1.Intervention impact of Wogonin on type 1 diabetic mice and its influence on p62dok expression in liver
Yang LIU ; Chengxun HAN ; Qing WANG
Chinese Journal of Diabetes 2018;26(3):244-248
Objective To explore the Intervention impact of Wogonin on type 1 diabetic mice and its influence on p62dok expression in liver.Methods Fifty SPF level male C57BL/6 mice were randomly divided into 5 groups:control group (Con,n =10),diabetes group (STZ group,n =40).Diabetic model was successfully made by STZ.After that,7 were chosen as model group,and then STZ group was subdivided into three subgroups according to different doses of Wogonin:5,10,and 20 mg/kg subgroup (n =10/subgroup).Fasting blood glucose levels were measured in all the subjects.And intraperitoneal injection of glucose tolerance test (IPGTT) was used to evaluate he glucose tolerance.Serum insulin level was tested by ELISA kits.Dok1,Dok2 and AKT protein expression level in liver tissue were measured by western blot.Results Wogonin could significantly reduce FPG in STZ induced type 1 diabetic mice [(12.55 ±1.31) vs (7.24 ±0.49) vs (6.22 ± 0.69) mmol/L,P < 0.05].Wogonin could improve the glucose tolerance,and restore the serum insulin levels to normal in type 1 diabetic mice induced by STZ.Wogonin could increase Dok1[(0.29±0.09) vs (0.68±0.14) vs (0.79±0.13)] and Dok2[(0.32±0.08)vs (0.61±0.07) vs (0.84±0.12)] expression levels in the liver of type 1 diabetic mice induced by STZ (P<0.05).Serum insulin-level was significantluy higher in10 mg/kg Wogonin intervention group and 20mg/kg Wogonin intervention group than in model group (P<0.05),indicating that serum insulin level increased after Wogonin intervention.Conclusion Wogonin could significantly alleviate hyperglycemia and hyperinsulinemia in STZ induced type 1 diabetic mice,and could stimulate the expression of Dok1 and Dok2 in the liver tissue of diabetic mice.
2.Comparative study of pyramidal tract magnetic resonance diffusion tensor imaging and prognosis of hypertensive putaminal hemorrhage treated via transsylvian-transinsular and transcortical transtemporal approaches
Yingjiang GU ; Xiaolin HOU ; Dongdong YANG ; Dingjun LI ; Chengxun LI ; Lin ZENG
Chinese Journal of Cerebrovascular Diseases 2018;15(3):129-133,139
Objectives To conduct grading comparison for the damage degree of pyramidal tracts after procedure in patients with unilateral hypertensive putamen hemorrhage via transsylvian-transinsular (TS-TI) approach and transcortical transtemporal (TC-TF) approach using magnetic resonance diffusion tensor imaging (DTI) and to evaluate the postoperative recovery of the patients according to the quality criteria of the activities of daily living (ADL),and to identify the advantages and disadvantages of both surgical approaches.Methods Sixty-three consecutive patients with first onset of unilateral hypertensive basal ganglia putamen hemorrhage admitted to Department of Neumlsurgery in Affiliated Hospital of Southwest Medical University of Traditional Chinese Medicine were enrolled prospectively.The volume of hematoma at admission was 26-45 ml.They were randomly divided into group A and group B by random number table.The patients in group A (n =31) were treated via the TS-TI approach,and those of group B (n =32) were treated via the TC-TT approach.The operator was the same surgeon.The patients of rebleeding were excluded (4 in group A,7 in group B),and 52 patients were actually included,including 27 in group A and 25 in group B.The DTI examinations were perforrned 5 to 8 d after procedure.The image data were processed by PHILIPS Extended MR Workspace 2.6.3.4 (EMW 2.6.3.4) software.The bilateral pyramidal tracts were reconstructed,the damage degree of pyramidal tract and its relationship with hematoma and surgical approach were observe respectively.The ADL quality criteria were used to evaluate the recovery at 3 months after procedure.The SPSS 17.0 software was used to conduct rank sum test for the pyramidal tract injury grade after procedure in both groups.The number of rebleeding in the operation areas and the ADL quality criteria evaluation were tested by Chi-squared test.Results There was no significant difference in the postoperative rebleeding rate between group A (12.9%,4/31) and group B (21.9%,7/32) (x2 =0.367,P =0.545).The postoperative pyramidal tract damage degree of group A was better than that of group B.There was significant difference (U =180.00,P =0.004).The comparison of ADL quality evaluation in both groups after procedure showed that the good prognosis rate (81.5%,22/27) of group A after procedure was better than that of group B (56.0%,14/25).There was significant difference (x2 =3.957,P =0.047).Conclusions The three-dimensional relationship between the hematoma lesions and the pyramidal tracts was observed by DTI,the damage degree of the pyramidal tracts were identified.The TS-TI approach was superior to the TC-TF approach in the postoperative damage degree of pyramidal tract and the quality of ADL for the treatment of hypertensive putamen hemorrhage.
3.The application of magnetic resonance diffusion tensor imaging for evaluation of optic radiation injury in patients with hypertensive putaminal hemorrhage
Xiaolin HOU ; Dongdong YANG ; Dingjun LI ; Chengxun LI ; Lin ZENG ; Yingjiang GU
Chinese Journal of Nervous and Mental Diseases 2018;44(4):193-197
Objective We attempted to investigate optic radiation (OR) injury and visual field mean defect (MD) in patients with hypertensive putaminal hemorrhage by using diffusion tensor imaging (DTI). Methods Thirty-three first onset of patients with hypertensive putaminal hemorrhage and 30 normal healthy control subjects were recruited. DTI data were acquired between 3 and 5 days as well as 3 months after onset. DTI-Studio software was used to reconstruct the OR and examine the degree of OR injury (typeⅠ, Ⅱ, and type Ⅲ). Fractional anisotropies (FA) and apparent diffusion coefficient (ADC)values of the ORs were measured. Statistical analysis was performed to calculate hematoma volume, MD,OR-FA and ADC values by using SPSS 17.0 software. Results FA and ADC values of ORs were not significantly different between the two hemispheres in normal control groups (student t-test, P>0.05). Compared with MD values in control group, the visual field was significantly impaired in patients group (P<0.01). FA and ADC values of ORs were significantly different between two hemispheres in patient group (student t-test, P<0.01). There was no correlation of hematoma volume with OR-FA nor with ADC values nor with MD values (P>0.05). The MD values were correlated with OR-FA and ADC values after onset(P<0.05). MD, FA and ADC values of ORs in the affected hemisphere of the patient group were significantly different for the three OR types between 3 and 5 days as well as 3 months after onset (P<0.01). Conclusion DTI can examine the three-dimensional relationship between hematoma and OR, reflect the changes of OR morphology and predict the degree of visual-field defects.
4.Application of 3D slicer plus Sina software for performing hematoma puncture and drainage after local anesthesia in elderly patients with intracerebral hemorrhage
Lisha DENG ; Xiaolin HOU ; Dongdong YANG ; Dingjun LI ; Chengxun LI ; Lin ZENG ; Yuan YAO
Chinese Journal of Geriatrics 2022;41(3):276-280
Objective:To explore the effect of minimally invasive hematoma puncture and drainage in the treatment of elderly patients with cerebral hemorrhage by using 3D slicer and Sina software to conduct 3D reconstruction and preoperative localization of intracerebral hematoma.Methods:A total of 74 elderly patients with a first-onset intracerebral hematoma aged ≥75 years, having surgical indications and stable vital signs were grouped into 3D slicer plus Sina software localization group(as group A, n=40)or CT localization group(as group B, n=34). Based on the localization, hematoma puncture and drainage were performed after local anesthesia.Preoperative preparation time, hematoma location, puncture success rate, postoperative hematoma clearance rate, postoperative re-bleeding rate and GCS score were statistically analyzed.Glasgow coma scale(GCS)scores were used in predicting the mortality.Results:The preoperative preparation time was significantly shorter in group A than in group B[(5.5±3.4)min vs.(8.5±2.7)min, t=3.337, P=0.001]. The success rate of hematoma puncture and drainage(90.0% and 70.6%, χ2=4.51, P=0.034)and postoperative hematoma clearance rate[(87.5±3.4)% and(80.3±2.7)%, t=10.10, P=0.000]were higher in group A than in group B. There were no significant differences in operative time, the accuracy of hematoma localization, re-bleeding rate and GCS score between the two groups( P>0.05). Conclusions:3D slicer plus Sina software can precisely locate the intracerebral hematoma, and minimally invasive hematoma puncture and drainage of intracerebral hematoma under local anesthesia were safe and effective in the treatment of elderly patients with intracerebral hemorrhage.
5.Design and Realization of Contrast Medium Biphasic Hyperbaric Injector.
Chengxun YANG ; Zujun BAI ; Shiwu ZHANG ; Hu JIN
Chinese Journal of Medical Instrumentation 2022;46(1):34-37
A biphasic hyperbaric injector based on BLDC is designed for alternate and mixed injection of contrast medium and normal saline in the process of contrast medium injection in hospital. The driver hardware and algorithm are optimized especially for high-pressure and high-speed injection requirements. The interface APP is designed with parameter-input and real-time pressure-plotting of injector's ports as two main functions. The whole device can realize the preset function and has high stability after testing.
Contrast Media
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Injections