Objective:To observe the clinical efficacy of point needle embedding in treating constipation after thoracolumbar vertebral fracture.
Methods:By random number table based on the admission sequence, 85 patients with constipation after thoracolumbar vertebral fracture were randomized into an observation group of 43 cases and a control group of 42 cases. The observation group was intervened by point needle embedding with intradermal needles, while the control group was by point application with Chinese medication. The clinical efficacies were compared between the two groups after intervention.
Results:After treatment, the initial defecation time and bowel movement condition were compared. Despite the residual feeling in the initial defecation, the initial defecation time and bowel movements of the observation group were significantly superior to those of the control group (P<0.05,P<0.01); the total effective rate was 90.7% in the observation group versus 73.8% in the control group, and the difference was statistically significant (P<0.05).
Conclusion:Point needle embedding can produce a better therapeutic efficacy than Chinese medicinal application in treating constipation after thoracolumbar vertebral fracture; besides, it’s easy-to-operate.

Objective The quality function deployment (QFD) technique is used to quantitatively identify the improvement priorities of service factors. The study aims at identifying measures to improve community healthcare quality and methodology references for such improvement. Methods Based on the patients demand survey in the community, the AHP method is used to identify the importance of patient's needs, and then the house of quality (HOQ) technique of QFD is used to transfer such needs into the corresponding service elements of healthcare. Calculations in the end determine the final priorities of improvement measures. Results The top four priorities in the improvement include strengthening the service management and examination of the medical staff, improving the capabilities of medical staff, introducing moral evaluation for medical staff, introducing consultation &training for disease prevention, rehabilitation and healthcare. Conclusion Case studies in a community prove that quality function deployment (QFD) technique can effectively provide methodology reference for the improvement of community healthcare quality.