Objective To study the effect of Wentang Granule(Granule for Stabilizing Glucose) on impaired glucose tolerance(IGT) of type Ⅱ diabetes.Methods Totally 150 patients with diagnosis of IGT were randomly divided into 3 groups:education group,observation group,and control group,with 50 cases in each.They were treated with guidance on life style,Wentang Granule,and Acarbose respectively and observed for 2 years.The observed indexes included fasting blood glucose(FBG),serum lipid,body mass index(BMI),waist hip ratio(WHR),changes of TCM symptoms and scores.The therapeutic effect was evaluated with the changes of glucose tolerance.Results After treatment,the conversion rate of normal glucose tolerance and diabetes of the observation group and control groups was significantly different from that of the education group(P

Objective To investigate the difference of serum thymidine kinase 1(TK1) levels of young and middle-aged people in high humidity and high altitude area .Methods Serum level of TK1 was measured with the enhanced chemiluminescence method in 128 native young and middle-aged people .Results Serum TK1 was (1 .784 2 ± 0 .127 9)pmol/L in the control group and (1 .385 0 ± 0 .078 5)pmol/L in the test group ,the difference between them had statistical significance (P<0 .01) .28 cases in the control group were TK1 positive with the positive rate of 30 .43% ,while 2 cases in the test group were TK1 positive with the posi-tive rate of 5 .56% ,the positive rates had statistical difference between the two groups (P<0 .01) .In the control group ,the TK1 level in females was higher than that in males ,the difference between them showed statistical significance (P<0 .05) .Conclusion Detecting serum TK1 in the population of high humidity and high altitude areas has the active significance for guiding the physical examination and cancer prevention of different age groups under the special environment .

Objective To investigate the carriage of nuc-mecA gene among different altitudes in high humidity district,provid-ed guiding data for prevention of staphylococcus aureus and drug-resistant bacteria,standardizing the usage for antibiotics. Methods The nose swabs were collected in different altitudes:1 000 m,1 200 m and 1 400 m,nuc-mecAgene was confirmed by multi-channel real-time PCR.Results The carrier of nuc gene in the noses were 4.878%,2.899% and 7.143%,in 1 000 m,1 200 m and 1 400 m respectively,and there were no statistical significant among the altitudes (P>0.05).The carrier of mecA gene were 14.634%,31.884% and 41.837% in the 1 000 m,1 200 m and 1 400 m respectively,the difference showed statistical significe (P<0.05).The carrying rate of mecA gene showed statistically significant differences between 1 000 m and 1 200 m (P<0.05),and showed statistically significant differences between 1 000 m and 1 400 m (P<0.01)also.The carrier of nuc-mecA gene were 0%,1.449% and 3.061% in 1 000 m,1 200 m and 1 400 m respectively,there were no statis-tical significant (P>0.05).Conclusion The carrier of mecA gene in noses was increased with the increasing of the altitude. The residents who living at higher altitude should keep the colonization sites of pathogens clean,and needed timely medical when got sick,shouldn’t abuse the antibiotics without authorization.Medical staff should rational use of antibiotic drugs,a-voided overusing of antibiotics and overtreatment.

Objective To investigate the carrying situation of nuc-mec A gene for different departments in the inpatient depart-ment and outpatient department to provide the data for the hospital infection control and reaching the target for preventing nosoco-mial infection and improving the cure rate.Methods The research subjects were divided into 4 groups:osteoarthropathy and hemi-plegia rehabilitation department group(A,44 cases),comprehensive surgical and hematology-oncology department group(B,32 ca-ses),cardiopulmonary department group(C,17 cases)and outpatient department group(D,35 cases).The group A,B and C were the persons in the inpatient department and the group D were the persons in the outpatient department,aged 30-84 years old.Na-sal swab samples were collected and the nuc-mec A gene was detected by the multi-channel real-time PCR.Results No person in the group A,B and C carried nuc gene and 1 case(2.86%)in the group D carried nuc gene.There were no statistically significant differ-ence among 4 groups(P >0.05);the carriers of mecA gene in the group A,B,C and D were 26,17,13 and 10 cases,the carrying rates were 59.10%,53.10%,76.50% and 28.60% respectively,the difference showed statistical significance(P <0.01),but which in the group A,B and C had no statistically significant difference(P >0.05);the carrying rate of nuc-mec A gene showed statistically significant differences between the patients and the medical staff(P <0.05),but which had no statistically significant differences be-tween the patients and the medical staff in each group(P >0.05).Conclusion nuc-mec A gene generally exists in the inpatient de-partment and the carrying rate of nuc-mec A gene is relatively lower,which indicates that the inpatient department needs to pay at-tention to the prevention and treatment of pathogenic bacteria,especially the de-clonization in the hemiplegia rehabilitation and car-diopulmonary departments for avoiding cross-infection among different departments.

Objective To explore the differences of H .pylori infection between residents in different humidity environment. Methods 137 persons from Sanjiang of Wenchuan and 320 persons from Chengdu were examined.Blood samples were ob-tained for serological analysis by dot immunochromatographic assay.Results The infection rate of H .pylori in Wenchuan of Sanjiang residents was 26.28%,and the Chengdu rate was 16.88% (P <0.025),with the significant difference among which,and removed the effection of nation constitution.Conclusion The differences of H .pylori infection rate between res-idents in different humidity environment were existent.High humidity environment maybe one of factors that lead to high H.pylori infection rate.

Objective To compare the serum pepsinogen (PG)in different altitude population.Methods By testing serum PG of people from different altitudes,detected the concentration of serum PG.Results The serum PGI,serum PGII and PGR were respectively 136.89±22.64 μg/L,10.05 ± 5.14 μg/L and 13.07 ± 7.41 in 1 000 m group,and they were 30.87 ± 48.66 μg/L,11.55±2.78 μg/L and 12.89±4.76 in 1 300 m group.There were significant difference in PGI and PGII(P <0.05)except PGR (P >0.05)between the two groups.The corresponding indices in 1500m group (126.64±29.84 μg/L, 12.18±5.99 μg/L and 12.2±14.84,respectively),the serum PGI was decreased obviously compared with those groups (P<0.05),the serum PGII was increased obviously compared with those groups (P < 0.05),No significant difference was found when compared with those groups (P >0.05).The serum PGI was negative correlated with higher altitudes,the ser-um PGII was positively correlated with higher altitudes.Conclusion The study found that the serum PGI content would re-duce with the increase of altitude,and on the contrary the serum PGII would rise with the increase of altitude.The main rea-son that the serum PG change may be influenced by oxygen partial pressure.

Objective To investigate serum level of thymidine kinase 1 (TK1) in middle-aged and elderly people in high humidity area,and explore the high risk age of cell abnormal proliferation and the cause.Methods Serum level of TK1 was measured with enhanced chemiluminescence in 128 cases aged 49-89 years living in the region with an average humidity of 83％.People were divided into control group (n =52,aged 49-59 years) and experimental group (n=76,aged 60 years and over).Results Serum TK1 level was lower in control group than in the experimental group [(1.3894±0.504) pmol/L vs.(1.6518±0.8685) pmol/L,t=2.159,P＜0.05].There was no significant difference in positive rate of TK1 between control and experimental groups (9.62 ％ vs.18.42％,x2 =1.894,P＞0.05).Experimental group was subgrouped into three age groups:aged 60-69 years,70 79 years and 80 89 years group.In the three age groups,serum TK1 levels were (1.7854 ±0.9736) pmol/L,(1.5345 ± 0.7039) pmol/L and (1.4420 ± 0.7354) pmol/L respectively.Compared with control group,serum TK1 level was increased in aged 60-69 years group (t=2.369,P ＜0.05),with no significant difference in serum TK1 level between control group and the other two age groups (all P＞0.05).Meanwhile,there was no significant difference in serum TK1 level among the three age groups (all P＞0.05).Conclusions Serum TK1 concentration is higher in elderly people than in middle-aged people,which shows that the abnormal cell proliferation is higher in elderly people than in middle-aged people.We should pay more attention to physical examination in the elderly people aged 60-69 years.

The clinical effect on treatment of diabetic retinopathy with acupuncture plus herbal decoction has been observed. Eighty cases were randomly divided into treatment group and control group by the odd and even serial numbers. Forty cases in the treatment group were treated with needling Taiyang (Ex-HN 5), Yangbai (GB 14) toward Yuyao (Ex-HN 4) and Cuanzhu (BL 2) plus the herbal decoction called Mingmu Wuzi Decoction. Forty cases in the control group were treated with intravenous drip of Venorutin and oral administration of dipyridamole and vitamin E. And the result showed the total effective rate of 92.5% in the treatment group and that of 55.0% in the control group with significant difference (P＜0.01), which suggested that acupuncture plus herbal decoction had better therapeutic effect than western medications alone.

The field medical station in military hospital plays an important role in the military logistic system. To better accomplish the duty of medical support mission, the problems of medical equipment and material store house management in the field medical station are discussed. Some targeted suggestions are introduced from daily management and the use of equipment respectively. It can be used as reference for other military hospitals to accomplish different medical support tasks.
Hospitals, Military ; organization & administration ; Military Medicine ; instrumentation

Objective To observe the efficacy of Wuteng Ercao decoction in treating active rheumatoid arthritis (RA) and its effects on the levels of cytokine interleukin-6 (IL-6) and tumor necrosis factor-α (TNF-α).Methods Sixty-five patients with active RA were randomly divided into treatment group (33 cases) and control group (32 cases). Patients in the control group were administered with methotrexate tablets 10 mg, oral taking, once a week;hydroxychloroquine sulfate tablets 200 mg, oral taking, twice a day;diclofenac sodium sustained release tablets 75 mg, oral taking, twice a day. Patients in the treatment group were administered with Wuteng Ercao decoction additionally, oral taking, three times a day. The treatment lasted for 12 weeks. The changes and untoward effects of various clinical and laboratory indicators were observed before and after treatment.Results After treatment, the tender joint count, swollen joint count, patient’s global assessment, and physician’s global assessment were improved (P<0.05), with statistical significance between the two groups (P<0.05). The levels of ESR, CRP, IL-6 and TNF-α decreased significantly after treatment (P<0.05), but those were more significantly in treatment group (P<0.05). There were 2 cases with untoward effects in the treatment group and 1 case in the control group (P>0.05).Conclusion Wuteng Ercao decoction is effective in patients with active RA and it can reduce the levels of IL-6 and TNF-α.