Objective In order to investigate the causes of postpartum hemonrrhage,and make clear the corresponding counter nursing measure. Methods The data of 103 patients with postpartum hemorrhage was selected and analyzed, the coresponding nmsing measures of the patients were summaried. Results The cur-ing rate of postpartum hemorrhage was 99.1%, the postpartum hemorrhage symptom greatly alleviated after abo-rative nursing. Conclusions The clinical intervention can reduce incidence of postparturn hemorrhage,in-crease the curing rate of it and lower the mortality rate of pregnant women.

To determine energy compounds in myocardial tissue simultaneously, we determined standard Creatine(Cr), Creatine phosphate(PCr), Hypoxanthine(Hypo), Nicotinamide adenine dinucleotide (NAD), Adenosine monophosphate (AMP), Adenosine diphosphate (ADP), Adenosine triphosphate (ATP), Cyclic-adenosine monophosphate(cAMP), and other compounds related to energy metabolism by a rapid isocratic method.The result showed that standard curves of the eight compounds were linear and passed through the origo for all examined concentrations (r=0.999).A recovery (88.1～117.6%) and replication (CV%=0.97～3.78%) for the present method was found to be accord with methology request.

Objective To study the clinical significance of cardiac enzymes of acute cerebral infarction(CI). Method The cardiac enzymes were determined in 92 patients with CI within 48 hours. The cardiac enzymes of CI group and control group,consciousness disturbance group and consciousness group were compared. Results The cardiac enzymes of CI were evaluated than the control group (P

Objective The purpose of the present study was to explore the use of psychological intervention in modified electroconvulsive therapy patients.Methods Divide all 160 patients random into two groups,the intervened group and the contrast group. The intervened group was accepted psychological intervention before the therapy day;The contrast group just did as normal.Record the anxiety, blood pressure,heart rate and the agreement to the therapy of the two group before the therapy.Results The anxiety of the intervened group was much little to the contrast group.The blood pressure and the heart rate of the intervened group was lower than the contrast group.Patient of the intervened group was much active to match with the treatment. Conclusions The use of psychological intervention in modified electroconvulsive therapy patients could decrease patient’s anxiety and painness,made them more active to match with the treatment.

Objective To evaluate the capacity of air quality test of indoor air quality test agencies in Beijing. Methods 59 laboratories participated the evaluation. The standard reference (SRF) material, ammonia and benzene, were used as the test items and the national standard methods were used in the determination, the capacity evaluation was done by comparing the test values and Robust Z-Score. Results 28 laboratories (47.5%) presented a satisfactory result for both ammonia and benzene determination, 3 gave an unsatisfactory result for both items, 28 showed an unsatisfactory result or a result with some error in alternative1 item. Conclusion In the present study, only 47.5% of the investigated laboratories are satisfied. There are still some problems in the capacity of air quality test of test agencies in Beijing and the test capacity need to be improved.

The preventive effects of starch-Fe and sucrose-Fe on iron deficiency anemia were investigated. Weaning rats were used as experimental animal, and divided into starch-Fe, sucrose-Fe, ferrous sulfate and control group. The former 3 groups were set for the Fe deficiency preventive group and each animal received elemental iron 5-6mg per kg body weight per day according to its preparation demand orally. The control group was given ordinary diet only. After 24-day feeding with its experimental diet serum iron(SI), serum ferritin (SF) and hemoglobin (Hb) of the animal were measured. The results revealed that SI (?g/dl) was 111.08 ? 22.30,118.64?26.80, 136.81?54.36 and 83.44?22.60; SF (ng/ml) was 12.69?3.19, 14.52?1.98, 16.91?2.02 and 7.51?2.09; Hb (g/dl) was 10.71?0.63, 10.96 ?0.45, 11.01?0.84 and 8.46 ? 1.27 respectively. This suggested that the starch-Fe and sucrose-Fe could be well absorbed and probably favorable to rescue children from iron deficiency anemia.

OBJECTIVE To investigate the clinical manifestation and the reasons of misdiagnosis of allergic rhinitis patients with postnasal drip. METHODS The clinical data of 3 patients with allergic rhinitis who had the symptom of postnasal dr ip and were mi sdiagnosed were s tudied. RESULTS The three patients to be misdiagnosed as chronic sinusitis treated by antibiotics drugs, post cold cough syndrome without any treatment, and chronic rhinitis treated with partial inferior turbinectomy. The 3 patients were diagnosed allergic rhinitis and cured with budesonide nasal spray. CONCLUSION The reasons of misdiagnosis are listed as follows. 1. The clinic doctors don't listen to the patient's complaint comprehensively and get incorrect information. 2. The symptoms of allergic rhinitis are not typical. 3. Postnasal drip is the main complaint and cause irritable cough, pharyngeal itching, globus. 4. The symptoms of allergic rhinitis are covered by other simultaneous diseases.

Objective To clone the human target gene HBVDNAPTP1 transactivated by hepatitis B virus DNA polymerase obtained by screening with suppression subtractive hybridization (SSH) and bioinformatics techniques. To construct prokaryotic expressive vector of HBVDNAPTP1 gene, induce the expression of recombinant protein in E. coli, and analyze the expression level of HBVDNAPTP1 gene in human tissues. Methods The DNA fragment of HBVDNAPTP1 was amplified by reverse transcription polymerase chain reaction (RT-PCR) taking mRNA from HepG2 cells as the template, and the correct DNA fragment was then inserted into inducible prokaryotic expressive vector pET-32a (+). The competent BL21 (DE3) E. coli was transformed, and then cultured and induced with IPTG. The expressed HBVDNAPTP1 was confirmed with Western blot. UniGene database was used to analyze the chromosome mapping and tissue expression profile of HBVDNAPTP1 gene. Results The DNA fragment of HBVDNAPTP1 was amplified by RT-PCR. HBVDNAPTP1 expressive vector was constructed. After transformation with pET-32a(+)-HBVDNAPTP1 and induction with IPTG, recombinant HBVDNAPTP1 was expressed and confirmed by Western blot. The expression of genomic location of HBVDNAPTP1 gene was low in multiple-tissues with the exception of pituitary gland, tonsil, tongue, thymus, trachea and umbilical cord. Conclusion The recombinant HBVDNAPTP1 gene could be expressed in prokaryotic expression system of E. coli. The chromosome mapping and tissue expression level of HBVDNAPTP1 gene is tentatively conceived.

Objective To explore the efficacy of duo positive airway pressure ventilation in treating preterm infant with neonatal respiratory distress syndrome (RDS). Methods 65 preterm infants admitted to the neonatal intensive care unit from December 2012 to December 2013 were randomly divided into DuoPAP group (34 cases) or NCPAP (31 cases) group. Blood gas analysis(pH value, PaO2, PaCO2 and OI) at 1h, 12h, 24h, and 72h, and incidence of apnea, pulmonary air leak, repeated application of pulmonary surfactant and non-invasive ventilation failure at 72h in the two groups were measured and compared after using intubate surfactant extubate (INSURE). Results OI after non-invasive ventilation at 1h, 12h, and 24h was signiifcantly higherin DuoPAP group than that in NCPAP group P<0.01). PaCO2 after non-invasive ventilation at 1h, 12h, 24hand 72h was signiifcantly lower in DuoPAP group than that in NCPAP group (P<0.01). PaO2 after non-invasive ventilation at 1h and 12h was higher in DuoPAP group than that in NCPAP group, and there was signiifcant difference between the two groups (P<0.01). The incidence of non-invasive ventilation failure, apnea in 72h was lower in DuoPAP group than that in NCPAP group, and there was signiifcant difference between the two groups (P<0.05). Conclusions Compared with NCPAP, DuoPAP is more feasible for improving oxygenation, decreasing the need for mechanical ventilation in 72h in preterm infants with neonatal RDS.

Objective:To compare the effects of different anesthesia methods on stress hormones and hemodynamic changes in the patients with gynecological laparoscopic surgery. Methods:Retrospective analysis was carried out. Totally 145 patients with gynecolog-ical laparoscopic surgery were divided into two groups according to the anesthesia method, the control group with 72 cases was given routine remifentanyl propofol intravenous anesthesia, and the observation group with 73 cases was given routine propofol isoflurane com-posite anesthesia. Such hemodynamic indices as SBP, DBP and HR, and plasma NE, E, cort and AT II levels at different time points in the two groups were studied and compared, and adverse drug reactions were also observed in the two groups. Results:The BP and HR at T2 and T3 time point in the two groups were significantly lower than those at T0 time point (P<0. 05), and those in the obser-vation group were lower than those in the control group at the same time point(P<0. 05). The levels of NE, E, cort and ATⅡat T2 and T3 time point in the two groups were significantly higher than those at T0 time point (P<0. 05), while the increase in the observa-tion group was lower than that in the control group (P<0. 05). The incidence of adverse drug reactions (ADR), such as respiratory depression, hypertension, bradycardia and so on, and the total incidence of ADR in the observation group were both lower than those in the control group (P<0. 05). Conclusion:Compared with remifentanyl propofol intravenous anesthesia, propofol isoflurane composite anesthesia can keep the hemodynamic stability more effectively and reduce the stress reaction with fewer ADR and promising safety, which is worthy of wider application in clinics.