Objective To observe the effect of electropuncture on activation of glial cells and neuronic ultrastructure in hippocampus of Alzheimer disease(AD) rats,and to investigate its protective effect on neuron.Methods AD rat model was established by microinjection of amyloid-beta protein(A?1-40) into the Meynert nucleus of rats,then randomly divided into normal group,sham operation group,model group and electropuncture group,14 rats in each.Electro-acupuncture was given at "baihui(DU 20)","taixi(KI 3)" and "zusanli(ST 36)"in the electro-acupuncture group;activation of glial cells in hippocampus was determined by immunohistochemistry,and ultrastructure of neurons was observed under transmission electron microscopy in all group of rats.Results A great number of glial cells were activated in model group with increase of the number,nerve cell degeneration,endoplasmic reticulum to expand,and chondriosome to swell.After treatment of electro-acupuncture,the number of activated glial cells decreased as compared with model group,and the ultrastructure returned to almost normal.Conclusions Electro-acupuncture treatment can decrease the number of activated glial cells of AD rats so as to protect the neurons.

Objective To explore the curative effect of coronary artery bypass graft (CABG) in the treatment of acute coronary syndrome (ACS).Methods Clinical data of 64 patients with ACS were retrospectively analyzed,41 patients received CABG (CABG group) and 23 patients received percutaneous coronary intervention (PCI,PCI group).Mainly cardiac events and secondary cardiac events were compared.Results The incidence rate of cadiovascular and cerebrovascular events during hospitalization in CABG group was 7.32％(3/41),in PCI group was 8.70％ (2/23),there was no significant difference (P ＞ 0.05).All patients accomplished follow-up and follow-up time was 12-48 months.The meta follow-up time in CABG group was 35.26 months,in PCI group was 33.19 months.The incidence rate of cadiovascular and cerebrovascular events during follow-up in CABG group was 19.51％ (8/41),in PCI group was 30.43％(7/23),there was no significant difference (P＞ 0.05).The incidence rate of death,myocardial infarction,cerebrovascular events,angina pectoris and total cadiovascular and cerebrovascular events between two groups had no significant difference(P＞ 0.05).Conclusions The surgery treatment in ACS is feasible,the curative effect of CABG and PCI is therapeutic equivalence.The choice of operation should be based on patients' condition and individual choice.Appropriate revascularization can get the best treatment efficiency.

Objeetive To observe the effect of electroacupuncture (EA) on microglia, interleukin-1β, and tumor necrosis factor-or (TNF-α) in the frontal lobes of rats modeling Alzheimer's disease (AD). Methods Forty-eight normal SD rats 24 months old were randomly divided into a normal group, a sham operated group, a model group and an EA group, with 12 rats in each group. The AD model was established by stereotaxic microinjection of agglutinated amyloid-beta protein (A1β-40, 1 μl, 10 μg/μl) into the rats' bilateral Meynert nucleus. The effects of EA applied to the rats' "Baihui" ( DU 20) "Taixi" ( KI 3 )" and "Zusanli" ( ST 36) acupoints were observed. The EA treatment was applied once a day for 6 days as a course. The next course of treatment was continued after one day's rest and the total treatment involved 2 courses. The activated mieroglia and the expression of IL-1β, and TNF-α in the frontal lobe were determined by immunohistochemistry method. Results The number of cells exhibiting microglia, IL-1β, or TNF-α in the frontal lobes of rats in the model group increased significantly, but after EA treat-ment, cells showing microglia, IL-1β, or TNF-α decreased remarkably. There were significant differences in compar-ison with the model group (P≤0. 01). Conclusion Electroacupuncture treatment can depress inflammatory reac-tion in the frontal lobe of AD rats and adjust the rats' immunologic state.

Objective:To observe the dexmedetomidine by nasal drip on perioperative spinal surgery patients sedation and the effect of hemodynamic changes.Methods:90 ASA grade Ⅰ ～ Ⅲ,years 18 to 65,and in general anesthesia spinal surgery,and postoperative patients have to extube the endotracheal,were randomly divided into three groups:control group (group C),the dexmedetomidine 0.1 μg/kggroup (D1) and dexmedetomidine 1.5 μg/kggroup (D2),(n=30).Record into the OR (T0),before the induction (T1),1 min before intubation (T2),1 min after intubation (T3),start surgy (T4),began to stop general anesthetics (T5),1 min before extubation (T6),3 min after extubation (T7),and into the PACU (T8).The patient's heart rate (HR),mean arterial pressure (MAP),oxygen saturation (SPO2),finish operation from the general anesthetics toextube the endotracheal tube,stay time,patients in the postoperative recovery room Ramsay sedation scores.Results:Three groups of patients when T0 HR,MAP,SPO2,Ramsay sedation scores had no statistical difference (P≥ 0.05);Compared with group C,D1 and D2 group significantly lower each time point of HR,MAP,Ramsay sedation scores increase (P≤ 0.05),SPO2 no significant change (P≥ 0.05);Each time point compared with group D1,D2 group HR,MAP,significantly decreased,Ramsay sedation scores increase (P≤ 0.05),SPO2 no significant change (P≥ 0.05);D1 group HR,MAP,SPO2 at each time point,Ramsay sedation scores have no obvious difference (P≥ 0.05);D2 group HR,MAP,SPO2,Ramsay sedation scores significantly difference (P≥ 0.05).Group C T3,T4,T5,T6,T7 has each time point,T8 HR,MAP,up from T1,T2,Ramsay sedation scores were significantly improved (P≤ 0.05),SPO2 no significant change (P≥ 0.05).Conclusions:40 min before anesthesia induction dexmedetomidine by nasal drip can effectively inhibit intubation and extubation reaction,make the hemodynamic changes is more stable,and significantly reduce the incidence of patients with postoperative agitation.