2.Effections of different ways of mechanical ventilation with pulmonary surfactant on respiratory mechanics of patients with neonatal acute respiratory distress syndrome
Ming CHANG ; Hongyan LU ; Hong XIANG ; Houping LAN
The Journal of Practical Medicine 2017;33(6):916-919
Objective To investigate the respiratory mechanics and treatment outcomes of different types of mechanical ventilation for patients with neonatal acute respiratory distress syndrome(ARDS):the high frequency oscillation ventilation + pulmonary surfactant (HFOV+PS),conventional mechanical ventilation + pulmonary surfactant(CMV+PS),conventional mechanical ventilation(CMV). Methods Seventy-five cases with neonatal ARDS,25 cases in the HFOV+PS group,30 cases in the CMV+PS group,20 cases in the CMV group. Patients in the former two groups received 70 mg/kg PS at a time. PaO2,PaCO2,PaO2/FiO2,oxygenation index(OI)and respiratory index(RI)were detected at 0 h,12 h,24 h,48 h,72 h post-mechanical ventilation. Results At 12, 24,and 48 hours post-mechanical ventilation,patients in the HFOV+PS group had a significantly higher level of PaO2 and a significantly lower level of PaCO2 than those of patients in the CMV+PS group and the CMV group(P<0.05). At 12,24,48,and 72 hours post-mechanical ventilation,patients in the HFOV+PS group had a significantly higher level of PaO2/FiO2 and significantly lower level of OI and RI than those of patients in the CMV+PS group and the CMV group (P < 0.05,respectively). Patients in the HFOV+PS group also had significantly shorter durations of mechanical ventilation and oxygen usage than those of patients in the CMV+PS group and the CMV group (P < 0.05). No significant differences were observed in Gas leak,the incidence of intracerebral haemorrhage and cure rate among the three groups. Conclusions Application of HFOV with PS therapy for patients with neonatal ARDS can timely improve the oxygenation,shorten the time of mechanical ventilation and the usage of oxygen,without increasing complications.
3.Forty-eight cases of abducent paralysis treated with electroacupuncture at Jianming 3(Extra) and Shangming(Extra).
Yong-Mei XIANG ; Jian WANG ; Chang-Hong HAO
Chinese Acupuncture & Moxibustion 2011;31(8):753-754
Abducens Nerve Diseases
;
therapy
;
Acupuncture Points
;
Adult
;
Aged
;
Electroacupuncture
;
Female
;
Humans
;
Male
;
Middle Aged
;
Paralysis
;
therapy
;
Treatment Outcome
;
Young Adult
5.Expression of CD147,cyclophilin A and cyclophilin B in psoriatic lesions
Xiang CHEN ; Juan LI ; Juan SU ; Yi-Xi WU ; Jing CHANG ; Sheng PENG ; Ye-Hong KUANG
Chinese Journal of Dermatology 2003;0(10):-
Objective To study the expression and pathologic significance of CD147,cyclophilin A (CyPA)and cyclophilin B(CyPB)in psoriatic lesions.Methods Immunohistochemical method was ap- plied to detect the expression of CD147,CyPA and CyPB in skin specimens of 15 patients with psoriasis pustulosa(PP),20 patients with progressive psoriasis vulgaris(PPV),and 20 patients with inactive psori- asis vulgaris(IPV).Immunoreactivity intensity distribution index(IRIDI)was calculated to assess the expres- sion intensity of CD147,CyPA and CyPB.Results CD147,CyPA and CyPB were detected in all speci- mens.The IRIDI scores of CD147 and CyPA were significantly higher in keratinocytes of psoriatic lesions than in those of the control specimens(all P0.05).The IRIDI score of CyPB in T lymphocytes of PP lesions was significantly elevated than that in PPV lesions,which was in turn higher than that in IPV lesions(all P0.05).Conclusion CD147,CyPA and CyPB may play a role in the occurrence and development of psoriasis.
6.Clinical and pathological analysis of mesenchymal hamartoma of liver.
Dan LI ; Xiang-Hong YANG ; Xiao-Yin CHANG
Chinese Journal of Contemporary Pediatrics 2011;13(8):684-685
Child
;
Child, Preschool
;
Female
;
Hamartoma
;
diagnosis
;
etiology
;
pathology
;
Humans
;
Immunohistochemistry
;
Infant
;
Liver Diseases
;
diagnosis
;
etiology
;
pathology
;
Male
8.Co-culture of Schwann cell with fascia
Chang-xiang YAN ; Hong WAN ; Jun-hua LI ; Chunjiang YU ; Zhongcheng WANG
Chinese Journal of Rehabilitation Theory and Practice 2004;10(11):660-661
ObjectiveTo explore the method of co-culture of Schwann cell(SCs) with fascia and provide experimental basis for repairing transected nerve.MethodsSCs were co-cultured with fascia.Double staining by anti-BrdU and anti-S-100,S-100 fluorescent staining and anti-BrdU staining were used.ResultsThere were a plenty of SCs around fascia proliferated rapidly and disposed in parallel. SCs could be distinguished from fibroblastic cells by S-100 fluorescent staining and also be staining positive by anti-BrdU antibody,implying their high proliferous ability. Anti-BrdU and anti-S-100 staining showed numerous double staining positive SCs on the fascia: nucleus was stained deep blue while cytoplasm was stained red.ConclusionMany SCs with high proliferous ability were seen on the fascia, which can be used to repair transected nerve.
9.Research on repairing facial nerve injury of rabbits by neural stem cells and autologous fasia
Chang-xiang YAN ; Yi-hua AN ; Jun-hua LI ; Shuling LIU ; Hong WAN ; Chunjiang YU ; Zhongcheng WANG
Chinese Journal of Rehabilitation Theory and Practice 2004;10(1):21-22
ObjectiveTo observe the effect on repairing facial nerve injury of rabbits by neural stem cells and autologous fasia. Methods22 rabbits with transected facial nerve were divided into 2 groups randomly, control group (8 rabbits,15 sides totally), which transected facial nerve were wrapped by autologous fasia, and treament group (14 rabbits, 20 sides totally), which were wrapped by neural stem cells and autologous fasia. Six weeks after transplantation, neuro-electrophysiological test, immunohistochemical examination were done. The number and thickness of myelin in the re-connected area of transected facial nerve were observed. ResultsThe transplanted animals recovered much better than that in control group (P<0.05). Immunohistochemical examination showed a great deal of BrdU positive cells around the re-connected area of transected facial nerve. Immunohistochemical staining also found plenty of regenerative myelins in this area in the treatment group. While in control group, there were no BrdU positive cells and only a few of regenerative myelins in the same area. ConclusionTransplantation of neural stem cells combined with autologous fasia might become the new method to treat facial nerve injury.
10.Influence of regulatory peptides on the secretion of interleukins from bronchial epithelial cells of the rabbit.
Yu-Rong TAN ; Xiao-Qun QIN ; Cha-Xiang GUAN ; Chang-Qing ZHANG ; Yang XIANG ; Yan-Hong REN
Acta Physiologica Sinica 2002;54(2):107-110
To explore the role of regulatory peptides in the secretion of bronchial epithelial cells (BECs), we observed the effects of four peptides, i.e.vasoactive intestinal peptide (VIP), epidermal growth factor (EGF), endothelin-1 (ET-1), and calcitonin gene-related peptide (CGRP), on the secretion of ILs from unstimulated or O3-stressed BECs. The results of the experiments showed that VIP exerted an inhibitory effect on the secretion of IL-1 and IL-8 from unstimulated and O3-stressed BECs, VIP also decreased the secretion of IL-5 from O3-stressed BECs; EGF promoted secretion of IL-1 and IL-8 from unstimulated BECs, but decreased the secretion of ILs from O3-stressed BECs; ET-1 and CGRP enhanced the secretion of IL-1, IL-5, and IL-8 from unstimlated BECs, CGRP also increased the secretion of ILs from O3-stressed BECs. The results obtained demonstrate that intrapulmonary regulatory peptides modulate the secretion of ILs from BECs, and may play an important part in transduction of inflammatory signals.
Animals
;
Bronchi
;
cytology
;
Calcitonin Gene-Related Peptide
;
pharmacology
;
Cells, Cultured
;
Endothelin-1
;
pharmacology
;
Epidermal Growth Factor
;
pharmacology
;
Epithelial Cells
;
drug effects
;
secretion
;
Female
;
Interleukins
;
secretion
;
Male
;
Rabbits
;
Vasoactive Intestinal Peptide
;
pharmacology