不同年龄脑出血大鼠海马齿状回神经干细胞增殖与分化差异的比较

BACKGROUND:Cerebral hemorrhage can activate the proliferation and differentiation of neural stem cells in the dentate gyrus of the hippocampus. Through continuous differentiation and proliferation, endogenous neural stem cells can gradually replace aging and damaged neurons, thus protecting the brain structure. OBJECTIVE:To compare the difference of the proliferation and differentiation of neural stem cells in the dentate gyrus of the hippocampus of rats with different ages. METHODS:Ninety-six adult rats and 96 aged rats were randomly divided into normal group (n=18 per group), sham operation group (n=12 per group) and cerebral hemorrhage group (model group, n=66 per group), respectively. Cerebral hemorrhage models were made in the two model groups in which, the rats were subjected to cerebral hemorrhage for 6, 24, 48, 72 hours and 7 days, respectively. Then, brain tissues were collected to measure brain water content. BrdU/NeuN and BrdU/GFAP double staining were performed at 3, 7, 14, 21, 28 days after surgery to calculate the number of positive cells. RESULTS AND CONCLUSION:For both adult and aged rats, the brain water content was significantly higher than that in the normal group and sham operation group (P < 0.05), while in the normal and sham operation groups, the brain water content was significantly lower in the aged rats than the adult rats (P  < 0.05). The number of bilateral BrdU-positive cells in the adult and aged model groups was significantly higher than that in the corresponding normal and sham operation groups (P  < 0.05), and moreover, the positive cell number at the hemorrhage side was significantly higher than that at the opposite side (P < 0.05). In addition, the number of BrdU-positive cells at the hemorrhage side in the adult rats was significantly higher than that in the aged rats at different time after cerebral hemorrhage (P  < 0.05). Results from immunohistochemical double staining showed that the BrdU/NeuN and BrdU/GFAP expression in the hippocampal dentate gyrus of adult rats with cerebral hemorrhage was significantly higher than that of normal adult rats. All these experimental results show that there are a few neural stem cells proliferating in the hippocampal dentate gyrus of normal rats, and the proliferation ability is stronger in the adult rats than the aged rats. Cerebral hemorrhage can significantly strengthen the proliferation of neural stem cells in the dentate gyrus in the adult rats compared with the aged rats.     

试论经脉气血多少规律及其对针灸治疗中风病的指导意义

十二经脉气血多少有其总的生理规律,气血在循环流注过程中的多少盛衰变化,形成了由气血阴阳最盛的太阴与阳明,依次消长转化递减,经少阴与太阳,至气血阴阳衰少的厥阴与少阳,从不平衡到平衡,再到不平衡,终而复始。气血多少生理规律一旦破坏则则会出现病理状态。明辨经脉的气血多少规律,对针灸治疗中风病、认识中风病机、规范施术方案提高疗效有重要指导意义。     

枫香树叶的化学成分

目的： 研究枫香树叶的化学成分。 方法： 利用硅胶,Sephadex LH-20,MPLC等色谱方法进行化合物的分离纯化,根据化合物的理化性质、波谱分析方法进行结构鉴定。 结果： 从枫香树叶的乙酸乙酯部位分离得到9个化合物,分别为：（+）-lyoniresinol-3α-O-β-D-glucopyranoside[（+）-南烛木树脂酚-3α-O-β-D-葡萄糖]（1）,（6R,7S,8S）-7a-[（β-glucopyranosyl）oxy]lyoniresinol（2）,（+）-5’methoxyisolariciresinol 3α-O-β-D-glucopyranoside（3）,（-）-isolariciresinol 3α-O-β-D-glucopyranoside（4）,（3S,5R,6R,7E,9S）-megastigman-7-ene-3,5,6,9-tetrol（5）,山柰酚-4’-O-β-D-葡萄糖苷（6）,kaempferol-4’-O-α-L-rhamnopyranosyl（1→6）-β-D-glucopyranoside（7）,山柰酚-3-O-（6"-没食子酰基）-β-D-半乳糖苷（8）,槲皮素-3-O-（6"-没食子酰基）-β-D-半乳糖苷（9）。 结论： 化合物1~9 均为首次从该植物中分离得到。     

安宫牛黄丸对重症脑出血的临床疗效观察

目的 分析探究安宫牛黄丸对重症脑出血的临床治疗作用.方法 选择40例重症脑出血患者,随机分为观察组和对照组,各20例.对照组患者给予常规性西医治疗,在对照组患者的基础上,给予观察组患者安宫牛黄丸治疗,1粒/次,2次/d.疗程为6周.观察比较2组患者临床治疗效果.结果 观察组总有效率为85.0%.明显高于对照组的55.0%(P<0.05);并发症发生率为15.0%,明显低于对照组的45.0%(P<0.05).结论 对重症脑出血患者,在常规西医治疗的基础上给予安宫牛黄丸口服,能够有效的提高临床疗效,值得推广应用.     

不同手术方式对大面积脑梗塞患者的疗效及对近期神经功能的影响△

目的:探讨不同手术方式对大面积脑梗塞患者的疗效及对近期神经功能的影响.方法:将2018年1月～2020年12月间在某院接受手术治疗的110例大面积脑梗塞患者按照随机数表法分为对照组和观察组各55例,对照组采用去骨瓣减压治疗,观察组采用保留骨瓣手术治疗.对比两组患者的治疗效果、近期神经损伤及并发症发生情况差异.结果:治疗...     

《黄帝内经》对“井穴”论述的探讨

针对《内经》对“井穴”的论述较为杂乱，散见于各篇的现象，文章从井穴的意义、井穴的名称及位置、井穴的运用原则、井穴的主治作用以及井穴的施术方法5个方面对其加以归纳和总结，以供同道参考。     

脑胶质瘤患者经立体定向靶向微创手术治疗的临床疗效观察

目的:观察脑胶质瘤患者经立体定向靶向微创手术治疗的临床疗效.方法:选取本院2018年1月-2020年10月收治脑胶质瘤患者104例,按治疗方案不同分为参照组(n=51,常规开颅肿瘤切除术)和研究组(n=53,立体定向靶向微创手术).对比两组临床疗效、治疗前后美国国立卫生院神经功能缺损评分(National Institutes of Health Stroke Scales,NIHSS)、格拉斯哥昏迷评分((Glasgow Coma Scale,GCS)、日常生活能力评分(Activity of Daily Living Scale,ADL)、β-内啡肽(β-Endorphins,β-EP)和精氨酸升压素(Arginine vasopressin,AVP)水平变化及治疗后存活率、复发率.结果:研究组临床疗效高于参照组(P<0.05);治疗后,研究组NIHSS、GCS、ADL评分分别低/高于参照组(P<0.05);治疗后,两组β-EP、AVP水平均下降,但研究组下降趋势小于参照组(P<0.05);研究组存活率、复发率分别高/低于参照组,差异具有可比性(P<0.05).结论:脑胶质瘤患者经立体定向靶向微创手术治疗的临床疗效显著,有利于保护患者神经功能、提高生活质量,降低复发率,对临床具有一定价值.     

小儿特发性肾病综合征免疫遗传学及频复发相关因素

为明确中国上海地区小儿特发性肾病综合征与HLA的相关状况,运用经典的微量淋巴细胞毒试方法进行研究,发现HLA-DR_7,在激素敏感型肾病病人中显著性增高,频复发与OR_9相关,激素耐药型与DR_4相关。用聚合酶链反应(PCR)/顺序特异的寡核苷酸(SSO)探针方法进行基因分型,发现HLA-DRB1＊07与激素敏感型相关,DRB1＊09与频复发相关。以上结果在国内领先,填补了国内空白。特发性肾     

脑卒中后抑郁的相关因素调查

目的:探讨脑卒中后抑郁(PSD)的相关因素.方法:采用汉密尔顿抑郁量表对256例脑卒中患者进行现状调查,数据分析用X2检验、Logistic回归分析.结果:110例(42.9%)脑卒中患者有抑郁表现;X2检验表明,负性生活事件,抑郁病史、生活依赖、病变位于前部、多并发症与卒中后抑郁症发病有关,P<0.05;Logistic回归分析表明,负性生活事件、抑郁病史、生活依赖、病变位于前部、多并发症成为PSD的危险因素.结论:脑卒中后抑郁的发生是神经生理、社会心理共同作用的结果.     

刺五加中游离型和结合型异皮定的高效液相色谱法研究

目的 :建立刺五加药材中异皮定含量测定方法。方法 :采用PhenomenexC1 8柱 ,乙腈 - 0 0 5mol·L- 1 磷酸二氢钾(2 2∶78)为流动相 ,流速 0 9mL·min- 1 ,检测波长 34 4nm。结果 :游离型和结合型异皮定加样回收率分别为 98 8%和10 2 5 % ,RSD分别为 2 3%和 2 9% (n =5 )。结论 :方法简便 ,结果准确可靠。