Objective：To explore the inhibitory effect of Fei Lao-kang in high dosage on multi-drug resistant tuberculosis.Method：The models were prepared by injecting tuberculosis into the tail vein of rats，which therapy 56 days continuously through intragastric administration.Then weigh the mice and their organs，calculate the organ coefficient and observe the pathological changes of main organs of the mice.Result： The weight of mice in the Fei Laokang group and combination group increaced，and the liver coefficient and the coefficient of lung decrease.The number of pulmonary nodules reduced and the survival time of the model mice extended.The pathology result showed that Fei Lao-kang in high dosage and high dosage Fei Lao-kang joint with rifampicin can relief the inflammation of liver，lung and spleen. Conclusion：Fei Lao-kang in high dosage has good therapeutic effect in rifampicin resistant tuberculosis model mice.

2015 Vol. 12　(15):　4-6 [Abstract]（ 376 ） HTML (1 KB)  PDF  (675 KB)  ( 219 )

Objective： To probe into the correlation between relaxin， pelvic floor electrical physiology and female pelvic floor dysfunction，provide guidance for disease prevention. Method： 100 patients underwent hysterectomy in benign disease in gynaecology department in our hospital from May 2012 to August 2012 were selected， detected pelvic POP-Q， conventional bimanual gynecological examination in patients the day before the operation， at the same time measured pelvic floor muscle strength to clear pelvic floor function， pelvic organ prolapse， pelvic floor muscle. Result： 83 cases of postmenopausal patients measured serum relaxin H2 level was（157.4±263.9） pg/mL， 17 cases of premenopausal patients was（212.9±355.8） pg/mL， with no significant difference（ t=0.742， P=0.460）.There was no significant correlation between patients age（X） and serum relaxin H2 levels（Y）.The correlation　regression equation：Y=2.987X+22.118， R2=0.006，had no significant difference（ P>0.05）， there had no significant correlation between two elements. Mild（ 1， 2 degree） for relaxin level（ 175.5±69.9） pg/mL， severe（ 3， 4） for relaxin level（ 227.6±93.4） pg/mL （comparison of two elements， t=4.023， P=0.000），the lower of the degree， the higher level of serum relaxin， suggested there was a certain correlation between serum hormone level and the degree of pelvic organ prolapse in patients. The serum H2 level had no obvious correlation with the relaxation in patients with POP and the diameters of pelvic floor muscle parameters .Conclusion： There is no significant correlation between relaxin， pelvic floor electrical physiology and pelvic floor dysfunction，so the degree of pelvic relaxation cannot be reflected completely， but they have some relationship with the degree of pelvic organ prolapse，it needs to expand the sample to confirm.

2015 Vol. 12　(15):　10-12 [Abstract]（ 541 ） HTML (1 KB)  PDF  (678 KB)  ( 255 )

Objective：To investigate the effects of care bundles to respiratory management in coronary artery bypass grafting（ CABG） perioperative.Method：The data of 100 cardiovascular surgical patients undergone CABG in a hospital from January 2012 to January 2014 were selected.According to random number table， the patients were divided into observation group（ 50 cases） and control group（50 cases）.Patients in the observation group were served care bundles，while the control group patients were given the traditional nursing mode.Two groups were observed with the indexes as follows， the adherence and the rates of successfully grasp the right method of respiratory function training， the numbers of patients complicated with postoperative atelectasis and lung infection， the hospitalization time and patients’ satisfaction with hospital nursing.Result：The patients of observation group master the correct way of deep breathing training and sputum clearance by coughing， the results of compliance and satisfaction were significantly higher than that of control group， these differences had statistical significance（P<0.05）.Patients of observation group complicated with postoperative atelectasis and lung infection were obviously less than the control group， and hospitalization time were reduced compared with the control group， the differences were statistical significance（P<0.05）.Conclusion：The result showed that care bundles can effectively improve the quality of nursing of managing respiratory tract during the perioperation of patients with coronary artery bypass grafting（ CABG）， reduce postoperative lung complications and promote rehabilitation of patients.

2015 Vol. 12　(15):　16-19 [Abstract]（ 475 ） HTML (1 KB)  PDF  (711 KB)  ( 181 )

Objective：To explore the clinical effect，safety and feasibility of large diameter line　uterine fibroids rejecting operation under laparoscopic， further to provides the basis to guide clinical.Method：the clinical date before and after the operation of the 231 patients from January 2013 to October 2014 in our hospital were retrospective analyzed， 119 patients with large diameter line uterine fibroids rejecting operation under laparoscopic as observation group， 112 patients with large diameter line uterine fibroids rejecting operation under traditional open surgery as control group.the operation conditions， degree of postoperative pain and complications of the patients were analyzed and compared.Result：The operation time and intraoperative blood loss of the two groups had no significant differences（ P>0.05）.The anal exhaust time， using of analgesic， and postoperative hospitalization time of the observation group was better than that of the control group， the values between the two groups were statistically significant（ P<0.05）.Postoperative pain degree of observation group was obviously lower than the control group， the result was statistically significant（ P<0.05）.The complications of the two groups had significant differences， it was statistically significant（ P<0.05）.Conclusion：Laparoscopic myomectomy for large diameter line is a safe and effective minimally invasive operation method， the clinical curative effect is remarkable.It has the advantages of faster postoperative recovery and less complications.It is worthy of clinical reference.

2015 Vol. 12　(15):　23-25 [Abstract]（ 467 ） HTML (1 KB)  PDF  (676 KB)  ( 149 )

Objective：To explore the application value of multi-slice spiral CT in urinary system of threedimensional imaging.Method：The quasi on plain MSCTU scan， enhancement， delayed scanning in 106 cases of urinary system disease patients in our hospital were retrospectively sorting，the original data were analyzed using surface recombination method（ CPR）， maximum intensity projection（ MIP）， multi planar reconstruction（ MPR） and volume rendering（ VR） and other 3D reconstruction methods.Result：MSCTU urinary tract imaging can clearly display the urinary system， also showed a correlation between urinary system and nearby structures and organs.In 106 cases，71 cases of urinary calculi were detected， including 35 cases of renal calculi， 20 cases of ureteral calculi， 16 cases of renal and ureteral multiple stones； and congenital malformation in 7 cases， including 3 cases of double renal pelvis and double ureter， 2 cases of megaureter， ureter cyst cases L and 1 cases of horse hoof shaped kidney； renal cysts in 4 cases，including 2 cases of unilateral cyst， 2 cases of bilateral cyst； kidney， ureter， bladder tumor in 14 cases， including 4 cases of renal cell carcinoma， 5 cases of ureteral carcinoma and 5 cases of bladder cancer； 3 cases of kidney trauma， renal hematoma； ureteral stenosis in 7 cases.Conclusion：MSCTU scan time is short， the image quality is good， the threedimensional image can be obtained at different levels， from different angles， can be a good show urinary system disease location， morphology， anatomy， adjacent relations， the blood supply and properties for diagnosis and clinical treatment of diseases of the urinary system has the unique value in clinical application.

2015 Vol. 12　(15):　28-31 [Abstract]（ 593 ） HTML (1 KB)  PDF  (752 KB)  ( 285 )

Objective：To study and discussion of early traumatic give patients with renal contusion selective renal artery embolization therapy and clinical significance of the effect observed.Method：60 patients with early renal contusion trauma from June 2012 to June 2014 in our hospital were selected， and randomly divided into two groups evenly， implementing selective renal artery embolization for the treatment group， and given traditional therapy patients in the control group， two groups of patients for hematuria disappeared time， clinical symptoms and signs disappeared，complications number of cases， the cure rate ， patient satisfaction，and mortality were compared.Result：The patients with hematuria disappeared time， clinical symptoms and signs disappeared， complications number of cases， the cure rate， or patient satisfaction rate， mortality rates of the treatment group were significantly better than the control group（P<0.05）.Conclusion：The implementation of selective arterial embolization therapy for early stage renal contusion trauma patients， hematuria can significantly shorten the clinical symptoms and signs disappeared time， effective control of complications， improve the cure rate， patient satisfaction rate and reduce mortality， worthy of promotion to the relevant clinic.

2015 Vol. 12　(15):　35-37 [Abstract]（ 468 ） HTML (1 KB)  PDF  (677 KB)  ( 199 )

Objective：To study the value of B- type natriuretic peptide（BNP） in the evaluation of cardiac function in patients with heart failure（HF）.Method：200 patients with chronic heart failure in our hospital were selected as observation group，and 100 healthy people were selected as control group.BNP，C reactive protein（CRP） and echocardiography of all subjects were examined before and after treatment.The relationship between the three indexes and development of heart failure was assessed. Result：（1） In observation group，BNP and CRP were higher， LVEF was lower than those in the control group（P<0.01）.（2） In observation group， compared with before treatment， BNP，CRP and LVEF after treatment for 2 days， 4 days and at discharge were significantly improved（P<0.01）.（3） With injury of cardiac function exacerbation， BNP and CRP were significantly increased，LVEF index decreased obviously（P<0.05）.（4）There was a positive correlation between BNP and classification of cardiac function（ r=0.81，P<0.01），negative correlation between LVEF and classification of cardiac function（r=-0.53， P<0.05），and negative correlation between LVEF and BNP（r=-0.78，P<0.01）.（5）For BNP，the sensitivity was higher，and the specificity was far lower than the sensitivity； The specificities of echocardiography and CRP were lower than BNP. Conclusion：BNP has an important significance in diagnosis and treatment of patients with HF. Clinic should combine the variation tendency of BNP to guide the diagnosis and treatment of HF.

2015 Vol. 12　(15):　41-44 [Abstract]（ 534 ） HTML (1 KB)  PDF  (700 KB)  ( 156 )

Objective：To explore the change of blood levels and clinical significance of the b-type brain natriuretic peptide（ BNP） and the amino terminal b-type brain natriuretic peptide（ NT - proBNP） in patients with heart failure（ hereinafter referred to as the heart failure）. Method： 82 cases of heart failure patients who were admitted in our hospital from July 2013 to June 2014 were retrospective analyzed（ heart failure group）. New York heart association （NYHA） standard cardiac function was used in patients with cardiac function classification and echocardiography was used to evaluate patients’ cardiac function. in the same period in the hospital， 60 cases of patients with normal cardiac function were selected as control group. All patients was drawn fasting venous blood. Two indicators，left ventricular ejection fraction（ LVEF） and level of difference in patients with different cardiac function NYHA class were analyzed.Result： The blood BNP， NT - proBNP of the heart failure group were significantly higher than that of the control group， the difference was statistically significant（ P<0.01）. In the heart failure group， heart failure increaseed with NYHA classification，BNP， NT - proBNP level increased， the two indexes difference in different levels of cardiac function had statistical significance（ P<0.01）. Two index level and cardiac function classification were significantly positive correlation， negative correlation with LVEF classification. Conclusion：BNP and NT - proBNP are heart failure diagnostic markers.They have important clinical significance to the differential diagnosis，risk stratification of different degree of heart failure and the guidance of clinical.

2015 Vol. 12　(15):　47-49 [Abstract]（ 488 ） HTML (1 KB)  PDF  (678 KB)  ( 282 )

Objective： To observe the effects of lidocaine combined with pentazocine on maternal and umbilical cord blood gas analysis during episiotomy with pudendal block. Method： The 180 puerperas were all primiparas， single birth， term pregnancy， without complication of pregnancy. Their umbilical blood stream tests were normal before delivery.Fetal heart monitorings were normal before and during delivery. They were divided into Lidocaine group（ L group） and Lidocaine combined with pentazocine group（ PL group） randomly. Each group included 90 cases. Lidocaine（ 0.5%，10 mL） was used in L group. Pentazocine（ 30 mg） combined with Lidocaine（ 0.5%， 10 mL） was used in PL group. After pudendal block， the patients’ vital signs， the onset and druation time of anesthesia were monitored. The analgesic effects were evaluated by visual analogue scale（ VAS）. Before the first breath of newborn， umbilical cord blood（1 mL） was tested for blood gas analysis. The figure of pH， PaO2，PaCO2， HCO3^- and adverse reactions were recorded and compared. Result： The onset time of anesthesia in group PL were lower than group L， block was significantly longer than that in group L（P<0.05）. Similarly， the duration time of analgesia was prolonged，the figure of VAS during uterine contraction in PL group was lower than that in L group（ P<0.01）. While umbilical cord blood gas analysis had no significant difference respectively between the two groups. Conclusion： Lidocaine lidocaine combined with Pentazocine during episiotomy with pudendal block prolonged the druation time of sensory nerve block and anesthesia. The effects of anesthesia are improved obviously. But the umbilical cord blood gas analysis is not affected. The adverse reactions are reduced. So， pentazocine combined with lidocaine could be applied during delivery safely.

2015 Vol. 12　(15):　53-55 [Abstract]（ 505 ） HTML (1 KB)  PDF  (673 KB)  ( 150 )

Objective：To analyze and compare the clinical value of oral gastrointestinal ultrasound contrast agent and endoscopy in the diagnosis of gastric and duodenal disease in children.Method：110 child patients with gastric and duodenal ulcer diagnosed with oral gastrointestinal contrast agent and gastroscopy in our hospital from June 2012 to June 2014 were selected as the research object.All of the patients were given oral echo type ultrasonic display and gastric and duodenal ultrasound.The effect of ultrasound and endoscopy were observed.Result：The results of angiography ultrasound showed that there were 5 cases with chronic gastritis， 98 cases with gastric ulcer， 1 case with gastric cancer， 2 cases with gastric polyp， 1 case with gastric malignant lymphoma， and 3 cases with gastroptosis.Gastroscopy diagnostic rate was 97.27%， the rate of gastroscopy contrast-enhanced ultrasound examination diagnostic rate was 100%， no obvious difference in the two inspection ways.Conclusion：In the diagnosis of gastric and duodenal disease， oral gastrointestinal contrast is of certain application value， which can be used as a complementary method to check the gastroscope and for routine examination and gastroscopy， to improve the diagnosis of gastric and duodenal ulcer.

2015 Vol. 12　(15):　58-60 [Abstract]（ 347 ） HTML (1 KB)  PDF  (704 KB)  ( 245 )

Objective：To analyze the changes of cerebral white matter MR diffusion tensor imaging of brain on patients of mild cognitive impairment and the correlation with cognitive dysfunction.Method：120 patients with mild cognitive impairment admitted in our hospital from July 2012 to July 2014 were selected as the study object， in accordance with no deep white matter ischemia were divided into ischemia group（ n=78） and non myocardial ischemia group（ n=42），and 30 cases of healthy normal people were selected as control group， the three groups object were respectively given conventional magnetic resonance diffusion tensor imaging and detection， and using MoCA（ Montreal cognitive） scale and MMSE（ mental state） rating scale evaluated mental status of the object and cognitive function， and cognition of white matter changes and function correlation between barrier in brain of three groups were observed.Result：The function of ischemic group cognitive outcome score of（ 20.29±2.00）， was significant lower than the ischemia group（ 22.11±2.26），the comparison between the two groups had obvious difference（ P<0.05）； compared with non ischemia group， ischemia group frontal ADC were increased， FA value decreased significantly（ t=4.228， 3.250， P<0.05）， parietal ADC value increased， FA value decreased obviously（ t=2.701， 7.532， P<0.05）； compared with the control group， non ischemia group frontal ADC increased， FA decreased（ t=7.791， 2.874， P<0.05）， parahippocampal gyrus ADC upgraded ， FA decreased（ t=4.414， 5.163， P < 0.05）.Conclusion：In clinical diagnosis of patients with MCI， using MR diffusion tensor imaging detection can quantifiable analysis of cerebral white matter lesions level of patients， determine the possibility of conversion to Alzheimer’s disease， and provide guidance for early treatment of patients， is worthy of promotion.

2015 Vol. 12　(15):　64-67 [Abstract]（ 487 ） HTML (1 KB)  PDF  (712 KB)  ( 224 )

Objective：To study the clinical observation of hemivertebra resection only via posterior approach and short-segment transpedicular instrumentation for congenital scoliosis.Method：30 cases with a single hemivertebra from 5 to 14 years old who underwent operative treatment were evaluated.Hemivertebra resection through posterior approach and short-segment transpedicular instrumentation were used for correction of the scoliosis and kyphosis deformities. Cobb’s angles of the segmental curve， total main curve， cranial and caudal compensatory curves and kyphosis were measured on the posteroanterior and lateral radiographs.Result：The patients in this study showed satisfied results.The mean Cobb’s angles of the segmental curve， total main curve， cranial and caudal compensatory curves and kyphosis were all statistically significant difference among before surgery， after surgery and the lastest follow-up assessment（ P<0.05）. Conclusion：Hemivertebra resection and short-segment transpedicular instrumentation could be performed only through posterior approach， which had exerted satisfiactory correction on congenital scoliosis.If the operation is performed before the maturity of the bone， it will effectively prevent the formation of secondly spinal deformities.It was worthy of clinical application.

2015 Vol. 12　(15):　70-73 [Abstract]（ 539 ） HTML (1 KB)  PDF  (709 KB)  ( 264 )

Objective：To investigate the effects of individualized nursing intervention for Mycoplasma pneumoniae infection in children’s rehabilitation.Method：64 cases of Mycoplasma pneumoniae infection in children from April 2013 to April 2014 were randomly divided into 2 groups，32 cases of each group.The control group was given routine pediatric care， observation group was given individualized nursing intervention.Treatment effects and adverse reactions of the two groups were observed and statistically analyzed.Result：The treatment total effective rate of the observation group was 96.9%，significantly higher than the control group 78.1%， there was statistical significance（P<0.05）.The incidence of adverse reactions of the observation group was 12.5%，significantly lower than the control group 50.0%（P<0.05）. Conclusion：Personalized nursing intervention is a scientific and effective care program， which is conducive to the
consolidation effect， reduce the incidence of adverse reactions， and promote early recovery of children， the condition for the recovery of Mycoplasma pneumoniae infection in children has a positive clinical significance.

2015 Vol. 12　(15):　77-80 [Abstract]（ 544 ） HTML (1 KB)  PDF  (710 KB)  ( 173 )

Objective：To explore the clinical effect observation on bedside maternal obstetric care model in the implementation.Method：96 cases of single pregnant mothers in our hospital from September 2012 to November 2013 were selected and randomly into observation group and control group ，each group had 48 cases.The control group were given traditional care model，and the observation group were given maternal bedside care model.The maternal satisfaction and neonatal nursing skills to master the rate of two group were compared.Result：96 cases were successfully maternal childbirth， maternal and child health.Observation group and control group patient satisfaction were 95.83% and 85.42%，the difference was statistically significant（ P<0.05）.Touching on neonatal patients in the observation group， master bath ratio， umbilical care and buttocks care grasp rates were 89.58%， 93.75%， 87.50% and 83.33%； control group of patients were 62.50%， 70.83%， 60.41% and 60.42%，patients in observation group of newborn care skills to grasp the situation were significantly better than the control group， the difference of two groups were statistically significant（ P<0.05）.Conclusion：Maternal bedside nursing care model to adapt to changes in the modern mode， can significantly improve patient satisfaction and neonatal nursing skills to master the rate is conducive to clinical use.

2015 Vol. 12　(15):　83-85 [Abstract]（ 512 ） HTML (1 KB)  PDF  (676 KB)  ( 221 )

Objective：To investigate the clinical characteristics of perineal side incision infection and preventive measures. Method：50 cases with perineal side incision infection were selected in our hospital from January 2010 to June 2012 as the perineal side incision infection group，and 50 cases with no perineal side incision infection were selected at the same period as the no perineal side incision infection.The clinical data of perineal side incision was retrospective analyzed， the incision secretion culture results were observed，risk factors of episiotomy infection were analyzed，the perineum side earnestly infection on the prognosis was investigated.Result：50 patients of 40 cases examined，positive in 17 cases，found a total of 23 strains of pathogenic bacteria，15 strains of gram positive bacteria time，5 strains of gram negative bacteria time，and 4 strains of fungi times，the first five a pathogenic bacteria was streptococcus spp，vaginal Gardiner bacteria，escherichia coli，staphylococcus aureus，staphylococcus epidermidis. In perineal side incision infection group，aged 30 years was 62.00%，34.00% with anemia，the body mass index more than 24 kg/m2 was 48.00%，the vagina and anus check equal to or more than 3 times was 38.00%，summer delivery was 46.00%，delivery occurred lag production was 28.00%，after the incision to delivery of the fetus larger than 10 min was 32.00%， without the use of absorbable suture was 26.00% higher than that no perineal side incision infection group of 20.00%，38.00%，18.00%，14.00%，28.00%，12.00%，14.00%，4.00%，the differences were statistically significant（P<0.05），those were related factors which caused by the lateral perineal incision infection； perineal side incision infection group of breast fed for 74.00% lower than that of no perineal side incision infection group of 92.00%，7 days of hospitalization of perineal side incision infection group was 86.00% higher than that 42.00% of no perineal side incision infection group，the difference was statistically significant（P<0.05）.Conclusion： Perineal incision infection rate is high，the culture results are complicated，many factors result，have adverse effects on prognosis，measures should be taken to reduce the incidence of infection of incision of lateral episiotomy.

2015 Vol. 12　(15):　88-90 [Abstract]（ 558 ） HTML (1 KB)  PDF  (689 KB)  ( 188 )

Objective：To observe the clinical curative effect in surgery of the storage type of autologous blood transfusion and discuss its application value， thereby relieving blood tension of the status quo.Method：60 patients with surgery from January to December 2014 were divided into autotransfusion group and allogeneic blood transfusion group.The amount of blood transfusion of the two groups during surgery was compared， red blood cells（ RBC）， hemoglobin（Hb） and hematocrit（ Hct）were compared before and after surgery between the two groups.Result：（1）The average blood collection of autologous blood transfusion patients is（460±50） mL， the average amount of blood transfusion was （485±73）mL，In the autologous blood transfusion group，3 patients needed to input the inventory of allogeneic blood due to blood loss in the operation.The amount of blood transfusions of allogeneic blood transfusion group was（500±55） mL on average.The blood transfusion amount between of the two groups had no significant difference.（2） The difference of the amount of red blood cell，hemoglobin and heamatocrit before and after surgical procedures between the two group was statistically significant（P<0.05）.Conclusion：Storage type of autologous blood transfusion， as a kind of commonly used clinical treatments， is a safe， effective， economical and convenient way of blood transfusion in surgery.It is one of the ways to relieve the strain of blood resources，which is worth clinical promotion.

2015 Vol. 12　(15):　94-97 [Abstract]（ 532 ） HTML (1 KB)  PDF  (697 KB)  ( 269 )

Objective：To explore the related factor analysis of different treatment way effect and affecting curative effect of no fracture dislocation type spinal injury.Method：127 cases of patients with no fracture dislocation type cervical spinal cord injury in department of orthopedics of our hospital were selected from January 2011 to June 2013.According to the treatment methods，they were divided into observation group（ 73 cases of operation treatment） and control group（ 54 cases of conservative treatment）.The treatment effect of all the patients were used JOA scoring judgement，the injury time to operation time，spinal cord function after injury and follow-up results were recorded.Result：JOA improvement rate of the observation group was higher than that of the control group，and four factors of influencing the curative effect were got by Logistic regression analysis，these were：the spinal cord function after injury was Ⅰ degree，the injury time to operation time，whether to have recovery training and treatment method.Conclusion：No fracture dislocation cervical spinal cord injury　application of operation，its treatment effect is better than conservative treatment，timely treatment and postoperative recovery training can significantly improve the clinical efficacy.

2015 Vol. 12　(15):　100-102 [Abstract]（ 428 ） HTML (1 KB)  PDF  (697 KB)  ( 184 )

Objective：To investigate the analgesic effect enhancing of spinal-epidural anesthesia combined labor analgesia cognition in maternal.Method：The pregnant women and their families were taught by senior anesthesiologist，publicity material released and consulting provided for labor pain，analgesia knowledge，reliability and safety of spinalepidural anesthesia combined labor analgesia，the role of reducing cesarean and improving natural delivery rate.80 maternal who voluntarily accepted labor analgesia as the study object，the other 80 labor analgesia maternal who didn’t accept propaganda education as the control group.When the uterine contracted regularly or uterine mouth opened to 2 cm，L3-4 as the puncture point，subarachnoid injection of Ropivacaine 2 mg & Fentanyl 20 μg.After epidural cannulated，injected for the first dose 5 mL of 0.125% Ropivacain & 0.000 16% Fentanyl，connected with electronic analgesia pump，continued 5 mL/h， PCA 5 mL，locked time 10 minutes，drug stop when the uterine mouth whole opened.The visual analogue scale（ VAS）and labor mode were analyzed by statistical methods in two groups.Result：The VAS of labor score in the study group was significantly lower than the control group（P<0.05），had no significant difference in labor mode between two groups（P>0.05）. Conclusion：The maternal who accept propaganda education can enhance the analgesic effect of epidural anesthesia combined labor analgesia.

2015 Vol. 12　(15):　105-107 [Abstract]（ 445 ） HTML (1 KB)  PDF  (688 KB)  ( 160 )

Objective：To investigate the advantages of minimally invasive locking compression plate fixation in the treatment of elderly intertrochanteric fracture.Method：45 elderly patients with intertrochanteric fractures who were treated in our hospital from January 2013 to September 2014 were selected， they were divided into study group（ n=25） and control group（ n=20）， according to the treatment methods.The control group were given traditional surgical treatment， while the study group were given minimally invasive locking compression plate fixation treatment.Result：The total efficiency of the study group 96.0%（ 24/25） was significantly higher than the control group 70.0%（ 14/20）（ P<0.05）， the operative time，hospital stay， and fracture healing time were significantly shorte（r P<0.05）， the blood loss was significantly les（s P<0.05），the postoperative complication rate 16.0%（ 4/25） was significantly lower than the control group 45.0%（ 9/20）（ P<0.05）.Conclusion：The effect of minimally invasive locking compression plate fixation is remarkable in the treatment of elderly intertrochanteric fracture.

2015 Vol. 12　(15):　110-112 [Abstract]（ 459 ） HTML (1 KB)  PDF  (678 KB)  ( 324 )

Objective：To investigate the effective control methods of postpartum depression.Method：180 cases of pregnant women were given health education program in conjunction with full Xiaoyaowan the methods of prevention and treatment of postpartum depression， and compared with 90 cases of pregnant women with conventional maternal education. Result：The whole program of health education combined with maternal depressive tendencies Xiaoyaowan the group was significantly lower than conventional maternal education group， the former EPDS average score was also significantly lower than the latter（P<0.05）.Conclusion：The combination of taking Xiaoyaowan health education program can effectively reduce the incidence of postpartum depression.

2015 Vol. 12　(15):　115-117 [Abstract]（ 491 ） HTML (1 KB)  PDF  (675 KB)  ( 159 )

Objective：To analyze the effect of PDCA cycle management method applied in antimicrobial drug management.Method：PDCA cycle management method had been applied in our hospital since January 2014.Two groups of patients were selected from our hospital as research subjects，88 cases in each group，one group was from the hospital before the implementation of PDCA cycle management（January 2013 to December 2013） and the other was from the hospital after the implementation of PDCA cycle management（January 2014 to December 2014），the differences of related indicators of antimicrobial management before and after PDCA cycle management implementation were compared.Result：The use rate of antibiotics in inpatient and type I incision ， the total cost of the drug and the per capita cost of antibiotics after the implementation of the　PDCA cycle management　was significantly lower than before the implementation of the PDCA cycle management，the difference had significantly difference（P<0.05）.In the submission rate of antimicrobial agents pathogenic microorganisms，the group after the implementation of PDCA cycle management was higher than the group before the implementation of PDCA cycle management，the difference had significantly difference（P<0.05）.Conclusion：In the special　management practices of antibacterial drugs，PDCA cycle management method can significantly reduce the use rate of antibiotics in inpatient ， the use rate of antibiotics in type Ⅰ incision， the total cost of the drug and the money used in per capita antibiotics.It can also enhance the submission rate of antimicrobial agents pathogenic microorganisms，so it is an effective antimicrobial management mode.

2015 Vol. 12　(15):　123-126 [Abstract]（ 598 ） HTML (1 KB)  PDF  (695 KB)  ( 398 )

Objective：To explore the correlation of HPV infection and early pregnancy recurrent spontaneous abortions.Method：98 patients with early pregnancy recurrent spontaneous abortions were selected as the experimental group.95 pregnant women with non- RSA as the control group.All women were from Family planning service station of huiyang district.PCR method was used to dectect HPV genetic type.The HPV-positive rate and the proportion of different various subtypes in HPV-positive were compared.Result：34 cases（34.7%）with HPV-positive were in the experimental group that was significantly higer than 12 cases（12.6%）with HPV-positive in the control group.（χ²=16.186，P<0.001）.The different HPV-positive subtypes（except HPV 16） in total HPV-positive in the experimental group was no significant difference compared with that in the control group（ P>0.05）.There was significant positive correlation between HPV-positive and RSA occur（ r=0.259，P<0.001）.Conclusion：Early pregnancy recurrent spontaneous abortions is associated with HPV infection closely， HPV may be involved in the occurrence of RSA.

2015 Vol. 12　(15):　130-132 [Abstract]（ 621 ） HTML (1 KB)  PDF  (702 KB)  ( 222 )

Objective：To probe into the application effect of basic-level hospitals accreditation standards in medical record quality management.Method：The hospital medical record quality of terminal high repair rate situation from January 2012 to March 2012 was analysed ，then found reasons of this phenomenon and carried out PDCA cycle management from April 2012 to December 2013.The hospital medical record quality evaluation scores，screening repair rate and class A medical record rate were compared.Result：The hospital medical record quality evaluation scores，screening repair rate and class A medical record rate after the PDCA cycle management were better than that before the PDCA cycle management.The difference was statistically significant（P<0.05）. Conclusion：Carrying out PDCA management in basic-level hospital can significantly optimize the quality of medical record.

2015 Vol. 12　(15):　135-138 [Abstract]（ 381 ） HTML (1 KB)  PDF  (749 KB)  ( 246 )

Objective：To study the PCOS morbidity of child-bearing-age woman and to compare different treatment methods.Methods：128 patients who came to our hospital for gynecology censorship from January 2014 to June 2014 and were diagnosed with PCOS were chosen.The PCOS morbidity statistics of the child-bearing-age women and the average efficiency of treatment were calculated.The patients were grouped into group A，B and C randomly.The practical treatment results of lifestyle change， oral contraceptive and Metformin therapies were tested.Result：The total PCOS morbidity in Xiaolan region was 0.67%， among which， group A was 80.95%， group B was 90.70%， group C was 93.02%.The total effective rate of three groups comparative difference was statistically significant（ P<0.05）. Conclusion：Xiaolan region is the high-prevalence area of PCOS.Metformin and oral contraceptive are effective therapies.

2015 Vol. 12　(15):　142-144 [Abstract]（ 416 ） HTML (1 KB)  PDF  (679 KB)  ( 162 )

Objective：To evaluate the effect of simulate Problem-based learning（ PBL） teaching model combine with Role-playing method in the history-taking practices of diagnostics.Method：97 students of grade 2012 clinical medicine specialty of Zunyi medical college were randomly selected.The traditional teaching model +standardized patient （SP） teaching method， simulate PBL teaching model + Role-playing method were applied in the history-taking practices teaching of all students successively， each method practice periods are for 4 hours.Two kinds of teaching methods effect was evaluated according to the results of history-taking skills test score and feelings of students after history-taking practices.Result：The score of history-taking skills test in the simulate PBL teaching model +Role-playing method were higher than traditional teaching model + SP teaching method group（P< 0.05）， more than 90% of the students feel that the simulate PBL teaching model +Role-playing method was applied to history-taking practices teaching was more interested in learning， the classroom atmosphere more active，was satisfied with the teaching effect， was beneficial to the improvement of doctor-patient communication skills.Conclusion：Simulate PBL teaching mode + role-playing teaching method apply to history-taking practices teaching can mobilize students’ learning enthusiasm， is a good way to cultivate students communication skills.

2015 Vol. 12　(15):　147-150 [Abstract]（ 483 ） HTML (1 KB)  PDF  (708 KB)  ( 482 )