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中国医学创新

2015 Vol.12,No.03

Published 2015-01-25

LI Xiaoping,GUO Hui,XIA Kun.

Objective:To investigate the relationship between the rs10244837, rs7794745, rs10500171 SNPs of the CNTNAP2 gene and autism in Han Chinese.Method:The rs10244837, rs7794745, rs10500171 SNPs of CNTNAP2 was genotyped by PCR-RFLP in individuals with autism and normal subjects. An association study was performed used the data of genotyping.Result:The frequencies of the genotypes rs10244837, rs7794745, rs10500171 SNPs were in Hardy-Weinberg equilibrium( HWE)( P>0.05).There were no significant differences in allele frequency and
haplotypes frequencies distribution of the CNTNAP2 gene between the autisms group and normal control group( P>0.05). Conclusion:The SNPs rs10244837, rs7794745, rs10500171 of CNTNAP2 gene were not association with autism in Han Chinese.

2015 Vol. 12 (03): 1-3 [Abstract]( 683 HTML (1 KB)  PDF  (665 KB)  ( 202 )

ZHU Ying-qun,LIU Wei,ZHANG Ping,et al.

Objective:To analyze and observe patients with chronic obstructive pulmonary ary disease( COPD) exacerbation of emphysema phenotype of clinical features.Method:98 COPD patients were selected from July 2012 to April 2013, and check corresponding HRCT, visual grading method based on HRCT findings and combined with emphysema( or references) the patients were divided into two groups, one score in patients within 0-8 points were
divided into a group, as a group without emphysema, scores in patients within 8-24 points are divided into a group, a set of emphysema. the clinical data of two groups of patients were collected and analyzed and compared.Result: Two groups of patients in the gender composition, arterial blood oxygen partial pressure( PaO2) and forced expiratory volume in 1 second( FEV1) expected % percentage had no significant difference(P>0.05). Two groups of patients for age, body mass, arterial blood CO2 partial pressure( PaCO2) and forced expiratory volume in 1 second( FEV1)/forced vital capacity (FVC) had significant differences( P<0.05).Conclusion:COPD patients with emphysema may reflect the severity of the
disease, also provide the basis for the treatment of COPD.

2015 Vol. 12 (03): 4-6 [Abstract]( 636 HTML (1 KB)  PDF  (665 KB)  ( 263 )

LI Hai-hua,HU Zhen-long,YIN Huan,et al.

Objective:To investigate the mental health states of medical staff in Hechuan district of Chongqing. Method:Totally 570 medical staff were enrolled for Symptom Checklist 90( SCL-90) test. The subjects with SCL-90 score >160 were considered as under abnormal psychological health. The total score of SCL-90, as well as the scores of somatization, obsession,sensitivity to personal relationship, depression, anxiety, hostility, dread, paranoid-ideation and psychotics, was computed and compared with statistic methods.Result:The results showed that the rate of medical staff was 18.95%( 108/570), while for the clinical nurses, clinicians, medical staff in the district units and in town units, the rates of abnormal health were estimated to be 23.20%( 58/250), 15.63%( 50/320), 25.60%( 75/293) and 11.91%(33/277) respectively. The scores of multiple factors were obviously different between the medical staff in this district and the national norm. The SCL-90 scores of the medical staff in the district units showed a marked higher than those in town units(P<0.01). The obsession, depression, anxiety, hostility and the total scores of clinical nurses were obviously higher than those of clinicians(P<0.01),and psychotics scores showed a difference between the two groups(P<0.05),while there were no significant differences in somatization, sensitivity to personal relationship,dread and paranoidideation scores(P>0.05).Conclusion:The mental health status of the medical staff were in a poor state in the district. The medical staff in the district units had more psychological problems than those in the town units; clinical nurses were in worse mental health states compared to clinicians.

2015 Vol. 12 (03): 7-9 [Abstract]( 488 HTML (1 KB)  PDF  (665 KB)  ( 227 )

LI Peng-lin,ZHANG Qiang.

Objective:To detect the S100B protein change levels in cerebrospinal fluid(Cerebrospinal fluid,CSF) and serum after moderate and severe craniocerebral injury to study the time correlation of levels in cerebrospinal fluidand serum. Method:48 cases were selected as the control group, the levels of S100B protein in serum and cerebrospinalfluid were determined. 96 patients with moderate and severe craniocerebral niocerebral injury( GCS 6-12 scores) were selected,
their serum and cerebrospinal fluid were collected and the concentration of S100B protein,1,3,5,7,14,21 drespectively after injury were detected.Result:After moderate and severe craniocerebral injury,the levels of S100Bprotein in the serum and Cerebrospinal fluid of patients changed with time. The peaks of S100B protein in CSF and serumwere both occurrrd at the first day and the third day after injury, CSF and serum S100B protein levels were higher than
control group , the difference was statistically significant(P<0.05) at each time points, the S100B protein levels inCSF and serum existed a certain correlation after a period time of injury.Conclusion:The levels of S100B protein incerebrospinal fluid and serum are closely related with each other, but this correlation gradually reduced as the time goneby.

2015 Vol. 12 (03): 10-12 [Abstract]( 662 HTML (1 KB)  PDF  (674 KB)  ( 414 )

CHEN Bing

Objective: To investigate the value of multi-slice CT imaging in the diagnosis and preoperative bladder cancer before staging.Method: 83 cases of preoperative staging of bladder cancer diagnosis treatment in our hospital from May 2008 to June 2012 were retrospective analyzed, all patients were two-dimensional ultrasound scanning and multi-slice CT imaging scan( referred to as spiral CT ) detected by two experienced physicians read the piece doubleblind
method and preoperative staging of bladder cancer T, statistical analysis of the two detection methods in detection of bladder cancer foci, staging situation.Result:83 cases of bladder cancer, spiral CT detection of various parts of the patients with bladder cancer foci were higher than those detected in the number of two-dimensional ultrasound detection,the former total number of detected foci were significantly higher than the latter, the difference were statistically significant(P<0.05); spiral CT detection of bladder cancer before surgery specificity T staging of 96.38%, a sensitivity of 85.27%,accuracy was 93.34%, a specificity of two-dimensional ultrasound detection of bladder cancer before surgery T staging was 88.54%, the sensitivity was 79.62%, accuracy was 85.81%, significantly higher than the former to the latter, the difference were statistically significant( P<0.05). Conclusion: Spiral CT imaging can be used as an effective method to detect bladder cancer diagnosis, which can effectively improve the accuracy of preoperative T staging of bladder cancer before, helping physicians develop appropriate treatment programs worthy of further promotion.

2015 Vol. 12 (03): 13-15 [Abstract]( 584 HTML (1 KB)  PDF  (665 KB)  ( 202 )

XU Gang.

Objective:To research molecular epidemiology on chlamydozoa trachomatis urogenital tract infection cases in Zhuhai area.Method: 5471 cases which were definitely diagnosed as chlamydozoa trachomatis infection from 2010 to 2013 in our center were collected. They were given multilocus ilocus sequence tying( MLST) research.The tying datas were compared with surgical performance.Result: Zhuhai region had 5471 patients with chlamydia trachomatis infection
in 2010-2013, genital chlamydia trachomatis infection in 1152 cases( 14.98%), urinary tract chlamydia trachomatis infection in 967 cases( 12.57%). 288 cases were A-C chlamydia trachomatis infection, 1710 cases of D-K chlamydia trachomatis infection, 121 cases of L1-L3 chlamydia trachomatis infection.The profession of 1103 patients were analyzed separately, other staff accounted for 53.13%, then was the professional investors or corporate executives, accounted for 35.63%.Conclusion:The distribution of chlamydozoa trachomatis infection is similar to the related research at home and abroad.The distribution of chlamydozoa trachomatis in Zhuhai area is related to job occupation.

2015 Vol. 12 (03): 15-17 [Abstract]( 542 HTML (1 KB)  PDF  (665 KB)  ( 220 )

WANG Jiang-shuan,LI Bian-feng,REN Xiu-hua,et al.

Objective:To investigate the activation of astrocytes in spinal cord of spinal nerve selective ligation(SNL) rats’ mirror-image pain model. Method:The experimental group( n=20) was SNL mirror-image pain model group, the control group( n=20) was SNL model group. Every group was took the L4-L5 spinal cord to make paraffin slices. Labeled the expression of glial fibrillary acidic protein( GFAP) by immunofluorescence method.Result:The positive
cells GFAP marked were increased in the number and the mean fluorescence intensity in the experimental groups’spinal dorsal horn of non-surgical side which had no statistical significance( P>0.05) compared with the surgical side, but had statistical significance( P<0.05) compared with the non-surgical side of the control group. Conclusion:In the neuropathic mirror-image pain, astrocytes were activated and involved the formation and maintenance of mirror pain in the mirror side of the spinal cord.

2015 Vol. 12 (03): 18-20 [Abstract]( 522 HTML (1 KB)  PDF  (681 KB)  ( 217 )

XIAO Zhi-yong,JIN Xin,LAUDON Moshe,et al.

Objective:To assess the potential protective effects of the novel melatonin agonist Neu-240 in the MPTP mouse model of Parkinson’s s disease.Method:Mice received daily injections of saline or MPTP( 30 mg/kg) once perday for five consecutive days to induce Parkinsonism. Vehicle or Neu-240( 0.1 or 3 mg/kg) once per day was administered(i.p.) once per day for 17 days, starting on the first day of MPTP injections. Open field test, pole test and traction test were
conducted on day 14, 15 and 17 after the first injections of MPTP, respectively.Result:Neu-240 at 3 mg/kg improvedbehavioral impairment induced by MPTP in the open field test and traction test but not in the pole test. Neu-240 at 0.1 mg/kgwas effective only in the open field test. Conclusion:The novel melatonin agonist Neu-240 exerts partial protective effects in the MPTP mouse model of Parkinson’s disease.

2015 Vol. 12 (03): 20-23 [Abstract]( 468 HTML (1 KB)  PDF  (758 KB)  ( 264 )

CHEN Xiao-juan,XIAO Zong-yu,PAN Qi,et al.

Objective:To establish a simple, reliable model of middle cerebral artery occlusion-reperfusion model in wistar rats.Method:On the basis of the method of Longa, 60 male wistar rats were randomly divided into two groups, 30 rats in each group. In the experimental group, the proximal part of the right common carotid artery( CCA) was ligated, the distal part of the CCA was clipped, then a small cut was made in CCA, thread was put into the internal carotid artery( ICA) through the cut of CCA to block the blood flow in the right of middle cerebral artery. One hour later,the thread was draw out under the condition of anesthetization, then the distal part of right CCA was ligated. In the control group, the proximal and distal part of the right common carotid artery( CCA) was ligated without putting thread into ICA. After operation, brain tissue was taken out to undergo TTC staining, and neurological deficit sign scores were performed.
Result:The successful rate of modified MCAO/R model was 82.75%, the average time of operation was( 20.4±5.3) min. In the experimental group, the right eye fission was smaller, the left extremities were paralyzed, and animals turn right while walking. The neurological deficit sign score was 3-4, the brain tissue supplied by right middle cerebral artery was pale under TTC staining, the areas of infarction was stable and the average area of infarction was about( 34.62±5.32)%. There was no any neurological deficit in control group, and no positive results under TTC staining.Conclusion:Modified model of wistar rat ischemia-reperfusion injury has been established.

2015 Vol. 12 (03): 24-27 [Abstract]( 665 HTML (1 KB)  PDF  (685 KB)  ( 318 )

LIU Sheng-zhong,TAN Jin,HUANG Ke-li.

Objective: To summarize the clinical experience of the hameochronous bipolar radiofrequency ablation for congenital heart disease associated with atrial fibrillation under the open heart surgery. Method: From April 2008 to March 2009, 4 cases of congenital heart disease patient associated with atrial fibrillation were received the open heart surgery and the hameochronous bipolar radiofrequency ablation operation by cardiopulmonary bypass. The clinical data of 4 cases was analyzed retrospectively. Result: All operation achieved success. Operation time, cardiopulmonary bypass time, aortic clamp time and bipolar radiofrequency ablation operation n time were( 228.25±31.75),( 93.25±22.50),(57.50±20.75) and( 17.75±2.25) minutes respectively. 3 patients were in sinus rhythm after the hearts beated again and 1 patient with ventricular fibrillation returned to sinus rhythm by electric defibrillation. No high degree atrioventricular block and death were found. Postoperative hospital stay was mean( 9.25±1.25) days. All patients were in sinus rhythm when they were discharged from hospital. 4 patients were followed up from 5 to 6 years, and all were keeping in sinus rhythm. The postoperative right atrial diameter was reduced, compared with the preoperative right atrial diameter, the difference was statistically significant(P<0.05). Conclusion: The hameochronous bipolar radiofrequency ablation for congenital heart disease associated with atrial fibrillation under the open heart surgery is a safe procedure, and has a high maintenance ratio of sinus rhythm for long-term.

2015 Vol. 12 (03): 28-30 [Abstract]( 487 HTML (1 KB)  PDF  (665 KB)  ( 166 )

YAN Shu,DU Min,SHAO Ling,et al.

Objective:To observe the charateristics of pathological myopia image , explore the macular morphology change.Method:67 cases( 90 eyes) with pathologic myopia maculopathy were examined by optical coherence tomography( OCT) ,fundus fluorescein angiography( FFA). Indocyanine green angiography( ICGA) was done if need be.Result:The fundus changes of the pathologic myopia were divided into 8 types:(1)pathologic myopia with lacquer
cracks,18 eyes in the 12 cases(20%);(2)pathologic myopia with macular epiretinal membrane,9 eyes in the 6 cases(10%);(3)pathologic myopia with fuchs spots,8 eyes in the 5 cases(8.9%);(4)pathologic myopia with macular hemorrhage,28 eyes in the 22 cases(31.1%);(5)pathologic myopia with macular atrophy,9 eyes in the 14 cases(15.6%);(6)pathologic myopia with macular retinoschisis,6 eyes in the 6 cases(6.7%);(7)pathologic myopia with macular hole,4 eyes in the 4 cases(4.4%);(8)pathologic myopia with retina detachment,3 eyes in the 3 cases(2.7%).Conclusion:OCT can observe microstructure of the macular morphology, but FFA and ICGA is quite useful in identifying the nature of disease,evaluating the progonosis and guiding the treatment.

2015 Vol. 12 (03): 31-33 [Abstract]( 757 HTML (1 KB)  PDF  (687 KB)  ( 374 )

LIU Jing,PENG Ping,WANG Xian-tao.

Objective:To detect the expression of HOST2 lncRNA in epithelial ovarian carcinoma, and analyze its clinical significance.Method:The HOST2 expression of epithelial ovarian cancer , epithelial borderline tumor and epithelial ovarian normal tissues were detected by the PCR method. Clinical significance differences in the expression of HOST2 lncRNA in different ovarian tissue was analyzed.Result:Expression of epithelial ovarian cancer tissue and epithelial borderline tumor was obviously higher than expression of epithelial normal ovarian tissues,there was significant statistical difference( P<0.01). HOST2 lncRNA’s expression of epithelial ovarian cancer tissue was no significant difference with the expression of epithelial borderline tumor tissue( P>0.05).HOST2 lncRNA’s expression of different clinical stages of epithelial ovarian tumor was no significant difference(P>0.05). Conclusion:HOST2 lncRNA expression in ovarian cancer and epithelial borderline tumor, maybe a marker for early diagnosis of ovarian cancer.

2015 Vol. 12 (03): 34-35 [Abstract]( 468 HTML (1 KB)  PDF  (696 KB)  ( 447 )

LI Hua-bin, LIN Wen, YE Zhu-qin,et al.

Objective: To investigate options and clinical efficacy of phimosis, prepuce surgical using traditional and new circumcision act.Method: The clinical data of 3000 patients were retrospectively analyzed, they used the traditional method( n=500) and a new ring-cut method( n=2500) treatment of phimosis or prepuce in our hospital. Then the two methods including the operative time, blood loss, postoperative pain and discomfort time, the surgeon and patient
satisfaction with surgery, postoperative complications, healing time, the foreskin edema, the patient satisfaction with postoperative appearance degrees were compared. Result: New circumcision spended short time, accompanied by less bleeding. There were 25 cases of postoperative wound bleeding( 1%), but had no knot. Patients didn’t need dressing and stitches and could take a bath. 50 cases happened adhesions and incarcerated of Foreskin and glans after surgery. This surgery was adapted to child. Traditional circumcision wasted of time and was easy bleeding. There were 10 cases of postoperative wound hematoma( 2%), residual bleeding knot. Edges of the incision was irregular. Patients needed dressing and stitches and could not take a bath. Adhesions and incarcerated of Foreskin and glans didn’t happen after surgery. This surgery was adapted to adult. Conclusion: The traditional circumcision is adapted to adult and the new circumcision is adapted to child for phimosis and prepuce. Surgical options should also be considered according to the different surgical techniques, surgical proficiency, the patient’s request and so on.

2015 Vol. 12 (03): 37-39 [Abstract]( 444 HTML (1 KB)  PDF  (664 KB)  ( 336 )

WU Hai-ying.

Objective:To study the diagnosis value of ischemia modified albumin(IMA) in the acute coronary syndrome(ACS).Method:50 ACS patients admitted to our hospital were selected in our study from 2011 to 2012. 50 healthy volunteers formed the control group. IMA, CK-MB were detected on their admission, then analyzed statistically. Result:IMA comparative difference of the case group and the control group was statistically significant( P<0.001). IMA was significantly raised in ischemia patients, compared with the ischemic group, the difference was statistically significant (P<0.001), with an OR of 16.35( 6.24-46.21). CK-MB showed an OR of 2.13(1.12-6.11). Sensitivity and specificity of IMA for the detection of ACS was 78% and 85% , and CK-MB was 56% and 61%.The area under the ROC curve of IMA was 0.831 for ischemic v/s non-ischemic patients.Conclusion:IMA appears to be developing into a good and very potent marker of cardiac ischemia.

2015 Vol. 12 (03): 40-42 [Abstract]( 473 HTML (1 KB)  PDF  (667 KB)  ( 158 )

JIA Li-hong,WANG Wen-kai,CHEN Yan-li.

Objective:To discuss the effect of incubation period line block anesthesia intra-spinal canal labor analgesia on pregnant women pregnancy outcome and neonatal prognosis.Method:174 pregnant women with incubation period line block anesthesia intra-spinal canal labor analgesia were selected from January 2013 to March 2014 in our hospital, according to the random distribution, all patients were divided into latent group and the control group. Two groups of pregnant women were given the conventional block anesthesia labor analgesia intra-spinal canal treatment, the control group of pregnant women in the palace mouth up higher than 3 cm given implementation of the latent group of pregnant women in the palace mouth expansion when 1-2 cm to implementation. The pain of pregnant woman were assessed by (VAS) in their palace mouth began to expand, labor time, pain status, delivery outcome and perinatal outcome of all pregnant women were statistical analyzed.Result:The latent group of pregnant women first and second maternal labor time were significantly shorter than the control group, the palace mouth expansion within 60 min each time VAS score was significantly lower than the control group, the difference were statistically significant( P<0.05); The latent group of pregnant women delivery outcome was significantly better than the control group( P<0.05); The latent group of pregnant women perinatal outcome was significantly better than the control group( P<0.05).Conclusion:Incubation period line block anesthesia intra-spinal canal labor analgesia method can effectively reduce maternal labor time, quickly relieve pain, maternal implement labor epidural and pregnancy outcomes of pregnant women and perinatal outcome, is helpful to improve the level of neonatal prognosis, it’s worth for further clinical promotion.

2015 Vol. 12 (03): 42-44 [Abstract]( 542 HTML (1 KB)  PDF  (665 KB)  ( 198 )

CAI Zong-yang,LIN Chang-sheng,YANG Rui-qun.

Objective:To discuss the role of PCT levels detection in the anti-infective therapy on the elder patients with COPD and lung infections.Method:86 elder patients with COPD and lung infections were selected and divided into the PCT group( n=52) and the empirical treatment group( n=34), patients on the were detected and antibiotic therapy according to the PCT levels, patients on the empirical treatment group were treated according to the clinical experience and clinical symptoms. The anti-infection treatment time, length of stay, clinical efficiency, functional status score, super-infection rate, course increase and mortality of both group were observed and compared. Result:The antiinfection treatment time, length of stay and super-infection of the PCT group were statistically shorter than the empirical treatment group( P<0.05). And the clinical efficiency, functional status score, course increase and mortality of the two
groups were not statistically significant( P>0.05).Conclusion:The levels of PCT can be used to guide the anti-infective therapy of elder patients with COPD and lung infections, conducive to reduce the use of antibiotic and shorter hospital stays, reduce super-infection rate, can avoid bacterial resistance arising from excessive use of antibiotics.
  

2015 Vol. 12 (03): 45-47 [Abstract]( 535 HTML (1 KB)  PDF  (666 KB)  ( 163 )

LI Cheng-fu,CHEN Xiao-yi,BIAN Yu-jian,et al.

Objective:To evaluate efficacy of the stellate ganglion block and manipulation on treating sympathetic cervical spondylosis.Method:80 cases were randomly divided into treatment group( n=40) and control group( n=40).The manipulation treatment was used on treatment group; meanwhile the stellate ganglion block on control group. The treatment was administered in 20 days in a row . The clinical data and vertebral basilar artery blood flow changes were collected from two groups of patients.Result:There was no significance in treatment efficacy difference between two groups( P>0.05). The difference is statistically significant between the two groups in blood flow velocity before and after treatment( P<0.05). Conclusion:The manipulation on treating sympathetic cervical spondylosis is a perfect treatment,can be used individually to treat sympathetic type of cervical spondylosis.

2015 Vol. 12 (03): 47-49 [Abstract]( 530 HTML (1 KB)  PDF   (0 KB)  ( 98 )

ZHANG Hui.

Objective:To investigate effects of the ProSeal laryngeal mask combined with sufentanil applicated in gynecological laparoscopic surgery. Method:90 patients with gynecologic laparoscopic surgery were randomly divided into all 45 cases in ProSeal laryngeal mask anesthesia combined with sufentanil group( laryngeal mask combination group) and in endotracheal intubation combined with sufentanil anesthesia group( intubation combined group). Mean arterial pressure( MAP) and heart rate( HR) at T0, T1, T2, T3, T4, T5, peak airway pressure( Ppeak) and end-tidal carbon dioxide partial pressure( PETCO2) 5 min before and after pneumoperitoneum; wake time after surgery, related complications were recorded in two groups.Result:MAP, HR at T1 were lower than at T0 in two groups( P<0.05). MAP, HR at T2,T3,T5 point in the patients of intubation combination group were higher than that in the laryngeal mask combination group( P<0.05). Ventilation Ppeak, PETCO2 during intermittent positive pressure showed statistically significant between two groups( P<0.05). Recovery time in laryngeal mask combined group is shorter than the intubated combination group( P<0.05); Complications in patients with laryngeal mask combination group were less than intubation group( P<0.05).Conclusion:The effects of ProSeal laryngeal mask combined with sufentanil are better than the
laryngeal mask combination group for laparoscopic gynecological surgery. Which had good security, stable hemodynamics,shorter recovery time, less complication, operating simple, it should be widely applied.

2015 Vol. 12 (03): 50-53 [Abstract]( 377 HTML (1 KB)  PDF  (688 KB)  ( 190 )

YANG Fan,TIAN Xin-li,XIAO Zheng-yuan.

Objective:To explore the best time point and the distribution range of the imaging of hepatic portalvein using 256-slice spiral CT perfusion technique,to find the best way in the hepatic portal vein scanning.Method:30 patients underwent upper abdominal scanning by 256-slice Spiral CT in the first. Done the continuous dynamic scanning delaying 5 s after injection of contrast agents,then observe the whole process of the hepatic portal imaging to get the best distribution range of exposure time. According to this distribution range to set exposure points, then 57 patients underwent upper abdominal scanning. Interval scanning were done delaying 25 s after injection of contrast agents, and the interval of exposure time was 5 s, then taken four times exposures, the time points were 25, 30, 35, 40 s. Elected the best phase from the four groups of hepatic portal vein imaging to reconstruct CTV. The CT value of hepatic, liver and calculated D-value to assess the quality of images were measured. the correlation between the best time point distribution of portal vein and heart rate, weight, height of subjects were analyzed.Result: Best images could be obtained in 95% patients using multitemporal timing scanning delaying 25-40 s after injecting of contrast agents. This result had correlation with patients’heart heart rate( P<0.05),but had no correlation with patients’ height and weight( P>0.05).Conclusion:Multitemporal timing scanning using 256-slice Spiral CT was another reliable method of hepatic portal vein imaging.

2015 Vol. 12 (03): 53-56 [Abstract]( 639 HTML (1 KB)  PDF  (719 KB)  ( 201 )

ZHAO Xue-lei,LIU Yong-jian,Mao Yan-rui,et al.

Objective:To investigate the diagnostic value of color doppler ultrasonography with CR molybdenum target in breast cancer.Method:128 cases treated by operation or biopsy confirmed breast cancer patients were selected in our hospital from October 2011 to January 2013 as research sample.CR molybdenum target,color doppler ultrasonography and the joint inspection were used by 128 patients with breast diseases.The diagnostic accuracy, sensitivity,specialization and the coincidence rates were compared with pathological type.CR molybdenumtarget, color doppler ultrasonography and the combination of two methods were analyzed and compared.Result:The diagnostic accuracy,sensitivity,specialization and the coincidence rates compared with pathological type of the joint inspection were significantly higher than by using color doppler ultrasonography or CRmolybdenum target separately,the differences were statistically significan(P<0.05).Conclusion:Joint inspection has great significance to improve the accuracy on inspection of breast cancer and it is worth to promote the occurrence of decrease misdiagnosis and missed diagnosis in clinical,should be widely used.

2015 Vol. 12 (03): 57-60 [Abstract]( 650 HTML (1 KB)  PDF  (684 KB)  ( 351 )

WANG Mao-jia

Objective:To observe the clinical effect of continuous curvilinear capsulorhexis( CCC) smallincision cataract surgery.Method:Contract patients who were treated in our hospital from January 2013 to June 2014 were retrospectively analyzed. Patients were evenly divided into the control group and the observation group. Coaxial phacoemulsification was performed in the control group, while CCC small-incision treatment was perform in the observation group. Clinical effects were observed. Result:The most common postoperative complication was corneal edema. The incidence of complications in the observations was significantly smaller than that of the control group (P<0.05). No statistical significant difference of postoperative and 3-month postoperative corrected visual acuity(CVA)
between the two groups(P>0.05).Conclusion:When treated with CCC small-incision cataract surgery, the incidence of complications was smaller yet the ultrasound time was longer. Therefore, surgical modes may be selected according to specific clinical conditions.

2015 Vol. 12 (03): 60-62 [Abstract]( 526 HTML (1 KB)  PDF  (664 KB)  ( 134 )

GAO Cun-jiao.

Objective: To compare the clinical effect and safety on treatment of neonatal respiratory distress syndrome(NRDS) by nasal bi-level positive airway pressure ventilation(BiPAP) and continuous positive pressure ventilation(NCPAP), to guide NRDS’ clinical treat. Method: 78 cases with NRDS were selected from March 2012 to August 2014, and were randomly divided into observation group and control group, 59 cases in each group. Patients in control group were given NCPAP, and patients in observation group were given BiPAP based on the application of pulmonary surfactant(PS). Arterial blood gas index on time points of before treatment(T0),1 h( T1),12 h(T2),24 h(T3) after treatment, also with clinical effect, duration of ventilation, oxygen therapy time, hospitalization time and complications of two groups were compared. Result: PH on T3, PaO2 on T2 and T3, PaO2/FiO2 on T1, T2 and T3 of observation group were all higher than those of control group at the corresponding time points,the differences were statistically significant(t=3.10-7.39,P<0.05 or P<0.01).PaO2 on T2,T3 were lower than control group (t=3.21,4.87,P<0.05).Efficiency in observation group and control group were 94.87% and 86.84%, the difference was statistically significant( 字2=2.11,P>0.05),and complication rates were 26.32% and 15.38%,the difference was statistically significant( 字2=4.27,P<0.05). Duration of ventilation, oxygen therapy and hospitalization time  were all lower than those of control group,the differences were statistically significant( t=3.17-6.25,P<0.05 or P<0.01).Conclusion:BiPAP ventilation increases alveolar gas exchange, improves oxygenation capacity by variety of mechanisms, also it improves NRDS cases’ arterial blood gas index and clinical symptoms,has higher efficiency and  lower complications, and gets more satisfactory clinical efficacy and it is superior than NCPAP, and it has certain guidance and reference significance to NRDS’ clinical treatment.
  

2015 Vol. 12 (03): 63-66 [Abstract]( 616 HTML (1 KB)  PDF  (689 KB)  ( 267 )

REN Ling.

Objective:To explore the influence on the quality of life for the patients with gastric cancer by chemotherapy combine with concurrent radiotherapy.Method:116 patients with gastric cancer were randomly divided into observation group(n=58) and control group(n=58). The control group was treated by chemotherapy, on the basis of the control group, the observation group was treated by concurrent radiotherapy. The body weight changes, appetite change, the scores of KPS, sleep quality, survival rate for 1 year, 2 year, 3 year were compared for the two groups. Result:The scores of KPS posttreatment for the observation group were higher than the control group( P<0.05). There was no significant difference on the scores of KPS between prior treatment and posttreatment for the observation group (P>0.05). The scores of KPS posttreatment for the control group were lower than prior treatment(P<0.05). The total effective rate of the body weight changes, appetite change for the observation group were higher than the control group (P<0.05). The sleep quality for the observation group were better than the control group(P<0.05). The survival rate for 1, 2, 3 year for the observation group were higher than the control group( P<0.05). Conclusion:It can improve the quality of life for the patients with gastric cancer by chemotherapy combine with concurrent radiotherapy, the patients has good appetite, low change of body weight, sleep quality is good, it has high survival rate for 1 year, 2 year, 3 year. It is worthy of clinical promotion.

2015 Vol. 12 (03): 66-68 [Abstract]( 458 HTML (1 KB)  PDF  (666 KB)  ( 286 )

NIE Ru.

Objective: To investigate the infection of pregnant women in Chaoyang area TORCH, and followup of TORCH-IgM antibody positive pregnant women with adverse pregnancy outcomes, in order to improve the health care of pregnant women and provide experimental data.Method: 2365 cases of pregnant women serum on treatment of acquisition, detection of TORCH-IgM antibody by capture ELISA method for TORCH-IgG antibody detection principle, the principle of indirect ELISA method. Result:2365 cases of early pregnant women were TORCH specific antibody detection of IgM and IgG positive pregnant women, screening of specific IgM antibody of five kinds of pathogens in 25 cases, the total positive rate was 1.05%. From the infection situation,CMV(0.34%),HSV(0.25%)>RV(0.25%)>TOX(0.16%),CMV infection rate was the highest, followed by HSV, RV. CMV, HSV I, RV specific antibody IgG in pregnancy condition had a higher detection rate, respectively: 89.85%, 89.89%, 81.48%. In 14 cases of pregnant women with adverse pregnancy outcome of 25 cases of TORCH infection, the highest incidence of abortion. The other 11 cases were sampled during pregnancy amniotic fluid cell culture, diagnosed 3 cases of abnormal karyotype. Conclusion: TORCH is performed in women of childbearing age( IgM, IgG) screening before pregnancy can effectively reduce the abnormal infants birth, TORCH detection is of important significance in prenatal screening.

2015 Vol. 12 (03): 69-71 [Abstract]( 453 HTML (1 KB)  PDF  (655 KB)  ( 275 )

JIANG Zhi-xin,WANG Li-juan, LIN Ning,et al.

Objective:To understand the situation of cervical cancer prevention knowledge and the demand of screening in Jiangsu province to make the health education work more targeted in the future.Method:One to one survey of cervical cancer prevention knowledge and screening requirements for the voluntary participation of women were conducted in 11 project sites( 3 cities and 8 counties) from September 2012 to February 2013.Result:The 1155 full effectivequestionnaires were obtained by investigating a total of 1260 women, 303 cases of which were from area 1, not the free cervical cancer screening project sites , 852 cases of which from area 2, the project site. The proportion of the women in area 2, who get cervical cancer prevention knowledge by "books / journals" and "publicity materials / poster book", is higher than that of women in area 1 and the difference was statistically significant( P<0.05).The awareness rate of cervical cancer prevention knowledge in area 2 was higher than area 1 except cervical lesions and the difference was statistically significant( P<0.05). 92.21% of respondents( 1065) were willing to accept the health examination of cervical cancer,45.63%( 527) wanted the government to pay the full cost of inspection, and 74.11%( 856) were willing to take screening every year. Women in area 2 are preferred to choose the family planning services for screening, while the women in area 1 choose the medical institutions.Conclusion:The knowledge of cervical cancer prevention to the local women, but it is necessary to strengthen the related health education by changing the traditional way of health education, strengthening the local family planning services construction to ensure the sustainability of screening.

2015 Vol. 12 (03): 77-80 [Abstract]( 592 HTML (1 KB)  PDF  (685 KB)  ( 151 )

ZHU Yong,ZENG Ming-hui.

Objective: To investigate and analyze the conditions of prophylactic antibacterials used in patients undergoing type I incision operation in 2013 of a hospital, and to provide reference for rational antibacterials use in clinical. Method: According to the claim of“ the notice on the relevant problems about clinical application and
management of antibacterial” by the ministry of health, the rationality of prophylactic antibacterials used in 585 patients undergoing type I incision operation in 2013 of the hospital were statistical analyzed. Result: In 585 patients undergoing type I incision operation, there were 92 cases used prophylactic antibacterial, accounted for 15.73%, in which 108 cases of cataract surgery 54 cases had used prophylactic antibacterial, accounted for 50%. In using time of prophylactic
antibacterial usage, the ratio of the patients who unused antibacterial before operation but used them after operation were high to 82.61%. The ratio of the irrational medicine selection were high too, in which roxithromycin dispersible tablets used as prophylactic antibacterial were high to 76.09%.Conclusion: The main problems of a hospital I type incision antibacterial prophylaxis use are that part of type I incision surgery prophylaxis pointer are too wide, medicine selection
and administration time unreasonable.The hospital should further strengthen supervision, and improve the staffs training for rational antibacterial use, in order to make full use of antibacterial properties and reduce the appearance of the drug resistant bacteria.

2015 Vol. 12 (03): 81-83 [Abstract]( 454 HTML (1 KB)  PDF  (684 KB)  ( 172 )

ZHANG Zhi-yong,ZHENG Shou-hua.

Objective:To explore the methods of active application of video feedback methods in medical education and experience.Method: 42 undergraduate students of grade 2011 full-time of clinical medicine were collected as the object of study,the research object according to all recent examination results from high to low ranking, will score two adjacent subjects were matched into 1 pairs, a total of 21 pairs, then each of 2 individuals were randomly assigned to the experimental group and control group. Among them,the traditional pen and paper records were used by the control  group, video feedback teaching method were used by the experimental group, VCD and the teaching of cardiopulmonary resuscitation teaching content were used, teaching 2 weeks, 2 class once a week, 2 weeks later,the teaching differences between the two groups according to the two groups of subjects skill operation assessment results and satisfaction degree on
the educational methods and effective rate were judged.Result:The control group was lower than the experimental group in the examination scores.In the interest of learning, satisfaction, serious degree of efficiency, the control group were lower than those in the experimental group, the differences were statistically significant(P<0.05).Conclusion: Video feedback teaching in medical teaching on students' learning can improve positive effect of the interest, satisfaction, serious degree and students’ assessment scores.It is worthy to be popularized and applied in medical teaching.

2015 Vol. 12 (03): 84-86 [Abstract]( 557 HTML (1 KB)  PDF  (664 KB)  ( 128 )

LI Zhi-xin,REN Kuang,PAN Xiao-yan,et al.

Since the time of reproductive medicine undergraduate enrollment is late, various colleges and universities mainly focus on the theory teaching. And due to few experimental hours or no experiment courses in these colleges and universities, cultivation of reproductive medical talents is affected. This paper discusses the innovative experimental teaching in reproductive medicine based on the construction of experimental teaching content system in reproductive medicine, the reform of experimental teaching method, the strengthening the cultivation of ability, the reform of experimental teaching mode, the strengthening the extra-curricula teaching, the establishment of open laboratory system and the giving full play to the function of laboratory.

2015 Vol. 12 (03): 87-89 [Abstract]( 403 HTML (1 KB)  PDF  (671 KB)  ( 173 )

LI Hong,LI Yan.

Objective: To investigate the effect of targeted nursing for children with severe pneumonia. Method:158 cases of children with severe pneumonia were admitted to our hospital from April 2013 to January 2014 period, were randomly divided into two groups, the control group of 78 cases,were treated routine care measures,the observe group of 80 cases, were treated targeted treatments.The efficacy of two groups patients, the incidence of complications and the care satisfaction scores were analysed and compared.Result:The incidence of complications of the observation group(6.3%) was significantly lower than the control group(19.2%),the difference was statistically significant(P<0.05).The cure rate of the observation group was also significantly higher than the control group,the difference was statistically significant(P<0.05).There was no significant differences of SAS psychological anxiety scores of the two group.The nurses attitude, responsibility, business proficiency and satisfaction of the observation group of were higher than the control group,the differences were statistically significant(P<0.05).Conclusion:For children with severe pneumonia, on the basis of scientific and effective therapy, targeted care, not only can significantly reduce
the mortality of patients, but also can shorten the patient hospitalization time, play speed up the recovery process and effectively enhance the therapeutic effect of purpose , and is conducive to enhance the quality of life of patients and patient satisfaction with hospital care, is worthy of further promotion.

2015 Vol. 12 (03): 90-92 [Abstract]( 509 HTML (1 KB)  PDF  (665 KB)  ( 364 )

WANG Lei.

Objective:To reduce the occurrence of the ventilator associated pneumonia through improving the intervention rate of the ventilator associated pneumonia in ICU.Method:30 adult patients who need machine ventilation guardianship from May to August in 2014 in ICU were chosen at random as the experimental group,and they were given comprehensive care. The control group were 30 VAP patients who lived in ICU in our hospital from May 2011 to January 2013, and they were given usual care. The probability of infection and the satisfaction of different interventions were compared between the two groups. At last,the results were observed.Result:The probability of infection in the experimental group was lower than that in the control group, while its degree of satisfaction was higher than the control group( P<0.05).Conclusion:It is visible that comprehensive care can reduce the probability of infection of the ventilator associated pneumonia in ICU.The satisfaction of the patients becomes higher and higher.We can draw a conclusion that our hospital apparently improve the intervention rate of the ventilator associated pneumonia in ICU.

2015 Vol. 12 (03): 92-94 [Abstract]( 489 HTML (1 KB)  PDF  (663 KB)  ( 242 )

AN Qi,LI Gui-qin.

As the economy continues to develop, more and more advanced medical equipment, increasing the size of the hospital, people pay more attention to the quality of service in the course of medical treatment therapy,contradictions and frictions therefore call communication problems arising due to the gradual sharp. This process is called impact nurse-patient relationship means adequate communication between nurses and patients generated. This is not only convey information more emotional communication and the exchange of ideas. This paper analyzes under medical care and nurse-patient communication problems in today’s situation, after parsing through the issue of proposed countermeasures.

2015 Vol. 12 (03): 97-99 [Abstract]( 455 HTML (1 KB)  PDF  (651 KB)  ( 194 )

ZHANG Ya-li.

Objective:To study the clinical effects of focus on solving mode in improving the negative emotions of PCI surgery patients.Method: 80 patients with acute myocardial infarction with PCI surgery were selected in our hospital from June 2012 to June 2013 as the research object, which were randomly divided into control group and observation group, 40 cases in each group, the observation group adopts the model of focus solve psychological care and intervention, the control group was given routine psychological nursing and intervention, the two groups of patients with psychological state was compared by the POMS just scale and SCL-90 symptoms self evaluation scale before intervention and after intervention for 1 week, 2 weeks. Result:After the intervention for 1 week and 2 weeks, each scale score in the observation group were better than the control group, the difference had statistical significance (P<0.05).Conclusion:Used in improvement of PCI surgery patients negative emotions focus on solving model has positive clinical significance.

2015 Vol. 12 (03): 100-102 [Abstract]( 442 HTML (1 KB)  PDF  (685 KB)  ( 225 )

CHEN Tao,LI Ping.

Objective:To explore the curative effect of Qingfei Zhike pills with acupoint application on cough variant asthma. Method:120 cases of cough variant asthma patients were selected from January 2013 to Semptember 2014 and were randomly divided into two groups,60 cases in each group.The treatment group(TP) which were treated by Qingfei Zhike pills combined with acupoint application method and the control group(CP) which were treated by a Chinese patent drug called the capsule of Feilike. One course contained 10 days,the data analyzed statistically after the two groups were being treated for 2 courses. Result: The TP total curative effect and the main symptom scores, LCQ evaluation score and each index score,and small airway ventilation condition were better than that in the CP. There was a significant differences between the two group(P<0.05). Two groups of patients with peripheral blood eosinophilia granulocyte count were improved.Conclusion:Qingfei Zhike pills combined with acupoint application has a better curative effect in treating cough variant asthma.

2015 Vol. 12 (03): 103-107 [Abstract]( 532 HTML (1 KB)  PDF  (723 KB)  ( 271 )

DONG Yi-zhen,ZHANG Wei,ZHANG Sheng-an,et al.

Objective:To realize the distribution and drug tolerance change of the main pathogenic bacteria in children’s hospital of the two years, and provide a basis to logical choice of the antibacterial for clinic. Method:The data of bacteriological lab from 2012 to 2013 were collected and the detection rate, tolerance rate of the pathogenic bacteria were summed. And made a chi-square test to the bacteria whose tolerance rate varying obviously.Result:The main pathogenic bacteria in children’s hospital were gram negative bacteria of the last two years. The tolerance to antibacterial of the gram negative bacillus was increased. The tolerance of pseudomonas aeruginosa was increased visibly( P<0.05). Conclusion:There are some changes of pathogenic bacteria’s distribution and drug resistance in children’s hospital for last two years. The drug resistance of pseudomonas aeruginosa is increased. That means non-fermentative bacterial and tolerance in children’s hospital are upward. We shall reinforce managing controlling infection and intelligent using antibacterial.

2015 Vol. 12 (03): 112-114 [Abstract]( 409 HTML (1 KB)  PDF  (664 KB)  ( 167 )

ZHANG Shang-wen,XU Xian-lin,XU Feng,et al.

Objective:To analysis the clinical application of the outer ring aperture approach of lower abdominal incision in the treatment of inguinal hernia in children efficacy. Method:82 cases of inguinal hernia in children were selected and divided into the study group and contrast group, 41 cases in each group. The study group patients were treated by the outer ring aperture approach of lower abdominal small incision, the contrast group were treated by the traditional operation method. The two groups of patients with treatment effect, complications and recurrence rate and satisfaction were compared. Result:The study group had 39 cases of effective and the effective rate was 95.1%, significantly higher than the contrast group’s 78% of 32 cases, the difference was statistically significant(P<0.05); the study group had complications of scrotal edema were 2 cases,the control group of 3 cases scrotal edema,2 cases hematoma,and 1 case incision infection, the difference was statistically significant(P<0.05);after 2 monthes, the study group of recurrence was 1 case of 2.4%, and contrast group patients were 4 cases of 9.8%; the satisfaction of the study group was higher than the contrast group ,the difference was statistically significant( P<0.05). Conclusion:The clinical effect of lower abdominal small incision into the path of external ring of treatment of inguinal hernia in children is significantly,it can
significantly improve the clinical effect and patients’ satisfaction.

2015 Vol. 12 (03): 115-117 [Abstract]( 401 HTML (1 KB)  PDF  (663 KB)  ( 189 )

LI Yun-fei.

Objective:To investigate the clinical efficacy of Flunarizine combined with Tiapride for the patients with migraine.Method:60 patients with migraine in our hospital from June 2011 to October 2013 were randomly divided into the control group(Flunarizine treatment group)of 30 cases and treatment group(Flunarizine combined with Tiapride group)of 30 cases, then the quantify symptom score of two group before the treatment and after the treatment were compared, The difference in efficacy between the two groups after completion of treatment were also been counted.Result:After 2 monthes of treatment, the cure rate of treatment group was significantly higher than the control group,no efficiency was significantly lower than the control group, and the total effective rate was 90.0% which was significantly higher than the 73.3% of control group, he differences were statistically significant(P<0.05).After 2 monthes of treatment, the quantify symptom scores of pain, headache frequency and duration were all lower than those indexes of control group, the differences were statistically significant(P<0.05).Conclusion:The influence of Flunarizinecombined with Tiapride for the patient with migraine is great, and it is more effective for the improvement of migraine symptoms.

2015 Vol. 12 (03): 118-120 [Abstract]( 501 HTML (1 KB)  PDF  (663 KB)  ( 397 )

LIN Jia-yang,LI Dian,XU Geng-tian,et al.

Objective: To explore the application of paraspinal muscle gap approach for the thoracolumbar fracture patients. Method: 40 patients with thoracolumbar facture were chosen and divided into two groups, the experimental group and the control group,20 cases in each group. The patients in control group were given the traditional posterior median approach treatment. The patients in the experimental group were given paraspinal muscle gap approach treatment. Then, the operation results were compared between the two groups. Result: The operation effect of thoracolumbar facture in experimental group was better than the control group. Conclusion: Paraspinal muscle gap approach has a remarkable value for the patients with thoracolumbar facture. It should be applied and spread in the hospitals of different levels.

2015 Vol. 12 (03): 121-123 [Abstract]( 475 HTML (1 KB)  PDF  (663 KB)  ( 175 )

WEN Kai,MA Jian.

Objective: To observe the influence on the medication adherence of family steering chemotherapy management for the patients with initial smear-positive pulmonary tuberculosis, and analyze its clinical effect. Method: 300 patients with initial smear-positive pulmonary tuberculosis were randomly divided into 2 groups,150 cases in each group. Routine management group patients were treated with normal management, and family steering chemotherapy management group patients were treated with family steering chemotherapy management on the basis of routine management. The medication compliance rate and cure rate of two groups were compared. Result: The compliance rate of family medication of steering chemotherapy management group was obviously higher than that of routine management group,the difference was statistically significant( 字2=9.549,P<0.05). The cure rate of family steering chemotherapy management group was obviously higher than that of routine management group,the difference was statistically significant ( 字2=9.959,P<0.05). Conclusion: Family steering chemotherapy management could obviously increase the medication compliance and curative rate of initial smear-positive tuberculosis patients, reduce the generation of drug-resistant mycobacterium tuberculosis, and effectively promote tuberculosis patients’ rapid recovery.

2015 Vol. 12 (03): 124-126 [Abstract]( 486 HTML (1 KB)  PDF  (665 KB)  ( 181 )

LAN Guo-feng,HUANG Jing-xiong,WU Shi-guang,et al

Objective: To explore and analyze the integration of electroencephalogram( EEG) amplitude, CDI,MRI in the diagnosis of premature infant brain injury research, aiming at a premature infant brain injury to provide reliable clinical diagnosis.Method:120 premature infants treated in our hospital of pediatrics from August 2012 to August 2012 were selected, they were all tested by EEG, CDI,and MRI, and the test results were recorded.Result:the amplitude of integration of EEG examination results: this group of premature infants with 48 cases formed discontinuous low voltage or pathological type graphics, positive rate was 40.00%( 48/120), and failed to detect the mature CY. CDI examination results: this group of 33 cases of patients with intracranial found positive lesions, positive rate was 27.50%( 33/120),including 15 cases of premature infants diagnosed with intraventricular hemorrhage, accounted for 45.45%( 15/33), and 18 cases of premature infants diagnosed with hypoxia ischemic change, accounted for 54.55%( 18/33). MRI results: the group with 62 cases in preterm infants found positive in intracranial lesions, whose rate was 51.67%( 62/120), including 34 cases diagnosed with the brain ischemia, 19 cases diagnosed parenchymal dotted hemorrhage, accounted for 30.66% (19/62), 9 cases diagnosed with the brain ischemia combined subarachnoid hemorrhage, accounted for 14.52%( 9/62). Conclusion:The accuracy and sensitivity of MRI diagnosis for premature infants is obviously higher than that of amplitude integration of electroencephalogram( EEG) and CDI. electroencephalogram( EEG) to the integration of these amplitude can be premature abnormal changes of sleep-wake cycle for diagnosis, and served as first diagnosis and follow-up tracking method applied in the clinical work.

2015 Vol. 12 (03): 126-128 [Abstract]( 566 HTML (1 KB)  PDF  (664 KB)  ( 235 )

XUE Rui.

Objective: To analyze the clinical effect of treatmenting large area cerebral infarction with edaravone combined with piracetam. Method: 120 cases of large area cerebral infarction patients were selected from March 2013 to May 2014 in our hospital, according to the treatment methods were randomly divided two groups,60 cases in each group,and patients in the control group were given edaravone treatment, and patients in the experimental group were given edaravone combined with piracetam in treatment.The nervous system defect with score and muscle recovery situation in two groups of patients were compared. Result: in the experimental group 14 d after treatment,NIHSS score and CSS score were significantly lower than those in the control group, the patients in the experimental group the myodynamia recovery 5 level were significantly higher than that in control group, and the differences were statistically significant(P>0.05). Conclusion: Edaravone combined of piracetam can effectively improve the patients with nerve damage in the treatment of large area cerebral infarction, improve the quality of recovery, has a certain value in clinical application.

2015 Vol. 12 (03): 131-133 [Abstract]( 508 HTML (1 KB)  PDF  (664 KB)  ( 197 )

MEI Ze-wen.

Objective: To explore a common complication of acute peritonitis after surgery, for reasons analyzed  and proposed treatment. Method: A retrospective analysis of the clinical data of 60 cases of patients with complications of acute peritonitis after surgery in our hospital from February 2008 to February 2014 were treated, the incidence of acute peritonitis causes and treatment of postoperative complications and comprehensive the study. Result: Abdominal visceral
organs endogenous infections and other bacterial infections caused postoperative complications; to prevented infection on the basis of active treatment of the primary disease, included aseptic protect the incision, abdominal pus or contents of drainage, adequate washing, and the rational used of antibiotics to reduced the generation of complications. This study of 60 patients in which 53 patients localized complications( wound infection, incomplete intestinal obstruction, abdominal abscess and wound dehiscence) had been successfully treated; seven cases of systemic complications in three cases of illness in patients with severe potential death. After treatment, 56 cases of patients with successful treatment, the cure rate was 93.3%. Conclusion: Patients with acute postoperative complications peritonitis infection is mainly caused by the treatment process and therefore need to be cautious in the operation, to maximize prevention of infection, prevent the emergence of complications.

2015 Vol. 12 (03): 134-136 [Abstract]( 703 HTML (1 KB)  PDF  (666 KB)  ( 341 )

WANG Pu-lin,GUO Jin-li,BAI Fan.

Femoral neck fracture is a common hip fractures,with the development of population aging the incidence of the femoral neck fracture becomes more and more higher.At present,surgery is the main treatment and the method is evolving.To conduct the surgical approach according to the fracture type,age,physical condition,skeleton quality.The internal fixation was performed in young with femoral neck fractures and joint replacement was performed in aged man.Here,the evolution of femoral neck fracture surgery methods,the advantages and disadvantages in surgical treatment and operation indications are reviewed.

2015 Vol. 12 (03): 137-139 [Abstract]( 421 HTML (1 KB)  PDF  (653 KB)  ( 288 )

DONG Jun,ZHANG Tian, WEN Bi-xiu.

DNA double strand breakage( DSB) is the most significantly biological effect when cells are exposed to ionizing radiation( IR) which may result in apoptosis, checkpoint arrest, cellular senescence and DSB repair. DNA damage response( DDR) is activated with induction of DNA damage. The mechanisms involved in DSB repair include homologous recombination( HR) and non-homologous end-joining( NHEJ). HR, a template-dependent and mostly error-free pathway, plays a crucial role in protecting genome fidelity from DSB. It can be divided into three phases including presynaptic, synaptic and postsynaptic phases. For the repair of DSBs caused by IR, HR is mainly restricted in G2 and S phases while NHEJ and HR function complementarily. HR is related to the risk of tumorigenesis, predicts the survival of several kinds of carcinoma and is a novel target of cancer therapy. This article has comprehensively reviewed
the progress in understanding of the mechanism of HR repair, its associated factors affecting the fidelity in DSB repair, the concept of synthetic lethality and its association with NHEJ repair. The potential of its clinical application by targeting specific DSB repair pathways is further explored.

2015 Vol. 12 (03): 143-146 [Abstract]( 943 HTML (1 KB)  PDF  (714 KB)  ( 708 )

JIANG Yu-hui,YANG Guo-sheng,ZHONG Rui-lun.

Minimally invasive treatment of upper urinary tract diseases has become a trend. Flexible ureteroscopy has the characteristics of flexible lens body which can active to bend and outstanding control.It can be used to directly observe the whole upper urinary system including ureter, renal pelvis and calices.It has played an indispensable role in diagnosis and treatment of upper urinary diseases,such as upper urinary calculi,unexplained hematuria, upper urinary tract tumor,uretero-pelvic junction obstruction( UPJO),ureteral-intestine anastomotic stenosis with stones after resection of bladder tumor,etc.

2015 Vol. 12 (03): 147-150 [Abstract]( 288 HTML (1 KB)  PDF  (676 KB)  ( 240 )

YIN Wen-jing,LI Wen-jin,WANG Hui-min.

Fiber post and resin core systems were applied in the restoration of residual roots.At present, the restorative materials are gradually transferred from traditional rigid materials to composite materials whose biomechanical properties are close to dentin, such as fiber post.To restore endodontically treated teeth with fiber posts and composite resin,long term effect index is fracture resistance.This paper is focused on the influencing factors of fracture resistance of fiber posts.

2015 Vol. 12 (03): 150-152 [Abstract]( 397 HTML (1 KB)  PDF  (654 KB)  ( 344 )

HAN Hai-lei,LIU Jie.

With the development of the occurrence of diabetes duration,all sorts of complications ensued,one of them is diabetic nephropathy.It is caused by the body state of sustained high blood sugar,while the DPP-4 inhibitors can reduce glucagon sample peptide-1(GLP-1) degradation,it can improve the body blood sugar state,in order to delay the progression of diabetic nephropathy.In addition,the DPP-4 in order to delay the progression of diabetic nephropathy. In addition,the DPP-4 can also affect other related to diabetic nephropathy of glp-1substrates,for example the BNP,activated protein C,the expression of HCY,et al,all have the protection of the kidney.The DPP-4 inhibitors on the protective effects of diabetic nephropathy,will provide a new direction in the treatment of diabetic nephropathy.

2015 Vol. 12 (03): 153-156 [Abstract]( 439 HTML (1 KB)  PDF  (684 KB)  ( 314 )

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