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Quick Search     Adv Search 2021 Vol. 28, No. 6 Published: 2021-02-28   4 Finite element analysis of titanium rods after adolescent idiopathic scoliosis Lenke5 type thoracolumbar correction WANG Yong-qing；SU Bao-ke；WANG Wei； LU Cheng-mei； LIU Zhan-quan；LI Zhi-jun； WANG Fang；LI Xiao-he Objective To analyze the changes of the titanium rod stress in the T3-L5 segment of Lenke5 type adolescent idiopathic scoliosis(AIS)patients after correction,and provide reference for the improvement of Lenke5 type AIS surgery.Methods A three-dimensional finite element model of the T3-L5 spine segment of a patient who underwent scoliosis correction surgery in the Second Affiliated Hospital of Inner Mongolia Medical University on August 25,2018 was established.The five stress points at the junction of the vertebral body and the titanium rod under six working conditions of anterior flexion,posterior extension,left and right flexion,left and right rotation were randomly collected.SPSS 22.0 was used for statistical analysis to analyze the stress change trend of the titanium rod.Results Under the working condition of anterior flexion,posterior extension,left and right flexion,the stress of the titanium rod showed a “W”-shaped change,and a “〈”-shaped change under left and right rotation conditions.Titanium rods had greater stress on T11 (lower thoracic curve) and T12 (upper lumbar curve).Conclusion Titanium rods have greater stress in the lower end vertebrae of thoracic curve and upper end vertebra of lumbar curve,especially under left and right rotation conditions. 2021 Vol. 28 (6): 4-7转16 [Abstract] ( 47 ) HTML (46 KB)  PDF  (0 KB)  ( 7 ) 8 Content determination of jujuboside A,jujuboside B,spinosin and 6′′′-ferulic acid spinosin in fried Ziziphi Spinosae Semen from different habitats by UPLC-UV-ELSD GAO Hong-ning; YIN Yi; YAN Guo-jun Objective To establish an ultra-high performance liquid chromatography (UPLC)-ultraviolet (UV)-evaporative light scattering detection (ELSD) method for the determination content of jujuboside A,jujuboside B,spinosin and 6′′′-ferulic acid spinosin in fried Ziziphi Spinosae Semen from different habitats，the quality of Fried Ziziphi Spinosae Semen from different habitats was evaluated.Methods The chromatographic separation was achieved on Waters Acquity UPLC system,UV detector,and ELSD detector,performed on ACQUITY C18 （150 mm×2.1 mm,1.7 μm）,and the mobile phase was 0.1% formic acid water-acetonitrile(gradient elution),the flow rate was 0.3 mL/min,the column temperature was 35℃,UV the detection wavelength was 335 nm and the injection volume was 3 μL,sprayer parameter was 50%,ELSD condition pressure was 172 kPa and drift tube temperature was 60℃.Results Under the above chromatographic conditions,jujuboside A,jujuboside B,spinosin and 6′′′-ferulic acid spinosin had a good linear relationship respectively with the chromatographic peak area at 27.20-435.20 mg/mL、12.60-200.8 mg/mL、26.38-422.00 mg/mL、24.38-390.00 mg/mL,the average recovery were 100.01%、99.99%、100.00%、100.04% respectively,relative standard deviation were 0.17%,0.32%,0.32%,0.32%,respectively.Conclusion UPLC-UV-ELSD method is accurate and sensitive,can be used as a quality control method of fried Ziziphi Spinosae Semen from different habitats.The results of determination show that the contents of the three components in fried Ziziphi Spinosae Semen from Hebei is relatively higher. 2021 Vol. 28 (6): 8-12 [Abstract] ( 54 ) HTML (38 KB)  PDF  (0 KB)  ( 9 ) 13 Experimental study of platelet-rich fibrin in bone defect repair DAI Yong-zhong;YAN Guo-an; YE Ping;LIU Yang Objective To explore the effect of the platelet-rich fibrin in the healing of bone defects,to provide reference for clinical application.Methods Three round bone defects (diameter 6 mm,thickness 2 mm) were made on the mandible of healthy male goats.Platelet-rich fibrin (experimental group) and oral repair membrane (repair membrane group) were filled in the first two defects,and the final defect was empty (blank group).The specimens were made at 4,8 and 12 weeks after operation for microscopy observation and osteometric analysis,and the osteogenic effect was compared in the three groups.Results There were many orderly arranged osteoblasts and trabeculaes in the experimental group and repair membrane group while there were fewer trabeculaes and more fibers in the blank group under microscopy at 4,8 and 12 weeks after operation,which indicated that the experimental group and repair membrane group had better osteogenic effect than the blank group.Osteometric analysis showed that at 4,8 and 12 weeks after operation,the percentage of trabecular area in the experimental group and the repair membrane group was higher than that in the blank group,the difference was statistically significant (P＜0.05).But there was no significant difference in the percentage of trabecular area between the experimental group and the repair membrane group (P＞0.05).Conclusion Platelet-rich fibrin can promote osteogenesis in experimental bone defects. 2021 Vol. 28 (6): 13-16 [Abstract] ( 53 ) HTML (36 KB)  PDF  (0 KB)  ( 8 ) 17 Effect of processing banked suspended red blood cells on the expression of inflammatory factors and the level of lactic acid after cardiopulmonary bypass in infants ZHU Quan-wei; LIU Yu-hang; LU Xu-ning; WEN Ping Objective To investigate the effect of processing banked suspended red blood cells on the expression of inflammatory factors and the level of lactic acid (Lac) after cardiopulmonary bypass in infants.Methods A total of 40 children who underwent simple ventricular septal defect repair surgery under cardiopulmonary bypass admitted to Dalian Children′s Hospital of Dalian Medical University from June 2018 to December 2019 were selected as the research subjects.According to the order of admission,the odd number was classified into the processing group (group A,n=20),the even number was classified into the control group (group B,n=20).In group A,processing banked suspended red blood cells with cell saver before priming was used,while in group B,banked suspended red blood cells was directly processed.Arterial blood samples were collected before the initiation of cardiopulmonary bypass (T1),end of cardiopulmonary bypass (T2),6 h after surgery (T3),and 24 h after surgery (T4) for tumor necrosis factor-α (TNF-α),interleukin-6 (IL-6),interleukin-10 (IL-10) and Lac tests.The differences in the results of the two groups were compared.Results There were no statistically significant differences in the inflammatory factors and Lac levels at T1 between the two groups (P＞0.05).The levels of TNF-α,IL-6 and IL-10 at T2,T3 and T4 in group A were lower than those in group B,and the differences were statistically significant (P＜0.05).The level of Lac in group A was lower than in group B at T2,and the difference was statistically significant (P＜0.05).There was no significant difference in the diversion data between the two groups (P＞0.05).Conclusion The application of processing banked suspended red blood cells to infants′cardiopulmonary bypass surgery can reduce the input of exogenous impurities and Lac,significantly decrease the expression of inflammatory factors and the level of Lac after cardiopulmonary bypass in infants,and ameliorate the systemic inflammatory response,which is beneficial to the recovery of infants after surgery. 2021 Vol. 28 (6): 17-20 [Abstract] ( 44 ) HTML (37 KB)  PDF  (0 KB)  ( 6 ) 21 Application progress of exercise therapy in treating knee osteoarthritis WU Hao;YANG Qi;PANG Jian;DU Jiong With the gradual aging of our society,the prevalence of knee osteoarthritis is gradually increasing,which will place a serious burden on the national healthcare system.As the first option of non-operational treatment to knee osteoarthritis,exercise therapy has gradually gained attention in China,including muscle strength training,aerobic training and other training.It can relieve pain,improve joint feeling and motor function,increase muscle strength and stability.This article discusses the pathogenesis of knee osteoarthritis from the molecular biological and biomechanical aspects,and summarizes the application progress of exercise therapy in the treatment of knee osteoarthritis in recent years.It is found that the focus of exercise therapy has shifted from simple muscle strength training to comprehensive therapy combining proprioception and muscle strength training.But at present,the best treatment parameters of exercise therapy for patients with knee osteoarthritis and how to obtain the best treatment benefit and reduce sports injury still need further research. 2021 Vol. 28 (6): 21-25 [Abstract] ( 50 ) HTML (49 KB)  PDF  (0 KB)  ( 7 ) 26 Application of Sacubitril/Valsartan in hypertension WANG Jun；ZHANG Jing；GONG Hang-yu Hypertension is the most common cardiovascular disease in China.At present,the control rate of hypertension in China is very low.Long-term poorly controlled hypertension will cause serious complications in target organs such as heart,brain and kidney.In recent years,the activation of renin-angiotensin-aldosterone system (RAAS)and natriuretic peptide(NP)system has attracted increasing attention.As the only angiotensin-enkephalase inhibitor,Sacubitril/Valsartan can act on both the RAAS system and the NP system,and can be used as a new choice for patients with hypertension.In this paper,the advantages of Sacubitril/Valsartan in the treatment of hypertension were summarized by reviewing the clinical studies of Sacubitril/Valsartan in the treatment of hypertension. 2021 Vol. 28 (6): 26-29转34 [Abstract] ( 69 ) HTML (40 KB)  PDF  (0 KB)  ( 9 ) 30 Application status of laparoscopic transabdominal preperitoneal repair and Lichtenstein repair in the treatment of adult inguinal hernia LI Zhi-ying ；ZOU Wen-gui Inguinal hernia is a common and frequently-occurred disease in adults.Surgical treatment is the only way to cure the disease.It has entered the "tension-free era",and tension-free hernia repair is widely used in the treatment of inguinal hernias.Lichtenstein repair is a classic of open tension-free inguinal hernia repair.Laparoscopic transabdominal preperitoneal repair (TAPP) has also developed by leaps and bounds in the past 20 years,and achieved great effects following the principle of tension-free hernia repair.This article reviewed comparison of the surgical principles,the choice of anesthesia,female,elderly,and obese patients,impact on the coagulation system,and postoperative complications between TAPP and Lichtenstein hernia repair in the treatment of adult inguinal hernia,so as to provide a reference for the selection of appropriate surgical procedures. 2021 Vol. 28 (6): 30-34 [Abstract] ( 52 ) HTML (45 KB)  PDF  (0 KB)  ( 6 ) 35 Application value of amplitude-integrated electroencephalography in the neonatal purulent meningitis SUN Xiao-yu； ZHAO Xiao-fen Neonatal purulent meningitis is one of the leading causes of neurological sequelae and death in newborns.The clinical manifestations are lack of the specificity,therefore it need be diagnosed by the cerebrospinal fluid examination.The maturity of neonatal brain development and brain function can be directly reflected and evaluated by amplitude-integrated electroencephalography.Analyzing the background wave,sleep-wake cycle and epileptic discharge of amplitude-integrated electroencephalography can help to early diagnose the brain function,take early intervention to reduce morbidity,and evaluate the prognosis of neonatal purulent meningitis.This review elaborated the interpretation of amplitude-integrated electroencephalography and its clinical application value in the neonatal purulent meningitis. 2021 Vol. 28 (6): 35-38 [Abstract] ( 56 ) HTML (34 KB)  PDF  (0 KB)  ( 8 ) 39 Clinical significance of T lymphocyte subsets in Clostridium difficile infection ZENG Bin；YE Yan-qing； LIU Mao-sheng； XIE Zhi-jun； LIAO Yue-guang Objective To investigate the changes and significance of peripheral blood T lymphocyte subsets in the course of Clostridium difficile infection.Methods A total of 31 patients with Clostridium difficile infection admitted to The First Affiliated Hospital of Gannan Medical College from January 2018 to February 2020 were selected as the observation group,and 32 normal physical examination subjects during the same period were selected as the control group.The levels of peripheral blood T lymphocyte subsets were compared between the two groups,and the levels of peripheral blood T lymphocyte subsets of patients with different severity of Clostridium difficile infection were compared.Results The levels of CD3+,CD4+and CD8+in the observation group were lower than those in the control group,the differences were statistically significant (P＜0.05).The levels of CD3+,CD4+and CD8+in patients with mild to moderate infections and patients with severe infections were lower than those in the control group,the differences were statistically significant (P＜0.05).There was no statistical difference in CD3+in peripheral blood between mild and moderate infection and severe infection (P＞0.05).The levels of CD4+and CD8+cells in severely infected patients were lower than those in mild-moderate infected patients,and the differences were statistically significant (P＜0.05).Conclusion Cellular immunosuppression was observed in patients infected with Clostridium difficile,the levels of CD4+ and CD8+cells in patients with different degrees of infection showed a gradually decreasing trend,and the decrease was most significant in severely infected patients.The detection of T lymphocyte subsets is helpful for clinical immunotherapy and prognostic evaluation 2021 Vol. 28 (6): 39-41转54 [Abstract] ( 60 ) HTML (35 KB)  PDF  (0 KB)  ( 6 ) 42 Application of modified Sedinger intubation intrathecal sheath expansion in PICC catheterization of breast cancer patients XIAO Wei；WANG Heng ；LIU Jan Objective To explore the effect of modified Seedinger intubation sheath expansion in peripherally inserted central catheter (PICC) of breast cancer patients.Methods A total of 60 cases of breast cancer patients who received PICC catheterization from June 2019 to June 2020 in Pingxiang People′s Hospital were selected as the research object,and they were divided into a control group and an observation group according to the random number table method,30 cases each,two groups patients underwent B-ultrasound with modified Sedinger puncture technique for PICC catheterization,the control group was treated with scalpel skin expansion,and the observation group was treated with intrathecal intrathecal sheath expansion.The amount of immediate blood loss,the amount of blood oozing in 24 hours after catheterization,the average number of dressing changes within 1 week after catheterization,and satisfaction were compared between the two groups.Results Compared with the degree of immediate bleeding,the proportion of patients with a small amount of bleeding in the observation group was higher than that of the control group,the difference was statistically significant (P＜0.05);compared with the degree of bleeding,the proportion of patients with a small amount of bleeding in the observation group was higher than that of the control group,the difference was statistically significant(P＜0.05);within 1 week after tube insertion,the average number of dressing changes in the observation group was lower than that in the control group,the difference was statistically significant(P＜0.05);the total satisfaction of nursing in the observation group was higher than that in the control group,the difference was statistically significant (P＜0.05).Conclusion Modified Seedinger intrathecal intrathecal sheath expansion is ideal for breast cancer patients with PICC catheterization,which can significantly reduce the patient′s immediate bleeding volume and oozing volume,and can also reduce the number of patients′ dressing changes.It can close the relationship between nurses and patients,improve the satisfaction of patients with nursing services,can be used in clinical promotion. 2021 Vol. 28 (6): 42-44 [Abstract] ( 54 ) HTML (30 KB)  PDF  (0 KB)  ( 8 ) 45 Therapeutic effect of intermittent far infrared irradiation on mature autogenous arteriovenous fistula ZHAO Ya-qun ；NI Zhi-gang ；XIA Li-ping Objective To explore the effect of intermittent far infrared irradiation on the maturation of newly established autogenous arteriovenous internal fistula.Methods From January 2019 to January 2020,a total of 56 patients in Yingtan People′s Hospital with end-stage kidney disease as were seleced as the research object,they were divided into observation group(28 cases)and control group(28 cases)according to the single and double number number.The control group received routine functional exercise at 1 week after the operation of the arteriovenous fistula,and the observation group combined the intervention of far-infrared irradiation of the arteriovenous fistula.The blood flow of the brachial artery,the internal diameter of the anastomosis,the internal diameter of the cephalic vein,the internal diameter of the radial artery,the first use time of the autogenous arteriovenous fistula,and the complications of the two groups during dialysis were compared between the two groups.Results In the observation group,the blood flow of the operative side of the brachial artery was higher than that of the control group,the internal diameter of the anastomotic stoma,the internal diameter of the posterior vein and the internal diameter of the radial artery were longer than that of the control group,and the first use time of autologous arteriovenous fistula was shorter than that of the control group,the differences were statistically significant (P＜0.05).The total complication rate of patients with end-stage renal disease in the observation group was lower than that of the control group,and the difference was statistically significant (P＜0.05).Conclusion After the establishment of autologous ARTER iovenous internal fistula in patients with end-stage renal disease,intermittent far infrared irradiation intervention can shorten the maturation time of internal fistula and reduce the incidence of complications such as stenosis,which is of great significance. 2021 Vol. 28 (6): 45-47 [Abstract] ( 49 ) HTML (28 KB)  PDF  (0 KB)  ( 7 ) 48 Short-term effect of bi-level positive airway pressure in the treatment of pneumoconiosis with pulmonary heart disease ZHANG Yi-xin;WU Zheng-yi; JIA Jin-hu Objective To explore the short-term effect of bi-level positive airway pressure (BiPAP) in the treatment of pneumoconiosis with pulmonary heart disease.Methods A total of 60 patients with pneumoconiosis and pulmonary heart disease who were admitted to Lianhua County People′s Hospital from July 2019 to March 2020 were selected as the research objects,and they were divided into the observation group (30 cases) and the control group (30 cases) according to the random number table method.The control group was treated with meglumine cyclic adenosine monophosphate,and the observation group was given BiPAP on the basis of conventional treatment in the control group.The total effective rate and clinical indicators of the two groups were compared.Results The total effective rate of treatment in the observation group was higher than that in the control group,and the difference was statistically significant (P＜0.05).After treatment,the oxygenation index of the observation group was higher than that of the control group,the degree of lower limb edema and the content of arterial blood carbon dioxide were lower than that of the control group,and the hospitalization time of the observation group was shorter than that of the control group,the differences were statistically significant (P＜0.05).Conclusion BiPAP has a significant short-term effect in the treatment of pneumoconiosis with pulmonary heart disease,which can improve the symptoms and heart and lung functions of patients and is worthy of promotion. 2021 Vol. 28 (6): 48-50 [Abstract] ( 41 ) HTML (30 KB)  PDF  (0 KB)  ( 9 ) 51 folic acid，squamous cell carcinoma associated antigen and carbohydrate antigen 125 in patients with locally advanced cervical cancer GAO Xian-qiong Objective To investigate the effect of Irinotecan combined with Cisplatin neoadjuvant chemotherapy on serum levels of folic acid,squamous cell carcinoma associated antigen (SCC-AG) and carbohydrate antigen 125 (CA125)in patients with locally advanced cervical cancer.Methods A total of 110 patients with locally advanced cervical cancer who were admitted to Egang Hospital from January 2016 to January 2019 were selected as the research subjects.According to the treatment method,they were divided into control group (55 cases) and observation group (55 cases).The control group was treated with concurrent chemoradiotherapy before total uterine resection,and the observation group was treated with Irinotecan combined with Cisplatin neoadjuvant chemotherapy before total uterine resection.The total effective rate of treatment,the total incidence of adverse reactions and serum folic acid,SCC-Ag and CA125 levels before and after treatment were compared between the two groups.Results The total effective rate in the observation group was higher than that in the control group,and the difference was statistically significant (P＜0.05).After treatment,the serum folate level in the observation group was higher than that before treatment,and the serum folate level in the observation group was higher than that in the control group,the differences were statistically significant (P＜0.05).After treatment,the levels of SCC-Ag and CA125 in the observation group were lower than those before treatment,and the levels of SCC-Ag and CA125 in the observation group were lower than those in the control group,the differences were statistically significant (P＜0.05).There was no significant difference in the total incidence of adverse drug reactions between the two groups (P＞0.05).Conclusion The treatment of Irinotecan combined with Cisplatin neoadjuvant chemotherapy is more effective than concurrent chemoradiotherapy in the treatment of with patients locally advanced cervical cancer.It can significantly reduce the levels of SCC-Ag and CA125,increase serum levels of folic acid,without increasing the incidence of adverse drug reactions. 2021 Vol. 28 (6): 51-54 [Abstract] ( 61 ) HTML (31 KB)  PDF  (0 KB)  ( 5 ) 55 Clinical value of endoscopy combined with DSA fluoroscopic esophageal stent implantation in the treatment of dysphagia of advanced esophageal cancer LIU Zhi-min Objective To investigate the clinical value of endoscopy combined with DSA fluoroscopic esophageal stent implantation in the treatment of dysphagia of advanced esophageal cancer.Methods A total of 80 patients with dysphagia with advanced esophageal cancer admitted to Shenyang Fourth People′s Hospital from February 2016 to February 2019 were selected as the research subjects.According to the treatment willingness of the patients and their families,they were divided into the observation group and the control group,with 40 cases in each group.All the patients underwent stent implantation under local anesthesia,among which the observation group received stent implantation under endoscopy combined with DSA-guided X-ray monitoring,while the control group received simple DSA-guided esophageal stent implantation.The digestive tract indexes,endotoxin level changes before and after treatment and the incidence of complications were compared between the two groups.Results After treatment,the anal exhaust time,recovery time of bowel sounds and normal eating time in the observation group were all earlier than those in the control group,and the differences were statistically significant (P＜0.05).After treatment,the endotoxin level in the body of both groups were lower than those before treatment,and the endotoxin level in the observation group was lower than that in the control group,the differences were statistically significant (P＜0.05).The total incidence of complications in the observation group was lower than that in the control group,the difference was statistically significant (P＜0.05).Conclusion For esophageal cancer undergoing stent implantation,the observation group can relieve esophageal obstruction better,reduce endotoxin level and have high safety under the guidance of endoscopy combined with DSA fluoroscopy. 2021 Vol. 28 (6): 55-57 [Abstract] ( 39 ) HTML (30 KB)  PDF  (0 KB)  ( 7 ) 58 Effect of Tiotropium Bromide on bronchial asthma in the elderly DING Shuang Objective To explore the effect of Tiotropium Bromide on bronchial asthma in the elderly.Methods A total of 100 elderly patients with bronchial asthma who were admitted to Iron and Coal General Hospital of Liaoning Health Industry Group from May 2018 to January 2020 were selected as the research subjects.The patients were divided into control group and experimental group according to the random number table method,with 50 cases in each group.The control group was treated with Montelukast combined with Busulfan,while the experimental group was treated with Tiotropium Bromide based on the control group.Treatment effect,symptom disappearance time and pulmonary ventilation function index were compared between the two groups of elderly patients with bronchial asthma.Results The total effective rate of treatment in experimental group was higher than that in control group,the difference was statistically significant (P＜0.05).The disappearance time of dyspnea,wheezing,cough,chest distress and other symptoms in the experimental group were shorter than those in the control group,the differences were statistically significant (P＜0.05).The percentage of forced expiratory volume in the first second (FEV1%),peak respiratory flow rate (PEF),and forced vital capacity (FVC) levels in the two groups after treatment were higher than those before treatment,the differences were statistically significant (P＜0.05).The FEV1%,PEF and FVC levels in the experimental group after treatment were higher than those in the control group,the differences were statistically significant (P＜0.05).Conclusion Elderly patients with bronchial asthma receiving tiotropium bromide can get better results and better promote the improvement of patients′ prognosis. 2021 Vol. 28 (6): 58-60 [Abstract] ( 50 ) HTML (30 KB)  PDF  (0 KB)  ( 8 ) 61 The expression level and clinical significance of exhaled nitric oxide in patients with acute exacerbation of chronic obstructive pulmonary disease LUO Hong-hui ;LIU Yu-liang ;HUANG Cong Objective To explore the expression level and clinical significance of exhaled nitric oxide (FeNO) in patients with acute exacerbation of chronic obstructive pulmonary disease (AECOPD).Methods A total of 60 patients with AECOPD who were admitted to Meizhou People′s Hospital from October 2017 to September 2019 were selected as the study group.A tatal of 60 healthy volunteers who underwent physical examination in Meizhou People′s Hospital at the same period were selected as the control group.The FeNO,peripheral serum total immunoglobulin E (IgE),procalcitonin (PCT),C-reactive protein (CRP) and peripheral blood eosinophil levels in the two groups were measured.The levels of FeNO,IgE,PCT,CRP and peripheral blood eosinophil were compared between the two groups.Results The levels of FeNO and IgE in the study group were lower than those in the control group,while the PCT,CRP and peripheral blood eosinophil levels in the study group were higher than those in the control group,the differences were statistically significant (P＜0.05).Conclusion The production and release of nitric oxide increases in patients with acute exacerbation of chronic obstructive pulmonary disease.The increase of FeNO level indicates the presence of airway inflammation.The determination of FeNO level can predict the anti-inflammatory effect. 2021 Vol. 28 (6): 61-63 [Abstract] ( 44 ) HTML (31 KB)  PDF  (0 KB)  ( 7 ) 64 Feasibility of early diet applied to patients undergoing painless colonoscopy during daytime surgery HUANG Xue-hua Objective To study the feasibility of early diet applied to patients undergoing painless enteroscopic polypectomy during day surgery.Methods A total of 203 patients who underwent painless enteroscopy polypectomy inJoint Logistics Support Force No.900 Hospital from January 2019 to January 2020 were selected as the research subjects.According to the random number table method,it was divided into a control group and an observation group,with 102 cases in the control group and 101 cases in the observation group.The control group received food 24 h after surgery,and the observation group received food 2 h after surgery.Abdominal pain,bleeding and hypoglycemia reaction at different time points after operation in two groups of patients,time to first bowel movement and mental state score 24 h after surgery were observed in the tow groups.Results At 8,24 h,and 48 h after surgery,the abdominal pain scores of the observation group were lower than those of the control group,and the differences were statistically significant (P＜0.05);the incidence of postoperative hypoglycemia in the observation group was lower than that of the control group.There was statistical significance (P＜0.05);there was no significant difference in postoperative blood loss between the two groups (P＞0.05);the postoperative defecation time of the observation group was shorter than that of the control group,and the difference was statistically significant (P＜0.05);the mental state score of the observation group was higher than that of the control group at 24 h after operation,the difference was statistically significant (P＜0.05).Conclusion The application of early diet can relieve abdominal pain in patients undergoing painless enteroscopic polypectomy during day surgery,reduce the incidence of postoperative hypoglycemia,improve mental state,and will not increase postoperative intestinal bleeding. 2021 Vol. 28 (6): 64-66 [Abstract] ( 40 ) HTML (30 KB)  PDF  (0 KB)  ( 7 ) 67 Clinical effect of ultrasonic pulse conductance therapy instrument treating lumbar disc herniation CHEN Min; LI Shu-ping;WANG Dong-mei Objective To investigate the clinical effect of ultrasonic pulse conductance therapy instrument treating lumbar disc herniation.Methods The clinical data of 200 patients with lumbar intervertebral disc herniation diagnosed and treated from January 2019 to January 2020 in the Second Affiliated Hospital of Nanchang University were selected for retrospective analysis,and patients were grouped according to different treatment options: control group (n=100) received lumbar traction,acupuncture and physiotherapy were performed.The study group (n=100) added ultrasonic pulse conductance therapy instrument.The overall curative effect,improvement of low back pain symptoms and straight leg elevation test results were statistically analyzed in the two groups.Results After 1 course of treatment,the patients in the study group had lower back pain self-conscious symptoms scores than the control group,and the difference was statistically significant (P＜0.05);the negative rate of the straight leg elevation test in the study group was higher than that in the control group,and the difference was statistically significant (P＜0.05);the overall effective rate of lumbar disc herniation in the study group was higher than that in the control group,and the difference was statistically significant(P＜0.05).Conclusion Ultrasonic pulse conductance therapy instrument has significant clinical effects in treating lumbar disc herniation.It can effectively reduce low back pain and other conscious symptoms,and improve lumbar spine movement.It is worth learning from. 2021 Vol. 28 (6): 67-69 [Abstract] ( 73 ) HTML (31 KB)  PDF  (0 KB)  ( 8 ) 70 Clinical effect of tendon transplantation and reconstruction in the treatment of old lateral ankle collateral ligament injury LI Jian-shi Objective To analyze the clinical effect of tendon transplantation and reconstruction in the treatment of old lateral collateral ligament injury of ankle joint.Methods A total of 68 patients with old ankle lateral collateral ligament injury admitted in the Fifth Hospital of Xiamen from April 2015 to April 2020 were selected as the research objects.According to the treatment method,they were divided into the control group (33 cases) and the observation group (35 cases).The control group adopted traditional plaster fixation method,and the observation group adopted the reconstruction method of tendon transplantation.The curative effect,ankle joint function and complications of the two groups were compared.Results The total effective rate of treatment in the observation group was 97.14%,which was higher than 78.79% in the control group,the difference was statistically significant (P＜0.05).The ankle joint function score scale (AOFAS) scores of the two groups before treatment were compared,and the difference was not statistically significant (P＞0.05).The AOFAS scores of the two groups after treatment were higher than those before treatment,and the differences were statistically significant (P＜0.05).The AOFAS score of the observation group at 4,24,48 weeks after treatment were higher than those of the control group,the differences were statistically significant (P＜0.05).There was no significant difference in the total incidence of complications between the two groups (P＞0.05).Conclusion The treatment of old ankle joint lateral collateral ligament injury adopts the reconstruction method of tendon transplantation,which has a significant therapeutic effect,promotes the recovery of the patient′s ankle joint function without increasing complications. 2021 Vol. 28 (6): 70-72 [Abstract] ( 43 ) HTML (33 KB)  PDF  (0 KB)  ( 7 ) 73 Effect of intra-articular injection of Glucosamine combined with Sodium Hyaluronate on pain and functional rehabilitation of patients with knee osteoarthritis BI Sheng-rong;YANG Guo-ping;XIAO Zhu-feng Objective To explore the effect of intra-articular injection of Glucosamine combined with Sodium Hyaluronate in the treatment of knee osteoarthritis (KOA) on knee joint function.Methods A total of 82 KOA patients treated in the Ganzhou People′s Hospital from March 2018 to March 2020 were selected and divided into two groups according to the random number table,with 41 cases in each group.Patients in the control group were treated with Sodium Hyaluronate intra-articular injection,and in the observation group,participants additionally received Glucosamine treatment based on the control group.Intervention lasted six weeks in both groups.The clinical efficacy,knee joint function,pain score and occurrence of adverse reactions were compared between the two groups.Results The overall response rate of the observation group was higher than that of the control group with statistical significance (P＜0.05).The scores of symptoms and signs,activities of daily living and maximum walking distance in the observation group after treatment were lower than those of the control group with statistical significances (P＜0.05).The pain score of the observation group was lower than that of the control group with statistical significance (P＜0.05).Compared with the two groups,there was no significant difference in incidence of adverse reactions (P＜0.05).Conclusion Intra-articular injection of Glucosamine combined with Sodium Hyaluronate can enhance the clinical efficacy of KOA patients,facilitate the recovery of knee joint function,reduce joint pain,which is safe and reliable. 2021 Vol. 28 (6): 73-76 [Abstract] ( 48 ) HTML (34 KB)  PDF  (0 KB)  ( 8 ) 77 Clinical effect of modified anterior approach ilioinguinal incision in the treatment of pelvic and acetabular fractures WANG Yang Objective To explore the clinical effect of modified anterior iliac-groin incision in the treatment of pelvic and acetabular fractures.Methods A total of 80 cases of pelvic and acetabular fractures admitted to Chaoyang Central Hospital from January 2017 to June 2020 were selected as the research subjects.According to the random number table method,they were divided into the control group and the observation group,with 40 cases in each group.The control group was treated by routine anterior ilioinguinal incision,the observation group chose the modified anterior iliac groin incision.The incision exposure time,bleeding volume during operation,incision closure time,and fracture reduction effect,post-treatment Majeed functional score after treatment were compared between the two groups.Results Compared with the control group,the observation group had shorter incision exposure time and incision closure time,and less bleeding volume during operation,the differences were statistically significant (P＜0.05).There was no statistically significant difference in the good rate of fracture reduction between the observation group and the control group (P＞0.05).After treatment,there was no statistically significant difference in Majeed functional score between the two groups (P＞0.05),but the total score of the observation group was higher than that of the control group,and the difference was statistically significant (P＜0.05).Conclusion Compared with the conventional anterior approach,the modified anterior approach to ilioinguinal incision for pelvic and acetabular fractures can achieve similar fracture reduction effect,but can reduce the operation time and bleeding volume during operation,and promote the improvement of postoperative Majeed functional score,which is worthy of application. 2021 Vol. 28 (6): 77-79 [Abstract] ( 49 ) HTML (30 KB)  PDF  (0 KB)  ( 7 ) 80 Clinical effect of probiotics in the treatment of rotavirus enteritis in children ZHANG Ying ;HUANG Ming-Jian Objective To study and analyze the clinical effect of probiotics in the treatment of rotavirus enteritis in children.Methods A total of 70 cases of children with rotavirus enteritis from January 2019 to July 2020 in Haizhu District Maternal and Child Health Hospital of Guangzhou City were selected as the research objects.All children were randomly divided into the study group and the control group by using a dice roll method,35 cases in each group.The control group was treated with Montmorillonite Powder,and the study group was treated with probiotics on the basis of the control group.The treatment effect and duration of clinical symptoms after medication in the two groups were compared.Results The total effective rate of the study group was higher than that of the control group,and the duration of clinical symptoms such as fever,dehydration,vomiting and diarrhea of the study group was shorter than that of the control group,the differences were statistically significant (P＜0.05).Conclusion Probiotics can effectively shorten the duration of clinical symptoms of rotavirus enteritis in children,and the clinical effect is significant. 2021 Vol. 28 (6): 80-82 [Abstract] ( 48 ) HTML (30 KB)  PDF  (0 KB)  ( 6 ) 83 Analysis of clinical diagnosis and treatment among 55 cases of vasa previa LAO Qun-xiu ;XIE Zhong-ju; LU Hai-ying ;WU Dan-yan; HUANG Yan-ping; FENG Xiao-hong Objective To investigate the clinical characteristics of vasa previa and the outcome of perinatal infants.Methods The clinical data of 55 patients of vasa previa were retrospective analysis from January 2013 to June 2019 treated in Foshan Maternal and Child Health Hospital Affiliated to Southern Medical University.The clinical characteristics,infants outcomes and therapeutic effect were analyed.Results Clinical characteristics: 55 cases of vasa previa accounted for 0.70‰ (55/78 893) of the total number of births over the same period.Age of the patients ranged from 19 to 51 years old,of which the average age was (31.33±6.40) years old.And 49 cases were single births (89.09%) and another 6 cases (10.91%) were twins.A total of 52 patients were diagnosed correctly by prenatal ultrasonography.Delivery and perinatal outcome：all the 55 cases were live births at 28.47 to 39.29 weeks,and the mean gestation age were (35.48±2.39) weeks.A total of 54 patients were delivered by caesarean section.Amongh them 34 infants (61.82%)were delivered by selective caesarean section without neonatal asphyxia,3 out of another 20 infants (36.36%),who were delivered by emergency cesarean section,were mild neonatal asphyxia.Conclusion Prenatal ultrasonography is a reliable methods for vasa previa diagnosing.Terminating pregnancy timely in the third trimester may achieve a good perinatal outcome. 2021 Vol. 28 (6): 83-86 [Abstract] ( 51 ) HTML (35 KB)  PDF  (0 KB)  ( 6 ) 87 Application effect of minimally invasive meconium aspiration technique in neonates with third-degree fecal staining of amniotic fluid LIN Jian-feng ；ZHANG Xiao-yan Objective To explore the application effect of minimally invasive meconium aspiration technique in neonates with third-degree fecal staining of amniotic fluid.Methods A total of 86 newborns admitted to the neonatal intensive care unit after birth with third-degree amniotic fluid in the Department of Obstetrics of Pengpai Memorial Hospital of Haifeng County Affiliated to Guangdong Medical University from January to June 2019 were selected as the research subjects.They were divided into the observation group (n=43) and the control group (n=43) by the random number table method.Both groups underwent meconium aspiration on the assessment of inactivity.In the control group,the common tracheal intubation followed by a meconium aspirator was used,and in the observation group,the minimally invasive meconium aspiration technique was adopted,that was,guiding the suction tube into the glottis under the laryngoscope for meconium suction.The number of meconium suctions,operation time,clinical symptoms after treatment,chest radiograph results,hospitalization time and incidence of complications were compared in the two groups.Results There was no statistically significant difference in the number of meconium suctions between the two groups (P＞0.05).The operation time of the observation group was shorter than that of the control group,and the difference was statistically significant (P＜0.01).There was no statistically significant difference in the proportion of requiring ventilator assisted ventilation between the two groups (P＞0.05).The proportion of laryngeal injuries (edema or hemorrhage) in the observation group was lower than that in the control group,and the difference was statistically significant (P＜0.05).The results of chest radiograph between the two groups indicated that there was no statistical difference in the proportion of meconium aspiration syndrome or the proportion of air leak syndrome (P＞0.05).There was no statistically significant difference in hospitalization time between the two groups (P＞0.05).Conclusion The minimally invasive meconium suction technique is safe and effective for amniotic fluid third-degree fecal-stained and inactive newborns who do not need tracheal intubation to resuscitate after birth,the operation time is short,and the incidence of complications such as laryngeal injuries after operation is lower. 2021 Vol. 28 (6): 87-89转93 [Abstract] ( 40 ) HTML (32 KB)  PDF  (0 KB)  ( 8 ) 90 The clinical effect of different Insulin administration combined with Vitamin D on gestational diabetes mellitus and its effect on pregnancy outcome LI Shi-yun; ZHONG Yuan-yi Objective To explore the clinical effect of different Insulin administration combined with Vitamin D on gestational diabetes mellitus (GDM) and its effect on pregnancy outcome.Methods A total of 60 patients with GDM who were admitted to Guangdong Clifford Hospital from January 2017 to January 2020 were selected as the study subjects.They were divided into observation group (30 cases) and control group (30 cases) according to the random number table method.The patients in the control group were treated by subcutaneous injection of Aspartic Insulin injection combined with Vitamin D drops,while the patients in the observation group were treated by continuous pump of Aspartic Insulin injection combined with Vitamin D drops.Fasting blood glucose,2 h postprandial blood glucose,glycosylated hemoglobin level,time of blood glucose reaching standard,insulin dosage,incidence of hypoglycemia and total incidence of adverse pregnancy outcomes were compared between the two groups.Results After treatment,fasting blood glucose,2 h postprandial blood glucose and glycosylated hemoglobin of patients in the two groups were lower than those before treatment,the differences were statistically significant (P＜0.05).After treatment,the levels of fasting blood glucose,2 h postprandial blood glucose and glycosylated hemoglobin in the observation group were lower than those in the control group,the differences were statistically significant (P＜0.05).The time of reaching the standard of blood glucose and the dosage of insulin in the observation group were lower than those in the control group,the differences were statistically significant (P＜0.05).The total incidence of adverse pregnancy outcomes and the incidence of hypoglycemia in the observation group were lower than those in the control group,the differences were statistically significant (P＜0.05).Conclusion Continuous pump Insulin combined with Vitamin D has a significant clinical effect in the treatment of GDM,which can shorten the time of reaching the standard of blood glucose,reduce the dosage of insulin,reduce the incidence of hypoglycemia and adverse pregnancy outcomes. 2021 Vol. 28 (6): 90-93 [Abstract] ( 58 ) HTML (33 KB)  PDF  (0 KB)  ( 9 ) 94 Influence of hypothyroidism on hypertensive disorder complicating pregnancy and maternal and infant outcomes LYU Dong-mei ;SHANG Min-jie; TIAN Xiao-ying; PAN Zhong-min; CHEN Shuang Objective To explore the relationship between hypothyroidism and hypertensive disorder complicating pregnancy and its influence on maternal and infant outcomes.Methods From October 2018 to February 2020,156 cases of pregnant women in Women and Children′s Hospital of Jinzhou were selected as the research objects,and they were divided into two groups according to whether hypothyroidism occurred during pregnancy.The pregnant women with hypothyroidism were enrolled in the study group,with 85 cases in total;the pregnant women without hypothyroidism were enrolled in the control group,with a total of 71 cases.The levels of triiodothyronine (FT3),thyroid hormone (FT4) and thyroid stimulating hormone (TSH) were detected for the two groups,and the blood pressure during pregnancy was observed.Finally,the pregnancy outcomes and the impact on the fetus of the two groups were compared.Results The levels of FT3 and FT4 in the study group were lower than those in the control group,while the TSH level in the study group was higher than that in the control group,with statistically significant differences (P＜0.05).The incidence of pregnancy induced hypertension in the study group was 5.63%,higher than 20.00% in the control group,with statistically significant difference (P＜0.05).The incidence rates of premature birth,premature rupture of membranes,cesarean section,fetal distress and postpartum hemorrhage in the study group were higher than those in the control group,with statistically significant differences (P＜0.05).The incidence rates of neonatal infection,jaundice,respiratory distress syndrome and asphyxia in the study group were higher than those in the control group,with statistically significant differences (P＜0.05).Conclusion Hypothyroidism in pregnant women will increase the risk of pregnancy induced hypertension,and the probability of premature delivery,premature rupture of membranes and postpartum hemorrhage is higher,and it is also easy to induce neonatal jaundice,asphyxia and respiratory distress syndrome. 2021 Vol. 28 (6): 94-96 [Abstract] ( 47 ) HTML (32 KB)  PDF  (0 KB)  ( 6 ) 97 Analysis of the influencing factors of vaginal delivery trial-production failure in re-pregnancy with scarred uterus PENG Jie; LIU Jie Objective To investigate the influencing factors of vaginal delivery trial-production failure in re-pregnancy with scarred uterus.Methods The clinical data of 88 cases of pregnant women who had a second vaginal delivery trialproduction in the scarred uterus from January 2015 to December 2019 treated in Dalian Maternal and Child Health Hospital were retrospectively analyzed,and they were grouped according to the results of vaginal delivery trial.The clinical data of 28 pregnant women who failed to have a trial of vaginal delivery after pregnancy in a scarred uterus were included in the observation group,and the clinical data of 60 pregnant women who successfully tried trial delivery of vaginal delivery were included in the control group.All the maternal baseline data,through single factor and multifactor were collected,the influencing factors which might cause the trial failure pf re-pregnancy vaginal delivery in scarred uterus were analyzed.Results There were no statistical differences in the gestational age and use of oxytocin between the two groups (P＞0.05).The proportions of age ≥35 years old,2-3 years from the last cesarean section,thickness of lower uterine segment ＜2 cm,and fetal weight ≥3.5 kg in the observation group were higher than those in the control group,the differences were statistically significant (P＜0.05).Logistic multivariate analysis showed that age ≥35 years old,2-3 years from the last cesarean section,thickness of lower uterine segment ＜2 cm,and fetal weight ≥3.5 kg were the risk factors for vaginal delivery trial-production failure in re-pregnancy with scarred uterus (OR＞1,P＜0.05).Conclusion Advanced age,shorter time since the last cesarean section,lower thickness of lower uterine segment,and higher fetal weight are the risk factors for vaginal delivery trial-production failure in re-pregnancy with scarred uterus,and the above risk factors should be paid attention,at the same time,effective measures should be taken to improve the success rate of vaginal delivery. 2021 Vol. 28 (6): 97-99 [Abstract] ( 43 ) HTML (28 KB)  PDF  (0 KB)  ( 9 ) 100 Etiological characteristics and risk factors analysis of puerperal infection in primipara QU Zi-ying Objective To explore the etiological characteristics and risk factors of puerperal infection in primipara,and to provide reference for clinical diagnosis and treatment.Methods The clinical data of a total of 1123 primiparas who delivered in the Zhongyi Northeast International Hospital from July 1,2016 to December 31,2019 were collected.Among them,47 cases had puerperal infection,and the infection rate was 4.18%.The etiological characteristics were analyzed by clinical microbiology test,and the risk factors of puerperal infection were analyzed by univariate and multivariate Logistic analysis.Results A total of 51 strains were isolated from 47 puerperal women with puerperal infection,of which 54.90% were Gram-negative bacteria,27.45% were Escherichia coli,accounted for slightly higher proportion;45.10% of Gram-positive bacteria were mainly Staphylococcus aureus,accounted for 19.61%.The incidence of puerperal infection in primipara with premature rupture of membranes,postpartum hemorrhage,vaginitis and gestational diabetes/hypertension was significantly increased,the differences were statistically significant (P＜0.05).There was no significant difference in the infection rate of primipara with stage of labor,age,mode of production,anemia,and chronic diseases (P＞0.05).Premature rupture of membranes,vaginitis,postpartum hemorrhage and gestational diabetes/hypertension were risk factors of puerperal infection in primipara (P＜0.05).Conclusion The risk factors of puerperal infection in primipara can be summarized as premature rupture of membranes,vaginitis,postpartum hemorrhage and gestational diabetes/hypertension.Etiological analysis showed that Gram negative bacteria are the most common pathogens. 2021 Vol. 28 (6): 100-102 [Abstract] ( 52 ) HTML (28 KB)  PDF  (0 KB)  ( 7 ) 103 Application value of brainstem auditory evoked potential in hearing screening of high-risk neonates CHEN Qia-xin; ZHANG Xin-li; LIU Yi LIN; Xiao-yan; DENG Meng-xia; CHEN Ting Objective To explore the application value of brainstem auditory evoked potential in hearing screening of high-risk neonates.Methods A total of 300 high-risk neonates admitted to the neonatal intensive care unit (NICU) of Guangdong Maternal and Child Health Hospital from March 2018 to December 2019 were selected as the research subjects.Results 300 critically ill newborns were screened in three stages,among which 25 cases (50.0%) had mild hearing impairment.15 cases had moderate hearing impairment (30.0%),10 cases had severe hearing impairment (20.0%).The incidence of hearing impairment in critically ill newborns with birth weight ≤2000 g was higher than that in critically ill newborns with birth weight ＞2000-2500 g and ＞2500 g,the difference was statistically significant (P＜0.05).The incidence of hearing impairment in critically ill neonates with gestational age ＜36 weeks was higher than that in critically ill neonates with gestational age 36-38 weeks,＞38-41 weeks,and ＞41 weeks,the difference was statistically significant (P＜0.05).The incidence of hearing impairment of the critically ill newborns delivered by cesarean section was higher than that of the critically ill newborns delivered naturally,the difference was statistically significant (P＜0.05).The incidence of hearing impairment in critically ill newborns in females was higher than that in males,and the difference was statistically significant (P＜0.05).Conclusion The application of brainstem auditory evoked potentials in high-risk newborn hearing screening has extremely high accuracy,which provides a basis for the implementation of targeted prevention and treatment regimens,and the clinical effects tend to be ideal and are worth promoting. 2021 Vol. 28 (6): 103-105 [Abstract] ( 45 ) HTML (28 KB)  PDF  (0 KB)  ( 6 ) 106 Effect of one-time root canal therapy on the treatment of endodontic diseases FU Wei-zhuo Objective To investigate the effect of one-time root canal therapy on the treatment of patients with endodontic diseases.Methods A total of 128 patients with endodontic diseases who were admitted to Fushun Hospital of Chinese Medicine from August 2018 to July 2019 were selected as the research objects and divided into the study group and the control group by random number table method,with 64 cases in each group.The study group was treated with one-time root canal surgery,and the control group was treated with multiple root canal surgery.The total effective rate,visual analogue scale (VAS) score for dental pain and total incidence of adverse reactions of the two groups were compared.Results The total effective rate of the study group (96.87%) was higher than that of the control group(78.12%),and the difference was statistically significant (P＜0.05).The VAS scores of the two groups after treatment were lower than those before treatment,and the differences were statistically significant (P＜0.05).The VAS score of the study group after treatment was lower than that of the control group,and the difference was statistically significant (P＜0.05).After treatment,the total incidence of adverse reactions in the study group (2.13%) was lower than that in the control group (28.13%),and the difference was statistically significant (P＜0.05).Conclusion For patients with endodontic diseases,one-time root canal surgery can effectively improve the treatment effect,relieve pain and reduce adverse reactions. 2021 Vol. 28 (6): 106-108转111 [Abstract] ( 48 ) HTML (31 KB)  PDF  (0 KB)  ( 7 ) 109 Clinical effect of laser peripheral iridectomy in the treatment of primary angle-closure glaucoma MENG Xiao-ying Objective To investigate the clinical effect of laser peripheral iridectomy in the treatment of primary angleclosure glaucoma.Methods A total of 112 patients with primary angle-closure glaucoma who were admitted to Liaoyang Central Hospital from April 2018 to October 2019 were selected as the research objects and divided into the control group (42 cases) and the observation group (70 cases) by the random coin toss method.The control group was treated by traditional medical,and the observation group was treated by laser peripheral iridectomy on the basis of the control group.The best corrected visual acuity (BCVA) and intraocular pressure were compared between the two groups before treatment and 1 and 5 months after treatment.Results There were no statistically significant differences in BCVA of observation group (0.39±0.15,0.47±0.15) and control group (0.41±0.15,0.45±0.15) before and 1 month after treatment (P＞0.05).The BCVA at 5 months after treatment (0.54±0.17) was higher than that in the control group (0.48±0.13),and the difference was statistically significant (P＜0.05).5 months after treatment,the intraocular pressure of the observation group ([17.26±0.65]mmHg) was lower than that of the control group ([21.05±2.01]mmHg),and the difference was statistically significant (P＜0.05).Conclusion Laser peripheral iridectomy has high clinical value in the treatment of primary angle-closure glaucoma,and can effectively improve the patients′ vision and intraocular pressure. 2021 Vol. 28 (6): 109-111 [Abstract] ( 44 ) HTML (29 KB)  PDF  (0 KB)  ( 8 ) 112 Value of trans-superficial combined with rectal ultrasound in the diagnosis of testis and epididymal asthenia YANG Hai-rong WU Chun-quan OU Fang-ping XIAO Wen-ping LUO Fu-jian Objective To investigate the diagnostic effect and value of trans-superficial combined with rectal ultrasound in patients with testis and epididymal asthenia.Methods A total of 90 patients with testis and epididymal asthenia admitted to the Department of Ultrasonography of Huichang County People′s Hospital from May 2014 to March 2020 were selected as subjects.All patients were confirmed by sediment microscopy and surgical examination (gold standard).All patients were proposed to undergo trans-superficial combined with rectal ultrasound examination before diagnosis,and the results were compared with those of sediment microscopy.The ROC curve was drawn to analyze the diagnostic efficacy (sensitivity and specificity) of trans-superficial combined with rectal ultrasound in patients with testis and epididymal asthenia.Results A total of 45 cases were confirmed by superficial ultrasound,and the diagnosis accordance rate was 50.00%,compared with the gold standard,the difference was statistically significant (P＜0.05).A total of 54 cases were confirmed by rectal ultrasound,and the diagnosis accordance rate was 60.00%,compared with the gold standard,the difference was statistically significant (P＜0.05).A total of 81 cases were finally confirmed by the combined test,and the diagnosis accordance rate was 90.00%,compared with the gold standard,there was no significant difference (P＞0.05).Trans-superficial combined with rectal ultrasound indicated 18 cases of epididymitis,9 cases of seminal vesiculitis,9 cases of ejaculatory duct cyst,9 cases of congenital small volume of testis and prostate,and 45 cases of no obvious abnormality.The ROC curve showed that the diagnostic sensitivity and specificity of trans-superficial combined with rectal ultrasound were higher than those of trans-superficial and rectal ultrasound alone (P＜0.05).Conclusion Trans-superficial combined with rectal ultra sound has a high diagnosis accordance rate in the patients with testis and epididymal asthenia,which can obtain higher diagnostic sensitivity and specificity,provide imaging basis for clinical diagnosis and treatment,and is worthy of popularization and application. 2021 Vol. 28 (6): 112-115 [Abstract] ( 56 ) HTML (32 KB)  PDF  (0 KB)  ( 7 ) 116 Application value of magnetic resonance imaging in the preoperative evaluation of cervical cancer and endometrial cancer LIU Jing Objective To explore the application value of magnetic resonance imaging (MRI) in the preoperative evaluation of cervical cancer and endometrial cancer.Methods From March 2017 to March 2019,50 cases of cervical cancer and 50 cases of endometrial cancer were treated in Benxi Central Hospital were selected,the preoperative MRI examinations of the patients were retrospectively analyzed.Results The surgical pathological staging of 50 cases of endometrial cancer included 31 cases of stage ⅠA,8 cases of stage ⅠB,5 cases of stage Ⅱ,1 case of stage ⅢA,2 cases of stage ⅢB,and 3 cases of stage ⅢC.The accuracy rate of MRI in the diagnosis of endometrial carcinoma was 88.00% (44/50).The surgical pathological staging of 50 cases of cervical cancer included 3 cases of stage ⅠA,27 cases of stage ⅠB1,5 cases of stage ⅠB2,2 cases of stage ⅠB3,11 cases of stage ⅡA1,and 2 cases of stage ⅡA2.The accuracy rate of MRI in the diagnosis of cervical cancer reached 90.00% (45/50).MRI examination of endometrial cancer patients with stage ⅠA showed endometrial thickening,less than 1/2 muscle layer infiltration and intact junction zone.MRI examination of stage ⅠB patients showed that there was thickening in endometrial,infiltration of >1/2 of the muscle layer occurs,the junction zone was visible but the display was not clear,and the invaded part did not reach the uterine serosal layer.MRI examination of stage Ⅱpatients showed that the tumor had affected the cervical stroma but had not exceeded uterine range.MRI sagittal view of stage Ⅲpatients showed that the tumor involved the whole layer of uterus to the serosa layer,no vaginal or parametrial involvement was found,and enlarged lymph nodes were seen beside the left iliac vessels.Cervical cancer patients with stage ⅠB1 and ⅠB2 stage MRI showed that thetumor lesions were confined to the cervix,and the largest diameter of the lesion was less than 4 cm.MRI of patients with stage ⅡA1 and ⅡA2 showed that the tumor lesions exceeded the cervix,but still did not reach the pelvic wall or lower vagina 1/3 sites,the maximum diameter of the lesion ≤4 cm.Conclusion MRI examination method plays an important role in the preoperative evaluation of cervical cancer and endometrial cancer.However,MRI examination is still insufficient in the diagnosis of lymph node metastasis in patients with cervical cancer and endometrial cancer,exploratory research is still needed. 2021 Vol. 28 (6): 116-119 [Abstract] ( 64 ) HTML (33 KB)  PDF  (0 KB)  ( 7 ) 120 Effect of acupuncture combines with acupoint injection on anxiety state of tension-type headache during theinterval YAN Hao-xiang；LUO Xiang-jun Objective To explore the influence of acupuncture combined with Gastrodin Injection acupoint injection on anxiety state of tension-type headache (TTH) during the interval.Methods A total of 80 patients with anxiety state of TTH during the interval who were admitted to the Third Affiliated Hospital of Hunan University of Traditional Chinese Medicine from September 2018 to January 2020 were selected as the research objects and divided into the experimental group and the control group by random number table method,with 40 cases in each group.The experimental group was given acupuncture combined with Gastrodin Injection acupoint injection,and the control group was given acupuncture combined with normal saline acupoint injection.The symptom score,Hamilton Anxiety Scale (HAMA) score and total effective rate of treatment were compared between the two groups.Results There were no significant differences in symptom score and HAMA score between the two groups before treatment (P＞0.05).After treatment,the symptom score and HAMA score in the two group were lower than those before treatment,the symptom score and HAMA score in the experimental group were lower than those in the control group,and the differences were statistically significant (P＜0.05).The total effective rate of the experimental group was higher than that in the control group,and the difference was statistically significant (P＜0.05).Conclusion Acupuncture combined with Gastrodin Injection acupoint injection during the interval of TTH can obviously improve the anxiety state of patients and alleviate the symptoms,it is worthy of clinical promotion and application. 2021 Vol. 28 (6): 120-123 [Abstract] ( 58 ) HTML (39 KB)  PDF  (0 KB)  ( 6 ) 124 Clinical study of massage combined with warm acupuncture in the treatment of knee osteoarthritis ZHOU Hao； XIONG Ya-li； LU Zhen-dong Objective To explore the clinical effect of massage combined with warm acupuncture in the treatment of knee osteoarthritis.Methods A total of 60 patients with knee osteoarthritis who were admitted to Jingdezhen NO.1 People′s Hospital in Jiangxi Province from August 2018 to March 2020 were selected as the research objects and divided into the treatment group and the control group according to sequence of visits,with 30 cases in each group.The treatment group was treated with massage and warm acupuncture,and the control group was treated with warm acupuncture.The therapeutic effect,visual analogue scale (VAS) score,Japanese Society of Orthopaedic Surgery knee rating scale(JOA) score and activity of daily living scale (ADL) score were compared.Results The total effective rate of the treatment group (93.33%) was higher than that of the control group (70.00%),and the difference was statistically significant(P＜0.05).VAS score of the treatment group after treatment was lower than that of the control group,and the difference was statistically significant (P＜0.05).JOA score of the treatment group after treatment was higher than that of the control group,and the difference was statistically significant (P＜0.05).ADL score of the treatment group after treatment was higher than that of the control group,and the difference was statistically significant (P＜0.05).Conclusion In the treatment of knee osteoarthritis patients,massage combined with warm acupuncture has a positive effect on improving pain,knee joint function and daily life activity,which is worth of linical promotion and application. 2021 Vol. 28 (6): 124-126 [Abstract] ( 43 ) HTML (32 KB)  PDF  (0 KB)  ( 8 ) 127 Clinical effect of acupressure combined with facial motor therapy in the treatment of peripheral facial paralysis DING Chang-yu Objective To investigate the clinical effect of acupressure combined with facial motor therapy in the treatment of peripheral facial paralysis.Methods A total of 90 patients with peripheral facial paralysis who were admitted to Department of Rehabilitation in Dalian Municipal Central Hospital from January 2019 to August 2020 were selected as the research objects.According to the random number table method,they were divided into the acupressure group,the comprehensive group and the motor therapy group,with 30 cases in each group.The acupuncture group was treated with acupuncture,the comprehensive group was treated with acupuncture combined with facial motor therapy,and the motor therapy group was treated with facial motor therapy,the treatment period was 4 weeks.Portmann score,facial disability index (FDI) scale score and treatment effect of the three groups were compared before and after treatment.Results The Portmann scores of three group after treatment were higher than those before treatment,and the differences were statistically significant (P＜0.05).The Portmann score of the comprehensive group after treatment was higher than those of the acupressure group and the motor therapy group,and the differences were statistically significant (P＜0.05).After treatment,the physical function score (FDIP) of the three groups were higher than those before treatment,the social function score (FDIS) were lower than those before treatment,and the differences were statistically significant (P＜0.05).After treatment,FDIP in the comprehensive group was higher than those in the acupuncture group and the motor therapy group,FDIS was lower than those in the acupuncture group and the motor therapy group,and the differences were statistically significant (P＜0.05).The total effective rate of the comprehensive group was higher than those of the acupuncture group and the motor therapy group,and the differences were statistically significant (P＜0.05).Conclusion Acupuncture combined with facial motor therapy in the treatment of peripheral facial paralysis has a definite effect,can effectively improve the facial nerve function of patients,alleviate clinical symptoms. 2021 Vol. 28 (6): 127-130 [Abstract] ( 40 ) HTML (35 KB)  PDF  (0 KB)  ( 8 ) 131 Clinical effect of Zhengqing Fengtongning combined with low-dose Prednisone Tablets in the treatment of idiopathic membranous nephropathy DENG Tao； SHAO Li-yan Objective To explore the clinical effect of Zhengqing Fengtongning combined with low-dose Prednisone Tablets in the treatment of idiopathic membranous nephropathy (IMN).Methods A total of 70 patients with IMN in Jiujiang Traditional Chinese Medicine Hospital from October 2018 to January 2020 were selected and divided into two groups according to the random number table method,with 35 patients in each group.The control group was treated with Prednisone Tablets,and the treatment group was treated with Zhengqing Fengtongning Sustained-release Tablets based on the control group.Treatment lasted nine months in both group.The clinical efficacy,traditional Chinese medicine symptom score and laboratory indexes between the two groups were compared.Results The total effective rate of the treatment group was higher than that of the control group,the difference was statistically significant (P＜0.05).After 3 and 9 months of treatment,the traditional Chinese medicine symptom scores of the treatment group were lower than those of the control group,and the differences were statistically significant (P＜0.05).After 3 and 9 months of treatment,the levels of albumin and fibrinogen in the treatment group were higher than those in the control group,the quantitative levels of 24 h urine protein and triacylglycerol were lower than those in the control group,and the differences were statistically significant (P＜0.05).Conclusion The clinical effect of Zhengqing Fengtongning combined with Prednisone Tablets in the treatment of IMN is remarkable.It can reduce the traditional Chinese medicine symptom score,increase the level of albumin and fibrinogen,and reduce the quantitative level of 24 h urinary protein and triacylglycerol. 2021 Vol. 28 (6): 131-133转138 [Abstract] ( 47 ) HTML (31 KB)  PDF  (0 KB)  ( 9 ) 134 Effect of Tongfu Tongluo Kaiqiao Decoction combined with Rosuvastatin on hemorheology in patients with cerebral infarction at the recovery stage LI Lian-ying; LI Ai-min; ZENG Ji-chao Objective To investigate the effect of traditional Chinese medicine (TCM) Tongfu Tongluo Kaiqiao Decoction combined with Rosuvastatin in the treatment of patients with cerebral infarction at the recovery stage and its influence on hemorheological indexes.Methods A total of 120 patients with cerebral infarction in recovery period admitted to Yangjiang Hospital of Traditional Chinese Medicine from January 2017 to June 2019 were selected as subjects and divided into the study group and the control group by the random number table method,with 60 cases in each group.Both groups were given basic treatment + Rosuvastatin.Patients in the study group were added with TCM Tongfu Tongluo Kaiqiao Decoction.Patients in both groups were treated continuously for 4 weeks.The blood lipid indexes,hemorheological indexes,the National Institutes of Health stroke scale (NIHSS) scores,and the recovery of limb motor function of the two groups before and after treatment were compared.Results Before treatment,there were no significant differences in serum triglyceride (TG),total cholesterol (TC),high density lipoprotein cholesterol (HDL-C) and low density lipoprotein cholesterol (LDL-C) levels between two groups (P＞0.05).After treatment,the levels of serum TG,TC and LDL-C in the study group were lower than those in the control group,with statistically significant differences (P＜0.05).Before treatment,there were no significant differences in plasma viscosity,low-cut whole blood viscosity,highcut whole blood viscosity,or hematocrit between two groups (P＞0.05).After treatment,the plasma viscosity,low-cut whole blood viscosity,high-cut whole blood viscosity,and hematocrit in the study group were all lower than those in the control group,with statistically significant differences(P＜0.05).Before treatment,there were no significant differences in NIHSS score and Fugl-Meyer exercise rating scale (Fugl-meyer) score between two groups (P＞0.05).After treatment,the NIHSS score of the study group was lower than that of the control group,the difference was statistically significant (P＜0.05).After treatment,Fugl-Meyer score in the study group was higher than that in the control group,and the difference was statistically significant (P＜0.05).Conclusion TCM Tongfu Tongluo Kaiqiao Decoction combined with Rosuvastatin in the treatment of patients with cerebral infarction at the recovery stage can effectively improve hemorheological indexes and promote the recovery of patients′ nerve and limb motor functions. 2021 Vol. 28 (6): 134-138 [Abstract] ( 32 ) HTML (40 KB)  PDF  (0 KB)  ( 9 ) 139 Effect of Fuling Zexie Decoction on glucose and lipid metabolism and islet cell function in type 2 diabetes patients with deficiency of kidney yin WANG Jiu-xiang Objective To explore the effect of Fuling Zexie Decoction on glucose and lipid metabolism and islet cell function in type 2 diabetes patients with deficiency of kidney yin.Methods Retrospective analysis was made on the clinical data of 86 patients with type 2 diabetes in Luanping County Hospital of Traditional Chinese Medicine from December 2016 to December 2019 and divided into the control group (43 cases) and the observation group (43 cases) according to the treatment method.The control group was treated with Metformin Hydrochloride Tablets,and the observation group was treated with Metformin Hydrochloride Tablets combined with Fuling Zexie Decoction.After 2 weeks of treatment,the levels of glucose and lipid metabolism (fasting blood glucose [FBG],2 hours′ postprandial blood glucose[2 h PBG],triglyceride [TG],total cholesterol [TC]) and pancreatic β-cell function (homeostasis model assessment of β-cell function [HOMA-β],homeostatic model assessment for insulin resistance [HOMA-IR],fasting serum lisulin[FINS]) were compared between the two groups.Results After treatment,the FBG,2 h PBG,TG,TC of the two groups were lower than those before treatment,the observation group was lower than the control group,and the differences were statistically significant (P＜0.05).The HOMA-β after treatment in the two groups weas higher than that before treatment,the observation group was higher than the control group,and the differences were statistically significant (P＜0.05).The HOMA-IR and FINS of the two groups after treatment were lower than those before treatment,the observation group was lower than the control group,the differences were statistically significant (P＜0.05).Conclusion The use of Fuling Zexie Decoction in patients with type 2 diabetes can effectively improve the function of pancreatic islet β cells and regulate glucose and lipid metabolism. 2021 Vol. 28 (6): 139-141 [Abstract] ( 48 ) HTML (29 KB)  PDF  (0 KB)  ( 7 ) 142 Effect and safety of narrow-band ultraviolet rays combined with traditional Chinese medicine bath in the treatment of psoriasis vulgaris LAN Xiao-ou Objective To analyze the effect and safety of narrow-band ultraviolet rays combined with traditional Chinese medicine bath in the treatment of psoriasis vulgaris.Methods A total of 124 patients with psoriasis vulgaris admitted the Department of Dermatology in the Seventh People′s Hospital of Shenyang City from January 2019 to February 2020 were selected as the research subjects.They were divided into control group (n=62) and observation group (n=62) by the random number table method.Patients in the control group were treated with Mometasone Furoate Cream,and in the observation group,they were treated with narrow-band ultraviolet rays combined with traditional Chinese medicine bath on the basis of the control group.The total effectiveness rate of treatment,the psoriasis area lesions and severity index (PASI) score before and after treatment,and the total incidence of adverse reactions were compared between the two groups.Results The total effectiveness rate of treatment in the observation group was 91.94%,higher than that of the control group accounting for 75.81%,and the difference was statistically significant (P＜0.05).After treatment,PASI scores of two groups were lower than those before treatment,the differences were statistically significant (P＜0.05).The PASI score of the observation group after treatment was (13.87±1.16) points,and that of the control group was (18.26±1.73) points.The PASI score of the observation group after treatment was lower than that of the control group,with statistical significance (P＜0.05).The total incidence of adverse reactions in the observation group was 4.84%,lower than that in the control group accounting for 16.13%,and the difference was statistically significant (P＜0.05).Conclusion Patients with psoriasis vulgaris receiving narrow-band ultraviolet rays combined with traditional Chinese medicine bath treatment can improve their skin lesions and enhance the treatment effect,and the incidence of adverse reactions is low,which is worthy of clinical application. 2021 Vol. 28 (6): 142-144 [Abstract] ( 46 ) HTML (31 KB)  PDF  (0 KB)  ( 7 ) 145 Diagnostic value of T cell spot test of tuberculosis infection of pleural effusion and peripheral blood in tuberculous pleural effusion DENG Ai-feng;ZHANG Guang-hui; LAI min Objective To explore the diagnostic value of T cell spot test of tuberculosis infection (T-SPOT.TB) of pleural effusion and peripheral blood in tuberculous pleural effusion.Methods A total of 80 patients with unexplained pleural effusion who were admitted to Shenzhen Hengsheng Hospital from January 2017 to December 2018 were selected as the research objects.Peripheral blood and pleural fluid samples were collected from patients,and mononuclear cells were separated with sterile Ficoll lymphocyte fluid,T-SPOT.TB was performed,and the test results were analyzed.Those with positive test results of gold standard were tuberculous pleural effusion group,and those with negative test results were non-tuberculous pleural effusion group.The diagnostic value of T-SPOT.TB test in peripheral blood and pleural effusion were analyzed.Results There were 47 cases with positive results and 33 cases with negative results according to gold standard.The positive rates of T-SPOT.TB and Adenosine Deaminase (ADA) in pleural effusion and peripheral blood in tuberculous pleural effusion group were higher than those in non-tuberculous pleural effusion group,and the differences were statistically significant (P＜0.05).The positive rate of T-SPOT.TB detection in patients with tuberculous pleural effusion group was higher than that in peripheral blood,and the difference was statistically significant (P＜0.05).The positive rates of T-SPOT.TB detection in pleural effusion and peripheral blood were higher than that of ADA detection,and the differences were statistically significant (P＜0.05).The sensitivity,specificity,positive predictive value and negative predictive value of T-SPOT.TB test in the diagnosis of tuberculous pleural effusion were higher than those of T-SPOT.TB test in peripheral blood,and the differences were statistically significant (P＜0.05).Conclusion The detection of T-SPOT.TB in peripheral blood and pleural effusion can be used as an auxiliary means for the diagnosis of tuberculous pleural effusion,but compared with peripheral blood,the detection of mononuclear cells in pleural effusion is more sensitive and can be widely used in clinic. 2021 Vol. 28 (6): 145-148 [Abstract] ( 44 ) HTML (34 KB)  PDF  (0 KB)  ( 2 ) 149 Application value of serum estradiol,β-chorionic gonadotropin and progesterone levels detection in predicting the outcomes of early threatened abortion WU Bi-yun MAO Wen-li ZHANG Mei-chan HU Hong-ying Objective To explore the application value of serum estradiol (E2),β-chorionic gonadotropin (β-HCG) and progesterone (P) levels detection in predicting the outcomes of early threatened abortion.Methods Clinical data of 52 pregnant women with early threatened abortion who were admitted to Maternity and Child Health Family Planning Service Center in Yingde City,Guangdong Province from August 2019 to July 2020 was selected and divided into continued pregnancy group (36 cases) and pregnancy failure group (16 cases) according to the different pregnancy outcomes.Another 36 normal pregnant women who underwent routine check-ups in Maternity and Child Health Family Planning Service Center in Yingde City,Guangdong Province during the same period were selected as the control group.During enrollment,participants in the three groups were collected 5 mL fasting venous blood for measuring the serum E2,β-HCG and P levels.The serum E2,β-HCG and P levels of the three groups of pregnant women were compared.The positive rate of early threatened abortion predicted by the serum E2,β-HCG and P levels alone or in combination as well as its value was compared and analyzed among the three groups.Results The levels of E2,β-HCG and P in the pregnancy failure group were lower than those in the continued pregnancy group and the control group,the levels of E2,β-HCG and P in the continued pregnancy group were lower than those in the control group,and the differences were statistically significant (P＜0.05).The diagnostic positive rates of E2,β-HCG and P alone and in combination in the pregnancy failure group and continued pregnancy group were higher than that of the control group,and thedifferences were statistically significant (P＜0.05).The diagnostic positive rate of E2,β-HCG and P alone and in combination in the pregnancy failure group was higher than that in the continued pregnancy group,and the difference was statistically significant (P＜0.05).The sensitivity (93.24%) and specificity (89.10%) in combined diagnosis of E2,β-HCG and P for early threatened abortion prediction were higher than those in single diagnosis,and the differences were statistically significant (P＜0.05).Conclusion E2,β-HCG and P are all effective indicators for judging early threatened abortion and predicting pregnancy outcomes.Combined diagnosis can increase the diagnostic accordance rate and can be used as an effective indicator for predicting the occurrence of early threatened abortion and pregnancy outcome. 2021 Vol. 28 (6): 149-152 [Abstract] ( 53 ) HTML (35 KB)  PDF  (0 KB)  ( 6 ) 153 Clinical value of reticulocyte hemoglobin equivalent in anemia of chronic disease with iron deficiency anemia ZHOU Dong-ming ；ZHANG Su-wei； ZHU Hong-jun Objective To investigate the clinical value of reticulocyte hemoglobin equivalent (Ret-He) in anemia of chronic disease (ACD) with iron deficiency anemia (IDA).Methods Clinical data of 187 patients with ACD who were admitted to Shantou Central Hospital from September 2017 to September 2019 were retrospectively analyzed.They were divided into iron deficiency group (106 patients) and non-iron deficiency group (81 patients) according to whether they had IDA.The correlation of Ret-He with hemoglobin,low fluorescent reticulocyte (LFR),medium fluorescent reticulocyte (MFR),high fluorescent reticulocyte (HFR),mean corpuscular volume (MCV),mean corpuscular hemoglobin (MCH),mean corpuscular hemoglobincon centration (MCHC) and diagnostic value of Ret-He in ACD with IDA were analyzed.Results Ret-He was positively correlated with hemoglobin,MCV,MCH and MCHC (P＜0.05).The levels of hemoglobin,RET-HE,MCV,MCH and MCHC in the iron deficiency group were lower than those in the non-iron deficiency group,and the differences were statistically significant (P＜0.05).Logistic regression showed that Ret-He (β=0.27,OR=1.31,95%CI:1.08-1.59) was independently associated with ACD combined with IDA (P＜0.05).The area under curve (AUC)of ACD with IDA predicted by Ret-He was 0.96 (95%CI:0.94-0.98).Conclusion Ret-He can be used as a predictor of ACD with IDA. 2021 Vol. 28 (6): 153-155转159 [Abstract] ( 53 ) HTML (30 KB)  PDF  (0 KB)  ( 8 ) 156 Analysis of the prevalence of respiratory virus in 798 children with respiratory tract infection HUANG Li-juan Objective To explore the prevalence of respiratory viruses in 798 children with respiratory tract infection.Methods A total of 798 children with respiratory tract infection from December 2018 to December 2019 in Jiangmen Maternal and Child Health Hospital were selected as the research objects.Respiratory secretions were collected and respiratory viruses were detected.Objective to analyze the detection of respiratory viruses in children with respiratory tract infection,the composition of various respiratory viruses and their relationship with age and season.Results 279(34.96%) positive samples were detected in 798 children with respiratory tract infection,among which 6 cases (0.75%)were mixed infection,both of which were two kinds of virus infection;respiratory syncytial virus (RSV) was the most common in 279 positive samples,with the detection rate of 18.55%,followed by influenza virus A (IFA),the detection rate was 7.39%;with the growth of age,the positive rates of adenovirus (ADV),RSV,and parainfluenza virus (PIV) typeⅠ,PⅣⅡ,and PIV Ⅲshowed a downward trend,while influenza virus type B (IFB) and IFA showed an upward trend.The positive rate of respiratory virus infection was 45.33% in ＜1-year-old group,which was higher than that 1-＜3-year-old group.3-＜6-year-old group and ≥6-year-old group (P＜0.05).The sex rates were 47.19% and 34.50%respectively,which were higher than those in summer and autumn (P＜0.05).Conclusion The detection rate of respiratory viruses in children with respiratory tract virus infection is high.The main pathogenic pathogens are RSV and IFA.The high incidence seasons are spring and winter,and most of them occur in inIFAnts under 1 year old. 2021 Vol. 28 (6): 156-159 [Abstract] ( 44 ) HTML (32 KB)  PDF  (0 KB)  ( 7 ) 160 Epidemiological analysis of HPV infection and genotype in 10971 women in Fuqing area of Fujian Province CHEN Xiao-ying;CHEN Hang; XIE Shu-lin; LU Ke-you;CHEN Wu Objective To explore the infection and genotype epidemiology of human papillomavirus (HPV) in women in Fuqing area of Fujian Province.Methods A total of 10 971 female cervical secretions screened in Fuqing City Hospital Affiliated to Fujian Medical University from July 2018 to December 2019 were collected,the HPV genotypes were detected by reverse spot hybridization,the infection rate was counted and the genotype distribution characteristics of lowrisk HPV and high-risk HPV were analyzed.Results In the 10 971 cases female cervical secretions,1 522 cases were positive,and the positive rate was 13.9%.Among them,1 096 cases were single type infection,accounting for 72.0% of the total positive results;426 cases were multiple types simultaneously infection,accounting for 28% of the total positive results,mainly single type infection.The high-risk HPV-52 was the most common (3.24%) genotype,followed by HPV-16(1.68%) and HPV-58(1.61%).Low-risk HPV-40(1.25%) was the most common genotype,followed by HPV-44(1.07%) and HPV-42(0.87%).Conclusion The positive rate of female HPV infection in Fuqing area of Fujian Province was high,with the genotype HPV-52,HPV-16 and HPV-58 in the top three,and the genotype distribution can be used as baseline data before mass vaccination HPV in Fuqing area of Fujian Province. 2021 Vol. 28 (6): 160-162 [Abstract] ( 40 ) HTML (28 KB)  PDF  (0 KB)  ( 7 ) 163 Application effect of the eight-step correction in the generational relation of children with attention deficit hyperactivity disorder ZHAO Hong-wei Objective To approach the application effect of the eight-step correction in the generational relation of children with attention deficit hyperactivity disorder.Methods Eighty children with attention deficit hyperactivity disorder admitted to Shenyang Children′s Hospital from January to July 2020 were selected as the research objects,and they were divided into the control group and the observation group according to the random paper method,with 40 cases in each group.The control group used conventional and basic treatment,and the observation group used the eight-step correction on the basis of the control group.The Conners child behavior questionnaire (parent questionnaire) score,adaptive behavior rating scale score,integrated audition continuous execution test score,sensory integration ability development test score,and common sense attention test were compared between the two groups before and after intervention.Results The Conners child behavior questionnaire(parent questionnaire),adaptive behavior rating scale,integrated audition continuous execution test (integrated control quotient,integrated attention quotient,visual control quotient,visual attention quotient,auditory control quotient and auditory attention quotient) and sensory integration ability development test (vestibular balance,touch,emotion,proprioception,learning ability) scores in the observation group after intervention were higher than those in the control group,the differences were statistically significant (P＜0.05).The common sense attention test grading in the observation group after intervention was better than that in the control group,and the difference was statistically significant (P＜0.05).Conclusion The application of the eight-step correction in the generational relation of children with attention deficit hyperactivity disorder can improve generational relations of children,increase adaptive behavior,integrated audition continuous execution,sensory integration ability and improve attention,which is worthy of clinical promotion and application. 2021 Vol. 28 (6): 163-166转170 [Abstract] ( 49 ) HTML (37 KB)  PDF  (0 KB)  ( 8 ) 167 Analysis of the distribution characteristics of pathogenic bacteria in the respiratory tract of patients with hypertensive cerebral hemorrhage undergoing tracheal intubation WANG Wei-wei Objective To analyze the distribution characteristics of respiratory tract pathogenic bacteria in patients with hypertensive cerebral hemorrhage undergoing tracheal intubation,so as to provide a basis for hospital infection work.Methods The clinical data of 588 patients with hypertensive cerebral hemorrhage who received endotracheal intubation assisted ventilation from January 2017 to December 2019 in Iron Coal General Hospital of Liaoning Health Industry Group were retrospectively analyzed.The patients took respiratory tract secretions for pathogenic analysis,and the pathogens with a quantitative culture concentration of≥107 CFU/ mL were designated as pathogens in the airway.Results There were 314 cases of respiratory tract nosocomial infection in 588 patients,the infection rate was 53.40%.During 3 years,2808 strains were cultured,among which Gram-positive bacteria (G+ bacteria) 422 strains (15.03%),Gram-negative bacteria (G- bacteria) 1854 strains (66.03%),527 strains (18.95%) of candida and 5 strains (0.18%) of others.Among the 422 strains of G+ bacteria,the most common was Staphylococcus aureus,with a total of 250 strains,and the trend was increasing year by year,followed by Staphylococcus hemolyticus and Staphylococcus epidermidis.Among the 1854 strains of G- bacteria,the most common was Pseudomonas aeruginosa,with a total of 545 strains,and the annual ratio was relatively stable,followed by Klebsiella pneumoniae,the proportion of which decreased year by year.Conclusion The hypertensive intracerebral hemorrhage patients undergoing tracheal intubation are a high-risk group of respiratory tract infections.It is important to analyze the etiological characteristics and accurately grasp their migration characteristics to effectively control nosocomial respiratory tract infections. 2021 Vol. 28 (6): 167-170 [Abstract] ( 44 ) HTML (30 KB)  PDF  (0 KB)  ( 9 ) 171 Management and prevention measures of CT room during pneumonia epidemic in novel coronavirus LIAO Wei-hua ；LI Xue-qing； YANG Qiu-xing； RUAN Jia-wei An outbreak of novel coronavirus pneumonia (COVID-19) quickly spread.The confirmed patients with COVID-19 are the main source of infection.The incubation period of COVID-19 is 1-14 days,and the population is generally susceptible to infection,which increases the difficulty of prevention and control.During the epidemic period of COVID-19,imaging examination is an important early warning signal for patients with negative novel coronavirus nucleic acid test.Because of the large flow of patients in the imaging department,the imaging examination process is complex,and the protection requirements are high,so the management of personnel is more complex.The importance of CT imaging examination determines the important role of CT in relevant treatment,so the management and prevention and control measures of CT room are particularly important.Combined with the novel coronavirus CT examination,the paper proposes a strategy of protection and management for CT examination in the imaging department during the epidemic spreading period.By summarizing the management experience and practice,it hopes to provide reference and help for the general staff to cope with the new coronavirus pneumonia epidemic situation. 2021 Vol. 28 (6): 171-173 [Abstract] ( 58 ) HTML (28 KB)  PDF  (0 KB)  ( 7 ) 174 Application effect of nursing risk management model on improving the quality of perioperative nursing management WANG Chun-xia；JIANG Xiao-xia Objective To explore the application effect of nursing risk management model on improving the quality of perioperative nursing management.Methods A total of 68 surgical patients admitted to the Fourth Affiliated Hospital of Nanchang University during the routine nursing period from November 2017 to November 2018 were selected as the control group,and routine nursing was carried out.A total of 68 surgical patients admitted from December 2018 to December 2019 were selected as the observation group,and nursing risk management was implemented.The nursing implementation quality of nursing staff and the satisfaction of patient between the two groups were compared,and the occurrence of adverse risk events was recorded.Results The nursing quality and nursing satisfaction scores of the observation group were higher than those of the control group,and the total incidence of adverse risk events was lower than that of the control group,the differences were statistically significant (P＜0.05).Conclusion The implementation of nursing risk management model can improve the quality of perioperative nursing management and patient′s satisfaction,and reduce the incidence of risk events. 2021 Vol. 28 (6): 174-176 [Abstract] ( 43 ) HTML (30 KB)  PDF  (0 KB)  ( 6 ) 177 Application of PDCA cycle management in the management of nosocomial infection in orthopaedic surgery WU You-xiang；HUA Yi-ran ；LI Hai-hua Objective To analyze the effect PDCA cycle management in the management of nosocomial infection in orthopaedic surgery.Methods A total of 120 patients undergoing surgical treatment and 120 medical staff in Leping Hospital of Traditional Chinese Medicine from January 2018 to February 2019 were selected as the research subjects.They were randomly divided into study group and reference group,with 60 patients and medical staff in each group.Patients in the reference group received routine management,and patients in the study group received PDCA cycle management on the basis of the reference group,the operation infection status and satisfaction rate of patients in the two groups,and to compare the nosocomial infection indicators of medical staff in the two groups were compared.Results The incidence of hospital infection and the antibiotic utilization rate of medical staff in the study group were lower than those of the reference group,and the nosocomial infection knowledge rate and hand hygiene pass rate in the study group were higher than those of the reference group,and the differences were statistically significant (P＜0.05).The surgical infection rate in the study group was lower than that in the reference group,and the difference was statistically significant (P＜0.05).The total satisfaction rate of patients in the study group was higher than that in the reference group,and the difference was statistically significant (P＜0.05).Conclusion The application of PDCA cycle management in the management of nosocomial infection in orthopaedic surgery can reduce the hospital infection rate and the surgical infection rate of patients,improve the knowledge rate of hospital infection and hand hygiene pass rate of medical staff,and then improve the satisfaction rate of patients. 2021 Vol. 28 (6): 177-179 [Abstract] ( 45 ) HTML (30 KB)  PDF  (0 KB)  ( 7 ) 180 Effect of case management model on rehabilitation of chronic inpatients with schizophrenia LI Feng-zhen; ZHENG Su-fen; LIANG Mei-ju Objective To explore the effect of case management on rehabilitation of chronic inpatients with schizophrenia.Methods A total of 80 patients with chronic schizophrenia who were admitted to Jiangmen City Third People′s Hospital from July 2019 to June 2020 were selected as the research subjects.According to the random number table method,they were divided into control group and observation group,with 40 cases in each group.Both group received routine nursing care,while the observation group added case management mode on rehabilitation.Indicators such as the occurrence of dangerous events,the effect of rehabilitation of the condition,and the quality of life of the patients under the two intervention modes were compared,while the subjective recognition of the two intervention modes was compared between the two groups.Results The total incidence of risk events in the observation group was lower than that in the control group,and the difference was statistically significant (P＜0.05).After the intervention,the rehabilitation efficacy rating scale (IPROS) scores of the two groups were lower than those before the intervention,and the IPROS scores of the observation group were lower than those of the control group,the differences were statistically significant(P＜0.05).The quality of life score of the observation group was higher than that of the control group,the difference was statistically significant (P＜0.05).The total satisfaction of the observation group was higher than that of the control group,the difference was statistically significant (P＜0.05).Conclusion In the nursing process of chronic hospitalized patients with schizophrenia,the use of case management model can not only prevent and reduce the occurrence of dangerous events,but also benefit the improvement and recovery of the patient′s condition,high satisfaction and good quality of life. 2021 Vol. 28 (6): 180-182 [Abstract] ( 34 ) HTML (31 KB)  PDF  (0 KB)  ( 9 ) 183 Application of PDCA cycle management in patients with moderate and severe cancer pain and opioid-induced constipation XING Min-qing;WU Yao-fen;CHEN Shi-yan;LIANG Liu-yan Objective To investigate the application of PDCA cycle management in patients with moderate and severe cancer pain and opioid-induced constipation.Methods A total of 100 patients with moderate to severe cancerous pain combined with opioid-induced constipation admitted to Panyu Central Hospital were selected from January to December 2019.According to the order of visits,the patients were divided into the control group and the experimental group,with 50 patients in each group.The control group was treated with routine defecation nursing,while the experimental group received PDCA cycle management on the basis of routine defecation nursing.The severity of opioid-induced constipation and the quality of life assessment scale (PAC-QOL) score of constipation patients after nursing were compared between the two groups.Results The scores of each item of the Evaluation of Intestinal Function Index scale in the experimental group were all lower than those in the control group,and the PAC-QOL score of constipation in the experimental group was lower than that in the control group,the differences were statistically significant (P＜0.05).Conclusion PDCA cycle management can improve opioid-induced constipation in patients with moderate and severe cancerous pain,and effectively reduce the severity of opioid-related constipation and the constipation quality of life. 2021 Vol. 28 (6): 183-186 [Abstract] ( 39 ) HTML (34 KB)  PDF  (0 KB)  ( 7 ) 187 Application effect of dressing packaging group leader responsible management system in disinfection supply center LOU Li-qiong; LI Yun-xia Objective To explore the application effect of the group leader responsibility system of dressing packaging quality management in disinfection supply center.Methods A total of 300 dressing packages with the same specification which were packaged from January to June in 2020 were selected.According to the different operation procedures method,they were divided into experimental group and control group,with 150 in each group.The experimental group used the dressing bag that the dressing group leader was responsible for packaging,while the control group did not use the dressing bag that the dressing group leader was responsible for packaging.The qualification rates of the two groups of dressing bags were compared.The 300 dressing packages to be sterilized contain the same contents and both pack material specifications were 120 cm×120 cm,both were dressing packs to be used by the clinical department,packaged within the disinfectant supply center dressing pack area.Results In experimental group,one loose,one broken,and two failed packaging contents were examined,the packaging compliance was 97.33%.In the control group,five loose,eight broken,and nine failed packaging contents were examined,and the packaging compliance rate was 85.33%.The qualified rate of packaging in the experimental group was higher than that in the control group,with statistically significant difference (P＜0.05).Conclusion The application of the management mode of dressing packaging group leader responsibility system has significantly improved the dressing packaging quality,and the packaging quality of all kinds of dressing packaging has been significantly improved,effectively improving the work quality. 2021 Vol. 28 (6): 187-190 [Abstract] ( 41 ) HTML (35 KB)  PDF  (0 KB)  ( 7 ) 191 Influence of systematic preventive measures on liquid configuration errors in pharmacy intravenous admixture service LYU Huan Objective To explore the influence of systematic preventive measures on liquid configuration errors in pharmacy intravenous admixture service （PIVAS）.Methods A total of 238 bags of liquid prepared in Shenyang Orthopedic Hospital from April 1,2018 to March 31,2019 were selected as the control group,and a total of 238 bags of liquid from April 1,2019 to March 31,2020 were selected as the experimental group.The control group adopted conventional management methods,and the experimental group adopted systematic preventive measures.The error rate of the two groups was compared,and the overall error rate was counted and the reasons were analyzed.Results The error rate of liquid configuration in the experimental group (2.10%) was lower than that in the control group (6.30%),the difference was statistically significant (P＜0.05).The error rate of liquid configuration in the intravenous drug dispensing center was mainly composed of prescription review error,drug dispensing error,infusion configuration error and drug return link error.Conclusion The liquid configuration of PIVAS is directly related to the medication safety of patients.To determine the causes of dispensing errors and take systematic preventive measures can achieve good intervention effect and reduce the error rate. 2021 Vol. 28 (6): 191-193转200 [Abstract] ( 47 ) HTML (31 KB)  PDF  (0 KB)  ( 8 ) 194 Application of bilingual teaching in pediatric clinical practice HUANG Zhe；CAO Bian-chuan； ZHOU Tai-guang； LI Cheng； MAO Xiao-yan； LIU Wen-jun Pediatrics is a clinical subject aiming at a specific population,which involves a wide range of subjects and has a strong integrity.In the process of learning pediatrics,medical students need solid multi-disciplinary knowledge.In the pediatric clinical practice stage,the interns will be exposed to different kinds of pediatric diseases,so as to further improve the medical students′ pediatric clinical professional knowledge,integrate theory with practice,and better understand the relevant knowledge of theoretical courses.With the increase of international communication in medical education,bilingual teaching has become an important means in the field of medical education.At present,the main application of bilingual teaching in pediatrics clinical practice of Department of Pediatrics of Southwest Medical University is bilingual shift and bilingual teaching ward round.The advantages of bilingual teaching in pediatric clinical practice are worthy of further discussion and promotion by the majority of teaching workers.However,there are still some deficiencies in the use of bilingual teaching in pediatric clinical practice.Therefore,the majority of teaching workers need to weigh the advantages and disadvantages,so that bilingual teaching can be successfully implemented in pediatric clinical practice. 2021 Vol. 28 (6): 194-196 [Abstract] ( 42 ) HTML (32 KB)  PDF  (0 KB)  ( 6 ) 197 Study on the ideological and political practice of pathology course in medical vocational education WANG Xiao-wei It is of great significance to strengthen the implementation of ideological and political education in medical vocational education to cultivate qualified medical practitioners.Through the analysis of the necessity of implementing the ideological and political elements in the teaching of pathology,the author sorted out the ideological and political elements in the teaching of pathology: using the pathological classroom to strengthen the patriotism education;to connect with the national conditions and social hot issues to conduct moral education penetration,stimulate the interest of pathological study;through the pathology class,dialectics education is carried out for learner;cultivate serious scientific attitude and indomitable enterprising consciousness,strengthen medical ethics.This paper preliminarily discusses the implementation path of ideological and political courses of pathology in medical vocational colleges,and provides systematic reference for the comprehensive implementation of ideological and political courses of professional courses and basic courses of medical vocational colleges. 2021 Vol. 28 (6): 197-200 [Abstract] ( 45 ) HTML (33 KB)  PDF  (0 KB)  ( 8 ) 201 Application of problem-based learning combined with evidence-based medicine in standardized training resident physicians of department of emergency medicine SU Tian-sheng； LUO Ji-hong； LU Jing；XIAO Zhang-wu；WANG Zhi-min；LIAO Yun-hai；LIN Lei This paper discusses the concept of the problem-based learning(PBL)combined with evidence-based medicine(EBM)education.This paper introduces the clinical teaching method of PBL and EBM to improve the standardized training of residents in emergency medicine,it can train the diagnosis and treatment ability of modern medical students,and train their clinical thinking ability,EBM ability,innovation ability and lifelong self-education ability.This paper points out that it is necessary to popularize quality-oriented education and explore its teaching effect under the situation of carrying out quality-oriented education in an all-round way at present,which is of great help to expand the clinical work ability and quality of residents in emergency medicine and establish correct and scientific medical concept. 2021 Vol. 28 (6): 201-203转207 [Abstract] ( 41 ) HTML (33 KB)  PDF  (0 KB)  ( 9 ) 204 Study on clinical nursing pathway of COOK balloon combined with Oxytocin for labor induction WU Rong-hua Objective To explore the effect of clinical nursing pathway (CNP) in induction of labor using COOK balloon combined with Oxytocin.Methods A total of 49 parturients who underwent COOK balloon and Oxytocin in Jiangxi Maternity and Child Health Hospital from July to December 2017 were selected as the control group (n=49),and 49 parturients who underwent COOK balloon and Oxytocin induction in Jiangxi Maternity and Child Health Hospital from July to December 2019 were selected as the observation group.In the control group,routine care was used,and in the observation group,CNP intervention was adopted.The labor induction effect,delivery status,time of each labor stage,postpartum hemorrhage,satisfaction score,and the occurrence of complications were compared in the two groups.Results The total effectiveness rate of labor induction and vaginal delivery rate in the observation group were 97.96% and 93.88%,higher than those in the control group accounting for 81.63% and 69.39%,and the differences were statistically significant (P＜0.05).The first,second,third,and total stage of labor were (8.57±0.76),(1.06±0.12),(0.12±0.01) and(9.74±2.52) h in the observation group were shorter than those of the control group of (11.50±1.84),(1.53±0.24),(0.18±0.02),and (12.67±2.54) h,postpartum hemorrhage was (291.18±20.54) mL,less than that of the control group of(300.15±20.52)mL,satisfaction score was(93.26±5.13)points,higher than that of the control group of(82.97±5.24) points,and the differences were statistically significant (P＜0.05).The total incidence of complications in the observation group was 4.08%,lower than that in the control group accounting for 18.37%,and the difference was statistically significant(P＜0.05).Conclusion CNP intervention can improve the effect of COOK balloon combined with Oxytocin on labor induction and the rate of natural delivery,shorten the time of each labor stage,reduce postpartum hemorrhage and the incidence of complications,and increase maternal satisfaction. 2021 Vol. 28 (6): 204-207 [Abstract] ( 46 ) HTML (33 KB)  PDF  (0 KB)  ( 9 ) 208 Application of PDCA cycle management to air embolization complications of atrial fibrillation ablation LAN Jian-yun ；ZHOU Yun-ying； ZHANG Shu-chun Objective To explore the application effect of PDCA cycle management in the prevention of air embolism in atrial fibrillation ablation.Methods A total of 48 patients admitted to Jiangxi Provincial People′s Hospital from June 2018 to June 2019 were selected and divided into the control group (23 cases) and observation group (25 cases) according to the random lottery method.The control group received traditional nursing management,and the observation group adopted PDCA cycle management for nursing.The air embolization rate,patient satisfaction were compared between the two groups,and PDCA management was used to evaluate the nursing quality of nursing staff.Results The incidence of air embolization rate in the observation group was lower than that in the control group,the total satisfaction was higher than that in the control group,and the nursing quality score of nurses in the observation group was higher than that in the control group,with statistical differences (P＜0.05).Conclusion PDCA cycle management is effective in the prevention of air embolism in atrial fibrillation ablation,can effectively reduce the incidence of intraoperative air embolism,improve the satisfaction of patients with nurses. 2021 Vol. 28 (6): 208-210 [Abstract] ( 50 ) HTML (31 KB)  PDF  (0 KB)  ( 6 ) 211 Application of targeted nursing model in the nursing of premature and ultra-low birth weight newborns WANG Xue-fen；LI Wan-yi；CHEN Bao-qin Objective To explore the application value of targeted nursing model in the nursing of premature and ultralow birth weight newborns.Methods A total of 40 premature ultra-low birth weight newborns who were born in Dongguan Maternal and Child Health Hospital,Guangdong Province from February 2018 to May 2019 were selected as the studt subjects,and were divided into two groups by random number table method,20 cases in each group.The control group adopted conventional nursing care,and the observation group implemented a targeted nursing model.The growth and development,incidence of adverse events,length of stay in hospital and satisfaction of family members between the two groups were compared.Results After targeted care,the height,head circumference,and weight gains of the observation group were greater than those of the control group,and the differences were statistically significant(P＜0.05);the hospital stay of the observation group was shorter than that of the control group,and the total incidence of adverse events was lower than that of the control group,and the differences were statistically significant (P＜0.05);the time to exhaust meconium and weight recovery in the observation group were shorter than those of the control group,and the differences were statistically significant (P＜0.05).Conclusion Targeted nursing intervention for preterm ultralow birth weight infants is more beneficial to the development of children′s body and intelligence,and can shorten the hospitalization time of children. 2021 Vol. 28 (6): 211-213 [Abstract] ( 45 ) HTML (30 KB)  PDF  (0 KB)  ( 8 ) 214 Effect of intensive nursing mode on symptoms,intestinal flora and recurrence rate of children with acute diarrhea FU Hong-qing Objective To explore the effect of intensive care model on the symptoms,intestinal flora and recurrence rate of children with acute diarrhea.Methods A total of 100 children with acute diarrhea admitted to the Fuzhou First People′s Hospital from April 2018 to April 2020 were selected as the research objects,and they were divided into the routine group and the intervention group according to the random number table method,50 cases in each group.The routine group adopts conventional nursing mode,and the intervention group adopts intensive nursing mode.The clinical symptom relief time,intestinal flora,and disease recurrence rate were compared between the two groups after intervention.Results The antidiarrheal time,antipyretic time,stool time and hospitalization days of the intervention group were shorter than those of the routine group,and the differences were statistically significant (P＜0.05);the intervention group had more lactobacillus and bifidobacteria groups than those of the routine group,the differences were statistically significant (P＜0.05).The recurrence rate and total complication rate of the intervention group after 2 and 3 months were lower than those of the routine group,the differences were statistically significant (P＜0.05).Conclusion Intensive nursing intervention for children with acute diarrhea can effectively shorten the remission time of clinical symptoms,increase the intestinal lactobacillus and bifidobacteria,and reduce the recurrence rate of the disease. 2021 Vol. 28 (6): 214-216 [Abstract] ( 39 ) HTML (32 KB)  PDF  (0 KB)  ( 7 ) 217 Effect of stroke unit nursing model on rehabilitation of cerebralvascnlar accident patients with dysphagia YU Hong； CUI Hong；WANG Xia-xi Objective To analyze the effect of stroke unit nursing model on the rehabilitation of stroke patients with dysphagia.Methods From February 2019 to February 2020,98 patients with stroke dysphagia treated in Dalian Port Hospital,Liaoning Province were selected.They were divided into reference group and experimental group by the random digital table method,49 cases in each group.The patients in reference group were applied of routine nursing mode,included with the environmental nursing,knowledge education,nutrition guidance,nasal feeding nursing and medication nursing.The model of stroke unit nursing was applied in the experimental group.After 4 weeks of intervention,the rehabilitation effect of dysphagia in the two groups was compared,and the total nursing satisfaction of the patients was investigated by questionnaire.Results The effective rate of rehabilitation of dysphagia in the experimental group was 91.84%,which was higher than that in the reference group (77.55%),the difference was statistically significant (P＜0.05).Nursing total satisfaction of the experimental group was 95.92%,which was higher than that of the reference group (83.67%),the difference was statistically significant (P＜0.05).Conclusion Stroke dysphagia has a great influence on the daily life of patients.The application of stroke unit nursing mode in the stroke is helpful to promote the rehabilitation of dysphagia and improve the nursing satisfaction of patients. 2021 Vol. 28 (6): 217-219 [Abstract] ( 42 ) HTML (29 KB)  PDF  (0 KB)  ( 7 ) 220 Application of health education on knowledge,faith and action in the treatment of patients with threatened preterm delivery with Ritodrine Hydrochloride YANG Min; SONG Xiao-cha; LIN Mei-ling; SU Jin-hua Objective To explore the application effect of knowledge,letter,practice and health education in the treatment of patients with threatened preterm delivery with Ritodrine Hydrochloride,and to provide reference for the clinical nursing program of patients with threatened preterm delivery.Methods A total of 84 patients with threatened prematurity who were treated in Xinglin Branch of the First Affiliated Hospital of Xiamen University from September 2017 to September 2019 were selected as the research objects,and were divided into two groups according to the random number table method,42 cases in each group.All patients were treated with Ritodrine Hydrochloride,the control group also used conventional nursing intervention,and the study group implemented health education and education for 7 days.Self-rating anxiety scale (SAS),self-rating depression scale (SDS) scores,quality of life (summary of quality of life measurement scale [QOL-BREF]) and patient satisfaction before and after intervention between the two groups were compared.Results After the intervention,the SAS and SDS scores of the study group were lower than those of the control group,the QOL-BREF scores were higher than those of the control group,and satisfaction was better than that of the control group,the differences were statistically significant (P＜0.05).Conclusion In the treatment of Ritodrine Hydrochloride in patients with threatened premature birth,the implementation of health education on knowledge,belief and behavior can relieve their negative emotions,improve the quality of life and patient satisfaction,and is worthy of clinical promotion. 2021 Vol. 28 (6): 220-222 [Abstract] ( 43 ) HTML (31 KB)  PDF  (0 KB)  ( 8 ) 223 Effect observation and nursing of Mifepristone in the treatment of ectopic pregnancy HUANG Yuan Objective To study the effect and nursing of Mifepristone in the treatment of ectopic pregnancy.Methods 74 patients with ectopic pregnancy who were treated in Jingdezhen First People′s Hospital,Jiangxi Province from July 2019 to July 2020 were selected and divided into the control group (n=37) and the observation group (n=37) according to random number table method.Patients in the control group were treated with Methotrexate Injections,and patients in the observation group were treated with Mifepristone on the basis of the control group.Both groups were treated for 2 weeks.Both groups were given targeted nursing intervention based on target strategy,and the cycle was 2 weeks.The improvement of pelvic symptoms were compared,the changes of serum chorionic gonadotropin (β-HCG) and progesterone (P) levels before and after treatment and the incidence of adverse reactions during the treatment were compared between the two groups.Results The total incidence of adverse reactions in the observation group was 10.81%,which was lower than 35.14% of the control group;during the treatment,the disappearance time of mass,abdominal pain and the improvement time of vaginal bleeding in the observation group were shorter than those in the control group;the levels of serum β-HCG and P in the two groups after treatment were lower than those before treatment,and those in the observation group were lower than those in the control group,the differences were statistically significant (P＜0.05).Conclusion Mifepristone can improve the pelvic symptoms of patients with ectopic pregnancy,reduce the serum levels of β-hCG and P,and regulate the balance of estrogen and progesterone with good safety. 2021 Vol. 28 (6): 223-225转229 [Abstract] ( 44 ) HTML (33 KB)  PDF  (0 KB)  ( 5 ) 226 Effect observation and nursing of Somatostatin in the treatment of patients with esophageal-gastric varices bleeding GAO Yan Objective To investigate the effect of Somatostatin in the treatment of patients with esophageal-gastric varices bleeding (EGVB) and nursing care.Methods A total of 80 EGVB patients admitted to Shenyang Sixth People′s Hospital from April to July 2020 were selected and divided into the control group (n=40) and the treatment group (n=40) according to the random number table method.The control group was treated with conventional Terley Vasopressin,while the treatment group treate with Somatostatin on the basis of the control group.The two groups were treated with comprehensive nursing intervention and treatment until discharge from hospital,and the treatment cycle was 3 d.The hemostasis time,blood transfusion volume in the process of treatment and rebleeding rate after treatment were compared between two groups;the changes of central venous pressure (CVP),portal static pressure (PVP) and motilin(MTL),gastrin (GAS),glucagon (GLC) in the serum in T0-T4 period were compared between the two groups.Results The hemostasis time of the treatment group was shorter than that of the control group,the difference was statistically significant (P＜0.05).There was no significant difference in blood transfusion volume between the two groups (P＞0.05),there was no significant difference in rebleeding rate between the two groups after treatment (P＞0.05).Compared with before treatment,there was no significant change of CVP in the two groups after treatment (P＞0.05).The levels of PVP,MTL,GAS and GLC in the serum of the two groups all decreased after treatment,and the indexes in the treatment group were lower than those of the control group,the differences were statistically significant (P＜0.05).Conclusion Somatostatin can significantly improve the hemodynamic indexes and gastrointestinal hormone GAS,MTL,GLC in the serum in EGVB patients,and enhance the therapeutic effect. 2021 Vol. 28 (6): 226-229 [Abstract] ( 49 ) HTML (32 KB)  PDF  (0 KB)  ( 5 ) 230 Effect of comfort nursing intervention on recovery of gastrointestinal peristalsis function in patients with gastrointestinal operation SUN Jian; ZUO Pin;ZHANG Jun Objective To investigate the effect of comfort nursing intervention on recovery of gastrointestinal peristalsis function in patients with gastrointestinal operation.Methods A total of 104 patients with gastrointestinal operation treated in Dalian Third People′s Hospital from March 2018 to February 2019 were selected and divided into the control group (n=52) and the research group (n=52) according to random number table method.The control group was given routine nursing intervention,and research group was given comfort nursing intervention.The gastrointestinal recovery time,mental state,quality of life and nursing satisfaction were compared between two groups.Results The time of gastric tube removal,defecation,and anal exhaust in the research group were shorter than those in the control group,and the differences were statistically significant (P＜0.05);after the intervention,the scores of anxiety self-rating scale and depression self-rating scale in the research group were lower than those in the control group,while the scores of all dimensions of the comprehensive quality of life assessment questionnaire of the research group were higher than those of the control group,and the differences were statistically significant (P＜0.05);the total incidence of complications in the research group was lower than that of the control group (7.69% vs.23.08%),and the nursing total satisfaction was higher than that of the control group (88.46% vs.73.08%),and the differences were statistically significant (P＜0.05).Conclusion Comfort nursing intervention can speed up the recovery process of gastrointestinal motility in patients undergoing gastrointestinal surgery,improve their mental state and quality of life,reduce the incidence of complications,and improve their nursing satisfaction. 2021 Vol. 28 (6): 230-233 [Abstract] ( 48 ) HTML (38 KB)  PDF  (0 KB)  ( 10 ) 234 Effect of nursing intervention based on FMEA model on the quality of recovery and stress status of patients undergoing general anesthesia LI Xiao-wei; YUAN Fang-ping Objective To investigate the effect of nursing intervention based on failure mode and effect analysis(FMEA) model on the quality of recovery and stress status of patients undergoing general anesthesia.Methods A total of 200 patients undergoing general anesthesia who were admitted to People′s Liberation Army Ground Force Seventythree Military Hospital from June 2019 to December 2019 were selected as the research objects.The patients were divided into the observation group (100 cases) and the control group (100 cases) according to the random number table method.Patients in the observation group received nursing intervention based on the FMEA model,and patients in the control group received conventional nursing intervention.The operation status,quality of postoperative recovery period,emergency response level and complications of the two groups were observed and compared.Results The extubation time and anesthesia observation stay time of the observation group were shorter than those of the control group,and the differences were statistically significant (P＜0.05).After the operation,the heart rate,diastolic blood pressure,and systolic blood pressure of the observation group were lower than those of the control group,while the blood oxygen saturation was higher than that of the control group,the differences were statistically significant (P＜0.05);the C-reactive protein,epinephrine and norepinephrine levels of the observation group were lower than those of the control group,and the differences were statistically significant (P＜0.05).The total incidence of complications in the observation group was 4.00%,which was lower than that of the control group (14.00%),and the difference was statistically significant (P＜0.05).Conclusion Nursing intervention based on the FMEA model has a good application effect for patients undergoing general anesthesia,which can significantly improve the recovery quality of patients during the recovery period,reduce the occurrence of postoperative stress reactions,increase the safety of treatment,and have good clinical application value. 2021 Vol. 28 (6): 234-237 [Abstract] ( 54 ) HTML (35 KB)  PDF  (0 KB)  ( 7 ) 238 Influence of humanized nursing combined with therapeutic communication on obstructive sleep apnea hypopnea syndrome sleep breathing monitoring effect WANG Shi-wen Objective To investigate the influence of humanized nursing combined with therapeutic communication on polysomnography in patients with obstructive sleep apnea hypopnea syndrome (OSAHS) effect.Methods A total of 84 OSAHS patients admitted to Anstecl Group General Hospital from May 2017 to May 2018 were selected and divided into two groups according to blind extraction,42 cases in each group.Humanized nursing was used in the control group and therapeutic communication was used in the observation group on the basis of the control group.The monitoring effect and satisfaction of the two groups were compared.Results The monitoring success rate of observation group was 95.24%,higher than that of control group 73.81%,the difference was statistically significant (P＜0.05).Total satisfaction in the observation group was 97.62%,higher than that in the control group (88.09%),the difference was statistically significant (P＜0.05).Conclusion OSAHS humanized nursing combined with therapeutic communication can improve the monitoring success rate and satisfaction degree. 2021 Vol. 28 (6): 238-240 [Abstract] ( 41 ) HTML (29 KB)  PDF  (0 KB)  ( 7 )

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