Objective To investigate the clinical efficacy of thumb-tack needle therapy for the early and middle stages of senile knee osteoarthritis.Method Sixty patients were allocated, using a random number table, to observation and control groups, 30 cases each.Thecontrol group took meloxicam tablets7.5 mg once daily and the observation group received thumb-tack needle therapy8 hrs once daily inaddition.Liangqiu(ST34), Xiyangguan(GB33), Neixiyan(Ex-LE4), Dubi(ST35), Yinlingquan(SP9),Yanglingquan(GB34)and Ashipoint were selected forthumb-tack needle therapy.Both groups were treated five times a week for two consecutive weeks.The WOMAC score and the Lysholm score were recorded before and after treatment.Theclinical therapeutic effects were evaluated.Result The total efficacy rate was 93.3% inthe observation group and 80.0% in the control group.It was higher inthe observation group thanin the control group and there was a statistically significant difference (P<0.05). The WOMAC score decreased and the Lysholm score increased in both groups after treatment; there were statistically significant pre-/post-treatment differences (P<0.05).after treatment, the WOMAC score and the Lysholm score improved more inthe observation group than in the control group; there were statistically significant differences (P<0.05).Conclusion Thumb-tack needle therapyhas a definite effect on the early and middle stages of senile knee osteoarthritis.It can relieve the pain and improveknee functionin the patients.

Objective To investigate the clinical efficacy of ear acupoint thumbtack needle embedding in treating senile primary insomnia.Method Seventy patients were allocated, using a random number table, to observation and control groups, 35 cases each. The observation group received ear acupoint thumbtack needle embedding with alternate selections of left and right ear acupoints and the control group took estazolam tablets, 1 mg once before bedtime. Both groups were treated once every other day, for 30 days. The Pittsburgh Sleep Quality Index (PSQI) score and the Insomnia Severity Index (ISI) score were recorded before and after treatment. The clinical therapeutic effects were evaluated.Result The total efficacy rate was 91.4% in the observation group and 82.9% in the control group. It was higher in the observation group than in the control group; there was a statistically significant difference (P<0.05). In the observation group, the sleep quality, sleep efficiency and daytime dysfunction scores and the total score were lower after treatment than before (P<0.05). In the control group, the sleep duration and sleep efficiency scores and the total score were lower after treatment than before (P<0.05). After treatment, the sleep disturbance and daytime dysfunction scores and the total score were lower in the observation group than in the control group (P<0.05) and the sleep duration score was lower in the control group than in the observation group (P<0.05). In both groups, the ISI score was lower after treatment than before (P<0.05). It decreased more significantly in the observation group than in the control group; therewas a statistically significant difference (P<0.05).Conclusion Ear acupoint thumbtack needle embedding has a definite therapeutic effect on senile primary insomnia. It can reduce sleep disturbances, improve daytime function and decrease insomnia severity in the patients.

Objective To investigate angiographic manifestations and interventional treatment of non-acquired renal arterio-venous fistula.Methods Images of 13 cases of renal angiography were studied.Results The diagnosis of renal arteriovenous fistula was achieved,the rich findings were discussed.Conclusion Renal angiography is belived to be the best diagnostic method of the disease.Superselective renal arterial thrombosis is safe and effective and become the first choice in treatment.

Objective To explore the effects of air pollution on daily outpatient vivits of hospital. Methods Correlation analysis was carried out based on data of daily outpatient visits of Taiyuan Central Hospital(TCH) and monitoring data on the concentration of TSP and SO2 in air and temeprature and humidity area of Xinghualing district where TCH was located by the time series analysis. Results The concentiations of TSP and SO2 in air exceeded the corresponding standards recommended by WHO. SO2 was the statistically significant forecasting factor for the daily outpatient visits of the department of respiratory disease, emergency and piediatrics. TSP was the statistically singnificant forecasting factor for the daily outpatient visits of department of cardiovascular disease and other departments. Conclusion Severe air pollution by TSP and SO2 effected the dialy outpatient visits in a certain degree.

[Objective]The intervention of electroacupuncture (EA) on chronic inflammation and cyclooxygenase-1/-2 mRNA expressions in rats with II collagen-induced arthritis was observed in vivo, so as to discuss the effect of EA on chronic inflammation and its pivotal mechanism. [Method]Wistar rats immunized intradermally with bovine type II collagen, were served as the animal models of chronic inflammation. EA stimulation, begun on day 11 after the injection, was applied at the acupoint equivalent to ST36 for continuous 10 times. Indomethacin and refecoxib were used respectively as the control treatments of NSAID inhibitor and COX-2 selective inhibitor. The arthritic index, swelling volume of paw and concentrations of prostaglandin E_2 (PGE_2) of local tissue were investigated. Furthermore, we investigated the impact of EA on the levels of COX-1 mRNA and COX-2 mRNA in synovial tissues and gastric mucosa of inflammatory rats by using reverse transcriptase-polymerase chain reaction (RT-PCR). [Results]All collagen-injected rats developed chronic inflammation of paws. EA remarkably reduced the paw swellings of rats on day 16 and day 21 and attenuated the severity of arthritis from the day 14 to day 21. The levels of PGE_2 in the inflammatory tissues of swollen paws were also lowered by EA. EA stimulation obviously down-regulated the expression of COX-2 mRNA in synovial tissue, but did not influence the level of COX-1 mRNA expressed in gastric mucosa. Indomethacin and refecoxib also strongly down-regulated COX-2 expression in synovial tissue. However, either indomethacin or refecoxib strongly affected the COX-1 mRNA expressions in gastric mucosa. [Conclusion] EA has a pronounced anti-inflammatory effect on collagen-induced arthritis, and the pivotal mechanism and also the advantage of its therapeutic result may be due to selective suppression of COX-2 gene activation, without destroying COX-1 activity in stomach.

BACKGROUND: Bronchial asthma is one of those diseases that are significantly affected by meteorological factors. There is close relationship between asthma attack and meteorological factor. There have been some studies on the relationship between asthma and meteorological factors at home and abroad, but the results are various due to different area conditions.OBJECTIVE: To analyze the relationship between asthmatic attack and meteorological factors in children in Qingdao city.DESIGN: Observational experiment.SETTING: The Affiliated Hospital of Qingdao University Medical College.PARTICIPANTS: Altogether 445 inpatient children, 307 males, 138 females, aged ＜ 14 years, who were diagnosed of asthma attack definitely, of the Affiliated Hospital of Qingdao University Medical University, Qingdao Haici Hospital,Qingdao Children Hospital between January 1st 2000 and December 31st 2004 were retrieved.METHODS: The asthmatic attack time of 445 children patients with asthmatic attack of Qingdao city and concurrent month mean temperature, air pressure, relative humidity, wind speed and other meteorologic al data were collected.Seasonal rhythm of asthmatic attack in children and the relationship between asthmatic attack and meteorological factors were analyzed with circular distribution analysis and linear regression analysis, respectively.MAIN OUTCOME MEASURES: ①Month attack information of 445 asthma patients. ② Circular distribution analysis results of asthmatic attack time. ③ Linear regression analysis results about the relationship between asthma attack and meteorological factors.RESULTS: ① Data revealed that asthmatic attack in Qingdao city focused on November, December, January and February, which took up 47.9% of total amount in that year. There were 307 male patients (incidence 3.12%)in a year,female patients only 138 cases (incidence 1.51%), which revealed that boys have a higher incidence of asthma attack than girls. ②The peak season of incidence of asthmatic attack was found in winter and peak season for male and female patients was in January and December, respectively (P ＜ 0.05). ③ Higher incidence of asthmatic attack of children was related with higher air pressure, lower temperature, lower relative humidity(r =0.435, -0.320, -0.296, all P ＜ 0.05).CONCLUSION: The incidence of asthma attack presents seasonal rhythm in Qingdao city and it is influenced by climate conditions. Therefore, enough consideration of meteorological factors should be paid on preventive works for asthma.

OBJECTIVE:To establish a GC-MS method to identify the volatile constituents in Radix Isatidis.METHODS:The method of wet distillation was applied to extracting volatile oil from Radix Isatidis,the chromatographic column was OV-1,and the flow rate was 1.0mL?min-1,EI ion source was used by MS.The volatile constituents in Radix Isatidis were identified and analyzed by NIS107 system.RESULTS:22 chromatographic peaks were separated,19 chemical compounds were identified,representing 90.51% of total amount,hexadecanoic acid had highest content,accounting for 38.52% of total amount.CONCLUSION:This experiment has provided initial usable data for comprehensive utilization of Radix Isatidis.

Objective:To evaluate the effects of humanistic care on medication compliance and social function of schizophrenic patients. Methods:76 patients with schizophrenia were randomly divided into two groups within two days of hospital admission. The observational group was applied humanistic care but the control group with rou-tine care. All the information related to the present study was collected using unified language. At the time of ad-mission, day 1, day 14, day 28 and day 56 after the intervention, the effect of humanistic care was evaluated by medication compliance, Brief Psychiatric Rating Scale ( BPRS) , Personal and Social Performance Scale ( PSP) and Family Concern Index Questionnaire ( APGAR) . Results:The patient′s medication compliance rate in the obser-vational group was higher than those in the control group, especially, at the time of day 56, the patients in the ob-servational group ( full compliance : 66%, partial compliance: 44%) was significantly better than those in the control group ( full compliance 19%, partial compliance 66%, incompliance 15%) . There were no statistical difference in the two groups of the BPRS scores on day 1 and day 14 of admission, however, the scores of the pa-tients in the observational group was significantly lower than those in the control group on day 28 and day 56 . As for PSP, the result was similar to BPRS on day 1 and day 14, while the PSP score of the patients in the observational group was significantly higher than those in the control group on day 28 and day 56. In terms of APGAR, the score of the patients in the observational group was significantly higher than those in the control study except day 1 of ad-mission. Conclusion:Humanistic care has positive effects on medication compliance and social function of schizo-phrenic patients especially after hospital discharge. The implementation of humanistic care would guide patients to maintain the capacity of life, labor and social communication, enhance the patient's sense of control over life, and improve their confidence to overcome the disease. With humanistic care, patients are more willing to cooperate with treatment, and further to reduce the recurrence and degradation of social function.

Objective To compare the effect of Sijunzi Tang and Yougui Yin on learning-memory ability and free radicals in aging rat model.Methods The aging rat model was induced by intraperitoneal injection of D-galactose.The swimming time and error times in water maze test were observed and the free radicals SOD,MDA,NO,NOS in rat brain tissue were measured.Results Sijunzi Tang could shorten the rat swimming time in water maze test.Yougui Yin could increase SOD level and decrease MDA level in brain tissue of model rat,while Sijunzi Tang could decrease NO and NOS level.Conclusion Sijunzi Tang could improve the rat spatial learning and memory ability,and Yougui Yin could relieve the damage of free radical in brain tissue of the aging rat model.

Objective To investigate the role of hysteroscopy combined with laparoscopy in treatment of infertility.Methods 102 patients with infertility treated by hysteroscopy combined with laparoscopy were retrospectively analyzed.Results Of 102 cases of infertility,there were 57 cases with Pelvic adhesions and tubal obstruction,24 cases with endometriosis,12 cases with polycystic ovary syndrome,4 cases with endometrial polyp,3 cases with hysteromyoma and 2 cases with uterus septum.The first three cases were chronic pelvic inflammatory with salpingemphraxis ( 55.88% ), endometriosis Ⅰ -Ⅱ (23.53% ) and polycystic ovary syndrome (11.76% ).The postoperative pregnancy rate was 41.18%, 3 patients with ectopic pregnancy (7.14%) and 4 spontaneous abortion (9.52%).Conclusion Laparoscopy with hysteroscopy played an important role in treatment of infertility.It was an effective method and worthy to be widely used.