Objective To explore the clinical efficacy of microlaryngeal surgery through the suspension laryngoscopy under general anesthesia.Methods The clinical data of 298 patients underwent microlaryngeal surgery through laryngoscope under general anesthesia to resect the vocal cord were retrospectively analyzed.Results It was possible to completely cut off the pathological tissue.All cases were followed up for 3 months,260 cases were cured,25 cases had improvement,only 6 cases had no improvement.The cure rate was 89.3％,the total effective rate was 97.9％,and no serious complications occurred.Conclusion It has good clinical efficacy to treat the benignant pathological changes of vocal cord,it can improve the malignant tumors of vocal cord.Strict operation indications and operation technique can prevent serious complications.

Objective To compare and analyze the effect of dinoprostone misoprostol and oxytocin in cervical ripening and labor induction.Methods 120 pregnant women in labor in our hospital from January 2015 to January 2017 were selected as the object in this study, all pregnant women were randomly divided into 3 groups, respectively dinoprostone group, misoprostol group and oxytocin group, 40 pregnant in each group., Dinoprostone was placed in vaginal fornix in dinoprostone group;misoprostol was placed in vaginal fornix in misoprostol group;Oxytocin was injected in oxytocin group.The delivery time, rupture time of fetal membranes, labor time and successful rate of induced labor in the 3 groups were compared.Results The dinoprostone group after treatment in pregnant women take delivery time,time and labor rupture time were significantly shorter than the other two groups(P<0.05),the difference was statistically significant;dinoprostone group of pregnant women, the success rate was significantly higher than that of oxytocin group, compared between the two groups(P<0.05),with statistical significance difference;dinoprostone group did not appear abnormal, less adverse reaction.Conclusion Dinoprostone used for cervical ripening and labor induction, the effect is significant, compared with misoprostol and oxytocin, less adverse reaction, high safety, and is worthy of popularization and application.

Objective To observe the clinical curative effect of Gong Yanping capsule combined with recombinant human interferon α2b vaginal effervescent tablets in the treatment of human papillomavirus infection.Methods80 cases of patients with cervical HPV infection in Xiangshan hospital of traditional Chinese medicine from May 2014 to May 2016 were selected, these patients were divided into Gong Yanping capsule combined with interferon treatment group (combined treatment group, 40cases) and pure Gongyanping capsule treatment group (single treatment group, 40cases) two groups according to the treatment methods, the clinical curative effects, HPV-DNA levels, HPV infection status, incidences of adverse reactions of the two groups were statistically analyzed.ResultsThe clinical total efficiency of the combined treatment group 95% (38/40) was significantly higher than the single treatment group 80% (32/40) (P<0.05), the HPV-DNA level was significantly lower (P<0.05), the HPV infection negative rate 1 months after treatment 2.5% (1/40) was significantly lower than the single treatment group 10% (4/40) (P<0.05), the negative rates 2 months, 3 months after treatment 67.5% (27/40), 97.5% (39/40) were significantly higher than the single treatment group 40% (16/40), 77.5% (31/40) (P<0.05);The difference of incidences of adverse reactions between the two groups 12.5% (5/40), 7.5% (3/40) was not significant.ConclusionThe clinical curative effect of Gong Yanping capsule combined with Recombinant Human Interferon α2b Vaginal Effervescent Tablets in the treatment of human papillomavirus infection is more significant than pure Gongyanping capsule treatment, it will not increase the adverse reactions of patients in a great extent, is safe and effective.

Acupuncture Therapy ; Adult ; Female ; Humans ; Thyroid Neoplasms ; surgery ; therapy

Adult ; Calculi ; complications ; Foreign Bodies ; complications ; Humans ; Male ; Nasal Cavity ; injuries ; Nasal Septum ; injuries ; Palate, Hard ; injuries

[Objective]To evaluate the incidence of postoperative residual numbness and the factors that influenced numbness in lumbar canal stenosis(LCS).[Method]Eighty patients with LCS including 24 males and 32 females,who were 27～78 years of age with an average age of 61.3,were operated by posterior decompression,and followed 10 days,1 month,3 months,1 year and 2 years after operation.All patients were examined by neurological findings and residual symptoms.[Result]In LCS,there were 82.1% of patients who complained numbness preoperativety.The incidence of residual numbness was 43.6%,39.1%,36.6%,35.3% and 35.7% after 10 days,1 month,3 months,12 months and 24 months,respectively.The factors that influenced residual numbness were related to stenosis types;JOA score before operation and the type of spinal canal stenosis were independent of age and nerve root diameter.[Conclusion]The lower limbs numbness recovered within 1 month postoperatlvely.The incidence of postoperative residual numbness was 35.3% and 35.7% in LCS after 1 year and 2 years.It is speculated that the potential of recovery of neural tissue is important for lower limbs residual numbness.

Objective To study the angular characteristics of facial profile in normal Han Chinese adults of Guangdong natives and the value of measurement methods adapted in this project. Methods One hundred and fifty Han Chinese adults (ratio of male to female,1∶1)were randomly chosen and parameters for computer aided angular analysis of facial soft tissues included:lateral angles:∠Ns Prn Pgs;∠Ns Prn GsPgs;∠Ns Prn Sn; As Ns Bs;∠Ns Sn Pgs;∠Gs Ns Prn;∠Cm Sn Ls and ∠Li Bs Pgs. front angles: ∠Zyr Rc Mes; ∠Zyl Lc Mes; ∠Exr Exl Sn; ∠Exl Exr Sn; ∠Exr Sn Exl; ∠Enl Enr Sn; ∠Enr Enl Sn; ∠Enr Sn Enl; ∠Sn Chr Chl; ∠Sn Chl Chr and ∠Chr Sn Chl.Results Lateral angles ∠Ns Prn Sn and ∠Li Bs Pgs,in male were larger significantly than that those in female, but ∠Gs Ns Prn in male was smaller significantly than that in female. Front angles,∠Zyr Rc Mes and ∠Zyl Lc Mes,in male were larger significantly than those in female.Conclusion Angular analysis plays a unique role in the measurement of facial soft tissue profile. There is a difference of facial soft tissue profile between male and female Han Chinese.

Aim To prepare NT-Ⅰ loaded nanoparticles with different diameters modified by Methylated-polyethyleneglycol (Me-PEG) and evaluate their brain pharmacokinetics after administered nasally in rats. Methods NT-Ⅰ-NP was prepared by emulsion/solvent evaporation method and MePEG-PLA was used as the carrier material. Microdialysis technique and fluorospectrophotometry were used to determine NT-Ⅰ concentration after nasal administration in the brain of rats. Results The appearance of all NT-Ⅰ-NP groups was round or similar. The AUC(0-t) of below 100 nm NT-Ⅰ-NP was 1.22 fold as that of 100~200 nm NT-Ⅰ-NP,1.34 fold as that of 200~300 nm and 1.60 fold as that of exceed 300 nm NT-Ⅰ-NP(P

Objective To explore the effect of low-dose dexmedetomidine on hemodynamics of general anesthesia in hypertensive patients.Methods A total of 92 patients with hypertension were enrolled from May 2015 to February 2016 in People's Hospital of Fenghua District, Ningbo City were randomly divided into observation group and control group,with 46 cases in each group.All patients were treated with static and general anesthesia, the observation group before induction of general anesthesia 10 min received continuous intravenous micro-pump injection of dexmedetomidine 0.3 μg/kg(diluted with saline 20 mL);The control group received intravenous micro-pump injection physiology saline 20 mL.The mean arterial pressure(MAP)and heart rate(HR)before and after treatment, and the operation time, recovery time, extubation time, RSS sedation score and adverse reaction occurred were compared between the two groups.Results There was no significant difference in MAP and HR between the two groups before treatment.After treatment, the serum MAP of the two groups was increased, but the MAP in the observation group was(109.2±10.2)mmHg significantly lower than that in the control group(116.1±11.3)mm Hg,and HR in the observation group was(71.9±3.1)mmHg significantly lower than that in the control group(92.1±2.8)mmHg.The difference between the two groups was statistically significant(P<0.05).There was no statistically significant difference between the two groups in terms of operation time, recovery time and extubation time.The RSS sedation scores of the observation group before extubation(T1), extubation(T2)and extubation 1 min(T3)were higher than those of the control group.At T1, the RSS sedation score in the observation group was(2.3±0.4)points higher than that of the control group(1.8±0.3)points, At T2, the RSS sedation score was(2.9±0.4)points higher than that of the control group(2.1±0.3),At T3, the RSS sedation score was(2.5±0.3)points higher than that of the control group(1.9±0.3).The difference between the 2 groups was statistically significant(P<0.05).There was no significant difference between the two groups in adverse reactions.Conclusion Small doses of dexmedetomidine can reduce the patient's pumping, extubation and other stress response, providing the appropriate sedative effect, help to stabilize the patient's hemodynamic parameters, to ensure the effect of anesthesia and surgery to improve surgical safety.

Objective To explore the competency of community health administrators in a survey of such administrators at large in Shanghai. Methods McClelland's Competency Dictionary was used to set two benchmark positions, while the behavioral event interviewing and questionnaires were made to survey 19 community health service centers in Shanghai. Results The competency model benchmarking on the head of a medical branch consists of 6 character clusters, 11 characteristic items, 27 evaluation dimensions and 27 typical behavior descriptions. The model benchmarking on the community team leader consists of 5 character clusters, 8 characteristic items, 21 evaluation dimensions and 21 typical behavior descriptions. Conclusion Findings of the survey provide objective criteria for competence appraisal of community health administrators, and serve as reference for formulating their development plans as well.