1.The clinical curative effect of labetalol in treatment of pregnancy hypertension and the influence on the out-come of delivery
Chinese Journal of Primary Medicine and Pharmacy 2016;23(3):325-327,328
Objective To investigate the clinical effect of labetalol in treatment of pregnancy hypertension and the influence on the outcome of delivery.Methods 110 patients with pregnancy hypertension from July 2013 to July 2015 in Boai Hospital were selected as the research subjects,and they were randomly divided into observation group and control group,55 cases in each group.The control group was treated with conventional treatment,while the observation group was given labetalol on the basis of the control group.The clinical curative effect,birth outcomes were compared between the two groups.Results (1)After treatment,the diastolic blood pressure and systolic pressure in the observation group were (67.95 ±4.87)mmHg and (134.62 ±11.82)mmHg,which were lower than pre -treat-ment,the differences were statistically significant (t =7.435,9.224,all P <0.05).Those in the control group after treatment were (91.22 ±3.52)mmHg and (151.69 ±14.68)mmHg,which were significantly lower than before treat-ment (t =4.109,5.240,all P <0.05),the differences between the two groups after treatment were statistically signif-icant (P <0.05).(2)Neonatal Apgar score of the observation group was (9.33 ±0.76)points,which was signifi-cantly higher than (7.85 ±0.85)of the control group,the difference was statistically significant(t =5.108,P <0.05).The incidence rates of cesarean section,neonatal asphyxia,fetal distress and postpartum hemorrhage of the ob-servation group were 43.64%,3.64%,5.45%,3.64%,which were significantly lower than the control group,the differences were statistically significant (χ2 =8.942,19.057,14.122,16.936,all P <0.05).Conclusion The use of labetalol in treatment of patients with hypertension of pregnancy can significantly reduce the blood pressure level and birth's score,improve maternal birth outcomes,which is worth clinical promotion.
2.The effects of DNA ploidy measurement on pathologic diagnosis of limbus epithelial neoplasms
Ophthalmology in China 1993;0(01):-
An apparatus of true color medical photometric analysis, a quantitative pathologic technique, was adopted to measure DNA ploidy content in 51 cases with limbus epithelial neoplasm. According to the DNA pattern, the cells in the neoplasm were divided into 4 types: diploid (2C), tri-to tetraploid (3-4C), pentaploid (5C) and≥5C. In the lesion of epithelial hyperplasia, 2C-4C ceils accounted for 88.59%, and≥5C cells, 11.41%. In atypical hyperplasia, 2C-4C cells accounted for 58.62% and ≥5C cells, 41.38%. In the cases of carcinoma in situ and squamous cell carcinoma, 2C-4C cells accounted for 21.11% and 21.69%, and ≥5C cells, 78.89% and 78.31% respectively. These data were analyzed between each two groups by x~2 test (P
3.Establishment of Conformity Test Model for Tamsulosin Hydrochloride Sustained-release Capsules by NIR
China Pharmacist 2014;(12):2138-2139,2142
Objective:To establish the conformity test model for tamsulosin hydrochloride sustained-release capsules by near infrared absorption spectroscopy. Methods:Tamsulosin hydrochloride sustained release capsules were scanned within the range of 4 200-12000 cm-1 to establish the conformity test model. Results:The spectral coverage of 9 000-7 500 cm-1 , 6 900-5 600 cm-1 and 5 000-4 250 cm-1 were chosen, and the second derivative vector normalization was used to detect the samples. The CI value was 7. The conformity test model could distinguish authentic and false tamsulosin hydrochloride sustained-release capsules. Conclusion:The method is simple, sensitive, accurate and fast, and can be used in the identification of tamsulosin hydrochloride sustained-release capsules.
4.Multidisciplinary Treatment Protocol of Stroke Patients with Hemiplegia
Chinese Journal of Rehabilitation Theory and Practice 2007;13(12):1198-1200
The individual and multidisciplinary treatment is decided by the complexities of befalling-mechanism and clinical symbolization in hemiplegia resulting from stroke. So we enactmented the multidisciplinary treatment protocol, which includes traditional Chinese medical differentiation treatment, acupuncture and rehabilitation-treatment-technique by stages. The result of clinical treatment showed that the multidisciplinary treatment protocol is suitable to living qualities of hemiplegia and embodies the superiority of unity and individual integrated.
5.Clinical analysis of amniotic membrane patches and grafts for acute ocular surface burn
International Eye Science 2015;(1):136-138
AlM: To investigate the effect and value of amniotic membrane patches and grafts for acute ocular surface burn at different degrees.?METHODS: A retrospective analysis of 28 cases ( 28 eyes) affected by ocular chemical or thermal burn with different degree were included in our hospital from March 2007 to March 2012. Amniotic membrane patched was undergone in 13 eyes with fresh amnion that the patients corneal burns degree II or Ⅲ with partial limbal buns at degree Ⅳ. Amniotic membrane grafts was performed in 15 eyes with fresh amnion that the patients all corneal burns at degree Ⅲ with the whole limbal necrosis without severe eyelid defect. The follow-up time ranged 6 ~24mo. The postoperative visual acuity, the condition of amniotic membrane transplant, renovation of cornea and complications were observed.?RESULTS: Postoperative corrected visual acuity was improved in 20 eyes (71%), it was not changed in 5 eyes (18%), the visual acuity declined in 3 eyes (11%). The amniotic membrane survived in 23 eyes and the survival rate was up to 82%. The cornea of 4 eyes recovered to transparent, nebula emceed in 8 eyes eventually, corneal macula emerged in 10 eyes, 4 eyes ended up with leukoma, 2 eyes developed corneal melting after therapy, then received lamellar keratoplasty. Corneal surface become epithelization after amnion patches or grafts, but any of them have recurrent epithelial erosion, and become stable epithalization after repeat operation.?CONCLUSlON: Amniotic membrane patches and grafts is an effective method to deal with acute ocular surface burn.
6.Application value of diffusion weighted imaging in the diagnosis and treatment of synovial sarcoma
Chinese Journal of Primary Medicine and Pharmacy 2016;23(9):1413-1416
Objective To discuss the application value of diffusion weighted imaging(DWI)in the diagnosis and treatment of synovial sarcoma.Methods 48 patients with synovial sarcoma were selected.All patients were given conventional magnetic resonance imaging (MRI)and DWI detection examination,DWI diffusion sensitive factor examination was 500 s/was(b).All the patients'imaging results and disease detection were analyzed.ROC curve was used to analyze the value of DWI,MRI examination in the diagnosis of synovial sarcoma.Results DWI examination detection of synovial sarcoma was much higher than that of MRI,the difference was statistically significant(χ2 =5.62, P <0.05).ROC curve analysis showed that MRI examination in the diagnosis of synovial sarcoma specificity was 72.58%,sensitivity was 79.12%,the accuracy was 86.82%,DWI examination in the diagnosis of specificity was 76.81%,sensitivity was 85.79%,the accuracy was 95.18%.The sensitivity,specificity and accuracy of DWI were significantly higher than conventional MRI,the differences were significant(χ2 =5.72,5.68,5.12,all P <0.05). Conclusion DWI can effectively improve the detection rate of synovial sarcoma,and has higher diagnostic sensitivity, specificity and accuracy,it's conducive to the physician for treatment in a timely manner,and worthy of further clinical promotion.
8.Regulatory effect of electroacupuncture on heart and stomach of rats.
Bin-bin REN ; Zh YU ; Ya-li WANG ; Bin XU
Chinese Journal of Integrated Traditional and Western Medicine 2014;34(10):1212-1215
OBJECTIVETo explore different regulatory effects of electroacupuncture (EA) at the same acupoint on the heart and the stomach.
METHODSEighty male SD rats were randomly divided into eight groups equally, i.e., the Neiguan (PC6) group, the Quchi (LI11) group, the Tianshu (ST25) group, the Danzhong (RN17) group, the Zusanli (ST36) group, the Sanyinjiao (SP6) group, the Xinshu (BL15) group, and the Weishu (BL21) group, 10 in each group. The regulatory effects of EA (2/15 Hz, 3 mA, 2 min) at different acupoints on the gastric motility (intragastric pressure) and the cardiac function (the left ventricular pressure) were observed. The mean values of effect of two-min pre-EA and after-EA were compared.
RESULTSCompared with the pre-EA in the same group, the left ventricular pressure decreased in the Neiguan (PC6) group, the Quchi (LI11) group, the Danzhong (RN17) group, the Sanyinjiao (SP6) group, and the Xinshu (BL15) group (P <0.05). The intragastric pressure increased in the Quchi (LI11) group, the Zusanli (ST36) group, the Sanyinjiao (SP6) group, and the Xinshu (BL15) group, while it decreased in the Tianshu (ST25) group, the Danzhong (RN17) group, and the Weishu (BL21) group (P <0.05). The difference of the left ventricular pressure was sequenced from high to low as Xinshu (BL15) >Danzhong (RN17) >Neiguan (PC6) >Sanyinjiao (SP6) >Quchi (LI11). The difference of the intragastric pressure was sequenced from high to low as Tianshu (ST25) >Weishu (BL21) > Xinshu (BL15) > Danzhong (RN17) > Zusanli (ST36) > Sanyinjiao (SP6) > Quchi (LI11).
CONCLUSIONSEA at the same acupoint (2/15 Hz, 3 mA) showed different regulatory effects on the heart and stomach. There existed some difference in the direction and size due to the acupoint location, meridians, dominant nerve segment or relating organs. A fixed effect direction to the specific target was also shown.
Acupuncture Points ; Animals ; Electroacupuncture ; Heart ; physiology ; Male ; Meridians ; Rats, Wistar ; Stomach ; physiology
9.The influence of different postures on the efficacy of mechanical ventilation in critically ill patients with 2009 H1N1 influenza
Zhigang ZHANG ; Bin SHI ; Bin LI
Chinese Journal of General Practitioners 2010;09(8):551-552
28 patients with acute respiratory distress syndrome caused by 2009 H1N1 influenza were mechanically ventilated for 1 hour in the supine, lateral, semi-supine, lateral prone, and prone position respectively. Changes of heart rate, respiratory parameters and arterial partial pressure of oxygen ( PaO2 )were measured. There were no significant differences ( P > 0. 05 ) of heart rate and mean arterial pressure among these postures. Lateral prone ( P < 0. 05 ) and prone posture ( P < 0. 01 ) , however, can both significantly improve tidal volume, mean airway pressure, PaO2, static lung compliance and oxygenation index. We concluded that mechanical ventilation delivered in the prone position can remarkably improve oxygenation in patients with H1N1 influenza-associated acute lung injury.