OBJECTIVE:To investigate situation and trend of proton pump inhibitors in 19 hospital of Hangzhou area and to provide reference for the research,production,sales and clinical application of this kind of drugs. METHODS:Utilization of proton pump inhibitors in 19 hospital of Hangzhou area during the period of 2004～2008 were analyzed statistically in respect of consumption sum,DDDs and DDC. RESULTS:Both consumption sum and DDDs of proton pump inhibitors increased quickly in recent five years. Amount of oral omeprazole(capsule and tablet)was the greatest among those categories and increased steadily. Amount of rabeprazole and esomeprazole as new type of proton pump inhibitors increased rapidly. CONCLUSION:Proton pump inhibitors have great potential for development. Omeprazole are widely used in the clinic as mature proton pump inhibitors.

OBJECTIVE: To develop a method for determination of the content of Dexamethasone acetate in Compound tretinoin ointment by RP-HPLC. METHODS: The separation was performed on C18 column with methanol: water (70∶30) as a mobile phase, wavelength of UV detector at 240nm. RESULTS: The linear range of Dexamethasone acetate was within 0.028 3～0.849 0?g(r=0.999 9). The average recovery of Dexamethasone acetate was 101.13%, with RSD at 1.28%. CONCLUSION: The method is simple, rapid and capable of producing good separation results. It can be applied to the quality control of Compound tretinoin ointment.

Echocardiography, Three-Dimensional ; Heart Defects, Congenital ; diagnostic imaging ; therapy ; Humans

Endocrine System Diseases ; diagnosis ; Hearing Disorders ; diagnosis ; Humans ; Infant, Newborn ; Metabolism, Inborn Errors ; diagnosis ; Neonatal Screening ; methods ; standards

BACKGROUND:Titanium zirconium niobium tin al oy (Ti-Zr-NB-Sn al oy) has good tissue structure, mechanical properties, corrosion resistance and biocompatibility, which is an ideal dental material. OBJECTIVE:To explore the efficacy and safety of Ti-Zr-NB-Sn al oy in dental restoration. METHODS:A retrospective analysis was performed on clinical data of 87 cases of dental defects, including 43 males and 44 females, aged 22-41 years. Of the 87 cases, 43 cases were repaired with Ti-Zr-NB-Sn al oy as observation group, and the other 44 cases were treated with nichrome as control group. After 36 months of fol ow-up, the therapeutic efficacy, dental restoration conditions, dental prosthesis conditions and patient satisfaction were observed and compared. RESULTS AND CONCLUSION:Al the 87 patients were fol owed up for 36 months. After the fol ow-up, the total effective rate and patient satisfaction were higher in the observation group than the control group (P<0.05). In the control group, there were four cases of swol en gums, four cases of bleeding gums, four cases of al ergies, three cases of gum gray line, and six cases of mucosal pain;in the observation group, there was only one case of swol en gums, and the dental restoration was better in the observation group than the control group (P<0.05). For the dental prosthesis, there were 10 cases of dental stent damage and 20 cases of dental stent loosening in the control group;and only one case of dental stent damage and one case of dental stent loosening in the observation, and the observation group was superior to the control group in the dental prosthesis (P<0.05). Experimental findings suggest that Ti-Zr-NB-Sn al oy for repair of dental defects has good biocompatibility and security.

Objective To investigate and improve the methods of nasal feeding to reduce the occurrence of complication such as diarrhea and vomiting.Methods We separated 140 patients with heavy craniocerebral injury into the control group (50 patients) and the experimental group (90 patients) according to different nasal feeding methods. For the control group traditional method was used. For the experimental group infusion pump was used to control infusion rate. The incidence of complication was compared between two groups. And within experimental group, the same nutrient solutions in respect of type and volume were infused during 10 hours, 16 hours, and 18 hours respectively. The relationship between infusion rate and the occurrence of complication was observed, analyzed and compared to seek for the most suitable enteral nutrition route which incurred the least complication.Results The incidence of diarrhea and vomiting in the experimental group was lower than that of the control group. And there were no significant differences in the occurrence of complication by using infusion pump at three different infusion rates within the experimental group. Conclusions The application of infusion pump in nasal feeding can reduce the incidence of complication and infusing nutrient solution at a slow rate was not necessary.

Objective To explore the clinical significance of gastric hyperplastic polyp pits under magnifying endoscopy. Methods Summary confirmed by magnifying endoscopy and pathological examination gastric hyperplastic po]yp's performance of magnifying endoscopy,Hp positive and the results of pathology during February 2004 to De-cember 2006. Results 55 patients found 116 gastric polyp,41.4% (48/116) with type A,26.7% (31/116) with type B,19. 8% (23/116) with type C,8. 6% (10/116) with type D,2. 6% (3/116) with type E,one case gastric pits blurred(type F) 0. 9% (1/116). 4 cases with type E and type F found moderate-severe atypical hyperplasia. Conclu-sion Gastric hyperplastic polyp pits with type E and type F ,their results of pathology to display atypical hyperplasia.

Objective To study the clinical effects of breast-preserving surgery in early-stage breast cancer. Methods From March 2002 to March 2007, 27 cases of early-stage breast cancer were treated with breast-preser-ving surgery. The control group had 28 cases, treated with radical mastectomy. Survival rate and recurrence rate were observed. Results The short-term progress of breast-preserving surgery in early-stage breast cancer had no significant difference with that of radical mastectomy. Plastic effects of breast were satisfied. Conclusion Breast- preserving surgery in early-stage breast cancer had favorable effects both in progress and in plastic. Therefore, it is warranted for wide use.

Objective To study serum lipid levels in Uygur and Han nationalities in Urumqi of xinjiang, and their related risk actors. Methods Form 2004 to2007, 4 329 subjects were gathered from Urumqi Uygur and Han nationalities, all participants had a physical examination and serum lipid glucose test. Results The level of cholesterol and high density lipoprotein-cholesterol in Han nationality were significantly higher than Uygur. The levels of triglyceride, low density lipoprotein -cholesterol in Uygur were significantly higher than Han nationality. Hyperlipidemia in Uygur and Han nationality was affected by age (OR=1.377, 95%CI 1.144~ 1.659), body mass index (OR 1.56, 95%CI 1.386~1.756), and fasting glucose OR=1.386, 95%CI 1.15~1.67). Conclusion There were significant differences between Uygur and Han in the levels of serum lipids. Age, BMI and Fasting glucose also affected the serum lipid metabolism.