Objective To discuss the clinical observation of diarrhea type irritable bowel syndrome with Shu-gan Jianpi prescription.Methods 82 cases of diarrhea-predominant irritable bowel syndrome were selected using a random number table,the observation group(n=45 )was treated with relieving liver and reinforcing spleen methods;the control group(n=37 )was treated with the universal application of clinical Pinaverium bromide,were observed after treatment of irritable bowel syndrome score,treatment effects as well as the clinical symptoms,the results were processed using SPSS 17.0 analysis.Results The scores of the two groups at 1 month after treatment,the control group was (157.38 ±72.72),the observation group was (101.52 ±60.16)(t=-7.994,P=0.000).The score of the two groups at 3 months after treatment,the control group was (172.71 ±62.91 ),the observation group was (109.92 ±42.38)(t=-8.428,P=0.000),the results had statistical significance;The total efficiency of the two groups at 1 month after treatment,the control group was 75.7%,the observation group was 95.6%(χ2 =6.909,P=0.019),the total efficiency of the two groups at 3 months after treatment,the control group was 86.5%,the observation group was 100%,the comparison was(χ2 =6.476,P=0.016),the results had statistical significance.On the aspect of the relieve of clinical symptoms,On the abdominal pain,the control group controlled 21cases,the observation group controlled 38 cases,compared(χ2 =7.713,P=0.007),On the diarrhea,the control group relieved 15 cases,the observation group relieved 30 cases,compared(χ2 =7.713,P=0.007),both had statistical significance.Conclusion The methods with relieving liver and reinforcing spleen,to the patients with irritable bowel syndrome medicine syndrome differentiation,play each medicine spleen and stomach,benefit lung and kidney tonic win effect,can effectively reduce symptoms and reduce IBS integration,reduce symptoms treatment results.

Objective To investigate the prevalence tendency and risk factors study of hematuria in occupational population of Changzhi city,Shanxi province.Methods Cluster sampling was used to select 29 852 occupational population from January 2007 to December 2010.Questionnaire survey,physical examinations and biochemical assessment were conducted among all subjects.Results A total of 5206 patients were indentified form all subject and enrolled in the final analysis.(1) The number of newly diagnosed cases increased year by year and females was highter than males (P ＜0.01).(2)Mixed hematuria rate increased from 22.5％ in 2007 to 45.3％ in 2010; and homogeneity hematuria decreased from 58.1％ to 14.9％ ;non-uniformity of hematuria increased from 19.3％ to 39.8％.(3) High triglycerides,and age ＞ 50 years were the a major risk factors of hematuria.The main risk factors in young group (＜ 39 years) was a major risk included urinary tract infections,stones,and physical exertion.Conclusion The hematuria rate in female higher than that of male patient.For men hematuria,high triglycerides,prostatic hypertrophy,age ＞ 50 years,high cholesterol were the risk factors.As for women,high triglycerides,gynecological diseases,age ＞ 50 years.High triglycerides and physical exertion were associated with hematuria.

Objective To investigate the effects of professional benefit recognition to stress coping of tuberculosis nurses. Methods A total of 82 tuberculosis nurses were assigned into experimental and control groups by random digits table method with 41 cases each. The experimental group was given four times of professional benefit recognition interventions in additional to regular training, while control group was just given regular training. The two groups were asked to complete the Professional Benefit Recognition questionnaires and Stress Coping Style questionnaires before the intervention and 1 month after the intervention, respectively. Results Before the intervention, the scores of the Professional Benefit Recognition questionnaires and Stress Coping Style questionnaires between two groups had no significant difference (P>0.05). After the intervention, the Professional Benefit Recognition questionnaires scores of experimental group increased from ( 2.93 ± 0.40) points to (3.81±0.38) points that was significantly better than that of control group(2.99±0.39) points, and there were significant differences (t=49.337,-60.834, P<0.05). The immature and mixed Stress Coping Style questionnaires scores of experimental group: self- accusation, illusion, avoidance, rationalization were (0.51 ± 0.13) , (0.51 ± 0.24), (0.56 ± 0.21), (0.51 ± 0.16) points, which were significantly lower than before the intervention (0.70 ± 0.09), (0.65 ± 0.10), (0.67 ± 0.14), (0.67 ± 0.08) points and that of control group (0.63 ± 0.16), (0.65 ± 0.18), (0.68 ± 0.18), (0.64 ± 0.13) points, with the difference being significant (t=-4.071--2.541, P<0.05). The mature coping scores of the experimental group:problem solving, appealing were (0.70 ± 0.10), (0.67 ± 0.13) points, which were significantly higher than that of control group (0.63 ± 0.12), (0.58 ± 0.15) points and that of experimental group before the intervention (0.55 ± 0.12), (0.51 ± 0.11) points, with the difference being significant (t=2.308, 2.098, P <0.05). Conclusions Professional benefit recognition interventions can improve professional benefit recognition and stress coping style, is beneficial to nurses' physical and mental health and nursing quality.

Reticulocyte is the immature stage of red blood cell,which is an important indicator to reflect the hematopoietic function of bone marrow and to determine the efficacy of anemia and related diseases.In recent years, full-automatic blood cell analyzer provides reticulocyte count with advanced detection means, and more related parameters.In this paper,the correlation detection of reticulocyte parameters and its clinical application were summa-rized.

According to the theory of optimization by ???? ??????????????(俄).this essay propounds two ideal about medical ethics of ethics and the clinic practice.The second involves the optimize methodology including self-study.classroom teaching and case discussion;Via multimedia and network.

Objective To study the clinical diagnostic value of MCV, MCH and RDW in children with iron deficiency anemia.Methods40 cases of children with iron deficiency anemia in our hospital from May 2014 to May 2016, were selected as iron deficiency anemia group, another 40 healthy children were chosen in our hospital underwent the healthy control group, using imported reagent in 2h in the MCV, MCH and RDW index value is read out, and then the children of the two groups of MCV, MCH and RDW values were statistically analyzed.ResultsThe levels of iron, and zinc in children with iron deficiency anemia were significantly lower than those in healthy control group (P<0.05), but there was no significant difference in copper, calcium and magnesium levels between the two groups;The MCV and MCH values of children with iron deficiency anemia group were significantly lower than those in healthy control group (P<0.05),the RDW value was significantly higher than that in healthy control group (P<0.05).ConclusionMCV, MCH and RDW detection for clinical diagnosis of iron deficiency anemia in children is high, can be an effective basis for clinical prevention and early diagnosis and treatment of iron deficiency anemia in children, it is worthy of clinical application.

Objective:To evaluate radiography,CT,MRI,and DSA in the diagnosis of chondrosarcomas in pelvis.Methods:A retrospective review was conducted of 14 radiographs,14 CT scans,9 MR images and 6 DSA obtained in 14 patients with histologically proved chondrosarcoma.Results:The sites of tumor occurrence were ilium(4 cases),sacrum(3 cases),both ilium and sacrum(6 cases),and ischium(1 case).Mean tumor size at diagnosis was 9.3 cm(range,3～16cm).Of the 14 cases,allmanifested osteolytic lesions associated with cortical destruction on radiography,CT scans and MR images.Intraosseous calcification suggestive of a cartilage tumor was present in 9 cases on radiographs and 14 cases on CT scans.An associated soft-tissue mass was identified in 11 cases on radiographs,14 cases on CT scans and 9 cases on MR images.Ten of 14 CT scans and 8 of 9 MR images were obtained after intravenous administration of contrast material.The tumors demonstrated heterogeneous enhancement on CT scans and MR images.Six cases of DSA showed abundant blood supply and above 2 feeding arteries.The surgery was done 2～3 days after embolism by spongia gelatinosa.Conclusions:Destruction of bone,soft-tissue mass and cartilage calcification are the characteristic imaging features of the chondrosarcoma.Each imaging modality has advantages and disadvantages.CT and MR images can reflect the pathology of the pelvic chondrosarcoma.Correct diagnosis before operation is useful to the surgeons.

With the liver transplantation surgery technology progress and improvement of perioperative management in recent years,pediatric liver transplantation has been gradually developed.The primary disease of liver transplant recipients in children is different from adult liver transplant recipients,mainly with benign end-stage liver disease,such as biliary atresia and some congenital genetic metabolic diseases.Understanding and mastering the indications of child liver transplantation and the timing of surgery can make many children with end-stage liver disease treatment and access to good long-term survival.

Objective In order to investigate the causes of postpartum hemonrrhage,and make clear the corresponding counter nursing measure. Methods The data of 103 patients with postpartum hemorrhage was selected and analyzed, the coresponding nmsing measures of the patients were summaried. Results The cur-ing rate of postpartum hemorrhage was 99.1%, the postpartum hemorrhage symptom greatly alleviated after abo-rative nursing. Conclusions The clinical intervention can reduce incidence of postparturn hemorrhage,in-crease the curing rate of it and lower the mortality rate of pregnant women.

Ventilator-associated pneumonia is a complication of mechanical ventilation and also important types of nosocomial infection. With the extensive use of ventilators, neonatal ventilator-associated pneumonia in a growing trend severely affected the success rate of the critically ill neonates, which has become a neonatal ventilator dependence and major cause of death. Taking reasonable and timely diagnosis and treatment is an urgent issue. This article focuses on the current diagnosis and treatment of ventilator-associated pneumonia in progress,especially in the diagnosis of etiology and treatment.