Objective To investigate the hospital acquired infections in the Traditional Chinese Medicine Division of Nanshan People's Hospital, Shenzhen so to improve the infection control. Method The hospital acquired infection cases in the Traditional Chinese Medicine division during the time from May 1,2006 to May 1, 2007 were reviewed. The risk factors of acquired infections in hospital for Ankylosing Spondylitis patients were analysed and summed up. Result The hospital infection rate was 5.1% (22/435), while the total hospital acquired infection rate in the hospital was 3.2% (957/29 846). Among the 22 patients, 6 cases were ankylosing spondylitis cases. The rate of hospital acquired infection in ankylosing spondylitis patients in the division was as high as 25.0% (6/24) in contrast to the rate of zero in other wards. Further analysis showed that taking cellulotoxic drugs was the main risk factor of hospital acquired infection in ankylosing spondylitis patients (P <0.01). Conclusion The patients treated with cellulotoxic drugs should be monitored for hospital acquired infection so as enhance the early control.

Objective To enhance the understanding of the clinical features,diagnosis,treatment and prognosis of reflex sympathetic dystrophy (RSD).Method Three patients with RSD in PLA General Hospital were analyzed.Results In the three patients the symptoms appeared following an injury,they had severe pain,swelling,limited range of motion,vasomotor instability,skin changes,patchy bone demineralization,and increased scintigraphic uptake in the peripheral joints of involved extremities.Two of them had shouder hand syndrome and one had obvious skin thickening.The patients showed better responses after the treatrment of physiotherapy,nonsteroidal antiinflammatory drugs,corticosteroids and tricyclic antidepressants.Conclusion Early diagnosis is very important and appropriate treatment must be initiated as early as possible for RSD patients.

Objective To enhance the understanding of relapsing polychondritis (RPC).Method Clinical features,laboratory studies and prognosis of RPC in 20 patients were analyzed.Results The average age at the beginning of disease was 53 4 years (range from 35 to 86).The average course from initiation of clinical symptoms to diagnosis was 1 1 years.Of patients,90% had auricular chondritis,80% had respiratory system involvement,75% had nasal chondritis and 4 patients had severe tracheobronchial chondritis.Involvement in joints,skin,cardiovascular and neurotic system also existed in various frequencies,and 20% of the patients were associated with other rheumatic or autoimmune diseases.Conclusion Extensive laryngo tracheobronchial disease is a vital signal in RPC.Early diagnosis and treatment with corticosteroid and immunosuppressant can improve the prognosis.

[Objective] To evaluate the effect and safety of bee-stinging therapy in treating undifferentiated connective tissue disease (UCTD). [Methods] Forty cases of UCTD were treated with bee-stinging therapy (qd or qod) for two treatment course, each course lasting 15 times. The symptoms of morning stiffness (MS), joint pain (JP) and articular swelling (AS), erythrocyte sedimentation rate (ESR) and C-reactive protein (CRP) and side effects were observed before and after treatment. [Results] After treatment, clinical symptoms and ESR and CRP were significantly improved (P

Objective To observe the clinical therapeutic effects of Chushihuayu Decoction on the level of serum uric acid and triglycerides in patients with hyperuricemia and hypertriglyceridemia. Methods Fifty cases of hyperuricemia and hypertriglyceridemia with damp-heat syndrome (DHS) were randomly divided into Chushihuayu Decoction-treated group and benzbromarone-treated group. The course of the treatment was 30 days. The serum levels of uric acid and triglycerides before and after treatment were analyzed. Results The serum level of uric acid was reduced in Chushihuayu Decoction-treated group. The DHS was relieved in Chushihuayu Decoction-treated group. The serum level of triglycerides was lowered in Chushihuayu Decoction-treated group. Conclusion Chushihuayu Decoction can decrease serum uric acid and triglycerides, and improve the DHS.

Objective To investigate the value of imaging in the diagnosis of reflex sympathetic dystrophy(RSD).Methods The clinical manifestations and imaging findings of RSD in five patients were analyzed.Results The onset of clinical symptoms of patients was followed by an injury in all cases.Severe pain,swelling,limited range of motion and vasomotor instability were main complaints.Patchy bone demineralization could be found both on plain radiographs and CT.CT scan was superior to plain radiographs in detecting bone demineralization.Increased scintigraphic uptake in the involved extremities were demonstrated in all four patients who examined by bone scintigraphy.Bony erosions which were not easily visible on plain radiographs could be clearly seen on MRI in one patient at early stage.Conclusion Patchy bone demineralization on plain radiographs and CT is the most outstanding imaging finding in RSD.Bone scintigraphy and MRI can help early in diagnosis of the disease.

ObjectiveTo explore the diagnostic and differential diagnostic points in a patient with rheumatoid arthritis (RA) complicated with fever and pulmonary diseases. MethodsFull clinical analysis was performed for a 55-year old patient with arthritis, fever, and wheeze. ResultsThe clinical pictures of the patient were consistent with those of RA. Computed tomography(CT) revealed interstitial lung diseases and intrapulmonary cavities. Antifungal agents were given experimentally, and the intrapulmonary cavities disappeared finally, thus the patient was diagnosed as RA, concurrently complicated with interstitial lung disease and pulmonary fungal infection. ConclusionThe possibility of pulmonary fungal infection should be considered in RA patients who presented with fever and intrapulmonary cavities.

Objective: In this paper the pharmacodynamical mechanism of Heat Asthma Formula(HAF)(Herba Ephedrae, Rhizoma pinelliae, Flos Lonicerae, etc) in the treatment of bronchial asthma was discussed. Methods: By means of the radio labelled aglycone, applying phlogistic medium TXB2, ? receptor on bronchus and cyclic nucleotide (cAMP/cGMP) in lung tissue used as observed targets. Results: The results showed HAF could inhibit the release of phlogistic medium TXB2, improve the conjugate rate of ? receptor, adjust the proportion between cAMP and cGMP. Conclusion: The treatment on bronchial asthma of “Heat Asthma Formula” was perhaps concerned with above mentioned contents.