N-苯基马来酰亚胺最佳合成工艺条件的研究

目的 研究N-苯基马来酰亚胺合成新工艺。方法 以乙酸乙酯作溶剂、醋酐作脱水剂、醋酸钠作催化剂合成N-苯基马来酰亚胺，采用正交实验方法确定最佳工艺条件。结果 脱水剂用量为15ml、催化剂为20mmol、反应温度为55℃、反应时间为60min时N-苯基马来酰亚胺的收率可达89％。结论 产品经晶形、熔点和红外光谱分析确定为目标产品。     

N—异丙基马来酰亚胺在渐变型耐温塑料光纤中的应用

研究了以N－异丙基马来酰亚胺（IPMI）与甲基丙烯酸甲酯共聚物为基材,制备渐变形耐温塑料光纤的可行性。实验确定了链转移剂和N－烷基马来酰亚胺对体系玻璃化温度的影响。通过Lorentz-Lorenz公式,估算出IPMI在共聚物中的折光率值。用元素分析法证明IPMI在塑料光纤预制棒中呈渐变分布,测定了以此材料制备的塑料光纤预制棒的折光率分别布线,说明IPMI在提高塑料光纤耐温性的同时,可作为参杂剂使用。结果表明：IPM／MMA共聚物是制备渐变型耐温塑料光纤的良好材料。     

金属离子与人红细胞膜相互作用的顺磁和荧光光谱研究

目的：研究金属离子与细胞膜的相互作用与金属离子性质的关系。方法：用马来酰亚胺（ＭＳＬ）标记ＥＳＲ及Ｎ－［３－芘］－马来酰胺和荧光胺荧光标记方法研究了Ｃｄ（２＋）、Ｎｉ（２＋）、Ｃｕ（２＋）、Ｐｂ（２＋）、Ｚｎ（２＋）、Ｃｏ（２＋）、Ｍｎ（２＋）、Ｃａ（２＋）、Ｃｅ（３＋）９种金属离子与人红细胞膜的作用。结果：实验表明这些金属离子与膜的作用与Ｌｅｗｉｓ酸的软硬度有关，但Ｐｂ（２＋）与膜作用的波谱学行为象Ｃａ（２＋）；Ｃｅ（３＋）的行为也与Ｃａ（２＋）相同，而Ｍｎ（２＋）引起了膜Ｗ／Ｓ比值明显下降，又与Ｃｕ（２＋）相似。结论：金属离子与膜的作用方式与其化学性质有关。     

N—苯基马来酰亚胺与苯乙烯共聚合的研究

对Ｎ－苯基马来酰亚胺与苯乙烯悬浮聚合体系作了系统的研究，找到适合该体系的最佳反应温度，单体用量化，引发剂用量，搅拌速度以及水油比。通过采用聚乙烯醇，ＣＭＣ－Ｎａ盐，无机粉末混合分散剂，得到稳定的悬浮体系，产物为颗粒起先均匀分布在０．５－０．７ｍｍ范围内的ＩＰ树脂。     

N—苯基马来酰亚胺／苯乙烯／丙烯腈共聚合体系的研究

测定了６０℃下Ｎ－苯基马来酰亚胺在苯溶剂中分别与苯乙烯,丙类腈共聚的二元竞聚率,并据此估算其三元共聚物组成,研究表明,实验值和计算值较为接近,如果适当控制混合单体比例和反应条件,可望得到组成较均一的共聚物。     

苯乙烯与N-对位取代苯基马来酰亚胺的乳液共聚

合成了苯乙烯(St)与 N-对位取代基马来酰亚胺的3种二元共聚物乳液.在苯乙烯与N-对位取代苯基马来酰亚胺(N-p-RPhMI)的最大共聚比内,通过种子滴加乳液聚合制得高稳定性、高固含量(40%)、低粘度的共聚物乳液.研究了 N-p-RPhMI 苯环对位上取代基团对共聚物乳液的性能以及共聚物热性能影响.结果表明:N-p-RPhMI 的加入提高了乳液的产率,并且随着取代基团极性的增强,乳液产率提高,乳胶粒的平均粒径增大,乳液的表观粘度降低;共聚物的热分解温度随着取代基团极性的增加而提高,但取代基极性对共聚物的玻璃化转变温度(Tg)的影响明显.同时,St/N-对甲氧基马来酰亚胺(N-p-MOPhMI)体系中助溶剂的加入对共聚物乳液性能影响很大,使共聚物的热起始分解温度升高,但对共聚物的 Tg 基本无影响.     

N—取代—琥珀酸二酰亚胺衍生物的合成

本文报道N－取代－琥珀酸二酰亚胺衍生物的合成。化合物的制备是以琥珀酸二酰亚胺为载体与芳香伯胺和伸胺在38％甲醛和95％乙醇中回流，制得了8种新N－Mannich碱。     

HPLC法测定PEG-EPO中丁二酰亚胺的残留量

目的：建立聚乙二醇重组人促红素（ PEG-EPO）中丁二酰亚胺残留量测定的高效液相色谱法。方法使用高效液相色谱法,色谱柱为Shiseido Capcell PAK C18 AQ（4.6 mm ×250 mm,5μm）,流动相为0.02 mol·L-1 KH2PO4（pH 6.5）,检测波长为210 nm,流速为0.7 mL·min-1。结果线性范围为0.08~0.8μg（r＝1）,6次重复进样峰面积响应值的RSD为0.61％,平均加样回收率为100.96％。结论建立的高效液相色谱法简单、精密度良好、准确度良好,可用于PEG-EPO中丁二酰亚胺残留量检测。     

磺酰氨基硫脲及磺酰氨基氰胍类化合物的合成及降血糖活性

目的：研究具有磺酰氨基硫脲和磺酰氨基氰胍结构化合物的合成和降血糖活性。方法：在格列苯脲的结构基础上，合成3位取代的1-[4-（4-甲基苯甲酰氨基）乙基]苯磺酰氨基硫脲类化合物（Ⅰ1-6）和3位取代的1-[4-（4-甲基苯甲酰氨基）乙基]笨磺酰氨基氰胍类化合物（Ⅱ1-5），并对所合成的化合物进行四氧嘧啶诱导的高血糖小鼠降血糖活性实验。结果：合成的化合物结构经IR、^1H NMR、MS和元素分析等确定；降血糖活性实验结果表明，在所有目标化合物中，多数化舍物具有不同程度的降血糖活性，其中化合物Ⅰ6和Ⅱ1的降糖活性较好。结论：结构中的磺酰脲改为磺酰氨基硫脲和磺酰氨基氰胍，部分化合物的降糖活性保留，而且3位用长的脂肪链取代时显示更好的生物活性，     

β－胡萝卜素脂质体对大鼠中性粒细胞内外源活性氧损伤膜的保护作用

用ＤＰＨ和Ｎ－（３芘）马来酰亚胺荧光标记物标记大鼠中性粒细胞膜脂及膜蛋白质，测定荧光参数及变化以探讨β－胡萝卜素脂质体对细胞内外源活性氧致大鼠中性粒细胞膜损伤的保护作用。结果表明β－胡萝卜素脂质体对细胞外源活性氧造成的膜脂、膜蛋白质的损伤及内源活性氧造成的膜蛋白质损伤均有较好的防护效果，对细胞内源活性氧造成的膜脂损伤的防护效果有待进一步探讨。     

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.