消胚散结汤抗早孕对大鼠再受孕能力及再孕胚胎发育的影响

用消胚攻洁汤结早期妊娠大鼠灌胃，待其流产或分娩后，再使其与雄鼠合笼交配，以观察其再受孕能力及对再孕胚胎发育的影响。结果表明：各浓度组无论流产成功与否，再孕率均在９６％以上；再孕胚胎活胎率和活胎体重、身长、尾长及宫内生长迟缓（ＩＵＧＲ）发生率均与西药组和正常对照组无显著差异（Ｐ＞０．０５），且均未发现畸胎，而阳性对照组胚胎各项指标均与正常对照组差异极显著（Ｐ＞０．０１）。提示消胚散结汤抗早孕对母体再     

抗心磷脂抗体与原因不明胎儿宫内生长迟缓的关系

用酶联免疫吸附法（ＥＬＩＳＡ）检测胎儿宫内生长迟缓（ＩＵＧＲ）孕妇血清抗心磷脂抗体（ＡＣＡ）,探讨ＩＵＧＲ与ＡＣＡ的相关性。结果显示：①ＩＵＧＲ组与正常妊娠组比较,ＡＣＡＩｇＭ和ＡＣＡＩｇＡ结合指数显著增高（Ｐ＜０．０５）。②ＩＵＧＲ组ＡＣＡＩｇＭ增高与其Ｃ３及Ｃ４下降呈负相关（ｒ＝－０．４１０８,－０．４０９２,Ｐ＜０．０５）。提示ＡＣＡ的产生参与了ＩＵＧＲ的发病过程,其检测有助于ＩＵＧＲ的早期诊治     

应用血管解痉剂治疗胎儿宫内生长迟缓的实验研究

在用被动吸烟法建立孕兔ＩＵＧＲ动物模型的基础上，观察了复方丹参注射液＋山莨菪碱治疗ＩＵＧＲ的效果。结果表明，治疗组仔体重，肝脏重量及脑组织重量对照组显著增加，（均为Ｐ＜０．０１），治疗组ＩＵＧＲ发生率较对照组有降低的趋势。治疗组子宫胎盘血流量较对照组显著增加（Ｐ＜０．０１）。血浆游离氨基酸测定结果表明，尽管两组母体血浆游离氨基酸浓度无明显差异，但治疗组胎仔血浆总游离氨基酸浓度及绝大多数必需氨基酸和     

胎仔宫内生长迟缓孕鼠的药物治疗及其胎盘病理学研究

本研究在用更生霉素建立ＩＵＧＲ动物模型的基础上，应用人参茎叶皂甙、丹参、舒喘灵、硫酸锌和人参蜂王浆对胎仔宫内生长迟缓孕鼠进行治疗。结果表明，各治疗组孕鼠妊娠第２０天体重明显高于更生霉素组孕鼠（Ｐ＜０．０１）、ＩＵＧＲ胎的发生率明显降低（Ｐ＜０．０１）；在胎盘组织学上，胎盘的厚度及迷路层血管和血窦成分，各治疗组不同程度地有别于更生霉素组。并对各药物治疗组ＩＵＧＲ进行了讨论。     

胎儿宫内发育迟缓有关问题探讨(附104例临床分析)

目的：探讨胎儿宫内发育迟缓（ＩＵＧＲ）发生和死亡有关的因素，寻求降低其发生率，提高存活率的途径．方法：ＩＵＧＲ组１０４例，与正常组２００例进行对照分析．结果：孕周及出生时体重与围产儿死亡关系密切。孕周越短、出生体重越低，死亡率越高．ＩＵＧＲ组中并发妊高征、双胎、羊水过少的发生率与正常组比较有极显著的差异（Ｐ＜０．０１）而先天性畸形、胎儿窘迫、新生儿窒息和围产儿死亡的发生率也显著高于正常组．结论 导致ＩＵＧＲ发生的因素复杂而繁多，妊高征是最常见的重要原因，而双胎是造成ＩＵＧＲ的又一重要因素．先天性畸形染色体异常是引起ＩＵＧＲ的重要的胎儿因素．强调孕妇定期产前检查，早期发现妊娠合并症及胎儿畸形，进行早期治疗和必要的引产是减少ＩＵＧＲ的发生和降低围产儿死亡率的关键．     

采用被动吸烟法建立胎仔宫内发育迟缓大鼠模型

将雌性ＳＤ大鼠分为４组,Ａ组交配后第一天起,Ｂ组交配后第１０天起每天在隔离器内被动吸烟２ｈ至第２０天,Ｃ组为普通环境不吸烟对照组,Ｄ组为每天在隔离器内饲养２ｈ不吸烟对照组。实验结果显示,Ａ,Ｂ,Ｃ组胎内活仔体重分别为２．０±０．７,２．８±０．５,３．７±０．４ｇ;宫内发育迟缓（ＩＵＧＲ）发生率分别为８７％,５９．６％,５％;体长分别为２．８４±０．４２,３．２４±０．３０,３．９４±０．２２ｃｍ;尾长分别为０．９６±０．１６,１．０７±０．１４,１．３４±０．１０ｃｍ;胎盘重量分别为０．４８±０．１２,０．５０±０．１１,０．６２±０．４０ｇ;Ｄ组各项指标与Ｃ组比较无显著差异。正常对照Ｃ组和不吸烟对照组Ｄ组胚胎早期吸收或死胎率仅为３．４５％和４．１９％,而被动吸烟的Ａ,Ｂ组分别为３２．４％与１６．１％,均明显高于对照组,表明被动吸烟对胚胎的存活也有很大的威胁。本研究结果提示,利用隔离器和大鼠建立被动吸烟致ＩＵ－ＧＲ动物模型,具有吸烟环境易控制,重复性好,实验周期短,ＩＵＧＲ发生率高的优点     

人参茎叶皂甙治疗胎儿宫内生长迟缓的临床研究

采用长白山人参茎叶皂甙片对２８例３１～３４孕周胎儿宫内生长迟缓（ＩＵＧＲ）的孕妇进行试验性治疗，同时与２６例给营养疗法的ＩＵＧＲ孕妇（对照组）作一对比。结果表明，试验组与对照组孕妇宫底高度与胎儿双顶径在３５周以后逐渐接近正常妊娠组；其尿总雌激素／肌酐（Ｅ／Ｃ）比值和血清人胎盘泌乳素亦逐渐接近正常妊娠组（Ｐ＞０．０５）；经人参茎叶皂甙治疗和营养疗法所治疗后出生的新生儿体重，与正常妊娠组比差异无显著意义；试验组与对照组新生儿脐血糖及白蛋白值比差异无显著意义，但均明显高于ＩＵＧＲ未治疗组（Ｐ＜０．０５）。表明人参茎叶皂甙在治疗ＩＵＧＲ方面可获得与营养疗法同样的效果。     

妊高征胎儿腹主动脉血流监测的临床意义

运用彩色多普勒监测正常妊娠，妊高征，妊高征合并ＩＵＧＲ３组胎儿腹主动脉血流的Ｓ／Ｄ值，ＰＩ值，ＲＩ值，结果表明，妊高征组（合并或不合并ＩＵＧＲ）胎儿腹主动脉血流Ｓ／Ｄ值大于４，ＰＩ值大于１．８，ＲＩ值大于０．８时，围产儿结局异常占５０％。当血流阻力指标异常高时，应考虑有ＩＵＧＲ或胎儿窘迫发生，当异常波形出现时，表明血流阻力指标升高，血流量减少，胎儿缺氧严重，宫内状况差，新生儿预后不良的发生率高。此     

节育器Norplant－2和LNG－IUD临床使用的比较研究

随机放置女性节育器Ｎｏｒｐｌａｎｔ－２或释放孕激素的宫内节育器ＬＮＧ－ＩＵＤ各１００例观察３年，仅一例使用ＬＮ０－ＩＵＤ者妊娠。ＬＮＧ－ＩＵＤ累积脱落率为４．０／每百妇女。Ｎｏｒｐｌａｎｔ－２与ＬＮＧ－ＩＵＤ不规则出血停用率分别为２６．８／每百妇女年和３．３／每百妇女（Ｐ＜０．００１）。续用率分别为６９／每百妇女和７５／每百妇女。放置后第三年Ｎｏｒｐｌａｎｔ－２组平均体重较放置前增加１．４ｋｇ（Ｐ＜０．００１）。副作用以不规则出血为主，ＬＮＧ－ＩＵＤ组以闭经为主，但副作用随使用时间的延长有所减轻。本文结果显示，我国妇女对ＬＮＧ－ＩＵＤ引起的闭经比Ｎｏｒｐｌａｎｔ－２引起的经期延长似更易接受，大多数妇女对所用节育器感到满意。     

胰岛素样生长因子与胎儿宫内发育迟缓

０　引言　胎儿宫内发育迟缓（ＩＵＧＲ）是指出生体质量小于其孕龄平均体质量的第１０百分位者,或者小于其平均体质量的两个标准差者．发病率约为３％～４％．ＩＵＧＲ是围产儿死亡的重要原因之一,新生儿期及远期发病率明显增高．在儿童期比正常儿体格和智力发育均落后．还有研究提示ＩＵＧＲ和成年期发生糖尿病及心血管病有因果联系［１］．鉴于以上原因,ＩＵＧＲ的病因探讨越来越受到人们的重视,尤其是对ＩＵＧＲ内分泌方面的研究也越来越深入．本文着重综述近年来胰岛素样生长因子（ｉｎｓｕｌｉｎｌｉｋｅｇｒｏｗｔｈｆａｃｔ…     

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.     

Analysis of CK-19,PDX-1,Nestin,Ngn3 in different donor islet purity in rats

Objective: To investigate if there are the CK-19, PDX-1, Nestin, Ngn3 positive cells in the donor islets of different purity in rats. Methods: Thirty male adult SD rats were randomly divided into 3 groups. Islets were isolated using digestion by ductal injection of collagenase. Group Ⅰ (n=10): Separating cell preparations were not purified, Group Ⅱ(n=10): Islet sediment was purified with 25% Ficoll400 ,Group Ⅲ (n=10): Islet sediment was purified with 25% and 11% Ficoll-400. The levels of protein of CK-19, PDX-1, Nestin and Ngn3 were detected by immunohistochemistry and the mRNA of CK-19, PDX-1, Nestin, Ngn3 was amplified by RT-PCR. Results: After two different purification methods applied, three islet preparations of different purities were obtained. The difference of islet purity was significant among various groups (P＜0.05). Compared with group Ⅱ and group Ⅲ,the protein and mRNA of CK-19, PDX-1, Nestin,Ngn3 were both higher in group Ⅰ; group Ⅲ was poorly expressed. Conclusions: The three different islet purity donor islet have different CK-19, PDX-1, Nestin, Ngn3 positive cells within them, indicating that there are some islet stem cells in the purified donor islet.     

A preliminary screening study on the associated proteins in human psoriasis vulgaris by serum proteomics technologies

Objective：To investigate the optimum screening conditions of associated proteins in human psoriasis vulgaris by serum proteomics technique, and to screen the different expression proteins related with psoriasis vulgaris. Methods：Serum samples of peripheral blood were collected from newly diagnosed psoriasis vulgaris patients in the clinic, and 20 matched healthy persons. Serum albumin IgG was removed by filtering with ProteoExtract Albumin/IgG. After comparative proteomics analysis the different protein spots were identified using 2-DE and MS. Results ：Electrophoresis figures with high resolution and reproducibility were obtained. Three different expression proteins were found only in the serum from psoriasis vulgaris patients, while nine other different proteins expressing from healthy volunteers. Conclusion：The protein expression was different in the serum between the psoriasis vulgaris patients and healthy volunteers. It was hoped that we could find the biomarkers related to psoriasis vulgaris by using proteomics.     

A CASE OF HUGE GASTRIC DISOPYROBEZOAR

PYTOBEZOARS are common bezoars in gastrontestinal tract, commonly seen in stomach and mall intestine,1but huge disopyrobezoars are     

Acupuncture Treatment of Chest Bi Syndrome

CASE HISTORY A male,a retired officer of 61 years old,paid his first visit on May 12,2006.The patient stated that 2 weeks before he suddenly got paroxysmal precordial choking pain,with irregular attacks.Each attack would last several seconds to several minutes.The attack was accompanied with heavy oppressed sensation in the precordial region,palpitation,lassitude,and in severe cases,sweating,which was once diagnosed by a hospital as'coronary heart disease'.Recalling the case history,the patient said that several days before he got angry with others because of some affairs in work,and he was not so used to the life pattern since he had just retired from his busy working post.At usual times,he was quick tempered and peevish.In recent days,he had poor appetite,and loose stool.     

Instructions to Contributors

The English edition of Chinese Journal of Integrative Medicine is edited and published by the Chinese Journal of Integrated Traditional and Western Medicine Press.Original scientific papers of advanced clinical and experimental medicine in the field of complementary/alternative medicine or integrative medicine are expected.