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2014 Vol. 39, No. 12
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2014, 39(12): 1597-1599,1063.
Abstract:
Objective: To explore the stereotactic anatomy of sylvian fissure based on the MRI,and its significance in brain stereotactic operation.Methods: The brain MRI images of 30 healthy people were collected and conversed.The values of X and Y-axis at each sample-point,which was located every 3 mm along the X direction of the outer edge of sylvian fissure to the inner side of insula were measured,and the Z value was the product of AC-PC layers and layer distance.The three-dimensional location data set of sylvian fissure were established by X,Y and Z-axis values.The coordinate values of each sample-point in the outer edge of sylvian fissure were analyzed to draw their projections in the sagittal and coronal plane.Results: The stereotactic data set of sylvian fissure was established successfully.The projection picture in the sagittal and coronal plane of sylvian fissure was successfully drawed,and its multiple linear regression equation was calculated.Conclusions: The stereotactic anatomy of sylvian fissure can provide the data for stereotactic surgery of brain,and establish brain atlas.
Objective: To explore the stereotactic anatomy of sylvian fissure based on the MRI,and its significance in brain stereotactic operation.Methods: The brain MRI images of 30 healthy people were collected and conversed.The values of X and Y-axis at each sample-point,which was located every 3 mm along the X direction of the outer edge of sylvian fissure to the inner side of insula were measured,and the Z value was the product of AC-PC layers and layer distance.The three-dimensional location data set of sylvian fissure were established by X,Y and Z-axis values.The coordinate values of each sample-point in the outer edge of sylvian fissure were analyzed to draw their projections in the sagittal and coronal plane.Results: The stereotactic data set of sylvian fissure was established successfully.The projection picture in the sagittal and coronal plane of sylvian fissure was successfully drawed,and its multiple linear regression equation was calculated.Conclusions: The stereotactic anatomy of sylvian fissure can provide the data for stereotactic surgery of brain,and establish brain atlas.
2014, 39(12): 1600-1603.
Abstract:
Objective: To explore the expressions of the Peroxiredoxin 6(PRDX6),serine protease inhibitor B1(SERPIN B1) and translation control tumor protein translationally controlled tumor protein(TCTP) in neutrophils of Acinetobacter baumannii sepsis rats using Western blot technology at different points time.Methods: The Acinetobacter baumannii rat model was established by intraperitoneal injection with Acinetobacter baumannii.The total proteins of neutrophils in normal rats and rats after 6 and 12 h of sepsis were harvested.The protein levels of PRDX6 SERPIN B1 and TCTP in normal and sepsis rats were detected by western blot,and compared with the results of two-dimensional gel electrophoresis.Results: The PRDX6 expression levels in neutrophils of Acinetobacter baumannii rats after 6 and 12 h of sepsis were significantly lower than that of normal rats(P< 0.01),the increasing degree of which in rats after 6 h of sepsis was more significantly than that in rats after 12 h of sepsis(P< 0.01).The SERPIN B1 and TCTP expression levels in neutrophils of Acinetobacter baumannii rats after 6 and 12 h of sepsis were significantly higher than those of normal rats(P< 0.01),the differences of which between sepsis rats after 6 and 12 h of sepsis were not statistically significant(P >0.05).The expression levels of PRDX6 SERPIN B1 and TCTP were in accordance with the results of proteomics.Conclusions: The expressions of PRDX6、SERPIN B1 and TCTP in neutrophils of Acinetobacter baumannii sepsis rats are different from the normal rats,which can used as the target molecules in the early diagnosis and treatment of Acinetobacter baumannii.
Objective: To explore the expressions of the Peroxiredoxin 6(PRDX6),serine protease inhibitor B1(SERPIN B1) and translation control tumor protein translationally controlled tumor protein(TCTP) in neutrophils of Acinetobacter baumannii sepsis rats using Western blot technology at different points time.Methods: The Acinetobacter baumannii rat model was established by intraperitoneal injection with Acinetobacter baumannii.The total proteins of neutrophils in normal rats and rats after 6 and 12 h of sepsis were harvested.The protein levels of PRDX6 SERPIN B1 and TCTP in normal and sepsis rats were detected by western blot,and compared with the results of two-dimensional gel electrophoresis.Results: The PRDX6 expression levels in neutrophils of Acinetobacter baumannii rats after 6 and 12 h of sepsis were significantly lower than that of normal rats(P< 0.01),the increasing degree of which in rats after 6 h of sepsis was more significantly than that in rats after 12 h of sepsis(P< 0.01).The SERPIN B1 and TCTP expression levels in neutrophils of Acinetobacter baumannii rats after 6 and 12 h of sepsis were significantly higher than those of normal rats(P< 0.01),the differences of which between sepsis rats after 6 and 12 h of sepsis were not statistically significant(P >0.05).The expression levels of PRDX6 SERPIN B1 and TCTP were in accordance with the results of proteomics.Conclusions: The expressions of PRDX6、SERPIN B1 and TCTP in neutrophils of Acinetobacter baumannii sepsis rats are different from the normal rats,which can used as the target molecules in the early diagnosis and treatment of Acinetobacter baumannii.
2014, 39(12): 1604-1606.
Abstract:
Objective: To explore the expression and significance of nerve growth factor(NGF) and its receptor(p75) in breast cancer.Methods: The expressions of NGF and p75 in cancer tissuo of 118 patients with breast disease were detected using immunohistochemical method of PV-9000.Results: The NGF expression in mammary tumor epithelial cells was detected,the positive expression rate of NGF in malignant tumor was higher than that in benign tumor(P< 0.05),the difference of the NGF expression in situ and invasive carcinoma was not statistically significant(P >0.05).The p75 expression in the mammary gland myo-epithelial cells was detected,the positive expression rate of p75 in benign tumor was higher than that in malignant tumor(P< 0.05).The differences of the positive expression rate of NGF in tumor grade and lymph node metastasis,and patient age were not statistically significant(P >0.05).The difference of the positive expression rate of p75 in patient age was not statistically significant(P >0.05),but in tumor grade and lymph node metastasis,the differences were statistically significant(P< 0.01 and P< 0.05).Conclusions: NGF may be a molecular event of the occurrence and development of breast cancer,but it is unrelated with the invasion of breast cancer.p75 can be used as a molecular marker of malignant degree of breast cancer.
Objective: To explore the expression and significance of nerve growth factor(NGF) and its receptor(p75) in breast cancer.Methods: The expressions of NGF and p75 in cancer tissuo of 118 patients with breast disease were detected using immunohistochemical method of PV-9000.Results: The NGF expression in mammary tumor epithelial cells was detected,the positive expression rate of NGF in malignant tumor was higher than that in benign tumor(P< 0.05),the difference of the NGF expression in situ and invasive carcinoma was not statistically significant(P >0.05).The p75 expression in the mammary gland myo-epithelial cells was detected,the positive expression rate of p75 in benign tumor was higher than that in malignant tumor(P< 0.05).The differences of the positive expression rate of NGF in tumor grade and lymph node metastasis,and patient age were not statistically significant(P >0.05).The difference of the positive expression rate of p75 in patient age was not statistically significant(P >0.05),but in tumor grade and lymph node metastasis,the differences were statistically significant(P< 0.01 and P< 0.05).Conclusions: NGF may be a molecular event of the occurrence and development of breast cancer,but it is unrelated with the invasion of breast cancer.p75 can be used as a molecular marker of malignant degree of breast cancer.
2014, 39(12): 1607-1610,1614.
Abstract:
Objective: To explore the effects of early enteral nutrition on the repair of intestinal proliferation after burn in rat,and its mechanism.Methods: Eighty-eight Wistar rats with 30% of body surface area Ⅲ degree burn were randomly divided into the normal control group(C group),early enteral nutrition(EEN group) and delayed enteral nutrition(DEN group).The EEN group and DEN group were treated with enteral nutrition at 6 and 24 hours after burn,respectively.The incorporation rates and proliferation indexes of 3H-thymidine nucleoside 3H-TdR,3H-Uridine and 3H-Leucine,and the levels of DNA,RNA and protein in intestinal mucosal were detected before burn and at 0.5,1,3,7 and 10 days after burn.Results: The incorporation rates of 3H-TdR and 3H-Uridine in ileum mucosal of rats at each points after burn were significantly lower than those before burn.The incorporation rates of 3H-TdR,3H-Uridine and 3H-Leucine at 1 to 10 days after burn in EEN group were higher than those in DEN group(P< 0.05 to P< 0.01).The proliferation indexes in intestinal mucosal of rats after burn were lower than those before burn,the incorporation rates at 1 to 10 days after burn in EEN group were higher than that in DEN group(P< 0.05 to P< 0.01).The levels of DNA,RNA and protein of rat ileum mucosal all group decreased remarkably after burn.The levels of DNA,RNA and protein in EEN group were obviously higher than those in DEN group(P< 0.05 to P< 0.01).Conclusions: The early enteral nutrition can effectively reduce the inhibition of intestinal mucosal proliferation,and promote the repair of intestinal mucosa after burn.
Objective: To explore the effects of early enteral nutrition on the repair of intestinal proliferation after burn in rat,and its mechanism.Methods: Eighty-eight Wistar rats with 30% of body surface area Ⅲ degree burn were randomly divided into the normal control group(C group),early enteral nutrition(EEN group) and delayed enteral nutrition(DEN group).The EEN group and DEN group were treated with enteral nutrition at 6 and 24 hours after burn,respectively.The incorporation rates and proliferation indexes of 3H-thymidine nucleoside 3H-TdR,3H-Uridine and 3H-Leucine,and the levels of DNA,RNA and protein in intestinal mucosal were detected before burn and at 0.5,1,3,7 and 10 days after burn.Results: The incorporation rates of 3H-TdR and 3H-Uridine in ileum mucosal of rats at each points after burn were significantly lower than those before burn.The incorporation rates of 3H-TdR,3H-Uridine and 3H-Leucine at 1 to 10 days after burn in EEN group were higher than those in DEN group(P< 0.05 to P< 0.01).The proliferation indexes in intestinal mucosal of rats after burn were lower than those before burn,the incorporation rates at 1 to 10 days after burn in EEN group were higher than that in DEN group(P< 0.05 to P< 0.01).The levels of DNA,RNA and protein of rat ileum mucosal all group decreased remarkably after burn.The levels of DNA,RNA and protein in EEN group were obviously higher than those in DEN group(P< 0.05 to P< 0.01).Conclusions: The early enteral nutrition can effectively reduce the inhibition of intestinal mucosal proliferation,and promote the repair of intestinal mucosa after burn.
2014, 39(12): 1611-1614.
Abstract:
Objective: To compare the effects of different vitrification carriers on the freezing human ovarian tissue,and provide the theoretical and experimental basis in selecting frozen solution.Methods: The human ovarian cortex tissues were cut into the size of 10 mm×1 mm×1 mm,randomly divided into the fresh group(group A),needle immersed vitrification group(group B),solid surface vitrification group(group C) and direct covered vitrification group(group D) according to different vitrification carriers.The fresh group were fixed by 10% formaldehyde,embeded in paraffin,sectioned and stained with hematoxylin and eosin.The other three groups were preserved in liquid nitrogen after freezing for two months,then fixed,sectioned and stained using rapid rewarming protocol.The proportions of normal primordium follicles in group B,C and D were calculated by histological analysis,which was used to analyze the frozen effects.Results: There were 809 primordial follicles in four groups,the proportions of normal primordium follicles in group A,B,C and D were 96.12%,88.14%,80.00% and 81.25%,respectively.The proportions of normal primordium follicles in group B,C and D were lower than that in group A(P< 0.01),but the differences of which between group B,C and D were not statistically significant(P >0.05).Conclusions: Compared with the fresh tissue,the proportions of normal primordium follicles decrease after freezing,but the vitrification freezing can be used to preserve the human ovarian tissue still.
Objective: To compare the effects of different vitrification carriers on the freezing human ovarian tissue,and provide the theoretical and experimental basis in selecting frozen solution.Methods: The human ovarian cortex tissues were cut into the size of 10 mm×1 mm×1 mm,randomly divided into the fresh group(group A),needle immersed vitrification group(group B),solid surface vitrification group(group C) and direct covered vitrification group(group D) according to different vitrification carriers.The fresh group were fixed by 10% formaldehyde,embeded in paraffin,sectioned and stained with hematoxylin and eosin.The other three groups were preserved in liquid nitrogen after freezing for two months,then fixed,sectioned and stained using rapid rewarming protocol.The proportions of normal primordium follicles in group B,C and D were calculated by histological analysis,which was used to analyze the frozen effects.Results: There were 809 primordial follicles in four groups,the proportions of normal primordium follicles in group A,B,C and D were 96.12%,88.14%,80.00% and 81.25%,respectively.The proportions of normal primordium follicles in group B,C and D were lower than that in group A(P< 0.01),but the differences of which between group B,C and D were not statistically significant(P >0.05).Conclusions: Compared with the fresh tissue,the proportions of normal primordium follicles decrease after freezing,but the vitrification freezing can be used to preserve the human ovarian tissue still.
2014, 39(12): 1615-1617.
Abstract:
Objective: To explore the effective method for increasing the speech intelligibility of older patients with cleft palate after operation.Methods: The treatment plans of 34 older patients with cleft palate after operation were formulated according to their voice evaluation.The personalized speech training was implemented according to their different types of pronunciation after strengthening palatopharyngeal closure function training.Results: Compared with before treatment,the speech intelligibility was improved from(44.67±14.23)% to(91.11±6.76)% after speech training(P< 0.01).Conclusions: The personalized speech training can effectively improve the ill pronouncing habit and speech intelligibility of older patients with cleft palate after operation.
Objective: To explore the effective method for increasing the speech intelligibility of older patients with cleft palate after operation.Methods: The treatment plans of 34 older patients with cleft palate after operation were formulated according to their voice evaluation.The personalized speech training was implemented according to their different types of pronunciation after strengthening palatopharyngeal closure function training.Results: Compared with before treatment,the speech intelligibility was improved from(44.67±14.23)% to(91.11±6.76)% after speech training(P< 0.01).Conclusions: The personalized speech training can effectively improve the ill pronouncing habit and speech intelligibility of older patients with cleft palate after operation.
2014, 39(12): 1618-1620.
Abstract:
Objective: To assess the value of OMOM capsule endoscopy in the diagnosis of small intestine diseases.Methods: Ninety patients who would receive capsule endoscopy were divided into group A(health check volunteers,n=6),group B(with unexplained abdominal pain or diarrhea,n=53)and group C(with obscure gastrointestina1 bleeding,n=31).The capsule endoscopy data of those patients were collected and analyzed.Results: No complaints or complications were observed during the tests;86 patients underwent the capsule endoscopy successfully;58 cases of small intestinal lesions were found in the 90 cases;the total positive rate of capsule endoscopy was 64.4%(58／90);the positive rates of group B and group C were 64.7%(33／52)and 83.3%(25／30),respectively.Conclusions: The OMOM capsule endoscopy has the advantages of simple operation,high safety and no lesion.It is of great value in diagnosis of unexplained abdominal pain,diarrhea and obscure gastrointestinal bleeding,and can be the first choice for diagnosis of small intestinal diseases.
Objective: To assess the value of OMOM capsule endoscopy in the diagnosis of small intestine diseases.Methods: Ninety patients who would receive capsule endoscopy were divided into group A(health check volunteers,n=6),group B(with unexplained abdominal pain or diarrhea,n=53)and group C(with obscure gastrointestina1 bleeding,n=31).The capsule endoscopy data of those patients were collected and analyzed.Results: No complaints or complications were observed during the tests;86 patients underwent the capsule endoscopy successfully;58 cases of small intestinal lesions were found in the 90 cases;the total positive rate of capsule endoscopy was 64.4%(58／90);the positive rates of group B and group C were 64.7%(33／52)and 83.3%(25／30),respectively.Conclusions: The OMOM capsule endoscopy has the advantages of simple operation,high safety and no lesion.It is of great value in diagnosis of unexplained abdominal pain,diarrhea and obscure gastrointestinal bleeding,and can be the first choice for diagnosis of small intestinal diseases.
2014, 39(12): 1621-1623.
Abstract:
Objective: To investigate the risk factors of diabetic nephropathy in patients with type 2 diabetes mellitus.Methods: One hundred and twenty type 2 diabetic patients were divided into type 2 diabetes mellitus group(DM group,60 cases) and diabetic nephropathy group(DN group,60 cases) according to the level 24 h urine micro albumin(UAlb).The age,course of disease,and levels of blood pressure,body mass index(BMI),fasting plasma glucose(FPG),glycosylated hemoglobin A1c(HbA1c),triglyceride(TC) and total cholesterol(TG) in all cases were observed.The correlations of DN with each factor were analyzed using multi-factor unconditioned logistic regression analysis.Results: The course of disease in DN group was longer than that in DM group(P< 0.01).Compared with DM group,the means of age,and levels of SBP,DBP and FPG in DN group were higher(P< 0.01 to P< 0.05).Logistic regression analysis showed that the course of disease,SBP,DBP,TG and TC were the independent risk factor of DN(P< 0.01).Conclusions: Age,course of disease,hyperglycaemia,hypertension and dyslipidemia are the risk factors of type 2 diabetic nephropathy.
Objective: To investigate the risk factors of diabetic nephropathy in patients with type 2 diabetes mellitus.Methods: One hundred and twenty type 2 diabetic patients were divided into type 2 diabetes mellitus group(DM group,60 cases) and diabetic nephropathy group(DN group,60 cases) according to the level 24 h urine micro albumin(UAlb).The age,course of disease,and levels of blood pressure,body mass index(BMI),fasting plasma glucose(FPG),glycosylated hemoglobin A1c(HbA1c),triglyceride(TC) and total cholesterol(TG) in all cases were observed.The correlations of DN with each factor were analyzed using multi-factor unconditioned logistic regression analysis.Results: The course of disease in DN group was longer than that in DM group(P< 0.01).Compared with DM group,the means of age,and levels of SBP,DBP and FPG in DN group were higher(P< 0.01 to P< 0.05).Logistic regression analysis showed that the course of disease,SBP,DBP,TG and TC were the independent risk factor of DN(P< 0.01).Conclusions: Age,course of disease,hyperglycaemia,hypertension and dyslipidemia are the risk factors of type 2 diabetic nephropathy.
2014, 39(12): 1624-1627.
Abstract:
Objective: To investigate the value of the levels of serum Pepsinogen(PG) and Gastrin-17(G-17) in the screening of atrophic gastritis and gastric cancer.Methods: Two hundred and seventy-eight patients undergone gastroscopy from August 2012 to October 2013 were divided into the chronic non-atrophic gastritis group(105 cases),atrophic gastritis group(42 cases),gastric cancer(64 cases) and gastric ulcer group(67 cases) according to the results of gastroscopy and histopathology.The levels of serum PGⅠ,PGⅡand G-17 in all case were measured by enzyme-linked immunosorbent assay(ELISA),and the PGR(ratio of PGⅠto PGⅡ) was calculated.Results: Compared with the chronic non-atrophic gastritis group,the PGⅠleveland PGR decreased significantly in atrophic gastritis and gastric cancer groups(P< 0.01),but for G-17,it increased significantly in the two groups(P< 0.01).Compared with the atrophic gastritis group,the PGⅠ level and PGR in gastric cancer group decreased significantly(P< 0.01),the difference of the G-17 level between the atrophic gastritis and gastric cancer groups was not statistically significant(P >0.05).The PGⅠ level and PGR in advanced gastric cancer patients were significantly lower than those in early gastric cancer patients(P< 0.01),while the difference of G-17 level between them was not statistically significant(P >0.05).Conclusions: The PGⅠ level and PGR decreasing and G-17 level increasing suggest the possible of atrophic gastritis and gastric cancer.The joint detection of serum Pepsinogen and Gastrin-17 is an important means in the screening of atrophic gastritis and gastric cancer,which can provide a positive reference for further gastroscopy.
Objective: To investigate the value of the levels of serum Pepsinogen(PG) and Gastrin-17(G-17) in the screening of atrophic gastritis and gastric cancer.Methods: Two hundred and seventy-eight patients undergone gastroscopy from August 2012 to October 2013 were divided into the chronic non-atrophic gastritis group(105 cases),atrophic gastritis group(42 cases),gastric cancer(64 cases) and gastric ulcer group(67 cases) according to the results of gastroscopy and histopathology.The levels of serum PGⅠ,PGⅡand G-17 in all case were measured by enzyme-linked immunosorbent assay(ELISA),and the PGR(ratio of PGⅠto PGⅡ) was calculated.Results: Compared with the chronic non-atrophic gastritis group,the PGⅠleveland PGR decreased significantly in atrophic gastritis and gastric cancer groups(P< 0.01),but for G-17,it increased significantly in the two groups(P< 0.01).Compared with the atrophic gastritis group,the PGⅠ level and PGR in gastric cancer group decreased significantly(P< 0.01),the difference of the G-17 level between the atrophic gastritis and gastric cancer groups was not statistically significant(P >0.05).The PGⅠ level and PGR in advanced gastric cancer patients were significantly lower than those in early gastric cancer patients(P< 0.01),while the difference of G-17 level between them was not statistically significant(P >0.05).Conclusions: The PGⅠ level and PGR decreasing and G-17 level increasing suggest the possible of atrophic gastritis and gastric cancer.The joint detection of serum Pepsinogen and Gastrin-17 is an important means in the screening of atrophic gastritis and gastric cancer,which can provide a positive reference for further gastroscopy.
2014, 39(12): 1627-1629.
Abstract:
Objective: To explore the effects of cyclophosphamide combined with large doses of methylprednisolone on the serum level of matrix metalloproteinase 9(MMP-9) of patients with paraquat poisoning.Methods: Fifty patients with acute paraquat poisoning were treated with cyclophosphamide combined with large doses of methylprednisolone on the basis of additional treatment.The levels of serum MMP-9 in all patients were detected before and after treatment.Results: Compared with before treatment,the serum levels of MMP-9 in patients decreased significantly after treatment(P< 0.01).Conclusions: The treatment of cyclophosphamide combined with large doses of methylprednisolone can effectively reduce the serum levels of MMP-9 in patients with paraquat poisoning,which maybe one of the mechanisms of reducing lung injury.
Objective: To explore the effects of cyclophosphamide combined with large doses of methylprednisolone on the serum level of matrix metalloproteinase 9(MMP-9) of patients with paraquat poisoning.Methods: Fifty patients with acute paraquat poisoning were treated with cyclophosphamide combined with large doses of methylprednisolone on the basis of additional treatment.The levels of serum MMP-9 in all patients were detected before and after treatment.Results: Compared with before treatment,the serum levels of MMP-9 in patients decreased significantly after treatment(P< 0.01).Conclusions: The treatment of cyclophosphamide combined with large doses of methylprednisolone can effectively reduce the serum levels of MMP-9 in patients with paraquat poisoning,which maybe one of the mechanisms of reducing lung injury.
2014, 39(12): 1630-1633.
Abstract:
Objective: To explore the correlations between the plasma levels of enzyme chitin 40(YKL-40),high-sensitivity C-reactive protein(hs-CRP),uric acid(UA) and coronary lesions in patients with acute coronary syndrome(ACS).Methods: One hundred and two patients with acute coronary syndrome(ACS) identified by coronary arteriography including 48 cases of acute myocardial infarction(AMI) and 54 cases of unstable angina pectoris(UAP) and 52 healthy adults were divided into the ACS group and control group,respectively.The ACS group were divided into the single-vessel lesion subgroup(43 cases),double-vessel lesions subgroup(37 cases) and multi-vessel lesions subgroup(22 cases) according to the number of coronary artery lesions.The plasma levels of YKL-40,hs-CRP and UA in two groups were measured by enzymelinked immunosorbent assay(ELISA).Results: The differences of the plasma levels of YKL-40,hs-CRP and UA between the AMI patients,UAP patients and control group were statistically significant(P< 0.01).With the increasing of the number of coronary artery lesions,the levels of YKL-40 and hs-CRP in ACS group increased.The differences of the levels of UA in the subgroups of ACS group were not statistically significant(P >0.05),but for the levels of YKL-40 and hs-CRP,its differences were statistically significant(P< 0.01).The plasma levels of YKL-40,hs-CRP and UA were positively correlated with the number of coronary artery lesions(P< 0.05).Conclusions: The level of YKL-40 increasing can hint the unstable status of coronary artery in ACS patients,which is closely associated with the coronary heart disease and its severity.
Objective: To explore the correlations between the plasma levels of enzyme chitin 40(YKL-40),high-sensitivity C-reactive protein(hs-CRP),uric acid(UA) and coronary lesions in patients with acute coronary syndrome(ACS).Methods: One hundred and two patients with acute coronary syndrome(ACS) identified by coronary arteriography including 48 cases of acute myocardial infarction(AMI) and 54 cases of unstable angina pectoris(UAP) and 52 healthy adults were divided into the ACS group and control group,respectively.The ACS group were divided into the single-vessel lesion subgroup(43 cases),double-vessel lesions subgroup(37 cases) and multi-vessel lesions subgroup(22 cases) according to the number of coronary artery lesions.The plasma levels of YKL-40,hs-CRP and UA in two groups were measured by enzymelinked immunosorbent assay(ELISA).Results: The differences of the plasma levels of YKL-40,hs-CRP and UA between the AMI patients,UAP patients and control group were statistically significant(P< 0.01).With the increasing of the number of coronary artery lesions,the levels of YKL-40 and hs-CRP in ACS group increased.The differences of the levels of UA in the subgroups of ACS group were not statistically significant(P >0.05),but for the levels of YKL-40 and hs-CRP,its differences were statistically significant(P< 0.01).The plasma levels of YKL-40,hs-CRP and UA were positively correlated with the number of coronary artery lesions(P< 0.05).Conclusions: The level of YKL-40 increasing can hint the unstable status of coronary artery in ACS patients,which is closely associated with the coronary heart disease and its severity.
2014, 39(12): 1633-1635.
Abstract:
Objective: To investigate the incidence rates of nutritional risk and malnutrition of critical children,and provide the basis for clinical nutrition support.Methods: The nutrition risks in 284 critical children during hospitalization were screened by STRONG kids,and the nutrition status of children were evaluated by physical examination.Results: The detection rate of nutrition risk in critical children during hospitalization was 52.82%,and the detection rates of malnutrition of all critical children at the beginning and end of hospitalization were 19.01% and 33.80%,respectively.The nutrition risk was positive correlation with malnutrition(P< 0.01).The hospitalization duration was positive correlation with the detection rates of nutrition risk and malnutrition(P< 0.05).Conclusions: The incidence of acute malnutrition and detection rates of nutrition risk and malnutrition in critical children with unideal nutrition support during hospitalization are high,and the hospitalization duration is long.
Objective: To investigate the incidence rates of nutritional risk and malnutrition of critical children,and provide the basis for clinical nutrition support.Methods: The nutrition risks in 284 critical children during hospitalization were screened by STRONG kids,and the nutrition status of children were evaluated by physical examination.Results: The detection rate of nutrition risk in critical children during hospitalization was 52.82%,and the detection rates of malnutrition of all critical children at the beginning and end of hospitalization were 19.01% and 33.80%,respectively.The nutrition risk was positive correlation with malnutrition(P< 0.01).The hospitalization duration was positive correlation with the detection rates of nutrition risk and malnutrition(P< 0.05).Conclusions: The incidence of acute malnutrition and detection rates of nutrition risk and malnutrition in critical children with unideal nutrition support during hospitalization are high,and the hospitalization duration is long.
2014, 39(12): 1636-1638.
Abstract:
Objective: To investigate the termination way of pregnancy again in patients with scar uterine.Methods: The data of 98 pregnancy women with scar uterine were retrospectively analyzed,all cases were randomly divided into the control group(49 cases) and observation group(49 cases).The observation group and control group were treated with mifepristone combined with injecting rivanol into amniotic cavity and only injecting rivanol into amniotic cavity for odinopoeia,respectively.The clinical effects of terminating pregnancy in pregnancy women with scar uterine in two groups were observed.Results: The odinopoeia time,soft birth canal injury and placental membrane residues in observation group were less than those in control group(P< 0.05 to P< 0.01).Conclusions: The effects of the mifepristone combined with injecting rivanol into amniotic cavity in the termination of pregnancy are good,the operation method is simple,and its injury is little.
Objective: To investigate the termination way of pregnancy again in patients with scar uterine.Methods: The data of 98 pregnancy women with scar uterine were retrospectively analyzed,all cases were randomly divided into the control group(49 cases) and observation group(49 cases).The observation group and control group were treated with mifepristone combined with injecting rivanol into amniotic cavity and only injecting rivanol into amniotic cavity for odinopoeia,respectively.The clinical effects of terminating pregnancy in pregnancy women with scar uterine in two groups were observed.Results: The odinopoeia time,soft birth canal injury and placental membrane residues in observation group were less than those in control group(P< 0.05 to P< 0.01).Conclusions: The effects of the mifepristone combined with injecting rivanol into amniotic cavity in the termination of pregnancy are good,the operation method is simple,and its injury is little.
2014, 39(12): 1639-1640.
Abstract:
Objective: To explore the treatment of ureteral calculus complicated with renal colic during gestation period.Methods: Seventeen patients with ureteral calculus complicated with renal colic during the gestation period were treated with conservative treatment at first.Six patients symptoms disappeared after conservative treatment.Eleven cases were additionally treated with the cystoscopic ureteral double-J stenting due to their unsatisfactory conservative effects,2 cases were continuously treated with conservative treatment and 1 case were treated with the percutaneous nephrostomy under local anesthesia.Results: All symptoms in patients with renal colic were improved.Among 8 cases treated with double-J stenting,the stone of 1 case was discharged during the stent implanting,the stones of 5 cases were discharged by drugs combined with Extracorporeal shock wave lithotripsy from the stent implanting to the end of puerperium,and the stones of 2 cases failed to discharge,then who were treated with Ureteroscopic-holmium laser lithotripsy at the end of the puerperium.No accidental pregnancy termination case were found.Conclusions: The treatment of ureteral calculus complicated with renal colic during gestation period with ureteral catheter stenting under cystoscope is a safe and effective method.
Objective: To explore the treatment of ureteral calculus complicated with renal colic during gestation period.Methods: Seventeen patients with ureteral calculus complicated with renal colic during the gestation period were treated with conservative treatment at first.Six patients symptoms disappeared after conservative treatment.Eleven cases were additionally treated with the cystoscopic ureteral double-J stenting due to their unsatisfactory conservative effects,2 cases were continuously treated with conservative treatment and 1 case were treated with the percutaneous nephrostomy under local anesthesia.Results: All symptoms in patients with renal colic were improved.Among 8 cases treated with double-J stenting,the stone of 1 case was discharged during the stent implanting,the stones of 5 cases were discharged by drugs combined with Extracorporeal shock wave lithotripsy from the stent implanting to the end of puerperium,and the stones of 2 cases failed to discharge,then who were treated with Ureteroscopic-holmium laser lithotripsy at the end of the puerperium.No accidental pregnancy termination case were found.Conclusions: The treatment of ureteral calculus complicated with renal colic during gestation period with ureteral catheter stenting under cystoscope is a safe and effective method.
2014, 39(12): 1641-1644.
Abstract:
Objective: To evaluate the value of magnifying endoscopy combined with Fuji intelligent chromoendoscopy(FICE) in the diagnosis of gastric cancer and precancerous lesions.Methods: The gastric mucosa gland openings and microvascular morphology in 109 patients(116 lesions) were detected by magnifying endoscopy combined with FICE,all cases were divided into six types according to the examination result.The clear gastric mucosa gland,clear and regular or irregular and unclear microvascular pattern were the main manifestations of types Ⅰ,Ⅱ and Ⅲ,the unclear and irregular gastric mucosa gland,clear and regular or irregular and unclear microvascular pattern were the main manifestations of types Ⅳ,Ⅴ and Ⅵ.The pathological results of different types were analyzed.Results: The type diagnosis of gastric mucosa gland using magnifying FICE was better than that using normal endoscope(P< 0.01).Compared with the magnifying chromoendoscopy,the magnifying FICE could clearly show the microvascular pattern(P< 0.01),the difference of the identifying the gastric mucosa gland opening between two methods was not statistically significant(P >0.05).Except for 1 HGD case,the canceration in case with clear and regular gastric mucosa gland opening(typeⅠto Ⅲ) was not found.The HGD and canceration located mainly in cases with unclear and irregular gastric mucosa gland opening(type Ⅳ to Ⅵ).Conclusions: Observing the microstructure of gastric lesions using magnifying FICE can guide the accurate biopsy,and improve the accuracy of diagnosing in gastric cancer.
Objective: To evaluate the value of magnifying endoscopy combined with Fuji intelligent chromoendoscopy(FICE) in the diagnosis of gastric cancer and precancerous lesions.Methods: The gastric mucosa gland openings and microvascular morphology in 109 patients(116 lesions) were detected by magnifying endoscopy combined with FICE,all cases were divided into six types according to the examination result.The clear gastric mucosa gland,clear and regular or irregular and unclear microvascular pattern were the main manifestations of types Ⅰ,Ⅱ and Ⅲ,the unclear and irregular gastric mucosa gland,clear and regular or irregular and unclear microvascular pattern were the main manifestations of types Ⅳ,Ⅴ and Ⅵ.The pathological results of different types were analyzed.Results: The type diagnosis of gastric mucosa gland using magnifying FICE was better than that using normal endoscope(P< 0.01).Compared with the magnifying chromoendoscopy,the magnifying FICE could clearly show the microvascular pattern(P< 0.01),the difference of the identifying the gastric mucosa gland opening between two methods was not statistically significant(P >0.05).Except for 1 HGD case,the canceration in case with clear and regular gastric mucosa gland opening(typeⅠto Ⅲ) was not found.The HGD and canceration located mainly in cases with unclear and irregular gastric mucosa gland opening(type Ⅳ to Ⅵ).Conclusions: Observing the microstructure of gastric lesions using magnifying FICE can guide the accurate biopsy,and improve the accuracy of diagnosing in gastric cancer.
2014, 39(12): 1644-1646.
Abstract:
Objective: To observe the clinical effects of salvianolate in the treatment of the elderly patients with coronary artery disease complicated with heart failure.Methods: Seventy-two elderly patients with coronary artery disease complicated with heart failure were randomly divided into the control group and salvianolate group using number table method(36 cases each group).The control group were treated with conventional method,the salvianolate group were treated with salvianolate by intravenous injection based on conventional method for 14 days.The ejection fraction(EF),stroke volume(SV),N-terminal type B natriuretic peptide(Nt-proBNP) level and HF Lee score in two groups were measured before and after treatment,the clinical effects between two groups were evaluated according to the HF Lee score.Results: Compared before treatment,the EF and SV in two groups increased significantly after treatment(P< 0.01),and the increasing degrees of EF and SV in salvianolate group were significantly higher than those in control group(P< 0.01).Compared before treatment,the Nt-proBNP level and HF Lee score in two groups decreased significantly after treatment(P< 0.01),and the Nt-proBNP level and HF Lee score in salvianolate group were significantly better than those in control group(P< 0.05).The effective rates in control group and salvianolate group were 47.22% and 75.00%,respectively,the difference of which was statistically significant(P< 0.01).Conclusions: The treatment of coronary artery disease complicated with heart failure in the elderly patients with salvianolate based on the conventional therapy can significantly improve the cardiac function of patients,which has good clinical effects,and is worth promoting.
Objective: To observe the clinical effects of salvianolate in the treatment of the elderly patients with coronary artery disease complicated with heart failure.Methods: Seventy-two elderly patients with coronary artery disease complicated with heart failure were randomly divided into the control group and salvianolate group using number table method(36 cases each group).The control group were treated with conventional method,the salvianolate group were treated with salvianolate by intravenous injection based on conventional method for 14 days.The ejection fraction(EF),stroke volume(SV),N-terminal type B natriuretic peptide(Nt-proBNP) level and HF Lee score in two groups were measured before and after treatment,the clinical effects between two groups were evaluated according to the HF Lee score.Results: Compared before treatment,the EF and SV in two groups increased significantly after treatment(P< 0.01),and the increasing degrees of EF and SV in salvianolate group were significantly higher than those in control group(P< 0.01).Compared before treatment,the Nt-proBNP level and HF Lee score in two groups decreased significantly after treatment(P< 0.01),and the Nt-proBNP level and HF Lee score in salvianolate group were significantly better than those in control group(P< 0.05).The effective rates in control group and salvianolate group were 47.22% and 75.00%,respectively,the difference of which was statistically significant(P< 0.01).Conclusions: The treatment of coronary artery disease complicated with heart failure in the elderly patients with salvianolate based on the conventional therapy can significantly improve the cardiac function of patients,which has good clinical effects,and is worth promoting.
2014, 39(12): 1647-1648,1654.
Abstract:
Objective: To investigate the levels of uric acid in type 2 diabetic patients with cerebral infarction,and its clinical significance.Methods: The levels of fasting serum uric acid concentrations,blood glucose,glycosylated hemoglobin and lipid in simple diabetes group,cerebral infarction without diabetes group,type 2 diabetes complicated with cerebral infarction and normal control group(60 cases each group) were detected and analyzed using automatic biochemical analyzer.Results: The levels of uric acid in type 2 diabetic patients with cerebral infarction were significantly higher than those in other three groups(P< 0.01),the levels of uric acid in simple diabetes group and cerebral infarction without diabetes group were significantly higher than those in control group(P< 0.01).Conclusions: High uric acid level may be an independent risk factor of the type 2 diabetic patients with cerebral infarction.
Objective: To investigate the levels of uric acid in type 2 diabetic patients with cerebral infarction,and its clinical significance.Methods: The levels of fasting serum uric acid concentrations,blood glucose,glycosylated hemoglobin and lipid in simple diabetes group,cerebral infarction without diabetes group,type 2 diabetes complicated with cerebral infarction and normal control group(60 cases each group) were detected and analyzed using automatic biochemical analyzer.Results: The levels of uric acid in type 2 diabetic patients with cerebral infarction were significantly higher than those in other three groups(P< 0.01),the levels of uric acid in simple diabetes group and cerebral infarction without diabetes group were significantly higher than those in control group(P< 0.01).Conclusions: High uric acid level may be an independent risk factor of the type 2 diabetic patients with cerebral infarction.
2014, 39(12): 1649-1650.
Abstract:
Objective: To evaluate the efficacy of velvetfeeling in the treatment of facial corticosteroid-dependent dermatitis.Methods: Sixty patients were randomly divided into the control group and treatment group.The control group were treated with the cold compress of 3% boric acid solution,20 minutes a time,3 times a day.The treatment group were treated with wet compress of velvetfeeling,20 minutes a time,3 times a day.The vitamin E cream was used when the skin was dry,scaling and itching appears.The treatment lasted for 4 weeks,the efficacy between two groups was compared after treatment.Results: The effective rate of the treatment group(83.3%) was higher than that of the control group(56.7%)(P< 0.05).Conclusions: The therapeutic effects of velvetfeeling for facial corticosteroid-dependent dermatitis are obvious,convenience and non-adverse reactions,which is worthy of promotion and application.
Objective: To evaluate the efficacy of velvetfeeling in the treatment of facial corticosteroid-dependent dermatitis.Methods: Sixty patients were randomly divided into the control group and treatment group.The control group were treated with the cold compress of 3% boric acid solution,20 minutes a time,3 times a day.The treatment group were treated with wet compress of velvetfeeling,20 minutes a time,3 times a day.The vitamin E cream was used when the skin was dry,scaling and itching appears.The treatment lasted for 4 weeks,the efficacy between two groups was compared after treatment.Results: The effective rate of the treatment group(83.3%) was higher than that of the control group(56.7%)(P< 0.05).Conclusions: The therapeutic effects of velvetfeeling for facial corticosteroid-dependent dermatitis are obvious,convenience and non-adverse reactions,which is worthy of promotion and application.
2014, 39(12): 1651-1654.
Abstract:
Objective: To compare the effects of laparoscopic surgery under different pneumoperitoneum pressure on the patient's respiratory and circulatory systems.Methods: Seventy-two patients treated with laparoscopic cholecystectomy were randomly divided into high pneumoperitoneum pressure group(HP group,2.0 kPa) and low pneumoperitoneum pressure group(LP group,1.33 kPa).The indicators of respiratory and circulatory systems before and after pneumoperitoneum and postoperative complications between two groups were analyzed.Results: Compared with before pneumoperitoneum,the airway pressure,partial pressure of CO2 in end expiratory,heart rate,systolic blood pressure and mean arterial pressure in two groups significantly increased after pneumoperitoneum(P< 0.01),and the rise degree of which in HP group was significantly higher than that in LP group(P< 0.01).Compared with before pneumoperitoneum,the indicators in LP group came back to normal level(P >0.05),but for the HP group these were still high after 5 min of deflation(P< 0.01).Compared with before pneumoperitoneum,the thoracic compliance in two groups significantly decreased(P< 0.01),and the decline degree of which in HP group was obviously after pneumoperitoneum.Compared with before pneumoperitoneum,the thoracic compliance in LP group improved to normal level(P >0.05),but for the HP group it was still low after 5 min of deflation(P< 0.01).The complications in 5 cases of the HP group were found.Conclusions: The effects of high pneumoperitoneum pressure on the patient's respiratory circulatory systems are great.The laparoscopic surgery should be implemented under low pneumoperitoneum pressure,and the indicators of respiratory and circulatory systems should be dynamically monitored to prevent complications.
Objective: To compare the effects of laparoscopic surgery under different pneumoperitoneum pressure on the patient's respiratory and circulatory systems.Methods: Seventy-two patients treated with laparoscopic cholecystectomy were randomly divided into high pneumoperitoneum pressure group(HP group,2.0 kPa) and low pneumoperitoneum pressure group(LP group,1.33 kPa).The indicators of respiratory and circulatory systems before and after pneumoperitoneum and postoperative complications between two groups were analyzed.Results: Compared with before pneumoperitoneum,the airway pressure,partial pressure of CO2 in end expiratory,heart rate,systolic blood pressure and mean arterial pressure in two groups significantly increased after pneumoperitoneum(P< 0.01),and the rise degree of which in HP group was significantly higher than that in LP group(P< 0.01).Compared with before pneumoperitoneum,the indicators in LP group came back to normal level(P >0.05),but for the HP group these were still high after 5 min of deflation(P< 0.01).Compared with before pneumoperitoneum,the thoracic compliance in two groups significantly decreased(P< 0.01),and the decline degree of which in HP group was obviously after pneumoperitoneum.Compared with before pneumoperitoneum,the thoracic compliance in LP group improved to normal level(P >0.05),but for the HP group it was still low after 5 min of deflation(P< 0.01).The complications in 5 cases of the HP group were found.Conclusions: The effects of high pneumoperitoneum pressure on the patient's respiratory circulatory systems are great.The laparoscopic surgery should be implemented under low pneumoperitoneum pressure,and the indicators of respiratory and circulatory systems should be dynamically monitored to prevent complications.
2014, 39(12): 1655-1657.
Abstract:
Objective: To investigate the causes and treatment of postoperative pain of tension-free inguinal hernia repair,and provide a theoretical reference for the clinical treatment.Methods: The oblique hernia type,onset age,anesthesia and nerve protection in 59 postoperative pain patients treated with tension-free inguinal hernia repair were analyzed.Some measures were implemented to protect and alleviate postoperative pain.Results: The pain in patients with type Ⅲ and Ⅳ hernia was higher than that in patients with type Ⅰand Ⅱ hernia(P< 0.05).The differences of pain between younger patients with local infiltration anesthesia and elderly patients with spinal anesthesia were not statistical significance(P >0.05).Conclusions: The postoperative pain of inguinal hernia tension-free repair is relation to disease type.According to the related factors,the corresponding solution is necessary in preventing or alleviating pain.
Objective: To investigate the causes and treatment of postoperative pain of tension-free inguinal hernia repair,and provide a theoretical reference for the clinical treatment.Methods: The oblique hernia type,onset age,anesthesia and nerve protection in 59 postoperative pain patients treated with tension-free inguinal hernia repair were analyzed.Some measures were implemented to protect and alleviate postoperative pain.Results: The pain in patients with type Ⅲ and Ⅳ hernia was higher than that in patients with type Ⅰand Ⅱ hernia(P< 0.05).The differences of pain between younger patients with local infiltration anesthesia and elderly patients with spinal anesthesia were not statistical significance(P >0.05).Conclusions: The postoperative pain of inguinal hernia tension-free repair is relation to disease type.According to the related factors,the corresponding solution is necessary in preventing or alleviating pain.
Effect of sleeve circumcision at the base of penis in the treatment of redundant prepuce in children
2014, 39(12): 1657-1659.
Abstract:
Objective: To compare the clinical effects of sleeve circumcision at the base of penis and conventional circumcision in the treatment of redundant prepuce in children.Methods: One hundred and twelve children with redundant prepuce were treated with sleeve circumcision at the base of penis(group A)52 cases,and conventional circumcision(group B)60 cases.The operation time,intraoperative blood loss,postoperative pain time,postoperative complication and postoperative 6-month satisfaction of penile appearance between two groups were compared.Results: The difference of the operation time between two groups had no statistically significant(P< 0.01).The intraoperative blood loss and postoperative pain in group A were better than those in group B(P< 0.01).Conclusions: The effects of sleeve circumcision at the base of penis in the treatment of redundant prepuce in children are good,which is a safe and effective circumcision technology,and has a good application prospect.
Objective: To compare the clinical effects of sleeve circumcision at the base of penis and conventional circumcision in the treatment of redundant prepuce in children.Methods: One hundred and twelve children with redundant prepuce were treated with sleeve circumcision at the base of penis(group A)52 cases,and conventional circumcision(group B)60 cases.The operation time,intraoperative blood loss,postoperative pain time,postoperative complication and postoperative 6-month satisfaction of penile appearance between two groups were compared.Results: The difference of the operation time between two groups had no statistically significant(P< 0.01).The intraoperative blood loss and postoperative pain in group A were better than those in group B(P< 0.01).Conclusions: The effects of sleeve circumcision at the base of penis in the treatment of redundant prepuce in children are good,which is a safe and effective circumcision technology,and has a good application prospect.
2014, 39(12): 1660-1662.
Abstract:
Objective: To observe the adverse reactions of two kinds of external radiotherapy in cervical cancer,and provide the best therapeutic method.Methods: Sixty patients with stage B or worse cervical cancer were randomly divided into observation group and control group with 30 cases in each group,the observation group with the same center of external irradiation,5 times a week,every day and every wild tumor volume(DT) 1.0 Gy, daily exposure to two wild;the control group before and after wear on the field by pelvic irradiation in vitro, 5 times every week,every day and wild DT 1.8-2.0 Gy, daily two wild turns irradiation,pelvic external irradiation of DT 50 Gy,intracavitary brachy therapy for 3-7 times, once a week, each time DT for 6.0-7.0 Gy.The incidence of bone marrow suppression and digestive system reaction induced by radiotherapy were compared between the 2 groups.Results: The digestive system of reaction degree caused by radiotherapy group less than that in the control group(P< 0.05),the 2 groups had no significant differences in the degree of suppression of bone marrow(P>0.05). Conclusions: In cervical cancer,using in vitro irradiation with center can relatively reduce adverse reactions.
Objective: To observe the adverse reactions of two kinds of external radiotherapy in cervical cancer,and provide the best therapeutic method.Methods: Sixty patients with stage B or worse cervical cancer were randomly divided into observation group and control group with 30 cases in each group,the observation group with the same center of external irradiation,5 times a week,every day and every wild tumor volume(DT) 1.0 Gy, daily exposure to two wild;the control group before and after wear on the field by pelvic irradiation in vitro, 5 times every week,every day and wild DT 1.8-2.0 Gy, daily two wild turns irradiation,pelvic external irradiation of DT 50 Gy,intracavitary brachy therapy for 3-7 times, once a week, each time DT for 6.0-7.0 Gy.The incidence of bone marrow suppression and digestive system reaction induced by radiotherapy were compared between the 2 groups.Results: The digestive system of reaction degree caused by radiotherapy group less than that in the control group(P< 0.05),the 2 groups had no significant differences in the degree of suppression of bone marrow(P>0.05). Conclusions: In cervical cancer,using in vitro irradiation with center can relatively reduce adverse reactions.
2014, 39(12): 1662-1664.
Abstract:
Objective: To compare the long-term effects of the mucosal resection stapling and sclerosing agent injecting combined with mucosa columnar suturing in the treatment of rectocele.Methods: Fifty-eight patients with severe rectocele were divided into the observation group(30 cases treated with mucosal resection stapling) and control group(28 cases treated with sclerosing agent injecting combined with mucosa columnar suturing).Two groups were followed up for 1 to 4 years,the operation time,hospital time and long-term clinical effects between two groups were compared.Results: The hospital time and operation time in observation group were significantly lower than that those in control group(P< 0.01),the long-term effects of the observation group was better than that of the control group(P< 0.05),the rectovaginal fistula and stenosis of anal canal were not found in two groups.Conclusions: The treatment of rectocele with mucosal resection stapling can improve the defecation function and long-term effects,which is simple operation,and worth popularization.
Objective: To compare the long-term effects of the mucosal resection stapling and sclerosing agent injecting combined with mucosa columnar suturing in the treatment of rectocele.Methods: Fifty-eight patients with severe rectocele were divided into the observation group(30 cases treated with mucosal resection stapling) and control group(28 cases treated with sclerosing agent injecting combined with mucosa columnar suturing).Two groups were followed up for 1 to 4 years,the operation time,hospital time and long-term clinical effects between two groups were compared.Results: The hospital time and operation time in observation group were significantly lower than that those in control group(P< 0.01),the long-term effects of the observation group was better than that of the control group(P< 0.05),the rectovaginal fistula and stenosis of anal canal were not found in two groups.Conclusions: The treatment of rectocele with mucosal resection stapling can improve the defecation function and long-term effects,which is simple operation,and worth popularization.
2014, 39(12): 1665-1667.
Abstract:
Objective: To explore the effects of arthroscopic debridement combined with radio frequency energy in the treatment of knee osteoarthritis.Methods: Forty-eight patients with knee osteoarthritis were randomly divided into the radio frequency group and traditional apparatus group(24 cases each group),which were treated with arthroscope combined with radio frequency and arthroscopic traditional apparatus,respectively.The preoperative and postoperative 1-year Lysholm score and joint effusion quantity at 2 weeks after operation between two groups were compared.Results: The difference of preoperative Lysholm score in two groups was not statistically significant(P >0.05).The postoperative Lysholm scores in two groups were significantly higher than that in preoperation(P< 0.01).The difference of postperative 1-year Lysholm score in two groups was statistically significant(P< 0.01).The joint effusion quantity at 2 weeks after operation in radio frequency group was less than in that in traditional apparatus group(P< 0.01).Conclusions: The radio frequency energy can effectively improve the outcome of the arthroscopic debridement in the treatment of knee osteoarthritis,which is worth to recommend.
Objective: To explore the effects of arthroscopic debridement combined with radio frequency energy in the treatment of knee osteoarthritis.Methods: Forty-eight patients with knee osteoarthritis were randomly divided into the radio frequency group and traditional apparatus group(24 cases each group),which were treated with arthroscope combined with radio frequency and arthroscopic traditional apparatus,respectively.The preoperative and postoperative 1-year Lysholm score and joint effusion quantity at 2 weeks after operation between two groups were compared.Results: The difference of preoperative Lysholm score in two groups was not statistically significant(P >0.05).The postoperative Lysholm scores in two groups were significantly higher than that in preoperation(P< 0.01).The difference of postperative 1-year Lysholm score in two groups was statistically significant(P< 0.01).The joint effusion quantity at 2 weeks after operation in radio frequency group was less than in that in traditional apparatus group(P< 0.01).Conclusions: The radio frequency energy can effectively improve the outcome of the arthroscopic debridement in the treatment of knee osteoarthritis,which is worth to recommend.
2014, 39(12): 1668-1670.
Abstract:
Objective: To explore the protective effects of the inhaled anesthesia on myocardium in non-cardiac surgery patients with ischemic heart disease.Methods: Ninety-six patients with ischemic heart disease treated with other operation were randomly divided into the control group and treatment group(48 cases each group),treatment group were treated with control and inhaled anesthesia,respectively.The effects of whose on the perioperative cardiac event,ischemic event and level of cTnI in patients were compared.Results: The incidence rates of intraoperative hypotension,hypoxemia and using cardiovascular active drugs in treatment group and control group were 31.25%,6.25% and 37.50%,and 43.75%,14.58% and 64.58%,respectively,hypotension and hypoxemia had no significant difference in the incidence rate of intraoperative(P< 0.05),but unilization of cardiovascular cative drugs treatment group was significantly lower than the control group(P< 0.01).The differences of the concentration anomalies of cTnI in treatment group and control group at postoperative 1,2 and 3 days were not statistically significant(P >0.05).The differences of the incidence rate of myocardial ischemic event in treatment group and control group after anesthesia and at postoperative 1,2 and 3 days were not statistically significant(P >0.05).Conclusions: The inhaled anesthesia can reduce the use of cardiovascular drugs,and protect the myocardium in non-cardiac surgery patients with ischemic heart disease,which can be used as the preferred treatment for elderly patients with coronary heart disease.
Objective: To explore the protective effects of the inhaled anesthesia on myocardium in non-cardiac surgery patients with ischemic heart disease.Methods: Ninety-six patients with ischemic heart disease treated with other operation were randomly divided into the control group and treatment group(48 cases each group),treatment group were treated with control and inhaled anesthesia,respectively.The effects of whose on the perioperative cardiac event,ischemic event and level of cTnI in patients were compared.Results: The incidence rates of intraoperative hypotension,hypoxemia and using cardiovascular active drugs in treatment group and control group were 31.25%,6.25% and 37.50%,and 43.75%,14.58% and 64.58%,respectively,hypotension and hypoxemia had no significant difference in the incidence rate of intraoperative(P< 0.05),but unilization of cardiovascular cative drugs treatment group was significantly lower than the control group(P< 0.01).The differences of the concentration anomalies of cTnI in treatment group and control group at postoperative 1,2 and 3 days were not statistically significant(P >0.05).The differences of the incidence rate of myocardial ischemic event in treatment group and control group after anesthesia and at postoperative 1,2 and 3 days were not statistically significant(P >0.05).Conclusions: The inhaled anesthesia can reduce the use of cardiovascular drugs,and protect the myocardium in non-cardiac surgery patients with ischemic heart disease,which can be used as the preferred treatment for elderly patients with coronary heart disease.
2014, 39(12): 1671-1673.
Abstract:
Objective: To investigate the effect of remifentanil on the effect compartment concentration(EC),response entropy(RE),state entropy(SE) and hemodynamical response during propofol target-controlled infusion(TCI) general anesthesia period.Methods: Twenty-two ASA classⅠ-Ⅱ patients undergoing elective surgery were randomly divided into the experimental group and control group,eleven cases in each group.In the two groups,the plasma concentration was as the target objective to do TCI.The initial plasma concentration was set to 1.5 μg /ml,increased by 0.5 μg /ml every 4 minutes until the Modified Observer Assessment of Alertness and Sedation(MOAA/S) score=1.The patients in experimental group were received with remifentanil infusion at 0.2 μg·kg-1·min-1,while the patients in control group were received with normal saline at 0.2 μg·kg-1·min-1.Tracheal intubation was operated after 3 minutes with muscular relaxants when MOAA/S was equal to 0.Propofol EC,RE,SE,mean arterial pressure(MAP) and heart rate(HR) were recorded when anesthesia was inducted with propofol TCI,including before anesthesia(T0),at the time of infusion with muscle relaxants(T1),at the time of intubation(T2) and at 1 min after intubation(T3).Results: Propofol EC in experimental group was lower than that in control group at T1-T3(P< 0.05 to P< 0.01).There was no significant difference of RE and SE at T1-T3 between the two groups(P >0.05).MAP at T3 and HR at T1-T3 in experimental group were lower than those in control group(P< 0.01).Conclusions: The doseage of propofol was decreased obviously during induction of general anesthesia by infusing remifentanil and propofol.At same time,HR and BP were inhibited obviously,but no changes of RE and SE.
Objective: To investigate the effect of remifentanil on the effect compartment concentration(EC),response entropy(RE),state entropy(SE) and hemodynamical response during propofol target-controlled infusion(TCI) general anesthesia period.Methods: Twenty-two ASA classⅠ-Ⅱ patients undergoing elective surgery were randomly divided into the experimental group and control group,eleven cases in each group.In the two groups,the plasma concentration was as the target objective to do TCI.The initial plasma concentration was set to 1.5 μg /ml,increased by 0.5 μg /ml every 4 minutes until the Modified Observer Assessment of Alertness and Sedation(MOAA/S) score=1.The patients in experimental group were received with remifentanil infusion at 0.2 μg·kg-1·min-1,while the patients in control group were received with normal saline at 0.2 μg·kg-1·min-1.Tracheal intubation was operated after 3 minutes with muscular relaxants when MOAA/S was equal to 0.Propofol EC,RE,SE,mean arterial pressure(MAP) and heart rate(HR) were recorded when anesthesia was inducted with propofol TCI,including before anesthesia(T0),at the time of infusion with muscle relaxants(T1),at the time of intubation(T2) and at 1 min after intubation(T3).Results: Propofol EC in experimental group was lower than that in control group at T1-T3(P< 0.05 to P< 0.01).There was no significant difference of RE and SE at T1-T3 between the two groups(P >0.05).MAP at T3 and HR at T1-T3 in experimental group were lower than those in control group(P< 0.01).Conclusions: The doseage of propofol was decreased obviously during induction of general anesthesia by infusing remifentanil and propofol.At same time,HR and BP were inhibited obviously,but no changes of RE and SE.
2014, 39(12): 1674-1676,1679.
Abstract:
Objective: To observe the effects of dexmedetomidine(DEX) injection before tracheal extubation on the anesthetic recovery of patients.Methods: Seventy-four thyroid surgery patients were randomly divided into the observation group and control group(37 cases each group).which were treated with 0.5 μg/kg of DEX for 10 min and 10 ml of 0.9% sodium chloride solution by intravenous infusion at 10 min after operation,respectively.The blood pressure,heart rate(HR),pulse oxygen saturation and the time of postoperative awake and extubation in two groups were compared,the adverse reactions(including cough,nausea and vomiting) before tracheal extubation,and postoperative 1 to 4 h Bruggrmann comfort score(BCS) and visual analogue scale(VAS) in two groups were observed.Results: The difference of the extubation time between two groups was not statistically significant(P >0.05).The HR in the observation group decreased after injecting DEX.Compared with the observation group,the incidence of cough in control group was high,and its BP and HR increased significantly at the time of extubation(P< 0.05 to P< 0.01).Compared with the observation group,the postoperative 1 to 4 h BCS and VAS in control group were low and high,respectively(P< 0.05).Conclusions: The DEX injection in thyroid surgery patients during extubation has good analgesic and sedative effects,which can effectively reduce the incidence of cough,and improve the comfortable degree of patients after operation.
Objective: To observe the effects of dexmedetomidine(DEX) injection before tracheal extubation on the anesthetic recovery of patients.Methods: Seventy-four thyroid surgery patients were randomly divided into the observation group and control group(37 cases each group).which were treated with 0.5 μg/kg of DEX for 10 min and 10 ml of 0.9% sodium chloride solution by intravenous infusion at 10 min after operation,respectively.The blood pressure,heart rate(HR),pulse oxygen saturation and the time of postoperative awake and extubation in two groups were compared,the adverse reactions(including cough,nausea and vomiting) before tracheal extubation,and postoperative 1 to 4 h Bruggrmann comfort score(BCS) and visual analogue scale(VAS) in two groups were observed.Results: The difference of the extubation time between two groups was not statistically significant(P >0.05).The HR in the observation group decreased after injecting DEX.Compared with the observation group,the incidence of cough in control group was high,and its BP and HR increased significantly at the time of extubation(P< 0.05 to P< 0.01).Compared with the observation group,the postoperative 1 to 4 h BCS and VAS in control group were low and high,respectively(P< 0.05).Conclusions: The DEX injection in thyroid surgery patients during extubation has good analgesic and sedative effects,which can effectively reduce the incidence of cough,and improve the comfortable degree of patients after operation.
2014, 39(12): 1677-1679.
Abstract:
Objective: To compare the application value of lightwand and direct laryngoscope in oral trachea cannula anesthesia of patients with missing or no tooth for finding an effective method.Methods: Sixty elderly patients with missing or no tooth were randomly divided into the lightwand group(group L ) and direct laryngoscope group(group M).The systolic blood pressure,diastolic blood pressure and heart rate of patients before anesthesia induction,before and trachea cannula and at 5 min after trachea cannula,the success rate of trachea cannula and the incidence of complication after trachea cannula between two groups were compared.Results: The success rates of intubation of two groups were 100%.The blood pressure and heart rate in group M at 5 min after trachea cannula were significantly higher than those in group L(P< 0.05 to P< 0.01).The differences of the tooth injury,postoperative sore throat and hoarseness between two groups after trachea cannula were not statistically significant(P >0.05).Conclusions: The oral trachea cannula guided by lightwand in elderly patients with missing or no tooth is simple,effective and less injury,which is worthy of popularization and applicat.
Objective: To compare the application value of lightwand and direct laryngoscope in oral trachea cannula anesthesia of patients with missing or no tooth for finding an effective method.Methods: Sixty elderly patients with missing or no tooth were randomly divided into the lightwand group(group L ) and direct laryngoscope group(group M).The systolic blood pressure,diastolic blood pressure and heart rate of patients before anesthesia induction,before and trachea cannula and at 5 min after trachea cannula,the success rate of trachea cannula and the incidence of complication after trachea cannula between two groups were compared.Results: The success rates of intubation of two groups were 100%.The blood pressure and heart rate in group M at 5 min after trachea cannula were significantly higher than those in group L(P< 0.05 to P< 0.01).The differences of the tooth injury,postoperative sore throat and hoarseness between two groups after trachea cannula were not statistically significant(P >0.05).Conclusions: The oral trachea cannula guided by lightwand in elderly patients with missing or no tooth is simple,effective and less injury,which is worthy of popularization and applicat.
2014, 39(12): 1685-1687.
Abstract:
Objective: To provide scientific basis for the prevention and control of influenza by analyzing the surveillance data and epidemic situation of influenza in Suzhou city from 2009 to 2012.Methods: The Real-Time PCR technology was used to detect the specificity nucleic acid of influenza virus in collected influenza-like cases or throat swab specimens from patients with influenza.Results: A total of 1 672 specimens were tested,among which 214 were found to have positive specificity nucleic acid of influenza virus,with a total positive rate of 12.8%.Among the 287 samples detected in 2009,positive specificity nucleic acid of influenza virus was found in 155 of them(54.0%);among the 729 samples detected in 2010,positive specificity nucleic acid of influenza virus was found in 39 of them(5.3%);among the 319 samples detected in 2011,positive specificity nucleic acid of influenza virus was found in 4 of them(1.3%);among the 337 samples detected in 2012,positive specificity nucleic acid of influenza virus was found in 16 of them(4.7%).The 214 patients with positive influenza virus nucleic acid were mainly concentrated at the age group of 0 to 10,followed by the age group of 20.The ratio of male and female was 1.2:1,and the positive rate of male and female was 12.0% and 13.9%,respectively;the difference was not statistically significant(P >0.05).Conclusions: The positive rate of specific nucleic acid of influenza virus declines from 2009 to 2011 year by year;but the positive rate in 2012 is higher than that in 2011,so monitoring,prevention and control work still needs to be strengthened.Children and adolescents are the high risk population for influenza with no gender differences.
Objective: To provide scientific basis for the prevention and control of influenza by analyzing the surveillance data and epidemic situation of influenza in Suzhou city from 2009 to 2012.Methods: The Real-Time PCR technology was used to detect the specificity nucleic acid of influenza virus in collected influenza-like cases or throat swab specimens from patients with influenza.Results: A total of 1 672 specimens were tested,among which 214 were found to have positive specificity nucleic acid of influenza virus,with a total positive rate of 12.8%.Among the 287 samples detected in 2009,positive specificity nucleic acid of influenza virus was found in 155 of them(54.0%);among the 729 samples detected in 2010,positive specificity nucleic acid of influenza virus was found in 39 of them(5.3%);among the 319 samples detected in 2011,positive specificity nucleic acid of influenza virus was found in 4 of them(1.3%);among the 337 samples detected in 2012,positive specificity nucleic acid of influenza virus was found in 16 of them(4.7%).The 214 patients with positive influenza virus nucleic acid were mainly concentrated at the age group of 0 to 10,followed by the age group of 20.The ratio of male and female was 1.2:1,and the positive rate of male and female was 12.0% and 13.9%,respectively;the difference was not statistically significant(P >0.05).Conclusions: The positive rate of specific nucleic acid of influenza virus declines from 2009 to 2011 year by year;but the positive rate in 2012 is higher than that in 2011,so monitoring,prevention and control work still needs to be strengthened.Children and adolescents are the high risk population for influenza with no gender differences.
2014, 39(12): 1688-1690.
Abstract:
Objective: To investigate the health status and distribution of disease spectrum of primary and secondary school teachers in Bengbu.Methods: The health physical examination data of 903 teachers from six primary and secondary schools in Bengbu in 2013 were retrospectively analyzed.Results: The disease and abnormal index were detected in 781 people(86.49%).The detection rates in 193 cases of hypertension(21.37%),183 cases of abnormal electrocardiographic pattern(20.27%),152 cases of fatty liver(16.83%),114 cases of bile cyst disease(12.62%),88 cases of kidney diseases(9.75%),75 cases of hypertriglyceridemia(8.31%) and 49 cases of hyperglycemia(5.43%) all these were higher.Conclusions: The health status of primary and secondary school teachers are not optimistic.Relieving the pressure,advocating healthy life style and diet custom can prevent and decrease the disease occurrence.
Objective: To investigate the health status and distribution of disease spectrum of primary and secondary school teachers in Bengbu.Methods: The health physical examination data of 903 teachers from six primary and secondary schools in Bengbu in 2013 were retrospectively analyzed.Results: The disease and abnormal index were detected in 781 people(86.49%).The detection rates in 193 cases of hypertension(21.37%),183 cases of abnormal electrocardiographic pattern(20.27%),152 cases of fatty liver(16.83%),114 cases of bile cyst disease(12.62%),88 cases of kidney diseases(9.75%),75 cases of hypertriglyceridemia(8.31%) and 49 cases of hyperglycemia(5.43%) all these were higher.Conclusions: The health status of primary and secondary school teachers are not optimistic.Relieving the pressure,advocating healthy life style and diet custom can prevent and decrease the disease occurrence.
2014, 39(12): 1690-1692.
Abstract:
Objective: To analyze the unreasonable medical service on the pharmacy intravenous admixture service in tumor pharmacy,and provide references for clinical rational drug use.Methods: The unreasonable medical services were summarized and analyzed by pharmacist from January 2011 to December 2013.Results: The most unreasonable medical service was improper solvent type(28.96%),the improper solvent volume and administration were 31.59% and 18.42%,respectively.The highest success rate of intervention was about 95.28%.Conclusions: Pharmacists strictly examining medical orders using pharmacy knowledge can adjust the irrational drug use and improve the level of clinical drug use.
Objective: To analyze the unreasonable medical service on the pharmacy intravenous admixture service in tumor pharmacy,and provide references for clinical rational drug use.Methods: The unreasonable medical services were summarized and analyzed by pharmacist from January 2011 to December 2013.Results: The most unreasonable medical service was improper solvent type(28.96%),the improper solvent volume and administration were 31.59% and 18.42%,respectively.The highest success rate of intervention was about 95.28%.Conclusions: Pharmacists strictly examining medical orders using pharmacy knowledge can adjust the irrational drug use and improve the level of clinical drug use.
2014, 39(12): 1693-1695.
Abstract:
Objective: To explore the MRI findings of Diffusion-weighted images with the background signal suppression(DWIBSS) and MRI myelography(MRM)of cervical plexus and brachial plexus in normal adults,and its application value.Methods: The MRI findings of DWIBSS and MRM of the cervical plexus and brachial plexus in 102 healthy adults were analyzed.Results: In addition to C4,the neural stems of C5 to T1 could almost be displayed,and tracked to the axillary nerve in the MRI findings of DWIBSS.The imaging of MRM could display the entire spinal cord,nerve root sleeve and walking nerve root within nerve root sleeve.Conclusions: The findings of DWIBSS combined with MRM have high spatial and tissue resolution,and can provide more detailedly anatomical information of the cervical plexus and brachial plexus,which has a broad application prospect.
Objective: To explore the MRI findings of Diffusion-weighted images with the background signal suppression(DWIBSS) and MRI myelography(MRM)of cervical plexus and brachial plexus in normal adults,and its application value.Methods: The MRI findings of DWIBSS and MRM of the cervical plexus and brachial plexus in 102 healthy adults were analyzed.Results: In addition to C4,the neural stems of C5 to T1 could almost be displayed,and tracked to the axillary nerve in the MRI findings of DWIBSS.The imaging of MRM could display the entire spinal cord,nerve root sleeve and walking nerve root within nerve root sleeve.Conclusions: The findings of DWIBSS combined with MRM have high spatial and tissue resolution,and can provide more detailedly anatomical information of the cervical plexus and brachial plexus,which has a broad application prospect.
2014, 39(12): 1696-1698.
Abstract:
Objective: To explore the diagnostic value of ultrasonographic in the fetal cerebellar vermis agenesis.Methods: The data of 47 cases with fetal cerebellar vermis agenesis diagnosed by ultrasonographic were retrospectively analyzed,which was compared with MRI imaging.Results: The ultrasonographic examination in 47 cases with cerebellar vermis agenesis were consistent with MRI diagnosis.The complete cerebellar vermis agenesis in 17 cases(combination of other malformations in 11 cases) and partial cerebellar vermis agenesis in 30 cases(combination of other malformations in 15 cases) were found.Conclusions: The ultrasonographic plays an important role in the diagnosis of the fetal cerebellar vermis agenesis,which can be used as an effective tool for screening the fetal cerebellar vermis agenesis.
Objective: To explore the diagnostic value of ultrasonographic in the fetal cerebellar vermis agenesis.Methods: The data of 47 cases with fetal cerebellar vermis agenesis diagnosed by ultrasonographic were retrospectively analyzed,which was compared with MRI imaging.Results: The ultrasonographic examination in 47 cases with cerebellar vermis agenesis were consistent with MRI diagnosis.The complete cerebellar vermis agenesis in 17 cases(combination of other malformations in 11 cases) and partial cerebellar vermis agenesis in 30 cases(combination of other malformations in 15 cases) were found.Conclusions: The ultrasonographic plays an important role in the diagnosis of the fetal cerebellar vermis agenesis,which can be used as an effective tool for screening the fetal cerebellar vermis agenesis.
2014, 39(12): 1698-1700.
Abstract:
Objective: To investigate the clinical value of 64 detector spiral CT angiography(CTA) in the diagnosis of moyamoya disease.Methods: The CT scan and CTA examination data of 16 cases with moyamoya disease were retrospectively analyzed.their imaging features were compared.Results: Cerebral hemorrhage in 8 cases.cerebral infarction in 2 cases.cerebral hemorrhage and infarction in 2 cases.and brain atrophy and cerebral hemorrhage in 2 cases were found,2 cases with no obvious abnormalities.The CTA showed that bilateral anterior and middle cerebral artery stenosis and occlusion in 4 cases and unilateral stenosis and occlusion in 3 cases.The different degree of stenosis and occlusion in bilateral internal carotid artery and C1.A1 or A1-A3 and M1 segment of anterior and middle cerebral artery of 9 cases were found.The merger of posterior cerebral artery stenosis in 3 cases and moyamoya in 16 cases were found.The large increasing and circuity and extending blood vessel in collateral vessels were showed.Conclusions: CTA is an efficient and practical technique in diagnosing moyamoya disease.which has great clinical value.
Objective: To investigate the clinical value of 64 detector spiral CT angiography(CTA) in the diagnosis of moyamoya disease.Methods: The CT scan and CTA examination data of 16 cases with moyamoya disease were retrospectively analyzed.their imaging features were compared.Results: Cerebral hemorrhage in 8 cases.cerebral infarction in 2 cases.cerebral hemorrhage and infarction in 2 cases.and brain atrophy and cerebral hemorrhage in 2 cases were found,2 cases with no obvious abnormalities.The CTA showed that bilateral anterior and middle cerebral artery stenosis and occlusion in 4 cases and unilateral stenosis and occlusion in 3 cases.The different degree of stenosis and occlusion in bilateral internal carotid artery and C1.A1 or A1-A3 and M1 segment of anterior and middle cerebral artery of 9 cases were found.The merger of posterior cerebral artery stenosis in 3 cases and moyamoya in 16 cases were found.The large increasing and circuity and extending blood vessel in collateral vessels were showed.Conclusions: CTA is an efficient and practical technique in diagnosing moyamoya disease.which has great clinical value.
2014, 39(12): 1701-1702.
Abstract:
Objective: To detect the levels of prothrombin time(PT),the activated partial thromboplastin time(APTT),plasma fibrinogen(FIB) and thrombin time(TT) of healthy adults in Lu'an city,and establish the biological intervals.Methods: The levels of PT,APTT,FIB and TT in 300 healthy adults were detected by Cluass method using automated blood coagulation analyzer STA-compact.Results: The biological reference intervals of PT,APTT,FIB and TT of healthy adults in Lu'an city were 11.06 to 14.24 s,27.57 to 42.23 s,1.91 to 3.99 g/L and 14.05 to 18.47 s,respectively.Conclusions: The biological reference intervals have important signficances in early prevention and diagnosis,therapeutic effect and prognosis of disease.Each clinical laboratory should formulate the reference intervals.
Objective: To detect the levels of prothrombin time(PT),the activated partial thromboplastin time(APTT),plasma fibrinogen(FIB) and thrombin time(TT) of healthy adults in Lu'an city,and establish the biological intervals.Methods: The levels of PT,APTT,FIB and TT in 300 healthy adults were detected by Cluass method using automated blood coagulation analyzer STA-compact.Results: The biological reference intervals of PT,APTT,FIB and TT of healthy adults in Lu'an city were 11.06 to 14.24 s,27.57 to 42.23 s,1.91 to 3.99 g/L and 14.05 to 18.47 s,respectively.Conclusions: The biological reference intervals have important signficances in early prevention and diagnosis,therapeutic effect and prognosis of disease.Each clinical laboratory should formulate the reference intervals.
2014, 39(12): 1703-1706.
Abstract:
Objective: To investigate the effects of cooperative learning in the teaching of "bioethics" course in nursing undergraduates.Methods: One hundred and seventy-five nursing students from class A grade 2012(the experiment group) were divided into 23 cooperative groups,who were taught by cooperative teaching.One hundred and seventy-six nursing students from class B grade 2012 were set as the control group,who were taught by the traditional method(including lecturing and case analysis).The teaching effects in two groups were evaluated using the final summary evaluation and questionnaire.Results: The final summary evaluation scores in experiment group were significantly higher than that in control group(P< 0.01).The learning efficiency,communication ability,autonomous learning ability,making ethical decision ability and teaching satisfaction in experiment group were higher than those in control group(P< 0.05 to P< 0.01).Conclusions: Cooperative learning can improve the interest in learning "bioethics" course,autonomous learning abilities and teaching effects of nursing students.
Objective: To investigate the effects of cooperative learning in the teaching of "bioethics" course in nursing undergraduates.Methods: One hundred and seventy-five nursing students from class A grade 2012(the experiment group) were divided into 23 cooperative groups,who were taught by cooperative teaching.One hundred and seventy-six nursing students from class B grade 2012 were set as the control group,who were taught by the traditional method(including lecturing and case analysis).The teaching effects in two groups were evaluated using the final summary evaluation and questionnaire.Results: The final summary evaluation scores in experiment group were significantly higher than that in control group(P< 0.01).The learning efficiency,communication ability,autonomous learning ability,making ethical decision ability and teaching satisfaction in experiment group were higher than those in control group(P< 0.05 to P< 0.01).Conclusions: Cooperative learning can improve the interest in learning "bioethics" course,autonomous learning abilities and teaching effects of nursing students.
2014, 39(12): 1707-1711.
Abstract:
Objective: To investigate the status of quality of life,relationships between self-care,self-efficacy and quality of life and mediating effects of self-efficacy on the self-care and quality of life in postoperative patients with laryngeal carcinoma.Methods: Eighty-two patients with laryngeal carcinoma diagnosed by pathology were treated with operation combined with improvement nursing of self-efficacy and self-care ability on the basis of routine nursing care.The patients were surveyed by General Self-Efficacy Scale,exercise of Self-care Agency and Chinese quality of life instrument for cancer patients-head and neck cancer after 3 months of operation.Results: The differences of the quality of life scores in different genders,ages,surgical approaches,clinical stages,tube,radiotherapy and chemotherapy patients were statistically significant(P< 0.05 to P< 0.01).The total self-care ability and dimension were positive correlation with the quality of life(P< 0.01),the self-efficacy was positive correlation with quality of life(P< 0.01).Self-efficacy played partial mediating effects on the quality of life in the self-care,which was 66.73%,and reached 78.79% in the total effects.Conclusions: Cultivating the self-care ability and improving the self-efficacy can improve the quality of life of the postoperative patients with laryngeal carcinoma.
Objective: To investigate the status of quality of life,relationships between self-care,self-efficacy and quality of life and mediating effects of self-efficacy on the self-care and quality of life in postoperative patients with laryngeal carcinoma.Methods: Eighty-two patients with laryngeal carcinoma diagnosed by pathology were treated with operation combined with improvement nursing of self-efficacy and self-care ability on the basis of routine nursing care.The patients were surveyed by General Self-Efficacy Scale,exercise of Self-care Agency and Chinese quality of life instrument for cancer patients-head and neck cancer after 3 months of operation.Results: The differences of the quality of life scores in different genders,ages,surgical approaches,clinical stages,tube,radiotherapy and chemotherapy patients were statistically significant(P< 0.05 to P< 0.01).The total self-care ability and dimension were positive correlation with the quality of life(P< 0.01),the self-efficacy was positive correlation with quality of life(P< 0.01).Self-efficacy played partial mediating effects on the quality of life in the self-care,which was 66.73%,and reached 78.79% in the total effects.Conclusions: Cultivating the self-care ability and improving the self-efficacy can improve the quality of life of the postoperative patients with laryngeal carcinoma.
2014, 39(12): 1711-1713.
Abstract:
Objective: To investigate the effects of the quality control circle(QCC) activity on reducing the incidence of the needle sticking injury in nursing students.Methods: The incidence of the needle sticking injury in 514 nursing students was investigated before and after QCC activity,the effects of whose were evaluated.Results: The incidence of the needle sticking injury in nursing students after implementing a series of protecting measures was significantly lower than that before implementing(P< 0.01).Conclusions: The QCC activity can effectively reduce the incidence of the needle sticking injury,and ensure the safety of the professional practice in nursing students.
Objective: To investigate the effects of the quality control circle(QCC) activity on reducing the incidence of the needle sticking injury in nursing students.Methods: The incidence of the needle sticking injury in 514 nursing students was investigated before and after QCC activity,the effects of whose were evaluated.Results: The incidence of the needle sticking injury in nursing students after implementing a series of protecting measures was significantly lower than that before implementing(P< 0.01).Conclusions: The QCC activity can effectively reduce the incidence of the needle sticking injury,and ensure the safety of the professional practice in nursing students.
2014, 39(12): 1714-1717.
Abstract:
Objective: To investigate the effects of continuing nursing on the self-care ability and health behavior of patients after percutaneous coronary artery stent implantation.Methods: One hundred and fifty-eight patients treated with percutaneous coronary artery stent implantation were divided into the control group(treatment with traditional outpatient follow-up mode,79 cases) and observation group(treatment with continuous nursing follow-up mode,79 cases),and followed up for 1 year.The self-care ability and health behavior in two groups before and after follow-up were evaluated using the self-care ability determination table and health behavior scale,respectively.Related knowledge and satisfaction between two groups were analyzed.Results: After 1 year of follow-up,the scores of selfcare ability and health behavior in two groups significantly increased(P< 0.01).After 1 year of follow-up,the scores of self-care ability and health behavior in observation group were significantly higher than those in control group(P< 0.01),and the related knowledge and satisfaction in observation group were significantly better than those in control group(P< 0.01).Conclusions: Continuing nursing can significantly improve the self-care ability and health behavior of patients after percutaneous coronary artery stent implantation.
Objective: To investigate the effects of continuing nursing on the self-care ability and health behavior of patients after percutaneous coronary artery stent implantation.Methods: One hundred and fifty-eight patients treated with percutaneous coronary artery stent implantation were divided into the control group(treatment with traditional outpatient follow-up mode,79 cases) and observation group(treatment with continuous nursing follow-up mode,79 cases),and followed up for 1 year.The self-care ability and health behavior in two groups before and after follow-up were evaluated using the self-care ability determination table and health behavior scale,respectively.Related knowledge and satisfaction between two groups were analyzed.Results: After 1 year of follow-up,the scores of selfcare ability and health behavior in two groups significantly increased(P< 0.01).After 1 year of follow-up,the scores of self-care ability and health behavior in observation group were significantly higher than those in control group(P< 0.01),and the related knowledge and satisfaction in observation group were significantly better than those in control group(P< 0.01).Conclusions: Continuing nursing can significantly improve the self-care ability and health behavior of patients after percutaneous coronary artery stent implantation.
2014, 39(12): 1718-1721.
Abstract:
Objective: To explore the application effects of 5 level national triage system(5L NTS) in emergency internal medicine in a First-class hospital at Grade 3.Methods: The patients were randomly divided into the experimental group and control group,which were classified using 5 level national triage system and traditional standard triage,respectively.The triage failure rate,waiting time and satisfaction of patient in two groups were observed.Results: The triage failure rates of the experimental group and control group were 1.0% and 9.2%,respectively,the difference of which was statistically significant(P< 0.05).The average waiting time of the experimental group and control group were(7.44±7.00) min and(10.12±9.44) min,respectively,the difference of which was statistically significant(P< 0.05).The satisfaction during waiting,overall hospital medical service satisfaction and physician service satisfaction in experimental group were significantly higher than those in control group(P< 0.05 to P< 0.01).Conclusions: Five level national triage system can effectively reduce the nurse triage failure rate and incidence of adverse event,shorten the waiting time of patient,and improve the patients' satisfaction.
Objective: To explore the application effects of 5 level national triage system(5L NTS) in emergency internal medicine in a First-class hospital at Grade 3.Methods: The patients were randomly divided into the experimental group and control group,which were classified using 5 level national triage system and traditional standard triage,respectively.The triage failure rate,waiting time and satisfaction of patient in two groups were observed.Results: The triage failure rates of the experimental group and control group were 1.0% and 9.2%,respectively,the difference of which was statistically significant(P< 0.05).The average waiting time of the experimental group and control group were(7.44±7.00) min and(10.12±9.44) min,respectively,the difference of which was statistically significant(P< 0.05).The satisfaction during waiting,overall hospital medical service satisfaction and physician service satisfaction in experimental group were significantly higher than those in control group(P< 0.05 to P< 0.01).Conclusions: Five level national triage system can effectively reduce the nurse triage failure rate and incidence of adverse event,shorten the waiting time of patient,and improve the patients' satisfaction.
2014, 39(12): 1722-1724.
Abstract:
Objective: To investigate the effects of nursing intervention of integration solution patterns on the respiratory tract nursing in elderly patients with closed chest trauma.Methods: Sixty-four patients were randomly divided into the control group(30 cases) and observation group(34 cases),which were received routine nursing intervention and integration solution patterns nursing intervention based on routine nursing,respectively.The respiratory tract self-care knowledge,respiratory function exercise compliance and clinical manifestations of two groups were evaluated before and after intervention.Results: The respiratory tract self-care knowledge and respiratory function exercise compliance and clinical manifestations in observation group were significantly better than that in control group(P< 0.01).Conclusions: The nursing intervention of integration solution patterns can improve the self-care ability of respiratory tract in elderly patients with closed chest trauma.
Objective: To investigate the effects of nursing intervention of integration solution patterns on the respiratory tract nursing in elderly patients with closed chest trauma.Methods: Sixty-four patients were randomly divided into the control group(30 cases) and observation group(34 cases),which were received routine nursing intervention and integration solution patterns nursing intervention based on routine nursing,respectively.The respiratory tract self-care knowledge,respiratory function exercise compliance and clinical manifestations of two groups were evaluated before and after intervention.Results: The respiratory tract self-care knowledge and respiratory function exercise compliance and clinical manifestations in observation group were significantly better than that in control group(P< 0.01).Conclusions: The nursing intervention of integration solution patterns can improve the self-care ability of respiratory tract in elderly patients with closed chest trauma.
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