1.Application of hanging by the feet OAC-CPR in emergency treatment
Yonghui BAI ; Yangjun LI ; Yangqin WU
Chinese Journal of Primary Medicine and Pharmacy 2012;19(18):2745-2746
Objective To evaluate the effects of hanging by the feet OAC-CPR in patients with big hemoptysis suffocation and cardiac arrest.Methods 68 cases of big haemoptysis suffocation and cardiac arrest were randomly divided into two groups.The control group(38 cases) was treated by standard CPR treatment method.The study group (30 cases) was treated by hanging by the feet OAC-CPR method.Results Return of spontaneous circulation (ROSC) of study group was obviously higher than that of control group( 80.0% vs 55.3%,x2 =4.58,P < 0.05 ).24hours survival of study group was obviously higher than that of control group ( 70.0% vs 44.7%,x2 =4.34,P <0.05).Conclusion Hanging by the feet OAC-CPR can do cardiopulmonary resuscitation and air passage clearing simultaneously in emergency treatment more sufficiently and successfully.
2.Effects of Huangqi Guizhi Wuwu Decoction given by different administration methods on rats with frostbite and the mechanism.
Yanyan LI ; Yonghui WANG ; Yonggang ZHANG ; Yun BAI ; Ran ZHOU
Journal of Integrative Medicine 2010;8(2):181-5
To establish a rat model of frostbite and to evaluate the effects of different administration methods of Huangqi Guizhi Wuwu Decoction (HGWD), a compound traditional Chinese herbal medicine for warming meridians to disperse cold, on rats with frostbite.
3.An Investigation of Item System of The Ability Development Assessment in Training Postgraduates of Neurology
Yonghui PAN ; Liming ZHANG ; Fang LI ; Shi BAI
Chinese Journal of Medical Education Research 2003;0(02):-
Combined with the features of neurology,this article discussed the assessing processes for quality postgraduates in neurology from four aspects: clinical skills,creative ability,ability in using English,ability of communication between doctors and patients.It also elaborated the purpose and meanings of setting the assessing goal,selecting assessing items and establishing criterion of the assessing items.
4.Measurement with a scale in arthroscopic anatomic anterior cruciate ligament reconstruction
Bin LI ; Lunhao BAI ; Yonghui FU ; Guangbin WANG ; Ming HE ; Jiashi WANG
Clinical Medicine of China 2012;28(9):914-917
ObjectiveTo evaluate the value of the measurement with a scale in arthroscopic anatomic anterior cruciate ligament (ACL) reconstruction.Methods Thirty-six patients with unilateral ACL-deficient knees were divided into single bundle group and double bundle group based on the length of the major axis of the native ACL footprint measured with a scale.Consistent with the International Knee Documentation Committee (IKDC) scoring systems,Lysholm knee scoring scale and Tegner activity rating were used to evaluate the clinical results,and data from 23 to 26 months follow-up were gathered and analyzed statistically.ResultsIn terms of IKDC evaluation,19 patients( 90.4% ) in the double band group and 13 patients( 86.7% )in the single band group were graded as normal or nearly normal ( Z =7.82,6.33 ; P < 0.05 ).The mean Lysholm scores were 93.8 ± 9.9 and 94.2 ± 9.6 and the mean Tegner scores were 6.6 ± 1.9 and 6.5 ± 1.7 for the double and single band groups,respectively( t =2.31,5.60,3.55,7.09 ;P <0.05 ).ConclusionArthroscopic measurement with a scale combined with other traditional methods to determine the tunnel location is easy to conduct and intuitional to understand.It could be useful in anatomic ACL reconstruction.
5.Postoperative healthcare-associated infection and its risk factors in pa-tients with hepatobiliary malignant tumor
Xiujun LI ; Jianwen QIAO ; Yonghui BI ; Jianli GENG ; Wenxiao LI ; Liang BAI
Chinese Journal of Infection Control 2016;15(7):488-491
Objective To investigate the occurrence of postoperative healthcare-associated infection(HAI)in pa-tients with hepatobiliary malignant tumor,explore the related risk factors,so as to provide the basis for taking ef-fective prevention and control measures.Methods The occurrence of postoperative HAI in patients with hepatobili-ary malignant tumor in a hospital from January 2012 to December 2014 were retrospectively analyzed,risk factors for postoperative HAI were analyzed through reviewing and collecting patients’medical data.Results A total of 302 patients were investigated,42 (13.91 %)developed postoperative HAI,no multiple site infection occurred,the main infection site was deep surgical site (n=10,23.81 %),followed by lower respiratory tract (n=9,21 .43%) and digestive system (n=7,16.67%).Of 42 infection cases,38(90.48%)were sent specimens for pathogenic cul-ture,36 pathogenic strains were isolated,31 (86.11 %)of which were gram-negative bacteria,and 5 (13.89%) were gram-positive bacteria.Multivariate logistic analysis showed that operation duration≥2 hours (OR =1 .48), overweight (or obesity)(OR=1 .40),and preoperative radiotherapy (OR=2.98)were independent risk factors for postoperative HAI in patients with hepatobiliary malignant tumor (all P <0.05).Conclusion Incidence of postoper-ative HAI is high in patients with hepatobiliary malignant tumor,risk factors are long length of operation,over-weight (or obesity),and preoperative radiotherapy,effective prevention and control measures against risk factors should be taken.
6.Clinical study on end-to-side anastomoses of renal artery to external iliac artery in renal trans- plantation
Jian XU ; Lixing YU ; Junjie MA ; Xiwen BAI ; Yongli LUO ; Shaojie FU ; Wenfeng DENG ; Yonghui PAN
Chinese Journal of Organ Transplantation 1996;0(02):-
This study compared two techniques of artery anastomoses,renal artery to the ex- ternal iliac artery (ESA) and to the internal iliacartery (EEA) in renal transplantation.The operation time and the incidence of anastomotic stenosis was cut down significantely in ESA group.The blood flow in grafts has no difference in two groups with normal renal function.The utilization rate of grafts with multiple arteries was higher (94.4%) in ESA group.Back bench surgery for artery repain,cold ischemia time and renal damage were reduced in ESA group.
7.Investigation on traditional Chinese medicine syndrome distribution of 4 618 hepatitis B virus infection subjects in Qidong of Jiangsu Province, China.
Qingbo LANG ; Dongxia ZHAI ; Feng HUANG ; Jianguo CHEN ; Yonghui ZHANG ; Qun LIU ; Xiaofeng ZHAI ; Bai LI ; Changquan LING
Journal of Integrative Medicine 2012;10(5):525-31
To study the traditional Chinese medicine (TCM) syndrome distribution in patients with hepatitis B virus (HBV) infection in Qidong region of Jiangsu Province, China.
8.Clinical pathological characteristics of differentiated thyroid carcinoma in children and adolescents
Hongbo GAO ; Linlin MA ; Jun TAI ; Yun BAI ; Wei SONG ; Yujun SHAO ; Yonghui CHEN ; Shengcai WANG ; Xin NI
Chinese Archives of Otolaryngology-Head and Neck Surgery 2016;23(7):371-373
OBJECTIVE To investigate the clinical pathological characteristics of differentiated thyroid carcinoma (DTC) in children and adolescents. METHODS The clinical data of 30 children and adolescents with DTC were retrospectively reviewed. Meanwhile the clinical pathological characteristics of DTC were analyzed according to patients' age and gender. RESULTS Papillary thyroid carcinoma (PTC) was found in 27 cases and follicular thyroid carcinoma (FTC) in 3 cases. The average diameter of tumors was (2.56±1.1) cm. In the group of children, the incidence of lymph node metastasis was 92.3% (12/13), pulmonary metastasis was 46.2% (6/13), and those in the group of adolescents was 88.2% (15/17) and 35.3% (6/17) respectively. Children group tended to present with more vascular invasion, thyroid capsule invasion, and invasion out of thyroid, and a higher rate of cervical lymph node metastasis (P=0.025, 0.007, 0.025, 0.033). CONCLUSION Thyroid carcinoma in childhood and adolescent has a stronger invasive feature. It is easy to local invasion, lymph node and distance metastasis.
9.Diagnosis and treatment of imported African schistosomiasis
Weicheng DENG ; Dinghua BAI ; Zhijian LI ; Yong HE ; Guojian DING ; Yonghui ZHU ; Jiaxin LIU ; Qunshan JING ; Hongbo WANG ; Guanghui REN ; Yi DENG
Chinese Journal of Schistosomiasis Control 2016;28(4):472-474
This paper summarizes the clinical diagnosis and treatment of imported African schistosomiasis,in order to make the therapeutic standards. Imported African schistosomiasis includes mainly schistosomiasis haematobia and schistosomiasis mansoni in China. In order to set up the operational standards,enhance diagnostic and cure rates,and reduce the complica?tions,we review the related literature combined with our experience over years,and summarize,in this paper,the pathogenic mechanism,and key points of clinical diagnosis and treatment of schistosomiasis haematobia and schistosomiasis mansoni,so as to provide the reference for clinical doctors.
10.Management strategy and technology of medical assistance to advanced schistosomiasis patients in Hunan Province
Weicheng DENG ; Dinghua BAI ; Zhijian LI ; Yong HE ; Yi DENG ; Yonghui ZHU ; Jiaxin LIU ; Yueyun ZHANG ; Guojian DING ; Guanghui REN ; Zhihong LUO ; Xingbiao LI
Chinese Journal of Schistosomiasis Control 2016;28(5):594-595,600
The medical assistance to advanced schistosomiasis patients established by the Chinese government is a major public facility for patients with advanced schistosomiasis. Since the medical assistance to advance schistosomiasis patients in Hu?nan Province started ten years ago,a set of mature and operable programs with whole program management and related technolo?gies has been developed. The author investigated the data on medical assistance to advanced schistosomiasis patients in Hunan Province during the last 10 years(from 2006 to 2015)retrospectively,and found that the program had high therapeutic effect and high satisfaction degree of both patients and the society. In order to improve the management of the medical assistance to ad?vanced schistosomiasis patients and share our experiences of the whole program management and related technologies with the colleagues of other provinces,this paper mainly illustrates the experiences of the program,as well as the existing problems and related strategies.