Objective:To observe the clinical effect of combined electroacupuncture,tuina and traction treating cervical spondylotic radiculopathy.Method:Depending on the orders of the patient's first visit,120 cases were randomized into a treatment group (60 cases),receiving electroacupuncture,tuina and traction treatment,and a control group (60 cases),receiving electroacupuncture and tuina treatment.The treatment was done once a day,and 5 times constitute one course of treatment.A 2-day interval is set between the courses.The therapeutic effect was evaluated after 6 courses of treatment.Result:The total effective rate and recovery rate in the treatment group were 93.3% and 61.7%,respectively,whereas that of the control group were 78.3% and 31.7%,respectively,showing a significant statistical difference.Conclusion:Combined acupuncture,tuina and traction worked well for cervical spondylotic radiculopathy.

Objective To investigate the effect of venlafaxine combined with antipsychotic drugs in the treatment of negative symptoms of schizophrenia.Methods In this study, 60 patients with schizophrenia who were treated and diagnosed in ankang hospital of Hangzhou public security bureau from June 2015 to November 2016 were randomly divided into the experimental group and the control group according to the time of admission.The control group was only given antipsychotic(risperidone);enrolifloxacin combined with antipsychotics(risperidone)was used in the experimental group.The patients were evaluated with the positive and negative symptoms scale, and the side effects were assessed by the Adverse Reaction Symptom Scale(TESS).A 12-week study was conducted.Results Compared with the results of this experiment, the scores of PANSS and the scores of the two groups were not different between the two groups before and after treatment.4,8,12 weekend negative group of experimental group and the difference was very significant before treatment;8,12 weekend negative control group score and before treatment is relatively poor.There were significant differences in negative factor scores between the two groups at 4, 8 and 12 weeks.There was significant difference between the two groups (P<0.05).Conclusion Risperidone combined with venlafaxine is effective in the treatment of schizophrenia with negative symptoms.It has good curative effect and high safety.It is worth popularizing in clinic.

DNA/genetics* ; Genotype ; Humans ; Infant ; Polymorphism, Single Nucleotide

Cardiomyopathies ; diagnosis ; etiology ; therapy ; Humans

ObjectiveTo investigate the clinical value of routine para - aortic lymphadenectomy in patients with stage Ⅰ B1 and Ⅱ A2 cervical cancers treated by surgical intent.Methods240 patients with stage Ⅰ B1 and Ⅱ A2 squamous cervical cancer were randomly divided into tow groups( group A and B).120 patients (group A) underwent radical hysterectomy with systematic pelvic lymphadenectomy and paraaortic lymphadenectomy.Other 120 patients (group B) underwent radical hysterectomy with systematic pelvic lymphadenectomy,additional para-aortic lymphadenectomy were carried out when para-aortic lymph nodes were identified as suspicious by visualization and palpation.The operation time,amount of surgical bleeding,length of stay,complications,and metastasis rates of pelvic lymph node,metastasis rates of common iliac lymph node and metastasis rates of para-aortic lymph node were analyzed between two groups.ResultsThe clinical characteristics of the patients had no statistically significant difference between the two groups.The length of stay and the complications of group A were significantly higher than group B ( P ＜0.05 ).During the 240 patients,the metastasis rates of pelvic lymph node,common iliac lymph node and para-aortic lymph node were 27.9％,10.8％ and 5.4％.The metastasis rate of para-aortic lymph node in group A was statistically higher than that in group B( 8.3％ vs 2.5％,P ＜0.05),whereas there had no significant difference of the metastasis rates of pelvic lymph node and common iliac lymph node between the two groups.ConclusionsRoutine para-aortic lymphadenectomy can be helpful to accurately predict the status of the para-aortic lymph node in patients with stage Ⅰ B1 and Ⅱ A2 cervical cancer,but the length of stay and the complications of operation will increase.

In France, home care is defined as an alternative to hospitalization.It aims at the patients who do not need full-time treatment in hospital, but who need the quality and technique of treatment which are same as hospital.It shortens the time of hospitalization, even sometimes to avoid hospitalization.This paper reviews home care and its application in neonatology in France, and discusses its application in China.

Objective To study Evaluation of serum soluble ST2 protein and brain natriuretic peptide(NT-proBNP)in patients with acute heart failure and prognosis of patients with acute heart failure.Methods Fifty cases patients with acute heart failure from April 2014 to April 2015 in the First Hospital of Traditional Chinese and Western Medicine of Beijing were researched.Detection of all patients with serum ST2,NT-proBNP,50 patients with acute heart failure were divided into heart failure group,50 healthy persons were selected as the control group.The control group and the observation group general heart failure data,the observation group and the control group of cardiac biomarker blood level,cardiac function level NT-proBNP blood concentration level,classification of cardiac function between ST2 blood concentration level were compared.Results Cr,BUN of heart failure group were higher than the control group,there was no significant difference between other indicators(P＞0.05).ST2((0.46±0.07)ng/L)in heart failure group was lower than the control group((0.66±0.20)ng/L),NT-proBNP((4160.20±57.49)ng/L)was higher than the control group((58.97±4.39)ng/L),heart function IV NT-proBNP blood concentration of the highest(9 428.29±75.93)ng/L,followed by grade III(1 921.01±30.27)ng/L,the second lowest(321.02±16.80)ng/L,(P＜0.01).Heart function IV level ST2 blood concentration was the highest(1.95±0.69)ng/L,followed by grade III(1.27±0.61)ng/L,class II minimum(0.78±0.24)ng/L(P＜0.01).Conclusion The serum ST2 and NT-proBNP are used to detect the patients with acute heart failure,can provide accurate diagnosis basis,has a very important value judgment on the classification and prognosis.

Objective To study the clinical features, efficacy and complications of the radiotherapy for cervical cancers in aged women. Methods Basing on the clinical stages, histologic types, differentiation of neoplasms, macroscopic types, sizes of cervical masses and vagina,542 female patients ≥ 60 years of age with cervical cancers were analyzed. The survival rates and sequelae were observed. Results The clinical stages, histologic types and differentiation of tumors in both ≥ 60 and

15 0 mU/L treatment with 20 mg levothyroxine a day was needed. Conclusions The thyroid function of elderly patients, taking low oral dose of aminodarone for cardiac arrhythmias, especially those with cardiac pacemaker was affected early (on the 6th day) and significantly. However, it recovered spontaneously but gradually in most of the cases even with abnormal thyroid hormone levels throughout the study. Therefore, oral low dose amiodarone (in one year) is safe for the elderly patients, but they must be monitored closely in the first 6 months.

Objective To explore the early diagnosis and treatment of delayed intraeranial haematoma.Methods To analyze the patients that were detected haematoma by first CT examine m Hospital, but were diagnosis of intracranial haematome consequently by CT reexamine and ICP monitor. Results 66 patients of delayed intracranial haematoma were evacuated and 30 patients died. The operative mortality was 45.5 %. Conclusion To burr bole in time and repeat CT scan will improve the prognosis of acute eneephalocele and deteriorating patients.