Objective To investigate the efficacy of flurbiprofen cataplasms to muscle strain in patients with gastrointestinal diseases.Methods Patients with muscle strain were divided into flurbiprofen cataplasms group (with gastrointestinal diseases,20 cases) and flurbiprofen tablets group (without gastrointestinal diseases,22 cases).Before and 1,2,4 and 7 days after treatment,the numeric rating score (NRS) were evaluated and pain relief (PR),effective rate (ER) and satisfied rate (SR) were calculated and side effects were observed.Results There was no significant difference between flurbiprofen cataplasms group and flurbiprofen tablets group at 1,2,4 and 7 days after treatment [ER:80％ (16/20) vs.82％(18/22),90％(18/20) vs.100％(22/22),95％(19/20) vs.100％(22/22),95％(19/20) vs.95％(21/22)；SR:60％ (12/20) vs.82％ (18/22),90％ (18/20) vs.95％ (21/22),90％ (18/20) vs.95％ (21/22),95％(19/20) vs.95％ (21/22),P ＞ 0.05].There was no side effects in two groups.Conclusion Flurbiprofen cataplasms may alleviate the muscle strain effectively,especially suitable for patients with gastrointestinal diseases.

In order to understand the students'knowledge mastery,assess teaching effects and improve the quality of teaching,this article analyzed the test papers of Neurology among the five-year program clinical medicine students of Grade 2006 in our College.The results indicated that the mean score of the exam was 87.29 with a standard deviation of 7.90.The distribution was negatively skewed.The degree of difficulty was 0.78 and the discrimination is 0.19.The reliability was 0.59.It demonstrated that the test papers had a good reliability,the design of the test papers was too easy and could not reasonablely discriminate the degree in evaluating the students'mastery of the course.Therefore,we shoud pay attention to appropriate difficulty and ensare quality in preparing test papers to scientifically evaluate teaching quality.