3种常用化疗药对正常大鼠血清胃泌素及D-木糖醇浓度的影响

目的：观察3种常用化疗药对正常大鼠血清胃泌素及D-木糖醇浓度的影响。方法：将动物随机分为4组，即对照组、ETX组、5-Fu组和THP组，检测胃泌素及D-木糖醇浓度等指标。结果：3组化疗组上述指标与对照组比较，差异有统计学意义（P〈0．05，P〈0．01）。结论：正常大鼠用ETX、5-Fu和THP，血清胃泌素及D-木糖醇浓度明显减低，从临床表现、胃肠功能方面提示3种常用化疗药可导致正常大鼠脾虚证的发生。     

Treatment of severe subglottic laryngotracheal stenosis using hyoid graft with sternohyoid muscle flap]

OBJECTIVE: To evaluate the possibility and reliability of the hyoid-sternohyoid graft transfer in the correction of server subglottic laryngotracheal stenosis, and delineate the operation skills and clinical results. METHODS: Seven patients with severe subglottic stenosis underwent laryngotracheal reconstruction using the hyoid grafts with sternohyoid muscle flaps (HG-SHMF). Five of these patients had traumatic subglottic stenosis, one with scar tissue of unknown etiology arising in the subglottic region, another with tracheal narrowing caused by inhalation of hydrochloric acid. RESULTS: All seven patients were successfully decannulated with moderate good voice. The average time from reconstruction to decannulation was 15.4 months. The stent was endoscopically removed with a range of 3 to 22 months; the mean time required for stenting was 9.6 months. Two patients who received additional salvage reconstruction procedures because of graft or stent displacement were extubated with improved voices and satisfactory airway. CONCLUSIONS: The HG-SHMF transfer was a single-stage reconstruction, relatively simple procedure that can restore an adequate airway and a good voice. Patients undergoing laryngotracheal reconstruction with HG-SHMF must have regular, long-term follow-up since graft displacement and recurrent granulation tissue or scar reformation can cause restenosis after an initially successful surgery. This procedure should be used in a large number of patients to further test its reliability.     

HPLC法测定通脉舒胶囊中尼莫地平的含量

目的建立检测制剂中尼莫地平的专属性方法。方法采用液相色谱法。选用ODSC18柱,以0.01mol/L醋酸铵（用冰醋酸调节pH值为3.5）-乙腈（30：70）为流动相,流速1.0ml/min,检测波长237nm。结果尼莫地平在进样量为0.08～0.8μg范围内线性良好（r=0.9994）,回收率为99.0%（n=6）。结论该方法选择性强,灵敏度高,可作为分析制剂中的尼莫地平。     

磁场强度的变化对膝关节成像质量的影响

目的 评价1.5T和3.0T两种不同的磁场强度对膝关节影像质量的影响.方法 采用同一厂家、同一系列、不同磁场强度的两种成像设备,对16位健康自愿者在1.5T和3.0T两种不同的磁场强度下,分别进行膝关节成像,序列使用相同的参数,不校正磁场强度的变化对TR的影响.分别测量半月板、肌肉、脂肪和骨骼的信噪比、对比噪声比和相对对比度,进行定量分析.结果 3.0T条件下膝关节图像的信噪比和对比噪声比明显优于1.5T,差异有统计学意义;3.0T条件下膝关节图像的相对对比度与1.5T比较,没有明显的统计学差异.结论 膝关节图像的信噪比和对比噪声比均随着场强的增加而提高,膝关节图像的相对对比度随场强的变化并不敏感.     

耳蜗血管纹上皮分泌功能的研究进展

血管纹(stria vascularis)位于蜗管外侧壁,为代谢活跃的上皮组织,具有分泌K 和吸收内淋巴液电解质的功能,并产生内淋巴正电位。内淋巴中高浓度的K 聚积及内、外淋巴     

派立明与贝特舒联合应用对降眼压的临床观察

目的评价1.00%派立明(AZOPT)与0.25%贝特舒点眼液每日两次点眼对原发性开角型青光眼、高眼压症及抗青光眼术后高眼压的降眼压效果及安全性。方法31例患者51只眼纳入为期2个月的前瞻性研究。在停用其他抗青光眼药物足够长的时间后测量基础值,用药后每2周复查一次共4次,同时观察眼局部及全身副作用。结果用药前眼压为23.85±1.80 mmHg,4次随访眼压下降均值6.55 mmHg(6.06～7.04),眼压下降率27.50%(26.62～28.59%)。少数病例出现烧灼感、视物模糊、口苦等症状,均为轻度能耐受,对视力、眼底无影响。结论派立明与贝特舒联合用药具有稳定的降眼压效果,具良好耐受性。     

牛胎盘中肝细胞生长因子的纯化

用高速离心、分段盐析、亲和层析、超滤和阴离子交换层析法，从牛胎盘中分离纯化出一种肝细胞生长因子。结果表明，此因子的最终得率为０．００５ｍｇ／ｇ牛胎盘，其分子量约为９９０００ｕ，它能强烈刺激原代培养大鼠肝细胞的ＤＮＡ合成。提示利用自制的亲和层析凝胶，通过此提纯流程可以得到一种肝细胞生长因子。     

选择性髂内动脉结扎与栓塞对盆腔血供的影响

目的：旨在探讨选择性髂内动脉结扎与栓塞两种方法对盆腔血供的影响。方法：将两组犬在膀胱上动脉分支以下之髂内动脉分别行结扎与栓塞，对比观察两组膀胱创面出血、盆腔动脉造影及盆腔脏器组织学变化，以确定其盆腔脏器的血供情况。结果：①结扎组膀胱创面出血明显大于栓塞组；②结扎组髂内动脉侧支循环建立时间明显早于且数目多于栓塞组；③两组盆腔脏器均未见缺血坏死。结论：栓塞组阻断髂内动脉侧支循环的数目多于结扎组，故对盆腔血供的影响大于结扎组。避免髂内动脉阻断范围过广可减少盆腔脏器缺血坏死的机会。