Objective To analyze effectiveness evaluation of Salbutamol combined with budesonide suspension on acute attack of bronchial asthma.Methods150 patients with acute attack of bronchial asthma in hospital from October 2015 to October 2016 were selected,patients were divided into observation group and control group,every groups with 75 cases.Control group patients were given inhalation of salbutamol,observation group patients were given salbutamol combined with budesonide treatment,two groups patients effect were analyzed.ResultsThe total effective rate of the observation group (90.7%) was significantly higher than that in control group (65.4%) (P<0.05).There was no significant difference between the two groups before treatment.The observation group was significantly better than the control group (P<0.05),cough and wheeze improvement time was significantly shorter than the control group (P<0.05).The observation group average dosage of prednisone was significantly lower than the control group (P<0.05).ConclusionWith the implementation of salbutamol combined with budesonide suspension treatment can improve the effect of the treatment of acute attack of bronchial asthma.

Objective To investigate the value of 99Tcm-MDP imaging for the differential diagnosis between infection and aseptic loosening after total hip arthroplasty.Methods During February 2008 to August 2011,74 patients (32 males,42 females,average age (64.3±11.2) years) with hip pain after arthroplasty underwent 3-phase (blood flow,blood pool and bone phases) 99Tcm-MDP imaging.All patients had measurements of serum C reactive protein (CRP) and erythrocyte sedimentation rate (ESR).Joint infection was defined as either increased peri-prosthetic soft tissue activity during perfusion and blood pool phases or increased peri-prosthetic bone activity during uptake phase,or positive in all 3 phases.Aseptic loosening was defined as having negative 99Tcm-MDP in all 3 phases.Clinical diagnosis was chosen as the gold standard.The blood flow-pool imaging was compared with the serum examinations.x2 test was used for statistical analysis.Results There were 74 symptomatic joints in 74 patients,including 24 joint infections and 50 aseptic loosening.For the detection of peri-prosthetic infection,combined perfusion-blood-pool phase was more accurate than bone uptake phase (90.5％ (67/74) vs 55.4％ (41/74) ;x2=23.159,P＜0.001),with the sensitivity of 91.7％ (22/24)vs 70.8％ (17/24) and specificity of 90.0％ (45/50) vs 48.0％ (24/50),respectively.The blood flow-pool imaging was also more accurate than CRP (73.0％ (54/74) ;x2 =7.656,P＜0.05) and ESR (71.6％ (53/74) ; x2 =8.633,P＜0.05),respectively.Conclusion 99Tcm-MDP perfusion/blood flow-pool imaging is an accurate modality for differentiating peri-prosthetic infection from aseptic loosening in patients with hip pain after arthroplasty.

Objective To evaluate endoscopic ultrasound for preoperative staging of ampullar tumors.Methods A total of 31 patients with ampullar tumors who underwent surgery from 2010 to 2015 were retrospectively reviewed.B-US,CT,MRCP and EUS were performed in all patients.The diagnostic rates of EUS and other imaging technology,and the diagnostic accuracy of preoperative staging and postoperative pathological staging were compared.Results Diagoses of 31 patients of ampullar tumors patients undergoing preoperative endoscopic ultrasonography assessment T staging were as the following:uT1,4 cases; uT2,15 cases; uT3,10 cases; uT4,2 cases.Compared with the postoperative pathological diagnosis,the T staging accuracy was 90.3％ (28/31),anong which 1 case was overestimated,2 cases were underestimated.The accuracy of endoscopic ultrasound in preoperative diagnosis of ampullar lesions was superior to other detection technology.Conclusion EUS is a valuable diagnostic tool for patients with suspected ampullar tumors.

Objective:To observe the clinical efficacy of warm needling moxibustion plus tuina in treating knee osteoarthritis (KOA) due to cold-dampness blocking collaterals.
Methods:Forty-eight KOA patients were randomized into 2 groups by their visiting sequence, 24 cases in each group. The treatment group was intervened by warm needling moxibustion plus tuina, while the control group was treated with acupuncture plus tuina. The two groups were both treated once a day, 30 min for each session, 10 d as a treatment course, totally for 3 treatment courses. The visual analogue scale (VAS) and Lysholm knee scoring scale (LKSS) were observed before and after the treatment to evaluate the clinical efficacy.
Results:After 3 treatment courses, the VAS and LKSS scores were significantly changed in the two groups (P<0.01), and the between-group differences were also statistically significant (P<0.01). The markedly-effective rate was 83.3% in the treatment group versus 66.7% in the control group, and the difference was statistically significant (P<0.05).
Conclusion:Warm needling moxibustion plus tuina can produce a more significant efficacy than acupuncture plus tuina in treating KOA due to cold-dampness blocking collaterals.

Objective To assess risk factors in NSCLC with N2 metastasis.Methods A total of 177 NSCLC patients (109 males,68 females; age:(60.1 ± 10.6) years) who underwent both 18F-FDG PET/CT scan and surgery were enrolled.They were divided into two groups.One was with N2 metastasis (N2+) and the other was without (non-N2+).The gender,age,location,size,primary tumor SUVmax,histopathologic type and differentiation grade between N2+ group and non-N2+ group were compared with x2 test and two-sample t test.After assignment of significant factors and groups,correlations between each factor and group were analyzed with uni-and multivariate analyses,and then the risk factors were identified finally with logistic regression analysis.Results Significant difference among factors of tumor size ((36.1±19.7) mm vs (49.3±24.4) mm),SUVmax(8.81±6.23 vs 11.21±4.43) and differentiation grades (high:3 vs 0; moderate:74 vs 11; poor:65 vs 24) were observed between non-N2+ group and N2+ group (t =-2.969,-2.633,x2 =6.143,all P＜0.05).Besides,the univariate analysis showed significant correlations between tumor size,SUVmax,differentiation grade and N2 status (r=0.201,0.245,0.185,all P＜0.05).However,multivariate logistic regression revealed that only SUVmax had a predictive value (β=0.546,P＜0.01).The incidence of N2 metastasis went up along with the increase of SUVmax.There was no N2 metastasis in the patients with SUVmax ≤2.5,and the incidence rate of metastasis increased to 0.29 in those with SUVmax＞7.5.Conclusion SUVmax may be an independent risk factor to predict N2 metastasis in NSCLC patients.

Objective To study CT diagnosis and differential diagnosis of primary retroperitoneal neoplasm(PRN).Methods CT data in 23 cases of PRN confirmed by pathology were retrospectively analysed.Results There were 11 results of pathology in 23 cases,of them,14 cases were mesenchymal tissue-origin(12 cases were malignant neoplasm),4 cases were nervous tissue-origin(all benign),4 cases were rudimental embryonal tissue-origin(3 cases were benign diseases and one case was malignant),the source of unknown-origin in one case was malignant neoplasm.Most of these PRN showed such common CT manifestations as other tumors in the same location,but they had own special CT features respectively.Conclusion PRN have many typies,CT features of PRN in combination with the history,age and location can improve the diagnosis of histological classification and the diagnosis of the nature of tumors.

Objective: To investigate the curative efficiency of traditional Chinese medicine Niaoduqing(尿毒清) in treatment of critically ill patients with renal failure(RF).Methods: Forty-six serious patients with RF in emergency intensive care unit(EICU) were treated with western medicine.Additionally,(Niaoduqing) was used orally or via nasal tube 30 g/d for 9 days.The parameters including blood urea nitrogen(BUN),creatinine(Cr),pH,anion gap(AG),red blood cell(RBC),hemoglobin(Hb) and acute physiology and chronic health evaluation Ⅱ(APACHEⅡ) were recorded 3,5,7 and 9 days after treatment.Then the changes of the indexes before and after the treatment were analyzed.Results: There were obvious differences in renal function 9 days after treatment compared with that before treatment.BUN and Cr significantly(decreased),and RBC increased.AG and APACHEⅡdecreased significantly(all P

Objective To study the characteristics of plasma adiponectin levels exhibiting in gestation women and newborns, as well as the relationships between adiponectin levels and fetal birth weight. Methods Totally 98 subjects have been considered in this study, in-cluding venous blood samples of 36 healthy non-pregnant women (control group), 31 uncomplicated pregnant women (pregnancies group) and the cord blood samples taken at delivery of their singleton infants born at term (newborns group). The concentrations of adiponectin and insulin were determined by radioimmunoassay technique. And SPSS was used for statistical analyses. Results The adiponectin level in women of late period of gestation (WLPG) (11.10±5.72)g/ml was lower than that of other two groups, and the newborns average cord plasma level of adiponectin was (30.71±12.77) g/ml significantly higher than that of the control group (16.52±6.87) g/ml. The adipone-ctin level for WLPG was correlated with FINS and HOMA-IR (r = -0.411, -0.393, P <0.05). The adiponectin level in cord plasma was positively correlated with birth weight(r = 0.416, P < 0.05). The adiponectin level in WLPG was correlated neither with the adiponec-tin level nor body weights of their newborns. Conclusions The average cord plasma adiponectin level of newboms is significantly higher than that of the control group and WLPG. It is positively correlated with birth weight, which suggests that adiponectin may be involved in reg-ulating fetal growth. The adiponectin level in WLPG is correlated neither with the adiponectin level nor body weights of their newborns.

Objective To explore the characteristics of MR perfusion imaging in normal pancreas and pancreatic cancer.Methods 20 cases of normal pancreas(without pancreatic diseases)and 20 cases with pancreatic cancer,underwent MR perfusion imaging using PHILIPS 1.5T unit with T1WI 3DFFE.12?4 collimation, 4 mm slice thickness ,20ml Gadopentetic Acid Dimeglumine 0.5mmol/ml Magnevist were used, the flow rate was 3.5 ml/s with a power injection,5 seconds delay,and data acquisition lasted for 90 seconds.These data were processed on a View Forum workstation using MR Brest Imaging(in Qualitity Analysis)software package ,and the mean maximum relative enhancement,wash in rate, wash out rate, time to peak, time of arrival and area under the curve were measured and statistically analyzed.Results The data of perfusion imaging in normal pancreas and carcinous pancreas were as followed respectively:maximum relative enhancement 95.69% and 50.74%,wash in rate 19.511/s and 4.471/s,wash out rate 26.051/s and 19.151/s,time to peak 31.33 s and 106.84 s,time of arrival 20.53 s and 64.70 s,area under the curve 15924.56 ml/(min? kg) and 5542.85 ml/(min ?kg).t-test showed that the difference of the perfusion data between normal pancreas and carcinous pancreas were significant(P

Objective:To explore the effect of extracorporeal shock wave combined with meloxicam tablets on joint function and serum matrix metalloproteinase-9 (MMP-9) and resistin levels in elderly patients with osteoarthritis.Methods:80 cases of elderly patients with osteoarthritis in Nanchong Central Hospital from May 2016 to March 2019 were selected as the research objects, and they were randomly divided into two groups, 40 cases in each group. The control group was given conventional oral medicine (meloxicam + potassium glucosamine sulfate tablets), and the observation group was given meloxicam tablets combined with extracorporeal shock wave therapy. The total effective rate, incidence of adverse reactions, and the scores of osteoarthritis symptoms (WOMCA), joint function (Lysholm), serum MMP-9 and resistin before and after 8 weeks' treatment were compared between the two groups.Results:After treatment, the WOMCA score of the observation group was lower than that of the control group, and Lysholm score was higher than that of the control group ( P<0.05); the total effective rate of the observation group (95.00%) was higher than of the control group (77.50%) ( P<0.05); the serum resistin and MMP-9 levels of the observation group were lower than those of the control group after treatment ( P<0.05); there was no significant difference in the incidence of adverse reactions between the observation group (15.00%) and the control group (17.50%) ( P>0.05). Conclusions:Extracorporeal shock wave combined with meloxicam tablets in the treatment of elderly patients with osteoarthritis can significantly improve the clinical symptoms, promote the recovery of joint function, reduce the levels of serum resistin and MMP-9, and further improve the treatment effect with high safety.