1.Electronically aided rehabilitation exercise to improve the cardiac function of patients with chronic hear failure
Hongyu ZHU ; Anxiang HU ; Chuanji ZHOU ; Jinguo HAN ; Wei HU ; Fuzhong SI ; Guoliang YANG
Chinese Journal of Physical Medicine and Rehabilitation 2010;32(11):849-852
Objective To study the effect of assistive functional rehabilitation exercise on cardiac functioning of patients with chronic heart failure (CHF). Methods Sixty CHF patients were divided randomly into a treatment group (the rehabilitation group) and a control group, with 30 in each group. All the patients were administered routine therapy. In the treatment group, the patients were administered rehabilitation exercises with the assistance of a electric equipment made by the authors, daily for 5 days a week for a total of 3 months. The New York Heart Association (NYHA) cardiac function grading, the left ventricular ejection fraction(LVEF), the left ventricular end diastolic diameter (LVEDD) and the brain natriuretic peptide (BNP) level in plasma as well as the 6 min walking range were observed in both groups before and after treatment. Results After 3-months of treatment, the NYHA grading, LVEF, LVEDD, BNP level in plasma and 6 min walking range were all significantly improved in both groups when compared with those before the treatment, with the treatment group improved to a significantly larger extent than the control group ( p<0.05 ). Conclusion Assistive rehabilitation exercise in addition to the routine therapy can significantly help improve the cardiac function in CHF patients.
2.Analysis of the relationship between the characteristics of X-ray and MRI and the level of ER/PR/HER2 expression in breast cancer patients
Chuanji TANG ; Ping LI ; Xiaohong ZHOU ; Zhizhen LUO ; Huangyi WU
International Journal of Laboratory Medicine 2017;38(24):3404-3407
Objective To explore the relationship between the characteristics of X-ray and magnetic resonance imaging(MRI) and the expression level of estrogen receptor(ER),progesterone receptor(PR)and human epithelial factor receptor 2(HER2)in breast cancer patients.Methods 108 cases of breast cancer patients in the first 74 Hospital of the PLA from January 2013 to Janu-ary 2017 were selected as the research object.Clinical,pathological and imaging data of patients were collected.All patients were ex-amined by X-ray and MRI after admission.The expressions of ER,PR and HER2 in cancer cells were detected by immunohisto-chemical staining.Results The expression of ER,PR and HER2 was positive in 73 cases(67.59%),63 cases(58.33%)and 43 ca-ses(39.81%),respectively.The positive rate of HER2 in patients with calcification was higher than that in patients without calcifi-cation(P<0.05).The positive rate of PR in patients with calcification along the duct was lower than that in patients of whom the calcification was not along the duct,and the positive rate of PR in patients with glandular or mixed density was higher than that in patients with structural disorder(P< 0.05).The positive rate of ER was higher in patients with calcification,mass,spiculation signs,glandular or mixed density(P<0.05).There were significant differences in the positive rate of HER2 between patients with different shapes and different enhancement modes(P<0.05),and there was a significant difference in the positive rate of PR be-tween patients with different enhancement modes(P<0.05).Calcification displayed by X-ray mammography was positively corre-lated with HER2,calcification along the duct was negatively correlated with the expression of PR,calcification with mass was posi-tively correlated with ER and negatively correlated with PR,spiculation sign was positively correlated with ER,and structural disor-der was negatively correlated with ER and PR.Mass type and inhomogeneous enhancement of MRI signs were negatively correlated with HER2,irregular shape was positively correlated with HER2,and inhomogeneous enhancement was positively correlated with PR (r = 0 .363 ,- 0 .375 ,0 .368 ,- 0 .326 ,0 .426 ,- 0 .489 ,- 0 .373 ,- 0 .468 ,- 0 .403 ,0 .391 ,0 .425 ;P < 0 .05) .Conclusion There is a correlation of signs of X‐ray mammography and MRI signs with the expression of ER ,PR and HER2 .Imaging changes can predict the expression of some biological factors of breast cancer ,which is related to hormones ,chemotherapy sensitivity and the prognosis of patients.