Abdomen ; anatomy & histology ; Acupuncture Points ; Acupuncture Therapy ; Adult ; Combined Modality Therapy ; Drugs, Chinese Herbal ; administration & dosage ; Female ; Humans ; Leiomyoma ; therapy ; Middle Aged

Objective To observe the clinical efficacy of moxibustion in treating primary dysmenorrhea in adolescent female undergraduates. Method Sixty patients with primary dysmenorrhea were randomized into a treatment group and a control group, 30 in each group. The treatment group was intervened by moxibustion at Guanyuan (CV 4), while the control group was by moxibustion at Sanyinjiao (SP 6). The symptom score was observed before intervention and after 3 menstrual cycles, and the clinical efficacies were compared. Result The symptom score was changed significantly in both groups after intervention (P<0.01). After intervention, there was a significant difference in comparing the symptom score (P<0.05). The total effective rate was 100.0%in the treatment group versus 93.3% in the control group, and the difference was statistically insignificant (P>0.05). Conclusion Moxibustion is an effective approach in treating primary dysmenorrhea, and moxibustion at different points will produce different effects.

Objective Observe the efficacy of the Qudu-lotion for postoperative edema, postoperative analgesia and promoting wound repair. Methods treatment group(60 patients)applying fumigation and washing with the Qudu-lotion twice a day; control group(60 patients)applying fumigation and washing with 1/5000 potassium permanganate solution. Result The efficacy for the edema and pain of treatment group was superior to those of control group. The cure time was(13.54±3.75)days in treatment group and (17.2±4.22) days in control group. Conclusion In the treatment of postoperative edema, postoperative analgesia and promoting wound repair, the Qudu-lotion have more curative effect.

Objective:To explore therapeutic effect of cardiopulmonary resuscitation (CPR) and nursing intervention on patients with massive myocardial infarction (MMI) complicated cardiac arrest (CA) .Methods :A total of 100 MMI + CA patients ,who were treated in our hospital from Jan 2014 to Dec 2014 ,were selected .According to CA‐to‐CPR time ,patients were divided into >6min group (n=12) ,4~6min group (n=21) ,1~3min group (n=33) and <1min group (n=34) .CPR result ,patient outcome ,and satisfaction of patients and their family's on first aid and nursing were observed and compared among all groups .Results:Number of successful revived cases was 0 ,4 ,18 and 28 cases in > 6 min group ,4~6min group ,1~3min group and <1min group respectively ,there were 50 cases successfully revived in total .Compared with >6 min group ,4~6min group ,there were significant rise in success rates of CPR (0% ,19.05% vs .54.55% ,82.35% ) in 1~3min group and <1min group ,P<0.05 or <0.01. Cure rate was 43 (86. 00% ) in successful revived patients ,including 15 cases from 1~3min group and 28 cases from <1min group .Patient′s satisfaction was 66.67% ,90.48% ,93.94% and 97.06% in >6 min group ,4~6min group ,1~3min group and <1min group respectively ,and total satisfaction rate was 92.00% .No medical dispute occurred . Conclusion:CPR timing is the key of emergency rescuing patients with massive myocardial infarction complicated cardiac arrest ,and function of nursing intervention is great because it enhances rescue effect .

Objective:To research the quality standard for Xilei San. Methods:Imdigo naturalis and calculus bovis were identi-fied by TLC and their contents were determined by HPLC, and Borneolum syntheticum was determined by GC. Results: Indirubin showed good linearity over the concentration range of 0. 043-4. 255 0 μg(r=0. 999 2) with the average recovery of 97. 9%(RSD=1.5%,n=6). Bilirubin showed good linearity over the concentration range of 9.968 ×10 -4-9.968 ×10 -2 μg(r=0.999 9) with the average recovery of 95.3%(RSD =0.55%, n =6). Borneolum syntheticum showed good linearity over the concentration range of 0. 010 3-0. 826 6 mg(r=0. 999 8) with the average recovery of 94. 9%(RSD=3. 2%,n=6). Conclusion: The method is accurate with good reproducibility,which can be used as the quality control for Xilei San.

ve To explore the air pollutibn by fluoride created by ceramics. Methods Air sampling, data analysis and evaluation were carried out in 8 sampling locations of Cizao town composed mainly by ceramics. Results The daily average levels of fluoride in air showed a range of 0.002 ?0.003 mg/m3 and over-standard rates of 14.29% ~ 100% respectively. The average levels of pollution indexes ranged from 0.81 to 3.59 in Cizao town. Conclusion Because the air had been polluted by fluoride in Cizao town, the environmental protection management and monitoring fluoride in ambient air should be strengthened further.

Objective To explore the application of mesangial thyroid resection in papillary thyroid carcinoma(PTC) with central lymph node dissection,and its influence on postoperative recurrence.Methods 76 cases with PTC were divided into two groups according to random number table,each group in 38cases.The control group was given primary lesions radical prostatectomy and routine central lymph node dissection,the treatment group was given primary lesions radical prostatectomy and central lymph node dissection by thyroid mesangial resection.The parathyroid function,injury of recurrent laryngeal nerve and local recurrence were compared between the two groups.Results Compared with before surgery,the levels of serum PTH and blood calcium were significantly decreased at the 1st,3rd day after surgery (all P ＜ 0.05),while there were no statistically significant differences in serum PTH and blood calcium at the 7th day after surgery(all P ＞0.05).The levels of serum PTH and blood calcium at the lst,3rd,7th day after surgery between the two groups had no statistically significant differences(all P ＜ 0.05).The incidence rate of injury of recurrent laryngeal nerve in the treatment group was significantly lower than that in the control group (5.3％ vs.21.1％,x2 =4.15,P ＜ 0.05).The secondary surgery rate and local recurrence within 2 years in the treatment group were significantly lower than those in the control group (0％ vs.15.8％,2.6％ vs.18.4％,x2 =6.51,4.69,all P ＜ 0.05).Conclusion Primary lesions radical prostatectomy and central lymph node dissection by thyroid mesangial resection can be used as theroutine operation for PTC,which can effectively produce complete dissection,reduce injury of recurrent laryngeal nerve and local recurrence.

ObjectiveTo investigate the effect of gentle moxibustion on hemorheology in cervical spondylotic vertebral arteriopathy of qi-blood deficiency type.MethodSixty patients diagnosed with cervical spondylotic vertebral arteriopathy of qi-blood deficiency typewere randomly allocated to treatment and control groups, 30 cases each. The control group received conventional acupuncture at cervical Huatuo jiaji(Ex-B2)points and the treatment group, gentle moxibustion in addition. TCD was performed before and after treatment to observe hemorheological changes in the two groups. The clinical therapeutic effects were evaluated.ResultThe total efficacy rate was 96.7% in the treatment group and 90.0% in the control group. There was a statistically significant difference in therapeutic effect between the two groups (P<0.05). There were statistically significant pre-/post-treatment differences in TCD indicators in the two groups (P<0.05). Vertebrobasilar blood flow was improved more in the treatment group (P<0.05).ConclusionGentle moxibustion can improve vertebrobasilar blood flow to a greater extent in cervical spondylotic vertebral arteriopathy. It is clinically an effective way to treat cervical spondylotic vertebral arteriopathy.

Objective To investigate the diagnostic significance of microalbuminuria combined BNP for cardiorenal syndrome. Methods Selected 45 patients with cardiorenal syndrome from August 2011 to February 2014 in the Exhibition Road, Xicheng District hospital in Beijing as the observation group,choose the 45 cases of healthy people at same period in the Ex-hibition Road,Xicheng District hospital in Beijing as the control group,two groups were carried out ultrasound and urine,he-matological tested,while the clinical data were investigated.Results The aortic root diameter,left atrial diameter and septal thickness of the observation group were significantly higher (P <0.05),while the right ventricular diameter and left ventric-ular ejection fraction compared in the two groups were no significant difference.The urea nitrogen,creatinine,brain natri-uretic peptide and microalbuminuria contents in the observation group were significantly higher (P <0.05).Multivariate lo-gistic regression analysis showed that the main independent risk factors for cardiorenal syndrome included brain natriuretic peptide,microalbuminuria,aortic root diameter and blood urea nitrogen (P <0.05).Conclusion The diagnosis of microalbu-minuria combined BNP for cardiorenal syndrome has better diagnostic value that can effectively determine the disease status, and there were independent risk factors for cardiorenal syndrome.

Objective To compare the quality of Lonicerae flos and Lonicerae japonicae flos by determine the main active ingredients. Methods According to methods and standards of determination in Chinese Pharmacopoeia (2015 Edition), the content of chlorogenic acid , galuteolin , macranthoidin B and asperosaponin B in 50 batches of samples of Lonicerae japonicae flos and .Lonicerae flos were determined. Results For Lonicerae japonicae flos (Lonicera japonica Thunb.), the contents of galuteolin was higher, and chlorogenic acid was lower, less or no contain saponins. For the main species of Lonicerae flos (Lonicera macranthoides Hand.-Mazz. and Lonicera hypoglauca Miq.), the contents of chlorogenic acid and the sum of saponins were higher, less or no galuteolin. Conclusions The main active ingredients of Lonicerae japonicae flos and Lonicerae flos were different. The contents of saponins in some samples of Lonicerae japonicae flos were higher, so the test of saponin should be considered when its raw material for injection.