1.Application of Acupuncture in Stroke Unit: An Effect and Cost-effectiveness Analysis
Haoqing JIANG ; Wenting JIANG ; Xiaopei YANG
Chinese Journal of Rehabilitation Theory and Practice 2010;16(7):645-647
Objective To observe the effects of acupuncture on stroke in stroke unit, and its cost-effectiveness. Methods60 patients were divided into control group (n=30) and treatment group (n=30). All the patients were treated with structural therapy known as stroke unit, and the treatment group accepted acupuncture in addition. They were assessed with National Institutes of Health Stroke scale (NIHSS) and Barthel Index (BI) before, 15 d and 30 d after treatment. Their expenses for hospital were investigated. ResultsThe scores of NIHSS and BI improved in the treatment group compared with those in control group (P<0.05) 15 d and 30 d after treatment. The average cost for a score improved in both NIHSS and BI was less in the treatment group than in the control group (P<0.05). ConclusionThe acupuncture applied in stroke unit is effective and economical for stroke patients.
2.Application value of serum thyroid peroxidase in screening thyroid dysfunction in pregnancy
Zhijie ZENG ; Tang JIANG ; Wenting OUYANG
International Journal of Laboratory Medicine 2006;0(03):-
Objective To research the clinical value of serum thyroid peroxidase (TPOAb) in screening thyroid dysfunction in pregnancy.Methods The concentration of serum TPOAb and TSH(thyroid-stimulating hormone) was detected by MEIA and CMIA in 75 cases of pregnant women with thyroid disfunction,and 145 cases of pregnant women without tyhroid dysfunction (as control group).Results There were significant differences in both TSH and TPOAb levels between pregnant women with and without thyroid dysfunction(P0.05). So the normal serum TSH could not completely exclude the thyroid dysfunction in pregnant women.Conclusion TPOAb can be used as a prenatal screening marker for early diagnosis of thyroid dysfunction in pregnancy. From the diagnostic point, TSH can not completely substitute for TPOAb and the abnormal TPOAb can indicate the possibility and risk for autoimmune thyroid disease in pregnant women.
3.The normal measurements of the hyoid bone position in populations aged 6-19 years from Shandong using cone-beam CT
Yingying JIANG ; Xin XU ; Wenting HU
Chinese Journal of Tissue Engineering Research 2015;(42):6753-6758
BACKGROUND:With the extensive application of cone-beam CT in oral and craniofacial surgery, a clear hyoid bone position indicator for normal population has important implications for the change of hyoid bone position before and after orthodontics. OBJECTIVE:To determine the cone-beam CT measurement range of hyoid bone position in populations aged 6-19 years from Shandong, so as to provide a reference marker for the change of hyoid bone position before and after orthodontics in local children and adolescents. METHODS:Totaly 254 healthy children (120 males and 134 females) aged 6-19 years from Shandong Province were subjected to cone-beam CT scan of the hyoid bone. Mimics10.01 was used to evaluate the linear and angular measurements of hyoid bone position, and then the normal value range was confirmed. Independent-samplet-test was used for analysis of gender difference and 95% confidence interval was calculated. RESULTS AND CONCLUSION: There were gender differences in a part of indicators of hyoid bone position among 14-15 years, 16-17 years, 18-19 years groups (P < 0.05). For children aged 12-13 years, the hyoid bone position vertical to the base of skul and upper jaw bone is lower in males than in females. For children aged 14-15 years and 18-19 years, the hyoid bone horizontal to the cervical spine is more forward in males than in females.
4.The clinical efficacy and safety of amiodarone in the treatment of elderly patients with ventricular arrhythmia
Wenting AI ; Baozhou JIANG ; Lei LIANG
Chinese Journal of Primary Medicine and Pharmacy 2013;20(20):3058-3060
Objective To analyze the clinical efficacy and safety of amiodarone in the treatment of the elderly patients with ventricular arrhythmia.Methods 136 elderly patients with ventricular arrhythmia were randomly divided into the observation group (n =68cases) and control group (n =68cases).The observation group was given amiodarone by intravenous to treat the elderly ventricular arrhythmia,and patients in the control group were treated with combination therapy.After treatment for 4 weeks,the treatment outcomes were observed and compared.Results The obvious effective rate and total effective rate of the observation group was 51.47%,92.65%).which were significantly higher than those in the control group (51.47 %,92.65 %) (P < 0.05).There was no significant difference in the incidence rate of adverse effect between the two groups (P > 0.05).Conclusion Amiodarone has good clinical effect in treatment of elderly patients with ventricular arrhythmia,it is worthy of clinical use.
5.Exploration of the oral health education experimental teaching for oral health education reform.
Yingying JIANG ; Wenting HU ; Juanjuan ZHANG ; Yan SUN ; Yuguang GAO
West China Journal of Stomatology 2014;32(2):209-212
OBJECTIVEThis study aimed to improve students' ability in practical and theoretical courses of oral health education and to promote students' learning interest and initiative.
METHODSFourth-year students of the oral medical profession from 2006 to 2008 at Weifang Medical University were chosen as research objects for oral health education to explore the experimental teaching reform. The students were divided into test and control groups, with the test group using the "speak out" way of teaching and the control group using the traditional teaching method. Results of after-class evaluation of the test group, as well as final examination and practice examination of the two groups, were analyzed and compared.
RESULTSAfter-class evaluation results of the test group showed that the "speak out" teaching method was recognized by the students and improved students' ability to understand oral health education. The final examination and practice examination results showed that the score of the test group was higher than that of the control group (P < 0.01).
CONCLUSION"Speak out" teaching methods can improve students' ability for oral health education, in accordance with the trend of teaching reform.
Health Education ; Humans ; Oral Health ; Students
6.Evaluation of left ventricular function with velocity vector imaging in uremic patients
Wenting JIANG ; Qichang ZHOU ; Xing CHEN ; Qinghai PENG ; Shi ZENG
Chinese Journal of Ultrasonography 2008;17(12):1021-1025
Objective To assess the left ventricular(LV)segmental function by velocity vector imaging(VVI)in uremic patients with diffferent quantity of parathyroid hormone(PTH).Methods Sixty patients with uremia were divided into 2 groups according to the value of PTH:group A with PTH less than 3 times of upper normal limit,group B with PTH more than 3 times of upper normal limit.Normal control group was 30 healthy subj ects.All people were evaluated by VVI.The parameters,including the longitudinal systolic strain rate(SSR),diastolic strain rate(DSR),were analysed among the three groups.Results Compared with normal group,in group A and B,SSR,DSR in all segments were lower.Compared with group A,in group B,DSR were all significantly lower(P<0.05),SSR in apex of laternal wall,medium of anterior septum wall,posterior wall,medium and apex of posterior septum wall and superior wall,base,medium and apex of anterior wall were significantly lower(P<0.05).There was no statistically significant difference of left ventricular ejection fraction between the two groups(P>0.05).Conclusions VVI is a viable objective tool to quantitatively assess LV segmental function damaged by different quantity of PTH.
7.Comparison of implantations of central venous access ports via the approach of internal jugular vein or subclavian vein
Zhaoqi LIU ; Yong JIANG ; Wenting CHEN ; Peihong LIN
Chinese Journal of Clinical Nutrition 2014;22(1):53-57
Objective To investigate the advantages and disadvantages of two different approaches (i.e.internal jugular vein and subclavian vein) when used for the implantation of central venus access ports (CVAP).Methods We retrospectively analyzed 620 patients who underwent the implantation of CVAP via the approach of internal jugular vein (n =222) or subclavian vein (n =398) and compared the success rate on first attempt as well as the incidences of peroperative and long-term complications.Results The implantation of CVAP was successfully performed in all the 620 patients,with the success rate on first attempt being 97.24% (387/398) in the subclavian vein group and 89.19% (198/222) in the internal jugular vein group (U =0.171,P < 0.01).The incidences of perioperative/long-term complications were 0.90% (2/222) /1.80% (4/222) in the internal jugular vein group and 1.26% (5/398) /2.01% (8/398) in the subclavian vein group,showing no significant differences (all P > 0.05).Conclusions The implantation of CVAP via either the internal jugular vein approach or subclavian vein approach is safe and reliable.Few complications will occur if performed properly.
8. Virtual touch tissue imaging quantification in evaluation of rehabilitation effect in children with spastic cerebral palsy
Chinese Journal of Medical Imaging Technology 2019;35(9):1392-1395
Objective: To explore the value of virtual touch tissue imaging quantification (VTIQ) in evaluation of rehabilitation effect of children with spastic cerebral palsy. Methods: Forty spastic children were randomly divided into 2 groups (each n=20). Children treated with rehabilitation training and botulinum toxin A (BTA) injection were assigned into BTA group, while those treated with rehabilitation training, BTA injection and extracorporeal shock wave therapy (ESWT) were assigned into BTA+ESWT group. The modified Ashworth scale (MAS) and shear wave velocity (SWV) using VTIQ were assessed before treatment and 1 week, 4 weeks, 12 weeks and 16 weeks after treatment. Results: There were total significant differences in MAS scores and SWV before and after treatment in both 2 groups (all P<0.01). Compared with those before treatment, MAS score and SWV in BTA group decreased to the lowest 4 weeks after treatment (both P<0.05), while MAS score and SWV in BTA+ESWT group significantly decreased 1 week after treatment (both P<0.05). With time going after treatment, MAS scores and SWV in both groups increased gradually, but the differences were still statistically significant compared with those before treatment (all P<0.05). Conclusion: VTIQ can objectively and quantitatively evaluate the hardness of spastic muscles, therefore can be used as an effective method for evaluation rehabilitation treatment of children with spastic cerebral palsy.
9.Effect of Shexiang Baoxin Pills on isoprenaline-induced myocardial cell hypertrophy and Cx43 expression
Fen TANG ; Zhentao JIANG ; Wenting TAN ; Junrong LONG ; Shengquan LIU ; Chun CHU
Journal of Central South University(Medical Sciences) 2017;42(8):906-910
Objective:To observe the effects of Shexiang Baoxin Pill (SBP) on isoprenaline (Iso)-induced changes in myocardial cell volume,shape,and connexin 43 (Cx43) expression.Methods:HgC2 myocardial cells were randomly divided into a control group,a Iso group and a Iso+SBP group.After 72 h of culture,the average surface area of HgC2 cells was measured under phase contrast microscope.Bicinchoninic acid (BCA) protein assay was carried out to determine the concentration of proteins.The survival rate of myocardial cells was measured by methylthiazolyldiphenyl-tetrazolium bromide (MTT) assay,and the Cx43 expression was detected by Western blot.Results:The mean surface area and Cx43 concentration in Iso-treated myocardial cells were increased under the phase contrast microscope (P<0.05).Compared with the Iso group,the mean surface area was decreased,and the Cx43 concentration was reduced in the Iso+SBP group (both P<0.05).Compared with the control group,the Cx43 expression was obviously down-regulated in the H9C2 cells of the Iso group (P<0.05);while compared with the Iso group,the Cx43 expression was obviously up-regulated in the Iso+SBP group (P<0.05).Conclusion:Shexiang Baoxin Pills can prevent Iso-induced myocardial hypertrophy and down-regulate Cx43 expression.
10.A prospective validation of NEWS, CREWS and BAP-65 among patients with AECOPD
Wenting HUANG ; Miaoling CUI ; Yun JIANG ; Lan KE ; Xiaoying LIU ; Wangyang LU
Chinese Journal of Nursing 2017;52(3):381-384
Objective To compare the efficiency of National Early Warning Score (NEWS),Chronic Respiratory Early Warning Score(CREWS) and BAP-65(elevated Blood urea nitrogen,Altered mental status,Pulse>109bpm,age>65 years)among patients with AECOPD (acute exacerbations of chronic obstructive pulmonary disease).Methods Totally 181 patients with AECOPD were investigated by these three scales,and the efficiency of NEWS,CREWS and BAP-65 was compared.Results The scores of NEWS,CREWS and BAP-65 in the death group were higher than those in the survival group and the general ward group(P<0.01).Regarding the predicted results of hospital death,the area under the ROC curve of NEWS,CREWS and BAP-65 was 0.878,0.836 and 0.774,respectively,and the differences were not statistically significant(P>0.05);for predicted results of ICU admission,the area under the ROC curve of NEWS,CREWS and BAP-65 was 0.826,0.813 and 0.716,respectively,and the differences were not statistically significant (P>0.05).Conclusion NEWS,CREWS and BAP-65 have satisfied predictive efficiency for prognosis,and NEWS and CREWS are much easier and faster to use.