含有机硅多嵌段共聚物的研究：IV.含有机硅多嵌段共聚物的富氧功能

研究了几种新型含有机硅二元和三元多嵌段共聚物的氧，氮选择透过性能。其中双酚Ａ聚羟基醚－聚二甲基硅氧烷二元多嵌段共聚物－（ＰＨＥ－ＰＤＭＳ）的透氧系数Ｐ０２＝５１０Ｂａｒｒｅｒ，氧氮分离系数ａ０２／Ｎ２＝２．２；聚苯醚－聚二甲基硅氧烷－聚对羟基苯乙烯三元多嵌段共聚物－（ＰＰＯ－ＰＤＭＳ－ＰＨＳ）的Ｐ０２＝１５６Ｂａｒｒｅｒ，ｄｏ２／Ｎ２＝２．４，两者都具有良好的力学性能，此外，含有机硅三元多嵌段共聚     

1,4—双（氯甲基）—2—甲氧基—5—壬氧基苯的均聚和共聚研究

以１，４－双（氯甲基）－２，５一二甲基苯（ＢＣＭＤＭＢ）和１，４－双氯甲基－２－甲氧基－５－壬氧基苯（ＢＣＭＭＯＮＯＢ）为单体，采用脱氯化氢法，合成了聚（２，５－二甲基）对亚苯基亚乙烯（ＰＤＭＰＶ）和聚（２－甲氧基－５－壬氧基）对亚苯基亚乙烯（ＰＭＯＮＯＰＶ）；并对ＢＣＭＤＭＢ和ＢＣＭＭＯＮＯＢ的共聚进行了研究。结果表明，适宜的反应条件为：碱与单体的摩尔比为２０∶１，在室温下聚合时间为３０ｈ，碱的ｐＨ＝１４时产率最高。用ＩＲ、１Ｈ－ＮＭＲ、ＵＶ—Ｖｉｓ对聚合物进行了表征。     

色甘酸钠对4—氨基吡啶诱发组胺释放的拮抗作用

小鼠皮下注射色甘酸钠（ＤＳＣＧ）２００ｍｇ／ｋｇ或用含ＤＳＣＧ（０．１２ｍｍｏｌ／Ｌ）的孵化液孵育大鼠腹腔肥大细胞（ＰＭＣ），均能明显抑制４－氨基吡啶（４－ＡＰ）诱发的ＰＭＣ释放组胺。结果提示，４－ＡＰ诱发ＰＭＣ释放组胺可能与它阻滞钾通道、促进钙通道开放、增加Ｃａ＾２＋内流有关。ＤＳＣＧ通过稳定肥大细胞膜，阻断了Ｃａ＾２＋内流，从而拮抗４－ＡＰ的促组胺释放作用，对临床应用４－ＡＰ所引起的与组胺释放     

Lewis酸催化1,4-脱水-2,3-二-氧-(对迭氮基苯甲基)-α-D-核糖的选择性开环聚合反应

在低温下用三氟化硼乙醚催化１，４－脱水－２，３－二－氧－（对迭氮基苯甲基）－α－Ｄ－核糖（ＡＤＡＢＲ）的阳离子选择性开环聚合反应，首次合成了具有１，５－开环α－结构的聚合物。单体ＡＤＡＢＲ由１，４－脱水－α－Ｄ－核糖在ＤＭＦ溶剂中与对溴甲基迭氮基苯反应获得。聚合物的结构由比旋光度、１Ｈ－ＮＭＲ和１３Ｃ－ＮＭＲ及ＩＲ谱确认。用五氟化锑为催化剂则得到了同时含有α－呋喃单元和β－吡喃单元混合结构的聚合物。研究了催化剂及其用量、聚合反应时间对聚合反应的影响，讨论了聚合反应机理。为研究１，４－脱水－２，３－二－氧－（对迭氮基苯甲基）－α－Ｄ－吡喃核糖的聚合活性以及便于测试迭氮基的含量对聚合物光刻性能的影响，还初步研究了单体ＡＤＡＢＲ与１，４－脱水－２，３－二－氧－苯甲基－α－Ｄ－吡喃核糖（ＡＤＢＲ）的共聚反应。从共聚物的结构分析可以认定共聚物具有１，５－α－结构，并且单体１，４－脱水－２，３－二－氧－苯甲基－α－Ｄ－吡喃核糖在实验条件下具有较高的活性。     

N—苯基马来酰亚胺—苯乙烯—丙烯腈三元共聚物的组成与性能

采用悬浮聚合法合成了Ｎ－苯基马来酰亚胺－苯乙烯－丙烯腈三元共聚物,并用元素分析,ＤＳＣ,ＴＧＡ等手段进行了表征。结果表明;该三元共聚物具有好的耐热性能,玻璃化温度和热稳定性随共聚物中ＮＰＭＩ含量的增加而提高,将是一种具有广阔开发前景的耐热改性剂。     

乙醇酸和DL—乳酸交替共聚物的合成和表征

乙醇酸和ＤＬ－乳酸交替共聚物具有不同于其无规共聚物的理化性能和生物降解性。以ＤＬ－３－甲基－１，４－二烷－２，５－二酮为单体，通过在辛酸亚锡引发下的本体开环聚合，合成了该交替共聚物，并进行了结构表征。     

抗人氧化修饰低密度脂蛋白单克隆抗体的制备和生物学性质

用经Ｃｕ￣（２＋）氧化修饰４ｈ和２４ｈ的小鼠低密度脂蛋白（ｍｕｒｉｎｅＯ－ＬＤＬ）混合物免疫的ＢＡＬＢ／ｃ小鼠，于融合前３天用经Ｃｕ￣（２＋）氧化修饰４ｈ和２４ｈ人低密度脂蛋白（ｈｕｍａｎＯ－ＬＤＬ）的混合物加强免疫，取免疫鼠脾细胞和小鼠骨髓瘤ＳＰ－（２／０）细胞融合，获得５株抗人氧化修饰低密度脂蛋白单克隆抗体，命名为ＨＯＬ－１、ＨＯＬ－２、ＨＯＬ－３、ＨＯＬ－４、ＨＯＬ－５。这些单抗均有较高的抗体效价，抗体类型为ＩｇＧ－（２ａ），单克隆抗体相加实验表明，ＨＯＬ－１、ＨＯＬ－３、ＨＯＬ－４识别Ｏ－ＬＤＬ的同一抗原位点，ＨＯＬ－２识别另一个，ＨＯＬ－５识别第３个。竞争性ＢＡ－ＥＬＩＳＡ实验显示：ＨＯＬ－１能够识别丙二醛修饰的ＬＤＬ（ＭＤＡ－ＬＤＬ）、乙酰化修饰的ＬＤＬ（Ａｃｅｔｙｌ－ＬＤＬ）和各种修饰度的Ｏ－ＬＤＬ，但与未修饰ＬＤＬ（ｎ－ＬＤＬ）无交叉反应。     

色甘酸钠对4－氨基吡啶诱发组胺释放的拮抗作用

小鼠皮下注射色甘酸钠（ＤＳＣＧ）２００ｍｇ／ｋｇ或用含ＤＳＣＧ（０．１２ｍｍｏｌ／Ｌ）的孵化液孵育大鼠腹腔肥大细胞（ＰＭＣ），均能明显抑制４－氨基吡啶（４－ＡＰ）诱发的ＰＭＣ释放组胺。结果提示，４－ＡＰ诱发ＰＭＣ释放组胺可能与它阻滞钾通道、促进钙通道开放、增加Ｇａ２＋内流有关。ＤＳＣＧ通过稳定肥大细胞膜，阻断了Ｃａ２＋内流，从而拮抗４－ＡＰ的促组胺释放作用。对临床应用４－ＡＰ所引起的与组胺释放有关的不良反应用ＤＳＣＧ治疗可能有效。     

乙醇酸和DL—乳酸交替共聚物的合成和表征

乙醇酸和ＤＬ－乳酸交替共聚物具有不同于其无规共聚物的理化性能和生物降解性，为一种新型的生物医用材料，本文以ＤＬ－３甲基，１－４二恶烷－２，５－二酮为单体，通过在辛酸亚锡引发不下的本体开环聚合，合成了该交替共聚物，并进行了结构表征。     

从石油中间产品合成表面活性剂AS—4：Ⅰ.AS—4水溶 …

以石油中间产品为原料，合成了烃基苯磺酸盐表面活性剂ＡＳ－４。考察了盐浓度，碱浓度和ＡＳ－４浓度对ＡＳ－４水溶液与原油体系的动态界面张力的影响。结果表明，当Ｎａ２ＳＯ４浓度为５－１５ｇ／Ｌ，ＮａＯＨ浓度为５－１０ｇ／Ｌ，ＡＳ－４浓度为０．１－０．５Ｇ     

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.     

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.     

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.     

The comparative studies of the influences of Urapidil and Nicardipine on sino-atrial node function, atrio-ventricular node function and hemodynamics

Objective:To investigate the influences of urapidil and nicardipine on rabbit sinus function,atrio-ventricular node function and hemodynamics.Methods:Thirty-two Angora's rabbits were selected and randomly divided into four groups.U1 group:urapidil 0.25 mg/kg;U2 group:urapidil 0.5 mg/kg;N1 group:nicardipine 10 μg/kg;N2 group:nicardipine 20 μg/kg.All these medicine were administrated within 30 seconds.Measurements were taken before and after the administration of urapidil or nicardipine for the following data:mean blood pressure(MAP),heart rate(HR),sino-atrial conduction time(SACT),maximal sinoatrial recovery time(SNRTmax)corrected sinus node recovery time(CSNRT),index of sinus node recovery time(SNRTI),Wenckebach A-V conduction frequency (WB),and P-R interval.Results:Significant MAP and HR changes were identified in all of the four groups before and after administration of both urapidil and nicardipine.No significant changes could be found in the rest of the parameters.Intergroup analysis showed that SACT and CSNRT of N1 and N2 groups were shorter than those of the U2 group(P＜0.01);the MAP decreased(P＜0.01)and the HR increased drastically(P＜0.01).Conclusions:Neither urapidil(0.25 mg/kg,0.5 mg/kg)nor nicardipine(10μg/kg,20μg/kg)has any significant influence on rabbit sinus function or rabbit atrio-ventricular node function.Nicardipine could be a better choice than urapidil for parafunctional sinus node patients.     

Expression of OPGmRNA and ODFmRNA in the patients of hip fracture due to osteoporosis

Objective：To investigate the gene expression of osteoprotegerin（OPG） and osteoclast differentiation factor（ODF） in the bone tissue of patients with hip fracture due to osteoporosis. Methods：OPGmRNA and ODFmRNA in the bone tissue in 50 cases of osteoporosis sufferers（over 50 years old） with hip fracture（Observer Group） and 30 cases of hip facture sufferers with no osteoporosis（Control group） were analyzed with the Semi-Quantitative RT-PCR method. Results：The mRNA expressed of ODF, OPG were both high in the patients with hip fracture. In the control group, the expression of OPG mRNA was observed, while the expression of ODF mRNA was very slight. Conclusion：Aged patients contained all signals including OPG, ODF that are essential for inducing osteoclastogenesis and promoting bone resorption.     

The clinicopathological and immuohistochemical analysis of solid-pseudopapillary tumor of the pancreas： report of 9 cases

Objective：To investigate the clinical features, pathological characteristics and immunophenotype of solid-pseudopapillary tumor of the pancreas（SPTP）. Methods：Nine surgically treated cases of SPTP were retrospectively reviewed. Hematoxylin and Eosin（HE） staining and immunohistochemical staining were used to analyze all cases, and the general clinical data was collected. Results：Six patients were asymptomatic except for a palpable mass. Two patients complained of vague-epigastric pain. One patient appeared jaundice. The tumor was encapsulated and solid tissues alternately with cystic tissues. Histologically, the histological structure of solid portion was pseudopapillary with a fibrovascular core. Tumor cells were uniform and medium-sized which were arranged in sheets ets or nests or pseudopapillary patterns. Immunohistochemical studies demonstrated that SPTP proved positive in vimentin（9/9 cases）, AAT（9/9 cases）, NSE（9/9 cases）, ACT（7/9 cases）, CK20（2/9 cases）, CgA（1/9 cases）, S-100（3/gcases）, PR（4/gcases）, Syn（3/9 cases） and CD56（5/9cases）, negative in CEA and ER. Conclusion：SPTP is a tumor predominantly occurring in young women frequently without special symptoms. This tumor has various characteristical histological patterns with different immunophenotype.     

Dynamic Changes in Serum Estradiol and Progesterone levels in Patients of Premenstrual Syndrome with Adverse Flow of Liver-qi

Objective:To probe into the influence of changes of ovarian hormones on the pathogenesis of the specific sub-type premenstrual syndrome(PMS)and reveal partial microcosmic mechanisms of adverse flow of liver-qi.Methods:Estradiol(E2)and progesterone(P)levels in serum were determined at different phases of menstrual cycle by radioimmunoassay.Results:In the group of PMS with adverse flow of liver-qi.the secretive peak value Of E2 and P at the follicular phase significantly decreased,and the secretive peak value at the luteal phase did not come into being.Conclusions:Low E2 and P secretive peak at the follicular phase and absence of secretive peak at the luteal phase is one of the microcosmic mechanisms of PMS with adverse flow of liver-qi.One of the pathophysiologic mechanisms of specific sub-type PMS is probably the continuous low level of E2and P.     

Real-time Three-dimensional Echocardiography in Assessment of Left Ventricular and Right Ventricular Volumes

Real-time three-dimensional echocardiography (RT3DE)is a new ultrasound technique that enables dynamic threedimensional visualization and quantification of the heart in real time. Investigation of feasibility and methodology of RT3DE in determining left ventricular (LV) and right ventricular (RV) volumes, RT3DE was performed in 35 normal adults using Philips SONOS 7500 system with a 2-4 MHz matrix array transducer. The 60°×60° "pyramid" volume database was obtained and analyzed on a TomTec echo workstation. Both LV and RV volumes were calculated with four 3DE methods (i.e. apical 2, 4, 8, and 16-plane) through manually tracing ventricular endocardial borders in end diastole and end systole. Stroke volumes were then calculated. LV volume was also measured by 2DE Simpson's rule using GE VIVID 7 ultrasound machine.     

SCREENING FOR A 21-CHROMOSOME ABNORMALITY IN PREIMPLANTED EMBRYOS OF ELDERLY WOMEN

Increasing maternal age is the only etiological factor unequivocally linked to Down's syndrome in humans. The occurrence rate of newborns with Down's syndrome is about 1/220 in women over 35 years old. However, the occurrence rate in embryos fertilized in vitro, of the elder woman is unclear. Using FISH we screened the number of chromosome 21 in preimplanted embryos of 5 elderly women (average age, 38.4 years) to study the feasibility and necessity of screening trisomy 21 in embryos in patients over 35 years old at the in vitro fertilization (IVF) center.