[Correlative analysis of the parameters of eTRACKING detection of femoral artery and the syndrome types of traditional Chinese medicine in type 2 diabetic patients].

OBJECTIVE: To explore the correlation between the parameters of eTRACKING detection of femoral artery and the syndrome types of traditional Chinese medicine (TCM) in type 2 diabetic patients so as to provide clinical evidence for early prevention and treatment of diabetic lower extremity arterial disease. METHODS: A total of 147 cases of type 2 diabetic patients were included. Basic data and TCM clinical information were collected, and eTRACKING detection of common femoral arteries was performed. Differentiation of symptoms and signs for classification of TCM syndromes was performed in all patients. The correlations between TCM syndrome and pressure-strain elastic modulus (Ep), stiffness parameter beta, arterial compliance (AC), pulse wave velocity beta (PWVbeta), and augmentation index (AI) in common femoral arteries were observed. RESULTS: In the patients with deficiency of both yin and yang, the Ep value was higher than that in the patients with deficiency of both qi and yin, the stiffness parameter beta was higher than that in the other three syndrome types (deficiency of both qi and yin, excessive heat due to yin deficiency, accumulation of damp-beat in spleen), the AC value was lower than that in the patients with excessive heat due to yin deficiency, the PWVbeta value was higher than that in the patients with excessive heat due to yin deficiency and deficiency of both qi and yin, and the AI value was higher than that in the patients with excessive heat due to yin deficiency. The stiffness parameter beta in the patients with deficiency of both qi and yin was higher than that in the patients with accumulation of damp-heat in spleen. In the patients with blood stasis, the Ep value was higher and the AC value was lower than that in the patients without blood stasis. CONCLUSION: The decrease of elasticity in lower extremities can be detected by eTRACKING. This study reveals that type 2 diabetic patients with deficiency of both yin and yang, accumulation of damp-heat in spleen and blood stasis have more severe lower extremity arteriosclerosis. In eTRACKING parameters, stiffness parameter beta, AC and PWVbeta may become the objective indexes in evaluating early diabetic lower extremity arteriosclerosis.

[Progress on painful diabetic peripheral neuropathy treated by integrative medicine].

The article reviewed clinical studies on painful diabetic peripheral neuropathy (PDPN) treated by integrative medicine. PDPN, a common complication of diabetes mellitus, which could severely influence patients' quality of life. The keystone and difficulty of PDPN treatment is to relieve pain. Tricyclic anti-depressants are the firstline agents for neuropathic pain but with obvious adverse reactions. Antiepileptic drugs and capsicin can relieve PDPN with less adverse reactions. In recent years, lots of report of clinical studies on DPN treated by TCM or integrative medicine were issued, but those pertinent to PDPN were seldom. Only the papers with independent statistical analysis on effect of pain relieving were selected to review in this article, and the authors presumed that it is feasible to treat PDPN with integrative medicine.

[Isolation and degrading characters of chlorpyrifos degrading bacteria XZ-3].

A strain of bacterium XZ-3 capable of highly degrading chlorpyrifos was screened from the soil sample collected from a pesticide plant after taming and enrichment. Based on analysis of phenotype, physiological and biochemical characters and 16S rDNA, XZ-3 was identified as Arthrobacter sp.. The effects of carbon source, pH, temperature and chlorpyrifos concentration on degradation were determined. The growth of bacteria in culture media were measured by visible absorption spectrophotometry under 400 nm. The residual chlorpyrifos in culture media was extracted with an equal volume of petroleum ether, and then determined by ultra-violet spectrophotometry. The results showed that the degradation rate of chlorpyrifos by XZ-3 was 86.8% in 24 h. The biodegradation rates were the highest when the additional carbon source was 0.3%, pH value was 9, chlorpyrifos concentration was 100 mg x L(-1), and cultivated temperature was 30 degrees C. The growth of bacteria increased with carbon source concentration, and was higher with pH from 8.0 to 10.0, and the highest when temperature was 30 degrees C, and chlorpyrifos concentration was 800 mg x L(-1). The strain could survive when chlorpyrifos concentration was 1000 mg x L(-1) and the removed amount of chlorpyrifos increased with chlorpyrifos concentration. The optimal conditions were proposed, which could provide theoretic basis for prevention and control of pesticides pollution.