Objective To observe the curative effect of acupoint injection of compound Danshen injection in the treatment of nonneoplastic epithelial disorders of vulva.Methods 96 patients with vaginal epithelial non tumor like lesions were enrolled in this study,including 38 cases of squamous epithelial hyperplasia,lichen sclerosus in 42 cases,lichen sclerosus associated with squamous cell hyperplasia in 16 cases.Take Zhōngjí,Guīlái,Huìyīn, Sānyīnjīao,Zhàohaǐ,and Tàichōng six points,each acupoint injected compound Danshen injection 2mL,injected twice a week,10 times for a course of treatment,after 2 weeks began next course of treatment,a total of three courses.The clinical curative effect and incidence of adverse reaction of three types of nonneoplastic epithelial disorders of vulva were compared.Results The effective rates (effective rate =clinical control +effective +valid)of three types of epi-thelial disorders of vulva tumor like lesions were squamous epithelial hyperplasia 92.11%,lichen sclerosus 90.48%, hardening of lichen planus associated with squamous cell hyperplasia 87.50%,there was no significant difference among the three types of lesions(χ2 =4.102,P >0.05).The total effective rate of three types of nonneqlastie epithe-lial disorders of tumor was 90.62% by acupoint injection,and there were no serious adverse reactions in all patients during therapy.A patient of lichen sclerosus appeared the symptoms of nausea,sweating during treatment due to nerv-ous,and after psychological guidance the symptoms disappeared,re -treatment did not appear.Conclusion The acu-point injection of compound Danshen injection in the treatment of vulvar intraepithelial non -tumor like lesions has better clinical effect,and has no serious adverse reactions.

OBJECTIVE: To establish a HPLC method for the assaying of fluoxetine in microdialysate in rat's brain by HPLC. METHODS: Fluoxetine, which was extracted with N-hexane, was separated on ODS chromatographic column after derivatization by NBD-COCl,acetonitrile-water (50∶50) was the mobile phase with a flow rate of 1.2ml/min, column temperature of 35℃,fluorescence detection wave length ?ex at 478nm and ?em at 537nm. RESULTS: The linear range for fluoxetine in microdialysate in rats' brain was 10～100 nmol/L(r=0.9 996), and the quantitation limit was 10 nmol/L. CONCLUSIONS: The method is specific, sensitive and accurate,it is suitable for the assaying of fluoxetine in biological specimen.

High mobility group box l protein (HMGB1) is a highly conserved non-histone DNA binding protein,which is widely distributed in eukaryotic cells.HMGB1 is an important proinflammatory cytokine,involving in various pathological and physiological processes,such as inflammation,neurogenesis and angiogenesis.In the early stage of intracerebral hemorrhage,HMGB1 can induce secondary brain injury,such as inflammatory reaction,neuronal necrosis,and brain edema.However,in the late stage of intracerebral hemorrhage,HMGB1 can promote angiogenesis and neurogenesis,and thus improving neurological function.HMGB1 will become a novel therapeutic target for intracerebral hemorrhage in the future.

This paper expounds four demands of connotation in higher creative education,and summarizes the creative education practice of Harbin medical university in five fields,which involves establishing creative educations base,establishing scientific research item,setting up network teaching platform,promoting teaching method and enhancing professional ability of teachers.

Establishing harmonious physician-patient relationship is importamt to set up the harmonious society.Some hospitals try in recent years a line the single disease grows the price control charges,which suggest its importamt role in seting up harmonious physician-patient relationship,and greatly attract public's concern as the new measure in this aspect.

It is the traditional virtue of Chinese to be honest, and honest-trust is the foundation of the development of market economy. The phenomenon of honest-trust lacking in the field of medical care is a comprehensive result for many factors. It's a new subject to advocate sincere service and spread honest-trust culture for the construction of medical ethics. Therefore, we should put emphasis on the medical ethics education, strengthen the consciousness of sincere service, perfect the criteria of medical ethics, and set up the credit system of medical organization and medical staff.

0.05). Conclusion: Spironolactone could not enhance or inhibit the growth of hair follicle.

Objective:Investigate the awareness of their own rights and the safeguarding of the rights in practice,raise the patients' sense of safeguarding of the rights and help them defend the legal rights.Methods:A survey was taken among patients by applying the questionnaire.Results:There are 5 items about the patients' knowledge about their own rights and 3 items about defending their rights in practice,in which more than 85 percent of 111 patients chose the answer "always or almost".From this we can see that the awareness and safeguarding of their rights are not good enough.Conclusion: The government is appealed to break up the existence of the monopoly mold in medical treatment and to take measures to protect the rights of patients.The medical personnel should renew their concepts,pay more attention to publicizing and defending patients' rights,and help patients realize their rights.

Objective To study the cell metabolism changes of hippocampal region in patients with vascular dementia (VD) after stroke by 1 H-magnetic resonance spectroscopy (1 H-MRS),and to observe the relationship between cell metabolism changes and clinical symptoms after donepezil hydrochloride treatment.Methods Enrolled 18 patients with VD after stroke,16 males and 2 females,with a mean age of (76.9±2.7) years,13 patients without VD after stroke,11 males and 2 females,with a mean age of (76.2±3.6) years and 14 health volunteers as control group,12 males and 2 females,with a mean age of (75.1+2.4) years.The mini-mental state examination (MMSE),activities of daily living (ADL) and Hamilton depression scale (HAMD) were used to assess the effects on cognitive function,ability of daily living and behavior symptoms.1 H-MRS examination of bilateral hippocampus was conducted in all subjects.Metabolisms of N-acetylaspartate (NAA),choline (Cho) and creatine (Cr) were examined and the ratios of NAA/Cr and Cho/Cr were calculated.The patients with VD were prescribed donepezil and given 1 H-MRS assessment half a year later.Results The patients with VD had a significantly lower NAA/Cr ratio in bilateral temporal hippocampus area than did health controls and the patients without VD (F=4.23,4.98,both P＜0.05),and a higher Cho/Cr ratio than did health controls and the patients without VD in left hippocampus (P＜0.05).The NAA/Cr and Cho/Cr ratios in patients without VD had no significant changes compared to health controls.There was a positive relationship between MMSE score and NAA/Cr ratio,and negative relationship between MMSE score and Cho/Cr ratio in the bilateral hippocampus area in patients with VD.After 6 months of treatment of donepezil hydrochloride,the MMSE and ADL scales significantly increased (both P＜0.05),and NAA/Cr ratio had no significant change in hippocampal region (t=-2.02,-2.04,both P＞0.05),whereas Cho/Cr had significant decrease (t=2.86,2.23,both P＜0.05).Conclusions The data suggest that the lower NAA/Cr ratio and higher Cho/Cr ratio in hippocampus area might be helpful in distinguishing VD and no-VD in patients with stroke.Donepezil improves general cognition function in patients with VD,which may be associated with regulating the cholinergic pathogenesis of VD in vivo and in vitro.

Objective:To find out the situation of the use of the nutrition support drugs in Peking University Shenzhen Hospital.Method:The method of the use of the nutrition support drugs was adopted to analyze its situation in the hospital during 2005-2006 with respect to the sum of money,frequency of use,increase of charge for medicine and kinds of drugs.Results:The sum of money has been descent 70 000 yuan in 2006 than in 2005,and the frequeacy of use also has been descent 60 000.Conclusion:Parenteral nutrition(PN)drugs were more frequently used than enteral nutrition(EN) drugs.EN was advocated to be used as early as possible so as to maintain the intestinal tract mucosal barrier and recover the intestinal tract function.EN was fit to the physiological need and more scientific than PN.