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Objective@#To explore the diagnostic value of ultrasound imaging for fetal central nervous system(CNS) malformation in early pregnancy.@*Methods@#From January 2017 to January 2018, a total of 190 cases of CNS malformation in early pregnancy, who were diagnosed by ultrasound imaging in Wenzhou Hospital of Integrated Traditional Chinese and Western Medicine were selected to analyze the clinical value of ultrasound imaging in the diagnosis of fetal CNS malformation in early pregnancy.@*Results@#Of the 190 pregnancies, 184 patients had satisfactory median sagittal section of the head and chest, horizontal cross section of the lateral ventricle, long axis of the spine, and cerebellum and posterior fossa pool.In 184 cases, the probability of display from 1 to 11+ 6 weeks was 93.33%, the probability of display from 12 to 12+ 6 weeks was 97.20%, and the probability of display from 13 to 13+ 6 weeks was 97.06%.Compared the display rates of CNS ultrasound examinations at different gestational weeks, the difference was not statistically significant (χ2=0.981, P>0.05). Three cases of 6 cases of CNS malformation diagnosed in early pregnancy were combined with other malformations.One case considered Cantrell's hypothyroidism with CNS malformation, 1 case with left iliac crest and right circumflex, 1 case with median cleft lip and palate, single atrioventricular with pulmonary atresia.The bilateral humerus was missing, in addition, 4 fetuses had an NT value more than 3 mm.The specificity of diagnosis of fetal CNS malformation in early pregnancy was 100.00%, the sensitivity was 85.71%, the specificity was 100.00%, and the positive predictive value was 99.46%.@*Conclusion@#Ultrasound imaging in the diagnosis of fetal CNS malformation in early pregnancy can improve the diagnosis rate and has high clinical value.
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Objective To explore the diagnostic value of ultrasound imaging for fetal central nervous system (CNS) malformation in early pregnancy.Methods From January 2017 to January 2018,a total of 190 cases of CNS malformation in early pregnancy , who were diagnosed by ultrasound imaging in Wenzhou Hospital of Integrated Traditional Chinese and Western Medicine were selected to analyze the clinical value of ultrasound imaging in the diagnosis of fetal CNS malformation in early pregnancy.Results Of the 190 pregnancies,184 patients had satisfactory median sagittal section of the head and chest ,horizontal cross section of the lateral ventricle ,long axis of the spine, and cerebellum and posterior fossa pool.In 184 cases,the probability of display from 1 to 11 +6 weeks was 93.33%, the probability of display from 12 to 12 +6 weeks was 97.20%,and the probability of display from 13 to 13 +6 weeks was 97.06%.Compared the display rates of CNS ultrasound examinations at different gestational weeks ,the difference was not statistically significant (χ2 ＝0.981,P＞0.05).Three cases of 6 cases of CNS malformation diagnosed in early pregnancy were combined with other malformations.One case considered Cantrell＇s hypothyroidism with CNS malformation,1 case with left iliac crest and right circumflex , 1 case with median cleft lip and palate , single atrioventricular with pulmonary atresia.The bilateral humerus was missing ,in addition,4 fetuses had an NT value more than 3 mm.The specificity of diagnosis of fetal CNS malformation in early pregnancy was 100.00%,the sensitivity was 85.71%,the specificity was 100.00%, and the positive predictive value was 99.46%.Conclusion Ultrasound imaging in the diagnosis of fetal CNS malformation in early pregnancy can improve the diagnosis rate and has high clinical value.
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Objective To study the effects of butylphthalide on cognitive function,apoptosis and pp38MAPK in hippocampus of rat model of vascular dementia.Methods The vascular dementia (VD) model was established by two vascular (2VO) method,and then sixty male Wistar rats were randomly divided into VD group,sham operation group and NBP (butylphthalide) group.Rats in NBP group were given 120 mg · kg-1 · day-1 dose butylphthalide by gavage,and rats in VD group and sham operation group were given the same dose vegetable oil.The cognitive function of each rat was tested by Morris water maze.The expression of p-p38MAPK in the hippocampus was observed by Western blot;and the apoptosis was observed in hippocampal CAl region by TUNEL staining.Results The hidden platform escape latency of NBP group ((48.72 ± 7.01) s,(42.41 ± 4.06) s,(40.34 ± 2.46) s)was significantly shortened compared with those of VD group((82.71±8.27) s,(80.36±9.65) s,(77.74±6.33) s)(P＜ 0.01) ; and the former platform quadrant time and the number of passing through the platform of NBP group ((26.45±4.66)s,(1.84±0.82) times) were significantly prolonged (P＜0.01) compared with those of VD group ((18.67±5.39) s,(1.32±0.61) times);the apoptosis and the expression of p38MAPK phosphorylation in hippocampus in NBP group ((153.65±9.85),(0.42±0.04)) significantly reduced (P＜0.01) compared with those of VD group ((209.46±11.49),(0.88±0.10)).Conclusion Butylphthalide can improve the learning and memory ability of VD rats,the reduce apoptosis in the hippocampus by the inhibition of the P38MAPK pathway.This may be one of the ways by which butylphthalide can treat vascular dementia.
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Objective To study the change of BDNF/NF-κB signal pathway induced by repeated febrile seizures.Methods Fifty-one 21 d male rats were randomly divided into three groups:normal control group(n=14),hyperthermal control group(n=19)and febrile seizure group(n=18).The febrile seizure model was devdoped by warrn water immersion[(45.0±0.3)℃].BDNF and NF-κB were measured by enzyme hnked immunosorbent assay(ELISA)and immunohistochemistry.Results The levels of BDNF in serum and hippocarnpus in FS group were higher than those in NC group(P＜0.01)and in HC group(P＜0.01).In FS group,the OD of the BDNF positive neuron was higher than that of NC group(P＜0.01)and HC group(P＜0.01);the OD of the NF-κb positive neuron in FS group was higher than that of NC group (P＜0.01)and HC group(P＜0.01),the OD of the NF-κB positive neuron in HC group higher more than in NC group(P＜0.01).There was positive correlation between BDNF expression and NF-κB activation(r=0.78.P＜0.01).Conclusion The expression of BDNF and NF-κB were obviously increased in FS group and they are positively correlated,suggesting that the BDNF/NF-κB signal pathway may be activated after febrile seizure.
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<p><b>OBJECTIVE</b>To study the prevalence of cerebral palsy (here in after referred to CP) in children aged 1 - 6 in Guangxi, China, and its epidemiologic characteristics and relevant risk factors.</p><p><b>METHODS</b>Investigations on the prevalence and etiology of CP in children at ages of 1 - 6 were conducted in Nanning, Hengxian and Qinzhou of Guangxi from June to December in 1998, with a cluster sampling.</p><p><b>RESULTS</b>Totally, 150 806 children aged 1 - 6 were investigated in Nanning, Hengxian and Qinzhou of Guangxi, with 89 418 boys and 61 388 girls. Among them, 193 children were diagnosed as CP, with a prevalence rate of 1.28 per thousand, higher in boys (136 cases, 1.52 per thousand ) than in girls (57 cases, 0.93 per thousand ), with statistical significance (chi(2) = 9.536 7, P = 0.02). Logistic regression analysis showed that risk factors for CP were children who could not cry after birth (neonatal asphyxia), Apgar score less than eight, delivery at lower level of maternity hospital, number of mother's gravidity, no prenatal checks for mothers, and taking antipyretics and preserved food with salt during pregnancy.</p><p><b>CONCLUSIONS</b>Prevalence of CP in children of Guangxi was at a lower level in comparison with that in other areas at home and abroad, which, maybe, was related with the lower neonatal survival and higher infant mortality.</p>