脑梗死患者血脂水平检测及临床意义

目的探讨血脂水平与脑梗死的关系。方法通过对137例急性脑梗死患者与对照组血脂变化观察,多因素分析用SPSS10.0软件包中的Logistic回归方程,计算相对危险度(RR),RR的95%可信限(CI)。结果脑梗死组TC、TG、LDL-C浓度均明显高于对照组,而HDL-C浓度明显低于对照组。结论血清TC>6.0mmol/L才增加脑梗死的风险,而HDL-C浓度≥0.85mmol/L可降低脑梗死的风险。     

模拟生物矿化制备多糖铁的新方法

目的建立模拟生物矿化制备多糖铁的新方法.方法选用壳聚糖,与FeCl3制成复合膜,模拟铁矿化过程,制备多糖铁.结果多糖铁为β-FeOOH晶形,且为纳米级.结论为开发补铁药提供了新途径,丰富和发展了纳米药学理论.     

丹参酮ⅡA对兔髂动脉球囊损伤后胶原生成抑制的效应观察

目的:观察兔髂动脉损伤后,丹参酮ⅡA治疗组中膜平滑肌细胞(SMC)周围胶原变化的趋势.方法:取体重2.5～3kg纯种雄性新西兰大白兔30只,球囊导管扩张法制作左髂动脉内膜球囊损伤模型,术后分配到治疗组和对照组.治疗组丹参酮ⅡA稀释静脉注射,疗程6天;对照组采用等量生理盐水静脉注射.术后7天、14天和28天处死实验兔,将左侧髂动脉取出制作石蜡切片,并作胶原染色.结论:术后7天治疗组和对照组胶原纤维染色均不明显,术后14天和28天对照组SMCs周围可见胶原染色阳性,红染增多;治疗组14天SMCs周围也可见红染增多,但28天红染不明显;两组差异以术后28天明显(P=0.017);胶原染色随时间变化的趋势有统计学意义(P=0.005).结论:丹参酮ⅡA有抑制血管损伤后细胞外基质堆积的作用,从而可能有防治术后再狭窄的效应.     

The novel infra‐pectineal buttress plates used for internal fixation of elderly quadrilateral surface involved acetabular fractures

ObjectivesIn geriatric acetabular fractures, the quadrilateral surface (QLS) was frequently involved in acetabular fracture patterns and accompanied by medial displacement. It was important to buttress the medial displaced QLS and reconstruct the congruity of the affected acetabulum. To evaluate the clinical effectiveness of the novel infra‐pectineal quadrilateral surface buttress plates for the treatment of geriatric acetabular fractures.MethodsTwenty‐three geriatric patients who were treated for acetabular fractures involving QLS with the novel infra‐pectineal buttress plates (NIBP) through a single supra‐ilioinguinal approach between January 2015 and June 2019 were retrospectively analyzed; all patients received at least 1 year''s follow‐up. All patients were aged ≥60 years old and including 18 males and five females. Radiologic and clinical outcomes of patients involved in the study were collated and analyzed according to the Matta scoring system and the Merle D''Aubigné–Postel scoring system. The functional recovery scoring was compared using q‐test.ResultsAll 23 consecutive patients had relatively satisfactory clinical treatment effectiveness. Average ages, length of incision, operation time, and intraoperative blood loss were 69.8 ± 6.1 years, 12.1 ± 2.6 cm, 166.5 ± 43.5 min, and 500 (500,700) ml, respectively. According to the Matta scoring system, 14 cases of reduction were graded as excellent, five as good, and four as fair. At the last follow‐up, the clinical outcome evaluation was excellent in 13 cases, good in seven cases, and poor in three cases with the use of the Merle D''Aubigné–Postel scoring system. The difference of modified Merle D''Aubigne‐Postel score at 3 months, 6 months and last follow up was statistically significant (F = 21.56, p < 0.05). Postoperative lateral femoral cutaneous nerve injury occurred in three patients and heterotopic ossification occurred in one patient.ConclusionsFor the treatment of geriatric acetabular fractures, the NIBP could provide stable and effective fixation to the QLS involved acetabular fractures, and related satisfactory clinical results with few complications were noted.     

Analysis of postoperative radiotherapy for non-metastatic head and neck adenoid cystic carcinoma based on SEER data

ObjectiveThe postoperative role of adjuvant radiotherapy in non-metastatic head and neck adenoid cystic carcinoma (ACC) remains controversial. We analyzed adjuvant radiotherapy’s effect on surgical patient survival.MethodsPatients diagnosed with ACC from 2004 to 2015 in the Surveillance, Epidemiology, and End Results database were analyzed. The overall survival (OS) and disease-specific survival (DSS) of patients after adjuvant radiotherapy were assessed using the Kaplan–Meier and multivariate Cox methods. Propensity score matching (PSM) was performed to adjust confounders between patients with or without adjuvant radiotherapy; a forest plot was generated by subgroup analysis.ResultsThe study included 742 patients. In the PSM cohort, adjuvant radiotherapy did not improve OS or DSS. Radiotherapy was not a protective factor for OS or DSS in the univariate and multivariate Cox proportional hazard models. In the subgroup analysis, postoperative radiotherapy improved the OS of female and N1-stage patients and those with oropharyngeal tumors or over 79 years and the DSS of N1-stage patients.ConclusionsPostoperative radiotherapy showed different benefits in ACC patients, and postoperative radiotherapy recommendations should be individualized. Female and N1-stage ACC patients and those with oropharyngeal tumors or patients over 79 years without distant metastases postoperatively could benefit from adjuvant radiotherapy.     

间充质干细胞在系统性硬化病中的应用及机制研究进展

系统性硬化病是一种罕见的自身免疫病,可累及多器官系统,以免疫紊乱、血管损伤及过度纤维化沉积为主要特点。该病发病机制未完全阐明,尚缺乏特效药物来阻断疾病进展。间充质干细胞是一种具有低免疫源性、多向分化潜力、免疫调节及改善微环境等多种特性的细胞群,其在自身免疫病中的应用前景广受关注。目前,已有多项应用间充质干细胞治疗系统性...     

Microstructure Evolution of Al6061 Alloy Made by Additive Friction Stir Deposition

In this paper, the phase structure, composition distribution, grain morphology, and hardness of Al6061 alloy samples made with additive friction stir deposition (AFS-D) were examined. A nearly symmetrical layer-by-layer structure was observed in the cross section (vertical with respect to the fabrication-tool traversing direction) of the as-deposited Al6061 alloy samples made with a back-and-forth AFS-D strategy. Equiaxed grains were observed in the region underneath the fabrication tool, while elongated grains were seen in the “flash region” along the mass flow direction. No clear grain size variance was discovered along the AFS-D build direction except for the last deposited layer. Grains were significantly refined from the feedstock (~163.5 µm) to as-deposited Al6061 alloy parts (~8.5 µm). The hardness of the as-fabricated Al6061 alloy was lower than those of the feedstock and their heat-treated counterparts, which was ascribed to the decreased precipitate content and enlarged precipitate size.