25 February 2023, Volume 39 Issue 2
    

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  • GUO Yufan, GAO Bing, JIANG Hongmei, SHANG Jiaqi, GAO Long, ZHAO Yuhang, TIAN Chunfeng, LI Kai, BAO Yan
    Journal of Baotou Medical College. 2023, 39(2): 1-6. https://doi.org/10.16833/j.cnki.jbmc.2023.02.001
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    Objective: To evaluate the effect of short-chain fatty acids (SCFAs) produced by intestinal flora on lipid metabolism in HepG2 cell lipid accumulation model. Methods: The lipid accumulation model of HepG2 cells was observed by oil red O staining. Different concentrations of SCFAs (acetic acid, propionic acid and n-butyric acid) were used to intervene the lipid accumulation model of HepG2 cells. The survival rate of HepG2 cells was detected by MTT method. TC and TG contents in HepG2 cell lipid accumulation model were detected by TC and TG kits. Western blot was used to detect the expression of AMPK, p-AMPK, ACC and p-ACC in HepG2 cells. Results: The activity of HepG2 cells gradually decreased with the increase of three concentrations of SCFAs ( P<0.05). After intervention with SCFAs in the lipid accumulation model of HepG2 cells, the contents of TC and TG were decreased (P<0.05), and the phosphorylation of AMPK and ACC in the lipid accumulation model group was inhibited. Conclusion: SCFAs affects the HepG2 cell activity, lipid metabolism and protein expression in HepG2 cell lipid accumulation model, and the intervention results of SCFAs under different concentrations and types are different.
  • ZHANG Qiuyi, SHI Ruili, QI Ruifang, LV Jun, SHI Jinghua, WANG Lijun, MA Baohui
    Journal of Baotou Medical College. 2023, 39(2): 7-11. https://doi.org/10.16833/j.cnki.jbmc.2023.02.002
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    Objective: To investigate the effect of long-term fluorine exposure on the expression of cysteinyl aspartate specific proteinase (caspase-1) and tumor necrosis factor-α (TNF-α) in rat myocardium. Methods: Wistar rats were randomly divided into the control group, the low-dose fluoride (50 mg/L) group, the middle-dose fluoride (100 mg/L) group and the high-dose fluoride (200 mg/L) group. The rats in the control group were fed with deionized water, and the rats in the fluoride groups were given deionized water containing different doses of sodium fluoride (NaF). Rats in each group were fed freely for 7 months to make an animal model of long-term fluoride exposure. Immunohistochemical staining was used to detect the expression level of myocardial Caspase-1 and TNF-α in long-term fluorine-exposed rats. Results: Compared with the rats in the control group, rats in the fluoride groups showed different degrees of dental fluorosis (DF), and the degree of fluorosis was dose - dependent with the dose of fluoride. The results of immunohistochemical staining showed that the expression levels of Caspase-1 and TNF-α in cardiomyocytes of rats stained with fluoride were increased (P<0.05) and dose-dependent compared with rats in the control group. Conclusion: Long-term fluorine exposure may induce massive inflammatory factors in rat cardiomyocytes and cause cardiomyocyte damage by regulating caspase-1 level.
  • WU Di, CHEN Jiaying, GENG Lixia
    Journal of Baotou Medical College. 2023, 39(2): 12-19. https://doi.org/10.16833/j.cnki.jbmc.2023.02.003
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    Objective: To investigate the early diagnosis and prognosis value of biomarker combination test in patients with sepsis-associated acute liver injury. Methods: The clinical data of 104 sepsis patients admitted to the Intensive Care Unit (ICU) of Baotou First Affiliated Hospital of Inner Mongolia University of Science and Technology from November 2019 to January 2022 were collected. Selected cases were divided into sepsis-associated acute liver injury group (n=42) and non-liver injury group (n=62) based on acute liver injury occurring or not when entering ICU. Patients with septic acute liver injury were divided into survival groups (n=16) and death groups (n=26) after 28 days of survival. The sera pentraxin-3 (PTX-3), c-reactive protein (CRP), procalcitonin (PCT), total bilirubin (TBIL), glutamic-oxal(o)acetic transaminase (AST), glutamate pyruvate transaminase (ALT), international normalized ratio (INR value), prothrombin time (PT), prothrombin activity (PTA), platelet (PLT) of the 104 patients were recorded within 6h after entering ICU, the worst score of acute physiology and chronic health assessment scale Ⅱ(APACHE Ⅱ) score and sequential organ failure assessment (SOFA) grade within 24 hours was recorded after entering the ICU. The 28 d prognosis of patients with sepsis-related acute liver injury was also recorded. The correlation of PTX-3 was analyzed using Spearman correlation coefficient. The receiver operating characteristic curve (ROC curve) was also drawn, and the area under the roc curve (AUC) was calculated. The diagnosis and prognosis value of individual detection and combined testing on sepsis-related acute liver injury were analyzed and evaluated. Results: The levels of serum PTX-3, CRP, PCT, TBIL, AST and ALT, INR value, PT, APACHE Ⅱ score and SOFA score were significantly higher in the sepsis-associated acute liver injury group than those in the non-liver injury group, PTA and PLT level were lower than that in the non-liver injury group (P<0.05). The Spearman correlation analysis result showed that a significant positive correlation between PTX-3 level and APACHE Ⅱ score and SOFA score. The ROC curve analysis results showed that the diagnostic efficacy of TBIL level, INR value and PTX-3 level were similar for sepsis-associated acute liver injury, which were outperformed the other indicators. The combination testing of the three indicators was more effective (AUC=0.945), with the sensitivity of 85.7 % and the specificity of 95 %. The levels of serum PTX-3, CRP , PCT, TBIL, AST and ALT, INR value, PT, APACHE Ⅱ score and SOFA score in the death group were significantly higher than those in the survival group, but PTA and PLT level were lower than that in the survival group (P<0.05). The ROC curve analysis results showed that the diagnostic efficacy of PTX-3 level was better for 28 d death of sepsis-associated acute liver injury than other indicators. AUC of combination of PTX-3 level and TBIL and INR value reached 0.913, with the sensitivity of 96 % and the specificity of 75 %. Conclusion: The PTX-3 level, TBIL level and INR value are helpful biomarkers for early diagnosis of sepsis-associated acute liver injury, which could obviously improve the early diagnostic value in patients with sepsis-associated acute liver injury. The diagnostic efficacy of PTX-3 level, TBIL level and INR value were similar for sepsis-associated acute liver injury. PTX-3 level is related to severity, and the highest prognostic value on 28 d death of sepsis-associated acute liver injury, and combination testing on PTX-3 level, TBIL level and INR value could improve the 28-day prognosis of patients with acute liver injury. Meanwhile, the reduction of PLT level may be independently correlated with sepsis-associated acute liver injury.
  • ZHANG Haisha, LUO Lin, YUAN Xiaojun, CHEN Qiang
    Journal of Baotou Medical College. 2023, 39(2): 20-25. https://doi.org/10.16833/j.cnki.jbmc.2023.02.004
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    Objective: To investigate the occurrence of cerebral microbleeds ( CMBs ) and risk factors affecting the severity of CMBs. Methods: A retrospective analysis was performed on 1 616 patients who underwent conventional MRI sequence and susceptibility weighted imaging (SWI) examination in our hospital. Patients were matched according to their age and gender, and finally 668 CMBs-positive patients were divided into the case group and 668 CMBs-negative patients into the control group. Clinical data of patients in the two groups were collected, including history of hypertension, diabetes, abnormal lipid metabolism, et al. The differences of clinical data between the case group and control group were statistically compared. According to the number of CMBs, CMBs-positive patients were further divided into the mild, moderate and severe group. The differences of clinical data among the three groups were also compared. Results: There were significant differences in white matter sparsity (LA) and lacunar infarction (LI) between the case group and the control group (P<0.05). Hypertension and age were significantly correlated with the occurrence of CMBs (P<0.05). There were also significant differences on hypertension, LA and LI levels among mild, moderate and severe CMBs patients (P<0.05). Systolic blood pressure, diastolic blood pressure, mean arterial pressure, LA and LI levels were positively correlated with the number of CMBs. Conclusion: Hypertension and age are risk factors to CMBs, and the incidence and severity of CMBs are closely related to the degree of LA and LI.
  • FENG Xia, WU Chengsheng, CHEN Songlan, ZHANG Weifu, LU Dan, SUN Qinglin, GUO Qiang
    Journal of Baotou Medical College. 2023, 39(2): 26-30. https://doi.org/10.16833/j.cnki.jbmc.2023.02.005
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    Objective: To investigate the role of double plasma molecular adsorption system (DPMAS) in the treatment of alcoholic liver failure and its complications, as well as provide evidence to clinical nursing.Methods: A total of 56 patients with alcoholic liver failure in the Second Affiliated Hospital of Shandong First Medical University from May 2019 to January 2022 were selected and treated with DPMAS for 3 times based on the comprehensive medical treatment. Meanwhile, the whole treatment process of each case was followed-up by assigned medical staff. Finally, the effects of DPMAS treatment were compared, and the complications caused by DPMAS were retrospectively analyzed.Results: 56 patients with liver failure were treated with DPMAS for 168 times, among which 53 patients (94.64 %) were improved and discharged, 2 patients (3.57 %) died, 1 patient gave up treatment due to economic pressure and discharged voluntarily.All liver function indexes were improved after the third treatment comparing with that before treatment, with significant decreasing of Alanine aminotransferase (ALT), Aspartate aminotransferase (AST), Gamma-glutamyltranspeptidase (GGT), Alkaline phosphatase (ALP), Total bilirubin(TBIL),Directbilirubin(DBIL),Indirectbilirubin(IBIL) decreased significantly (P<0.001) and increased Prothrombin activity(PTA) (P<0.001).However,25cases (25 %) of complications occurred in 14 patients during DPMAS treatment, including 8 cases of electrolyte imbalance, 6 cases of bacterial peritonitis, 4 cases of hypoglycemia, 3 cases of oral fungal infection, 3 cases of pulmonary fungal infection, and 1 case of allergic pulmonary edema. Conclusion: Better clinical efficacy could be by DPMAS in treating patients with alcoholic liver failure. However, medical staff should manage all procedures before, during and after DPMAS, timely found complications caused by DPMAS and effectively solve them to improve the cure rate of alcoholic liver failure.
  • LI Ping, ZHAO Ruiping, YU Ye
    Journal of Baotou Medical College. 2023, 39(2): 31-35. https://doi.org/10.16833/j.cnki.jbmc.2023.02.006
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    Objective: To investigate the relationship between the severity of coronary artery disease and the ratio of neutrophil to high density lipoprotein (NHR) and monocyte to high density lipoprotein (MHR) in patients with ACS complicated with T2DM. Methods: One hundled and fifty one patients who were diagnosed as ACS combining with T2DM by CAG in Baotou Central Hospital from June 2019 to June 2021 were selected as study objects. All selected patients were divided into mild group (Gensini score ≤40) (69 cases) and severe group (Gensini score > 40) (82 cases) based on the severity of coronary artery disease. Results: NHR and MHR in the severe group were higher than those in the mild group, and the difference was statistically significant. MNR and NHR were positively correlated with Gensini score in ACS patients combined with T2DM. Multivariate logistic analysis showed that increased NHR was a risk factor for the severity of ACS complicated with T2DM coronary artery disease. The best value of ROC curve for NHR to predict the severity of coronary artery disease in ACS patients with T2DM was 5.276, with a sensitivity of 61.0 %, and a specificity of 94.2 %. The AUC for NHR was 0.726. Conclusion: The severity of coronary artery disease in ACS patients combined with T2DM is positively correlated with NHR and MHR.
  • LI Yanming, WANG Cuifeng, REN Meiying
    Journal of Baotou Medical College. 2023, 39(2): 36-40. https://doi.org/10.16833/j.cnki.jbmc.2023.02.007
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    Objective: To investigate the diagnostic value of combined detection of tumor markers ProGRP, CEA, CYFRA21-1, NSE and SCC in the diagnosis of benign and malignant pleural effusion.Methods: A total of 131 cases of pleural effusion diagnosed as benign pleural effusion and malignant pleural effusion in the First Affiliated Hospital of Baotou Medical College from January 2020 to January 2021 were collected, including 87 cases of BPE and 44 cases of MPE. The concentrations of ProGRP, CEA, CYFRA21-1, NSE and SCC in pleural effusion of patients were detected by chemiluminescence method, and the levels of tumor markers in benign and malignant pleural effusion were compared. Five tumor markers were combined in different ways, and the diagnostic values of different combinations were compared by receiver operating characteristic (ROC) curve analysis. Results: The area under the ROC curve (AUC) corresponding to the combination of ProGRP+CEA+CYFRA21-1+NSE was the largest (0.841), and the sensitivity was 77.3 %, the specificity was 85.1 %, the positive likelihood ratio was 5.188, and the negative likelihood ratio was 0.267, with the highest diagnostic value. Conclusion: The combination of ProGRP+CEA+CYFRA21-1+NSE is superior to other combinations in terms of diagnostic efficacy, specificity, sensitivity, positive likelihood ratio and negative likelihood ratio, and has important reference value in the differential diagnosis of pleural effusion.
  • LIANG Xiaoping, ZHANG Yuling, WANG Yumin, ZHANG Qiaoling
    Journal of Baotou Medical College. 2023, 39(2): 41-45. https://doi.org/10.16833/j.cnki.jbmc.2023.02.008
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    Objective: To analyze ages at risk of pediatric asthma and peak periods of it in different ages, in order to provide theoretical basis for preventing and reducing the incidence of pediatric asthma. Methods: Establishing a database of the number of asthmatic children with Excel, and analyzing the number of asthmatic children from 2010 to 2019 in Hohhot with concentration and circular distribution methods. Results: Pediatric asthma often happens in pre-school age, especially at 4-year-old. Pediatric asthma happens in August and September. From 2010 to 2019, the peak of asthma incidence in children in Hohhot was on August 7, and the peak of asthma incidence was from April 25 to November 19. Peak days of infancy, pre-school age and school age are July 6 th, July 31 th and August 25 th. For school-aged children, seasonality is more outstanding. Conclusion: The seasonal characteristics of childhood asthma in Hohhot from 2010 to 2019 should be fully considered in the prevention of childhood asthma, and targeted prevention and control measures should be carried out.
  • JING Tao, HUANG Yu, LIU Yelan, ZHEN Qing, SHEN Hejun
    Journal of Baotou Medical College. 2023, 39(2): 46-55. https://doi.org/10.16833/j.cnki.jbmc.2023.02.009
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    Objective: To study the current status and influencing factors of health literacy and physical health of 1 215 high school students in urban and rural region of Jiangsu province. Methods: Multi-stage sampling method (stratified sampling and random sampling) was used in this study. 1 284 questionnaires were distributed and returned from 8 schools in urban and rural region of Jiangsu province, 1 215 of which were effective, representing a response rate of 94.62 % (1 215/1 284). Using independent-samples t-test, one way ANOVA analysis, and multiple linear regression model to analyze the correlation between family economic factors and health literacy or total score of physical health, and to establish the model equation. Results: The rate of students with health literacy was 8.45 %. The passing rate of physical fitness test was 67.56 %, with the good rate of 27.25 % and the excellent rate of 1.1 %. The health literacy score of urban high school students was higher than that of township. The total score of health literacy of students from the key high schools was higher than that of the normal high schools. Except for the pull-up score (P<0.05), there was no statistical significance in the comparison of physical fitness test score of high school students with different educational background of their father, with the comparison of basic knowledge scores (P<0.05) and the total health literacy test scores (P>0.05). There was no significant difference in the physical fitness test scores of high school students with different educational background of their mother, except for the sit-ups scores of girls (P<0.05). There was statistically significant difference in the comparison of total score of health literacy test and the scores of basic knowledge and lifestyle (P<0.05).The total score of the physical fitness test of high school students with an annual family income of 50 000-79 900 CNY was the highest, the comprehensive level of the health literacy test of high school students with an annual family income of 80 000-99 900 CNY was the highest, and the high school students with annual family income of less than 10 000 CNY had the lowest scores. The results indicated that here was a positive correlation between the total score of physical fitness test and the skill practice test score, school location and father's education. Conclusion: The physical health level of high school students in urban and rural areas of Jiangsu province is good, but the health literacy is low. There is a positive correlation between the total score of physical fitness test and the skill practice test score, school location and father's education. The mothers' education background and high-level family annual income of high school students affect their physical health and health literacy mostly.
  • PENG Yunzhi, BAI Wenhui, CHEN Zhangjun YU Hui, JIN Min, HU Hai, WANG Zhanli
    Journal of Baotou Medical College. 2023, 39(2): 56-61. https://doi.org/10.16833/j.cnki.jbmc.2023.02.010
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    Objective: To investigate the mechanism of action of Dracocephalum moldavica L. extract in the treatment of ulcerative colitis based on network pharmacology. Methods: The database was used to collect the target genes of Dracocephalum moldavica L. and ulcerative colitis. GO functional enrichment analysis and KEGG pathway enrichment analysis were performed on target genes through protein-protein interaction (PPI) network analysis and central topology screening. Results: A total of 172 potential targets for the treatment of ulcerative colitis with the active ingredients of Dracocephalum moldavica L. were obtained by searching the database. Meanwhile, the key therapeutic genes were screened by PPI network analysis, and the biological functions of the protein groups were analyzed for annotation. In addition, KEGG pathway enrichment analysis indicated multiple relevant pathways involved in digestion, immune system response and inflammatory response when Dracocephalum moldavica L. extract treating ulcerative colitis. Conclusions: The active ingredients in Dracocephalum moldavica L. extract have a variety of biological functions, which could act on sorts of inflammation, immune and cancer-related pathways for its multi-component and multi-target synergy.
  • HUO Minfeng, YUE Juan, DONG Qiumei, LIU Xiping, LIU Jun, ZHANG Yuanyuan, LI Mingcheng
    Journal of Baotou Medical College. 2023, 39(2): 62-72. https://doi.org/10.16833/j.cnki.jbmc.2023.02.011
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    Objective: To study the mechanism of Banxia Xiexin decoction and its disassembled prescriptions on improving intestinal immunity of patients with inflammatory bowel disease (IBD). Methods: The active ingredients and targets of Banxia Xiexin decoction and its disassembled prescriptions were screened out from the Traditional Chinese Medicine System Pharmacology Database (TCMSP). Genecards and OMMI databases were used to screen potential targets related to inflammatory bowel disease. After intersection, Cytoscape 3.7.0 was used to make the active ingredient-target network chart, and the protein-protein interaction (PPI) network was drawn with String, and the signal pathway between drugs and inflammatory bowel disease was analyzed using GO and KEGG pathway enrichment analysis. Results: There were 129 active components in Banxia Xiexin decoction, 43 in Xinkai (Banxia + dried ginger) group, 104 in Kujiang (radix scutellariae + coptidis rhizoma) group and 121 in Ganbu (ginseng + radix glycyrrhizae + jujube) group. Further analysis found that Quercetin, Beta sitosterol, Kaemoferol, Stigmasterol, Baicalein and other active components in Banxia Xiexin Decoction group were closely related to PTGS1, AR, ESR1, PRSS1, PPARG and other IBD disease targets, and may be involved in the regulation through AGE-RAGE and TNF signaling pathway. In Xinkai group, the results showed that β-sitosterol, Baicalein, Stigmasterol, Cavendine), Coniferin and other active components were related to PTGS1, Chrm1, Chrm3, PGR, AR targets, and involved in P53 signaling pathway. Quercetin, Baicalein, Wogonin, Beta-sitosterol, Acacetin in Kujiang group were related to PTGS1, AR, PRSS1, ESR1 and CHEK1 targets, and involved in P13K-Akt, AGE-RAGE, P53 and TNF signaling pathway. In Ganbu group, Quercetin, Kaemoferol, β-sitosterol, Stigmasterol, Isorhamnetin and other active components were related to ESR1, PPARG, AR, PTGS1 and PRSS1 targets, and involved in AGE-RAGE and TNF signaling pathway by playing a role of anti-apoptosis, anti-inflammatory, and enhancing intestinal immunity to inhibit the occurrence and development of IBD. Conclusion: Banxia Xiexin decoction and its disassembled prescriptions could improve IBD for their multi-component, multi-target and multi pharmacological effects.
  • JIA Min, WANG Zixuan, ZHANG Yuting, BU He
    Journal of Baotou Medical College. 2023, 39(2): 73-75. https://doi.org/10.16833/j.cnki.jbmc.2023.02.012
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    Objective: To observe the effect of Chinese medicine, acupuncture, moxibustion and wearing sachets on improving susceptibility caused by body deficiency based on the TCM theory of “five elements and six Qi” combining with the climate characteristics of Baotou city. Methods: The Cornell Health Questionnaire (CMI) was used to investigate and compare the treatment effect of Chinese medicine, acupuncture, moxibustion and wearing perfume bag on susceptibility patients caused by body deficiency before and after treatment. Results: After treatment, the eyes and ears, respiratory system, cardiovascular system, digestive system, musculoskeletal system, skin, nervous system, genital and urinary system, fatigue, and habitus were all significantly improved in susceptibility patients with body deficiency (P<0.05). Conclusion: Based on the TCM theory of “five elements and six Qi” combining with the climate characteristics of Baotou city, using Chinese medicine, acupuncture, moxibustion and wearing sachets could effectively improve susceptibility caused by body deficiency .
  • LI Yingze, JIA Yanbin
    Journal of Baotou Medical College. 2023, 39(2): 76-81. https://doi.org/10.16833/j.cnki.jbmc.2023.02.013
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  • GAO Jie, WANG Yingnan
    Journal of Baotou Medical College. 2023, 39(2): 82-89. https://doi.org/10.16833/j.cnki.jbmc.2023.02.014
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  • WEI Junting, FAN Yongjie
    Journal of Baotou Medical College. 2023, 39(2): 90-96. https://doi.org/10.16833/j.cnki.jbmc.2023.02.015
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