通辽与长春两地区成人枢椎的测量

[1]目的 了解枢椎形态和结构的性别和地区差异.[2]方法 对通辽与长春两地区129套成人枢椎(男76套,女53套)进行了测量,指标包括齿突高、全高、椎体高、矢径、全宽、椎孔矢径和椎孔横径,并计算了椎体指数和椎孔指数.对所得数据进行统计学处理.[3]结果 枢椎的7项测量指标,除椎孔矢径与横径(长春地区的椎孔横径除外)以及通辽地区齿突高外,其性别差异均具极显著性(t＝2.34~7.68,p<0.01或0.05);两地区比较,除女性齿突高外,其他指标差异均无显著性(t＝0.03~1.95,p均>0.05).指数比较,除两地区女性椎体指数外,均无性别和地区间差异(t＝0.04~1.86,p均>0.05).[4]结论 通辽和长春两地区成人枢椎的形态和结构无明显差异.     

脑电监测（24小时）对头痛型癫痫的诊断意义

对６０例临床疑为头痛型痛痫的患者进行２４ｈ脑电监测。结果表明：２４ｈ脑电监测对痛痫特殊类型的检出率明显高于常规ＥＥＧ。在１４例（２３．３％）有痫样放电的患者中，出现痫样放电以睡眠期多于清醒期；且睡眠周期中以ＮＲＥＭⅠ，Ⅱ期最常见。对６例（１６．２％）反复阵发出现高波幅额中线θ节律而无痫性放电的患者亦应考虑头痛型癫痫的诊断。     

Guillain-Barré syndrome in South-West Stockholm, 1973–1991, 3. Clinicoepidemiological subgroups

Using hierarchical cluster analysis, applied to 47 cases of Guillain-Barre Syndrome (GBS) incident in South-West Stockholm (SWS) during the period from January 1973 to June 1992, we identified three major clinicoepidemiological subgroups. The first subgroup, 25.5% of the cases (26.7 ± 6.7 years), recorded a peak incidence at ages 20–29 years and presented significant differences from other subgroups, a high proportion of cases with onset at low age preceded by respiratory infection (83.3%) and with normal motor conduction velocity (50.0%). Also found, were less affected biological parameters, a rapidly progressive course and independence in gait at one month after onset. A second subgroup, 27.7% of cases, was severely affected, clinically and functionally. It consisted predominantly of young individuals (22.7 ± 11.1 years), with a high incidence (69.2% of cases) in autumn. A third subgroup, comprising 40.47; of cases, was older (61.1 ± 11.0 years) and, in general, also severely affected. The incidence of this form appeared to be invariant with time.     

罂粟碱对大鼠单胺神经递质的影响

本文报道用高效液相色谱-电化学检测器方法,研究了罂粟碱对大鼠脑内及心脏单胺神经递质代谢的影响。结果表明:罂粟碱能显著增加大鼠纹状体及边缘区多巴胺代谢物二羟苯乙酸(DOPAC)和高香草酸(HVA),升高约50-70%。5-羟色胺代谢物5-羟吲哚醋酸(5HIAA)增加约30%,而对脑及心脏内的单胺递质本身含量未见有明显影响。     

Hypoxia effects on vascular endothelial growth factor derived epithelial cells of nasal polyps]

OBJECTIVE: To understand the role of nasal mucous epithelial cells to hypoxia in early stage of nasal polyps(NP) formation. METHODS: Epithelial cells of NP and inferior turbinate (IT) were cultured without serum under normal oxygen and hypoxia, and stimulus of inflammatory cytokines. Erythropoietin (EPO) was regarded as hypoxia mark, and expression of vascular endothelial growth factor(VEGF) mRNA and protein derived from epithelial cells were detected respectively by in situ hybridization and ELISA. RESULTS: 1. Under hypoxia, EPO mRNA was expressed intensely in epithelial cells from NP and IT, and there was no significant difference between both of them. This result suggested that EPO might be regarded as a hypoxic mark. 2. The ability of producing VEGF mRNA increased with cytokines stimulation, especially under hypoxia. Protein level of VEGF from epithelial cells of NP and IT increased with cytokines stimulation, especially in hypoxia and was time-dependent. CONCLUSION: Epithelial cells actively produce vast VEGF under hypoxia. The VEGF induced by hypoxia of the mucosa in middle meatus is of importance in the formation of nasal polyps(NP) in early stage, which may be the major cause of NP formation in middle meatus.     

人冠状动脉的生物力学特性 Ⅱ.二维载荷下的应力-应变关系

本文在生物软组织试验台上,对7例成人的左冠状动脉前室间支、旋支、右冠状动脉、胸廓内动脉以及大隐静脉进行了二维载荷的力学试验。上述血管的二维载荷下的应力-应变关系以指数型应变能函数表达。讨论了血管二维材料常数的意义。     

奥兰扎平治疗精神分裂症58例临床观察

目的观察奥兰扎平治疗精神分裂症的临床疗效与安全性.方法选择58例精神分裂症病人,开始给予奥兰扎平5mg*d-1,3d后根据临床疗效、副反应情况酌情增加剂量,最大剂量不超过20mg*d-1,治疗8周.治疗前及治疗后每2周用PANSS、CGI、TESS量表评定1次.结果治疗后PANSS总分、各因子分较治疗前显著下降(P<0.01),副反应主要有抗胆碱症状、过度镇静、体重增加、一过性丙氨酸氨基转移酶升高.结论奥兰扎平是一种安全、有效、副作用较轻的抗精神病药.     

痛结宁胶囊治疗乳腺增生病的临床疗效观察

目的 :评价痛结宁胶囊治疗乳腺增生病的临床疗效。方法 :30 0例乳腺增生病病人随机分成两组。治疗组 2 4 0例 ,口服痛结宁胶囊 ,每次 3粒 ,1日 3次。对照组 60例 ,口服维生素 E,1 0 0 mg,1日 1次。疗程 3个月。用 Ridit检验分析疗效。结果 :治疗组治愈率 2 1 .67% ,总有效率 88.75 % ;对照组治愈率 1 1 .67% ,总有效率 46.67% ,治疗组疗效明显优于对照组 ( P<0 .0 1 )。结论 :痛结宁治疗乳腺增生病有较好的疗效 ,病程越短 ,疗效越好 ,延长治疗时间可以提高治疗效果     

胸腰段脊柱脊髓损伤减压与固定相关问题探讨（附166例报告）

目的 对胸腰段脊柱脊髓，马尾神经损伤患者的外科治疗及几种内固定方法的疗效进行探讨。方法 对166例患者的治疗进行回顾分析。该组患者中椎体爆裂性骨折37例，椎体压缩骨折超二分之一109例，椎体骨折脱位14例，多节段或跳跃骨折6例，脊髓损伤按Frankel分级，A级59例，B级46例，C级42例，D级19例，治疗采用后路减压复位122例，前路减压复位，髂骨植骨融合44例。结果 术后123例获3-18个月随访，随访患者中随4例RF钉断裂，5例Harrington上钩脱落，6例棍断裂，其余患者内固定稳固，脊髓，马尾神经恢复，除35例仍为A级外，余脊髓神经功能恢复1-3个级别。结论 各种不同内固定可保持或增强脊柱的稳定，胸腰段脊柱脊髓损伤的外科治疗应根据骨折类型，脊髓及马尾神经损伤程度选择手术入路及内固定材料。     

二乙基亚硝胺诱导大鼠肝细胞癌过程中明胶酶的动态变化

目的：观察肝癌形成过程中明胶酶表达（蛋白及mRNA水平）的动态变化，探索明胶酶在肝癌生长浸润中的作用。方法：应用免疫组化法、明胶酶谱法和RT-PCR法对大鼠肝癌形成过程中各期明胶酶表达情况进行观察，并与正常对照组进行比较分析。结果：正常肝组织及肝硬化组织内明胶酶有表达，肝癌形成后主要在癌细胞内表达；明胶酶原在正常肝组织中有低表达，诱癌过程中呈持续增高趋势；明胶酶-2mRNA与其酶蛋白表达趋向一致。结论：在肝癌形成过程中明胶酶转录和翻译水平均呈持续增高趋势。