ObjectiveTo analyze the clinical value of anti-myelin basic protein (MBP) antibody in multiple sclerosis (MS).MethodsDetect the anti-MBP antibody in serum of 56 patients with MS, 30 patients with other neurological diseases (OND)and 36 normal control(NC).ResultsThe positive rate were 78.6% of MS, 50% of OND. There was significant difference amonge MS, OND and NC.ConclusionAnti-MBP antibody detection maybe provided evidence for the diagnosis and therapy of MS.

Objective To investigate and analyze uncertainty in illness and life quality among family members of patients in Neurosurgery Department, and explore the corresponding nursing. Methods A total of 125 family members were collected as the research object. Using The Mishel uncertainty in illness scale, medical outcomes study simplified 36 item scale (SF-36), the investigation and analysis of uncertainty in illness and quality of life had been done. Results The total score of uncertainty feeling in illness was ( 89. 47 ± 10. 92), of which average single clause obtained (2. 99 ± 0. 38). The clarity acquired the highest score, but shortage of information was lowest score. For each dimensions of life quality, the score of body function reached highest (90. 57 ± 13. 31) comparing with lowest score (60. 31 ± 32. 63) for affection role. Conclusions The uncertainty level in illness of patient′s family members in Neurosurgery Department is high, mainly for the uncertain and unpredictability, and the quality of life is affected. Nursing staffs should pay increasing attention to the family members of patients by the health education, communication, corresponding strategy guidance and other measures, to help families to reduce the uncertainty in illness, so as to improve the quality of life of patients and their families.

Objective To explore the effect of continuous suction by small pipe in trachea cannula for patients after tracheotomy.Methods Totally 60 patients with tracheotomy in Neurosurgery Ward and ICU, the Affiliated Hospital of School of Medicine of Ningbo University were included by purposive sampling from January 2015 to August 2016, and were divided into observation group (n=30) and control group (n=30) by random number table method. Tracheostomy mask joint oxygen Inhalation by heating humidifier was applied in both groups, without using breathing machine. Routine nursing methods of tracheotomy was carried out in the control group, while continuous suction by small pipe in trachea cannula were used in the observation group. Respiratory complications and nursing workload of the two groups were compared during the first week after tracheotomy.Results In observation group, there were 3 cases of irritative cough, 2 cases of respiratory hemorrhage, 3 cases of hypoxemia while sputum suctioning, and the complications rate was lower than control group(21, 14, 16), the differences were statistically significant (χ2=22.500, 12.273, 13.017;P<0.05). Times of suction in observation group and control group were (8.57±4.76) and (66.77±26.34), respectively, the difference was statistically significant (t=-11.908,P<0.01).Conclusions Continuous suction by small pipe in trachea cannula is a safe and effective method which could obviously reduce the respiratory complications while suctioning, decrease the times of endotracheal suction, as well as the workload of the nurse.