Evaluation of the diagnostic value of total bile acids/platelets in HBV related liver fibrosis

Objective:Explore the diagnostic value of total bile acids/platelets in HBV related liver fibrosis.Methods:160 patients with chronic HBV infection admitted to the Infection Department of the First Affiliated Hospital of Hainan Medical College from February 2021 to December 2022 were selected.They were divided into two groups based on the degree of liver fibrosis detected by liver biopsy:significant liver fibrosis group and non-significant liver fibrosis group.The total bile acid/blood platelet levels and their correlation with liver fibrosis in the two groups were compared and observed,and the efficacy of other non-invasive liver fibrosis diagnostic models was evaluated.Results:(1)Compared with the non-significant liver fibrosis group,the significant liver fibrosis group showed an increase in total bile acid levels,a decrease in platelet levels,and a significant increase in total bile acid/platelet levels(P<0.05).(2)Platelets decrease with the increase of liver fibrosis degree,total bile acids increase with the increase of liver fibrosis degree,and total bile acids/platelets increase with the increase of liver fibrosis degree.(3)The area under the curve(AUC)of total bile acid/platelet,APRI,FIB-4,and elastography in diagnosing the degree of liver fibrosis were 0.69,0.57,0.56,and 0.68,respectively.Conclusions:The diagnostic efficacy of total bile acids/platelets in diagnosing HBV related liver fibrosis is no less than that of other liver fibrosis diagnostic methods,and it is non-invasive,simple,and convenient,which is worthy of further clinical promotion and validation.

Can tranexamic acid change preoperative anemia management during total joint arthroplasty?

AIM: To investigate the postoperative transfusion and complication rates of anemic and nonanemic total joint arthroplasty patients given tranexamic acid(TXA).METHODS: A cross-sectional prospective study was conducted of primary hip and knee arthroplasty cases performed from 11/2012 to 6/2014. Exclusion criteria included revision arthroplasty, bilateral arthroplasty, acute arthroplasty after fracture, and contraindication to TXA. Patients were screened prior to surgery, with anemia was defined as hemoglobin of less than 12 g/d L for females and of less than 13 g/d L for males. Patients were divided into four different groups, based on the type of arthroplasty(total hip or total knee) and hemoglobin status(anemic or nonanemic). Intraoperatively, all patients received 2 g of intravenous TXA during surgery. Postoperatively, allogeneic blood transfusion(ABT) was directed by both clinical symptomsand relative hemoglobin change. Complications were recorded within the first two weeks after surgery and included thromboembolism, infection, and wound breakdown. The differences in transfusion and complication rates, as well as the relative hemoglobin change, were compared between anemic and nonanemic groups.RESULTS: A total of 232 patients undergoing primary joint arthroplasty were included in the study. For the total hip arthroplasty cohort, 21%(18/84) of patients presented with preoperative anemia. Two patients in the anemic group and two patients in the nonanemic group needed ABTs; this was not significantly different(P = 0.20). One patient in the anemic group presented with a deep venous thromboembolism while no patients in the nonanemic group had an acute complication; this was not significantly different(P = 0.21). For nonanemic patients, the average change in hemoglobin was 2.73 ± 1.17 g/d L. For anemic patients, the average change in hemoglobin was 2.28 ± 0.96 g/d L. Between the two groups, the hemoglobin difference of 0.45 g/d L was not significant(P = 0.13). For the total knee arthroplasty cohort, 18%(26/148) of patients presented with preoperative anemia. No patients in either group required a blood transfusion or had an acute postoperative complication. For nonanemic patients, the average change in hemoglobin was 1.85 ± 0.79 g/d L. For anemic patients, the average change in hemoglobin was 1.09 ± 0.58 g/d L. Between the two groups, the hemoglobin difference of 0.76 g/d L was significant(P < 0.001). CONCLUSION: TXA administration results in low transfusion and complication rates and may be a useful adjunct for TJA patients with preoperative anemia.

EFFECTS OF HARVEST STAGE ON THE TOTAL LIPID AND FATTY ACID COMPOSITION OF FOUR CYLINDROTHECA STRAINS

Four strains of Cylindrotheca (B156, B164, B196, and B200) were harvested at three phases in the growth curve and their total lipid and fatty acid composition were determined. Total lipid reached highest values in the late stationary phase in B156 (24.0%), B164 (26.6%) and B200 (17.3%), in the exponential phase in B196 (15.5%). Saturated fatty acids increased with the development of the culture in B156 and B196, and reached their highest values in the late stationary phase in B156 (41.7%) and B196 (45.1%), in the early stationary phase in B164 (45.4%) and B200 (37.6%). Monounsaturated fatty acids increased with the development of the culture in B196 and B200, and reached their highest values in the late stationary phase in B196 (32.4%) and B200 (32.8%), in the early stationary phase in B164 (31.0%) and in the exponential phase in B156 (29.3%). Polyunsaturated fatty acids decreased in the later phases of the culture in B164, B196 and B200, and peaked in the exponential phase in B164 (29.5%), B196 (42.9%) and B200 (37.3%), and in the early stationary phase in B156 (32.0%).

EFFECT OF LIGHT INTENSITY ON THE TOTAL LIPID AND FATTY ACID COMPOSITION OF SIX STRAINS OF MARINE DIATOMS

The effect of light intensity (1500 lx and 5000 lx) on the total lipid and fatty acid composition of six strains of marine diatoms Cylindrotheca fusiformis (B211), Phaeodactylum tricornutum (B114, B118 and B221) Nitzschia closterium (B222) and Chaetoceros gracilis (B13) was investigated. The total lipids of B13, B114, and B211 grown at 5000 lx were lower than those grown at 1500 lx. No evident changes were observed in B118, B221 and B222. Fatty acid composition changed considerably at different light intensity although no consistent correlation between the relative proportion of a single FA and light intensity. The major fatty acids of the 6 strains were 14:0, 16:0, 16:1(n-7) and 20:5(n-3). Cylindrotheca fusiformis had high percentage of 20:4n-6 (9.2-10.9%). The total polyunsaturated fatty acid in all 6 strains decreased with increasing light intensity. The percentage of the highly unsaturated fatty acid eicosapentaenoic acid (EPA) decreased with increasing light intensity in all strains except Chaetoceros gracilis.

Relationship of nocturnal concentrations of melatonin, gamma-aminobutyric acid and total antioxidants in peripheral blood with insomnia after stroke： study protocol for a prospective non-randomized controlled trial

Melatonin and gamma-aminobutyric acid（GABA） have been shown to regulate sleep. The nocturnal concentrations of melatonin, GABA and total antioxidants may relate to insomnia in stroke patients. In this prospective single-center non-randomized controlled clinical trial performed in the China Rehabilitation Research Center, we analyzed the relationship of nocturnal concentrations of melatonin, GABA and total antioxidants with insomnia after stroke. Patients during rehabilitation of stroke were recruited and assigned to the insomnia group or non-insomnia group. Simultaneously, persons without stroke or insomnia served as normal controls. Each group contained 25 cases. The primary outcome was nocturnal concentrations of melatonin, GABA and total antioxidants in peripheral blood. The secondary outcomes were Pittsburgh Sleep Quality Index, Insomnia Severity Index, Epworth Sleepiness Scale, Fatigue Severity Scale, Morningness-Eveningness Questionnaire（Chinese version）, and National Institute of Health Stroke Scale. The relationship of nocturnal concentrations of melatonin, GABA and total antioxidants with insomnia after stroke was analyzed and showed that they were lower in the insomnia group than in the non-insomnia group. The severity of stroke was higher in the insomnia group than in the non-insomnia group. Correlation analysis demonstrated that the nocturnal concentrations of melatonin and GABA were associated with insomnia after stroke. This trial was registered at Clinical Trials.gov, identifier： NCT03202121.

Optimization of Extraction Process of Total Flavonoids and Chlorogenic Acid from Flos Lonicerae by Orthogonal Experiment

[Objectives]To explore the process of simultaneous extracting total flavonoids and chlorogenic acid from Flos Lonicerae by pressure assisted extraction.[Methods]Based on the single factor experiment,orthogonal experiments were carried out to investigate the effects of solvent concentration,solid-to-liquid ratio,extraction pressure,extraction time and extraction temperature on the extraction rate of total flavonoids and chlorogenic acid.[Results]The results showed that the extraction pressure had a significant effect on the extraction of two kinds of chemical constituents from F.Lonicerae.The optimum process conditions were as follows:solvent concentration was 60%,solid-liquid ratio was 1∶20(g/mL),extraction pressure was 2 MPa,extraction time was 30 min,extraction temperature was 70℃.The process conditions are stable,and the extraction efficiency is higher than that of ultrasonic assisted extraction method.Under the test conditions,the extraction rates of total flavonoids and chlorogenic acids were respectively 15.66%and 3.89%.[Conclusions]This study provides a new theoretical basis for the development and utilization of F.Lonicerae.

Total DNA of Glycyrrhiza uralensis transformed into Hansenula anomala by ion implantation:Preparing Glycyrrhizic acid in recombined yeasts

Glycyrrhizic acid(GA) in Glycyrrhiza uralensis(G.uralensis) is physiologically active.In this study,the total DNA of wild G.uralensis was randomly transformed into Hansenula anomala by implantation of low-energy Ar^+ and N^+,to produce five recombinant yeast strains relating to biological synthesis of the GA or Glycyrrhetinic acid (GAs).After culturing in liquid medium for 96 h,the resultant GA,18α-GAs and 18β-Gas were determined by reversed-phase high performance liquid chromatography(RP-HPLC),and the corresponding concentrations were 114.49,0.56,and 0.81 mg·L^(-1).After one hundred primers were analyzed with random amplified polymorphic DNA (RAPD),the seven different DNA fragments were produced by the N7059 strain of recombined yeasts,and,the polymerase chain reaction(PCR) verified that one of them came from the genome of G.uralensis,indicating a successful transfer of genetic information by ion implantation.

妊娠期肝内胆汁淤积症与妊娠期糖尿病的相关性研究

目的:探讨妊娠期肝内胆汁淤积症(ICP)与妊娠期糖尿病(GDM)的相关性。方法:选取2013年2月至2021年2月在北京大学深圳医院产科分娩的GDM孕妇5517例(GDM组)和非GDM孕妇5517例(非GDM组),采用单因素、多因素和分层分析法分析ICP与GDM、ICP与血糖水平、总胆汁酸与GDM的相关性。结果:GDM组中ICP比例显著大于非GDM组,差异有统计学意义(P<0.05)。GDM合并ICP患者的OGTT-1h血糖显著高于GDM未合并ICP患者(P<0.05),两组患者OGTT-0h或2h血糖比较,差异无统计学意义(P>0.05)。与非GDM组比较,GDM组中重度ICP占ICP总体的比例显著增高(34.88%vs 9.68%,P<0.001);ICP病例中,与未合并GDM患者比较,合并GDM的患者血清总胆汁酸显著升高(中位数29.10μmol/L vs 20.65μmol/L,P<0.01)。多因素分析提示,ICP与GDM显著相关(OR=1.426,95%CI为1.011~2.011,P=0.043),这与非高龄妊娠、单胎妊娠、经产妇中的分层分析结果一致。结论:ICP与GDM存在显著相关性,并且这种相关性在重度ICP中更明显,ICP可能是GDM的风险因素之一。

Effect of Citric Acid on the Total Monomeric Anthocyanins and Antioxidant Activity of Liquor Made from Unprocessed Purple Leafed TRFK 306 Kenyan Tea Clone

A study was conducted to find out the effect of citric acid on total monomeric anthocyanins and antioxidant activity of liquor made from unprocessed purple-leafed TRFK 306 Kenyan tea, brewed at various time/temperature combinations. Most purple tea consumers usually brew the tea leaves then add some lemon juice before consuming it. Citric acid was used here to mimic the use of lemon juice. Documentation on the quality of such a brew is scanty and the effect of acid on its quality is equally scanty. The current study used brewing time/temperature combinations of 5, 10 and 15 minutes with 70&deg;C and 92&deg;C drinking water. Total monomeric anthocyanins were analysed using UV-1800 spectrophotometer (Shimadzu, Japan) while DDPH method was used to assay for antioxidant activity. Citric acid concentration of 0, 0.1% to 0.5% was used to check their effect on the brews with the highest total anthocyanins and antioxidant activity. The results showed that brewing temperature of 70&deg;C had 9.5 mg/L to 27.7 mg/L, with 5 minutes brewing time being the highest. Temperature of 92&deg;C had 37.5 mg/L to 92 mg/L with 5 minutes brewing time having the highest total monomeric anthocyanins. Antioxidant activity of 92&deg;C brewing temperature ranged from 90.7% to 92.0%. Total monomeric anthocyanins increased with increased citric acid concentration up to 0.3% before it decreases while for antioxidant activity, it decreased with addition of citric acid. It was concluded that for maximum anthocyanins extraction, 5 minutes brewing time is the best while ten minutes brewing time could give optimum antioxidant activity.

Effect of lactic acid bacteria and propionic acid on conservation characteristics,aerobic stability and in vitro gas production kinetics and digestibility of whole-crop corn based total mixed ration silage

This study was conducted to evaluate the effect of lactic acid bacteria and propionic acid on the fermentation quality, aer- obic stability and in vitro gas production kinetics and digestibility of whole-crop corn based totalmixed ration （TMR） silage. Total mixed ration was ensiled with four treatments： （1） no additives （control）; （2） an inoculant （Lactobacillus plantarum） （L）; （3） propionicacid （P）; （4） propionic acid＋lactic acid bacteria （PL）. All treatments were ensiled in laboratory-scale silos for 45 days, and then subjected to an aerobic stability test for12 days. Further, four TMR silages were incubated in vitro with buffered rumen fluid to study in vitro gas production kinetics and digestibility. The results indicated that all TMR silages had good fermentation characteristics with low pH （〈3.80） and ammonia nitrogen （NH3-N） contents, and high lactic acid contents as well as Flieg points. Addition of L further improved TMR silage quality with more lactic acid production. Addition of P and PL decreased lactic acid and NH3-N contents of TMR silage compared to the control （P〈0.05）. After 12 days aerobic exposure, P and PL silages remained stable, but L and the control silages deteriorated as indicated by a reduction in lactic acid and an increase in pH, and numbers of yeast. Compared to the control, addition of L had no effects on TMR silage in terms of 72 h cumulative gas production, in vitro dry matter digestibility, metabolizable energy, net energy for lactation and short chain fatty acids, whereas addition of PL significantly （P〈0.05） increased them. L silage had higher （P〈0.05） in vitro neutral detergent fiber digestibility than the control silage. The results of our study suggested that TMR silage prepared with whole-crop corn can be well preserved with or without additives. Furthermore, the findings of this study suggested that propionic acid is compatible with lactic acid bacteria inoculants, and when used together, although they reduced lactic acid production of TMR silage, they improved aerobic stability and in vitro nutrients digestibility of TMR silage.

婴幼儿配方粉中反式脂肪酸在总脂肪酸中占比测定研究

本文建立了气相色谱测定婴幼儿配方粉中反式脂肪酸在总脂肪酸中所占比例的分析方法。样品经乙酰氯-甲醇法甲酯化,离心,取上清液经毛细管色谱柱分离后,采用气相色谱-氢火焰离子化检测器检测,面积归一化法定量。结果表明,在优化的色谱条件下,采用实际样品对检测方法进行验证,12批次婴幼儿配方粉样品平行测定6次,相对标准偏差在1.95%~5.13%之间,实际样品测定结果符合相关标准要求。方法结果准确、重复性好、操作简单,适用于婴幼儿配方粉中反式脂肪酸占总脂肪酸的占比的测定。

基于茚三酮比色法测定闽产细叶石仙桃总氨基酸含量

目的:优化溶剂回流提取-茚三酮比色法测定福建省不同产地细叶石仙桃中总氨基酸含量。方法:以甘氨酸为对照品,采用茚三酮比色法测定细叶石仙桃中总氨基酸含量;考察不同影响因素对茚三酮法测定细叶石仙桃总氨基酸含量的影响,确定最佳检测条件;在单因素实验基础上,采用L9(34)正交试验考察溶剂用量、溶剂浓度、提取时间及提取次数对细叶石仙桃中总氨基酸提取工艺的影响,并以其为考察指标,优化筛选最佳提取工艺。结果:最佳检测条件为测定波长568 nm、2%茚三酮溶液用量3.0 mL、缓冲液pH值6、缓冲液用量2.0 mL、水浴加热温度80℃、水浴加热时间40 min;最佳提取条件为乙醇浓度85%,乙醇用量35.0 mL,提取时间60 min,提取2次。在所收集到的福建省4个产地的细叶石仙桃中总氨基酸含量由高到低依次为永泰县、上杭县、屏南县、永春县。结论:优选的提取工艺稳定可行,建立含量测定方法简便、准确、重复性好,为细叶石仙桃的质量评价和进一步开发利用提供依据。样品中以永泰县所产的细叶石仙桃质量最佳。

Analyze the Performance of Electroactive Anticorrosion Coating of Medical Magnesium Alloy Using Deep Learning

Electroactive anticorrosion coatings are specialized surface treatments that prevent or minimize corrosion. Thestudy employs strategic thermodynamic equilibriumcalculations to pioneer a novel factor in corrosion protection.A first-time proposal, the total acidity (TA) potential of the hydrogen (pH) concept significantly shapes medicalmagnesium alloys. These coatings are meticulously designed for robust corrosion resistance, blending theoreticalinsights and practical applications to enhance our grasp of corrosion prevention mechanisms and establisha systematic approach to coating design. The groundbreaking significance of this study lies in its innovativeintegration of the TA/pH concept,which encompasses the TA/pH ratio of the chemical environment. This approachsurpasses convention by acknowledging the intricate interplay between the acidity and pH levels within thecoating formulation, thereby optimizing metal-phosphate-based conversion coatings and transforming corrosionmitigation strategies. To authenticate the TA/pH concept, the study comprehensively compares its findings withexisting research, rigorously validating the theoretical framework and reinforcing the correlates among TA/pHvalues and observed corrosion resistance in the coatings. The influence of mutations that occur naturally inthe detergent solution on persistent phosphorus changes is shown by empirical confirmation, which improvescorrosion resistance. This realization advances the field ofmaterials and the field’s knowledge of coated generation,particularly anticorrosion converter layers.

连续流动-钼酸铵分光光度法测定土壤全磷

利用硫酸-高氯酸湿法消解土壤,采用连续流动分析仪直接测定消解液磷酸根含量,建立了高通量测定土壤全磷的实验方法。方法检测限6.0 mg·kg^(-1),土壤样品的加标回收率为85%~100%。将该方法用于土壤标准物质(GBW07405、GBW07406a)全磷含量测定,结果准确,相对标准偏差(RSD)分别为3.5%、4.5%(n=3)。方法具备无需调节待测液pH值、分析速度快、消耗试剂少、结果准确可靠等优点,适用于大批量土壤全磷的测定分析。

AQC柱前衍生高效液相色谱方法测定康复新液中游离氨基酸和总肽的含量

目的应用6-氨基喹啉基-N-羟基琥珀酰亚氨基氨基甲酸酯(AQC)柱前衍生化技术,建立康复新液中游离氨基酸和总肽的高效液相色谱(HPLC)含量测定方法,并以总肽含量为指标对市售样品进行检测。方法以十八烷基硅烷键合硅胶为填充剂(Kromasil 100-5 C18色谱柱);60%乙腈(A)-0.14 mol·L^(-1)三水合乙酸钠溶液,用磷酸调节pH值至5.0(B)为流动相,梯度洗脱;柱温:39℃;流速:1.0 mL·min^(-1),检测波长:248 nm。结果14种氨基酸均能达到良好的分离效果;门冬氨酸、谷氨酸、丝氨酸、组氨酸、甘氨酸、精氨酸、苏氨酸、丙氨酸、脯氨酸、缬氨酸、赖氨酸、异亮氨酸、亮氨酸和苯丙氨酸分别在2.0~99.7、3.4~168.5、2.8~139.6、4.0~201.4、4.8~238.1、6.7~336.9、3.3~167.5、9.7~487.3、4.1~202.5、4.4~221.6、5.4~270.5、3.3~166.8、4.8~240.8、4.7~236.6μg·mL^(-1)范围内呈现良好的线性关系(r=0.9995~1.0000);游离氨基酸的平均加样回收率(n=6)为86.8%~108.1%,RSD为2.8%~4.4%,总肽酸水解氨基酸的平均加样回收率(n=6)为83.2%~102.7%,RSD为0.1%~3.1%;仪器精密度、重复性、稳定性实验的RSD均小于5.0%。结论该方法与现行质量标准的紫外分光光度法比较,二者测定的总氨基酸含量结果基本一致,但前者的专属性、重现性更优;以具有生物活性的总肽为质控指标,针对性更强,可为康复新液的质量评价提供更科学、合理的方法。

代谢相关标志物用于良性前列腺增生的临床价值研究

目的通过检测老年良性前列腺增生(BPH)患者的糖脂代谢相关指标,评价其与BPH的相关性,探讨将糖脂代谢相关指标纳入BPH常规检测的可能性,进一步对老年BPH患者治疗提出指导性建议。方法选取2021年7月至2022年6月于枣庄市立医院就诊的85例BPH患者设为BPH组,同期于本院体检的54例健康人员设为健康对照组。检测两组研究对象的糖化白蛋白(GA)、血清白蛋白(ALB)、总胆汁酸(TBA)、1,5-脱水-D-山梨醇(1,5-AG)以及丙酮酸(PYR)和糖化血红蛋白(HbA1c)水平。采用Pearson分析探讨BPH与各指标间的相关性,绘制受试者工作特征(ROC)曲线,以曲线下面积(AUC)评价相关指标对BPH的诊断价值。结果BPH组的BMI显著高于健康对照组(P<0.001)。BPH组的ALB、1,5-AG水平显著低于健康对照组,HbA1c显著高于健康对照组(P<0.01)。BMI、HbA1c与BPH发生呈正相关,ALB和1,5-AG与BPH发生呈负相关(P<0.05)。ALB、1,5-AG和HbA1c诊断BPH的AUC分别为0.796、0.701和0.656。结论ALB、1,5-AG水平降低以及HbA1c升高是BPH患者疾病进展的危险因素,建议将糖脂代谢相关指标ALB、1,5-AG和HbA1c纳入BPH常规检测。

响应面法对金银花叶总黄酮与绿原酸同步萃取工艺的优化

采用响应面法,对加压辅助溶剂同步萃取金银花叶总黄酮和绿原酸的工艺进行了优化。在单因素试验的基础上,综合评价总黄酮和绿原酸的得率“OD值”作为因变量,通过响应面法优化了液料比、萃取压力、溶剂体积分数、萃取温度和萃取时间。结果表明,优化后的加压辅助溶剂同步萃取工艺参数为:液料比26.5 mL/g,萃取压力3.1 MPa,溶剂体积分数60.5%,萃取温度90.3℃,萃取时间32 min。该工艺条件下,从金银花叶中萃取总黄酮得率为205.3 mg/g,绿原酸得率为24.5 mg/g, OD值与理论预测值的相对误差为1.0%。

血清Hcy、TBIL联合SUA检测对首发缺血性脑卒中及不良预后的预测价值

目的探讨血清同型半胱氨酸(Hcy)、总胆红素(TBIL)联合血尿酸(SUA)水平检测对首发缺血性脑卒中(FIS)及不良预后的预测价值。方法该研究为回顾性分析,选择2020年1月至2021年7月在该院神经内科住院治疗的210例FIS患者作为观察组,另匹配同期体检健康者210例作为对照组。比较两组血清Hcy、TBIL和SUA水平。统计FIS患者出院后1个月时的脑卒中致残、复发情况并使用改良Rankin量表(mRS)评估出院3个月时的预后情况,采用多因素Logistic回归分析FIS及其不良预后事件的危险因素。采用受试者工作特征(ROC)曲线评价血清Hcy、TBIL和SUA联合检测对FIS及复发、致残、mRS评分≥3分等不良预后事件的预测价值。结果与对照组相比,FIS患者的血清Hcy和SUA水平均显著升高,血清TBIL水平显著降低,差异有统计学意义(P<0.01)。出现复发、致残和mRS评分≥3分等不良预后事件的患者群体血清Hcy和SUA水平显著升高,血清TBIL水平显著降低,差异有统计学意义(P<0.01)。多因素Logistic回归分析结果显示,血清Hcy、TBIL和SUA不仅是FIS的影响因素(P<0.01),也是FIS患者疾病复发、致残和mRS评分≥3分等不良预后事件的影响因素(P<0.01)。ROC曲线分析结果显示,血清Hcy、TBIL和SUA 3项指标联合诊断FIS的曲线下面积(AUC)为0.835(95%CI:0.789~0.875),3项指标联合诊断FIS的效能显著优于单指标检测(P<0.01)。3项指标联合检测对致残(AUC=0.859,95%CI:0.804~0.903)、复发(AUC=0.807,95%CI:0.747~0.858)、mRS≥3分(AUC=0.847,95%CI:0.791~0.893)等不良预后事件也具备一定的预测效能,且预测效能显著优于单指标检测(P<0.05)。结论血清Hcy、TBIL和SUA水平与FIS发生及预后密切相关,血清Hcy、TBIL和SUA联合检测在FIS的诊断和预后评估中具有较高的临床价值。

不同血清总胆汁酸水平对妊娠肝内胆汁淤积症患者肝功能和母婴结局的影响

目的分析不同血清总胆汁酸(TBA)水平对妊娠肝内胆汁淤积症(ICP)患者肝功能和母婴结局的影响。方法选取2021年1月至12月珠海市妇幼保健院收治的60例ICP患者为研究对象,根据TBA水平分为对照组(30例,TBA<40μmol/L)、观察组(30例,TBA≥40μmol/L)。比较两组血清总胆红素(TBiL)、丙氨酸转氨酶(ALT)、天冬氨酸转氨酶(AST)、碱性磷酸酶(ALP)、γ-谷氨酰基转移酶(γ-GGT)水平和母婴结局。结果观察组血清TBiL、ALT、AST、ALP、γ-GGT水平高于对照组,差异有统计学意义(P<0.05);观察组羊水污染率高于对照组,差异有统计学意义(P<0.05);观察组早产、新生儿窒息率高于对照组,差异有统计学意义(P<0.05);观察组新生儿出生后1、10 min的Apgar评分低于对照组,差异有统计学意义(P<0.05)。结论高水平TBA的ICP患者肝功能损害更加严重,羊水污染、早产、新生儿窒息等不良母婴结局的发生率更高。

不同酶制剂及酒曲组合对米香型白酒品质的影响

为探究不同酶制剂及酒曲组合对米香型白酒品质的影响,该研究考察了不同酒曲(安琪酒曲、锡安酒曲、力克酒曲、雅大酒曲)及不同酶制剂(酸性蛋白酶、纤维素酶、α-淀粉酶和脂肪酶)组合对米香型白酒酒精度、总酸、总酯及感官评分的影响。结果表明,分别将酸性蛋白酶、α-淀粉酶、脂肪酶与安琪酒曲进行组合,可提高米香型白酒品质。其中,将α-淀粉酶和脂肪酶与安琪酒曲的组合可明显提高米香型白酒品质,其酒精度、总酸、总酯含量及感官评分分别为18.50%vol、0.40 g/L、2.81 g/L、88.00分,且其酒精度、总酸、总酯含量分别提高27.59%、29.03%、9.33%。