BACKGROUND:Multiple studies have shown that obstructive sleep apnea is correlated with cardiovascular diseases,and plays an important role in occurrence and development of cardiovascular diseases.Nevertheless,we have little knowledge about effects of obstructive sleep apnea on results and prognosis of coronary artery interventional therapy.OBJECTIVE:To investigate the effect of obstructive sleep apnea on restenosis in patients undergoing successful coronary artery stent implantation.METHODS:A total of 76 patients with acute coronary syndrome (ACS) were selected,including 59 males and 17 females,with an average age of (67±10) years,at the Department of Cardiology,Xingtai Municipal People's Hospital from January 2005 to December 2008.There were 45 patients with acute myocardial infarction and 31 patients with unstable angina pectoris,All patients were subjected to coronary artery stent implantation,coronary angiography.The coronary lesion cases and Gensini grades were recorded.Of them,63 patients ceceived coronary artery interventional therapy.All patients underwent polysomnography.The results of quantitative coronary angiography were analyzed in the course of operation and at 6-months following-up.RESULTS AND CONCLUSION:A total of 37 of the 76 patients had obstructive sleep apnea.The prevalence of multivessel disease was 51% and Gensini grades was 23.6±20.7,which was higher than patients without obstructive sleep apnea (P=0.004).There were no significant differences between the two groups for median reference vascular diameter,median lesion length before operation,acute gain besides minimum lumen diameter after operation (P＞0.05).The rate of coronary artery in stent restenosis in patients with obstructive sleep apnea was 37%,which was higher than patients without obstructive sleep apnea over a 6-month follow-up (P=0.021).

Objective To investigate the effect of obstructive sleep apnea syndrome (OSAS) on coronary atherosclerosis plaque.Methods A total of 126 old patients with coronary artery disease (CAD) were selected and classified into two groups according to their results of polysomnography and coronary angiography:OSAS plus CAD group (n= 62);no OSAS group (n=64).Peripheral venous blood samples were taken,and the levels of total cholesterol (TC),triglyceride (TG),high-density lipoprotein (HDL-C),low-density lipoprotein (LDL-C),white blood cell counts,neutrophil percent and high sensitive C-reactive protein (hs-CRP) were measured.The cases with coronary lesion,Gensini scores and atherosclerosis plaque were recorded according to coronary arteriography and 64- slice spiral coronary CT angiography.Results The levels of TC,TG and LDL-C were higher in OSAS plus CAD group than in no OSAS group [(5.76+0.85) mmol/L vs.(4.26+0.78) mmol/L,(3.37+1.97) mmol/L vs.(1.72±0.54) mmol/L,(3.65±0.58) mmol/L vs.(2.91±0.58) mmol/L,t= 2.959,3.556,2.165,all P<0.05].The levels of HDL were lower in OSAS plus CAD group than in no OSAS group [(0.86±0.20) mmol/L vs.(1.13±0.14) mmol/L,t=2.545,P<0.05].The white blood cell counts,neutrophil percent and serum hs-CRP levels were higher in OSAS plus CAD group than in no OSAS group (all P<0.05).In OSAS plus CAD group,the prevalence of multivessel disease was 51%,Gensini scores were (23.6±20.7) and coronary atherosclerosis plaques were (67.6 ±9.7),while the prevalence of multivessel disease was 30 %,Gensini scores were (18.9±19.4) and coronary atherosclerosis plaques were (39.3 ± 9.4) in no OSAS group.There were significant differences in the three parameters between the two groups (x2 or t=5.39,2.048,19.001,all P<0.05).Conclusions OSAS is associated with coronary artery disease and can accelerate the formation of coronary atherosclerosis plaque.

BACKGROUND:Stent restenosis is a pathological process characterized by inflammatory healing response. Inflammatory cells play an important role in stent restenosis,thus,it can be controlled to reduce stent restenosis. OBJECTIVE:To observe the changes of high-sensitivity C-reactive protein (hs-CRP) and complement C3 before and after coronary stent implantation in patients with acute coronary syndrome,and to study the relation of inflammatory reactions and stent restenosis. DESIGN,TIME AND SETTING:A contrast observation was performed at the Department of Cardiology,People's Hospital of Xingtai between December 2005 and May 2009. PARTICIPANTS:A total of 65 patients with acute coronary syndrome and treated by percutaneous transluminal coronary intervention were collected. METHODS:According to coronary anglography,sirolimus-eluting stent (Firebird stent) was selected and implanted to cure acute coronary syndrome. MAIN OUTCOME MEASURES:Blood routine examination was performed before stent implantation and coronary anglography were used over a 6-month follow-up. The hs-CRP and complement C3 concentration was detected prior to,48 hours and 6 months after operation. RESULTS:Fifty-six patients were followed up,and the restenosis rate was 9% (5/56). The levels of hs-CRP,complement C3 in peripheral vein blood was obviously higher at 48 hours after implantation than prior to operation (P

Objective]The clinical efficacy of TCM directed through drug treatment of pain for the first time with the temperature needle shoulder-hand syndrome after caused by stroke.[Methods]The 90 cases were randomly divided into treatment and control groups.The treatment group was directed through medicine with traditional Chinese medicine acupuncture treatment temperature ,the control group using only warm acupuncture.Respectively, before treatment, the first 30 days of oral grading score(VRS) was assessed for limb pain.[Results]After treatment ,the patient's limb pain scores were significantly lower than before treatment,treatment group decreased more significantly than the control group,the difference was statistically significant(P﹤0.05). [Conclusion]TCM directed through drug treatment and needle with warm warm acupuncture alone can significantly ease the pain of limb ,but TCM directed through drug treatment is better than warm needle acupuncture alone.

Objective To establish a method for the determination of arctiin in Pifu Zhiyang Tablets by SPE-HPLC . Methods SPE-HPLC method was performed on a Kromasil C18 column(150 mm?4.6 mm ,5 ?m),the mobile phase consisted of methanol -1 %acetic acid (35 ∶65) ,the wavelength was 283nm . Results The linear range of arctiin was 1.5～4.5 ?g(r= 0. 999 8) ,the average recovery was 98.18 %with RSD of 2.08 %. Conclusion This method is accurate ,reliable and reproducible. It can be used for the determination of arctiin in Pifu Zhiyang Tablets .

Objective To evaluate curative effect and safety of moxifloxacin in treatment of acute pelvic inflammatory with Meta analysis.Methods The database of Pubmed, MEDLINE, Cochrane, China Biology Medicine disc (DBMdisc), China National Knowledge Infrastructure (CNKI), Wanfang med online and VIP were retrieved, and randomized clinical trials of moxifloxacin in treatment of acute pelvic inflammatory which were open literatures published at home and abroad were collected from January 2000 to December 2014.The literatures which were accorded with the criterion were chosen and analyzed by Review Manager 5.1.7.Results The results showed that there were 14 literatures which were homogenous corresponded with the criterion, changeless benefit model statistics and analysis showed that the odds ratio (OR) was 3.76(95%CI 2.14-6.59, P<0.01).And there were 5 studies on bacterial removal showed that the OR was 2.34(95%CI 1.46-3.75, P<0.01).There were 12 studies on incidence of adverse reactions showed that the OR was 0.5(95%CI 0.30-0.86,P=0.01).Conclusion Meta analysis displayed that moxifloxacin is effective for acute pelvic inflammatory.But the high quality RCTs were too few in domestic studies in treatment of the acute pelvic inflammation with moxifloxacin and the overall level of studied quality needs improvement urgently.

BACKGROUND: Borneol can open blood-brain barrier (BBB) but the mechanisms are not very clear. Histamine and 5-hydroxtryptamine can take part in regulation of permeability of BBB. There is not report on the rela tion between the effect of opening BBB of borneol and the regulation of permeability of BBB of histamine (HA)/5-hydroxytryptamine (5-HT). OBJECTIVE: To study the relation between the effect of opening BBB of bornool and the regulation of permeability of BBB of histamine (HA)/5-hydroxytryptamine (5-HT).DESIGN: A completely randomized and controlled study.SETTING: Clinical Pharmacological Institute of University of Traditional Chinese Medicine of Guangzhou.MATERIALS: The experiment was carried out at the Clinical Pharmacological Institute of University of Traditional Chinese Medicine of Guangzhou from September 2003 to February 2004. Totally 104 healthy male SD rats, weighting 230-27.0 g, supplied by Guangdong Medical Experimental Animal Center, were selected.METHODS: The rats were randomly divided into 13 groups: pre-medicine group and post-medicine group (high, moderate and low dosage group and 5, 20, 45 and 60 minutes group in each dosage group) with 8 in each group. Borneol was mixed as 10% millet oil suspension. Rats were fasted before experiment for whole night, and medicine was perfused on the next morning with the high, moderate and low dosage of 0.15, 0.12 and 0.09 g/kg respectively. Hypothalami of rats was selected at various time points to make biological samples. Contents of HA and 5-HT were assayed with HPLC system electrochemical detector.MAIN OUTCOME MEASURES: Changes of level of histamin (HA) and 5-HT in hypothalamus of rats after administration of borneol.RESULTS: Data of totally 104 rats was entered the final analysis. ① Contents of HA and 5-HT in hypothalami were 2.07±0.54 μg/g and 1.45±0.14 μg/g respectively. ② The level of HA in hypothalamus of rats after different doses of borneol were higher than that of before administration. Comparing the level of HA in 20 minutes after moderate dose with before administration, the level of HA in 20 minutes was increased significantly [(3.36±0.21) μg/g, P < 0.01], the others of moderate dose, the 45 minutes after high dose, the 20 and 45 minutes after low dose were also increased significantly than before administration (P < 0.05). ③ After administration of different doses of borneol, the level of 5-HT after high dose were higher than that of before administration [5, 20, 45 and 60 minutes after medicine: (1.90±0.32), (3.28 ±0.25), (2.66±0.46), (2.80±0.34) μg/g, respectively; (P < 0.05 or P < 0.01)]; the level of 5-HT after 5, 20 and 45 minutes of moderate and low dose were increased significantly too (P < 0.05 or P < 0.01).CONCLUSION: Borneol could open BBB by increasing levels of HA and 5-HT in hypothalamus of rats.Borneol mediates opening of BBB by increasing levels of HA and5-HT in rats.

In the context of ongoing health reform,it is important to establish and improve the regulation system of public hospitals.By defining the concept of regulation,regulation theories for public hospitals,the regulation systems of the typical countries,the paper summarizes the international experience enlightenment to China's public hospital regulation reform.

Brain Neoplasms ; pathology ; Humans ; Pituitary Neoplasms ; pathology

A summary of the reform for public hospitals'internal operating mechanism in 17 pilot cities identified its four main patterns,the internal decision-making machanism,human resource management mechanism,compensation allocation system,and business mechanism.It also analyzed the initial outcomes and problems encountered in the reform.On this basis,the authors proposed the direction for the reform pattern in designing the internal operating mechanism for reference of a wholescale reform of public hospitals in China.