Objective To observe the application of cesarean section and vaginal delivery in parturient term pregnancy with fetal distress. Methods One hundred and six cases of parturient term pregnancy with fetal distress were selected, SO cases of cesarean section as group A, 56 cases of vaginal delivery as group B, newborn outcome and condition of the large maternal cervix data when fetal distress between two groups were compared. Results The neonatal asphyxia rate was 14.0% (7/50) in group A and 16.1 % (9/56 ) in group B, there was no significant difference between two groups (P＞0.05); the rate of the large maternal cervix data in delitescence in group A was higher than that in group B [54.0% (27/50) vs. 26.8% (15/56) ](P＜ 0.05); the rate of the large maternal cervix data in active stage deceleration phase in group A was lower than that in group B [4.0%(2/50) vs. 23.2%(13/56)](P＜0.05). Conclusion Cesarean section and vaginal delivery in parturient term pregnancy with fetal distress can get a good neonatal outcomes, maternal clinical condition should select the appropriate surgical approach, and effort to reduce cesarean section rates.

Objective To investigate the effect and safety of oxcarbazepine adjunctive therapy in the treat-ment of adults with partial seizures with intractable epilepsy .Methods 76 patients with refractory partial-onset epi-lepsy were selected as research subjects .Patients remained the unchanged antiepileptic drugs in the past ,based on the use of this treatment ,oxcarbazepine was administered in the observation period of one year .The self-controlled open-label study was used to observe the therapeutic effect of the treatment program , retention rate , adverse events , and security.Results 69 patients were followed up for 12 months,the retention rate was 90.79%,the total effective rate was 44.93%,and compared with before treatment ,the total frequency decreased 42.11%(χ2 =36.810,P=0.000), the incidence of SPS(pure partial onset seizures) decreased 42.32%(χ2 =7.864,P=0.046),the incidence of CPS (complex partial seizures) decreased 39.67%(χ2 =7.872,P=0.047),the incidence of SGS(partial seizures,gen-eralized seizures following epilepsy ) decrease 41.96%,(χ2 =7.869,P=0.047).34 cases(49.28%) occurred adverse reactions, including drowsiness 5 cases ( 14.71%), dizziness 3 cases ( 8.82%), headache 13 cases (38.26%),nausea 6 cases(17.65%),inattention 2 cases(5.88%),fatigue 5 cases(14.71%).The adverse reac-tions were mild to moderate ,and were spontaneously relieved or subsided without specific clinical treatment or after stopping treatment .Conclusion Oxcarbazepine in the treatment of adults with refractory partial-onset epilepsy has significant treatment effect ,it is safe,well tolerated,which is worthy of widely used in clinical .

ObjectiveTo discuss the diagnosis and treatment methods of endometriosis, so as to improve the diagnosis and treatment level. MethodThe clinical data of 236 patients with endometriosis was analyzed retrospectively, all the patients were treated with surgery and mifepristone. ResultOf the 236 patients, 69 to retain reproductive function routine surgery, the cure rate was 60.9％(42/69); 146 to retain ovarian function routine surgery, the cure rate was 58.9％(86/146); 21 to undergo radical surgery, 12 patients with menopause symptoms. ConclusionSurgical treatment with mifepristone in endometriosis can get better results.

Objective To evaluate the influence of nursing intervention on anxiety of surgical patients with cranio-orbital tumors. Methods From November 2006 to October 2009 in our hospital, 48 patients with cranio-orbital tumors surgery were randomly divided into the observation group (25 patients)and the control group (23 patients), the control group received routine care, the observation group strengthened nursing intervention of anxiety on the basis of the control group. Results The total effective rate of the observation group was 92.0%, slightly higher than 87.0% of the control group, but there was no significant difference between two groups. the anxiety score in patients of the observation group was significantly lower than the control group, there was significant difference between two groups. Conclusions Nursing intervention can alleviate anxiety of surgical patients with cranio-orbital tumors, which should be given clinical concern.

Multiple myeloma (MM) is a largely incurable B-cell hematologic malignancy. Although some patients treated with traditional therapies, such as chemotherapy and radiotherapy,can enter a remission,the disease remains incurable. One of the biggest improvements in the treatment of MM is the use of high-dose chemotherapy followed by stem cell transplantation, which have resulted in an improved remission rate, diseasefree survival and overall survival.

About 40 % of testicular germ-cell tumours are seminomas, and most of them are clinical stage Ⅰ . For a long time, the standard treatment approach for stage Ⅰ testicular seminoma has been radical inguinal orchiectomy followed by radiotherapy to the para-aortic and ipsilateral pelvic lymph nodes. In recent years, many oncologists indicate that the effect of the adjuvant postoperative para-ortic lymph nodal irradiation and chemotherapy using carboplatin is equivalent to para-aortic and ipsilateral pelvic irradiation post orchiectomy for patients with Stage Ⅰ seminoma of the testis, and the side effects is obviously declined, but the long-term side effects are still indefinite. This review presents the treatment development of the stage Ⅰ testicular seminoma after radical inguinal orchiectomy.

Objective To study the effect of acupuncture and medication on plasma ealcitonin gene-related peptide(CGRP) levels in patients with acute cerebral infarction. Methods 90 patients with simple obesity were ran-domly divided into acupuncture and medication group( n = 45) and medication group( n = 45 ). All patients were ex-amined the plasma level of CGRP to observe clinical curative effect before and after 1 month treatment. Results The total effective rate of acupuncture and medication group 91.1% (41/45) was significantly higher than that in medication group 77.8 % (36/45) (P < 0.05) ; after treatment the plasma level of CGRP in two groups were signifi-candy higher than those before treatment(P < 0.05) , acupuncture and medication group was significantly higher than that in medication group (P < 0.05). Conclusion Acupuncture in combination with drug could cut down nerve cell damage, and it may be significantly related to levels of CGRP in patients with acute cerebral infarction.

Objective:To analyze the relationship between types of Traditional Chinese Medicine(TCM)Syndrome of gastroesophageal reflux disease(GERD)、24-hour pH value in esophagus and its endoscopic performance in order to look for objective indexes for differentiation for syndrome classification in TCM of GERD.Methods:Among 172 patients finished 24hour pH dynamic monitor,Each patient performed upper gastrointestinal endoscopy to detect reflux esophagitis(RE)and grade the endoscopic findings,regulated common types of TCM syndrome of GERD,and relativity between then were compared.Results:All parameters of acid exposition in the type of heat stagnation in the liver and stomach were obviously higher than that in other tapes(P

Objective To explore the feasibility of classical intrafascial supracervical hysterectomy (CISH). Methods Clinical data of 65 cases of classical intrafascial supracervical hysterectomy were reviewed. Results The classical intrafascial supracervical hysterectomy was accomplished under laparoscope in all the 65 cases. The operation time was 110 7?29 9 min, and the intraoperative blood loss was 45 3?22 1 ml. No conversion to open surgery was required. No severe complication occurred. Conclusions Classical intrafascial supracervical hysterectomy demonstrates excellent safety, minimal invasion, less blood loss, and quick recovery to normal activities. Laparoscopy; Classical intrafascial supracervical hysterectomy

Objective To compare the effect of adenoidectomy with adenoidectomy under nasal endoscope in the treatment of adenoid hypertrophy.Methods 120 cases with adenoid hypertrophy were selected as the research subjects.The patients were randomly divided into two groups by random number table,and the control group(n =60) was treated with routine adenoidectomy.The surgical treatment of the observation group(n =60) was performed under nasal endoscope.Surgical treatment,surgery related indicators (operative time,the average amount of bleeding,hospitalization time and the incidence of postoperative complications) were compared between the two groups.Before and after operation,acoustic rhinometry examination of nasopharynx was used to detect the smallest cross-sectional area and compared.Results In the observation group,the operation time,the average amount of bleeding,hospitalization time and incidence rate of postoperative complication were (5.32 ± 2.05) min,(51.05 ± 8.26) mL,(8.50 ± 2.50) d,15.00％,respectively,which in the control group were (8.56 ± 2.68) min,(78.45 ± 10.15) mL,(12.00 ± 3.50) d,36.67 ％,respectively,there were significant differences between the two groups (t =7.44,15.98,6.30,x2 =7.35,all P ＜0.05).12 months after surgery,the nasal minimal cross-sectional area of nasal pharynx in the observation group was (1.99 ± 0.51) cm2,which of the control group was (1.81 ± 0.48) cm2,there was significant difference between the two groups(t =3.99,P ＜ 0.05).Conclusion Compared with conventional adenoidectomy,endoscopic adenoidectomy in the treatment of adenoid hypertrophy has good clinical curative effect,less bleeding,shorter operative time and less postoperative complications and other advantages,it is worthy of promotion.