Home                              中文

Forthcoming Articles Current Issue Archive Advanced Search Read Articles Download Articles Email Alert

Quick Search     Adv Search 2020 Vol. 27, No. 35 Published: 2020-12-18   4 Research on medication regularity of Professor Lin Jia-kun in the treatment of consumptive disease ZHAO Yi；HAN Shi-wei； LIN Jia-kun Objective To study the medication regularity of Professor Lin Jia-kun in the treatment of consumptive disease,in order to provide the reference for clinical practice.Methods A total of 76 patients with consumptive disease who were treated by Professor Lin Jia-kun in the outpatient clinic of Lin Jia-kun′s studio from January to November 2019 were selected.The input data were analyzed using the auxiliary platform for traditional Chinese medicine inheritance (V2.5) developed by the Institute of Chinese Materia Medica China Academy of Chinese Medical Sciences.Results A total of 91 prescriptions for the treatment of consumptive disease were collected,136 Chinese herbal medicine was involved.A total of 10 drugs were used more than 45 times.The properties of those Chinese medicine were warm,cold and mild,their tastes were sweet,pungent,bitter,the main meridians included spleen,liver,lung,stomach,kidney and heart.There were 10 groups of high frequency traditional Chinese medicine pairs,and 10 new prescriptions were extracted.Conclusion Professor Lin Jia-kun pays more attention to spleen and stomach and focuses on sweet and warm drugs,and his experience is worth learning and popularizing. 2020 Vol. 27 (35): 4-7 [Abstract] ( 24 ) HTML (1 KB)  PDF  (0 KB)  ( 9 ) 8 Establishment of a new direct chemiluminescence method for magnetic separation and its clinical application SONG Yu；LIU Peng；LI Wu；YUAN Jin-yun；CONG Hai-yan；JU Yi；YAO Ji-cheng； WANG Ming-yi Objective To establish a new direct chemiluminescence method for magnetic separation and explore the clinical application.Methods A new direct chemiluminescence method for magnetic separation was developed using isoluminol derivatives with high sensitivity as luminescent markers,immunomagnetic nanoparticles coated with goat anti-fluorescein isothiocyanate (FITC) polyclonal antibody with high specificity as separation reagents,NaOH and H2O2 as luminescent substrates.To evaluate the clinical application performance of this method,taking serum thyroid stimulating hormone (TSH) as an example,104 patients with hyperthyroidism who were newly diagnosed in Weihai Municipal Hospital from August 2019 to August 2020 were selected as hyperthyroidism group;121 patients with hypothyroidism were selected as hypothyroidism group;134 serum samples of healthy adults at the same period were taken as control group.The samples were detected by the method established in this study and ADVIA Centaur XP at the same time.The two results were compared to evaluate the clinical compliance.The sensitivity,precision and dilution recovery were evaluated by repeated detection of high,medium and low concentrations of standard solution.Results A new direct chemiluminescence method for magnetic separation was established.The sensitivity of the method was 0.01 μIU/mL.The intra and inter coefficient of variation (CV) was less than 5%,and the dilution recovery was more than 80%.The new direct chemiluminescence method for magnetic separation established in this study was compared with the direct chemiluminescence method of ADVIA Centaur XP for the TSH detection results,and the correlation coefficient was 0.9874.Conclusion A new magnetic separation direct chemiluminescence method has been successfully established,which has high sensitivity,high precision and good clinical compatibility,and has good clinical application value. 2020 Vol. 27 (35): 8-11转15 [Abstract] ( 27 ) HTML (1 KB)  PDF  (0 KB)  ( 12 ) 12 Research on the clarification of water extracts of Chinese medicine of Citrus aurantium,Sophora flavescens and Lonicera japonica by microfiltration method GAO Hong-ning； YIN Yi；PAN Jin-huo Objective To study the clarifying effect of water extracts of Chinese medicine of Citrus aurantium,Sophora flavescens and Lonicera japonica by microfiltration method.Methods The water extracts of Citrus aurantium,Sophora flavescens and Lonicera japonica were microfiltered with Al2O3 ceramic microfiltration membranes.The changes of the water extracts before and after microfiltration were compared and analyzed in terms of solids,properties,membrane flux,and index components.Results The water extracts of Chinese medicine were all turbid liquids before microfiltration,and became clear and transparent liquids with lighter color after microfiltration.The effective ingredient retention rate was 77% to 84%,and the total solids removal rate was 36% to 40%.Conclusion Ceramic membrane microfiltration technology has a better clarification and impurity removal effect on the water extracts of Chinese medicine of Citrus aurantium,Sophora flavescens and Lonicera japonica. 2020 Vol. 27 (35): 12-15 [Abstract] ( 26 ) HTML (1 KB)  PDF  (0 KB)  ( 7 ) 16 Preoperative fibrinogen combined with neutrophil-lymphocyte ratio scoring scale to predict the prognosis of atypical meningioma YE Jing ；LI Ye-hai ；LIN Jian-hao； HE Gui-lu ；HUANG Fo-bao； LI Qiao ；ZHANG Liang Objective To establish and verify a scoring scale for predicting the prognosis of patients with atypical meningioma based on peripheral blood indicators.Methods A total of 131 patients with atypical meningioma admitted to Guangdong 999 Brain Hospital from January 2010 and June 2017 were enrolled in this retrospective study.Tumor relapse was observed by magnetic resonance imaging and patients were then classified into recurrence group and nonrecurrence group.There were 39 patients in recurrence group and 92 patients in non-recurrence group.The clinical,laboratory indicators,imaging manifestations and other relevant data were collected to analyze their relationship with tumor recurrence.Results The good performance of the fibrinogen and neutrophil-lymphocyte ratio (FIB-NLR) scoring scale for predicting 3-year progression-free survival (PFS) was showed (the area under curve=0.836).Multivariate Cox analysis revealed that FIB-NLR scoring scale (1 point: HR=4.90,95%CI=1.58-15.17,P=0.006;2 points: HR=18.01,95%CI=5.75-56.42,P＜0.001) remained independently related to 3-year PFS postoperatively.Conclusion Preoperative FIB-NLR scoring scale could predict prognosis of patients with atypical meningioma,providing a new tool for assisting clinical diagnosis and treatment 2020 Vol. 27 (35): 16-19 [Abstract] ( 26 ) HTML (1 KB)  PDF  (0 KB)  ( 9 ) 20 Comparative analysis of labor pattern of vaginal delivery after cesarean section and vaginal delivery of nulliparas JIA Yue-gai；WU Xiao；CHAI Li-qiang； KANG Su-ya Objective To compare and analyze the labor characteristics of vaginal delivery after cesarean section(VBAC) and vaginal delivery of nulliparas with good outcome.Methods The clinical data of single-term full-term maternal women who had successful vaginal delivery and normal neonatal outcomes (5-minute Apgar score ≥7 points)from January to December 2017 in Headquarter of Suzhou Municipal Hospital were retrospectively analyzed,including 290 women undergoing VBAC as VBAC group,and 311 women with vaginal delivery at the same time were selected as the nulliparas group.Comparison of total labor duration and labor duration at different stages between two groups with or without interventions were performed.Results The total labor duration,the 2-10 cm period of the uterine dilation in the first labor stage,and the second labor stage in the VBAC group were shorter than those in the nulliparas group (455.0 [340.0,652.5]vs.530.0 [380.0,733.0]min;100.0 [60.0,190.0]vs.130.0 [80.0,220.0]min;31.0 [20.0,47.0]vs.43.0 [28.0,69.0]min),the differences were statistically significant (P＜0.05).There was no statistically significant difference in the third stage of labor between the two groups (P＞0.05).The total labor duration,＜2 cm and 2-10 cm period of the uterine dilation in the first stage of labor,and the second stage of labor in the VBAC group with natural delivery were shorter than those in the nulliparas group with natural delivery (420.0 [315.0,560.0]vs.487.5 [371.3,646.3]min;300.0 [180.0,408.8]vs.337.5[210.0,480.0]min;80.0 [50.0,116.3]vs.109.0 [60.0,150.0]min;28.0 [18.0,45.0]vs.37.5 [28.0,54.3]min),the differences were statistically significant (P＜0.05).For women who took interventions such as Oxytocin,artificial rupture of membranes,and epidual analgesia,the total labor duration of the VBAC group was similar to that of the nulliparas group (P>0.05).Conclusion Compared with nulliparas,VBAC women with natural delivery has a shorter labor duration.Therefore,for pregnant women who are pregnant again after cesarean section,VBAC can be recommended to those who meet the indications. 2020 Vol. 27 (35): 20-24 [Abstract] ( 25 ) HTML (1 KB)  PDF  (0 KB)  ( 13 ) 25 Effect of L-carnitine combined with Erythropoietin and Iron Sucrose in the treatment of uremia with hemodialysis and renal anemia GUO Dong-ci ；ZHANG Bao-tong Objective To explore the effect of L-carnitine combined with Erythropoietin and Iron Sucrose in the treatment of uremia with hemodialysis and renal anemia patients.Methods From April 2018 to June 2019,84 patients with uremia who were admitted to Liaoyang Central Hospital for hemodialysis with renal anemia were selected as the research subjects and divided into the conventional group (42 cases) and the observation group (42 cases) according to the random number table method.Patients i n the conventional group were treated with Erythropoietin combined with Iron Sucrose,and patients in the observation group were treated with L-carnitine on the basis of the treatment in the convent ional group.The total effective rate of clinical treatment,hemoglobin (Hb),hematocrit (HCT),ferritin (SF),transferrin saturation (TSAT) levels,amount of Erythropoietin,and incid ence of adverse reactions between the two groups were compared.Results The total effective rate of treatment in the observation group was 97.62% (41/42),which was higher than 85.71% (36/42) in the conventional group,and the difference was statistically significant (P＜0.05).After 2,4,and 6 weeks of treatment,the levels of Hb,HCT,SF,and TSAT in the observation group were higher than those in the conventional group,and the differences were statistically significant (P＜0.05).After 4 and 6 weeks of treatment,the amount of Erythropoietin in the observation group was less than that in the conventional group,and the difference was statistically significant (P＜0.05).The total incidence of adverse reactions in the observation group was lower than that in the routine group,and the diff erence was statistically significant (P＜0.05).Conclusion L-carnitine combined with Erythropoietin and Iron Sucrose in the treatment of patients with uremia and hemodialysis with renal ane mia can effectively improve the Hb and HCT levels of the patients,and thus improve the prognosis,with significant clinical value. 2020 Vol. 27 (35): 25-28 [Abstract] ( 24 ) HTML (1 KB)  PDF  (0 KB)  ( 12 ) 29 Research and thinking on nursing resilience of nursing staff under public health emergencies CHEN Fei-jie ；FU Yang-yang Public health emergencies are devastating and have a long-term impact.The country has to enter an emergency state.As an important force in medical and health institutions,nurses across the country quickly joined the antiepidemic operation and coordinated with all front-line workers to fight against the epidemic.This article summarizes the research on the psychological resilience of nursing staff by domestic scholars in the past decade,discusses and analyzes the current status and related influencing factors of nurses′ psychological resilience under public health events,and considers and discusses how to improve the psychological resilience of nurses,promotes the development of nursing career. 2020 Vol. 27 (35): 29-32 [Abstract] ( 23 ) HTML (1 KB)  PDF  (0 KB)  ( 13 ) 33 Research progress in SuperPATH minimally invasive artificial hip arthroplasty GAO Lei；XIANG Xiang-song；HUANG Da-yuan SuperPATH minimally invasive artificial hip arthroplasty was invented by Dr.Jimmy Chow of the United States in 2011,which is composed of a supracapsular incision approach (SuperCap) and a percutaneous auxiliary pathway approach (PATH).It enters the joint capsule through the intermuscular space between gluteus medius,gluteus minimus and piriformis muscle,without cutting off the muscles and tendons.As a new approach for artificial total hip arthroplasty with percutaneous puncture and joint capsule preservation,it achieves satisfactory curative effect in early treatment and has various advantages,like short incision,small tissue damage,less blood loss,off-bed movement in shorter time,lower post-operational dislocation rate and faster functional recovery.Through literature review,the development process,surgical contraindications,indications,techniques and clinical efficacy of SuperPATH minimally invasive artificial hip arthroplasty were analyzed in this paper,and the researches on SuperPATH in recent years were also reviewed. 2020 Vol. 27 (35): 33-36 [Abstract] ( 28 ) HTML (1 KB)  PDF  (0 KB)  ( 10 ) 37 Application effect of implementing targeted nursing in surgical patients based on modified Munro scale to assess pressure ulcer risk DENG Yan； ZHENG Qin； ZHOU Ying； FANG Liang ；LIU Wei ；FENG Lin-mei Objective To explore the application of modified Munro assessment scale to assess the risk of pressure ulcer in surgical patients,and the effect of targeted nursing on them.Methods A total of 120 cases of surgical patients admitted to the Second Affiliated Hospital of Nanchang University from June 2018 to November 2019 were selected as the research objects.According to the random number table method,they were divided into the observation group and the control group,60 cases in each group.The control group received routine intervention,the observation group was based on the modified Munro evaluation scale,after evaluating the basic condition of the patients,according to the risk of pressure ulcers,carrid out targeted nursing intervention.The incidence of pressure ulcers and the duration of hospital stay were compared between the two groups.Results The incidence of pressure ulcers in the observation group was 5.0%,which was lower than that in the control group (16.7%),the difference was statistically significant (P＜0.05).The duration of hospital stay in the observation group was shorter than that in the control group,the difference was statistically significant (P＜0.05).Conclusion Based on the modified Munro evaluation scale,it is ideal for patients to implement targeted nursing intervention,which is helpful to reduce the incidence of pressure ulcers and shorten hospital stay of patients.It is worthy of popularization and application. 2020 Vol. 27 (35): 37-39转43 [Abstract] ( 26 ) HTML (1 KB)  PDF  (0 KB)  ( 10 ) 40 Comparison of the effect between Omeprazole and Pantoprazole in the treatment of patients with craniocerebral injury and stress gastrointestinal bleeding DENG Qi-liang； DENG Yong-sheng； ZOU Wen-xiong ；WANG Li-ni； CHEN-Wei ；PENG Qing-ming； LIU Juan-mei Objective To investigate the effect between Omeprazole and Pantoprazole in the treatment of patients with craniocerebral injury complicated with stress gastrointestinal bleeding.Methods A total of 94 patients with craniocerebral injury and stress gastrointestinal bleeding admitted to Ji′an Central People′s Hospital from January 2018 to June 2019 were selected as the research objects,according to random number table method,they were divided into research group (47 cases) and control group (47 cases).The control group was treated with Pantoprazole and the study group was treated with Omeprazole and Pantoprazole.The therapeutic effect,serum gastrin,hemoglobin,hemostasis time and blood transfusion volume of the two groups were compared.Results The curative effect of the study group was higher than that of the control group,the difference was statistically significant (P＜0.05).There were no statistically significant differences between the two groups in gastrin and hemoglobin before treatment(P＞0.05).After treatment,the gastrin of the two groups was lower than that before treatment,the hemoglobin was higher than that before treatment,and the gastrin of the study group was lower than that of the control group,the hemoglobin was higher than that of the control group,the differences were statistically significant (P＜0.05).The hemostasis time of the study group was shorter than that of the control group,and the difference was statistically significant (P＜0.05).The blood transfusion volume of the study group was less than that of the control group,and the difference was statistically significant (P＜0.05).Conclusion Omeprazole and Pantoprazole have a significant therapeutic effect on patients with craniocerebral injury complicated with stress gastrointestinal bleeding.It can not only reduce serum gastrin level and improve hemoglobin index,but also shorten the time of hemostasis and reduce the amount of blood transfusion,which is conducive to the recovery of patients as soon as possible.Therefore,it is worth promoting vigorously. 2020 Vol. 27 (35): 40-43 [Abstract] ( 26 ) HTML (1 KB)  PDF  (0 KB)  ( 13 ) 44 Application and comparison of various treatment methods in the treatment of moderate and severe chronic obstructive pulmonary disease with anxiety or depression FENG Xuan；LE Liang；NI Hong-yan Objective To compare the application effect of various treatment methods in the treatment of moderate and severe chronic obstructive pulmonary disease with anxiety or depression.Methods From January 2017 to November 2019,150 patients with moderate or severe chronic obstructive pulmonary disease combined with anxiety or depression were selected from Jingdezhen First People′s Hospital.They were divided into three groups by random number table method,50 cases in each group.Group A was treated with primary disease drugs + psychological counseling,group B was treated with primary disease drugs + adjuvant therapy with psychotropic drugs,group C was treated with psychological counseling + primary disease drugs + adjuvant therapy with psychotropic drugs.The clinical effect,anxiety and depression degree,lung function before and 6 months after treatment were compared among the three groups.Results The total clinical effective rate of group C (98.00%) was higher than that of group A (78.00%) and group B and(82.00%),the difference was statistically significant (P＜0.05).There were no significant differences in Hamilton anxiety scale (HAMA) score and Hamilton depression scale (HAMD) score among the three groups before treatment (P＞0.05).The HAMA score and HAMD score of group C after treatment were (8.03±1.51) points and (9.17±2.03) points,respectively,which were lower than those of group A ([12.21±3.01],[13.06±3.16]points) and group B ([11.62±2.26],[11.21±2.54]points),with statistically significant differences (P＜0.05).There were no significant differences among the three groups in the forced expiratory volume at 1 second(FEV1),the ratio of FEV1 to the expected value (FEV1%),the ratio of FEV1 to the forced vital capacity (FEV1/FVC) (P＞0.05).After treatment,FEV1 in group C was (2.21±0.65) L,FEV1% was (53.74±7.93),and FEV1/FVC was (58.55±6.64)%,higher than those in group A ([1.78±0.38]L,[46.51±7.41],[55.79±6.59]%) and group B ([1.89±0.49]L,[48.26±7.62],[55.83±6.32]%),with statistically significant differences (P＜0.05).Conclusion Psychological counseling + primary disease drugs + adjuvant therapy with psychotropic drugs are effective in the treatment of moderate and severe chronic obstructive pulmonary disease with anxiety or depression,which can improve the degree of anxiety and depression and lung function,improve the treatment effect,and promote the recovery of patients′ disease. 2020 Vol. 27 (35): 44-47 [Abstract] ( 22 ) HTML (1 KB)  PDF  (0 KB)  ( 11 ) 48 Clinical effect of gastroscopic Tissue Adhesive injection in the treatment of patients with cirrhosis complicated with gastric varices bleeding LI Jing； CHEN Liang-ren ；CAI Fang-zhou ；ZHENG Li-mei Objective To investigate the clinical effect of gastroscopic Tissue Adhesive injection in the treatment of patients with cirrhosis and variceal bleeding.Methods A total of 62 patients with cirrhosis complicated with gastric varicose bleeding who were treated in Gaozhou People′s Hospital from September 2016 to March 2019 were selected as the research objects.They were divided into a control group and an observation group according to the random number table method,with 31 cases in each group.The control group underwent endoscopic ligation,and the observation group received Tissue Adhesive injection therapy.The total effective rates of improvement of gastric varices combined with improvement of gastric varices of the two groups were compared,and the hemoglobin (Hb),red blood cells (RBC),total bilirubin (TBil),albumin (ALB) levels and adverse reactions of the two groups were compared.Results After treatment,the total effective rate of the observation group was 96.77%,which was higher than that of the control group of 77.41%,the difference was statistically significant (P＜0.05).The Hb,RBC,ALB levels of the observation group were higher than those in the control group,TBil level of the observation group was lower than that in the control group,the differences were statistically significant (P＜0.05).The total incidence of adverse reactions in the observation group was 12.90%,which was lower than that in the control group of 38.71%,the difference was statistically significant (P＜0.05).Conclusion Gastroscopic Tissue Adhesive injection for patients with cirrhosis and gastric varices bleeding can effectively improve varicose veins,good hemostasis and can reduce the incidence of adverse reactions. 2020 Vol. 27 (35): 48-50 [Abstract] ( 28 ) HTML (1 KB)  PDF  (0 KB)  ( 9 ) 51 Effect of continuous increase of blood lactic acid duration on prognosis of severe patients BAN Li-hong； PU Yong-peng； LUAN Jing ；LEI Bu-bo； WANG Xiao； WANG Yan-zhen Objective To investigate the effect of continuous increase of blood lactic acid duration (TLac＞2 mmol/L) on prognosis of severe patients.Methods Retrospective analysis on 114 severe patients with acute physiology and chronic health evaluation Ⅱ(APACHE Ⅱ) score ＞15 points and blood lactic acid (Lac) ＞2 mmol/L in Lanzhou First People′s Hospital was made from January 2015 to December 2018.Their blood gas and Lac levels were measured and recorded every 6 hours from admission to hospital,until Lac levels fell to normal range or patient died.The general situation,APACHE Ⅱscore,TLac＞2mmol/L and prognosis were recorded and analyzed.Patients were divided into survival group (62 cases) and death group (52 cases) according to the final outcome.The general condition,Lac,APACHE Ⅱscore at admission,and TLac＞2mmol/L were compared between the two groups.Cox regression analysis was performed on the TLac＞2mmol/L and outcome of all subjects to evaluate the effect of TLac＞2mmol/L on prognosis of severe patients.Results There were no statistically significant differences between the two groups in gender,age,and first Lac and APACHE Ⅱscore of patients at admission (P＞0.05).The TLac＞2mmol/L in the death group was higher than that in the survival group,and the difference was statistically significant (P＜0.05).Cox regression analysis indicated that the longer TLac＞2mmol/L was,the lower the survival rate of patients and the higher the risk of death.Conclusion An transient increase of Lac may not have an effect on the prognosis of severe patients,but the TLac＞2mmol/L has a significant effect on the prognosis of severe patients.The longer the TLac＞2 mmol/L,the lower the survival rate and the higher the risk of death. 2020 Vol. 27 (35): 51-53转57 [Abstract] ( 24 ) HTML (1 KB)  PDF  (0 KB)  ( 12 ) 54 Effect of waist lowering and hips lifting method on improving the quality of external chest compression in the public cardiopulmonary resuscitation training LUO Jian-wen；WU Guo-xin；CAI Yang-lin；LI Xu-cong；GUAN Zi-yun； WU Zhi-xin Objective To observe the effect of waist lowering and hips lifting method on improving the quality of external chest compression in the public cardiopulmonary resuscitation (CPR) training.Methods A total of 120 people who had not received CPR training were recruited in the first aid skills training center of People′s Hospital of Nanhai District in Foshan City from March 1,2019 to June 30,2019 and randomly divided into the experimental group and the control group by drawing lots,with 60 cases in each group.The two groups both took part in the CPR theoretical knowledge course of the Red Cross Society of China,and emphasized the three key points of high-quality external chest cardiac compression.The experimental group applied the waist lowering and hips lifting method on the basis of the control group.The reaching rate of chest compression depth,the reaching rate of chest compression rate,the complete chest recoil rate and subjective fatigue scores of the operators were compared between the two groups.Results The reaching rate of chest compression depth and the complete chest recoil rate in the experimental group were higher than those in the control group,and the differences were statistically significant (P＜0.05).There was no statistically significant difference in the reaching rate of the compression rate between the two groups (P ＞0.05).The degree of subjective fatigue in the experimental group was lower than that in the control group,and the difference was statistically significant (P＜0.05).Conclusion The waist lowering and hips lifting method can improve the quality of external chest compression in the public CPR training,which is mainly reflected in the improvement of the reaching rate of compression depth,the complete chest recoil rate and the reduction of operators′ fatigue.It is worth of popularizing in public CPR training. 2020 Vol. 27 (35): 54-57 [Abstract] ( 31 ) HTML (1 KB)  PDF  (0 KB)  ( 10 ) 58 Benefit study of improved throat swab collection in patients with novel coronavirus pneumonia QING Sheng-qiang；PENG Jing； KONG Wei-lin； ZHOU Xu-tao Objective To investigate the application effect of improved throat swab collection in the diagnosis of patients with novel coronavirus pneumonia.Methods A total of 218 patients with mild and common type of novel coronavirus pneumonia in Huoshenshan Hospital of Wuhan City from February 9 to April 4,2020 were randomly divided into two groups by flipping a coin.Those with flowers on the front were the improved group (122 cases),and the reverse side was the control group (96 cases).The improved pharyngeal swab was collected in the improved group,while the traditional method was used in the control group.The novel coronavirus nucleic acid positive rate was detected and analyzed by real-time fluorescence RT-PCR.Results In the improved group,28 cases were positive in nucleic acid detection,8 cases were suspicious,the total positive rate of nucleic acid detection was 29.5%.In the control group,15 cases were positive in nucleic acid detection,1 cases were suspicious,the total positive rate of nucleic acid detection was 16.7%.The total positive rate of nucleic acid detection in the improved group was higher than that in the control group,and the difference was statistically significant (P＜0.05).Conclusion The positive rate of nucleic acid detection use the improved method is higher than that use the traditional method.It has highly maneuverable and well patient tolerated.It can provide the basis for early detection,diagnosis and treatment of novel coronavirus pneumonia. 2020 Vol. 27 (35): 58-60 [Abstract] ( 25 ) HTML (1 KB)  PDF  (0 KB)  ( 12 ) 61 Application of infusion warming therapy in laparoscopic radical ovarian cancer surgery ZHANG Shan-ni；LI Jing；LIU Zhen-hua Objective To investigate the application value of infusion warming on perioperative blood lactic acid and anesthesia recovery in patients undergoing laparoscopic radical ovarian cancer surgery.Methods A total of 80 patients with ovarian cancer treated in Dalian Maternal and Child Health Hospital from January 2019 to April 2020 who underwent laparoscopic radical surgery were selected and divided into two groups with 40 cases in each group according to the random number table method.The observation group was treated with infusion warming during infusion,while the control group was treated with room temperature liquid.The related indexes during anesthesia recovery were compared between the two groups.The incidence of intraoperative awareness and postoperative cognitive dysfunction was compared between the two groups.The diabetic peripheral nerve defect score (NDS) scores before and after intervention were compared between the two groups.The changes of EMG indexes after intervention were compared between the two groups.Results The respiratory recovery time,consciousness recovery time and tracheal extubation time of patients in the observation group were shorter than those in the control group,the difference was statistically significant (P＜0.05).The total rate of intraoperative awareness and postoperative cognitive dysfunction in the observation group was lower than that in the control group,the difference was statistically significant (P＜0.05).There was no significant difference in NDS score between the two groups before intervention (P＞0.05).The NDS scores of the two groups after intervention were lower than those before the intervention,the differences were statistically significant (P＜0.05);the NDS score of the observation group after intervention was lower than that of the control group,the difference was statistically significant (P＜0.05).Before the intervention,there was no statistically significant difference in the blood lactic acid level between the two groups (P＞0.05);the blood lactic acid level after the intervention of the two groups was lower than that before the intervention,and the difference was statistically significant (P＜0.05);the blood lactic acid level of the observation group after intervention was lower than that of the control group,and the difference was statistically significant (P＜0.05).Conclusion For patients undergoing laparoscopic surgery for ovarian cancer,warming therapy with intraoperative infusion can effectively promote anesthesia recovery,reduce anesthesia complications,promote neurological function recovery,and reduce lactic acid level. 2020 Vol. 27 (35): 61-63转68 [Abstract] ( 24 ) HTML (1 KB)  PDF  (0 KB)  ( 13 ) 64 Clinical features and current status of diagnosis and treatment of pulmonary lymphangioleiomyomatosis LIU Jia ；LI Yu-rong Objective To summarize the document literature of pulmonary lymphangioleiomyomatosis (PLAM) in Chinese population in the last thirty years,and to analyze the clinical and pathological features,treatment progress and prognosis of PLAM.Methods Through Wanfang,Weipu Chinese database and China Biology Medicine database (CBM),the document literature of PLAM from January 1986 to April 2020 were retrieved and analyzed.Results A total of 150 articles were included in this study,among 289 patients,283 cases (97.9%) were females and 6 cases (2.1%) were males.Dyspnea was the most common clinical manifestation (90 cases,31.1%),followed by shortness of breath,cough,chest tightness and haemoptysis.The most common extrapulmonary manifestation or complication was pneumothorax (78 cases,66.1%).The most common chest imaging manifestation was multiple different sized thin-walled cystic shadows in whole lung (278 cases,96.2%),followed by pneumothorax (64 cases,23.0%) and pleural effusion (49 cases,17.6%).There were 243 cases mentioned the diagnostic method.The diagnosis was confirmed by pathology (241 cases,99.2%),followed by typical HRCT findings with increased vascular endothelial growth factor-D (VEGF-D) (2 cases,0.8%).Pathological features showed that the lung tissue was destroyed,the alveoli expand and fuse with each other to form bullae,and the abnormal smooth muscle cell proliferation in the lung interstitium,mainly fusiform and epithelioid,distributed around lymphatic vessels and blood vessels.There were 158 cases with immunohistochemical results mentioned in the literature.The most common positive result was human melanoma monoclonal antibody-45 (HMB-45) (123 cases,77.8%),followed by smooth muscle actin (SMA) (118 cases).There were 157 patients mentioned the initial diagnosis,the misdiagnosis rate was 63.1%,and the most misdiagnosed was pulmonary interstitial fibrosis (26 cases,16.6%).In terms of treatment,targeted therapies have gradually increased,and the effects have been remarkable.There were 18 cases of lung transplantation were treated with effective treatment.Conclusion PLAM is a multi-organ disease.PLAM occurs commonly in child-bearing age women,the most common manifestation is progressive dyspnea,the imaging and pathological manifestation is characteristic.Compared with invasive diagnosis methods such as bronchoscopy,thoracoscopy,and open-thoracic lung biopsy,VEGF-D will be more widely used for diagnosis and assessment of disease in future work.At present,targeted therapy and lung transplantation are effective treatment methods. 2020 Vol. 27 (35): 64-68 [Abstract] ( 27 ) HTML (1 KB)  PDF  (0 KB)  ( 12 ) 69 Impact analysis of effective intervention by clinical pharmacists on the incidence of adverse drug reactions through rational drug use ZHANG Li-fang； YAO Xing-lan； HU Xiao-bo Objective To investigate and study the effect of rational drug use interventions implemented by clinical pharmacists on the incidence of adverse drug reactions during taking medicine.Methods A total of 200 patients admitted to the Department of Respiratory and Cardiology of Suzhou Ninth People′s Hospital from July 2017 to March 2018 were randomly selected as the control group,and 200 patients in the Department of Respiratory and Cardiology of Suzhou Ninth People′s Hospital from March 2018 to November 2019 were selected as the study group.The patients in the control group were not given medication intervention during taking medicine,while the patients in the study group were intervened by clinical pharmacists with rational drug use.The incidence of adverse drug reactions of commonly used drugs (antibiotics,digestive system drugs,anticoagulants,Chinese medicine injections) of departments in the two groups were compared,and the causes of adverse drug reactions (medication dosage error,combined medication,wrong medication method,medication contraindication) were compared between the two groups.Results The incidence of adverse drug reactions of the commonly used drugs (antibacterial,digestive system drugs,anticoagulants,Chinese medicine injections) in the study group after drug intervention were lower than those of the control group,and the differences were statistically significant (P＜0.05).The proportions of adverse drug reactions in the study group (medication dosage error,combined medication,wrong medication method,medication contraindication) were lower than those in the control group,and the differences were statistically significant (P＜0.05).Conclusion Through the effective intervention of rational use of drugs by clinical pharmacists can promote the rational use of drugs,standardize the use of drugs,thus reducing the incidence of adverse drug reactions. 2020 Vol. 27 (35): 69-71 [Abstract] ( 24 ) HTML (1 KB)  PDF  (0 KB)  ( 15 ) 72 Clinical effect of thrombolysis through deep veins of lower extremities in the treatment of acute pulmonary embolism with deep vein thrombosis of lower extremities KE Xiao-yun； HE Sheng-nan； LIU Zong-guo； WU Qiao-zhen； TONG Jin-ying； LIN Qi ；LIU Jiang Objective To explore the clinical effect of thrombolysis through deep veins of lower extremities in the treatment of acute pulmonary embolism with deep vein thrombosis of lower extremities.Methods The clinical data of 35 patients with acute pulmonary embolism and deep venous thrombosis of lower extremities who underwent thrombolytic therapy in People′s Hospital of Yingtan City in Jiangxi Province from January 2013 to December 2019 were retrospectively analyzed and divided into group A (10 cases),group B (15 cases) and group C (10 cases) according to different administration route.The group A was treated with thrombolysis through superficial veins of injured extremities,the group B was treated with thrombolysis through deep veins of injured extremities,and the group C was treated with thrombolysis through pulmonary artery catheter.The physical signs,symptoms subsided and incidence of bleeding among the three groups were compared.Results There were no statistically significant differences among the three groups in the systolic blood pressure,diastolic blood pressure,heart rate,and oxygen partial pressure before surgery (P＞0.05).After surgery,the postoperative diastolic blood pressure and heart rate of the three groups were lower than those before surgery,the systolic blood pressure and oxygen partial pressure were higher than those before surgery,and the differences were statistically significant (P＜0.05).After surgery,the diastolic blood pressure and systolic blood pressure of the group B were higher than those of the group A,the heart rate of the group B was lower than that of the group A,and the differences were statistically significant (P＜0.05).After surgery,the diastolic blood pressure and systolic blood pressure of the group B were lower than those of the group C,and the differences were statistically significant (P＜0.05).The incidence of normal skin temperature and normal color of affected limbs of the group B was lower than that of the group A and C,and the differences were statistically significant (P＜0.05).There were no statistically significant differences in the incidence of deep vein thrombosis disappearance,swelling subsidence and incidence of bleeding among the three groups after surgery (P＞0.05).Conclusion The clinical effect of thrombolysis through deep veins of lower extremities on acute pulmonary embolism with deep vein thrombosis of lower extremities is better than that of thrombolysis through superficial veins of injured extremities.It can promote the deep venous thrombosis disappearance of the lower limb and swelling subsidence,and it is worthy of clinical promotion and application. 2020 Vol. 27 (35): 72-74转78 [Abstract] ( 28 ) HTML (1 KB)  PDF  (0 KB)  ( 10 ) 75 Effect of kelp garlic porridge combined with Betaloc and Tongxinluo Capsules on electrocardiogram and cardiac function indexes in patients with angina pectoris and coronary heart disease SHEN Yong Objective To investigate the effect of kelp garlic porridge combined with Betaloc and Tongxinluo Capsules on electrocardiogram (ECG),cardiac function indexes and angina symptoms in patients with angina pectoris and coronary heart disease.Methods A total of 94 patients with angina pectoris and coronary heart disease who admitted to Taibaiyuan Branch of the Third People′s Hospital of Jingdezhen City from January 2018 to January 2020 were selected as the research objects and divided into the control group and the observation group by random number table method,with 47 cases in each group.The control group was treated with Betaloc combined with Tongxinluo Capsules,and the observation group was treated with kelp garlic porridge on the basis of the control group.The therapeutic effect,cardiac function indexes,the frequency and duration of angina pectoris,the total incidence of adverse reactions were compared between the two groups.Results The total effective rate of the observation group (95.74%) was higher than that of the control group (82.98%),and the difference was statistically significant (P＜0.05).There were no statistically significant differences in the cardiac function indexes,the frequency and duration of angina pectoris before treatment between the two groups (P＞0.05).After treatment,the left ventricular end-diastolic dimension (LVEDD) of the observation group([42.39±5.72]mm) was lower than that of the control group ([49.82±5.94]mm),the cardiac output (CO) of the observation group ([5.06±0.78]L/min) was higher than that of the control group ([4.53±0.71]L/min),the left ventricular ejection fraction (LVEF) of the observation group ([55.39±5.61]%) was higher than that of the control group ([50.41±5.42]%),and the differences were statistically significant (P＜0.05).After treatment,the frequency of angina pectoris in the observation group ([2.14±0.27]times per week) was less than that in the control group ([2.61±0.36]times per week),the duration of angina pectoris ([3.18±0.35]min) was less than that in the control group ([4.31±0.96]min),and the differences were statistically significant (P＜0.05).There was no statistically significant difference in the total incidence of adverse reactions between the two groups (P＞0.05).Conclusion Kelp garlic porridge combined with Betaloc and Tongxinluo Capsules can enhance the therapeutic effect of patients with angina pectoris and coronary heart disease,improve the heart function of patients,reduce the frequency and duration of angina pectoris,which is safe and reliable,and it is worthy of wide application. 2020 Vol. 27 (35): 75-78 [Abstract] ( 29 ) HTML (1 KB)  PDF  (0 KB)  ( 11 ) 79 Predictive value analysis of electroencephalogram changes during sleep on cognitive impairment in patients with Parkinson′s disease GAO Xiu-xian Objective To explore the predictive value of electroencephalogram (EEG) changes during sleep on cognitive impairment in patients with Parkinson′s disease.Methods A total of 84 patients with Parkinson′s disease in Jiujiang First People′s Hospital from January 2018 to June 2020 were selected as the research objects,and they were divided into the cognitive impairment group (56 cases) and the non-cognitive impairment group (28 cases) according to whether cognitive dysfunction occurred.Both groups received night sleep monitoring and EEG examination.Polysomnography parameters and the incidence of slow waves were compared between the two groups.Results The sleep latency of the cognitive impairment group was shorter than that of the non-cognitive impairment group,the awake times and the proportion of stage 2 sleep of the cognitive impairment group were higher than those of the non-cognitive impairment group,the awake time and the sleep latency of REM phase (REM phase) of the cognitive impairment group were longer than those of the non cognitive impairment group,the REM sleep proportion and the proportion of stage 1 sleep of the cognitive impairment group were lower than those of the non-cognitive impairment group,the differences were statistically significant (P＜0.05).There was no significant difference between the two groups in sleep efficiency,phase 3 sleep ratio and sleep apnea hypopnea index (P＞0.05).The incidence of EEG slow wave in cognitive impairment group was 62.50%,which was higher than 21.43% in the non cognitive impairment group,the difference was statistically significant (P＜0.05).Conclusion The incidence of EEG slow wave is high in patients with cognitive impairment of Parkinson′s disease during sleep,and the corresponding parameters of REM and NREM have obvious changes.Therefore,the changes of EEG during sleep may become a new index to predict cognitive dysfunction in Parkinson′s disease. 2020 Vol. 27 (35): 79-81 [Abstract] ( 27 ) HTML (1 KB)  PDF  (0 KB)  ( 14 ) 82 Clinical efficacy and safety study of Aripiprazole combined with Mirtazapine in the treatment of patients with somatoform disorders CAI Wen-ting；LAI Yan；LIAO Mei-rong；LAI Zhong-hong；XIAO Feng Objective To investigate the effect of Aripiprazole combined with Mirtazapine in the treatment of somatoform disorders.Methods A total of 100 patients with somatoform disorders admitted to the Third People′s Hospital of Ganzhou City from June 2019 to March 2020 were selected as the research subjects.By drawing lots method,they were divided into a control group and an observation group,with 50 cases in each group.In the control group,Mirtazapine was used,and in the observation group,Aripiprazole combined with Mirtazapine was added.The disease condition,psychological state,and clinical side effect before and after treatment in the two groups were compared.Results There were no statistically significant differences between the two groups in the severity of disease and psychological state before treatment (P＞0.05).The self-rating symptom scale (SCL-90) score of the observation group eight weeks after treatment was (74.32±8.24) points,lower than that of the control group of (100.24±10.15) points,and the difference was statistically significant (P＜0.05).The Hamilton anxiety scale (HAMA) score eight weeks after treatment was (13.52±1.26) points in the observation group,lower than that in the control group of (20.12±1.45) points,and the Hamilton depression scale(HAMD) score was (14.08±1.32) points,lower than that in the control group of (21.27±1.60) points,the differences were statistically significant (P＜0.05).Thereatment emergent symptom scale (TESS) scores of patients in the observation group at 2,8 weeks after treatment ([30.12±1.24],[12.32±1.27]points) were lower than those of the control group([48.27±2.15],[25.48±2.65]points),the differences were statistically significant (P＜0.05).Conclusion The combination of Aripiprazole and Mirtazapine for patients with somatoform disorders can reduce the severity of the disease,alleviate negative emotions,reduce the adverse effect after medication,and has high promotion and application value. 2020 Vol. 27 (35): 82-85 [Abstract] ( 26 ) HTML (1 KB)  PDF  (0 KB)  ( 13 ) 86 Effect of tissue dilator-assisted neuroendoscopy in the treatment of supratentorially critical hypertensive intracerebral hemorrhage HUANG Chen-ming ；ZHOU Xi-han； HUANG Rui-hong ；LI Wen-sheng ；XIAO Lian-fu； LIN Jin-ping Objective To investigate the effect of tissue dilator-assisted neuroendoscopy in the treatment of supratentorially critical hypertensive intracerebral hemorrhage,and to provide reference for the treatment of supratentorially critical hypertensive intracerebral hemorrhage.Methods The clinical data of 45 patients with supratentorially critical hypertensive intracerebral hemorrhage treated in the Second Hospital of Sanming City from January 2016 to June 2019 were retrospectively analyzed,and they were divided into the study group (22 cases) and the control group (23 cases)according to different treatment methods.The study group was treated with tissue dilator-assisted neuroendoscopy,and the control group was treated with conservative therapy.The Glasgow coma scale （GCS） score before and after treatment at 3,7,14 days,the incidence of complications during treatment,length of stay,and the Glasgow outcome score(GOS) at 3 and 6 months after treatment were compared between the two groups.Results The scores of GCS at 3rd,7th and 14th day after treatment in the two groups were higher than those before treatment (P＜0.05).The GCS scores at the 3rd,7th and 14th days after treatment in the study group were higher than those in the control group,and the differences were statistically significant (P＜0.05).The length of stay of the study group was shorter than that of the control group,the difference was statistically significant (P＜0.05).The incidence of lung infection and urinary tract infection during treatment in the study group were lower than those of the control group,and the differences were statistically significant(P＜0.05).There were no significant differences in the incidence of upper gastrointestinal bleeding and lower extremity deep vein thrombosis during treatment between the two groups (P＞0.05).The scores of GOS between the two groups at 6 months after treatment were higher than that at 3 months after treatment,the difference was statistically significant(P＜0.05).The GOS score of the study group at 3,6 months after treatment were better than those of the control group,and the difference was statistically significant (P＜0.05).Conclusion Tissue dilator-assisted neuroendoscopy in the treatment of supratentorially critical hypertensive intracerebral hemorrhage can significantly improve GCS scoring during treatment,shorten the hospital stay,reduce the incidence of treatment complications,and have a better prognosis. 2020 Vol. 27 (35): 86-89 [Abstract] ( 28 ) HTML (1 KB)  PDF  (0 KB)  ( 13 ) 90 Analysis of factors affecting the occurrence of secondary hydrocephalus in patients with severe and very severe craniocerebral injury ZHANG Xu-ming； SUN Cheng-fa ；CHU Rong-tao Objective To analyze the factors affecting the occurrence of secondary hydrocephalus in patients with severe and very severe craniocerebral injury.Methods A total of 63 patients with severe and very severe craniocerebral injury admitted to Changshu Second People′s Hospital from January 2015 to February 2020 were selected,and the patients were divided into severe group (34 cases) and very severe group (29 cases) according to the severity of the injury.The clinical data of the patients and the condition of secondary hydrocephalus were recorded,and the multivariate regression analysis was used to analyze the influencing factors of secondary hydrocephalus in patients with severe and very severe craniocerebral injury.Results There were no significant differences in gender,age and cause of injury between the two groups (P＞0.05).There were 19 cases (30.16%) with secondary hydrocephalus,6 cases (17.65%) with secondary hydrocephalus in the severe group and 13 cases (44.83%) with secondary hydrocephalus in the very severe group.Univariate analysis results showed that age,degree of injury,Glasgow coma scale (GCS) score,decompressive craniectomy treatment,location of hematoma,intracranial infection and intracerebral hematoma were the influencing factors for secondary hydrocephalus in patients with severe and very severe craniocerebral injury (P＜0.05).Multivariate analysis showed that age (β=0.841,OR=2.854,95%CI:2.741-4.901),GCS score (β=2.687,OR=6.541,95%CI:3.957-7.537),location of hematoma (β=0.677,OR=1.147,95%CI:1.014-3.284) and intraventricular hemorrhage (β=1.035,OR=2.254,95%CI:1.954-5.257) were independent influencing factor for the occurrence of secondary hydrocephalus in patients with severe and very severe craniocerebral injury (P＜0.05).Conclusion Severe and very severe craniocerebral injury patients with old age,low GCS score,subdural and intracerebral hematoma,intraventricular hemorrhage are prone to secondary hydrocephalus,and reasonable measures should be taken to intervene risk factors to reduce the incidence of secondary hydrocephalus. 2020 Vol. 27 (35): 90-93 [Abstract] ( 22 ) HTML (1 KB)  PDF  (0 KB)  ( 10 ) 94 Feasibility analysis of ureteroscope combined with intercepting net basket in the treatment of incarcerated calculi in upper ureter ZHONG Yong-fu； ZHOU Ya-lin； ZENG Qing； YI Jia-you； WANG Xiao-lan； WEN Jue； LIU Shao-mei； LI Ying Objective To analyze the feasibility of ureteroscope combined with intercepting net basket in the treatment of incarcerated calculi in upper ureter.Methods A total of 60 patients with upper ureteral incarcerated calculi who were treated in Yichun Traditional Chinese Medicine Hospital of Jiangxi Province from January 2018 to September 2019 were selected as the research subjects,and they were divided into the control group and the observation group according to the random number table method,30 cases in each group.The control group was treated with ureteroscope,and the observation group was treated with a combined intercepting net basket on the basis of the control group.The stone removal rate,operation status,and total postoperative complication rate of the two groups were compared.Results The stone removal rate of the observation group was higher than that of the control group,and the operation time of the observation group was shorter than that of the control group,and the total incidence of postoperative complications of the observation group was lower than that of the control group,the differences were statistically significant (P＜0.05).There were no significant differences in the treatment cost,hospital stay and intraoperative blood loss between the two groups (P＞0.05).Conclusion Ureteroscope combined with intercepting net basket is effective in the treatment of incarcerated calculi in the upper segment of ureter,which is beneficial to improve the clearance rate of calculus,reduce the operation time and the incidence of postoperative complications,it has high clinical feasibility. 2020 Vol. 27 (35): 94-96转100 [Abstract] ( 28 ) HTML (1 KB)  PDF  (0 KB)  ( 8 ) 97 Clinical study of brachial-cephalic arterio-venous fistula (BCAVF) on the cephalic venous arch YI Qin-xia；HUANG Ling Objective To investigate the application of brachial-cephalic arterio-venous fistula (BCAVF) in patients with chronic kidney disease.Methods A total of 46 patients with chronic kidney diseases who were treated in Jiujiang Traditional Chinese Medicine Hospital from January 2018 to December 2019 were selected and divided into the control group (n=23) and the observation group (n=23) according to the blind drawing method.In the control group,brachialbasilic arterio-venous fistula (BBAVF) was performed,and in the observation group,BCAVF was performed.The vascular hemodynamic changes in internal fistula,tumor-like expansion,anastomotic size and cephalic vein arch stenosis were compared in the two groups.Results After operation,the resistance index,internal diameter and blood flow of the brachial artery in the two groups were higher than those before operation,and the resistance index,internal diameter and blood flow of the brachial artery in the observation group were higher than those in the control group,the differences were statistically significant (P＜0.05).The large diameter of tumor-like expansion and anastomosis size and cephalic vein arch stenosis of the observation group were lower than those of the control group,and the differences were statistically significant (P＜0.05).Conclusion For patients with chronic kidney diseases,BCAVF should be used with caution during hemodialysis,and the size of the anastomosis should be strictly controlled during the operation to reduce postoperative central venous complications. 2020 Vol. 27 (35): 97-100 [Abstract] ( 23 ) HTML (1 KB)  PDF  (0 KB)  ( 10 ) 101 Effect of high-frequency hyperthermia and magnetic therapy in the treatment of chronic bacterial prostatitis and its influence observation on immune function HAO Wei-ping； XU Zhen-qiang； SHEN Zai-xiong； LIU Hong-jie Objective To analyze the effect of high-frequency hyperthermia and magnetic therapy in the treatment of chronic bacterial prostatitis and its influence on immune function.Methods A total of 80 patients with chronic bacterial prostatitis diagnosed and treated in Zhangzhou Hospital from September 2017 to October 2019 were selected as the research subjects.They were divided into the control group (n=40) and the experimental group (n=40) by the random number table method.In the control group,conventional treatment was used,and the experimental group was treated with high-frequency hyperthermia and magnetic therapy.The clinical efficacy,white blood cell count in prostatic fluid and quality of life were compared between the two groups.Results The overall response rate of the experimental group was 92.50%,which was higher than that of the control group accounting for 65.00%,the difference was statistically significant(P＜0.05).There were no significant differences in the levels of interleukin-6(IL-6),tumor necrosis factor α(TNF-α),or interleukin-1β (IL-1β) before treatment in the two groups (P＞0.05).After intervention,the levels of IL-6 in the two groups were higher than those before treatment,and the levels of TNF-α and IL-1β in the two groups were lower than those before treatment,the differences were statistically significant (P＜0.05).After treatment,the level of IL-6 of the experimental group was higher than that of the control group,and the levels of TNF-α and IL-1β of the experimental group were lower than those of the control group,the differences were statistically significant (P＜0.05).Before treatment,there were no statistical differences in social function,body pain,mental health,and physical function of the two groups(P＞0.05).The social function,body pain,mental health,and physical function of the two groups after treatment were higher than those before treatment,the differences were statistically significant (P＜0.05).The social function,body pain,mental health,and physical function in the experimental group after treatment were higher than those in the control group,the differences were statistically significant (P＜0.05).Conclusion High-frequency hyperthermia magnetic therapy has a significant clinical effect in the treatment of chronic bacterial prostatitis,which can effectively improve the immune function and ameliorate the quality of life of patients,so it is worthy of further promotion and application. 2020 Vol. 27 (35): 101-103转107 [Abstract] ( 26 ) HTML (1 KB)  PDF  (0 KB)  ( 13 ) 104 Influence factors analysis of complications in patients with intrahepatic stones after partial hepatectomy SUN Ting-li； GAN Qin ；LIU He-chun Objective To investigate the influence factors of complications in patients with intrahepatic stones (IHS) after partial hepatectomy (PH).Methods Clinical data of 50 IHS patients who underwent PH and were admitted to the First People′s Hospital of Jiujiang City from January 2015 to March 2019 were retrospectively analyzed.According to postoperative complications,they were divided into complication group (17 cases) and non-complication group (33 cases).The related factors that might affect the occurrence of complications in IHS patients after PH were collected,including gender,age,stones size,stones types,IHS sites,operation time,previous history of biliary tract surgery,range of hepatectomy,times of intraoperative hepatic hilar blockage,and strengthening pulmonary function exercise before and after surgery.The influence factors of complications in IHS patients after PH were analyzed by univariate analysis and Logistic multivariate regression analysis.Results The results of univariate analysis showed that there were statistically significant differences in operation time,previous history of biliary tract surgery,hepatectomy range and strengthening pulmonary function exercise before and after surgery between complication group and non-complication group(P＜0.05).The results of Logistic multivariate regression analysis showed that operation time ≥300 min (β=0.516,OR=1.675,95%CI=0.646-4.343),previous history of biliary tract surgery (β=0.311,OR=1.365,95%CI=0.458-4.063) and not strengthening pulmonary function exercise before and after surgery (β=0.478,OR=1.613,95%CI=0.610-4.267) were independent risk factors of postoperative complications (P＜0.05).Conclusion The operation time ≥300 min,previous history of biliary tract surgery and not strengthening pulmonary function exercise before and after surgery were independent risk factors of postoperative complications in IHS patients after PH. 2020 Vol. 27 (35): 104-107 [Abstract] ( 28 ) HTML (1 KB)  PDF  (0 KB)  ( 10 ) 108 Application of ultrasound-guided injection of tumescent fluid in minimally invasive treatment of varicosis of great saphenous vein YAN Jie； ZHONG Chun-yan； QIU Jun-yi Objective To explore the application effect of ultrasound-guided injection of tumescent fluid in the minimally invasive treatment of varicosis of great saphenous vein.Methods A total of 60 patients with varicosis of great saphenous vein who admitted to the inpatient department of the First People′s Hospital of Nankang District in Ganzhou City from February 2019 to February 2020 were selected as the research objects by blue and red colors for number 1-30 in randomly drawing lots.Patients in the blue were classified into the traditional group,and patients in the red were classified into the experimental group,with 30 cases in each group.Patients of both groups were treated by laser closure of the saphenous vein.The traditional group received conventional spinal anesthesia,while the experimental group received ultrasound-guided injection of tumescent fluid.The anesthesia block,heart rate (HR),mean arterial pressure (MAP) at different time and pain were compared between the two groups.Results The initial time of block in the experimental group was shorter than that in the traditional group,the block sensory score and block success rate in the experimental group were higher than those in the traditional group,and the differences were statistically significant(P＜0.05).There were no statistically significant differences in HR and MAP before anesthesia between the two groups(P＞0.05).The HR and MAP in the experimental group were lower than those in the traditional group at the beginning of the operation,30 minutes at the operation,and immediately after the end of the operation,and the differences were statistically significant (P＜0.05).There were no statistically significant difference in the visual analogue scale(VAS) scores of the two groups immediately after waking up (P＞0.05).The VAS scores of the two groups at the 1st and 3rd days after surgery were lower than those immediately after waking up,and the differences were statistically significant (P＜0.05).The VAS scores in the experimental group at the 1st and 3rd days after surgery were lower than those of the traditional group,and the differences were statistically significant (P＜0.05).Conclusion In the minimally invasive treatment of great saphenous varicose veins,ultrasound-guided injection of tumescent fluid has a significant gain in anesthesia block,operation development and postoperative outcome. 2020 Vol. 27 (35): 108-111 [Abstract] ( 23 ) HTML (1 KB)  PDF  (0 KB)  ( 10 ) 112 Effect comparison of small incision cholecystectomy and laparoscopic cholecystectomy in the treatment of gallstones LUAN Jiong-di ；LUO Xing-yang； WANG He-feng ；ZHANG Xu Objective To compare the clinical effect of small incision cholecystectomy and laparoscopic cholecystectomy in the treatment of gallstones.Methods A total of 92 patients with gallstones who admitted to our hospital from April 2018 to April 2019 were selected as the research objects and divided into the experimental group and the control group according to random number table method,with 46 cases in each group.The experimental group received laparoscopic cholecystectomy,while the control group received small incision cholecystectomy.The clinical efficacy,intraoperative blood loss,time to get out of bed,anal exhaust time,intestinal function recovery time,operation time and total incidence of complications (bile duct damage,bile leakage and incision infection) were compared between the two groups.Results The total effective rate of the experimental group was higher than that of the control group,and the difference was statistically significant (P＜0.05).The intraoperative blood loss of the experimental group was less than that of the control group,the time to get out of bed,anal exhaust time,intestinal function recovery time and operation time were shorter than those of the control group,and the differences were statistically significant (P＜0.05).The total incidence of complications included bile duct damage,bile leakage and incision infection of the experimental group was lower than that of the control group,and the difference was statistically significant (P＜0.05).Conclusion The total clinical effect of laparoscopic cholecystectomy in the treatment of gallstones is significantly better than that of small incision cholecystectomy. 2020 Vol. 27 (35): 112-114 [Abstract] ( 29 ) HTML (1 KB)  PDF  (0 KB)  ( 15 ) 115 Effect of minimally invasive operation with percutaneous root nail in the treatment of spinal fracture SUN Kai Objective To investigate the effect of minimally invasive operation with percutaneous root nail in the treatment of spinal fracture.Methods A total of 104 patients with spinal fracture who admitted to Yingkou Hospital of Integrated Traditional and Western Medicine from February 2017 to October 2019 were selected as the research objects and divided into the control group and the study group according to the random number table method,with 52 cases in each group.The patients in the control group were treated with conventional operation and the patients in the study group were treated with minimally invasive operation with percutaneous root nail.The operative time,length of stay in hospital,operative blood loss,anterior vertebral edge height,intervertebral space height,kyphosis Cobb angle and clinical effect were compared between the two groups.Results The operation time and length of stay in hospital in the study group were shorter than those in the control group,the operative blood loss was less than that in the control group,and the differences were statistically significant (P＜0.05).There were no statistically significant differences in anterior vertebral edge height,intervertebral space height and kyphosis Cobb angle between the two groups before treatment (P＞0.05).After treatment,the anterior vertebral edge height and intervertebral space height in the study group were higher than those in the control group,the kyphosis Cobb angle was lower than that in the control group,and the differences were statistically significant (P＜0.05).The total effective rate of the study group was higher than that of the control group,and the difference was statistically significant (P＜0.05).Conclusion In the course of the treatment of the patients with spine fracture,the effect of minimally invasive operation with percutaneous root nail is ideal,which can shorten the operation and hospitalization time of the patients,reduce the amount of bleeding during the operation,and has a significant positive effect on the improvement of the anterior vertebral edge height,intervertebral space height and kyphosis Cobb angle.It is worthy of clinical promotion and application. 2020 Vol. 27 (35): 115-118 [Abstract] ( 25 ) HTML (1 KB)  PDF  (0 KB)  ( 15 ) 119 Clinical effect of Ashi acupoint meridian massage combined with anesthesia in the treatment of frozen shoulder LYU Jin ；WANG Li-hua ；DENG Xin-peng； CAI Ke-ke Objective To explore the clinical effect of Ashi acupoint meridian massage combined with anesthesia in the treatment of frozen shoulder.Methods A total of 60 patients with frozen shoulder who came to Affiliated Hospital of Jiangxi University of Traditional Chinese Medicine from January 2019 to February 2020 were selected as study subjects and divided into two groups by random number table method,30 cases in each group.In the control group,patients were given manual release under simple anesthesia,and in the observation group,patients were given manual release under anesthesia combined with Ashi acupoint meridian massage.Clinical efficacy,pain rating index (PRI) total score,visual analogue scale (VAS) score,and shoulder range of motion were compared between the two groups.Results The total effective rate of treatment in the observation group was 93.3%,higher than 70.0% in the control group,and the difference was statistically significant (P＜0.05).After treatment,the total PRI and VAS scores of the two groups decreased,and the two scores of the observation group were lower than those in the control group,the differences were statistically significant (P＜0.05).After the treatment,the shoulder joint activity increased in both groups,and the observation group′s uplift and abduction activities were higher than those in the control group,the differences were statistically significant (P＜0.05).Conclusion Ashi acupoint meridian massage combined with anesthesia has a significant effect on frozen shoulder,which can reduce pain,increase the range of shoulder joint movement,and improve the quality of life.It is worthy of certain clinical promotion. 2020 Vol. 27 (35): 119-121 [Abstract] ( 29 ) HTML (1 KB)  PDF  (0 KB)  ( 10 ) 122 Correlation study on clinical positive signs and meniscus injury of knee joint ZHUANG Chuan-ji； CHEN Wen-zhao； JIANG Xin-min Objective To investigate the correlation between clinical positive signs and meniscus injury of knee joint.Methods The clinical data of 120 patients with meniscus injury of knee joint who were admitted in the Second People′s Hospital of Jingdezhen from April 2016 to March 2020 were retrospectively analyzed.All the patients underwent clinical examination,magnetic resonance imaging (MRI) and arthroscopy.The accuracy and sensitivity of each test in different parts of meniscus tear were compared.Results Among 120 patients,23 cases of anterior horn meniscus tear,51 cases of body meniscus tear,and 46 cases of posterior horn meniscus tear were detected by arthroscopy.The results of arthroscopy were used as the gold standard,the joint space tenderness and grinding tests were more sensitive to meniscus tear at the anterior horn and body than that at posterior horn;McMurray′s test was more sensitive to meniscus tear at the body and posterior horn than that at anterior horn;squatting down test was more sensitive to meniscus tear at posterior horn than that at anterior horn and body,and the differences were statistically significant (P＜0.05).There was no statistically significant difference in the specificity of each test in anterior horn body,and posterior horn meniscus tear (P＞0.05).Conclusion Clinical positive signs are closely related to the meniscus injury of knee joint,and clinical examination can be used to assist in judging meniscus tear. 2020 Vol. 27 (35): 122-124 [Abstract] ( 24 ) HTML (1 KB)  PDF  (0 KB)  ( 11 ) 125 Effect of intermittent pressure pump to prevent deep venous thrombosis of lower extremities during posterior lumbar surgery WEN Jian； LIAO Qiang； HUANG Yong-quan Objective To investigate the effect of intermittent pressure pump to prevent lower limb deep vein thrombosis(DVT) during posterior lumbar spine surgery.Methods A total of 100 patients with posterior lumbar spine surgery admitted Pingxiang People′s Hospital from April 2018 to October 2019 were selected as the sample objects.They were divided into control group and research group according to their willingness to treat,50 cases in each group.The control group did not use intermittent surgery pressure pump,the research group was given intermittent pressure pump during operation to prevent deep vein thrombosis.The relevant indicators of the two groups of patients were compared to understand the effect of intermittent pressure pump on the prevention of deep vein thrombosis of the lower extremities.Results There was no significant difference in the incidence of DVT between the two groups (P＞0.05);postoperative platelet count and D-dimer in the research group were lower than those in the control group,fibrinogen was higher than that in the control group,thromboplastin time,prothrombin time was longer than that of the control group,and the differences were statistically significant (P＜0.05);the blood flow velocity of the lower limb venous blood vessels in the research group after the operation was higher than that of the control group in the same period,and the difference was statistically significant (P＜0.05).Conclusion The use of intermittent pressure pump in posterior lumbar spine surgery can significantly reduce the postoperative hypercoagulable state of patients and is worthy of promotion. 2020 Vol. 27 (35): 125-127转131 [Abstract] ( 21 ) HTML (1 KB)  PDF  (0 KB)  ( 13 ) 128 Effect comparison of locking plate and interlocking intramedullary nail in the treatment of elderly patients with proximal humeral osteoporotic fracture ZHANG Zhong-ning；HE Xiao-yu；WANG Chao-qiang；WANG Mei ；ZHOU Zhi-ping Effect comparison of locking plate and interlocking intramedullary nail in the treatment of elderly patients with proximal humeral osteoporotic fracture 2020 Vol. 27 (35): 128-131 [Abstract] ( 28 ) HTML (1 KB)  PDF  (0 KB)  ( 14 ) 132 Effect of combined management of orthopedics and emergency surgery in the treatment of elderly vertebral compression fractures under the COVID-19 pandemic CHEN Xiang；WANG Hua；CHANG Hong；XU Hua-liang ；HUANG Xu-sheng； CHEN Li-yan； SONG Yan-cheng Objective To investigate the surgical effect and safety of combined management of orthopedics and emergency surgery in the treatment of elderly vertebral compression fractures under the COVID-19 pandemic.Methods A retrospective analysis of the clinical data of 30 elderly patients with vertebral compression fractures under the joint management of orthopedics and emergency surgery from March to April 2020 was conducted and selected as a joint group.Another batch of 30 elderly patients with vertebral compression during the non-epidemic period was classified as a control group.The preoperative waiting time,hospital stay,operation duration,bone cement injection volume,postoperative visual analogue scale (VAS) score,postoperative Cobb angle were recorded in the two groups,and the occurrence of postoperative complications was observed.Results No medical staff was infected with COVID-19,and no hospital infection occurred.The preoperative waiting time of the joint group was shorter than that of the control group,and the difference was statistically significant (P＜0.05).The hospital stay,operative duration,bone cement injection volume,postoperative VAS score,postoperative Cobb angle,and total postoperative complications rate were not significantly different between the groups (P＞0.05).Conclusion Under the COVID-19 pandemic,the joint management of orthopedics and emergency surgery for the treatment of elderly vertebral compression fractures in multidisciplinary collaborations can reduce the waiting time before surgery and increase the efficiency of diagnosis and treatment at premise of fully implementing anti-epidemic measures. 2020 Vol. 27 (35): 132-135 [Abstract] ( 26 ) HTML (1 KB)  PDF  (0 KB)  ( 8 ) 136 Analysis of risk factors leading to increased blood pressure caused by Apatinib in the treatment of malignant tumors HE Miao； CAO Zuo-feng； HUANG Li Objective To explore the risk factors leading to increased blood pressure of Apatinib in the treatment of malignant tumors.Methods A total of 240 cases of malignant tumor patients in the First Affiliated Hospital of Gannan Medical College from January 2018 to December 2019 were selected as the research objects,and they were divided into the observation group and the control group according to different treatment methods,120 cases in each group.The observation group was treated with Apatinib,while the control group was treated with routine therapy,without Apatinib.The incidence of increased blood pressure were compared between the two groups.At the same time,the general data of patients in the observation group were retrospectively analyzed,and the common risk factors of hypertension were evaluated by univariate analysis and Logistic regression analysis.Results The incidence of hypertension in the observation group was 35.0%,which was higher than that in the control group (10.0%) (P＜0.05).There was no hypertension crisis in the two groups,and the blood pressure was controlled after drug treatment.Univariate analysis showed that age,smoking history,body mass index (BMI),Estern Cooperative Oncology Group (ECOG) score,medication dose were related to the occurrence of secondary hypertension caused by apatinib (P＜0.05).Logistic regression analysis showed that age was an independent risk factor for secondary hypertension caused by Apatinib (P＜0.05).Conclusion Age is closely related to the secondary hypertension caused by Apatinib.It is necessary to pay more attention to the observation of elderly patients′ condition. 2020 Vol. 27 (35): 136-139 [Abstract] ( 25 ) HTML (1 KB)  PDF  (0 KB)  ( 7 ) 140 Effect and safety of Pemetrexed combined with Carboplatin in the treatment of elderly advanced lung adenocarcinoma HU Hong-bo Objective To investigate the effect and safety of Pemetrexed combined with Carboplatin in the treatment of elderly advanced lung adenocarcinoma.Methods A total of 80 elderly patients with advanced lung adenocarcinoma who were treated in Liaoning Health Industry Group Bengang General Hospital from October 2017 to May 2019 were selected as the study subjects.They were divided into the combined group and the control group by using random number table method,with 40 cases in each group.The control group was given Carboplatin alone,while combined group was combined with Pemetrexed on the basis of the control group.The serum tumor markers (carbohydrate antigen 125[CA125],carcinoembryonic antigen [CEA]and quality of life (lung cancer symptom score scale [LCSS]) were compared between the two groups before treatment and after 2 months of treatment,and the efficacy and adverse reactions during treatment were observed between the two groups.Results The levels of CA125 and CEA in the combined group after treatment were lower than those in the control group before treatment,the differences were statistically significant (P＜0.05).The levels of CA125 and CEA in the two groups after treatment were lower than those in the same group before treatment,the differences were statistically significant (P＜0.05).After treatment,the LCSS score in the combined group was lower than that in the control group,the difference was statistically significant (P＜0.05).The LCSS scores of the two groups after treatment were lower than those before treatment,the differences were statistically significant (P＜0.05).The total effective rate after treatment in the combined group was higher than that in the control group,the difference was statistically significant (P＜0.05).There were no significant differences in the incidence of adverse reactions between the two groups (P＞0.05).Conclusion Pemetrexed combined with Carboplatin has significant efficacy in treating elderly advanced lung adenocarcinoma,and can improve the quality of life,with good safety. 2020 Vol. 27 (35): 140-142转146 [Abstract] ( 26 ) HTML (1 KB)  PDF  (0 KB)  ( 11 ) 143 Application of comprehensive health intervention in children with simple obesity CHEN Xiao-yan；LI Zhi-yuan Objective To explore the effect of comprehensive health care intervention in children with simple obesity.Methods A total of 116 simple obese preschool children managed by Pingdi Preventive Health Care Institute of Longgang District,Shenzhen City,Guangdong Province from July 2017 to June 2018 were randomly divided into control group (n=58) and observation group (n=58).The control group was treated only with diet intervention and the observation group was treated with comprehensive health care intervention.The obesity rate,obesity degree,body mass index and incidence of complications were compared between the two groups.Results The obesity rate and complication rate of simple obese children in the observation group after one year of intervention were lower than those in the control group,the difference was statistically significant (P＜0.05);the obesity degree and body mass index in the observation group were lower than those in the control group,the difference was statistically significant (P＜0.05).The difference was statistically significant (P＜0.05).Conclusion Comprehensive health care intervention can not only effectively control the degree of obesity and body mass index of simple obese children,but also reduce the incidence of complications and the rate of childhood obesity. 2020 Vol. 27 (35): 143-146 [Abstract] ( 26 ) HTML (1 KB)  PDF  (0 KB)  ( 18 ) 147 Application effect of cervical dilation balloon in induced labor of fullterm pregnancy ZHANG Yu-ting； CHEN Qiu-lian ；TU Yun-zhi Objective To investigate the application effect of cervical dilation balloon in induced labor of full-term pregnancy.Methods A total of 80 full-term pregnant women who underwent induced labor in Xinyu People′s Hospital from January 2018 to December 2019 were retrospectively analyzed.All selected pregnant women were divided into control group (41 cases) and observation group (39 cases) according to the different induced labor methods.The pregnant women in the control group were given Oxytocin to promote uterine contraction and induced labor,and the pregnant women in the observation group were given Oxytocin combined with cervical dilation balloon for induced labor.The Bishop score,success rate of induced labor,and stage of labor were compared between the two groups.Results The Bishop score of the observation group was higher than that of the control group after induced labor for 12 h,the success rate of induced labor in the observation group was higher than that in the control group,and the parturient time and the total stage of labor in the observation group were shorter than those in the control group,and the differences were statistically significant (P＜0.05).Conclusion Cervical dilation balloon in induced labor of full-term pregnancy has better application effect,it can effectively promote cervical ripeness,increase the success rate of induced labor,and shorten the stage of labor,which is worthy of clinical promotion and application. 2020 Vol. 27 (35): 147-149 [Abstract] ( 24 ) HTML (1 KB)  PDF  (0 KB)  ( 10 ) 150 Effect comparison of hysteroscopic tissue resection system and traditional hysteroscopic electrotomy in the treatment of endometrial polyps combined with infertility WEI Jing Objective To compare the effect of hysteroscopic tissue resection system and traditional hysteroscopic electrotomy in the treatment of endometrial polyps with infertility.Methods A total of 82 patients with endometrial polyps and infertility who were admitted to Jiangxi Maternal and Child Health Hospital from May 2018 to May 2019 were selected as the research subjects.They were divided into a control group (41 cases) and an observation group (41 cases)according to the odd and even hospitalization numbers.The operation,pregnancy outcome,the total incidence of complications and recurrence rates of the two groups were observed.Results There were no statistical differences in the operation time or the amount of uterine dilatation fluid used between the two groups (P＞0.05).The intraoperative blood loss of the observation group was less than that of the control group,the rates of secondary operations and postoperative intrauterine adhesions were both lower than those in the control group,the pregnancy outcome was better than the control group,the total incidence of complications and recurrence rate were lower than those in the control group,with statistically significant differences (P＜0.05).Conclusion The hysteroscopic tissue resection system for the treatment of endometrial polyps has little bleeding,few complications,and low recurrence rate.It improves the pregnancy success rate and is worthy of clinical application. 2020 Vol. 27 (35): 150-152 [Abstract] ( 19 ) HTML (1 KB)  PDF  (0 KB)  ( 13 ) 153 Effect of cervical cerclage combined with uterine contraction suppression on pregnancy outcome of cervical incompetence patients with twin pregnancy LU Yun-hui Objective To investigate the effect of cervical cerclage combined with uterine contraction suppression on pregnancy outcome of cervical incompetence patients with twin pregnancy.Methods The clinical data of 78 cases of twin pregnancy in 360 patients with cervical incompetence who were admitted in Dalian Maternal and Child Health Hospital from January 2017 to October 2019 were retrospectively analyzed.A total of 48 patients who were treated with cervical cerclage and uterine contraction suppression during pregnancy were classified as the observation group,and 30 patients who were treated with uterine contraction suppression were classified as the control group.The conditions of patients in the observation group after surgery was recorded.The cervical canal length in the observation group was compared before and after surgery,and the pregnancy outcome and complications were compared between the two groups.Results A total of 48 patients in the observation group underwent surgery successfully,the operation time was (35.23±5.64) min,and the intraoperative bleeding volume was (19.46±4.21) mL.The cervical canal length of 48 patients in the observation group examined by vaginal bultrasound after surgery ([1.98±0.32]cm) was lower than that before surgery([3.13±0.26]cm),with statistically significant difference (P＜0.05);the gestational weeks and neonatal weight were compared between the two groups,and the differences were not statistically significant (P＞0.05);the Apgar score of the observation group was higher than that of the control group,with statistically significant difference (P＜0.05);premature rupture of membranes was not present in the two groups of patients,and the miscarriage was caused by uterine contraction cannot be suppressed,and no postoperative infection occurred.Conclusion Cervical cerclage for cervical incompetence patients with twin pregnancy has better pregnancy outcome,and it will not cause effect on fetal development. 2020 Vol. 27 (35): 153-155转159 [Abstract] ( 23 ) HTML (1 KB)  PDF  (0 KB)  ( 9 ) 156 Application of dual-phase CT angiography of pulmonary artery and bronchial artery in the diagnosis of hemoptysis JIANG Wen-ting ；LIU Jian-jun ；ZHAN Bo Objective To explore the application value of pulmonary artery and bronchial artery dual-phase multi-slice spiral CT angiography (CTA) in the interventional embolization treatment of hemoptysis.Methods A total of 62 patients who underwent interventional embolization for hemoptysis in Shangrao People′s Hospital were selected from March 2017 to March 2019.All patients underwent dual-phase CTA examination of pulmonary artery and bronchial artery,and the results of digital subtraction angiography (DSA) were used as the reference to evaluate the conformity of CTA to the detection of diseased vascular signs and the number of responsible blood vessels for hemoptysis,and analyze the CTA imaging manifestations of hemoptysis.Results The coincidence rate of dual-phase CTA for the detection of diseased vascular signs was 81.14%.The coincidence rates of bronchial artery-pulmonary artery malformation and pulmonary pseudoaneurysm were both 100.00%,the coincidence rate of bronchial artery was 98.55%,the coincidence rate of the detection of extrapulmonary systemic arteries was 72.09%,and the coincidence rate of systemic pulmonary artery shunt was 29.27%.The detection coincidence rate of the number of diseased vessels in CTA was 97.16%,compared with the results of DSA,the difference was not statistically significant (P>0.05).The pulmonary artery and bronchial artery dualphase CT could assist physicians to clearly observe the basic lung lesions of patients with hemoptysis,including pleural disease,tuberculosis,lung damage,pulmonary fibrosis,and clearly show pulmonary artery hemorrhage signs of disease and pulmonary shunt.Conclusion Dual-phase CTA imaging of pulmonary artery and bronchial artery can effectively detect the responsible blood vessel of hemoptysis in the interventional embolization treatment of hemoptysis,and provide reference for doctors to understand the position,course,opening position of diseased blood vessel,and find the pathological conditions of body artery or pulmonary artery hemorrhage,with important application value. 2020 Vol. 27 (35): 156-159 [Abstract] ( 24 ) HTML (1 KB)  PDF  (0 KB)  ( 12 ) 160 Application value of AKR1C3 in evaluating the early efficacy of radiotherapy and chemotherapy for rectal cancer CUI Lei；XU Xiao-nan；ZENG Xing；SUN Jun-qi； GAO Shuang-quan； MIAO Shu-hong Objective To explore the application value of aldosterone reductase family 1 member C3 (AKR1C3) in evaluating the early efficacy of radiotherapy and chemotherapy for rectal cancer.Methods The clinical data of 60 patients with rectal cancer treated by radiotherapy and chemotherapy in Yuebei People′s Hospital from January 2013 to January 2020 were retrospectively analyzed.The expression level of AKR1C3 in pathological specimens was detected by immunohistochemistry,and the application value of AKR1C3 was studied by Logistic multiple regression analysis.Results There were 40 cases in chemoradiotherapy resistance group and 20 cases in chemoradiotherapy sensitive group.The expression of AKR1C3 in chemoradiotherapy resistant group was higher than that in chemoradiotherapy sensitive group,and the difference was statistically significant (P＜0.05).There was statistically significant difference in the incidence of radiotherapy and chemotherapy resistance in patients with different gender,degree of differentiation,length of lesion,and AKR1C3 expression (P＜0.05).The high expression of AKR1C3 was a risk factor affecting the early efficacy of radiotherapy and chemotherapy in patients with rectal cancer (P＜0.05).Conclusion AKR1C3 may be used as a sensitive index to evaluate the efficacy of radiotherapy and chemotherapy in patients with rectal cancer,so as to effectively improve the prognosis of patients. 2020 Vol. 27 (35): 160-163 [Abstract] ( 28 ) HTML (1 KB)  PDF  (0 KB)  ( 14 ) 164 Application value of dual-energy spectrum CT in head and neck CT angiography in eliminating artifacts of vascular metal implants TAO Na ；YAN Fei-hu ；ZHENG Wei； GONG Tao；CHEN Long-feng ；WANG Ying-hua Objective To analyze the application value of dual-energy spectrum CT in head and neck CT angiography in eliminating artifacts of vascular metal implants.Methods From April 2019 to April 2020,a total of 30 patients with CTA reexamination after head and neck vascular metal implants Yichun People′s Hospital were selected and divided into the control group and the experimental group,15 cases in each group.The control group was given 120 keV conventional CTA images,while the experimental group was reconstructed with 60-100 keV single energy data every 10 keV，and there were 5 groups of single energy images.The hardening artifacts,vascular contrast and image quality were compared between the two groups.Results The artifact index of the experimental group was lower than that of the control group,while the contrast to noise ratio of the experimental group was higher than that of the control group,and the differences were statistically significant (P＜0.05).When the the voltage was 70 keV in the experimental group,the artifact index was lower than the voltage was 60 keV and 100 keV,the differences were statistically significant (P＜0.05).When the the voltage was 80 keV in the experimental group,the artifact index was lower than the voltage was 60 keV,90 keV and 100 keV,the differences were statistically significant (P＜0.05).When the voltage was 70 and 80 keV in the experimental group,the contrast to noise ratio was higher than other voltage values,and the differences were statistically significant (P＜0.05).The image quality of CT in the experimental group was higher than that in the control group,and the difference was statistically significant (P＜0.05).Conclusion Dual-energy spectrum CT can effectively reduce the artifacts of vascular metal implants in head and neck CT angiography,and the effect of eliminating metal artifacts is the best at 70-80 keV. 2020 Vol. 27 (35): 164-166 [Abstract] ( 23 ) HTML (1 KB)  PDF  (0 KB)  ( 9 ) 167 Clinical value of transabdominal combined transvaginal ultrasound in the diagnosis of ovarian chocolate cyst XIAO Xiao-fang ；XU Ai-hua； WANG Ying Objective To explore the clinical value of transabdominal combined with transvaginal ultrasound in the diagnosis of ovarian chocolate cyst.Methods The medical records data of 50 suspected ovarian chocolate cysts admitted to Ganzhou Maternal and Child Health Hospital from January 2016 to November 2019 were collected and analyzed.A retrospective study was carried out on the diagnosis.According to the results of pathological examination,the difference of the effect (diagnostic coincidence,specificity and sensitivity) of transabdominal ultrasonography combined with transabdominal ultrasonography and transvaginal ultrasound was compared and analyzed.The specific manifestations of various types of sonograms were further analyzed.Results Among the 50 suspected ovarian chocolate cyst patients,23 cases were diagnosed as ovarian chocolate cyst by operation and pathology,and 27 cases were confirmed as non ovarian chocolate cyst.There was no significant difference in the diagnostic coincidence rate between transabdominal ultrasound combined with transvaginal ultrasound and transvaginal ultrasound (P＞0.05).The diagnostic coincidence rate of transabdominal ultrasound combined with transvaginal ultrasound was higher than that of transabdominal ultrasound,and the difference was statistically significant (P＜0.05).The sensitivity of transabdominal combined with transvaginal ultrasound was higher than that of transabdominal ultrasound and transvaginal ultrasound,and the difference was statistically significant (P＜0.05).There was no significant difference in the diagnostic specificity between transabdominal combined transvaginal ultrasound and transvaginal ultrasound,transabdominal ultrasound (P＞0.05).The ultrasonographic features included uniform light spot type in 10 cases,simple cyst type in 6 cases,mixed type in 4 cases and solid type in 3 cases.Conclusion Transabdominal combined with transvaginal ultrasound has high diagnostic value for ovarian chocolate cyst,which is helpful for doctors to understand the condition and formulate a reasonable treatment plan. 2020 Vol. 27 (35): 167-170 [Abstract] ( 27 ) HTML (1 KB)  PDF  (0 KB)  ( 11 ) 171 Effect of Rhubarb Umbilical therapy on improving constipation symptoms in hospitalized patients YANG Zhen； ZHANG Bao-zhen ；TANG Li-ping ；YI Han-xiao； WANG Shui-lian； XIE Zhi-qin Objective To explore the effect of using traditional Chinese medicine Rhubarb Umbilical therapy to improve the symptoms of constipation in hospitalized patients.Methods A total of sixty-four hospitalized medical patients admitted to the First Affiliated Hospital of Nanchang University from December 2017 to December 2018 were selected as subjects,and were divided into observation group and control group using the random number table method,with 32 cases in each group.The control group was given routine treatment,while the observation group adopted the standardized scheme of umbilical therapy established under the guidance of evidence-based principles.The Rhubarb powder was added to the control group based on honey.The umbilical therapy was adjusted into pills,and the effectiveness of Rhubarb Umbilical therapy for constipation treatment and the constipation score of the two groups of patients were observed.Results The constipation score of patients with constipation in the observation group after treatment was lower than that in the control group (P＜0.01）.The total effective rate of the patients in the observation group was higher than that in the control group,the differences were statistically significant (P＜0.01).Conclusion The use of Rhubarb umbilical therapy can effectively improve the symptoms of constipation in hospitalized patients with internal medicine.It can provide safe and convenient treatment for patients with constipation during hospitalization,effectively reduce the incidence of constipation and improve the quality of life of patients. 2020 Vol. 27 (35): 171-173 [Abstract] ( 23 ) HTML (1 KB)  PDF  (0 KB)  ( 8 ) 174 Clinical effect of deep needling of Dachangshu and Zhibian acupoints combined with thumb-tack needle for subcutaneous embedding in ears for treatment of lumbar intervertebral disc herniation CHEN Man-chao； CAO Chun-lan ；GUO Xin-jie Objective To explore the clinical effect of deep needling of Dachangshu (BL25) and Zhibian (BL54) acupoints combined with thumb-tack needle for subcutaneous embedding in ears for the treatment of lumbar intervertebral disc herniation.Methods A total of 76 patients with lumbar intervertebral disc herniation admitted to Wuyuan Hospital of Traditional Chinese Medicine,Jiangxi Province from June 2017 to February 2019 were selected and divided into control group (n=40) and treatment group (n=36) by random number table method.In the control group,conventional filiform needling was used,while in the treatment group,deep needling of Dachangshu and Zhibian acupoints combined with thumb-tack needle for subcutaneous embedding in ears was adopted.The clinical efficacy,adverse reactions,and the visual analogue scale (VAS) scores at pre-treatment and 4,7,10 and 12 d after treatment were observed and analyzed.Results Before treatment,the VAS scores between the two groups,the difference had no statistical significance(P＞0.05).After 4,7,10 and 12 d treatment,the VAS score of the treatment group was lower than that of the control group,the VAS scores of the two groups were lower than those before treatment,the differences were statistically significant (P＜0.05).The total effective rate of the treatment group was higher than that of the control group,the total incidence of adverse reactions was lower than that of the control group,the differences were statistically significant (P＜0.05).Conclusion Deep needling of Dachangshu and Zhibian acupoints combined with thumb-tack needle for subcutaneous embedding in ears has a remarkable effect on lumbar intervertebral disc herniation. 2020 Vol. 27 (35): 174-176 [Abstract] ( 26 ) HTML (1 KB)  PDF  (0 KB)  ( 15 ) 177 Effect of acupressure points combined with foot reflex therapy on improving hiccup after gastric cancer surgery WEN Fang-fang；YANG Mu-lan；ZENG Dong-ming Objective To explore the effect of acupressure points combined with foot reflex therapy on improving hiccup after gastric cancer surgery.Methods A total of 76 patients who had hiccup after radical surgery for gastric cancer in Ganzhou People′s Hospital Affiliated to Nanchang University from February 2015 to June 2015 were selected as the research subjects.According to the stratified randomization method of gender and age,the patients were divided into the observation group (38 cases) and the control group (38 cases).The control group was treated with Anisodamine Acupoint Injections,and the observation group was additionally given acupressure points combined with foot reflex massage.The improvement of hiccup symptoms and the attack frequency and duration were compared between the two groups.Results After treatment,the improvement of hiccup symptoms in the observation group was higher than that in the control group (P＜0.05).At 1 d after treatment,the attack frequency and duration were (8.3±2.6) times/d and (10.3±2.6) min/times in the observation group,which were lower than those in the control group of (12.5±1.4) times/d and (14.2±3.5) min/times.At 2 d after treatment,there were no statistically significant differences in the attack frequency and duration between the two groups (P＞0.05).Conclusion Acupressure points combined with foot reflex therapy can effectively improve the attack frequency and duration of hiccup after gastric cancer surgery,and can be used for clinical treatment. 2020 Vol. 27 (35): 177-179 [Abstract] ( 22 ) HTML (1 KB)  PDF  (0 KB)  ( 11 ) 180 Clinical effect of acupoint injection combined with acupoint massage,Antai Ding′ou Prescription on hyperemesis gravidarum ZHANG Yu-lan Objective To explore the clinical effect of acupoint injection combined with acupoint massage,Antai Ding′ou Prescription on hyperemesis gravidarum.Methods A total of 68 patients with hyperemesis gravidarum who were admitted to Nanjing University of Chinese Medicine Affiliated Suzhou Chinese Medicine Hospital from January 2016 to December 2019 were selected and divided into research group(34 cases,acupoint injection combined with acupoint massage,Antai Ding′ou Prescription) and control group (34 cases,acupoint injection).The recovery days,motilin levels and curative effect of patients with hyperemesis gravidarum between groups were compared.Results The recovery days of patients with hyperemesis gravidarum in research group of (3.17±0.58) d was shorter than that in the control group of(5.48±0.72) d,the difference was statistically significant (P＜0.05);motilin of (134.78±10.48) ng/L was higher than that of the control group of (97.42±8.27) ng/L,the difference was statistically significant (P＜0.05).The total effective rate(100.00%) after diagnosis and treatment in the research group was higher than that of the control group (82.35%),the difference was statistically significant (P＜0.05).Conclusion Acupoint injection combined with acupoint massage and Antai Ding′ou Prescription therapy can help improve the level of motilin in patients with hyperemesis gravidarum during pregnancy,reduce the number of days of recovery,and have good application value. 2020 Vol. 27 (35): 180-182 [Abstract] ( 21 ) HTML (1 KB)  PDF  (0 KB)  ( 10 ) 183 Professor LI Yi-qun′s experience in traditional Chinese medicine rehabilitative treatment of traumatic fracture OU Zhi-jian ；QIU Hua-yao ；HUANG Si-cong； ZHENG Fu-qi； MIAO Jie-jia Traumatic fracture and its complications have a serious impact on patients′ health and lives.In order to reduce complications of fracture and promote the rehabilitation of patients.Professor LI Yi-qun summed up the experience of fractured rehabilitation with traditional Chinese medicine differentiation in clinical practice.Professor LI stressed that rehabilitative treatment should run through the whole course of fracture,and should be implemented as early as possible.He also advocated some characteristics treatments of traditional Chinese medicine such as emotional therapy,cold compress therapy,functional exercise,massage,warm compress therapy,fumigation and washing with traditional Chinese herbs,acupuncture and taking traditional Chinese medicine,which based on the principle of three stages in syndrome differentiation and treatment of fracture.It was believed that multi-mode traditional Chinese medicine syndrome differentiation and rehabilitative treatments had a good clinical effect,and reflected the unique advantages of traditional Chinese medicine treatment of traumatic fracture. 2020 Vol. 27 (35): 183-186 [Abstract] ( 28 ) HTML (1 KB)  PDF  (0 KB)  ( 12 ) 187 Effect of Tongjing Huoluo Jianpi Recipe combined with Pioglitazone Hydrochloride on blood glucose and blood lipid in type 2 diabetes mellitus patients with hyperlipidemia YU Chao-fu；WANG Fei； LI Guo-ying； LIU Guo-han Objective To investigate the effect of Tongjing Huoluo Jianpi Recipe combined with Pioglitazone Hydrochloride on blood glucose and blood lipid in type 2 diabetes mellitus (T2DM) patients with hyperlipidemia.Methods A total of 60 T2DM patients with hyperlipidemia who were treated in the First Affiliated Hospital of Jiangxi Medical College from January 2018 to June 2019 were selected as subjects,and divided into two groups according to random number table method,with 30 cases in each group.All patients were given basic treatment,control group orally took Pioglitazone Hydrochloride,and treatment group was treated with Tongjing Huoluo Jianpi Recipe based on control group.Both groups were treated for 3 months.The clinical efficacy,blood glucose (fasting blood glucose [FPG],2 h postprandial blood glucose [2 h PG],glycated hemoglobin [HbA1c]),blood lipids (triacylglycerol [TG],serum total cholesterol [TC],low density lipoprotein cholesterol [LDL-C]and high-density lipoprotein cholesterol [HDL-C]),high-sensitivity C-reactive protein (hs-CRP) levels and the total incidence of adverse reactions before and after treatment between the two groups were observed.Results The total effective rate of patients in the treatment group was higher than that in the control group,and the difference was statistically significant (P＜0.05).After 3 months of treatment,FPG,2 h PG and HbA1c levels in both groups were lower than those before treatment,and FPG,2 h PG and HbA1c levels in the treatment group were lower than those in the control group,with statistically significant differences (P＜0.05).After 3 months of treatment,TG,TC,LDL-C and hs-CRP levels in the two groups were lower than those before treatment,HDL-C levels was higher than that before treatment,the TG,TC,LDL-C and hs-CRP levels in the treatment group were lower than those in the control group,and HDL-C level was higher than that in the control group,with statistically significant differences (P＜0.05).The total incidence of adverse reactions in the treatment group was lower than that in the control group,and the difference was statistically significant (P＜0.05).Conclusion Tongjing Huoluo Jianpi Recipe combined with Pioglitazone Hydrochloride in treatment of T2DM patients with hyperlipidemia can effectively regulate the levels of blood glucose and blood lipid,decrease the level of hs-CRP,and reduce the incidence of adverse reactions,which has better curative effects and safety. 2020 Vol. 27 (35): 187-190 [Abstract] ( 21 ) HTML (1 KB)  PDF  (0 KB)  ( 9 ) 191 Effect of Zhibai Dihuang Pills combined with Compound Metronidazole Vaginal Suppository in the treatment of vaginitis QIU Wen-fang； DAI Juan；LIU Ju-ying Objective To explore the effect of Zhibai Dihuang Pills combined with Compound Metronidazole Vaginal Suppository in the treatment of vaginitis and its influence on inflammatory factors.Methods A total of 100 patients with vaginitis admitted to the Medical Examination Department of Ganzhou Maternity and Child Health Hospital from June 2018 to December 2019 were selected as the study objects,they were divided into the observation group and the control group according to different treatment methods,with 50 cases in each group.The control group received compound Metronidazole Vaginal Suppository treatment,the observation group received Zhibai Dihuang Pills combined with Compound Metronidazole Vaginal Suppository.The treatment efficiency,serum tumor necrosis factor-α(TNF-α)，interleukin-10(IL-10)，vaginal pH changes before and after treatment and vaginal cleanliness after treatment were compared between the two groups.Results The total effective rate of the observation group was higher than that of the control group,the difference was statistically significant (P＜0.05).Before treatment,there were no statistically significant differences in TNF-α、IL-10 and vaginal pH between the two groups (P＞0.05).After treatment,the levels of TNF-α,IL-10 and vaginal pH in the observation group were lower than those in the control group,the differences were statistically significant(P＜0.05).After treatment,the proportion of normal vaginal cleanliness in the observation group was higher than that in the control group,and the difference was statistically significant (P＜0.05).Conclusion Zhibai Dihuang Pills combined with Compound Metronidazole Vaginal Suppository has a significant effect on the treatment of vaginitis,which can reduce the level of inflammatory factors and vaginal pH,and gradually restore the cleaning ability of vagina. 2020 Vol. 27 (35): 191-193 [Abstract] ( 22 ) HTML (1 KB)  PDF  (0 KB)  ( 9 ) 194 Effect of integrated traditional Chinese and Western medicine on peptic ulcer WANG Yan Objective To investigate the clinical efficacy of peptic ulcer treated by the combination of traditional Chinese and Western medicine.Methods A total of 200 patients with peptic ulcer admitted in the Second Affiliated Hospital of Shenyang Medical College from January 2018 to November 2019 were selected as the research objects,and they were divided into observation group and control group according to the computer random number method,100 cases in each group.The patients in the control group were treated with triple therapy of Western medicine alone,and the patients in the observation group were treated with integrated Chinese and Western medicine.The clinical effect,Helicobacter pylori (Hp) clearance rate,adverse reaction rate and recurrence rate of 6 months follow-up were compared between the two groups.Results The total effective rate of the observation group was 97.00%,higher than that of the control group (77.00%),and the difference was statistically significant (P＜0.05).The Hp clearance rate in the observation group was 88.00%,higher than 71.00% in the control group,and the difference was statistically significant (P＜0.05).The total incidence of adverse reactions in the observation group was 9.00%,lower than that in the control group(23.00%),with statistically significant difference (P＜0.05).There was no significant difference in the recurrence rate between the two groups after 6 months of follow-up (P＞0.05).Conclusion The treatment of peptic ulcer patients with combination of Chinese and Western medicine can improve the curative effect and eliminate Hp better than that of single western medicine. 2020 Vol. 27 (35): 194-196转200 [Abstract] ( 21 ) HTML (1 KB)  PDF  (0 KB)  ( 11 ) 197 Application effect of fumigation and sitting bath on postoperative pain of perianal abscess with Compound Gallnut Lotion WU Fan；TANG Zhi-jun Objective To observe the application effect of fumigation and sitting bath on postoperative pain of perianal abscess with Compound Gallnut Lotion.Methods A total of 120 patients admitted to Changde First Hospital of Traditional Chinese Medicine from June 2018 to March 2019 who underwent perianal abscess incision and drainage were selected as the research objects,and they were divided into the experimental group (60 cases) and the control group (60 cases) according to the random alphabet method.On the basis of conventional dressing and anti-inflammatory treatment,the experimental group received fumigation sitz bath with Compound Gallnut Lotion,the control group received sitz bath with potassium permanganate,the visual analogue score (VAS),quality of life score before treatment and after 2,8,14 days of treatment and clinical efficacy were compared between the two groups.Results Before treatment,there were no statistically significant differences in the VAS and quality of life scores between the two groups (P＞0.05).After 2,8,14 days of treatment,VAS scores were lower in both groups than those before treatment,and quality of life scores were higher in both groups than those before treatment,and after 2,8,14 days of treatment,VAS scores in the experimental group were lower than those in the control group,and life quality scores in the experimental group were higher than those in the control group,the differences were statistically significant (P＜0.05).The total effective rate of the experimental group was higher than that of the control group,the difference was statistically significant (P＜0.05).Conclusion After perianal abscess surgery,the use of Compound Gallnut Lotion fumigation sitz bath can reduce postoperative pain,improve the quality of life of patients after surgery,and improve the treatment effect. 2020 Vol. 27 (35): 197-200 [Abstract] ( 22 ) HTML (1 KB)  PDF  (0 KB)  ( 11 ) 201 Analysis of influencing factors on the quality of life of cancer patients in Guizhou around ten years NI Ting-ting ；WANG Zi； TAN Shi-sheng； ZHANG Han-qun； YANG Zi-rong； YANG Xuan ；LI Xin Objective To explore the influencing factors of quality of life of cancer patients in Guizhou around ten years.Methods From September 2005 to October 2006 and October 2015 to February 2016,104 and 112 oncology patients were selected from the oncology departments of the third-class A hospitals in Guizhou Province.The european quality of life core scale [EORTC QLQ-C30 (V3.0)]questionnaire manual was used to investigate the quality of life and its influencing factors.Results Ten years later,the overall quality of life of cancer patients in Guizhou was higher than ten years ago,and eleven factors such as fatigue,constipation,economic difficulties,emotional function,physical function,shortness of breath,Chinese medicine,informed manner,informed situation,hemoglobin,cost,C-reactive protein(CRP) had significant effects on the overall quality of life,the differences were statistically significant (P＜0.05).Conclusion Currently,the quality of life of cancer patients in guizhou is significantly improved compared with that of ten years ago.Timely nutritional intervention is important to improve the quality of life and prognosis of cancer patients. 2020 Vol. 27 (35): 201-205 [Abstract] ( 20 ) HTML (1 KB)  PDF  (0 KB)  ( 10 ) 206 Effect of pulmonary tuberculosis patients by WeChat platform health education WU Ying-tao ；YAN Cui-ting； CHEN Jia-li； LI Xiao-xian Objective To explore the effect of pulmonary tuberculosis patients by WeChat platform health education.Methods A total of 60 cases pulmonary tuberculosis patients admitted to Yunfu Chronic Disease Prevention Center from July 2018 to September 2019 were selected as the research subjects.According to the random paper method,they were divided into control group (30 cases) and detection group (30 cases).General health education in control group was employed,WeChat platform health education in detection group was employed.The life quality scores of two group before intervention and after intervention,cognitive assessment and nursing service satisfaction were compared.Results There were no significant differences in fitness (PF),role-physical (RP),general health (GH),body pain (BP),vitality(VT),rolr-emotional (RE),social functioning (SF) and mental health (MH) of patients between the two groups before intervention (P＞0.05).After intervention,the PF,RP,GH,BP,VT,RE,SF,and MH in the two groups were higher than those in the same group before intervention,there were statistical significances (P＜0.05).After intervention,the PF,RP,GH,BP,VT,RE,SF,and MH in patients in detection group were higher than those of the control group,there were statistical significances (P＜0.05).Cognitive level understanding rate of detection group was higher than that of control group,the scores of attitude towards nursing service,expertise,nursing and mission effectiveness result in detection group were higher than those in control group,the differences were statistically significant (P＜0.05).Conclusion The application of pulmonary tuberculosis patients by WeChat platform health education,which could increase life quality and cognitive level,improve nursing service satisfaction,it is worth to be used. 2020 Vol. 27 (35): 206-209 [Abstract] ( 18 ) HTML (1 KB)  PDF  (0 KB)  ( 9 ) 210 Comparison of nurses′ job burnout and mental health status in hospitals of different grades in Wuhu City XU Lei ；XIA Zhong Objective To explore nurses′ job burnout and mental health status in hospitals of different grades in Wuhu City.Methods A total of 582 nurses from 13 hospitals of different grades in Wuhu City from January to June 2019 were selected by random sampling method.According to the different grades of hospitals,the nurses were divided into three groups,105 cases in the primary hospital group,225 cases in the secondary hospital group and 252 cases in the tertiary hospital group.All of them were investigated by nursing burnout scale (NBS),self-rating anxiety scale (SAS)and self-rating depression scale (SDS).Results The NBS total score,scores of common source of stress,nurses′ job burnout and scores of SAS among three groups,the differences were statistically significant (P＜0.05).The total scores of NBS,common source of stress,nurses′ job burnout and the scores of SAS in the tertiary hospital group were higher than those of the secondary and primary hospital groups,the differences were statistically significant (P＜0.05).The total scores of NBS,common source of stress,nurses′ job burnout and the scores of SAS in the secondary hospital group were higher than those of primary hospital group,the differences were statistically significant (P＜0.05).Pearson correlation analysis showed that SAS scores of nurses in all grade hospitals were positively correlated with total score of NBS(P＜0.05).Conclusion The higher the grade of the hospital the stricter the management of nurses.The greater the work pressure of nurses,the more serious their nurse′job burnout and the worse their mental health. 2020 Vol. 27 (35): 210-212 [Abstract] ( 24 ) HTML (1 KB)  PDF  (0 KB)  ( 12 ) 213 Application value of risk management model in the nursing care of elderly patients with stress injury WANG Ping； PENG Qi-qi ；BU Jin-zhi ；QI Chun； LIU Zhuo ；TANG Fang ；WANG Yan-hua； CHEN Fa-chun Objective To explore the value of risk management model in the nursing care of elderly patients with stress injury.Methods From January 2017 to April 2019,126 patients ≥60 years old with pressure injury who were admitted to Pingxiang Second People′s Hospital were randomly selected as subjects.They were divided into two groups by lottery,with 63 patients in each group.The control group implemented the nursing mode of routine stress injury,and the study group implemented the risk management mode.The efficacy,stages of stress injury,awareness rate of knowledge of stress injury and nursing satisfaction were compared between the two groups.Results After intervention,the total effective rate of the study group (96.83%) was higher than that of the control group (82.54%),with statistically significant difference (P＜0.05).After intervention,the stage of stress injury in the study group was better than that in the control group,with statistically significant difference (P＜0.05).After intervention,the knowledge awareness rate of stress injury in the study group (96.83%) was higher than that in the control group (85.71%),the difference was statistically significant (P＜0.05).The nursing satisfaction score of the study group was higher than that of the control group,the difference was statistically significant (P＜0.05).Conclusion Applying the risk management model to the nursing management of elderly patients with stress injury can pay attention to prospective control,pay attention to post analysis,and draw up individualized standardized nursing plan of stress injury according to the actual situation of patients,which is helpful to improve the standardization,pertinence and comprehensiveness of nursing measures,so as to realize virtuous circle,improve nursing quality and promote early recovery of patients. 2020 Vol. 27 (35): 213-217 [Abstract] ( 28 ) HTML (1 KB)  PDF  (0 KB)  ( 10 ) 218 Protection strategy of cytotoxic drugs in pharmacy intravenous admixture services YANG Peng ；HE Yong； WANG Rong-juan； WANG Hui； ZHONG Wen-hui In this paper,the occupational hazards of cytotoxic drugs are clarified based on the relevant literature in recent year,combined with the characteristics of pharmacy intravenous admixture services (PIVAs),from the centralized cytotoxic drug intravenous configuration process and occupational protection,etc.In order to improve the risk prevention ability of PIVAs staff and avoid occupational hazards,specific protection strategies are proposed.Cytotoxic drugs have certain occupational hazards,and it is necessary to standardize the preparation and operation methods.The staffs of the intravenous drug preparation center need to continuously improve their risk prevention capabilities and awareness of standard operation to minimize occupational hazards and ensure their own safety. 2020 Vol. 27 (35): 218-220 [Abstract] ( 21 ) HTML (1 KB)  PDF  (0 KB)  ( 16 ) 221 Influence of systemic nursing on awakening period of general anesthesia indicators and adverse reactions of children with dental caries treatment LI Mei-yuan； LIU Jing-xian ；ZHANG Jing Objective To explore the effect of systematic nursing on children with dental caries treatment.Methods A total of 84 children who were treated for dental caries under general anesthesia in Foshan Maternity and Child Health Hospital,Guangdong Province from July 2019 to May 2020 were selected as the research subjects.They were divided into observation group (n=42) and control group (n=42) according to the random number table method.In the control group,routine nursing was used,and in the observation group,pediatric patients received systematic nursing on the basis of the control group.The postoperative physiological stress indicators,agitation and pain scores,and the occurrence of adverse reactions were compared between the two groups.Results In the observation group,heart rate,respiratory rate,systolic blood pressure,and diastolic blood pressure were (79.13±3.59) breaths/min,(24.11±2.57) breaths/min,(132.98±5.32)mmHg,(74.46±4.50)mmHg,lower than those of the control group of(85.55±3.11) breaths/min,(28.74±2.25) breaths/min,(140.56±6.71) mmHg,(81.32±5.38) mmHg,and the differences were statistically significant (P＜0.05).The scores of the restlessness and pain in the observation group were(7.10±1.52)and(3.21±0.57)points,lower than those in the control group of (10.54±2.18) and (4.14±0.81) points,and the differences were statistically significant (P＜0.05).The total incidence of adverse reactions in the observation group was 4.76%,lower than that in the control group accounting for 21.43%,and the difference was statistically significant (P＜0.05).Conclusion Systematic nursing can stabilize the stress indicators (heart rate,respiratory rate,and blood pressure) during awakening period of general anesthesia in children with dental caries treatment,alleviate restlessness and pain,and reduce adverse reactions.It is worthy of application. 2020 Vol. 27 (35): 221-223 [Abstract] ( 24 ) HTML (1 KB)  PDF  (0 KB)  ( 10 ) 224 Application effect of integrated medical and nursing mode in thyroid microwave ablation HUANG Meng-juan； DENG Shu-hong；JIANG Xiao-xia Objective To explore the application effect of integrated medical and nursing mode in thyroid microwave ablation.Methods The clinical data of 65 patients undergoing microwave thyroid ablation in the Fourth Affiliated Hospital of Nanchang University from January 2016 to June 2017 were retrospectively analyzed.The patients who carried out the nursing intervention of the integrated medical and nursing model were classified as the observation group (n=33).Patients with nursing intervention were classified as control group (n=32).The operation-related indicators,nursing satisfaction,intraoperative pain and postoperative complications were compared between the two groups.Results The operation time,the hospitalization time of the observation group were shorter than that of the control group,the total operation bleeding was less than that of the control group,the differences were statistically significant (P＜0.05).The total nursing satisfaction score of the observation group was higher than that of the control group,the visual analog scales(VAS) score was lower than the control group,and the differences were statistically significant (P＜0.05).The total complication rate of the observation group was lower than that of the control group,but the difference was not statistically significant (P＞0.05).Conclusion The thyroid microwave ablation of patients with integrated medical and nursing care can shorten the operation time,reduce body trauma,reduce pain,reduce complications,and improve nursing satisfaction. 2020 Vol. 27 (35): 224-226 [Abstract] ( 22 ) HTML (1 KB)  PDF  (0 KB)  ( 9 ) 227 Application effect of role playing technology in rehabilitation nursing of patients with bipolar disorder WANG Jing ；WANG Qun-ying Objective To explore the application effect of role-playing technology in rehabilitation nursing of bipolar ma nia patients.Methods A total of eighty patients with bipolar mania hospitalized in Jiujiang Fifth People′s Hospital,Jiangxi Province from June 2018 to June 2020 were selected as study subjects.According to the random number table method,they were divided in to the control group and the study group,40 cases in each group.The control group received routine rehabilitation nursing,based on this,the study group was given role-playing training,for three weeks,the rehabilitation effects of the two groups were compared.Results Mania scale (BRMS) score and World Health Organization quality of life scale (WHOQOL-100) scores before training in both groups were compared,the differences were not statistically significant (P＞0.05).The BRMS score of the study group after training was (7.94±1.69) points,lower than that in the control group of (10.05±2.27) points,the difference was statistically significant (P＜0.05).Whoqol-100 scores of the study group after training was (344.78±26.02) points,higher than that in the control group of (318.06±23.67) points,the difference was statistically significant (P＜0.05).Conclusion Role playing technology has high application value in rehabilitation nursing of bipolar mania patients.It alleviates the mania,reduce the impact of disease on patients′ quality of life. 2020 Vol. 27 (35): 227-229 [Abstract] ( 26 ) HTML (1 KB)  PDF  (0 KB)  ( 13 ) 230 Application effect of nursing intervention mode guided by Omaha system in preventing postpartum depression CHEN Lan； WU Jiang-ying ；TANG Hui-jia Objective To explore the application effect of nursing intervention mode under the guidance of Omaha system in preventing postpartum depression.Methods A total of 60 parturients who gave birth in Jiujiang Maternal and Child Health Hospital,Jiangxi Province from December 2017 to December 2018 were selected and divided into two groups according to the random number table method,30 cases in each group.In the control group,routine nursing was used,and in the observation group,nursing intervention guided by the Omaha system was adopted.The depression score,sleep quality and quality of life between the two groups were compared.Results There was no statistical difference in depression scores between the two groups before the intervention (P＞0.05).After 12-month intervention,the depression scores of the two groups were lower than before the intervention,the depression score in the observation group was (8.19±1.54) points after 12-month intervention,lower than that in the control group of (11.33±1.98) points,with statistical differences (P＜0.05).Before intervention,there was no statistical difference in the sleep quality between the two groups (P＞0.05).The sleep quality scores after 12-month intervention were lower than those before the intervention in the two groups,12-month sleep quality in the observation group score was (7.13±1.57) points,lower than the control group of (9.43±1.28) points,with statistical differences (P＜0.05).In the observation group,after 12-month intervention,the scores of physiological function,mental state,social function,and emotional function were (72.39±5.42),(66.71±5.17),(70.49±6.38),(68.45±4.98) points,higher than those of the control group of (67.53±5.52),(59.83±5.64),(64.23±6.32),(62.49±5.29) points,the differences were statistically significant (P＜0.05).Conclusion Nursing intervention under the guidance of the Omaha system is beneficial to prevent postpartum depression in parturients,improve their sleep quality and quality of life,and is worthy of clinical application. 2020 Vol. 27 (35): 230-232转236 [Abstract] ( 23 ) HTML (1 KB)  PDF  (0 KB)  ( 11 ) 233 Application effect of fast track surgery nursing in perioperative nursing of elderly patients with total hip replacement WANG Bao-ying ；LI Hai-ping ；LIU Ke-meng ；CHEN Yong-chang ；HUANG Ju-fen； CHEN Pei-fang ；ZHANG Yun-hang ；LIANG Wei-ting Objective To explore the clinical application effectof fast track surgery (FTS) nursing in the perioperative period of elderly patients with total hip replacement.Methods A total of 60 patients who underwent total hip replacement surgery in Zhaoqing Hospital of Traditional Chinese Medicine,Guangdong Province from January 2018 to March 2020 were selected as the research objects,and they were divided into control group and test group according to the random principle,30 cases in each group.The control group adopted the traditional nursing methods,while the test group was implemented with FTS nursing.The hospitalization time,hip function,postoperative complications and nursing satisfaction were observed and compared between the two groups.Results The postoperative hip function score of the test group was better than that of the control group,the difference was statistically significant (P＜0.05).The hospitalization time was shorter than that of the control group,and the total postoperative complications were lower than that of the control group,total nursing satisfaction was higher than that of the control group,the differences was statistically significant (P＜0.05).Conclusion FTS nursing can promote the recovery of postoperative hip function,reduce the occurrence of complications,shorten the length of hospital stay,and significantly increase the satisfaction of patients with clinical care.It is conducive to reducing the economic burden on patients and is easy to operate.It should be popularized and applied in clinic. 2020 Vol. 27 (35): 233-236 [Abstract] ( 18 ) HTML (1 KB)  PDF  (0 KB)  ( 9 ) 237 Effect of improved nutrition management on nutritional status and blood glucose in patients with type 2 diabetic nephropathy WU Li-hua； YANG Hai-xia Objective To investigate the effect of improved nutrition management on nutritional status and blood glucose in patients with type 2 diabetic nephropathy (DN).Methods A total of 60 patients with type 2 DN who were received in Fuzhou First People′s Hospital,Jiangxi Province from October 2017 to November 2019 were selected as the research subjects,and they were divided into two groups according to random number table method,30 cases in each group.The control group was given routine nutrition management,and observation group was given improved nutrition management.The nutritional status,renal function indexes (body mass index [BMI],glycated hemoglobin [HbA1c],blood urea nitrogen [BUN]and blood glucose were compared between two groups before treatment and after treatment for 2 months.Results There was no statistical difference in the BMI,BUN and HbA1c between two groups before nursing (P＞0.05).The BMI of two groups after nursing was higher than that before nursing,the HbA1c and BUN after nursing were lower than those before nursing,the BMI of observation group was higher than that of control group after nursing,and the HbA1c and BUN in observation group were lower than those in control group,the fasting blood glucose and postprandial 2 h blood glucose in two groups after nursing were lower than those before nursing,and observation group was lower than control group,the differences were statistically significant (P＜0.05).Conclusion Improved nutrition management for patients with type 2 DN can improve nutritional status and renal function,and control blood glucose,which is worthy of clinical promotion and application. 2020 Vol. 27 (35): 237-239 [Abstract] ( 19 ) HTML (1 KB)  PDF  (0 KB)  ( 16 ) 240 Application value of curved supine position nursing mode in orthopedic long-term bedridden patients YANG Jin-di； YU Wan-jing； XIE Yan Objective To investigate the application value of curved supine position nursing mode in orthopedic longterm bedridden patients.Methods A total of 60 patients with lower limb fracture who underwent orthopedic surgery in Shangrao Fifth People′s Hospita,Jiangxi Province from November 2019 to March 2020 were selected.All the patients were divided into the control group and the observation group according to random number table method,30 cases in each group.The routine nursing was performed in the control group after orthopedic surgery,while the curved supine position nursing mode was performed in the observation group on the basis of routine nursing.The incidence of pressure ulcer,the score of Kolcaba general comfort questionnaire (Kolcaba),hospital stays,and medical expense were compared between the two groups.Results The incidence of pressure ulcer in the observation group was lower than that in the control group during intervention,with statistical difference (P＜0.05).The Kolcaba scores of the two groups after intervention were higher than those before intervention,and Kolcaba score of observation group was higher than that of the control group,with statistical differences (P＜0.05).The postoperative hospital stays in the observation group was shorter than that in the control group,medical expense in the observation group was lower than that in the control group,with statistical differences (P＜0.05).Conclusion Curved supine position nursing mode in orthopedic long-term bedridden patients can decrease the incidence of pressure ulcer,improve the comfort status,shorten hospital stays,and reduce surgery cost,which has better application effect. 2020 Vol. 27 (35): 240-242 [Abstract] ( 22 ) HTML (1 KB)  PDF  (0 KB)  ( 13 ) 243 Application effect of comfort nursing in combination artificial liver therapy for patients with liver failure HU Ya-li；GAN Teng-yu；FU Qiao-shan Objective To explore the application effect of comfort nursing in the treatment of liver failure patients with combined artificial liver.Methods A total of 46 patients with combined artificial liver for liver failure who were admitted to Shangrao Second People′s Hospital from January 2018 to January 2020 were selected as the research objects.According to different nursing content,they were divided into control group (23 cases) and comfort group (23 cases).The control group used conventional nursing intervention,while patients in the comfort group received comfort nursing services.The comfort,health knowledge mastery,emotional state and satisfaction of the two groups were compared.Results The comfort and health knowledge mastery scores of the comfort group were higher than those of the control group,the anxiety assessment scale (SAS) and depression assessment scale (SDS) scores were lower than those of the control group,and the nursing total satisfaction was higher than that of the control group,the differences were statistically significant (P ＜0.05).Conclusion Taking comfort care can effectively improve the comfort,mastery of health knowledge and satisfaction of patients with liver failure combined with artificial liver,and improve the mood of patients.The clinical application effect is significant. 2020 Vol. 27 (35): 243-245 [Abstract] ( 22 ) HTML (1 KB)  PDF  (0 KB)  ( 13 ) 246 Effect of health education clinical nursing pathway applied to diabetes clinical nursing DU Na-na； CHEN Fang-fang Objective To explore the clinical nursing path of health education in the clinical nursing of diabetes.Methods From April 2016 to April 2017,98 cases of diabetic patients treated in Beijing Aerospace General Hospital were selected as the research objects,according to the draw method randomly divided into control group (n=49) and observation group (n=49).The control group were treated by the traditional mode of conventional nursing care,the observation group used clinical nursing health education model,fasting blood glucose,blood sugar 2 hours after meal changes,clinical patients satisfaction of nursing and complications were compared between two groups.Results After nursing,fasting blood glucose,2 h postprandial blood glucose level of the observation group were lower than those of the control group,the differences were statistically significant (P＜0.05),total nursing satisfaction of the observation group was higher than that of the control group,the difference was statistically significant (P＜0.05),the total incidence of complications in observation group was lower than that of the control group,the difference was statistically significant(P＜0.05).Conclusion Patients with diabetes in clinical nursing,the application of clinical nursing path of nursing health education effect is superior to the conventional nursing,improve the patien′s blood sugar level,improve the patients satisfaction of clinical nursing.It has clinical significance. 2020 Vol. 27 (35): 246-248转252 [Abstract] ( 18 ) HTML (1 KB)  PDF  (0 KB)  ( 15 ) 249 Effect of crude fiber diet on blood glucose level in type 2 diabetes mellitus WU Mei-fang； ZHU Lin Objective To investigate the effect of crude fiber diet on blood glucose of type 2 diabetes mellitus (T2DM).Methods A total of 78 patients with T2DM treated in Yunfu People′s Hospital,Guangdong Province from January 1 to June 30,2019 were selected.The patients were divided into the study group (37 cases) and the control group (41 cases)according to the admission odd-even number.On the premise that the total diet of the two groups was unchanged,the study group replaced staple food with 50% or more coarse dietary fiber every day,while the control group did not change their diet structure.Changes in blood glucose levels,glycated hemoglobin,and hypoglycemic complications were recorded.Results The four-segment blood glucose levels of the study group,including fasting,2 hours after breakfast,2 hours after lunch and 2 hours after dinner,were lower than those of the control group,the differences were statistically significant (P＜0.05).Before discharge,the glycated hemoglobin of study group was lower than that of control group,the differences were statistically significant (P＜0.05).The incidence of hypoglycemia in the study group was higher than that in the control group during hospitalization,there was no statistically significant difference (P＞0.05).Conclusion The main crude fiber diet can effectively control the level of blood sugar in patients with diabetes;determination of curative effect of crude dietary fiber diet combined with medicine in treating diabetes.The incidence of hypoglycemic complications increased,so the main crude fiber diet is to do a good job to prevent hypoglycemic complications related measures to avoid the risk of serious hypoglycemia in hospitalized patients with diabetes. 2020 Vol. 27 (35): 249-252 [Abstract] ( 18 ) HTML (1 KB)  PDF  (0 KB)  ( 10 )

Copyright © Editorial Board of 中国当代医药 Supported by:Beijing Magtech