Objective To analyze the change in immune function and therapeutic effectiveness of children with im-mune thrombocytopenic purpura and Helicobacter pylori(H. pylori)infection. Methods Eighty hospitalized chil-dren with thrombocytopenic purpura between March 2011 and March 2012 were as observation group,and then sub-divided into infected group and non-infected group according to whether they were infected with H. pylori;80 healthy children were as control group . Lymphocyte subsets ,clinical therapeutic effectiveness and recurrence rate among three groups were compared. Results The positive rate of H. pylori in observation group was significantly higher than control group(55.00% [44/80]vs 2.50% [2/80];χ2= 12.48,P= 0.008). There was significant differences in CD4+,CD4+/CD8+ ,and CD19+T lymphocyte among three groups (all P<0.05);CD4+ and CD4+/CD8+ T lymphocyte in infected group was significantly lower than non-infected group respectively ([13.40±4.65]% )vs [28.56± 3.82]% ;[0.69±0.18]% vs [1.04±0.23]% ),and CD19+T lymphocyte in infected group was significantly higher than non-infected group ([45.21±10.20]% vs [22.05±2.23]% );CD4+ and CD4+/CD8+T lymphocyte in non-in-fected group and infected group was significantly lower than control group ([40.20±3.42]% ,[1.54±0.42]% respec-tively),and CD19+T lymphocyte was significantly higher than control group ([11.02±2.89]% ). The overall therapeu-tic effectiveness in infected group and non-infected group was 90.91% and 91.67% respectively(P>0.05). The recur-rence rate of thrombocytopenic purpura after anti-H.pylori infection therapy in infected group was significantly lower than non-infected group (20.45% vs 30.56% ;χ2= 6.396,P= 0.038). Conclusion Detection of immune function is helpful for clinical diagnosis of H. pylori infection associated with immune thrombocytopenic purpura .

OBJECTIVE:To establish a HPLC method for content determination of ginsenoside Rg1 in Fufangtianqi dropping pills.METHODS:The separation was performed on a Shim-pack VP-ODS column at the 25℃,the mobile phase was composed of a mixture of acetonitrile-water(25∶75),the flow rate was 1.0 ml/min,the ultraviolet wavelength was 210nm,the samplesize was 20?l.RESULTS:The linear range of gindenoside Rg1 was 37.2～186.0?g/ml(r=0.9 999),and the average recovery was 101.01%(RSD=0.90%,n=5).CONCLUSIONS:This method is simple,sensitive and accurate,and can be available for the quality control of Fufangtianqi dropping pills.

Head and neck surgery is a relatively young discipline. Since 1937,it has made important advances. In the past, the patients had to sacrifice their involved organs in order to survive, but now we have to think not only of the survival rate of the patients,but also should pay more and more attention to improve their quality of life. The plan of treatmant must consider multimodality therapy and function preservation. To attain this goal, we should pay attention to laparoscopic surgery and sentinal node biopsy as well as possibility of gene therapy in head and neck tumors. In addition, we should investigate to application of molecular biology in head and neck surgery.

Objective To establish a HPLC method for the content determination of berberine hydrochloride in Xiaozhi Granule. Methods HPLC was performed on ODS column, the mobile phase consisting of acetonitrile-0.5%acetic acid (20∶80)and detection wavelength at 346 nm. Results The linearity of berberine hydrochloride was good in the range of 3.84～38.4?g/mL (r=0.9998), and the average recovery was 100.52 %, RSD=l.08 %(n=5). Conclusion This method was simple, sensitive and accurate , and can be used for the quality control of Xiaozhi Granule.

Objective To establish a method for the content determination of shikonin in Radix Arnebiae Oil by HPLC.Methods The content of shikonin was determined by HPLC and the chromatographic conditions were: Shim-pack VP-ODS column(4.6 mm?250 mm),the mobile phase consisting of methanol-0.025 mol/L H3PO4(85 ∶15),detection wavelength being 516 nm,tempeature at 25 ℃and the flow rate being 20 ?L.Results A good linearity of shikonin was in the range of 11.2 ?g/mL～33.6 ?g/mL(r=0.9998),and the average recovery rate was 101.03 %,RSD=1.91%.Conclusion This method was simple,accurate and with a good reproducibility and can be used for the quality control of Radix Amebiae Oil.

Objective To investigate the clinical efficacy of porous calcium phosphate bioceramics (PTCP)for treating stage FicatⅢ non-traumatic osteonecrosis of the femoral head(ONFH)in the patients aged below 60 years old.Methods A total of 41 patients (63 hips)with non-traumatic ONFH in our hospital from March 2006 to July 2009 were collected and divided into two groups.The group A (n=1 6)was performed the core decompression only,while the group B (n=25)was performed the core de-compression plus through the head-neck junction of the femur to opening the window light bulb shape focus debridement and impac-ting bone grafting combined with PTCP implantation.The various clinical evaluation indicators were observed and evaluated.Results No statistically significant differences in PRI were found at each time point in the group A.PRI at postoperative 1 month in the group B was significantly decreased than before operation,hereafter,the stable status was maintained and slightly risen again until postoperative 3 years(P =0.033).The Harris scores at postoperative all time points in the group A were significantly lower than those in the group B.The necrosis areas at postoperative 24 months,3,4,5 years in the group B were significantly decreased com-pared with before operation and lower than those in the group A.Conclusion PTCP implantation has satisfactory effect for the treatment of stage FicatⅢ non-traumatic ONFH in the patients aged below 60 years old.

Nowadays,medical university students' mental quality is a question that shouldn't be ignored.This paper analyzed the causes of mental problems of medical university students,emphasized the importance of mental quality education in clinical practice and put forward methods of mental quality education in clinical practice.

Objective To analyze the relationship between renal function impairement and obesity in patients with primary hypertension.Methods One hundred and twenty-eight primary hypertension patients with renal function impairement admitted to our hospital from January 2012 to December 2015 were divided into obesity group (n=68) and control group (n=60) according to the Asian obesity diagnosis criteria established by the International Diabetes Federation.Relationship of serum urea nitrogen (BUN),creatinine,cystatin C (Cys-C),urinary N-acetyl beta-D glucosaminidase (NAG),urinary micro albumin levels and BMI with renal function impairment in primary hypertension patients was analyzed by multivariate linear stepwise regression analysis.Results The BMI,serum levels of urinary NAG,Cys-C,BUN,and creatinine were significantly higher in obesity group than in control group (31.70±1.80 kg/m2 vs 23.95±2.00 kg/m2,19.34±1.40 U/L vs 14.92±1.31 U/L,0.69±0.06 mg/L vs 0.47±0.05 mg/L,11.50±2.90 mmol/L vs 8.60±1.90 mmol/L,159.50±10.40 μmol/L vs 148.90±10.70 μmol/L,P＜0.05).The incidence of urinary micro albumin was significantly higher in obesity group than in control group (79.4％ vs 46.7 ％,P＜ 0.01).Blood pressure,pulse pressure difference,BMI,fasting blood glucose,serum levels of ereatinine,urinary NAG,Cys-C,BUN and urinary micro albumin were the risk factors for renal function impairement in primary hypertension patients (P＜0.05,P＜0.01).Conclusion Renal function impairement is related with obesity in primary hypertension patients.

Purpose：To determine the treatments and prognostic predictors of malignant melanoma of the head and neck. Methods：Surgical treatment and outcome was analyzed for 28 patients with malignant melanoma of the head and neck at department of the head and neck of our hospital (1984-1994). Results：23 patients underwent local excised as the first treatment, and local recurrence was demonstrated in 8 (34.8%). Margin of resection of primary melanoma was divided into narrow excision (≤2 cm) and wide excision (＞2 cm), and 5-year survival was 58% and 40%(P＜0.01). According to surgical methods, 5-year survival of WE, WE/END and WE/TLND were 80%, 80% and 39%. Conclusions：An excision with 2 cm margin is safe procedure for primary tumor of malignant melanoma of the head and neck. Neck dissection may not be practiced until neck lymph node is positive. Neck dissections differ from the positions of the primary tumors, and the flaps must be raised preferably superficial to the platysma.

Thyroid carcinoma is one of the most common diseases in the head and neck area. With the advance of innovative technologies like ultrasound ,fine-needle aspiration and PET-CT, the number of patients diagnosed as thyroid carcinoma has grow rapidly during the past ten years. As a special structure in papillary tumors and appearing as microcalcification in the imaging examination, psammoma body has been considered of great significance in the diagnosis of thyroid carcinoma. Psammoma body has unique features in terms of pathology, cytology and imageology.The study of the mechanism of psammoma body formation is very important for the clinic to differentiate the disease from others. In this article, we summarized the role of psammoma body in the study of thyroid cancer.