Objective To observe the supplementary effect of Huafu Shengji Paste on anal fissure patients after anal dilation surgery. Methods One hundred and six anal fissure patients after anal dilation treatment were randomized into treatment group and control group, 53 cases in each group. The control group was given conventional local nursing therapy, and the treatment group was given local application of Huafu Shengji Paste. After treatment, the clinical efficiency and the relief of clinical symptoms of the two groups were evaluated. Results (1) The cure rate and the total effective rate in the treatment group were 58.49％, 94.34％, and those in the control group were 35.71％, 73.21％ respectively, the difference being significant(P < 0.05).(2) After treatment, the scores of symptoms of edema, exudation, pain, erosion, bleeding and prolapse in the two groups were much decreased(P<0.01 compared with those before treatment), and the decrease of the scores in the treatment group was superior to that in the control group(P<0.05). Conclusion Application of Huafu Shengji Paste has obvious effect on relieving the clinical symptoms of anal fissure patients after anal dilation surgery ,and its effect is superior to that of conventional local nursing therapy.

One case with metal crochet through external auditory meatus embedded stylomastoid foramen, preoperative found no paralysis, underwent temporal bone CT examination to assess the illness after emergency surgery to remove the foreign body, postoperative patients of peripheral facial paralysis, explore and summarize the clinical experience.
Ear Canal ; pathology ; Facial Paralysis ; surgery ; Foreign Bodies ; surgery ; Humans ; Metals ; Otorhinolaryngologic Surgical Procedures ; methods ; Temporal Bone

Objective To explore the diagnostic values of bile cytology obtained in endoscopic retrograde cholangiopancreatography (ERCP) and blood tumor markers for malignant bile duct obstruction.Methods From August 2005 to April 2009, bile cytology and blood tumor markers measurement were performed in 47 cases with bile duct obstruction, in which 39 cases were confirmed to be malignant and 8 were benign. Results Malignant cells were found in bile from 26 of 39 malignant obstruction (66. 7% ), and serum CA19-9 was positive in 28 (71.8%). No malignant cells were detected in bile cytology from 8 cases with benign obstruction (with a specificity of 100% ) and serum CA19-9 was negative in 7 (87.5%). In 26 patients with cholangiocarcinoma, serum CA19-9 was positive in 18 (69. 2% ). For bile cytology and blood tumor markers test, sensitivity of parallel combination was 89. 7%, and the specificity of serial combination was 100. 0%. Conclusion Bile cytology testing during ERCP can provide the pathological evidence for malignant bile duct obstruction. The sensitivity is improved by combination tests of bile cytology and blood tumor markers.

One of the biggest differences between ordinary undergraduate education and higher vocational education is more emphasis on the cultivation of students' vocational skills so as to adapt to so-cial demand and employment. In order to overcome the deficiencies in current teaching outline of voca-tional education and to change from subject knowledge teaching to applied skill cultivating , medical and health curriculum standard including 'curriculum philosophy, curriculum goal, curriculum content, curriculum implementation' four elements was formulated based on concepts of 'education as base , practice orientation and lifelong learning' and cultivation mode combining industry standard with cur-riculum teaching goal and combing work with study. All measures taken above were aimed at promoting coordinated development of students' knowledge, ability and emotion and satisfying the social demand for talent.

To observe the clinical therapeutic effect of the subluxation of the small joints of the cervical vertebrae by acupuncture plus Tuina, 178 subjects were divided randomly into acupuncture group, Tuina group and acupuncture plus Tuina group to receive the corresponding treatment. The cure rate in acupuncture plus Tuina was 68.8%, which is higher than that in acupuncture group (27.8%) and that in Tuina group(28.6%), and the statistical management showed significant differences. Acupuncture combined with Tuina could enhance the therapeutic effect in the treatment of the subluxation of the small joints of the cervical vertebrae.

0.05).In addition,the external iliac artery significantly more closer to the iliac spine in left internal iliac artery than in right internal iliac artery.The distance from iliolumbar artery located closer to bone wall with(6.97?0.17) mm.CONCLUSION:The anatomic characteristics of sacroiliac joint determined failure probability of injured vessels.The measured results showed that failure probability of common iliac artery is less when the cacroiliac joint dislocation or fracture.There is less possibility to injure the vessel when cacroiliac joint fracture due to long distance between external iliac artery and bone wall.The internal iliac artery is closer to cacroiliac joint,so stretch injury may occure when sacroiliac joint dislocation accompanied with semi-pelvic shifting.The lateral sacral arteries,which resided closer to bone wall,is easy to injuried when fracture occurred at I area of sacrum.The iliolumbar artery easily damaged when sacroiliac joint dislocation accompanied with semi-pelvic shifting.

Objective To explore the effects of citalopram on interleukin-6 (IL-6) and brain derived neurotrophic factor (BDNF) in serum and cortisol in plasma of patients with depression syndrome.Methods 60 patients with depression in Kangci Hospital of Jiashan were randomly divided into two groups.31 cases in experimental group were treated with citalopram, 29 cases in control group were treated with imipramine.Levels of IL-6 and BDNF in serum and cortisol in plasma were compared pre-and post-treatment between two groups.Results Compared with pre-treatment, the levels of IL-6 and cortisol were lower(P<0.05), the level of BDNF was higher(P<0.05) post-treatment in two groups.Compared with control group, the levels of IL-6 and cortisol were lower(P<0.05), the level of BDNF was higher(P<0.05)in experimental group.Conclusion Citalopram has good curative effect on depression.The mechanism may be related to the decrease of IL-6 and cortisol levels, and the increase of brain derived neurotrophic factor level.

Objective To discuss the CT findings of the ovarian endometriosis cyst.Methods CT findings of 15 cases ovarian endometriosis cyst confirmed by patology were retrospectively analyzed.Results There were 20 cysts in 15 cases.Their CT features were as follow:(1)CT values varied from watery to hemoid.(2)They had a irruglar outer fringe and a regular inner fringe without noduls.(3)Septations were seen in the cysts.(4)The characteristic feature was that daughter cysts lied outside of mother cysts.(5)The wall of cysts could be enhanced regularly.Conclusion CT plays an important role in the diagnosis of this disease.

[Objective]To summarize the clinical experience of treating chloasma with the theory of the Zangfu-organs by Pro.Sun Yinong. [Method]By analyzing the idea of Sun’s therapy and medication of the proven case, it elaborates Pro.Sun Yinong’s clinical experience on using Chinese herbs to treat chloasma under the theory of the Zangfu-organs. [Results]The five Zang-organs perform their respective duties, any pathological changes in the five Zang-organs al can cause chloasma. We adapted at different herbs therapy to treat chloasma, which relieved the patient ’s clinical symptoms, and achieved satisfactory clinical outcome.[Conclusion] Starting from the five Zang-organs on the treatment based on syndrome differentiation, not only provides a new thought for the treatment of chloasma,but also ful y embodies the concept of holism and syndrome differentiation on TCM treatment of chloasma, which has practical effect on clinical application.

Objective:To establish an HPLC method for the simultaneous determination of methionine, vitamin B1 and vitamin B2 in Lingzhi Erwei methionine capsules. Methods:The determination was performed on a Ultimate? AQ-C18 column(250 mm × 4. 6 mm, 5 μm,Welch Inc. ) with the detection wavelength at 220 nm. The mobile phase was composed of methanol and 0. 07 mol·L-1 sodium heptanesulfonate solution (14 ml triethylamine diluted with water to1 000ml, adjusting pH to 3. 5 with diluted orthophosphoric acid) with gradient elution, and the flow rate was 1. 0 ml·min-1. Results: Methionine, vitamin B1 and vitamin B2 was in good linearity within the range of 0.527 0-1.510 0 mg·ml-1 - (r =0.999 9), 0.045 52-0.136 56 mg·ml-1 (r =0.999 9) and 0.010 10-0. 060 58 mg·ml-1(r=0. 999 9), respectively. The mean recovery was 100. 5%, 97. 7% and 101. 5% with RSD of 0. 5%, 1. 0%and 1. 4%(n=9) accordingly. Conclusion:The method is simple, accurate, reliable and appropriate in the simultaneous determina-tion of methionine,vitamin B1 and vitamin B2 in Lingzhi Erwei methionine capsules.