The article summarized recent studies on the composition and activity analysis,as well as the clinical application and mechanism of citrus aurantium and its prescriptions,in an attempt to provide theoretical evidence for the clinical application of citrus aurantium on improving gastrointestinal motility.

Objective To study the reLationship between blood group antibody IgG titer of pregnant women and ABe hemolytic disease of newborn(HDN).Methods Blood group antibody IgG titem of 2700 pregnant women who is O and Rh positive with a non-O husband were detected.After bom,blood groups,Coomb's test,free antibody and antibody release test were done for those 280 babies who were in high risk of HDN.so that we could understand the relationship between the anlibody IgG level of pregnant women and ABO-HDN.Results The percent of anti-A (B)IgG titer＜64,64,128,256 and≥512 in the 2700 O type pregnant women was 62.4%,16.8%,12.6%,5.8%and 2.4%,respectively.There were 67 babies suffered from HDN in those 280 bahies who had high risk.which accounted for 23.9%.With the anti-A (B)IgG liter was 64,128,256 and≥512,the percent of HND positive was 10.2%,27.8%,45.7% and 50.0%,respectively (P＜0.01).Conclusion There is a positive relationship between blood group antibody IgG liter of pregnant women and ABO-HDN.It is necessary for the pregnant women to detect the level of anti-A(B)IgG.

Objective To study the clinical application value of detection of IgA content in blood recipients before transfusion .Methods 300 blood recipients were selected as the research subjects ,and the content of IgA was detected before blood transfusion .Results Through the analysis of 300 blood recipients,IgA content of 5 cases was lower than the normal reference value ,the incidence rate of IgA deficiency or low was 1.7%;the IgA content of other 295 cases was in the normal reference value ,the normal rate of IgA was 98.3%.5 blood recipients with IgA deficiency or low were associated with hypersensitivity reactions ,the incidence rate was 100%.Of 295 cases with normal content of IgA,2 cases associated with hypersensitivity reactions ,the incidence rate was 0.7%,the difference between the two groups was statistically significant (χ2 =7.45,P<0.05).Conclusion Determination of IgA content in blood recipi-ents before blood transfusion can effectively guide the correct transfusion ,reduce and prevent the occurrence of hyper-sensitivity reactions of transfusion ,improve the safety of blood transfusion ,which has important application value in clinical practice .

Objective To investigate the clinical significance and application value of the irregular antibody test before transfusion.Methods The irregular antibody test was conducted in 2 500 patients before blood transfusion.Results Through the analysis of irregular antibody examination of 2 500 patients with blood transfusion,15 cases appeared irregular antibodies in the serum,the positive rate was 0.60％.The positive rate of male irregular antibody was 0.12％ (3/2 500),the positive rate of female irregular antibody was 0.48％ (12/2 500).The positive rate of female irregular antibody was significantly higher than that of male irregular antibody (x2 =7.34,P ＜ 0.05) ; The irregular antibodies were mainly anti C,anti D,anti E and anti M type and non-specific antibody,the proportions were 13.3％,26.7％,20.0％,33.3％,6.7％.The incidence rate of blood transfusion hypersensitivity reactions in irregular antibody positive donor was 100.0％,that in irregular antibody negative patients was 0.0％,the difference between the two groups was statistically significant (x2 =9.28,P ＜ 0.05).Conclusion Irregular antibody test in patients before blood transfusion can effectively guide the patients to correct blood transfusion,and can effectively prevent and reduce blood transfusion hypersensitivity,improve the safety in the process of blood transfusion.

Objective To investigate the effect of Naloxone in the pre-hospital care of AOPP.Methods 54 patients with the pre-hospital care of AOPP were divideded into two groups.The treatment group was treated with Naloxone,Atropine and Pyridine aldoxime methyliodide,the control group treated with Atropine and Pyridine aldoxime methyliodide,and the results were analyzed using t-test and x2 test.The efficacy of the two groupswas compareded.Results In the treatment group,the mumber of drug delivery and the dosage of Atropine were less.The recovery time of the actirity of Cholinesterase and the patients coma were shorter.Complications and mortality was significantly lower,but the cure rate was significantly higher than that of the control group.Conclusion Naloxone is effective and safe in the treatment the pre-hospital care of AOPP.It is worthy of clinical promotion.

Mild Cognitive Impairment(MCI)is a transitional stage during the progress of cognitive Impairment. Through the analysis of the relativity of apolipoprotein E(apoE),apoE genetic polymorphism,phlegm stagnation and blood stasis,hyperlipemia and MCI,we got this conclusion:syndrome of phlegm stagnation and blood stasis is an important underlying pathogenesis of MCI:the syndrome of phlegm stagnation and blood stasis has a close relation to apoFe4 allele,and lipid-metabolism disturbance is a key link to this relation.

Introducing the current challenges of library of Institute of Information Research, China Rehabilitation Research Center,the paper puts forward the establishment of effective literature resources construction and reader service mechanism. Construction of library collection should be developed from two aspects, namely, the acquisition and integration parts, so as to develop characteristic,compound collections with both printed literatures and digital literatures. Reader service is not only including the traditional service but also covering deep-rooted professional information analysis and multiple types of services.

Objective To explore the procedure selection of laparoscopic surgery in the treatment of tubal pregnancy.Methods A total of 187 patients with tubal pregnancy was treated either by laparoscopic salpingectomy(102 patients,Group Ⅰ) or by laparoscopic oviduct fenestration(85 patients,Group Ⅱ). Results The surgical time was 40.4?9.9 min in the Group Ⅰ and 88.8?10.3 min in the Group Ⅱ.The intraoperative blood loss was 17.7?5.4 ml in the Group Ⅰ and 80.6?4.4 ml in the Group Ⅱ.The postoperative hospital stay was 3.8?0.5 d in the Group Ⅰ and 7.4?0.9 d in the Group Ⅱ.The postoperative time to normal serum ?-hCG levels was 7~14 d in the Group Ⅰ and 10~33 d in the Group Ⅱ.A follow-up was carried out in 116 patients.No recurrence of ectopic pregnancy happened in the Group Ⅰ(60 patients).In the Group Ⅱ(56 patients),hydrotubation or salpingography revealed patent oviduct in 37 patients,intrauterine pregnancy in 25 patients,and recurrence of tubal pregnancy at the same side in 2 patients. Conclusions Salpingectomy should be the first choice in the treatment of tubal pregnancy because of its short surgical time,short hospital stay,less intraoperative blood loss,and low complication incidence.Oviduct fenestration should be conducted only for patients with child-bearing demands,but we must be on our guard against the possibility of persistent ectopic pregnancy,and a salpingectomy or a conversion to open surgery should be performed immediately once the bleeding can not be stopped effectively during the operation.

Objective To study the inductive effect of targeted UVB phototherapy on skin hyperpigmentation and its mechanism.Methods Ten brownish guinea pigs were used to develop experimental models.After depilation,four adjacent areas were selected on the back of each guinea pigs and served as the control,low-dose,moderate-dose and high-dose group to receive targeted UVB irradiation with a cumulative dose of O,2500,3500,4500 mJ/cm2,respectively.After 6-week irradiation,the guinea pigs were sacrificed and skin sampies were obtained.The hyperpigmentation induced by UVB irradiation was estimated by naked eyes,staining for melanocytes(Imokawa method)and melanin granules(Masson-Fontana staining),respectively.Immunohistochemistry was carried out to determine the level of nitric oxide synthase and HE staining to observe epidermal histological changes.Results A statistical difference was observed in the pigmentation score,quantity of melanin granules and dopa-positive melanocyte number among the four groups (P<0.05),and the moderatedose group was higher than the high-dose group in terms of these parameters.The expression of inducible nitric oxide synthase increased in a radiation dose-dependent manner,and the median value for inducible nitric oxide synthase expression level was 0.50,1.25,1.75,2.00 in the control,low-dose,moderate-dose and highdose group,respectively(P<0.05).Conclusions Targeted UVB phototherapy can induce hyperpigmentation of the skin in brownish guinea pigs in a dose-dependent manner,but higher dose may not work better.To irradiate with an initial dose close to or slightly higher than the minimum erythema dose may result in a satisfactory effect with reduced cumulative dose and potential risk for cancer.

Objective To study the clinical effect of cervical loop electrosurgical excision procedure (LEEP) in diagnosis and treatment of cervical diseases (including cervical intraepithelial neoplasia of different grade, cervical erosion of moderate and severe degree, cervical with human papillomavims (HPV) infection and cervi-cal polyp) . Method The data of 136 cases with cervical disease treated by LEEP were analyzed retrospectively. Re-sult The postoperative diagnosis were upgraded in 18 cases (13.2%) ,and downgraded in 38cases (27.9 %) . The preoperative diagnosis of 80 cases (58.8 %) were in accordance with the postoperative ones. The difference was sig-nificant(P<0.05). The mean operative time was 11minutes, the mean bleeding volume was 15 ml. Postoperative bleeding of LEEP occurred in 2.2 % (3/136) patients. Postoperative cervical conglutination of LEEP occurred in 1. 5 % (2/136) patients. The cure rate of CIN was 96 % after LEEP. The residual CIN occurred in 4 patient (4 %). Recurrence CIN occurred in 2 patient (2 %). At 12th months after LEEP,the negative rate of HPV detection was 86. 7% and the persistent positive rate was 13.3%. The HPV clearance rate was increased gradually after LEEP. Conclu-sion LEEP was safe and effective for the treatment of the cervical disease and was a kind of good method to clear HPV infection in cervical.