Objective To understand the glucose metabolic pregnant women of the abnormal situation ,to ex-plore the risk factors of abnormal glucose metabolism during pregnancy .Methods 1 823 cases of pregnant women were collected ,use case-control study , pregnancy women with abnormal glucose metabolism during the same period were selected as case group ,select the same period in the hospital expectant healthy pregnant women ascontrol group , Using single factor and multi-factor Logistic regression to analysis of risk factors of gestational abnormal glucose me-tabolism.Results Sugar metabolism abnormal incidence of pregnant women was 5.76%;there were 31 cases of dia-betes,impaired glucose tolerance in 74 cases.The two groups of subjects of age ,BMI before pregnanly ,family history of diabetes,production times were significant difference (all P<0.05).With the increase of age,the incidence of abnormal blood glucose increase , but there was no difference between the age of diabetes and impaired glucose tolerance(P>0.05).The multi-factor Logistic regression of gestational abnormal glucose metabolism showed :age (OR=3.786,P=0.001),BMI before pregnanly(OR=2.424,P=0.013)and family history of diabetes(OR=1.554,P=0.003)were risk factors.Conclusion Age,family history of diabetes and pre pregnancy BMI are the risk factors of abnormal glucose metabolism during pregnancy .

Objective To investigate the difference of C reactive protein level detected by immunity transmission turbidity and dry immunofluorescence.Methods The clinical data of 56 patients with various kinds of infectious diseases who were treated in our hospital from September 2012 to January 2014 was retrospectively analyzed.Results The levels of C reactive protein in the obser-vation group detected by immunity transmission turbidity and dry immunofluorescence were significantly lower than those in the control group (P <0.05),and the positive rate of C reactive protein was significantly higher than that in the control group(P <0.05).Conclusion The levels of C reaction protein detected by immunity transmission turbidity and dry immunofluorescence in pa-tients with a variety of acute infectious diseases show no significant difference,suggesting that immunity transmission turbidity can be used as an alternative to dry immunofluorescence.

Objective: To investigate the effects of hexamethylene bisacetamide (HMBA) on apoptosis and the expression of bcl-2 in human mucoepidermoid carcinoma cell line MEC-1. Methods:MEC-1 cells were oxposed to 2 mmol/L HMBA or 1 mg/L 5 -Flourouracil (5 -FU ) for 72 hours. A poptosis index, the expression of bcl-2 protein and bcl-1 mRNA were determined by morphologic observation, terminal dUTP nick and labeling(TUNEL) stain, immunohistochemistry, in situ hybridization and image analysis. Results: Apoptosis indexes(%) in HMBA treated. 5-Fu treated and control cells were 68.5, 23.6 and 2.3 respectevely. The expression of bcl-2 protein and bcl-2 mRNA in HMBA treated cells was higher than in 5-Fu treated or the control cells(p

Objectives: To observe the efficacy of semiconducted laser photocoagulation on diabeticretinopathy(DR).　Methods: Retrospective analysis of 206 eyes from 140 patients receiving semiconducted laser photocoagulation therapy for DR.　Results:One hundred and eleven eyes were treated with PRP, 95 eyes were treated with mild-PRP. Visual acuity was increased by 1～3 lines in 82 eyes(35%), not changed in 94 eyes(46%) and decreased in 30 eyes(19%). On Fundus fluorescein angiography(FFA) 3 months later, new vessels shrinked and retinal edema recovered in most cases, but in 10 eyes, new vessels and small nonperfusional areas still could be seen after the treatment, which was treated again.　Conclusions: Timely and proper laser photocoagulation is an important treatment for DR, FFA is an essential guidance for this procedure.

Objectives:To observe the efficacy of doubling frequency laser for central retinal vein occlusion.　Methods:Twelve cases(13 eyes) of central retinal vein occlusion were treated with doubling frequency laser,4 eyes underwent panretinal photocoagulation, 9 eyes underwent regional retinal photocoagulation. The treatment varied from 1～3 times. Two cases received supplemental photocoagulation after reexamination. Fundus fluorescein angiography was performed in all the cases before and after the treatment and the results were compared.　Results:Laser spots were regular in perfusion area, pigment epithelium atrophy was mild and no fluorescein leakage was found at the border of nonperfusion area in the 9 eyes receiving regional photocoagulation treatment. Among the 4 eyes treated with panretinal photocoagulation, 2 eyes revealed neovascular atrophy at the posterior pole area; no fluorescein leakage was found and cystoid macular edema subsided. Another 2 eyes revealed neovascular regression and a little fluorescein leakage which needed supplemental photocoagulation. No neovascular increasing, perfusion area expanding or fluorescein leakage worsening were seen.　Conclusions:Laser therapy does not increase the central visual acuity but it dose help the absorption of retinal edema, hemorrhage and exudation, prevent the occurrence of proliferative vitreoretinopathy or neovascular glucoma and is protective to the present visual acuity.

Objective: To observe the curative effectiveness of laser therapy in 114 cases(120 eyes) posterior capsular opacity after intraocular lenses implantation in children.Methods: When the after-cataract appear,laser therapy should be performed as soon as possible.Under conscious condition,enable the children to cooperate maximally;short effect and mild mydriatic to dilate the pupil,a 4 mm diameter transparent zone in central was made allowing for satisfactory visual performance;Began with low energy(0.4 MJ) and increased progressively according to individual reaction,total energy was 20-30 MJ every time. Results: All the eyes' visual acuity recovered to the best level prior to posterior capsular(opacity) occurrence,corrected visual acuity 0.1-0.4 in 58 eyes,0.5-0.8 in 54 eyes,1.0 in 8 eyes.90 percent were succeed in one laser shot,no intraocular lenses damage was found in slit lamp microscope examination.Conclusion: laser can resect the posterior capsular opacity effectively,improve the visual function of the affected eye.Assisted with amblyopia treatment, laser capsulotomy play an important role in visual function reconstruction in these patients.

Objective To compare the adverse reactions and efficacy of dose-dense biweekly EC-T regimen with three-weekly TEC regimen in adjuvant chemotherapy for high risk breast cancer patients. Methods Fifty-one patients with high-risk breast cancer were divided into two groups according to random number table method. 27 cases in EC-T group: epirubicin 90 mg/m2, d1, cyclophosphamide 600 mg/m2, d1, every 2 weeks for 4 cycles followed by paclitaxel 175 mg/m2, d1, every 2 weeks for 4 cycles; 24 cases in TEC group: docetaxel 75 mg/m2, d1, epirubicin 75 mg/m2, d1, and cyclophosphamide 500 mg/m2, d1, every 3 weeks. All the patients in both groups received prophylactic granulocyte-colony stimulating factor 5 μg/(kg·d) from d3 of chemotherapy according to treatment protocol. The adverse reactions, disease-free survival (DFS) and overall survival (OS) were compared between the two groups using χ2 test. Results After a median follow-up of 31 months, the median DFS in the two groups were 28 months and 26 months, the 2-year DFS rates were 85.2 % and 79.2 %, and the 2-year OS rates were 100.0 % and 95.8 %. The EC-T group had higher median DFS, 2-year DFS and 2-year OS than the TEC group, but the differences were not statistically significant (all P> 0.05). The EC-T group had lower incidence of grade 3-4 leukopenia and neutropenia, grade 2-3 diarrhea than the TEC group, and no febrile neutropenia was observed in the EC-T group, the differences were statistically significant (all P< 0.05).However, the incidence of neurotoxicity, myodynia and arthrodynia were significantly higher in the EC-T group than those in the TEC group, the differences were statistically significant (both P< 0.05). Other adverse reactions, including anemia, nausea and vomiting, alopecia, liver dysfunction, and cardiac toxicity were similar between the two groups (all P > 0.05). Conclusion EC-T dose-dense biweekly regimen is well tolerated in adjuvant chemotherapy for high risk breast cancer patients with a trend to improve the DFS and OS when compared with the TEC regimen.

Objective To observe the efficacy and safety of albumin-bound paclitaxel on the patients with advanced malignance in more than the third-lines (including the third-lines).Methods 34 patients with advanced malignance diagnosed by pathological evidence accepted more than the third-lines (including the third-lines) chemotherapy containing albumin-bound paclitaxel after failure of chemotherapy.The efficacy and safety were observed.Results Totally 110 cycles chemotherapy were completed,with a mean of 3.24 cycles in each of the 34 patients.No CR patients,12 cases of PR,9 cases of SD and 13 cases of PD were found.The response rate (RR) was 35.29 ％ (12/34) and the disease control rate (DCR) was 61.76 ％ (21/34).The main toxicity was hematologic toxicity,including neutropenia in 26 cases (76.47 ％),anemia in 14 cases (41.18 ％) and thrombocytopenia in 3 cases (8.82 ％).Other common adverse reactions included alopecia in 27 patients (79.41％) and muscle and joint pain in 15 cases (44.18 ％).Conclusions The albumin-bound paclitaxel is effective and tolerable in patients with advanced malignance in more than the third-lines (include the thirdlines) chemotherapy.

Objective To investigate the effects of nuciferine on hyperlipidemia in mice and to clarify the molecular mechanism. Methods Mice were divided into three groups according to the diet: normal control group ( n=10 ) , model control group (n=10), and the intervention group (n=10). The normal control group was treated with common diet (ANI-76A feed:12. 4% fat, 68. 8% carbohydrate, 18. 8% protein). The model control group was induced with high fat diet (37. 1% fat, 42. 4% carbohydrate, 20. 5% protein). The intervention group was supplemented with 0. 5% nuciferine based on high fat diet. The mice were allowed free access to food and water for a total of 10 weeks. Several indices were analyzed in the 3 groups, including the body weight, serum lipid, lipid metabolism key enzyme, oxidative stress and metabolic pathway. Results Our results suggested that the high-fat diet-induced animal models developed obesity and dyslipidemia (P<0. 05). The body weight [(33.97±3.46) g vs. (27. 62±2. 87) g] and the serum lipid[(2. 73±0. 26) g vs. (1. 91±0. 21) g] were significantly decreased in the intervention group compared to the model control group (P<0. 05), except for the hypertriglyceridemia (P>0.05).Theactivityofhepaticlipidmetabolismkeyenzymes[(4.15±1.26) U·mL-1vs.(9.01±1.34) U·mL-1] andthe activity of hepatic lipase and lipoprotein lipase[(8.12±3.07) U·mL-1 vs.(13.48±3.75) U·mL-1] were elevated.Oxidative stress was also affected by nuciferine (P<0. 05). Mechanism study suggested that lipid synthesis genes (like SREBP-1c, FAS, SCD-1 and PPAR gamma mRNA) were up-regulated by high fat diet (P<0. 05), and the lipid oxidation metabolism genes, PPARαand CPT-1a mRNA, were down-regulated (P<0. 05), while the intervention group treatment reversed these changes (P<0. 05). Conclusion Nuciferine can improve hyperlipidemia, which might be related to the regulation of enzyme activity, oxidative stress and the changes of lipid synthesis and oxidative metabolism.

Objective To evaluate the clinical effect of acupuncture in the treatment of depression after stroke. Methods 90 patients with cerebral apoplexy were randomly divided into 2 groups according to the random number table, with 45 cases in each group. Patients in both groups were given routine western medicine treatment, and guided to carry out suitable limb function rehabilitation training. In addition, the control group was given traditional acupuncture treatment, while the treatment group was given the brain acupuncture treatment with tiaodu in addition to the traditional acupuncture treatment. Hamilton depression scale (HAMD) was used to assess the degree of depression, Chinese stroke scale (CSS) was used to evaluate the degree of neurological deficit, and barthel index (BI) was used to evaluate the activity of daily living (ADL). Results After treatment, the treatment group has a lower CSS score than that of the control group (11.38 ± 3.94 vs. 15.16 ± 4.52, t=4.229), and a lower HAMD score than that of the control group (6.25 ± 3.76 vs. 9.32 ± 5.06, t=3.267). Meanwhile, the treatment group has a higher BI score than that of the control group (69.22 ± 7.05 vs. 55.67 ± 6.21; t=9.675, P<0.01). Furthermore, the treatment group has statistically significant higher cure rate than that of the control group (62.2% vs. 33.3%;χ2=6.413, P=0.011). Conclusions Tiaodu brain acupuncture treatment of depression after stroke has obvious clinical curative effect, and is superior to other traditional acupuncture method.