重庆酸沉降物对小学生肺通气功能影响的探讨

本文选择重庆市酸沉降物不同污染水平的三个地区,7～12岁小学生共计1081人,进行肺通气功能测定,共9项指标(FVC、FEV_1、FEV_1％、PEFR、MMEF、FVC％、V_(75)、V_(50)和V_(25))。结果发现10岁女小学生全部指标均显示出污染地区明显低于相对清洁区。尤以V_(50)和V_(25)更敏感(P<0.001)。本调查与攀枝花和辽宁两地区10岁女小学生部分肺通气功能进行比较,发现FVC、FEV_1和PEFR值重庆相对清洁区和污染区均比两地区低。特别是V_(50)和V_(25)的值低1～2倍。     

大气污染对儿童唾液溶菌酶含量的影响

本文分析了重庆市大气污染(SO_2、NO_x、TSP)的特征,报导重污染区儿童唾液溶菌酶含量明显低于相对污染区(P<0.00001),污染区儿童体内免疫功能下降;发现暴露于两种或两种以上因素(酸沉降物、被动吸烟、燃煤)时,对儿童唾液溶菌酶含量的影响远大于它们单一因素的作用(P<0.00001),经逐步回归分析,得Y=401.6869-68.1306X_5-42.3868X_1-20.8466X_4(r=0.7681,F值=185.08,P<0.00001);并针对重庆市大气污染的具体情况,提出一些有意义的建议措施。     

Origin of raised maternal serum alpha-fetoprotein levels in second-trimester oligohydramnios

Concanavalin A (Con A) subtyping of alpha-fetoprotein (AFP) revealed higher concentrations of AFP non-reactive with Con A in sera of 12 pregnant women with second-trimester oligohydramnios and raised total serum AFP levels than in sera of 42 pregnant women with raised total serum AFP levels and a normal amniotic fluid volume. This suggests that in oligohydramnios the origin of excess AFP in the maternal compartment is amniotic fluid. It is proposed that oligohydramnios and the associated raised maternal serum AFP levels are caused by damage of the fetal membranes prior to 16 weeks of gestation resulting in leakage of amniotic fluid to the decidual tissue and resorption in the maternal circulation.     

Superovulation fails to increase human blastocyst yield after uterine lavage

Uterine lavage affords the potential for non-invasive human blastocyst recovery, with obvious potential for preimplantation genetic diagnosis. In an effort to duplicate in women the multiple blastocyst recovery per cycle that can be achieved in several other species, we initiated a programme in which fertile women underwent superovulation, followed by lavage and embryo collection. We superovulated 15 fertile women, aged 21–40, in 29 cycles using one of four regimens. Insemination was by either intercourse or artificial intracervical donor insemination with cryopreserved sperm from men of proven fertility. In 28 of 29 cycles, the uterus was lavaged daily for 1, 2, or 3 days between 5 and 10 days after human chorionic gonadotropin (hCG) administration or luteinizing hormone (LH) surge. Almost total fluid volume was recovered in every lavage. There were no retained pregnancies and no complications. Surprisingly, only two morulae, one blastocyst, and four unfertilized ova were recovered. Thus, alterations in ovulation induction, insemination timing, or lavage techniques must be contemplated in order to increase the blastocyst yield and thus fulfil the potential of uterine lavage for preimplantation diagnosis.