To study the clinical effect of treating the sequela of wind stroke by the traditional Chinese medicine integrated with western medicine. 80 patients were randomly recruited into a treatment group (50 cases) and a control group (30 cases). In the control group, conventional western medicines were applied, while in the treatment group traditional Chinese medicine based on syndrome differentiation was applied on the basis of the control group. The total effective rate of the treatment group and the control group was 73.58% and 54.6% respectively, demonstrating a statistically difference (X2= 6.66, P<0.01).

The therapeutic method of defensive,qi,nutrient and blood phases in Treatise on Epidemic Febrile Diseases is the signif icant achievement of YE Tian-shi in the process of studying febrile disease.Among the total,the syndrome of defensive phase should be treated on basis of syndrome differentiation,if only using diaphoresis without syndrome differentiation will result in damaged yin and replenished pathogen and deteriorated syndrome.It has important theoretical and clinical meaning to know law and characteristics of febrile disease in lung-wei phase by understanding'applying diaphoresis to treat syndrome of defensive phase'.

Acute heart failure is defined as a rapid onset or change in the signs and symptoms of heart failure,resulting in the need for urgent therapy.This article reviews new information relating to the diagnosis and treatment of AHF.

Objective:To investigate the complication of microinvasive surgery for osmidrosis and find ways of preventing and treatment.Methods:284 osmidrosis patients undergoing minimally invasive surgery were retrospectively analyzed,the reasons and presentations of the complication were reviewed.Results:Complications occurred only by 13%,including haematoma,epidermal necrosis,scan,recurrence and nerve injury.Conclusion:Microinvasive surgery is a new technique for treating osmidrosis.The skilled operation makes success of the surgery,so the doctors should get hard training for the microinvasive surgery in order to reduce the complications and obtain good results.

Objective:To investigate the expression of recombined human immunoglobulin ? light chain 022 and TOM1 gene and to determine the protein expression of HSIGVL022 in omental adipose tissues of patients with type 2 diabetes and insulin resistance(T2DM-IR).Methods: Fat tissues from greater omentum of T2DM-IR patients and normal controls were obtained.The mRNA levels of recombined human immunoglobulin ? light chain 022 and TOM1 were measured by fluorescent quantitative RT-PCR;expression of HSIGVL022 protein was identified by immunohistochemistry.Results: The mRNA levels of HSIGVL022 and TOM1 in T2DM-IR patients were(34 140?6 160) copy/million house-keeping genes and(4 440?617) copy/million house-keeping genes,respectively;those in control group were(5 930?661) copy/million house-keeping genes and(1 360?82) copy/million house-keeping genes,respectively.There were significant difference between the 2 groups(P

Objective:To investigate the risk factors of pulmonaryfungal infection in intensive care unit(ICU),and discuss the strategy of prevention and treatment.Methods:Thirty-four patients with pulmonary fungal infection in ICU of our Hospital from Jan.2004 to Jan. 2009 were analyzed retrospectively,including primarily diseases,application of antibiotics,adrenal cortical hormone and virulence opera-tion,therapy and turnover.Results:All patients were accepted the therapies of broad spectrum antibiotics and glucocorticoids for long time before definite diagnosis of pulmonary fungal infection.Theire average time that the patients staying in hospital was 45.6 d.The clinical symptoms and imaging examinations were untypica.l Blastomyces albicans was the main pathogen.After the antifungal agents and supportive treatment used in time,33cases(97%)were cured and 1cases(3%)died.Conclusion:The major risk factors of children pulmonary fungal infection are long-time use of broad spectrum antibiotics and glucocorticoids.The pulmonary fungal infection can decrease by rationaluse of broad spectrum antibiotics and glucocorticoids,decreasing the unnecessary invasive operations,strengthening the supportive therapies ofmicro-ecosystem,and applying the antifungal agents in time.

This paper reports that in order to study the changes of lipoperoxidation rate in children with viral myocarditis, serum lipid peroxide (LPO), vitamin E (VE) concentration, and hydrogen peroxide hemolysis percentages of red blood cell (RBC H_2O_2 hemolysis %) were determined in 71 cases with viral myocarditis and it was found that LPO levels and RBC H_2O_2 hemolysis % in these patients were higher than in normal children(LPO levels in these patients were also higher than in the children with upper respiratory tract infection), LPO concentration of the patients presented light-level positive correlation to their RBC H_2O_2 hemolysis % (r=0.37, P

Objective To investigate the significance of changes of serum high-sensitivity C-reactive protein (hs-CRP),tumor necrosis factor-alpha (TNF-α),interleukin 6 (IL-6) and urinary microalbumine levels in patients with diabetic kidney disease.Methods Serum hs-CRP,TNF-α,IL-6 and urinary microalbumine levels were measured with RIA in 60 type 2 diabetic patients and 20 controls.The 60 diabetic patients were divided into three groups based on urine albumin excretion rate.Group A:without alblminuria ( UAER ＜ 20 μg/ min,n =20 ) ; Group B:micro-albuminuria ( UAER ＜ 200 μg/min,n =20 ) ; Group C:macro-albuminuria ( UAER ＞ 200 μg/min,n =20 ).The serum levels of hs-CRP,TNF-α,IL-6 of patients in the four groups were measured.Results The serum levels of hs-CRP,TNF-α,IL-6 of patients in the healthy group were ( 1.21 ± 0.87 ) mg/L,( 1.27 ± 0.93 ) ng/L and ( 4.31 ± 1.72 ) ng/L,in the nonalbuminuria group were ( 2.31 ± 1.07 ) mg/L,( 1.95 ± 1.34 ) ng/L and ( 5.79 ± 1.68 ) ng/L,in the microalbuminuria group were ( 3.47 ± 1.25 ) mg/L,(2.86 ± 1.26) ng/L,(7.13 ± 1.57 ) ng/L,in the macroalbuminuria group were (4.83 ± 1.47 ) mg/L,(4.03 ±1.43)ng/L,(9.14 ±2.43)ng/L Serum levels of hs-CRP,TNF-α and IL-6 were significantly higher in all the patients with type 2 diabetes than those in the control group (P ＜ 0.01 ).Serum levels of hs-CRP,TNF-α and IL-6 were significantly higher in type 2 diabetic patients with microalbuminuria than those in patients without albuminuria (P ＜0.05).Serum levels of hs-CRP,TNF-α and IL-6 were significantly higher in diabetic patients with macroalbuminuria than those in patients with micrealbuminuria (P ＜ 0.01 ).The levels of hs-CRP,TNF-αand IL-6 were positively related to the urinary microalbumine levels ( rs =0.67,0.64,0.75,P ＜ 0.01 ).Conclusion Determination of serum hs-CRP,TNF-α and IL-6 levels might be helpful for early detection of diabetic kidney disease and monitoring the progress of the disease process.

ObjectiveTo compare the advantages,disadvantages and clinical value of the improved loop the jejunum behalf of the stomach surgery and the P - type jejunum on behalf of stomach surgery.Methods56 patients with gastric cancer were divided into two groups by different ways of gastrectomy alimentary tract after gartrectomy.Patients in observation group( n =35 ) were given the modified loop jejunum on behalf of gastric surgery and patients in control group( n =31 ) received P-type jejunum on behalf of the stomach surgery.The clinical effects were compared between two groups.ResultsThere were no significant differences in surgical time and bleeding volume in 2 groups ( P ＞ 0.05 ).Emptying time [(61 ± 3 ) min] of observation group was longer than that of control group (37 ± 19) min]( t =3.03,P ＜ 0.05 ) ; Each food intake [( 308 ± 44 ) ml] in observation group was significiantly improved compared with control group [(262 ± 34) ml (t =2.55,P ＜ 0.05) ; The times of daily diet [(4.2 ± 1.2) times] in observation group was lower than that of control group [( 5.7 ± 2.3 )] ( t =2.46,P ＜ 0.05 ).The incidence of postoperative complications( 14.3％ ) of the observation group was significantly lower than the control group (42.9％) ( x2 =5.71,P ＜ 0.05).ConclusionOn the terms of 2 ways of digestive tract reconstruction,the improved loop the jejunum behalf of the stomach surgery is superior to the P-type jejunum on behalf of the stomach surgery,which can effectively improve the quality of life of patients and reduce the incidence of complications,but have no complex surgical procedures.

Objective: To reveal the neuropathways of acupuncture effect on regulation of autonomic functions, treatment of diseases and the relationship between treating acupoint and certain target tissue or organ. Methods: it is reviewed for the authors' studies of characteristics of afferent nerve response, somato-sympathetic reflex (one of the somato-autonomic reflexes) and glutamate derived central modulation, target tissue and organ responses to somatic stimulation of acupuncture or electrical shock in rats and mice. Results and Conclusion: An electrical discharge from the nerve afferent serving Zusanli (ST 36) was recorded by applying manual acupuncture or electroacupuncture to Zusanli (ST 36). Such process could be replaced by applying electric shock directly to the afferent nerve assumingly. Somatic electrical stimulation of the afferent nerve e.g. tibia nerve can reflexively elicit an electrical discharge from autonomic efferent nerve e.g. sympathetic nerve that is defined as somato-sympathetic reflex. The reflex can be modulated by an excitatory neurotransmitter of glutamate in the central pathways. On the other hand, somatic stimulation of Zusanli (ST 36), etc. by electroacupuncture showed that them were inhibitory modulation of somatic sensory input from target tissue of the inflammatory pain in the hind paw of the mouse and visceral sensory input from target organ of the colorectum hyperagesia in the irritable bowel syndrome (IBS) rat. Spinal GABA and NMDA receptors were proved to be involved in the former and latter processes, respectively.