Objective:To use TDP therapy combined with special care and treatment of cesarean section wound, clinical observation. Methods:The therapy combined with psychological, pain, health education and other special nursing treatment with TDP for 38 cases of the observation group of patients, the patients in control group took traditional postoperative nursing. Results:in the observation group were the wound infection rate was 7.9%, the incidence of complications was 18.4%, the control group were 28.9%, 42.1%, And the observation group at the end of the third week wound shrinking rate was 38.62±26.31, control group was 27.14±12.42, the observation group at the end of the 1 week, 2 week, 3 week pain levels were 4.68±1.24, 4.14±1.21, 3.96±1.02, comparing the two groups of patients, the wound infection rate reduced rate and pain level, (x2=4.2903, x2=4.2113;P<0.05),the difference has statistical significance. Conclusion:combined with special care, the postoperative parturient with TDP therapy effect is good, is worth the clinical promotion.

Objective:To discuss the efficacy of early rehabilitation nursing for arthrogryposis and shoulder-hand syndrome in stroke patients.Methods: 100 cases of stroke patients were divided into intervention group and control group(each group 50). Patients in the control group received the regular nursing for stroke, while psychological nursing, continuous passive motion, and proper position were implemented in addition in the the intervention group. Fugl-Meyer assessment (FMA), activities of daily living (ADL) were used to evaluate the functional movement of the hand (seven items with a total score of 14) after 6 weeks. The modified Ashworth scale (MAS) and the modified rankin scale (MRS) were also observed based on symptom scoring. Results: The intervention group had significant difference in limb spasmand pain of shoulder joint compared with the control group(t=11.200,t=12.651;P<0.05). And early rehabilitation nursing was able to improve the locomotive function and daily life ability of the patients.Conclusion: Early rehabilitation nursing for arthrogryposis and shoulder-hand syndrome play a vital role in improving the living quality of stroke patients and making then return to the society.

Objective:To summarize the application of hospital electronic medical record system and implementation experience, for the scientific and reasonable construction of digital hospital provides design scheme. Methods: The electronic medical record to the patient as the center including the establishment of hospital medical records, doctor's orders, all kinds of inspection, inspection reports and other information. Results: The uniform ultimate implementation of electronic health record standard, electronic data from medical records and medical information barrier-free exchange, realize the integration and sharing of electronic medical records information inside the hospital. Conclusion: The electronic medical record system to improve the clinical efficiency in hospital application, provide auxiliary functions for clinical decision making.

Objective:To design and implement equipment malfunctions online service system by using information technology, and to solve the defect of the traditional repair works, which makes traditional off-line repair service way transfer to online service mode, in order to improve the service quality of backup support.Methods: The actual situation of the hospital has been considered in this system. This system is developed by choosing ThinkPHP framework and jQuery technology, and it has set up four user management modes of administrator management, total audit management, department audit management, and common user management. Also the system has many functions: order with the repair personnel, the repair service, the repair progress review, and service statistics, etc.Results:This system effectively improves the work efficiency and management level, and it has a very good application prospect.Conclusion: Through the use of medical information system, the construction of hospital informatization will be promoted, and the clinical will also be better serviced.

Objective:To study the influence of hematocrit on the consistency between blood glucose meters and automatic biochemical analyzer for testing blood glucose of peripheral blood and venous blood.Methods: 200 cases of diabetic and non-diabetic patients were selected in our hospital from January 2013 to September 2015, in which 124 cases were diabetics and 76 cases were non-diabetics. All the selected patients were treated with venous blood and peripheral blood glucose testing by the SIEMENS ADVIA1800 full automatic biochemical analyzer and three brand of blood glucose meters (Reiter GM300, Arkray GT-1920, Johnson & Johnson One Touch), comparing their consistency.Results: The hematocrit range was 35.1~51.6%, accounted for 91.0%(182), 25.0~35.0% of patients accounted for 9.0%(18), and average hematocrit was (42.3±4.2). When hematocrit was 35.1~51.6%, the correlation of automatic biochemical analyzer and Reiter GM300 blood glucose meter was high and stable, followed by Arkray GT-1920 and Johnson &Johnson One Touch. When hematocrit was 25.0~35.0%, the correlation of automatic biochemical analyzer and three blood glucose meters were high than hematocrit was 35.1~51.6%. There was no significant difference between SIEMENS ADVIA1800 automatic biochemical analyzer and Reiter GM300 about monitoring the blood glucose results, but there were significant differences between Johnson and Johnson One Touch and Arkray GT-1920.Conclusion: The automatic biochemical analyzer and three blood glucose meters have good correlation. When hematocrit is greater than 35%, the correlation is lower; when hematocrit is less than 35%, the correlation increases.

Objective:To explore the early diagnostic value of joint detection heart type fatty acid binding protein (h-FABP), troponin (cTnI), myoglobin (Mb) and creatine kinase isoenzyme Mb (CK-Mb) in children's hand, foot and mouth disease (HFMD) combined myocardial injury.Methods: Choice 276 cases of HFMD as observation group, and 40 healthy children as control group. Were determined h-FABP, cTnI, Mb and CK-Mb content in serum at different time, analysis of various index level differences and dynamic change between groups in different period.Results: Among 276 patients with HFMD, 57 cases of diagnosed myocarditis, concurrent rate was 20.65%. Within 0~3 hrs, abnormal rate of h-FABP, cTnI, Mb and CK-Mb in serum were 20.29%,1.81%,14.86% and 2.90%, in 276 cases of children with HFMD. The abnormal rate of h-FABP and Mb was obviously higher than that of cTnI and CK-Mb, the results between the difference was statistically significant (x2=35.132,x2=37.063,P<0.01),h-FABP abnormal rate is higher than CK-Mb, the difference was statistically significant(x2=3.175,P<0.05). the,serum h-FABP cTnI, Mb and CK-Mb concentrations in children of HFDM combined with suspicious viral myocarditis were significantly higher than that of control group, the difference had statistical significance (t=37.625,t=23.172,t=17.261,t=18.724,P<0.01). H-FABP and Mb concentration on HFMD combined myocarditis began to rise after the occurrence of 0~3 h, 4~9 h to peak, CTnI and CK-MB 4~9 h to rise, 10~12 h to peak, has been in a higher level in the 12~72 h.Conclusion: HFMD combined myocarditis had a higher incidence, h-FABP is the most sensitive indicator of early diagnosis, followed by Mb. CTnI and CK-MB are parameters of diagnosis sensitivity for HFMD combined with myocarditis in middle-late period.

The liver specific contrast agent gadolinium ethoxybenzyldiethylenetriaminepe ntaacetic acid (Gd-EOB-DTPA) is routinely used in clinical magnetic resonance imaging. It combines assessment of tissue perfusion during the vascular phase with hepatocyte specific imaging during the hepatobiliary phase. This combination of imaging properties has been shown to provide excellent results in the detection and differentiation of liver lesions. The enhancement characteristics of Gd-EOB-DTPA in hepatocellular carcinoma, regenerative nodules and degenerated nodules were summarized in this review. Liver cell specific contrast agent can further improve the diagnostic ability.

The quick development of computed tomography (CT) do great help to the improvements diagnosis of clinical disease, however, the radiation dose issue of CT is also attracted more attention by the public. It has been an important research field to reduce radiation dose as low as possible with the premise of maintained image quality. Recently, iterative reconstruction of CT has got great advance. This article mainly introduces the brief principles and research progress of CT iterative reconstruction.

Objective:To assess the application of ultrasonography in the diagnosis of thyroid diseases with different types of nodules calcification.Methods:160 cases history of thyroid nodules with calcification confirmed by ultrasound diagnosis and pathological examination were performed the retrospective analysis. According to the ultrasonographic features of calcified nodules, it can be divided into type I, type II, type III and type IV, in which there are 210 benign nodules and 120 malignant nodules. Analyze the correlation between the different types of calcification and the benign or malignant thyroid nodules.Results: Type IV of thyroid benign nodules calcification is highest proportion, accounting for 46.7%(98/210), and significant difference (x2=76.27,P<0.05)compared with the other 3 types. Type I calcification in malignant nodules is highest proportion, accounting for 65%(78/120), and significant difference (x2=175.29;P< 0.05) compared with the other 3 types. In 108 cases of benign and malignant type I calcification, the incidence of malignant nodules is higher than benign nodules accounting for 72.2% (78/108), and type I calcium nodules were significantly different between those of benign and malignant (x2=42.67,P<0.05).Conclusions: Ultrasonography in the diagnosis of thyroid diseases with different types of nodules calcification had very important clinical application value. Type I calcified nodule has more important value in the diagnosis of thyroid carcinoma.

Objective:To analyze the diagnostic value of colour Doppler ultrasonography and X-ray plain film radiography in upper urinary tract calculi.Methods: 97 cases of upper urinary tract calculi were randomly selected in our hospital between 2012 January and 2013 January, who were examined by colour Doppler ultrasound and X-ray film and then the results were analysed and compared.Results: In the 97 cases with colour Doppler ultrasound, 92 cases were the positive renal calculi, and the effective diagnosis rate was 94.8%. And then in the 97 cases with X-ray film, 67 cases were the positive renal calculi, and the effective diagnosis rate was 69.1%. The positive diagnosis rate in the group with colour Doppler ultrasound was higher than that in the group with X-ray film (x2=16.34,P<0.05). In the 97 cases with colour Doppler ultrasound, 52 cases were the positive ureteral calculi, and the effective diagnosis rate is 53.6%. And then in the 97 cases with X-ray film, 69 cases were the positive ureteral calculi and the effective diagnosis rate was 71.1%. The positive diagnosis rate in X-ray film group was higher than that in the group with colour Doppler ultrasound (x2=10.65, P<0.05).Conclusion: In diagnosis of upper urinary tract calculi, the diagnosis rate of renal calculi is higher by colour Doppler ultrasound and the diagnosis rate of ureteral calculi is higher by X-ray film. Both methods have advantages and disadvantages in inspection, and we should combine them in clinical practice.