1.Effective evaluation on treatment of allergic rhinitis with modified buzhongyiqi decoction
International Journal of Traditional Chinese Medicine 2011;33(12):1074-1076
Objective To evaluate effects of treating allergic rhinitis with modified Buzhongyiqi decoction.Methods 46 cases were randomly recruited into a control group and a treatment group according to random digit table.The treatment group was treated with Buzhongyiqi decoction,while the control group was treated with cetirizine.was After the treatment,the differences were assessed by comparing the disappeared time of clinical symptoms,symptom scores and cAMP、cGMP、IL-6、IL-8 immunological parameters ect,adverse reactions and morbid recurrence between the two groups.Results Compared with the control group,according to fisher test,the difference of clinical effect was statistically significant,the divergence of adverse reactions,iterating of illness were not statistically significant; the vanished time of clinical symptoms (t=3.32~4.48),symptoms scores (t=2.97),immune indexes (t=4.27~5.53)in the horizontal and vertical level were statistically significant (P<0.05).Conclusion Buzhongyiqi decoction was suitable to treat allergic rhinitis.
2.Clinical analysis of 27 cases foreign body in hospital of otorhinolaryngology
Chinese Journal of Primary Medicine and Pharmacy 2008;15(9):1451-1452
Objective To discussing the cause and prevention of foreign body in hospital of Otorhinolaryngology.Methods Retrospectively aralyzed the cause and treatment of clinical data of 27 cases foreign body in hospital of Otorhinolaryngology,among which there are 13 csses in nose and nasal sinus,3 cases in cervix,2 in oesophagus,2 in mediastinum,2 in trachea,and 1 case in nose and pharynx antrum.Results Except for one failure of extracting foreign body in mediastinum and one failure of metal body in cervix,other 27 cases are all successful.But there are still 10 disputs between doctors and patients,causing bad influence in hospital.Conclusion To avoid the foreign body in hospital,our medical workers should strengthen our responsibilities,conclude our experience in season,improve our operating skills to prevent such things from happening in our work process.
3.Clinical evaluation on nasal endoscopic surgery for rhinogenous optic function damage
Huarong YANG ; Tao LIU ; Yuxiang ZHAO
Chinese Journal of Postgraduates of Medicine 2013;36(24):23-25
Objective To evaluate the diagnosis and efficiency of nasal endoscopic surgery treatment for rhinogenous optic function damage (ROFD).Methods The clinical data of 36 patients (36eyes) with ROFD were retrospectively reviewed.All patients were operated on nasal sinus probing and open sinus surgery through transnasal endoscopic approach,and 10 patients underwent endoscopic optic nerve decompression.Results Seven patients had bilateral pansinusitis,9 patients had unilateral posterior ethmoidal sinusitis and sphenoiditis,8 patients had isolated sphenoiditis,8 patients had fungal sinusitis occured in the sphenoid sinus and unilateral posterior ethmoid sinus,3 patients had unilateral pyocyst and cyst of the sphenoid and ethmoid sinus,1 patient had frontal and ethmoidal sinusitis.All patients were confiemed by pathology after surgery.The visual acuity preoperative were as follows:3 eyes no light perception,10 eyes hand movement,11 eyes fingers counting less than 20 cm and 12 eyes were vision impaired in different degree.The visual acuity postoperative were as follows:3 eyes failed,13 eyes cured,20eyes improved from hand movement or fingers counting to fingers counting (30-60 cm).The efficiency rate was 91.7%(33/36).The other eye symptom was disappeared.Sinus epithelization was happened after surgery in all patients.Conclusions If the medicine expectant treatment is invalid,nasal sinus probing and open sinus surgery through transnasal endoscopic approach should be performed early in treatment of ROFD.Patients who suffered frnm severe visual damage and either unresponsive or intolerant to medical treatment should be administrated endoscopic sinus surgery including endoscopic optic nerve decompression.
4.Determination of chlorogenic acid and camphor in Qingyin Injection
Huarong QIU ; Ji TIAN ; Wenyu FENG ; Moku YANG
Chinese Traditional Patent Medicine 1992;0(08):-
AIM: To establish the determination of quality standard for Qingyin Injection(Herba Artemisiae Annuae, Flos Lonicerae). METHODS: The contents of chlorogenic acid and camphor in Qingyin Injection were determined by the HPLC and GC, respectively. RESULTS: Chlorogenic acid showed good linear relationship in the range of 0.0476~0.3808?g(r=0.9999). The average recovery was 96.14%,RSD=0.88%(n=6); Camphor showed a good linear relationship at the range of 0.462~2.77?g(r=0.9999). The average recovery was 100.22%, RSD=2.44%(n=6), respectively. CONCLUSION: The method is simple, quick, accurate and reliable, and can be used for the determination of this preparation.
5.Clinical analysis of minimally invasive surgery and drug treatment for hypertensive cerebral hemorrhage
Yongcheng YU ; Huarong YANG ; Jianghuan ZHENG ; Lijie NING ; Guofeng WU
Chongqing Medicine 2013;(29):3505-3507
Objective To compare the clinical efficacy of minimally invasive removal of intracranial hematomas and medical con-servative treatment for hypertensive cerebral hemorrhage .Methods A total of 75 patients with hypertensive cerebral hemorrhage were collected and randomly divided into two groups according to the treatments :38 patients treated with conservative medicine and 37 patients treated with minimally invasive removal of intracranial hematomas based on standard drug therapy .Neurological impair-ment and recovery of self-care ability of patients in both groups before and after three weeks and six weeks of treatment were scored by National Institute of Health Stroke Scale (NIHSS) .Changes of diffusion tensor imaging before treatment and after two weeks of treatment were evaluated by fractional anisotropy value (FA) .Results There was no significant difference between neurological im-pairments of the patients in two groups before treatment .But the recovery degree of functional impairment and muscle nerve in min-imally traumatic treatment group was more significant than those in the conservative medical treatment group after treatments . There was significant difference between two groups (P< 0 .05) .Conclusion Minimally traumatic of hematomas is an effective method of treating hypertensive intracerebral hemorrhage .
6.The Left Ventricular Functional Changes of Dobutamine Stress Echocardiography in the Patients with Chest Pain
Shaoqing WANG ; Minliang YANG ; Lin JIA ; Huarong CUI ; Xingli GE ; Huanping ZHANG
Journal of Practical Radiology 1992;0(11):-
Objective To investigate the left ventricular function changes of dobutamine stress echocardiography(DSE) in the patients with chest pain.Methods The left ventricular systolic and diastolic function of patients was evaluated using two-dimensional and pulse Doppler echocardiography by DSE.Results After DSE,among the 18 patients,8 appeared abnormal regional motion in the wall of left ventricle and 10 were normal.The SV and CO of those remained normal were higher than those who appeared abnormal.For both normal and abnormal patients the E/A ration was smaller than 1 when dobutamine was at peak dose.Conclusion Using DSE on chest pain patients was an effective method in evaluating regional and global systolic function of the left ventricle and the effective detection data for left ventricular diastolic function is still to be determined.
7.Marburg I polymorphism of Factor Ⅶ-activating protease and cerebral infarction
Qian TAN ; Huarong TANG ; Rongrong LIU ; Guangping WANG ; Xiaosu YANG ; Fangping CHEN
Journal of Central South University(Medical Sciences) 2009;34(12):1171-1175
Objective To determine the relation between Marburg I polymorphism of FactorⅦ-activating protease (FSAP) and cerebral infarction,and to analyze whether it is one of the risk factors of cerebral infarction.Methods Single strand conformation polymorphism-polymerase chain reaction (SSCP-PCR) was applied for the polymorphism analysis of FSAP in 159 patients with cerebral infarction and 179 non-cerebral infarction subjects.Results The phenotypes of FSAP in both the patients and the control subjects were wild type GG;no mutant of Marburg I was found. But a new gene mutation was tested, which had not been reported, requiring further investigation. Conclusion Marburg I polymorphism of FSAP may not be associated with cerebral infarction.
9.Effect of Orthokeratology on Low, Middle, and High Myopia in Chinese Teenagers
Weilan YAO ; Dongmei CUI ; Zhouyue LI ; Zhou ZHAI ; Huarong WANG ; Binglan FANG ; Xiao YANG
Journal of Sun Yat-sen University(Medical Sciences) 2017;38(4):532-537,555
[Objective] This prospective study was conducted to assess the influence of overnight orthokeratology (OK) on low,middle and high myopia in southern Chinese teenagers.[Methods] Fifty-four subjects (107 eyes,age 11.65 ± 2.44 years,mean±SD)who matched the inclusion criteria for OK were enrolled in the study.The subjects were divided into three groups according to the different refraction baseline (low myopia group:0.75 ~ 3.00 D,51 eyes;middle myopia group:3.25 ~ 5.00 D,36 eyes;high myopia group:5.25 ~ 9.00 D,20 eyes).Refraction,central corneal thickness,corneal keratometry,anterior chamber depth and axial length (AL) were measured at baseline and after 1 years using ocular biometry.The changes were evaluated and compared among the groups.Results were analyzed by SPSS 17.0 software.[Results] Fifty-four subjects (total 107 eyes) completed the 1-year follow-up examinations.At baseline,the spherical equivalent refractive error (SER) was-2.15 D ± 0.63 D,-4.20 D ± 0.54 D,and-6.63 D ±1.18 D in three groups.The axial length was (24.50-± 0.66) mm,(25.16-± 0.65) mm,and (26.35 ± 0.87) mm in the three groups,respectively.There were no significant differences among the groups in initial central corneal thickness,anterior chamber depth,central,flat and steep kerotometry.The increase in axial length during the 1-year study period was (0.22 ± 0.27) mm,(0.09-± 0.22)mm and (0.02-± 0.22) mm in three groups,respectively,and the difference was significant between low myopia group and middle myopia group (P =0.04),low myopia group and high myopia group (P =0.008),whereas no significant difference was found between middle myopia group and high myopia group (P =0.35).Spherical equivalence decreased dramatically in three groups after one year (all P < 0.0001).And the difference was significant between low myopia group and middle myopia group (P < 0.0001),low myopia group and high myopia group (P < 0.0001).Central,flat and steep kerotometry after one year became flatten in all group (all P <0.0001).There were no significant differences in the change of central corneal thickness,anterior chamber depth and corneal diameter.[Conclusions] OK lens is more effective in middle and high myopia control than in the low myopia control.The change in corneal keratometry may be one of the main factors influencing the OK treatment effect.
10.Diagnostic value of Golgi-73 and AFP alone or combination in primary hepatocelluar carcinoma
Ying YANG ; Yongjiang BAO ; Huarong ZHAO ; Rui MAO ; Lei XIAO ; Yuefen ZHANG ; Yongxing BAO
Chinese Journal of Laboratory Medicine 2012;(11):1034-1037
Objective To explore the application value of Golgi protein-73 (GP73)and AFP in single and combining form in the diagnosis of primary hepatocelluar carcinoma (PHC).Methods Eighty PHC,65 liver cirrhosis,54 chronic hepatitis patients and 50 controls were selected in the First Afiliated Hospital in Xinjiang Medical University from May to September in 2011,GP73 was detected by ELISA and AFP was measured by clinical chemiluminescence.The sensitivity and specificity of each parameter in single and combining form were evaluated.Results Serum GP73 in PHC group 282.0(163.6-366.7) μg/L,liver cirrhosis group 211.8(107.5-295.7) μg/L,chronic hepatitis group 100.3(61.8-191.3) μg/L and control group 58.3(43.4-83.6) μg/L was tested by Kruskal-Wallis(H =106.6,P <0.01).GP73 in PHC group was further compared with liver cirrhosis group,chronic hepatitis group and control group using MannWhitney test,significance was found,(U was 1796.0,826.5,154.0,respectively,all P <0.01).In the single form,the sensitivity of GP73 [82.5% (66/80)] was higher than AFP [66.3% (53/80),x2 =4.65,P <0.05],but the specificity of GP73 [63.3% (107/169)] was lower than AFP [88.7% (150/169),x2 =28.91,P <0.05].There were 27 AFP negative cases in PHC group,but 22 of them were GP73 positive,making the positive rate of GP73 [81.5% (22/27)] in PHC patients with AFP negative.There were 14 GP73 negative cases of in PHC group,but 9 of them were AFP positive,making the positive rate of AFP [64.3% (9/14)] in PHC patients with GP73 negative.In series diagnostic test,the specificity of combining form [95.9% (162/169)] was higher than AFP [88.7 % (150/169),x2 =6.00,P < 0.05] ; in parallel diagnostic test,the sensitivity of combining form [93.8% (75/80)] was higher than GP73 [82.5%(66/80),x2 =4.84,P <0.05].In PHC group,52 patients with HBV infection,10 patients with HCV infection and 18 patients without virus infection,GP73 was 309.5 (170.5-370.5) μg/L,351.0 (274.7-397.9) μg/L and 210.1 (156.8-306.7) μg/L,respectively,no significance was found (H =4.0,P >0.05).Conclusion GP73 and AFP have a complementary feature of sensitivity and specificity in the early diagnosis of PHC,some PHC cases with AFP negative can be avoided missing efficiently by parallel diagnostic test.