Objective To investigate the clinical efficacy of combined acupuncture and medicine in treating cervical spondylotic radiculopathy with syndrome of wind-cold obstructing collaterals.Methods Ninety cervical spondylotic radiculopathy patients with syndrome of wind-cold obstructing collaterals were randomly allocated to groups A, B and C, 30 cases each. Group A received electroacupuncture plus oral administration of modified Ramuli Cinnamomi and Puerariae decoction; group B, electroacupuncture alone; group C, oral administration of modified Ramuli Cinnamomi and Puerariae decoction alone. The traditional Chinese medical syndrome score and the Northwick Park Neck Pain Questionnaire (NPQ) score were recorded in the two groups before and after treatment and the clinical therapeutic effects were compared between the two groups.Results The total efficacy rate was 96.7% in group A, 86.7% in group B and 83.3% in group C. There was a statistically significant difference in the total efficacy rate between group A and group B or C (P<0.05). There were statistically significant pre-/post-treatment differences in the traditional Chinese medical syndrome score and the NPQ score in the three groups (P<0.01,P<0.05). There were statistically significant differences in pre-/post-treatment traditional Chinese medical syndrome score and NPQ score difference values between group A and group B or C (P<0.05).Conclusion Combined use of acupuncture and medicine is an effective way to treat cervical spondylotic radiculopathy with syndrome of wind-cold obstructing collaterals.

Objective Multidrug resistance-associated protein 1 (MRP1) has been reported with a close correlation with tumor multi-drug resistance. Real-time quantitative PCR (QRT-PCR) was performed to detect the MRP1 gene expression in childhood acute lymphoblastic leukemia (ALL) and its clinical signiifcance was analyzed. Methods Sixty-seven denovo ALL patients and 10 healthier children as bone marrow donor were studied. The chemotherapy was given according to CCLG-2008 protocol. SPSS software was employed to analyze the data and p-value below 0.05 was regarded as statistic signiifcance. Results MRP1 expression level showed a close correlation with ALL risk, the median of MRP1 expression was 4.28 (2.75~6.12), 5.62 (4.99~8.60) and 7.56 (3.66~11.13) for standard-risk group (SR), intermediate-risk group (IR) and high-risk group (HR), respectively. MRP1 mRNA expression in T-ALL group was 7.71 (6.49~14.35), which is higher than that of B-ALL (5.18(3.89~8.46)) (P<0.01). The rate of leukemia cells’ sensitivity to prednisone on 7th day was 70.6%in high expression group (n=34), which was signiifcantly lower than that in low expression group (n=33, 90.9%, P=0.035). The complete remission rateon 33th day was 64.7%in high expression group, and 87.9%in low expression group, which showed a signiifcant difference between them (P=0.026). Conclusions In children ALL, the expression of MRP1 is closely related with immunophenotyping, treatment response, hazard level and disease relapse.

Studies have found that depression is closely related to the hyperactivity of the hypothalamo–pituitary–adrenal (HPA) axis, which is manifested in increases in HPA axis-related hormones CRH, ACTH and CORT contents. Traditional Chinese medical acupuncture can down-regulate HPA axis levels to produce a marked antidepressant effect. However, at present there is no HPA axis mechanism analysis of the antidepressant effect of acupuncture. From two aspects: the relationship between depression and HPA axis, and clinical and animal mechanism studies of the antidepressant effect of acupuncture by regulating the HPA axis, an analysis has been made to provide a more powerful scientific basis and the idea of further in-depth study for clinical acupuncture treatment of depression.

To ensure the safety of the commercially available chenpi, a convenient and fast analytical method was developed for the determination of 133 pesticide residues in chenpi using gas chromatography-tandem mass spectrometry (GC-MS/MS). In this study, different extraction solvents, redissolution solvents and adsorbents were tested according to the recovery and purification effect to obtain a modified QuEChERS method. The samples were extracted with acetonitrile. During the clean-up step, octadecyl-modified silica (C18) and graphitized carbon black (GCB) were selected, and aminopropyl (NH2) was used instead of primary secondary amine (PSA) because of its weaker ion exchange capacity which had little effect on the recovery of ditalimfos. Samples were quantified by matrix-matched calibration with internal stan-dards. All pesticides showed good linearity in the respective range, both with values of r2 >0.99. The average recoveries of the pesticides spiked samples ranged from 70.0％ to 112.2％ with the RSDs of 0.2％–14.4％. The modified QuEChERS method was validated and applied to twenty real samples. Five pesticides were found in eight batches, but no pesticide exceeded the maximum residue limits (MRL, MRL reference to European commission).

Objective To establish the chronic constriction injury model (CCI)rat model by catgut(group A)and by catgut including the needle ( group B) and compare the effects of two methods.Methods Fourty-five SD rats were randomized into sham-operated group, group A and group B.The mechanical with drawl threshold( MWT) and thermal with drawl latency( TWL) were measured to detect the effect of CCI rat model on the day of 7, 9, 11, 13, 15, 17, 19, 21 after operation.Results The mechanical and thermal pain threshold in group A and group B were both lower than those in sham -operated group ( P <0.01 ) , which showed the success of CCI model.The success rate in group B was higher than that in group A and the mechanical with drawl threshold significantly decreased than that in group A ( P<0.01).Conclusion The rat model of neuropathic pain could be prepared by two methods, but group B were significantly better than group A.

Objective To explore the influences of the comprehensive nurse-doctor collaboration intervention on sleep quality of the lung cancer patients receiving chemotherapy. Methods A total of 94 lung cancer patients receiving chemotherapy were selected from October 2012 to December 2013 and equally randomized into the observation group and control group, with 47 patients in each group. The patients of control group were treated with routine nursing for lung cancer. The patients of observation group adopted the “nurse-doctor collaboration” management model including psychotherapy, relaxation therapy, sleep restriction therapy,
adjust treatment on the basis of routine nursing. After four weeks intervention, the effects were evaluated according to the sleep quality of patients. Results A total of 30 patients could sleep well in the observation group whereas its number was 17 in the control group. The observation group and control group effectiveness were 63. 8% and 37. 8% respectively. The effect of sleep quality in observation group was significantly better than the control group (χ2 =7. 191,P=0. 007). Conclusions The comprehensive nurse-doctor collaboration measures can obviously correct the bad sleep habits and sleep behavior in lung cancer patients with chemotherapy, and improve the quality of sleep in those patients.