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2017 Vol. 24, No. 20
Published: 2017-07-18
4
Study of anxiety-like behaviour and the initial mechanism of rats in spleen qi deficiency
LIU Wen-jun;CHAI Ji-yan;XIE Xin;WU Cheng-ju;CHEN Jing;SHAN De-hong
ObjectiveTo study the anxiety degree change of rats in spleen qi deficiency rat and discuss its initial mechanism.Methods16 male SD rats with the body mass of(200±10)g were selected and they were randomly divided into the control group and spleen qi deficiency group(model group),and there were 8 rats in each group.Open-field test(OFT)was used to evaluate anxiety degree of rats.ELISA was chosen to measure ATP and CCK-8 concentrations in hippocampal tissue.Immunohistrochemical method was used to check CCKBR expression in hippocampal tissue.ResultsCompared with those in the control group,rat′s anxiety was reduced(P＜0.01),hippocampal ATP level was decreased(P＜0.05),hippocampal CCK-8 concentration was unchanged(P＞0.05),hippocampal CCKBR expression was decreased(P＜0.05)in the model group.ConclusionAnxiety in spleen qi deficiency is lower and its initial mechanism might involve in decrease of hippocampal ATP level and CCKR expression.
2017 Vol. 24 (20): 4-6 [
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Establishment of early experimental model for liver injury of alcoholism in rats
CHEN Huan;LIU Yan-ling;LIU Xue-rui;CAI Si-yu;WANG Jia-min;LIU Lan
ObjectiveTo explore the method of establishing a model of early alcoholic liver disease （ALD）in rats in order to provide an ideal animal model for studying the molecular mechanism of early alcoholic liver injury.MethodsTwenty-four male SD rats were randomly divided into experimental group (16 rats)and control group (8 rats).In the control group,SD rats were fed with tap water.In the experimental group,SD rats were fed with alcohol of which the concentration of 7%-56%increased gradually for 12 weeks.During the experiment,the quantity of the fodder and the value of drinking were recorded everyday.Then the weight was weighed every week.24 and 12 hours before rats in experimental group were killed,they were treated with acute lavages with 56%alcohol.The activities of alanine aminotransferase （ALT）,spartate aminotransferase （AST）,riglyceride （TG） and total cholesterol （TC） in serum were determined by the fully automatic biochemical analyser.Moreover,the histological and morphological changes of liver tissues were observed.ResultsThe growth rate of body mass was （160.09±3.12）%in the control group at the end of 12thweek,while it was（61.67±1.98）%in the experimental group （P＜0.05）.The ratio of liver body weight of the experimental group （3.74±0.54） was obviously increased compared with the control group （2.85±1.26）（P＜0.05）.Compared with the control group,the levels of AST,ALT,TG and TC of the model group were clearly increased （P＜0.05）.Meanwhile,the typical fatty liver pathologic changes,local inflammation and necrosis were observed in experimental group.ConclusionThe results show that the ALD model with low mortality is stable and easy to copy,which is highly similar to the early ALD in human,and can be used in the study of ALD.
2017 Vol. 24 (20): 7-10 [
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Research advances on perioperative blood management which the fasttrack surgery conducts for total hip arthroplasty
SHI Wei-fa;YIN Dong;HUANG Wen-wen;HUANG Yu;HUANG Xiao
Acute anemia is often the most common complication after hip arthroplasty,because the patient is suffering anemia before operation,and blood loss intraoperative and postoperative.The vital sign of patients will become unstable or the proceedings of rehabilitation may delay due not to given a blood transfusion.Although allogeneic transfusion,making vital sign steady,may lead to severe transfusion complications,such as having a fever,irritability and so on,or other complications which the rate of infection,length of stay,mortality may increase.The theory of fast-track surgery which is base on no additional complications applies to the management period of total hip replacementin perioperative period,makes the patients have physical training early.Bloodloss,being one of obstructions,will slow the fast-track of patient down.The blood management of total hip replacement including preoperative intraoperative,ostoperative,such as blood saving,recycle applies to the theory of fast-track surgery to reduce postoperative blood loss,reduce blood transfusion,reduce length of stay,promote the patient early rehabilitation increases patient satisfaction and comfort.
2017 Vol. 24 (20): 11-16 [
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181
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The research progress in immune factors pathogenesis and treatment correlating with recurrent abortion
LIU Dan;LI Jing-jing
Recurrent abortion is generally refers to with the same mate in 20 pregnant weeks ago continuous 2 times or more than 2 times of spontaneous abortion,is one of the most common complications of pregnancy.Etiology mainly includes the chromosomes，anatomical structure,endocrine,infection,genetic factors,immune factors and thrombosis before state,but close to 50%-80%the patients with recurrent abortion etiology has not been clear,now think more unexplained RSA is closely related to immune factors.This article through to the mechanism of immune factors and treatment progress were reviewed,provide new way for the treatment of URSA.
2017 Vol. 24 (20): 17-19 [
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Application research of Lapro-Clip absorbable clamp in modified threeport laparoscopic appendectomy
YIN Run-bin;ZHAO Hong-qi;HU Ming-long;LIANG Shun-xing;CHENG Hai-bing;LU Run-guang;FAN Zhi-yong;XIONG De-cai;ZENG Zhao-hui
ObjectiveTo investigate the application research of Lapro-Clip absorbable clamp in modified three-port laparoscopic appendectomy(LA)and to sum up the clinic value of LA.Methods50 patients with acute and chronic appendicitis in Department of General Surgery in our hospital from January 2017 to April 2017 were selected and randomly divided into the modified group and the conventional group,25 cases in each group.The modified group was treated by Lapro-Clip absorbable clamp in modified three-port LA,and the conventional group was given conventional three-port high ligation or loop ligature with absorbable suture and purse-string suture.Operating time,treated time of appendix root,exhausting time,hospitalization expense and the incidence rate of complication were compared between the two groups.ResultsOperating time,treated time of appendix root,exhausting time of the modified group was shorter than that of the conventional group,with significant difference (P＜0.05).There was no significant difference in the incidence rate of complication rate and hospitalization expense (P＞0.05).ConclusionLapro-Clip absorbable clamp shows the advantages of easiness to learn,rapid recovery,security and reliability and no increased expense,it is worthy of clinical promotion and application.
2017 Vol. 24 (20): 20-22 [
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Clinical study of elderly patients with type 2 diabetes mellitus complicated with subclinical hypothyroidism
ZHANG Ling-yu
ObjectiveTo explore the clinical features of subclinical hypothyr-oidism(SCH)in elderly patients with type 2 diabetes mellitus(T2DM).MethodsThe data and the test result of 69 elderly patients with T2DM combined with SCH(the T2DM+SCH group)and 192 elderly patients with T2DM (the T2DM group)from June 2014 to June 2016 in our hospital were collected and analyzed.ResultsThere was no significant difference in gender,age and smoking history between the T2DM+SCH group and the T2DM group (P＞0.05).Diabetes course,BMI,prevalence of hypertension and coronary heart disease,the level of TG,HbA1c,HDL-C and TSH in the T2DM+SCH group was significantly higher than that in the T2DM group,with significant difference (P＜0.05).There was a positive correlation between FBG,TG,HbA1c to TSH respectively(P＜0.05).ConclusionElderly patients with T2DM combined with SCH is more common in the clinical,the course of disease is long,the level of BMI,HbA1c,TG and other clinical indicators are relatively high,susceptible to high blood pressure,coronary heart disease and other complications.Elderly patients with T2DM screening SCH has clinical significance.
2017 Vol. 24 (20): 23-25转29 [
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Influence of enteral nutrition support on cardiac and pulmonary function and nutritional immunity status in elderly patients with AECOPD and respiratory failure
LYU Zhuo-jiang;WU Ting-an;ZHANG Dao-jin;FAN Yuan;GAN Xiao-hong
ObjectiveTo study the influence of enteral nutrition support on cardiac and pulmonary function and nutritional immunity status in elderly patients with acute exacerbation of chronic obstructive pulmonary disease(AECOPD)and respiratory failure.MethodsThe clinical data of 87 elderly patients with AECOPD complicated with respiratory failure treated in our hospital from October 2014 to October 2016 were retrospectively analyzed,a total of 40 patients with enteral nutrition were selected as the observation group,and 47 normal diet patients were selected as the control group.The cardiac and pulmonary function and nutritional immunity of the two groups were observed and compared.ResultsThere was no significant difference in the incidence rate of adverse reactions between the two groups(P＞0.05).The levels of serum total protein,albumin,transferrin and hemoglobin after treatment in the observation group was higher than that before treatment and in the control group after treatment,with significant difference (P＜0.05).The levels of logNT-proBNP and PaCO2after treatment in the observation group was lower than that before treatment and in the control group after treatment,and the levels of LVEF,PaO2and pH after treatment in the observation group was higher than that before treatment and in the control group after treatment,with significant difference (P＜0.05).The levels of hs-CRP and TNF-α after treatment in the two groups was lower than that before treatment,with significant difference(P＜0.05).The levels of IgA,IgG,CD3+,CD4+after treatment in the observation group was higher than that before treatment and in the control group after treatment,and the levels of hs-CRP and TNF-α after treatment in the observation group was lower than that in the control group after treatment,with significant difference (P＜0.05).ConclusionFor elderly AECOPD patients with respiratory failure patients,enteral nutrition can obviously enhance cardiac and pulmonary function,improve nutrition status,improve immune function,it is worthy of promotion.
2017 Vol. 24 (20): 26-29 [
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Expression and clinical significance of serum PCT,IL-1 and IL-6 in chronic obstructive pulmonary disease
XU De-hua
ObjectiveTo investigate the expression and clinical significance of serum procalcitonin(PCT),interleukin-1(IL-1)and interleukin-6(IL-6)in chronic obstructive pulmonary disease.MethodsFrom January to October in 2016,30 patients with acute exacerbation of chronic obstructive pulmonary disease(AECOPD)were classified into the AECOPD group,30 patients with stable COPD were selected as the COPD group,and another group of 30 healthy participants for physical examination was selected as the control group in the same period.The indexes of serum PCT,IL-1 and IL-6 were tested and their correlations with pulmonary function were analyzed.ResultsIn the AECOPD group,the levels of serum PCT,IL-1 and IL-6 were significantly higher than those in the COPD group and in the control group,while in comparison of the control group,those in the COPD group were higher,which were both displayed statistical difference(P＜0.05).The level of FEV1%and FEV1/FVC in the AECOPD group was lower compared with those in the COPD group and in the control group,the level of FEV1%and FEV1/FVC in the COPD group was lower than that in the control group,with significant difference(P＜0.05).Expression levels of serum PCT,IL-1 and IL-6 were negatively correlated with FEV1%and FEV1/FVC in pulmonary function,with statistical difference (P＜0.05).ConclusionThe levels of serum PCT,IL-1 and IL-6 in COPD patients are increased with the severity of COPD,and the expression levels are in negative correlations with FEV1%and FEV1/FVC.Detection of the above-mentioned factors can reflect the severity of the COPD and assist on assessing the disease condition and guiding the clinical treatment.
2017 Vol. 24 (20): 30-32 [
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Study analysis of changes of immune function in patients with chronic obstructive pulmonary disease and sleep disordered breathing
LIN Guo-hui;WANG Yan;CHEN Yan
ObjectiveTo investigate the changes of immune function in patients with chronic obstructive pulmonary disease (COPD)and sleep disordered breathing (OSAHS).MethodsFrom January 2014 to March 2017,46 patients with COPD treated in our hospital were selected as the COPD group,39 patients with OSAHS were selected as the OSAHS group,40 patients with overlap syndrome (OS)were selected as the OS group.The lung function of the three groups was compared,and the T lymphocyte subsets such as CD4,CD8 and CD4/CD8 levels in the three groups were examined by flow cytometry,and the difference between the three groups was analyzed.ResultsThe apnea hypopnea index (AHI)of the COPD group was significantly lower than that of the OSAHS group and the OS group,with significant difference(P＜0.05).The levels of FEV1and FEV1/FVC in OSAHS group was significantly higher than that in the COPD group and the OS group,with significant difference (P＜0.05).The levels of CD4 and CD4/CD8 in the OS group was significantly lower than that in the OSAHS group and the COPD group,with significant difference(P＜0.05).There was no significant difference in the other indicators between the three groups(P＞0.05).ConclusionThe immune function of patients with OS is significantly lower than that of patients with COPD or OSAHS.Ventilator therapy can improve the immune function of patients,and it is worthy of clinical promotion and application.
2017 Vol. 24 (20): 33-35 [
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Effect of holistic rehabilitation training on improving limb function and improving daily living ability in patients with hemiplegia
PAN Xin-ming;WANG Yong
ObjectiveTo explore the clinical effect of holistic rehabilitation training on improving limb function and improving daily living ability in patients with hemiplegia.Methods60 patients with stroke hemiplegia treated in our hospital from January 2011 to December 2016 were selected as the subjects,all patients were divided into the study group(30 cases)and the control group(30 cases)according to the random number table method.The control group was treated with routine nursing,and the study group was given holistic rehabilitation training on the basis of the control group.The Fugl-Meyer score,Barthel index and quality of life score were compared between the two groups.ResultsThe scores of Fugl-Meyer,Barthel index and quality of life after intervention in the two groups was significantly higher than that before intervention,with significant difference (P＜0.05).The scores of Fugl-Meyer,Barthel index and quality of life after intervention in the study group was significantly higher than that in the control group,with significant difference(P＜0.05).ConclusionHolistic rehabilitation training for stroke patients with hemiplegia can significantly improve the limb function and life quality of patients,and improve their daily living ability,which is worthy of clinical promotion and application.
2017 Vol. 24 (20): 36-38 [
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Feasibility analysis of Compound Glycyrrhizin on desloratadine Citrate in the treatment of chronic urticaria
ZENG Dong-wu;WU Hui-jian;HUANG Bao-zhen;CHEN Yan-fang;XIE Zhi-hua
ObjectiveTo investigate the clinical effect of Compound Glycyrrhizin on desloratadine citrate in the treatment of chronic urticaria.Methods180 cases of chronic urticaria from January 2015 to December 2016 in our hospital were selected and randomly divided into the control group and the study group,90 patients in each group.The control group was treated with Desloratadine Citrate,the study group was treated with Compound Glycyrrhizin combined with Desloratadine Citrate.The clinical efficacy,onset time,symptom disappearance time,adverse reaction,peripheral blood T lymphocyte subsets,IgE and EOS levels were compared between the two groups.ResultsThe clinical effective rate of the study group(92.22%)was significantly better than that of the control group(78.88%)(P＜0.05).The onset time and symptom disappearance time in the study group was significantly shorter than that in the control group(P＜0.05).The improvement of peripheral blood T lymphocyte subsets,IgE and EOS levels in the study group was significantly better than that in the control group (P＜0.05).There was no significant difference in the incidence rate of adverse reactions between the two groups (P＞0.05).ConclusionIn the treatment of patients with chronic urticaria in Compound Glycyrrhizin Combined with Desloratadine Citrate treatment can significantly shorten the treatment time of patients,improve the peripheral blood T cell subsets,IgE，EOS,and safe and effective,it is worthy of promotion and application.
2017 Vol. 24 (20): 39-41 [
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Clinical observation on treatment of intertrochanteric fractures in the elderly by collapsing intramedullary nail fixation
LIN Shi-rong;ZHAO Bo;YU Xu-hui
ObjectiveTo explore the clinical effect of proximal femoral nail antirotation (PFNA)in the treatment of intertrochanteric fractures in the elderly.Methods40 with femoral intertrochanteric fractures in our hospital from January 2013 to December 2016 were selected and randomly divided into the observation group and the control group,with 20 cases in each group.The control group was given dynamic hip screw,while the observation group was given anti-rotation proximal intramedullary nail fixation treatment.The situation of operation,clinical efficacy and the incidence of complication were compared between two groups.ResultsThe operation time and the length of operative incision in the observation group were shorter than tnose in the control group,the peroperative bleeding was less than that in the control group,the incidence of complication was lower than that in the control group,and the differences were statistically significant(P＜0.05).There were no significant differences on the fracture healing time between two groups (P＞0.05).ConclusionThe curative effect of anti-rotation femoral intramedullary nail fixation in the treatment of intertrochanteric fractures of the elderly is significantly better than that of the dynamic hip screw,and the operation time is short and the intraoperative blood loss is small,which can promote the rehabilitation of the patients.And application.
2017 Vol. 24 (20): 42-44 [
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A study of depression，coping style and social support of caregivers of first class relatives of schizophrenia
FAN Hong-feng;JU Li-jing;HU Xin-wei;XIAN Mei-niang;ZHANG Jian-long
Objectives To investigate the depression，coping style and social support of caregivers of first class relatives of schizophrenia.Methods218 cases from January 2015 to June 2016 in our hospital with the self rating Depression Scale(SDS)of the first-degree relatives of schizophrenia caregivers were assessed in accordance with the non depression divided into depression group and non depression group by medical coping questionnaire(MCMQ)and social support rating scale (SSRS)of the two groups take care of the control measure.ResultsA total of 218 patients completed the study,including 84 cases of non depression group,depression group 134 cases,the incidence of depression in depression group 48.2%;social support score,subjective support and utilization of support was lower than that in the non depression group,the difference was statistically significant(t=2.631,3.754,5.315,P＜0.01),objective support the factor scores of the two groups were not statistically different(t=1.101,P＞0.05);the TCSQ score of depression group negative coping scores were higher than the non depression group,positive coping scores were lower than the non depression group,the difference was statistically significant(t=3.608,3.580,P＜0.05).ConclusionThe incidence of depression among caregivers of first-degree relatives of schizophrenia is higher,and more negative coping styles are adopted.
2017 Vol. 24 (20): 45-47转51 [
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Therapeutic effect of YL-1 needle drainage combined with Urokinase rinsing on treating chronic subdural hematoma
LIN Yun-quan;GUO Da-hua;ZHENG Ze-zhou;XU Yi-cong;WANG Neng-qiang
ObjectiveTo analyze the therapeutic effect of YL-1 needle drainage combined with Urokinase rinsing on treating chronic subdural hematoma.Methods92 patients with chronic subdural hematoma admitted into the department of neurosurgery in our hospital from March 2012 to May 2016 were selected as research objects.They were divided into two groups including conventional group and experimental group.In the conventional group,simple drilling drainage was used,while in the experimental group,YL-1 needle drainage combined with Urokinase rinsing was adopted.The therapeutic effect in the two groups was compared.ResultsThe total effective rate was 97.83%and 84.78%in the experimental group and the conventional group，respectively(P＜0.05).The disappearing time of hematoma，rate of residual subdural effusion,and recurrence rate of hematoma was(7.22±2.12)d,2.17%and 0.00%in the experimental group,which were greatly superior to those in the conventional group(P＜0.05).There was no significant difference in the score of quality of life(QOL)in the two groups before treatment(P＞0.05).After therapy，the score of QOL in the experimental group was significantly better than that in the conventional group(P＜0.05).ConclusionCombination of YL-1 needle drainage and Urokinase rinsing obtains a remarkable clinical effect in patients with chronic subdural hematoma and can effectively decrease the recurrence rate of hematoma.At advantages of high operative safety,small trauma and simple and easy in operation,it is beneficial to improve the QOL,and is worthy of practical promotion.
2017 Vol. 24 (20): 48-51 [
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Application of continuous intracranial pressure monitoring in the treatment of hypertensive intracerebral hemorrhage
CAI Dan-hui;JIANG Nan;LI Zuo-shi;ZHENG Lie-hui
ObjectiveTo investigate the effect of application of continuous intracranial pressure monitoring in the treatment of hypertensive intracerebral hemorrhage.MethodsAltogether 34 cases of hypertensive intracerebral hemorrhage patients who were treated in our hospital from October 2014 to October 2016 were divided into two groups according to the time sequence of admission:16 cases in observation group and 18 cases in control group;two groups of patients were treated with hematoma drilling external drainage;at the meanwhile,observation group was implanted with the intracranial pressure monitoring system for continuous monitoring of intracranial pressure.The mannitol dosage,the incidence of complications and NIHSS(the National Institutes of Health Stroke Scale)score of two groups were compared.ResultsThe mannitol dosage of observation group at different time points was less than that of control group(P＜0.05);the total mannitol dosage of observation group [(1301.64±121.71)ml]was significantly less than that of control group [(1848.92±89.93)ml],with statistical significant difference between the two groups(P＜0.01);no statistically significant difference was seen in pre-treatment NIHSS score between the two groups(P＞0.05);the pre-and post-treatment NIHSS score of two groups was decreased significantly,and the post-treatment NIHSS score of observation group was decreased more significantly than that of control group,with statistically significant difference(P＜0.05);the total incidence of complications of observation group was 25.00%versus control group′s 88.89%，with statistically significant difference(P＜0.05).ConclusionContinuous intracranial pressure monitoring can effectively control the use of mannitol in patients with hypertensive intracerebral hemorrhage,and play an important role in shortening the course of treatment and reducing the incidence of complications,which is worthy of clinical application and promotion.
2017 Vol. 24 (20): 52-54 [
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Clinical study of bilateral craniotomy and craniectomy for severe craniocerebral injury
LI Jin-liang
ObjectiveTo investigate the clinical effect of bilateral craniotomy and craniectomy for severe craniocerebral injury.MethodsA total of 136 patients with severe brain injury who underwent treatment between January 2014 and January 2016 were divided into observation group and control group according to the order of treatment,with 68 cases in each group.patients in the observation group were treated with bilateral craniotomy and craniotomy.The patients in the control group were treated with unilateral large bone flap decompression and decompression.The two groups of patients with Glasgow prognosis score,postoperative routine indicators and the probability of complications were compared.ResultsThe score of Glasgow in the postoperative observation group was significantly higher than that in the control group.The blood pressure level,intracranial pressure level and blood glucose level of the observation group were significantly better than those of the control group,and the observation group The probability of complications after surgery was significantly lower than that of the control group.There was significant difference between the two groups(P<0.05).ConclusionThe operation of bilateral craniotomy and craniotomy is effective in the treatment of patients with severe craniocerebral injury.The adverse effects of this kind of treatment are small and safe,which is worthy of popularization in clinical treatment.
2017 Vol. 24 (20): 55-57 [
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Analysis of influential factors of clinical efficacy of microvascular decompression in treatment of trigeminal neuralgia
LENG Jing-xing
ObjectiveTo explore the influencing factors of microvascular decompression in the treatment of trigeminal neuralgia.MethodsA total of 43 patients with trigeminal neuralgia were treated with microvascular decompression in our hospital from January 2015 to December 2016.All patients were followed up for 4 months.The patients were followed up for recurrence and relapse.The factors such as age,sex,type,lesion location,course of disease,compression site,imaging outcome,and whether the responsibility of blood vessels and other factors were compared between two groups,among which with significant differences in the factors was given multiple regression analysis.ResultsOf the 43 patients,2 cases were lost,and 41 cases were included in the study.Among them,12 cases(29.3%)were recurrent.The results of univariate analysis showed that age,type,imaging results were the main factors that affected the curative effect(P＜0.05);multivariate Logistic regression analysis showed that atypical trigeminal neuralgia,angiographic examination with vascular compression,intraoperative findings of the responsibility of blood vessels were the results of microvascular decompression in the treatment of trigeminal neuralgia to reduce the efficacy of independent risk factors(P＜0.05).Conclusion Atypical trigeminal neuralgia,imaging examination with vascular compression,intraoperative findings of the responsibility of blood vessels are the results of microvascular decompression in the treatment of trigeminal neuralgia to reduce the efficacy of independent risk factors,these factors should be effective intervention measures to improve the prognosis of patients.
2017 Vol. 24 (20): 58-60 [
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A short term follow-up observation on the effect of Tongyuan acupuncture treating simple obesity of spleen deficiency and dampness obstruction
ZHENG Jie;XU Xiu-mei;LIANG Wei-feng;LIN Shao-zhen;LAI Xin-sheng
ObjectiveTo investigate the effect of the Tongyuan acupuncture treating simple obesity of spleen deficiency and dampness obstruction and the short-term effect.Methods60 cases with simple obesity and social volunteers were treated in our hospital of the First Affiliated Hospital of Guangzhou University of Chinese Medicine and Guangdong Province Traditional Chinese Medical Hospital From February 2015 to March 2016 were selected and randomly divided into treatment group and control group,and each group had 30 cases and another 30 healthy cases were enrolled the health control group.The treatment group was given by Tongyuan acupuncture treatment,while the control group was treated by the conventional acupuncture treatment and healthy control group were not treated.The curative effect was evaluated after 8 treatments and followed up for half a year.ResultsThe total effective rate of the treatment group was 96.67%,and it was 86.67%in the control group,and the difference was not statistically significant(P＞0.05).After half a year follow-up,the weight of the two groups were significantly decreased at the end of treatment,and BMI improved significantly.The treatment group had an advantage over the control group.The difference between the two groups before and after the treatment was statistically significant(P＜0.05),but after half a year follow-up,the treatment group and the healthy control group were not statistically significant(P＞0.05).ConclusionTongyuan acupuncture have a role of improving weight and BMI obviously on patients with 8 times treatment.
2017 Vol. 24 (20): 61-64 [
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Related factors study of elderly patients with type 2 diabetes mellitus complicated with hyperuricemia
LIU Ying;XU Lin
ObjectiveTo study the related factors of in elderly patients with type 2 diabetes mellitus complicated with hyperuricemia.MethodsA total of 567 patients with type 2 diabetes from January 2013 to January 2014 were selected and they were divided into the hyperuricemiad(HUA)and normal UA level(NUA group).Their clinical and laboratory data were retrospectively counted and analyzed.ResultsAmong 567 type 2 diabetes patient,92 patients were diagnosed with HUA (16.2%),and male patients had a significantly higher incidence rate of HUA group than female patients(55.4%vs 44.6%，P＜0.05).while the level of BUA kept increasing with age in the male,it was significantly higher than in the female(60 to 69 years old:53.1%;70 to 79 years old:57.1%;80 to 89 years old:62.5%vs.46.9%，42.9%，37.5%，P＜0.05).The course of disease in group HUA was significantly longer than that in group NUA,and HbA1c and uric acid were significantly higher than those in group NUA (P＜0.05).The incidence rate of cardiovascular diseases,diabetic nephropathy,diabetic peripheral neuropathy and hypertension in the HUA group was higher than that in the NUA group(P＞0.05).Multivariate Logistic regression analysis showed that gender (P=0.020,OR=0.582,95%CI=0.370-0.917)and course of disease (P=0.004,OR=1.053,95%CI=1.017-1.091)were risk factors for T2DM complicated with HUA.ConclusionThe prevalence of T2DM associated with HUA is higher and increased with age,and is higher in men than in women.The duration of disease and sex has significant influence on uric acid level.
2017 Vol. 24 (20): 65-67 [
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Clinical curative effect comparison of laparoscopic operation and laparotomy in treatment of colorectal cancer
ZHENG Xiao-ping;HE Xu-dong;FAN Yue-xiu;CHAO Jiang-ling;ZHOU Xing-hua
ObjectiveTo compare the clinical effect of laparoscopic operation and laparotomy in treatment of colorectal cancer.Methods132 patients with colorectal cancer given surgical treatment in our hospital from January 2014 to January 2016 were divided into two groups according to the operation method,and 66 patients were included in each group.The research group was given laparoscopic surgery,and the control group was given laparotomy;The intraoperative condition,postoperative recovery and complications between the two groups were compared.ResultsCompared with the control group,the surgical time of the research group was significantly longer(P＜0.01),but the incision length was significantly shorte,intraoperative blood loss was significantly less and blood transfusion proportion of patients was lower(P＜0.01).The difference between two groups on intraoperative lymph node cleaning number was not statistically significant(P＞0.05).Compared with the control group,the post-operative bowel sound recovery time,bed activity time and hospital stay of the research group were significantly shorter(P＜0.01),and the usage proportion of postoperative analgesic drug was less(P＜0.05).The total incidence rate of postoperative complication of the research group was 9.1%,which was significantly less than that of the control group(34.8%)(P＜0.01).ConclusionCompared with the laparotomy,the curative effect of laparoscopic surgery treating colorectal cancer is definite and it has disadvantages of smaller trauma,fewer complications and higher security.
2017 Vol. 24 (20): 68-70 [
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178
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Therapeutic effect of cytoreductive surgery therapy and neoadjuvant chemotherapy on advanced ovarian cancer
WANG Jing
ObjectiveTo discuss the effect of cytoreductive surgery and neoadjuvant chemotherapy on advanced ovarian cancer.MethodsFrom January 2011 to January 2014,100 cases with advanced ovarian cancer treated in our hospital and included the study,the patients were randomly divided into two groups by taking the computer single blind grouping method,each group had 50 cases,patients in the control group received
cytoreductive surgery,while patients in the observation group received neoadjuvant chemotherapy firstly,then received cytoreductive surgery.The clinical curative effect,operation time,intraoperative blood loss,hospitalization time and the incidence rate of complications were compared between the two groups,and patients were followed up for 3 years,the recurrence rate of 3 years,the survival rate 1 year and 3 years were compared between the two groups.ResultsThe total effective rate in the observation group was significantly higher than the control group,the operation time and hospitalization time were shorter than those of the control group,intraoperative blood loss was fewer than that of the control group,and the incidence rate of complications was significantly lower than those of the control group,the difference was statistically significant(P＜0.05).The recurrence rate of 3 year in the observation group was significantly lower than that of the control group,and the survival rate 1 year and 3 years were significantly higher than those of the control group,the difference was statistically significant(P＜0.05).ConclusionThe combination of cytoreductive surgery and neoadjuvant chemotherapy has a significant therapeutic effect on patients with advanced ovarian cancer and its short-term efficacy and long-term prognosis are relatively good.
2017 Vol. 24 (20): 71-73 [
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174
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Expression and significance of CD138 in urothelial epithelium and plasmacytoid urothelial carcinoma
WANG Jian-zhang;HUANG Jin-feng;LI Wei-xia;HE Zhi-ming
ObjectiveTo investigate the expression of CD138 in urothelial epithelium and urothelial carcinoma,and investigate whether it can be used as a basis for the diagnosis of plasmacytoid urothelial carcinoma.Methods30 cases of bladder biopsy specimens treated and followed-up in our hospital from October 2011 to October 2016 were collected,and among them,there were 9 cases of non-tumor amd benign lesion (group A),non invasive urothelial carcinoma were 12 cases(group B),invasive urothelial carcinoma(including the variant)were 9 cases(group C).The immunohistochemical method was used to detect the expression of CD138 in bladder biopsy tissue.ResultsCD138 has different level of expression in all three groups,including one week positive in group A and group C,and 1 case of group A and C was weakly positive and all others in three groups were positive.ConclusionCD138 can be expressed in the urothelial epithelium and the related lesions of urothelial epithelium carcinom,and CD138 can not be used as the basis for diagnosis of plasmacytoid urothelial carcinoma.
2017 Vol. 24 (20): 74-75转78 [
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186
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Prevention effect of heat sensitive moxibustion on bone marrow suppression after chemotherapy in patients with malignant tumor
WU Jin-yan;WU Yi-ting
ObjectiveTo investigate the preventive effect of heat sensitive moxibustion on bone marrow suppression after chemotherapy in patients with malignant tumor.Methods60 patients with malignant tumor received
chemotherapy in our hospital were selected as objects from September 2015 to September 2016 were selected and they were divided into the two groups,and there were 30 cases in each group.Patients in the control group were given oral western medicine,while the observation group was treated with heat sensitive moxibustion.Blood indexes(white blood cells,neutrophils,platelets,hemoglobin level)test results after treatment in the two groups were analyzed and its decrease degree was scored.The preventive effect on bone marrow suppression between the two groups was compared.ResultsAfter the end of chemotherapy,detection results of white blood cells,neutrophils,platelets and hemoglobin in patients of two groups were not in the normal range of reference,but the patients in the observation group were significantly higher than the control group,decreased score was lower than that of the control group;the total effective rate for bone marrow suppression in patients of the observation group and the control group was 93.33%and 60.00%respectively,and the observation group was significantly higher than the control group,all the above the differences were statistically significant(P＜0.05).ConclusionDuring the chemotherapy of patients with malignant tumors,and heat sensitive moxibustion applied can effectively prevent bone marrow suppression and it is worthy of popularization and application.
2017 Vol. 24 (20): 76-78 [
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159
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Study on urinary CD80 in children with minimal change nephropathy and focal segmental glomerulosclerosis
RAO Xing-yu;HU Chao-hua;LUO Kai-yuan;LIAO Hong-qun;ZHONG Xiao-ming
ObjectiveTo analyze the clinical application value of urine CD80 test in the minimal change disease(MCD)and focal segmental glomerulosclerosis(FSGS)in children.Methods30 children with MCD in our hospital from October 2014 to December 2016 were selected for this study,30 children with FSGS were selected for the study,30 healthy children were selected for the study in the same period.The results of CD80 test in three groups were compared.ResultsIn the urine CD80 level,the observation group was significantly higher than that of the control group (P＜0.05)there was statistically significant difference between the children with stage of onset and remittent of MCD;and there was no statistically significant difference between the stage of attack and catabatic period children(P＞0.05).ConclusionThe content of urine CD80 in the children with tiny nephropathy and reversible focal renal glomerulus sclerosis can be used as the identification of two diseases.
2017 Vol. 24 (20): 79-81 [
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175
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Influence of three-in-one eye care model on the visual health of preschool children
OUYANG Min
ObjectiveTo explore the effect of the three-in-one eye care model on the visual health of preschool children.MethodsAltogether 210 preschool children from 5 kindergartens in our city from January 2015 to January 2017 were randomly selected as the subject of this research and were randomly divided into observation group and control group,with 105 cases in each group.Preschool children and their parents in control group were given routine health education.Observation group was given the three-in-one eye care model on the basis of control group.The two groups were administered with 2-month continuous intervention and observation;2 months later,bad eyes habits of children in the two groups were compared,including rubbing eyes with dirty hands,continuous reading and writing for more than 15 min,continuous viewing of the luminescent screen every day for more than 30 min;the eye care behavior of two groups was statistically analyzed including regular handwashing,reading and writing in the correct posture and doing eye exercises more than 2 times every day.ResultsThe bad eyes habits of preschool children of observation group including rubbing eyes with dirty hands,continuous reading and writing for more than 15 min,continuous viewing of the luminescent screen every day for more than 30 min were significantly lower than those of control group,with statistically significant difference (P＜0.05);the eye care behavior of preschool children of observation group including regular hand washing,reading and writing in the correct posture and doing eye exercises more than 2 times every day was significantly higher than that of control group,with statistically significant difference (P＜0.05);the pre-interventional poor eyesight of two groups of preschool children was almost similar,without statistically significant difference (P＞0.05);the post-interventional poor eyesight of preschool children of observation group was improved significantly;the post-interventional poor eyesight of preschool children of control group was aggravated,both with statistically significant difference(P＜0.05).ConclusionIntervention of three-in-one eye care model can significantly correct the bad eye habits of preschool children,which plays a significant role in promotion of children′s good eye habit and improvement of their eyesight.
2017 Vol. 24 (20): 82-84 [
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148
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Clinical effect of interferon α1b as aerosol inhalation in the treatment of viral infection in children′s upper respiratory tract
LIU Yu-hua;HE Sheng-fu;CHEN Yan
ObjectiveTo investigate the clinical effect of interferon α1b as aerosol inhalation on treating viral infection in children′s upper respiratory tract.MethodsOne hundred children with viral infection in upper respiratory tract infection admitted into pediatric department in our hospital from May 2013 to May 2015 were selected.They were evenly divided into control group(conventional antiviral therapy)and observation group(aerosol inhalation of interferon α1b on the basis of conventional treatment).The clinical efficacy,clinical indicators,and the incidence of adverse reactions in the two groups were compared.ResultsThe total effective rate in the observation group was 92%,much higher than that in the control group accounting for 84% (P＜0.05).The clinical indicators and the incidence of adverse reactions were both superior to those in the control group(P＜0.05).ConclusionOn the basis of conventional treatment，application of interferon α1b as aerosol inhalation in the treatment of viral infection in children′s upper respiratory tract can obtain a definite effect.
2017 Vol. 24 (20): 85-87 [
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148
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Application effect of cervical dilatation double-balloon on induced labor in full-term pregnancy
YANG Ling
ObjectiveTo observe the clinical effect of cervical dilatation double-balloon on the induction of labor in full-term pregnancy.MethodsFrom March 2015 to March 2017,90 women with full-term pregnancy but the cervical score being less than 6 points were divided into observation group and control group based on their intention,with 45 cases in each group.They were provided with cervical dilatation double-balloon and small dose of oxytocin for induced labor in the two groups respectively.The cervical maturity after midwife,pregnancy outcome,neonatal Apgar score,and 2 h amount of bleeding after delivery in the two groups were observed.ResultsIn the observation group,the success rate of vaginal delivery was significantly higher than that of the control group(P＜0.05).There were statistical difference in stages of labor and score of cervical maturity in the two groups(P＜0.05).The pregnancy outcome and neonatal Apgar score in the observation group were remarkably superior to those in the control group(P＜0.05).The 2 h amount of bleeding after delivery in the observation group was less than that in the control group(P＜0.05).ConclusionApplication of cervical dilatation double-balloon on induced labor in full-term pregnancy is safe and convenient with a remarkable effect,which is worthy of wide promotion in clinical practice.
2017 Vol. 24 (20): 88-90 [
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171
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Diagnostic value of serum CRP and PCT detection in neonatal septicemia
HUANG Xiang;LIN Chuang-ting;HUANG Hui-ting;LU Cai-jie
ObjectiveTo investigate the diagnostic value of serum C-reactive protein(CRP)and procalcitonin(PCT)in neonatal sepsis.Methods40 patients with neonatal sepsis and 40 healthy newborns(normal group)were enrolled in our hospital from January to December 2016,and serum CRP,PCT test,statistical analysis of two groups of neonatal test results and diagnosis of positive status.were compared.ResultsThe sepsis group serum CRP and PCT levels were significantly higher compared with the normal group,the sepsis group with CRP,PCT detection and combined detection of positive positive rate was significantly higher compared with normal group;CRP,PCT in children with septicemia group,the positive rate of combined detection with CRP,PCT was significantly higher than single detection of positive phase,he positive rate of children with septicemia group interim PCT CRP and PCT,the positive rate of combined detection and early recovery stage were significantly higher,the difference has statistical significance(P＜0.05).ConclusionThe combination of serum CRP and PCT in neonatal sepsis is excellent.
2017 Vol. 24 (20): 91-93 [
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152
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The effect of laparoscope and laparotomy on the treatment of ectopic pregnancy and its effect on postoperative quality of life
JIE Yan-pin
ObjectiveTo investigate the effect of laparoscopy and laparotomy on patients with ectopic pregnancy and its effect on postoperative quality of life.MethodsFrom March 2015 to December 2016,64 cases of ectopic pregnancy patients of our hospital were selected as the research object,and according to the different methods of treatment,patients were divided into 32 of whom underwent laparotomy in group A and 32 of whom underwent laparoscopic surgery in group B.The tubal pregnancy and other pregnancy of the blood loss,operative time,exhaust time,pregnancy complications rate,tubal patency rate,discomfort before and after the operation and survival quality score were compared between the two groups.ResultsThe blood loss,operation time,evacuation time,complication rates and tubal patency rates of tubal pregnancy and other pregnancy in group B were better than that of group A,the differences were statistically significant(P＜0.05);the discomfort of 2 h and 12 h after the operation in group B were less than that of group A,and the differences were statistically significant(P＜0.05);the survival quality scale of 1 week and 2 weeks after operation in group B were higher than that of group A,and the differences were statistically significant(P＜0.05).ConclusionLaparoscopic surgery is better for ectopic pregnancy than laparotomy,and the postoperative survival quality is higher,and the retention of reproductive function has positive clinical significance,which is worth clinical practice.
2017 Vol. 24 (20): 94-96 [
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143
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Effect of group B Streptococcus infection in late pregnancy on pregnancy outcomes
ZHAN Wei-xing
ObjectiveTo investigate the effect of group B Streptococcus (GBS)infection in late pregnancy on pregnant women and neonates.MethodsA total of 80 cases of pregnant women who received
genitourinary tract examination in late pregnancy(28 weeks to the end of delivery)from October 2014 to October 2016 in our hospital were enrolled in the study.40 patients with positive results of CBS culture were included into the case group,and 40 normal pregnant women were selected as the healthy group.The postpartum hemorrhage,cesarean section,premature rupture of membranes,intrauterine infection and other adverse events were compared between the two groups,and the incidence rates of neonatal distress,infection and premature birth were recorded.ResultsAmong the 80 subjects,there were 40 cases of GBS infection.The incidence rate of postpartum hemorrhage,intrauterine infection and premature rupture of membranes were significantly higher in the case group than the healthy group (17.5%,27.5%,12.5%vs.2.5%,5.0%,0)the differences were statistically significant(P＜0.05).The incidence rate of fetal distress cases and infection were significantly higher in the case group than the healthy group(20.0%,17.5%vs.8.0%and 2.5%)(P＜0.05),but there was no significant difference in the incidence of preterm birth(P＞0.05).ConclusionGBS infection in late pregnancy can significantly increase the risks of premature rupture of membranes,intrauterine distress,infection and premature birth.Screening in late pregnancy should be strengthened and timely antimicrobial therapy should be carried out to avoid adverse pregnancy outcomes.
2017 Vol. 24 (20): 97-99 [
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140
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Effect analysis of laparoscopic and open surgery for uterine horn pregnancy
XU Zhou-dong
ObjectiveTo investigate the clinical value of laparoscopic uterine wedge resection combined with ipsilateral salpingectomy in the treatment of uterine horn pregnancy.MethodsEighty cases with uterine ectopic pregnancy from January 2013 to March 2016 in our hospital were divided into observation group and control group by random number table method,with 40 cases in each group.The control group was used routine open surgery,the observation group was used laparoscopic surgery.The surgical situation and levels of hormones 3 months after operation;intrauterine pregnancy during 1 year follow-up;time of sexual life regain postoperation,time of recover regular sexual life were observed.ResultsThe time of operation in the observation group was shorter than control group(P＜0.05),the hemorrhage during operation in the observation group was less than control group (P＜0.05),the time of getting out of bed in the observation group was earlier than control group(P＜0.05);the level of E2in the observation group was significantly higher than control group(P＜0.05),and the PRL level was significantly higher than control group(P＜0.05),the time of sexual life regain postoperation,time of recover regular sexual life of the observation group was earlier than that of the control group (P＜0.05).ConclusionLaparoscopic cholecystectomy combined with ipsilateral salpingectomy has little influence on the endocrine and it is quickly restore regular sexual life and it can reduce the risk of recurrent ectopic pregnancy.
2017 Vol. 24 (20): 100-102 [
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153
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Effect of GuizhiFuling Pills combined with Mifepristone on hysteromyoma and its influence on hormone level and hemorheology
XIE Xiao-hong
ObjectiveTo study the effect of GuizhiFuling Pills combined with Mifepristone in the treatment of hysteromyoma and its influence on hormone levels and hemorheology.MethodsFrom August 2015 to August 2016,100 patients with uterine fibroids treated in our hospital were selected and evenly divided into experimental group and control group according to the simple randomization.In the experimental group,patients were treated with Mifepristone combined with GuizhiFuling Pills.In the control group,only Mifepristone was used.The therapeutic effect after 3-month courses of treatment was compared.Besides,the average size of uterine fibroids,the change of hormone levels,and the change of hemorheology in the two groups before and after treatment were compared.ResultsAfter therapy,the total effective rate was 92.0%in the experimental group,much higher than that in the control group(78.0%),the difference was statistically significant(P＜0.05);the size of uterine fibroids after therapy in the experimental group was smaller than that in the control group (P＜0.05).The indexes of blood viscosity,plasmaviscosity,hematocrit and platelet aggregation rate were significantly lower after therapy compared with those before treatment,and those indexes in the experimental group were greatly lower than the control group,the differences were statistically significant(P＜0.05).ConclusionCombination of GuizhiFuling Pills and Mifepristone can obtain an optimal effect on treating uterine fibroids.It reduces the size of hysteromyoma,decreases the levels of LH,FSH,P,and E2,as well as the hemodynamic indexes including blood viscosity,plasmaviscosity,hematocrit and platelet aggregation rate,which is worthy of clinical promotion.
2017 Vol. 24 (20): 103-105 [
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141
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Clinical effect of Magnesium Sulfate combined with Nifedipine in the treatment of pregnancy induced hypertension syndrome
LYU Shui-yu
ObjectiveTo study the clinical effect of Magnesium Sulfate and Magnesium Sulfate combined with Nifedipine in the treatment of pregnancy induced hypertension syndrome (HDIP).MethodsFrom January 2014 to December 2016,100 patients with HDIP in our hospital for treatment were selected as the research object,and were divided into control group (50 patients,Magnesium Sulfate Injection)and observation group (50 patients,Magnesium Sulfate Injection+Nifedipine Tablets)by random number table.Before and after treatment,the systolic pressure and diastolic pressure,24 h urine protein quantitation,erythrocyte aggregation index,hematocrit and plasma viscosity were statistically compared,the clinical total efficiency of two groups were compared.ResultsAfter treatment,plasma viscosity,hematocrit,24 h urine protein and erythrocyte aggregation index of two groups were significantly lower than those before treatment,the differences were statistically significant(P＜0.05);all the above indicators in observation group were significantly lower than those of the control group,the differences were statistically significant(P＜0.05).After treatment,the systolic and diastolic blood pressure in the observation group were lower than that in the control group(P＜0.05).The clinical total effective rate of the observation group (94%)was higher than that of the control group (78%)(P＜0.05).ConclusionTreatment of HDIP with Magnesium Sulfate combined with Nifedipine can significantly alleviate the clinical symptoms,control blood pressure,urinary protein level and erythrocyte aggregation index,thereby increasing oxygen content and promoting clinical effect,so it is worth popularizing vigorously
2017 Vol. 24 (20): 106-109 [
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126
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The influence of unipara by labor analgesia combined with labor in liberal position
CHEN Yue-hua;LIANG Yu-yun;ZENG Li-ping
ObjectiveTo approach influence of unipara by labor analgesia combined with labor in liberal position.MethodsThe clinical data of 200 uniparas in our hospital from February 2014 to February 2016 were analyzed,which was divided into two groups by different delivery mode,100 cases of control group(conventional position childbirth)and 100 cases of detection group(labor analgesia combined with labor in liberal position).The each labor time,delivery outcome,neuropathic pain scale of two groups were detected.ResultsThe first,second,and third stage of labor of the detection group were shorter than those of the control group,the eutocia,cesarean delivery and episiotomy of detection group were lower than those of the control group,the grading chronic pain severity of detection group were better than those of the control group,the differences were statistically significant(P＜0.05).ConclusionThe application of unipara by labor analgesia combined with labor in liberal position can shorten labor time,decrease neuropathic pain scale,it is worthy of clinical application.
2017 Vol. 24 (20): 110-112 [
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152
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Different doses of Mifepristone Tablets for the treatment of uterine fibroids
CHEN Hui-qun;WANG Bi-xia;LAI Wei
ObjectiveTo study the curative effect of 25 mg and 12.5 mg Mifepristone Tablets for the treatment of uterine fibroids.Methods84 patients with uterine fibroids from March 2015 to October 2015 in our hospital were selected as the research object，all the patients were given Mifepristone treatment，according to random assignment patients were randomly divided into observation group and control group，42 patients in each group.The observation group was given 12.5 mg Mifepristone Tablets per day，and the control group was given 25 mg Mifepristone Tablets per day.The uterine fibroids volume，treatment effect and serum hormone levels and the incidence of adverse reactions of patients after treatment were observed.ResultsThe total effective rate in both groups was compared，control group （83.33%）was lower than that of the observation group （95.24%），the difference was statistically significant （P＜0.05）.After treatment，uterine fibroids size of patients in the two groups was much smaller than before treatment compared with before，the difference was statistically significant （P＜0.05）；there was no statistically significant difference in uterine fibroid volume between the two groups （P＞0.05）.Levels of serum P，E2，LH and FSH hormone of patients in the two groups after treatment were significantly better than the before treatment，the difference was statistically significant （P＜0.05）.After treatment,total rate of adverse reaction of patients in the observation group was obviously lower than that in the control group,the difference was statistically significant （P＜0.05）.ConclusionMifepristone 12.5 mg per day with better effect in the treatment of uterine fibroids,has lower adverse reaction rate,safety economy,it is worthy of long-term promotion of clinical use.
2017 Vol. 24 (20): 113-115 [
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The clinical effect of hysteroscopy-laparoscopy in the treatment of hydrosalpinx
FAN Li-ping;LI Xiao-hong;LI Jin LI Hui
ObjectiveTo investigate the clinical effect of hysteroscopy-laparoscopy in the treatment of hydrosalpinx.MethodsFrom January 2011 to October 2015,104 cases of women with reproductive age in our hospital were selected and divided into control group(n=40)and observation group(n=64)by random lottery grouping method.The observation group was given laparoscopic salpingostomy,the control group was given laparoscopic salpingectomy.The total effectiveness,the pregnancy outcome[including uterine pregnancy,ectopic gestation,natural intrauterine pregnancy and in vitro fertilization embryo transfer technology(IVF)],and the recurrence rate of the two groups were compared.ResultsThe total effectiveness in the two groups had no statistically significant difference (P＞0.05).The proportion of natural intrauterine pregnancy,ectopic pregnancy,IVF ratio and recurrence rate in the observation group compared with the control group,the difference was statistically (P＜0.05).Comparison results of uterine pregnancy in observation group and control group showed that difference was not statistically significant(P＞0.05).ConclusionThe uterine hysteroscopy-laparoscopy treatment of hydrosalpinx can improve the postoperative pregnancy rate and improve the outcome of pregnancy,which is worth the clinical practice.
2017 Vol. 24 (20): 116-118 [
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132
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Effect comparison of orbicularis muscle shortening modified surgery and eyelid skin orbicularis muscle resection in the treatment of senile entropion
DENG Kun-ming
ObjectiveTo compare the effect of orbicularis muscle shortening modified surgery and eyelid skin orbicularis muscle resection in the treatment of senile entropion.MethodsFrom January 2013 to January 2016,60 patients(104 eyes)with lower eyelid entropion in our hospital were selected and divided into the modified group(30 cases,51 eyes)and the resection group (30 cases,53 eyes)according to the different surgical methods.The modified group was treated with orbicularis muscle shortening modified surgery,and the resection group was treated with eyelid skin orbicularis muscle resection.Through follow-up,the short-term and long-term effects(1 year after operation)were compared between the two groups.ResultsThe total effective rate of the modified group was significantly higher than that of the resection group,with significant difference(P＜0.05).After a follow-up of 1 year,the long-term cure rate in the modified group was 88.2%(25 cases,45 eyes),which was higher than 75.5%(22 cases,40 eyes)in the resection group,with significant difference(P＜0.05).The recurrence rate in the modified group was 11.8%(5 cases,6 eyes),which was lower than 24.5%(8 cases,13 eyes)in the resection group,with significant difference (P＜0.05).ConclusionThe effect of orbicularis muscle shortening modified surgery is better than that the eyelid skin orbicularis resection in the treatment of senile entropion.
2017 Vol. 24 (20): 119-121 [
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Therapeutic evaluation of Glucosamine Sulfate Capsules combined with low intensity laser in the treatment of temporomandibular disorders
HUANG Xiao-qing;CHEN Mei-hua
ObjectiveTo investigate the curative effect of Glucosamine Sulfate Capsules combined with low intensity laser in the treatment of temporomandibular disorders.Methods72 patients with temporomandibular disorders admitted to Temporomandibular Joint Department of our hospital from June 2015 to June 2016 were selected and randomly divided into the control group and the observation group,36 cases in each group.The control group was treated with simulated laser for irradiation,the observation group was treated with Glucosamine Sulfate Capsules combined with low intensity laser therapy.The therapeutic effect of the two groups was compared.ResultsThe total effective rate of the observation group was higher than that of the control group,with significant difference(P＜0.05).The VAS scores after treatment in the two groups was lower than that on admission,and the ROM scores after treatment in the two groups was higher than that on admission,with significant difference (P＜0.05).The VAS score of the observation group after treatment was lower than that of the control group,and the score of ROM of the observation group after treatment was higher than that of the control group,with significant difference (P＜0.05).ConclusionGlucosamine Sulfate Capsules combined with low intensity laser in the treatment of temporomandibular disorders can effectively improve the patients′s clinical symptoms and improve clinical efficacy with good safety so that it is of good clinical promotional value.
2017 Vol. 24 (20): 122-124 [
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Observation of clinical application effect of periodontal prosthesis in patients with oral repair
TAN Zhao-lian;LIANG Wu-xing
ObjectiveTo explore the clinical effects of periodontal prosthesis in patients with oral repair.Methods108 cases of patients underwent the oral cavity repair in the department of Stomatology of our hospital from January 2014 to June 2015 were selected and according to patient′s wishes were divided into the observation group (n=54 cases were underwent periodontal surgery)and the control group (n=54 cases without underwent periodontal surgery).Followed up for 1 year,the clinical effect and root atrophy of two groups were observed,and the satisfaction degree of the patients with oral function recovery were compared by the form of questionnaire.ResultsThe well rate of oral recovery in the observation group (96.30%)was higher than that in the control group (78.78%),the incidence rate of gingival atrophy(3.70%)was lower than that in the control group(22.22%),the oral repair satisfaction(98.15%)was higher than that in the control group(75.93%),and the differences were statistically significant(P＜0.01).ConclusionThe periodontal repair in patients with oral repair can achieve good repair effect,which can improve the height of the gingival and alveolar pulp,improve the quality of the repair and fixation,at the same time,the utility model can meet the requirement of aesthetic appearance of patients,thus it has good clinical application effect.
2017 Vol. 24 (20): 125-127 [
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Application effect of body surface marking localization and ultrasoundguided localization in parturients anesthesia of cesarean section
MAI Ya-qiang;WEN Jin-hong
ObjectiveTo compare the application effect of body surface marking localization and ultrasound-guided localization in parturients anesthesia of cesarean section.MethodsFrom January 2015 to December 2016,80 parturients who underwent cesarean section in our hospital were selected and given spinal epidural anesthesia.The patients were divided into the body surface group and the ultrasonic group by random number table method,40 cases in each group.The surface group was punctured by traditional body surface location,while the ultrasound group was punctured by ultrasound-guided.The localization time of pre-anesthesia,the number of times of puncture and the number of epidural anesthesia were compared between the two groups,and the incidence rate of anesthesia related complications in the two groups was counted.ResultsThe localization time of pre-anesthesia in the ultrasound group was longer than that in the surface group,and the successful rate of first puncture in the ultrasound group was higher than that of surface group,with significant difference(P＜0.05).There was no significant difference in the proportion of epidural anesthesia between the two groups(P＞0.05).The incidence rate of complications such as catheter bleeding,nerve stimulation signs,paresthesia of the lower extremities and postoperative low back pain in the ultrasound group was significantly lower than that in the surface group,with significant difference (P＜0.05).ConclusionUltrasound-guided localization of lumbar-epidural anesthesia for cesarean section can effectively improve the success rate of puncture and reduce the incidence rate of anesthesia-related complications.It is worthy of clinical promotion and application.
2017 Vol. 24 (20): 128-130 [
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Application effect of non-tracheal intubation anesthesia in thoracoscopic surgery
PANG Wen-guang;HUANG Feng-liu;YANG Xing;YE Min;PANG Jing-zhuo
ObjectiveTo evaluate the application effect of non-tracheal intubation anesthesia in thoracoscopic surgery and to further analyze.MethodsFrom January 2013 to December 2016,81 patients who underwent thoracoscopic surgery in our hospital were selected as the objects,using computer generated random number,the object of study were divided into the control group(41 patients)and the experimental group(40 patients).The control group was given conventional thoracoscopic anesthesia,the experimental group was treated with non-tracheal intubation anesthesia.The anesthesia effect,operative success rate,the incidence rate of postoperative complication and the rate of recovery after surgery were compared between the two groups.ResultsThere was no significant difference between the two groups in the levels of HR,MAP and SpO2,as well as the success rate of operation (P＞0.05).The incidence rate of drug reactions caused by anesthesia in the experimental group was significantly lower than that in the control group,with significant difference(P＜0.05).There was no significant difference in the incidence rate of postoperative complications between the two groups(P＞0.05).The satisfaction degree of patients in the experimental group was significantly higher than that in the control group,with significant difference (P＜0.05).The activity time of down ground after operation and the time of eating after operation in the experimental group was significantly shorter than that in the control group,with significant difference(P＜0.05).ConclusionIn thoracoscopic surgery,the way of non-tracheal intubation can significantly reduce the adverse reactions caused by anesthesia,accelerate postoperative rehabilitation,has a good clinical value.
2017 Vol. 24 (20): 131-133转137 [
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134
Influence of ultrasound-guided continuous paravertebral nerve block combined with general anesthesia on stress response of thoracoscopic bullae resection
XU Zhu-hong;ZOU Min;WANG Liang-ping
ObjectiveTo investigate the influence of ultrasound-guided continuous thoracic paravertebral nerve block combined with general anesthesia on stress response in patients undergoing thoracoscopic resection of bullae.Methods100 patients who underwent unilateral thoracoscopic bullous resection in our hospital from January 2011 to January 2016 were selected as the objects.The patients were divided into the observation group and the control group according to the method of random number table method,50 cases in each group.The observation group was given ultrasoundguided continuous thoracic spinal nerve block combined general anesthesia,the control group was given only general anesthesia.All patients in the two groups underwent controlled intravenous analgesia.The visual analogue scale(VAS)was recorded at 2,6,12,24 h after operation.The blood glucose,epinephrine(E),norepinephrine(NE)and dopamine(DA)concentrations were measured before and during anesthesia and at 24 h after operation.Radioimmunoassay was used for the determination.ResultsThe VAS scores of the observation group after operation at 2,6 and 12 h was significantly lower than that of the control group,with significant difference (P＜0.05).The VAS scores of the observation group after operation at 6,12 and 24 h was significantly lower than that 2 h after operation,and the VAS score of the observation group at 24 h after operation was significantly lower than that 6 and 12 h after operation,with significant difference(P＜0.05).The VAS scores of the control group after operation at 6,12 and 24 h was significantly lower than that after operation at 2 h,the VAS score of the control group at 12 h after operation was significantly lower than that after operation at6 h,and the VAS score after operation at 24 h of the control group was significantly lower than that after operation at 6 and 12 h,with significant difference (P＜0.05).There was significant difference in the levels of E,blood glucose,DA and NE of the two groups between after operation at 24 h and before anesthesia(P＜0.05).There was significant difference in the levels of E,DA and NE of the two groups between after operation and before anesthesia (P＜0.05).There was significant difference in the levels of E,blood glucose,DA and NE of the control group between after operation at 24 h and before anesthesia (P＜0.05).There was significant difference in the levels of E,blood glucose and NE of the observation group between after operation at 24 h and before anesthesia(P＜0.05).There was significant difference in the levels of E,blood glucose,DA and NE after operation at 24 h between the observation group and the control group (P＜0.05).Conclusion Thoracic paravertebral nerve block combined with general anesthesia under ultrasound guidance has little effect on the stress response of patients undergoing thoracoscopic bullae resection,which also reduces the pain and improves the patient comfort.
2017 Vol. 24 (20): 134-137 [
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149
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138
Clinical efficacy of Ambroxol Hydrochloride Injection combined with Terbutaline in the treatment of bronchiectasis
XIONG Jia-yi;PENG Xue-fen;ZHANG Guo-qiang
ObjectiveTo observe the clinical efficacy of Ambroxol Hydrochloride combined with Terbutaline in the treatment of bronchiectasis.Methods100 cases of bronchiectasis admitted to our hospital from January 2015 to October 2016 were selected as the research objects,and were randomly divided into the control group and the experimental group,58 cases in each group.The control group was given conventional treatment,including oxygen,antibiotics(infection control),Aminophylline intravenous and inhaled corticosteroids,the observation group was treated by aerosol inhalation of Ambroxol Hydrochloride and Terbutaline suspension on the basis of the control group.The two groups were treated with 7 d,the clinical efficacy,the wheezing subsided time,cough subsided time,chest distress subsided time and lung function related indicators in the two group were observed.ResultsThe total effective rate of the observation group was 90.0%,which was significantly higher than 72.0%of the control group,with significant difference(P＜0.05).The wheezing subsided time,cough subsided time,chest distress subsided time in the observation group was significantly shorter than that in the control group,with significant difference(P＜0.05).The levels of FVC,FEV1and PEF after treatment in the two groups was higher than that before treatment,with significant difference(P＜0.05).The levels of FVC,FEV1 and PEF after treatment in the observation group was significantly higher than that in the control group,with significant difference(P＜0.05).ConclusionAmbroxol Hydrochloride combined with Terbutaline is effective in the treatment of bronchiectasis,and can rapidly improve the symptoms of bronchiectasis,it is worthy of clinical promotion and application
2017 Vol. 24 (20): 138-140 [
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182
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141
Study on establishment of quality control method for Gengnian Ning
SHI Hong-chao;YANG Neng-ying;HE Feng-lei;PENG Fu-quan
ObjectiveTo establish the method for the quality control of Gengnian Ning.MethodsMoutan Cortex,Paeoniae Radix Alba,Salvia Miltiorrhiza of Gengnian Ning were identified by thin layer chromatography (TLC).The content of baicalin (characteristic component of Gengnian Ning)was determined by high performance liquid chromatography(HPLC).The ZORBAX Eclipse XDB-C18column （4.6 mm×250 mm，5 μm） was used,the mobile phase was methanolwater-phosphoric acid （47∶53∶0.2）and the detection wavelength was 280 nm.ResultsMoutan Cortex,Paeoniae Radix Alba,Salvia Miltiorrhiza could be detectable by TLC and the spots were clear for observation.In the range of 92.4-924 ng,baicalin showed a good linear relationship between sample size and its peak area (r=0.9998).The average recovery was 99.79%with RSD=1.33% (n=6).The method had good precision,stability and repeatability.ConclusionThe established method is simple,accurate,reliable,reproducible and with strong specificity,which can be used for the quality control of Gengnian Ning.
2017 Vol. 24 (20): 141-144 [
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129
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Correlation analysis of effects of different processed products of Astragalus membranaceus on gastrointestinal function of spleen deficiency mice and polysaccharides content
ZHAO Wei;XIAN Xiao-min
ObjectiveTo investigate correlation of effects of different processed products of Astrsgalus membranaceus on gastrointestinal function of spleen deficiency mice and polysaccharides content.Methods60 healthy mice were selected and randomly divided into the control group,the model group,the Astragalus quality test group,the honey Astragalus test group,the rice Astragalus test group and the Astragalus membranaceus experimental group.There were 10 mice in each group.Determination of content of Astragalus Polysaccharides of different processed products of colorimetric method using phenol sulfuric acid,and the gastric emptying rate of carbon powder in small intestine of mice with spleen deficiency of Huangqi markers of different processed products of rhubarb lapactic advance rate and compare correlation between.ResultsDifferent processed products of spleen deficiency mice gastric emptying rate and intestinal propulsive rate:the influence of honey Astragalus Astragalus,astragalus,rice bran,astragalus.Compared with the model group,the different processed products of Astragalus had some inhibition on the rate of gastric emptying and the rate of small bowel propulsion.Compared with the Astragalus membranaceus,the Astragalus membranaceus prepared by the adjuvant inhibited the gastric emptying rate and the intestinal propulsive rate.The effects of different Astragalus processed products on gastric emptying rate and intestinal propulsive rate of spleen deficiency mice were different.Honey astragalus root>rice astragalus root>Astragalus membranaceus>Astragalus membranaceus.There was no significant difference in the gastric emptying rate and the small intestinal propulsive rate between the processed Astragalus and the control group,indicating that the gastrointestinal function was close to the normal level after treatment.ConclusionThe gastric emptying rate and intestinal propulsive rare of spleen deficiency mice controlled by different processed products of Astragalus membranaceus have positive correlation with polysaccharides content.
2017 Vol. 24 (20): 145-147 [
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162
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Clinical efficacy of traditional Chinese medicine Kuntai Capsule combined with hormone replacement therapy in the treatment of premature ovarian failure
BAO Xu-dong;MA Li
ObjectiveTo explore the clinical efficacy of traditional Chinese medicine Kuntai Capsule combined with hormone replacement therapy in the treatment of premature ovarian failure.MethodsThe clinical data integrity of 68 cases with premature ovarian failure treated in our hospital from January 2012 to June 2016 were analyzed retrospectively,and 33 patients treated from January 2012 to December 2014 were treated as the hormone group,and hormone replacement therapy was used only;35 patients treated from January 2015 to June 2016 were selected as the combined group,and they were added to Kuntai Capsule on the basis of the hormone group.The levels of sex hormone FSH,E2and clinical effects were compared between the two groups before and after treatment.ResultsThe K scores of the two groups after treatment at 3 months and 3 months after the withdrawal was significantly lower than that before treatment,with signifiacnt difference (P＜0.05).The K scores of the combined group after treatmeng at 3 months and 3 months after the withdrawal was significantly lower than that of the hormone group,with signifiacnt difference(P＜0.05).The level of E2in the combined group after treatment at 3 months and 3 months after the withdrawal was higher than that before treatment and the control group,and the level of FSH in the combined group after treatment at 3 months and 3 months after the withdrawal was lower than that before treatment and in the control group,with signifiacnt difference (P＜0.05).There was no significant difference between the two groups in the total apparent efficiency(P＞0.05).There was significant difference between the two groups in the cure rate (P＜0.05).ConclusionTraditional Chinese medicine Kuntai Capsule combined with hormone replacement therapy in the treatment of premature ovarian failure can improve patients′serum sex hormones levels and the clinical symptoms,achieve good curative effect.
2017 Vol. 24 (20): 148-150 [
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160
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Efficacy analysis of ear buried seeds combined with Flupentixol/Melitracen in the treeatment of elderly hypertensive patients with mild to moderate depression
HE YiXIAO;Nan-hai
ObjectiveTo investigate the clinical efficacy of ear buried seeds combined with Flupentixol/Melitracen in the treatment of elderly hypertensive patients with mild to moderate depression.Methods70 elderly hypertensive patients with mild to moderate depression from January to June in 2016 in our hospital were selected and randomly divided into the observation group and the control group,35 cases in each group.The control group was treated with conventional antihypertensive plus Flupentixol/Melitracen Tablets,while the observation group was treated with ear buried seeds(acupoints:Xin,Shen,Shenmen,Jiaogan)on the basis of the control group.After the treatment,the changes of blood pressure,heart rate and self-rating depression scale (SDS)score were observed in the two groups.ResultsThe systolic blood pressure,diastolic blood pressure and heart rate in the two groups after treatment was lower than that before treatment,with significant difference (P＜0.05).The systolic blood pressure,diastolic blood pressure and heart rate after treatment in the observation group was lower than that in the control group after treatment,with significant difference(P＜0.05).The SDS scores in the two groups after treatment was lower than that before treatment,with significant difference (P＜0.05).The SDS scores after treatment in the observation group was lower than that in the control group after treatment,with significant difference (P＜0.01).ConclusionEar buried seeds combined with Flupentixol/Melitracen can improve depression condition of elderly hypertensive patients with mild to moderate depression,meanwhile,significantly improve the antihypertensive effect.
2017 Vol. 24 (20): 151-153 [
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125
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Analysis of late detection rate and influencing factors of HIV infections in Shunde District of Foshan City in 2016
CHEN Zhuo-bin;TONG Long
ObjectiveTo investigate the late detection rate and related factors of HIV infection in Shunde District of Foshan City in 2016.Methods300 cases of newly-reported HIV infections in Shunde District of Foshan City from January to December in 2016 were selected and the basic information,route of infection and source of sample were investigated to analyze the late influencing factors of HIV infections.ResultsAmong 300 subjects of the research,109 cases were lately detected (36.3%);most samples with late detection of HIV infections came from testing and counseling;multivariate Logistic regression analysis showed that the late detection rate of male,old age,heterosexual transmission and HIV infections that were found in sexually transmitted disease clinic was significantly higher(P＜0.05).ConclusionThe late detection rate of HIV infections in Shunde District of Foshan City is high in 2016.It is necessary to strengthen social publicity and education and expand detection so as to improve the ability of early detection of HIV-infected persons.
2017 Vol. 24 (20): 154-156 [
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183
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Safety investigation and countermeasure analysis of elderly medication
TAN Jian-chu
ObjectiveTo understand the status of elderly medication in our hospital,and to give corresponding countermeasures.Methods11148 cases of elderly hospitalized patients with the age more than 65 were chosen from January to December in 2015 in our hospital,the conditions of drug kinds,adverse reactions involved organ/system classification,injection drug use in the top ten were analyzed.Results11148 cases of elderly patients with daily medication showed that more than 15 kinds was the most,accounted for 62.77%;a total of 51 cases was found with adverse reactions to the harm of human body,involved the whole body each organ/system,its clinical manifestations were diverse,which affects the most was the digestive system damage,mainly for nausea,vomiting,abdominal pain,diarrhea,liver damage,hiccups.In the top 10 drugs of injection drug use,in addition to Shuxuening,Terbutaline,the rest were with unreasonable medication dose.ConclusionThe unreasonable phenomenon with drug use in elderly patients is relatively serious,it should be given the old drug regulation,reduce the incidence of adverse reactions,ensure the elderly medication safety and effectiveness.
2017 Vol. 24 (20): 157-159 [
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131
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Application effect of quality control circle in nursing service quality management
CHEN Yu-qing;CHEN Li-sha;GUO Xi-zhu;CHEN Shu-xian;LAI Yao-chun
ObjectiveTo explore the application effect of quality control circle (QCC)in nursing service quality management,and to provide reference for clinical nursing mode.MethodsFrom September 2015 to September 2016,40 nursing staff in our hospital were selected as research objects,and they were divided into the observation group (n=20)and control group(n=20).The observation group was given QCC working model,while the control group was given the routine management and working model.Work efficiency,the satisfaction degree of patients and medical consumables use between the two groups were compared.ResultsThe working efficiency of nursing staff in the observation group was 100.0%,which was much higher than that of the control group(70.00%)with a statistical difference(P＜0.05).The nursing satisfaction degree was 100.0%in the observation group,which was significantly higher than that of the control group(75.00%)with a great difference(P＜0.05).The effective use rate of medical consumables in the observation group was 88.47%,which was higher than that of the control group (76.61%),the difference was statistically significant(P＜0.05).ConclusionQuality control circle work model can significantly improve the work efficiency of nursing staff,improve the patients′satisfaction degree of nursing,and make the nursing management model more standardized,and it is suitable for promotion and use for clinical nursing.
2017 Vol. 24 (20): 160-162 [
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140
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Discussion on the mechanism of establishing family contract medical service system in China
LIANG Zhi-min
ObjectiveTo explore the methods of establishing family contract medical service system in China.MethodsSystem of team nurse assisting family contract medical service system was established and implemented making child health of our center,women′s health and outpatient our forerunner service in our center from February 2015 to June 2016,and the rate of diagnosis of,and the rate of diagnosis of classⅠobject,the satisfaction degree of family doctor,timely rate of health records update,the and satisfaction degree of signing object before and after the system implementation were compared.ResultsThe rate of diagnosis of classⅠobject,the satisfaction degree of family doctor,timely rate of health records update,and satisfaction degree of signing object after the implementation of the system was significantly improved(P＜0.05).ConclusionThe implementation of system of team nurse assisting doctor signing service can help the development and all-round reform of the home medical contract service,and the system of family doctor and team nurse can be promoted.
2017 Vol. 24 (20): 163-165 [
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125
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Application of the continuous quality improvement mode in the management process of apparatuses recycling in the supply room
PAN Yu-fang;SU Li-ping;XU Yong-ying;He yu-zhen
ObjectiveTo discuss the effect of applying the continuous quality improvement mode on reducing the occurrence rate of adverse events of apparatuses recycling in the supply room.MethodsFrom June to December 2015,implement the collection of the records of the equipment recovery work in our hospital were collected,and implement continuous quality improvement management were used.7 nurses with the supply room set up the management team for continuous quality improvement of the apparatuses recycling.The adverse events and correspondent causes of apparatuses recycling were analyed,and enacted and implemented the specific solutions.ResultsAfter intervention,the total occurrence rate of disqualification of apparatuses after preliminary treatment,apparatuses loss,amount errors,inconsistent register,occupational exposure and adverse events in the supply room was evidently reduced(P＜0.05）.All of the nurses′scores of teamwork,specialized knowledge,communication and coordination,confidence in activities,duty honor and CQI technique were evidently increased(P＜0.05）.ConclusionThe continuous quality improvement management method can reduce the occurrence rate of adverse events of apparatuses recycling in the supply room,enhance the clinic work quality,and improve the capability of continuous quality improvement of all members of the team effectively.
2017 Vol. 24 (20): 166-169 [
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169
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Preventive efficacy analysis of comprehensive nursing intervention on pediatric dental caries
LIN Ai-ying
ObjectiveTo explore the preventive efficacy of comprehensive nursing intervention on pediatric dental caries.MethodsFrom January to December in 2015,184 children from 3 kindergartens covered by our hospital were selected.By drawing lottery,they were evenly divided into the observation group and the control group.In the control group,regular health education was performed,while in the observation group,comprehensive nursing intervention was adopted.They were followed up for 1 year.The preventive effect on pediatric dental caries in two groups was compared.ResultsThe occurrence of dental caries in the observation group in each stages(the 1,4,8,12thmonth)were lower than those in the control group,the nursing satisfaction and awareness rate of knowledge on prevention of dental caries of children′s parents and children′s degree of adaptability were higher than those in the control group,and the differences were statistically significant(P＜0.05).ConclusionImplementation of comprehensive nursing intervention on pediatric dental caries increases children′s compatibility,intensifies knowledge on dental prevention in children and their parents,and improve the preventive effect of pediatric dental caries,which is worthy of promotion.
2017 Vol. 24 (20): 170-172 [
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138
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Application effect of Chlorhexidine with different concentration applied in oral nursing for patients in ICU with tracheal intubation
CHEN Li-li;LUO Yue-he;YANG Zhi-xue;ZHANG Ming;GONG Xue
ObjectiveTo study the application effect of Chlorhexidine with different concentration applied in oral nursingfor patients in ICU with tracheal intubation.Methods80 patients in ICU with tracheal intubation treated in our hospital from May 2015 and December 2016 were selected and they were divided into group A,B and C according to the concentration of Chlorhexidine,while the control group was treated with sterile saline.The oral nursing of q6h every time was conducted in all patients.Clinical related curative effect indexes were observed.ResultsThe incidence rate of oral odor,dental plaque index after nursing,body temperature,procalcitonin level and the incidence rate of VAP and the total mortality in group A,B and C were lower than those of the control group,and colony count after nursing,white blood cell count hospitalization costs in group A,B and C were fewer than those of the control group,the hospitalization time in group A,B and C was shorter than that of the control group (P＜0.05).The incidence rate of oral odor,dental plaque index after nursing and the incidence rate of VAP in group C were lower than those of the group A,the colony count after nursing,hospitalization costs in group C were lower than those of the group A (P＜0.05).The total incidence rate of adverse reactions in group C was lower than that in group A and group B,and that of control group(P＜0.05).ConclusionOral nursing conducted by Chlorhexidine solution for patients with tracheal intubation can improve the prognosis of patients with mechanical ventilation,and the higher the concentration in the study range,the better the effect,but the reasonable concentration should be chosen in clinic.
2017 Vol. 24 (20): 173-175转179 [
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163
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Effect of traditional Chinese and Western medicine nursing measures in prevention of bedsore in cardiovascular patients
LI Xin-nan;SA Wen-juan;ZHANG Yan-mei
ObjectiveTo explore the effect of traditional Chinese and Western medicine nursing measures in prevention of bedsore in cardiovascular patients.Methods200 cardiovascular patients treated in department of cardiovascular internal medicine of our hospital from May 2015 to May 2016 were selected as the objects and they were divided into experiment group and control group according to the order of admission number,and there were 100 cases in each group.Experiment group was given the preventive traditional Chinese and Western medicine nursing measures while control group was given routine nursing.The incidence rate of bedsore and total satisfaction degree of nursing were compared between the two groups.ResultsThe nursing effect of experiment group was significantly better than that of control group,with statistically significant difference (P＜0.05).The total satisfaction degree of nursing in experiment group was significantly higher than that of control group,with statistically significant difference (P＜0.05).ConclusionThe traditional Chinese and Western medicine nursing measures can effectively reduce the incidence rate of bedsore,improve the patient′s satisfaction degree of nursing and promote the patients′early recovery,which is worthy of reference and application in clinical nursing.
2017 Vol. 24 (20): 176-179 [
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Influence of health belief model on patients undergoing hepatobiliary surgery
CHEN Qiao-na;JIANG Chun-hong
ObjectiveTo investigate the influence of health belief model on patients undergoing hepatobiliary surgery.MethodsThe clinical data of 92 patients undergoing hepatobiliary surgery in department of general surgery from January 2014 to December 2016 were analyzed.All the patients were divided into two groups according to the implementation of health belief model:there were 42 cases in control group and 50 cases in healthy belief model group.The pain index score and Spitzer physical quality of life index (PQLI)score before and after nursing of patients with hepatobiliary surgery in the two groups were observed.The patients′awareness rate of health education and the degree of nursing satisfaction of patients with hepatobiliary surgery in the two groups were observed.ResultsThere were no statistical difference of pain index score and Spitzer PQLI score of patients with hepatobiliary surgery before nursing between the two groups (P＞0.05).After nursing,the pain index score of two groups was significantly lower than that before nursing,while Spitzer PQLI score of two groups was higher than that before nursing,and the pain index score of health belief model group was significantly lower than that of control group,Spitzer PQLI score of health belief model group was higher than that of control group,and the patients′awareness rate of health education and the degree of nursing satisfaction of health belief model group were higher than those of control group with statistically significant difference (P＜0.05).ConclusionApplication of health belief model in patients undergoing hepatobiliary surgery can relieve postoperative pain,improve the quality of life,health education awareness and nursing satisfaction degree,which is worthy of clinical promotion and application.
2017 Vol. 24 (20): 180-182 [
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145
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Clinical observation of standardized nursing health education in the treatment compliance of amblyopic children
LI Ming
ObjectiveTo explore the clinical effect of standardized nursing and health education for children with amblyopia during treatment.Methods84 children with amblyopia in our hospital from October 2014 to October 2016 were selected and randomly divided into the control group and the observation group,with 42 cases in each group.The control group received routine eye care,while the observation group received standardized nursing health education.The compliance during treatment,the incidence of adverse events,time of treatment,nursing satisfaction of parents,effective rate,the levels of visual acuity and contrast sensitivity before and after nursing were compared between two groups.ResultsThe compliance during treatment,nursing satisfaction of parents and effective rate in the observation group were higher than that in the control group,the incidence of adverse events was lower than that in the control group,the time of treatment was shorter than that in the control group,and the differences were statistically significant(P＜0.05).Before nursing,there were no significant differences betwee the the levels of visual acuity and contrast sensitivity in two groups(P＞0.05);after nursing,the levels in two groups were increased,and compared with those before nursing,the differences were statistically significant(P＜0.05),and thoses in the observation group was higher than those in the control group,and the differences were statistically significant(P＜0.05).ConclusionStandardized nursing care and health education for children with amblyopia can improve children's compliance,reduce adverse events and improve their parents'satisfaction.
2017 Vol. 24 (20): 183-185 [
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Effect of comprehensive nursing intervention on anxiety state of patients with ectopic pregnancy
ZHANG Wei;ZHOU Min▲
ObjectiveTo study the effect of comprehensive nursing intervention on anxiety state of patients with ectopic pregnancy.Methods92 patients with ectopic pregnancy who were treated in our hospital from February 2014 to December 2015 as the subjects of this study were selected and were divided into two groups according to the random number method,46 patients were treated with routine nursing intervention(control group),and 46 patients were given comprehensive nursing intervention(study group).The anxiety state and nursing satisfaction of two groups were compared.ResultsThere was no significant difference in HAMA score between the two groups before intervention,the HAMA score of the study group[(9.92±1.62)scores]was significantly lower than that of the control group[(16.56±2.04)scores]after intervention in the intervention group(P<0.05).Patients in the study group nursing satisfaction(95.65%)was significantly higher than the control group(82.61%)(P<0.05).ConclusionIn the care of patients with ectopic pregnancy in the choice of comprehensive nursing intervention can significantly improve patients'anxiety,has a positive effect on patients,and can improve the satisfaction of patients,improve the nurse patient relationship,it is worth popularizing in clinical use.
2017 Vol. 24 (20): 186-188 [
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Application effect of comfortable nursing mode in premature infants of neonatal intensive care unit
CHENG Yan-ling;YU Bi-yi;HUANG Jin-mei
ObjectiveTo explore the application effect of comfortable nursing mode in premature infants of neonatal intensive care unit,so as to provide an effective reference for the nursing of premature infants in clinic.Methods80 premature infants treated 80 premature infants treated in neonatal intensive care unit of our hospital from June 2015 to December 2016 were selected as objects and they were randomly divided into the control group and the study group,and there were 40 cases in each group.The control group was given routine nursing,the newborns were given simple monitoring,while the observation group was given routine nursing supplemented by comfortable nursing.The incidence of complications of the two groups were observed,and the hospitalization time and hospitalization expenses between the two groups were compared.ResultsThe incidence rate of complications in the observation group was obviously lower than that in the observation group(P＜0.05).The hospitalization time in the observation group was obviously shorter than that of the control group,hospitalization expenses of the observation group was lower than that of the control group,the difference was significant(P＜0.05).ConclusionComfortable nursing mode applied in premature infants of neonatal intensive care unit can effectively decrease the incidence rate of postoperative complications,accelerate the recovery rate of body,shorten the hospitalization time,and decrease the hospitalization expenses,and improve the comfort and security of children,and it can be widely used in primary hospitals.
2017 Vol. 24 (20): 189-191转194 [
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Application value of high quality nursing care in breastfeeding after cesarean section in primipara
GUAN Lin
ObjectiveTo explore the application value of high quality nursing care in breastfeeding after cesarean section in primipara.Methods46 primiparas who received
cesarean section in our hospital from July 2015 to January 2017 were selected and divided into the observation group and the control group,with 23 cases in each group.The control group was given routine nursing care during the postoperative breastfeeding,and the observation group was given high quality care during the postoperative breastfeeding.The time of uterus involution,initial breastfeeding time after delivery,frequency of daily breastfeeding and lactation volume on the third day after delivery,as well as the breastfeeding rate and incidence rate of postpartum depression were compared between the two groups.ResultsThe time of uterus involution and initial breastfeeding time after delivery in the observation group were shorter than those in the control group,the frequency of daily breastfeeding,lactation volume on the third day and the breastfeeding rate were higher than those in the control group,the incidence rate of postpartum depression was lower than those in the control group,and the differences were statistically significant(P＜0.05).ConclusionHigh quality nursing is of high value in breastfeeding after Cesarean section in primipara.It can effectively improve the rate of breastfeeding,reduce the occurrence of postpartum depression,accelerate the involution of uterus,shorten the first lactation time and increase the frequency of breastfeeding and volume of lactation,which has an exact effect of promoting the normal growth and development of newborns,and is worthy of promotion.
2017 Vol. 24 (20): 192-194 [
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Efficacy of comprehensive nursing intervention on the community of elderly patients with chronic diseases
SUN Dao-xia
ObjectiveTo explore the efficacy of comprehensive nursing intervention on the community of elderly patients with chronic diseases.Methods350 elderly patients with chronic diseases be investigated in our hospital from January 2015 to December 2016 were delected and divided into the observation group and the control group according to the single and double number order and the principle of double blind,with 175 cases in each group.Patients in the control group were given routine nursing care,while patients in the observation group were given the comprehensive nursing intervention.The nursing satisfaction and quality of life of patients were compared between two groups.ResultsThe nursing satisfaction of patients in the observation group was higher than that in the control group,The scores of social environment,the quality of life,survival quality,mental health,physical health and the total score of quality of life were all higher than those in the control group,and all the differences were statistically significant(P＜0.05).ConclusionIn elderly patients with chronic diseases in community,the comprehensive nursing intervention can improve their quality of life and nursing satisfaction,enhance the capacity of the body.It is worthy of clinical application.
2017 Vol. 24 (20): 195-197 [
Abstract
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168
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