Objective To study the effect and adverse reaction of lactulose oral solution on the treatment of postpartum constipation.Methods A total of 120 patients with postpartum constipation were randomly divided into treatment group (n=61) and control group (n=59).The treatment group received 15 mL lactulose oral solution,twice a day.The control group received wheat cellulose particles 3.5 g,twice a day.After the improvement of symptoms,the patient''s medication frequency was changed to 1 time a day,the course of treatment was 2 weeks long.The curative effect(including before treatment,period during the treatment,and the first week after finish the whole treatment) and the recurrence of constipation after treatment were observed.Results The frequency of defecation per week in the treatment group was(3.83±1.61)times,that in the control group was(3.09±1.53)times at the first week after treatment(P<0.05),those were(6.22±1.96)and(5.15±1.71)times respectively in the second week(P<0.01),and (6.43±1.87),(5.29±1.64)times respectively at the first week after treatment(P<0.05).The total recurrence rate in the two groups were 4.92% and 10.17% respectively(P>0.05) after follow-up to 60 d.The degree of drug acceptance in two groups was 100.00% and 76.27% respectively(P<0.01).There was no obvious adverse reaction in both two groups.Conclusion The effect of lactulose oral solution on the treatment of postpartum constipation is definite and with low recurrence rate.Lactulose oral solution has a good taste,easily to be taken and to be accepted,it is worthy of clinical application.

Hepatic Stellate Cells ; Humans ; Liver Cirrhosis

Purpose To investigate the clinical effect of ultrasound guided drainage combined with different hardeners for simple breast cysts,and to further provide reference for individual treatment.Materials and Methods Clinical data of 117 cases breast simple cysts were analyzed retrospectively,of which 42 cases were routine ultrasound-guided puncture combined with fluid injection of hypertonic sugar (group A),40 cases were routine ultrasound guided drainage combined with ethanol injection therapy (group B),and 35 cases were routine ultrasound guided therapy alone (control group).The clinical efficacy and adverse reactions were compared among the three groups after treatment.Results The total effective rate of group A was 95.24％,group B was 97.50％,and control group was 82.86％.Total effective rate of group A and B had no significant difference (P＞0.05),which were both higher than control group (P＜0.05).The adverse reactions rate of group B was higher than group A and control group,which had statistical significance (P＜0.05).Conclusion Ultrasound guided injection of hypertonic sugar or ethanol after drainage treatment for simple breast cysts can both obtain satisfactory clinical results,but adverse reactions of the former one are mild,it should be widely applied.

The author offered in this paper that in developing the guidelines for Chinese and integrated medical clinical therapy, the specialties of Chinese medicine and clinical needs should be considered, and put stress on the following key points: (1) give priorities to the diseases on which plentiful evidences and practical experiences have been achieved in researches; (2) set up the clinical issues of diseases from an integral view, with Chinese medicine syndromes subordinated to diseases; (3) in making choice of clinical questions, problems that clinicians and researchers concerned should be taken in to consideration; (4) adopt the concepts and methods of complex intervention and reflect prominently the preponderant holistic thinking of Chinese medicine; (5) intensify the cognition-centered basic research of Chinese medicine through combining "disease diagnosis" and "syndrome differentiation" to acquaint the rules of disease/syndrome transformation from the integral dynamic views; (6) use the guidance establishing process of Western medicine as reference to collect, identify, review and classify the evidences from modern literature, while for those from ancient literature, the content analyzing method should be followed; (7) make the contents of design methods perfect and put emphasis on the control and guarantee of quality.
Evidence-Based Medicine ; Guidelines as Topic ; Humans ; Integrative Medicine ; methods ; Medicine, Chinese Traditional ; methods

In this paper, application of biotechnics in the identification of traditional Chinese medicinal herbs, and the production and cultivation of their excellent species was discussed, and the relevant references about usage of biotechnics in TCM researches published in recent decade were summarized and analysed. Lots of literature showed that biotechnics played important roles in the quality identification of Chinese medicinal herbs and the researches on new drugs of TCM.
Animals ; Conservation of Natural Resources ; DNA Fingerprinting ; Drugs, Chinese Herbal ; chemistry ; Environment ; Humans ; Materia Medica ; chemistry ; classification ; Oligonucleotide Array Sequence Analysis ; Phytotherapy ; Plants, Medicinal ; classification ; genetics ; growth & development ; Quality Control ; Species Specificity

Objective To understand the situation of occupational health monitoring status of medical radiation workers in radiation diagnosis and treatment institutions, to provide reference for the evaluation of radiation protection measures as well as for the health supervision/inspection agencies, and to maximize the protection of occupational health rights of medical workers in radiation diagnosis and treatment. Methods Questionnaires were distributed then collected in the radiation diagnosis and treatment institutions in Qinzhou. The data were analyzed afterwards. Results A total of 850 medical radiation workers were recruited from 101 institutions that had obtained the radiation diagnosis and treatment license in Qinzhou. Among them, the physical examination rate of radiation diagnosis and treatment staff was 96.94%, the personal dosimeter monitoring rate was 93.41%, the training rate of radiation protection and legal knowledge was 94.12%, and the monitoring rate of equipment performance stability was 51.49%. Conclusion The occupational health monitoring of radiation workers in high-level institutions relatively meets the standard, and the management of occupational health monitoring in township hospitals, private hospitals and dental clinics is not satisfactory. The monitoring rate of radiation equipment performance in the whole city is generally low. Health supervision and law enforcement departments should strengthen law enforcement, urge the institutions to conduct radiation occupational health monitoring in an orderly manner according to law, and protect the health rights/interests of radiation diagnosis and treatment workers to the maximum extent.

OBJECTIVETo analyze the quality of scientific research design of clinical literature related with treatment of Parkinson's disease with traditional Chinese medicine, so as to objectively evaluate the therapeutic effect of TCM.

METHODSAccording to principles of evidence-based medicine, clinical epidemiology/design measurement evaluation (DME), the "Table of Systematic Evaluation of Quality and Information Collection for TCM Clinical Research Literature" were established and used to evaluate clinical control trial literature related with treatment of Parkinson's disease with TCM published during 1979 to 2000.

RESULTSThe method of randomization was not described in 66.7% of the literature. Although randomized design was declared in 33.3 %, problems or mistakes of randomized allocation still existed in them. No record about the state of dropped out or absconded cases in follow-up study and without any record of samples screening presented in all literature. There were some problems of key links concerning samples' homogeneity, outcome indexes selection, conclusion deduction and so on, which could also influence the quality and reliability of randomized controlled trials.

CONCLUSIONMethodological design of clinical research of TCM on Parkinson's disease should be strengthened.

Adult ; Drugs, Chinese Herbal ; therapeutic use ; Female ; Humans ; Male ; Medicine, Chinese Traditional ; Parkinson Disease ; drug therapy ; Phytotherapy ; Research Design

Combined Modality Therapy ; Humans ; Medicine, Chinese Traditional ; Practice Guidelines as Topic

OBJECTIVETo explore the effective methods for the treatment of complex tibial plateau fractures.

METHODSFrom May 2008 to April 2011, 28 patients with complex tibial plateau fractures were treated indirect reduction techniques, bilateral locking plate fixation combined with autologous bone grafts. There were 21 males and 7 females, with an average age of 43 years ranging from 21 to 65. There were 11 cases in Schatzker type V, 17 in VI. The effect was evaluated by Rasmussen standard on clinical and radiological.

RESULTSAll patients were followed-up for 7 to 36 months (averaged of 21.5 months). Healing time of fracture was from 3 to 8 months (averaged 5.5 months). The results of Rasmussen scores in clinical was 4.50 +/- 1.32 in pain, 4.32 +/- 1.63 in walking ability, 4.07 +/- 1.34 in knee activity, 4.78 +/- 1.27 in stability of the knee, 4.85 +/- 1.12 in stretch knee; the results in radiation was 5.07 +/- 0.92 in articular surface collapse, 5.00 +/- 0.98 in platform widened, 5.14 +/- 0.85 in knee external varus. The effect result was excellent in 8 cases, good in 15, fair in 3 and poor in 2.

CONCLUSIONThe key for the treatment of complex tibial plateau fractures was to fully assess the damage as much as possible to protect the soft tissue, select the appropriate timing of surgery and surgical incision, application of indirect reduction techniques, limited incision and effective internal fixation to restore joint surface smooth and good limb alignment, early exercise, in order to achieve maximum recovery of joint function.

Adult ; Aged ; Bone Plates ; Bone Transplantation ; Female ; Follow-Up Studies ; Fracture Fixation, Internal ; instrumentation ; Humans ; Male ; Middle Aged ; Recovery of Function ; Retrospective Studies ; Tibial Fractures ; diagnostic imaging ; physiopathology ; surgery ; Tomography, X-Ray Computed ; Treatment Outcome ; Young Adult

Objective To examine influenza -related excess mortality in Ningbo City from 2010—2014.Methods Data related to death and virology were collected from surveillance system of Ningbo Center for Disease Control and Prevention from 2010 to 2014.Rate differential model was used for data analysis to calculate excess mortality caused by five different cause of death.Results The duration of influenza prevalence was about 37 weeks from 2010 to 2014.The prevalent influenza strains from 2010—2013 were type B,H1NI and H3N2,and the prevalent influenza strains in 2014 were H1NI and H3N2 .From 2010 to 2014,for all cause of death (AC),the average influence -related excess mortality per week was 2.54 per 100 000 in Ningbo City.In five influence seasons,the average influence -related excess mortality for AC were 12.66 /100 000,15.19 /100 000,27.86 /100 000,12.66 /100 000 and 25.32 /100 000,respectively.The average influence -related excess mortality for five cause of death (PI,RC,IHD,COPD,AC)were 1.68 /100 000,12.83 /100 000,1.34 /100 000,0.84 /100 000 and 18.74 /100 000.During 5 monitoring years,annual excess mortality of≥65 group were more higher than that of total population,and annual excess mortality of 0 -4 group were lower than that of total population.Conclusion Influenza was prevalent mainly in winter and spring.The excess mortality resulted from influenza was high.Vaccinating people older than 65 and chronic cardiovascular patients could reduce the risk.