The enthusiasm for modern life care from both doctors and patients is an important prerequisite and component in creating a harmonious physician-patient relationship.The physician-patient relationship is at this stage of discord in our country,and the main reasons are as follows.Since the reform and opening up,the perfect modern life care system has not been built up in our entire society due to our errors in the value orientation in the public goods production and health care reform,in addition to the lack of related ethics construction during the reform process.To reconstruct a harmonious physician-patient relationship,we must build up a perfect modern life care system in our whole society;give full respect and understanding for all the people.To achieve that aim,we have to emphasize the ethics analysis on the current physician-patient conflicts caused by the life care deficiencies.We should improve and perfect relevant laws,regulations,health managing system and create a better social environment for humanistic care in the entire society,as an ensured prerequisite for life care to implement between doctors and patients.We should also conscientiously strengthen bioethics education.

Based on the questionnaire of 681 medical college students in Hangzhou city,this paper analyses the formation reasons for students' sex morality,and points out relevant countermeasures to guide the instruction of sex morality formation for medical college students.

OBJECTIVE:To observe therapeutic efficacy of ulinastatin in the treatment of acute pancreatitis. METHODS:A to-tal of 80 acute pancreatitis patients were randomly divided into control group and observation group,with 40 cases in each group. Control group was given conventional treatment as gastrointestinal decompression,analgesia and spasmolysis,anti-infective treat-ment,fluid replacement,electrolyte disturbances balance,in vivo microcirculation improvement;observation group was additional given ulinastatin 100 000 U added into 5% Glucose injection 250 ml,ivgtt,bid,on the basis of control group,and then given medicine qd after improving symptoms;finally,stopped taking medicine immediately the symptom disappeared. Both groups was given 8d of treatment. Serum levels of IL-6 and TNF-α were observed in 2 groups before and after treatment,and clinical symp-tom,the time of sign and lab index improvement were also observed. Clinical efficacy was evaluated. RESULTS:After treatment, serum levels of IL-6 and TNF-α in observation group was significantly lower than in control group;the time of clinical symptom and sign,lab indicator improvement were significantly shorter than in control group,with statistical significance(P<0.01). The ef-fective rate (95.00%) of observation group was significantly higher than that (70.00%) of control group,with statistical signifi-cance(P<0.05). CONCLUSIONS:Ulinastatin can significantly reduce acute pancreatitis significantly,improve clinical symptom, promote disease recovery and clinical efficacy.

Objective To analyse the relevant factors of distribution of TCM syndrome for ankylosing spondylitis (AS). Methods 194 AS patients visiting the department of Rheumat Immunity, Guanganmen Hospital, were investigated in the way of horizontal study. And the relationship between TCM syndrome and age, sextuality, staging, grading of sacroiliac joint, laboratory index was studied. Results It was no significant difference of AS TCM syndrome with different age, sextuality, early、medium、advanced stage, and grading of sacroiliac joint. But it was different between the active stage and inactive stage. For the laboratory index, the ESR and CRP of each syndrome was different, while the comparison with the data of blood routine examination was no evident difference. Conclusion The distribution of AS TCM syndrome on active stage is mainly about the retention of damp-heat, and the inactive stage is mainly on the deficiency of kidney-yang syndrome. Compared with other sydromes, ERS and CRP in the syndrome of retention of damp-heat are significantly high. It is no significant changes of syndrome on aspects of different age, early、medium、advanced stages, and grading of sacroiliac joint.

Vitamin B1, Vitamin B2, Vitamin C of 3 kinds of pollen from Yunnan were studied by fluorescence spectrophotometer．The sample we re Pinusthunbergii, Fagopyrum esculentum and Brassica compestris． The results s howed that the content of Vitamin B1, Vitamin B2, of pollen were rich． Th e content of Vitaimin Bl of Fagopyrum esculentum was the highest(0.39?mg/l00 g), and the Vitamin　B2, of Brassica compestris was the richest(0.70?mg/l00 ?g)． It was worth to utilize．

Objective To observe the effect of Niaoduqing granules on chronic renal failure in patients with blood lipid and blood homocysteine.Methods Patients with chronic renal failure were divided into observation group and control group by number table method,two groups of patients were both given low salt,low fat and high quality low protein diet,controlling blood pressure and blood sugar,correcting anemia,correcting calcium and phosphorus meta-bolic disorders,correcting of acidosis,while patients with combined infection were given positive anti infection treat-ment.Observation group was treated with Niaoduqing granules on that basis.The changes of triglyceride(TG),total cholesterol( HDL-C) ,total cholesterol( CHO) ,low-density lipoprotein( LDL-C) ,and plasma homocysteine( Hcy) were observed before and after treatment in the two groups.Results After treatment,CHO,TG,HDL-C,LDL-C, Hcy in the control group were respectively (4.83 ±0.22)mmol/L,(2.21 ±0.30)mmol/L,(0.69 ±0.11)mmol/L, (4.30 ±0.32)mmol/L,(24.35 ±7.05)μmol/L,that threre was no significant changes before and after treatment.In the observation group,TG,LDL-C,Hcy were (1.38 ±0.18)mmol/L,(3.29 ±0.13)mmol/L,(14.54 ±3.56)umol/L respectively after treatment,and which were significantly lower than that before treatment ( t=1.45,2.13,4.28,all P<0.05).HDL-C (1.42 ±0.31)mmol/L,were significantly increased after treatment as compared with that before treatment (t=3.88,P<0.05).The difference of Hcy,TG,LDL-C,HDL-C and CHO after treatment was statisti-cally significantin between the two groups (t=1.34,2.08,1.10,3.88,all P<0.05).Conclusion Niaoduqing gran-ules can improve lipid metabolism disorders in patients with chronic renal failure,and can reduce the serum homocys-teine.

OBJECTIVE:To observe the effect of cefoperazone on the surgical haemostastic outcome so as to offer reference for preoperative anti-infection medication.METHODS:A total of 60 patients undergoing laparotomy were randomly divided into medication group(cefoperazone)or control group.The blood coagulation functional parameter changes of the 2 groups before and after operation were observed,and the intraoperative blood loss volume,blood infusion volume,and the haemostatic time were recorded.RESULTS:The thrombin time,the prothrombin time,partial prothrombin time were all longer,and the intraoperative blood loss volume and blood infusion volume and the haemostatic time were all more in cefoperazone-treated group than in control group(P

The authors attempt to combine medical ethics education and the professional training objectives of health supervision in the teaching practice of medical ethics for health supervision majors within the limited curriculum course.Under the premise of a standardized syllabus norm and scientific teaching goals,appropriate teaching forms,methods and trials are implemented to impart health supervision majors with medical ethics knowledge and meanwhile promote their quality and ability reserves.

The flipped classroom teaching model plays an important role in promoting the teaching work and improving the teaching level. Its design, implementation steps, results assessment and existed problems were thus analyzed with suggestions proposed for its further improvement in this paper.

Non-profit medical institutions are the main body, for-profit medical institutions are the complement, the public medical institutions are the leading and non-public medical institutions develop together are the principles of developing the health service system in China. Since deepening medical reform, social capital held in medical institutions has been actively encouraged and supported. Medical institutions held by social capital should adhere to the public nature of the medical and health, choose reasonable mode of development, improve the level of service, innovate management system, build a team and its own brand and achieve sustainable development.