慢性非细菌性前列腺炎/慢性盆腔疼痛综合征患者前列腺液中炎症因子差异表达的临床意义

Objective To investigate the role of inflammatory cytokines in the pathogenesis of chronic non-bacterial prostatitis/chronic pelvic pain syndrome (CAP/CPPS) patients. Methods The 38 cases with CAP/CPPS patients (18 cases of CAP and 20 cases of CPPS) and 20 cases of healthy controls were selected. The differential expressions of 40 kinds of inflammatory cytokines were detec-ted by antibody arrays in prostate fluid. Results The inflammatory cytokines which increased more than 1.5 times expression have been found. There were seven kinds in CAP including monocyte che-moattractant protein (MCP)-1, solution tumor necrosis factor receptor Ⅱ(s TNF R Ⅱ), platelet-de-rived growth faetor-BB (PDGF-BB), interleukin (IL)-β, IL-11、IL-6、MCP-2 and five kinds in CPPS groups including MCP-1、PDGF-BB、MCP-2、s TNF R Ⅱ、It-11 respectively, compared with healthy control group. The cluster analysis results showed that protein expression of Monocyte chemoattrac-tant protein 1 (MCP-1)and platelet-derived growth factor BB (PDGF-BB) were significantly increased in CAP (3.47 and 2.07 times) and CPPS (2.25 and 2.19 times) compared with healthy control group and were the final polymerization of inflammatory cytokines. The protein expression of interleukin 1 β (IL-1 β), MCP-1 and soluble tumor necrosis factor Ⅱ (s TNF R Ⅱ) in CAP group was increased more than 1.85,1.55,1.67 times compared with CPPS group. Conclusions Elevated expression of inflammatory cytokines may play an important role in the course of CAP/CPPS disease. The extent of the inflammatory response of CAP was higher than CPPS. The inflammatory factors of MCP-1 and PDGF-BB could serve as a novel diagnostic marker.     

中西医结合治疗急性重症胰腺炎40例临床观察

急性胰腺炎是一种常见临床急腹症,是由胰腺本身分泌的消化酶被激活而发生的自身消化现象,而重症急性胰腺炎（SAP）占急性胰腺炎病例的10%～15%,本病为急性发病,发展变化快,临床表现复杂,处理较为棘手。据报道其临床死亡率约为18%～40%。     

慢性非细菌性前列腺炎/慢性盆腔疼痛综合征患者前列腺液中炎症因子差异表达的临床意义

Objective To investigate the role of inflammatory cytokines in the pathogenesis of chronic non-bacterial prostatitis/chronic pelvic pain syndrome (CAP/CPPS) patients. Methods The 38 cases with CAP/CPPS patients (18 cases of CAP and 20 cases of CPPS) and 20 cases of healthy controls were selected. The differential expressions of 40 kinds of inflammatory cytokines were detec-ted by antibody arrays in prostate fluid. Results The inflammatory cytokines which increased more than 1.5 times expression have been found. There were seven kinds in CAP including monocyte che-moattractant protein (MCP)-1, solution tumor necrosis factor receptor Ⅱ(s TNF R Ⅱ), platelet-de-rived growth faetor-BB (PDGF-BB), interleukin (IL)-β, IL-11、IL-6、MCP-2 and five kinds in CPPS groups including MCP-1、PDGF-BB、MCP-2、s TNF R Ⅱ、It-11 respectively, compared with healthy control group. The cluster analysis results showed that protein expression of Monocyte chemoattrac-tant protein 1 (MCP-1)and platelet-derived growth factor BB (PDGF-BB) were significantly increased in CAP (3.47 and 2.07 times) and CPPS (2.25 and 2.19 times) compared with healthy control group and were the final polymerization of inflammatory cytokines. The protein expression of interleukin 1 β (IL-1 β), MCP-1 and soluble tumor necrosis factor Ⅱ (s TNF R Ⅱ) in CAP group was increased more than 1.85,1.55,1.67 times compared with CPPS group. Conclusions Elevated expression of inflammatory cytokines may play an important role in the course of CAP/CPPS disease. The extent of the inflammatory response of CAP was higher than CPPS. The inflammatory factors of MCP-1 and PDGF-BB could serve as a novel diagnostic marker.     

慢性非细菌性前列腺炎/慢性盆腔疼痛综合征患者前列腺液中炎症因子差异表达的临床意义

Objective To investigate the role of inflammatory cytokines in the pathogenesis of chronic non-bacterial prostatitis/chronic pelvic pain syndrome (CAP/CPPS) patients. Methods The 38 cases with CAP/CPPS patients (18 cases of CAP and 20 cases of CPPS) and 20 cases of healthy controls were selected. The differential expressions of 40 kinds of inflammatory cytokines were detec-ted by antibody arrays in prostate fluid. Results The inflammatory cytokines which increased more than 1.5 times expression have been found. There were seven kinds in CAP including monocyte che-moattractant protein (MCP)-1, solution tumor necrosis factor receptor Ⅱ(s TNF R Ⅱ), platelet-de-rived growth faetor-BB (PDGF-BB), interleukin (IL)-β, IL-11、IL-6、MCP-2 and five kinds in CPPS groups including MCP-1、PDGF-BB、MCP-2、s TNF R Ⅱ、It-11 respectively, compared with healthy control group. The cluster analysis results showed that protein expression of Monocyte chemoattrac-tant protein 1 (MCP-1)and platelet-derived growth factor BB (PDGF-BB) were significantly increased in CAP (3.47 and 2.07 times) and CPPS (2.25 and 2.19 times) compared with healthy control group and were the final polymerization of inflammatory cytokines. The protein expression of interleukin 1 β (IL-1 β), MCP-1 and soluble tumor necrosis factor Ⅱ (s TNF R Ⅱ) in CAP group was increased more than 1.85,1.55,1.67 times compared with CPPS group. Conclusions Elevated expression of inflammatory cytokines may play an important role in the course of CAP/CPPS disease. The extent of the inflammatory response of CAP was higher than CPPS. The inflammatory factors of MCP-1 and PDGF-BB could serve as a novel diagnostic marker.     

如意金黄散合矾冰液外敷治疗化疗性静脉炎的疗效观察

目的观察如意金黄散合矾冰液外敷治疗化疗性静脉炎的临床疗效并探讨其药理作用。方法选择乳腺癌根治术后经化疗过程中出现静脉炎的女性患者86例,随机分为两组,分别予以如意金黄散合矾冰液外敷法和50%硫酸镁湿敷法进行治疗,观察对比临床疗效。结果治疗组痊愈率与总有效率明显优于对照组,差异有统计学意义(P<0.05)。结论如意金黄散合矾冰液外敷治疗化疗性静脉炎,安全有效、简单方便,基本无毒副作用,是防治化疗后所致静脉炎的理想药。     

益气活血汤协同新辅助化疗治疗乳腺癌28例总结

目的:观察益气活血汤协同新辅助化疗治疗乳腺癌的临床疗效。方法:将52例乳腺癌初治患者随机分为治疗组28例和对照组24例,对照组用单纯新辅助化疗,治疗组在对照组治疗的基础上予益气活血汤治疗;观察比较两组近期疗效及毒副反应。结果:两组近期疗效比较有显著性差异(P<0.05),毒副反应比较在白细胞下降程度及恶心呕吐反应方面均有显著性差异(P<0.05)。结论:益气活血汤协同新辅助化疗治疗乳腺癌能明显提高患者的近期疗效,减少化疗毒副反应。     

紫金胶囊对细菌性前列腺炎模型大鼠炎性因子的影响

目的探讨紫金胶囊对前列腺炎的治疗作用机理。方法采用大肠杆菌前列腺注射的方法制成细菌性前列腺炎大鼠模型,姜给予紫金胶囊治疗后,观察大鼠血清中肿瘤坏死因子α(TNF-α)、白介素2(IL-2)、白介素8(IL-8)、白介素10(IL-10)以及前列腺组织中TNF-α、IL-8mRNA表达的变化。结果紫金胶囊能显著降低大鼠血清中IL-8、TNF-α水平以及前列腺中IL-8、TNF-αmRNA的表达,增高血清IL-2、IL-10水平。结论紫金胶囊对细菌性前列腺炎大鼠异常的免疫功能有调节作用,参与免疫调节是紫金胶囊治疗细菌性前列腺炎作用机理之一。     

温阳振衰颗粒对肾间质纤维化模型大鼠细胞焦亡及肾间质纤维化的影响

目的 观察温阳振衰颗粒对肾间质纤维化大鼠细胞焦亡及肾间质纤维化的影响,从NLRP3/Caspase-1通路探讨其干预机制。方法 50只SD大鼠随机分为空白组、假手术组、模型组、抑制剂组和温阳振衰颗粒组,每组10只。以结扎并剪断左侧输尿管建立肾间质纤维化大鼠模型,分别予相应药物干预,连续14 d。试剂盒检测血肌酐（SCr）、血尿素氮（BUN）含量,HE和Masson染色观察肾组织病理变化,免疫组化检测肾组织转化生子因子（TGF）-β1、α-平滑肌肌动蛋白（α-SMA）、Ⅰ型胶原蛋白（Col-Ⅰ）表达,Western blot和RT-PCR检测肾组织NOD样受体蛋白3(NLRP3)、半胱氨酸蛋白酶-1(Caspase-1)、白细胞介素（IL）-18、IL-1β蛋白和mRNA表达,免疫荧光双染法检测细胞焦亡。结果 与假手术组比较,模型组大鼠SCr、BUN含量显著增加（P<0.01）,肾小管扩张,炎性细胞浸润,间质纤维化明显,肾组织TGF-β1、α-SMA、Col-Ⅰ蛋白表达显著升高（P<0.01）,NLRP3、Caspase-1、IL-18、IL-1β蛋白和mRNA表达显著升高（...     

中西医结合治疗非淋菌性尿道炎34例临床观察

目的:观察中西医结合治疗非淋菌性尿道炎的临床疗效。方法:将103例非淋菌性尿道炎患者随机分为中西结合组34例,纯西药组34例,纯中药组35例。中西结合组用清淋汤加敏感抗生素治疗;纯西药组只用敏感抗生素治疗;纯中药组只用清淋汤治疗。结果:中西结合组总用效率与纯西药组及纯中药组比较差异有统计学意义(P<0.05);纯西药组与纯中药组比较差异无统计学意义(P>0.05)。结论:中西医结合治疗非淋菌性尿道炎有较好的疗效。     

痤疮面膜治疗寻常型痤疮40例临床观察

目的:观察痤疮面膜治疗寻常型痤疮的临床疗效。方法:将80例寻常型痤疮患者随机分为治疗组和对照组各40例。治疗组予以座疮面膜外敷,对照组外敷痤疮凝胶。观察两组主要症状积分变化情况及综合疗效。结果:治疗组与对照组比较在主要症状积分变化及综合疗效方面均差异有统计学意义(P<0.05或P<0.01)。结论:痤疮面膜治疗寻常型痤疮疗效显著。