Potential Role of Melatonin as an Adjuvant for Atherosclerotic Carotid Arterial Stenosis

Carotid artery stenosis (CAS) is an atherosclerotic disease characterized by a narrowing of the artery lumen and a high risk of ischemic stroke. Risk factors of atherosclerosis, including smoking, hypertension, hyperglycemia, hyperlipidemia, aging, and disrupted circadian rhythm, may potentiate atherosclerosis in the carotid artery and further reduce the arterial lumen. Ischemic stroke due to severe CAS and cerebral ischemic/reperfusion (I/R) injury after the revascularization of CAS also adversely affect clinical outcomes. Melatonin is a pluripotent agent with potent anti-inflammatory, anti-oxidative, and neuroprotective properties. Although there is a shortage of direct clinical evidence demonstrating the benefits of melatonin in CAS patients, previous studies have shown that melatonin may be beneficial for patients with CAS in terms of reducing endothelial damage, stabilizing arterial plaque, mitigating the harm from CAS-related ischemic stroke and cerebral I/R injury, and alleviating the adverse effects of the related risk factors. Additional pre-clinical and clinical are required to confirm this speculation.     

DSA、CTA联合MR影像评估AIS患者脑支循环及预后性关系

探讨数字减影血管成像(DSA)、计算机断层扫描血管成像(CTA)联合磁共振(MR)影像评估急性缺血性卒中(AIS)患者脑支循环及预后性关系。选取60例大脑中动脉M1段急性闭塞所致AIS患者为研究对象,根据DSA、CTA与MR影像对其脑侧支循环评估,比较患者基线资料、结局指标等,并分析预后性。结果发现:基于DSA、CTA与MR影像对AIS患者脑侧支循环评估结果一致性良好;3种影像模式下脑侧支循环良好组与不良组结局资料差异显著(P<0.05);多因素分析显示,FVH-ASPECTS评分、rLMC评分、ASITN/SIR分级量表均为AIS患者神经功能预后的独立影响因素。总之,DSA、CTA、MR影像对AIS患者脑侧支循环评估具有一致性,且FVH-ASPECTS评分、rLMC评分、ASITN/SIR分级量表均为AIS患者神经功能预后的独立影响因素。     

中医养生理论对脑卒中恢复期患者康复效果的研究

目的对脑卒中恢复期患者行中医养生理论护理,观察康复效果。方法择取佛山市禅城区中心医院于2015年1月—2016年5月期间收治的脑卒中恢复期患者102例,参考随机双盲法,将患者划分为研究组与对照组,每组各51例。对照组患者接受常规护理干预,研究组患者接受常规护理干预+中医养生理论护理,比较两组患者的康复效果。结果研究组患者的NIHSS评分、FIM评分以及健康状况评分均显著优于对照组,即相应数据比较,组间差异统计学意义具有显著性(P0.05)。结论对脑卒中恢复期患者行中医养生理论护理,可以改善患者的健康状况,促进患者恢复,进而优化患者生存质量,值得临床推广与应用。     

Ultrafiltration‐LC–MS combined with semi‐preparative HPLC for the simultaneous screening and isolation of lactate dehydrogenase inhibitors from Belamcanda chinensis

Stroke represents the fourth leading cause of death in the USA and the second leading cause of death worldwide. Lactate dehydrogenase inhibitors are widely used in the treatment of ischemic stroke and natural products are considered a promising source of novel lactate dehydrogenase inhibitors. In this study, we used PC12 cells to determine the protective effect of extracts from the herb Belamcanda chinensis following toxic challenge. Using ultrafiltration high‐performance liquid chromatography coupled with photo‐diode array detection and electrospray ionization mass spectrometry, we screened and identified isoflavonoids from Belamcanda chinensis extracts. Semi‐preparative high‐performance liquid chromatography was then applied to separate and isolate the active constituents. Using these methods, we identified six major compounds in Belamcanda chinensis as lactate dehydrogenase inhibitors: tectoridin, iristectorin A, iridin, tectorigenin, irigenin, and irisflorentin, which were then isolated to >92% purity. This is the first report that Belamcanda chinensis extracts contain potent lactate dehydrogenase inhibitors. Our results demonstrate that the systematic isolation of bioactive components from Belamcanda chinensis guided by ultrafiltration high‐performance liquid chromatography coupled with photo‐diode array detection and electrospray ionization mass spectrometry represents a feasible and efficient technique that could be extended for the identification and isolation of other enzyme inhibitors.     

双变形镜自适应光学系统像差解耦研究

对由大行程变形镜和高空间频率变形镜组成的双变形镜自适应光学系统中的像差解耦原理和限定像差校正算法做了理论分析。认为在高空间频率变形镜的斜率响应矩阵中加入限定像差向量,根据直接斜率法分别计算出两个变形镜的控制电压,可以实现两个变形镜分别对低阶像差和高阶像差的闭环校正。仿真研究了19单元变形镜和61单元变形镜组成的双变形镜自适应光学系统对低阶像差和高阶像差分别校正的情况,结果说明双变形镜自适应光学系统的校正效果与理想行程的单变形镜自适应光学系统的校正效果相当,避免了制作同时具有大行程和高空间频率两个特征的变形镜。     

微量元素与脑卒中(3)

脑卒中是目前中国最重要的公共卫生问题,正以其高发病率、高死亡率对我国造成巨大的社会、经济困难。从脑卒中的流行病学特征、脑卒中发病的危险因素、脑卒中患者的微量元素失衡及微量元素检测的临床意义四个方面阐述了微量元素与脑卒中的关系。     

脑卒中的早期中西医结合康复治疗

通过观察脑卒中患者的神经功能缺损积分,日常生活活动能力、生存质量,以探讨早期中西医结合康复治疗脑卒中的临床疗效。     

间歇输片中胶片下冲规律的研究

本文从理论和实验两方面研究间歇输片的下冲规律。研制出高画幅稳定度间歇式高速摄影机。     

Sit-to-walk Task in Hemiplegic Stroke Patients: Relationship between Movement Fluidity and the Motor Strategy in Initial Contact

Purpose: Generally, stroke patients can walk and stand up fluidly but fulfill the sit-to-walk (STW) task with difficulty. The purpose of this study was to investigate the relationship between movement fluidity and motor strategy in the initial contact of the STW task. Method: Thirty stroke patients and ten healthy subjects performed the STW task from a sitting position, and their movement was measured by a motion analysis system. The differences in data between patients and healthy subjects were analyzed using the Mann-Whitney U test. The relationship between fluidity index (FI) and other indices (kinetic and kinematic data in STW, functional independence measure [FIM], and Fugl-Meyer Assessment [FMA]) were analyzed using Spearman''s rank correlation coefficient. Results: The stroke patients had lower FI values than the healthy subjects and exhibited shortened step length and prolonged duration from onset to the first stance leg off. FI values correlated with trunk flexure angle at initial contact, first step length, and maximum vertical floor reaction force. The independent level of the FIM of stair climbing and walking ability and the FMA of balance also correlated with FI. Conclusion: There is a possibility that poor balance is one of the reasons why stroke patients are unable to start walking fluently from the sitting position. To perform the STW fluidly, patients must start walking before the trunk extension is fully completed. The relationship between FI and indices of physical ability, namely stair climbing and balance, may have therapeutic benefits for coaching the STW task to stroke patients.     

铁、锌、锰、钙在出血性脑卒中患者脑脊液中的含量变化及临床意义探讨

对正常对照组与出血性脑卒中患病组脑脊液的微量元素含量的变化作了比较分析。结果表明 ,测定的五种元素中 ,患病组中铁、锌、锰、钙含量均显著上升 (P <0 0 1 )。脑脊液微量元素含量的改变 ,有助于脑卒中类型的鉴别诊断和提出新的临床治疗方法。