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Analysis of Treatment Effect of Warming Needle Moxibustion on Knee Osteoarthritis of Deficiency Cold Type

Journal of Medical Research.2015;44(10):164-166. doi:10.11969/j.issn.1673-548X.2015.10.047

Objective To observe the clinical effect of warming needle moxibustion and acupuncture therapy for knee osteoarthritis of deficiency cold type , and explore effective ways to treat knee osteoarthritis of deficiency cold type .Methods Eighty three patients with cold knee osteoarthritis in our hospital from May 2010 to April 2014 type were randomly divided into warming acupuncture group (42 ca-ses) and control group (41 cases).Patients in warming acupuncture group were given the treatment of warming needle moxibustion meth -od, and those in the control group were given the treatment of simple acupuncture .After three courses of treatment , the treatment effect and compliance of two groups during treatment was closely obserred .Results Efficiency of warming acupuncture group was 95.0%.It had significant difference compared with 85.7%in the control group (P<0.05).Treatment compliance rate of warming acupuncture was 95.2%, which was significantly higher than 85.4%of control group (P<0.05).At the end of each treatment period , Joint pain relief degree of warming acupuncture group patients were significantly higher than those in control group (P<0.05), and joint pain degree of warm acupuncture group reduced significantly after a course reduced compared with it before a course (P<0.05).Conclusion The cur-ative effect of warm acupuncture in the treatment on knee osteoarthritis of deficiency cold type is better than that of simple acupuncture therapy.It is worth in clinical application .

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Effect Evaluation of Spironolactone in the Treatment of Hypertensive Heart Disease by the Real Time 3 -dimensional Echocardiography

Yaxi ZHANG ; Zhimin CHENG ; Aihua ZHENG

Journal of Medical Research.2015;44(10):161-163. doi:10.11969/j.issn.1673-548X.2015.10.046

Objective To investigate the effect evaluation of spironolactone in the treatment of hypertensive heart disease by the real time 3-dimensional echocardiography .Methods Totally 104 patients with hypertensive heart disease were in the study from Jan 2011 to Jan 2012 of our department and divided into objective group and control group .Conventional treatments were put in all the patients and the spironolactone was used in objective group patients only .The results of ventricular morphology and function indexes were compared be -tween the two groups, and then investigate the relationship between cystatin C (CycC) and left ventricular remodeling index (LVRI) at the same time.Results There were significant differences in the comparison of ventricular morphology and function indexes .The left ventric-ular end-diastolic volume(LVEDV), left ventricular end systolic volume (LVESV) and left ventricular ejection fraction (LVEF) of ob-jective group were more advantageous than flowse of control group for prognosis .The same results were observed in the comparison of Cys C and LVRI.Moreover, Cyc C and LVRI had certain correlation in the study .Conclusion The spironolactone can play a positive role in the treatment for the patients with hypertensive heart disease .In the meantime, the RT-3DE is a good evaluation method for the develop-ment of ventricular morphology and function .

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Accuracy of Classical Anatomical Landmark Technique ( Anterior, Central, and Posterior Approach) for Internal Jugular Vein by Ultra-sound Technique

Wanlu GAO ; Xiaohai WANG

Journal of Medical Research.2015;44(10):149-151. doi:10.11969/j.issn.1673-548X.2015.10.042

Objective To explore the accuracy rate of classical anatomical landmark technique ( anterior , central , and posterior ap-proach) for internal jugular vein (IJV) by ultrasound technique.Methods Sixty-four patients with selective operation were included in this study.The anesthetist marked the anterior approach , central approach, and posterior approach for internal jugular vein at 0°(neu-ral), 30°,and 80°of head rotation, respectively.The accuracy of each anatomical landmark were examined by other anesthetist with ul -trasound technique .Results The accuracy rate of anterior approach and central approach were significantly higher than posterior ap -proach at 0°of head rotation, respectively.The accuracy rate of anterior approach was higher than posterior approach at 30°of head rota-tion.The accuracy rate was similar among anterior , central, and posterior approach at 80°of head rotation.Conclusion The accuracy rate was different in different approach of anatomical landmark for internal jugular vein .

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Analysis of Pathogens Distribution and Drug Resistance in Acute Exacerbation of Coexisting Chronic Obstructive Pulmonary Disease and Bronchiectasis

Pingli LIU

Journal of Medical Research.2015;44(10):131-134. doi:10.11969/j.issn.1673-548X.2015.10.037

Objective To explore the distribution and antibiotic resistance of pathogenic bacteria isolated from sputum of patients with acute exacerbation of coexisting chronic obstructive pulmonary disease ( COPD) and bronchiectasis , so as to guide the rational antimi-crobial application in clinical practise .Methods Bacteria culture and drug susceptibility testing were performed for the sputum samples of 98 hospitalized patients with acute exacerbation of coexisting COPD and bronchiectasis from January 2010 to April 2014.Results A total of 66 strains of pathogenic bacteria were isolated in 96 patients, including 52 strains of Gram -negative bacilli(78.8%), 5 strains of Gram-positive cocci (7.6%) and 9 strains of fungi(13.6%).The five predominant Gram -negative bacterial species were P .aerugino-sa(27.3%), Escherichia coli(13.6%), Klebsiella pneumonia (12.1%), Acinetobacter baumannii (10.6%), and Enterobacter cloa-cae(7.6%).The effective antibiotics against Gram -negative bacterial infection in patients with acute exacerbation of coexisting COPD and brochiectasis included carbapenems , cefoperazone/sulbactam, piperacillin/tazobactam and amikacin .All the S.aureus strains in this stuy were sensitive to vancomycin .Conclusion The Gram -negative bacilli are the main pathogens in acute exacerbation of coexisting COPD and brochiectasis , followed by fungi and Gram -positive bacteria .As the problem of bacterial resistance is getting worse , antibiot-ics should be used more rationally according to the distribution of common pathogens and drug resistance trends in the region .

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Effects of Ginsenosides Rg3 on Vasculogenic Mimicry of Pancreatic Cancer Xenograft

Dandan JIANG ; Jingqiang GUO ; Liang CHEN

Journal of Medical Research.2015;44(10):124-128. doi:10.11969/j.issn.1673-548X.2015.10.035

Objective To investigate the effects of ginsenosides Rg 3 on vasculogenic mimicry of pancreatic cancer xenograft through the establishment of pancreatic cancer cell line SW -1990 subcutaneous xenograft model .Methods After pancreatic cancer xenograft in nude mice model beening established , All the mice were randomly divided into 4 groups and treated intraperitoneally ( IP) with saline and various concentrations (5,10,20 mg/kg) of ginsenosides Rg3.To observe the effect of ginsenoside Rg3 on tumor growth.Immunohisto-chemical-PAS staining was used to detect the effects of ginsenosides Rg 3 on vasculogenic mimicry of pancreatic cancer xenograft .and mRNA and protein expression of MMP 2、MMP9 were respectively evaluated by FQ -PCR and Western blot .Results The ginsenosides Rg3 can inhibit the growth of the tumor xenografts in nude mice .The inhibitory effect is the most obvious the 20 mg/kg of ginsenosides Rg3 group.The expression of MMP-2, MMP-9 were down-regulated compare with the control group , and the difference was signifi-cant;the Immunohistochemical -PAS staining showed the number of vasculogenic mimicry (+) and CD31 (+) were less than that in the control group .Conlusion Our results demonstrate that pancreatic vascular mimicry formation can be suppressed by Ginsenoside Rg 3 though reducing the expression of MMP -2, MMP-9 in our vivo experiments ,

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A Retrospective Analysis of Human Parvovirus B19 Infection in Childhood Immune Thrombocytopenia

Yanyang CHENG ; Hao XIONG ; Zhiliang XU

Journal of Medical Research.2015;44(10):103-106. doi:10.11969/j.issn.1673-548X.2015.10.029

Objective To confirm the role of human parvovirus B 19 ( B19) infection in childhood immune thrombocytopenia ( ITP) patients.Methods A total of 416 cases of newly diagnosed childhood ITP patients from Jan .2011 to Dec.2013 had been summarized to be cases group , Then a total of 130 childhood patients with common respiratory tract infection were selected randomly as the control group . All patients had been divided in grouped by age as <1 years group(n=187), 1-3 years group(n=127), 3-7 years group(n=71), and 7-14 years group(n=31).The incidence rate of B19 infection in all age groups, the prognosis conditions in B19 infection positive and negative groups after the same therapy protocol were obserred .Results The B19 infection rate had no statistical significance in re-search groups and control groups .And no significant difference in the same age groups compared with control groups (all P>0.05) was found.All the ITP patients had not been given anti -B19 treatment.The PLT remission rate,respectively, after treated with the same pro-tocol including glucocorticoid and/or immunoglobulin had a declining trend as the ages increasing .The B19 infection groups of all ages al-so had no significant difference PLT remission rate had been confirmed in non -B19 infection patients in each age groups (all P>0.05). Conclusions B19 infection may not be a major cause in childhood newly ITP , and treatment protocol with no anti -B19 treatment had no influence on the clinical curative efficacy .

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Effects of Menopause on Prothrombotic State in Ovariectomized Rats

Hui GAO ; Shui XI ; Ling XU

Journal of Medical Research.2015;44(10):89-92. doi:10.11969/j.issn.1673-548X.2015.10.025

Objective To observe the effects of menopause on prothrombotic profiles in ovariectomized rats .Methods Thirty two healthy female SD rats of 9 to 10 months were divided into 4 groups, the control shamed and the observation groups ovariectomized .Rats in the baseline group and the early menopause group were sacrificed one week later , and the control and late menopause group 10 weeks later.The prothrombotic profiles were detected including plasma FIB , ATⅢ activity, PAI-1 levels, D-D level, vWF levels and NO concentration, TXA2 and PGI2 levels.Results In early menopause, plasma FIB increased dramatically while ATⅢactivity remained lit-tle changed.PAI-1 demonstrated an increasing trend .vWF significantly increased but NO significantly decreased .In later menopausal stage, PAI-1 increased dramatically but FIB somewhat decreased .Plasma ATⅢactivity significantly increased and vWF still remained a high level.NO increased a little.In both early and later stage, TXA2 and PGI2 simultaneously increased while D -D showed little change between groups .Conclusion Menopause plays different roles in different aspects of thromoembolism , resulting in increased risk in early menopause due to prothrombotic state and decreased risk in later menopause when new balances between profiles were established .

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Effect of 2,3,4′,5-Tetrahydroxystilbene-2 -O -beta -D-glucoside on the Proliferation of Pulmonary Artery Smooth Muscle Cells In-duced by Hypoxia

Zhiyong ZHANG ; Shuizhen YANG

Journal of Medical Research.2015;44(10):151-154. doi:10.11969/j.issn.1673-548X.2015.10.043

Objective To investigate the effects of the 2,3,4′,5-Tetrahydroxystilbene -2-O-beta-D-glucoside on the prolif-eration of PASMCs induced by hypoxia , in orde to search new drugs for the treatment and prevention of hypoxic pulmonary vascular remod -eling.Methods 3%O2 hypoxia was used to induced the proliferation of PASMCs .After hypoxic and TSG treatment for 24h, cell growth was determined by cell counting kit -8 ( CCK-8 ) , cell cycle was analysed by flow cytometry , the mRNA expression of HIF -1αwas measured by quantitative real -time PCR, and the reactive oxygen species ( ROS) production was determined by the fluorescence micro-plate reader .Results TSG can block the proliferation of PASMCs through G 0/G1 to S phase of the cell cycle arrest without cell cytotoxic-ity.Further experiments showed that TSG blocking the proliferation of PASMCs was associated suppression the mRNA expression of HIF -1αand the production of intracellular ROS in hypoxia -stimulated-PASMCs.Conclusion TSG can inhibit the proliferation of pulmo-nary artery smooth muscle cells induced by hypoxia through suppression the mRNA expression of HIF -1αand the production of intracel-lular ROS.

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Detection of Serum miR-122 and miR-22 in Patients with Chronic Hepatitis B by Using of a Quantitative Real-time PCR

Yuewei JIANG ; Jin YE ; Xiaoqu ZHU

Journal of Medical Research.2015;44(10):121-124. doi:10.11969/j.issn.1673-548X.2015.10.034

Objective To establish a real -time quantitative PCR ( RT-PCR) assay for detecting serum miR -122, miR-22, and evaluate the clinical significance of miR -122 and miR-22 in patients with chronic hepatitis B ( CHB) by using of this assay .Meth-ods The mature miRNAs were reversely transcripted by using of stem -loop primers .SYBR GreenⅠquantitative real-time PCR ( qRT-PCR) was used for quantification of the miRNAs .The sensitivity of this assay was evaluated by using of the 10-fold-diluted miRNA-122 cDNA standards and the specificity was verified by using of melting curve assay .The accuracy was assessed by intra -assay coeffi-cient of variation (CV) of threshold cycle (Ct value), which were calculated from a 20-times-repeat detection of the miR -122 cDNA (2 ×105 , 2 ×106 , 2 ×107 copies/μl) standards.Using the established qRT -PCR assay, we detected the expression of serum miR -122 and miR-22 in the patients with CHB and healthy controls .Results The qRT-PCR assay exhibited good performances in the linear range, sensitivity and reproducibility while detecting miR -122 and miR-22.The relative level of miR -122 and miR-22 was 17.88 vs 5.35 in the CHB patients and 1.80 vs 1.67 in the controls (P=0.000).Conclusion Using of stem-loop primers, we established a qRT-PCR assay for detection of serum miR -122 and miR-22.Serum miR-122 and miR-22 increased significantly in the CHB pa-tients.

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Transrectal Real-time Elastography Combined with Dynamic Contrast Material-enhanced Magnetic Resonance Imaging for the Diagnosis of Benign and Malignant Prostate Lesions

Ying CHANG ; Jingchun YANG ; Xianggong DUAN

Journal of Medical Research.2015;44(10):60-63. doi:10.11969/j.issn.1673-548X.2015.10.017

Objective To compare the value of transrectal real -time elastography ( TRTE) with dynamic contrast material -en-hanced magnetic resonance imaging (DCE-MRI) for prostate cancer detection.Methods A total of 60 men (mean age 71years, range 43 to 83) with serum PSA levels of greater than 4.0ng/ml were assessed using gray -scale transrectal ultrasound (TRUS), transrectal real-time elastography ( TRTE ) and dynamic contrast material -enhanced magnetic resonance imaging ( DCE -MRI ) .Subsequently , these patients underwent systematic sextant transrectal biopsy and additional biopsies for positive sites on gray -scale TRUS, TRTE and DCE-MRI.The cancer detection rates of the 3 techniques were compared .Results Cancer was detected in 23 of the 60 patients (23/60,38.3%).TRTE and DCE-MRI had a higher sensitivity, specificity and accuracy of 73.9%,78.3%,87.0%,80.1%,75.1%, 89.2%,78.3%,76.7%,88.3%respectively.TRTE and DCE-MRI guided targeted biopsy improve the positive detection rate of pros-tate cancer, compared with TRUS (P<0.05).Conclusion TRTE and DCE-MRI can improve the detection rate of the increase of ser-um PSA in patients with prostate cancer , so as to improve the positive rate of prostate biopsy diagnosis ,provide strong support for clinical diagnosis

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