介入治疗糖尿病下肢血管病变的临床疗效

目的观察介入治疗糖尿病患者下肢血管病变的临床疗效,并探讨其临床价值.方法收集并分析42例行介入治疗的糖尿病下肢血管病变患者作为观察组,38例行常规保守治疗的糖尿病下肢血管病变患者作为对照组,对比两组患者治疗后血清TC,TG,LDL,HDL及D-二聚体的表达情况,评估两组患者的临床疗效,并进行对比分析.结果两组患者在年龄、性别、吸烟史、病程及Fontaine分期中均未见显著差异,提示具有可比性.两组患者在静息疼痛、足面溃烂、四肢发冷及间歇跛行中存在显著差异,在其他症状中未见显著异常,在血清TC,TG,LDL,HDL及D-二聚体中存在显著差异.术后疗效对比结果显示:两组患者治愈率、无效率及总有效率比较差异具有统计学意义,有效率比较差异无统计学意义.结论介入治疗能够有效缓解糖尿病患者下肢血管病变的临床症状,降低血清TC,TG,LDL和D-二聚体水平,升高HDL水平,提高总体有效率,具有良好的临床疗效.     

脉劝流条件下血管壁的应力分布

为了分析血液-血管耦合运动所产生血液脉动压力载荷对血管壁应力分布的影响,利用线性化的血液-血管耦合运动方程的Womersley解,导得血液脉动压力载荷下的血管壁Green应变,同时利用Fung的血管壁应变能密度函数,导得相应血管壁应力分布的一般表达式.数值结果表明,在脉动流条件下,当考虑血液-血管耦合运动时,血管壁中周向应力最大,轴向应力居中,径向应力最小;血管壁的残余应力将明显减小血管内壁的应力集中;脉动压力载荷将导致血管壁周向应力在一个心动周期中随时间的脉动,而且随着Womersley数α和血管轴向约束参数K～＊的增大,血管壁周向应力的脉动将明显加剧,提示在分析动脉重建时必须计及血液-血管耦合运动对血管壁应力分布的影响.     

对于切槽端部弹塑性应变分布的实验研究

本文利用光弹切片法,对于切槽端部弹塑性应变分布进行了实验研究,同时弄清了切槽类型、切槽长度、载荷水平、加载历史、材料种类和热处理状态等多种因素对切槽端部弹塑性应变分布的影响,为建立能正确反映裂纹尖端(或切槽端部)应变分布的理论解提供了实验依据。     

磁共振血管成像在颈动脉狭窄检查中的对比研究

目的研究在颈动脉狭窄检查中采取磁共振血管成像的诊断价值。方法回顾性分析惠州市中心人民医院自2015年12月至2016年12月期间收治的39例颈动脉狭窄患者所有资料,将减影血管造影检查结果作为金标准实行磁共振血管成像检查,分析狭窄检测敏感性、准确性以及特异性。结果磁共振血管成像检查狭窄检测敏感性、准确性以及特异性发生率分别为97.43%、92.31%、94.87%。结论将磁共振血管成像应用在检查颈动脉狭窄中具有显著效果,可以提升准确符合率,值得广泛应用与研究。     

心脏与血管的相互影响

心脏与血管的相互影响早就引起生理学家们的兴趣，但其在临床医学上的广泛应用则是近几年的事．这主要归功于两大生物力学成就，一是应甩泵功能曲线和时变弹性元描述心脏功能，另一是应用输入阻抗来描述血管功能．本文系统地总结和评述了２０多年来国际上关于心脏与血管相互影响的研究发展概况．     

Bifurcation of flow and mass transport in a curved blood vessel

A numerical analysis of flow and concentration fields of macromolecules in a, slightly curved blood vessel was carried out. Based on these results, the effect of the bifurcation of a flow on the mass transport in a curved blood vessel was discussed. The macromolecules turned out to be easier to deposit in the inner part of the curved blood vessel near the critical Dean number. Once the Dean number is higher than the critical number, the bifurcation of the flow appears. This bifurcation can prevent macromolecules from concentrating in the inner part of the curved blood vessel. This result is helpful for understanding the possible correlations between the blood dynamics and atherosclerosis. The project supported by National Natural Science Foundation of China (10002003), JSPS Postdoctoral Fellowship for Foreign Researcher and Foundation for University Teachers, the Ministry of Education     

同步辐射显微红外光谱法应用于杜仲的研究

同步辐射显微红外光谱具有高亮度、高信噪比等优势.应用同步辐射显微红外光谱对于中药进行研究,可以进行微区分析,从而更加深入了解中药的组成.应用同步辐射显微红外光谱对于杜仲的冰冻切片进行研究,采集不同微区的一系列红外光谱;同时对选定区域进行化学成像,进一步研究该区域中化学组成的分布,从而对于杜仲红外光谱中各个峰的归属有深入...     

Adhesion behavior of endothelial progenitor cells to endothelial cells in simple shear flow

The adhesion of endothelial progenitor cells(EPCs) on endothelial cells(ECs) is one of the critical physiological processes for the regenesis of vascular vessels and the prevention of serious cardiovascular diseases.Here,the rolling and adhesion behavior of EPCs on ECs was studied numerically.A two-dimensional numerical model was developed based on the immersed boundary method for simulating the rolling and adhesion of cells in a channel flow.The binding force arising from the catch bond of a receptor and ligand pair was modeled with stochastic Monte Carlo method and Hookean spring model.The effect of tumor necrosis factor alpha(TNF-α) on the expression of the number of adhesion molecules in ECs was analyzed experimentally.A flow chamber system with CCD camera was set up to observe the top view of the rolling of EPCs on the substrate cultivated with ECs.Numerical results prove that the adhesion of EPC on ECs is closely related to membrane stiff-ness of the cell and shear rate of the flow.It also suggests that the adhesion force between EPC and EC by P-selectin glycoprotein ligand-1 only is not strong enough to bond the cell onto vessel walls unless contributions of other catch bond are considered.Experimental results demonstrate that TNF-α enhanced the expressions of VCAM,ICAM,P-selectin and E-selectin in ECs,which supports the numerical results that the rolling velocity of EPC on TNF-α treated EC substrate decreases obviously compared with its velocity on the untreated one.It is found that because the adhesion is affected by both the rolling velocity and the deformability of the cell,an optimal stiffness of EPC may exist at a given shear rate of flow for achieving maximum adhesion rates.