Objective To observe the therapeutic effect of treatment of cerebral apoplexy with head acupunc-ture and body acupuncture. Methods 203 cases with cerebral apoplexy were randomly divided into head acupuncture with body acupuncture group(105 cases) and body acupuncture control group(98 cases). Symptom and sign were gra-ded and comprehensive therapeutic effects were assessed. Results There were significant differences of the cure rates and the observed indices between the head acupuncture with body acupuncture group and body acupuncture control group. Conclusion The head acupuncture with body acupuncture can obviously improve the cerebral ischemia and anoxia, and increase limb motor function and ability of daily living in the patients of deep cerebral infarction.

Objective To investigate the reason for embolism in ulnar artery after the injury. Methods 32 cases with repaired ulnar arteries were studied after 3～6 months' countercheck, physical test and ultrasonography (US) were performed to examine the blood flow in ulnar arteries. Results Embolism occurred in 20 repaired arteries of 32 cases. Conclusion Embolism are prone to occur after the injury of ulnar artery.

Orphan nuclear receptor steroidogenic factor 1 (SF-1) is a member of the nuclear receptor superfamily. It regulates the expression of multiple genes involved in adrenal and gonadal development,steroidogenesis,and reproductive function. Twenty five different mutations have been described and their clinical features are various. Detection of SF-1 gene may be contribute to the etiological diagnosis for 46, XY disorder of sex development patients.

China ; Dental Implants ; Health Services Needs and Demand ; Humans ; Periodontics ; manpower

Objective To probe the relationship on TCM syndromes and related index of metabolic syndrome.Methods 1124 people who receive physical examination were undertaken TCM syndrome differentiation,and five viscera syndromes,the deficiency syndromes,excess syndromes,cold and heat syndromes were found.The relations between TCM syndromes and waist circumference,triglycerides,high-density lipoprotein,blood pressure,fasting blood glucose were studied.Results ①The deficiency syndrome groups and the groups of metabolic syndrome related index by clustering analysis had a higher consistency.②Discriminated analysis demonstrated waist circumference,high-density lipoprotein,and diastolic blood pressure could be used to determine liver syndrome.Blood sugar could be used to determine kidney syndrome.Waist could distinguish blood deficiency syndrome.Blood glucose and systolic blood pressure could distinguish Yin deficiency syndrome.Systolic blood pressure could determine Qi stagnation syndrome.Siastolic blood pressure could determine heat syndrome.The liver syndrome group and the actual liver syndrome group had higher consistency by discriminated analysis.After establishing the discriminated equation,total correct rate of distinguishing were 57.3％,67.1％,63.8％,61.5％,52.4％,47.2％.③Receiver operating characteristic curve analysis showed that blood glucose had diagnostic significance to renal syndrome.The area under the curve was 0.562.Triglycerides,blood glucose,blood pressure had diagnostic significance to Yin deficiency syndrome.The areas under the curve were 0.541,0.556,0.580 and 0.569.Waist circumference,triglycerides,high-density lipoprotein had diagnostic significance to moisture syndrome.The areas under the curve were 0.622,0.609 and 0.605.Diastolic blood pressure had diagnostic significance to heat syndrome.The area under the curve was 0.544.Conclusion By the multifarious analytical methods,we can see that syndromes have more contacts to related index of metabolic syndrome.

Objective To understand the utilization of antibiotics for acute upper respiratory infection through retrospectively analyzing the prescription in the outpatient department in a whole year,therefore to improve the rational drug using in primary healthy institutions.Methods Prescriptions from the outpatient department,Jan.2010 to Dec.2010 were managed in Excel software and the utilization was analyzed.Results In a total of 6101 prescriptions,2462(40.35％ ) were for upper respiratory infection.Of the 2462 prescriptions,1962(79.69％ )used antibiotics.The amount of prescriptions and the rate of antibiotics used were significantly higher than those for other infection diseases.Conclusion The investigation shows antibiotics abuse in primary healthy institution has become a severe problem.While the stuff in primary healthy institution are trained for some specific aims,the promotion should be spread to let doctors and patients know the danger of antibiotics abuse.

Objective To explore the relationships between Serum levels of tumor necrosis factor-alpha TNFα,1L-6,adiponectin and insulin resistance in type 2 diabetes.Methods 80 T2DM patients and 40 healthy controls were recruited.Levels of serum TNF-α,IL-6,adiponectin,plasma glucose,insulin and BMI were measured.Insulin resistance was evaluated by HOMA-IR.Results The levels of TNF-α and IL-6 in T2DM group were significantly higher than that in control group(all P＜0.05);The levels of adiponeetin in T2DM group was significantly lower than that in control group(P＜0.05).The levels of TNF-α and IL-6 were positively correlated with HOMA-IR(P＜0.05),adiponeetin was egatively correlated nwith HOMA-IR(P＜0.01).Conclusion TNF-α,IL-6 and adiponectin were closely related with insulin resistance,and should take parts in development of T2DM.

Objective To evaluate the clinical effects of pulsatile perfusion on the renal inadequacy during cardiopulmonary bypass ( CPB). Methods From January 2007 to May 2010, 55 patients with renal inadequacy undergoing open heart surgery were randomized into pulsatile group ( n = 28 ) and nonpulsatile group (n =27). Following parameters were examined: urea nitrogen , creatinine,uric acid, urine volume and blood gas, electrolyte and lactic acid before arteriae aorta opening. Results The urine volume during CPB was significant higher in the pulsatile group ( P ＜0. 01). The blood lactate level before arteriae aorta opening were significant lower in the pulsatile group ( P ＜0. 01). Conclusion The pulsatile flow is better than nopulsatile flow in oxygen metabolism of renal protection.

Objective:To investigate thc changes and clinical significance of antithrombin Ⅲin pregnancy induced hyperternsion(PIH),diabetes mellitus(DM),nephritic syndrome(NS),systemic lupus erythematosus(SLE) and acute non-lymphoid cell leukemia(ANLL).Methods:AT-Ⅲ:A was measured by chromogonic substratc method in pregnancy induced hypertension(PIH),diabetes mellitus(DM),nephritic syndrome(NS),systemic lupus erythematosus(SLE),acute non-lymphoid cell leukemia(ANLL) and control group.Results:AT-Ⅲ:A in women with PIH and normal prcgnancy and the DM with conplication and the NS and the SLE and the ANLL was significantly lower than that in the control.No significant difference in AT-Ⅲ:A was found between the DM without complication and the control.Conclusion:Determination of AT-Ⅲ:A has great value in the diagnosis of thrombophilia.

Objective:To evaluate the understanding and success rate in diagnosis and treatment of adrenal cortical tumor in children.Methods:6 cases were analyzed retrospectively about diagnosis,treatment,pathomorphological changes and prognosis.Results:6 cases of adrenal cortical tumor were treated surgically,which include 4 of cases Cushings syndrome,4 cases developed HBP,in 1 case developed hyperglycemia and in another case had hypokalemia developed.1 patient died of Ⅲ AVB(atrial ventricle block,AVB) during operation.Conclusion:Early diagnosis and early surgical interventions are crucial for treatment.Perioperative management plays an important role in improving prognosis.