An introduction to the contemporary studies on the norms of medical service items pricing in China, and the regulatory role to be played by the Norms of Medical Service Items Pricing in China in the health reform. The paper comes up with the following recommendations for improving the existing pricing system of medical services as follows: 1) "Item-based pricing" is the basis for other medical payments; 2) Training of the trainers in the provinces to ensure correct implementation of the Norms; 3) Establishment of a catalogue for special medical consumables to enhance consumables management; 4) Establishment of a nationwide indexing system for medical service items pricing; 5) In-depth study on the medical payment models satisfying China's specifics; 6) Establishment of clinical treatment norms for individual disciplines; 7) Establishment of a coding system compliant with international standards.

Objective To investigate the effects of atorvastatin combined with Naoxintong capsules on serum lipid level and hish sensitivity C-reactive protein(hs-CRP)in patients with acute coronary syndrome(ACS).Methods 82 ACS patients were randomly divided into observation group(10 mg/d of atorvastatin and 4 capsules 3 times of Naoxintong daily,n=41) and control group(20 mg/d of simvastatin daily,n=41).The levels of serum lipid and hs-CRP were detected before and after treatment.Results 8 weeks after treatment,the levels of serum hpid[TC (4.21±0.87)mmol/L,TG(1.99±0.48)mmol/L,LDL-C(2.71±0.83) mmol/L] and serum hs-CRP(5.63±1.38)mg/L in observation group were significantly lower than those in control group[TC(4.89±0.91)mmol/L,TG (2.58±0.52)mmol/L,LDL-C(3.28±0.89)mmol/L],and serum level HDL-C(1.89±0.47)mmol/L was higher than that in control group(1.63±0.45)mmol/L(t=2.55-4.36,P<0.01～0.05).Conclusion Adjuvant therapy of Naoxintong could promote the levels of serum lipid and hs-CRP in patients with ACS.and offer a better therapeutic effect in these patients.

Image-guided radiotherapy(IGRT) is a new radiation technique ,following the three-dimensional conformal radiotherapy (3D-CRT)and intensity-modulated radiotherapy (IMRT).It is the important means to improve the accuracy and assure the quality of radiotherapy.IGRT develops and popularizes very quickly,and has superiority in treatment.

In this paper, the application of traditional Chinese medicine fumigating and hip bath therapy after anorectal surgery was reviewed, and its current situation was analyzed.

Objective To analyze the risk factors of acute organophosphate pesticide poisoning intermediate syndrome(IMS ),and discuss the corresponding nursing countermeasures. Methods From January 2007 to January 2011,50 cases of patients with acute organophosphate pesticide poisoning were collected as the research object.And we analyzed the risk factors of related intermediate syndrome. Results The incidence rate of acute organophosphate poisoning intermediate syndrome was 10.0％.IMS mainly occurred at age of 20～50 years old,rarely occurred at age of ＜20 and ＞50 years old.The incidence of IMS with oral intake was higher than respiratory poisoning and skin poisoning.The incidence of IMS caused by drugs of moderate toxicity was higher than drugs with high or low toxicity.The incidence of IMS patients who got atropinization within 2 hours was less than those without it.The incidence of IMS patients using aminoglycoside drugs was higher than those not using them. Conclusions Poisoning way,toxicity of toxicant,timely treatment,basic diseases,atropinization within 2 hours,and using aminoglycoside drugs can influence the condition and prognosis of intermediate syndrome caused by organophosphate pesticide poisoning.

Objective To discuss comfort nursing effect for rehabilitation exercise compliance of hip replacement patients. Methods 76 cases of senile hip replacement patients were retrospecrively analyzed and divided into the control group and the research group with 38 cases in each group, each received rourine nursing and comfort nursing. The nursing effect was compared between two groups. Results The research group was better in nursing satisfaction degree, comfort degree, complications such as infection and prosthesis dislocation and recovery exercise compliance compared with those of the control group. Conclusions Comfort nursing has considered patients' requirement and aiming to these requirements. So it can help patients to elevate the comfort degree, improve prognosis and satisfaction degree.

Objective To observe the effect of flupentixol and melitracen tablets combined with Yueju pills in the treatment of functional gastrointestinal disorders ( FGID) .Methods According to the digital table ,308 patients with FGID were selected and randomly divided into 4 groups,77 cases in each group.The control group were given conventional treatment .The treatment group was divided into 3 groups:group 1:flupentixol and melitracen tablets was added on the basis of routine therapy;group 2:Yueju pills was added on the basis of routine therapy;group 3:patients in this group used conventional treatment combined with flupentixol and melitracen tablets and Yueju pills .The period of treatment was 6 week,then their clinical symptoms were compared .Results The effective rate in group 1,2,3 was 79.2%,62.3%,94.8%,respectively,which was significantly higher than 19.4% in the control group(χ2 =54.96, 29.24,89.18,all P<0.05);while compared each treatment group ,the total effective rate in group 3 was obviously higher than that in group 1 ang group 2(χ2 =8.27,24.08,all P<0.05),and the total effective rate in group 1 was higher than that in group 1(χ2 =4.09,P<0.05).Conclusion Flupentixol and melitracen tablets combined with Yueju pills are more effective for treating functional gastrointestinal disorders than that of single drugusing .

In the treatment of 32 cases of bronchial asthma by injection of BCG polysaccharide nucleic acid (PSN) into Zusanli (ST 36), Dingchuan (Ex-B1) and Feishu (BL 13) in summer, the total effective rate reached 84. 4%, with T cell subgroup determined before and after the treatments at the same time. In summer, injection of PSN can enhance CD8+ (P＜ 0.01) for the patients in lower level, and reduce the enlarged ratio of CD4+/CD8+ (P ＜ 0.01), indicating this method can regulate the immune functions and provides a convenient and effective method to the treatment of bronchial asthma.

Objective To analyze the pathogens distribution and drug resistance in acute stroke with stroke associated pneumonia (SAP) patients,and provide references for proper clinical application of antibiotics.Methods A retrospective investigation was performed to analyze the pathogens and the drug resistance of 131 acute stroke with SAP patients.Results Among 148 strains of isolated pathogens,the Gram-negative bacteria accounted for 66.22％ (98/148),including Klebsiella pneumoniae,Pseudomonas aeruginosa,Escherichia coli,Acinetobacter baumannii,Enterobacter cloacae and so on.Gram-positive bacteria accounted for 26.35％ (38/148).Staphylococcus aureus ranked the first,followed by Coagulase negative staphylococcus and Enterococcus faecalis.Fungi accounted for 7.43％ (12/148),mainly including Candida albicans.They had varying degrees of resistance to commonly used antibiotics.Conclusions Gram-negative bacteria are predominant in SAP.Drug resistance is very serious,and the antibiotics should be selected in clinic according to the result of drug susceptibility test.

As the final step of the execution of the equipment purchase contract, acceptance check is very important for proper operation of the equipment.