Clinical Value of the Quantitative Flow Ratio to Predict Long-term Target Vessel Failure in Patients with In-stent Restenosis after Drug-coated Balloon Angioplasty

Objective The study sought to investigate the clinical predictive value of quantitative flow ratio(QFR)for the long-term target vessel failure(TVF)outcome in patients with in-stent restenosis(ISR)by using drug-coated balloon(DCB)treatment after a long-term follow-up.Methods This was a retrospective study.A total of 186 patients who underwent DCB angioplasty for ISR in two hospitals from March 2014 to September 2019 were enrolled.The QFR of the entire target vessel was measured offline.The primary endpoint was TVF,including target vessel-cardiac death(TV-CD),target vessel-myocardial infarction(TV-MI),and clinically driven-target vessel revascularization(CD-TVR).Results The follow-up time was 3.09±1.53 years,and 50 patients had TVF.The QFR immediately after percutaneous coronary intervention(PCI)was significantly lower in the TVF group than in the no-TVF group.Multivariable Cox regression analysis indicated that the QFR immediately after PCI was an excellent predictor for TVF after the long-term follow-up[hazard ratio(HR):5.15×10−5(6.13×10−8−0.043);P<0.01].Receiver-operating characteristic(ROC)curve analysis demonstrated that the optimal cut-off value of the QFR immediately after PCI for predicting the long-term TVF was 0.925(area under the curve:0.886,95%confidence interval:0.834–0.938;sensitivity:83.40%,specificity:88.00;P<0.01).In addition,QFR≤0.925 post-PCI was strongly correlated with the TVF,including TV-MI and CD-TVR(P<0.01).Conclusion The QFR immediately after PCI showed a high predictive value of TVF after a long-term follow-up in ISR patients who underwent DCB angioplasty.A lower QFR immediately after PCI was associated with a worse TVF outcome.

Ascophyllum nodosum and Fucus vesiculosus ameliorate restenosis via improving inflammation and regulating the PTEN/PI3K/AKT signaling pathway

Restenosis is a common complication following coronary angioplasty.The traditional use of seaweeds for health benefits has increasingly been explored,however few studies exist reporting its protective effects on the development of restenosis and gut dysbiosis.The aim of this study was to investigate the potential of seaweed extracts(SE) of Ascophyllum nodosum and Fucus vesiculosus in inhibiting intimal hyperplasia in a rat model of restenosis and its underlying mechanisms in macrophages and vascular smooth muscle cells(vSMCs).16S rRNA sequencing was done to investigate the regulatory effect of SE on the gut microbiome of injured rats.As indicated by the results,SE significantly inhibited the progression of intimal hyperplasia in vivo,attenuated inflammation in macrophages and could inhibit the proliferation,dedifferentiation and migration of vSMCs.It was observed through immunoblotting assays that treatment with SE significantly upregulated PTEN expression in macrophages and inhibited the upregulation of PI3K and AKT expression in vSMCs.Meanwhile,according to the 16S rRNA gene sequencing analysis,supplementation with SE modulated gut microbiota composition in injured rats.In conclusion,SE could ameliorate intimal hyperplasia by inhibiting inflammation and vSMCs proliferation through the regulation of the PTEN/PI3K/AKT pathway and modulating the gut microbiome.

基于分层最小和译码的RS-LDPC级联码改进算法

RS-LDPC级联码能够有效提高数据传输的可靠性和系统的容错能力,在5G通信等领域中得到了广泛的应用,且在6G中具有很好的应用前景。但是RS-LDPC级联码与单码相比具有计算复杂度高、不易于在硬件上实现的不足,因此提出一种基于分层最小和的RS-LDPC级联码改进译码算法,将LDPC码的校验矩阵分解成多个子矩阵,在不同子矩阵层次上并行计算。此外,还引入了新的关于校验节点信息更新的简化函数,旨在保证译码性能的同时降低计算复杂度,达到易于硬件实现的目的。结果表明改进型分层最小和算法复杂度大大降低,且在性能上优于传统BP译码0.25 dB左右。

改进AHM-RS赋权的网络节点多属性可拓聚类模型

针对网络节点模型聚类时未充分考虑网络节点的多属性以及结果片面性的问题,设计改进属性层次模型-粗糙集(Attribute hierarchy model-rough set,AHM-RS)赋权的网络节点多属性可拓聚类模型。通过改进AHMRS赋权法与可拓聚类算法,建立网络节点多属性可拓聚类模型;利用改进AHM法计算主观权重;利用RS赋权法计算客观权重;通过相对信息熵,组合主客观权重,得到综合权重;依据节点属性值和综合权重,获取节点综合重要性度量值;通过节点可拓距与综合重要性度量值,计算节点关于聚类等级的关联度,按照关联度确定该节点所属的聚类等级。实验证明:该模型可有效计算网络节点多属性综合权重,以及网络节点的关联度,完成网络节点多属性可拓聚类;在不同节点删除比例时,该模型可拓聚类的Rand指数均较高,即网络节点多属性可拓聚类精度较高。

冠脉支架内再狭窄患者TLR4基因rs4986790、rs4986791位点多态性及其与临床关系的研究

目的 探讨冠脉支架内再狭窄(ISR)患者Toll样受体4(TLR4)外显子基因突变情况及其与临床的关系。方法 选取2019年1月至2022年12月在右江民族医学院附属医院治疗的ISR患者137例,检测体重指数(BMI)、血压、血脂、血糖、血尿酸、C反应蛋白(CRP)、β2微球蛋白(β2MG)、白细胞介素6(IL-6)和TLR4基因rs4986790、rs4986791位点碱基。并与131例同期行冠脉支架植入术支架内无再狭窄(NISR)患者比较。结果 ISR组患者BMI、收缩压、总胆固醇、甘油三酯、空腹血糖、血尿酸、CRP、β2MG和IL-6水平高于NISR组(P <0.05);ISR组TLR4基因rs4986790位点碱基突变率高于NISR组(P <0.05),TLR4基因rs4986791位点碱基突变率高于NISR组(P <0.05);TLR4基因突变表型组BMI、收缩压、总胆固醇、甘油三酯、空腹血糖、血尿酸、CRP、β2MG和IL-6水平高于TLR4野生表型组(P <0.05)。结论 冠脉支架内再狭窄患者TLR4基因外显子突变率高,TLR4基因外显子突变的患者其代谢和炎症因子异常情况有叠加作用。

基于COSMO-RS理论的化工分离工程计算型实验教学设计

将化工热力学溶液理论和化工流程模拟有机结合,设计了正己烷-甲基环戊烷萃取精馏计算型实验。通过类导体屏蔽电荷真实溶液模型(conductor-like screening model for real solvents,COSMO-RS)计算,基于溶解性、选择性指标筛选离子液体溶剂;通过量子化学计算及屏蔽电荷密度曲线分析溶剂和溶质分子相互作用,探究离子液体促进分离过程的机理;基于筛选的溶剂,利用Aspen Plus软件计算优化萃取分离工艺。该综合实验融合了化工热力学、化工原理和过程系统工程等专业课程内容,同时将学科理论知识与工程实践应用有机结合,强化了专业基本功训练,激发了研究兴趣,提升了创新能力。

基于ZYNQ的HDLC与同步半双工RS485的实现

为了实现飞行管理模块与舵机、助推器等之间的高速串行通信,设计了基于全可编程片上系统(ZYNQ)的高级数据链路控制(HDLC)协议控制器。ZYNQ内部可编程逻辑(PL)与处理器系统(PS)之间通过高级可扩展接口(AXI)总线进行数据交互,采用双先入先出队列(FIFO)进行数据缓存;PL使用Verilog语言开发了HDLC通讯协议的控制时序,PS完成循环冗余检验(CRC);开发了以ZYNQ为核心的同步半双工RS485总线接口原理图和印制电路板。实际应用效果表明:系统的通信速率可以达到4Mbit/s,工作稳定可靠,没有误码、丢帧等现象。

RS堆积体滑坡涌浪特征数值模拟研究

库区滑坡涌浪是滑坡产生的次生灾害,严重威胁库区工程安全及大坝稳定运行.澜沧江RM水电站RS堆积体方量巨大,且位于近坝区,开展RMRS堆积体滑坡涌浪特征研究对大坝工程安全设计和施工至关重要.本文建立RS堆积体滑坡涌浪远近场计算模型,基于光滑粒子流体动力学方法及浅水方程,研究RM工程正常蓄水位2895m情况下RS堆积体滑动产生的涌浪特征,并与经验公式法进行对比.研究表明:分析所采用的数值模拟方法在研究滑坡涌浪中具有优势,该方法可准确模拟滑坡体入水产生的非线性流固耦合过程,准确捕捉涌浪传播过程中受到复杂地形影响以及爬升过程中的地形相关性.研究结果可为评估RMRS堆积体滑坡涌浪对工程安全的影响提供参考.

基于RS/GIS的安溪县乡村聚落空间分布特征及影响因素分析

选择典型的闽南山区县安溪为研究区域,以2021年landsat8_oli遥感影像和DEM为数据源,采用ERDAS提取乡村聚落点,利用GIS空间分析、缓冲区分析等方法,研究安溪县的乡村聚落分布特征,并对其空间分布特征的主要影响因素的影响机理进行探讨.结果表明,安溪县乡村聚落分布呈现“东南密,西北疏”“块状集聚,小块连成带状,分布不均”;其分布特征受交通、河流、高程和坡度影响较大.

Drug-eluting balloons versus new generation drug-eluting stents for the management of in-stent restenosis: an updated meta-analysis of randomized studies

Background New-generation drug-eluting stents (DES) was more effective in the treatment of in-stent restenosis (ISR) compared with the first-generation DES. Drug-eluting balloons (DEB) and new-generation DES had been available strategies in treatment of bare-metal stents/DES ISR (BMS/DES-ISR). Six new randomized trials have recently examined the angiographic outcomes and one-year clinical outcomes of DEB and new generation DES in BMS/DES-ISR. However, the optimal management for BMS/DES-ISR lesions remains controversial. Methods We searched the randomized clinical trials evaluating the angiographic outcomes and one-year clinical outcomes of DEB and new-generation DES in patients with BMS/DES-ISR. The primary endpoints were the angiographic outcomes, including the minimal luminal diameter (MLD), diameter stenosis %(DS%), late lumen loss (LLL), and binary restenosis (BR). Results A total of six randomized clinical trials with 1177 BMS/DES-ISR patients were included in our meta-analysis. For angiographic outcomes, there were significantly less MLD and more DS% with DEB compared to new-generation DES (MLD: MD =?0.18, 95% CI:?0.31– ?0.04, P < 0.001;DS%: MD = 5.68, 95% CI: 1.00–10.37, P < 0.001). Moreover, for one-year clinical outcomes, DEB was associated with a significant increase risk in target lesion revascularization (TLR)(RR = 2.93, 95% CI: 1.50–5.72, P = 0.002). However, DEB was associated with higher risks of major adverse cardiac event, target vessel revascularization, TLR, BR, and more DS% only in DES-ISR group. Conclusions DEB and new-generation DES have the similar clinical efficacy for the treatment of BMS-ISR. However, DES showed more MLD, less DS%, and a decreased risk of TLR for the treatment of DES-ISR.

ADAMTS-7基因rs3825807及rs1994016位点多态性与KD发病及CAL的关联性分析

目的分析ADAMTS-7基因rs3825807、rs1994016位点多态性与川崎病(KD)发病及其冠状动脉损伤(CAL)是否存在关联性。方法选取KD患儿100例为KD组,健康体检儿童100例为健康组。提取两组外周血DNA进行基因测序,比较两组ADAMTS-7基因rs3825807位点及rs1994016位点的多态性差异。KD组根据是否存在冠状动脉损伤分为冠状动脉损伤组(KD-CAL组)和无冠状动脉损伤组(KD-NCAL组),比较两组ADAMTS-7基因rs3825807位点及rs1994016位点的多态性差异。结果KD组与健康组比较,KD-NCAL组与KD-CAL组比较,ADAMTS-7基因rs3825807位点A、G等位基因频率和AA、AG、GG基因型频率以及rs1994016位点C、T等位基因频率和CC、CT、TT基因型频率差异均无统计学意义(P>0.05)。结论ADAMTS-7基因rs3825807、rs1994016位点多态性与KD的发病及CAL不存在明显关联性。

基于FPGA的LVDS+RS422远距离高速通信设计与实现

针对高速信号远距离传输时存在数据可靠性下降的问题,文中设计了一种基于FPGA的软硬件结合的长线传输方案。该系统在数据传输过程中,采用NI公司的LVDS串化器芯片SN65LV1023A和SN65LV1024B作为发送与接收芯片。驱动器和均衡器的配合使用,减少了信号衰减,同时增加了电路的驱动能力和信号传输距离。在指令传输与状态反馈的电路中采用RS422通信协议,并加入保证传输可靠性的隔离芯片,极大地简化了电路。在软件方面为提高抗干扰能力,添加了8B/10B编码、指令的三判二机制和校验字,降低了误码率,提高了传输稳定性。经验证,此设计可在90 m电缆以320 Mbit/s速率零误码传输。

New predictors of in-stent restenosis in patients with diabetes mellitus undergoing percutaneous coronary intervention with drug-eluting stent

Background Percutaneous coronary intervention （PCI） had become the major therapeutic procedure for coronary artery disease （CAD）, but the high rate of in-stent restenosis （ISR） still remained an unsolved clinical problem in clinical practice. Increasing evidences suggested that diabetes mellitus （DM） was a major risk factor for ISR, but the risk predictors of ISR in CAD patients with DM had not been well characterized. The aim of this study was to investigate the clinical and angiographic characteristic predictors significantly associated with the occurrence of ISR in diabetic patients following coronary stenting with drug-eluting stent （DES）. Methods A total of 920 patients with diabetes who diagnosed CAD and underwent coronary DES implantation at Beijing Anzhen Hospital in China were consecutively enrolled from January 2012 to December 2012. Of these, 440 patients underwent the second angiography within ≥ 6 months due to the progression of treated target lesions. Finally, 368 of these patients who met the inclusion and exclusion criteria were followed up by angiography after baseline PCI. According to whether ISR was detected at follow-up angiography, patients were divided into the ISR group （n = 74） and the non-ISR group （n = 294）. The independent predictors of ISR in patients with DM were explored by multivariate Cox＇s proportional hazards regression models. Results A total of 368 patients （260 women and 108 men） with a mean ages of 58.71 ± 10.25 years were finally enrolled in this study. Of these, ISR occurred in 74/368 diabetic patients （20.11%） by follow-up angiography. Univariate analysis showed that most baseline characteristics of the ISR and non-ISR group were similar. Patients in the ISR group had significantly higher serum very low density lipoprotein cholesterol （VLDL-C）, triglyceride （TG） and uric acid （UA） levels, more numbers of target vessel lesions, higher prevalence of multi-vessel disease, higher SYNTAX score, higher rate of previous but lower rate of drinking compared with patients in the non-ISR group. The independent predictors of ISR in patients with DM after DES implantation included VLDL-C （HR = 1.85, 95% CI： 1.24-2.77, P = 0.002）, UA （per 50 μmol/L increments, HR = 1.19, 95% CI： 1.05 1.34, P = 0.006）, SYNTAX score （per 5 increments, HR = 1.34, 95% CI： 1.03-1.74, P = 0.031） and the history ofPCI （HR = 3.43, 95% CI： 1.57-7.80, P = 0.003） by the multivariate Cox＇s proportional hazards regression analysis. Conclusions The increased serum VLDL-C and UA level, higher SYNTAX score and the history of previous PCI were independent predictors of ISR in patients with DM after coronary DES implantation. It provided new evidence for physi- cians to take measures to lower the risk oflSR for the better management of diabetic patients after PCI.

9种鱼类嗅囊组织结构特征和V1Rs基因家族进化分析

为探究不同鱼类嗅觉器官组成差异及V1Rs基因的进化规律,实验采用组织形态学方法比较了9种鱼类的嗅囊结构特征,并通过比较基因组学和生物信息学手段对V1Rs基因家族进行鉴定、序列结构及进化分析;利用实时荧光定量PCR(qRT-PCR)对泥鳅V1Rs基因的组织表达模式进行分析。结果显示,6种鲤形目鱼类的嗅基板类型均为G型,鲇形目为H型,而鲈形目则有F型和G型两种,嗅基板数量在9种鱼类中差异较大,其中大口黑鲈的嗅基板数量最少,只有7个,黄颡鱼最多,有80个。研究共鉴定出58个完整的V1Rs基因,这些基因属于G蛋白偶联受体家族。V1Rs基因分为6个亚型(V1R1、V1R2、V1R3、V1R4、V1R5、V1R6),9种鱼类基因组中均有1个V1R1和V1R2基因,但翘嘴鲌基因组中缺少V1R3和V1R4基因,鳜缺少V1R5基因,而团头鲂、黄颡鱼和翘嘴鲌各有2个V1R5基因。qRT-PCR结果显示,与对照组相比(肌肉组织),除V1R3b外,泥鳅V1Rs基因均在雌、雄嗅囊中显著高表达,但在脑和触须中的表达量较低,在性腺组织中,雌、雄泥鳅V1Rs基因表达量存在明显差异,其中,V1R1、V1R4、V1R5、V1R6在精巢中的表达量显著高于卵巢,而V1R3b基因在雌性泥鳅性腺中显著高于雄性,V1R2和V1R3a在雌、雄泥鳅中则没有显著性差异。本研究不仅阐明了不同鱼类嗅囊组织结构和V1Rs基因拷贝数、进化差异,结果也为后续深入探究鱼类异性识别的嗅觉分子基础和V1Rs基因在繁殖中作用机制奠定基础。

ALDH2 rs671和ADH1B rs1229984多态性与胃癌、食管癌的相关性研究

目的:探讨连云港汉族人群的ADH1B rs1229984和ALDH2 rs671多态性与胃癌、食管癌相关性。方法:以随机数字表法选取2021年1~12月在连云港市第二人民医院就诊的50例胃癌患者和50例食管癌患者作为研究对象,同期以随机数字表法选取200名汉族健康献血者纳入健康组。检测ADH1B rs1229984和ALDH2 rs671 SNP的多态性,探究连云港汉族人群的ADH1B rs1229984和ALDH2 rs671多态性与胃癌、食管癌相关性。结果:3组研究对象的性别、年龄、BMI、吸烟史、饮酒史等一般资料比较差异均无统计学意义(P>0.05),具有可比性。健康人群rs1229984 AA、AG和GG基因型的频率分别为42.5%(85例)、53.5%(107例)和4%(8例)。rs671的基因型频率AA为1%(2例),AG为26.5%(53例),GG为72.5%(145例),符合Hardy-Weinberg平衡(P>0.05),有群体代表性。分析结果显示,胃癌组和食管癌组患者的ALDH2 rs671 AA、AG、GG分布频率与健康组比较,差异有统计学意义(P<0.05);食管癌患者ADH1B rs1229984的AA、AG、GG基因分布频率与健康组比较,差异有统计学意义(P<0.05)。结论:胃癌和食管癌的基因分布组成比例与健康人群有显著性差异,ADH1B rs1229984和ALDH2 rs671多态性与连云港汉族人群胃癌、食管癌存在一定的相关性。

基于RS技术的作物土地生态信息反演与估产

为快速监测土地生态情况,准确获取净初级生产力、收获指数与作物单产信息具有重要意义。以沈阳为研究区域,利用CART决策树方法对研究区玉米等地类进行分类提取,结合高精度地物分类结果与CASA模型对研究区内净初级生产力(NPP)进行估算,结合玉米估产模型与研究区内NPP与玉米收获指数(HI)对玉米单产进行预估。结果表明:研究区内玉米C的NPP达到600~800 g/m^(2)水平,2020年沈阳市玉米生长状况良好;采取玉米单产模型预估的沈阳市各区县玉米单产相对误差均小于10%。研究结果具有一定可靠性,可为农业、国土资源等部门进行监测管理提供重要依据。

RS402007基因多态性与脑梗死患者颈动脉粥样硬化斑块易损性及降脂疗效的关系

目的 探讨RS402007基因多态性对脑梗死患者颈动脉粥样硬化斑块易损性及降脂疗效的影响。方法 选取114例脑梗死患者,根据颈动脉粥样硬化斑块情况分为稳定斑块组56例和易损斑块组58例。比较两组临床及血液生化指标、RS402007(G/C)位点基因型及等位基因频率,观察不同基因型患者阿托伐他汀降脂疗效。结果 两组治疗前血清LDL-C、TC水平以及GG、GC、CC基因型构成差异有统计学意义(P均<0.05)。与治疗前比较,GG、GC、CC基因型患者治疗后血清LDL-C、TG、TC水平降低,HDL-C水平升高(P均<0.05);治疗后比较,CC基因型患者血脂水平与GG基因型、CC基因型患者差异有统计学意义(P均<0.05)。GG、GC、CC基因型患者降脂治疗有效率分别分别为80.65%、84.62%、88.64%。CC基因型患者有效率高于GG基因型、CC基因型患者(P均<0.05)。结论 RS402007基因多态性与颈动脉粥样硬化性斑块易损性相关且对药物的降脂疗效有一定影响。

KCNQ1 rs2237895 gene polymorphism increases susceptibility to type 2 diabetes mellitus in Asian populations

BACKGROUND The association of single nucleotide polymorphism of KCNQ1 gene rs2237895 with type 2 diabetes mellitus(T2DM)is currently controversial.It is unknown whether this association can be gene realized across different populations.AIM To determine the association of KCNQ1 rs2237895 with T2DM and provide reliable evidence for genetic susceptibility to T2DM.METHODS We searched PubMed,Embase,Web of Science,Cochrane Library,Medline,Baidu Academic,China National Knowledge Infrastructure,China Biomedical Literature Database,and Wanfang to investigate the association between KCNQ1 gene rs2237895 and the risk of T2DM up to January 12,2022.Review Manager 5.4 was used to analyze the association of the KCNQ1 gene rs2237895 polymorphism with T2DM and to evaluate the publication bias of the selected literature.RESULTS Twelve case–control studies(including 11273 cases and 11654 controls)met our inclusion criteria.In the full population,allelic model[odds ratio(OR):1.19;95%confidence interval(95%CI):1.09–1.29;P<0.0001],recessive model(OR:1.20;95%CI:1.11–1.29;P<0.0001),dominant model(OR:1.27.95%CI:1.14–1.42;P<0.0001),and codominant model(OR:1.36;95%CI:1.15–1.60;P=0.0003)(OR:1.22;95%CI:1.10–1.36;P=0.0002)indicated that the KCNQ1 gene rs2237895 polymorphism was significantly correlated with susceptibility to T2DM.In stratified analysis,this association was confirmed in Asian populations:allelic model(OR:1.25;95%CI:1.13–1.37;P<0.0001),recessive model(OR:1.29;95%CI:1.11–1.49;P=0.0007),dominant model(OR:1.35;95%CI:1.20–1.52;P<0.0001),codominant model(OR:1.49;95%CI:1.22–1.81;P<0.0001)(OR:1.26;95%CI:1.16–1.36;P<0.0001).In non-Asian populations,this association was not significant:Allelic model(OR:1.06,95%CI:0.98–1.14;P=0.12),recessive model(OR:1.04;95%CI:0.75–1.42;P=0.83),dominant model(OR:1.06;95%CI:0.98–1.15;P=0.15),codominant model(OR:1.08;95%CI:0.82–1.42;P=0.60.OR:1.15;95%CI:0.95–1.39;P=0.14).CONCLUSION KCNQ1 gene rs2237895 was significantly associated with susceptibility to T2DM in an Asian population.Carriers of the C allele had a higher risk of T2DM.This association was not significant in non-Asian populations.

PARK9基因rs207663位点突变与早期帕金森病认知改善治疗应答相关性

目的探讨PARK9基因rs207663位点突变与早期帕金森病认知改善治疗应答相关性。方法选取2020年10月至2023年10月于邯郸市第四医院神经内科接受治疗的100例早期帕金森病患者为研究组,以100例健康体检者为对照组。检测PARK9基因rs207663位点基因多态性,比较2组等位基因、基因型分布,以及分析不同基因型患者经治疗后的疗效情况。结果PARK9基因rs207663位点存在3种基因型:GG、GA、AA,研究组GG基因型、G等位基因频率高于对照组(40.0%vs 26.0%,P<0.05;63.0%vs 50.0%,P<0.01)。治疗后,3种基因型简易智能状态检查量表(MMSE)、蒙特利尔认知评估量表(MoCA)评分均呈增加趋势,其中GG基因型MMSE评分低于GA基因型[(22.95±1.34)分vs(23.89±1.68)分,P<0.05],GG基因型MoCA评分低于GA基因型[(24.86±1.83)分vs(25.12±1.48)分,P<0.05]。GA基因型总资产、安全选项次数、负反馈利用率均高于GG基因型[(-1541.50±537.24)元vs(-3102.00±1274.38)元,P<0.01;(9.24±3.27)次vs(7.11±2.14)次,P<0.05;(0.51±0.23)vs(0.35±0.15),P<0.05];AA基因型风险选项次数低于GA基因型,GA基因型风险选项次数低于GG基因型,差异有统计学意义(P<0.05)。结论PARK9基因rs207663位点多态性与早期帕金森病认知改善治疗应答存在显著相关性,其中GG基因型患者治疗应答较差,GG基因型患者偏爱高风险和高回报选项,负反馈利用率较低。

无鼻内窥镜下RS置管术对泪小管断裂患者泪道功能及预后的影响

目的 探讨无鼻内窥镜下RS置管术对泪小管断裂患者泪道功能及预后的影响。方法 选择泪小管断裂患者100例100眼,按照随机排列法将其分为两组,即对照组与研究组各50例,分别接受环形泪道置管治疗与无鼻内窥镜下RS置管术治疗,比较两组治疗效果、术后并发症及手术时间、术后疼痛程度的变化。结果 组间治疗有效率相近,无明显差异(P<0.05);研究组手术时间明显短于对照组,术后6 h~48 hVAS疼痛评分均低于对照组,差异有统计学意义(P<0.05),研究组术中鼻出血及术后并发症发生率均低于对照组,差异有统计学意义(P<0.05)。结论 无鼻内镜下行RS置管术治疗泪小管断裂效果显著,还同时具备减轻患者疼痛,减少并发症发生的优势,另外,手术操作简单,无需操作医生具备丰富的临床经验,实用性更高。