2.Updates on molecular markers of prostatic cancer.
Bin CHANG ; Feng LI ; Lu-Jie SONG
Chinese Journal of Pathology 2008;37(5):339-341
3.Studies of Huanyuan injection on TNF- α and sIL- 2R in patients with acute hemorrhage stroke
Xiangming CHANG ; Jie JIANG ; Li SUN
Chinese Journal of Tissue Engineering Research 2001;5(3):65-66
Objective To observe the effect of Huanyuan Injection on TNF- α 、 sIL- 2R in patients with acute Intracranial hemorrhage.Method Sixty patients were randomly selected and divided into two groups.TNF- α 、 sIL- 2R in the blood of the patients were observed before and after therapy with Huanyuan Injection.Result Increasing level of TNF- α 、 sIL- 2R could be detected,at the same time,Huayuan Injection could react on the differentiation.Conclusion The effect of Hyanyuan Injection on the levels of TNF- α 、 sIL- 2R may show some insight on its therapeutic mechanism for acute hemorrhage stroke.
6.Mixed venous-arterial carbon dioxide difference combined with passive leg raising in guiding volume management for patients post off-pump coronary artery bypass grafting
Likun HUO ; Peijun LI ; Chang XIE ; Chenglei YAN ; Jie LI
Chinese Critical Care Medicine 2017;29(4):353-357
Objective To investigate whether mixed venous-arterial carbon dioxide difference (Pv-aCO2) combined with passive leg raising (PLR) could better guide volume management for patients post off-pump coronary artery bypass grafting (OPCABG).Methods Eighty patients experienced OPCABG, and admitted to Tianjin Chest Hospital from June 1st to October 1st in 2016 were enrolled. They were randomly divided into two groups: observation group given Pv-aCO2 combined with PLR directed therapy and control group given central venous pressure (CVP) directed therapy, 40 cases in each group. The difference in body temperature (T), heart rate (HR), mean arterial pressure (MAP), CVP, oxygenation index (PaO2/FiO2), mixed venous oxygen saturation (SvO2), Pv-aCO2, blood lactate (Lac), fluid intake, scores of the vasoactive agents at 6 hours post-operation, sequential organ failure assessment (SOFA) of 24 hours, mechanical ventilation time, the length of intensive care unit (ICU) stay, and hospitalization time were compared. The correlation between Pv-aCO2 and cardiac index (CI), Pv-aCO2 and Lac were analyzed by Spearman analysis in observation group.Results The T, HR, MAP, CVP, PaO2/FiO2, SvO2 and Lac at 6 hours post-operation were higher than those at admission in two groups, and Pv-aCO2 were significantly decreased. The SvO2 and fluid intake in observation group were higher than those in control group [SvO2: 0.671±0.068 vs. 0.634±0.052, fluid intake (mL): 454±151 vs. 304±106, bothP < 0.05], Pv-aCO2, Lac and scores of the vasoactive agents were lower than those in control group [Pv-aCO2 (mmHg, 1 mmHg = 0.133 kPa): 6.1±1.8 vs. 7.0±1.8, Lac (mmol/L): 1.7±0.5 vs. 2.8±0.6, scores of the vasoactive agents: 3.18±1.01 vs. 4.48±1.50, allP < 0.05], mechanical ventilation time and the length of ICU stay were less than those in the control group (hours: 16.52±6.41 vs. 21.96±9.00, 45.51±9.36 vs. 51.76±13.66, bothP< 0.05). There was no significant difference in SOFA, hospitalization time between the two groups. There was negative correlation with Pv-aCO2 and CI (r = -0.752,P < 0.01), and no correlation with Pv-aCO2 and Lac (r = -0.154,P = 0.171).Conclusion Pv-aCO2 combined with PLR can better guide volume management in the patients post OPCABG, reduce the usage of vasoactive agents and decrease the mechanical ventilation time and the length of ICU stay.
7.Square dancing intervention on the quality of life of breast cancer patients with post-radical surgery and postoperative chemotherapy
Li CHANG ; Jie ZHANG ; Yan WANG ; Xiaomei LI
Modern Clinical Nursing 2016;15(8):33-37
Objective To explore the effect of square dancing intervention on the quality of life of breast cancer patients having undergone radical surgery and postoperative chemotherapy. Methods Forty-nine breast cancer patients having undergone radical surgery and postoperative chemotherapy from February to October 2014 were set as the controls and another 51 patients having undergone the same radical surgery and postoperative chemotherapy from November 2014 to August 2015 were assigned to the intervention group. The control group was treated with conventional nursing intervention and the intervention group, on the basis of conventional nursing intervention, with square dancing intervention for 3 to 5 times each week, 30~90 minutes each time till the sixth cycle of chemotherapy. The quality of life before and after the intervention was evaluated with Function Assessment of Cancer Therapy-Breast (FACT-B). Result There was no significant difference in the score by FACT-B between the two groups before intervention ( P > 0 . 05 ) and after the intervention the difference in the score by FACT-B was statistically significant between the two groups (P <0.05). Conclusion Square dancing as the combination of sport therapy, group therapy and music therapy can improve the quality of life of breast cancer patients having undergone radical surgery and postoperative chemotherapy , so it can have some value in the future community care.
8.Effects of auricular point sticking on labor pain and anxiety
Ying ZHU ; Qitao HU ; Jie WANG ; Ying LI ; Jie ZHANG ; Cheng CHANG ; Qian LI
Journal of Acupuncture and Tuina Science 2023;21(6):460-469
Objective:To observe the effects of auricular point sticking on pain and anxiety during the latent period of the first stage of labor in primiparas. Methods:Primiparas meeting eligibility criteria were recruited.The participants were randomized into an auricular point group,a placebo group,and a control group.The control group received daily care.The auricular point group received 120 min of auricular point sticking therapy.The placebo group received the same auricular plasters as the auricular point group but without pressing.Participants'pain,anxiety,and uterine contractions were measured at enrollment and 30,60,and 120 min of interventions. Results:Data from 78 participants were analyzed in this study.After uterine contraction was adjusted as a covariate,there was no significant difference among groups in the baseline anxiety,baseline pain,and anxiety at 30-min intervention(P>0.05),and no significant difference between the placebo group and the control group in each indicator at each time point(P>0.05).The anxiety scores of the auricular point group at 60 min and 120 min were lower than those of the placebo group and the control group(P<0.05).The pain in the auricular point group was less than that in the placebo group and the control group at 30,60,and 120 min of interventions(P<0.05). Conclusion:Auricular point sticking therapy can relieve anxiety and pain in women during the latent period of labor.Moreover,the effect is fast-acting.It can be used as a safe and effective complementary therapy.
10.Dynamic contrast-enhanced MRI examination of atherosclerotic plaques: an animal study using rabbit model
Mingli LI ; Jie SUN ; Xiaoyan CHANG ; Zhengyu JIN
Chinese Journal of Radiology 2011;45(8):770-774
Objective The enhanced patterns of atherosclerotic plaque on dynamic contrastenhanced MRI have not been well studied. The aim of this study was to explore the patterns of plaque enhancement and their underlying mechanism by using dynamic contrast-enhanced MRI (DCE-MRI).Methods Atherosclerotic plaques were induced in the aorta of 12 New Zealand White rabbits by a combination of endothelial denudation and high-cholesterol diet. Ten to sixteen weeks after surgery, DCEMRI was performed with a fast spin echo T1 weighted sequence. Thirty-five phases of images were obtained at 71-second intervals. Gd-DTPA was injected coincident with the third scan via marginal ear vein. Specimens were harvested within 12 hours after imaging for HE staining and CD31 immunohistochemical staining which was used to highlight nco-vessels. Plaque enhancement patterns were studied and compared with histological findings. Signal intensity of each plaque section was normalized to pre-contrast signal intensity of psoas muscle, after which signal intensity versus time curve was drawn. Pearson correlation coefficient was used to reveal association between histological neo-vessel count and descriptive parameters derived from signal intensity versus time curve. Results Plaques were significantly enhanced by Gd-DTPA. Enhancement patterns could be described as fast-in and slow-out. Differences in patterns of enhancement were observed between tissues, with fibrous tissue enhanced more than lipid aggregation and leukocyte foci. Peak enhancement( 1. 05 ±0. 30) , initial slope(0. 82 ± 0. 28 ) and area under the curve at early phase(4.97 ± 1.67) derived from signal intensity-time curve had significant correlations with neo-vessel count( 117.7 ± 93. 3) ( r= 0. 553,0. 468, 0. 554 respectively, P < 0. 05 ) . Conclusions The enhanced patterns of atherosclerotic plaque by Gd-DTPA were fast- in and slow-out. Neovascularization, increased endothelial permeability and extracellular matrix may be the reasons for plaque enhancement by Gd-DTPA. DCE-MRI has the potential to quantify the extent of neo-vasculature formation within plaques.