Journal of Hainan Medical University

Volume 25,Issue 5,2019 Table of Contents

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  • 1  Promotional effects of exogenous stimulation with pulsedelectromagnetic fields on skin wound healing in diabetic rats
    Yan Han Ze-Dong Yan Shu-Hua Ge
    2019, 25(5):1-5.
    [Abstract](296) [HTML](0) [PDF 0.00 Byte](422)
    Abstract:
    Objective: The current study aims to identify the effects of exogenous application of pulsed electromagnetic fields on skin wound healing in diabetic rats, and thus provides experimental evidence for its more scientific clinical application in the future. Methods: The diabetic animal models were established via intraperitoneal injection of streptozotocin in 4-monthold male rats. Fourth eight rats were randomly assigned into the diabetes group (DM) and diabetes coupled with pulsed electromagnetic fields (DM+PEMF) group. Another 24 normal rats were used as the blank control group (Control). Then, all the rats in the three groups were subjected to dorsal surgery for the establishment of soft tissue wound model (circular wound with the diameter of 2 cm). Then, the rats in the DM+PEMF group were subjected to pulsed electromagnetic fields stimulation. Then, 6 rats in each group were sacrificed at Day 5, 12 and 19 post surgery. The glucose levels, wound closure, wound healing time and tissue tensile strength were examined and analyzed. Results: Pulsed electromagnetic fields significantly increased the wound closure rate in diabetic rats at Day 5, 12 and 19 post surgery, decreased overall wound healing period in diabetic rats, and also enhanced tissue tensile strength in diabetic rats at Day 5, 12 and 19 post surgery. Conclusion: Low-intensity pulsed electromagnetic fields can significantly accelerate diabetic wound healing process, and also improve diabetic tissue repair capacity. This study may be helpful for providing more scientific and reasonable experimental evidence for the treatment of pulsed electromagnetic fields on diabetic wound healing in clinics.
    2  Research of the anxiolytic effect of Baihe Dihuang Decoction
    Fang Huan-Le Han Ning-Juan Li Xiao-Ming Niu Rui Chen Yan-Bin
    2019, 25(5):6-9.
    [Abstract](319) [HTML](0) [PDF 0.00 Byte](462)
    Abstract:
    Objective: To study the effect of Baihe Dihuang Decoction in improving anxiety and its mechanism of action. Methods: Male mice were randomly divided into 5 groups: blank control group, Baihe Dihuang Decoction high, medium, low-dose group and diazepam group. After continuous intragastric administration for 14 d, the behavioral test of the mouse elevated plus maze experiment and opening test was performed. The brain tissue GABA and Glu content was measured by immunosorbent assay (ELISA). Results: Compared with the blank control group, the middle and high doses of Baihe Dihuang Decoction could increase the time and frequency of movement of the mice in the open cross labyrinth in the open arm and increase the number of times that the mouse entered the central area in the opening test. The anti-anxiety effect also showed an increase in the brain tissue GABA content in mice, ignificantly decreased Glu contents in mice. Conclusion: Baihe Dihuang Decoction has some anxiolytic effect, and antianxiety effect may be related to increasing brain tissue GABA content, decreased Glu contents in mice.
    3  Effect of dexmedetomidine against liver ischemia-reperfusion injury in rats by reducing endoplasmic reticulum stress
    Quan-Sheng Wang Re-Ti Ai Fei-Fei Lu
    2019, 25(5):10-13.
    [Abstract](169) [HTML](0) [PDF 0.00 Byte](203)
    Abstract:
    Objective: To investigate the effect of dexmedetomidine against liver ischemia-reperfusion injury in rats by reducing endoplasmic reticulum stress. Methods: A total of 24 adult male Sprague-Dawley rats were randomly divided into sham operation group (6 rats, Sham group), liver ischemia-reperfusion injury group (6 rats, I/R group), and liver ischemia-reperfusion injury +dexmedetomidine pretreatment group (6 rats, I/R +Dex pretreatment group) (25 μg/kg intraperitoneally 30 min before ischemia), and liver ischemia-reperfusion injury +dexmedetomidine post-treatment group (6 rats, I/R +Dex post-treatment group) (25 μg/kg intraperitoneally 30 min after reperfusion). Hepatic ischemia-reperfusion injury model was performed by after clamping the hepatic hilum for 30 min and reperfusion for 6 h. Serum alanine aminotransferase (ALT) and aspartate aminotransferase (AST) levels were measured by automatic biochemical analyzer. Malondialdehyde (MDA) and superoxide dismutase (SOD) activity were detected by enzyme-linked immunosorbent assay (ELISA). The pathological changes of each group were observed by HE staining. The expression of endoplasmic reticulum stress (P-PERK, P-IRE1α, CHOP) were detected by Western blot. Results: Compared with the Sham group, the serum levels of ALT and AST were significantly higher in the I/R group, compared with the I/R group, the serum ALT and AST in I/R+Dex pretreatment group and the I/R+Dex post-treatment group were significantly reduced; Compared with the Sham group, MDA activity in the liver tissue of the I/R group was significantly increased, while the SOD activity was significantly decreased, and the pathological score of the liver tissue was significantly increased; Compared with the I/R group, MDA activity and liver histopathology scores in I/R+Dex pretreatment group and the I/R+Dex post-treatment group were decreased, while SOD activity increased; The expression of P-PERK, P-IRE1α, CHOP in the I/R group were significantly higher than that in the Sham group, while the expression of the above indicators were reduced in I/R+Dex pretreatment group and the I/R+Dex post-treatment group. Conclusion: Dexmedetomidine can significantly attenuated liver ischemia-reperfusion injury in rats, which may be related to the reduction of endoplasmic reticulum stress.
    4  Preliminary study on the anti-inflammatory effect of magnolol on LPSinduced mice
    Si-Yu Mo Qi-Bing Zhong Zhao-Xu Cai Shao-Jun Lu Lin-Quan Zang
    2019, 25(5):14-17.
    [Abstract](105) [HTML](0) [PDF 0.00 Byte](200)
    Abstract:
    Objective: Investigating the anti-inflammatory effects of magnolol on lipopolysaccharide (LPS)-induced inflammation model mouse and its effect on NF-κB pathway. Methods: Mice were randomly divided into 5 group: normal control group, inflammatory model group, dexamethasone positive drug group and, magnolol group. After administrating for 7 d, LPS was intraperitoneally injected to induce inflammatory on the 8th day, and blood was taken 3 h later and the thymus and spleen were weighed. The levels of serum TNF-α, IL-22 and IL- 17 were detected by ELISA method. The expression levels of TNF-α, NF-κB p65 and IL- 17 in thymus were detected by immunohistochemistry. Results: Magnolol could evidently reduce the levels of serum TNF-α, NF-κB p65 and IL-17 and IL-22. Immunohistochemistry result showed that magnolol could down-regulate the expression of IL-17, TNF-α and p65. Conclusion: Magnolol can prevent and treat LPS-induced inflammation. Its anti-inflammatory effect is connected with the down-regulation of TNF-α and NF-κB p65 protein levels by IL- 17 inflammatory pathway. This experiment provides a theoretical basis for magnolol in antiinflammatory.
    5  Expression and significance of KAI1/CD82 and p27 in gastric carcinoma
    Rong-Hua Cui Mei-Qing Wang Shan-Shan Mao Xiao-Zhen Cheng Jian-Hua Yuan Xing Li
    2019, 25(5):18-21.
    [Abstract](170) [HTML](0) [PDF 0.00 Byte](202)
    Abstract:
    Objective: To study the expression and significance of KAI1/CD82, p27 proteins in gastric carcinoma. Methods: The expressions of KAI1/CD82, p27 proteins were detected by immunohistchemistry S-P method in 58 cases of gastric carcinoma tissues and 23 normal gastric tissues. Results: The positive rates of KAI1/CD82 and p27 proteins in gastric carcinoma tissues were 29.3% and 34.4%, but 90% and 85% respectively in normal gastric tissue. And there is a significant difference between the two groups. The expression level of KAI1/CD82 and p27 proteins was significantly related to tumor invasive depth, grade of tumor differentiation, the clinical stage and lymph node metastasis, And has nothing to do with age or gender. There was a positive correlation between the expression of KAI1/CD82 and P27 in gastric cancer tissues. Conclusion: The expression of KAI1/CD82 and p27 protein may be involved in the initiation and development in gastric carcinoma, and the combined detection of KAI1/CD82 and p27 proteins may be significant in predicting the invision and metastasis of gastric carcinoma.
    6  Best time for progesterone supplementation in aid ovulation induction cycles by letrozole
    Xue-Mei Wang Hua Lou Yuan-Rong Cui Xia Zhang Bo Dong Cai-Hong Chang
    2019, 25(5):22-25.
    [Abstract](236) [HTML](0) [PDF 0.00 Byte](203)
    Abstract:
    Objective: To explore the best time for progesterone supplementation in AID ovulation induction cycles by Letrozole. Methods: The data analysed in this study were collected from 509 patients who were performed AID (Artificial Insemination by Donor) administrated letrozole (LE) between 2014.8-2015.7. All patients were randomly divided into 4 groups by the time of progesterone administrated, including experimental group and the control group. The experimental group was divided into group 1-72 h after ovulation, group 2-48 h after ovulation, group 3-24 h after ovulation and control group—without administrated LE. The gestation and live birth rate were evaluated by monitoring vaginal ultrasound and HCG blood value 14 d after AID. Results: The pregnancy rate with administrated progesterone added 72 h after ovulation was 31.9%, which was significantly higher than those of other groups, the same situation as groups added progesterone was significantly higher than the control group. However, there was no significant difference in the numbers of abortions among the four groups. The LBR of group 4 was significantly lower than that of group 1. Conclutions: Progesterone administrated 72 h after ovulation can promoted the gestation rate, but did not affect the rate of miscarrage .
    7  Role of tumor associated macrophages in relapse of primary gastrointestinal diffuse large B cell lymphoma and their clinical significance
    Juan Meng Yuan-Hui Gao Hai-Xia Xu Mei-Qing Wang Zheng-Yi Chen
    2019, 25(5):26-30.
    [Abstract](202) [HTML](0) [PDF 0.00 Byte](217)
    Abstract:
    Objective: To investigate the correlation between the change in expression of the tumor associated macrophage (TAM) markers CD68 and CD206 and the clinicopathological parameters. Methods: We retrospectively analyzed 28 PGI-DLBCL patients by immunohistochemical stainning. The surface expression of biomarkers CD68 and CD206 on TAMs in samples obtained at diagnosis was compared with that in specimens obtained at first relapse. Based on the change in expression levels of CD68 and CD206 from diagnosis to relapse, patients were categorized into three groups: “increased”, “stable” and “decreased”. Results: A significant difference was observed between the three groups with respect to CD68 and CD206 expressions (P=0.012) and there existed a consistency between the two (P=0.008). The three groups showed a negative correlation with age, sex, stage, B symptoms, diagnosis, ECOG performance status, and IPI scores, while a positive correlation was observed with the site of lesion of CD206 expression (P=0.032). The time to relapse (TTR) in the three groups of CD68 and CD206 was not significantly different (P=0.23, P=0.818). Conclusion: Our study suggests that increase in CD206 and decrease in CD68 expression at relapse indicates M1-TAM polarization into M2-TAM, which plays an important role in PGI-DLBCL relapse. Furthermore, M2-TAM polarization may be associated with the site of Primary gastric diffuse large B lymphoma.
    8  Effects of sleep status on renal function in patients with chronic kidney disease: a systematic review
    Qiong Huang Tian Dai Chen-Di Dong Ding-Jun Zhang Bo Liu Min Zhang Zeng-Xin Yang Li Luo Bing-Qing Xia Yi-Fan Wu
    2019, 25(5):31-36.
    [Abstract](172) [HTML](0) [PDF 0.00 Byte](209)
    Abstract:
    Objective: To systematically evaluate the effects of sleep status on renal function in patients with chronic kidney disease (CKD). Methods: To search the relevant literature related to the effects of sleep status on renal function of CKD patients on PubMed database, EMBase database, the Cochrane Library database, CNKI database, Chinese Biomedical Literature Database, VIP and Wanfang database from the initial to June 2018, all literature that met the criteria were included. According to the type of studies, the quality of the literature was evaluated by NOS scale in the cohort study and AHRQ scale in the cross-sectional study, and systematically evaluated the outcome indicators, the main outcome indicators were estimated glomerular filtration rate (eGFR) and endogenous creatinine clearance rate (Ccr), while the secondary indicators were Pittsburgh Sleep Quality Index (PSQI), Sleep Quality (SQ), Serum Creatinine (Scr), Hemoglobin (Hb), Albumin (ALB) and Urine Protein/Creatinine Ratio (UPCR). Results: Four literature and one meeting abstract were included in this study, of which four were cohort studies, three of them the NOS quality evaluations were high, one of them was medium, the remaining one was cross-sectional study, and the AHRQ quality evaluation was medium. This study shows that sleep status has a certain correlation with renal function. Shorter sleep time or poor sleep quality can lead to deterioration of renal function. Among them, the research data of Sabbatinit research team in Italy showed that Ccr gradually decreased with the increased of the PSQI; studies of Cohen research team and the Ricardo research team in the United States showed that eGFR decreased with the increased of the PSQI; the study of Kumar research team in the United States showed that the lower SQ , the worse renal function; the study of Knutson’ research team in British showed that the shorter sleep time, the lower eGFR. In addition, studies showed that sleep index also has influence on Hb, ALB, Scr, UPCR and other indicators. Conclusion: Sleep status can affect the renal function of CKD patients in different degrees. Shorter sleep time and poor sleep quality will damage renal function and accelerate the progress of CKD.
    9  Effect of shexiangbaoxin pill combined with tirofiban hydrochloride on related factors in elderly patients with acute coronary symdrome
    Ya-Ning Xu Ling-Zhi Tang Xiao-Li Sun Chao Ruan Yue Wu Li-Li Li
    2019, 25(5):37-40.
    [Abstract](259) [HTML](0) [PDF 0.00 Byte](211)
    Abstract:
    Objective: To study the effect of shexiangbaoxin pill combined with tirofiban hydrochloride on related factors in elderly patients with acute coronary symdrome. Methods: A total of 96 elderly patients with acute coronary symdrome in our hospital from January 2015 to May 2018 were enrolled in this study. The subjects were divided into the control group (n=48) and the treatment group (n=48) randomly. The control group were treated with tirofiban hydrochloride, the treatment group were treated with shexiangbaoxin pill combined with tirofiban hydrochloride, and both the two groups were treated for 2 weeks. The PT, TT, APTT and serum FIB, CK-MB, cTnT, vWF, ET-1, NO, sICAM-1, MMP-9, hs-CRP of the two groups before and after treatment were compared. Results: There were no significantly differences of the PT, TT, APTT and serum FIB, CK-MB, cTnT, vWF, ET-1, NO, sICAM-1, MMP-9, hs-CRP of the two groups before treatment. The PT, TT, APTT and serum NO of the two groups after treatment were significantly higher than before treatment, the serum FIB, vWF, ET, sICAM-1, MMP-9, hs-CRP of the two groups after treatment were significantly lower than before treatment, and that of the treatment group after treatment were significantly better than the control group. The serum CK-MB, cTnT of the two groups after treatment were significantly higher than before treatment, but that of the treatment group after treatment were significantly lower than the control group. Conclusion: Shexiangbaoxin pill combined with tirofiban hydrochloride can significantly improve the blood coagulation function and reduce the Myocardial injury, vascular endothelial damage, inflammation of the elderly patients with acute coronary symdrome, and it was worthy clinical application.
    10  Effects of gastrodin on neurotransmitter effect, stress response, blood vessel and nerve function in migraine patients
    Ling-Zhi Tang Xiao-Li Sun Chao Ruan Yue Wu Li-Li Li
    2019, 25(5):41-44.
    [Abstract](225) [HTML](0) [PDF 0.00 Byte](235)
    Abstract:
    Objective: To investigate the effects of gastrodin on neurotransmitter effect, stress response, blood vessel and nerve function in migraine patients. Methods: A total of 90 patients with migraine admitted to our hospital from September 2016 to December 2017 were randomly divided into observation group and control group with 45 cases in each group. The control group was treated with flunarizine hydrochloride, while the observation group was treated with gastrodin based on the control group. The levels of neurotransmitter effect[including 5-serotonin (5-HT) and tumor necrosis factor alpha (TNF-alpha)], stress response[oxidized low density lipoprotein (ox-LDL) and paraoxonase-1 (PON-1)], vascular function[including nitric oxide (NO), endothelin-1 (ET-1)] and neurological function[including high brain-derived neurotrophic factor (BDNF) and calcitonin gene-related peptide (CGRP)] related indexes were observed and compared between the two groups. Results: The two groups showed significant changes in transmitter effect, stress response, blood vessel and nerve function. Before treatment, there was no significant difference in the levels between the two groups. After treatment, the levels of TNF-a, ox-LDL, NO, ET-1, BDNF and CGRP in the two groups were significantly lower than those before treatment, while the levels of 5-HT and PON-1 were significantly higher than those before treatment. And after treatment, the levels of TNF-a, ox- LDL, NO, ET-1, BDNF and CGRP in the observation group were significantly lower than those in the control group, while the levels of 5-HT and PON-1 were significantly higher than those in the control group. Conclusions: Gastrodin treatment can regulate oxidative stress level and improve vascular and neurological function in migraine patients.
    11  Effects of selenium supplementation on thyroid function, immune response and oxidative stress in HT patients
    Chun-Mei Qu? Ying Li Shu-Mei Chen
    2019, 25(5):45-48.
    [Abstract](250) [HTML](0) [PDF 0.00 Byte](212)
    Abstract:
    Objective: To explore the effect of selenium supplementation on thyroid function, immune response and oxidative stress in HT patients with normal thyroid function. Methods: A total of 120 Hashimoto's thyroiditis patients with normal thyroid function admitted to our hospital from June 2016 to March 2018 were randomly divided into treatment group and control group with 60 cases in each group. The control group was given oral placebo, while the treatment group was given selenium yeast. The expression levels of thyroid function [including thyroid stimulating hormone (TSH), free triiodothyronine (FT3) and free thyroxine (FT4)], immune response [including thyroid peroxidase antibody (TPOAb), thyroglobulin antibody (TGAb), interferon-γ (IFN-γ), interleukin-4 (IL-4)] and oxidative stress [including malondialdehyde (MDA), glutathione peroxidase (GPx) and superoxide dismutase (SOD)] were observed and compared between the two groups. Results: The two groups showed significant changes in auxiliary diagnosis, immune response and oxidative stress. Before treatment, there was no significant difference in the levels between the two groups. After treatment, there was no significant difference in the above indexes between the control group and that before treatment. There was no significant difference in thyroid function related indexes between the treatment group and the control group. The levels of TPOAb, TGAb, IFN-γ and MDA in the treatment group were significantly lower than those before treatment and in the control group, while the levels of IL-4, GPx and SOD were significantly higher than those before treatment and in the control group. Conclusions: Selenium supplementation can stabilize thyroid function, reduce the level of thyroid antibody production, and improve immune response and oxidative stress response in HT patients.
    12  Clinical efficacy of HEGU needling method combined with tendonstretching and plucking massage on trigger point in the treatment of acute thoracodorsal myofascitis
    Guang-Bao Lu Rong-Jun Mei Wen-Qiang Shi Hai-Zhou Liu Jing-Wen Huang Xue-Bo Li
    2019, 25(5):49-52.
    [Abstract](197) [HTML](0) [PDF 0.00 Byte](220)
    Abstract:
    Objective: To observe the effect of Hegu neediling method combined with tendon-stretching and plucking massage on trigger point in the treatment of acute thoracodorsal myofascitis. Methods: A total of 84 patients with acute thoracodorsal myofascitis who met the diagnostic and inclusion criteria were assigned into the treatment group and the control group randomly, the treatment group was treated with Hegu neediling method combined with tendonstretching and plucking massage, while the control group was treated with conventional electroacupuncture. Two groups of patients were treated for two weeks. VAS score and ODI were compared before treatment, after the first treatment and after the treatment course, and the clinical efficacy was evaluated after treatment. Results: The total effective rates of the treatment group and the control group were 97.62% and 80.95%, respectively. The treatment group was significantly better than the control group. The VAS and ODI scores of the treatment group decreased after the first treatment and the end of the treatment, and the treatment group was significantly better than the control group. Conclusion: Hegu neediling method combined with tendon-stretching and plucking massage can relieve pain and improve limb dysfunction in patients with acute thoracodorsal myofascitis.
    13  Clinical effect of under the diaphragm by stasis soup combinated with point thread-embedding on infertility patients with obesity-type polycystic ovary syndrome
    Lian-Di Zhang Bing Zhang Xiao-Lin Jiang Xiao-Qian Dong Cui-Jie Bao
    2019, 25(5):53-57.
    [Abstract](159) [HTML](0) [PDF 0.00 Byte](191)
    Abstract:
    Objective: To study the clinical effect of under the diaphragm by stasis soup combinated with point thread-embedding on infertility patients with obesity-type polycystic ovary syndrome (PCOS) and evaluate the the rate of ovulation and pregnancy. Method: Selecting 100 infertility patients with obesity-type PCOS, then they were randomly divided into control group (n=80) and observation group (n=80). The control group patients were given metformin+ under the diaphragm by stasis soup, the observation group were given metformin + exenatide + point thread-embedding, they were treated 3 months. Before and after treatment, we observed the changes of body mass index (BMI), waist-to-hipratio (WHR), fasting plasma glucose (FBG), 2-hour postprandial blood glucose (2hPBG), total cholesterol (TC), high-density lipoprotein cholesterol (HDL-C), low-density lipoprotein cholesterol (LDL-C), triglycerides (TG), homeostasis model assessment of insulin resistance (HOMA-IR), fasting plasma insulin (FINS), follicule-stimulating hormone (FSH), luteinizing hormone (LH), LH/FSH, estrogen (E2), and testosterone (T). At last, we assessed the rate of ovulation and pregnancy. Results: After the treatment, the FBG, 2hPBG, TC, LDL-C, TG, BMI, WHR, HOMA-IR, FINS, LH, LH/FSH, E2, and T were lower than before treatment in both groups, and the difference had statistical significance, and the observation group were lower than control group, and the difference had statistical significance; the HDL-C and FSH were higher than before treatment in both groups, and the difference had statistical significance, and the observation group were higher than control group, and the difference had statistical significance. The rate of ovulation and pregnancy in the observation group were higher than control group, and the difference had statistical significance. Conclusions: Under the diaphragm by stasis soup combinated with point thread-embedding can improve the metabolize of carbohydrate and lipid, and the abnormity of sex hormones, through this process, the rate of ovulation and pregnancy can be raised.
    14  Detection of Th17/Treg balance in peripheral blood of children with hemophilia syndrome and its correlation with severity
    Wei-Juan Lei Jie Pan
    2019, 25(5):58-56.
    [Abstract](144) [HTML](0) [PDF 0.00 Byte](171)
    Abstract:
    Objective: To investigate the relationship between Th17/Treg balance in peripheral blood and severity of hemophagocytic syndrome in children. Methods: A total of 60 children with HLH diagnosed in our hospital were taken as HLH group during January 2015 to October 2018, 100 cases of healthy children underwent physical examination in our hospital were taken as Normal control group. Levels of Th17/Treg balance, ferritin (SF) and inflammatory mediators in peripheral blood were compared between two groups. Results: Ratio of Th17 cells and Th17/Treg ratio in peripheral blood of HLH group were higher than those of Normal control group, and ratio of Treg cells was lower than that of Normal control group. Levels of serum SF in HLH group were lower than those in Normal control group, and levels of inflammatory mediators such as PCT, IL-6, IL-10 and IFN-γ in peripheral blood were significantly higher than those in Normal control group. Correlation analysis showed that proportion of Th17 cells and the ratio of Th17/Treg in peripheral blood of children with HLH were positively correlated with the contents of SF, PCT, IL-6, IL-10 and IFN-γ, while proportion of Treg cells was negatively correlated with the contents of SF, PCT, IL-6, IL-10 and IFN-γ. Conclusion: Th17/ Treg imbalance exists in children with HLH, and there is a positive correlation between Th17/ Treg imbalance and the severity of the disease, which may have a certain clinical significance in disease evaluation.
    15  Effects of routine rehabilitation therapy combined with low frequency electrical stimulation on monoamine neurotransmitters, NSE, ET-1 and cerebral hemodynamics in children with cerebral palsy
    Sai Xun Pei-Pei Wang Nuan Yang Mei Hou Jun Chen Dian-Rong Sun Jian-HuiZhao Li-Ping Lyu
    2019, 25(5):61-64.
    [Abstract](193) [HTML](0) [PDF 0.00 Byte](311)
    Abstract:
    Objective: To investigate the effects of routine rehabilitation therapy combined with low frequency head stimulation on monoamine neurotransmitters, neuron-specific enolase (NSE), endothelin-1 (ET-1) and cerebral hemodynamics in children with cerebral palsy. Methods: From January 2017 to June 2018, 110 children with cerebral palsy were randomly divided into observation group (55 cases) and control group (55 cases). The control group received routine rehabilitation treatment, while the observation group received low-frequency head stimulation on the basis of routine rehabilitation treatment. The changes of dopamine (DA), norepinephrine (NE), serotonin (5-HT), NSE, ET-1 levels and mean blood flow velocity of anterior cerebral artery (ACA), middle cerebral artery (MCA), posterior cerebral artery (PCA) were compared in two groups. Results: Before treatment, there was no significant difference in DA, NE and 5-HT levels in two groups. After treatment, DA, NE and 5-HT levels in the observation group were (192.23±22.71) ng/mL, (98.02±11.71) ng/L, (210.07±25.03) ng/L, and in the control group. the DA, NE, 5-HT levels were (147.06±17.02) ng/mL, (83.07±11.15) ng/L, and (171.88±20.45) ng/L, respectively. The DA, NE and 5-HT levels in two groups were higher than those before treatment, and DA, NE and 5-HT levels in the observation group were higher than those in the control group. Before treatment, there was no significant difference in NSE and ET-1 levels between the two groups. After treatment, the NSE and ET-1 levels in the observation group were (7.97±2.07) μg/L and (41.01±10.07) pg/ mL, and the NSE and ET-1 levels in the control group were (10.38±3.02) μg/L, (58.46±15.02) pg/ mL, respectively. the NSE and ET-1 in two groups were lower than those before treatment, and the NSE and ET-1 of the observation group were lower than the control group. Before treatment, there was no significant difference in mean blood flow velocity between ACA, MCA and PCA. After treatment, the mean blood flow velocities of ACA, MCA, and PCA in the observation group were (46.88±7.72) cm/s, (59.85±10.18) cm/s, and (49.15±7.02) cm/s, respectively, which was significantly higher than before treatment and higher than that of the control group in the same period. Conclusion: Conventional rehabilitation combined with low-frequency electrical stimulation of the head can effectively increase the content of monoamine neurotransmitters in children with cerebral palsy, enhance cerebral blood circulation, and reduce brain damage
    16  CYP correlation study of refractory schizophrenia drug gene detection
    Qin-Wei Xu Xiang-Lai Liu Qian-Kun Yao Zai-Ji Zheng
    2019, 25(5):65-68.
    [Abstract](199) [HTML](0) [PDF 0.00 Byte](308)
    Abstract:
    Objective: To study the refractory factors associated with schizophrenia. Methods: 200 patients with refractory schizophrenia and 200 patients with non-refractory schizophrenia were selected. The CYP series of genes CYP1A2, CYP3A4 and CYP2D6 were detected by drug gene, and the rapid metabolic probabilities of the three genes were compared and analyzed. 200 patients with refractory schizophrenia were randomly divided into two groups: the combined drug treatment group and the single drug treatment group. The results were compared between the treatment of 0W and 4W for drug gene detection, 3 genes fast metabolizing type and BPRS scale. analysis. Results: The rapid metabolizing probability and non-refractory difference of CYP1A2, CYP3A4 and CYP2D6 genes in patients with refractory schizophrenia were significant. The comparison of fast metabotropic probabilities of CYP1A2, CYP3A4 and CYP2D6 genes in patients treated with 4W after treatment There was no significant difference in the single drug treatment group. The BPRS scale score was significantly higher in the drug-treated group than in the single-drug group. After logistic regression analysis, the refractory characteristics of schizophrenia and The CYP series of genes CYP1A2, CYP3A4, and CYP2D6 are rapidly metabolized. Conclusion: CYP series of genes CYP1A2, CYP3A4, CYP2D6 fast metabolites are related factors of refractory schizophrenia, antipsychotic drugs combined with CYP enzyme inhibitor treatment can improve the efficacy.
    17  Advances in endoscopic diagnosis of early gastric cancer
    Xia Li Hong-Gang Yu
    2019, 25(5):69-72.
    [Abstract](235) [HTML](0) [PDF 0.00 Byte](313)
    Abstract:
    Gastric cancer is one of common malignant tumors in clinic. It has high incidence, high mortality and poor prognosis. Generally, gastric cancer is divided into early gastric cancer (EGC) and advanced gastric cancer. The 5-year survival rate of EGC is higher than that of advanced gastric cancer. In recent years, with the continuous development of science and technology, a variety of medical instruments and technologies have been updated, greatly promoting the detection rate of EGC, reducing the rate of EGC missed diagnosis. This article reviews the progress of EGC endoscopic diagnosis.
    18  Development and prospects of cervical laminoplasty
    Wen-Xuan Wang Bin Zhao Xiao-Feng Zhao Shao-Wei Wang
    2019, 25(5):73-76.
    [Abstract](239) [HTML](0) [PDF 0.00 Byte](300)
    Abstract:
    Cervical laminoplasty surgery is an alternative to laminectomy. It can increase the space of the spinal cord available by raising the lamina, and achieve the indirect decompression effect to treat cervical spondylosis. Various techniques of laminoplasty have since been developed after two prototype techniques: Hirabayashi’s open-door laminoplasty and Kurokawa’s double-door laminoplasty. Several studies report superior biomechanical stability of the cervical spine after laminoplasty compared with laminectomy. Recent development in laminoplasty is preservation of muscle attachment, which enabled dynamic and static stabilization of the cervical spine by neck extensor muscles. After treatment with new laminoplasty techniques with active postoperative neck muscle exercises, postoperative instability, kyphosis, axial neck pain, and loss of ROM become minimal. The development,complications and future trends of cervical laminoplasty are summarized below.
    19  The promotional effects of exogenous stimulation with pulsed electromagnetic fields on skin wound healing in diabetic rats
    HAN Yan YAN Ze-dong GE Shu-hua
    2019(5):321-325. DOI: 10.13210/j.cnki.jhmu.20190128.001
    [Abstract](59) [HTML](0) [PDF 3.02 M](53)
    Abstract:
    Objective: The current study aims to identify the effects of exogenous application of pulsed electromagnetic fields on skin wound healing in diabetic rats, and thus provides experimental evidence for its more scientific clinical application in the future. Methods:The diabetic animal models were established via intraperitoneal injection of streptozotocin in 4-month-old male rats. Fourth eight rats were randomly assigned into the diabetes group (DM) and diabetes coupled with pulsed electromagnetic fields (DM+PEMF) group. Another 24 normal rats were used as the blank control group (Control). Then, all the rats in the three groups were subjected to dorsal surgery for the establishment of soft tissue wound model (circular wound with the diameter of 2 cm). Then, the rats in the DM+PEMF group were subjected to pulsed electromagnetic fields stimulation. Then, 6 rats in each group were sacrificed at Day 5,2 and 19 post surgery. The glucose levels, wound closure, wound healing time and tissue tensile strength were examined and analyzed. Results:Pulsed electromagnetic fields significantly increased the wound closure rate in diabetic rats at Day 5,2 and 19 post surgery (P<0.01), decreased overall wound healing period in diabetic rats (P<0.01), and also enhanced tissue tensile strength in diabetic rats at Day 5,2 and 19 post surgery (P<0.01). Conclusion:Low-intensity pulsed electromagnetic fields can significantly accelerate diabetic wound healing process, and also improve diabetic tissue repair capacity. This study may be helpful for providing more scientific and reasonable experimental evidence for the treatment of pulsed electromagnetic fields on diabetic wound healing in clinics.
    20  Research of the anxiolytic effect of Baihe Dihuang Decoction
    FANG Huan-le HAN Ning-juan LI Xiao-ming NIU Rui CHEN Yan -bin
    2019(5):326-329. DOI: 10.13210/j.cnki.jhmu.20190124.005
    [Abstract](116) [HTML](0) [PDF 2.45 M](68)
    Abstract:
    Objective: To study the effect of Baihe Dihuang Decoction in improving anxiety and its mechanism of action. Methods:Male mice were randomly divided into 5 groups:blank control group, Baihe Dihuang Decoction high, medium, low-dose group and diazepam group. After continuous intragastric administration for 14 days, the behavioral test of the mouse elevated plus maze experiment and opening test was performed. The brain tissue GABA and Glu content was measured by immunosorbent assay (ELISA). Results:Compared with the blank control group, the middle and high doses of Baihe Dihuang Decoction could increase the time and frequency of movement of the mice in the open cross labyrinth in the open arm and increase the number of times that the mouse entered the central area in the opening test(P<0.05, P<0.01). The anti-anxiety effect also showed an increase in the brain tissue GABA content in mice, ignificantly decreased Glu contents in mice (P<0.05, P<0.01). Conclusion:Baihe Dihuang Decoction has some anxiolytic effect, and anti-anxiety effect may be related to increasing brain tissue GABA content ,decreased Glu contents in mice.
    21  The effect of dexmedetomidine against liver ischemia-reperfusion injury in rats by reducing endoplasmic reticulum stress
    WANG Quan-sheng AI Re-ti LU Fei-fei
    2019(5):330-334. DOI: 10.13210/j.cnki.jhmu.20190121.001
    [Abstract](34) [HTML](0) [PDF 4.61 M](54)
    Abstract:
    Objective: To investigate the effect of dexmedetomidine against liver ischemia-reperfusion injury in rats by reducing endoplasmic reticulum stress. Methods:24 adult male Sprague-Dawley rats were randomly divided into sham operation group (6 rats, Sham group), liver ischemia-reperfusion injury group (6 rats, I/R group), and liver ischemia-reperfusion injury +dexmedetomidine pretreatment group (6 rats, I/R +Dex pretreatment group)(25 μg/kg intraperitoneally 30 min before ischemia), and liver ischemia-reperfusion injury +dexmedetomidine post-treatment group (6 rats, I/R +Dex post-treatment group)(25 μg/kg intraperitoneally 30 min after reperfusion). Hepatic ischemia-reperfusion injury model was performed by after clamping the hepatic hilum for 30 min and reperfusion for 6 hours. Serum alanine aminotransferase (ALT) and aspartate aminotransferase (AST) levels were measured by automatic biochemical analyzer. Malondialdehyde (MDA) and superoxide dismutase (SOD) activity were detected by enzyme-linked immunosorbent assay (ELISA). The pathological changes of each group were observed by HE staining. The expression of endoplasmic reticulum stress (P-PERK, P-IRE1α, CHOP) were detected by Western blot. Results:Compared with the Sham group, the serum levels of ALT and AST were significantly higher in the I/R group (P<0.05), compared with the I/R group, the serum ALT and AST in I/R+Dex pretreatment group and the I/R+Dex post-treatment group were significantly reduced (P<0.05); Compared with the Sham group, MDA activity in the liver tissue of the I/R group was significantly increased, while the SOD activity was significantly decreased, and the pathological score of the liver tissue was significantly increased; Compared with the I/R group, MDA activity and liver histopathology scores in I/R+Dex pretreatment group and the I/R+Dex post-treatment group were decreased, while SOD activity increased (P<0.05); The expression of P-PERK, P-IRE1α, CHOP in the I/R group were significantly higher than that in the Sham group, while the expression of the above indicators were reduced in I/R+Dex pretreatment group and the I/R+Dex post-treatment group (P<0.05). Conclusion:Dexmedetomidine can significantly attenuated liver ischemia-reperfusion injury in rats, which may be related to the reduction of endoplasmic reticulum stress.
    22  Preliminary study on the anti-inflammatory effect of magnolol on LPS-induced mice
    MO Si-yu ZHONG Qi-bing CAI Zhao-xu LU Shao-jun ZANG Lin-quan
    2019(5):335-338, 342. DOI: 10.13210/j.cnki.jhmu.20190128.002
    [Abstract](52) [HTML](0) [PDF 4.04 M](55)
    Abstract:
    Objective: Investigating the anti-inflammatory effects of magnolol on lipopolysaccharide (LPS)-induced inflammation model mouse and its effect on NF-κB pathway. Methods: Mice were randomly divided into 5 group:normal control group, inflammatory model group, dexamethasone positive drug group and,magnolol group.After administrating for 7 days, LPS was intraperitoneally injected to induce inflammatory on the 8th day, and blood was taken 3 h later and the thymus and spleen were weighed. The levels of serum TNF-α,IL-22 and IL-17 were detected by ELISA method.The expression levels of TNF-α, Nuclear transcription factor-κB (NF-κB) p65 and IL-17 in thymus were detected by immunohistochemistry. Results: Magnolol could evidently reduce the levels of serum tumor necrosis factor-α(TNF-α),NF-κB p65 and interleukin-17(IL-17) and interleukin-22(IL-22)(P<0.05).Immunohistochemistry result showed that magnolol could down-regulate the expression of IL.-17, TNF-α and p65 (P<0.01).Conclusion: Magnolol can prevent and treat LPS-induced inflammation. Its anti-inflammatory effect is connected with the down-regulation of TNF-α and nuclear transcription factor-κB (NF-κB) p65 protein levels by IL-17 inflammatory pathway. This experiment provides a theoretical basis for magnolol in anti-inflammatory.
    23  Expression and significance of KAI1/CD82 and p27 in gastric carcinoma
    CUI Rong-hua WANG Mei-qing MAO Shan-shan CHENG Xiao-Zhen YUAN Jian-Hua LI Xing
    2019(5):339-342. DOI: 10.13210/j.cnki.jhmu.20190124.007
    [Abstract](61) [HTML](0) [PDF 2.65 M](53)
    Abstract:
    Objective: To study the expression and significance of KAI1/CD82, p27 proteins in gastric carcinoma.Methods: The expressions of KAI1/CD82、p27 proteins were detected by immunohistchemistry S-P method in 58 cases of gastric carcinoma tissues and 23 normal gastric tissues. Results:The positive rates of KAI1/CD82 and p27 proteins in gastric carcinoma tissues were 29.3% and 34.4%,but 90% and 85% respectively in normal gastric tissue.And there is a significant difference between the two groups(P<0.05).The expression level of KAI1/CD82 and p27 proteins was significantly related to tumor invasive depth, grade of tumor differentiation, the clinical stage and lymph node metastasis (P<0.05);And has nothing to do with age or gender(P>0.05).There was a positive correlation between the expression of KAI1/CD82 and P27 in gastric cancer tissues.(r=0.286,P<0.01).Conclusion:The expression of KAI1/CD82 and p27 protein may be involved in the initiation and development in gastric carcinoma,and the combied detection of KAI1/CD82 and p27 proteins may be significant in predicting the invision and metastasis of gastric carcinoma.
    24  Best time for progesterone supplementation in aid ovulation induction cycles by letrozole
    WANG Xue-mei LOU Hua CUI Yuan-rong ZHANG Xia DONG Bo CHANG Cai-hong
    2019(5):343-346. DOI: 10.13210/j.cnki.jhmu.20190212.001
    [Abstract](65) [HTML](0) [PDF 2.48 M](61)
    Abstract:
    Objective: To explore the best time for progesteronesupplementation in AIDusing Letrozole for ovulationinduction.Methods: A total of 509 patients who undersentArtificial Insemination by Donor(AID) usingletrozole (LE) for ovulationinduction between August 2014 and July 2015 were enrolled in this study.All patients wererandomly divided into1 control group ( group 4, no progesterone supplementation) and 3 experiemtalgoupsaccording to the time of progesterone supplementation group 1-3),group 1-3 was given progesterone supplementation 72h, 48 h, and 24 hafter ovulation, respectively.The gestation and live birth rate were evaluated by monitoring vaginal ultrasound and HCG blood value14 days after AID. Results: The pregnancy rate in group 1was 31.9%, which was significantly higher than the other 3 groups(31.9% vs. 19.3%,18.0%,11.4%,P all<0.05). The pregnancy rate of group 4 was significantly lower than the 3 experimental groups(11.4%vs.31.9% , 19.3%,18.0%,P<0.05). However, there was no significant difference in the numbers of abortions among the four groups (P>0.05). Besides, the live birth rate of group 4 was significantly lower than that of group 1(61.1%vs.89.2%,P<0.05).Conclutions: Progesterone administrated72h after ovulation can promoted the gestation rate without affecting the rate of miscarrage.
    25  Relationship between tumor associated macrophages and relapse of primary gastrointestinal diffuse large B cell lymphoma
    MENG Juan GAO Yuan-hui XU Hai-xia WANG Mei-qing CHEN Zheng-yi
    2019(5):347-350, 357. DOI: 10.13210/j.cnki.jhmu.20190110.003
    [Abstract](69) [HTML](0) [PDF 5.26 M](54)
    Abstract:
    Objective: To detect the change in expression of the tumor associated macrophage (TAM) markers CD68 and CD206 from first diagnosis to first relapse of primary gastrointestinal diffuse large B cell lymphoma (PGI-DLBCL), analyze the correlation between the changes and related clinical parameters, and explore the significance of polarization of TAM in treating the relapse. Methods: Lymphomas from 28 PGI-DLBCL patients at first diagnosis and first relapse were collected and molecular markers CD68 and CD206 were measured by immunohistochemical assay. Based on the change of CD68 and CD206, patients were categorized into three types:"increased", "stable" and "decreased". The ratio of cases with different expression level of CD68 and CD206 was compared, and the correlation among the changes, related clinical parameters and the relapse were analyzed.Results: Significant differences in ratio of cases with different expression level of CD68 and CD206 were observed (P<0.05) and there was a correlation between CD68 and CD206 (P=0.008). CD68 and CD206 expression showed no correlation with age, gender, stage, B symptoms, pathological type, ECOG score, or IPI scores, while CD206 expression had a positive correlation with primary site(P<0.05). There was no correlation between the changes and time to relapse (CD68:P=0.23 and CD206:P=0.818) Conclusion: Our study suggest that polarization of M2-TAM can promote the relapse of PGI-DLBCL, and it may be an important indicator of relapse of PGI-DLBCL.
    26  The Effects of sleep status on renal function in patients with chronic kidney disease:a systematic review
    HUANG Qiong DONG Chen-di ZHANG Ding-jun ZHANG Min LUO Li XIA Bing-qing WU Yi-fan
    2019(5):351-357. DOI: 10.13210/j.cnki.jhmu.20181213.001
    [Abstract](34) [HTML](0) [PDF 4.35 M](65)
    Abstract:
    Objective: To systematically evaluate the effects of sleep status on renal function in patients with chronic kidney disease (CKD). Methods:To search the relevant literatures related to the effects of sleep status on renal function of CKD patients on PubMed database, EMBase database, the Cochrane Library database, CNKI database , Chinese Biomedical Literature Database, VIP and Wanfang database from the initial to June 2018, all literatures that met the criteria were included. According to the type of studies, the quality of the literatures was evaluated by NOS scale in the cohort study and AHRQ scale in the cross-sectional study, and systematically evaluated the outcome indicators, the main outcome indicators were estimated glomerular filtration rate (eGFR ) and endogenous creatinine clearance rate ( Ccr ), while the secondary indicators were Pittsburgh Sleep Quality Index (PSQI), Sleep Quality (SQ), Serum Creatinine ( Scr ), Hemoglobin (Hb), Albumin (ALB) and Urine Protein / Creatinine Ratio (UPCR). Results:Four literatures and one meeting abstract were included in this study, of which four were cohort studies, three of them the NOS quality evaluations were high, one of them was medium, the remaining one was cross-sectional study, and the AHRQ quality evaluation was medium. This study shows that sleep status has a certain correlation with renal function. Shorter sleep time or poor sleep quality can lead to deterioration of renal function. Among them, the research data of Sabbatinit research team in Italy showed that Ccr gradually decreased with the increased of the PSQI; studies of Cohen research team and the Ricardo research team in the United States showed that eGFR decreased with the increased of the PSQI; the study of Kumar research team in the United States showed that the lower SQ , the worse renal function; the study of Knutson' research team in British showed that the shorter sleep time, the lower eGFR. In addition, studies showed that sleep index also has influence on Hb, ALB, Scr, UPCR and other indicators. Conclusion:Sleep status can affect the renal function of CKD patients in different degrees. Shorter sleep time and poor sleep quality will damage renal function and accelerate the progress of CKD.
    27  Journal of Hainan Medical University Effect of shexiangbaoxin pill combined with tirofiban hydrochlor ide on related factors in elderly patients with acute coronary symdrome
    XU Ya-ning DAI Tian LIU Bo YANG Zeng-xin
    2019(5):358-361, 366. DOI: 10.13210/j.cnki.jhmu.20190114.003
    [Abstract](35) [HTML](0) [PDF 3.30 M](60)
    Abstract:
    Objective: To study the effect of shexiangbaoxin pill combined with tirofiban hydrochloride on related factors in elderly patients with acute coronary symdrome. Methods: A total of 96 elderly patients with acute coronary symdrome in our hospital from January 2015 to May 2018 were enrolled in this study. The subjects were divided into the control group (n=48) and the treatment group (n=48) randomly. The control group were treated with tirofiban hydrochloride, the treatment group were treated with shexiangbaoxin pill combined with tirofiban hydrochloride, and both the two groups were treated for 2 weeks. The PT, TT, APTT and serum FIB, CK-MB, cTnT, vWF, ET-1, NO, sICAM-1, MMP-9, hs-CRP of the two groups before and after treatment were compared. Results: There were no significant differences of the PT, TT, APTT and serum FIB, CK-MB, cTnT, vWF, ET-1, NO, sICAM-1, MMP-9, hs-CRP of the two groups before treatment (P>0.05). The PT, TT, APTT and serum NO of the two groups after treatment were significantly higher than before treatment (P<0.05), the serum FIB, vWF, ET, sICAM-1, MMP-9, hs-CRP of the two groups after treatment were significantly lower than before treatment (P<0.05), and those of the treatment group after treatment were significantly better than the control group (P<0.05). The serum CK-MB, cTnT of the two groups after treatment were significantly higher than before treatment (P<0.05), but those of the treatment group after treatment were significantly lower than the control group (P<0.05). Conclusion:Shexiangbaoxin pill combined with tirofiban hydrochloride can significantly improve the blood coagulation function and reduce the myocardial injury, vascular endothelial damage, inflammation of the elderly patients with acute coronary symdrome, and it isworthy of clinical application.
    28  Effects of gastrodin on neurotransmitter effect, stress response, blood vessel and nerve function in migraine patients
    TANG Ling-zhi SUN Xiao-li RUAN Chao WU Yue LI Li-li
    2019(5):362-366. DOI: 10.13210/j.cnki.jhmu.20190102.003
    [Abstract](41) [HTML](0) [PDF 3.12 M](51)
    Abstract:
    Objective: To investigate the effects of gastrodin on neurotransmitter effect, stress response, blood vessel and nerve function in migraine patients. Methods: A total of 90 patients with migraine admitted to our hospital from September 2016 to December 2017 were randomly divided into observation group and control group with 45 cases in each group. The control group was treated with flunarizine hydrochloride, while the observation group was treated with gastrodin based on the control group. The levels of neurotransmitter effectin cluding 5-serotonin (5-HT) and tumor necrosis factor alpha (TNF-α), stress response oxidized low density lipoprotein (ox-LDL) and paraoxonase-1 (PON-1), vascular function including nitric oxide (NO), endothelin-1 (ET-1) and neurological function including high brain-derived neurotrophic factor (BDNF) and calcitonin gene-related peptide (CGRP) related indexes were observed and compared between the two groups. Results: The two groups showed significant changes in transmitter effect, stress response, blood vessel and nerve function. Before treatment, there was no significant difference in the levels between the two groups (P>0.05). After treatment, the levels of TNF-α, ox-LDL, NO, ET-1, BDNF and CGRP in the two groups were significantly lower than those before treatment (P<0.05), while the levels of 5-HT and PON-1 were significantly higher than those before treatment (P<0.05). After treatment, the levels of TNF-α, ox-LDL, NO, ET-1, BDNF and CGRP in the observation group were significantly lower than those in the control group (P<0.05), while the levels of 5-HT and PON-1 were significantly higher than those in the control group (P<0.05). Conclusions: Gastrodin treatment can regulate oxidative stress level and improve vascular and neurological function in migraine patients.
    29  Effects of selenium supplementation on thyroid function, immune response and oxidative stress in HT patients
    QU Chun-mei LI Ying CHEN Shu-mei
    2019(5):367-370. DOI: 10.13210/j.cnki.jhmu.20190124.001
    [Abstract](74) [HTML](0) [PDF 2.48 M](75)
    Abstract:
    Objective: To explore the effect of selenium supplementation on thyroid function, immune response and oxidative stress in HT patients with normal thyroid function. Methods: 120 Hashimoto's thyroiditis patients with normal thyroid function admitted to our hospital from June 2016 to March 2018 were randomly divided into treatment group and control group with 60 cases in each group.The control group was given oral placebo, while the treatment group was given selenium yeast.The expression levels of thyroid function including thyroid stimulating hormone (TSH), free triiodothyronine (FT3) and free thyroxine (FT4), immune response including thyroid peroxidase antibody (TPOAb), thyroglobulin antibody (TGAb), interferon-γ (IFN-γ), interleukin-4 (IL-4) and oxidative stress including malondialdehyde (MDA), glutathione peroxidase (GPx) and superoxide dismutase (SOD) were observed and compared between the two groups. Results: The two groups showed significant changes in auxiliary diagnosis, immune response and oxidative stress.Before treatment, there was no significant difference in the levels between the two groups (P>0.05).After treatment, there was no significant difference in the above indexes between the control group and that before treatment (P>0.05).There was no significant difference in thyroid function related indexes between the treatment group and the control group (P>0.05).The levels of TPOAb, TGAb, IFN-γ and MDA in the treatment group were significantly lower than those before treatment and in the control group (P<0.05), while the levels of IL-4, GPx and SOD were significantly higher than those before treatment and in the control group (P<0.05).Conclusions: Selenium supplementation can stabilize thyroid function, reduce the level of thyroid antibody production, and improve immune response and oxidative stress response in HT patients.
    30  Clinical efficacy of hegu needling method combined with tendon-stretching and plucking massage on trigger point in the treatment of acute thoracodorsal myofascitis
    LU Guang-bao MEI Rong-jun SHI Wen-qiang LIU Hai-zhou HUANG Jing-wen LI Xue-bo
    2019(5):371-374. DOI: 10.13210/j.cnki.jhmu.20190128.005
    [Abstract](98) [HTML](0) [PDF 2.46 M](58)
    Abstract:
    Objective: To observe the effect of Heguneediling method combined with tendon-stretching and plucking massage on trigger point in the treatment of acute thoracodorsalmyofascitis. Methods: 84 patients with acute thoracodorsalmyofascitis who met the diagnostic and inclusion criteria were assigned into the treatment group and the control grouprandomly, the treatment group was treated with Heguneediling method combined with tendon-stretching and plucking massage, while the control group was treated with conventional electroacupuncture. Two groups of patients were treated for two weeks. VAS score and ODI were compared before treatment, after the first treatment and after the treatment course, and the clinical efficacy was evaluated after treatment. Results: The total effective rates of the treatment group and the control group were 97.62% and 80.95%, respectively. The treatment group was significantly better than the control group (P<0.05). The VAS and ODI scores of the treatment group decreased after the first treatment and the end of the treatment (P<0.01), and the treatment group was significantly better than the control group (P<0.05 and P<0.01). Conclusion:Heguneediling method combined with tendon-stretching and plucking massage can relieve pain and improve limb dysfunction in patients with acute thoracodorsalmyofascitis.
    31  The Clinical effect of Under the diaphragm by stasis soup combinated with Point thread-embedding on Infertility patients with Obesity-type polycystic ovary Syndrome
    ZHANG Lian-di ZHANG Bing JIANG Xiao-lin DONG Xiao-qian BAO Cui-jie
    2019(5):375-379, 383. DOI: 10.13210/j.cnki.jhmu.20190124.009
    [Abstract](64) [HTML](0) [PDF 3.88 M](62)
    Abstract:
    Objective: To study the clinical effect of under the diaphragm by stasis soup combinated with point thread-embedding on infertility patients with obesity-type polycystic ovary syndrome (PCOS) and evaluate the the rate of ovulation and pregnancy. Methods: Selceting 100 infertility patients with obesity-type PCOS, then they were randomly divided into control group (n=80)and observation group (n=80). The control group patients were given metformin+ under the diaphragm by stasis soup, the observation group were given metformin+exenatide+ point thread-embedding, they were treated 3 months. Before and after treatment, we observed the changes of body mass index (BMI), waist-to-hipratio (WHR), fasting plasma glucose (FBG), 2-hour postprandial blood glucose (2hPBG), total cholesterol (TC), high-density lipoprotein cholesterol (HDL-C), low-density lipoprotein cholesterol (LDL-C), triglycerides (TG), homeostasis model assessment of insulin resistance (HOMA-IR), fasting plasma insulin (FINS), follicule-stimulating hormone (FSH), luteinizing hormone (LH), LH/FSH, estrogen (E2), and testosterone (T). At last, we assessed the rate of ovulation and pregnancy. Results: After the treatment, the FBG, 2 hPBG, TC, LDL-C, TG, BMI, WHR, HOMA-IR, FINS, LH, LH/FSH, E2, and T were lower than before treatment in both groups, and the difference had statistical significance (P<0.05), and the observation group were lower than control group, and the difference had statistical significance (P<0.05); the HDL-C and FSH were higher than before treatment in both groups, and the difference had statistical significance (P<0.05), and the observation group were higher than control group, and the difference had statistical significance (P<0.05). The rate of ovulation and pregnancy in the observation group were higher than control group, and the difference had statistical significance (P<0.05). Conclusions: Under the diaphragm by stasis soup combinated with point thread-embedding can improve the metabolize of carbohydrate and lipid, and the abnormity of sex hormones, through this process, the rate of ovulation and pregnancy can be raised.
    32  Detection of Th17/Treg balance in peripheral blood of children with hemophilia syndrome and its correlation with severity
    LEI Wei-juan PAN Jie
    2019(5):380-383. DOI: 10.13210/j.cnki.jhmu.20190124.003
    [Abstract](64) [HTML](0) [PDF 2.56 M](55)
    Abstract:
    Objective: To investigate the relationship between Th17/Treg balance in peripheral blood and severity of hemophagocytic syndrome in children. Methods: 60 children with HLH diagnosed in our hospital were taken as HLH group during January 2015 to October 2018,0 cases of healthy children underwent physical examination in our hospital were taken as Normal control group. Levels of Th17/Treg balance, ferritin (SF) and inflammatory mediators in peripheral blood were compared between two groups. Results: Ratio of Th17 cells and Th17/Treg ratio in peripheral blood of HLH group were higher than those of Normal control group, and ratio of Treg cells was lower than that of Normal control group(P<0.05). Levels of serum SF in HLH group were lower than those in Normal control group, and levels of inflammatory mediators such as PCT, IL-6, IL-10 and IFN-γ in peripheral blood were significantly higher than those in Normal control group(P<0.05). Correlation analysis showed that proportion of Th17 cells and the ratio of Th17/Treg in peripheral blood of children with HLH were positively correlated with the contents of SF, PCT, IL-6, IL-10 and IFN-γ, while proportion of Treg cells was negatively correlated with the contents of SF, PCT, IL-6, IL-10 and IFN-γ. Conclusion:Th17/Treg imbalance exists in children with HLH, and there is a positive correlation between Th17/Treg imbalance and the severity of the disease, which may have a certain clinical significance in disease evaluation.
    33  Effect of routine rehabilitation therapy combined with low frequency head stimulation on monoamine neurotransmitters, NSE, ET-1 and cerebral hemodynamics in children with cerebral palsy
    XUN Sai WANG Pei-pei YANG Nuan HOU Mei CHEN Jun SUN Dian-rong ZHAO Jian-hui LV Li-ping
    2019(5):384-387. DOI: 10.13210/j.cnki.jhmu.20190115.002
    [Abstract](43) [HTML](0) [PDF 2.48 M](57)
    Abstract:
    Objective: To investigate the effect of routine rehabilitation therapy combined with low frequency head stimulation on monoamine neurotransmitters, neuron-specific enolase (NSE), endothelin-1 (ET-1) and cerebral hemodynamics in children with cerebral palsy. Methods:From January 2017 to June 2018,0 children with cerebral palsy were randomly divided into observation group (55 cases) and control group (55 cases). The control group received routine rehabilitation treatment, while the observation group received low-frequency head stimulation on the basis of routine rehabilitation treatment. The changes of dopamine (DA), norepinephrine (NE), serotonin (5-HT), NSE, ET-1 levels and mean blood flow velocity of anterior cerebral artery (ACA), middle cerebral artery (MCA), posterior cerebral artery (PCA) were compared in two groups. Results: Before treatment, there was no significant difference in DA, NE and 5-HT levels in two groups (P>0.05). After treatment, DA, NE and 5-HT levels in two groups were significantly higher than those before treatment, and DA, NE and 5-HT levels in the observation group were significantly higher than those in the control group (P<0.05). Before treatment, there was no significant difference in NSE and ET-1 levels between the two groups (P>0.05). After treatment, NSE and ET-1 in two groups were significantly lower than those before treatment, and the NSE and ET-1 of the observation group were significantly lower than the control group (P<0.05). Before treatment, there was no significant difference in mean blood flow velocity between ACA, MCA and PCA (P>0.05). After treatment, the mean blood flow velocities of ACA, MCA, and PCA in the observation group were significantly higher than before treatment and higher than that of the control group in the same period (P<0.05). Conclusion:Conventional rehabilitation combined with low-frequency electrical stimulation of the head can effectively increase the content of monoamine neurotransmitters in children with cerebral palsy, enhance cerebral blood circulation, and reduce brain damage.
    34  CYP correlation study of refractory schizophrenia drug gene detection
    XU Qin-wei LIU Xiang-lai YAO Qian-kun ZHENG Zai-ji
    2019(5):388-391. DOI: 10.13210/j.cnki.jhmu.20190130.001
    [Abstract](116) [HTML](0) [PDF 2.46 M](66)
    Abstract:
    Objective: To study the refractory factors associated with schizophrenia. Methods:A total of 200 patients with refractory schizophrenia and 200 patients with non-refractory schizophrenia were selected. The CYP series of genes CYP1A2, CYP3A4 and CYP2D6 were detected by drug gene, and the rapid metabolic probabilities of the three genes were compared and analyzed. 200 patients with refractory schizophrenia were randomly divided into two groups:the combined drug treatment group and the single drug treatment group. The results were compared between the treatment of 0W and 4W for drug gene detection, 3 genes fast metabolizing type and BPRS scale analysis. Results:The rapid metabolizing probability and non-refractory difference of CYP1A2, CYP3A4 and CYP2D6 genes in patients with refractory schizophrenia were significant (P<0.05). The comparison of fast metabotropic probabilities of CYP1A2, CYP3A4 and CYP2D6 genes in patients treated with 4W after treatment There was no significant difference in the single drug treatment group (P>0.05). The BPRS scale score was significantly higher in the drug-treated group than in the single-drug group (P<0.05). After logistic regression analysis, the refractory characteristics of schizophrenia and The CYP series of genes CYP1A2, CYP3A4, and CYP2D6 are rapidly metabolized. Conclusion:CYP series of genes CYP1A2, CYP3A4, CYP2D6 fast metabolites are related factors of refractory schizophrenia, antipsychotic drugs combined with CYP enzyme inhibitor treatment can improve the efficacy.
    35  Advances in endoscopic diagnosis of early gastric cancer
    LI Xia YU Hong-gang
    2019(5):392-395. DOI: 10.13210/j.cnki.jhmu.20190124.002
    [Abstract](117) [HTML](0) [PDF 2.31 M](60)
    Abstract:
    Gastric cancer is one of common malignant tumors in clinic. It has high incidence, high mortality and poor prognosis. Generally, gastric cancer is divided into early gastric cancer (EGC) and advanced gastric cancer. The 5-year survival rate of EGC is higher than that of advanced gastric cancer. In recent years, with the continuous development of science and technology, a variety of medical instruments and technologies have been updated, greatly promoting the detection rate of EGC, reducing the rate of EGC missed diagnosis. This article reviews the progress of EGC endoscopic diagnosis.
    36  The Development and Prospects of Cervical Laminoplasty
    WANG Wen-xuan ZHAO Bin LU Xiang-dong WANG Yong-feng ZHAO Yi-bo ZHAO Xiao-feng
    2019(5):396-400. DOI: 10.13210/j.cnki.jhmu.20190129.001
    [Abstract](150) [HTML](0) [PDF 2.86 M](86)
    Abstract:
    Cervical laminoplasty as an alternative for laminectomy, the lamina is raising cord thereby expanding the available space, to achieve indirect decompression effect treatment of cervical disease. Based on the two prototype of Hirabayashi's open-door and Kurokawa's double-door, a variety of spinal canal enlargement techniques have been developed. Compared to laminectomy, several studies have shown that the cervical spine exhibits better biomechanical stability after laminectomy. Recent advances in the treatment of spinal canal enlargement have focused on the retention of muscle and ligament attachment points, thereby maintaining the dynamic and static stability of the cervical vertebrae controlled by the cervical extensor muscle group. Patients who underwent a new type of laminectomy combined with postoperative active neck muscle function training, postoperative cervical instability, kyphosis, axial pain, and decreased activity were further reduced. A number of clinical trials have shown that this new procedure can provide immediate stability of the cervical spine while ensuring postoperative outcomes.

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