Objective：To study the efficiency of Ganglioside plus Edaravone in the treatment of delayed encephalopathy after acute carbon monoxide poisoning.Method：87 cases of delayed encephalopathy caused by carbon monoxide poisoning admitted to our department， were randomly divided into two groups：the control group（ n=42） was given conventional hyperbaric oxygen，preventing platelet aggregation，improving microcirculation，improving cerebral metabolism and other conventional treatment；the experimental group（ n=45） was given Ganglioside（ 100 mg， intravenous drip 1/d）， Edaravone（ 30 mg，intravenous drip 2 /d） for 21 days on the basis of the control group. The efficiency of two groups were observed and their cognitive function and daily life activity with the mini-mental state examination（ MMSE） and modified Barthel index（ MBI） before treatment and after treatment were evaluated.Result：The efficiency of the control group was 76.2%， the efficiency of the experimental group was 93.3%（P<0.05）. MMSE score and MBI score of the control group and experimental group after treatment were higher than those of before treatment（P<0.05）；MMSE score and MBI score of the experimental group were obviously higher than those of the control group after treatment（P<0.05）. Conclusion：Application of Ganglioside plus Edaravone in the treatment of delayed encephalopathy after acute carbon monoxide poisoning can obviously improve the prognosis of delayed encephalopathy， and significantly improve the patients’ cognitive ability and daily life ability.

2015 Vol. 12　(26):　1-3 [Abstract]（ 582 ） HTML (1 KB)  PDF  (678 KB)  ( 238 )

Objective：To observe the clinical curative effect of ear acupoints application therapy on female climacteric syndrome with the type of incoordination between heart and kidney.Method：69 female climacteric syndrome patients were randomly divided into the pure medicine group for 35 cases and the ear acupoints application therapy group for 34 cases.The pure medicine group was given Huanglian Ejiao Decoction，the ear acupoints application therapy group was given ear acupoints application therapy on the basis of the control group.Treatment for 12 weeks，TCM symptom score and serum sex hormone levels（FSH，LH，E2） before and after treatment and clinical efficacy of traditional Chinese Medicine in TCM symptoms improvement between the two groups were observed. Result：TCM symptom scores and sex hormone levels of the two groups after treatment had significant differences（P<0.05），compared with the items before treatment.Compared with the pure medicine group，TCM symptom scores and sex hormone levels in ear acupoints application therapy group after treatment had significant differences（P<0.05）.The ear acupoints application therapy group in improving the symptoms of menopause，secondary disease had obvious advantages.Two groups of TCM syndrome efficacy comparison（rank sum test），among them，effective and excellent，the differences were statistically significant（P<0.05）.The total effective rate of TCM Syndrome improvement in the ear acupoints application therapy group was 94.12%，which was slightly higher than 88.57% in the pure medicine group，there was no statistically significant difference（P>0.05）. Conclusion：The ear acupoint application therapy can significantly improve female climacteric syndrome with the type of incoordination between heart and kidney in patients with clinical symptoms and adjust the sex hormone levels in the body.What’s more the ear acupoints application therapy is simple，safe，feasible and worth promoting in clinic.

2015 Vol. 12　(26):　7-10 [Abstract]（ 602 ） HTML (1 KB)  PDF  (698 KB)  ( 359 )

Objective：To investigate the clinical significance of early identification of severe hand foot and mouth disease（ HFMD） and its prognosis by the serum levels of S-100β protein combined with cranial magnetic resonance. Method：50 cases diagnosed with HFMD were collected from the women’s and children’s hospital of Ganzhou from May 2013 to May 2014. The effective cases were divided into the common group and the severe group according to clinical manifestations，25 cases in each group. At the same time，20 cases of non HFMD without neurological infections were collected as a negative control group. Serum levels of S-100β protein in acute and recovery stage of severe HFMD group and common HFMD group were detected by the ELISA kit of human S-100β protein. Acute phase serum S-100βprotein was detected in the negative control group. The cranial magnetic resonance was used by the severe HFMD group and common HFMD group. Result：The S-100β protein in acute stage of severe HFMD group was higher than that of the negative control group，the difference was statistically significant（P<0.001）.The S-100β protein both in acute and recovery stage of severe HFMD group were higher than those of common HFMD group， the differences were statistically significant（P<0.001）.The occurrence of abnormal cranial magnetic resonance in severe HFMD group was 72.0%，which was higher than 16.0% of common HFMD group，the difference was statistically significant（ χ²=15.909，P<0.001）.The occurrence of sequela in severe HFMD group was 24.0%，which was higher than that of common HFMD group，the difference was statistically significant（ χ²=4.735，P=0.030）.The acute and recovery phase of S-100βprotein in cranial magnetic resonance abnormalities group were significantly higher than those of cranial magnetic resonance normalities group， the differences were statistically significant（P<0.001）.The occurrence of sequelae in abnormal cranial magnetic resonance examination group was 27.3%，which was higher than that of normal cranial magnetic resonance group， the difference was statistically significant（P=0.012）. Conclusion：The levels of S-100β protein can be used to early judge whether the HFMD combined with central nervous system infection and early identification whether the HFMD developed to severe cases.The serum levels of S-100β protein combined with cranial magnetic resonance test can evaluate the degree of brain damage and the prognosis of HFMD.

2015 Vol. 12　(26):　14-17 [Abstract]（ 534 ） HTML (1 KB)  PDF  (699 KB)  ( 222 )

Objective：To evaluate the effect of Dezocine and Dezocine combined with Ropivacaine on healing of incision and the expression of GM-CSF. Method：One-hundred healthy and clean male Kunming mice were randomly divided into Normal Sline group（group NS），0.5% Ropivacaine group（group L），Dezocine roup（group D） ，0.5% Ropivacaine and Dezocine group（group Y），each group had 25 mice. 10 minutes before incision ， group L was injected subcutaneously with 0.5% Ropivacaine（1 mL/kg）， group D was injected by intraperitoneal injection with Decoine（5 mL/kg） ， group Y was injected with 0.5% Ropivacaine（1 mL/kg） and Dezocine（5 mL/kg）.The equal volume of Normal Saline was injected into the no injection sections of group L，D，NS.Five mice in each group were chosen for recording the healing time，twenty mice were taken in each group for recording the wound area about 72 hours after operation（measured the rate of wound healing）.The skin tissues around the incision were removed in order to determine the concentration of GM-CSF. Result：The healing time， the rate of wound healing and the concentration of GM-CSF in group L，D，Y were all better than those in group NS，the differences were statistically significant（P<0.05）.The differences in the indexes above between group D and group L were not statistically significant（P>0.05）. The healing time， the rate of wound healing and the concentration of GM-CSF in group Y were all better than those in group L and group D，the differences were statistically significant（P<0.05） . Conclusion：Both 0.5% Ropivacaine and Dezocine can promote the expression of GMCSF and the wound healing of incision.The combination of the two drugs have better effects on promoting the expression of GM-CSF and the wound healing of incisions.

2015 Vol. 12　(26):　22-25 [Abstract]（ 674 ） HTML (1 KB)  PDF  (700 KB)  ( 257 )

Objective：To study the curative effect，living quality and side effect of body-gamma knife radiotherapy in treating with early-stage non-small cell lung cancer.Method：The clinical data of 58 non-small lung cancer patients who were treated with rotary body gamma knife in our hospital from October 2004 to March 2011 were retrospectively analyzed.Result：All the 58 cases completed the treatment on schedule.The recent complete remission rate of the primary lesion was 56.8%，partial remission rate was 20.7% and the stability rate was 1.7%.The overall response rate was 79.3%.The survival rates of 1，2 and 3-year after the treatment were 86.2%，75.9% and 67.2%.3 years after the treatment，there were 23 cases with neoplasm local recurrence and metastasis.19 cases died，among them，12 cases died of recurrence and metastasis and 7 cases didn’t die of neoplasm.The amount of patients with anxiety，expiratory dyspnea and cough after the treatment were less than before treatment，the differences were statistically significant（P<0.05）. The complications of radiotherapy were less，24.1%（14/58） of the patients were with radiation pneumonitis，13.7%（ 8/58）of the patients were with radiation esophagitis and 15.5%（9/58） of the patients were with stage Ⅰ leucopenia.Conclusion：With good sort-term effects and survival rate，less radiotherapy complications，body-gamma knife is an useful and safety nonsurgical treatment in treating with early-stage non-small cell lung cancer.

2015 Vol. 12　(26):　29-32 [Abstract]（ 707 ） HTML (1 KB)  PDF  (701 KB)  ( 457 )

Objective：To investigate the compliance of statins in secondary prevention of ischemic cerebrovascular disease，and to identify the factors influencing the compliance of statins.Method：Data were prospectively collected on consecuffvely encountered 199 ischemic stroke or transient ransient ischemic attacks（ TIA） patients.The compliance of statins was investigated at 3，6 months and 1，2，3 years follow-up.The Logistic regression analysis was used for the analysis of influence factors of the compliance of statins.Result：The application rate of statins at 3 months and 3 years was 57.7% and 41.9%，respectively.Logistic regression analysis showed that good compliance of statins was associated with the Han nationality（OR=2.15，95% CI：1.10-4.20），the patients with the basic medical insurance system for urban employees or free medical service（ OR=3.43，95% CI：1.21-9.69）and ischemic stroke（ OR=4.47，95% CI：1.24-16.05）. Conclusion：In Xinjiang minority nationality areas， the Han nationality， the patients with the basic medical insurance system for urban employees or free medical service and ischemic stroke have better statins compliance.

2015 Vol. 12　(26):　36-38 [Abstract]（ 629 ） HTML (1 KB)  PDF  (695 KB)  ( 334 )

Objective：To investigate the clinical therapeutic effects of laparoscopic myomectomy and abdominal myomectomy.Method：35 patients with laparoscopic myomectomy from December 2012 to December 2014 were selected as the observation group，36 cases of uterine fibroids with open operation treatment in our hospital were selected as the control group.The operation condition and postoperative complications between the two groups were compared.Result：All patients in the observation group were successfully completed laparoscopic myomectomy，no transfer laparotomy.Intraoperative no vice injury occurred，such as bleeding complications.The operation process of control group were all smoothly，eliminated fibroid number up to seven，maximum diameter was 20 cm，but 20 cm fibroids of myomectomy had more blood loss，injected 2 U erythrocyte suspension.No intraoperative injury，1 case of incomplete intestinal obstruction after operation and recovered after conservative treatment.The operation time of the observation group was significantly longer than the control group，operative blood loss and hospitalization expenses were significantly less than the control group，the anus exhaust time and hospitalization days were significantly shorter than the control group，the operative incision was significantly shorter than the control group，the usage rate of postoperative analgesia was significantly lower than the control group，the differences were statistically significant（P<0.05）.Two groups of patients were no serious complications occurred，the observation group of patients with all the grade A healing of incision，the healing rate was 100%.In the control group，there were 3 cases with wound infection，after the related treatment，all recovered to normal.There were 2 cases of complications in the observation group，and 5 cases in the control group，there was no statistically significant difference in the complication rate（P>0.05）.Postoperative pathological returns were uterine fibroids.The patients were followed up for 1 months after operation and followed up every 6 months.All patients recovered to normal menstrual cycle in 1 month to 3 months after surgery，and the normal size of the uterus was recovered by B ultrasonic examination.Conclusion：For uterine fibroids patients with laparoscopic surgery，with small trauma，greatly reducing the patients’ pain and reduce the probability of postoperative complications，patients recover faster，is worthy of clinical popularization and application.

2015 Vol. 12　(26):　42-45 [Abstract]（ 544 ） HTML (1 KB)  PDF  (698 KB)  ( 341 )

Objective：To analyze the effect of Diprospan intralesional injection combined with chemical exfoliation in the treatment of cystic acne.Method：158 patients with cystic acne admitted to our hospital from October 2012 to October 2014 were selected as research objects，they were divided into the observation group and the control group according to the random sampling method，79 cases in each group.The control group was given conventional therapy，the observation group was given Diprospan intralesional injection combined with chemical exfoliation treatment on the basis of the control group.The treatment effect，recurrence and adverse reactions between the two groups were observed and compared.Result：The total effective rate of the observation group was 100%，which was significantly higher than 67.91% of the control group，the difference was statistically significant（P<0.05）.The recurrence rate of the observation group was 2.53%，the incidence of adverse reactions was 12.66%，and the recurrence rate of the control group was 6.33%，the incidence of adverse reactions was 11.39%，there were no statistically significant differences between the two groups（P>0.05）.Conclusion：The effect of Diprospan intralesional injection combined with chemical exfoliation in the treatment of cystic acne is significant，with high safety and feasibility，is worthy of clinical promotion and use.

2015 Vol. 12　(26):　48-51 [Abstract]（ 600 ） HTML (1 KB)  PDF  (699 KB)  ( 197 )

Objective：To investigate the imaging findings of maxillary sinus tumors in order to improve the levels of diagnosis and differential diagnosis.Method：CT and MRI data of 89 cases with maxillary sinus tumors confirmed histopathologically were analyzed retrospectively.Result：Inverted papilloma，25 cases were connected with the nasal mass.CT：72.7% showed moderate soft-tissue density，13.6% visible calcification，close to 72.7% compression deformation of bone，45.5% bone absorption，18.2% bone destruction.MRI：The leisions showed isointensity or slight hypointensity on T1WI and isointensity or slight hyperintensity on T2WI.Postcontrast MR showed heterogeneous enhancement and 83.3% showed“ cerebriform” enhancement.Hemorrhagic and necrotic polyps，6 cases were lobulated and located in the maxillary sinus fontanelle Department.CT：heterogeneous density.MRI：T1WI showed slightly lower signal，T2WI showed high signal central area with a low signal intensity rim.Postcontrast MR showed obviously heterogeneous enhancement.Squamous cell carcinoma，23 cases showed the masses along the outside wall of the maxillary sinus formed invasive irregular thickening or tumors.CT：52.4% asymmetrical density，4.8% visible calcification，associated with bone destruction of sinus walls，of which 82.4% could be seen inwall bone destruction.MRI：T1WI showed hypointensity，isointensity or slight hyperintensity，T2WI showed isointensity or hypointensity，and postcontrast MR showed inhomogeneous enhancement.Of adenoid cystic carcinoma in 9 cases，CT：57.1% uneven density.MRI：The leisions showed hypointensity，isointensity or slight hyperintensity on T1WI and hyperintensity or inhomogeneous intensity on T2WI.Postcontrast MR showed inhomogeneous enhancement.Other rare tumor had its own characteristics. Conclusion：CT provides clear view of bone changes and has an important value in benign and malignant.MRI which can show the pathological features of tumors and demonstrate optimally the extent of the lesions suggests the diagnosis and clinical stage.Combined imaging commodities can provide more comprehensive information for the tumor in maxillary sinus.

2015 Vol. 12　(26):　54-58 [Abstract]（ 810 ） HTML (1 KB)  PDF  (826 KB)  ( 596 )

Objective：To evaluate the application effect of laparoscopic operation in the early treatment of elderly patients with acute abdomen.Method：120 patients with acute abdomen admitted to our hospital from May 2013 to March 2014 were selected as research objects，they were divided into the control group and the observation group according to the random number table method，60 cases in each group.The two groups were given basis drug treatment，the control group was given traditional operation method for treatment on the basis of basis drug treatment，the observation group was given laparoscopic operation for treatment on the basis of basis drug treatment.The surgical treatment effect between the two groups were observed and compared.Result：After treatment，the total effective rate of the observation group was 96.7%，which was significantly higher than 80.0% of the control group，the times of body temperature recovery，abdominal pain，defecation，abdominal distension disappeared，operation time and hospitalization time in the observation group were significantly shorter than those in the control group，the intraoperative blood loss was significantly less than the control group，the nursing satisfaction rate of the observation group（88.3%） was significantly higher than 71.7% of the control group，the complication rate of the observation group（ 5.0%） was significantly lower than 30.0% of the control group，the differences were statistically significant（P<0.05）.Conclusion：Laparoscopic operation for the treatment of elderly patients with acute abdomen is minimally invasive and safety，with high diagnosis rate，the treatment effect is significant，is worthy of clinical promotion.

2015 Vol. 12　(26):　62-65 [Abstract]（ 564 ） HTML (1 KB)  PDF  (697 KB)  ( 171 )

Objective：To observe the efficacy of combined Tongxiening granule and Golden Bifid for the treatment of patients with dominant-diarrhea irritable bowel syndrome.Method： Randomized and parallel-group study method was used， 75 IBS-D patients who met the inclusion criteria were divided into three groups： group A（ combined Tongxiening granule and Golden bifid tablets study group）， group B（ Tongxiening granule alone control group） and group C（ Golden bifid tablets alone control group）， 25 cases in each group. The symptoms of abdominal pain， diarrhea and global symptom were scored. The efficacy was determined by the changes of symptom scores. Result：After treatment for 4 weeks，compared the abdominal pain scores， diarrhea symptoms scores and total symptoms scores of three groups before and after treatment， the differences were statistically significant（P<0.01）. After treatment，compared the symptoms scores of three groups patients， group A had statistically significant differences with the other two groups（P<0.01）， but had no statistical differences between the group B and C（P>0.05）.Compared the effect of three groups， group A had statistically significant difference with the other two groups（P<0.05）， but had no statistical differences between the group B and C（P>0.05）.Conclusion：Adjunctive therapy of Tongxiening granule and Golden Bifid tablets for IBS-D obviously improve the core symptoms of patients， has a better curative effect and no adverse reaction.

2015 Vol. 12　(26):　68-71 [Abstract]（ 931 ） HTML (1 KB)  PDF  (701 KB)  ( 374 )

Objective：To discuss the impact of dust weather on respiratory infectious diseases in Khorchin district，Tongliao city，Inner Mongol.Method：Khorchin district，Tongliao city，Inner Mongol was selected as the research site.The meteorological materials from 2011 to 2014 were obtained by contacting Tongliao meteorological department，incidence information of respiratory infectious diseases were obtained with the help of Tongliao Infectious Disease Hospital and two large and middle sized hospitals.The correlations between meteorological factors and incidence rates of infectious diseases were analyzed.Result：The outpatient quantity of respiratory tract infections was significantly higher after dust weather.The incidence rates of influenza，measles，mumps and tuberculosis had a positive correlation with the occurrence of dust weather.Conclusion：Areas with higher-frequency dust-weather have stronger fitting and forecasting capability toward respiratory infectious diseases，which has a significant impact on further learn，prevent and control the outbreak of respiratory infectious diseases.

2015 Vol. 12　(26):　75-77 [Abstract]（ 579 ） HTML (1 KB)  PDF  (665 KB)  ( 236 )

Objective：To understand the situation and analyze the existing problems in the application of scene simulation method in emergency triage teaching of higher vocational nursing students， and to find out the countermeasures to improve the teaching effect.Method：The issuance of a self-made questionnaire was used，the effect of the scene simulation teaching of 240 vocational nursing students in our hospital were investigated.Result：Over 90% of nursing students thought that the application of scene simulation method stimulated the students' learning interest， improved the critical thinking ability of nursing students， and cultivated the ability of communication and team spirit. In the factor investigation of the effect of scene simulation， 79.17% of nursing students considered that the content of scene simulation was not enough； 87.50% of nursing students considered that the teaching case was too typical；69.58% of nursing students considered that teachers were not made in a timely manner.Conclusion： Through the application of scene simulation in emergency triage teaching， change the traditional way of teaching and cultivate the nursing students learning ability，it has good teaching effects.

2015 Vol. 12　(26):　81-83 [Abstract]（ 551 ） HTML (1 KB)  PDF  (665 KB)  ( 234 )

Objective：To investigate the effect and prognosis of comfort care for patients with femoral neck fracture. Method：60 patients with femoral neck fracture admitted to our hospital from 2012 to 2014 were selected and divided into the control group and the experimental group according to the random number table method，30 cases in each group.The control group was given routine care，the experimental group was given comfort care on the basis of the control group. The patient care satisfaction and occurrence of complications between the two groups were observed and compared.Result：After nursing，the patient care satisfaction of the experimental group was 96.67%，which was significantly higher than 73.33% of the control group，the difference was statistically significant（ χ²=4.7059，P=0.0301）.The complication rate of the experimental group was 6.67%，which was significantly lower than 26.67% of the control group，the difference was statistically significant（χ²=4.3200，P=0.0377）.Conclusion：Comfort care for femoral neck fracture care can significantly improve the prognosis，efficacy and nursing satisfaction of patients，is worthy of clinical application of the promotion.

2015 Vol. 12　(26):　89-92 [Abstract]（ 616 ） HTML (1 KB)  PDF  (696 KB)  ( 223 )

Objective：To investigate the effect of short-term prognosis of early enteral nutrition combined with parenteral nutrition for acute severe cerebral vascular disease patients with conservative treatment.Method：150 acute severe cerebral vascular disease patients with conservative treatment from January 2012 to June 2014 were selected，they were divided into the observation group and the control group A and the control group B according to the random number table method，50 cases in each group.The observation group was given early enteral nutrition combined with parenteral nutrition，the control group A was given early enteral nutrition，the control group B was given conventional family feeding，the observation time of the three groups was 21 days.The nutritional status：triceps skinfold（TSF） and arm muscle circumference（AMC），triglyceride（TG），serum total protein（TP），albumin（ALB），hemoglobin（Hb） were observed and compared.The incidence of the infection in the three groups were recorded.The nerve function defect（NIHSS score） and daily life ability（ BI） in the three groups before and after treatment were evaluated and compared. Result：There were no statistically significant differences in the nutrition index，NIHSS score，BI index of the three groups before treatment（P>0.05）.The various nutrition index of the three groups after treatment were significantly decreased than before treatment，the control group B had the greatest reduction，the control group A took second place，the observation group decreased minimum，the differences were statistically significant（P<0.05）.The incidence of infection respectively was 12.00%，26.00%，36.00%，the difference was statistically significant（ χ²=8.726，P=0.007），the NIHSS score after treatment respectively was（ 11.51±2.68）scores，（13.22±2.71）scores，（14.48±2.55）scores，the difference was statistically significant（F=7.934，P=0.009）.There was no statistically significant difference in the BI of the three groups（P>0.05）.Conclusion：Early enteral nutrition combined with parenteral nutrition can obviously improve the nutritional status of acute severe cerebral vascular disease patients with conservative treatment，reduce the incidence of infection，improve the short-term prognosis of patients.

2015 Vol. 12　(26):　96-99 [Abstract]（ 516 ） HTML (1 KB)  PDF  (698 KB)  ( 188 )

Objective：To investigate the effect of community nursing process on the quality control of community nursing in stroke patients. Method：100 stroke patients who received treatment in our hospital from January 2013 to December 2013 were selected as research objects，they were randomly divided into the observation group and the control group，50 cases in each group.The two groups of patients were given symptomatic treatment，on this basis，the control group was given routine nursing，and the observation group was given nursing according to community nursing process.The knowledge awareness of disease，satisfaction of community nursing service and Activities of Daily Living（ ADL scores） before and after nursing between the two groups were compared. Result：After nursing，the total understanding rate of disease knowledge in the observation group was 80.0%，which was significantly higher than 44.0% in the control group，the community nursing service satisfaction of the observation group was 90.0%，which was significantly higher than 72.0% of the control group，the differences were statistically significant（P<0.05）.There was no statistically significant difference in the ADL scores of the two groups before nursing（P>0.05），the ADL scores of the observation group after nursing were significantly higher than those of the control group，the differences were statistically significant（P<0.05）. Conclusion：For stroke patients with nursing according to community nursing process，can effectively improve the quality of patient care，and promote physical and psychological recovery of the patient.This kind of care model is feasible and effective，should be popularized in clinical practice，in order to help more patients benefit.

2015 Vol. 12　(26):　103-107 [Abstract]（ 552 ） HTML (1 KB)  PDF  (718 KB)  ( 179 )

Objective：To investigate the clinical significance of multi-slice spiral CT coronary angiography in special care for elderly patients.Method：1282 elderly patients came to our hospital for medical examination from January 2014 to March 2015 were selected and randomly divided into the control group and the observation group，641 cases in each group.The control group was given usual care，the observation group was given special care.The results of multi slice spiral CT coronary angiography in the elderly patients between the two groups were observed and its clinical significance were analyzed.Result：After nursing，the rates of heart rate variation，poor breath and poor image quality ratio in the elderly patients of observation group before and after the examination were 10.1%，6.7% and 8.4%，which were significantly lower than 45.4%，31.7% and 30.7% of the control group，the differences were statistically significant（P<0.05）. Conclusion：After elderly patients with special care，can significantly reduce the phenomenon of heart rate variation，poor breath and poor image quality of elderly patients before and after examination，ensure the clinical diagnosis of multi slice spiral CT coronary angiography，is worthy of clinical promotion.

2015 Vol. 12　(26):　111-112 [Abstract]（ 616 ） HTML (1 KB)  PDF  (656 KB)  ( 181 )

Objective：To observe the clinical curative effect of traditional Chinese medicine（TCM） combined with acupuncture in the treatment of cardiac neurosis. Method：157 outpatients and inpatients with cardiac neurosis admitted to our department from October 2012 to January 2015 were selected as research objects.They were treated with psychological intervention and randomly divided into the control group（the Deanxit group） for 68 cases and the treatment group（（the Chinese medicine group） for 89 cases.The treatment group was treated with traditional Chinese medicine（ TCM） combined with acupuncture，the control group was treated with oral Deanxit， the course of treatment was 8 weeks.The clinical curative effect，TCM symptom score and psychological mood before and after treatment between the two groups were observed，the psychological mood including Hamilton anxiety scale（ HAMA） and Hamilton depression scale（ HAMD） scores.Result：After treatment，the total effective rate of the treatment group was 50.56%，which was significantly higher than 29.41% of the control group，the difference was statistically significant（  χ²=7.1075，P=0.0077）.The TCM symptom score of the two groups after treatment were significantly lower than before treatment（P<0.001），and the TCM symptom score of the treatment group was significantly lower than the control group，the difference was statistically significant（P<0.01）.The HAMA and HAMD scores of the two groups after treatment were significantly lower than before treatment，and those of the treatment group were significantly lower than the control group，the differences were statistically significant（P<0.01 or P<0.001）.Conclusion：Traditional Chinese medicine combined with acupuncture on cardiac neurosis has good clinical curative effect，is worthy of promotion.

2015 Vol. 12　(26):　116-120 [Abstract]（ 676 ） HTML (1 KB)  PDF  (718 KB)  ( 397 )

Objective：To explore the clinical effects of gastric and duodenal perforation by laparoscopic herniorrhaphy.Method：128 patients with gastric and duodenal perforation in our hospital were selected from April 2012 to March 2015，they were divided into the experiment group and the control group，64 cases in each group. The control group was treated by traditional laparotomy， the experiment group was treated by laparoscopic herniorrhaphy.The operation time， intraoperatve blood soss， postoperative anal exhaust time for the first time， post operation hospitalization duration，postoperative complication， postoperative recurrence and abnormal body temperature of two groups were compared. Result：The operation time of the experiment group was longer than the control group， the difference was statistically significant（P<0.05）.The intraoperatve blood soss， postoperative anal exhaust time for the first time and post operation hospitalization duration of the experiment group were lower than the control group， the differences were statistically significant（P<0.05）.The postoperative complication of experiment group was 9.38%，which was lower than 28.13% of the control group， the difference was statistically significant（P<0.05）.The postoperative recurrence and abnormal body temperature of experiment group were lower than the control group，the differences were statistically significant（P<0.05）. Conclusion：It has good clinical effects for the patients with gastric and duodenal perforation by laparoscopic herniorrhaphy， it can reduce the intraoperatve blood soss， postoperative anal exhaust time for the first time， post operation hospitalization duration and postoperative complication， but it takes longer operation time.

2015 Vol. 12　(26):　124-126 [Abstract]（ 637 ） HTML (1 KB)  PDF  (678 KB)  ( 252 )

Objective：To investigate the effect of Erxieting in the prevention of antibiotic-associated diarrhea. Method：230 children with pneumonia in our hospital from June 2013 to December 2013 were selected and randomly divided into two groups.118 cases in the prevention group were given Erxieting on the basis of antibiotics and symptomatic treatment.112 cases in the control group were given antibiotics and symptomatic treatment，Erxieting was given to them after the diarrhea occurred.The incidence of diarrhea and its severity，curative effect，duration of diarrhea，treatment course of diarrhea and the incidence rates in different time were compared between the two groups.Result：The incidence of diarrhea and its severity in the prevention group was lower than those in the control group，the curative effect of the prevention group was better than that of the control group，the duration and treatment course of diarrhea in the prevention group were shorter than those in the control group，the incidence rates in different time of the prevention group were lower than those of the control group，the differences above were all statistically significant（P<0.05）.There were no adverse reactions in the two groups.Conclusion：Erxieting can be used to prevent antibiotic-associated diarrhea in infants，its early application can reduce the duration and treatment course of diarrhea.It is good for patients’ speedy recovery.

2015 Vol. 12　(26):　130-132 [Abstract]（ 455 ） HTML (1 KB)  PDF  (679 KB)  ( 181 )

Objective：To investigate the prenatal diagnosis value of using the two-dimensional and threedimensional ultrasound application in fetal malformation.Method：445 cases of fetal malformation in 22-28 weeks were found by the combined application of two-dimensional and three-dimensional ultrasound from January 2009 to December 2014，their prenatal examination ultrasonic image and the clinical data were retrospective analyzed. Result：The brain development abnormality were 71 cases（ 16%）， facial deformity were 44 cases（ 10%）， cardiac anomalies were 82 cases（ 18%）， thoracic dysplasia were 17 cases（ 4%）， urinary system abnormalities were 52 cases（12%）， abnormal gastrointestinal and abdominal wall were 53 cases（ 12%）， skeletal dysplasia were 45 cases（ 10%），multiple malformations were 40 cases（ 9%）， fetal edema were 41 cases（ 9%）；and abnormal fetal appendages were 52 cases. All the diagnosis were tested and verified by the provincial maternal and child care service centre，or all the fetus malformation features were the same as the clinic cases in our hospital.Conclusion：The two-dimensional ultrasound and the three-dimensional ultrasound combined application，has a high accuracy rate in diagnose the fetal malformation， and it is superior than one-way examining method. Rationally using the two kinds of examining methods has a great clinic value for improving the accuracy rate in prenatal diagnosis.It is an effective method for antenatal screening.

2015 Vol. 12　(26):　136-139 [Abstract]（ 505 ） HTML (1 KB)  PDF  (768 KB)  ( 191 )

Objective：To investigate the clinical treatment methods and effects of neonatal breast milk jaundice（BMJ）. Method：50 neonates with breast milk jaundice admitted to our hospital from February 2012 to February 2015 were selected in the study.Their clinical data were retrospectively analyzed，and were divided into the control group and the research group according to the different treatment，25 cases in each group.The control group was given routine treatment，the research group was given blue light irradiation on the basis of the control group.The clinical effect，total serum bilirubin before and after treatment，the cure time and the length of hospital stay between the two groups were observed and compared.Result：The clinical total effective rate of the research group was 96.00%，which was significantly higher than 68.00% of the control group，the cure time and the length of hospital stay were significantly shorter than the control group，the differences were statistically significant（P<0.05）. The serum total bilirubin of the two groups after treatment were decreased significantly（P<0.05），but the research group was significantly decreased（P<0.05）. Conclusion：The effect of blue light irradiation in the treatment of neonatal breast milk jaundice on the basis of routine treatment is obvious，and it can shorten the length of hospital stay and promote the recovery of patients，is worthy of clinical promotion for reference.

2015 Vol. 12　(26):　143-144 [Abstract]（ 536 ） HTML (1 KB)  PDF  (658 KB)  ( 173 )

H-type hypertension is defined as primary hypertension accompanied by hyperhomocysteinemia.It is closely associated with stroke and other cardiovascular diseases，may be an important and independent risk factor.Now，people’s awareness of the harm，prevention and treatment of H-type hypertension isn’t high enough.This paper analyses the high incidence and harm of H-type hypertension and puts forward the scientific strategies of prevention and treatment of H-type hypertension based on the related literatures.Current evidence-based medicine studies have confirmed the application of enalapril maleate folic acid tablets for H-type hypertension. However，the larger，prospective，multicentre and randomized controlled trials still need to assess the effect and safety of enalapril maleate folic acid tablets for H-type hypertension.

2015 Vol. 12　(26):　154-156 [Abstract]（ 556 ） HTML (1 KB)  PDF  (678 KB)  ( 280 )