Physicians receiving refresher training are fully involved in clinical work in depart-ment of obstetrics in 3A hospital. The quality of training is related with the improvement of their pro-fessional ability and medical treatment safety of the hospital. To improve the teaching quality for ob-stetrics refresher doctors, several methods were implemented including paying more attention to the humanistic quality training, taking care of their physical and mental health,strengthening their basic rationale and basic skill, upgrading their obstetric knowledge and improving their ability to deal with an emergency condition. All these efforts have achieved good results in obstetric teaching.

Objective To discuss the influence and curative effect observation of inhalation of formoterol/budesonide on matrix metalloproteinase of plasma(MMP)-2 and 9 for asthmatic patients (AAPs).Methods According to the digital table,68 cases of AAPs in acute stage of attack were randomly divided into observation group and control group.The patients in two groups were given routine medical treatments like anti-infection,antispasmodic and relieving asthma,relieving coμgh and reducing sputum and etc.In addition,the patients in observation group were given the inhalation of formoterol/budesonide with 4.5μg/160μg,two times daily for 2 weeks.Except for formoterol/budesonide,the medical treatments given to patients in control group were the same with those in observation group.The changes of MMP-2 and 9 levels in blood serum before and after 2 weeks' medical treatment were observed and compared,and proceed with the curative and safety observation.Results After 2 weeks' medical treatment,the MMP-2 and 9 in blood serum both were declined sharply(t =2.87,2.97,2.21,2.31,P ＜ 0.01 or P ＜ 0.05),and the compared with control group,the decrease value(t =2.45,2.37,all P ＜ 0.05) was obviously higher.Meanwhile,the total clinical effective rate in observation group (94.12％) was obviously higher than that in control group (70.59％)(x2 =6.48,P ＜ 0.05) ; The numbers of untoward effect occurrence in the medical treatment period were 3 cases in control group and 5 cases in observation group,which both had light symptom and did not appeared serious untoward effects.The comparison result of untoward effect between two groups had no obvious statistical difference(x2 =0.14,P ＞ 0.05).Conclusion formoterol/budesonide has reliable medical treatment effect and high security to asthmatic,whose mechanism of action has effect on MMP-2 and 9 level adjustment,correction of degradation of extracellular matrix and dysequilibrium,and chronic airway inhibition and remodeling.

Hemodialysis is a major method to treat acute and chronic renal functional failure; while, dialysis-membrane is a major component of dialyzer, determining dialysis effect by the physical and chemical characteristics. In this study, we investigated the development orientation of hemodialysis, application of common membrane materials, and biocompatibility of dialysis-membrane materials; in addition, we also summarized the improvement of dialysis-membrane materials and the effect on hemodialysis during recent years.

OBJECTIVE: To optimizate the preparation process of Yuganning patch. METHODS: The preparation process of Yuganning patch was optimzied by orthogonal experiment with content of ointment, setting time, drying temperature and drying time as factors and the initial strength, peeling strength and degumming phenomenon as indexes. RESULTS: The optimum preparaition conditions were as follows: the content of ointment was (7.6?0.1) g?100 cm-2; the setting time was 24 h; the drying temperature was 60 ℃ and drying time was 3.5 h. And this optimized process met quality control method. CONCLUSION: The optimized preparation process is feasible and the quality of the Yuganning patch is stable.

Objective To study the plasma lactic acid and blood gas and their value in the umbilical artery of the newborns. Methods The umbilical artery blood samples of 62 newborns were obtained immediately after delivery and then blood gas analysis and plasma lactic acid values were measured within ten minutes. Results The mean value of umbilical artery plasma lactic acid was:(4.4?1.7)mmol/L,pH:7.22?0.07,Base excess:(-5.4?2.7)mEq/L. The lactic acid value had a significant negative relationship with pH values (r=-0.86,P

Objective To establish the determination method of Codeine phosphate in Qiangli Pipa Syrup by RP-HPLC.Methods Using XDB-C18 Eclipse column (250 mm × 4.6 mm,5 ìm),acetonitrile:0.035 mol/L sodium acetate solution (glacial acetic acid to adjust pH =3.5) (25:75) as mobile phase,the flow rate was 1.0 mL/min,the detection wavelength is 240 nm,the column temperature is 40.Results the linear range of codeine phosphate in 2.024-40.24 ìg/mL was goody =8.18 × 105x + 12.2 (r =0.999 2);the average recovery rate was 98.2％ and RSD was 1.0％ (n =6).Conclusion This method is simple,rapid,accurate,and reliable,with high sensitivity,and could be applied to determination of Qiangli Pipa Syrup codeine hydrochloride content and controlment of the drug quality.

OBJECTIVE To evaluate the antibacterial effect of sulbactam combined with minocycline against 110 multidrug-resistant Acinetobacter baumannii strains.METHODS Checkerboard method was designed and agar dilution method was used for the MIC testing of sulbactam combined with minocycline against 110 multidrug-resistant A.baumannii strains,and the fractional inhibitory concentration(FIC) index was calculated according to MIC value.RESULTS The MIC50 of sulbactam was reduced significantly and the antimicrobial activities had been reinforced remarkably when combined with minocycline.The FIC results suggested that the main interaction be synergism(22%) and additivity(74%),with only 5% non-effect and without antagonism.CONCLUSIONS Synergism and additivity are the main effects for subactam when combined with minocycline against multidrug-resistant A.baumannii.

OBJECTIVE:To provide reference for rational use of antibiotics in patients with AECOPD. METHODS:The patho-gen distribution and antibiotics use of AECOPD patients was analyzed in respiratory department of our hospital during 2014-2015. The infection site,pathogen distribution and antibiotics use(including medication purpose,drug name,usage,dosage,medication duration,route of administration,drug combination),infection and compliance were investigated and analyzed statistically. RE-SULTS:Among 967 AECOPD patients,there were 619 cases of positive sputum culture(64.01%). A total of 774 strains were iso-lated,including 542 strains of Gram-negative bacterial (70.03%) and 232 strains of Gram-positive bacterial (29.97%);most of them were Pseudomonas aeruginosa(207 strains,26.72%). 765 patients were treated with antibiotics,and utilization ratio of an-tibiotics was 79.11%. 276 cases were treated with one kinds of antibiotics (36.08%),435 treated with 2 kinds of antibiotics (56.86%)and 54 treated with 3 kinds of antibiotics and above(7.06%). Top 3 drugs in the list of frequency were Levofloxacin injection(455 cases/times,47.05%),Moxifloxacin injection(241 cases/times,24.92%)and Cefmetazole for injection(192 cas-es/times,19.86%). Top 3 drug combination regimen were Cefmetazole for injection+Levofloxacin injection (107 cases/times, 21.88%),Cefoxitin for injection+Levofloxacin injection(96 cases/times,19.63%)and Moxalactam for injection+Levofloxacin in-jection(65 cases/times,13.29%). CONCLUSIONS:Anti-infective therapy regimen of AECOPD patients should be formulated ac-cording to relevant guideline,and pathogenic factors of infection are analyzed. Great importance should be attached to reasonable, scientific,safe and standard use of antibiotics,etiological examination;pathogenic bacteria culture and drug sensitivity test should be conducted as soon as possible. So as to obtain better therapeutic efficacy and reduce the generation of drug-resistant strain.

Objective To investigate the effect of plant estrogen on serum hormone levels, NOS and oxidative stress products in patients with uterine fibroids with iron deficiency anemia.Methods 80 cases of hysteromyoma patientswith uterine fibroids with iron deficiency anemia were selected, according to the different medication were randomly divided into experiment group and control group,40 cases in each group.Two groups were treated with anemia correction , mifepristone oral ,and the experiment group were treated on the base of the control group with plant estrogen, 12 weeks for a course.serum sex hormone, NOS, SOD and MDA level were detected.ResuIts Compared with the control group, the indexes of patients in the experimental group were lower(P<0.05), level of serum NOS were higher(P<0.05), level of serum SOD were higher(P<0.05), level of serum MDA were lower ( P<0.05 ) .ConcIusion Plant estrogen can improve the serum levels of serum hormone, NOS and oxidative stress levels of the treatment of uterine fibroids, worthy of clinical promotion.

Objective:To investigate the correlation between the component contents and near-infrared spectral characteristics of sophora pieces from different habitats to confirm the near-infrared spectral features of sophora pieces. Methods: The near-infrared spectroscopy of the sophora extract was determined to confirm the characteristic absorption of principal components. Meanwhile, the content of main ingredients in sophora pieces was measured by HPLC, and the near-infrared spectral characteristics of sophora pieces from different places were compared analyzed. Results: The near-infrared spectral features of sophora pieces from different habitats showed some differences with something in common. There was a close relationship between the near-infrared spectral features and the compositions and the main ingredients. Conclusion:Combining with the near-infrared spectra of sophora extract can effectively identify the characteristics of sophora pieces from different places, which is beneficial to the establishment of a reasonable and effective near-in-frared qualitative analysis model.