Objective To investigate the diagnostic values of blood sedimentation and serum pro-calcitonin(PCT)in early infection after hip arthroplasty.Methods The clinical data of 15 patients with early infection after hip arthroplasty(infection group)and 17 patients without it(control group)in recent years were retrospectively reviewed.Preoperative and postoperative levels of blood sedimentation and serum PCT were analyzed for comparison.Results No significant differences in preoperative blood sedimentation were observed between the groups.Postoperative blood sedimentation increased in both groups,and level of the infection group was significantly higher(P <0.05).Preoperative serum PCT levels were similar be-tween the groups.Postoperative serum PCT level in the infection group elevated significantly,but the level of control group was not(P <0.05).Conclusion For early infection after hip arthroplasty,blood sedi-mentation and serum PCT are helpful indicators with certain sensitivity and specificity,and they may be commonly used for the early diagnosis of postoperative infection.

Objective:To observe the clinical efficacy of nitrous oxide inhalation in oral and maxillofacial surgery.Methods:1 80 pa-tients underwent maxillofacial surgery were randomly divided into 2 groups(n =90).The patients in group A were given nitrous oxide inhalation before surgery,those in group B were served as the controls.The blood pressure(BP),heart rate(HR)and oxygen saturation of blood(SpO2 )were monitored during surgery,the feelings of the patients for surgical procedures,pain VAS score and Houpt behavior rating scale were surveyed after surgery.Results:In the whole operation process,BP,HR and SpO2 of group A changed smoothly(P >0.05),BP and HR of group B increased during operation(P <0.05),SpO2 had no obvious change(P >0.05);Frankl treatment adher-ence score in group A and B was 3.66 ±0.05 and 2.91 ±0.05 respectively(P <0.05);Houpt behavior rating scale were 5.06 ±0.1 1 and 3.29 ±0.06 respectively(P <0.05).VAS score in group A was lower than that in group B(P <0.05).Mild adverse reaction was observed in 6 cases in group A.Conclusion:In the process of maxillofacial surgery,nitrous oxide inhalation has sedation,analgesia and anti-anxiety effects without severe adverse effect.

Objective To investigate the clinical effect of modified seton therapy with counterparts drainage on high anal fistula.Methods One hundred and forty-four patients with high anal fistula were randomly assigned to the observed group (modified seton therapy with counterparts drainage,74 cases) and the control group (the traditional high hanging line therapy,70 cases).The clinical efficacy,visual analogue scale (VAS),Wexner incontinence score,fecal incontinence quality of life index (FIQLI) score were compared.Results Observed group were cured with 40 cases,improved with 27 cases,ineffective with 7 cases,control group were cured with 25 cases,improved with 43 cases,ineffective with 2 cases,difference between two groups was statistically significant (P ＜ 0.01).The healing time in observed group was significantly shorter than that in control group(P＜ 0.01).The VAS after therapy 1,7 d in observed group was significantly lower than that in control group (P ＜ 0.05).The Wexner incontinence score,FIQLI score before therapy was no significant difference between two groups (P ＞0.05).The Wexner incontinence score,FIQLI-lifestyle score,FIQLI-depression/self-perception score,FIQLI-distress score after therapy 3 months in observed group was significantly higher than that before therapy and control group after therapy 3 months (P ＜ 0.05),there was no significant difference Wexner incontinence score and FIQLI score before therapy compared with therapy 3 months in control group (P ＞ 0.05).Conclusions Modified seton therapy with counterparts drainage may be a valid treatment for high anal fistula.The successful outcome is associated with significant improvement in quality of life.

Clinical data of Frey syndrome of 202 cases after excision of parotid gland were analysed.Frey syndrom was observe in 22 out off 1 49 cases(1 4.7%)received block processing of sympathetic (SN)and parasympathetic (PN)nerve anastomosis and in 1 4 out off 53 (26.4%)without the block processing(P≤0.01 ).The block processing of SN and PN anastomosis is effective for the prevention of postop-erative Frey syndrome after parotidectomy.

Objective:To understand the impact of adjusting national drug reimbursement list(NDRL) have on the benefits of patient covered by Basic Health Insurance ( BHI ) , medical insurance fund expenditure and specific drug marketing . Methods: Based on the survey data of medical service utilization situation of national inpatients participated BHI, to summarize and analyze the change of drug usage from 2009 to 2011. Results: In 2011, the drug expense of the national inpatient covered by BHI is approximately 132.7 billion yuan, increased by 37% compared to that of 2009; among which, the expense of entry drug accounts for about 76% out of the total drug use. In 2011, new increased expense on drug use is 13.5 billion, which increased to 98% compared to that of 2009. Conclusion:Adjustment of NDRL had little effect on total drug expenses increasing, but lead changes of the drug expense structure; and expense on some new entry drugs increased obviously. The focus of future adjustment of NRDL could gradually transfer from guaranteeing on basic medicine use to the promotion on clinical rational drug use.

Colon cancer is a common and deadly disease with high rising incidence rate.Proteomics has already become one of the hot topic and maken great progress in the research of colon cancer pathogenesis,early diagnosis,treatment and prognosis.In recent years,more and more colon cancer-associated biomarkers have been identified through proteomics-based approaches.This review will summarize the research progress of proteomics in colon cancer.

Objective To discuss the efficacy of Neurotropin in the treatment of senile postherpes neuralgia.Methods 58 senile patients with postherpes neuralgia were randomly divided into Neurotropin group and Carbamazepine group. Before and after treatment, symptoms and signs of neuropathy including pain and numbness were evaluated by vision ambiguity scales(VAS). The side effects of drugs were also observed.Results 2,4,6 weeks of post-therapy,the VAS of Neurotropin group was decreased obviously than that of pretherapy (all P

Objective To explore the fixation method of tibial helical plate for treatment of proximal and middle one-third of humeral fractures and evaluate the clinical outcome. Methods A review was performed on 15 patients with proximal and middle one-third of humeral fractures treated by tibial helical plate from May 2004 to February 2009. There were 10 males and five females, at age range of 19-65 years ( average 38.0 years). The surgical method was summarized and the shoulder function evaluated.Results The follow-up lasted for 7-24 months (mean 13 months) , which showed bony union in all patients, with mean union time of 4.7 months. There was no implant loosening or failure. According to Neer 's criteria, the result was excellent in seven patients and good in six, with excellence rate of 86.7%.Conclusions Open reduction and internal fixation using tibial helical plate is simple and effective for treatment of proximal and middle one-third of humeral fractures.

OBJECTIVE To investigate the vicissitudes of resistance to imipenem in Gram-negative bacilli isolated from clinical specimens.METHODS Gram-negative bacilli were isolated from various clinical specimens in our hosptial from Jan 2004 to Jan 2008.The identification and antimicrobiol susceptiblity test was determined by VITEK-AMS full automated microbiology analyzer.RESULTS A total of 6983 strains of Gram-negative bacilli were isolated,including 92 species and 2986 isolates of Enterobacteriaceae and 3961 isolates of non-fermenters,accounted for 42.8% and 56.7%,respectively.The resistant rate of Enterobacteriaceae to imipenem was lower than 1.0%.The resistant rates of Stenotrophomonas maltophilia,Burkholderia cepacia,Chryseobacterium meningosepticum,Pseudomonas aeruginosaand Acinetobacter baumannii to imipenem were 98.4%,97.0%,98.2%,70.1% and 47.5%,respectively.CONCLUSIONS Non-fermenters are predominant pathogens.Imipenem has high antimicrobial activity to Enterobacteriaceae in invro,but not to non-fermenters.The resistant rates of P.aeruginosa and A.baumannii to imipenem are increasing gradually.

Objective To investigate the feasibility and clinical results under laparoscopic resection of colorectal cancer.Methods Clinical data of 17 colorectal cancer patients with laparoscopic resection from October 2009 to September 2011 were analyzed.Results There were 16 cases of successful completion of laparoscopic surgery,conversion to open surgery in 1 case.Postoperative of incomplete intestinal obstruction and rectal vaginal fistula are each 1 case.Oncology did not occur metastasis through puncture holes in postoperative follow-up up to 2 years.Conclusion Laparoscopic resection of colorectal cancer should be widely applied,and it had more advantages such as less trauma,safety,recover quickly,consistent with the effect of laparotomy.