江苏汉族24个Y-STR基因座遗传多态性及遗传关系研究

目的:分析24个Y染色体短串联重复序列(STR)基因座在江苏汉族群体的基因多态性?基因频率和其他地域人群之间的遗传距离?方法:取2011~2012年来自江苏省的262份无血缘关系的汉族个体,对24个STR位点进行复合扩增,ABI 3130自动基因分析仪进行片段分析并进行基因分型?结果:共发现172个STR等位基因,其中DYS385b?DYS449基因座发现14种等位基因,单倍型共发现262个,单倍型多样性为0.999 9,统计10个群体遗传距离Rst矩阵,提示江苏人群更偏向于以天津(-0.001 8)?河南(-0.001 76)?山西(-0.001 6)为群体的中原人群,而与湖南(0.017 54)和辽宁(0.014 64)人群的遗传距离最远(P < 0.05)?结论:获得具有江苏汉族人群特征的遗传学和法医学客观基础数据,对建立具有江苏地区特点的Y-STR数据库有重要意义?     

江苏人群19个STR基因座的遗传多态性

目的:利用3130遗传基因测序仪的电泳图谱分析江苏人群D21S11?D6S1043?Penta E?PGA?D2S1338?D11S51?D19S433?D12S391?CSF1PO?D3S1358?Penta D?VWA?D13S317?THO1?TPOX?D8S1179?D16S539?D5S818?D7S820 19个STR基因座多态性分布,并计算该19个基因座的基因频率?个体鉴别能力?无偏倚期望杂合度?多态性信息总量和非父排除率?方法:利用 PCR扩增,产物通过3130测序仪毛细管电泳?读出数据后用分析软件进行分析?结果:19个STR位点中Penta E的个体鉴别能力值和非父排除率值最高,19个STR位点的累积非父排除率达0.9999以上?结论:通过大量的样本实验和等位基因频率的统计,得出了更加客观的等位基因多态性数据,为江苏地区亲权鉴定的判定提供更加客观的依据?     

贵州荔波水族人群CSF1PO,TPOX和TH01STR基因座遗传多态性

目的:调查贵州荔波水族人群CSF1PO,TPOX和TH01 STR基因座的遗传多态性. 方法:采集贵州省荔波县水尧水族乡97名水族无关个体EDTA抗凝血标本,Chelex-100法提取DNA, PCR进行扩增,变性聚丙烯酰胺凝胶电泳和银染方法进行分型,获取CSF1PO,TPOX和TH01 STR基因座的基因型,基因频率及杂合度(H),多态信息量(PIC),个体识别率(DP)和非父排除率(PPE)等法医学相关数据,并利用该人群这3个STR基因座的基因频率与文献报道的广西侗族等南方其他6个民族群体相同基因座的基因频率进行聚类分析. 结果:贵州荔波水族人群CSF1PO,TPOX和TH01 STR基因座分别检出等位基因6,5和5个,基因型分别为15,12和13个,各基因座基因型分布均符合Hardy-Weinberg平衡定律(P＞0.05). 三个基因座的H分别为0.7287,0.5423,0.6904;PIC分别为0.6652,0.4880和0.6806; DP为0.8782,0.7361和0.8563;PPE为0.6148,0.3646和0.5737. 结论:CSF1PO和TH01基因座在贵州荔波水族人群中有较高的遗传多态性,该人群与广西侗族等6民族群体间的遗传关系和民族学研究的结果基本吻合.     

山东地区汉族人群9个STR基因座遗传多态性分析

目的研究山东地区汉族人群的ProfileplusTM9个STR基因座遗传多态性。方法调查山东地区汉族100个无关个体9个STR基因座的基因和基因型频率分布。采用多色荧光标记引物,复合扩增10个基因座,扩增产物进行GeneScan扫描,Genotype分型。建立山东地区汉族9个STR基因座的基因及基因型频率数据库。结果共检测出83种等位基因,其频率分布0.0050～0.4050;220种基因型,其频率分布0.0100～0.2100;平均杂合度(H)为0.7778,累计个体识别能力(DP)为0.9999,非父排除率(EPP)为0.9999,多态信息总量(PIC)为0.5823～0.8396。结论经χ2检验9个STR基因座的基因型分布符合Hardy-Weinberg平衡定律。     

新疆维吾尔族群体及家系STR遗传结构的研究

目的 了解新疆维吾尔族群体4个STR位点的基因及基因型分布，获得4个基因座的群体遗传学数据。方法 采用PCR扩增技术和基因扫描技术进行样本STR遗传结构分析。并与其他种族、人群的等位基因频率进行比较。结果 4个STR位点在新疆维吾尔族人群中均具有遗传多态性。4个STR位点的基因型分布均符合Hardy-Weinberg平衡定律（P＞0．05）。不同人群基因频率分布存在一定的差异。家系分析显示：4个STR位点等位基因均按孟德尔遗传定律呈共显性传递。结论 所得到的等位基因频率等数据可为遗传学研究、法医个体识别及亲子鉴定提供依据。     

华南地区汉族群体15个STR基因座的遗传多态性调查

[目的]调查获得华南地区汉族群体遗传多态性参数,并与以往相关文献报道的群体资料进行统计比较.同时评估PowerPlexTM 16体系应用于华南汉族人群进行法医学个体识别及亲子鉴定的价值.[方法]应用PowerPlexTM 16荧光标记复合扩增系统检测4 786名华南地区汉族无关个体15个STR基因座的多态性,统计计算群体遗传学参数,并将获得的等位基因频率与文献报道的群体资料进行统计比较.[结果]15个STR基因座的基因型分布均符合Hardy-Weinberg平衡(P>0.05),共检出241个等位基因,频率在0.0001～0.5458;共1 043种基因型.在13个基因座上检出共60个等位基因阶梯以外的等位基因.15个基因座的杂合度观察值(Ho)在0.6030～0.9076之间,多态信息含量(PIC)在0.5428～0.9044之间,累计个人识别率(TDP)达0.9999999999999999971,三联体累计非父排除概率(CPE)达到0.99999981,单亲鉴定累计亲权排除概率(CPE*)为0.9543.本文调查结果与以往文献报道的人群等位基因频率资料有不同程度的差异.[结论]15个STR基因座在华南汉族人群中有较高的多态性,PowerPlexTM 16荧光标记复合扩增系统对华南汉族人群的个体识别及亲子鉴定具有很高的应用价值.本文调查获得的群体遗传学数据可为法医学个人识别和亲子鉴定提供结果评估的依据.     

贵州毛南族人群CSF1PO,TPOX和TH01STR基因座基因频率调查

目的：调查贵州毛南族人群CSF1PO,TPOX和TH01STR基因座等位基因频率.方法：chelex-100提取法提取104名毛南族无关个体DNA,PCR复合扩增,变性PAGE分型,直接计数基因型,用modified-powerstats软件包计算各多态性指标,采用SPSS13.0统计软件包对贵州毛南族人群与广西两个毛南族群体相同基因座等位基因频率进行比较.结果：CSF1PO,TPOX和TH01STR基因座共检出等位基因数17个,等位基因频率范围在0.0288~0.4087之间;共检出基因型40种,各基因座基因型分布符合Hardy-Weinberg平衡定律（P〉0.05）.3个基因座的杂合率（H）、非父排除率（PPE）、个体识别率（DP）、多态信息量（PIC）分别大于0.69,0.5,0.8,0.6,累积个体识别率（TDP）为0.99743.贵州毛南族人群和广西两个毛南族群体等位基因频率分布有统计学意义（P〈0.05或P〈0.01）.结论：CSF1PO,TPOX和TH01 3个STR基因座在贵州毛南族人群中有较高的遗传多态性,在群体遗传学和法医鉴定中有较高的应用价值.起源于古代同一族系的同一民族或不同民族,遗传结构有丰富的遗传多样性,其等位基因频率分布与地域呈平行关系.     

陕南地区汉族人群9个STR基因座遗传多态性研究

目的:调查陕南地区汉族人群9个STR基因座(D3S1358,vWA,FGA,D8S1179,D21S11,D18S51,D5S818,D13S317,D7S820)的遗传多态性分布. 方法: 采用ABI-310分析仪对Profiler Plus系统的9个STR基因座的复合扩增产物进行电泳分离和四色荧光自动分析检测. 结果: 在449名无关个体中,共检测到104个等位基因, 基因频率分布在0.0011～0.3579之间. 9个STR基因座的基因型分布均符合Hardy-Weinberg平衡(P>0.05). 9个STR基因座的多态信息量均大于0.6765,杂合度均大于0.7248,个体识别力均大于0.8751,非父排除率均大于0.4589,随机个体相同表型的偶合率在0.0405～0.1294之间. 结论:获得了陕西地区汉族人群9个STR座位的多态性分布资料;陕西汉族人群的9个STR座位具有较高的遗传多态性,可用于法医亲子鉴定、个体识别和人类群体遗传学等研究领域.     

朝鲜族DXS6797STR位点的遗传多态性分析

[目的]研究延边地区朝鲜族人群短串联重复序列(STR)基因座DXS 6797的遗传多态性,获得该基因位点的群体遗传学数据.[方法]应用PCR扩增技术及聚丙烯酰胺凝胶电泳方法,对106名朝鲜族女性个体和186名朝鲜族男性个体的DXS 6797 STR基因座等位基因频率进行分析.[结果]在女性样本DXS 6797基因座中各检出7种等位基因和16种不同的基因型,分析基因型观察值和期望值,基因座多态性分布符合Hardy-Weinberg平衡定律,杂合度为0.717,多态信息含量为0.68,个人识别率为0.876;在男性样本DXS 6797基因座中共检出7种等位基因,单倍型多样性为0.745 5.[结论]STR基因座DXS 6797具有较高的个人识别力,可应用于法医学检验和朝鲜族人群遗传学分析.     

湖北汉族人群15个STR基因座的遗传多态性

目的 调查湖北汉族人群15个STR基因座(D8S1179、 D21S11、D7S820、CSF1PO、D3S1358、TH01、D13S317、D16S539、D2S1338、D19S433、vWA,TPOX,D18S51,D5S818,FGA)的遗传多态性分布.方法 采用Identifiler试剂盒复合扩增305例湖北汉族个体的15个STR基因座,产物经3130遗传分析仪电泳分离和分型检测,分析检验基因座的遗传学参数:基因频率、杂合度、多态信息含量(PIC)、个体识别能力(DP)、非父排除概率(PE)和遗传平衡状态.结果 305名无关个体共检测到15个STR基因座的146个等位基因,各基因座基因型分布均符合Hardy-Weinberg平衡(P＞0.05).13个STR基因座的PIC＞0.5,14个STR基因座的DP＞0.8,12个STR基因座的PE＞0.5;累积个体识别力＞0.999 999 999,累积非父排除率＞0.999 998 8.结论 湖北汉族人群15个STR基因座的绝大多数基因座具有较高的遗传多态性,其群体遗传学数据可用于本地人类遗传学、法医亲子鉴定和个体识别等研究领域.     

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…     

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.     

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.     

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.     

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.     

Acupuncture Treatment of Vomiting

CASE HISTORY A female patient, 46 years old, head of the foreign affairs department of a certain university in Beijing, paid her first visit on October 9, 2006, with the chief complaint of vomiting for one month. She got vomiting after meals in early September. Before that, she had discomfortable sensation in the stomach due to angry with others, but she didn't pay much attention. Later, it developed into vomiting after eating. After the vomiting, the discomfort would be relieved, but with slight hypodynamia. She was once diagnosed as having 'neurogenic vomiting'. Having taken some western and Chinese drugs, the above symptoms were a little bit improved, but she would have nausea upon eating and with regurgitation. Because of the fear for vomiting, she did not dare to have food intake, with body weight reduction of 6 kilos in one month.     

Qiu Baoguo''''s Experience in Treating Consumptive Syndromes after Radio-Chemotherapies

Radiotherapy and chemotherapy are the important modern medical therapies for malignant tumors,yet they can also bring about serious local and systemic toxic side reactions so to decrease the patient;'s life quality,manifested by a series of consumptive symptoms.Having engaged in the combined work of Chinese and western medicine for nearly 50 years,the research fellow Qiu Baoguo in Henan Provincial Academy of TCM has developed his unique views on the TCM study of consumptive syndromes.The author of this essay had once the fortune tO follow Dr.Qiu in clinic,and specially would like to introduce in the following Dr.Qiu's experience in treating consumptive syndromes after radio-chemotherapies for patients with malignant tumor.     

Insomnia Due to Deficiency of Both the Heart and Spleen Treated by Acupuncture-Moxibustion and Chinese Tuina

OBJECTIVE: To observe therapeutic effects of the comprehensive therapy of acupuncture-moxibustion and Chinese Tuina for treatment of insomnia due to deficiency of both the heart and spleen. METHODS: 92 cases were divided randomly into the treatment group (treated by acupuncture-moxibustion and Chinese Tuina) and the control group (treated by acupuncture-moxibustion). RESULTS: The therapeutic effect of the treatment group was obviously superior to that of the control group (the CHI2 test showed P < 0.01). CONCLUSIONS: The comprehensive therapy of acupuncture-moxibustion and Chinese Tuina can give marked therapeutic effects for treatment of insomnia due to deficiency of both the heart and spleen.     

Survey and practice of reporting quality of randomized controlled clinical trials on traditional Chinese medicine

Evidence obtained from randomized controlled trials （RCTs） has been generally accepted as the gold standard in the evaluation of clinical effectiveness. Readers need to understand the trial design, implementation, results, analysis and interpretation, so as to fully Jnderstand the results of RCTs. Thus, the investigators of RCTs have to report these items in a complete, accurate and clear manner. Since 1998, we have conducted several evaluations on the reporting quality of RCTs published in Chinese journals on traditional Chinese medicine （TCM） and results have shown that there is an urgent need for higher quality RCTs on TCM.