Objective To explore clinical effect of self-made traditional Chinese medicine for hand-foot-mouth disease.Methods 118 cases with hand-foot-mouth disease were randomly divided into two groups.The control group(n=59)were treated by regular western medicines.On that basis,the study group(n=59)were treated bys elf-made traditional Chinese medicine.And the curative effects of two groups were observed.Results Fever subsidise time of the study group after treatment was(2.0±0.7)d,which was significantly shorter than that of the control group,with P＜0.05.Rash subsidise time of the study group after treatment was(3.9±0.9)d,was significantly shorter than that of the control group,with P＜0.05.Length of hospital stay of the study group after treatment was(3.5±1.3)d,was significantly shorter than that of the control group,with P＜0.05.Total effective rate of the study group after treatment was 94.9％,which was significantly higher than that of the control group(81.4％),with P＜0.05.Conclusion Self-made traditional Chinese medicine for hand-foot-mouth disease has good clinical curative effect,has high security and reliability.

Ansodamine(654-2)can inhibit the contractile response of the isolated ileum and trachea of Guinea-pigs induced with histamine. The cumulative logarithmic dose-response curves of histamine can be parallelly moved to the right. The PA2 values were 6.575 and 4.914 respectively.It is believed that the anti-bistamine action of ansodamine(654-2) seems to be related to the blocking of the Hi-receptors of the muscles.

By the method of chemiluminescence, it was showed that BW-755C strongly inhibited the generation of active oxygen in PMNs stimulated by f-MLP, A23187 or opsonized zymosan A, while the inhibitory effect of indomethacin was quite weaker, Nifidipine, diltiazem and verapamil inhibited the generation of active oxygen in PMNs stimulated by A23187 at low concentration, but they did not block intracel-lular calcium ion increase stimulated by A23187. PGE1 was shown in to be a selective inhibitor of f-MLP-induced active oxygen production PMNs.

Objective To study the effect of left ventricular function in the left anterior descending coronary artery stent implantation.Methods randomly 100 cases of left anterior descending coronary artery stenosis in patients with coronary heart disease branch were divided into the observation group and the control group (each group 50 cases),the control group used mainly drug treatment,the observation group used a implanted stent in the treatment of percutaneous left anterior descending coronary artery.the left ventricular end diastolic diameter(LVEDD),left ventricular end systolic diameter(LVESD,left ventricular ejection fraction(LVEF) and serum N terminal pro-brain natriuretic peptide(NT-proBNP) levels were observed between two groups.Results after treatment,6 months,two groups of LVEDD,LVESD and NT-proBNP compared with those before treatment were significantly lower(t =2.75,3.14,3.54,all P ＜0.05),while LVEF increased significantly (t =12.45,P ＜ 0.05);and compared with the control group,LVEDD,LVESD of the observation group decreased significantly,LVEF increased significantly(t =2.27,3.75,2.21,all P ＜ 0.05).Conclusion The left anterior descending coronary artery stent implantation in treatment can effectively improve left ventricular function in patients with coronary heart disease.

Intracardiovascular smoke-like echo always appears in the regions of stasis.Recently,we experimentally found that its appearance closely related to the erythrocytic rouleaux.(1)In vitro study:Erythrocytic suspension was observed by ultrasound and echofree can be seen on its sonogram.Under mi-croscope.the red blood cells presented dispersed phase.If equal amount of lymphocytic separated solution was put in the suspension,smoke-like echo appeared at the original fluid dark area and the red cells pres-ented pattern of rouleaux.(2)Animal experiment:Under physiological condition,velocity of blood flow israpid and echofree can be seen in the cardiovascular cavity.When blood flow velocity becomes slow or stasis,the shear force will reduce and even disappear,SO.red cells aggregated each other with their concave face and formed a rouleaux.As rouleaux structure was formed,its size became larger and it was nearer orlarger than the wavelength of ultrasound.therefre the reflections were produced and smoke-like echoappeared.It might be the mechanism for the formation of intracardiovascular smoke-like echo.

The left to right shunt rate(F)and the transverse seetional area of ductus arteriosus(A)were calculated by color Doppler flow convergence method in 20 patients with patent ductus arteriosus.The results indicated that the shunt rate(F)was correlated fairly with Qp-Qs,Qp/Qs(measured by pulsed wave Doppler),the pressure gradient(△P)and the diameter of left ventricle(DLV)(r=0.81,0.62,0.69 and 0.53;P＜0.001,0.005,0.001 and 0.01,respectively).The transverse sectional area of ductus arteriosus(A)was also correlated closely with the diameter of ductus arteriosus(Dd)measured directly in two-dimensional view(r=0.81,P＜0.001).The F value of group Qp/Qs≥2:1 was apparently higher than that of group Qp/Qs＜2:1(P＜0.005).The color Doppler flow convergence method can rapidly and exactly evaluate the left to right shunt severity of patent ductus arteriosus.

The shape of regurgitant jets in 30 patients with eccentric mitral regurgitaltoll Showing flow convergence region(FCR)was observed.It was found that the shapes of the jets were allslender and close to left atrial wall.In comparison of the regurgitant volume calculated by pulsed Doppler and regurgitant flow rate by flow convergence with the regurgitant jet area and the ratio 0f the regurgitant area to left atrial area respectively,the results showed that there were poor correlations between them (r=0.59,0.56 and r=0.55,0.57)and good correlation between regurgitant volume determined by Pulsed Doppler and regurgitant flow rate by flow convergence(r=0. 96,P<0.01).When the regurgitant flow rates calculated by flow convergence were same,the regurgitartt jet area and the ratio of the regurgitant jet area to left atrial area of non-eccentric mitral regurgitation were obviously larger than those of eccentric mitral regurgitation.The results indicated that the regurgitant jet area and the ratio of the regurgitant jet area to left atrial area underestimated the severity of eccentric mitral regurgitation apparently and that flow convergence region could be used to assess the seVerItY 0f eccentric mitral regurgitation accurately.

Glycyrrhetic acid is a hydrolytic product of .glycyrrhizin which comes from Glycyrrhiza uralensis Fisch. This study showed that its sodium salt, sodium glycyrrhetinate ( SGA, 28mg/kg ip ) inhibited egg white or yeast-induced edema of rat hind paws; Meanwhile, SGA decreased prostaglandin E2 in inflammatory fluid. Malonyldialdehyde in mouse swelling paws stimulated by egg white was decreased by SGA and increased by arachidonic acid. The inhibitory action of SGA on production of malonyldialdehyde c.ould be entirely abolished by arachidonic acid,suggesting that phospholipase A2 bo inhibited by SGA. Also, SGA antagonized the contracting effect of inflammatory mediators such as histamine ( IC50 = 12 ,7mg/ L), 5 -hydroxytrypataminG (IC50=16.1 mg/L ) and SRS-A ( IC5O = 17.0mg/L)on isolated guinea-pig ileum. Because SGA inhibited cro-ton oil-induced ear-swelling of adrenalectomized mice, its anti-inflammatory action has no relationship with hypophysial-adrenocortial axis.

Famotidine ( Fam ) antagonized the effects of histamine on guinea pig atria and rat uteri MI vitro non-competitively,however the antagonisms of Ranitidine(Ran) and Cimetidine (Cim ) on hoistamine were competitive, their pA2 were 6. 24, 5. 16 and 4. 08 for guinea pig atria , 8. 26, 7. 22 and 6. 17 for rat uteri respectively. They reduced gastric secretion of acid and pepsin of pylorus ligated rats in dose-related manner, inhibited gastric secretion stimulated byhistamine, prevented the acute gastric lesion from stress, indomethacin and histamine, and enhanced the healing process of chronic gastirc ulcerinduced by acetic acid in rats. Moreover, Fam was much more potent than Ran (6~8 times) and Cim(30 - 40 times). Besides,Cim increased hypnotic effect of phenobartal, but Ran and Fam had no or Ittile such effects.

Objective To investigate the risk factors of hyperamylasemia in patients with gastrointestinal minimally invasive surgery.Methods Two hundred and twenty cases with gastrointestinal were selected as our subjects who were hospitalized in General Surgery Department of the Center Hospital of Binzhou from Jan 2012 to Jan 2014.The patients were divided into normal group and hyperamylasemia group according to the postoperative serum amylase levels.The complications of two groups were recorded.The risk factors of hyperamylasemia were analyzed with univariate and Logistic multivariate.Results There were 98 cases (44.54％,98/220) of concurrent hyperamylasemia,45 cases (20.45 ％) of colon surgery,53 cases (24.09％) of stomach surgery.The complications of hyperamylasemia group and normal group were 28 cases (28.57％) and 8 cases (6.56％),and the difference was significant (x2 =4.869,P =0.006).Univariate analysis showed that there were significant differences in terms of the abdominal surgery,surgical approach,body mass index ＞ 25 kg/m2,operation time,position,CO2 insufflation pressure,pneumoperitoneum duration and pancreatic treatment between two groups(P ＜ 0.05).Logistic multivariate analysis showed that the abdominal surgery,CO2 insufflation pressure,pneumoperitoneum duration and operative time were independent risk factors with hyperamylasemia.Conclusion There is high incidence of hyperamylasemia after laparoscopic gastrointestinal surgery.Patients with pancreatitis and postoperative infection are easily to get hyperamylasemia complications.Upper abdominal surgery,CO2 insufflation pressure,pneumoperitoneum duration,operative time are independent risk factors for hyperamylasemia.