Objective To evaluate the diagnostic value of magnetic resonance angiography and CT angiography in cerebrovascular disease and the characteristics of the respective contrast agents. Methods A total of 120 patients diagnosed with cerebrovascular disease in our hospital from May 2015 to May 2016 underwent magnetic resonance angiography and CT angiography, of which the former application of paramagnetic contrast agents, the application of iodine contrast agent, and digital subtraction angiography within 7 d and subtraction angiography as diagnostic standard.Then the results of two methods were compared in diagnosis of cerebral vascular disease. Results The specificity of magnetic resonance arterial examination and CT angiography in cerebral arterial stenosis were 98.20%, 90.20%, the sensitivity were 90.90% and 100%; The specificity of magnetic resonance arterial examination and CT angiography in moyamoya disease were 95.00% and 90.00%, the sensitivity were 100.00% and 100.00%; The specificity of magnetic resonance arterial examination and CT angiography in brain aneurysm were 86.44%, 85.15%, the sensitivity were 100.00%, 84.69%. Conclusion MR angiography is superior to CT angiography in the diagnosis of cerebral aneurysms, and the imaging contrast agents have their own characteristics, which can enhance the effect of the examination.

Objective To investigate the febrile diseases "prevention before disease, which lead to disease; Fuzhengquxie, Tongfu Xiedu, anti change" theory applied in clinical prevention and control of children with HFMD in significance. Methods A randomized controlled way from January 2013 to December 2016 of infection of HFMD 2000 cases of outpatient medical records were divided into two groups, each of 1000 cases, the control group with western medicine treatment method: antiviral, prevention of infection, symptomatic infusion treatment. Results The total efficiency of the observation group was significantly higher than the control group (P<0.05). The time of fever, the time of herpes removal and the time of outpatient treatment of the observation group were all lower than the control group, the difference were statistically significant (P<0.05). Conclusion For the foot mouth disease, traditional Chinese medicine "Fuzhengquxie, Tongfu Xiedu, anti Chuan" theory can effectively improve the therapeutic effect, reduce the rate of hospitalization, worthy of clinical application.

Objective To evaluate the diagnostic value of serum procalcitonin (PCT) and C-Reactive protein(CRP) in cirrhosis patients with spontaneous peritonitis(SBP). Methods 45 cirrhosis patients with SBP(cirrhosis, spontaneous peritonitis group) and 52 cirrhosis patients without SBP(cirrhosis, non peritonitis group) in the department of Gastroenterology, Anji people's Hospital from January 2010 to January 2015 were enrolled, the serum PCT levels of 2 groups were detected by immune luminescence, and the serum CRP levels of 2 groups were detected by latex enhanced turbidimetric immunoassay, then the differences between the two groups were compared. Results Compared with cirrhosis patients without SBP, the PCT and CRP level have significantly increased in cirrhosis patients with SBP, and the sensitivity and specificity of PCT were higher than CRP, also, PCT combined with CRP test was more sensitive and specific than tested alone. Conclusion PCT combined with CRP test have great sensitivity and specificity in the diagnosis of cirrhosis ascites patients with SBP, and can be considered as the early diagnostic indictors of SBP.

Objective To research application of quality control circle activity in the treatment of infantile pneumonia by aerosol inhalation. Methods Carry out the quality control circle activity with the theme of "improving the efficiency of the oxidation atomization inhalation", using the method of PDCA cycle, statistics of inhalation of children, analyze the reasons for the failure of atomization inhalation, set up the improvement target, make the countermeasure and organize the implementation. Then clinical symptoms (the time of evacuation, the time of lung rale disappearance and the time of fever suppression ), hospitalization time, Heart failure rate, nosocomial infection rate, recurrence rate, compliance, satisfaction degree, treatment effect were compared two groups of quality control circle activities before and after. Results After implementation, children with wheeze disappearance time, pulmonary rales disappeared time, cooling time, hospitalization time were significantly lower than the before implementation, the difference was statistically significant(P<0.05); Incidence of heart failure, nosocomial infection rate, recurrence rate were significantly lower than the before implementation, the difference was statistically significant(P<0.05), compliance were significantly higher than the before implementation, the difference was statistically significant(P<0.05); Nursing satisfaction were significantly higher than the before implementation, the difference was statistically significant(P<0.05); total effective rate were significantly higher than the before implementation, the difference was statistically significant(P<0.05). Conclusion Quality control circle activity can achieve satisfactory results in the treatment of children's pneumonia by aerosol inhalation, can reduce the occurrence of adverse events, is conducive to the prognosis of children, so as to improve treatment efficacy and satisfaction.

Objective To evaluate the clinical value of fine needle aspiration cytology in the diagnosis of thyroid diseases. Methods 179 cases of patients with thyroid disease underwent fine needle aspiration cytology, designated senior specialist, complete the relevant operation, record the inspection results, the data input SPSS software to give the corresponding analysis and conclusions. Results 179 cases of thyroid diseases were successfully completed fine needle aspiration cytology,the success rate was 100%, the majority of patients with benign lesions, including nodular goiter the highest proportion (30.73%), the differences were statistically significant (P<0.05). Conclusion The use of fine needle aspiration cytology can provide reliable basis for clinical diagnosis of thyroid disease, help the patients diagnosed the illness as soon as possible and get timely treatment,has a positive significance to guarantee the curative effect and prognosis.

Objective To analyze the X-ray diagnosis and significance of degenerative joint disease. Methods From September 2015 to January 2017 in our hospital 86 cases of degenerative joint disease patients as the research object, a retrospective analysis of clinical data of the patients, in the premise of pathological diagnosis, all patients underwent X-ray diagnosis. Analysis of degenerative joint disease to X-ray diagnosis. Results Men showed left and right tibiofemoral joint and patellofemoral joint involvement; women showed left and right tibiofemoral joint and patellofemoral joint involvement. Patients showed more changes to the knee joint degenerative bone, periosteal thickening, stenosis, visible osteophytes, or bone hyperplasia, calcification of symptoms. 41 cases (47.6%) accompanied by joint swelling, 22 cases (25.6% limbs) joint involvement, 13 cases (15.1%) of spinal involvement, 10 cases (11.7%) with small joint involvement. Conclusion The X-ray diagnosis of degenerative joint disease, high clinical value, worthy of promotion.

Objective To investigate and analyze the clinical efficacy of Demolin spray combined with comprehensive care in the treatment of pressure sores. Methods 56 patients with pressure sores from February 2011 to October 2016 were selected and randomly divided into the control group and the experimental group, with 28 patients in each group. The control group was treated with routine treatment, the experimental group on the basis of the given Demolin spray treatment, and comprehensive nursing, based on fully understanding the clinical data of patients, patients were given comprehensive nursing according to focus on the patient's physical and mental health. The therapeutic effects of the two groups were compared and analyzed. Results After the corresponding treatment, the experimental group treated invalid 4 cases, effective in 8 cases, markedly effective in 10 cases, 6 cases recovered. The number of invalid cases in the control group was 10 cases, effective for 5 cases, markedly effective for 8 cases, recovery for 5 cases. The effective rate of treatment in the experimental group was 85.71 %, which was significantly higher than that in the control group, and the effective rate was 64.28 %, with statistical difference (P<0.05). The cure time of the control group was (13.82 ±3.70) days, and the number of dressing change was (20.40 ± 3.10) times. The cure time and change times of the experimental group were significantly better than those of the control group, the difference was statistically significant (P<0.05). Conclusion Demolin spray combined with comprehensive nursing treatment of bedsore clinical effect is better, can significantly improve the clinical efficacy, with clinical significance.

Objective To analyze and analyze the causes of hypothermia after operation in patients with anesthesia recovery room and the nursing measures. Methods 68 cases of abdominal anesthesia surgery patients were divided into two groups randomly. The control group was given routine nursing measures, the experimental group was given nursing intervention measures, pay attention to the environmental factors, a reasonable adjustment of environmental temperature, hot water bag can be given when necessary, good oxygen nursing, prevention of shiver, warm. A comparative analysis of the experimental group and the control group of patients after rewarming time, temperature and shivering times index. Results After the corresponding nursing measures, the rewarming time of the experimental group was (30.90±2.32) min, significantly shorter than that of the control group (48.90±4.78) min, with statistical difference (P<0.05). The control group ran 19 times, the experimental group ran 6 times, with significant differences between the two groups (P<0.05). The stay time of the control group was (62.30±3.89) min, significantly longer than that of the experimental group, and the residence time was (38.90±5.78) min, with statistical difference (P<0.05). Conclusion Nursing measures for patients in anesthesia recovery room corresponding preventive care, shivering and heating nursing measures, can significantly reduce the number of warm, chills, shorten the thawing time.

Objective To analyze and explore the clinical value of nursing intervention service in the medication management of elderly patients with hypertension. Methods 120 cases of elderly patients with hypertension and who received in Putuo Hospital of Zhejiang were collected and were randomly divided into two groups: The control group of 60 patients were given the conventional antihypertensive treatment, while the nursing group of 60 patients were given the nursing intervention on the basis of the reference group. Then, the medication management and blood pressure control of two groups after the intervention for six months were observed and compared. Results The medication knowledge, medication compliance and medication management level after the intervention in the nursing group were significantly higher than those in the control group (P<0.05); The blood pressure control rate after the intervention in the nursing group was significantly higher than that of the control group (P<0.05). Conclusion The nursing intervention service for elderly patients with hypertension which can effectively improve the management effect and blood pressure control rate, thus it is worth learning.

Objective To investigate the effect of Doxofylline plus Budesonide in treatment of bronchial asthma. Methods The control group was given routine nursing, the observation group was given quality nursing care on the routine nursing. Results Effects of nursing intervention in the observation group was better than the control group, and the improvement of patients psychological status, and pulmonary function was better than the control group with statistical significance (P<0.05). Conclusion Doxofylline plus Budesonide plus routine nursing and quality nursing care intervention in patients with bronchial asthma could quickly improve the psychological status of patients, relieve / eliminate pulmonary dysfunction with significant efficacy.