Objective To investigate the narsing intervention of laparoscope and open abdominal in treating hysteromyoma.Methods 80 cases with hysteromyoma according to the different treatment methods were divided into that in Abdominal myomectomy group of 40 cases and Laparoseopic myomectomy group of 40 patients,then different methods of nursing intervention were siren to them.The surgery bleeding、operative time、hospital days and other as-pects were observed.Results The index of blood loss、intestinal function recovery time、active time away from the bed、hospital days in Laparoscopic group were better than Abdominal myomectomy group(t=2.781,t=2.845,t=2.881,t=2.844,t=2.879,all P<0.05).Conclusion Preoperative psychological care、bowel preparation and postoperative care could reduce the incidence of postoperative complications and improve surgical success rate.

Zihuang Haemostat powder(ZHP)is a Chinese traditional patent medicine. Its ingredient Coptis chinenses Franch was identified by TLC. A Rp-HPLC method for detrmining emodin in ZHP was established. The TLC method was not interfered by blank sample. The Rp-HPLC method was sensitive and highly reproducible. Its average recovery was 99. 24%. RSD was 1. 21 %

Objective:To evaluate the efficiency and safety of fraxiparin in the treatment of patients with ACS. Method:137 patients with acute coronary syndrome(ACS)were randomly assigned to fraxiparin treatment and enoxaparin treatment for 7 days.Result:129 cases completed the whole trial and the results were obtained from ITT.The heart death rate was not statistically different between the two groups during the treatment.No Q segment acute myocardial infarction occurred.Both drugs statistically decreased CK CKMB and TnT.There was no significant difference between the two groups regarding these changes.Only two minor adverse reactions occurred and became normal soon after nadroparin withdrew. Conclusion:Fraxiparin and enoxaparin had similar efficiency and safety in the treatment of patients with ACS.

Objective To evaluate the efficacy and safety of entecavir(ETV)treatment on patients with chronic severe hepatitis B.Methods 82 native patients of chronic severe hepatitis B with positive HBV-DNA were divided into two groups,treatment group(37 cases) were prescribed with normal treatment plus ETV(0.5mg qd),while control group(45 cases) were treated with normal treatment alone.Symptoms,the levels of TB,ALT,PTA,HBV-DNA loads were determined before and at the end of the study.Results The effective rate of the treatment group(75.7%) were significant higher than that in the control group(53.4%)(P

The nutritional support has become an important part of the management of pa- tients with severe head injury.Fifty- two cases were supported by early nutritional supplement.The result showed that themortality and morbidity were decreased.It is experienced that early nutritional support may reduce the loss of body protein and vis- ceral proteins,increase the function of cellu- lar immune system and promote the recov- ery of impaired nerves.

0.05),marrow restrain is much lower than chemical-treatment medicines with the difference significant(P

Objective To observe the migration paths of disk fragment in the anterior epidural space (AES). Methods Eighteen operation-proved cases with herniated nucleus pulposus of lumbar disk were collected and the MR findings were retrospectively reviewed. Results The disk fragments moved in a superior (12 cases,67%) or inferior (6 cases,33%) direction from the donor disk. 10 cases occurred in right septum and 8 cases in left septum. The displaced disk components were most frequently dislodged into the right or left AES, and rarely straddled the midline. On sagittal T 2WI, fragments exhibited low or intermediate signal intensity and compressed the dura mater of spinal cord. On T 1WI, fragments exhibited intermediate signal intensity and compressed the PLL and the spinal cord. On axial T 2WI, fragments exhibited compression of the PLL, the midline septum, and the dura mater of spinal cord. On fat-suppression scan, fragments exhibited increased signal intensity. Conclusion The migrating path of a disk fragment is determined by the anatomy of the AES. Fat-suppression scan has a clinical diagnostic significance.

Objective This experiment aimed at exploring a limb wound guard to avoid the clothing being stained by bleeding or drainage on llmb wounds, keep them dry and clean inside, enable the limbs to move conveniently and protect the wounds untouched so as to increase patients' sense of security. Methods 180 surgical patients with limb wounds were randomly divided into two groups, 94 cases in the observation group who used limb wound guards and 86 patients in the control group who did not. The treatment effect and comfort degree were compared between the two groups by X2 test and Ridit analysis. Results Statistically sig-nificant differences between the two groups could be observed in the per capita frequency of clothing replace-ment, the wound infec- tion rate, the average days of hospital stay and patients" comfort degree. Conclusions The results indicate that using limb wound guards can prevent the clothing from being polluted by wound exu-clarion, keep them dry and clean inside, make the patients feel comfortable and reduce wound infection, facili-tate the activities of the injured limbs, reduce patients" fatigue and discomfort, protect the wound untouched and therefore, increase pa-tients' sense of security.

Objective To discuss the exposing methods of recurrent laryngeal nerve(RLN)in thyroid surgery for reducing the nerve injury.Methods We analyzed 267 cases with thyroid tumors retrospectively.In all the cases,RLN were anatomically exposed.Results Of all the cases the injury rate of RLN was,0.38%.Conclusion The anatomic relation of RLN is relatively complicated along its journey;the injury of RLN can be reduced with designed exposal during the thyroid surgery.

Moyamoya disease is a rare cerebrovascular disease,its etiology remains unknown.The genetic factor may play an important role during the course of the disease,This article reviews the advances in genes-related to moyamoya disease in recent years,hoping to provide new ideas for future research.