小儿急性喉炎合并喉梗阻经肾上腺素与布地奈德交替雾化吸入治疗的临床护理研究

目的:探讨小儿急性喉炎合并喉梗阻经肾上腺素与布地奈德交替雾化吸入治疗和护理的效果。方法:选取2016年6月至2017年6月时段内入南昌市第三医院进行治疗与护理的急性喉炎合并喉梗阻患儿100例本研究为对照组患儿提供布地奈德雾化吸入治疗及常规护理,为观察组患儿提供经肾上腺素与布地奈德交替雾化吸入治疗及综合性护理,比较两组患儿的临床治疗效果、喉鸣、声嘶、呼吸困难等临床症状缓解时间、患儿家属对护理工作的满意度。结果:观察组患儿96%的疗效高于对照组的72%,各临床症状环节时间也比对照组更短,P<0.05,而护理满意度高达96%,对照组仅为64%,P<0.05。结论:为急性喉炎合并喉梗阻患儿提供经肾上腺素与布地奈德交替雾化治疗,配合综合性护理,效果显著。

THE CENTRAL DISTRIBUTION OF ADRENOMEDULLIN AND ITS EFFECTS ON BLOOD PRESSURE AND HEART RATE IN RATS

The present study was designed to make certain whether there exists adrenomedullin (ADM) in the rat central nervous system and evaluated the hemodynamic actions of intracerebroventricular administration (ICVA) of human ADM[13-52]. By immunohistochemistry (ABC method),We found that there was a discrete localization of ADM-positive immunoreactivity in the rat central system including cerebral cortex,paraventricular tissues, hypothalamus, cerebella cortex, mesencephalon and medulla oblongata. By reverse transcription-polymerase chain reaction(RT-PCR) analysis, rat ADM mRNA was found to be expressed in rat brain. These above results of immunohistochemistry and RT-PCR suggest that ADM exists in the rat brain. We also found that centrally administered ADM[13-52]in a dose of 0.4 to 3. 2 nmol/kg provoked marked, prolonged and dosedependent increases in mean arterial blood pressure (MABP) and heart rate (HR). To clarify the mechanisms of the hemodynamic changes induced by centrally administered ADM [13-52]. the effect of centrally administered ADM [13-52] on renal sympathetic nerve activity (RSNA) was studied. The result showed that centrally administered ADM [13-52] ( 1. 6 nmol/kg) provoked a marked increase in RSNA .therefore .the increases in MABP and HR induced by centrally administered ADM [13-52]might be due to the stimulation of central sympathetic mechanism. In addtion,we also compared the relationship of activity and structure among the different fragments of ADM. In conclusion, ADMexists in the rat brain, and it may play an important role in the central control of cardiovascular system.

Val 70, Phe 72 and the last seven amino acid residues of C-terminal are essential to the function of norepinephrine transporter

The norepinephrine transporter(NET) is a member of the Na+/Cl- dependent neurotransmitter transporter family and constitutes the target of several clinically important antidepressants. To delineate the critical amino acid residues and the function of C-terminal in regulating transport activity of NET, here we constructed two site mutants (V70F, F72V; V70I, F72V) and one C-terminal truncated mutant (△611-617). The wild type and mutants of NET were expressed in Xenopus oocytes by injection of their cRNA. We found that all of these mutants lost their transport activity. These results indicate that the amino acid residues of V70 and F72 3 and the last seven amino acids of C-terminal are essential to the transport activity of NET.

Analysis of the 5' flanking sequence of the human norepinephrine transporter gene

The human norepinephrine transporter(NET) gene was cloned and structurally analyzed. The far 5’ fragment containing exon 1 (a non-coding exon) and exon 2 was sequenced. The transcription start site of the gene in human brain stem tissue was determined by primer extension analysis. It was found that the gene could be transcribed from multiple starting points. The 5’ flanking sequence contains a proximal G-C rich region, one possible GSG elemeflt and several SP1 sites. However it does not contain TATA box and CAAT box motifS. Gel shift analysis with nuclear extracts from different tissues of mouse shows that the G-C rich region may be involved in tissue specific expression of the gene.

Rapid effect of stress concentration corticosterone on glutamate receptor and its subtype NMDA receptor activity in cultured hippocampal neurons

Objective: To study the rapid effect of glucocorticoids (GCs) on NMDA receptor activity in hippocampal neurons in stress and to elucidate its underlying probable membrane mechanisms. Methods: Whole-cell patch-clamp recording was used to assess the effect of stress concentration corticosterone (B) on the responses of cultured hippocampal neurons to glutamate and NMDA (N-methy-D-asparatic acid). To make clear the target of B, intracellular dialysis of B(10 μmol/L)through patch pipette and extracellular application of bovine serum albumin-conjugated corticosterone(B-BSA, 10 μmol/L)were carried out to observe their influence on peak amplitude of NMDA-evoked current. Results: B had a rapid, reversible and inhibitory effect on peak amplitude of GLU- or NMDA-evoked current in cultured hippocampal neurons. Furthermore, B-BSA had the inhibitory effect on INMDA as that of B, but intracellularly dialyzed B had no significant effect on I NMDA. Conclusion: These results suggest that under the condition of stress, GCs may rapidly, negatively regulate excitatory synaptic receptors-glutamate receptors (GluRs), especially NMDA receptor (NMDAR) in central nervous system, which is mediated by rapid membrane mechanisms, but not by classical, genomic mechanisms.

Noradrenaline as a putative neurotransmitter mediating hypotension-induced Fos-like immunoreactivity inthe supraoptic nucleus of the rat

Hemorrhage or hypotension induces extensive Foslike immunoreactivity in the magnocellular neurosecretory cells in the supraoptic nucleus of the hypothalamus in rat, especially in the vasopressin neurons. The present study was to explore the neurotransmitter mediating this effect. Microinfusion of the alpha-adrenergic blocker into the supraoptic nucleus reduced the hypotension-induced Fos, whereas beta-antagonist did not affect it significantly. Alpha1- and alpha2-antagonist, prazosin and yohimbine,both reduced the Fos-positive cell counts. However, the effective dosage of yohimbine was much larger. Alpha1-agonist, methoxamine, induced abundant Fos-like immnnoreactivity in the vasopressin cells in this nucleus,while beta-and alpha2-agonist did not elicit such effect.Administration of the noradrenergic re-uptake inhibitor,desipramine, to this nucleus to locally accumulate the spontaneously released noradrenaline from the nerve terminals also induced Fos expression, mostly in the vasopressin cells.

Expressions of cardiac sympathetic norepinephrine transporter and β_1-adrenergic receptor decreased in aged rats

Evidence suggests that the deterioration of communication between the sympathetic nervous system and cardiovascular system always accompanies the aging of human and animals. Cardiac sympathetic norepinephrine(NE) transporter(NET) on presynaptic membrane is a predominant component to eliminate released NE in the synaptic cleft and maintains the sensitivity of the β-adrenergic receptor(β-AR). In the present study,we investigated NET and β1-AR mRNA levels and sympathetic nerve density in cardiac sympathetic ganglion and left ventricular myocardium in 2-and 16-month-old rats with Northern blot analysis and immunohistochemistry. The expression levels of NET mRNA,NET protein and β1-AR mRNA in the ganglia or myocardia of 16-month-old rats were markedly reduced by 67%,26%,and 43%,respectively,in comparison with those in 2-month-old rats. Our results also show that aging induces a strong decrease of the catecholaminergic nerve fiber density.

Effect of tribulus terrestris saponins on behavior and neuroendocrine in chronic mild stress depression rats

OBJECTIVE： To observe the effect of tribulus terres- tris saponins （TTS） on behavior and neuroendo- crine of chronic mild stress （CMS） depression rats. METHODS：ThirtymaleSprague-Dawleyratswereran- domly allocated to six groups： vehicle group, CMS group, CMS ＋ fluoxetine group and CMS ＋ TTS of low-dosage （0.375 g/kg）, medium-dosage （0.75 g/kg） and high-dosage （2.25 g/kg） groups. All rats except the vehicle group singly housed and exposed an unpredicted sequence of mild stressors. The behav- ior of rats was detected by open-field test （OFT） and sucrose preference test （SPT）. The concentra- tion of corticotropin-releasing factor （CRF） and ad- renocorticotropic hormone （ACTH） in serum of the rats were detected by radioimmunoassay. The con- centration of cortisol （CORT） in serum was detected by enzyme immunoassay.RESULTS： CMS procedure not only significantly de- creased the scores of crossing, rears and grooming in OFI： and the sucrose preference in SPT （all P〈 0.01）, but also markedly increased serum CRH and CORT levels （both P〈0.05）. Treatment with TTS （0.75 and 2.25 g/kg） could significantly prevent all of these abnormalities induced by CMS （P〈0.05, P〈 0.01）. CONCLUSION： CMS can affect rat behavior and neuroendocrine and cause depression. TTS has the antagonism on CMS and produce antidepressive ef- fects.

Forced swimming stress does not affect monoamine levels and neurodegeneration in rats

Objective The current study was aimed to investigate the correlations between immobility time in the forced swimming test （FST, a behavioral indicator of stress level） and hippocampal monoamine levels （markers of depression）, plasma adrenalin level （a peripheral marker of stress） as well as fluoro-jade C staining （a marker of neurodegeneration）. Methods Male Sprague-Dawley rats were subjected to acute, sub-chronic （7 d） or chronic （14 d） FSTs and immobility time was recorded. Levels of noradrenalin, serotonin and dopamine in the hippocampus, and adrenalin level in the plasma were quantified by high-performance liquid chromatography with electrochemical detection. Brain sections from rats after chronic forced swimming or rotenone treatment （3 mg/kg subcutaneously for 4 d） were stained with fluoro-jade C. Results The rats subjected to swimming stress （acute, sub-chronic and chronic） showed long immobility times [（214 ± 5）, （220 ± 4） and （231 ± 7） s, respectively], indicating that the animals were under stress. However, the rats did not exhibit significant declines in hippocampal monoamine levels, and the plasma adrenalin level was not significantly increased compared to that in unstressed rats. The rats that underwent chronic swimming stress did not manifest fluoro-jade C staining in brain sections, while degenerating neurons were evident after rotenone treatment. Conclusion The immobility time in the FST does not correlate with markers of depression （monoamine levels） and internal stress （adrenalin levels and neurodegeneration）, hence this parameter may not be a true indicator of stress level.