Objective To investigate the promoting effect of acupuncture plus massotherapy on post-lithotripsy stone discharging in urinary stone patients.Methods Sixty-two patients who had received extracorporeal shock wave lithotripsy were randomly allocated to treatment and control groups, 31 cases each. The treatment group received acupuncture plus massotherapy and the control group, no treatment. The incidence of postoperative complications was observed in the two groups. The clinical therapeutic effects were compared between the two groups.Results The total efficacy rate and the incidence of postoperative complication were 90.3% and 61.3%, respectively, in the treatment group and 77.4% and 80.6%, respectively, in the control group. There were statistically significant differences between the two groups (P<0.01).Conclusion Acupuncture plus massotherapy can promote post-lithotripsy stone dis- chargeing in urinary stone patients.

Bone marrow mesenchymal stem cells(BMSCs) are a kind of non-hematopoietic cells living among bone marrow stroma,and are able to differentiate into mesoderm-type cells and non-mesoderm type cells.At present,there are three main methods for isolating and purifying BMSCs:bone marrow adherent culture,density gradient centrifugation and immune selection.This review listed many kinds of cells that BMSCs can differentiate into under certain conditions,discussed the related different directing conditions reported by researchers,analyzed the principle behind the artificial controlling conditions,and tried to find relatively uniform and effective directing conditions.The cells that BMSCs can differentiate into various types of cells including mesoderm-type cells,and non-mesoderm type cells:osteocytes,chondrocytes,adiocytes.As seed cells and a source of cell therapy in tissue engineering,BMSCs have been widely used in studying stem cells.

Objective:To investigate the possibility and the usefulness of group psychological guidance in mental health education course. Methods:Two classes of the same grade were chosen,one was group psychological guidance class,and the other as control. SCL-90 was used to measure the effect of group instruction. Results:after group intervention, the study group decreased more in SCL-90 total score than control (24.5?7.2/13.4?2.5,t=6.24,P

Objective To explore the hyperthyroidism patients with Graves disease before and after treatment serum adiponectin level changes.Methods 108 cases of hyperthyroidism patients with Graves disease as the research object,they are divided into GD1 and GD2 two subgroups,and the other in the same period to our line of health inspection in 50 cases of healthy controls,fully explore hyperthyroidism before and after treatment in patients with Graves disease changes of the serum adiponectin level.Results Compared with healthy controls,GD1 group of adiponectin level is higher,the GD2 group of the low level of adiponectin,compared with those of GD2 group had significantly higher GD1 group,P<0.05.Data statistical differences between groups,P<0.05.GD group of TSH is lower than healthy controls,GD1 TSH level below the GD2 group.P<0.05,compared with healthy controls,GD two subgroups of FT3 level was significantly higher,data statistical differences between groups,P<0.05,compared with those of GD2 group GD1 group of FT3 level is higher,data statistical differences between groups,P<0.05 compared with control group,GD1 group had a significantly higher FT4 levels,P<0.05.GD2 group FT4 level slightly lower than the control group,P>0.05,compared with those of GD2 group GD1 group had a significantly higher FT4 levels,P<0.05.The control group,the GD1 and GD2 group of serum adiponectin level and TSH is negative correlation,and FT4,FT3 is positive correlation,and there is no correlation between the baseline data.Conclusion Graves disease hyperthyroidism in treatment,adiponectin levels rise,after drug treatment,obtain relief,adiponectin increase cholesterol and FT4 influence,and the correlation between glucose metabolism index is not strong.After treatment,Graves disease in patients with hyperthyroidism adiponectin level is lower than normal group,the low and FT4 levels after treatment with a certain relevance.

Carcinoma in Situ ; metabolism ; pathology ; Carcinoma, Endometrioid ; metabolism ; pathology ; Cystadenocarcinoma, Serous ; metabolism ; pathology ; Endometrial Neoplasms ; metabolism ; pathology ; Female ; Humans ; Tumor Suppressor Protein p53 ; metabolism

Objective To study the clinical effect of diazepam and phenobarbital in children with febrile convulsion.Methods Seventy cases of febrile convulsion patients were divided into control group (phenobarbital treatment,35 cases) and experiment group (diazepam combined with phenobarbital,35 cases) by random digits table method,and compared the efficacy and complications.Results Two groups were cured within 1 h.The effective rate within 30 min in experiment group was significantly higher than that in control group [88.6％ (31/35) vs.74.3％ (26/35)] (P ＜ 0.05).The recurrent rate in experiment group was significantly lower than that in control group [2.9％ (1/35) vs.14.3％ (5/35)] (P ＜ 0.05).The complications had no statistically significant differences between two groups(P ＞ 0.05).Conclusions Diazepam combined with phenobarbital are very effective for children with febrile convulsion,can greatly improve clinical efficacy,decrease recurrent rate,and won't produce adverse reaction and complications,are the ideal treatment in the clinical treatment.

Objective To explore the outcomes of radiotherapy and zoledronic acid in patients with bone metastasis.Methods 48 cancer patients with bone metastasis,were divided into two group,control group received radiotherapy only,therapy group received radiotherapy and zoledronic acid.Remission of ostalgia was evaluated after 3-6 months.Results The total effective of remission of ostalgia had no significant differences between two group(83.3 ％ vs 79.2％,P ＜ 0.05).But rate of complete remission therapy group was higher than that of control group(50.0％ vs 33.3％,P ＜ 0.05).The adverse reaction aer resemble between the two group.Conclusion The outcomes of radiotherapy and zoledronic acid in patients with bone metastasis is effectiveness for cases with bone metastasis,is worth spreading.

Objective To investigate the clinical effects of different dose of remifentanil with double-tube type laryngeal mask airway (LMA) ventilation in the aged patients undergoing total hip-arthroplasty (THA).Methods Sixty ASA class Ⅰ-Ⅱ grade patients undergoing THA were enrolled in the study.The patients were divided into three groups according to remifentanil dose with 20 cases each,0.2 μ g/ (kg· min)group,0.3 μ g/(kg· min) group and 0.4 μ g/(kg· min) group.Heart rate and mean arterial pressure (MAP)were measured immediately before anesthesia induction,immediately after anesthesia induction,immediately after inserting LMA,the set of operation,15 min during operation and discontinuation of anesthetic.Results All patients were successfully operated without intraoperative awareness.In 0.2 μ g/(kg·min) group,the patients suffered from the heart rate and MAP fluctuations,the high incidence of body movement (45.0％,9/20),and the maximum amount of propofol [(82.4 ± 21.6) mg].In 0.3 μg/(kg· min) group,heart rate and MAP had the better fluctuation,and patients might wake up faster postoperatively.In 0.4 μ g/(kg· min) group,heart rate and MAP significantly decreased,the amount of efedrina [(5.2 ± 4.3) mg] was the largest in the three groups,the recovery time [(5.2 ± 1.3) min] was the longest Conclusion Remifentanil 0.3 μg/(kg·min) compound with propofol with double-tube type LMA can be used for total intravenous anesthesia in the elderly patients with THA,with hemodynamic stability,fewer complications,and reliable ventilation.

Objective To compare the effect of ureteroscopic pneumatic lithotripsy(URL) and extracorporeal shock wave lithotripsy(ESWL) for ureteral stones.Methods 90 patients with ureteral stones were randomly divided into group A( URL group),group B( ESWL group),each group 45 cases.The effect of surgical treatment was compared between the two groups.Results The one-time success rate of gravel,stone free after 4 weeks of A group was significantly higher than that of group B( x2 =9.680,5.414,all P ＜0.05),but there was no significant difference in the surgical time and hospital stay of the two groups( t =1.010,0.909,all P ＞ 0.05 ).The postoperative renal colic,fever and other complications of group A were significantly lower than that of group B ( x2 =6.049,5.075,all P ＜0.05),but the gross heraturia and ureteral injury of group A was higher than that of group B(x2 =5.874,3.873,all P ＜ 0.05 ).Conclusion The ureteroscopic pneumatic lithotripsy and extracorporeal shock wave lithotripsy in the treatment of ureteral stones all have good effect,but ureteroscopic pneumatic lithotripsy and stone rubble drain success rate are significantly higher than extracorporeal shock wave lithotripsy,and postoperative complications are relatively less than extracorporeal shock wave lithotripsy.

Objective To investigate the application effect of comprehensive intervention on rehabilitation of schizophrenia patients in remission stage and residual period.Methods 300 patients with schizophrenia in the acute phase were divided into the observation group and the control group,the control group was given atypical antipsychotic drug treatment,the observation group was given mental health treatment based on the control group.Compliance,curative effects,side effects were compared between the two groups.234 patients were in remission and residual period were divided into comprehensive intervention treatment group and simple drug treatment group,quality of life,social function and cognitive function were compared between two groups.Results The total effective rate and compliance rate in the observation group were significantly higher than those of the control group(x2 =3.78,3.15,all P ＜ 0.05).Side effects scale(TESS) score in the observation group was significantly lower than that in the control group(t =2.58,P ＜ 0.05).In the remission phase and residual phase,the score of life quality,cognitive function score in comprehensive intervention group were significantly higher than those in the control group,the social function defect score was significantly lower than that in the control group(t =8.97,2.27,all P ＜ 0.05).Conclusion Comprehensive intervention is beneficial to reduce social function defects of schizophrenia patients,improve the therapeutic effect,and promote the recovery of cognitive function and quality of life.