1.Influencing factors of the pregnant women with preeclampsia in blood pressure, glucose and lipid metabolism to hypertension after delivery
Bing LI ; Gaihua WANG ; Tianfang FU
Clinical Medicine of China 2016;32(2):181-184
Objective To explore the influencing factors of the pregnant women with preeclampsia in blood pressure,glucose and lipid metabolism to hypertension after delivery.Methods One hundred patients of preeclampsias in Obstetrics and Gynecology Department of Maternal and Child Care Sservice Centre of Weinan from April 2012 to May 2014 were selected as the observation group.One hundred maternal-health at the same period were selected as the control group.All observed objects were followed up from May 2014 to May 2015.The general situation,sugar metabolism,lipid metabolism were recorded when in group and folllowed up.The general situation,sugar metabolism,lipid metabolism in prenatal were contrasted in two groups of prenatal and postpartum.Influence factors for hypertension of preeclampsia in pregnant women after childbirth were analyzed.Results Family history of hypertension,history of long-term use of contraceptives,prenatal body mass index(BMI),postpartum BMI,systolic prenatal,antenatal diastolic in the observation group were higher than that in the control group.The differences were statistically significant (P< 0.05).The fasting glucose (FPG),fasting insulin antenatal,prenatal insulin resistance index,total cholesterol(TC),triglycerides (TG),low-density lipoprotein cholesterol (LDL-C) of prenatal and postpartum in the observation group were (4.51 ±0.48) mmol/L and (5.21±1.08) mmol/L,(10.11±3.88) mU/L and (9.68±4.97) mU/L,(1.64±0.65) and (2.34±1.48),(6.21±0.98) mmol/L and (5.14±0.51) mmol/L,(3.51±1.35) mmol/L and (1.41 ±0.79) mmol/L,(3.31±0.97) mmol/L and (2.69±0.56) mmol/L,higher than that in the control group ((4.12±0.51) mmol/L and (4.76±0.97) mmol/L,(8.19±2.99) mU/L and (7.25±3.96) mU/L,(1.47 ±0.42) and (1.79±0.79),(5.91± 1.01) mmol/L and (4.99±0.39) mmol/L,(2.96±0.87) mmol/L and (0.86±0.78) mmol/L,(3.01 ± 1.01) mmol/L and (2.46±0.47) mmol/L),the differences were statistically significant(t=5.238,3.690,2.069,2.005,3.225,2.015,2.917,3.600,3.089,2.200,4.661,2.961;P<0.05).Prenatal and postpartum BMI (OR =1.356,95% CI 1.012-2.102;OR =1.378,95% CI 1.034-2.609),fasting blood glucose level of prenatal(OR=1.753,95%CI 2.307-59.257) and postnatal fasting insulin levels(OR =1.351,95% CI 1.810-112.267),the difference of systolic pressure of prenatal and postnatal(OR=1.247,95%CI 1.208-108.323),the difference between prenatal and postnatal triglycerides (OR =1.119,95% CI 4.540-77.559),the difference of insulin resistance index (OR =1.529,95% CI 1.828-92.844) and the difference between high-density lipoprotein cholesterol hypertension (OR =2.547,95%CI 1.763-110.693) were the risk factors that can cause preeclampsia occurs hypertension after childbirth (P <0.05).Conclusion Preeclampsia with high blood pressure,abnormal glucose metabolism and lipid metabolism are the risk factors that can cause preeclampsia occurs hypertension after childbirth.
2.Matrix clinical quality in team education model: A Whole Framework Concept
Zhiyun TANG ; Tianfang ZENG ; Xiaodong WANG ; Li LI
Chinese Journal of Medical Education Research 2003;0(04):-
Objective To explore the whole framework concept of Matrix Clinical Quality in Team Education Model.Methods This paper analyzed the evolution process and basic situation of the volunteer team,summarized the characteristics of the framework concept of the team and the significance of this concept on the team education and member’s comprehensive quality.Results A whole framework concept of Matrix Clinical Quality in Team Education Model was put forward,the fundamental organization framework was set up and the definition of matrix.was clarified Conclusion This concept of MCQ in Team Education Model presented a new education model for medical students.
3.Literature analyses on distribution characteristics of TCM syndromes and syndrome elements of menopausal syndrome
Li LI ; Jie REN ; Caifeng DU ; Yi XIN ; Tianfang WANG
China Journal of Traditional Chinese Medicine and Pharmacy 2005;0(03):-
Objective: To probe into distribution on characteristics of TCM syndromes and syndromes elements of menopausal syndrome.Methods:The literature about menopausal syndrome in past 20 years were collected.The principle of evidence-based medicine was used to establish the databank with EpiData2.0,and the literature meeting the enrolled criteria were recorded and checked.SPSS12.0 software was adopted to analyze frequency-times of syndromes and syndromes elements.Results:The top three syndromes are yin-deficiency of both liver and kidney,yin-deficiency of kidney,yang-deficiency of kidney;The kidney,liver,and heart are the top three locations of syndromes elements;And yin-deficiency,yang-deficiency and fire are the top three pathogenesis types of syndromes elements.Conclusion: Distribution of TCM syndrome types of menopausal syndrome is scattered.It lead to clinical syndrome differentiation is complicated.Compared with it,syndrome elements can reflect the substance of disease more concise and active.
4.Effects of early enteral nutrition containing dietary fiber on nutritional status and immune function of patients following surgery for carcinoma of stomach
Bin WANG ; Tianfang HUA ; Jikun LI ; Jun CAO
Parenteral & Enteral Nutrition 1997;0(02):-
Objective: To evaluate the effects of enteral nutrition(EN) containing dietary fiber and parenteral nutrition(PN) on nutritional status and immune function of patients following surgery for carcinoma of stomach.Methods: 60 patients who underwent surgery for carcinoma of stomach were randomized to PN group(n=20),Pepti-2000(elemental diet) group(n=20) or Nutrison Multi Fibre(EN containing dietary fiber) group(n=20) for 7 days.Isocaloric and isonitrogenous nutritional supports began at the first day after operation and were maintained for a week.Nutritional variables such as body weight,serum albumin,transferin and accumulated nitrogen balance were measured preoperatively and on the 8th day after operation.Meanwhile,immune variables such as peripheral lymphocytes counts,subsets of lymphocytes(CD3,CD4,CD8,CD25),NK cells,serum immunoglobulins(IgG,IgM,IgA),complement system(C3,C4,CH50) and C-reactive protein(CRP) were also determined.Results: No serious complications occurred in all groups after surgery.Body weight decreased significantly in all groups(P
5.A comparative study of diagnostic characteristics of the homeopathic medicine and Chinese medicine
Qunce ZHANG ; Yemeng CHEN ; Hui LI ; Xin ZHENG ; Tianfang WANG
International Journal of Traditional Chinese Medicine 2010;32(5):446-447
Homeopathy is a relatively independent therapeutic system that is very popular in Europe and the United States. Although homeopathic medicine and Chinese medicine belongs to two different medical systems stemmed from two distinct cultural backgrounds, they do share similar philosophies, holistic treatment principles, and more importantly diagnostic approaches. This study focuses on homeopathic diagnosis and discusses its diagnostic strategies, laws and clinic practice characteristics through the comparison of homeopathic and Chinese medicine diagnosis.
6.Subjective and objective burden given by patients with mental disorder in family
Tianfang LI ; Debin HUANG ; Jing SUN ; Yin ZHENG ; Jie LI ; Yunpeng LAI
Chinese Journal of Tissue Engineering Research 2005;9(40):186-187
OBJECTIVE: To analyze the subjective and objective burden given by patients with mental disorder in a family, and probe into the family interference therapy model.METHODS: The method of looking up documentation was used to investigate the information about the family of patients with mental disorder. The study is to mainly investigate the burden status of Chinese family, observe the effect of social consensus on the family of the patients with mental disorder, detail explain and analyze the different burden and needs of the family of the patients with mental disorder in urban and rural area. Ant the same time, the family interference therapy model was introduced to apply in China.RESULTS: Objective family burden mainly includes economic burden and physical burden induced by earing for patients. Subjective burden are mainly mental crucifixion of the family member given by the patients with mental disorder; even severe mental injury. Social stigma can bring more serious subject burden to the Chinese family. Mental health services center reduces the depression of the family, and single-family session was used to further treat mental weakness and internal conflict of each family. The object to establish family support group was mainly to share the education and experience.CONCLUSION: Family members of the patients with mental disorder bear the subjective and objective burden. Family interference therapy can postpone the relapse of mental disorder, also improve the status of the patient in family and the harmonious degree of the whole family.
7.Connotation of "Fatigue" Symptom and Thought of Its Quantization Evaluation
Xiaolin XUE ; Tianfang WANG ; Yan ZHAO ; Chunguang YU ; Zhigeng LI ; Yuehua HE ; Xue LI ; Caifeng DU ;
China Journal of Traditional Chinese Medicine and Pharmacy 2005;0(05):-
This article analyzed the universality of fatigue existing and the significance of quantization evaluation on fatigue.It expounded the recognition of fatigue in traditional Chinese medicine,and further more proposed the methods of quantization evaluation on fatigue.
8.Symptom Characteristic of Stagnation of Liver-QI with Deficiency of the Spleen Syndrome and Modern Literature Study on Standards of Syndrome Differentiation
Yuping MA ; Tianfang WANG ; Xiaolin XUE ; Yanling LIU ; Yuehua HE ; Caifeng DU ; Xue LI ;
China Journal of Traditional Chinese Medicine and Pharmacy 2005;0(02):-
Now syndrome study becomes the important research content in our country' TCM field,normalization of the symptoms standardization of syndromes especially becomes scientific research focal point in this field,furthermore some studies exists the conditions of symptoms short of norm and standards of syndrome differentiation discordant,as well stagnation of liver-QI with deficiency of the spleen is clinical common syndrome,so this article carried out all round analysis and investigations on the modern literature of stagnation of liver-QI with deficiency of the spleen syndrome recent ten years,to aim at analyzing the symptom characteristic and standards of syndrome differentiation on stagnation of liver-QI with deficiency of the spleen syndrome,to provide the bases of standardization and normalization of stagnation of liver-QI with deficiency of the spleen syndrome.
9.Characteristics of traditional Chinese medicine syndromes and their element distributions in sub-health status: a modern literature review.
Yajing ZHANG ; Tianfang WANG ; Xiaolin XUE ; Jiajia WANG ; Guanru LI ; Ping HAN
Journal of Integrative Medicine 2008;6(12):1290-3
To probe into the characteristics of traditional Chinese medicine syndromes and their element distributions in sub-health status.