组织氧化应激水平，减少神经细胞凋亡，具有良好的神经保护作用，其作用机制与调节Caspase-3/Bcl-1/Bax通路有关。     

参芪复方对GK大鼠心肌细胞凋亡相关因子Bcl-2、Bax及NO的影响

[目的]研究参芪复方对GK大鼠心肌细胞凋亡相关因子Bcl-2、Bax及一氧化氮(NO)的影响及其可能作用机制。[方法]GK大鼠腹腔注射N-硝基-L-精氨酸甲酯(L-NAME),同时给予高脂饮食复制2型糖尿病(T2DM)心肌病变模型。选择随机血糖≥11.1mmol/L的GK大鼠随机分为4组:模型组、中药高、低剂量组、西药组,另设正常Wistar大鼠作正常对照组,共5组动物。治疗4周后,统一取心肌标本,通过免疫组化等测量方法,对照观察各组药物对GK大鼠一般状态、心肌NO、心肌Bcl-2、Bax蛋白表达的影响。[结论]GK大鼠的上述指标存在明显异常。参芪复方特别是其高剂量组能改善其一般状态、升高心肌NO(P<0.01),升高心肌细胞凋亡抑制因子Bcl-2的表达(P<0.01),降低促细胞凋亡因子Bax表达(P<0.05)和Bax/Bcl-2比值(P<0.01)。[结论]凋亡相关因子Bcl-2和Bax与NO参与糖尿病心肌损伤过程,参芪复方能升高心肌NO,降低心肌Bax表达,升高Bcl-2表达。     

MicroRNA-126对类风湿性关节炎滑膜成纤维细胞增殖、侵袭、凋亡的作用及其机制研究

目的 探究microRNA-126（miR-126）通过靶向Dickkopf-1（DKK1）参与类风湿性关节炎滑膜成纤维细胞（RASFs）增殖、侵袭、凋亡的机制研究。方法 选取2018年6月—2019年9月在武汉市第一医院就诊的25例类风湿性关节炎（RA）患者的滑膜组织（RA组）,同时收集在该院同期接受膝关节十字韧带断裂重建手术的21例非类风湿关节炎患者的滑膜组织作为健康组,检测其miR-126和DKK1蛋白。利用RA组织构建原代RASFs,通过双萤光素酶报告验证miR-126与DKK1的靶向关系。将RASFs分为对照组、miR-126组、DKK1组、miR-126+DKK1组。采用CCK-8、Transwell及流式细胞术检测过表达miR-126和/或DKK1对RASFs增殖、侵袭和凋亡的影响。结果 RA组滑膜组织miR-126相对表达量低于健康组（P <0.05）,而DKK1蛋白相对表达量高于健康组（P <0.05）。miR-126 mimic与DKK1 Wt共转染后的相对萤光素酶活性低于miR-126 NC质粒与DKK1 Wt共转染（P <0.05）,证明miR-126与DKK1靶向结合。miR-126组RASFs增殖力和侵袭细胞数低于对照组（P <0.05）,而凋亡率高于对照组（P <0.05）。DKK1组RASFs增殖力和侵袭细胞数高于对照组（P <0.05）,而凋亡率低于对照组（P <0.05）。miR-126+DKK1组增殖力和侵袭细胞数高于miR-126组（P <0.05）,而低于DKK1组（P <0.05）;miR-126+DKK1组凋亡率低于miR-126组（P <0.05）,而高于DKK1组（P <0.05）。结论 miR-126在RA滑膜组织中低表达,miR-126可通过靶向DKK1抑制RASFs增殖、侵袭及凋亡。     

CTRP9对远端缺血预处理心肌梗死模型大鼠心肌缺血再灌注致脑损伤的保护作用及其机制研究

目的 探讨CTRP9对远端缺血预处理心肌梗死模型大鼠心肌缺血再灌注致脑损伤的保护作用。方法 选取40只雄性SD大鼠，随机分为4组：假手术组（NS组）、心肌缺血再灌注组（NIR组）、缺血预处理组（NIPost组）及缺血预处理+ CTRP9抑制剂组（NIPostI组），每组10只。采用苏木精-伊红染色观察大鼠脑组织病理学变化，免疫组织化学法检测大鼠脑组织凋亡因子、炎症因子的表达，TUNEL法检测大鼠脑组织细胞凋亡，Western blotting检测大鼠心肌组织p-AMPK/t-AMPK、LC3Ⅰ/Ⅱ及P62蛋白的表达。结果 ①HE染色结果显示，NS组皮层的神经元胞浆十分丰富，核呈圆形，碱染后呈蓝色，分布均匀且排列整齐；NIR组神经元结构受损，分布不均匀，胞浆出现空泡，胞核固缩，碱染后出现了淡红色；NIPost组细胞结构大多恢复正常，大部分神经元包膜完整，胞核清晰可见；NIPostI组经CTRP9抑制剂干预后，预处理的保护效应消失。②NIR组、NIPost组及NIPostI组脑组织Bax、IL-6、IL-8表达水平高于NS组（P <0.05），Bcl-2、IL-10表达水平低于NS组（P <0.05）；NIPost组较NIR组Bax、IL-6、IL-8表达水平降低（P <0.05），Bcl-2、IL-10表达水平升高（P <0.05）；NIPostI组较NIPost组Bax IL-6、IL-8表达水平升高（P <0.05），Bcl-2、IL-10表达水平降低（P <0.05）。③NIR组、NIPost组和NIPostI组脑组织凋亡细胞多于NS组（P <0.05）；NIPost组和NIPostI组较NIR组凋亡细胞减少（P <0.05）。NIPost组和NIPostI组比较，差异无统计学意义（P >0.05）。④NIR组、NIPost组及NIPostI组心肌组织p-AMPK/t-AMPK蛋白相对表达量低于NS组（P <0.05），LC3Ⅰ/Ⅱ和P62蛋白相对表达量高于NS组（P <0.05）；NIPost组较NIR组p-AMPK/t-AMPK蛋白相对表达量升高（P <0.05），LC3Ⅰ/Ⅱ和P62蛋白相对表达量降低（P <0.05）；NIPostI组较NIPost组p-AMPK/t-AMPK蛋白相对表达量降低（P <0.05），LC3Ⅰ/Ⅱ和P62蛋白相对表达量升高（P <0.05）。结论 远端缺血预处理可缓解大鼠心肌缺血再灌注所致脑损伤。CTRP9可通过激活AMPK信号通路，参与远端缺血预处理对心肌缺血再灌注所致脑损伤的保护过程。CTRP9水平升高有益于防治心肌梗死。     

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.     

Development on Adjustable Calibration Marker for Shock Wave Focus

Shock wave lithotripsy （SWL） is a treatment of choice for upper urinary stones. However, this procedure is inappropriate for obese patients because the focus is often unable to reach the target owing to the limited focal distance in shock wave source. Although treating such patients in a blast path may increase the application length of shock wave source, it＇s difficult to find this path on the lithotripter monitor. For this reason, we invented an adjustable calibration marker in order to set an effective focus in the shock wave hath.     

Study on the TCM Pathogenesis of Angiopathic Complications of Type II Diabetes

Excess production of reactive oxygen species(ROS)of mitochondrion mediated by hyperglycemia is the common pathogenesis of angiopathic complications of diabetes.TCM holds that the damp from the dysfunction of spleen.kidney and liver is the causative factor of complications of diabetes.This is similar to the mechanism of Ros resulting in angiopathic complications of diabetes.When the angiopathic complications of type II diabetes mellitus(T2DM)are difierentiated as caused by turbid damp in TCM can be explained as ROS.Since the obstruction of pathogenic damp in channels and collaterals is said to be the main pathogenesis,the treating principle should be dissolving the damp to remove the obstruction.     

Leptin, Ghrelin and TNF-α before and after Hypo-caloric Traditional Chinese Diet and Auricular Acupuncture

INTRODUCTION Obesity is a complex emergent problem, which can be possibly solved not only by the diet but also by the life style and promotion of a constant physical exercise. 1, 2 No doubt careful attentions must be given to the nutritional condition of obese people, the dietary habits, the somatic build (i.e. distribution of fat mass) and the organic functions linked to formation of the fat mass. All the parameters should be constantly monitored before, during and after a diet treatment. 3, 4, 5     

Relationship between Dysglycemia and Carotid Atherosclerosis in Tibetan Population

People with dysglycemia are at high risk for atherosclerotic diseases. This study aims at investigating the atherosclerotic vascular damage in dysglycemia and its metabolic origin in Tibetan population.     

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.