1.Clinical observation of efficacy of Haijiyi under nasal endoscope in the treatment of allergic rhinitis
Chinese Journal of Primary Medicine and Pharmacy 2013;20(16):2452-2453
Objective To evaluate the efficacy and safety of Haijiyi under nasal endoscope in the treatment of allergic rhinitis(AR).Methods 213 cases with AR were randomly divided into treatment group(112 cases) and control group(101 cases).Patients in the treatment group were treated with Haijiyi under nasal endoscope.The control group was treated with traditional microwave therapeutic equipment.Both two groups were followed up for 1 year,and long-term clinical efficacy was observed and compared between the two groups.Results The total effective rate of the treatment group was 80.4%,which was higher than 61.4% of the control group,and the difference was statistically significant(P< 0.01).Conclusion Haijiyi CZB type in the treatment of AR has advantages of exact allocation,no bleeding,less complication,good long-term efficacy,which is worth clinical popularizing and application.
2.Low-dosage radiosurgical treatment for intractable epilepsy following brain injury through positron emission tomography localization
Kewan WANG ; Songtao QI ; Huaping WU ; Kaijun YANG
Chinese Journal of Trauma 1993;0(05):-
Objective To treat the patients suffering from intractable epilepsy after brain injury with low-dosage linac accelerator stereotactic radiosurgery through positron emission tomography (PET) localization. Methods PET examination based on 18 F-2-fluorine-2-deglucose (FDG) was carried out in 32 patients in order to localize epileptogenic foci followed by radiosurgery with peripheral radiation dose of 9-13 Gy. The follow-up was conducted over one year. The seizure frequency of epilepsy was recorded to evaluate the therapeutic effect. Results The PET imaging showed that the cortical area around the cerebromalacia caused by primary injury presented low metabolic change. The metabolic changes in different injury areas mainly concentrated in the epileptic foci. In some cases,the low metabolic areas not only was localized at the part of impact lesion but also at the part of contrecoup lesion. The seizure frequency gradually decreased after radiosurgical treatment in most patients,with obvious statistical significance compared with pretreatment. According to Wieser's classification of operative effect,the cases at the grades Ⅰ-Ⅱ accounted for 44% (14/32),grades Ⅲ-Ⅳ for 41% (13/32) and grades Ⅴ-Ⅵ for 16%(5/32). No fresh complications were found in all the cases. Conclusions Low-dosage stereotactic radiosurgery with the PET localization is a safe,effective and minimally invasive surgical approach to intractable posttraumatic epilepsy.
3.Inhibition of mitochondrial permeability transition pore opening reduced Aβ-mediated inflammatory effects on the apoptosis of neural stem cell
Qingzhuang CHEN ; Ning ZHU ; Jizhong LIN ; Yan WAN ; Kewan WANG ; Yong WANG
The Journal of Practical Medicine 2014;(9):1380-1384
Objective The aim of this study is to investigate the protective effect of inhibiting the open of mitochondrial permeability transition pore on neural stem cells. Methods In present study, four groups were set up, such as control, conditioned medium control group, Aβ1-42 group and CsA group. The levels of inflammatory mediators were detected by LiquiChip technique. The apoptotic rate of neural stem cells was detected by flow cytometry and the expression of caspase-3 was confirmed by western blotting. Results The levels of IL-6 and TNF-αwere 7.92 and 1.22 times higher than those in control group after Aβ1-42 acting on microglia for 96 h. After being exposed to inflammatory media, the apoptotic rate of neural stem cells reached 41.17%, these was significant increase compared to control (P<0.001);while the apoptotic rate were decrease significantly if the open of the mitochondrial permeability transition pore was inhibited. In the meantime, the activation of caspase-3 was reduced obviously. Conclution Inhibiting the open of mitochondrial permeability transition pore can markedly reduced the apoptotic rate of neural stem cells , and dramatically impaired the effect of inflammatory on the apoptosis of neural stem cells , suggesting that inhibiting the opening of the mitochondrial permeability transition pore have protective effect on neural stem cells.
4.Development and application of a device for stretch-induced injury to cultured cell and testing system
Zhiyong YIN ; Zhengguo WANG ; Jianxin JIANG ; Zhihuan YANG ; Ping ZHOU ; Kewan WANG ; Xiaolin MA
Journal of Third Military Medical University 2003;0(13):-
Objective To develop a device for stretch-induced injury to cultured cells and measure the injury parameters.It makes possible to observe the changes of cell configuration and function directly after injury. Methods The device was developed based on aero-dynamical principle,and consisted of mini-type air compressor,electromagnetic valve,pressure transmitter,PGA amplifier,A/D converter and computer.The computer can accurately control the injury parameters.A new method and device were first introduced to measure the deformation rate and deformation degree of silastic membrance in the stretch induced cultured cell injury process.The device controlled by the computer was used to cause the astrocyte injury.The degree of cell injury was assessed qualitatively by electron microscopy,and quantitatively by lactate dehydrogenase(LDH) enzyme release and trypan blue staining.Results The experiment results showed that the injury of different levels could be reproduced by our device under the injury parameters we set.Conclusion The injury device and the measuring system meet the requirements of our design.The results suggested that the new device and the method were much better than those reported in foreign literature.It has the advantages of simple and convenient manipulation,high precision and real-time processing.It can be used for the cell-level experiment research.