Objective To explore the effect on prognosis of attenuated plaque (AP)in patients with acute coronary syndrome (ACS)after percutaneous coronary intervention(PCI).Methods This study was a prospective study which included 225 ACS patients who admitted to the cardiology and met the conditions between January 2009 and December 2011.Clinical data,intravascular ultrasound characteristics of plaque, blood flow in coronary angiography and cardiovascular complications within 30 days after PCI were recorded.The main form of follow-up was telephone follow-up,supplemented by patient follow-up and out-patient follow-up.Endpoint was major adverse cardiac events (MACE).Kaplan-Meier method was used to estimate survival rate.The survival difference between the two groups was compared using the Log-Rank test.Results Extravascular elastic membrane area (EEMA),plaque area (PA),plaque burden,remodeling index in AP group were significantly increased than those in non-AP group.Corrected TIMI frame count (CTFC)immediately after the balloon dilatation was significantly higher in AP group than in non-AP group. Recent overall complications were more frequently documented in AP group than in non-AP group,but long-term follow-up outcome of MACE-free survival curves showed no significant difference between the two groups.Conclusions Recent prognosis,not long-term prognosis,is affected by attenuated plaque in ACS patients after PCI,which help to stratify risk further and guide treatment in ACS patients.

Objective To observe the efficacy of medical invisible antimicrobial film to treat Ⅱ/Ⅲpressure sores .Methods Sixty patients who were infected stage Ⅱand stage Ⅲ of pressure ulcer were divided into two equal groups-treatment group and control group .After usual wound treatment , the patients in treatment group were given medical invisible antimicrobial film; while the patients in control group were used for Mabel score stickers.Results The total efficacy of the two groups was 29 cases (Z=-0.565, P>0.05).The treatment time for stage Ⅱand stage Ⅲ pressure ulcers of experimental group were (4.05 ±1.89) days and (8.73 ±1.60) days, respectively.As for control group, the treatment time of stage Ⅱand stage Ⅲ pressure ulcers were (7.89 ±1.99) days and (15.75 ±2.18) days, respectively.The differences were statistically significant (t=-5.740, -8.243; P<0.01).The frequency of changing fresh dressing for a wound was (5.82 ±1.24) times in the treatment group and (9.97 ±2.58) times in the control group, and the difference was significant ( t =-6.396, P <0.01 ).The treatment cost of experimental group was ( 184.21 ± 21.49) yuan, which was significantly lower than (491.41 ±79.92) yuan in the control group (t=-29.972, P<0.01).Conclusions The effect of medical invisible antimicrobial film treatment of pressure sores is significant, and the treatment course is shorter with lower cost.It is worthy of enhancing in the clinical situations.

Objective To detect the serum estrogen level in women with involution al depression (ID) and to study the effect of estrogen on the occurrence of ID. Methods Serum estrogen levels at 7:00 am were detec ted by r adioimmunoassay in 40 normal menopausal women (Group A) and 49 cases of ID (Grou p B), and compared with those of 36 cases previously detected. Results Estro gen level was much lower in Group B than Group A (P 0.05 ). Co nclusion The occurrence of ID in menopausal women may be related to t he decrease of estrogen level, but the specific correlation of the above two has not been proved yet.