虎杖苷吸入剂对哮喘大鼠肺组织TNF-α和Eotaxin基因表达的影响

目的分析虎杖苷吸入剂对支气管哮喘大鼠模型TNF-α和Eotaxin基因表达调控的作用机制和干预效果。方法以10%的卵蛋白（OVA）和3%的氢氧化铝混合液腹腔注射实验大鼠2次致敏, 然后以2%的OVA诱喘,并进行虎杖苷和氨茶碱干预及生理盐水对照实验两周。通过RT-QPCR方法检测各组实验大鼠肺组织TNF-α mRNA和Eotaxin mRNA的相对水平,以t检验统计分析各项实验数据。结果虎杖苷干预组大鼠的哮喘症状得到明显缓解,其肺组织TNF-α和Eotaxin mRNA的相对水平（0.0005±0.00039, 0.0006±0.00035）比哮喘对照组（0.0165±0.01268, 0.0280±0.02488）和正常对照组（0.0017±000101, 0.0055±0.00209）均有所下降,但差异不显著（P〉0.05, P〉0.05; P〉0.05, P〉0.05）。结论虎杖苷吸入剂可降低哮喘大鼠肺组织的TNF-α和Eotaxin基因表达水平,有助于改善哮喘症状。     

哮喘大鼠模型血清IL-12及IL-18的变化及相关性研究

目的：探讨哮喘大鼠模型血清中自细胞介素-12（IL-12）与白细胞介素-18（IL-18）之间的关系及其在气道炎症发生中的机制．方法：48只Wistar大鼠随机分为3组，分别为正常对照组、哮喘组、地塞米松干预组，用卵白蛋白（OVA）腹腔注射致敏，雾化吸入OVA激发制备大鼠哮喘模型，对照组用生理盐水代替OVA，地塞米松干预组每次雾化前经腹腔注射地塞米松．雾化激发后24h取各组肺泡灌洗液进行嗜酸性细胞计数，并用ELISA方法测定血清IL-12，IL-18的水平，分析二者相关性．结果：哮喘组、地塞米松组和对照组血清IL-12水平分别为（53．1±9．6）ng／L，（82．4±8．1）ng／L和（140．1±13．4）ng／L，与哮喘组比较，地塞米松组血清IL-12水平显著升高，但低于对照组（P〈0．01）．三组血清IL-18水平分别为（353．5±11．9）ng／L，（250．6±8．4）ng／L和（100．5±12．7）ng／L，哮喘组与地塞米松组显著高于对照组（P〈0．01）．肺泡灌洗液中嗜酸性细胞数（49．3±4．0）×10^5／L，（31．9±3．6）×10^5／L和（14．8±4．1）×10^5／L，哮喘组与地塞米松组显著高于对照组．哮喘组血清IL-12，IL-18水平分别与肺泡灌洗液中EOS数量进行两两相关分析，显示IL—12与肺泡灌洗液EOS呈负相关（r=-0．746，P〈0．01），而IL—18与肺泡灌洗液EOS呈正相关（r=0．682，P〈0．01）．结论：IL-12与IL-18可能共同参与哮喘气道炎症发病过程，并且两者的作用相互拮抗．     

GbE抑制哮喘大鼠炎症细胞浸润的实验研究

目的观察银杏叶提取物（GbE）对哮喘大鼠炎症细胞浸润的抑制作用。方法以10%的卵蛋白（OVA）致敏并诱喘实验大鼠后,分别以银杏叶提取物、氨茶碱及生理盐水干预,另设正常对照组,记录各组大鼠行为症状,两周后处死模型,计算各组大鼠血液中白细胞（WBC）、嗜酸性粒细胞（EOS）及肺组织切片炎症细胞浸润情况。结果银杏叶干预组、氨茶碱干预组大鼠哮喘症状较哮喘组轻。银杏叶干预组、氨茶碱干预组、哮喘组和正常对照组血WBC和EOS依次为（9.45±1.66）×109/L和（3.54±1.10）%、（8.29±2.22）×109/L和（2.26±1.64）%、（12.99±2.46）×109/L和（3.28±1.60）%;（7.29±1.89）×109/L和（1.86±1.19）%。经t检验银杏叶干预组、氨茶碱干预组和正常对照组间WBC无显著差异（P〉0.05）,但分别与哮喘组比较差异均有统计学意义（P〈0.05）;EOS各组间比较均无显著差异（P〉0.05）。各组肺组织切片均有不同程度的炎症细胞浸润,以哮喘组为甚。结论银杏叶提取物能降低哮喘大鼠血液WBC含量并减轻肺组织WBC浸润,但未明显改变EOS。     

血清总IgE水平及外周血嗜酸性粒细胞计数在儿童特应性皮炎中的临床意义

目的：探讨血清总IgE水平和外周血嗜酸性粒细胞计数（EOS）在儿童特应性皮炎（AD）中的临床意义。方法：分别测定轻、中、重度特应性皮炎患儿及同期我院体检的正常儿童各45例血清总IgE水平及外周血嗜酸性粒细胞计数。结果：①特应性皮炎患儿血清总IgE水平为（1026.73±379.25）kU/L,显著高于正常对照组（11.47±2.11）kU/L（P〈0.05）,而轻、中、重不同严重程度的AD患儿血清总IgE水平无显著性差异（P〉0.05）。②特应性皮炎患儿外周血EOS计数为（623.33±309.11）×106/L,较正常对照组儿童显著增高（P〈0.05）;其中轻度AD患儿与正常儿童无显著性差异（P〉0.05）;重度AD患儿较中度AD患儿显著升高（P〈0.05）。结论：检测血清总IgE水平及外周血EOS对诊断特应性皮炎有重要意义。     

C57BL/6哮喘小鼠肾组织瞬时感受器电位M6离子通道mRNA表达

【目的】观察C57BL/6哮喘小鼠肾组织瞬时感受器电位M6离子通道（TRPM6）mRNA的表达,探讨哮喘低镁血症的可能原因。【方法】健康4～6周龄清洁级雌性C57BL/6小鼠48只,体质量（12±2）g,随机数字表法分为哮喘组和对照组,每组各24只。哮喘组应用卵蛋白（OVA）建立哮喘小鼠模型。第1天（1d）、21d、34d天每组分别随机抽取8只检测血浆Mg^2＋、红细胞内Mg^2＋、肾组织TRPM6mRNA的表达。【结果】1d血浆Mg^2＋、红细胞内Mg^2＋、肾组织TRPM6mRNA表达水平哮喘组与对照组之间差异无显著性：[（0.85±0.07vs.0.89±0.12）mmol/L、（2.48±0.14vs.2.49±0.07）mmol/L、0.51±0.08vs.0.49±0.06,P均〉0.05];21d哮喘组血浆Mg^2＋、红细胞内Mg^2＋、肾组织TRPM6mRNA表达水平均显著低于对照组：[（0.84±0.09vs.0.95±0.07）mmol/L、（2.39±0.14vs.2.44±0.09）mmol/L、0.32±0.06vs.0.52±0.05,P均〈0.05];34d哮喘组血浆Mg^2＋、红细胞内Mg^2＋、肾组织TRPM6mRNA表达水平亦显著低于对照组：[（0.67±0.10vs.0.94±0.10）mmol/L、（2.17±0.08vs.2.43±0.08）mmol/L、0.24±0.05vs.0.53±0.06,P均〈0.05]。肾组织TRPM6mRNA表达水平与血浆Mg^2＋浓度呈正相关（r=0.630,P〈0.001）;肾组织TRPM6mRNA表达水平与红细胞内Mg^2＋浓度呈正相关（r=0.715,P〈0.001）。【结论】肾组织TRPM6mRNA的低表达可能是导致C57BL/6哮喘小鼠低镁血症的原因。     

标准桃金娘油对慢性阻塞性肺疾病大鼠气道炎症的影响

[目的]研究标准桃金娘油对慢性阻塞肺疾病（COPD）大鼠模型气道炎症的影响。[方法]24只Wistar大鼠随机分为3组：①对照组：不加任何干预;②COPD组：吸烟14支／次×2次／d×6d／周×12周;③标准桃金娘油组：吸烟情况同COPD组,每日吸烟前给予标准桃金娘油灌胃治疗至第12周末。12周后测定肺功能;行支气管肺泡灌洗计数白细胞;用ELISA法测定肺部TNF—α、IL-6的含量;用HE染色评估肺部病理改变;用免疫组化法测定气道上皮ICAM-1的表达。[结果]①COPD组和标准桃金娘油组大鼠出现明显肺气肿病理改变和气流阻塞。②BALF细胞总数及中性粒细胞数结果：正常对照组分别为（1．30±0．10）×10^7／L与（0．09±0．04）×10^7／L,COPD模型组分别为（1．99±0．94）×10^7／L与（0．27±0．13）×10^7／L,P均〈0．05;标准桃金娘油组为（1．71±0．97）×10^7／L与（0．15±0．05）×10^7／L,较COPD模型组减少（P均〈0．05）。③支气管上皮ICAM—1表达及肺组织内TNF—α、IL-6表达：COPD模型组分别为6．99±0．81,（860．82±53．62）pg／mL,（689．01±49．05）pg／mL,较对照组[分别为4．22±0．74,（159．08±46．65）pg／mL,（411．5±26．60）pg／mL]增高（P均〈0．05）;标准桃金娘油组表达分别为5．04±0．88,（668．36±31．07）pg／mL,（589．64-4-19．03）ps／mL,较COPD组降低（P均〈0．05）。④COPD组BALF中性粒细胞数与支气管上皮ICAM-1表达强度呈正相关（r=0．571,P〈0．05）,也与肺组织中TNF-α、IL-6含量呈显著正相关（r=0．623、0．691,P均〈0．05）。[结论]吸烟可增加大鼠气道炎症反应,标准桃金娘油能改善由吸烟导致的气道炎症。     

嗜酸细胞计数与急性心肌梗死患者的临床预后

目的：探讨外周血嗜酸粒细胞变化对急性心肌梗死患者预后的临床应用价值。方法：采用乙醇-伊红稀释液,手工计数方法对175例急性心肌梗死患者外周血作嗜酸粒细胞计数和涂片作分类计数;同时,对25例重症心肌梗死患者和其中5例死亡病例跟踪进行嗜酸粒细胞计数和涂片进行分类计数;并对25例健康人进行嗜酸粒细胞计数和涂片作分类计数,了解急性心肌梗死患者嗜酸粒细胞变化机理。结果：175例急性心肌梗死患者嗜酸粒细胞计数和分类计数,25例重症心肌梗死患者和其中5例死亡病例跟踪进行嗜酸粒细胞计数和分类计数的结果显示,急性心肌梗死初期嗜酸粒细胞计数基本正常,随病情加重而减少（36×106/L或为0）,随嗜酸粒细胞回升（≥46×106/L）而稳定或趋于恢复;心肌梗死死亡病例嗜酸粒细胞计数持续为0。结论：急性心肌梗死患者嗜酸粒细胞计数≥78×106/L,分类计数≥10.02,预后良好;≤32×106/L或嗜酸粒细胞消失持续为0,病情加重或预后极差;急性心肌梗死患者嗜酸粒细胞变化的机理,似与肾上腺皮质激素有关;对急性心肌梗死患者跟踪进行嗜酸粒细胞计数和分类计数,对其疗效观察及预后监测有重要临床应用价值。     

咳喘宁雾化吸入对哮喘大鼠肺泡灌洗液白介素-5与嗜酸性粒细胞的影响

目的 观察咳喘宁雾化吸入对肺泡灌洗液（BALF）中白介素-5（IL-5）表达、嗜酸性粒细胞（EOS）计数的影响,探讨其对哮喘大鼠气道炎症的作用机制.方法 将SD雄性幼龄大鼠40只,随机分为正常组、哮喘模型组、咳喘宁干预组、布地奈德干预组,每组10只.经鸡卵蛋白（OVA）致敏后,给予OVA雾化吸入诱发哮喘发作,制作哮喘模型.咳喘宁干预组与布地奈德干预组分别给予咳喘宁口服液1.7 g/ks,布地奈德0.1 mg/kg,正常组与哮喘模型组予以等量生理盐水雾化.雾化7d后,处死大鼠,检测大鼠BALF中IL-5水平和EOS计数.结果 咳喘宁干预组大鼠BALF中的IL-5与EOS明显低于哮喘模型组,差异有统计学意义（P＜0.05）,与布地奈德干预组比较,差异无统计学意义（P＞0.05）.结论 咳喘宁通过雾化吸入能降低哮喘大鼠BALF的IL-5水平及EOS计数,从而改善哮喘大鼠气道炎症状态.     

补阳还五汤对高脂血症金黄地鼠血脂水平及SREBP-2/Pcsk9信号通路的影响

目的：研究补阳还五汤对高脂血症金黄地鼠血脂水平及胆固醇调节元件结合蛋白2型（SREBP-2）/前蛋白转化酶枯草杆菌蛋白酶9型（Pcsk9）信号通路的影响。方法：将60只金黄地鼠随机分为正常组、模型组、补阳还五汤5、10、20g/kg组、辛伐他丁（0.01g/kg）组,每组10只。正常组地鼠给予普通饲料,其余组地鼠给予高脂饲料建立高脂血症模型,4周后同时灌胃给予相应药物,正常组和模型组地鼠灌胃给予等体积蒸馏水,每天一次,连续给药4周。末次给药后,检测各组地鼠血清中总胆固醇（TC）、三酰甘油（TG）、低密度脂蛋白胆固醇（LDL-C）、高密度脂蛋白胆固醇（HDL-C）、谷草转氨酶（AST）、谷丙转氨酶（ALT）,肝脏组织病理变化及油红O染色,肝脏组织中SREBP-2、Pcsk9、低密度脂蛋白受体（LDL-R）蛋白表达。结果：与正常组相比,模型组地鼠血清TC、TG、LDL-C、AST、ALT含量增加[（20.64±4.98）mmol/L比（1.31±0.23）mmol/L,（19.20±6.88）mmol/L比（0.65±0.01）mmol/L,（17.91±2.69）mmol/L比（1.35±0.28）mmol/L,（193.47±28.53）U/L比（25.37±5.58）U/L,（146.57±37.10）U/L比（47.43±14.52）U/L,P＜0.01],HDL-C含量降低[（1.06±0.48）mmol/L比（3.64±0.74）mmol/L,P＜0.01],SREBP2、Pcsk9、LDL-R蛋白表达降低（P＜0.05或P＜0.01）;肝脏组织脂肪浸润明显,脂肪空泡明显增加,脂质沉积。与模型组相比,补阳还五汤10、20g/kg组地鼠血清TC、TG、LDL-C、AST、ALT含量降低[（16.07±2.68）mmol/L、（8.58±3.57）mmol/L比（20.64±4.98）mmol/L,（12.42±3.60）mmol/L、（9.83±2.60）mmol/L比（19.20±6.88）mmol/L,（10.16±3.14）mmol/L、（13.86±2.56）mmol/L比（17.91±2.69）mmol/L,（134.13±51.15）U/L、（107.21±56.32）U/L比（193.47±28.53）U/L,（130.55±47.49）U/L、（92.01±33.52）U/L比（146.57±37.10）U/L,P＜0.05或P＜0.01],HDL-C含量升高[（1.71±0.44）mmol/L、（2.26±0.52）mmol/L比（1.06±0.48）mmol/L,P＜0.05或P＜0.01],SREBP2、Pcsk9、LDL-R蛋白表达增加（P＜0.05或P＜0.01）,且肝脏组织脂肪空泡减少,脂质沉积减少;辛伐他丁组地鼠血清TC、TG、LDL-C、AST、ALT含量降低[（10.36±3.24）mmol/L比（20.64±4.98）mmol/L,（10.07±1.92）mmol/L比（19.20±6.88）mmol/L,（10.84±3.41）mmol/L比（17.91±2.69）mmol/L,（118.20±40.64）U/L比（193.47±28.53）U/L,（83.19±30.31）U/L比（146.57±37.10）U/L,P＜0.05或P＜0.01],HDL-C含量升高[（2.67±0.49）mmol/L比（1.06±0.48）mmol/L,P＜0.05或P＜0.01],SREBP2、LDL-R蛋白表达增加（P＜0.05或P＜0.01）,但对Pcsk9蛋白的表达无差异,肝脏脂肪变性有一定程度的改善。结论：补阳还五汤具有降血脂作用,并改善肝脏组织脂肪变性,促进肝脏脂质代谢,其机制可能与激活SREBP-2/Pcsk9信号通路有关。     

实验性肝纤维化大鼠原代肝星状细胞中CTGF的表达及意义

目的：通过检测肝纤维化大鼠原代肝星状细胞（HSC）中结缔组织生长因子（CTGF）的表达,探讨HSC与CTGF间的相关生物学作用机制。方法：皮下注射四氯化碳（CCl4）制备大鼠肝纤维化模型,于注射CCl4后1、4、8周分批分离HSC后,采用免疫组化、RT-PCR方法检测原代HSC中CTGF的表达变化。结果：CCl4注射后第1、4、8周大鼠HSC平均得率分别为：（3.15±0.38）×107/只、（4.21±0.76）×107/只、（5.11±0.73）×107/只,均高于正常大鼠HSC平均得率[（2.31±0.47）×107/只]（P〈0.05）。细胞爬片免疫组化结果显示,活化的HSC胞质中可见CTGF阳性表达。RT-PCR检测结果显示,与正常对照组相比,注射CCl4后1、4、8周大鼠HSC中CTGF mRNA的表达显著增强（P〈0.05,P〈0.01）。结论：CTGF在肝纤维化发生、发展中对HSC的活化起促进作用。     

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.     

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     

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.     

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.     

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…     

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.     

CLINICAL SIGNIFICANCE OF SERUM CYTOKINES IL-1β,sIL-2R,IL-6,TNF-α,AND IFN-v IN ACUTE CORONARY SYNDROME

Objectives To explore serum cytokines levels (including IL-1 β, sIL-2R, IL-6, TNF-α, and IFN-v) and their significance in patients with acute coronary syndrome (ACS) and the subsequent follow-ups, with attempt to estimate the role of various serum inflammatory markers in the diagnosis and assessment of ACS.Methods The study population include 40 patients with acute myocardial infarction (AMI), 40 patients with unstable angina pectoris (UAP), and 40 controls. Among the 80 patients, 60 patients attended a follow up 4 months later. Serum inflammatory markers including IL-1 β, sIL-2R, IL-6, TNF-α, and IFN-v were measured by enzyme linked immunosorbent assay.Results Serum IL- 1 β, sIL-2R, IL-6, TNF-α were significantly higher in AMI group or UAP group compared to the control group and became significantly lower 4 months later in the follow-up patients. Serum levels of IFN-v shows no significant difference between AMI group or UAP group and controls, also showing no significant change when measured in follow up patients. There was no correlation between serum creatine kinase-MB isoenzyme levels and serum inflammatory markers either in UAP or AMI group. Furthermore, when divided into two subgroups using Wagner's QRS scoring system in the AMI group, there is no difference of each serum inflammatory marker between ≤ 6 scores group and ＞ 6 scores group.Conclusion Serum levels of certain inflammatory markers may have some diagnostic value for ACS, and can be a useful marker reflecting disease stability.