Objective： To observe and compare the clinical efficacy and adverse reaction of deoxynucleotide injection combined with chemotherapy in of human middle-late non-small cell lung cancer. Method： 62 cases of nonsmall cell lung cancer patients were selected by multicenter and randomized controlled clinical trial method from March 2013 to March 2014. All patients were divided into two groups，the control group of 32 cases who were treated with chemotherapy and granulocyte colony-stimulating factor， and the experimental group of 30 cases who were treated with deoxynucleotide injection 200 mg/d on the base of control group.After 2，7，14 d continuous treatment，the levels of white blood cells and platelet were assessed， the occurrence of III+IV bone marrow suppression was recorded， the immune function，weight，and quality life scores of patients were assessed.Result： The treatment group after 7 d WBC count was （4.2±1.2）×109/L，platelet count was（ 67.4±13.2）×109/L，WBC normal persons accounted for 73.3%，the III+IV
bone marrow suppression rate was 13.3%；the control group was respectively（3.1±1.1）×109/L，（46.8±17.8）×109/L，31.3%，56.3%，the differences were statistically significant（P<0.05）.Followed 14 d， the treatment group of CD3+，CD4+，CD4+/CD8+，NK cells were respectively（ 54.7±8.2）%，（39.2±4.5）%，（31.2±10.2）%，（1.33±0.29）；the control group of CD3+，CD4+，CD4+/CD8+，NK cells were respectively（ 48.3±6.6）%，（31.3±5.0）%，（24.3±8.9）%，（1.01±0.18）， the treatment group’s levels were better than the control group， the differences were statistically significant（P<0.05）. Followed 21 d， the treatment group muscle aches/weakness events，liver injury（ALT，AST，or TBI exception） incidence rate was respectively 6.6%，3.3%，the control group was respectively 40.6%， 21.9%，another treatment group gained an average of（ 1.8±0.3）kg， the control group of（ -0.4±0.2）kg，the differences were statistically significant（P<0.05）.Conclusion： Deoxynucleotide injection reduce the degree of bone marrow suppression caused by chemotherapy， improve the patient’s weight， immune function and quality of life scores.

15 Vol. 12　(08):　1-3 [Abstract]（ 636 ） HTML (1 KB)  PDF  (706 KB)  ( 170 )

Objective：To evaluate and compare the effects of anterior approach preperitoneal repair of inguinal hernia with 3DMax mesh and　UHS mesh.Method： 90 patients were treated by inguinal hernia repair during June 2010 and June 2013 in our hospital，including the operation time，wound infection and swelling complications，time for recovery to normal life and work，short-term（0.5-1.0 year after operation）recurrence rate，pain in 4 weeks，chronic pain and the occurrence rate of foreign body sensation in 6 months of two groups were compared.Result：There was no statistical difference between the two groups in the operation time，time for recovery，postoperative pain or neuralgia in 4 weeks（P>0.05）.However，compared with 3DMax mesh UHS mesh caused more chronic pain or neuralgia in 4 weeks and foreign body sensation in 6 months after operation，the differences were statistical difference（P<0.05）.No incision infection or hematoma showed in the two groups and no relapse found one year after operation. Conclusion：3DMax mesh has similar clinical effects with UHS mesh in inguinal hernia repair，but with a lower complication rate，it is prospectively a better clinical method for repairing hernia in future.

15 Vol. 12　(08):　7-9 [Abstract]（ 606 ） HTML (1 KB)  PDF  (692 KB)  ( 152 )

Objective：To investigate the effects of Sufentanil post-conditioning on renal injury induced by hepatic ischemia-reperfusion in rats.Method：Fifty-four Wista rats were randomly allocated into three groups（n=18）：Sham operation group（S group），hepatic ischemia-reperfusion group（I/R group） and Sufentanil post-conditioning group（SP group）.The rats were killed at the same time to obtain the renal tissue and take blood from the heart after hepatic ischemia 1 hour reperfusion for 2，4 and 6 hours，then tested cystatinC（CysC），observed the pathological changes in renal tissue，detected the expression of Bcl-2 and Bax proteins in kindy by immunohistochemistry and the apoptosis index（AI）of the renal cells　was observed by Tunel method.Result：Compared with the S group，CysC，AI and the expression of Bcl-2 and Bax proteins incresed in I/R group and SP group.Compared with the I/R group，CysC，AI and the expression of Bax protein decresed but the expression of Bcl-2 protein incresed in SP group.Conclusion：The protective effects of  Sufentanil post-conditioning on renal injury induced by hepatic ischemia-reperfusion in rats may be related to the decresed expression of Bax protein and the incresed expression of Bcl-2 protein.

15 Vol. 12　(08):　13-15 [Abstract]（ 525 ） HTML (1 KB)  PDF  (713 KB)  ( 154 )

Objective：To observe the curative effect of Pulmicort Respules inhalation combined with oral montelukast in treatment of infant bronchiolitis.Method：80 infants with bronchiolitis were randomly divided into the experimental groupand the control group，with 40 cases in each group.The control group was given conventional therapy plus Xiyanping atomization combined with montelukast oral.The experimental group was given routine treatment Pulmicort Respules make comfortable atomization inhalation combined with montelukast oral.The main clinical symptoms and physical signs disappeared time and hospitalization time of the two groups after treatment were observed.Result：The total effective rate of experimental group（92.5%） was significantly higher than that in the control group（82.5%）（P<0.05）.In the experimental group，the clinical symptoms and signs remission time and hospital stay were significantly shorter than the control group（P<0.05）.Conclusion：Pulmicort Respules aerosol inhalation combined with oral montelukast for efficacy is better in the treatment of bronchiolitis，can relieve patients clinical signs and symptoms，shorten the hospitalization time，better safety， meaningful clinical promotion.

15 Vol. 12　(08):　22-24 [Abstract]（ 499 ） HTML (1 KB)  PDF  (693 KB)  ( 149 )

Objective：To compare the prognosis situation of radical resection of laparoscopic rectal cancer and open radical operation. Method：100 cases of cancer patients were selected in our hospital from August 2012 to May 2013. According to the different treatment methods， they were divided into the observation group and control group，50 cases in each group. The observation group was performed laparoscopic resection， the control group with traditional open operation treatment， clinical parameters， resection of the recurrence after operation， postoperative complications and survival rate were compared.Result： In the observation group， the amount of bleeding during the operation， incision size， intestinal function recovery time， hospitalization time and other clinical parameters were significantly better than the control group，the differences were statistically significant（P<0.05）；compared the recurrence and metastasis in observation group and control group after operation ，the differences were not statistical significance（P>0.05）； the postoperative complication rates between observation group and control group were respectively 6% and 16%， the observation group was significantly better than the control group， the difference was statistically significant（P<0.05）；the survival rate of 1，3，5 years between the observation group and the control group， had no statistically significant difference（P>0.05）.Conclusion： Survival rate and recurrence rate of rectal cancer by laparoscopic and open radical resection of rectal cancer are not significant difference，but the laparoscopic radical resection of rectal cancer with rapid recovery of disease， height of minimally invasive and reliable safety， the preferred solution can be used as the surgical treatment of rectal cancer， it is worth the clinical promotion.

15 Vol. 12　(08):　28-31 [Abstract]（ 532 ） HTML (1 KB)  PDF  (714 KB)  ( 181 )

Objective：To study the efficacy of different doses of Xiyanping in treatment of acute bronchitis in children.Method：90 patients with acute bronchitis were randomly divided into the the 5 mg/（kg·d） dose group and the 10 mg/（kg·d） dose group. 45 cases in each group.The two groups were given general treatment， low dose group of Xiyanping injection intravenous drip Xiyanping injection 5 mg/（kg·d） dissolved in 100-250 mL of 5% glucose injection，
iv， qd， course of 5-7 d. High dose group of Xiyanping injection intravenous drip Xiyanping injection 10 mg/（kg·d）dissolved in 100-250 mL of 5% glucose injection，iv，qd，course of 5-7 d.Fever，cough，sputum，and lung’s clinical symptoms and signs improved situation and adverse reactions of two groups were observed.Result：The total effective rate of low doses group was 91.1%（41/45），the total effective rate of high dose group was 93.3%（42/45），there were no statistical difference（P>0.05）；but the high dose of Xiyanping in cooling time of treatment group was better than the low
dose treatment group（P<0.05）， the two group the incidence of adverse reaction had no significant difference（P>0.05）.Conclusion：High dose and low dose treatment groups is effective in the treatment of acute bronchitis in children， can rapidly relieve symptoms andshorten the course of disease， and the safety is good. High dose treatment group has more advantages in reducing fever.

15 Vol. 12　(08):　34-36 [Abstract]（ 545 ） HTML (1 KB)  PDF  (704 KB)  ( 200 )

Objective：To observe the effects of dexmedetomidine combined with pethidine alleviating shouler pain caused by laparoscopic underwent combined spinal-epidural anesthesia. Method：Sixty patients between 20 and 50 years，ASA class 1–2，scheduled for lower abdominal laparoscopy underwent combined spinal-epidural anesthesia were included in the study.Paintients were randomly assigned into three groups.Group A：patients were injected with
pethidine 0.8 mg/kg i.v.and infused with dexmedetomidine 1.0 μg/kg， and then 0.5 μg/（kg·h）after 10 minutes.Group B： patients were injected with pethidine 0.8mg/kg i.v.，normal saline was infused at the rate of dexmedetomidine in group A.Group C：patients were injected normal saline with the same dose insted of pethidine，and infused with dexmedetomidine 1.0 μg/kg， and then 0.5 μg/（kg·h）after 10 minutes.MAP，HR and shoulder pain were recorded during the operation.Result： MAP rose， HR increased after pneumoperitoneum in group B and，however kept steady group C.The incidence and severity of shoulder pain was lower in group A than in group B and in group C.Conclusion：Dexmedetomidine combined with pethidine　could reduce the incidence and severity of shoulder pain caused by lower abdominal laparoscopy underwent combined spinal-epidural anesthesia.

15 Vol. 12　(08):　39-42 [Abstract]（ 531 ） HTML (1 KB)  PDF  (744 KB)  ( 210 )

Objective：To investigate the clinical efficacy of　one-time root canal treatment of dental disease. Method：200 cases of dental patients were selected in our hospital from August 2013 to February 2014.They were randomly divided into two groups，the control group and observation group，100 cases in each group.The control group patients were treated by multiple root canal treatment， and observation group patients were treated by one-time root canal treatment.The two groups’ clinical treatment efficacy and complications were compared.Result：The observation group’s complications was 4.0%，and the control group’s complications was 26.0%，the difference was statistically significant （P<0.05）；after different surgical treatments，the control group’s total effective rate was 99.0% and observation group’s total effective rate was 84.0%，the differences were statistical significance（P<0.05）.Conclusion：One-time root canal in treatment of dental patients has fewer complications，shorter treatment time，better clinical treatment effect，the overall process is safe and reliable，and patients and families are more satisfied for the treatment，so it is worth to widely used in clinical practice.

15 Vol. 12　(08):　45-47 [Abstract]（ 533 ） HTML (1 KB)  PDF  (705 KB)  ( 240 )

Objective：To evaluate clinical significance of transcranial Doppler ultrasonography monitoring intracranial pressure in patients with cerebral hemorrhage.Method：Sixty four patients with cerebral hemorrhage admitted by the department of neurology of Hospital from August 2014 to October 2015 were selected as research subjects， patients with cerebral hemorrhage were divided into the observation group， and 64 patients with cerebral hemorrhage admitted simultaneously were divided into the control group，respectively on two groups of patients via transcranial doppler ultrasound detecting intracranial pressure， patients in two groups were subject to tests of intracranial pressure of Doppler ultrasonography and cerebral hemodynamic parameters.Result：Patients in the experimental group patients were subject to 104 times of TCD and lumbar puncture pressure detections，and patients in the control group were subject to 40 times of detections，spectrum results suggest that average blood flow velocity and diastolic blood flow velocity decrease with the increase in intracranial pressure，and they formed inversely proportional relationship with intracranial pressure， the
change rule of systolic blood flow velocity was not obvious，and the inter-group difference was no statistically significant （P>0.05）.The pulsation index and resistance index increase gradually with the increase in intracranial pressure， and the difference comparison between groups in was statistically significant（P<0.05）.Conclusion：Transcranial Doppler ultrasonography detects intracranial pressure of patients with cerebral hemorrhage in noninvasive manner， and it is provided with safe and reliable testing results and others， casting guiding functions to patients.

15 Vol. 12　(08):　50-52 [Abstract]（ 550 ） HTML (1 KB)  PDF  (694 KB)  ( 253 )

Objective：To investigate the present situation prevalence of hyperuricemia in Beijing and to analyze the risk factors.Method： 900 cases physical adults from January 2013 to December 2013 in Beijing were randomly selected， they were given routine physical and uric acid detection， the prevalence situation of hyperuricemia with questionnaire survey were observed，and the risk factors were analyzed.Result：（1）There were 80 cases with HUA among 900 people，the incidence rate was 8.89%.The incidence rate in people less than 40 years，40 years to 50 years，51 years to 60 years and more than 61 years old were respectively 0.90%，5.56%，12.96%，15.38%，the incidence rates grew following ages，the incidence rate of women was 7.31%，which was lower than 10.39% of male.（2）Gender，age，eating red meat，alcohol，BMI，high cholesterol，kidney function decline were major risk factors of hyperuricemia in Beijing（P<0.05）.Conclusion：The incidence rate of hyperuricemia is high in older men，reduce red meat intake， stop drinking， reduce weight， control cholesterol reasonablely，and protect renal function are the keys for HUA prevention.

15 Vol. 12　(08):　55-57 [Abstract]（ 514 ） HTML (1 KB)  PDF  (692 KB)  ( 177 )

Objective： To understand the incidence and feature in choosing drugs of hand-foot-mouth disease in the outpatient of our hospital，in order to provide a scientific basis for prevention care and control for hand-foot-mouth disease. Method：24 000 prescriptions（ 8000 prescriptions/year，2000 prescriptions/quarter） of pediatric outpatient were taken randomly from January 2011 to December 2013 in our hospital， the part of them were hand-foot-mouth diseases prescription， which should be evaluated.Result： From 2011 to 2013， the number of cases in proportion to the total number cases of the outpatient in our hospital were respectively 2.95%，3.21%，and 3.70%.The number of child mortality under the age of 6 were 744 cases， which accounted for 94.30% of the total prescriptions， and children under the age of 3 accounted for 66.20%， and the morbidity peak was from May to July.In our hospital， we mostly based on antiviral treatment to treat hand-foot-mouth disease in the outpatient.Under the guidance and intervention of clinical pharmacists when secondary bacterial infection. According to the illness of children， we used reasonable combination of vitamins，immune enhancer， corticosteroids and other drugs. Conclusion： There is an upward trend in incidence of hand-footmouth diseases in the outpatient of our hospital， the disease has obvious seasonal characteristic， our hospital mostly based on antiviral treatment to treat hand-foot-mouth disease in the outpatient.Under the guidance and intervention of clinical pharmacists， we use antimicrobial agents rationally and ensure the drug safety of children.

15 Vol. 12　(08):　60-62 [Abstract]（ 528 ） HTML (1 KB)  PDF  (680 KB)  ( 149 )

Objective：To investigate the effect of traditional Chinese medicine（TCM） nursing pathway on stroke depression.Method：Randomly selected 200 cases stroke depression patients from 2012 to 2013，100 cases each year，patients in 2012 were set as the control group，they received routine care only，patients in 2013 were set as observer group，they were received TCM nursing intervention on the basis of usual care. The depression score and Barthel index between the two groups after nursing intervented were compared. Result：（ 1）The HAMD scores in observer group after two weeks， four weeks， eight weeks were significantly lower than the control group，the difference was statistically significant（P<0.05）.（2）The Barthel index in observer groupafter nursing intervented improved more than the control group，the difference was statistically significant（P<0.05）.Conclusion：The effect of TCM nursing path on stroke depression is prominent，it’sworthy of clinical application.

15 Vol. 12　(08):　66-68 [Abstract]（ 443 ） HTML (1 KB)  PDF  (705 KB)  ( 211 )

Objective：To evaluate the effect of stratified nursing model combined with drug therapy for community edlerly type 2 diabetes.Method：460 edlerly type 2 diabetes patients were came from a town as experimental group and received stratified nursing model combined with drug therapy intervention. The other 510 edlerly diabetes patients were came from other communities as control group and received conventional therapy. The blood glucose， blood fat， health behaviors and living quality were compared between the two groups. Result：After one-year intervention， the levels of fasting glucose， 2-hour postprandial blood glucose， and HbAlc in the two groups were significantly reduced（ P<0.05）.And those in the experimental group were significantly lower than those in the control group（P<0.05）. The health behaviors（ self-test blood glucose， diet control， regular exercise， weight control， taking medicine regularly）， the score of living quality（ healthy sense， physical symptoms， ability to work， cognitive function， ability to community participation） of the patients form the experimental group were significantly improved after one-year intervention（P<0.05）. And the rules of the control group after the intervention rate improved， physical symptoms and cognitive function， the rest on improvement were not obvious（ P<0.05）.Conclusion：Stratified nursing model combined with drug therapy for community edlerly type 2 diabetes is effective. It’s worthy of further application and promotion in community.

15 Vol. 12　(08):　71-74 [Abstract]（ 494 ） HTML (1 KB)  PDF  (723 KB)  ( 276 )

Objective：To observe the role and efficacy of early rehabilitation nursing in improving function recovery in patients with stroke with dysphagia.Method：66 stroke with dysphagia patients were observed，control group was given conventional treatment，observation group was given early rehabilitation nursing on the basis of control group，two groups were observed in the cure rate，Watian drinking water test， and mental state assessment survey.Result：The
cure rate in observation group was 70.59%，significantly higher than that of 21.88% in control group，the difference between two groups were statistically significant（P<0.05）.Patients in two groups after treatment，Watian drinking water test had been improved，observation group compared with control group，improved more obviously（P<0.05）. Mental state（SAS，SDS），self-esteem（ SES） and other related life quality scores，observation group was significantly better than control group（P<0.05）.Conclusion：Early rehabilitation nursing intervention can help stroke patients with dysphagia swallowing functional improvement，improve the psychological status of the patients.

15 Vol. 12　(08):　77-79 [Abstract]（ 497 ） HTML (1 KB)  PDF  (693 KB)  ( 200 )

Objective：To explore the efficacy of TCM self recipe treatment of functional dyspepsia.Method：60 cases of patients with functional dyspepsia were selected in our hospital from June 2012 to June 2013， they were randomly divided into observation group and control group， 30 cases in each group.the observation group patients were treated with TCM self recipe， the control group patients were treated with cisapride， the efficacy and symptom scores before and after treatment were compared.Result：（1）The total effective rate of observation group was 93.3%，and the total effective rate of control group was 80%，the observation group was higher than control group，the difference was statistically significant （P<0.05）.（2）The symptom scores of observation group before treatment ent were（ 2.79±0.15），and the symptom scores of control group before treatment were（ 2.82±0.11），the difference was not statistically significant（P>0.05）；the symptom scores of observation group after treatment were（ 0.35±0.03） and the symptom scores of control group after treatment was（ 1.58±0.24），the difference was statistically significant（P<0.05）.Conclusion：TCM self recipe has a good effect in the treatment of functional dyspepsia，can significantly improve the clinical symptoms， so it is worthy to promote in clinical.

15 Vol. 12　(08):　83-86 [Abstract]（ 665 ） HTML (1 KB)  PDF  (725 KB)  ( 390 )

Objective： To observe the therapeutic effect of bone rheumatism mixture combined with sodium hyaluronate and other drugs for osteoarthritis of the knee. Method： 88 patients with knee osteoarthritis in our hospital were collected from February 2012 to February 2013， divided into the control group and the observation group，44 cases in each group.The control group was treated with bone rheumatism mixture decoction treatment，and the observation group was given the sodium hyaluronate injection treatment on the basis of that，the clinical efficacy of the two groups were observed. Result：The effect of observation group was better than the control group（20.45%）. At the same time in the observation group， 24 hours can play well relieve effect，the differences were statistically significant（P<0.05）.Conclusion：Bone rheumatism mixture combined with sodium hyaluronate injection in the treatment of knee osteoarthritis has good effect，it is worthy of clinical application.

15 Vol. 12　(08):　89-91 [Abstract]（ 514 ） HTML (1 KB)  PDF  (693 KB)  ( 205 )

Objective：To discuss the clinical effect of water treatment for ophthalmoxerosis.Method：214 patients diagnosed with ophthalmoxerosis were chosen， they were divided randomly into two groups.Group A involved 114 patients who received water treatment together with Sodium Hyaluronate Eye Drops.Group B involved 100 patients who were only treated by Sodium Hyaluronate Eye Drops.Result：After the treatment，both two groups improved in the tests of Sit， BUT and corneal fluorescein（FL），while Group A obviously received more effective treatment than Group B.Conclusion：The combined water treatment and Sodium Hyaluronate Eye Drops usage are effective in treatment.

15 Vol. 12　(08):　94-96 [Abstract]（ 453 ） HTML (1 KB)  PDF  (693 KB)  ( 208 )

Objective：To analyze the uncertainty of spectrophotometry method determination of urea in swimming pool water.Method：Urea content in swimming pool water was detected by spectrophotometry method， uncertainty of test results was analyzed based on uncertainty evaluation criteria. Result：When sampling for 10 mL，k=2，the content of the detection result of the urea was 0.746 mg/L，the uncertainty was 0.101 mg/L. Conclusion：Uncertainty of test results of urea content in the pool water are composed of a number of components， spectrophotometric determination reflects the scientific nature， is with important guiding significance for the swimming pool water quality monitoring.

15 Vol. 12　(08):　100-102 [Abstract]（ 403 ） HTML (1 KB)  PDF  (711 KB)  ( 174 )

Objective：To quantitatively evaluate the clinical governance in department of obstetrics and gynecology based on grey fuzzy evaluation method. Method： Various indicators in clinical governan ce of obstetrics and gynecology were expert score，then the weight value and the quantitative coefficient of evaluation system were calculated based on fuzzy mathematics method and grey system theory，in the final the comprehensive evaluation coefficient was obtained.Result：The quantitative results of the evaluation reflected the real situation of all aspects of index factors in hospital nursing objectively and reasonably. Conclusion：The establishment of evaluation system can be effective and timely to assess the governance of clinical obstetrics and Gynecology， and thus to improve， that supervised internal construction and enhance patient’s degree of satisfaction as well.

15 Vol. 12　(08):　106-109 [Abstract]（ 417 ） HTML (1 KB)  PDF  (775 KB)  ( 289 )

Objective：To discuss and evaluate the clinical outcomes of using buccal mucosa ucosa graft（ BMG） with 1-stage reconstruction in short distal urethral strictures.Method：This retrospective study consisted of 25 patients with short distal urethral strictures underwent 1-stage urethral reconstruction using buccal mucosa graft between 2008 and 2013.Stricture was limited to the glanular urethra in all cases. Strictured urethra was resected 0.5 cm proximal to the
healthy urethra and a rectangular BMG with 3 cm length and 1.5 to 2.0 cm width（ depending on the length of the defect）was rolled on a 22-Fr silicone urinary catheter.Proximal and distal edges of the BMG were anastomosed circumferentially to the healthy mucosa and meatus， respectively. Urethral catheter was removed within 12-14 days.Follow-ups included uroflowmetric parameters， voiding symptoms， and cosmesis were assessed. Result： The patients were followed for 12-60 months postoperatively（ mean 32 months）.Twenty-one（84.0%） patients were cured. Three patients developed stricture at proximal anastomotic site， and one patient developed early graft loss.Conclusion：Buccal mucosa graft has advantages of easy material availability， simplified preparation and strong anti-infection. Our results suggest BMG is an excellent choice in 1-stage reconstruction of distal strictures confined to the glanular urethra because the glans penis has a good blood supply， providing an efficient circumferential graft take.

15 Vol. 12　(08):　114-116 [Abstract]（ 483 ） HTML (1 KB)  PDF  (702 KB)  ( 261 )

Objective：To investigate the rate of complications after precise gastric bypass（LRYGB） with laparoscopic，discuss the measurements of complications. Method：89 cases of patients were selected who had precised laparoscopic gastric bypass surgery treatment from June 2010 to December 2013 in our hospital.Result：9 cases（10.1%）patients accureed early postoperative complications， patients which age more than 50 years-old， combined diabetes，or with higher BMI score were the risk factors of early postoperative rative complications（ OR value were respectively of 1.87，2.14，1.78，P<0.05），8 cases patients accureed late complications，age>50 years，female，and combined chronic gastrointestinal disease history were the risk factors of late postoperative complications（ OR values were 1.82，1.96，1.67，P<0.05）.All patients in this study were had remission after taken appropriate treatment.Conclusion：Laparoscopic gastric bypass surgery complications are not uncommon，and patients of older，combined diabetes，or with higher BMI score hare more possible to occurred early postoperative complications.Older，female，and combined chronic gastrointestinal
disease history more possible to occurred late postoperative complications.Such kinds of patients should be pay more attention in clinical work，taken appropriate treatment in the first time once occurred of complications

15 Vol. 12　(08):　120-123 [Abstract]（ 520 ） HTML (1 KB)  PDF  (711 KB)  ( 190 )

Objective：To explore the effects of pre-hospital first aid measures on the prognosis of acute myocardial infarction. Method： Used the retrospective analysis method，120 cases were randomly selected from the acute myocardial infarction patients who were treated in our hospital from June 2012 to June 2014.60 cases were treated by our pre-hospital first aid，as the first aid group；another 60 cases voluntarily came to the hospital for treatment， as the control group. Then the first aid group’s rescue and transport measures were analyzed， the mortality and satisfaction of two groups were compared.Result： The first aid group had 1 case died on the scene for 1.67%，3 cases died after admission for 5%， the total mortality was 6.67%，higher than the control group of 13.33%；and it’s patients’satisfaction was 98.33%，significantly higher than the latter 70%， the differences were statistically significant（ P<0.05）.Conclusion：Pre-hospital first aid is very necessary for patients with acute myocardial infarction， which can improve the rescue success rate， ensure patients’ health and reduce mortality.

15 Vol. 12　(08):　128-131 [Abstract]（ 524 ） HTML (1 KB)  PDF  (722 KB)  ( 224 )

Objective：To investigate the prognosis of acute myocardial infarction malignant ventricular arrhythmia patients.Method： 45 patients of acute myocardial infarction malignant ventricular arrhythmia were selected as the observation group，and 45 patients of coronary heart disease no acute myocardial infarction malignant ventricular arrhythmia were selected，all of them were treated by electric defibrillator，electroconversion，implanted cardioverterdefibrillator and medicine cure， results of the two group were compared and analyzed. Result：24 hour cure succeed ratio of two groups were respectively 77.77%，100%.In two weeks survival ratio of two groups were respectively 66.66%，88.88%.In 1 year survival ratio of two groups were respectively 57.77%，84.44%.Compared the two groups，the difference was statistically significant（P<0.05）.Conclusion：The survival ratio of malignant ventricular arrhythmia patients were lower and the mortality were very high，for this kind patient，electric defibrillator，electroconversion，and medicine cure must be used at once to improve prognosis and reduce mortality.

15 Vol. 12　(08):　135-137 [Abstract]（ 605 ） HTML (1 KB)  PDF  (694 KB)  ( 242 )

Objective： To explore the clinical curative effect and nursing of laparoscopy combined with different doses of mifepristone in treating endometriosis. Method： 48 patients with endometriosis were collected in our hospital from June 2013 to June 2014，and randomly divided into observation group and control group，24 cases in each group， the control group in laparoscopic operation with large doses of mifepristone， and the observation group with low doses.At the same time， two groups of patients were given corresponding nursing measures in operation.After six months treatment，the effects of two groups patients were compared. Result： The observation group clinical efficiency was 54.17%， significant efficiency was 37.50% and non efficiency was 4.17% and the control group was respectively 45.38%，33.33% and 4.17%，the difference was statistically significant（P<0.05）. In the postoperative recurrence rate， the observation group was 4.17% lower than that in the control group of 16.67%，the difference was statistically significant（P<0.05）.
Conclusion： Laparoscopic combined with small dose of mifepristone has obvious clinical efficacy.At the same time in the course of treatment with comprehensive nursing measures， so as to further improve the use of small dose of mifepristone in safety. The therapy is worth further promotion.

15 Vol. 12　(08):　140-142 [Abstract]（ 552 ） HTML (1 KB)  PDF  (693 KB)  ( 366 )

Objective：To explore the application value of color Doppler ultrasonography in the prenatal diagnosis of placenta previa in blood vessel.Method：Maternal doppler ultrasonography data in our hospital from 2011 to 2013 were selected and analyzed.The occurrence of vasa previa was analyzed and further diagnosised combine with the clinical operation.Result：There were 28 cases of vasa previa occurred， the incidence was 0.053% in 53186 cases of pregnant  women in pregnancy test.Prenatal ultrasound diagnosed 25 cases， the positive rate was 89.29%， 3 cases were missed  diagnosis. Color doppler ultrasonography in cervical sagittal cervical internal tubular vessels across the top，visible placental cord entrance section， the umbilical cord blood vessels near or across the endocervix，the placental edge was placenta cord entrance.3 cases of missed diagnosis for patients were given ultrasound examination for type B in late pregnancy，vaginal delivery，and fetal death. The merger of velamentous placenta were 17 cases，with vice placenta were 7 cases， 4 cases were complicated with placenta extract.Conclusion：Antenatal examination may be useful for diagnosis of placental vasa previa by color Doppler ultrasound， and to achieve a higher diagnosis rate， and can be used as early diagnostic method.

15 Vol. 12　(08):　144-146 [Abstract]（ 516 ） HTML (1 KB)  PDF  (689 KB)  ( 297 )

This article reviews the post competency for clinical nurses at home and abroad from the origin and concept of competency，composition of the nurse competency and nurse competency evaluation.It summarizes the characteristics of competence and analyzes the shortage of the nurse competency concept and the advantages and disadvantages of the nurse post competency assessment tools. Pointed out： The research about nurse competency in China
is not yet mature， there is a lack of objective， scientific and effective nurse ability measuring tool.assessment based on national conditions in different level of the nurse post competency　is the direction in the future in clinical nurse post competency.

15 Vol. 12　(08):　150-153 [Abstract]（ 578 ） HTML (1 KB)  PDF  (713 KB)  ( 536 )