1.Therapeutic Observation of Bee-sting Therapy for Chronic Colitis
Shanghai Journal of Acupuncture and Moxibustion 2016;35(8):923-925
ObjectiveTo observe the clinical efficacy of bee-sting therapy in treating chronic colitis.MethodTotally 101 patients with chronic colitis were randomized into two groups, 39 cases in the control group and 62 cases in the treatment group.The treatment group was intervened by bee-sting therapy, while the control group was by medication. During the intervention, patients in the two groups were asked to keep bland diet and take more food rich in fiber instead of spicy and stimulating food. Abdominal pain, defecation pattern and frequency were observed during the study, and the clinical efficacies were compared a month later.Result The markedly effective rate was 82.3% in the treatment group versus 61.5% in the control group, and the therapeutic efficacyof the treatment group was significantly higher than that of the control group (P<0.05), and the improvements of pain relief and defecation occurred earlier in the treatment group than in the control group.ConclusionBee-sting therapy has advantages of faster pain relief and long-standing therapeutic efficacy.
2.Influencial Factors of Early Treatment on Patients with Acute Stroke
Chinese Journal of Rehabilitation Theory and Practice 2007;13(2):125-127
ObjectiveTo investigate the factors influencing early treatment of patients with acute stroke.Methods300 patients with acute stroke were investigated with questionnaire which including 28 factors influencing patients receiving early treatment.Results41.5% of patients were admitted within 6 hours after onset. The responses after onset, the time to the special hospital after stroke, and whether being able to describe symptoms and style of stroke correctly were independent influencing factors. Other factors such as age, sex and stroke severity had not obvious influence to admission delay.ConclusionEffective public health programs and establishment of effective emergent medical service system are measures to minimize the admission delay.
3.Relation between NEW-TOAST classification and glucose level in patients with acute ischemic stroke
Chengguo ZHANG ; Guohua ZHANG ; Shuyun HUANG
Chinese Journal of Neurology 2011;44(10):681-684
ObjectiveTo investigate the relation between each subtype of cerebral ischemic stroke classified by NEW-TOAST criteria and the levels of blood sugar. MethodsA retrospective study in 624 patients hospitalized with acute cerebral ischemic stroke. All the patients were classified using NEW-TOAST classification standard. Blood glucose in patients with different stroke subtypes was recorded, and analyzed for the incidence of abnormal glucose metabolism in each subtype. The correlation of glucose to blood sugar,blood pressure and blood fat was analyzed using odd ratio (OR) and 95% confidence intervals (CI).Results(1) Among 624 patients, the most common stroke subtype by NEW-TOAST classificationis atherothrombosis (AT), followed by small arterial occlusion (SAO). One hundred and nineteen patients (19. 1% ) had diabetes history; another 40 patients(7.5% ) were newly diagnosed with diabetes in this study; and 71 patients ( 11.4% ) were found to have glycoregulation abnormality. The incidence of abnormal glycometabolism was high in patients with AT ( 40. 4% ) and SAO ( 39. 7% ). ( 2 ) Association analysis between stroke subtypes and blood sugar: x2 =14. 83,P =0. 020, r =0. 152; in SAO patients, OR was 1. 925 (95% CI 1. 392-2. 664) ; in the patients with AT, there was no correlation to blood sugar levels.Association analysis of high blood pressure in stroke subtypes: in AT patients, OR was 2. 874 (95% CI 1. 957-4. 222) ; in SAO, OR was 1. 609 (95% CI 1. 100-1. 235). Association analysis of high LDL-C in each subtype: OR in SAO was 1.419 (95% CI 1.026-1. 962) ;No significant correlation of LDL-C in AT patients, P =0. 929 ; (3) There is significant difference of frequency of abnormal glycometabolism between stroke subtypes: x2 =17. 79 ,P =0. 000; between AT and SAO patients, x2 =0. 024,P =0. 877; between AT or SAO patients to other three subtypes, P < 0. 05. ConclusionsAmong the subtypes of cerebral ischemic stroke by NEW-TOAST classification, AT and SAO are the most common subtypes.All the subtypes have correlation to the high level of blood sugar, and SAO has the highest correlation to blood sugar levels. High blood pressure may affect both large vessels and small vessels, while high LDL-C may mainly affect small vessels.
4.A study of the relationship between plasma homocysteine level and cerebral infarction
Chengguo ZHANG ; Yan SHAO ; Xueqiang HU
Journal of Clinical Neurology 1995;0(04):-
Objective To explore the relationship between plasma homocysteine(Hcy) levels and cerebral infarction.Methods 87 patients with acute cerebral infarction and 80 controls were enrolled in the study. Plasma Hcy levels were measured by high-performance liquid chromatography-fluorescence detection(HPLC-FD) technology using Baseling 810 type high-performance liquid chromatograph.Results Fast plasma Hcy levels were higher in the patient group[(15.28?4.33)?mol/L] compared with those in the control group[(11.32?3.86) ?mol/L]( P
5.Relationship of plasma homocysteine, polymorphism in its enzymes genes and cerebral infarction in the elderly
Yan SHAO ; Chengguo ZHANG ; Xueqiang HU
Journal of Clinical Neurology 1992;0(01):-
Objective To study the relationship of plasma homocysteine (Hcy), polymorphism in 5,10-methylenetetrahydrofolate reductase (MTHFR) and cystathionine-?-synthase (CBS) genes, and cerebral infarction in the elderly. Methods 61 elderly patients with first-ever acute cerebral infarction and 57 controls were studied. The plasma Hcy levels were measured using high-performance liquid chromatography-fluorescence detection (HPLC-FD). The polymorphism in MTHFR was determined by a polymerase chain reaction (PCR) assay and subsequent restriction enzyme digestion.CBS was determined by amplification refractory mutation system (ARMS). Results The fast plasma Hcy levels were higher in the patient group compared with those in the control group [(13.07?3.96)?mol/L vs (11.51?3.90)?mol/L, P 0.05). There were no differences in the plasma Hcy levels among the different genotypes. Conclusions The MTHFR, CBS gene mutations cannot lead to hyperhomocysteinemia in the elderly patients with acute cerebral infarction. Hyperhomocysteinemia is associated with the independent risk of cerebral infarction, however, mutations only in MTHFR and CBS cannot be ascertained to be independent risk of cerebral infarction in the elderly.
6.The relationship between homocysteine, polymorphism of its enzymes and cerebral thrombosis
Yan SHAO ; Chengguo ZHANG ; Jinhuan CUI
Chinese Journal of Rehabilitation Theory and Practice 2005;11(8):601-604
ObjectiveTo explore the relationship between plasma homocysteine (Hcy), polymorphism in 5,10-methylenetetrahydrofolate reductase (MTHFR) and cystathionine-β-synthase (CBS), and cerebral thrombosis.Methods87 subjects with first-ever acute cerebral thrombosis and 80 controls were studied. The plasma Hcy levels were measured using high-performance liquid chromatography-fluorescence detection (HPLC-FD). The polymorphism in MTHFR was determined by a polymerase chain reaction (PCR) assay and subsequent restriction enzyme digestion and that in CBS was determined by amplification refractory mutation system (ARMS).ResultsThe fast plasma Hcy level in the patient group was (15.28±4.33)μmol/L significantly higher than that ( 11.32 ±3.86)μmol/L in the control group (P<0.001). Different genotype had different influence on the plasma Hcy levels. There were no differences in genotype frequencies or allele frequencies between the patient group and control group (P>0.05).ConclusionCommon mutations in MTHFR, CBS G919A and CBS T833C lead to hyperhomocysteinemia. Hyperhomocysteinemia, but not common mutations in MTHFR and CBS is associated with the increased incidence of cerebral thrombosis.
7.Relationship among serum uric acid,lipid and creatinine clearance rate of type 2 diabetes mellitus
Xiaoqing ZHANG ; Chengguo ZONG ; Xuhua LUAN ; Liming ZHAO
Chinese Journal of Postgraduates of Medicine 2010;33(12):1-3
Objective To detect the levels of serum uric acid(SUA),lipid and creatinine(SCr) of type 2 diabetes mellitus(T2DM),and discuss the correlation between them and diabetic nephropathy(DN).Methods One hundred and two cases of T2DM patients were selected and divided into three groups based on the level of urine microalbumin(mAlb)/creatinine(Cr):30 cases of N-UAlb group(urine mAlb/Cr<30μg/mg),41 cases of M-UAlb group(30μg/mg≤urine mAlb/Cr<300μg/mg)and 31 cases of C-UAlb group(urine mAlb/Cr≥300 μg/mg),detected the SUA,SCr,HbA1c,fasting insulin(FINS),triglyeride(TG)and calculated the creatinine clearance rate(CCr).Selected 40 healthy subjects as control group.Results The SUA level in C-UAlb group[(369.3±181.2)μmol/L]was significantly higher than the other groups [(248.6±109.4)μmol/L in control group;(228.7±104.8)μmol/L in N-UAlb group;(296.5±121.4)μmol/L in M-UAIb group](P<0.01 or<0.05),and increased with increment of urine mAlb/Cr.In the whole study population,the Pearson correlation coefficient of SCr,CCr,TG and SUA were 0.369,-0.389.0.525,respectively(P<0.01).Multiple regression analysis showed that SUA levels in T2DM patients were positively correlated with TG(P<0.05),and were negatively correlated with CCr(P<0.05).Conclusions TG and CCr are independent risk factors of SUA.CCr correlates with SUA better than SCr.Diabetic hyperuricemia might affect the process of occurrence and development of DN.There is need for prevention and treatment.
8.Through small incisions in the chest interventional therapy of secundum atrial septal defect
Dongchao LIANG ; Zhicai HU ; Chengguo LIU ; Haibin ZHANG
Chinese Journal of Postgraduates of Medicine 2013;36(z1):3-4
Objective To summarize the experience chest small incision closure of atrial septal defects treatment,evaluation of the efficacy and safety of operation.Methods Eight patients with secondary pore pathogenesy,atrial septum defect size 16-45 mm,take right next to the sternum surgery incision between 3 or 4 ribs 3-4 cm,in the cardiac ultrasound guided into occluder.Results All successful surgery,no postoperative shunt and abnormal,1 huge successful closure of atrial septal defect in 45mm.Conclusion After transcatheter closure of atrial septal defect with small incision in the chest,easy,small trauma,recover fast,safe and reliable.
9.The survey of gross radioactivity level of drinking water in Chifeng city
Xuhui ZHANG ; Na SHEN ; Chengguo WANG ; Hailing WANG
Chinese Journal of Radiological Medicine and Protection 2015;35(11):859-861
Objective To determine the gross radioactivity in drinking water in Chifeng city and to estimate the annual effective dose associated with intake of radionuclides from drinking water.Methods Water samples were collected at locations distributed in 12 counties across Chifeng city, and radioactivity was measured with a low background α/β measuring instrument and HPGe γspectrometer.Results Gross α radioactivity in drinking water was in the range of 0.016-1.230 Bq/L and gross β radioactivity in the range of 0.039-0.878 Bq/L in Chifeng city.The average annual effective dose to the local population from gross α radioactivity was 0.071 mSv/a.Conclusions The grossα/β level in Chifeng city is lower than the World Health Organization-recommended value and the average annual effective dose due to drinking water is within the recommended safety level.
10.The survey of gross radioactivity level in drinking water in Inner Mongolia Region
Na SHEN ; Chengguo WANG ; Hailing WANG ; Xiao XU ; Shuai ZHANG
Chinese Journal of Radiological Medicine and Protection 2016;36(6):444-447
Objective To ascertain the gross α/β levels in drinking water in Inner Mongolia and to estimate the annual effective dose to the local residents from radionuclides in drinking water.Methods A total of 768 water samples were collected from 101 counties distributed over 12 cities of Inner Mongolia.Low background α/β measuring instrument was used to measure the radioactivity level;On this basis,use EPA Federal Guidance Report 11 universal method to estimate the annual effective dose to the local residents via intake of radionuclides from drinking water.Results The gross α radioactivity range was 0.016-1.003 Bq/L for tap water,O.016-0.975 Bq/L for factory water,0.017-1.544 Bq/L for river water,0.120-0.672 Bq/L for lake water,0.016-0.492 Bq/L for reservoir water,0.016-1.139 Bq/L for well water,0.032-3.156 Bq/L for spring water,respectively.The gross β radioactivity range was 0.030-0.828 Bq/L for tap water,0.031-0.571 Bq/L for factory water,0.066-0.873 Bq/L for river water,0.169-2.268 Bq/L for lake water,0.046-0.519 Bq/L for reservoir water,0.071-0.526 Bq/L for well water,0.087-1.063 Bq/L for spring water,respectively.Conclusions In Inner Mongolia,the gross α/β mean value in tap water is less than the World Health Organization-recommended value and the average annual effective dose from tap water is also less than the WHO-recommended value O.1 mSv/a.The gross α/β radioactivity from the other water samples is also within the range of the nationwide average.