Research on the Necessity of Building National-level Grape and Cherry Germplasm Resources Bank in Shandong Province

At present,the grape and cherry industries in Shandong are in the leading position in China and have driven the development of related high-end manufacturing industries such as wine,brandy,preserved fruit processing,fruit juice processing and health products. Therefore,vigorously developing the grape and cherry industries in Shandong Province and carrying out development and innovation are important parts of Shandong Province in responding to the strategy of national new and old kinetic energy conversion. However,currently the germplasm resources preserved in the fruit tree resources banks in China are only 45% of those in the US and 27. 2% of those in the EU. Moreover,the development of fruit trees resources banks in Shandong is relatively backward in China,and there is still no banks related with grape and cherry germplasm resources in Shandong. Therefore,importance can be attached to the agriculture,forestry,and animal husbandry to build germplasm resources banks for grape and cherry industries in Shandong Province. Building the national-level grape and cherry germplasm resources bank in Shandong Province can also promote the utilization of wild and farm germplasm resources in the future; advance the research on the genes related to disease resistance,stress resistance and quality of grapes and cherries; push forward the construction and development of cherry and grape mutants banks. It is conducive to the research on the agronomic traits of grapes and cherries,and can provide the parents resources for planting innovation and improving the quality of grapes and cherries,as well as promote the development and application of molecular markers of grapes and cherries,including the identification of lines and crossbreeding. Thereby,it cannot only promote the industry development,but also achieve the development of cultivation,breeding and basic research in an all-round way and the development of ＂ production,study and research＂ going side by side.

Insights into sensitizing and eliciting capacity of gastric and gastrointestinal digestion products of shrimp(Penaeus vannamei)proteins in BALB/c mice

Shrimp(Penaeus vannamei)proteins have been shown an allergenic potential;however,little information is available on the sensitizing and eliciting capacity of shrimp protein digestion products.In this study,a BALB/c mice model was used to explore the allergenicity of shrimp protein sample(SPS)and their gastric and gastrointestinal digestion products(GDS/GIDS).As compared with the SPS groups,the GDS/GIDS groups caused lower specific immunoglobulins(Ig E/Ig G1)levels(P<0.05),but higher than the control groups,indicating that the digestion products sensitized the mice.Meanwhile,spleen index,mouse mast cell protease-1(m MCP-1)concentration and proportion of degranulated mast cells were significantly reduced in the GDS/GIDS groups(P<0.05);simultaneously,allergic symptoms,vascular permeability and histopathological changes of tissues were alleviated.Nevertheless,the allergenicity of digestion products cannot be eliminated and still cause systemic allergic reactions in mice.The study showed that the digestion products of shrimp still had high sensitizing and eliciting capacity.

Nonlinear Multimodal Interference as Ultrafast Photonic Device for Dual-Wavelength Domain-Wall Dark Pulse Generation

In comparison to bright pulses, better stability that is not susceptible to loss makes dark pulses accessible for applications in such fields as signal processing, optics sensing, and quantum communication. Here we investigate the dual-wavelength domain-wall dark pulse generation in a graded-index multimode fiber(GIMF) based anomalous dispersion single-mode fiber(SMF) laser. By optimizing intra-cavity nonlinearity and pulse polarization, the mode-locked states can evolve each other between bright pulses, dark pulses, and bright-dark pulse pairs. The evolution mechanism among them may be relevant to the coherent mode superposition, spectral filtering, and mode selection in SMF-GIMF-SMF hybrid-fiber modulation devices that affect the pulse formation and evolution in temporal, frequency, and space domains. These results provide a valuable reference for promoting further development of nonlinear optics and ultrafast optics, in which ultrafast photonic devices, with low cost, simple manufacture as well as wide adaptability, as novel pulsed generation technique, play a vital role.

Research on the Effect of Dance Therapy on Improving Social Communication Ability of Children with Autism

Research motivation:Through the 12 weeks dance therapy intervention for children with autism,the purpose is to explore the intervention model of dance therapy for children with autism and the changes in motor ability,social ability,and communication ability of children with autism after dance therapy intervention.The results of the research are expected to expand the intervention mode of dance therapy in my country and provide practical reference for rehabilitation intervention of children with autism.Research methods:24 autistic boys aged 6 to 12 with mild to moderate symptoms were recruited and screened through the Internet as the subjects of this study.We randomly divided them into experimental group(N=12)and control group(N=12).All children with autism have an autism diagnosis certificate issued by Children’s Hospital or a tertiary hospital,excluding other mental diseases(such as epilepsy,major physical disability,mental illness,no history of drugs and other interventions,etc.).We used the paired sample t-test to compare the score difference between the dance treatment group and the control group before and after the two groups,and used the observation method to record the basic communication behavior and the number of active communication behaviors in the experimental group during the intervention process.All data analysis is used in SPSS 20.0.Research results:After 12 weeks of dance therapy intervention,there were statistically significant differences in the gross movement,balance,and coordination abilities of the children in the experimental group compared with those before the intervention(p<0.01).There was no significant difference between the children in the control group(p>0.05).After 12 weeks of dance therapy intervention,there were statistically significant differences in the scores of the social response scale for children with autism in the experimental group(p<0.05).There was no significant change in the scores of each item of the SRS scale before and after intervention in the control group and the dance treatment group(p>0.05).

结直肠癌免疫检查点抑制剂治疗相关预测性标志物的研究进展

以免疫检查点抑制剂(immune checkpoint inhibitors,ICIs)为代表的免疫疗法开辟了肿瘤治疗的新纪元。目前ICIs已经广泛应用于晚期转移性结直肠癌患者的治疗。预测性标志物是精确筛选可从ICIs治疗中受益的患者群体的重要工具。本文回顾并总结了目前ICIs治疗结直肠癌重要的预测性标志物及其研究现状,包括错配修复缺陷及微卫星不稳定性、肿瘤突变负荷、DNA聚合酶ε/DNA聚合酶δ1以及PD-L1表达等。通过了解这些标志物对于结直肠癌ICIs治疗的响应及患者预后的预测价值,有助于指导临床医生筛选潜在获益人群,提高治疗效率,实现精准化治疗。

Low-temperature 3D-printed collagen/chitosan scaffolds loaded with exosomes derived from neural stem cells pretreated with insulin growth factor-1 enhance neural regeneration after traumatic brain injury

There are various clinical treatments for traumatic brain injury,including surgery,drug therapy,and rehabilitation therapy;howeve r,the therapeutic effects are limited.Scaffolds combined with exosomes represent a promising but challenging method for improving the repair of traumatic brain injury.In this study,we determined the ability of a novel 3D-printed collagen/chitosan scaffold loaded with exosomes derived from neural stem cells pretreated with insulin-like growth factor-1(3D-CC-INEXOS) to improve traumatic brain injury repair and functional recove ry after traumatic brain injury in rats.Composite scaffolds comprising collagen,chitosan,and exosomes derived from neural stem cells pretreated with insulin-like growth fa ctor-1(INEXOS) continuously released exosomes for 2weeks.Transplantation of 3D-CC-INExos scaffolds significantly improved motor and cognitive functions in a rat traumatic brain injury model,as assessed by the Morris water maze test and modified neurological seve rity scores.In addition,immunofluorescence staining and transmission electron microscopy showed that3D-CC-INExos implantation significantly improved the recove ry of damaged nerve tissue in the injured area.In conclusion,this study suggests that transplanted3D-CC-INExos scaffolds might provide a potential strategy for the treatment of traumatic brain injury and lay a solid foundation for clinical translation.

Brittle culm 25, which encodes an UDP-xylose synthase, affects cell wall properties in rice

Because plant mechanical strength influences plant growth and development,the regulatory mechanisms underlying cell-wall synthesis deserve investigation.Rice mutants are useful for such research.We have identified a novel brittle culm 25(bc25)mutant with reduced growth and partial sterility.BC25 encodes an UDP-glucuronic acid decarboxylase involved in cellulose synthesis and belongs to the UXS family.A single-nucleotide mutation in BC25 accounts for its altered cell morphology and cellwall composition.Transmission electron microscopy analysis showed that the thickness of the secondary cell wall was reduced in bc25.Monosaccharide analysis revealed significant increases in content of rhamnose and arabinose but not of other monosaccharides,indicating that BC25 was involved in xylose synthesis with some level of functional redundancy.Enzymatic assays suggested that BC25 functions with high activity to interconvert UDP-glucuronic acid(UDP-Glc A)and UDP-xylose.GUS staining showed that BC25 was ubiquitously expressed with higher expression in culm,root and sheath,in agreement with that shown by quantitative real-time(q RT)-PCR.RNA-seq further suggested that BC25 is involved in sugar metabolism.We conclude that BC25 strongly influences rice cell wall formation.

Biomarkers for immune checkpoint inhibitors in colorectal cancer:recent advances and future perspectives

Colorectal cancer(CRC)has become a major threat to human health.Recent years,improvements have been seen in the treatment of advanced CRC with immune checkpoint inhibitors(ICIs).Nonetheless,sensitivity to ICIs notably varies among patients,thus greatly limiting clinical applications of ICIs in CRC.Hence,the identification of biomarkers that can accurately distinguish between ICI-sensitive and drug-resistant patients is of utmost importance.Such biomarkers are essential for selecting appropriate treatment regimens and achieving precision therapy(Figure 1).The biomarkers discussed below provide insights into the advancements made in this field(Table 1).

Research on the MPPT of Photovoltaic Power Generation Based on the CSA-INC Algorithm

The existing Maximum Power Point Tracking(MPPT)method has low tracking efficiency and poor stability.It is easy to fall into the Local Maximum Power Point(LMPP)in Partial Shading Condition(PSC),resulting in the degradation of output power quality and efficiency.It was found that various bio-inspired MPPT based optimization algorithms employ different mechanisms,and their performance in tracking the Global Maximum Power Point(GMPP)varies.Thus,a Cuckoo search algorithm(CSA)combined with the Incremental conductance Algorithm(INC)is proposed(CSA-INC)is put forward for the MPPT method of photovoltaic power generation.The method can improve the tracking speed by more than 52%compared with the traditional Cuckoo Search Algorithm(CSA),and the results of the study using this algorithm are compared with the popular Particle Swarm Optimization(PSO)and the Gravitational Search Algorithm(GSA).CSA-INC has an average tracking efficiency of 99.99%and an average tracking time of 0.19 s when tracking the GMPP,which improves PV power generation’s efficiency and power quality.

External-to-internal synergistic strategy to enable multi-scale stabilization of LiCoO_(2)at high-voltage

High-voltage LiCoO_(2)(LCO)offers a prelude to breaking the bottleneck of the energy density of lithium-ion batteries,however,LiCoO_(2)is subject to serious structural and interfacial degradation above voltages>4.55 V(vs.Li/Li^(+)).Herein,an in-situ Li_(6.25)La_(3)Zr_(2)A_(l0.25)O_(12)(LLZAO)layer is constructed on the LCO surface to achieve operating voltage at 4.6 V.The detailed characterizations(ex-situ XRD,ex-situ Raman,DFT,etc.)reveal that the LLZAO layer greatly enhances Li+conductivity attributed to the ionconducting layer on the surface/interface,and closely combines with LiCoO_(2)particle to ensure stable cathode/electrolyte interface,thus suppressing the highly reactive Co^(4+)and O^(-)triggered surface side reactions at high-voltage.Moreover,the introduction of La^(3+)/Zr^(4+)/Al^(3+)with a larger ionic radius(La^(3+)/Zr^(4+)are larger than Co^(3+))and weaker electronegativity(La/Zr/Al are weaker than Co)into Co^(3+)sites readjusts the electron cloud density between Co–O–Li,which reinforces the Co–O bond and widens the band-center gap of Co 3d and O 2p,thus restraining the detrimental phase transition(from H3 to H1-3 phase)and the formation of Co_(3)O_(4)spinel phase(attributed to lattice oxygen release),subsequently alleviating the particle cracking and structural collapse during repeated Li^(+)de/intercalation.Therefore,after 100 cycles at 3.0–4.6 V,LCO@1.0LLZAO exhibits a superior discharge capacity of 188.5 m A h g^(-1),with a capacity retention of 85.1%.The above research has brought about meaningful guidance for the evolution of cathode materials with high voltage.

Implantation of hydrogel-liposome nanoplatform inhibits glioblastoma relapse by inducing ferroptosis

Glioblastoma is acknowledged as the most aggressive cerebral tumor in adults.However,the efficacy of current standard therapy is seriously undermined by drug resistance and suppressive immune microenvironment.Ferroptosis is a recently discovered form of iron-dependent cell death that may have excellent prospect as chemosensitizer.The utilization of ferropotosis inducer Erastin could significantly mediate chemotherapy sensitization of Temozolomide and exert anti-tumor effects in glioblastoma.In this study,a combination of hydrogel-liposome nanoplatform encapsulatedwith Temozolomide and ferroptosis inducer Erastin was constructed.Theαvβ3 integrin-binding peptide cyclic RGD was utilized to modify codelivery system to achieve glioblastoma targeting strategy.As biocompatible drug reservoirs,cross-linked GelMA(gelatin methacrylamide)hydrogel and cRGD-coated liposome realized the sustained release of internal contents.In the modified intracranial tumor resection model,GelMA-liposome system achieved slow release of Temozolomide and Erastin in situ for more than 14 d.The results indicated that nanoplatform(T+E@LPs-cRGD+GelMA)improved glioblastoma sensitivity to chemotherapeutic temozolomide and exerted satisfactory anti-tumor effects.It was demonstrated that the induction of ferroptosis could be utilized as a therapeutic strategy to overcome drug resistance.Furthermore,transcriptome sequencing was conducted to reveal the underlying mechanism that the nanoplatform(T+E@LPs-cRGD+GelMA)implicated in.It is suggested that GelMA-liposome system participated in the immune response and immunomodulation of glioblastoma via interferon/PD-L1 pathway.Collectively,this study proposed a potential combinatory therapeutic strategy for glioblastoma treatment.

极端海浪对LNG运输船影响的试验研究

This paper presents a comprehensive experimental study on the effect of extreme waves on a LNG carrier.The LNG carrier model was equipped with a variety of sensors to measure motions,green water height on deck as well as local and global loads.Experiments in transient wave packets provided the general performance in waves in terms of response amplitude operators and were accompanied by tests in regular waves with two different wave steepness.These tests allowed detailed insights into the nonlinear behavior of the vertical wave bending moment in steep waves showing that green water on deck can contribute to a decrease of vertical wave bending moment.Afterwards,systematic model tests in irregular waves were performed to provide the basis for statistical analysis.It is shown that the generalized extreme value distribution model is suitable for the estimation of the extreme peak values of motions and loads.Finally,model tests in tailored extreme wave sequences were conducted comparing the results with the statistical analysis.For this purpose,analytical breather solutions of the nonlinear Schrödinger equation were applied to generate tailored extreme waves of certain critical wave lengths in terms of ship response.Besides these design extreme waves,the LGN carrier was also investigated in the model scale reproduction of the real-world Draupner wave.By comparing the motions,vertical wave bending moment,green water column and slamming pressures it is concluded that the breather solutions are a powerful and efficient tool for the generation of design extreme waves of certain critical wave lengths for wave/structure investigations on different subjects.

MOOC对高等教育的影响和应对措施浅析

MOOC (Massive Open Online Course)即“大规模在线开放课程”,采用在线的方式来实现基于互联网的课程学习、互动、共享和测试,它被认为是对传统高等教育模式和产业的颠覆性创新,近年来受到了教育界的高度关注。深入分析和研究MOOC模式对高等教育带来的影响,既有利于高等教育的健康全面发展,也是MOOC本身可持续发展的需求。对MOOC课程对高等教育带来的改变、高等教育者应采取的态度和应对措施进行了分析,总结了在辅导学生选修MOOC课程和建设MOOC课程实践过程的一些体会,并对未来MOOC的发展进行了展望,旨在推动大规模在线开放课程实践的建设及运用。

合成四氢姜黄素结构表征及体外抗氧化性

目的:探索更有效的四氢姜黄素制备方法。方法:以香兰素、乙酰丙酮为起始原料,通过克莱森缩合反应得到姜黄素,再经钯催化氢化反应制备四氢姜黄素。利用紫外—可见分光光度(UV-VIS)、红外光谱(IR)以及核磁共振(1H-NMR,13C-NMR)对其结构进行了确证;采用DPPH自由基清除能力、ABTS自由基清除能力、总抗氧化能力等方法评价其抗氧化活性。结果:试验方法合成总产率为45.70%,终产物纯度为97.68%;合成的四氢姜黄素清除DPPH自由基的能力明显高于二丁基羟基甲苯,清除ABTS自由基的能力明显高于维生素C,总抗氧化能力和铁离子还原能力均明显高于二丁基羟基甲苯和维生素C。结论:与现有制备方法相比,该法效率较高,具有潜在的价格优势;四氢姜黄素的抗氧化能力主要体现在清除自由基和化学还原方面,有良好的应用前景。

纳米白藜芦醇脂质体的制备及分配系数测定

采用薄膜旋转蒸发-超声法制备了纳米白藜芦醇脂质体(RES-Lip),并用透射电子显微镜(TEM)和动态光散射技术(DLS)对产物进行表征;测定了膜材比(卵磷脂与胆固醇质量比m PC:m Chol=5:1,8:1,10:1,12:1)和药脂比(药物与卵磷脂质量比m RES:m PC=1:25,1:40,1:50,1:60)对RES-Lip脂质体-水分配系数(Plip/w)的影响,以及油-水分配系数(lg Po/w)和脂质体-水分配系数(lgPlip/w)随p H值的变化趋势,计算了RES-Lip中药物与磷脂双分子膜之间的吉布斯自由能。结果表明,实验中所制备的RES-Lip呈球形囊泡结构,粒径约为100 nm;当膜材比和药脂比分别为10:1和1:40时,lgPlip/w最大,说明此时RES与磷脂膜间的综合作用力最大;RES-Lip的分配系数(lg Po/w和lgPlip/w)随体系p H的变化趋势相同,说明RES与磷脂膜的作用力中以疏水作用为主,氢键、静电作用为辅;RES-Lip中RES与脂质体膜之间的吉布斯自由能为-17.07 k J·mol^-1。

神经母细胞瘤中Hsp27的表达及其与化疗药物关系的研究

目的:探讨分析热休克蛋白27(heat shock protein 27,Hsp27)与儿童神经母细胞瘤临床病理参数及化疗药物的关系。方法:应用免疫组织化学(immunohistochemistry,IHC)法检测90例神经母细胞瘤(neuroblastoma,NB)、24例节细胞神经母细胞瘤(gan?glioneuroblastoma,GNB)和20例节细胞神经瘤(ganglioneuroma,GN)组织中Hsp27蛋白的表达;实时荧光定量PCR(fluorescence quantitative PCR,RT-qPCR)检测59例NB/GNB、5例GN组织标本,及人神经母细胞瘤SH-SY5Y细胞和耐顺铂SH-SY5Y细胞中Hsp27 mRNA的表达;应用IHC或PCR扩增测序法检测其中18例NB/GNB肿瘤标本化疗药物相关性分子靶标。结果:Hsp27蛋白在NB/GNB中阳性表达率为64.9%,明显高于GN的0(χ^2=28.994,P<0.05);在NB/GNB中,Hsp27阳性表达与肿瘤的分期、危险度、转移和预后有关(P<0.05),与患儿年龄、性别、Shimada组织学分型、N-myc有无扩增无关(P>0.05);Hsp27 mRNA在NB/GNB中的相对表达量为3.763±1.854,高于GN的2.476±0.698(P>0.05);Hsp27 mRNA在耐顺铂细胞中的表达明显高于亲代细胞(F=16.246,P<0.01)。检测化疗药物相关性分子靶标7个,结果显示Hsp27的表达与铂类药物敏感性相关。结论:本研究初步显示Hsp27的表达与NB的分期、危险度、转移、预后相关,可能参与了NB/GNB的发生发展转移。Hsp27的表达与铂类敏感性相关,需进一步增大样本量来验证其相关性。

Fecal microbiota transplantation broadening its application beyond intestinal disorders

Intestinal dysbiosis is now known to be a complication in a myriad of diseases.Fecal microbiota transplantation(FMT),as a microbiota-target therapy,is arguably very effective for curing Clostridium difficile infection and has good outcomes in other intestinal diseases.New insights have raised an interest in FMT for the management of extra-intestinal disorders associated with gut microbiota.This review shows that it is an exciting time in the burgeoning science of FMT application in previously unexpected areas,including metabolic diseases,neuropsychiatric disorders,autoimmune diseases,allergic disorders,and tumors.A randomized controlled trial was conducted on FMT in metabolic syndrome by infusing microbiota from lean donors or from self-collected feces,with the resultant findings showing that the lean donor feces group displayed increased insulin sensitivity,along with increased levels of butyrate-producing intestinal microbiota.Case reports of FMT have also shown favorable outcomes in Parkinson's disease,multiple sclerosis,myoclonus dystonia,chronic fatigue syndrome,and idiopathic thrombocytopenic purpura.FMT is a promising approach in the manipulation of the intestinal microbiota and has potential applications in a variety of extra-intestinal conditions associated with intestinal dysbiosis.

Tumor-associated macrophages regulate gastric cancer cell invasion and metastasis through TGFβ2/NF-κB/Kindlin-2 axis

Objective: Recent studies have shown that tumor-associated macrophages(TAMs) play an important role in cancer invasion and metastasis. Our previous studies have reported that TAMs promote the invasion and metastasis of gastric cancer(GC) cells through the Kindlin-2 pathway. However, the mechanism needs to be clarified.Methods: THP-1 monocytes were induced by PMA/interleukin(IL)-4/IL-13 to establish an efficient TAM model in vitro and M2 macrophages were isolated via flow cytometry. A dual luciferase reporter system and chromatin immunoprecipitation(Ch IP) assay were used to investigate the mechanism of transforming growth factor β2(TGFβ2) regulating Kindlin-2 expression. Immunohistochemistry was used to study the relationships among TAM infiltration in human GC tissues, Kindlin-2 protein expression, clinicopathological parameters and prognosis in human GC tissues. A nude mouse oncogenesis model was used to verify the invasion and metastasis mechanisms in vivo.Results: We found that Kindlin-2 expression was upregulated at both m RNA and protein levels in GC cells cocultured with TAMs, associated with higher invasion rate. Kindlin-2 knockdown reduced the invasion rate of GC cells under coculture condition. TGFβ2 secreted by TAMs regulated the expression of Kindlin-2 through the transcription factor NF-кB. TAMs thus participated in the progression of GC through the TGFβ2/NF-κB/Kindlin-2 axis. Kindlin-2 expression and TAM infiltration were significantly positively correlated with TNM stage, and patients with high Kindlin-2 expression had significantly poorer overall survival than patients with low Kindlin-2 expression. Furthermore, Kindlin-2 promoted the invasion of GC cells in vivo.Conclusions: This study elucidates the mechanism of TAMs participating in GC cell invasion and metastasis through the TGFβ2/NF-κB/Kindlin-2 axis, providing a possibility for new treatment options and approaches.

Internalization of NK cells into tumor cells requires ezrin and leads to programmed cell-in-cell death

Cytotoxic lymphocytes are key players in the orchestration of immune response and elimination of defective cells. We have previously reported that natural killer （NK） cells enter target tumor ceils, leading to either target cell death or self-destruction within tumor cells. However, it has remained elusive as to the fate of NK cells after internalization and whether the heterotypic cell-in-cell process is different from that of the homotypic cell-in-cell event recently named entosis. Here, we show that NK cells undergo a cell-in-cell process with the ultimate fate of apoptosis within tumor cells and reveal that the internalization process requires the actin cytoskeletal regulator, ezrin. To visualize how NK cells enter into tumor cells, we carried out real-time dual color imaging analyses of NK cell internalization into tumor cells. Surprisingly, most NK cells commit to programmed cell death after their entry into tumor cells, which is distinctively different from entosis observed in the homotypic cell-in-cell process. The apoptotic cell death of the internalized NK cells was evident by activation of caspase 3 and DNA fragmentation. Furthermore, NK cell death after internalization is attenuated by the caspase inhibitor, Z-VAD-FMK, confirming apoptosis as the mode of NK cell death within tumor cells. To determine protein factors essential for the entry of NK cells into tumor cells, we car- ried out siRNA-based knockdown analysis and discovered a critical role of ezrin in NK cell internalization. Impor- tantly, PKA-mediated phosphorylation of ezrin promotes the NK cell internalization process. Our findings suggest a novel regulatory mechanism by which ezrin governs NK cell internalization into tumor cells.

药学干预对骨科围手术期注射用质子泵抑制剂合理使用的效果评价

目的评价药学干预促进注射用质子泵抑制药(PPIs)在骨科围手术期合理预防使用的效果。方法以临床药师为主体,对骨科手术患者实行注射用PPIs预防使用监控和干预,对干预前阶段(2017年4月)、干预第1阶段(2017年5月)、干预第2阶段(2017年6月)、干预第3阶段(2017年7月)的PPIs使用率、有指征预防使用率、平均使用频次、平均日剂量和平均疗程进行回顾性统计分析,同时比较注射用PPIs的人均消耗金额、与总药费以及住院费用的占比。结果干预后注射用PPIs的使用率由65.85%降至11.72%,平均疗程由(6.60±5.41) d缩短至(2.88±2.03) d,注射用PPIs人均消耗金额由(247.74±234.79)元降至(126.30±131.78)元,有适应证的用药比例由37.96%提高至76.47%。结论运用药学干预模式可进一步规范骨科手术患者围手术期注射用PPIs的预防使用,并降低患者的经济负担。