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Table of Content

    20 March 2010, Volume 5 Issue 03
    主编手记
    The Difference Between Men and Women
    WANG Yong-Uun
    2010, 5(03):  5-6. 
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    述评
    Attention to Women's Cardiovascular and Cerebrovascular Diseases
    BI Qi;ZHANG Wwi-Jun
    2010, 5(03):  7-8. 
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    论著
    A Cross Sectional Research on Gender Difference for The First-Ever Ischemic Stroke Patients with Metabolic Syndrome
    LIU Xin-Qiong;WANG Chun-Xue;ZHENG Hua-Guang;et al.
    2010, 5(03):  9-14. 
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    Objective To investigate the gender differences for the first-ever ischemic stroke (FIS) patientswith metabolic syndrome (MS) on basic levels.Methods Inpatients with FIS were enrolled consistently into our study from Aug. 2008 to Nov.2009. A cross-sectional study was conducted in these patients. According to the definition ofmetabolic syndrome by the International Diabetes Federation (IDF), the patients were divided intodifferent groups in order to comprehend the difference in gender.Results Six hundreds and two patients with FIS were enrolled in our study, the male was 411(68.3%), the female was 191 (31.7%). 234 inpatients were found with MS among in these patients,the male and female was all 117. The incidence of MS in the male and female was 28.5% and61.3% respectively. Compared to the female, the incidence of smoking and drinking were higherin the male (74.3% vs 14.5%, P <0.001 66.7% vs 4.3%, P <0.001). While compared to the male, theincidence of abdominal obesity and low high density lipoprotein (HDL), hypertension were higherin the female (79.1% vs 34.8%, P <0.001; 62.8% vs 38.9%, P <0.001; 97.4% vs 89.1%, P =0.024).The incidence of large artery atherosclerosis (LAA) stroke and non-LAA stroke was 67.4% vs48.4% (P =0.011) in the female with MS, when compared to the female without MS. While in themale, it was 29.2% vs 25.3% (P =0.490), when the two group were compared.Conclusion The incidence of MS in FIS patients was much higher in the female than that in themale. Smoking and drinking were common risk factors in the man with MS than those in thewoman, but abdominal obesity and low HDL, hypertension were common risk factors in the women.The female with MS had the trend to be LAA stroke more easily than the female without MS, butthis feature was not found in the male.
    The Expression and Significance of iASPP in Rats with Focal Cerebral Ischemia-Reperfusion
    LIU Xiang-Rong;LUO Yu-Min;YAN Feng;et al.
    2010, 5(03):  15-19. 
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    Objective To observe the expression and significance of iASPP (inhibitory member of the ASPPfamily) in rats with focal cerebral ischemia-reperfusion.Methods All rats were randomly divided into sham group (n=8) and cerebral ischemia-reperfusiongroup (n=40). Five time points were set in cerebral ischemia-reperfusion group: 2, 4, 12, 24, 48 aswell as 72 hours after 2 hours ischemia and reperfusion, ecah group have 8 rats. The volume ofcerebral infarction was detected by hematoxylin-eosin (HE) staining. Apoptosis after focal ischemiawas examined with TUNEL (Terminal deoxynucleotidyl transferase-mediated dUTP nick endlabeling) staining. The expression level of iASPP was observed by Western blot analysis.Results The positive rate of apoptotic cells in the cerebral ischemia-reperfusion group at 24 h afterreperfusion was higher than that in sham group, which showed statistical significance (P <0.01).The infarct volume in cerebral ischemia-reperfusion subgroups at 12h, 24h, 48h and 72h afterreperfusion was larger than that in sham group respectively (P <0.05). Compared with the shamgroup, the expression level of iASPP protein in penumbra region began to decrease at 12h afterreperfusion (P <0.01), reached the lowest point at 24h after reperfusion (P <0.01), and then began toincrease at 48h (P <0.01).Conclusion After cerebral ischemia-reperfusion, the quantity of apoptotic cells increased and theexpression level of iASPP decreased, which suggests that low expression of iASPP may play animportant role in apoptosis of cerebral ischemia-reperfusion and high expression of iASPP mayhave neuroprotective effects.
    Effects of Human Adipose-Derived Stem Cells on Cognitive Impairment Induced by Chronic Cerebral Hypoperfusion in Rats
    CHU Chun;ZHAO Yuan-Li;Zhao Ji-Zong;et al.
    2010, 5(03):  20-24. 
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    Objective To explore the effects of human adipose-derived stem cells(hASCs) on cognitiveimpairment induced by chronic cerebral hypoperfusion in rats.Methods Adipose-derived stem cells(ASCs) were isolated, cultured, and expanded from humanadipose tissue in vitro. Chronic cerebral hypoperfusion was induced using the two-vesselocclusion (2VO) model by permanent bilateral carotid arteries ligation(BCAL) in rats. AfterBCAL, intravenous infusion of 2×106/ml of hASCs was administered at 1 day, 1 week and 3 weeksrespectively. Control groups were injected with 0.9% saline. Water maze test was performed 5weeks after BCAL for oberseving effects of hASCs at different time points on cognitive impairmentinduced by chronic cerebral hypoperfusion in rats.Results Swimming time of 2VO rats were significantly different from sham-operation group(P <0.01). The improvement of cognitive deficits was found in 2VO rats infused with hASCs at 3weeks treatment compared with saline control group. The outcome of 1 day and 1 week groups donot have statistical significance.Conclusion Intravenous infusion of hASCs can improve the cognitive impairment of chroniccerebral hypoperfusion in rats, and the effect of the chronic phase is better than the acute phase.
    The Analysis of Relationship between Knowledge, Attitude and Behavior of Stroke Prevention and Treatment during Beijing Community Population
    HUA Rong-Rong;WU Sheng-Ping;WANG Wen-Zhi;et al.
    2010, 5(03):  25-28. 
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    Objective To describe the level of knowledge, attitude and behavior, analyze the related factors,and provide evidence of stroke prevention and treatment among Beijing community population (age≥50 years).Methods There were 1350 non-stroke cases entire by cluster random sampling from Chongwenand Shijingshan districts in Beijing, which had 100,000 natural populations. Qualified investigatorshad face-to-face survey using the uniform standardized questionnaire during the period of June,2008 to March, 2009. The questionnaire included general information and the knowledge, attitude,behavior of stroke prevention and treatment.Results The correlation coefficients of knowledge score and attitude was 0.076(P =0.005). Thecorrelation coefficients of knowledge score and behavior was 0.245(P <0.001). The correlationcoefficients of attitude score and behavior was 0.208(P <0.001).The knowledge score was alsoassociated with the level of education, beliefs, behavior score with gender and age-related.Conclusion The knowledge, beliefs and behavior of stroke prevention and treatment wereinterrelated. At the same time, beliefs and behavior score were effect by gender and age, but it hasnothing to do with education level.
    Analysis of the Relative Risk Factors for Outcome of the Patiens with Subarachnoid Hemorrhage
    WEN Miao;ZHENG Hua-Guang;BIAN Li-Heng;et al.
    2010, 5(03):  29-33. 
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    Objective To analysis the risk factors relative with clinical outcomes of subarachnoid hemorrhage(SAH).Methods One hundred and thity-six SAH cases completed with DSA from 2007 to 2008 in ourhospital were enrolled. Nature information, previous history, Hunt-Hess classification score and CTFisher grade, aneurysm position, GCS at early time, complications and discharge MRS were usedfor single factor and multivariate analysis of the relative risk factors.Results Vasospasm, rehaemorhagia, infection, febris, Hunt-Hess classification score, CT Fishergrade and consequence of DSA had statistical difference (P <0.05).Conclusion The aneurysm subarachnoid hemorrhage patiens with high Hunt-Hess classificationscore and CT Fisher grade, poorly GCS or vasospasm, rehaemorhagia, infection, febris had poorprognosis.
    Effects of Intrathecal Administration LXM-10 on the Expression of FOS Protein and P2X3 Receptor in Neuropathic Pain Rat Models
    PANG Hong-Jie;JIN Xu;WANG Bao-Guo.
    2010, 5(03):  34-39. 
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    Objective To investigate the changes of Fos protein and P2X3 receptor's expression in rats withneuropathic pain in spinal cord dorsal horn and dorsal root ganglion (DRG) after intrathecalinjection of new analgesic drugs LXM-10.Methods One hundred and eight adult SD rats were randomly divided into three groups (n=36each): the sham operation group (S group), the control group (C group) and the LXM-10 group(L group). The control group and XM-10 group were made into the chronic constriction injury ofthe sciatic nerve(CCI-SN) model. The operation group, control group and XM-10 group had beendivided into three sub-groups (n=12 each) according to the injection time points. On the day 1, 5,12 after CCI-SN, control group and XM-10 group were subarachnoid injected with correspondingdrugs: normal saline 10μl for C3 group, C7 group, C14 group, or LXM-10 6.0μg/kg for L3group, L7 group and L14 groupcontinuous 3 days, respectively. The sham operation group wereintrathecally injected with normal saline 10μl for S3 group, S7 group, S14 group. After intrathecallyadministrating relevant drugs (normal saline or LXM-10) for 3 days, the rats were sacrificed in two hours after the last administration, and their spinal cord and L4-6 DRG were collected immediately.The expression of Fos protein and P2X3 receptor were measured with immunohistochemistry tests.Results The expression of Fos protein in the control group at each time point increased with time,and it was mainly expressed in the spinal cord dorsal horn. Compared with the control group ateach time point,the Fos-like immunoreactivity(F-LI) cells in LXM-10 group decreased significantly.(The L3 group compared with the C3 group, P =0.003; the L7 group compared with the C7 group,P =0.023; the L14 group compared with the C14 group, P =0.005.) The changes of Fos proteinexpression in DRG was similar to relevant spinal cord. (The L3 group compared with the C3 group,P =0.002; the L7 group compared with the C7 group, P =0.003; the L14 group compared with theC14 group, P =0.002.) The expression of P2X3 was up-regulated in all CCI-SN groups. The P2X3positive expression could be easily observed in L4-6 DRG. Compared with the control group, theexpression of P2X3 positive cells in the LXM-10 group at each time point decreased in the spinalcord dorsal horn. (L3 group compared with C3 group, P =0.043; L7 group compared with C7 group,P =0.008; L14 group compared with C14 group, P =0.005.) After intrathecal administration in DRG,the expression of P2X3-positive cells significantly reduced at each time point. (L3 group comparedwith C3 group, P =0.034; L7 group compared with C7 group, P =0.001; L14 group compared withC14 group, P =0.003.)Conclusion For the neuropathic pain rats, after CCI of rats’ sciatic nerve, both Fos proteinand P2X3 receptor’s expression were up-regulated in the dorsal horn of spinal cord and DRG.Intrathecally administrated LXM-10 could significantly inhibit the expression of Fos and P2X3proteins. Intrathecal administration LXM-10 can significantly reduce the expression of the two.
    Changes of Haemodynamic Parameters of Transcranial Doppler in Acute Intracerebral Hemorrhage
    WANG Wen-Juan;YANG Zhong-Hua;ZHAOXing-Quan;et al.
    2010, 5(03):  40-44. 
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    Objective To investigate the brain blood stream changes that recorded by transcranial Doppler(TCD) during acute stage of the spontaneous intracerebral hemorrhage and its relationship with30-day death.Methods We prospectively included 87 patients with first-ever supratentorial, nontraumatic ICH.CT and TCD examination were performed in the acute stage (less than 24 hours from symptomonset). All 48 patients completed 4 times TCD examinations on the 1st, 3rd, 7th, 14th day afteronset. TCD recordings were obtained from the middle cerebral arteries, following variables wereanalyzed: systolic(Vs), diastolic (Vd), mean (Vm)velocities, pulsatiliy index and resistive indexfrom the affected and unaffected hemispheres.Results TCD variables of small-volume group within 24 hours from symptom onset were normal.Vm in unaffected hemisphere (P <0.01) and Vd in both hemispheres (affected hemisphere: P <0.01;unaffected hemisphere: P <0.01)in large-volume group were lower than those in mid-volume andsmall-volume groups. PI (affected hemisphere: P =0.001; unaffected hemisphere: P =0.001)andRI (affected hemisphere: P =0.001; unaffected hemisphere: P <0.01) in both hemispheres in largevolumegroup were higher than those in mid-volume and small-volume groups. Vm in bothhemispheres decreased gradually within 14 days after onset. Vd in unaffected hemisphere in deadgroup were lower than that in survival group (P <0.01).PI and RI in both hemispheres in dead groupwere higher than that in survival group (P <0.01).Conclusion Aemodynamic parameters of TCD may show the brain blood stream changes of ICHpatients and highly predict death in 30 days after onset.
    编者按
    Women's Cardiovascular and Cerebrovascular Diseases
    ZHANG Wei-Jun
    2010, 5(03):  45-45. 
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    专题论坛
    Advances in the Study of Sex Differences in Stroke
    SHI Yu-Zhi;WANG Chun-Xue;WANG Xian-Wei;et al
    2010, 5(03):  46-50. 
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    The Impact of Risk Factors for Coronary Heart Disease and Stroke in Postmenopausal Women
    KANG Yun-Peng;ZHANG Wei-Jun
    2010, 5(03):  51-53. 
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    病例讨论
    Two Female Cases of Antithrombotic Therapy Complicated with Stroke
    ZHANG Wei-Jun;HONG Zhao-Guang;KANG Yun-Peng;et al
    2010, 5(03):  54-56. 
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    指南与规范
    Recommendations for Imaging of Acute Ischemic Stroke
    ZHAO Min;HUANG Yan;ZHANG Ning
    2010, 5(03):  57-62. 
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    综述
    Application of Microdialysis Technique to the Research of Cerebral Ischemic Stroke
    ZHANG Xiao;ZHAO Gang.
    2010, 5(03):  63-67. 
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    Cerebral ischemic stroke is a common cause of mortality and disability in humansworldwide. Dysfunction of energy metabolism, disturbance of neurotransmitters and increaseof oxidative stress play important roles in pathophysiological processes of the cerebral ischemicstroke. Microdialysis technique, known for its continuous sampling and analysis of neurochemicalsubstances in the extracellular fluid is becoming a widely-used tool in the research of cerebralischemic stroke. This article summarizes the latest clinical and preclinical research in this field.
    The Effect of Hyperbaric Oxygen on Hypoxic-Ischemic Neuronal Apoptosis Through Mitochondrial Pathway
    LI Jie;XUE Lian-Bi.
    2010, 5(03):  68-72. 
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    Apoptosis is involved in the pathological process of hypoxic-ischemic braindamage. Once hypoxia-ischemia occurs, a number of independent pathways can lead to apoptosisrespectively. The mitochondrial pathway attached increasing attention. A variety of factorspromoting and anti-apoptotic play roles in the mitochondria, triggering mitochondrial functionand biochemical changes, and determining the fate of cells after injury. The key processs ofmitochondrial pathways include the generation of apoptotic stimulator, changes in mitochondrialpermeability, release of mitochondrial apoptotic factors, caspase family activation, and so on.Ifthey can be blocked on the above processes, excessive apoptosis of neurons can be inhibited andthe hypoxic-ischemic brain injury will be reduced. Clinical research and animal experiments haveconfirmed that hyperbaric oxygen therapy can reduce neuronal apoptosis. However, the mechanismis so complex that it is not yet completely clear. This article will explore the possible mechanism ofhyperbaric oxygen therapy for mitochondrial pathways of apoptosis.
    Advance of The Definition of Transient Ischemic Attack
    HAN Fei;YANG Zhong-Hua.
    2010, 5(03):  73-78. 
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    The definition of transient ischemic attack (TIA) has been changed a lot since it wasfirst established in 1950s. With the rapid development of imaging techniques and the accumulationof clinical experiences, the research focus on TIA has been converted from the duration of clinicalsymptom to the process of histological lesions resulted from TIA. In June, 2009, American HeartAssociation, American Stroke Association published a new guideline in Stroke which canceled therestriction about the duration of clinical symptom. It announced that the basic difference betweenTIA and cerebral stroke was whether there exists the evidence of cerebral infarction or not. The newguideline also announced the concept of “acute ischemic cerebrovascular syndrome”. This articlewill simply review the evolution of TIA's concept and take some discussion on the new definition.
    教学园地
    Using Authorware Software to Make Interactive Courseware, and to Enrich the Teaching Contents of Vascular Neurology
    ZHOU Heng;ZHANG Xing-Hu;ZHAO Xing-Quan;et al
    2010, 5(03):  79-82. 
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