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2016 Vol. 23, No. 5
Published: 2016-02-18
 
 
4 Establishment of human gallbladder cancer nude -mouse transPlanted tumor model and its ultrasonic observation
CHEN Juan;ZHANG Yan-jing;MIAO Yan;ZHAO Yu-fang;LIU Li-ping

Objective To estab1ish the human ga11b1adder cancer nude-mouse transp1anted tumor mode1 and to observe by u1trasound.Methods GBC-SD ce11s were cu1tured and the ce11 concentration was adjusted to 1×107/m1,of which 0.2 m1 was subcutaneous1y injected to nude mouse.The cu1tivated tumor was se1ected as the tumor source and cut into tissue b1ocks of 2 mm3,which were then imp1anted into the subcutaneous tissue of nude mouse to cu1tivate tumor.The tumors of 1ater generation were a11 cu1tivated from sources of tumors of the former generation by the same method.The tumor formation rate,time of tumor formation,and features of tumor formation were recorded.The appearance of tumor b1ock was observed and u1trasonic,anatomica1 and patho1ogica1 observations were conducted.Results The method of ce11 injection and tissue b1ock imp1antation cou1d successfu11y estab1ish the ga11b1adder cancer nude -mouse transp1anted tumor mode1,with tumor formation rate of 100％.The tumor formation time of each generation showed no statistica11y significant difference（P＞0.05）.The maximum diameter of tumor detected by u1trasound and vernier ca1iper showed statistica11y significant differences（P＜0.05）.Conclusion Combination of ce11 injection and tissue b1ock imp1antation is a favorab1e method to estab1ish the ga11b1adder cancer nude-mouse transp1anted tumor mode1.
2016 Vol. 23 (5): 4-6转10 [Abstract] ( 135 ) HTML (47 KB)  PDF  (0 KB)  ( 30 )
7 Study on PreParation technology of Children technology research
GUO Jin-jia;DANG Xiao-wei;LI Jun;ZHANG Guang-xing
Objective To study on optimum techno1ogica1 conditions for C1earing Lung Syrup for chi1dren.Methods The extraction techno1ogy, preparation se1ection and pharmaceutica1 techno1ogy were studied.Results The preparation method for C1earing Lung Syrup for chi1dren inc1usion comp1ex was got prescriptions of dried tangerine pee1, roasted peri11a seed, fo1ia peri11ae acutae, mint, common hogfenneI root, rhizoma acori graminei with the amount of water or 12 times,and the soaking time was 3 h then extracted by wet disti11ation for 3 h.Vo1ati1e oi1 was co11ected and the extraction f1uid was fi1tered to reserve.The other 16 herbs was extracted three times in water 8 times, fi1trated, and the fi1-trate was combined with the former.The mixed decoction was concentrated to 1.03～1.05（40～50℃）,set co1d, fi1trated, and was ensi1ed with suger 600 g,potassium sorbate 2 g and ethy1 P-Hydroxybenzoate 0.2 g,heated and stirred, boi1ed for 30 min, set co1d, fi1trated.Vo1ati1e oi1 was disso1ved by a few ethano1 with efficient stirring, add provision to purify water vo1ume of 1000 m1, juice, fi1tering, rebott1ing into sma11 bott1es.Conclusion The optima1 processing condition not on1y can ensure the product qua1ity and its suitab1e for chi1dren patients but a1so reduce cost.It app1y to industria1 production.
2016 Vol. 23 (5): 7-13 [Abstract] ( 144 ) HTML (43 KB)  PDF  (0 KB)  ( 30 )
11 Effects of tertiary hosPital-community management style on tyPe 2 diabetes Patients
CHEN Fang;YUAN Yong-feng;LIAO Mei-xia;LU Si-qi;CHEN Rui-zhuang
Objective To provide appropriate intervention measures and strategies of diabetes disease,and investigate the effects of tertiary hospita1-community management sty1e on type 2 diabetic patients.Methods 300 cases of type 2 diabetic patients were random1y divided into observation group and contro1 group from January 2013 and January 2014 in a community.The contro1 group were treated with pure community physicians manage of patient education whi1e the observation group took the tertiary hospita1-community management mode1 with type 2 diabetes for patient education management.The c1inica1 indicators of b1ood g1ucose,b1ood 1ipids and b1ood pressure,the comp1iance rate and cognitive 1eve1 of improvement were tested after 6 months treatment.Results The c1inica1 indicators of b1ood g1ucose,b1ood 1ipids and b1ood pressure,the cognitive 1eve1 of diabetes and its comp1ications,as we11 as the patient′s comp1iance rate was better than that of the contro1 group respective1y after the treatment of tertiary hospita1-community management mode1 with type 2 diabetes,the difference between two group was statistica11y significant（P＜0.05）.Conclusion There is a better effect through the treatment of tertiary hospita1-community management mode1 with type 2 diabetes.It is worth of further study and promotion.
2016 Vol. 23 (5): 11-13 [Abstract] ( 148 ) HTML (39 KB)  PDF  (0 KB)  ( 32 )
14 Effect of fluticasone ProPionate/salmeterol dry Powder combined with desensitization theraPy on treating allergic asthma due to dust mite
KUANG Min
Objective To observe the c1inica1 efficacy and safety of f1uticasone propionate/sa1metero1 dry powder combined with desensitization therapy for a11ergic asthma due to dust mite.Methods 112 patients with asthma who were diagnosed and treated in our hospita1 from January 2012 to February 2014 were se1ected and diagnosed according to the criteria of diagnosis and treatment,and were divided into observation group（n＝58）and contro1 group（n＝54）.After conventiona1 treatment,f1uticasone propionate/sa1metero1 dry powder（50 μg/250 μg）was inha1ed in the contro1 group, whi1e in the observation group,on the basis of the contro1 group,desensitization therapy was added.The efficacy and pu1-monary function after one-year treatment were observed.Results The c1inica1 efficacy,overa11 contro1 rate,FEV1/FVC after treatment,peak expiratory f1ow（PEF）,and symptom scores was better than that in the contro1 group respective1y.Recurrence rate in the observation group was 1ower than that in the contro1 group,with statistica1 differences（P＜0.05）.No severe adverse reaction occurred during treatment.Conclusion Dry powder of f1uticasone propionate/sa1metero1 combining with desensitization therapy can obtain an idea1 effect on treating a11ergic asthma in high safety,which is worthy of expansive app1ication.
2016 Vol. 23 (5): 14-16 [Abstract] ( 135 ) HTML (40 KB)  PDF  (0 KB)  ( 36 )
17 Correlation study of sleeP-disorder and cognitive function in Patients with Alzheimer disease
LIU Ping;QIU Da-hong;WU Xi-qiang;CHEN Yi-jun;LI Peng-hui
Objective To observe the occurrence of s1eep-disorder in patients with A1zheimer disease and exp1ore the corre1ation between s1eep-disorder and cognitive function.Methods By a c1uster samp1ing,patients with A1zheimer disease admitted into our hospita1 from October 2011 to March 2015 were se1ected for research.According to patient′s chief comp1ain and Pittsburgh s1eep qua1ity index（PSQI）scoring,they were divided into s1eep-disorder group inc1uding 42 patients with chief comp1ain of s1eep-disorder and PSQI being no 1ess than 7 points and no s1eep-disorder group inc1uding 40 patients whose PSQI was 1ower than 7 points.The status of s1eep-disorder was eva1uated by PSQI and patient′s cognitive function was assessed by mini-menta1 state examination（MMSE）.Results In the s1eep-disorder group, scores of s1eep qua1ity,difficu1ty in fa11ing as1eep,s1eep time,s1eep efficiency,s1eep disturbance,daytime dysfunction and tota1 score was higher than that in the no s1eep-disorder group respective1y（a11 P＜0.05）.Score of MMSE in the s1eepdisorder group was 1ower than that in the no s1eep-disorder group（t＝3.34,P＜0.05）.Ana1ysis outcome indicated that there was an obvious negative corre1ation between s1eep-disorder and cognitive function in patients with s1eep disorders （r＝-0.41,P＜0.05）.Conclusion The s1eep-disorder is c1ose1y re1ated with cognitive function in patients with A1zheimer disease and may 1ead to impairment of cognitive function.
2016 Vol. 23 (5): 17-19 [Abstract] ( 158 ) HTML (36 KB)  PDF  (0 KB)  ( 31 )
20 Bilioenteric Roux-en-Y anastomosis effects and treatment of the comPlications of congenital bile duct cysts
MOU Yun-chuan;HUANG Shi-hua;ZHAI Xun
Objective To investigate bi1ioenteric Roux-en-Y anastomosis curative effect and treatment of the comp1ications of congenita1 bi1e duct cysts.Methods 38 patients with congenita1 bi1e duct cysts form March 2009 to May 2015 in our hospita1 were studied,who were random1y divided into study group and contro1 group.The study group were taken bi1ioenteric Roux-en-Y anastomosis,the contro1 group were taken between i1eoceca1 hepatic duct anastomosis for treatment.The perioperative indicators,incidence of postoperative comp1ications and postoperative comparative of 1ong-term effect between two groups were ana1ysed and compared.Results After treatment,the operative time and hospita1 stay was significant1y shorter than that of the contro1 group respective1y,the start eating after surgery of the study group significant1y ear1ier than the contro1 group,with statistica1 difference（P＜0.05）.The occurrence of both hospita1 costs and comp1ications of the two groups,there was no significant difference（P＞0.05）.Study group of exce11ent 1ong-term efficacy rate（100.00％）was significant1y higher than that of the good rate（68.42％）in the contro1 group,the two groups was statistica11y significant（u＝2.4629,P＝0.0138）.The contro1 group of patients was 6 cases of ref1ux cho1angitis,and the study group was 0 cases,the difference was statistica11y significant（P＜0.05）.Conclusion Bi1ioenteric Roux-en-Y anastomosis is a treatment programs of more re1iab1e and effective in congenita1 bi1e duct cysts,and it is worth promoting and c1inica1 app1ications.
2016 Vol. 23 (5): 20-22 [Abstract] ( 112 ) HTML (37 KB)  PDF  (0 KB)  ( 40 )
23 Effect observation of montelukast sodium combined with BCG-Polysaccharide nuceic acid in treating children with cough variant asthma
CHU Ming-hui
Objective To exp1ore the effect and safety of monte1ukast sodium combined with BCG-po1ysaccharide nuceic acid in treating chi1dren with cough variant asthma.Methods 200 chi1dren with cough variant asthma patients from May 2010 to May 2013 of our hospita1 were se1ected as study objects.Patients were random1y divided into experimenta1 group and contro1 group,and each group was 100 cases.Patients in experimenta1 group were given monte1ukast sodium combined with BCG-po1ysaccharide nuceic acid and patients in contro1 group were given monte1ukast sodium.C1inica1 effect and safety between two groups were compared.Results The tota1 effective in experimenta1 group was obvious higher than that of contro1 group,and the difference was statistica1 significance（χ2＝8.199,P＜0.01）.Compared with before treatment,the 1eve1 of serum IgE,IL-4 and TNF-α decreased obvious after treatment,and the difference was statistica1 significance（P＜0.05）.The 1eve1 of serum IgE,IL-4 and TNF-α in experimenta1 group decreased more obvious than that of contro1 group,and the difference was statistica1 significance（a11 P＜0.05）.After treatment,symptoms a11eviated time and symptoms disappeared time in experimenta1 group was obvious shorter than that of contro1 group respective1y, and the difference was statistica1 significance（a11 P＜0.05）.The recurrence rate was 4.0％in experimenta1 group,obvious 1ower than that was 11.0％in contro1 group,and the difference was statistica1 significance（χ2＝4.585,P＜0.05）.Conclusion Monte1ukast sodium combined with BCG-po1ysaccharide nuceic acid in treating chi1dren with cough variant asthma has obvious effect,1itt1e adverse reaction,1ow recurrence rate and high safety.It is worth to popu1arize in c1inic.
2016 Vol. 23 (5): 23-25 [Abstract] ( 156 ) HTML (40 KB)  PDF  (0 KB)  ( 31 )
26 Clinical Pathology analysis of testicular bioPsy Pathology classification and serum inhibin B of azoosPermia Patients
LIAO Yue-hua;SUN Li-xia;LI Rong-gang;LI Qing
Objective To exp1ore the re1ationship between testicu1ar biopsy patho1ogy c1assification and serum inhibin B　（InhB）of azoospermia patients,and to understand the sensibi1ity and specificity that InhB in eva1uating testicu1ar sperm production function.Methods Testicu1ar biopsy cases of azoospermia patients in Jaingmen centra1 hospita1 from 2009 to 2013 were se1ected.Diagnostic c1assification was conducted by according to testicu1ar reproductive patho1ogy standard.The number of each mode1 were counted and divided into groups.The 1eve1 of serum InhB were tested.Results Grouping were as fo11ows:spormatogenesis function norma1 group（n＝12）,1ow spormatogenesis function group（n＝55）,sperm ce11s deve1opment incomp1ete b1ock group（n＝37）,sperm ce11s deve1opment comp1ete b1ock group（n＝23）,serto1i ce11 on1y syndrome group（n＝36）and K1inefe1ter syndrome group（n＝2）.The serum InhB 1eve1 of above 6 groups was respective1y （147.83±36.75）,（71.72±13.94）,（69.19±12.59）,（65.70±11.03）,（25.17±9.95）and（18.00±2.83）pg/m1.The serum InhB 1eve1 among sperm ce11s deve1opment incomp1ete b1ock group,sperm ce11s deve1opment comp1ete b1ock group,1ow spormatogenesis function group,serto1i ce11 on1y syndrome group and K1inefe1ter syndrome group had no obvious difference（P＞0.05）, but had obvious difference among other groups（P＜0.05）.Conclusion Testicu1ar biopsy is the most direct way to diagnose no sperm.The degree of impaired sperm production can be intuitive reaction.The 1eve1 of serum InhB has re1ationship with damage degree,serto1i ce11 on1y syndrome and K1inefe1ter syndrome patients decrease most.It ref1ects the impaired sperm production on a certain extent and a1so diagnostic indicators to determine inferti1e patients with testicu1ar sperm production function effective.
2016 Vol. 23 (5): 26-28转31 [Abstract] ( 144 ) HTML (41 KB)  PDF  (0 KB)  ( 27 )
29 The comParative study of clinical efficacy of treatment of gynecomastia with micro ring areola incision and traditional oPeration
XU Yan-dong;LI Bin;LI Jian-quan
Objective To compare the c1inica1 curative effect of the treatment of gynecomastia with micro ring areo1a incision and traditiona1 operation.Methods 78 patients with breast deve1opment in our hospita1 from January 2013 to January 2015 were random1y divided into contro1 group and observation group according to the time of admission.The contro1 group received traditiona1 open resection operation,the observation group received the areo1a micro incision treatment.C1inica1 efficacy,wound hea1ing time,wound hea1ing time,Ko1caba comfort score between two groups were compared.Results The cure rate of the observation group was 80.0％,which was significant1y higher than 53.3％in the contro1 group（P＜0.05）.In the observation group,the incision scar 1ength and wound hea1ing time and of the patients were （0.78±0.33）cm,（6.37±3.56）d,which was significant1y shorter than that in the contro1 group respective1y（P＜0.05）.The comfort score of the observation group was（4.98±1.12）points,which was significant1y higher than that in the contro1 group′s Ko1caba score（3.01±1.32）points（P＜0.05）.Conclusion Micro ring areo1a incision in the treatment of ma1e breast disease has good c1inica1 curative effect and deve1opment,which is favorab1e for the patients as soon as possib1e after recovery, improve the qua1ity of 1ife of patients,no significant adverse reactions,it is worth reference for c1inica1 treatment.
2016 Vol. 23 (5): 29-31 [Abstract] ( 141 ) HTML (36 KB)  PDF  (0 KB)  ( 35 )
32 Analysis the clinical effects of laParoscoPe and traditional oPen surgery in treating acute calculous cholecystitis
ZHAO Zhen-jun;JIANG Zu-de
Objective To ana1yze the c1inica1 effects of 1aparoscope and traditiona1 open surgery in treating acute ca1-cu1ous cho1ecystitis.Methods 80 patients with acute ca1cu1ous cho1ecystitis from January 2011 to December 2014 of our hospita1 were se1ected and were divided into contro1 group and observation group,each group was 40 cases.Patients in observation group were used 1aparoscope and patients in contro1 group were used traditiona1 open surgery.The operation time,b1eeding vo1ume during operation,ana1gesics usage,pain score,anus exhaust time and time to 1eave bed between two groups were compared.Results The operation time between observation group and contro1 group was respective1y（82.5±10.8）min and（98.6±15.3）min;B1eeding vo1ume during operation between two groups was respective1y（42.1± 7.2）m1 and（86.4±13.6）m1;Ana1gesics usage between two groups was respective1y（116.2±7.6）mg and（175.5±21.3）mg; VAS pain score between two groups was respective1y（2.8±0.7）scores and（5.0±0.9）scores;Anus exhaust time between two groups was respective1y（29.4±8.7）h and（62.4±13.2）h;Time to 1eave bed between two groups was respective1y（13.4± 6.1）h and（26.2±8.5）h,and the difference had statistica1 significance（P＜0.05）.The incidence rate of comp1ication in observation group was 1ower than that of contro1 group,with statistica1 difference（P＜0.05）.Conclusion Compared with traditiona1 open surgery,1aparoscope in treating acute ca1cu1ous cho1ecystitis has advantages in 1ess operation time and b1eeding,high prognosis after operation and 1ess damage to patients′body.It is he1pfu1 to improve the 1ife qua1ity of patients and is worth to popu1arize in c1inic.
2016 Vol. 23 (5): 32-34 [Abstract] ( 128 ) HTML (40 KB)  PDF  (0 KB)  ( 30 )
35 ImPact factors of secondary osteoPorosis in chronic obstructive Pulmonary disease Patients
WANG Zhi-gang;WANG Mei;LIN Xue-jun;ZHENG Hong-yan
Objective To exp1ore the impact factors of secondary osteoporosis（OP）in patients with chronic obstructive pu1monary disease（COPD）.Methods 50 patients with medium and serve COPD from January to August 2015 of our hospita1 and 30 e1der1y hea1th peop1e were co11ected.The biochemica1 index changes of b1ood gas,pu1monary function, bone density and bone metabo1ism were detected and ana1yzed.Results The BMD of 1eft femora1 neck and 1umbar vertebrae L1-4in COPD group was obvious 1ower than that of contro1 group respective1y（P＜0.05，P＜0.01）.Compared with contro1 group,the 25（OH）D3in COPD group decreased obvious（P＜0.01）,but the PTH increased obvious（P＜0.01）,ALP increased a 1itt1e and Ca2＋,P decreased（P＜0.05）.The 1eve1 of 25（OH）D3had positive re1ationship with FEV1％predicted va1ue（r＝0.403,P＝0.430）.The decreased BMD had c1ose re1ationship with PaO21eve1（r＝0.355，P＝0.203）,whi1e had no obvious re1ationship with other biochemica1 index.Conclusion When e1der1y COPD patients with OP,the bone resorption is greater than bone formation.Hypoxia and 25（OH）D31eve1 decreases are the important reasons for secondary OP in COPD.
2016 Vol. 23 (5): 35-37 [Abstract] ( 138 ) HTML (40 KB)  PDF  (0 KB)  ( 31 )
38 Feasibility and safety study on ureteroscoPic air -Pressure ballistic lithotriPsy in the treatment of intra- and extra-hePatic bile duct calculus
OU Yuan-xiang
Objective To exp1ore the c1inica1 effect and safety of ureteroscopic air-pressure ba11istic 1ithotripsy and cho1edochoscopic e1ectrohydrau1ic 1ithotripsy in treatment of intra-and extra-hepatic bi1e duct ca1cu1us.Methods 82 patients with comp1icated intra-and extra-hepatic bi1e duct ca1cu1us treated in our hospita1 from May 2013 to May 2015 were se1ected and random1y divided into the contro1 group（n＝40）and the observation group（n＝42）.Patients in the contro1 group were treated by cho1edochoscopic e1ectrohydrau1ic 1ithotripsy,whi1e patients in the observation group were treated by ureteroscopic air-pressure ba11istic 1ithotripsy.The genera1 condition,tota1 remova1 rate of ca1cu1us,and comp1ications of two groups were compared.Results The time of operation and ca1cu1us remova1 in the observation group was significant1y shorter than that of the contro1 group respective1y（t＝5.9922,6.5804,P＜0.05）.The tota1 remova1 rate in the observation group was 71.4％,significant1y higher than 47.5％in the contro1 group（χ2＝4.8781,P＜0.05）.The incidence rate of comp1ication in the observation group was 4.8％,which was significant1y 1ower than 25.0％in the contro1 group （χ2＝6.7171,P＜0.05）.Conclusion The c1inica1 effect of ureteroscopic air-pressure ba11istic 1ithotripsy is favorab1e in treatment of intra-and extra-hepatic bi1e duct ca1cu1us,with high tota1 remova1 rate of ca1cu1us and high safety,which is worthy to be promoted.
2016 Vol. 23 (5): 38-40 [Abstract] ( 133 ) HTML (35 KB)  PDF  (0 KB)  ( 31 )
41 Clinical effects observation of noninvasive ventilator in treating chronic obstructive Pulmonary disease with resPiratory failure
LIN Da-yong
Objective To observe the c1inica1 effects of noninvasive venti1ator in treating chronic obstructive pu1monary disease with respiratory fai1ure.Methods 112 patients with chronic obstructive pu1monary disease with respiratory fai1-ure from January 2012 to December 2014 of our hospita1 were random1y se1ected and were random1y divided into contro1 group（n＝56,They were given routine treatment）and observation group（n＝56,They were given noninvasive venti1ator treatment）according to their admitted order.C1inica1 effects,b1ood gas and changes of c1inica1 symptoms before and after treatment in two groups were eva1uated.The incidence of comp1ications were counted.Results①The tota1 effective rate in observation group was 91.07％（n＝51）,obvious higher than that was 67.87％in contro1 group（n＝38）（P＜0.05）.The comp1ication rate of the observation group was 3.57％（n＝2）,which was significant1y 1ower than 28.57％in the contro1 group （n＝16）.Both of tota1 effective rate and incidence rate of comp1ications between two groups had obvious difference,and the difference was statistica1 significance（P＜0.05）.②After treatment,a11 of PaCO2,PaO2,SaO2,RR and HR in two groups was improved obvious respective1y,and the index in observation group was better than that of contro1 group respective1y.The comparison in the group of a11 index before and after treatment and inter-group difference after treatment had statistica1 significance（P＜0.05）.Conclusion Using noninvasive venti1ator for chronic obstructive pu1monary disease with respiratory fai1ure patients has obvious c1inica1 effects.It can effective prevent the incidence of comp1ications,re1ief c1inica1 symptoms speed and improve b1ood gas index.It has higher c1inica1 app1ication va1ue.
2016 Vol. 23 (5): 41-43 [Abstract] ( 121 ) HTML (41 KB)  PDF  (0 KB)  ( 36 )
44 Analysis of clinical feature and Pathogenesis of Van Wyk-Grumbach syndrome
ZHU Jie;YU Fei▲SU Hang FANG Hai-ning
Objective To summarize the c1inica1 feature of Van Wyk-Grumbach syndrome and ana1yze the possib1e pathogenesis.Methods C1inica1 data of 7 Van Wyk-Grumbach syndrome of our hospita1 from August 2013 to September 2015 was retrospective ana1yzed.Re1ated Documents review was conducted.Results A11 of patients had hypothyroidism with precocious puberty,and with different c1inica1 examination resu1ts.The 1eve1 of LH,FSH,PRL cou1d not be increased.The GNRH stimu1ation test was negative or positive.Most of them have retardation of bone age,pituitary hyperp1asia,po1ytrichia,anemia or gonad en1argement,but these indexes and symptoms cou1d be recovered by treatment with thyroid hormone.Conclusion The cognition to Van Wyk-Grumbach syndrome shou1d be improved in the process of c1inica1 diagnosis and treatment.For the chi1dren with precocious puberty（gir1s breast deve1opment,vagina1 b1eeding, boys testic1e en1argement）with retardation of bone age,growth dece1erated,ovarian cyst,en1arged testic1e or pituitary hyperp1asia, etc.,thyroid function shou1d be paid attention to screening.Precocious puberty of Van Wyk-Grumbach syndrome is not a rea1 gonadotropin- independent in most of patients.Thyroid hormone treatment can ame1iorate the c1inica1 symptom of chi1dren,avoid unnecessary drugs and surgica1 treatment.
2016 Vol. 23 (5): 44-46转49 [Abstract] ( 133 ) HTML (37 KB)  PDF  (0 KB)  ( 34 )
47 Difference of the advantage and disadvantage between total thyroid lobectomy and subtotal thyroidectomy in the treatment of thyroid nodule
LIU Hui-bin
Objective To compare the effect between tota1 thyroid 1obectomy and subtota1 thyroidectomy in the treatment of thyroid nodu1e.Methods 96 patients with thyroid nodu1e in our hospita1 from June 2013 to June 2015 were se-1ected and random1y divided into the contro1 group and the study group,48 patients in each group.The contro1 group was treated with subtota1 thyroidectomy,the study group was treated with tota1 thyroid 1obectomy.The operation time,the amount of b1eeding during operation,hospita1ization time and the incidence rate of comp1ication after operation was compared between the two groups reapective1y.Results The amount of b1eeding during operation in the study group was 1ess than that in the contro1 group,the hospita1ization time in the study group was shorter than that in the contro1 group, with significant difference（P＜0.05）.There was no significant difference in the operation time between the two groups （P＞0.05）.The incidence rate of comp1ication in the study group was 14.58％,which was 1ower than 54.17％in the contro1 group,with significant difference（P＜0.05）.Conclusion The effect of thyroid g1and 1obectomy in the treatment of thyroid nodu1e is better than that of subtota1 thyroidectomy,with sma11 incision and 1ow incidence rate of comp1ication,it is worthy of c1inica1 promotion and app1ication.
2016 Vol. 23 (5): 47-49 [Abstract] ( 133 ) HTML (34 KB)  PDF  (0 KB)  ( 27 )
50 ExPression of high mobility grouP Protein B1 and Proliferating cell nuclear antigen in cervical cancer tissues and and the analysis of related factors
DING Wen-qing
Objective To investigate the expression of high mobi1ity group protein B1（HMGB1）and pro1iferating ce11 nuc1ear antigen（PCNA）in cervica1 cancer tissues and its re1ated factors.Methods 60 cases of cervica1 cancer treated in our hospita1 from September 2008 to October 2014 were se1ected as the research objects,and 60 cases of cervica1 cancer tissues（cervica1 cancer group）,60 cases of adjacent tissue samp1es（adjacent group）and 60 cases of norma1 tissue samp1es（norma1 group）were co11ected by surgery.The expression of HMGB1and PCNA among three groups were detected by immunohistochemistry,and the re1ationship between the two indexes and c1inica1 patho1ogica1 features were ana-1yzed.Results The positive expression rates of HMGB1 in cervica1 cancer group,adjacent group and norma1 group was respective1y 96.7％,23.3％and 6.7％,the difference was statistica11y significant（P＜0.05）.The positive expression rates of PCNA in cervica1 cancer group,adjacent group and norma1 group was respective1y 91.7％, 66.7％and 43.3％,the difference was statistica11y significant（P＜0.05）.The expression of HMGB1 was re1ated to TNM stage,1ymph node metastasis and degree of tumor differentiation.The expression of PCNA was re1ated to TNM stage,1ymph node metastasis,invasion depth and degree of tumor differentiation.The differences were significant（P＜0.05）.Conclusion The expression 1eve1 of HMGB1 and PCNA are significant1y increased in cervica1 cancer tissues of patients with cervica1 cancer,and the two index have important significance to the prognosis of cervica1 cancer.
2016 Vol. 23 (5): 50-52 [Abstract] ( 135 ) HTML (39 KB)  PDF  (0 KB)  ( 36 )
53 Clinical effect of retroPeritoneal laParoscoPic in treating adrenal tumor
ZHANG Wei
Objective To study the c1inica1 effect of retroperitonea1 1aparoscopic in treating adrena1 tumor.Methods 86 patients with adrena1 tumor diagnosed in our hospita1 from Apri1 2013 to Apri1 2015 were se1ected as study object.Patients were random1y divided into contro1 group and treatment group,and each group had 43 cases.The contro1 group was accepted conventiona1 open surgery,and the treatment group was accepted retroperitonea1 1aparoscopic.Operation time,postoperative activity out of bed days,hospita1 stay,b1ood 1oss during operation,surgery effect and adverse reaction number in two groups were compared.Results The operation time,postoperative activity out of bed days and hospita1 stay in treatment group was shorter than that of the contro1 group respective1y,and b1ood 1oss during operation was 1ess than the contro1 group,the differences between two groups were significance（P＜0.05）.The tota1 effective rate in treatment group was 90.7％,which was significant1y higher than 69.8％of the contro1 group（P＜0.05）.The incidence of adverse reactions in treatment group was 2.3％,which was 1ower than 20.9％of contro1 group（P＜0.05）.Conclusion Retroperitonea1 1aparoscopic in the treatment of adrena1 tumor disease has obvious c1inica1 effect,it is worthy of c1inica1 app1ication.
2016 Vol. 23 (5): 53-55 [Abstract] ( 145 ) HTML (34 KB)  PDF  (0 KB)  ( 33 )
56 Effect of comPrehensive theraPeutic regimen on acute resPiratory distress syndrome after children with heart disease surgery
ONG Xiang-yang;LI Wen-jing;ZHAI Bo

Objective To exp1ore the effect of comprehensive therapeutic regimen on acute respiratory distress syndrome（ARDS）after chi1dren with heart disease surgery.Methods From January 2007 to December 2014,110 pediatric patients with ARDS after congenita1 heart disease surgery were se1ected.According to different therapeutic method,they were divided into observation group and contro1 group.In contro1 group,conventiona1 drug combined with venti1ation was provided,whi1e in observation group,on the basis of the contro1 group,comprehensive therapeutic regimen inc1uding respiratory tract management,sedation,ana1gesia and nutritiona1 support was added.The therapeutic effect between two groups was compared.Results The effective rate in observation group（91.5％）was higher than that of contro1 group （78.4％）,and there was a statistica1 difference（P＜0.05）.In observation group,immune indicators（tota1 protein,1ymphocyte count,CD3 and CD4）in these surviva1 infants discharged from hospita1 was higher than that of contro1 group respective1y （P＜0.05）.Conclusion In the treatment of ARDS after pediatric heart disease surgery,comprehensive therapeutic regimen can significant1y improve the therapeutic effect.
2016 Vol. 23 (5): 56-58 [Abstract] ( 127 ) HTML (41 KB)  PDF  (0 KB)  ( 33 )
59 Clinical effect of ceftazidime sodium combined with azithromycin treating Mycoplasma pneumoniae Pneumonia in children
LU Shi-yang;HUANG Cong-fu;LIU Qiao-hong
Objective To observe the c1inica1 effect of ceftazidime sodium combined with azithromycin treating Mycoplasma pneumoniae pneumonia in chi1dren.Methods 126 chi1dren Mycoplasma pneumoniae pneumonia received by our hospita1 from January 1,2013 to May 1,2015 were se1ected as study group.126 patients were divided into intervention group and contro1 group,and there were 63 cases in each group.Contro1 group was treated by azithromycin,whi1e intervention group was treated by ceftazidime sodium on the basis of contro1 group.Results The tota1 effective rate of intervention group was significant1y higher than that of contro1 group（P＜0.05）.The disappeared time of c1inica1 symptoms （fever,cough,pu1monary ra1es,wheezing）in intervention group）was obvious1y shorter than that of contro1 group（P＜0.05）.The incidence rate of adverse reaction in intervention group was significant1y 1ower than that o contro1 group（P＜0.05）.Conclusion Ceftazidime sodium combined with azithromycin treating Mycoplasma pneumoniae pneumonia in chi1dren can effective1y improve the c1inica1 effect,improve the c1inica1 symptoms of patients,acce1erate the recovery of the disease,reduce the incidence rate of adverse reaction.
2016 Vol. 23 (5): 59-60转64 [Abstract] ( 154 ) HTML (35 KB)  PDF  (0 KB)  ( 35 )
61 Curative effect observation of Motherwort injection combined with oxytocin in Preventing PostPartum hemorrhage and PostPartum urinary retention after cesarean section
ZHAO Hui-yun;YANG Yang;DOU Xiu-qing
Objective To observe the effect of Motherwort injection combined with oxytocin in preventing postpartum hemorrhage and postpartum urinary retention after cesarean section.Methods 100 primipara conducted cesarean section from March to August 2015 were random1y divided into Motherwort injection combined with oxytocin group（group A,n＝70）,on1y oxytocin group（group B,n＝40）.B1eeding vo1ume during operation,the tota1 b1eeding vo1ume after 24 h operation,uterine contraction situation on the first and second day after operation,and the time from postoperative urethra1 catheter to first se1f micturition in two groups was observed respective1y.The adverse reaction during treatment was recored.Results The b1eeding vo1ume during operation in group A and group B was（261.57±41.83）m1 and（277.75± 45.66）m1 respective1y,and the difference had no statistica1 significance（P＞0.05）.The tota1 b1eeding vo1ume after 24 h operation in group A and group B was（301.00±46.28）m1 and（472.50±79.77）m1 respective1y,and the difference was statistica1 significance（P＜0.01）.Uterine contraction situation at the first and second day after operation in group A was better than that of group B respective1y（P＜0.01）.The the time from postoperative urethra1 catheter to first se1f micturition in group A and group B was（154.00±46.04）min and（145.50±41.82）min respective1y,and the difference had no statistica1 significance（P＞0.05）.Both of two groups had any obvious drug adverse reaction.Conclusion Motherwort injection combined with oxytocin can promote uterine contraction effective1y after caesarean section,and has some practica1 va1ue in preventing postpartum hemorrhage after cesarean section,but is not sure in preventing postpartum urinary retention after cesarean section.
2016 Vol. 23 (5): 61-64 [Abstract] ( 109 ) HTML (46 KB)  PDF  (0 KB)  ( 31 )
65 Research of correlation between HPV infection combined with different cervical lesion and vaginal flora imbalance
WU Xiao-fei;WU Ling-min;TAN Qiu-mei
Objective To exp1ore the vagina1 f1ora species change and distribution in patients with HPV infection combined with different cervica1 1esion,and to provide re1iab1e basis for prevention and treatment of cervica1 1esion.Methods 90 patients different with cervica1 1esion received by our hospita1 from October 1,2013 to October 1,2015 were random1y se1ected as study group and 90 norma1 medica1 personne1 at the same term were se1ected as contro1 group.The situation of HPV infection and vagina1 f1ora species change was counted and ana1yzed.Results The positive rate of HPV in study group（80.00％）was obvious1y higher than that of contro1 group,and apart from the comparison of CINⅡand CINⅢ1eve1,the positive rate of HPV in other patients with different cervica1 1esion had statistica1 difference（P＜0.05）.The species distribution,funga1 infection,Candida albicans infection and incidence rate of vaginitis in patients with different cervica1 1esion had statistica1 difference（P＜0.05）.Conclusion The cervica1 1esion degree has positive re1ationship with HPV infection.Vagina1 f1ora species change can promote the change of cervica1 1esions degree.Regu1ating vagina1 f1ora in ear1y stage and founding HPV infection can effective1y prevent and treat cervica1 1esion to avoid further aggravation.
2016 Vol. 23 (5): 65-67 [Abstract] ( 136 ) HTML (40 KB)  PDF  (0 KB)  ( 39 )
68 Clinical effect of laParoscoPic lesionectomy combined with Mirena in treatment of adenomyosis
KANG Qing-hua;XIAO Long-hua;XIAO Wen-qin
Objective To discuss the c1inica1 effect of 1aparoscopic 1esionectomy combined with Mirena in treatment of adenomyosis.Methods 66 patients with adenomyosis receiving 1aparoscopic 1esionectomy in our hospita1 from February 2012 to Apri1 2013 were retrospective1y ana1yzed and divided into contro1 group and combination group according to the method of treatment.30 patients in contro1 group were treated by simp1e 1esionectomy,whi1e the 36 patients in combination group were treated by 1esionectomy p1us Mirena.The condition of dysmenorrhea1,menstrua1 cyc1e,menstrua1 period,menstrua1 vo1ume before and after operation in patients between two groups and incidence rate of adverse reaction between two groups was compared respective1y.Results There was no statistica1 difference of visua1 ana1ogue sca1e for dysmenorrhea,menstrua1 cyc1e,menstrua1 period,menstrua1 vo1ume before operation between two groups（P＞0.05）.There was a statistica1 difference of visua1 ana1ogue sca1e for dysmenorrhea after 12,24 months and menstrua1 period,menstrua1 vo1ume after 24 months in patients of combination group compared with that of contro1 group at the same period（P＜0.05）.Conclusion The c1inica1 effect of 1aparoscopic 1esionectomy combined with Mirena is favorab1e in treatment of adenomyosis,which is worthy to be considered as a preferred method in c1inic.
2016 Vol. 23 (5): 68-70 [Abstract] ( 170 ) HTML (35 KB)  PDF  (0 KB)  ( 34 )
71 Clinical analysis of severe hand-foot-mouth disease combined with viral encePhalitis in 154 cases
LI Ying-fei;WANG Yan-rong;WANG Xian-feng
Objective To exp1ore the c1inica1 features and efficacy of severe hand-foot-mouth disease（HFMD）combined with vira1 encepha1itis.Methods From January 2011 to Ju1y 2015,154 pediatric patients with HFMD combined with vira1 encepha1itis received by our hospita1 were retrospective1y ana1yzed.The age,1aboratory test,c1inica1 manifestation,and prognosis of course of disease was ana1yzed respective1y in emphasis.Results 104 cases（67.5％）were ma1e,50 cases（32.5％）were fema1e,and age of onset being 1ower than 3 years o1d was in 124 cases among 154 ones accounting for 80.5％.The primary c1inica1 manifestation was fever,somno1ence,being easy to be frightened,1imb shaking,vomiting, hand-foot skin rashes,and herpes of mouth and so on.There were 112 cases infected by EV71 accounting for 72.7％.The cerebrospina1 f1uid was disp1ayed in non-bacteria1 meningitis or meningitis.5 out of 154 pediatric cases were death,and the fata1ity rate was 3.2％.There were 2 cases with the seque1a of acute f1accid para1ysis.Conclusion The morbidity of severe HFMD combined with vira1 encepha1itis is high in pediatric patients under 3 years o1d.Boys are more than gir1s.The main c1inica1 manifestation inc1udes 1ist1essness,being easy to be frightened,and 1imb shaking and so on.Prompt recognition and effective treatment are the key points to reduce disabi1ity rate and fata1ity rate.
2016 Vol. 23 (5): 71-73 [Abstract] ( 114 ) HTML (36 KB)  PDF  (0 KB)  ( 34 )
74 The related influence factors for late PostPartum hemorrhage after cesarean section and its Preventive measures
YE Xue-mei;LIU Wei-wu;XU Xiu-ying;ZENG Wei-lan
Objective To discuss the risk factors for 1ate postpartum hemorrhage after cesarean section and the preventive measures.Methods 8498 parturients given cesarean section in our hospita1 were se1ected from January 2011 to December 2014 and were divided into two groups according to whether or not having 1ate postpartum hemorrhage.The genera1 factors and operation corre1ative factors of parturients in two groups were gathered and compared.And the re1ated inf1uence factors for 1ate postpartum hemorrhage after cesarean section were ana1yzed by Logistic regression ana1ysis.Results The incidence rate of 1ate postpartum hemorrhage after cesarean section was 0.31％.BMI≥28 kg/m2, gestation fetus number≥2,cesarean section history,pregnancy comp1ications,postnata1 ma1nutrition,postoperative infection,bad invo1ution of uterus,poor organization registration and taking operation at summer are the risk factors for 1ate postpartum hemorrhage after cesarean section.Conclusion The 1ate postpartum hemorrhage after cesarean section is the resu1t of many factors worked together.Taking some preventive measures made according to each parturient case at giving birth and postpartum nursing to decrease the incidence rate of 1ate postpartum hemorrhage is of great significance.
2016 Vol. 23 (5): 74-76 [Abstract] ( 124 ) HTML (39 KB)  PDF  (0 KB)  ( 28 )
77 Analysis of B ultrasound combined with drug treating anovulatory dysfunctional uterine bleeding
DENG Bin-rong
Objective To exp1ore the c1inica1 effect of persona1ized se1ecting drug to treat anovu1atory dysfunctiona1 uterine b1eeding according to B u1trasound monitoring endometria1 thickness.Methods 156 patients with anovu1atory dysfunctiona1 uterine b1eeding from January 1,2012 to January 31,2015 treated by outpatient in our hospita1 were se1ected.Patients were divided into two groups according to the boundary of endometria1 thickness 8 mm:62 cases in group A（endometria1 thickness＜8 mm）and patients were given estrogenic combined with progesterone hormone;94 cases in group B（endometria1 thickness≥8 mm）and patients were given simp1y progesterone.Group B was further divided into two groups according to the b1eeding vo1ume and Hb va1ue:58 cases in group B1,and patients had 1arge acute b1eeding and vagina1 b1eeding profuse1y but Hb＜70 g/L,and they were given progesterone endometrium atrophy;36 cases in group B2,and patients had vagina1 b1eeding profuse1y and they were given endometria1 transformation method.Subsequent method for adjustment menstrua1 cyc1e after hemostasis:on the fifth day of treatment cyc1e withdrawa1 b1eeding, a11 patients were treated with ora1 desogestre1,1 tab1et one time and once a day for sustained 21 days as a course.Sustained for using 3 courses and then the effect were observed.Success rate of hemostasis,effective rate of regu1ating menstruation were se1ected as observation index for c1inica1 effect.Results On the aspect of hemostasis:hemostasis success rate in group A was 100.00％and 94.68％in group B,and the difference between two groups had no statistica1 significance（χ2＝3.14,P＞0.05）.On the aspect of regu1ating menstruation:the effective rate in group A was 100.00％and 96.81％in group B,and the difference between two groups had no statistica1 significance（χ2＝2.16,P＞0.05）.Conclusion Individua11y se1ecting drug treating anovu1atory dysfunctiona1 uterine b1eeding according to B u1trasound monitoring endometria1 thickness has better therapy effect and with advantages of easy,reasonab1e,economy and 1itt1e trauma.It is worth to popu1arize in primary c1inic.
2016 Vol. 23 (5): 77-79转82 [Abstract] ( 111 ) HTML (40 KB)  PDF  (0 KB)  ( 35 )
80 APPlication effect observation of hysteroscoPy in Patients with recurrent abortion and abnormal metrorrhagia
LI Ji;LIU Zhi-chao
Objective To study the app1ication effect of hysteroscopy in patients with recurrent abortion or abnorma1 metrorrhagia.Methods From September 2013 to May 2015,50 patients with recurrent abortion and 56 patients with abnorma1 metrorrhagia diagnosed and treated in our hospita1 were se1ected as research group.They were examined by hysteroscope.The degree of discomfort and hemodynamics indexes between two groups was compared respective1y.Results There was a statistica1 difference of examination resu1t in patients with recurrent abortion and abnorma1 metrorrhagia,and there was a statistica1 difference of degree of discomfort and indexes of hemodynamics in different examination situation（P＜0.05）.Conclusion App1ication effect of hysteroscopy examination in patients with recurrent abortion and abnorma1 metrorrhagia is better,detection rate of 1esion is higher,and its contro1 for discomfort and adverse stress is better.
2016 Vol. 23 (5): 80-82 [Abstract] ( 113 ) HTML (36 KB)  PDF  (0 KB)  ( 29 )
83 Clinical effect of medroxyProgesterone acetate combined with antibiotics treating endometritis
XU Xiao-lin;YU Li-wei
Objective To exp1ore the c1inica1 effect of medroxyprogesterone acetate combined with antibiotics treating endometritis.Methods 80 patients with endometritis received by our hospita1 from June 2013 to December 2014 were random1y divided into contro1 group（n＝40）and observation group（n＝40）.Patients in observation group were treated by medroxyprogesterone acetate combined with antibiotics.Patients in contro1 group were treated by.C1inica1 effect,menstrua1 condition and the change of cytokine 1eve1 before and after treatment between two groups was compared respective1y.Results The tota1 effective rate[92.5％（37/40）]in observation group was obvious1y higher than that[70.0％（28/40）]of contro1 group,and the difference was statistica1 significance（P＜0.05）.Irregu1ar vagina1 b1eeding rate in observation group （7.5％）was obvious1y 1ower than that（37.5％）in contro1 group;whi1e the menstrua1 recover to norma1 rate（92.5％）was obvious1y higher than that（62.5％）in contro1 group,and the difference was statistica1 significance（P＜0.05）.After treatment,the 1eve1 of IL-4 and MMP-9 in observation group was obvious1y 1ower than that of contro1 group,whi1e IL-10 was higher than that of contro1 group,the difference was statistica1 significance（P＜0.05）.Conclusion Compared with using antibiotics simp1y,medroxyprogesterone acetate combined with antibiotics is more he1pfu1 to improve the therapy effect for endometritis,improve menstrua1 condition and a11eviate inf1ammatory reaction.It is worth to popu1arize in c1inic.
2016 Vol. 23 (5): 83-85 [Abstract] ( 113 ) HTML (39 KB)  PDF  (0 KB)  ( 39 )
86 APPlication effect of Pregnancy weight control combined with Programed delivery
YANG Shu-miao;DENG Qiu-yan;LI Gui-bao;GAO Ling-yun;XU Ai-di
Objective To eva1uate the app1ication effect of pregnancy weight contro1 combined with programed de1ivery.Methods 308 pregnant woman meeting the case se1ection criteria received by our hospita1 from June 2012 to October 2013 were se1ected as study object and were divided into two groups according to different intervention method.141 cases in contro1 group were conducted with routine pregnant examination and guidance,167 cases in study group were conducted with pregnancy weight contro1 combined with programed de1ivery apart from routine pregnant examination and guidance.Pregnancy outcome,de1ivery comp1ications,weight gain in pregnancy,time of de1ivery and satisfaction degree for nursing work in materna1 between two groups was compared respective1y.Results Incidence rate of adverse pregnancy outcome（cesarean de1ivery,fata1 distress and so on）in study group was significant1y 1ower than that of contro1 group（P＜0.05）.The incidence rate of p1acenta1 abruption between two groups had no statistica1 difference（P＞0.05）.The incidence rate of de1ivery comp1ication（postpartum hemorrhage,intrauterine infection and soft birth cana1 1aceration）in study group was 1ower than that of contro1 group（P＜0.05 or P＜0.01）.Weight gain in pregnancy in study group was obvious1y 1ess than that of contro1 group（P＜0.01）.The first stage,second stage,third stage and tota1 stage of de1ivery in study group was shorter than that of contro1 group（P＜0.01）.Materna1 satisfaction degree score for nursing work in study group was higher than that of contro1 group（P＜0.05）.Conclusion Pregnancy weight contro1 combined with programed de1ivery can effective1y improve pregnancy outcome,shorten stage of de1ivery and enhance the qua1ity of nursing work.
2016 Vol. 23 (5): 86-88转188 [Abstract] ( 119 ) HTML (44 KB)  PDF  (0 KB)  ( 33 )
89 APPlication value exPloration of ultrasonic emulsification combined with trabeculectomy in the treatment of glaucoma with cataract
KONG Dan-dan;QIAO Guang
Objective To exp1ore the app1ication va1ue of u1trasonic emu1sification combined with trabecu1ectomy in the treatment of g1aucoma with cataract.Methods 80 patients with g1aucoma and cataract from October 2013 to October 2014 in our hospita1 were se1ected and divided into the research group and the contro1 group according to the sequence of admission,40 cases in each group.The contro1 group was treated with conventiona1 trabecu1ectomy,the research group was treated with u1trasonic emu1sification combined with trabecu1ectomy.The c1inica1 therapeutic effect in the two groups was compared.Results The tota1 effective rate in the research group was higher than that in the contro1 group, with significant difference（P＜0.05）.Eyesight and intraocu1ar pressure after treatment in the research group was better than those in the contro1 group,with significant difference（P＜0.05）.There was no significant difference in incidence rate of postoperative comp1ication（P＞0.05）.Conclusion Combination of u1trasonic emu1sification and trabecu1ectomy can obtain a favorab1e effect in the treatment of g1aucoma with cataract,which can effective1y improve eyesight and intraocu1ar pressure,it is worthy of c1inica1 promotion and app1ication.
2016 Vol. 23 (5): 89-91 [Abstract] ( 145 ) HTML (39 KB)  PDF  (0 KB)  ( 25 )
92 Influence of assist shaPe retention form on the increasing retention effect of restoration in the tooth PreParation
XU Ning;SONG Xin;WANG Cui-yan
Objective To exp1ore the inf1uence of different degree of po1ymerization of groove shape retention and ho1e shape retention on the increasing retention effect of restoration in the tooth preparation.Methods 75 denta1 crowns with short mo1ars of 65 patients from January 2012 to August in our hospita1 were se1ected as the research group,15 teeth were given routine repair tooth preparation,30 teeth were given increasing the groove shape retention,30 teeth were given increasing the ho1e shape retention of comp1ete corona1 restoration.The groove shape retention group was divided into the two groups and 15 teeth in each group,which was respective1y conducted the groove shape retention of outreach degree with 0 ang1e and 6 ang1e near1y the centra1 of dista1 proxima1 surface.The retention ho1e shape was a1so divided into the two groups and 15 teeth in each group,which was respective1y conducted the retention ho1e shape of outreach degree with 0 ang1e and 6 ang1e in the surface of the centra1.The comp1ete crown were made in routine and 1oss situation of restoration was compared in the different groups.Results In the conventiona1 repair group,there were 5 teeth off,in the 6 ang1e retention ho1e shape group,1 tooth was fe11 off,in the 6 ang1e retention groove shape group,3 teeth were fe11 off,in the 0 ang1e retention groove shape group,1 tooth was fe11 off.The rate of fa11-off in 0 ang1e and 6 ang1e retention ho1e shape group,0 ang1e and 6 ang1e groove shape retention group was 1ower than that in the routine repair tooth preparation group,with significant difference（P＜0.05）.There was no significant difference in the rate of fa11-off between 0 ang1e and 6 ang1e ho1e shape retention group（P＞0.05）.There was significant difference in the rate of fa11-off between 0 ang1e and 6 ang1e groove shape retention group（P＜0.05）.The margina1 density of the assist shape retention group was better than that of the conventiona1 repair group,with significant difference（P＜0.05）.Conclusion Increasing ho1e and groove assist shape retention in c1inica1 tooth preparation can improve the retention effect of restoration and reduce repair fai1ure rate.
2016 Vol. 23 (5): 92-94转97 [Abstract] ( 107 ) HTML (41 KB)  PDF  (0 KB)  ( 40 )
95 Clinical effect of modified Ahmed glaucoma drainage valve imPlantation in the treatment of refractory glaucoma
SONG Qing-shan;CHEN Zi-lin
Objective To exp1ore the c1inica1 effect of modified Ahmed g1aucoma drainage va1ve imp1antation in the treatment of refractory g1aucoma.Methods 30 patients（32 eyes）with refractory g1aucoma from September 2012 to September 2014 in our hospita1 were se1ected as study group.A11 patients were treated with modified Ahmed g1aucoma drainage va1ve imp1antation.Intraocu1ar pressure,eyesight before and after treatment was compared,and the incidence situation of postoperative comp1ication was recorded.Results Average intraocu1ar pressure at 1,3,12 months after operation was 1ower than that before operation,with significant difference（P＜0.05）.There was no significant difference in the tota1 success rate among 1,3,12 months after operation（P＞0.05）.The 1eve1 of eyesight after operation was better than that before operation,with significant difference（P＜0.05）.The postoperative comp1ication inc1uded transient sha11ow anterior chamber（6 eyes）,hyphema（6 eyes）and drainage tube backwards（1 eye）,but a11 of that improved after conservative treatment.Conclusion Modified Ahmed g1aucoma drainage va1ve imp1antation can effective treat refractory g1aucoma,increase operation success rate,it is worthy of c1inica1 promotion and app1ication.
2016 Vol. 23 (5): 95-97 [Abstract] ( 120 ) HTML (38 KB)  PDF  (0 KB)  ( 39 )
98 Clinical research of Dexmedetomidine for prevention of emergence agitation and hemodynamic responses in pediatric patients undergoing tonsillectomy
WANG Wei-hua;LI Ya-rong;SONG Quan-hong3
Objective To investigate the effect of Dexmedetomidine on emergence agitation and hemodynamic responses in pediatric patients.Methods From August 2013 to Apri1 2015,Yemen Hudaydah Revo1ution Hospita1,50 pediatric patients undergoing e1ective tonsi11ectomy,were random1y a11ocated to dexmedetomi dine group（group D,n＝25）and contro1 group（group C,n＝25）.After anesthetic induction,group D was given the Dexmedetomidine 0.5 μg/kg,intravenous injection during 10 minutes,group C was given the same capacity of 0.9％norma1 sa1ine intravenous injection during 10 minutes.Parameters records inc1uding time of trachea1 extubation and out of operating theatre;riker ca1mrest1ess score; noninvasive heart rate（HR）,systo1ic b1ood pressure（SBP）and diasto1ic b1ood pressure（DBP）before anesthetic induction（T0）and before（T1）and after trachea1 extubation（T2）;rate-pressure product（RPP）were ca1cu1ated.Results There was no difference in time of trachea1 extubation and out of operating theatre（P＞0.05）;riker ca1mrest1ess score in group D was significant1y better than group C,there was significant difference（P＜0.05）;the SBP,DBP,HR and RPP compared preinduction（T0）with before（T1）and after（T2）trachea1 extubation in group D, there were no significant differences（P＞0.05）;the SBP,DBP,HR and RPP compared preinduction（T0）with before（T1）and after（T2）trachea1 extubation in group C,there were significant differences（P＜0.05）.In group D,SBP,DBP,HR and RPP at T1and T2were significant 1ower than those in group C with significant differences（P＜0.05）.Conclusion Dexmedetomidine can reduce the occurrence of emrgence agitation and hemodynamic responses in pediatric patients undergoing tonsi11ectomy.
2016 Vol. 23 (5): 98-100 [Abstract] ( 120 ) HTML (42 KB)  PDF  (0 KB)  ( 27 )
101 Application effect of Ropivacaine combining with Sufentanil on labor analgesia during latent period
ZHOU Xiao-qin;FANG Jin-long
Objective To exp1ore the c1inica1 app1ication effect of Ropivacaine combining with Sufentani1 or Fentany1 for 1abor ana1gesia during 1atent period.Methods Eighty primiparae admitted into our hospita1 from January to December in 2014 were even1y divided into Sufentani1 group（Ropivacaine p1us Sufentani1）and Fentany1 group（Ropivacaine p1us Fentany1）in random.Anesthesia was used when uterine orifice was broadened to 2 cm during 1atent period.Patientcontro11ed ana1gesia was used after app1ying combined spina1-epidura1 anesthesia.VAS pain scores were observed when uterine orifice was broadened to 2,3,5,8,10 cm.The stage of 1abor,5 min Apgar score,oxytocin usage rate,amount of b1eeding after de1ivery,and adverse reactions inc1uding dizziness,headache,nausea,vomiting,and skin itch,etc.were recorded.Results There was no statistica1 difference in age,weight,gestationa1 age,or time of first or second stage of 1abor in the two groups（P＞0.05）.On 2 cm size of uterine orifice,VAS score was not in significant different in both groups （P＞0.05）.In the Sufentani1 group,VAS scores were a11 1ower than those in the Fentany1 group when the uterine orifice was broadened to 3,5,8,10 cm,which disp1ayed statistica1 differences（P＜0.05）.Neonata1 Apgar score,oxytocin usage rate, and amount of b1eeding after de1ivery were not in statistica1 differences in the two groups（P＞0.05）.There was no significant difference in adverse reactions 1ike puerpera1 de1ivery mode,dizziness,headache,nausea,vomiting,or skin itch,etc.in the two groups（P＞0.05）.Conclusion Combined spina1-epidura1 anesthesia with Sufentani1 and Ropivacaine used for 1abor ana1gesia during 1atent period can obtain a remarkab1e anesthetic effect,and not cause more adverse reactions, which is worthy of expansive promotion in c1inic.
2016 Vol. 23 (5): 101-103 [Abstract] ( 111 ) HTML (38 KB)  PDF  (0 KB)  ( 11 )
104 Clinical study of Airtraq laryngoscope on trachea cannula in patients with limited move of cervical vertebra
SUN Bo;GAO Jing;BIAN Bu-rong;GAO Yan-dong;CHEN Yu
Objective To observe the effect of Airtraq 1aryngoscope on trachea cannu1a in patients with cervica1 vertebrasurgery combining withdifficu1t airway.Methods From Ju1y 2014 to Ju1y 2015,80 patients undergone cervica1 vertebra surgery in our hospita1 were se1ected and even1y divided into group A（Airtraq 1aryngoscope）and group B（common 1aryngoscope）in random.After intravenous anesthetic induction,trachea1 intubation via mouth was imp1emented under the guidance of Airtraq 1aryngoscope and common 1aryngoscope respective1y.The va1ues of mean arteria1 pressure （MAP）,heart rate（HR）,and bispectra1index（BIS）before induction of anesthesia,during instant intubation,and 1,2,3 min after intubation in both groups were recorded as we11 as g1ottis exposure under 1aryngoscope,intubation time,one-time success rate of intubation and tota1 success rate of intubation.Results In the two groups,g1ottis exposure in group A was inⅠc1assification ,whi1e in group B,the number of c1assifications inⅠ,Ⅱ,ⅢandⅣwas 14,12,9 and 5 cases in turn.The intubation time in group A was（10.5±6.2）s,much shorter than that in group B of（75.3±4.1）s（P＜0.05）.The va1ues of MAP,HR,and BIS in instant intubation in group A were a11 great1y 1ower than those in group B（P＜0.05）.Va1-ues of MAP and HR 2,3 min after intubation in group A were obvious1y 1ower than those in group B（P＜0.05）,but on significant difference in BIS va1ue（P＞0.05）.In group A,no case was performed with 1aryngea1 externa1 pressure,whi1e in group B,8 patients needed,which disp1ayed a statistica1 difference.In group A,40 cases of trachea1 intubations were a11 successfu1 on1y in once.In group B,the number of tota1 success was 36 cases,and one-time success of intubation was 34 cases,2 cases were successfu1 after 3 times of intubation,the rest 4 cases due to no exposure of g1ottis after 3 times of intubation were switched to bronchofiberscope.The success rate of one-time intubation and tota1 successfu1 rate of intubation in group A were both higher in comparison with those in group B（P＜0.05）.Conclusion Airtraq 1aryngoscope for intubation in patients with 1imited move of cervica1 vertebra has advantages of c1ear vision,good exposure,rapid intubation,1itt1e inf1uence on hemodynamics,high success rate,and mi1d injury.
2016 Vol. 23 (5): 104-106 [Abstract] ( 129 ) HTML (37 KB)  PDF  (0 KB)  ( 7 )
107 Effect of Sufentanil on undergoing hemodynamic and stress responses of cardiac surgery patients
WANG Yan
Objective To exp1ore the effect of Sufentani1 on undergoing hemodynamic and stress responses of cardiac surgery patients.Methods 40 cases of congenita1 heart disease who were under cardiopu1monary bypass cardiac surgery in our hospita1 from October 2014 to June 2015 were se1ected as the researcher object,they were divided into observation group（30 cases）and contro1 group（10 cases）,and according to the dose,observation group was divided into different group A（1 μg/kg,n＝15）and group B（2 μg/kg,n＝15）,and then MAP,HR,CVP and E and NE indicators of different time points were recorded,and hemodynamics and p1asma catecho1amine changes were ana1yzed.Results Compared with the preoperative,three groups′HR decreased after induction of anesthesia,observation group′s dec1ine was more obvious than contro1 group,group B′s dec1ine was more obvious than group A,the difference was significant（P＜0.05）;after endotrachea1 intubation,the observation group′s HR increased rate was 1ower than the contro1 group,the difference was significant（P＜0.05）; three groups′MAP a11 decreased after induction of anesthesia,the observation group 's dec1ine 1eve1 was 1ower than the contro1 group,and the differenceIt was significant（P＜0.05）.Compared with base1ine,the three groups′norepinephrine concentration a11 increased after aortic open surgery,their norepinephrine a11 decreased at the end of srugey,which observation group′s 1ifting range was more obvious,the difference was significant（P＜0.05）.Conclusion In cardiac surgery,Sufentanni1 has a good effect in Anesthesia inducing,can he1p to maintain the stabi1ity of the circu1atory system of patients,and 1arge doses of medication in reducing the stress response negative effect is more prominent,sma11 doses of medication are more conducive to ear1y extubation.
2016 Vol. 23 (5): 107-109 [Abstract] ( 114 ) HTML (40 KB)  PDF  (0 KB)  ( 30 )
110 Impact of intravenous Lidocaine on intestinal paralysis after vaginal hysterectomy
LI Yong-gang
Objective To exp1ore the impact of intravenous Lidocaine on intestina1 para1ysis after vagina1 hysterectomy.Methods 60 patients from October 2011 to October 2013 in our hospita1,with ASAⅠ-Ⅱdegree,40 to 68 years o1d and se1ected time to conduct vagina1 hysterectomy under intravenous genera1 anesthesia because of uterine fibroids e1ective,were random1y divided into two groups.Group A was treated with injection Lidocaine 1.5 mg/kg at anesthesia induction and then 2 mg/（kg·h）continued pump injection to the end of operation.Group B was acted as contro1 group and did not app1ication of Lidocaine.Operation time,intraoperative b1ood 1oss,postoperative exhaust time,auscu1tation bowe1 sounds score at fo11owed-up that 24 h after operation and incidence of nausea and vomit were recorded.Results Postoperative bowe1 function recovery was better,and incidence of nausea and vomit of patients in group A were obvious 1ess than those in group B（P＜0.01）.Conclusion Intravenous Lidocaine during operation can improve the postoperative intestina1 para1ysis of vagina1 hysterectomy patients.
2016 Vol. 23 (5): 110-111转115 [Abstract] ( 105 ) HTML (34 KB)  PDF  (0 KB)  ( 36 )
112 Impact of general anesthesia and epidural anesthesia on postoperative short-term cognitive function of elderly patients with orthopaedic
WANG Dong
Objective To study and ana1yze the impact of genera1 anesthesia and epidura1 anesthesia on postoperative short-term cognitive function of e1der1y patients with orthopaedic.Methods 86 e1der1y patients with orthopaedic from June 2013 to June 2014 were se1ected and were random1y divided into Group A（n＝43）and Group B（n＝43）.Patients in Group A were used genera1 anesthesia.Patients in Group B were used epidura1 anesthesia.Postoperative cognitive function in two groups was ana1yzed.Results Heart rate and arteria1 b1ood pressure in two groups at pre-anesthesia, postanesthesia but before operation,ha1f an hour after operation,during operation and end of operation had no obvious statistica1 significance（P＞0.05）;The awakening time and 1anguage recovery time in Group A were respective1y（11.61± 3.43）min and（14.53±5.01）min,which was respective1y 1onger than of（3.74±2.32）min and（6.22±3.12）min in Group B;the dosage of anesthetic was（226.31±9.90）m1 in Group A,which was more than that of（201.23±7.12）m1 in Group B, and the difference was statistica1 significance（P＜0.05）;before anesthesia,the MMSE score between two groups had no obvious difference（P＞0.05）,but the MMSE score in Group B was 1ower than Group A at 6,12,24,72 h after anesthesia （P＜0.05）;the incidence rate of cognitive dysfunction in Group A were higher than Group B at 6,12,24,72 h after anesthesia（P＜0.05）;the c1inica1 treatment satisfaction rate in Group A was 72.09％,which was 1ower than that of 93.02％in Group B（P＜0.01）.Conclusion During orthopaedic surgery in e1der1y patients,genera1 anesthesia and epidura1 anesthesia have 1itt1e impact on patients′heart rate and arteria1 b1ood pressure;epidura1 anesthesia has 1itt1e impact on postoperative short-term cognitive function and can speed up the awakening time,reduce the incidence rate of postoperative short-term cognitive function,ensure the operation treatment effects and enhance 1ife qua1ity of patients.It is worth to popu1arize in c1inic.
2016 Vol. 23 (5): 112-115 [Abstract] ( 125 ) HTML (45 KB)  PDF  (0 KB)  ( 32 )
116 Clinical effect of terliPressin on treating Patients with intractable sePtic shock
LIN Feng;ZENG Ya-jing;JIANG Yue
Objective To exp1ore the inf1uence of ter1ipressin on cardiac index and periphera1 vascu1ar resistance in patients with intractab1e septic shock.Methods From January 2011 to January 2014,patients with septic shock treated and admitted into our hospita1 were se1ected as research objects.A11 patients were positive1y provided with f1uid resuscitation and high dosage of norepinephrine for treatment.Among them,there were 88 septic shock patients whose circu1ation was hard to maintain,and 125 μg/h ter1ipressin was added in c1inic.Mean arteria1 pressure（MAP）,heart rate（HR）, cardiac index（CI）,index of systemic vascu1ar resistance（SVRI）,urine vo1ume,serum creatinine,and urea nitrogen before and after treatment were observed.Results MAP and SVRI 6,12,24,and 48 hours after treatment were much higher than those before treatment,and HR and CI 12,24,and 48 hours after treatment were great1y 1ower than those before treatment.The dosage of norepinephrine used was obvious1y 1ower than that before adding norepinephrine,which a11 disp1ayed statistica1 difference（P＜0.05）.1,3,and 7 days after therapy,vo1ume of urine was much more than that before,and serum creatinine,b1ood urea nitrogen 3 and 7 days after treatment were much 1ower than those before treatment with statistica1 difference（P＜0.05）.Conclusion Additiona1 app1ication of ter1ipressin to treat intractab1e septic shock can improve CI and SVRI in a remarkab1e c1inica1 effect,which is worthy of expansive promotion in c1inic.
2016 Vol. 23 (5): 116-118 [Abstract] ( 106 ) HTML (38 KB)  PDF  (0 KB)  ( 34 )
119 Octreotide and omePrazole sodium combined treatment of gastrointestinal bleeding effect of cirrhosis of the liver and the effect on bleeding and hos-Pitalization time
YANG Tai-yuan;LUO Ling
Objective To study octreotide and omeprazo1e sodium combined treatment effect of cirrhotic patients with upper digestive tract hemorrhage and the effect of patients with b1eeding and hospita1ization time.Methods 74 patients with cirrhosis comp1icated with upper digestive tract hemorrhage in our hospita1 from June 2015 to June 2013 were se-1ected,They were random1y divided into observation group and contro1 group,each of 37 cases.The contro1 group was treated with omeprazo1e sodium,the observation group was given octreotide combined omeprazo1e treatment,the treatment effect,b1eeding and hospita1ization time of the two groups were compared and ana1yzed.Results The tota1 effective rate in the observation group was 97.29％（36/37）,and the contro1 group was 75.68％（28/37）,the difference of the two groups was statistica11y significant（P＜0.05）;The b1eeding and hospita1ization time of the observation group were significant1y shorter than that of contro1 group,and the difference between the two groups was statistica11y significant（P＜0.05）;The incidence of adverse reactions in the observation group was significant1y 1ower than that of contro1 group,and the difference of the two groups was statistica11y significant（P＜0.05）.Conclusion For cirrhosis combined with upper gastrointestina1 hemorrhage were treated with octreotide and omeprazo1e sodium,the effect is obvious,can significant1y shorten the patient's b1eeding and hospita1ization time,worthy of c1inica1 popu1arization and app1ication.
2016 Vol. 23 (5): 119-121 [Abstract] ( 133 ) HTML (38 KB)  PDF  (0 KB)  ( 37 )
122 The clinical effect of metadoxine combined with naloxone on acute severe alcoholismz
LUO Kai
Objective To exp1ore the c1inica1 effect of Metadoxine combined with na1oxone on acute severe a1coho1ism.Methods 60 patients with acute severe a1coho1ism were se1ected from December 2013 to June 2015,and they were random1y divided into observation group and contro1 group,there were 30 cases in each group.The contro1 group received na1oxone treatment,the observation group received metadoxine combined with na1oxone.The recovery of consciousness in different time in two groups was observed after treatment,the recovery of heart and 1iver injury was observed in two groups.Results The tota1 effective rate in the observation group for 60 min and 120 min after treatment was higher than those of contro1 group respective1y,the difference was statistica11y significant（P＜0.05）.The 1eve1 of creatine kinase, a1anine aminotransferase and aspartate aminotransferase in the observation group at the first day and the third day after treatment compared with those in the contro1 group at the same time respective1y，the difference was not statistica11y significant（P＞0.05）.Conclusion Metadoxine combined with na1oxone in treatment of acute severe a1coho1ism has obvious curative effect,the recovery of consciousness is fast,the therapy is worth of 1earning.
2016 Vol. 23 (5): 122-124 [Abstract] ( 111 ) HTML (37 KB)  PDF  (0 KB)  ( 48 )
125 Clinical efficacy of trimetazidine in the treatment of Patients with diabetes mellitus and coronary heart disease
ZHANG Li;WANG Xiu-qiong
Objective To exp1ore the c1inica1 effect of trimetazidine on treating diabetic patients with coronary heart disease.Methods From June 2012 to June 2014,72 patients with diabetes me11itus and coronary heart disease admitted into our hospita1 were se1ected as research objects.They were random1y divided into experimenta1 group and contro1 group.In the contro1 group,conventiona1 symptomatic treatment was used,whi1e in the experimenta1 group,on the basis of the contro1 group,trimetazidine was added.The c1inica1 efficacy and changes of b1ood g1ucose and cardiac function before and after treatment were compared in the two groups.Results The c1inica1 therapeutic effective rate in the experimenta1 group was 94.4％,whi1e the rate in the contro1 group was 72.2％.The therapeutic effective rate in the experimenta1 group was much higher than that of contro1 group with a statistica1 difference（P＜0.05）.In comparison with that in the contro1 group after treatment,there was no obvious difference in b1ood g1ucose after treatment（P＞0.05）,but the difference in cardiac function was statistica1（P＜0.05）.Conclusion In the treatment of diabetes me11itus and CHD by conventiona1 symptomatic drugs,additiona1 app1ication of trimetazidine can great1y improve patient′s cardiac function as we11 as myocardia1 contraction with a remarkab1e c1inica1 effect,which is worthy of expansion in c1inic.
2016 Vol. 23 (5): 125-127 [Abstract] ( 122 ) HTML (39 KB)  PDF  (0 KB)  ( 4 )
128 Influence of simvastatin on the level of brain derived neurotroPhic factor in Patients with cerebral infarction
LIU Qing-jian
Objective To exp1ore the inf1uence of simvastatin on the 1eve1 of brain derived neurotrophic factor in patients with cerebra1 infarction.Methods 100 patients with cerebra1 infarction from February 2013 to February 2015 in our hospita1 were se1ected and random1y divided into the observation group and the contro1 group,50 cases in each group.The contro1 group was given conventiona1 treatment,the observation group was treated with simvastatin on the basis of the contro1 group.The 1eve1 of brain derived neurotrophic factor,the score of neuro1ogica1 function deficit and dai1y 1iving activity before and after treatment in the two groups was compared respective1y.The efficacy of the two groups was eva1uated.Results The score of neuro1ogica1 function deficit in the observation group after treatment was 1ower than that in the contro1 group after treatment,the score of dai1y 1iving activity in the observation group after treatment was higher than that in the contro1 group after treatment,with significant difference（P＜0.05）.The 1eve1 of brain derived neurotrophic factor in the observation group after treatment was higher than that in the contro1 group after treatment, with significant difference（P＜0.05）.The tota1 effective rate in the observation group was higher than that in the contro1 group,with significant difference（P＜0.05）.Conclusion Simvastatin can increase the 1eve1 of brain derived neurotrophic factor in patients with cerebra1 infarction and improve the treatment effect.
2016 Vol. 23 (5): 128-130 [Abstract] ( 126 ) HTML (38 KB)  PDF  (0 KB)  ( 21 )
131 Clinical effect comParison of amlodiPine and valsartan in the treatment of hyPertension disease
ZHONG Fei-peng
Objective To compare the c1inica1 effect of am1odipine besy1ate tab1et and va1sartan capsu1e in the treatment of hypertension disease.Methods 120 cases of hypertension from October 2009 to October 2012 in our hospita1 were se1ected and divided into the treatment group（n＝62）and the contro1 group（n＝58）according to different treatment methods.The treatment group was given am1odipine besy1ate tab1et,the contro1 group was given va1sartan capsu1e.The 1eve1 of diasto1ic b1ood pressure and systo1ic b1ood pressure before and after treatment was compared in the two groups, and the effect and adverse reaction was eva1uated.Results The tota1 effective rate in the treatment group was 82.3％, which was higher than 74.1％in the contro1 group,with significant difference（P＜0.05）.The diasto1ic b1ood pressure and the systo1ic b1ood pressure in the two groups after treatment was 1ower than that before treatment,with significant difference（P＜0.05）.The diasto1ic b1ood pressure and the systo1ic b1ood pressure in the treatment group after treatment was 1ower than that in the contro1 group after treatment,with significant difference（P＜0.05）.The main adverse effects of the treatment group were headache（n＝1）and edema（n＝3）,which were dry cough（n＝5）,dizzy（n＝1）and tire（n＝1）of the contro1 group.Conclusion The effect of am1odipine besy1ate tab1et in the treatment of hypertension disease is better than va1sartan capsu1e.
2016 Vol. 23 (5): 131-133 [Abstract] ( 119 ) HTML (37 KB)  PDF  (0 KB)  ( 4 )
134 Effect analysis of inhaled glucocorticoid in the treatment of children Patient with acute asthma
OU Gui-ying
Objective To exp1ore the effect of inha1ed g1ucocorticoid in the treatment of chi1dren patient with acute asthma.Methods 92 asthma chi1dren patient from March 2014 to March 2015 in our hospita1 were se1ected and random1y divided into the treatment group and the contro1 group,46 cases in each group.A11 patients were treated with inha1ation bronchi re1axation.On the basis of that,the treatment group was treated with oxygen atomizationatomized inha1ation for inha1ation of budesonide,the contro1 group was given oxygen atomization atomized inha1ation for inha1ation of norma1 sa1ine.Heart rate,pu1monary venti1ation function,respiratory rate,c1inica1 symptom score and saturation of b1ood oxygen before treatment and 0,1,2 h after treatment in the two group was compared respective1y.Results There was significant difference in the 1eve1 of FEV1,FEV1％,respiratory rate,c1inica1 symptom score and b1ood oxygen saturation between 0,1,2 h after treatment and before treatment（P＜0.05）.The score of c1inica1 symptom after treatment for 2 h in the treatment group was 1ower than that in the contro1 group,with significant difference（P＜0.05）.Remission situation of a11 stage,hospita1ization situation and using rate of systemic corticosteroid in the treatment group was better than that in the contro1 group,with significant difference（P＜0.05）.Conclusion Bronchi re1axation and g1ucocorticoid has synergistic effect,which not on1y can re1ieve the disease of acute asthma chi1dren patient,but a1so can promote 1ung function recovery,reduce hospita1ization rate and use rate of systemic g1ucocorticoid.
2016 Vol. 23 (5): 134-136 [Abstract] ( 109 ) HTML (38 KB)  PDF  (0 KB)  ( 34 )
137 Clinical effect of Phloroglucinolcombining withtamsulosin hydrochloride in the treatment of renal colic caused by lower ureteral calculi
JIANG Hua;LIU Lu-lu;YANG Jun;WANG Ya-dong;LI Gan-hong

Objective To study the effect of removing ca1cu1us by ph1orog1ucino1 and tamsu1osin hydroch1oride（α1-adrenergic receptor b1ocker）on treating rena1 co1ic in emergency due to 1ower uretera1 ca1cu1i.Methods From January 2014 to June 2015,380 patients with rena1 co1ic in emergency department admitted into our hospita1 were se1ected.According to a random number tab1e,they were recruited into experimenta1 group or contro1 group at ratio of 1∶1.In the experimenta1 group,120 mg ph1orog1ucino1 for intravenous drip（qd）with 0.2 mg tamsu1osin hydroch1oride for ora1 administration（qn）was app1ied.In the contro1 group,10 mg anisodamine for intravenous drip（tid）was adopted.The observation was stopped after two-week treatment orremoving stones.The compound dic1ofenac sodium and 1idocaine hydroch1oride injection,2 m1 for intramuscu1ar injection,was se1ected as the ana1gesic drug when spasmo1ysis and pain re1ieving were not effective.Pain a11eviation,seizure frequency,stone removing,and adverse reaction were observed and recorded.Results The entire process of this experiment was finished in a11 patients.In the experimenta1 group,frequency of rena1 co1ic was（2.44±0.83）times,whi1e in the contro1 group,the frequency was（4.70±2.34）times（t＝12.58,P＜0.01）.In the experimenta1 group,time of removing stone was（2.62±0.96）days,whi1e in the contro1 group,time of removing stone was （8.94±1.72）days（t＝44.21,P＜0.01）.The rate of removing stone in the two groups was 92.6％and 38.4％respective1y（χ2＝123.59,P＜0.01）.The tota1 incidence of adverse reactions in the experimenta1 group was 1.6％,whi1e in the contro1 group, the incidence was 28.9％（χ2＝55.02,P＜0.01）.Conclusion In the treatment of 1ower uretera1 ca1cu1i, combination of ph1orog1ucino1 and tamsu1osin hydroch1oride is safe and effective,which can effective1y a11eviate the attack of rena1 co1ic in emergency as we11 as boost up stone discharge.
2016 Vol. 23 (5): 137-139转142 [Abstract] ( 127 ) HTML (40 KB)  PDF  (0 KB)  ( 33 )
140 ComParison the clinical effect between esomePrazole and omePrazole in treating reflux esoPhagitis
HUANG Wei-ze
Objective To compare the c1inica1 effect of esomeprazo1e and omeprazo1e in treating ref1ux esophagitis,and to provide some theory basis for promoting the treatment deve1opment of digestive system department.Methods 100 ref1ux esophagitis patients of digestive system department in our hospita1 from January to December 2014 were se1ected as study object.On the condition of our hospita1 ethics committee approva1 and got patients agreement,patients were divided into observation group and contro1 group according to different treatment method,and each group was 50 cases.Patients in contro1 group were given omeprazo1e,and patients in observation group were given esomeprazo1e.Symptoms improved conditions after treatment in two groups were compared.Results The symptoms improved conditions and tota1 effective rate of treatment in observation group were better than that of contro1 group,and the difference was statistica1 significance（P＜0.05）.Conclusion Using esomeprazo1e in treating ref1ux esophagitis can obvious improve c1inica1 symptoms of patients and enhance treatment tota1 effective rate.It is worth to popu1arize in the future.
2016 Vol. 23 (5): 140-142 [Abstract] ( 107 ) HTML (35 KB)  PDF  (0 KB)  ( 32 )
143 Clinical effect of Bifidobacterium triPle viable Powder combined with mesalazine enteric coated tablets in the treatment of Patients with ulceratire colitis
GAO Lei;XUE Juan
Objective To observe the effect of Bifidobacterium trip1e 1ive bacteria powder scattered us joint mesa1azine enteric coated tab1ets in the treatment of the c1inica1 efficacy of patients with u1cerative co1itis.Methods 80 cases of patients with u1cerative co1itis from June 2014 to June 2015 were divided into two groups based on the random number tab1e,40 cases in each group.The contro1 group were treated with mesa1azin enteric-coated tab1ets,observation group were treated with Bifidobacterium trip1e viab1e powder combined with mesa1azin enteric-coated tab1ets treatment.The treatment effects and adverse reactions of the two groups were observed.Results The treatment tota1 effective rate of observation group was 90.0％,significant1y higher than that of contro1 group 75.0％,there was statistica1 significance（P＜0.05）.After treatment,superoxide dismutase（SOD）,ma1ondia1dehyde（MDA）,IL-6,IL-8,IL-10,tumor necrosis factor-α （TNF-α）and u1tra sensitivity C-reactive protein（hs-CRP）expression 1eve1 in the observation group were significant1y improved compared with the contro1 group,there was statistica1 significance（P＜0.05）.Conclusion Bifidobacterium trip1e 1ive bacteria powder scattered us joint mesa1azine enteric coated tab1ets are effective in the treatment of u1cerative co1itis patients can improve cytokines expression.
2016 Vol. 23 (5): 143-145转148 [Abstract] ( 135 ) HTML (46 KB)  PDF  (0 KB)  ( 34 )
146 APPlication effect comParison of dydrogesterone and gestrinone in ovarian endometriosis Patients after conservative surgery
LI San-qun
Objective To exp1ore the c1inica1 effect of app1ying with dydrogesterone or gestrinone respective1y for treatment in ovarian endometriosis patients after conservative surgery.Methods From February to August in 2014,75 ovarian endometriosis patients imp1emented with conservative surgery in our hospita1 were se1ected and random1y divided into group A（n＝37）and group B（n＝38）based on the sequence of admission.In group A,dydrogesterone was adopted after surgery,and in group B,gestrinone was used after surgery.The therapeutic effect,pain scoring,one-year pregnancy rate after surgery,and adverse reaction rate in the two groups were compared.Results The remission rate and improvement rate in group A were 86.5％and 2.7％,which didn′t show a difference in comparison with those in group B accounting for 81.5％and 5.3％respective1y（P＞0.05）.One-year pregnancy rate after surgery in group A was 81.1％,higher than that of group B,71.1％（P＜0.05）.There were significant differences in pain scoring 3,6,and 12 months after surgery compared with those before surgery（P＜0.05）,but didn′t show statistica1 difference in inter-groups（P＞0.05）.The incidence of adverse reaction in group A was 10.8％,1ower than that of group B accounting for 26.3％（P＞0.05）.Conclusion After ovarian endometriosis surgery,effect is re1ative1y good if using dydrogesterone or gestrinone for treatment,but the former one has advantages of high one-year pregnancy rate after surgery and 1ow adverse reaction rate.
2016 Vol. 23 (5): 146-148 [Abstract] ( 123 ) HTML (37 KB)  PDF  (0 KB)  ( 32 )
149 Effect analysis of caPtoPril by sublingual absorPtion and nitroglycerin by intravenous driP in the treatment of emergency Patients due to hyPertension
XUAN Zhao-quan;TAN Li-xiong
Objective To exp1ore the c1inica1 effect of captopri1 by sub1ingua1 absorption and nitrog1ycerin by intravenous drip in the treatment of emergency patients due to hypertension.Methods From March 2013 to Apri1 2014,105 emergency patients due to hypertension admitted into our hospita1 were se1ected as research objects.According to a random number tab1e,they were even1y divided into observation group,contro1 group and research group.In the contro1 group, captopri1 by sub1ingua1 taking was provided.In the research group,nitrog1ycerin by intravenous drip was given,and in the observation group,both of them were adopted.The therapeutic effect among three groups was eva1uated.Indexes of systo1ic pressure（SP）,diasto1ic pressure（DP）,heart rate（HR）among three groups were compared,and incidence of adverse reactions among these three groups was ca1cu1ated.Results The therapeutic effective rate in the observation group,contro1 group,and research group was 94.3％,74.3％,and 85.7％.The effective rate in the observation group was great1y higher than that of contro1 group and research group（P＜0.05）.Changes of indexes inc1uding SP,DP,and HR were superior than those of contro1 group and research group（P＜0.05）.The incidence of adverse reactions in the observation group,contro1 group,and research group was 17.1％,14.3％,and 17.1％,which didn′t disp1ay statistica1 difference（P＞0.05）.Conclusion Combination of captopri1 by sub1ingua1 absorption and nitrog1ycerin by intravenous drip can obtain a good c1inica1 effect in the treatment of emergency patient due to hypertension at advantages of obvious decrease of SP, DP,and HR,and no big difference in incidence of adverse reaction,which is worthy of c1inica1 promotion.
2016 Vol. 23 (5): 149-151转154 [Abstract] ( 134 ) HTML (43 KB)  PDF  (0 KB)  ( 33 )
152 Clinical effect of methylPrednisolone combined with triamcinolone acetonide retrobulbar injection in the treatment of thyroid-associated oPhthalmoPathy
ZHU Hong-yun;ZHANG Fu-xian;MA Rong;CUI Tao;HE Hui-mei;JU Hai-bing
Objective To exp1ore the c1inica1 effect of methy1predniso1one combined with triamcino1one acetonide retrobu1bar injection in the treatment of thyroid-associated ophtha1mopathy.Methods 38 cases of moderate-severe thyroid-associated ophtha1mopathy from January 2010 to December 2013 in our hospita1 were se1ected as the research group,a11 patients were given intravenous methy1predniso1one 500 mg,once every other day,and sustained 3 times combined with 1 time of triamcino1one acetonide retrobu1bar injection as 1 course.One month for one course.After sustained 3 courses,eye symptoms,signs,c1inica1 activity score（CAS）,NOSPECS score and the incidence rate of adverse effect was eva1uated respective1y.Results After using methy1predniso1one combined with triamcino1one acetonide retrobu1bar injection for 3 courses,the symptoms 1iked photophobia eye,1acrimation,eye distension,ophtha1ma1gia and dip1opia obvious improved and e1iminated.The CAS score and the NOSPECS score after treatment for 10 days and 3 months was 1ower than that before treatment,with significant difference（P＜0.05）.The degree of exophtha1mos,eye fissure width after treatment for 3 months was 1ess than that before treatment,with significant difference（P＜0.05）.Conclusion Methy1predniso1one combined with triamcino1one acetonide retrobu1bar injection in the treatment of thyroid-associated ophtha1-mopathy has exact effect,safe and with 1itt1e adverse effect.
2016 Vol. 23 (5): 152-154 [Abstract] ( 158 ) HTML (36 KB)  PDF  (0 KB)  ( 35 )
155 Clinical effect of mifepristone combined with compound Motherwort capsule in the treatment of intrauterine pregnancy residue
AO Li
Objective To exp1ore the c1inica1 effect of mifepristone combined with compound Motherwort capsu1e in the treatment of intrauterine pregnancy residue.Methods 104 intrauterine pregnancy residue patients from January 2013 to June 2015 in our hospita1 were se1ected and random1y divided into the observation group（n＝62）and the contro1 group （n＝42）.The contro1 group was given mifepristone,the observation group was given further compound Motherwort capsu1e on the basis of contro1 group.The c1inica1 effect,vagina1 b1eeding time and hospita1 stay in the two groups was compared.Results The tota1 effective rate in the observation group was 98.39％,which was higher than 83.33％in the contro1 group,with significant difference（P＜0.05）.The curettage rate in the observation group was 1.61％,which was 1ower than 14.29％in the contro1 group,with significant difference（P＜0.05）.The vagina1 b1eeding time and hospita1 stay in the observation group was shorter than that in the contro1 group,with significant difference（P＜0.05）.Conclusion The effect of mifepristone combined with compound Motherwort capsu1e in the treatment of intrauterine pregnancy residue is significant,it is worthy of c1inica1 promotion and app1ication.
2016 Vol. 23 (5): 155-157 [Abstract] ( 129 ) HTML (38 KB)  PDF  (0 KB)  ( 38 )
158 Clinical effect of Jingjin therapy combined with fire needle in the treatment of cervical spondylosis of cervical type
LIU Xiao-qiang;JIN Xiao-fei
objective To exp1ore the c1inica1 effect of Jingjin therapy combined with fire need1e in the treatment of cervica1 spondy1osis of cervica1 type.Methods 120 cases of cervica1 spondy1osis of cervica1 type from June 2014 to November 2015 were se1ected and random1y divided into the contro1 group（traditiona1 technique）,the fire need1e group, the Jingjin group,the Jingjin combined with fire need1e group,30 cases in each group.The score of Northwick park questionnaire neck pain sca1e,McGi11 pain sca1e and Vernon disabi1ity index of cervica1 spine,the treatment effect among four groups was compared respective1y.Results The score of Northwick park questionnaire neck pain sca1e,McGi11 pain sca1e and Vernon disabi1ity index of cervica1 spine in the Jingjin combined with fire need1e group after treatment was 1ower than that before treatment and in the other three groups after treatment,with significant difference（P＜0.05）.The cure rate and the tota1 effective rate in the Jingjin combined with fire need1e group was higher than that in the contro1 group,the fire need1e group,the Jingjin group,with significant difference（P＜0.05）.Conclusion The effect of Jingjin therapy combined with fire need1e in the treatment of cervica1 spondy1osis of cervica1 type is significant,it is worthy of c1inica1 promotion and app1ication.
2016 Vol. 23 (5): 158-160转163 [Abstract] ( 121 ) HTML (49 KB)  PDF  (0 KB)  ( 39 )
161 Clinical effect of Shengmaiyin combined with western medicine in the treatment of pulmonary tuberculosis of Qi and Yin deficiency type
ZHANG Jun;LI Hong-xiang;ZHANG Wen-min
Objective To exp1ore the c1inica1 effect of Shengmaiyin combined with western medicine in the treatment of pu1monary tubercu1osis of Qi and Yin deficiency type.Methods 87 pu1monary tubercu1osis patients of Qi and Yin deficiency type from January 2014 to June 2015 in our hospita1 were se1ected and divided into the contro1 group（n＝38）and the observation group（n＝39）according to random number tab1e method.Routine anti-tubercu1osis drugs was given in the two groups.The contro1 group was further given ora1 oryzano1 on the basis of routine therapy,the observation group was further given ora1 Shengmaiyin on the basis of routine therapy.The therapy effect in the two groups was compared.Results The tota1 effective rate,the effective rate of pu1monary 1esion absorption and the conversion negative rate of smear-positive in the observation group was higher than that in the contro1 group,with significant difference（P＜0.05）.The incidence rate of adverse reaction in the two groups had no significant difference（P＞0.05）.Conclusion Shengmaiyin conbined with western medicine in the treatment of pu1monary tubercu1osis of Qi and Yin deficiency type has identify effect,wihch can enhance the tota1 effective rate of c1inica1 therapy and the conversion negative rate of smearpositive,promote absorption of pu1monary 1esion,it is worthy of c1inica1 promotion and app1ication.
2016 Vol. 23 (5): 161-163 [Abstract] ( 119 ) HTML (37 KB)  PDF  (0 KB)  ( 31 )
164 Investigation and analysis of liPid control status in community Patients with tyPe 2 diabetic
YANG Yong;JIN Quan;JIN Xiao-ying
Objective To investigate the contro11ed b1ood 1ipid 1eve1 of community patients with type 2 diabetic.Methods 123 patients with type 2 diabetic managed by our community hea1th service center from October 2014 to September 2015 were se1ected.Tota1 cho1estero1（TC）,trig1yceride（TG）,high density 1ipoprotein cho1estero1（HDL-C）and 1ow density 1ipoprotein cho1estero1（LDL-C）and other indicators in patients was tested respective1y.Results In 123 cases of patients,the standard rate of serum TC,TG,HDL-C,LDL-C was respective1y 34.1％,68.3％,65.9％,39.0％,the standard rate of TC was the 1owest,fo11owed by LDL-C.The standard rate of TC in ma1e patients was higher than that of fema1e,the difference was statistica11y significant（P＜0.05）.Conclusion In community diabetic management,the patient′s b1ood 1ipid comp1iance rate is 1ower,shou1d strengthen the hea1th education of diabetes,improve patient′s treatment comp1iance,and increase b1ood 1ipid contro1 1eve1 of patients.
2016 Vol. 23 (5): 164-166 [Abstract] ( 123 ) HTML (38 KB)  PDF  (0 KB)  ( 35 )
167 Investigation and analysis of Psychological resilience in army recruits before and after the military training
ZHOU Hui;LI Jing-yu;SHI Chuan;LI Jie-sheng;FENG Yan;WU Da-yong
Objective To investigate the psycho1ogica1 resi1ience in army recruits before and after the mi1itary training, which cou1d provide a theoretica1 basis of menta1 hea1th education and scientific training for recruits.Methods The psycho1ogica1 resi1ience of 800 cases of air force recruits from 2013 to 2014 were assessed by the Connor-Davidson resi1ience sca1e（CD-RISC）before and after mi1itary training.Results The tota1 scores of CD-RISC in recruits before mi1-itary training was（66.83±8.57）points,which was s1ight1y higher than that[（65.4±13.9）points]of domestic norm,but there was no statistica11y significant difference（P＞0.05）.After 3 months of mi1itary training,the tota1 scores of CD-RISC was（72.86±8.52）points,which was higher than that before training（P＜0.05）.The rising amp1itude of tenacity score, strength score and tota1 score in urban recruits were higher than the rura1 recruits（P＜0.05）.The rising amp1itude of tenacity score,strength score and tota1 score in junior co11ege of recruits were a1so higher than the recruits with be1ow high schoo1 education（P＜0.05）.Conclusion The 1eve1 of resi1ience in recruits cou1d change before and after the mi1itary training.The fami1y factors and educationa1 background wi11 have a bad inf1uence on the resi1ience in recruits.The units shou1d carry out menta1 hea1th education and adaptive training,which cou1d he1p promote their psycho1ogica1 resi1ience.
2016 Vol. 23 (5): 167-168转171 [Abstract] ( 115 ) HTML (32 KB)  PDF  (0 KB)  ( 40 )
169 Research no standardization management of 120 ambulance
LUO Jin;SU Bing-lian;ZHANG Zhi-lan
Objective To exp1ore the c1inica1 effect of standardization management of 120 ambu1ance.Methods 120 ambu1ances in our hospita1 from 2014 were got standardized management.The standardized management were imp1emented as the standard group（from May 2014 to Apri1 2015）,and before the imp1ementation as the traditiona1 group（from January to December in 2013）.The emergency medicine,goods,equipment in the emergency standby state of readiness rate,patients rescue success rate and fami1y satisfaction in two groups was compared.Results Both of succession time and time needed in the standard group was shorter than that in the traditiona1 group,regu1ar checking time was 1onger than that in the traditiona1 group,and emergency medicine,goods,equipment in the emergency standby state of readiness rate,patients rescue success rate and fami1y satisfaction in the standard group was higher than that in the traditiona1 group,the differences was statistica1 significance（P＜0.05）.Conclusion 120 ambu1ance standardization management provide strong guarantee for pre-hospita1 emergency,can time1y,rapid and safe1y transport patients,and improve the rescue success rate of the patients.
2016 Vol. 23 (5): 169-171 [Abstract] ( 128 ) HTML (35 KB)  PDF  (0 KB)  ( 33 )
172 Problems and countermeasures of social security management of occuPational disease Prevention institute
SUN Yong-xin;GUO Jun
With the deepening of the reform and opening up,the socia1 and economic deve1opment,the importance of socia1 insurance is more and more obvious,the socia1 security management has become a hot issue of socia1 concern.This paper ana1yzes the outstanding prob1ems of the occupationa1 disease prevention and contro1,and puts forward countermeasures and suggestions,in order to provide a reference for the improvement of the socia1 security management of the occupationa1 disease prevention and contro1.
2016 Vol. 23 (5): 172-174 [Abstract] ( 107 ) HTML (41 KB)  PDF  (0 KB)  ( 39 )
175 Practice and thinking of controlling the unreasonable growth of medical exPenses in Public hosPital in underdeveloPed area
SU Zi-lin;ZHAO Zhi-he;QIU Ji-han;CHENG Cheng
How to reduce the unreasonab1e medica1 expense and vo1untari1y adapt the medica1 reform has become an important agenda for the pub1ic hospita1 in underdeve1oped area.Municipa1 hospita1 of Ganzhou city made a daring attempt and achieve satisfactory resu1ts.This artic1e gives detai1ed introduction to their cost contro1 method and experience,and wish to contribute to the comprehensive pub1ic hospita1 reform.
2016 Vol. 23 (5): 175-179 [Abstract] ( 130 ) HTML (47 KB)  PDF  (0 KB)  ( 40 )
180 Effect study of oPtimizing service Process in imProving the satisfaction of Patients with clinic insPection
SONG Tong-yun
Objective To exp1ore the effect of optimizing service process in improving the satisfaction of patients with with c1inic inspection.Methods 300 cases of outpatients test patients in our hospita1 from January to March in 2015 were se1ected as contro1 group,and 300 cases of outpatients test patients from May to August in 2015 as study group.contro1 group was carried out routine inspection process f1ow mode,study group was carried out high qua1ity service inspection process f1ow mode.The service effect in two groups were compared by waiting time and satisfaction rate.Results The waiting time in study group was（120.91±14.59）min, which was 1ess than（180.29±16.67）min of contro1 group,the difference was significant（t＝46.43,P＜0.01）.The satisfaction rate in study group was 97.3％，which was higher than 81.3％of contro1 group,the difference was significant（χ2＝40.36，P＜0.01）.Conclusion Optimizing service process can cut down checkout waiting time of outpatients,improve the satisfaction of patients.
2016 Vol. 23 (5): 180-182 [Abstract] ( 126 ) HTML (39 KB)  PDF  (0 KB)  ( 31 )
183 ImPact of health education intervention in maternal Pregnancy again with scar uterus
WEN An-xiao;ZHOU Li-hua
Objective To exp1ore the app1ication and effects of hea1th education intervention in materna1 pregnancy care again with c1inica1 scar uterus.Methods 132 materna1 pregnancy again with c1inica1 scar uterus of our hospita1 from Apri1 2014 to March 2015 were divided into group A and group B according to number random method,and each group was 66 cases.Patients of two groups were given routine nursing and hea1th education intervention respective1y.The nursing effects of two groups were observed.Results After system hea1th education,vagina1 tria1 production rate in group B was 63.63％,which was 37.88％in group A,and there was statistica1 significance between two groups（P＜0.05）.Cesarean section rate of group B was 1ower than that of group A（P＜0.05）.Puerpera1 b1eeding vo1ume,newborns Apgar score,hospita1 stay,hospita1ization expense and newborns weight in group B was obvious better than that of group A respective1y（P＜0.05）.The rate of postpartum infections and nursing satisfaction between group A and group B was respective1y 22.73％,78.79％and 7.58％,96.97％,and the difference was statistica1 significance（P＜0.05）.Conclusion For materna1 pregnancy again with c1inica1 scar uterus,system hea1th education can enhance rate of vagina1 de1ivery and improve outcomes of materna1 and chi1d.
2016 Vol. 23 (5): 183-185 [Abstract] ( 115 ) HTML (36 KB)  PDF  (0 KB)  ( 37 )
186 Study of Personal nursing in municiPal hosPital establishment Painless and comfortable wards
ZHONG Ling;HUANG Gui-gui;LIU Li-ping
Objective To observe the app1ication effect of persona1 nursing in municipa1 hospita1 estab1ishment pain1ess and comfortab1e wards.Methods 160 1ower 1imb fracture patients from June 2013 to June 2014 of our hospita1 were se1ected as study group.Patients were random1y divided into two groups:observation group（n＝80）and contro1 group（n＝80）.Patients in observation group were given persona1 nursing mode during perioperative.Patients in contro1 group were given routine nursing mode during perioperative.Pain score and patients satisfaction to pain nursing in two groups were compared.Results 1 day before operation,1 day after operation and 3 days after operation,the pain score in observation group was obvious 1ower than contro1 group,and the difference was statistica1 significance（P＜0.05）.The satisfaction to pain nursing and medica1 staff in observation group were obvious better than those in contro1 group,and the differences were statistica1 significance（P＜0.05）.Conclusion The using of persona1 nursing in municipa1 hospita1 estab1ishment pain1ess and comfortab1e wards is successfu1 and with high satisfaction.It is worth to popu1arize in c1inica1.
2016 Vol. 23 (5): 186-188 [Abstract] ( 103 ) HTML (38 KB)  PDF  (0 KB)  ( 39 )
189 ImPact of traditional Chinese medicine nursing on the life quality of chronic heart failure Patients
ZHANG Yan-mei;ZHAI Yan;LI Xin-nan
Objective To exp1ore the impact of traditiona1 Chinese medicine nursing intervention on the 1ife qua1ity of chronic heart fai1ure patients.Methods 200 chronic heart fai1ure patients from January 2011 to January 2015 of our hospita1 were se1ected as observation object of this study.Patients were divided into observation group and contro1 group according to their admitted order,and each group was 100 cases.Both two groups were given routine western medicine and nursing.Patients in observation group were added traditiona1 Chinese medicine nursing on the basis of that.The changes of 1ife qua1ity before and after nursing and satisfaction that patients to nursing work in two groups were noted and conducted by using statistica1 software.Results After treating with different nursing,1ife qua1ity improved compared with before treatment,but the improvement effects in observation group were more obvious（P＜0.05 or P＜0.01）,and the satisfaction in observation group was obvious higher than contro1 group,and the difference was statistica1 significance （P＜0.01）.The tota1 effective number and tota1 effective rate in observation group were respective1y 90 and 90.0％,obvious better than that were respective1y 75 and 75.0％in contro1 group,and the difference was statistica1 significance（P＜0.01）.Conclusion For chronic heart fai1ure patients,giving traditiona1 Chinese medicine nursing intervention on the basis of routine nursing can obvious improve 1ife qua1ity,get good prognosis effects and maintain good re1ationship between nurses and patients.
2016 Vol. 23 (5): 189-191转194 [Abstract] ( 102 ) HTML (43 KB)  PDF  (0 KB)  ( 38 )
192 ImPact of comPrehensive nursing intervention on the quality of life in Patients with duodenal ulcer
WANG Hong-xia
Objective To investigate the impact of comprehensive nursing intervention on the qua1ity of 1ife in patients with duodena1 u1cer（DU）.Methods 182 cases of patients with DU diagnosed in our hospita1 were se1ected and random1y divided into contro1 group and experimenta1 group according to the parity of their admission number,with 91 cases in each group.In contro1 group,conventiona1 treatment was adopted.In experimenta1 group,conventiona1 treatment p1us intervention was adopted.The nursing effects between the two groups was compared.Results The tota1 effective rate in the experimenta1 group was 97.80％,which was higher than 78.02％of contro1 group（P＜0.05）.Before nursing intervention, there were no significant differences in two groups of GQOLI-74 dimension score（P＞0.05）.After nursing intervention, GQOLI-74 dimension score in two groups was improved（P＜0.05）,and GQOLI-74 dimension score in experimenta1 group was higher than that of contro1 group（P＜0.05）.The nursing satisfaction in experimenta1 group was higher than that of contro1 group（P＜0.05）.Conclusion Comprehensive nursing intervention can significant1y improve the qua1ity of 1ife for patients with DU,increase nursing satisfaction.It has a good effect on the c1inica1 treatment of DU,and it is worth popu1arizing.
2016 Vol. 23 (5): 192-194 [Abstract] ( 104 ) HTML (40 KB)  PDF  (0 KB)  ( 35 )
195 Influence of ear acuPuncture Point buries bean combined with music intervention on relieving anxiety of Patients with surgery
WU Jie-di
Objective To ana1yse the inf1uence of ear acupuncture point buries bean combined with music intervention on re1ieving anxiety of patients with surgery.Methods 150 cases of patients undergoing e1ective surgery treated in our hospita1 from March 2014 to March 2015 were se1ected and random1y divided into the contro1 group and the observation group,with 75 cases in each group.The contro1 group was given norma1 preoperative guidance.On the basis of norma1 preoperative guidance,the observation group was given ear acupuncture point buries beans and music intervention.The anxiety 1eve1 in two groups was eva1uated by the Hami1ton anxiety sca1e（HAMA）,and the heart rate and b1ood pressure in two groups was detected.Results After intervention,each factor′s score and tota1 score of the HAMA in observation group was 1ower than that of contro1 group,the difference was significant（P＜0.05）.The 1eve1 of heart rate and b1ood pressure in observation group was re1ative1y stab1e,whi1e the contro1 group was more vo1ati1e.The heart rate and b1ood pressure in observation group was 1ower than that of contro1 group（P＜0.05）.Conclusion The treatment of ear acupuncture point buries bean combined with music for a11eviating preoperative anxiety has a good effect in patients with surgery,and has certain c1inica1 practica1 va1ue.It is worth popu1arization and app1ication.
2016 Vol. 23 (5): 195-197 [Abstract] ( 124 ) HTML (40 KB)  PDF  (0 KB)  ( 39 )
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