Objective: To investigate the HbA1c and urinary albumin in early diagnosis of diabetic nephropathy in type 2 diabetes mellitus value. Methods:In 42 patients with diabetes and fasting blood glucose (FBG), glycosylated hemoglobin (HbAlc), microalbuminuria (M-ALB), cholesterol (CHo), glycerin three greases (TG), high density lipoprotein cholesterol with alcohol (HDL-C), low density lipoprotein cholesterol (LDL-C), blood routine determination, and the results compared with healthy controls. According to the determination result of glycosylated hemoglobin for low value group (HbAlc<6.79%), median group (HbAIc 6.8%~10%), higher values in the group (HbAlc>10.1%). Results:The diabetes patient's HbAIc, FBG, CHo, TG, LDL-C concentrations were significantly higher than healthy control group, the serum HDL-C concentration was significantly lower than that of the control group. The difference was statistically significant. With the increase of HbAIc. FBG, m-ALB increased. Conclusion: Diabetic nephropathy is associated with increased HbAlc. Dyslipidemia can increase in microvascular lesions in diabetic nephropathy risk. M-ALB diabetes is early glomerular injury markers. I can be used as the screening index of chronic nephropathy. Combined detection of glycosylated hemoglobin of diabetes and microalbuminuria in favor of diabetic nephropathy early detection, delay the progression of diabetic nephropathy.

Objective:To explore the correlation between saber-sheath trachea and COPD patient age, gender. Methods:Collection of 2012-1-1~2012-11-07 year with COPD in 348 cases, thoracic axial CT 1mm layer thickness continuous scanning. In 10mm above aortic arch level measurement of tracheal intramural coronary diameter and the sagittal diameter. The shape of the level with coronary diameter and the sagittal diameter ratio (trachea index) to express. Results:Saber sheath trachea in 37 cases, were at the age above 60 emphysema degree without a male patients;endotracheal coronary diameter length range is 9~18mm, the average 13.5mm, sagittal diameter length range is 19~32mm, the average 25.5mm, tracheal index is in the range 0.38 to 0.66, average 0.52. Conclusion:Saber sheath trachea and COPD patients age, sex is closely related to, but there is no significant correlation between the severity of emphysema. Saber sheath trachea formation is due to chronic coughing caused by tracheal cartilage ring damage, remodeling and dystrophic ossification.

Objective:To discuss application of large aperture 16 row spiral CT in radiotherapy simulation positioning. Methods: To apply CT simulation positioning with large aperture 16 row spiral CT for the breast tangential field by early breast cancer after breast conserving surgery and radical radiotherapy. Compare CT-simulation and X-ray conventional positioning technique and Compare large aperture 16 row spiral CT and single row spiral CT image. Results: The application of large aperture 16 row spiral CT avoided the error because of body limited. Large aperture 16 row spiral CT simulation position validation error is superior to X-ray positioning. Its image quality is better than that of single row spiral CT. Conclusion:The application of large aperture 16 row spiral CT make simulation positioning more accurate, planned and treatment more accurate, it can provide guarantee of accurate simulation positioning for accurate plan and treatment.

Objective:To analyze the depression incidence in premenopausal or postmenopausal women, find out the countermeasures to control or eliminate depression. Methods:Randomly divided the menopause group and premenopausal group in 724 patients who were assessed using Zung depression scale and venous blood determination of endocrine hormone FSH, LH, E2. Zung score≥40 points can diagnose depression. Results:The incidence in premenopausal group of climacteric depression was 13.3%, and postmenopausal group was 5.6%. The incidence of climacteric depression premenopausal group was obviously higher than that after menopause (x2=12.797, P<0.05). Conclusion:Menopause depression patients often have some physical or mental factors as incentive, spirit and body disease, etc.;Patients often change in physical and psychological. So the comprehensive care in the biological, psychological and social are necessary.

Objective:To discusses informatization environment hospital equipment management and maintenance personnel should possess the ability elements. Methods:The literature summary and practical experience. Results:Systematic professional knowledge, skilled computer technology and good in English are the personnel's ability elements composed the equipment management and maintenance in hospital. Conclusion:Grasp the equipment management and maintenance personnel's ability elements, improve hospital management level.

Objective: To explore how to further improve the drug administration in maternal and child health care hospital at county level. Methods: Based on the internal requirement and significance of drug administration in maternal and child health care hospital at county level. We analyzed the essence of drug administration, importance of strengthening drug administration in maternal and child health care hospital at county level under circumstance of health care reform and existing difficulty in the drug administration at present time. In the end, we developed our own points of view on how to improve drug administration in maternal and child health care hospital at county level. Results:Maternal and child health care hospital at county level should adapt the new challenge under circumstance of health care reform, improve the management. Conclusion:According to the new health care reform, it is vital to enhance self performance steadily and consistently as to achieve the improvement of drug administration and service quality gradually.

Ventilator is the mechanism of the implementation of artificial ventilation and its function is respiratory support, respiratory therapy and oxygenation improving. It is an important life-support equipment in life-saving first aid. Mainly for emergency transporters, recovery room, emergency department, the ICU pediatric, adult ICU and other departments in the hospital. It used to support high-risk, life-sustaining equipment. The failure is mainly concentrated on the two parts of the gas line and electric circuit. The daily maintenance and preventive maintenance are an essential part for protection breathing machine to work properly.

To introduce the prophylaxis methods and dealing experiences of the common malfunctions of electronic gastroscopy. To summarize the prophylaxis methods and dealing experiences of the common malfunctions of electronic gastroscopy in recent years. To do everything carefully in the prophylaxis of the common malfunctions could ensure the high definition and resolution of the electronic gastroscopy. To manipulate properly with effective methods of preventing and dealing common malfunctions in use of electronic gastroscopy can not only lower the cost of repair but also prolong the service life of the machine.

Objective: To investigate the effect about the treatment in asynchronous cerebral arterial thrombosis of cerebral circulation therapeutic equipment with disease function rehabilitation and the trigger factor of stroke and cerebral blood flow in 108 cases. Methods:Treatment group on the basis of conventional drug treatment plus brain circulation function therapeutic apparatus (KJ-3000-a) treatment in patients with stroke in different disease period. Using the neural function defect score and controllable risk factors of stroke and TCD determination of internal carotid artery and vertebral artery blood flow changes in evaluation of cerebral circulation function therapeutic equipment therapy in treatment group and control group is effective and feasible. Results:Different stages of stroke treatment group after treatment of acute phase of the neural function defect score in the control group (t=-13.26, P<0.05), and factors caused troke such as blood pressure and cholesterol leels also declined significantly than control group (t=7.39, t=7.75, P<0.05), cerebral blood flow between treatment group and the control group after treatment mainly reflected in the increased blood flow of part of left and right internal carotid artery and Vertebral Artery ,as Vd, Vs and Vm. Conclusion:Against the illness severity stroke with drug therapy on the basis of brain circulation function therapeutic instrument to stimulate rehabilitation treatment is convenient, economic, safe, effective, can be applied to stroke periods with high blood pressure, cholesterol levels, but acute stage used the best, after post-stroke patients vital center smoothly, can take early used cerebral circulation function therapeutic equipment for rehabilitation.

Objective: To introduce the centralized management method for the conventional medical equipment and its utilization benefits and economic benefits to hospital and clinical department through scientific management pattern. Methods: Through several parts such as utilization ratio, usage cost, daily maintenance, measure control and data analysis, they could explain the advantage and convenience after proceeding centralized management. Results:Reasonable and scientific centralized management pattern could reduce or wipeout the idle and waste phenomenon for conventional medical equipment, reduce the department's expenditure of equipment depreciation, enhance the economic efficiency to hospital and clinical department. Through timely preventive maintenance and measure control, not only could save the precious time for the service staff to share personal experience, enhance the equipment repair time and repair rate effectively, but also could guarantee the equipment operation status and operation stability, protect the safety of patient medical device's usage. Conclusion:By making full use of various valuable data, it could be the reference point for these device's analysis and evaluation. As a result, concluded from economic, safety and scientific research part, it is necessary to promote centralized management for the conventional medical equipment.