1.Genomic analysis of Wenzhou virus in rodents from Zhejiang province
Kun LI ; Xiandan LIN ; Minghui LI ; Miaoruo WANG ; Xiaoyu SUN ; Yongzhen ZHANG
Chinese Journal of Epidemiology 2017;38(3):384-387
Objective Arenavirus is a negative single-stranded RNA virus and an important human pathogen,mainly harbored and transmitted by rodents,causing severe diseases,including hemorrhagic fever and encephalitis.Following the discovery of a novel pathogenic arenavirus (Wenzhou virus,WENV),the prevalence of WENV in local small rodents was investigated.Methods By using RT-PCR,WENV was screened in 48 and 156 rodents sampled from Wenzhou and Longquan,respectively.Results Consequently,WENV was detected in 5 (10.41%) rodents sampled from Wenzhou.However,no WENV was identified in all the rodents sampled from Longquan.Genetic analysis of complete genome sequences indicated that 4 of 5 virus strains were closely related to the known Wenzhou viruses with high homology.Especially,the L and S segments of Wencheng-Rn-288 strain shared homology of 87.5% and 91.6% with other viruses,respectively.They formed a distinct lineage,suggesting that this strain might be a novel variant of WENV.Conclusions Our results indicate that WENV has a high prevalence and high genetic diversity among rodents in Wenzhou.As the respiratory disease caused by WENV has been detected in Cambodia,it is necessary to strengthen the surveillance for WENV in China.
2.Influence of dexmedetomidine to inflammatory cytokines in mechanical ventilation for patients with acute exacerbation of COPD
Xiandan WU ; Xiaoqin LIN ; Jinbo ZHANG ; Xiaohong JIN ; Jinqiang ZHU ; Meiping DONG ; Liexiang CAO ; Laicao YAN
Chinese Journal of Primary Medicine and Pharmacy 2018;25(22):2857-2860
Objective To analyze the effects of dexmedetomidine(Dex) on levels of inflammatory cytokines in patients with acute exacerbation of chronic obstructive pulmonary disease (COPD). Methods From April 2015 to April 2017,94 patients with acute exacerbations of COPD who received mechanical ventilation in Wenling Hospital Affiliated to Wenzhou Medical College were randomly divided into two groups according to the digital table,with 47 cases in each group. Group A was given Dex,and group B was given midazolam. The levels of TNF - α,IL - 1, hs - CRP between the two groups were compared. Results There were no statistically significant differences in TNF - α,IL - 1,hs - CRP between the two group before treatment (all P > 0. 05). One day after treatment,the levels of TNF - α,IL -1,hs - CRP in group A were (92. 99 ± 15. 25)ng/ L,(68. 63 ± 14. 53)ng/ L,(15. 44 ± 4. 92)mg/ L, respectively,which in group B were (150. 63 ± 20. 78)ng/ L,(91. 13 ± 12. 58)ng/ L,(19. 35 ± 5. 17)mg/ L,respec-tively,there were statistically significant differences between the two groups(t = 2. 736,2. 503,2. 421,P = 0. 008, 0. 012,0. 015). Three days after treatment,the levels of TNF - α,IL - 1,hs - CRP in group A were (73. 37 ± 11. 01)ng/ L,(51. 52 ± 9. 16) ng/ L, (14. 82 ± 3. 29) mg/ L, respectively, which in group B were (123. 80 ± 19. 62)ng/ L,(73. 46 ± 17. 36) ng/ L, (18. 77 ± 4. 02 ) mg/ L, respectively, there were statistically significant differences between the two groups(t = 2. 184,2. 354,2. 098,P = 0. 031,0. 022,0. 039). Five days after treatment, the levels of TNF - α,IL - 1,hs - CRP in group A were (63. 54 ± 13. 06)ng/ L,(34. 04 ± 8. 13) ng/ L,(13. 84 ± 4. 13)mg/ L,respectively,which in group B were (76. 63 ±17. 39)ng/ L,(50. 66 ± 9. 17)ng/ L,(14. 27 ± 3. 95)mg/ L, respectively,there were statistically significant differences between the two groups( t = 1. 906,2. 082,1. 834,P =0. 067,0. 041,0. 081). Compared with group B,the ICU time in group A was significantly decreased[(9. 27 ± 1. 63) d vs. (7. 16 ± 1. 21)d,t = 2. 215,P = 0. 031](t = 2. 215,P = 0. 031). There was no statistically significant difference in the incidence rate of multiple organ dysfunction syndrome between the two groups at 5 days after treatment (χ2 =2. 286,P = 0. 132). Conclusion Dex can effectively inhibit inflammation cytokines of the mechanical ventilation COPD patients in acute exacerbation,and can reduce the ICU time.