1.Value of the H reflex elicited by magnetic stimulation and the F wave in the diagnosis of S1 radiculopathy
Chinese Journal of Physical Medicine and Rehabilitation 2011;33(10):750-754
Objective To explore a new electrodiagnostic approach using the H reflex elicited by magnetic stimulation of the S1 nerve root and F waves to evaluate sensory nerve root function in patients with S1 radiculopathy.Methods Thirty normal subjects and 30 patients with unilateral S1 radiculopathy were recruited in this study.H reflex and M response were recorded from the bilateral soleus of all the subjects by magnetic stimulation of S1 nerve roots.F and M wave responses elicited by electrical stimulation of bilateral tibial nerves at the popliteal fossa were also recorded.The sensory root conduction time (SRCT) was calculated.Correlations of age and body height with SRCT in the healthy subjects,and between SRCT and pain in the patients with S1 radiculopathy were analyzed.Results The mean values of normal subjects were 3.10 ± 0.44 ms for SRCT,and 0.13 ± 0.19 ms for inter-side SRCT differences.In the 30 patients with S1 radiculopathy,H reflex could not be elicited from 4 patients.Among the remaining patients,the SRCT of the affected side was prolonged significantly (3.90 ±0.65 ms),and the mean value of the inter-side difference increased significantly (0.90 ±0.50 ms).A regression equation correlating SRCT with height was developed,but no significant correlation between SRCT and age in the normal subjects was revealed.There was positive correlation between SRCT and the severity of pain among the patients.Conclusion SRCT can be used as a new electrodiagnostic index in estimating sensory nerve root function in patients with S1 radiculopathy.
2.Value of magnetic stimulation in the non-invasive diagnosis of St radiculopathy
Chinese Journal of Physical Medicine and Rehabilitation 2008;30(9):613-617
Objective To explore the value of a new electrodiagnostic approach for evaluating motor nerve root function in patients with S1 radiculopathy. Methods Thirty healthy subjects and 30 patients with clinical mani-festations of unilateral S1 radiculopathy were recruited. Bilateral compound muscle action potentials evoked by magnetic stimulation of the first sacral nerve root were recorded from the soleus of all the subjects. F wave and M responses to electrical stimulation of the bilateral tibial nerves at the popliteal fossa were also recorded. The peripheral motor conduction time (PMCT) and the motor root conduction time (MRCT) were calculated and compared between the two groups. In addition, needle electromyographic examination (NEE) was performed on the affected side to detect any possible EMG abnormalities. Results The norm established with the normal subjects was 3.45±0.39 ms for the MRCT, and 0.28±0.15 ms for the inter-side difference in the MRCT. In the 30 patients, the mean MRCT and PMCT values on the affected side were prolonged. Of the 23 patients who received NEE, 6 had EMG abnormalities. The agreement between the NEE and MRCT diagnoses was 82.6%. Conclusion MRCT can be used reliably for non-invasive estimation of motor nerve root function and to help diagnose the S1 radiculopathy.
3.Effect and Underlying Mechanism of Nocodazole on Inhibition of Rat Vascular Smooth Muscle Cell Proliferation
Herald of Medicine 2014;(8):1004-1008
Objective To investigate the effect and underlying mechanism of nocodazole on the inhibition of rVSMCs proliferation. Methods rVSMCs were divided into four groups, group A (normal culture), group B (serum-free culture for 24 h) , group C ( 18 h normal culture after 48 h of serum-free culture ) , and group D ( nocodazole treatment for 12 h after thymidine treatment for 12 h) . Flow cytometry, transmission electron microscopy, and metabolism measurements were performed and mitofusin-2 ( Mfn-2 ) expression was detected. Results Flow cytometry analysis showed rVSMCs of group B、C、D were arrested to G0/G1 , S and G2/M phases, respectively. Less and smaller mitochondria were observed in group D by transmission electron microscopy in nocodazole-treated rVSMCs. Compared with groups A and C, there were significant decreases in glucose and L-amino acid metabolism, levels of ATP, and marked increase in NADH in group D(P<0. 05). Western Blot showed that G2/M cell cycle arrest and nocodazole could induce up-regulation of Mfn-2 in rVSMCs(P<0. 05). Conclusion Nocodazole can block the energy metabolism and proliferation in rVSMCs, which is probably associated with the role of Mfn-2 on anti-atherosclerosis.
4.Study on inhibition of anthraquinone in Polygonum Cillinerve (Nakai) Ohwi to Nitrosation
Xiaomei WANG ; Jian LI ; Jinbao GUO
International Journal of Traditional Chinese Medicine 2010;32(4):355-356
Objective To study inhibitory activity of anthraquinone in Polygonum Cillinerve(Nakai) Ohwi (anthraquinone in PCO) to nitrosation. Methods Anthraquinone was extracted from Polygonum Cillinerve(Nakai) Ohwi with sulfuric acid and chloroform as solvents. The capability of scavenging sodium nitrite and disconnecting nitrosamine synthesis with anthraquinone in PCO were determined by spectrophotometry under simulated human gastric juice. Results Both the sodium nitrite scavenging rate and the nitrosamine synthesis disconnecting rate showed the positive correlation with the concentration of anthraquinone in PCO. The strongest capability of scavenging sodium nitrite was 53.5%, and the strongest capability of disconnecting nitrosamine synthesis was 71.3%. Conclusion Anthraquinone in PCO had strong capability of scavenging sodium nitrite and disconnecting nitrosamine synthesis.
5.Experimental Study of Lipid-Regulating Capsule and Simvastatin for the Dislipidemic SD Rats
Xiaomei GUO ; Shouhua SUN ; Zhengkun QIAN
Acta Medicinae Universitatis Scientiae et Technologiae Huazhong 2001;30(3):232-234
The role of lipid-regulating capsule in the regulation of experimental dislipidemia was studied in SD rats. The SD rats were divided into 6 groups: group A (normal control),group B to F (experimental hyperlipidemia). The rats in the groups C,D and E received the capsule in a daily dose of 2.5 g,5 g and 10 g/kg respectively for 3 weeks,while the rats in the group F received Simvastatin in a daily dose of 7.5 mg/kg for 3 weeks. By comparison with the group B after 3 weeks,the levels of plasma total cholesterol (TC) and low density lipoprotein (LDL-C) were very significantly decreased in the groups C,D,E and F(P<0.01),the value of plasma total triglyceride (TG) was very significantly decreased in the groups D,E and F (<0.01),and the level of high density lipoprotein was significantly increased in the groups C,D and E (P<0.05),but very significantly increased in the group F (P<0.01). It was suggested that the therapeutic efficiency of the lipid-regulating capsule in low,middle and high dosage was the same as that in high dose of simvastatin for the SD rats with high plasma TC and LDL-C,and middle and high doses of the capsule had the same effect of simvastatin on the plasma TG.
6.Comparative study of related factors of premature rupture of membranes by progesterone and dexamethasone
Liangjie GUO ; Shiying LIAO ; Xiaomei ZHANG
Chinese Journal of Biochemical Pharmaceutics 2015;37(5):115-117
Objective To analyse the effect of progesterone on peripheral blood corticotropin releasing hormone ( CRH ) and delivery time in women with premature rupture of membranes ( PROM ) .Methods 80 patients who were diagnosed with PROM in Department of Obstetrics and Gynecology, China Medical University were collected.Randomly divided into dexamethasone (DEX) group, dexamethasone plus progesterone (DEX+P) group, progesterone ( P) group and control group, three groups were detected on admission, admission 24 h, 48 h on peripheral white blood cell count, C-reaction protein, CRH level and time of delivery, neonatal weight, and analysis of CRH the level of the correlation and delivery time.Results Compared with the other three groups, the level of CRH in peripheral blood of DEX group were higher (P<0.05);CRH (P<0.05) increased faster;shorter delivery time (P<0.05); the level of CRH was negatively correlated with delivery time (r=-0.832, P<0.05).The results were statistically significant.Conclusion Dexamethasone treatment can make the premature rupture of fetal membranes of peripheral blood CRH levels rise, shorten the delivery time, progesterone can inhibit this process.
7.Effects of fungal elicitors on growth of Dendrobium candidum protocorms
Xiaomei CHEN ; Shunxing GUO ; Zhixia MENG
Chinese Traditional and Herbal Drugs 1994;0(03):-
Objective To study the effects of two fungal elicitors on the growth of Dendrobium candidum protocorms cultured on the solid medium.Methods The medium for propagation of protocorms was selected and the growth curve on that medium was obtained.According to the curve,the two fungal elicitors were added at the different growth stages of protocorms.The fresh weight(FW) and dry weight(DW) of protocorms were measured.Results The medium for propagation of protocorms was 1/2MS+20% potato extract+3% sucrose+0.8% agar.Compared with the control MF23 elicitor added at weeks 11 and 13 could significantly increase the FW by 16.4%(P
8.Determination of Naringin and Hesperidin in Zengshi Keli by HPLC
Zhaohui GUO ; Shuchang WEI ; Xiaomei OUYANG
Chinese Journal of Information on Traditional Chinese Medicine 2006;0(07):-
Objective To establish a method for determining the content of Naringin and Hesperidin in Zengshi Keli by HPLC. Methods The Kromasil C18 column with acetonitrile-water-phosphoric acid (20∶80∶0.02) as the mobile phase was used. The flow rate was 1.0 mL/min, the detective wavelength was 283 nm, the temperature of column is 35 ℃. Results The calibration curve were linear in the range of 0.178 5~0.892 5 ?g for Naringin and 0.073 68~0.368 4 ?g for Hesperidin (r=0.999 9) respectively. The average recovery was 97.24% (RSD=1.21%) and 96.95% (RSD=1.49%) respectively. Conclusion The method was simple, accurate, reproducible and can be used for quality control of Zengshi Keli.
9.Diagnosis and Treatment of Thrombotic Storm During Percutaneous Coronary Intervention
Xinxin ZHANG ; Xiangyu XU ; Xiaomei GUO
Herald of Medicine 2017;36(4):366-369
During percutaneous coronary intervention,thrombotic storm which is mediated by hypercoagulable state,mechanical distension induced-plaque rupture,platelet activation and adhesion is still the main cause of cardiovascular adverse events.The mortality rate is extremely high if not treated properly.Thrombotic storm can be diagnosed quickly through coronary artery angiography and myocardial blush grades.Once coronary thrombosis occurs,medicine including platelet Ⅱ b/Ⅲ a receptor antagonist tirofiban or vasodilators can rapidly improve coronary flow and effectively treat it.
10.The clinical efficacy of transperineal ultrasound dynamic monitoring for the contraction function of pelvic floor muscle to guide training based on its feedback in the treatment of stress incontinence of female
Donghui FAN ; Xiaojing GUO ; Xiaomei YANG
China Medical Equipment 2017;14(6):47-50
Objective:To discuss and analyze the clinical efficacy and application value of transperineal ultrasound dynamic monitoring for the contraction function of pelvic floor muscle to guide training based on its feedback in the treatment of stress incontinence of female.Methods: 169 female patients with stress incontinence were enrolled this study. And all of them were treated by using the Koegel physical training of pelvic floor muscle under the guidance of doctor, at the same time, the relative contraction function indicators of pelvic floor muscle before and after treatment were observed and compared by applied transperineal ultrasound dynamic monitoring.Results: The differences between before and after treatment of physical training on pelvic floor muscle about the length of the levator hiatus, the acreage of pelvic diaphragm hiatus, and the perimeter of pelvic diaphragm hiatus in contraction and silent period were significant (t=-2.858,t=-2.949,t=-4.899,P<0.05), and that of after treatment was higher than that of before treatment. The horizontal distance of pubis combined with margo inferior, vertical distance and thickness of viscera on pubis of after treatment were significant higher than that of before treatment (t=3.674, t=-4.899,t=4.230,P<0.05). The posterior urethra intersection angle and the intersection angle of left and right levator after treatment were significantly higher than that of before treatment (t=-4.087,t=6.584, P<0.05).Conclusion: Transperineal ultrasound dynamic monitoring can correctly evaluate the clinical efficacy of the contraction function of pelvic floor muscle to guide training based on its feedback in the treatment of stress incontinence of female. And this method has important clinical value.