中西医结合治疗新生儿黄疸

目的观察分析中药与西药联合治疗新生儿病理性黄疸的疗效.方法对50例病理性黄疸患儿应用中西医结合治疗,观察皮肤黄染,进食、精神表现及血清总胆红素等变化情况.结果治疗前后患儿血清总胆红素分组为256.5～342μmol/L(15～20mg/dl)和136.8～171μmol/L(8～10mg/dl),治疗后有明显的下降,皮肤黄染逐渐消退.结论中西医结合治疗新生儿黄疸疗效较显著.     

急性纯红细胞再生障碍性贫血1例

患女 ,生出6mo ,面色、指甲床、眼脸及全身皮肤苍白 ,贫血进行性加重1mo余 ,偶有发热腹泻。查体 :巩膜无黄染 ,淋巴结不肿大 ,肝剑下3cm ,肋下2cm ,质中等 ,脾未扪及 ,胸骨左缘闻及收缩期Ⅱ级杂音 ,曾用叶酸 ,维生素B12 及铁剂治疗。1实验室检查血象 :血红蛋白40g/L ,红细胞1 4×1012/L,白细胞8 1×109/L ,白细胞分类计数 :中外分叶核粒细胞占0 37 ,淋巴细胞占0 63,网织红细胞计数为0 002,血小板计数为440×109/L。相关试验免疫球蛋白正常 ,血Ham试验阴性 ,血Coombs试验阴性 ,血清总胆红素20umoI/L ,血清谷丙转氨酶50U/L ,尿含铁血黄素…     

甘草酸18位差向异构体不同配比和浓度对Caco-2细胞P-gp功能的影响

研究甘草酸18位差向异构体18α-甘草酸(18α-Gly)与18β-甘草酸(18β-Gly)不同配比和浓度对结肠癌(Caco-2)细胞P-糖蛋白(P-gp)功能的影响,选择最佳浓度比例.建立细胞模型,选择甘草酸总浓度为1∶10∶30∶60∶120∶240 μmol/L,18α-Gly与18β-Gly物质的量比分别为10∶0、8∶2、6∶4、5∶5、4∶6、2∶8、0∶10,根据细胞存活率,选择合适浓度比例,利用流式细胞仪测定细胞内荧光强度,寻找荧光强度最大的浓度比,即对P-gp抑制作用最强,P-gp功能最弱.研究结果表明甘草酸总浓度为1 μmol/L时,随着18α-Gly比例的减少,荧光强度逐渐减弱,P-gp诱导作用逐渐增加.甘草酸总浓度为10 μmol/L和60 μmol/L时,随着两者物质的量比的变化,荧光强度变化明显;当总浓度为10 μmol/L,n(18α-Gly)∶n(18β-Gly)=4∶6时,荧光强度较强,抑制作用明显;当总浓度为60 μmol/L,两者物质的量比为5∶5时荧光强度最强,抑制作用最强.     

胰岛素化学发光免疫测定法的建立

目的建立化学发光免疫法测定胰岛素及临床糖尿病患者胰岛素治疗跟踪与稳定性的可行性评估.方法 CLIA采用竞争法.结果该方法的灵敏度为1.24 mIU/L,在2.5～160 mIU/L的范围内线性良好.CLIA测定胰岛素的批内与日间变异系数分别为3.05%,4.61%和4.80%,4.92%.在血红蛋白浓度<2.4 g/L、总胆红素浓度<342 μmol/L、甘油三酯<9.9 mmol/L时的干扰率无临床意义.与放射免疫分析法有较好的相关性(r=0.915 6).结论 CLIA法测定胰岛素能及时有效地满足糖尿病患者的临床需要,有助于进一步对检测试剂盒的研制.     

邻苯二甲醛柱前衍生法测定海洋胶体中的水解氨基酸

用邻苯二甲醛(OPA)柱前衍生反相高效液相色谱法测定了厦门湾南部海域海洋胶体中氨基酸的组成和含量.该法的空白值为0～1.8×10-3μmol/L,检出限为2×10-3～9×10-3μmol/L,添加脲的回收率在99.5%～99.7%之间,相对偏差为3.4%～10.7%.结果表明,该海洋胶体中含有16种氨基酸,总量为150.83 μmol/L,其中赖氨酸是含量最多的氨基酸,浓度为35.59 μmol/L,占总水解氨基酸的23.6%.其次是天冬氨酸、谷氨酸、组氨酸、甘氨酸 苏氨酸、甲硫氨酸和亮氨酸,它们的含量相当,浓度分别为12.40、10.48、17.77、16.60、17.22和15.88 μmol/L,分别占总水解氨基酸的8.2%、7.0%、11.8%、11.0%、11.4%和10.5%.这8种氨基酸占了胶体中总水解氨基酸的83.5%,其余8种氨基酸只占16.5%.     

辣椒素对大鼠离体小肠运动的影响

探讨不同浓度辣椒素对大鼠离体小肠运动的影响.取大鼠十二指肠段、回肠段分别置于盛有台氏液的麦氏浴槽中,用生物机能实验系统BL-420E记录其运动曲线,观察在不同浓度辣椒素作用下大鼠离体十二指肠、回肠的运动情况.结果表明,0.006 μmol/L、0.03 μmol/L、0.06 μmol/L的辣椒素极显著抑制十二指肠的收缩幅度(P<0.01),0.03 μmol/L、0.06 μmol/L的辣椒素能显著降低十二指肠的收缩频率(P<0.05)及其紧张性.0.003 μmol/L、0.006 μmol/L的辣椒素可促进回肠的收缩,紧张性升高.而0.03 μmol/L、0.06 μmol/L、0.15 μmol/L的辣椒素抑制回肠收缩,其收缩幅度极显著降低(P<0.01),紧张性降低.0.03 μmol/L和0.15 μmol/L的辣椒素对回肠收缩频率具有显著的抑制作用(P<0.05).低浓度的辣椒素可提高回肠的紧张性,高浓度的辣椒素可明显抑制十二指肠和回肠的收缩幅度、频率及紧张性.     

乙型肝炎病毒标志物与肝功能相关分析

目的探讨乙型肝炎病毒标志物与肝功能的关系.方法对比分析乙型肝炎102例病人中大三阳(HB-sAg、HBeAg、HBcAb阳性)44例、小三阳(HBsAg、HBeAb、HBcAb阳性)58例的谷丙转氨酶(ALT)、谷革转氨酶(AST)及总胆红素(T-BIL)浓度及白蛋白/球蛋白(A/C)异常情况.结果大三阳组ALT为(345.72±198.40)u/L,AST为(335.63±169.61)u/L,T-BIL为(78.68±26.78)μmol/L,A/G异常率为59.09%;小三阳组ALT为(155.63±98.53)u/LAST为(161.27±89.50)u/L,T-BIL为(38.68±16.78)μmol/L,A/G异常率为29.31%.两组比较有显著性差异(P＜0.05).结论乙型肝炎的病毒标志物与肝功能损害有关,大三阳病人的肝功损害比小三阳的明显严重.     

肝硬化患者血浆同型半胱氨酸水平的临床研究

目的探讨血浆总同型半胱氨酸(tHCY)含量在肝硬化疾病的临床价值。方法测定并分析47例肝硬化患者及55例健康者血浆tHCY含量,以及肝硬化患者血清丙氨酸转氨酶(ALT)、门冬氨酸转氨酶(AST)、总胆红素(TBIL)、胆碱酯酶(CHE)、白蛋白(ALB)、前白蛋白(PALB)、葡萄糖(GLU)、尿素氮(BUN)、肌酐(Cr)含量、血浆中20种氨基酸水平。结果肝硬化患者血浆tHCY水平(12.98±3.73μmol/L)与正常对照组(10.29±1.96)μmol/L相比有所升高,差异有统计学意义,肝硬化Child-pugh C级患者中HCY水平明显升高(14.96±4.74μmol/L),与对照组、肝硬化Child-pugh A级患者、肝硬化Child-pugh B级患者相比差异具有统计学意义。tHCY变化与血清ALT、AST、ALB、TBIL、PALB、BUN、Cr、BCAA/AAA无相关性,而与氨基酸分析中蛋氨酸(MET)成正相关,且具有统计学意义。结论 HCY可作为评价肝硬化病情严重程度的一项新的生化指标。     

早期给予抗凝溶栓药物联合TIPS术对肝硬化并发门静脉高压患者再通疗效统计分析

统计分析早期给予抗凝溶栓药物联合TIPS术对肝硬化并发门静脉高压患者再通疗效。选取诊断出肝硬化伴门静脉高压患者84例,随机分为对照组42例,研究组42例。对照组在予以一般治疗如服用抗病毒药物及腹水排放后行TIPS术,研究组患者,接受上述治疗手段以外,入院后给予抗凝药物华法林及溶栓药物rt-PA研究组患者术后测定门静脉压力为2.15±0.68kpa;总胆红素浓度为38.86±5.69μmol/L;白蛋白浓度为33.47±5.11g/L;血氨浓度为82.40±46.62μmol/L。研究组患者术后测定门静脉压力为3.22±0.78kpa;总胆红素浓度为29.14±7.83μmol/L;白蛋白浓度为31.85±4.91g/L;血氨浓度为76.48±52.92μmol/L。研究组的患者门静脉压力、血清总胆红素照对照组有明显改善,白蛋白和血氨虽有提升,但差别无统计学意义。(P0.05)早期预先给予抗凝溶栓药物与TIPS联合治疗能够有效的降低门静脉压力,消除腹水,肾动脉灌注不足等症状,结果显示疗效肯定,值得临床上推广应用。     

A Rhodamine-Based Sensor-for Chromogenic Detection of Cu^2＋ and Fluorescent Detection of Fe^3＋

A rhodamine-benzimidazole conjugate(RB) as a probe was investigated.UV-Vis analysis showed that a strong absorption band at 552 nm was formed with the addition of Cu~(2+),while other transition metal ions induced a little more absorption.The absorption value of RB solution at 552 nm has a linear correlation with Cu~(2+) concentration between 35-70 μmol/L;the detection limit reached 6.82×10~(-2) μmol/L,which is lower than the settled limitation for copper in the drinking water(~30 μmol/L) standardized by World Health Organization(WHO).Moreover,FL analysis showed that only Fe~(3+) could induce large fluorescence intensity enhancement at 582 nm;other common metal ions including Cu~(2+) cannot induce the enhancement.There was a good linear correlation between relative fluorescence intensity and Fe~(3+) concentration ranging from 2 μmol/L to 20 μmol/L,and the detection limit reached1.70×10~(-2) μmol/L.The results showed that RB could detect Cu~(2+)and Fe~(3+) simultaneously,with the UV-Vis and fluorescence spectroscopy,respectively.     

几种抗氧化剂对DNA的损伤和保护作用

采用单细胞凝胶电泳法研究了几种抗氧化剂对人外周血单核细胞DNA的损伤及对由H2O2引起的DNA损伤的保护作用.结果表明,槲皮素可引起明显的细胞DNA损伤,并呈浓度依赖性;芦丁在较高浓度时,引起损伤.7,8-二羟基-4-甲基香豆素,7-羟基-4-甲基香豆素即使浓度达100μmol/L也不引起细胞DNA损伤.Vc、亚硒酸钠和甘露醇,在较高浓度时均可引起微弱的损伤,只有Vc引起的损伤较严重.当预先用抗氧化剂保护细胞后再用50 μmol/L H2O2处理,发现7,8-二羟基-4-甲基香豆素的保护作用最强,槲皮素次之,保护作用具浓度依赖性.而芦丁、7-羟基-4-甲基香豆素、Vc和亚硒酸钠在浓度≤50 μmol/L时,无任何保护作用.甘露醇在低浓度可起明显的保护作用,在较高浓度25 μmol/L和50 μmol/L时则保护作用丧失.     

乙型肝炎病毒标志物与肝功能相关分析

目的探讨乙型肝炎病毒标志物与肝功能的关系.方法对比分析乙型肝炎102例病人中大三阳(HB-sAg、HBeAg、HBcAb阳性)44例、小三阳(HBsAg、HBeAb、HBcAb阳性)58例的谷丙转氨酶(ALT)、谷革转氨酶(AST)及总胆红素(T-BIL)浓度及白蛋白/球蛋白(A/C)异常情况.结果大三阳组ALT为(345.72±198.40)u/L,AST为(335.63±169.61)u/L,T-BIL为(78.68±26.78)μmol/L,A/G异常率为59.09%;小三阳组ALT为(155.63±98.53)u/LAST为(161.27±89.50)u/L,T-BIL为(38.68±16.78)μmol/L,A/G异常率为29.31%.两组比较有显著性差异(P＜0.05).结论乙型肝炎的病毒标志物与肝功能损害有关,大三阳病人的肝功损害比小三阳的明显严重.     

Adrenomedullin inhibits the endothelin production in-duced by urotensin Ⅱ in rat vascular smooth muscle cells

The aim of this study was to observe the effects of adrenomedullin (ADM) on endothelin (ET) production induced by urotensin Ⅱ (UⅡ) in rat vascular smooth muscle cells (VSMCs). Cultured VSMCs which were incubated with UⅡ (10-8 mol/L) and with various concentrations of ADM were used to measure the VSMCs 3H-TdR incorpora-tion, the activity of extracellular signal-regulated kinase(ERK), the amount of ET mRNA and ET production inVSMCs. In this work we found that incubation with UⅡ(10-8 mol/L) increased obviously the amount of ET mRNA inVSMCs and ET production in medium, however,co-incubation with ADM (10-10-10-8 mol/L) and UⅡ(10-8mol/L) reduced the amount of ET mRNA by 15%, 24% and45% (P< 0.01) respectively, compared with UⅡ alone. Thecontent of ET in medium was 14.13, 11.38 and 11.00 pg/mL. ADM alone (10-8 mol/L) had no effect on ET production inVSMCs. UⅡ (10-8 mol/L) promoted the 3H-TdR incorpo-ration and activity of ERK in VSMCs. ADM inhibited VSMCs 3H-TdR incorporation and activation of ERK in aconcentration-dependent manner. Compared with UⅡgroup, after co-incubation with ADM (10-10-10-8 mol/L)and UⅡ (10-8 mol/L) the VSMCs 3H-TdR incorporation wasdecreased by 7% (P > 0.05), 32% (P < 0.05) and 41% (P <0.01), respectively, and the activity of ERK was decreasedby 24% (P > 0.05), 32% (P < 0.05) and 36% (P < 0.05), re-spectively, in a concentration-dependent manner. The resultsshow that in cultured VSMCs ADM inhibits ET mRNA ex-pression, ET production and proliferation stimulated by UⅡ, and that inhibitory effect of ADM on UⅡ bioaction could be mediated through inhibiting MAPK pathway.     

正交设计优化山茱萸ISSR-PCR反应体系研究

利用正交试验设计法,从引物浓度、TaqDNA聚合酶浓度、Mg2 浓度和dNTP浓度4种因素3个水平,对山茱萸ISSR-PCR反应体系进行优化分析,并在此基础上对模板DNA浓度、PCR反应过程中的退火温度进行梯度检测.结果表明,20 μL ISSR-PCR反应体系中各因素的最佳浓度分别为:1×PCR buffer、150 μmol/L dNTP、1.0 μmol/L引物、2.5 mmol/L Mg2 和2.0 U TaqDNA聚合酶,最佳模板DNA浓度为20～80 ng,引物UBC835的最佳退火温度为57.2℃.     

巴马香猪CYP3A29 mRNA表达的TaqMan定量方法学建立

目的 建立巴马香猪CYP3A29 mRNA表达的TaqMan定量方法.方法 通过RT-PCR、TA克隆等技术制 备CYP3A29-pMD18-T和β-actin-pMD18-T实时荧光定量标准品,并以CYP3A29-pMD18-T标准品为模板,对不同浓度Mg2与探针组合的TaqMan反应体系进行筛选,TaqMan PCR方法,并对其有效性及重复性进行评价.结果 筛选到的TaqMan PcR方法为:PCR总体积10 μL,其中含1xBuffer、5.5 mmol/L Mg2、0.8 mmol/L dNTPmix、0.3 μmol/L上下游引物、0.2 U/μL rTaq、0.I μmol/L探针、1 μL模板.热循环条件为94℃5 min→40cycles(94℃15 s→60℃ 45 s→读板).结论 建立了有效测定巴马香猪CYP3A29 mRNA拷贝数浓度的TaqMan PCR方法.通过该方法分别定量CYP3A29和β-actin mRNA的拷贝数浓度,即可求出CYP3A29mRNA的表达水平.     

氟离子选择电极法测啤酒中的氟

本文采用氟离子电极法测定啤酒中的氟 ,测量溶液的酸度为PH5— 6,用总离子强度调节缓冲液 ,消除干扰离子及酸度的影响 ,方法回收率 96.1 2 %～ 99.2 4 % ,线性范围为 1 0 - 1 mol/L～ 5× 1 0 - 7mol/L ,最低检出浓度 0 .0 1 μg/ml,本法操作简单、快速 ,适合作常规测定 .     

Seasonal variations of carboxylic acids and their contributions to the rainwater acidity: A case study of Guiyang and Shangzhong,China

Low molecule weight carboxylic acids are ubiquitous and important chemical constituents in the troposphere.Seven carboxylic acids in the rainwater of Guiyang and Shangzhong were simultaneously determined by ion chromatography from April 2006 to April 2007.Formic, acetic and oxalic acids were found to be the predominant carboxylic acids.Their volume weighted average concentration (VWA) in the rainwater of Guiyang were 14.24 μmol/L, 9.35 μmol/L and 2.79 μmol/L, respectively;as compared to 4.95 μmol/L, 1.35 μm...     

高效液相色谱法同时测定水体中马拉硫磷和阿特拉津

通过条件实验, 建立了以V(甲醇)∶V(水)=7∶3为流动相, 最佳测定波长为220 nm的高效液相色谱同 时测定阿特拉津和马拉硫磷的方法. 方法线性范围: 马拉硫磷0.003 66~1.83 μmol/L, 阿特拉津0.121~60.3 μmol/L, 线性相关系数r≥0.9994, 相对标准偏差小于10%. 方法检出限分别为马拉硫磷0.003 66 μmol/L, 阿特拉津0.121 μmol/L.     

银样大便

<正> 表面带金属样大便送入化验室,检查中发现呈银色金属样光泽,隐血试验阴性,胆汁试验阴性.病案报告78岁妇女因黄疸,失水,体重减轻而住院,体格检查病人表现为恶病体质,巩膜黄染,深度黄疸,腹部未扪及肿块,直肠检查:俞创木脂大便(?),化验室检查:血红蛋白12克/分升,红细胞压积37.4%,总胆红素10毫克/分升,直胆红素7.3毫克/分升,转氨酶67单位/升,硷性磷酸酶668单位/升.     

Investigation on apoptosis of neuronal cells induced by Amyloid beta-Protein

Objective: To construct a PC12 cell strain with neuronal differentiation, and observe the apoptosis and pro-liferation activity effects induced these cells by Amyloid beta-Protein (Aβ3-43). Methods: 1) PC12 cells in logarithmic growth phase were subcultured for 24 h. After the culture fluid was changed, the cells were treated with Rat-β-NGF and cultured for 9 days. 2) Neuronal differentiation of PC 12 cells in logarithmic growth phase were divided into four groups:control group (0), experimental group (1), experimental group (2) and experimental group (3). The concentrations of Aβ in the four groups were 0 μmol/L, 1.25 μmol/L, 2.5 μmol/L and 5 μmol/L, respectively. The cells were harvested at 24, 48 and 72 h later and stained with AnnexinV-FITC/PI after centrifugation and washing. Then flow cytometry was conducted to examine the apoptosis percentage. 3) NGF-induced PC12 cells were selected and Aβ with different concentrations was added. The final concentrations of Aβ were 0 μmol/L, 1.25 μmol/L, 2.5 μmol/L and 5 μmol/L, respectively. After the cells were incubated in an atmosphere of 5% CO2 at 37 ℃ in an incubator for 72 h, the OD values were examined. Results: 1)Neuronal differentiated PC12 cell lines were successfully established. 2) Flow cytometric examination indicated that Aβ(1.25, 2.5, and 5.0 μmol/L) could effectively induce apoptosis of neuronal-differented cells at the 24 h, 48 h and 72 h time points. 3) Aβ (0-5.00 μmol/L) had no obvious effect on proliferation or restraining of the neuronal differentiation of the PC 12 cells after a 72 h interacting process. Conclusion: This investigation revealed successful neuronal differentiation of the PC12 cell strain. The induction of apoptosis of the neurocytes by various concentrations of Aβ was observed and the in-fluence of Aβ on induced proliferation of PC 12 cells by Rat-β-NGF was revealed. This study may provide basis for future research on the molecular cure of AD and interdiction of AD evolution.