大肠癌182例分析

目的研究大肠癌的发病情况、病理类型及临床表现并探讨其临床意义。方法回顾该院1987～2006年经大肠镜及病理检查确珍的大肠癌病例,对比性分析老年组（≥60岁）和非老年组（〈60岁）前10年（1987～1996年）及后10年（1997～2006年）大肠癌发病特点。结果后10年大肠癌发病率显著上升,主要以老年组增高为主,非老年组增加不明显。老年组与非老年组大肠癌的发病部位相同,依次为直肠、左半结肠、右半结肠,最好发的部位为直肠、乙状结肠。病理类型仍然为肿块型、溃疡型和浸润型。血便、黏液脓血便仍然是大肠癌最常见的临床表现。结论20年间大肠癌发病率迅速上升,前10年仅占26.2%,后10年占73.8%,老年组发病率明显增高。老年组与非老年组其发病部位、病理类型、临床表现差异均无显著性。     

Electrophysiological study on differentiation of rat bone marrow stromal stem cells into neuron-like cells in vitro by edaravone

To explore the electrophysiological proper-ties of differentiation of rat bone marrow-derived stromal stem cells (rBMSCs) to neuron-like cells in vitro by edaravone, a new type of free radical scavenger. Methods: Stromal stem cells were separated from rat bone marrow with Ficoll-Paque reagent and expanded in different culture medium in vitro, rBMSCs were induced by edaravone containing serum-free L-DMEM. Morphologic observation and Western blot analysis including the ex-pression of Nav1.6, Kv1.2, Kv1.3, Cav1.2 were performed, and whole patch-clamp technique was used. Results: Cyton contraction and long processes were shown in differentiated stromal stem cells. Nav1.6, Kv1.2, Kv1.3 and Cav1.2 were expressed in both differentiated and undifferentiated cells. However, the expression of channel proteins in differentiated cells was up-regulated. Consistently, their resting potential and outward currents were also enhanced in the differentiated cells, which was especially significant in the outward rectifier potassium current. Conclusion: In vitro, neuron-like cells derived from rBMSCs, induced by edaravone, possess electrophysiologi-cal properties of neurons.     

Electrochemical investigation of formic acid electro-oxidation and its crossover through a Nafion® membrane

This work studies formic acid as an anode fuel for polymer electrolyte fuel cells and investigates the electro-oxidation of formic acid on Pt/C. Fuel crossovers through the Nafion^® 115 membrane at different temperatures and concentrations are reported. A linear dependence of the crossover current on the temperature and concentration is obtained. It is found that the crossover can be reduced by five times and a higher performance can be rendered by formic acid when compared to methanol under the same conditions. Electrochemical impedance measurements are conducted to interpret the reaction mechanism of formic acid oxidation. The effect of the electrode potential on the impedance pattern is revealed and an impedance model incorporating the reaction kinetics information is developed to simulate the experimental impedance response.     

对慢性心力衰竭病人治疗与护理的研究进展

心力衰竭已日益成为心血管病中对病人危害最大的疾病,因此对心力衰竭病人的治疗与护理应引起重视,现对心力衰竭病人的治疗与护理的研究进展进行了综述.     

北京市东城区和平里社区居民慢性病防治探讨

为探索慢性病的防治方法，我们于１９８９￣１９９４年社区居民中开展了以高血压为主的循环系统慢性病防治课题，经过５年的干预，观察组与对照组居民及接受管理的高血压病人在减少吸烟，饮酒，控制食盐摄入，掌握慢性病防治知识等方面有显著性差异，取得了满意的结果，从而为今后全面开展慢性病防治积累了经验。     

复方山绿茶缓释袋泡剂的研究

用网状多孔性纤维包念材料制备的复方山绿茶缓袋泡剂，具有速释和缓释作用，在１－８ｈ内按埝级方式释药。Ｔ０．５为１．３ｈ，Ｔｄ为３．２ｈ，１－８ｈ的平均释药速率７２．３５ｍｇ／ｈ。与传统的半生药型袋泡剂比较，具有栽药量高，使用方便，性质稳定，疗效确切的优点。     

人细胞色素p450IA1基因cDNA的克隆和鉴定

在用３－甲基胆蒽诱导培养人羊膜ＦＬ细胞２４ｈ后，抽提细胞总ＲＮＡ并直接合成ｃＤＮＡ第一链。利用人工合成的一对寡核苷酸引物，采用ＰＣＲ技术特异性地扩增Ｃｙｔ ｐ５０ＩＡ１ ｃＤＮＡ。３０个循环后琼脂糖凝胶电泳显示１．５Ｋｂ大小片段，长度与预计相符。Ｓｏｕｔｈｅｒｎ杂交结果证实此片段确为Ｃｙｔ ｐ４５０ＩＡ１ ｃＤＮＡ。将此片段克隆至质粒ｐＧＥＭ－３Ｚ并进行部份序列分析。结果显示克隆片段包含Ｃｙｔ ｐ     

Ⅰ期非小细胞肺癌淋巴结微转移规律的研究

目的探讨几个问题：（1）Ⅰ期非小细胞肺癌淋巴结微转移比率；（2）淋巴结微转移与肿瘤大小、病理类型、细胞分化程度、部位、分型、分期进行Logstic回归分析，确定影响微转移的主要因素；（3）探讨微转移的方式、顺序。方法对91例非小细胞肺癌清扫的肺门和隆突下淋巴结进行MCK（AEI／AE3）免疫组化标志检测微转移的存在。另外收集45例肺部良性病变手术时切除的肺门淋巴结45枚和Ⅱ期、Ⅲ期肺癌常规病理检查阳性的肺门淋巴结45枚进行MCK（AEI／AE3）免疫组化（SP法）标志，分别作为阴性和阳性对照。结果45例肺部良性病变手术时切除的肺门淋巴结45枚进行MCK（AEI／AE3）免疫组化标志均为阴性；Ⅱ期和Ⅲ期常规病理检查阳性的肺门淋巴结45枚进行MCK（AEI／AE3）免疫组化标志均为阳性。91例Ⅰ期非小细胞肺癌总的微转移率为49％（45／91）。结论Ⅰ期非小细胞肺癌淋巴结中存在微转移；Ⅰb期非小细胞肺癌微转移率明显高于Ⅰa期；有必要对Ⅰb期非小细胞肺癌进行术后化疗；肿瘤分期和分化程度是影响淋巴结微转移的主要因素；淋巴结微转移遵循肺门到纵隔的途径；腺癌存在跳跃式微转移。     

三种泻心汤及其类方不同配伍对正常大鼠胃粘液成分的影响

目的:探讨半夏泻心汤及其类方不同配伍对正常大鼠粘液含量的影响.方法:用均匀设计法对半夏泻心汤及其类方进行组方药量变化,以胃粘液含量为药理学指标,对所得的药理实验数据进行逐步回归分析.结果:与胃粘液含量关联度最大的为黄连,可以显著降低其含量,其次对半夏、大枣和甘草的交互项,可增加胃粘液含量.药物之间存在复杂的交互作用.结论:均匀设计为研究类方配伍提供了一种可供参考的试验设计方法.