1.The Evaluation of Femoral Neck Anteversion by Three-dimensional Computed Tomography
Tianjing LIU ; Yongyan SHI ; Qun ZHAO
Journal of China Medical University 2010;(1):44-46,50
Objective To evaluate the femoral neck anteversion (FNA) of patients with unilateral developmental dysplasia of the hip (DDH) and reveal the developmental regularity of the proximal femur.Methods 366 three-dimensional CTs of unilateral DDH patients were categorized into three age groups:<18 months, 18 months-3 years,and>3 years.The femoral neck anteversion of both sides were measured and a statistical comparison was performed between them.The line chart showing the relationship of femoral neck anteversion and age was drawn to reveal the developmental regularity of the proximal femur.Results In total,the affected side of unilateral DDH had an femoral neck anteversion 1°~5° significantly larger than the unaffected side (P<0.05).There was no statistical difference between affected and unaffeted sides in age group<18 months and 18 months-3 years,while it was significant in age group>3 years.Conclusion Pathological changes of the proximal femur were observed not only the affected side in unilateral DDH but also the unaffected side.The FNA symmetrically developed with age older.
2.Research on Source and Origin of Bladder Meridian of Foot-Taiyang Theory in Jiu Jing Tu ;from Dunhuang
Xiaoqiang ZHAO ; Yongyan TIAN ; Rong HU
Chinese Journal of Information on Traditional Chinese Medicine 2015;(5):7-9
By systematically combing the records of Bladder Meridian of Foot-Taiyang from medical literatures of Zu Bi Shi Yi Mai Jiu Jing (Maxibustion Canon of Foot and Arm), Yin Yang Shi Yi Mai Jiu Jing (Maxibustion Canon of Ying and Yang), Ling Shu Jing Mai (Meridians, a chapter of Miraculous Pivot), Zhen Jiu Jia Yi Jing (A-B Classic of Acupuncture and Moxibustion), Jiu Jing Tu (Illustration of Moxibustion) from Dunhuang, it can be found that the formation and development of theory of main and collateral channels is a long-term dynamic process containing constantly summing up the experiences. The record about only the 2.3 inch one-line loop route carved out beside the posterior midline of dorsal lumbosacral portion by Bladder Meridian Foot-Taiyang may be a positioning mode of acupoint exclusively used by moxibustion and summed up by people good at moxibustion therapy using their clinical experience. In addition, thoughts that the heavy-moxibustion is a good method for difficult miscellaneous diseases (especially for the serious illnesses after attacked by wind and cold pathogens) may be included.
3.Risk factors for pregnancy-induced hypertension in Tangshan city
Shujuan KAN ; Yongyan ZHAO ; Yongli CHEN ; Sujuan ZHANG
Chinese Journal of Primary Medicine and Pharmacy 2008;15(4):637-638
Objective To investigate the risk factors for pregnancy-induced hypertension in Tangshan city.Methods Ninety-five pregnant women with hypertension were involved in questionnaire survey with contents ineluding general states of health and histories of past illness. Results Pregnancy-induced hypertension were more seen in winter, women aged above 35 years old with blood type A, bad educational background, bad nutritional status, hypertension history for family or herself, diabetes history and ere (P<0.01 ). Conclusion There are ages, blood types, educational background, nutritional status, hypertension history, diabetes history for the risk factors for pregnancy-induced hypertension.
4.The measurements of normal acetabular index and Sharp acetabular angle in Chinese hips
Yongyan SHI ; Tianjing LIU ; Qun ZHAO ; Lijun ZHANG ; Shijun JI
Chinese Journal of Orthopaedics 2010;30(8):748-753
Objective To define the normal reference values of acetabular index and Sharp angle through 2333 standard anterior-posterior pelvic radiographs. Methods In our study, 2333 normal anteriorposterior pelvic radiograph images with standard exposure were selected. All the images were diagnozed normal by two radiologists and two pediatricians according to the criteria of T(o)nnis. All subjects were without any neuromuscular diseases and congenital defoemity. The acetabular index was measure in the subjects between age 0 to 10 years, and the groups were divided monthly within 1 year and yearly between 1 to 10years. The Sharp angle was measure in the subjects after 10 years, and the groups were divided yearly in adolescence and decadely in adults. Normal values of each age groups and the correlation charts were completed according to statistical analysis. Results The mean acetabular index was 28.39° in neonates followed by a steep decrease in the first three months after born. It decreased to 22.17°in the 1st year, 12.80°in the 10th years and then kept constant. Acetabular index of the female was generally 1°-2°larger than that of the male with statistical significance. The mean Sharp angle was 46.72°in the 10th years, which decreased to 39.10°in the 18th years and 35.69°in elderly people. Another declination was observed after age 40.Generally no gender difference was observed. Conclusion Acetabular index and Sharp angle vary with age.They reflect a dramatic morphological change in the acetabulum before adulthood and stay constant afterwards. Gender difference is obvious in many age groups but not all. Normal reference ranges of both gender at all age groups should be considered in clinical evaluation.
5.Treatment of lumber spondylolisthesis by using pedicle screw and interbody fusion cage
Rui LI ; Yongyan SHI ; Zhou ZHAO ; Gongli ZHANG
Chinese Journal of Postgraduates of Medicine 2011;34(2):16-19
Objective To observe the therapeutical effect by using pedicle screw and interbody fusion cage,and compare with posterior interbody simple autogenous bone graft. Methods From August 2006 to January 2009,46 cases of lumbar spondylolisthesis patients were treated by using pedical screw internal fixation system, including 24 cases of cage-graft (group A), 22 cases of interbody simple autogenous bone graft (group B), efficacy evaluation using JOA evaluation standard, and measured lumbar olisthe reset rate, relative intervertebral space height and lumbosacral angle of recovery and observed fusion rate through the preoperative and postoperative follow-up X-ray films. Results All the patients' waist pain symptoms relieved after operative reduction. At 18 months of follow-up , group A of lumbar olisthe reset rate was 94.7%, relative intervertebral space height was (74.93 ± 7.85)% ,lumhosacral angle was 36.6° ± 3.6° ,meanwhile group B was 89.9%, (68.72 ± 12.40)%,39.3°± 5.6°. There were significant differences between two groups (P<0.05). Bone graft fusion rate in group A was 95.83% (23/24), in group B was 90.91%(20/22), there was significant difference between two groups (P < 0.05). Conclusion Pedicle screw system and interbody cage-graft in treatnent of lumber spondylolisthesis can effectively prevent the loss of reduction,mid and long-term effects are satisfactory,it is a stable and reliable method.
6.GC Determination of Synthetic Borneol and Menthol in Keyou Nanoemulsion
Jingjing FAN ; Yuxia YUAN ; Xiangge YIN ; Wenlong ZHAO ; Yongyan JIA
Chinese Journal of Information on Traditional Chinese Medicine 2013;(8):52-53,54
Objective To establish the determination method synthetic borneol and menthol in Keyou nanoemulsion. Methods HP-5 quartz capillary column (30 m×320 μm×0.25 μm) was used with nitrogen as the carrier gas, and FID as the detector. The temperature of the entrance of the capillary vessel column was at 230 ℃. Results Synthetic borneol and menthol in Keyou nanoemulsion were separated well. The calibration curves of synthetic borneol was obtained with good linear relationship within the range of 0.337-1.685 μg (r 2=0.998 2), the average recovery was 97.5%. The calibration curves of menthol was also obtained with a good linear relationship within the range of 0.234-1.17 μg (r 2=0.997 4), the average recovery was 97.0%. Conclusion The methord is simple and accurate. It can be used to control the quality of Keyou nanoemulsion.
7.Experimental study of repairing acute spinal cord injury with transplantation of mesenchymal stem cells genetically modified by NGF in rats
Yongyan SHI ; Aixi YU ; Gongli ZHANG ; Xiaotao WANG ; Zhu ZHAO
Chinese Journal of Microsurgery 2008;31(3):199-202,封3
Objective To investigate mesenchymal stem cells genetically modified by nerve growth factor to repair acute spinal cord injury in rats. Methods Fifty six Wistar rats of inbred strain were randomly divided into sham operation group cell transplantation group and simple injury group. The spinal cord injury model was prepared according to the modified Allen's method. NGFβ (hNGFβ) and GFP genes were transfected into MSCs by replication-deficient recombinant adenovirus vector (Ad-hNGFβ) and replication-deficient recombinant retrovirus vector (Rt-GFP) respectively. GFP positive MSCs were transplanted into intradural space of injured spinal cord at 7 days after spina coral injury. Spinal cord was dissected at 24 h, 1 and 2 weeks after transplantation. To observe the expression of GFAP and nestin and the distribution of MSCs after transplantation following the spina corol injury. Results MSCs migrated to the injured parenchyma In transplantation group, the expression of GFAP and NGF protein was higher than in the control group (P<0.05), the BBB score in transplantation group was higher than that in the control group (P<0.05). Conclusion The MSCs transplantation repaired the injured spinal cord to some extent.
8.Effects of Huatan Xiezhuo Recipe on insulin resistance and leptin in rats with fatty liver
Fang YE ; Wenxia ZHAO ; Mingsan MIAO ; Jianguo LI ; Yongyan ZHANG
Journal of Integrative Medicine 2005;3(4):290-3
OBJECTIVE: To observe the effects of Huatan Xiezhuo Recipe (HTXZR) on fatty liver of rats. METHODS: Forty-eight SD rats were randomly divided into five groups: normal control group, untreated group, Dongbao Gantai Tablet (DBGTT)-treated group, low-dose HTXZR-treated group and high-dose HTXZR-treated group. Fatty liver was induced in the rats by hyperlipid diet and intraperitoneal injection of tetracycline. The pathological changes of liver tissues in rats were observed, and the liver function, serum leptin, insulin resistance index, triglyceride (TG) and free fatty acid (FFA) in the liver were detected. RESULTS: The levels of serum leptin, insulin resistance index, FFA and TG in rats of the three treated groups were lower than those of the untreated group (P<0.01), and such effects in the HTXZR-treated groups were more significant than those in the DBGTT-treated group (P<0.05). CONCLUSION: The main action mechanisms of HTXZR in treating fatty liver are probably to promote the lipid metabolism, decrease the leptin and insulin resistance.
9.Regulatory effect of vitamin D on the expression of occludin in the intestinal epithelial cells of neonatal ;rats with necrotizing enterocolitis
Yongyan SHI ; Jianhua FU ; Li YAO ; Xinyi ZHAO ; Xindong XUE
Chinese Pediatric Emergency Medicine 2017;24(1):60-64
Objective To investigate the expression of occludin in the intestinal epithelial cells of neonatal rats with necrotizing enterocolitis ( NEC) . The influence of vitamin D on NEC and the expression of occludin was also explored. Methods Sixty neonatal Wistar rats from different litters were divided into four groups 48 hours after birth:10 in the breast-fed+ control group,10 in the breast-fed +vitamin D group,20 in the NEC+ control group and 20 in the NEC+ vitamin D group. In groups with NEC,neonatal rats were sep-arated from their mothers and treated with rat milk substitute+hypoxia+hypothermia. In groups with vitamin D treatment,paricalcitol was given through intraperitoneal injection 30 minutes before,one day and two days after the induction of NEC. The tissue was harvested from the ileum of the rats 72 hours after induction of NEC. Microscopically,the tissue was assessed according to the Nadler scoring system. The expression and location of occludin was observed after immunofluorescence staining. Western blotting was performed and quantified to compare the expression of occludin among groups. Results In NEC rats,the intestinal structure was destructed. Separation of the submucosal or muscular layer,discharge or disappearance of the villa was accompanied by necrosis of the intestinal cells. Vitamin D treatment could significantly alleviate those chan-ges,with the Nadler score 1. 70 ± 0. 21 compared to 2. 90 ± 0. 23 without vitamin D treatment ( P<0. 01 ) . The expression of occludin was decreased in NEC rats and vitamin D could partly rescue this decrease (P<0. 01). The distribution of occludin was sparse and discontinuous in NEC rats while after vitamin D treatment,the distribution was maintained even and continuous. Conclusion The expression of occludin in intestinal epithelial cells is significantly reduced in NEC rat. Vitamin D treatment may inhibit the development of NEC by maintaining the expression of occludin.
10.Thermodynamic outlook and practice of Chinese medicinal nature.
Xiaohe XIAO ; Jiabo WANG ; Yanling ZHAO ; Yongyan WANG ; Peigen XIAO
China Journal of Chinese Materia Medica 2010;35(16):2207-2213
Medicinal nature theory of Chinese medicine is the difficult and hot issue in the basic research of Chinese medicine (CM), but has not yet obtained some important breakthrough until now. The cold and heat syndromes is considered as the capital differentiation of CM in clinic; cold and hot is the primary medicinal nature of CM. Treating the cold with heat, the heat with cold is the main therapeutic principle of CM. But, whether the cold and hot of medicinal nature objectively exists? Whether/how to establish a set of objectives and feasible appraisal methodologies? How to apply the theoratical and research findings of medicinal nature in clinical practice? In recent years, a new road for ourselves to carry out a series of explorations and researches on the cold and hot nature of CM from the thermodynamic view has been opened, and the doctrine of "Thermodynamic outlook of Chinese medicinal nature" has been proposed firstly by our research group. Consequently, we have established the research model, "coming from clinic, verifying in experiment and returning to the clinic", on the medicinal nature of CM, and developed a set of appraisal methodologies of the cold and hot nature of Chinese medicine based on biothermokinetics, such as the cold/hot plate differentiating system, microcalorimetry, evidence-based medical analysis for medicinal nature of CM. Based on these methods, a systematical investigation has been done focusing the energy transfer and thermal change in the metabolism progress of organism and the intervention effects of different Chinese medicines on this progress from the experiment to the clinic, in vitro and in vivo. Our studies have essentially elucidated the objectivity of the differences between the cold and hot nature of Chinese medicine as well as the scientific connotation of "treating the cold with heat, the heat with cold", provided a novel and perspective approach for investigating the medicinal nature theory of Chinese medicine, further supplied some new technological supports for the modernization of CM.
Medicine, Chinese Traditional
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methods
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Thermodynamics