Objective To investigate the clinical values of postoperative aerobic exercise and psychological intervention in patients with breast cancer after operation.Methods One hundred patients with breast cancer admitted to our hospital were prospectively studied.All patients underwent modified radical mastectomy and were randomly assigned into observation group (50 cases)and control group (50 cases).The patients in the observation group were treated with aerobic exercise and psychological intervention,and the health education was given in the control group. The 3 -month postoperative self -rating anxiety scale score,self -rating depression scale score,shoulder mobility, degree of limb edema and 6 -month postoperative health related quality of life (SF -36)of the two groups were observed.Results There were no significant differences between the two groups in preoperative self -rating anxiety scale score,self -rating depression scale score,degree of limb edema and health related quality of life (all P >0.05).However,the self -rating anxiety scale score of the observation group three months after operation significantly decreased compared with the control group[(40.94 ±9.20)points vs.(45.84 ±8.79)points,t =2.722,P =0.008];self -rating anxiety scale score significantly decreased[(40.18 ±9.96)points vs.(45.28 ±8.67)points,t =2.730, P =0.008];the degree of limb edema was significantly reduced[(10.00 ±6.27)mL vs.(18.52 ±7.20)mL,t =6.313,P =0.000].The health related quality of life 6 months after operation was significantly improved[(78.70 ± 8.85)points vs.(72.02 ±9.76)points,t =3.584,P =0.001 ].Compared with the control group,the shoulder flexion,extension,abduction,external rotation and internal rotation of the observational group were significantly increased at 3 months after operation (all P <0.05 ).Conclusion Postoperative rehabilitation and psychological intervention contribute to the rapid recovery in patients with breast cancer after operation.

Objective To explore changes of hemorheology in H type hypertension patients and its clinical significance . Methods One hundred and twenty-four primary hypertension patients were chosen for the study , and were divided into the H type hyper-tension group (n=62) and the control group (n=62) in accordance with the levels of serum homocysteine .Mean levels of 24-h dynamic blood pressure , whole blood viscosity , plasma viscosity , hematocrit and fibrinogen were detected and analyzed respectively .Results No significant differences could be found in 24-h dynamic systolic and diastolic blood pressures , and there was no statistical significance , when comparisons were made between the 2 groups(P>0.05).Whole blood viscosity, plasma viscosity, hematocrit, fibrinogen in the H type hypertension group [(15.38 ±1.03)mPa? s、(5.91 ±0.32)mPa? s、(2.65 ±0.83)mPa? s、(52.96 ±2.11)%、(5.52 ±0.93) g/L] were significantly higher than those of the control group [(11.35 ±1.24)mPa? s]、(5.36 ±1.52)mPa? s、(1.52 ±1.04)mPa? s、(50.00 ±1.03)%、(4.03 ±1.33)g/L](P<0.05).Whole blood viscosity, plasma viscosity, hematocrit, fibrinogen in the grade 3 H type hypertension patients were significantly higher than those of the grade 1 and grade 2 H type hypertension patients(P<0.05), while whole blood viscosity and fibrinogen in grade 2 H type hypertension patients were higher than those of the grade 1 H type hypertension patients (P<0.05).Conclusion Significant elevation of blood viscosity in the H type hypertension patients might be closely associated with the oc-currence of cardio-cerebraovascular events and efforts should be made for positive intervention .

Objective To explore the diagnosis and treatment efficacy of bronchobiliary fistula due to hepatic cystic echinococcosis.Methods A retrospective evaluation of 39 patients with BBF was performed during 1992 to 2012.We divided the 39 patients into group A treated before 2001 and group B after 2002.A retrospective analysis was made.Results There were three deaths among the 39 BBF patients due to hepatic hydatid disease.The cause of death was septic shock due to severe infection.There were no statistical differences in the basic factors,age (t =0.84,P =0.554),gender (P =1.0),and sputum volume (t =0.98,P =0.703),hydatid diameter (t =1.11,P =0.406),operation time,chest infection (P =1.0),mortality (P =0.235) between the two groups (P ＞ 0.05).While postoperative length of stay(t =7.64,P =0.000),postoperative complications of residual cavity (P =0.001),length of tube drainage(t =6.747,P =0.01),recurrence of bronchial fistula (P =0.022),pleural dissemination (P =0.018),reoperation rate (P =0.049) were all in favour of group B (P ＜ 0.05).Conclusions Surgery is the choice of therapy for BBF due to hepatic hydatid disease,and one-stage procedure is expected to achieve the best outcomes.

0.05). Conclusion: This method is simple, accurate, feasible for determination of reduced and total VC of beverage.