Objective To observe the efficacy of bioelectric stimulation of the pelvic floor combined with acupuncture in treating detrusor urine weakness after transurethral resection of the prostate (TURP) in patients with prostate hyperplasia.Methods Forty-seven cases with detrusor urine weakness after TURP were randomly divided into an experimental group and a control group.All of the patients received routine bladder function training and medication.In addition,patients in the experimental group were treated with bioelectric stimulation of the pelvic floor and with acupuncture.The differences between the two groups were compared using the International Prostate Symptom Score (IPSS),maximum urine flow rate (MFR),average flow rate (AFR),detrusor pressure at peak flow (PdetQmax) and residual urine volume in the bladder.Results No significant difference was found between the two groups before treatment,but at two weeks after treatment MFR,AFR and PdetQmax were significantly higher in the experimental group than in the control group,and residual urine volume and IPSS were significantly lower.Conclusion Bioelectric stimulation of the pelvic floor combined with acupuncture is more effective than routine bladder function training and medication alone for alleviating detrusor urine weakness after TURP.

OBJECTIVE:To establish the quality standard of Tangkang capsule. METHODS:Momordica charantia L. and Euonymus alatus(Thunb.)Sieb.,the main ingredients in Tangkang capsule including were identified by TLC, meanwhile, the content of total Momordica charantian saponin was determined by UV-Vis. RESULTS: The TLC spots were clear and the separation degree was good. The linear range of Ginsenoside Rg1 was 72～252 ?g(r=0.999 7) with average recovery rate at 100.68% (RSD=1.43%,n=6). CONCLUSION: The established quality standard can be used for the quality control of this Tangkang capsule.

Objective To explore the methods of first-staged operation and its clinical efficacy in the carcinoma of left colon with obstruction.Methods The clinical datas of 15 cases of patients hospitalized in 1995 to 2005 were retrospectively analyzed.Results Incision infection and liquification occurred in 4 cases.No patient had severe complications such as fistula in anastomosis and infection of abdominal cavity.Conclusion The therapy of incison and anastomosis in the first-staged operation is practicable if we strictly control indications and improve procedures between the pre-and post-operation.

Electromagnetic Fields ; adverse effects ; Humans ; Occupational Exposure ; analysis ; Railroads

The author thinks the key to the problem is to prepare lessons wholeheartedly.The contents of preparing lessons consist of preparing teaching contents,preparing teaching methods and preparing for students.The secondary problem is the skill of classroom teaching.It consists of how to introduce new lesson,how to teach the key points elaborately and how to mobilize the enthusiasm of the students,etc.

Introduction is the beginning and epitome of a subject. To teach introduction well can arouse students’ great interest in this subject and strong thirst for knowledge. This article introduces experience and understanding of the author who have taught introduction class in medical immunology for many years.

Objective To investigate the effect of laparoscopic surgery on primary aldosteronism (PA).Methods 20 cases of PA treated by laparoscopic surgery from Jul.2009 to Jul.2011 were retrospectively analyzed,among whom 17 cases had adrenocortical adenoma and 3 cases had adrenal cortical hyperplasia.Results The mean surgical time was 63 (35 ～95 )min,the mean intraoperative blood loss was 50( 25 ～ 110)ml,and the mean hospital stay was 5.8 (4 ～ 8)d.Complication during or after surgery happened to 2 patients.They are both with light cutaneous emphysema.During the medium follow-up of 12(6～ 18 )months,serum potassium levels of all patients were normal,and 3 patients with high blood pressure still need hypotensive drug.Conclusion Laparoscopic resection of the whole or partial adrenal tumor is minimally invasive,safe and with confirmed effects,making it the preferred method for PA.

Objective:To investigate the cycling stability effect of methoxamine at low dose in cesarean section in order to find the optimal regimen for the prevention and treatment of hypotension during cesarean section. Methods:Totally 200 patients with scheduled cesarean section were selected and randomly divided into the experimental group and the control group with 100 ones in each. The ex-perimental group was anesthetized through L3-4 lumbar-peridural puncture immediately followed by the infusion of methoxamine, and the control group was anesthetized in the same way, and only when the blood pressure was dropped by more than 15%, the infusion of me-thoxamine was given immediately (2-3mg diluted to 20ml). The systolic blood pressure (SBP), diastolic blood pressure (DBP), heart rate ( HR) were compared between the two groups at five time points of before spinal anesthesia ( T0 ) , 5 min after spinal anesthe-sia ( T1 ) , 10 min after spinal anesthesia ( T2 ) , 15 min after spinal anesthesia ( T3 ) and the end of the operation ( T4 ) . The umbilical arterial blood gas and the 1-minute Apgar score of the newborn were recorded, and the adverse reactions in the two groups were com-pared. Results:In T1-T3, SBP and DBP in the two groups were significantly lower than those at T0(P<0. 05), and the decrease in the experimental group was more significant than that in the control group (P<0. 05). In T1-T4, HR in the control group was signifi-cantly lower than that in T0 , while HR in the experimental group had no significant difference when compared with that in T0 ( P>0.05), and HR in the control group was significantly lower than that in the experimental group in T1-T3(P<0.05). There were no significant differences in the scores of pH, PO2, PCO2 and Apgar of the newborn between the two groups (P>0. 05). The incidence of adverse reactions in the experimental group was significantly lower than that in the control group (P<0. 05). Conclusion: The prophylactic use of methoxamine through micro pump can maintain the cycling stability of cesarean section with higher reliability and without adverse effects on the newborn.

OBJECTIVE: To analyze the pathogenesis and clinical manifestations of delayed encephalopathy after acute carbon monoxide poisoning, and to investigate the method of complex treatment and the factors influencing prognosis.DATA SOURCE: Related papers were searched by computer in Chinese Journal Full-text Database (CJFD) from January 1983 to October 2000 and CBMdise with the terms of "acute, carbon monoxide poisoning, delayed,encephalopathy", and the language of paper was limited to Chinese.STUDY SELECTION: The papers relevant to the pathogenesis, clinical manifestation, treatment and prognosis of acute carbon monoxide poisoning were collected preliming screening. Inclusion criteria: ① Randomized controlled trial. ② Blind method was not restricted. Exclusion criteria: The same researches repeated.DATA EXTRACTION: A total of 240 pieces of paper related to acute carbon monoxide poisoning induced eneephalopathy were collected, among which, 24 pieces accorded with inclusion criteria.DATA SYNTHESIS: The pathogenesis of acute carbon monoxide poisoning induced encephalopathy was relatively complex, which should be deeply recognized from the clinical manifestations such as symptom, sign,electroencephalogram, cerebral CT and MRL The therapeutic methods included ①Neural cell agonist, vasodilator, anticoagulant and vitamin ②High pressure oxygen ③ Ultraviolet blood irradation and oxygenation, UBIO. ④ Acupuncture therapy. The factors influencing prognosis of delayed encephalopathy after acute carbon monoxide poisoning were usually related to age, degree of poisoning, complications and cure time.CONCLUSION: Acute carbon monoxide poisoning can cause encephalopathy, which is the result of multiple pathogenesis. There is no special treatment for it until now, and complex treatment should be used, but the curative effect is not ideal, and intellectual disturbance and extremity function disorder of different degree might be left after treatment, and agrypnocoma would exist for a long time.

Objective To investigate the fluorescence quantitative polymerase chain reaction and teat its diagnostic value of DNA(EBV-DNA)of EB virus in respiratory tract infection in children.Methods To adopt fluorescent quantitative PCR technology(FQ-PCR)to examine EBV-DNA in the aspirate specimen from 127 cases of children.Results 68 cases of EBV-DNA positive(53.5％),including 1year of age:12;3 years of age:23;5 years of age:18;7 years of age:10;9 years of age:3 and 13 years of age:2.The number of peripheral white blood cells ＞ 10.0× 109/L:21 cases;the number of white blood cells ＜ 10.0 × 109/L:8 cases;the number of mononuclear cells ＞ 10％:9 cases;abnormal lymphocyte ＞ 10％:10 cases;thrombocytopenia:4 cases;abnormal liver fumction:5 cases; myocardial enzyme abnormalities:8 cases.Conclusion The fluorescent quantitative PCR technology to test EB-DBA of respiratory tract infection in children had hight diagnostic value.