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1.
目的:检测皮质下缺血性脑血管病(SIVD)患者和正常对照组不同脑区脑组织的代谢水平,探讨其与认知功能损害的关系。方法:采用多体素磁共振波谱(1 H-MRS)技术评测SIVD患者(SIVD组,n=32例)和体检健康人(对照组,n=21)额叶及顶叶皮质、白质的代谢物N-乙酰天门冬氨酸(NAA)、胆碱(Cho)、肌酸(Cr);计算有关比值NAA/Cr、Cho/Cr,分析有无认知功能损害SIVD患者上述比值的变化。结果:(1)SIVD组额叶皮质、白质及顶叶皮质、白质各体素NAA/Cr比值明显低于对照组(P0.01);(2)SIVD组顶叶皮质及白质的Cho/Cr比值明显高于对照组(P0.01);(3)SIVD组有认知功能损害患者的额叶皮质和顶叶皮质、白质NAA/Cr比值显著低于无认知功能损害者(P值分别0.01、0.01、0.05),Cho/Cr比值的两者间差异无统计学意义(P0.05)。结论:SIVD患者脑组织存在NAA/Cr、Cho/Cr比值改变,且额叶皮质和顶叶皮质、白质NAA/Cr的下降与认知损害有关。  相似文献   

2.
瘤周区多体素磁共振波谱在脑肿瘤鉴别诊断中的应用   总被引:1,自引:0,他引:1  
目的评价脑肿瘤周围区域多体素氢质子磁共振波谱(1H-MRS)在脑肿瘤诊断及鉴别诊断中的应用价值。方法搜集行常规MRI及多体素1H-MRS检查的脑肿瘤病变患者38例,包括胶质瘤15例、转移瘤9例、脑膜瘤14例(均为良性)。再根据WHO2000年分类标准,将脑胶质瘤分为低级别组(Ⅰ~Ⅱ级)8例,高级别组(Ⅲ~Ⅳ级)7例。所有患者检查前均未接受过化疗或放疗,没有脑外伤或/和脑手术史。常规扫描后增强前采用定点分辨磁共振波谱序列(PRESS)扫描,根据病灶的特征选定感兴趣区(ROI),ROI的大小既要包括肿瘤实质区、肿瘤周围区,也要尽可能涵盖对侧正常脑组织,又要避开骨骼、脑室、血管、坏死、囊变、出血、气体及钙化等区域。后处理应用MR机附带的波谱分析软件自动完成。计算脑胶质瘤、转移瘤及脑膜瘤实质区、周围区及对侧正常脑组织区代谢产物比值的平均值,进行组内、组间比较。P<0.05有统计学意义。结果多体素1H-MRS显示不同脑肿瘤的肿瘤实质区NAA/Cr、Cho/Cr和NAA/Cho平均值与对侧正常脑组织区比较有显著性差异(P<0.05);脑胶质瘤周围区与脑膜瘤、转移瘤的周围区以及高、低级别胶质瘤肿瘤周围区域多组代谢物比值具统计学差异(P<0.05)),高级别与低级别脑胶质瘤肿瘤周围区Glx/Cr的比值有显著性差异(P<0.05)。结论多体素1H-MRS技术可无创观察脑肿瘤患者脑代谢改变,有助于脑肿瘤的诊断、鉴别诊断、预测侵袭性病变的浸润范围以及脑胶质瘤的分级诊断等。  相似文献   

3.
目的:探讨急性病毒性脑炎患者癫(癎)发作症状的临床特点、影像学、脑电图(EEG)改变及抗(癎)药物疗效.方法:回顾性分析42例急性病毒性脑炎患者癫(癎)发作症状患者的临床特点、影像学、视频脑电图(V-EEG)改变及抗(癎)药物的治疗.结果:42例急性病毒性脑炎患者癫(癎)发作症状,以部分性发作为主要发作形式,以颞叶癫(癎)症状多见,脑部磁共振(MRI)主要表现为局灶性炎性水肿、或合并出血等破坏性病灶,V-EEG以慢波改变及局灶性 (癎)样放电为主.结论:患者的临床表现、影像学、V-EEG改变对病毒性脑炎患者癫(癎)发作症状的诊断、治疗及预后评价均具有重要作用,临床需个体化选择抗(癎)药进行有效治疗.  相似文献   

4.
目的:检测广泛性焦虑障碍患者(Generalized Anxiety Disorder,GAD)脑扣带回前、后部位相关物质代谢水平,以探究GAD的病理机制。方法:选符合ICD-10诊断标准的GAD患者19名为实验组,20名条件匹配的健康志愿者为对照组。用磁共振质子波普成像技术(1H-Magenetic Resonance Spectroscopy,1H-MRS)对所有入组者行脑扣带回的前、后部位中胆碱化合物(Cho)、肌酸(Cr)、乙酰天冬氨酸(NAA)物质水平测定,并行两组间比较。结果:患者组右扣带回前部皮质中的Cho、Cr,白质中的Cho、Cr、NAA,左扣带回前部皮质中的NAA,右扣带回后部皮质中的Cho、Cho/Cr,左扣带回后部皮质中的Cho、Cho/Cr及白质中的Cho、Cr、NAA水平均高于对照组,差异均有统计学意义(P0.05),且物质代谢水平的增高与HAMA评分呈正相关。结论:GAD患者左右脑扣带回前后部白质、皮质物质代谢水平明显增高,且物质代谢水平越高,焦虑症状越明显。  相似文献   

5.
目的 :探讨磁共振波谱 (magneticresonancespectrum ,MRS)检查对颞叶癫患者致灶的定位价值。方法 :对 36例颞叶癫患者进行MRS检查 ,主要分析波谱的三个峰 :N—乙酰天门冬氨酸 (NAA)峰位于 2 0 ppm ,总肌酸 (Cr)峰位于 3 0 ppm ,胆碱类物质 (Cho)峰位于 3 2ppm) ,根据波峰曲线下的绝对面积计算出NAA/ (Cr Cho)的比值 ,以NAA(Cr Cho) <0 6 8作为判断异常的标准。结果 :36例病人中 34例NAA/ (Cr Cho)比值 <0 6 8,其中双侧异常 2 1例 ,单侧异常 13例。结论 :MRS能准确反映体内NAA、Cho、Cr等代谢产物的变化 ,对颞叶癫的致灶有定位价值。  相似文献   

6.
目的:探讨急性脑血管病继发癫(癎)的临床特点、发病机制、发作类型及治疗预后.方法:对我科2006年1月~2014年1月收治的经头颅CT、MRI证实的389例急性脑血管病继发癫(癎)患者的临床资料进行分析,总结其临床特点、发病机制、发作类型、治疗及预后.结果:本组急性脑血管病继发癫(癎)的发病率为4.77%(389/8 152),癫(癎)发病率与脑血管病的类型、发病部位有关;其中以脑梗死患者、累及皮层或邻近皮层者易患,发作形式以单纯部分性运动发作的发病率较高.结论:急性脑血管病继发癫(癎)的原因主要与脑水肿有关,病灶主要位于皮层或邻近皮层者易发作,发作类型以单纯部分性运动为多,累及大脑皮层者发生癫(癎)的危险性高,预后较差.  相似文献   

7.
目的:探讨动态脑电图(AEEG)、头颅MRI与MRS检查对临床复杂部分性癫(癎)的诊断意义.方法:对42例临床复杂部分性癫(癎)患者进行AEEG、MRI与1H MRS检查,并将检查结果进行分析.结果:临床上确诊的复杂部分性癫(癎)42例中,AEEG异常率为98%,MRI异常率为62%,1HMRS异常率为79%.结论:AEEG、头颅MRI对癫(癎)的诊断和鉴别诊断、观察治疗效果有重要意义.  相似文献   

8.
目的:探讨钙拮抗剂粉防己碱(tetradrine,Tet)对戊四唑(Pentylentetrazol,PTZ)诱导的大鼠癫(癎)模型的作用.方法:健康SD大鼠24只,随机分为4组,对照组和Tet 3个剂量组(15 mg/kg,30 mg/kg,60 mg/kg)各6只.观察大鼠腹腔注射PTZ前后癫(癎)发作的情况,按Racine分级标准分级,同时记录皮层电图(ECoG),观察PTZ注射后到出现(癎)样放电的潜伏期及1 h内(癎)样放电累加的持续时间.电镜观察海马神经元超微结构的改变.结果:对照组给PTZ后均出现癫(癎)发作,程度均为5级,Tet组发作程度明显减轻.ECoG上出现(癎)样放电的潜伏期延长,(癎)样放电在1 h中的持续时间缩短.同时,Tet也能明显减轻PTZ致(癎)大鼠海马CA1区锥体细胞线粒体的损伤程度.结论:Tet对PTZ诱导的癫(癎)大鼠的发作有明显的对抗作用,对海马锥体神经元的拟伤具有保护作用.  相似文献   

9.
目的:探讨钙拮抗剂粉防己碱(tetradrine,Tet)对戊四唑(Pentylentetrazol,PTZ)诱导的大鼠癫(癎)模型的作用.方法:健康SD大鼠24只,随机分为4组,对照组和Tet 3个剂量组(15 mg/kg,30 mg/kg,60 mg/kg)各6只.观察大鼠腹腔注射PTZ前后癫(癎)发作的情况,按Racine分级标准分级,同时记录皮层电图(ECoG),观察PTZ注射后到出现(癎)样放电的潜伏期及1 h内(癎)样放电累加的持续时间.电镜观察海马神经元超微结构的改变.结果:对照组给PTZ后均出现癫(癎)发作,程度均为5级,Tet组发作程度明显减轻.ECoG上出现(癎)样放电的潜伏期延长,(癎)样放电在1 h中的持续时间缩短.同时,Tet也能明显减轻PTZ致(癎)大鼠海马CA1区锥体细胞线粒体的损伤程度.结论:Tet对PTZ诱导的癫(癎)大鼠的发作有明显的对抗作用,对海马锥体神经元的拟伤具有保护作用.  相似文献   

10.
目的:探讨缺血性脑卒中后继发性癫癎动态脑电图(AEEG)变化、神经功能的缺损情况及临床疗效与预后。方法:将40例缺血性脑卒中后后继发性癫癎患者设为研究组,回顾其AEEG资料,常规脑电图与动态脑电图检查比较;并与对照组40例缺血性脑卒中后无癫癎发作患者进行比较分析。结果:常规脑电图与动态脑电图检查比较:常规脑电图(REEG)检查中度和重度异常16例,占40%;AEEG检查中度和重度异常的比率为35例,占87.5%,AEEG较REEG检查的中、重度异常比率明显增高,具有统计学差异。研究组患者AEEG异常率占95.0%;发生在脑叶皮质区的患者继发癫癎的概率高于发生在皮质下区的患者,两者间AEEG比较差异有统计学意义(P0.05)。结论:AEEG可显著提高卒中后癫癎发作患者的脑电异常检出率,其检查结果对预测癫癎发作、病情变化、预后有着重要的价值。  相似文献   

11.
Studies on the structure and function of the apolipoprotein(a) gene   总被引:6,自引:0,他引:6  
Lp(a) is an LDL-like lipoprotein that is a major inherited risk factor for atherosclerosis. It is distinguished from Lp(a) by the addition of apolipoprotein(a). The gene structure of apolipoprotein(a) is homologous to plasminogen, and competition with plasminogen activity may account for some of the pathophysiology associated with Lp(a). Six highly related genes have now been identified, and at least four are found in close proximity in overlapping genomic clones. Studies have begun on the regulation of apolipoprotein (a) gene expression, and the human apolipoprotein(a) gene has been inserted into transgenic mice, where it leads to the development of arterial lesions.  相似文献   

12.
Summary: The wavelength‐dependent vacuum ultraviolet (VUV) photolysis of several polymers, low density polyethylene (LDPE), biaxially oriented poly(propylene) (BOPP), atactic polystyrene (PS), and poly(methyl methacrylate) (PMMA), was studied by irradiation in vacuum with the well‐characterized emissions from four different resonant or excimer VUV sources. These lamps comprise radiofrequency (r.f.) discharges in different noble gases, such as krypton, xenon (at low pressures, producing near‐monochromatic resonant line radiations), xenon excimer (at “high” pressure), and a deuterium/argon mixture (producing a broad‐band emission). VUV‐induced mass loss (ablation or etching) was monitored in situ by quartz crystal microbalance measurements. Following irradiation, samples were analysed by ATR‐FTIR and XPS, to evaluate near‐surface structural changes (e.g., creation of unsaturation, cross‐linking) resulting from the VUV‐initiated bond scissions and radical‐creation reactions. PMMA was the most readily ablatable polymer, whereas the mass loss of BOPP was higher than that of LDPE, regardless of the irradiation wavelength, λ. All polymers were found to form double bonds, with the exception of PS, which is rather stable, probably due to energy dissipation by fluorescence.

Formation of double bonds in a) vinyl‐, b) vinylidene‐, and c) vinylene‐like unsaturated groups, as a function of the radiation dose, D, for KrL (?), XeL (?), and D2Ar‐irradiated (?) PMMA.  相似文献   


13.
目的:探讨了新生儿缺氧缺血性脑病患者血浆内皮素(ET)和生长抑素(SS)水平的变化及临床意义.方法:应用放射免疫分析对63例新生儿缺氧缺血性脑病患者进行了血浆ET和SS检测,并与35名正常健康新生儿作比较.结果:病儿组血浆ET水平显著高于正常儿组,而SS水平则显著低于正常儿组(P<0.01).结论:新生儿缺氧缺血性脑病的发生发展与ET和SS水平的变化密切相关.  相似文献   

14.
Distribution of substance P-, [Leu]enkephalin-, cholecystokinin-8-, neurotensin-, avian pancreatic polypeptide- and gamma-melanocyte stimulating hormone-like immunoreactive structures were investigated in the nucleus tractus solitarii of the rat by means of the indirect immunofluorescence method. The density of the immunoreactive structures varied markedly according to neuropeptides or subnuclei, with the medial and commissural nuclei containing the highest density. This suggests that the peptides examined play a role in cardiovascular function. However, as seen in the substance P- and [Leu]enkephalin-like immunoreactive structures, these peptides were widely distributed in the nucleus tractus solitarii in addition to the commissural and medial nuclei; a high density of immunoreactive fibers in the ventral, dorsolateral and intermediate subnuclei. In addition to the immunoreactive fiber plexus, a group of immunoreactive cells was also identified in the subnuclei mentioned above. These findings strongly suggest that substance P- and [Leu]enkephalin-like immunoreactive structures are involved not only in cardiovascular function but also in other functions such as respiration, at least in the rat. Finally, the present study demonstrated that the area postrema, particularly its lateral portion, contains various neuropeptide-like structures, both neurons and fibers, substance P-, [Leu]enkephalin-, cholecystokinin-8- and neurotensin-like immunoreactive neurons and fibers, and avian pancreatic polypeptide- and gamma-melanocyte stimulating hormone-like immunoreactive fibers.  相似文献   

15.
目的:探讨溶血磷脂酸(LPA)和氧自由基在脑血栓形成的病理过程中的作用.方法:通过检测90例脑血栓形成患者(CT组)血清中丙二醛(MDA)、超氧化物歧化酶(SOD)、LPA的浓度情况,并与短暂性脑缺血发作(TIA)组(45例)、对照组(45例)比较.结果:血清中SOD的浓度,CT组(治疗前)低于TIA组和对照组(P<0...  相似文献   

16.
取家兔的骨髓间充质干细胞(MSCs)分别种植到聚羟基烷酸酯(PHBV)、聚丁二酸丁二酯(PBS)、及其二者共混材料(PHBV/PBS)上,每组材料又分为有孔和实心两种构型。用MTT实验、乳酸脱氢酶(LDH)实验、甲苯胺蓝染色和电镜等方法,观察MSCs在材料上的生长情况。比较三种材料六种构型分别对MSCs黏附和增殖的影响。结果以共混物实心材料的毒性最低,细胞增殖率最高。甲苯胺蓝染色结果显示兔MSCs在共混实心材料上的生长最佳,扫描电镜结果显示兔MSCs与共混实心材料黏附良好。共混物实心材料很有希望成为制备组织工程血管新型的支架材料。  相似文献   

17.
Mallory-Denk bodies (MDBs) are found in the liver of patients with alcoholic and chronic nonalcoholic liver disease, and hepatocellular carcinoma (HCC). Diethyl 1,4-dihydro-2,4,6,-trimethyl-3,5-pyridinedicarboxylate (DDC) is used as a model to induce the formation of MDBs in mouse liver. Previous studies in this laboratory showed that DDC induced epigenetic modifications in DNA and histones. The combination of these modifications changes the phenotype of the MDB forming hepatocytes, as indicated by the marker FAT10. These epigenetic modifications are partially prevented by adding to the diet S-adenosylmethionine (SAMe) or betaine, both methyl donors. The expression of three imprinted ncRNA genes was found to change in MDB forming hepatocytes, which is the subject of this report. NcRNA expression was quantitated by real-time PCR and RNA FISH in liver sections. Microarray analysis showed that the expression of three ncRNAs was regulated by DDC: up regulation of H19, antisense Igf2r (AIR), and down regulation of GTL2 (also called MEG3). S-adenosylmethionine (SAMe) feeding prevented these changes. Betaine, another methyl group donor, prevented only H19 and AIR up regulation induced by DDC, on microarrays. The results of the SAMe and betaine groups were confirmed by real-time PCR, except for AIR expression. After 1 month of drug withdrawal, the expression of the three ncRNAs tended toward control levels of expression. Liver tumors that developed also showed up regulation of H19 and AIR. The RNA FISH approach showed that the MDB forming cells' phenotype changed the level of expression of AIR, H19 and GTL2, compared to the surrounding cells. Furthermore, over expression of H19 and AIR was demonstrated in tumors formed in mice withdrawn for 9 months. The dysregulation of ncRNA in MDB forming liver cells has been observed for the first time in drug-primed mice associated with liver preneoplastic foci and tumors.  相似文献   

18.
血清C肽浓度测定的临床意义探讨   总被引:4,自引:0,他引:4  
目的: 研究血清C肽浓度及胰岛素与C肽比值的临床意义。方法:用放射免疫分析测定2型糖尿病和肾功能不全患者血清C肽、胰岛素浓度,并计算胰岛素与C肽比值。结果:肾功能不全组病人血清C肽、胰岛素水平显著高于糖尿病各组,且胰岛素与C肽比值显著低于糖尿病各组(P〈0.01);在糖尿病各年龄组中,胰岛素水平无明显变化(P〉0.05);但血清C肽水平随年龄增大而升高,而胰岛素与C肽比值则显著下降(P〈0.01)。结论:测定血清C肽水平及胰岛素与C肽比值有助于了解糖尿病患者的肾功能状况,值得进一步深入探讨。  相似文献   

19.
目的:探讨了血浆内皮素-1(ET-1)和血清抑制素(INH)、D-二聚体(D-D)水平在妊高征患者发病中的变化和临床意义.方法:采用放射免疫分析、酶联法和生化法对32例妊高征患者进行了血浆ET-1和血清INH、D-D检测,并与35名正常孕妇作比较.结果:妊高征患者血浆ET-1和血清INH、D-D水平均非常显著地高于正常...  相似文献   

20.
目的:研究仿生型BG-COL-PS-HYA复合支架材料与成骨细胞的相容性。方法:将小鼠胚胎成骨细胞种植于BG-COL-HYA-PS、BG-COL复合材料、58SBG支架上,用MTT法、ALP活性测定等观察细胞在材料中的生长情况。通过体外实验方法,观察其生物相容性。结果:成骨细胞在BG-COL-HYA-PS材料上能良好粘附、增殖,而在58SBG材料上粘附差、细胞逐渐死亡。MTT法结果显示:联合培养后,BG-COL-HYA-PS组的OD值为0.314±0.004,5天时达到0.621±0.002,分别为58SBG组的1.49倍和1.44倍,P<0.05。结论:仿生型BG-COL-PS-HYA复合支架具有天然骨分级结构和有良好的生物相容性,在诱导成骨细胞增殖方面性能优越,可作为骨组织工程支架材料,临床应用前景广阔。  相似文献   

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