1.Analysis of serum calcitionin original and postoperative complications of colorectal cancer
Dechang YAN ; Yinzhong CAI ; Keqin XU ; Jianhua TANG
China Modern Doctor 2015;(19):83-86
Objective To explore the correlation of procalcitonin (PCT) level and postoperative complications of col-orectal cancer. Methods Applied double antibodies sandwich immune chemical fluorescence to study spectrometry ret rospectively for 80 patients with colorectal cancer after operation 1,2,3,5 and 7 days,and detected the original value of the serum calcitonin changes, then analyzed the related to the postoperative possible complications principle of col-orectal cancer. Results Study of 80 patients postoperative complications with colorectal cancer showedSerum calcitonin original variation can predict postoperative complications of colorectal cancer and positively correlate with cytokines,intestinal bacteria endotoxin, D-lactulose and diamine oxidase, the difference had statistically significant (P<0.01). Conclusion Serum calcitonin original variations can analyze postoperative possible complications of colorectal cancer,such assystemic inflammatory response,inflammatory intestinal obstruction,anastomotic leakage,and so on.
2.Investigation and analysis on medical disputes in modern hospitals
Dechang YAN ; Shuai SHEN ; Yangtian YAN ; Wei XIE ; Yinzhong CAI ; Keqin XU ; Jianhua TANG
China Modern Doctor 2015;(21):108-112,161
Objective To analyze the possible causes for medical disputes in order to provide a theoretical basis for further prevention of medical disputes through field investigations of disputes between medical staff and patients at all levels of modern hospitals. Methods All 100 cases of medical disputes which occurred in different levels of hospital in Hu'nan province from January 2000 to January 2014, were randomly selected and collected in field. According to the designed survey factors, statistical meta-analysis was conducted, and the probability P was calculated, so that the probability of occurrence of various factors could be analyzed. It was statistically significant (0≤P≤1). Thus,the rel-evance of a variety of causes for medical disputes could be inferred. Results Traditional statistical methods were used to analyze the survey data,and the domestic medical disputes occurred for many reasons,mainly including the insuffi-cient understanding between medical staff and patients, high medical costs, imperfect laws and regulations and other issues. We could take appropriate measures based on the causes so that we could reduce medical disputes and avoid the occurrence and development of medical disputes. Conclusion For the growing number of current medical disputes,we should always be vigilant and find relevant issues. We shall take effective measures to prevent the occurrence of medical disputes, severely deal with criminals who caused the doctor-patient violence, and safeguard fair, reasonable and orderly,harmonious and friendly medical order and medical environment. It is of great practical and social signifi-cance. Characteristics of foreign medical disputes are compared and the reference methods of prevention and treatment measures abroad should be learned. The analysis of foreign examples and measures shows relatively less medical dis-putes.