0.05). Conclusions Chu capsule and pill have similar therapeutic efficacy and safety in treatment of acute gastro enteritis.

To explore the effect of icariside ? on osteoprotegerin(OPG) expression in osteoblasts, primary osteoblasts were cultured with different concentration of icariside ? and 17?estradiol. As a major metabolite of icarrin in vivo, icariside ? exerted a better effect on OPG expression which plays a key role in osteoporosis. 20 ng/dl icariside ? also exerted better effect on OPG secretion than that of positive control group. Consequently, icariside ?could be a candidate for osteoporosis treatment.

Objective:To investigate the relationship between serum total bilirubin and diabetic retinopathy (DR) in type 2 diabetes mellitus.Methods:A retrospective analysis was performed on 1676 patients with type 2 diabetes who were admitted to the Department of Endocrinology, the Third Affiliated Hospital of Anhui Medical University (Hefei First People′s Hospital) from January 2010 to December 2016. According to the fundus examination results, they were divided into diabetic retinopathy group (DR group) and the non-diabetic retinopathy group (NDR group). The clinical data of the two groups were compared and divided into Q1, Q2 and Q3 groups according to the total bilirubin trigrams to analyze the correlation between the serum total bilirubin level and the occurrence of DR.Results:The comparison between the two groups showed that the serum total bilirubin, direct bilirubin and indirect bilirubin of DR group were lower than those of NDR group ( P<0.05), and the age, disease course, systolic blood pressure, urea nitrogen and blood uric acid of DR group were higher than that of NDR group ( P<0.05). When the risk factors between the two groups were included in the binary logistic regression equation, it was found that serum total bilirubin was protective factor of DR( OR: 0.922, 95% CI: 0.893-0.952), and disease course, systolic blood pressure and urea nitrogen were independent risk factors of DR. When the serum total bilirubin level was further divided into the third quadrant, the OR value of diabetic retinopathy in the third quadrant was 0.455 (95% CI: 0.328-0.629) compared with the first quadrant, after adjusting for confounding factors. Conclusions:Serum total bilirubin is the protective factor of DR and it may be an early clinical marker to predict the occurrence of DR. For patients with low serum bilirubin, the levels of urea nitrogen and systolic blood pressure should be closely monitored, which is of great significance for the prevention and treatment of DR.

Objcetive: To explore the treatment of long segment defect of tibia by using tensor fascia lata combined with iliac flap or deep circumflex iliac pedicle iliac flap. Methods: From February 2012 to August 2017, The People′s Hospital of Zun Yi City Bo Zhou District treated 16 patients who had long segment defect of tibia.There were 11 males and 5 females, age from 22 to 58 years old, the average age was 42 years old. Iliac flap grafting with tensor fascia lata combined with iliac flap or deep circumflex iliac pedicle was used to treat the defect of long segment of tibia. There were 4 cases with simple tibial defect and 12 cases with skin defect. The longest tibial defect was 5-8 cm. Results: In this study, four patients used iliac flaps with deep circumflex iliac pedicle, the area of flaps ranged from 2.5 cm×5.0 cm to 5.0 cm×10.0 cm, while the area of iliac flaps ranged from 5.0 cm×2.5 cm to 8.0 cm×4.0 cm. Twelve patients used grafting with tensor fascia lata combined with iliac flap, the area of flaps ranged from 5.0 cm×12.0 cm to 12.0 cm×23.0 cm, while the area of iliac flaps ranged from 7.0 cm×2.0 cm to 8.0 cm×4.0 cm. All 16 cases of bone flap were survived, fracture healing, without surgical complications. The average follow-up period was 1.5 years, the flaps had good appearance in 10 cases and was slightly bloated in 6 cases; the ankle had normal motion in 14 cases and had poor dorsal extension in 2 cases. X-ray films showed that the bone flap repaired the bone defects and reached bone healing. Conclusions Vascularized tensor fascia lata combined with iliac flap or deep circumflex iliac pedicle iliac flap grafts increase local blood supply and accelerate the process of fracture healing.