Objective To analyze levels of pan-immune-inflammation value(PIV),interleukin-6(IL-6),heparin-binding protein(HBP)and prealbumin(PAB)in patients with severe community-acquired pneumonia(CAP),and their values in evaluating the therapeutic effect at 72 h after admission.Methods According to the initial(72 h)treatment outcome,120 patients with severe CAP(the severe group)were divided into the effective group(n=87)and the failed group(n=33).Meanwhile,120 patients with non-severe CAP admitted in the same period were selected as the non-severe group.PIV,IL-6,HBP and PAB levels on the day after admission were compared between the severe group,the non-severe group,the failed group and the effective group.The value of above indicators in evaluating the condition of CAP and the therapeutic effect at 72 h after admission separately and in combination were analyzed using receiver operating characteristic(ROC)curves.Results Compared with the non-severe group,there were higher PIV,IL-6 and HBP levels,and lower PAB levels in the servere grouop(P＜0.05).ROC curves indicated that for evaluating severe CAP using a single indicator,the area under the curve(AUC)of PIV was the highest[0.830(95%CI:0.780-0.881)].The AUC of PIV combined with IL-6,HBP and PAB for evaluating severe CAP was 0.929(95%CI:0.892-0.967),which was higher than that of evaluation using a single indicator(P＜0.05).Compared with the effective group,there were higher PIV,IL-6 and HBP levels,and lower PAB level in the failed group(P＜0.05).ROC curves indicated that for evaluating the therapeutic effect on severe CAP at 72 h after admission using a single indicator the AUC of PIV was the highest[0.777(95%CI:0.692-0.862)].The AUC of PIV combined with IL-6,HBP and PAB for evaluating the therapeutic effect on severe CAP at 72 h after admission was 0.916(95%CI:0.846-0.986),which was higher than that of evaluation using a single indicator(P＜0.05).Conclusion Detection of PIV combined with IL-6,HBP and PAB has a good value in evaluating the condition of patients with CAP and the therapeutic effect on severe CAP at 72 h after admission.

Objective To explore the application effects of hip muscle training on female patients with stress urinary incontinence (SUI).Methods Totally 48 female patients with mild to moderate SUI were recruited in this study from the Second Hospital of Hebei Medical University from January to November 2015 by using purposive sampling method. According to the random number table,the participants were divided into the intervention group (n=24) and the control group (n=24). Patients in the intervention group received resisted hip muscle exercise,including the hip internal rotation and hip external rotation. Patients in the control group received conventional pelvic floor muscle exercise (PFME). The intervention lasted for 12 weeks,and the application effects were evaluated by the questionnaire of urinary incontinence quality of life (I-QOL) and the urine pad test before the intervention,eight weeks,and 12 weeks after the intervention.Results After the intervention,the urine leakage was significantly decreased,and the I-QOL score was increased (P<0.05). Although the urine leakage had no statistical difference between two groups (P>0.05),the total I-QOL scores and the scores of social barriers dimension were higher inr the intervention group compared with that in the control group (P<0.05). But on the dimension of limited behavior and the psychological impact,there were no statistical differences between two groups (P>0.05).Conclusions Resisted hip muscle training can effectively decrease the urine leakage and improve the quality of life of female patients with mild to moderate SUI.

Urinary incontinence is a common disease of women. Approximately there are two billion patients with urinary incontinence globally, SUI accounts for almost 1/2 of urinary incontinence. Stress urinary incontinence not only affects women′s health and limits the patients′ daily behavior and physical activity, resulting in anxiety, depression, etc. In view of the high prevalence of SUI, the high impact rate and low rate of diagnosis and treatment, the clinical medical professionals need to understand the relevant contents of SUI. This review will summarize the risk factors about stress urinary incontinence and the development of pelvic floor muscle rehabilitation. We hope to provide reference for clinical practice.