1.Observation of the effect of cervical cerclage in the treatment of cervical incompetence
Chinese Journal of Primary Medicine and Pharmacy 2014;(z1):19-20
Objective To explore the clinical results of cervical cerclage in the treatment of cervical incom -petence.Methods Selected 63 cases of cervical incompetence of pregnant women ,according to the patient′s treat-ment voluntarily that they were divided into the observation group (cervical cerclage +conservative therapy)40 cases and the control group (conservative therapy)23 cases,indicators of pregnancy outcomes were compared between the two groups .Results There were 3 cases the late abortions ,8 cases premature deliveries ,29 cases full-term pregnan-cies in the observation group ,there were 9 cases the late abortions ,9 cases premature deliveries ,5 cases full -term pregnancies in the control group,using test,there were the differences of the statistical significants between them (χ2 =16.623,P<0.01);In the observation group,there were 0 case the late abortions,6 cases premature deliveries, 20 cases full-term pregnancies at 10~16 gestational weeks among 20 cases,there were 9 cases the late abortions,9 cases premature deliveries ,5 cases full-term pregnancies at 17~25 gestational weeks among the other 20 cases,using test,there were the differences of the statistical significants between the two time stages (χ2 =10.882,P<0.05). Conclusion For pregnant women with cervical incompetence ,cervical cerclage was made early in the pregnancy ,can extend effectively the gestational times ,improve the fetal survival .
2.Analysis of related factors of incision infection in abdominal surgical operation
Chinese Journal of Primary Medicine and Pharmacy 2017;24(5):751-754
Objective To explore the abdomen surgical incision infection risk factors,and to put forward prevention countermeasures.Methods 1 854 patients with abdominal surgery were selected as subjects.According to whether had surgical incision infection,they were divided into the infection group(76 cases)and the non -infection group(1 778 cases).Single factor analysis and Pearson correlation analysis were used to summarize abdominal surgical incision infection risk factors.Results Single factor analysis results showed that age,BMI,category of incision,operation timing,operation time,diabetes mellitus,drainage tube placement,summer were risk factors for abdominal surgery incision infection (t or χ2 =8.925,5.840,5.376,5.445,5.846,19.674,5.846,19.674,all P <0.05).Pearson correlation analysis showed that age,BMI,category of incision,operation timing,operation time,diabetes mellitus, drainage tube placement and summer surgery were risk factors for abdominal surgery incision infection (r =0.746, 0.689,0.746,0.689,0.691,0.548,0.760,0.548,all P <0.05).Conclusion Abdominal surgery incision infection is associated with many factors.It is necessary for all kinds of risk factors for targeted intervention to reduce incision infection rate.
3.Relationships among measures of gait recovery and community integration index in people with brain injury
Chinese Journal of Primary Medicine and Pharmacy 2015;(14):2203-2205
Objective To examine the relationships among measures of gait recovery and community integra-tion index in people with brain injury.Methods 142 brain injured patients were chosen in this study.Community Balance and Mobility Scale,Dynamic Gait Index,Ten-Meter Walk Test for gait speed,and the Community Integration Questionnaire (CIQ) was measured.Results Average walk speed was 0.31-5.30 (1.36 ±0.88)m/s;DGI score was 5-24 (18.6 ±5.44) points;CMBS score was 0 -96 (54.1 ±25.3) points;CIQ subscale 6 -29 (16.2 ± 5.1)points,CIQ family subscale was 0-10 (4.8 ±3.0)points;CIQ society subscale was 4-12(8.2 ±2.1)points;CIQ productivity subscale was 0-7(3.8 ±2.2).The correlation between age and Ten-Meter Walk Test was nega-tive significantly (r=-0.50,P<0.05).All 3 balance/gait measures correlated significantly with the CIQ Productiv-ity subscale (r=0.35-0.58,P<0.05).Conclusion The ability of people with brain injury to engage in work/school/volunteer activity may be reduced by impairments in balance and mobility.
4.Analysis of abnormal Hepatitis B virus serological markers in neonatals
Journal of Clinical Pediatrics 2014;(6):544-546
Objectives To investigate the outcomes of neonatals with abnormal hepatitis B virus (HBV) serological markers. Methods Twenty-eight neonatals who had abnormal HBV serological markers and whose mothers had positive HBsAg, HbeAg and HbcAb were studied. Among them, 21 neonatals who had positive HBsAg, HbeAg and HbcAb were included in vertical transmission group;7 neonatals who had positive HbeAg, HbcAb and negative HBsAg were included in suspicious group. The quantities of HBV serological markers were determined by time-resolved immunofluorometric assay (IFMA) and the level of HBV DNA were measured by fluorescence quantitative PCR (FQ-PCR). Results Serum HBeAg and HBsAg levels in suspi-cious group were lower than those in vertical transmission group (P<0.05). The results showed that HBeAg level (0.55 ± 0.19 PEIU/ml) three months after birth was lower than that (4.02 ± 2.00 PEIU/ml) 7 days after birth in suspicious group (P<0.05). Conclusions Early interference has positive effect in mothers and neonatls with abnormal HBV serological markers.
5.Research advances in animal models of endometriosis
Chinese Journal of Comparative Medicine 2014;(12):67-70
In order to study of etiology, pathogenesis, and therapy of endometriosis(EM) through animal models, we review the literature on rodent and primate models of endometriosis, including establishment of models and their applications.We hope that animal models provide useful tools for the studies of endometriosis.
6.Analysis of prenatal screening results in 3 595 middle pregnant women
International Journal of Laboratory Medicine 2014;(24):3362-3363
Objective To explore the clinical value of prenatal screening by detecting α-fetoprotein(AFP),β-human chorionic gonadotrophin(β-HCG)and free estriol(u-E3)levels in the second trimester of pregnancy.Methods AFP,β-HCG and u-E3 were de-tected in 3 595 second trimester pregnant women by chemiluminescence.The risk value was calculated by combining with the factors of age,pregnant weeks,body weight,etc.Then the high-risk pregnant women were carried out the amniotic fluid cells chromosome karyotype analysis and B-ultrasonic examination.Results Among 3 595 pregnant women,the screening positive rates of Down′s syndrome(DS),Edward′s syndrome(ES)and neural tube defects(NTD)were 3.70%(133/3 595),0.11%(4/3 595)and 1.44%(52/3 595)respectively.In the prenatal screening,there were 189 cases of high risk pregnant women,among them 87 cases were per-formed the prenatal diagnosis of amniotic fluid cells chromosome karyotype analysis and B-ultrasonic examination,6 cases were defi-nitely diagnosed,in which 3 cases were DS,2 cases were NTD and 1 case was ES.Conclusion Prenatal screening is a non-invasive detection method and has the important clinical application value for avoiding the birth of DS,ES and NTD neonates.
7.Comparison of conventional and new mesh hydroxyapatite in repair of cleft lip and palate
Chinese Journal of Tissue Engineering Research 2015;(47):7629-7633
BACKGROUND:Despite regular mesh hydroxyapatite has certain biocompatibility and bone conductivity, it cannot be absorbed by human body after transplantation, and wil affect the growth and eruption of maxila and fangs when using for filing the injured alveolar cleft. OBJECTIVE: To compare the effect of conventional and new mesh hydroxyapatite composites in repair of alveolar cleft defects. METHODS: Totaly 46 patients with cleft lip and palate were randomly and evenly divided into test and control groups, and al were arranged according to cleft lip and palate sequence treatment. After nasal soft tissue defect repair, new mesh hydroxyapatite composite bone material (hydroxyapatite and bone morphogenetic protein compound). Conventional mesh hydroxyapatite material was adopted in the test and control groups, respectively. Within 6 months after the repair, the vertical distance from the newly formed bone tissue plane to the top of alveolar ridge was observed. The clinical repair effect was comprehensively evaluated from the aspects of complications, alveolar cleft shape and size, calus formation and material absorption. RESULTS AND CONCLUSION: At 2, 4, 8, 12 and 24 weeks, the vertical distance from the newly formed bone tissue plane to the top of alveolar ridge in the test group was higher than that in the control group (P < 0.05). The clinical repairing significant efficiency and total effective rate were al higher than those in the control group (P< 0.05). These results show that new mesh hydroxyapatite composite bone materials in the repair of alveolar cleft defects have good bone osteoinductivity and biocompatibility, rare complications and rapid calus formation.
8.Effect of hydroxychloroquine on the expression of suppressors of cytokine signaling in MRL/lpr mice kidney
Chinese Journal of Rheumatology 2014;18(11):773-776
Objective To study the effect of hydroxychloroquine (HCQ) on the suppressors of cytokine signaling (SOCS) in the kidney of MRL/lpr mice and evaluate the protection of HCQ on lupus nephritis.Methods Twenty-six rats were randomly divided into 3 groups:the control group which was consisted of 6 mice; the MRL/lpr group which was consisted of 10 mice; and the HCQ group which was consisted of 10.24-hour urinary protein level and anti dsDNA levels were tested.The expressions of SOCS-1 and SOCS-3 protein were determined by western blot.Analysis of variance was used to determine statistically significant differences between the two groups.A P value less than 0.05 was considered to be statistically significant.Results Compared with the control group,the levels of 24-hour urinary protein [(2 356.6±509.3) mg vs (440.3±90.1)mg] and anti ds-DNA (128.7±32.3 vs 14.9±1.4) were significantly increased in the MRL/lpr group,the expression levels of SOCS-1 and SOCS-3 protein were increased.After treated with HCQ,the levels of 24-hour urinary protein [(70.8±11.1) mg vs (2 356.6±509.3) mg] and anti-dsDNA (111.8±330.1 vs 128.7±32.3)were significantly decreased,the expression level of SOCS-1 and SOCS-3 protein decreased significantly (P< 0.05).Conclusion HCQ can inhibit SOCS expression in the kidney of lupus mice,reduce proteinuria and delay progression of immune disorders and lupus nephritis.