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    25 July 2016, Volume 37 Issue 7
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    Effect of magnesium on proliferation and NGF secretion in Schwann cells of rat
    LI Ming, SONG Yongzhou, WANG Bin, TONG Jiuhui, YUAN He, MA Wei*
    2016, 37(7):  745-748,760.  doi:10.3969/j.issn.10073205.2016.07.001
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    [
    Abstract ] Objective Toinvestigatetheeffectofmagnesium onproliferationandnerve
    growthfactor ( NGF ) secretioninSchwanncells ( SCs ) .Methods 3~5daysoldSDratswere
    used.TheSCswereisolatedfromsciaticnerves invitro .Thepositivecellswerecountedbyusing
    S-100immunocytochemicalstaining.SCsweredividedintofourgroups.Theculturemediumwas
    DMEMcontaining10% FBSanddifferentconcentrationsofMgCl 2 ( 0 , 0.5 , 1 , 2mmol
    / L ) .MTT
    wasusedtodetectthecellproliferationoftheSchwanncellsat2 , 4 , 6 , 8d.Theexpressionof
    NGFwasdetectedbyELISA.Results Mostcollagenoblastwereremovedbydifferentialadhesion
    about30 minutes.Theprimary-culturedSCswereadherenttotheplasticsurfaceofthecell
    culturedishandgrowed24hafterinoculation.Inthe72thhourofcultivation , thecellsshowed
    thetrend ofparallelarrangement.Inthe7th day , wecouldseecellaggregation undera
    microscope.Throughcountingbyimmunohistochemistrytest , thepurityofSCsreached91% 6
    daysaftercultivation.ThepurityofSCs was91% by S-100immunocytochemicalstaining.
    Comparedwithnormaltraininggroup , 0.5mmol
    / LMgCl
    2 grouphadapromotingeffectonSCs
    proliferationandNGFsecretion.Thereweresignificantdifferencesin4groups , indifferenttime
    points , andintheinteractionofthegroups vs timepoints (
    P <0.05 ) .Conclusion Appropriate concentrationofMgCl 2 canstimulatetheproliferationandNGFsecretionofSCsofrat.
    The effect of celecoxib on TNFα and apoptosis in myocardial hypertrophy in rats
    XUE Feng, XUE Mingming*, ZHANG Qi, XIN Xue
    2016, 37(7):  749-752.  doi:10.3969/j.issn.10073205.2016.07.002
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    [
    Abstract ] Objective Toexploretheeffectofcelecoxibontherelationshipbetweentumor
    necrosisfactor-α ( TNF-α ) andapoptosisinpressureoverloadinducedmyocardialhypertrophyin
    rat.Methods Male Wisterratsweredividedintosham2weeksgroup , sham4weeksgroup ,
    model2weeksgroup , model4weeksgroup , modelpluscelecoxib2weeksgroupandmodelplus
    celecoxib4weeksgroupinrandomizedorder.Theanimalmodelwasestablishedbyconstriction
    ofabdominalaorta.Leftventriculartissuesectionswereobservedunderlightmicroscope.The
    contentsofinflammatorycytokines TNF-αinplasmaandtissue wereexaminedby ELISA.
    TUNELmethodwasperformedtodetecttheapoptosisofleftventricularmyocardialcells.Results
    ①Leftventricle HEstainingshowedthatthe myocardialcellhypertrophyandshapewere
    irregular , myocardialhypertrophy wassignificantlyheavierin modelgroup , compared with
    controlgroup.Celecoxibcangraduallyreducemyocardialhypertrophy.②TNF-αlevelsinplasma
    werenosignificantdifferencesbetween2weeksand4weeksgroups ( P >0.05 ) .Inthemyocardial
    tissue , thecontentofTNF-αin model2weeksgroupweresignificantlyincreased ( P <0.05 ) .
    CelecoxibcanreducethethecontentofTNF-αlevels ( P <0.05 ) .At4weeks , thedifferences werenotstatisticallysignificant ( P >0.05 ) .③Comparedwiththecontrolgroup , theapoptosis
    rateofmyocardialcellsin modelgroupandcelecoxibgroupweresignificantlyincreased ( P <
    0.05 ), andcelecoxibtreatmentcansignificantlydecreasetheapoptosisofmyocardialhypertrophy
    inrats ( P <0.05 ) .Conclusion Celecoxibinthetreatmentofmyocardialhypertrophyinratsmay
    berelatedtotheTNF-αandapoptosisofmyocardialcells.
    Impact of 20 mg atorvastatin calcium on hsCRP and MMP9 of asymptomatic carotid plaque patients
    XIE Bingchuan1， LIU Huimiao1， SHI Jun2，SUI Xiaozhe3， GU Ping1*， WANG Mingwei1
    2016, 37(7):  753-756.  doi:10.3969/j.issn.10073205.2016.07.003
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    [
    Abstract ] Objective Toobservethelong-termeffectoflowdoseatorvastatinontheserum
    high-sensitivityC-reactiveprotein ( hsCRP ) and matrix metalloproteinase-9 ( MMP-9 ) among
    neurologicallyasymptomaticpatients withultrasounddefinedunstablecarotidatherosclerotic
    plaque.Methods Atotalof73caseswererandomlydividedintotreatmentgroup ( n =38 ) and
    controlgroup ( n =35 ) .Thetreatmentgroupreceivedaspirin100mgplusatorvastatin20mgper
    day , whereasthecontrolgrouponlytookaspirin100mgperday.ThelevelsofserumhsCRP
    ,
    MMP-9 , totalcholesterol ( TC ), weremeasuredbeforeandaftertreatmentin6and12months.
    Andtheendeventsandadversereactionsofthe2groupswererecorded.Results Therewasno
    differenceinthelevelsofserum TC , lowdensitylipoproteincholesterol ( LDL-C ), hsCRPand
    MMP-9incontrolgroup.Intreatmentgroup , thelevelsofserumTC , LDL-C , hsCRPandMMP-
    9atthe6monthsand12monthsoffollow-upwerelowerthanthatbeforetreatment ( P <0.05 )  Conclusion Low-doseatorvastatinnotonlycouldregulateTC , butalsoreducethelevelsof
    seruminflammatory mediators MMP-9andhsCRP , inhibitinflammatoryreactionandstable
    plaque , therebypreventingtheoccurrenceofischemiccerebrovasculardisease.
    Analysis of sleep quality of transient ischemic attack patients
    LIU Jieqiong1, ZUO Fengtong1, LIU Hui1, WU Huijun2, DAI Jie3, DONG Aiqin1*
    2016, 37(7):  757-760.  doi:10.3969/j.issn.10073205.2016.07.004
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    [
    Abstract ] Objective Toassesssleepqualityoftransientischemicattack ( TIA ) patients.
    Methods Fifty-sixtransientischemicattackpatientsandsixtynormalsubjectsparticipatedin
    thisstudy wereexamined byclinicalassess , Hamilton Anxiety Scale ( HAMA ), Hamilton
    DepressionScale ( HAMD ), PittsburghSleepQualityIndex ( PSQI ) .Results Theincidencerate
    ofsleepdisorderandPSQItotalscoreinTIAgroupwerehigherthanthatincontrolgroup ( P <
    0.05 ) .Sleepquality , sleeplatency , sleepduration , sleepefficiencyanddaytimedysfunctionin
    TIAgroupwereworsethanthatincontrolgroup ( P <0.05 ), whilenodifferenceswerefoundin
    sleepdisordersandhypnoticapplicationbetweentwogroups ( P >0.05 ) .Conclusion TIA
    patientsweremorepronetoworsesleepquality , longersleeplatency , shortersleepduration ,
    lowersleepefficiency , anddaytimedysfunction.
    Effect of losartan potassium combined with simvastatin on oxidative stress and homocysteine in diabetic patients with peritoneal dialysis
    LIU Hua, LIU Cuilan, LU Jifang, CHENG Jinxiu, CAO Yanchun, LIU Shengjun
    2016, 37(7):  761-763.  doi:10.3969/j.issn.10073205.2016.07.005
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    [
    Abstract ] Objective Toobservetheeffectsoflosartanpotassiumandsimvastatintreatment
    onoxidativestressindexandthesametypeofcysteineofdiabeticnephropathypatientsin
    peritonealdialysis.Methods Eightytype2diabetesmellitus , diabeticnephropathyendstageinto
    thecontinuousambulatoryperitonealdialysiswererandomlydividedinto2groups.Incontrol
    group , 40casesweretreatedwithperitonealdialysis.Fortycasesinthetreatmentgroupwere
    givenlosartanpotassium50mg , 1timesaday , simvastatin20mg , 1timesanight.After12
    weeks , the changes ofsuperoxide dismutase ( SOD ), glutathione peroxidase ( GSH-PX ),
    malondialdehyde ( MDA ) and Hcy werecomparedinthe2groupsbeforeandaftertreatment.
    Results Afterdialysis , HcyandMDAintreatmentgroupweresignificantlylowerthanbefore
    dialysis ( P <0.05 ) .SODandGSH-PXweresignificantlyhigherthanbeforedialysis ( P <0.05 ) .
    HcyandMDAincontrolgroupweresignificantlyhigherthanbeforedialysis ( P <0.05 ) .GSH-PX
    wassignificantlylowerthanbeforedialysis ( P <0.05 ) .SODdifferencewasnotsignificantbefore
    andafterdialysis ( P <0.05 ) .Afterdialysis , HcyandMDAintreatmentgroupwerelowerthan
    thoseincontrolgroup.SOD and GSH-PX werehigherthanthecontrolgroup ( P <0.01 ) .
    Conclusion EffectoflosartanpotassiumcombinedsimvastatinonoxidativestressindexandHcy indiabeticpatientswithperitonealdialysiswasreliable.
    The prevalence rate of hyperuricemia and the distribution of different gender and age of the adult physical examination population over 18 years old in Shijiazhuang city
    HANG Qing1, GUO Xin2, FAN Xiaolong3
    2016, 37(7):  764-767,771.  doi:10.3969/j.issn.10073205.2016.07.006
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    [
    Abstract ] Objective Toinvestigatetheprevalenceofhyperuricemia ( HUA ) andits
    relationship with genderand agein physicalexamination population over18 yearsoldin
    Shijiazhuangcity , Hebeiprovince.Methods Totalof4927 patients wererecruited
    , the
    prevalencerateofHUAandtheuricacidlevelofdifferentgroupsaccordingtoageorgenderwere
    compared.Results TheprevalencerateofHUAin malephysicalexaminationpopulationwas
    higherthanthatoffemale.Theratewasstatisticallydifferentamongdifferentagegroupsandthe
    incidenceratewashigherinmalethanthatinfemale ( groupsof18-29 , 30-39 , 40-49years
    old )( P <0.05 ) buttheratebecamesimilarafter50years ( groupsof50-59 , 60-69 , ≥70 )( P >
    0.05 ) .TheincidencerateofHUAwasdecreasedwiththeincreasingofageinmale , butincreased
    significantlyinfemales ( P <0.05 ), andtheincidenceratewasbasicallyconsistentinallgroups
    over50years.Theuricacidlevelofthemalewashigherthanthatinfemaleinthesameagegroup (
    P <0.05 ) .Conclusion Theuricacidlevelofthemalewashigherthanthatinfemaleinadults
    over18yearsofphysicalexaminationpopulationinShijiazhuangarea.Thereweredifferencesin
    incidenceamongdifferentagegroups.
    Appraisal value of the CD64 index combined PCT for assessment of the efficacy of antibiotics against pulmonary tuberculosis complicated with bacterial pulmonary infections
    WANG Xianlei1, WANG Yong1, HE Cong2, XIAO Mingqi3, GUO Yuhui1, LIU Rui1
    2016, 37(7):  768-771.  doi:10.3969/j.issn.10073205.2016.07.007
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    [
    Abstract ] Objective Toinvestigatetheprevalenceofhyperuricemia ( HUA ) andits
    relationship with genderand agein physicalexamination population over18 yearsoldin
    Shijiazhuangcity , Hebeiprovince.Methods Totalof4927 patients wererecruited
    , the
    prevalencerateofHUAandtheuricacidlevelofdifferentgroupsaccordingtoageorgenderwere
    compared.Results TheprevalencerateofHUAin malephysicalexaminationpopulationwas
    higherthanthatoffemale.Theratewasstatisticallydifferentamongdifferentagegroupsandthe
    incidenceratewashigherinmalethanthatinfemale ( groupsof18-29 , 30-39 , 40-49years
    old )( P <0.05 ) buttheratebecamesimilarafter50years ( groupsof50-59 , 60-69 , ≥70 )( P >
    0.05 ) .TheincidencerateofHUAwasdecreasedwiththeincreasingofageinmale , butincreased
    significantlyinfemales ( P <0.05 ), andtheincidenceratewasbasicallyconsistentinallgroups
    over50years.Theuricacidlevelofthemalewashigherthanthatinfemaleinthesameagegroup P <0.05 ) .Conclusion Theuricacidlevelofthemalewashigherthanthatinfemaleinadults
    over18yearsofphysicalexaminationpopulationinShijiazhuangarea.Thereweredifferencesin
    incidenceamongdifferentagegroups.
    A comparative study of applying TSPOT.TB and TST in the diagnosis of LTBI in TB professionals
    SONG Tao1, LI Lijuan2, FU Hongyi1
    2016, 37(7):  772-775,779.  doi:10.3969/j.issn.10073205.2016.07.008
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    [
    Abstract ] Objective ToinvestigatethevalueofT-SPOT.TBinthediagnosisoflatent
    tuberculousinfection ( LTBI ) inTBprofessionals.Methods Eight-fivecasesofTBmedicalstaff
    asTBprofessionalswereselected.Eight-fivecasesofhealthypeoplewereselectedforcontrol
    group , allwithoutpreviousTBhistoryorsymptomsand withnormalchestfilm.Apply T-
    SPOT.TBwasdetectedbythespecificinterferon γ ( IFN-γ ) leveloftheperipheralblood.
    Tuberculinskintest ( TST ) wasusedalso.TBbacilluswhilecarryingoutparallelTSTtests.
    Results T-SPOT.TBresultsshowthatthedifferencebetweenthestudygroupandthecontrol
    groupwasstatisticallysignificant.TSTindicatesthatthereisnostatisticdifferencebetweenthe2
    groups.Thepositiveratecomparisonofthetwomethodsshowsthatthereisstatisticdifference
    betweenthe2groups ( P <0.05 ) .Consistencycheckindicatesthatthereispoorconsistency
    betweenthetwotest methods ( Kappa=0.123 ) .Conclusion ①Closelycontacting with TB
    infectedpatientsisariskfactorwhichleadstoMTBinfection.Peoplewithclosecontacthavea
    higherrateofbecomingLTBIpatientsthanthosewithoutclosecontact.②T-SPOT.TBpositive
    resultsarepositivelycorrelatedwiththosewhocloselycontactwithTBinfectedpatients , while TSTpositiveresultsarenotcorrelated , probablyduetoaveryhighBCGvaccinationratein
    China.③T-SPOT.TBhasahigherspecificitythanTSTinLTBIdiagnosis.④T-SPOT.TBhasa
    lowcorrelationwithTSTandservesasamoreaccuratemethodofLTBIdiagnosis.
    Study on the placement rate of axillary vein in the position of the midpoint of the clavicle
    DAI Kunpeng1, NA Yiwen1, BAO Yong1, KONG Jichang1, HE Jingzhi1, LI Shuangcheng2*
    2016, 37(7):  776-779.  doi:10.3969/j.issn.10073205.2016.07.009
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    [ Abstract ] Objective Toinvestigatetheclinicalapplicationofthemethodofpunctureofthe
    axillaryveininthepositionoftheclavicle.Methods Onehundredpatientswithcentralvenous
    catheterizationwererandomlydividedinto2groups.Inthecontrolgroup , 50casesweretreated
    bytraditionalblindmethod.punctureoperationtime , thenumberofpuncture , Puncturesuccess
    rate , catheterplacementrateandcomplicationsin2groupswereobserved.Results heoperation
    timeoftheexperimentalgroupwaslessthanthatofthecontrolgroup ( P <0.01 ) .Thedepthof
    thecatheterizationintheexperimentalgroup wasdeeperthanthatinthecontrolgroup ( P <
    0.01 ) .Thesuccessfulrateofonetimepuncturewashigherthanthatofthecontrolgroup ( P <
    0.05 ) .Therewasnosignificantdifferenceintherateofinbutioninbothgroups ( P >0.05 ) .
    There were noinjury ofarterialpuncture , pneumothorax , catheterobstruction , abnormal
    bleedingofpuncturesiteandothercomplications.Therewasnoinfectioninthepuncturesite
    duringtheperiodofhospitalizationintwogroups.Conclusion ApplicationofcolorDoppler
    ultrasoundguidedbyaxillaryveincentralvenouscatheteroperationhashighsuccessrate , highin
    placerate , fewercomplications , lowincidenceofinfectionduringhospitalization.Thismethodis
    safeandreliable.Theoperationtimeislessandissuitableforclinicalpromotion.
    Diagnostic value of pulmonary infection score, calcitonin and C reactive protein in patients with idiopathic pulmonary fibrosis complicated with infection
    WANG Jun, REN Ruihua, GAO Yong*， HOU Hongwei, WANG Liang, SUN Jinhao
    2016, 37(7):  780-783.  doi:10.3969/j.issn.10073205.2016.07.010
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    [ Abstract ] Objective To explorethe diagnosticsignificance , correlation and clinical
    diagnosisvalueofthesimplifiedclinicalpulmonaryinfectionscore ( CPIS ), procalcitonin ( PCT )
    andC-reactiveprotein ( CRP ) inidiopathicpulmonaryfibrosis ( IPF ) complicatedwithpulmonary
    bacterialinfection.Methods Atotalof98adultpatients , whowereclinicallydiagnosedasIPF
    complicatedwithpulmonarybacterialinfection , wereenrolledinthisprospectivediagnostictest ,
    monitoringvariousinflammatoryindicatorssuchasCRP , PCT , calculatingthesimplifiedCPIS
    onthefirstdayoftheadmission.Thesensitivity , specificity , accuracyofPCT , CRPandCPIS
    forthediagnosisofIPFcombinedwithpulmonarybacterialinfectionswerecalculatedafterthe
    experiment.Results Thesensitivity , specificityandaccuracyofPCTandCPISinthediagnosis
    ofIPFwithpulmonaryinfectionwashigherthanthatofCRP.Thespecificityandaccuracyof
    PCTcombinedwithsimplifiedCPISindiagnosisofIPFwithpulmonaryinfectionwashigherthan
    thatofCPISandPCT , butthesensitivitywasnotimproved.ThePCTandCPISwerepositively
    correlatedwiththeconventionalinflammatorymarkers ( r =0.450 , P =0. 000 ) .Conclusion The
    simplified CPIScombined with PCT detection washelpfultoimprovetheearly diagnostic
    specificityofIPFcomplicated withpulmonarybacterialinfection , andthesensitivitywasnot
    improved.
    Effect of enteral nutrition with -3 fatty acid on the response to C-reactive protein and nutritional metabolism in severe neurosurgical patients
    LI Bingqing1, QIAN Tao2*
    2016, 37(7):  784-788.  doi:10.3969/j.issn.10073205.2016.07.011
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    [
    Abstract ] Objective Toobservetheeffectsofenteralnutritionω-3fattyacidonreducing
    thelevelofC-reactiveproteinandimprovingnutritional metabolisminsevereneurosurgical
    patients.Methods The patients who had severe neurosurgery disease were dividedinto
    experimentalgroupandcontrolgroupbypaireddesignmethod.Eachgroupwasconsistedof20
    patients.Theexperimentalgroupistreatedwithω-3fattyacidsenteralnutrition , thecontrol
    groupistreatedwithtraditionalenteralnutrition.Beforetreatmentandaftertreatmentatday1 ,
    day4 , day7 , day14 , C-reactiveprotein , albumin , prealbuminandtransferrinlevels were
    measuredin2groups.Results Afternutritionaltherapy , thelevelofC-reactiveproteinintwo
    groupswererisingfirstthengoingdownlater.Thelevelinexperimentalgroupwaslowerthan
    thatincontrolgroup.Thelevelofalbumininexperimentalgroupwasgoingdownfirstandrising
    slowlylater , thelevelincontrolgroupwasgoingdownandneverrisingagainin2weeks , andthe
    levelinexperimentalwashigherthanlevelincontrolgroupafter1week , Thereweresignificant
    differencesintheinteractionofthetimepointsbetweenthetwogroups , thegroups , andthe
    groupsvstimepoints ( P <0.05 ) .Thelevelofprealbuminandtransferrinwerelowerthanthat
    beforenutritionaltherapy , thelevelinexperimentalgroupwashigherthanthatincontrolgroup inthefirst4daysoftreatment.Thereweresignificantdifferencesinthetimepointsandgroups
    (
    P <0.05 ) .Therewerenotsignificantdifferencesintheinteractionofthetimepointsvstime
    points ( P >0.05 ) .Conclusion ω-3Fattyacidsenteralnutritioncanobviouslyreducethelevelof
    C-reactiveproteinandimprovenutritionalmetabolisminsevereneurosurgicalpatients , which
    wassuperiortogeneralnutritioninimprovingthenutritionalstatusandalleviatingthenegative
    nitrogenbalance.
    Clinical analysis of uniportal video-assisted thoracoscopic surgery in the diagnosis and treatment of pulmonary tuberculoma
    LI Hui1， WEI Lan1*， HUANG Wenfeng1， ZHANG Xiaona2， ZHOU Yanjie1， QI Kelei1
    2016, 37(7):  789-792.  doi:10.3969/j.issn.10073205.2016.07.012
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    [ Abstract ] Objective To evaluate the application value of uniportal video-assisted
    thoracoscopicsurgery ( UVATS ) inthediagnosisandtreatmentofpulmonarytuberculoma.
    Methods Seventy-sixpatientswithtuberculomawerechosenastheresearchobject , andwere
    randomlyassignedtotwogroups , with38casesineach.The38patients withpulmonary
    tuberculoma undergoing UVATS resection and 38 patients with pulmonary tuberculoma
    undergoingthoracotomyresection werecomparativelyanalyzed.theobservationgroupusing
    singleportthoracoscopysurgery , observationgroup2durationofoperationtime , intraoperative
    bleedingvolume , postoperativewithtimeandpostoperativecomplicationsafter.Postoperative
    complicationsofpatientswithpleuraleffusionandwoundinfection , etc.Results Therewere
    shorterinoperativetimeandlessbloodlossbetweenthetwogroups , andthedurationofdrainage
    wassignificantlyshorterinthesingleutilityportVATSsurgerygroupthanthethoracotomy
    groupwithstatisticallysignificantdifference ( P <0.05 ) .Conclusion UVATSisasafeand
    effectivemethodinthetreatmentanddianosisofpatientswithpulmonarytuberculomas , andit
    canalsoprovideareliablediagnosisforallpatientswithsolitarypulmonarynodule.
    The effect of three different surgical treatment on lumbar stenosis withⅠdegree degenerative spondylolisthesis
    LI Yipeng， TIAN Yuliang， YU Haiquan， CAO Bin， WANG Meng， SU Jingyang
    2016, 37(7):  793-797,805.  doi:10.3969/j.issn.10073205.2016.07.013
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    [
    Abstract ] Objective Tocomparetheeffectsofsimpledecompression , transforaminal
    lumbarinterbodyfusion ( TLIF ), posteriorlumbarinterbodyfusion ( PLIF ) onlumbarstenosis
    withⅠdegreedegenerativespondylolisthesis.Methods Onehundredandthreecaseswithsevere
    unilateral symptoms , suffering from lumbar stenosis with Ⅰ degree degenerative
    spondylolisthesis weredivededintothreegroups : simpledecompression group ( 38cases ),
    transforaminallumbarinterbodyfusion ( TLIF , 31cases ) andposteriorlumbarinterbodyfusion
    (
    PLIF , 34cases ) .Intraoperativeindex , thedegreeofspondylolisthesis , lumbocruralpainvisual
    analoguescale ( VAS ), andJapaneseOrthopedicAssociation ( JOA ) scorewerecomparedinthe3
    groupsat6 monthsand2yearsoffollow-up.postoperativebonegraftfusionsituation were comparedinTLIFandPLIFgroup.Theefficaciesoftreatmentofthe3groupswereanalyzed.
    Results Theoperationtime , intraoperativebloodlossandoperationdrainageofTLIFgroupand
    PLIFgroup weresignificantly higherthanthoseofsimpledecompression group , andthe
    postoperativebedresttimewassignificantlylowerthanthatofsimpledecompressiongroup.The
    operationtime , intraoperative bloodlossand postoperativedrainageofPLIF groups were
    significantlyhigherthanthoseofTLIFgroup ( P <0.05 ) .Therewasnosignificantdifferencein
    thecurativeeffectandcomplicationrateinthe3groups ( P >0.05 ) .lumbagoVASscorewas
    graduallydecreasedinTLIFandPLIFgroup , butwasdecreasedfirstandthenincreasedsimple
    decompressiongroup.VASscoreoflegpainin3groupsweredecreased.Thereweresignificant
    differencesintheinteractionbetweenthetwogroupsatthesametime , thedifferencebetweenthe
    twogroups ( P >0.05 ) .ProgressionofspondylolisthesisofTLIFandPLIFatpostoperative6
    monthsand2 years weredecreased gradually , butsimpledecompression group showeda
    graduallyincreasingtrend , andthedifferenceisstatisticallysignificantinthegroupsandtime
    pointsandtheinteractionofthegroupsandtimepoints ( P <0.05 ) .At6monthsafteroperation ,
    onepatientintheTLIFgroupwerenotfused , 2patientsinPLIFgroupwerenotfused.After2
    yearsoffollow-up , allpatientsinthetwogroupswerefused.Conclusion ForIdegreeof
    degenerativespondylolisthesisoflumbarspinalcanalstenosis , theinjuryofsimplefenestration
    decompressionissmall.Thelong-termeffectofTLIFandPLIFisbetter.Theamountofblood
    loss , lengthofstay , andtheinjuryofnerveanddurainPLIF weresuperiortoTLIF.TLIF
    surgicalismoresafeandeffectivefortreatmentwithIdegreeofdegenerativespondylolisthesisof
    lumbarspinalcanalstenosis.
    Clinical observation of Stargardt′s disease with BL-FAF
    LIU Ying, ZHOU Nalei, DUAN Jialiang, AN Jianbin*, LIU Liya, MA Jingxue
    2016, 37(7):  798-801.  doi:10.3969/j.issn.10073205.2016.07.014
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    [
    Abstract ] Objective ToinvestigatethecharacteristicsofStargardt'sdiseaseonbluelight
    fundusautoflurorescence ( BL-FAF ), andthesignificance of BL-FAFin thefollow-up of
    Stargardt'sdisease.Methods BL-FAFimagesof6patients ( 12eyes ) withStargardt'sdisease ,
    diagnosedbetweenJan2010andSep2015 , werecollectedrespectively.Thecharacteristicsof
    Stargardt'sdiseaseonBL-FAFwasinvestigated.Results ThelesionsofStargardt'sdiseasewas
    uausllybilateralandsymmetrical.There weredifferencesintheperformanceofBL-FAFin
    differentpathologicalstages.Attheearlystage , itpresentedaspigmentabnormalityandyellow
    flecksofmaculawithmottledhyper-autofluorescenceonBL-FAF.Atthemediumstage , itwas
    observedas mildroundoroval-likeatrophyarea withyellow spotsaround , whileashypo-
    autofluorescentcentercircledwithmottledhyper-autofluorescenceonBL-FAF.Whileatthelate
    stage , therewasroundorovalatrophyareawithchoroidalvesselsinthecenterandabundant
    yellowflecksaround , soitmanifestedasroundorovalhypo-autofluorescentareawithorwithout
    hyper-autofluorescentspotsaround.Conclusion Withspecificfeaturesatdfifferentdegreeof
    lesions , BL-FAFcanreflectthesereverityofStargardt'sdisease , which willbehelfpfulto
    assessmentoftheprognosisofthedisease.
    Department of  Ophtholmology， the First Hospital of Shijiazhuang City， Hebei Province， Shijiazhuang 050011, China
    ZHAO Xian， LIU Jie， SHAO Lijing， ZUO Jianxia
    2016, 37(7):  802-805.  doi:10.3969/j.issn.10073205.2016.07.015
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    [ Abstract ] Objective Toobservetheeffectsofdifferentconcentrationsofadrenalinin
    perfusionsolutionon mydriasisandthecornealendothelium inphacoemulsificationcataract
    surgeryandtodiscussclinicalrationalconcentration.Methods Onehundredandfivesimple
    senilecataractpatients ( 120eyes ) weredividedrandomlyintoA , BandCgroups ( eachgroupwith
    40patients ) .0.1 mL , 0.2 mLand0.5 mL1‰ adrenalin wereaddedinto500 mLperfusion
    solution.Phacoemulsificationandintraocularlensimplantationwereperformedinallpatients.
    Beforesurgeryand1weekaftersurgery , cornealendothelialdensity , thepercentageofhexagonal
    cellsand variablecoefficient were detected by cornealendothelialcellinstrument without
    touching.Results Thepupildiametersinthe3groupsduringoperationwereallgreaterthanor
    equaltothoseofpreoperation.Thedifferencesofthepreoperativecornealendothelialcell
    density , thepercentageofhexagonalandcellsvariablecoefficientamongthe3groupswerenot
    statisticallysignificant ( P >0.05 ) .Thepostoperativecelldensityandthepercentageofhexagonal
    cellswerelowerthanthosebeforeoperation.TherewassignificantdifferenceofgroupBand
    groupCcomparedtothatbeforeoperationrespectively ( P <0.05 ) andthedifferenceofgroupA
    wasnotstatisticallysignificant ( P >0.05 ) .Therewasnostatisticallysignificantdifferenceamong
    thethreegroups ( P >0.05 ) .Thevariablecoefficientwashigherthanthatbeforeoperationin groupC ( P <0.05 ) .Therewasnostatisticallysignificantdifferenceofvariablecoefficientin
    groupAandgroupBcomparedtothatbeforeoperation ( P >0.05 ) .Thevariablecoefficientof
    groupCwashigherthanthatofgroupA ( P <0.05 ) .Conclusion Theeffectiveandthelowest
    adrenalinconcentration ( 0.1mL1‰adrenalinin500mLperfusionsolution ) shouldbeappliedin
    phacoemulsificationinconsiderationofthepotentialadrenalintoxicity.
    The analysis of hearing results in 250 patients with tinnitus
    LI Guifang， WANG Chunhua， LIU Chaobing
    2016, 37(7):  806-808,813.  doi:10.3969/j.issn.10073205.2016.07.016
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    [
    Abstract ] Objective Toanalyzethehearingresultofnormalfrequencyandextendedhigh
    frequencyaudiometryin250patientswithtinnitus.Methods Acousticimpedancetest , normal
    frequencyandextendedhighfrequencyaudiometrywereappliedto250patientswithtinnitusat
    theperiodofbetween18to35.Results 36. 0% ( 90 / 250cases , 180ears ) patientswerediagnosed
    withnormalhearing , and64.0% ( 160
    / 250cases ,
    320ears ) patientswithabnormalhearing.There
    werestatisticallysignificantinthehearingthresholdoccurrencerate ( 4 , 8 , 10 , 12.5and16kHz )
    betweenthegroupsofnormalhearingandabnormalhearingwithtinnitus ( P <0.05 ) .Therewere
    statisticallydifferentinthethresholdoccurrencerate ( 12. 5and16kHz ) betweenthegroupsof
    normalhearingwithtinnitusandcontrolgroup ( P <0.05 ) .However , therewasnotstatistically
    differentbetweentheaffectedandcontralateralsidewithunilateraltinnituspatients ( P >0.05 ) .
    Conclusion Tinnitusandhearinglosshavesomerelevance.Itismeaningfultotestextendedhigh
    frequencyaudiometry , Thestudyonthepathogenesisoftinnitusneedstobefurtherimproved
    Effect analysis of gastrointestinal nutrition tube surgery under X line curative in old patients with late digestive tract tumor #br#
    LI Bo, HUANG Jingxiang, AI Ning, GU Tieshu, WANG Ning
    2016, 37(7):  809-813.  doi:10.3969/j.issn.10073205.2016.07.017
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    [
    Abstract ] Objective Toinvestigatetheeffectofnutritionalsupportinthetreatmentof
    elderly patients with advanced digestive tract cancer by interventional placement of
    gastrointestinaltractunderX-ray.Methods Fiftypatientswithlatedigestivetracttumorwere
    randomlydividedinto2groups : Observationgroupof25caseswithX-rayplacedinjejunum
    nutritiontubeenteralnutritionsupportandcontrolgroup25casestoparenteralnutrition.After
    onemonthtreatment , changesofbloodalbumin , hemoglobinandimmunoglobulinlevelsintwo
    groupswerevcompared.Thecomplicationsofthe2groupswerecompared.Results Twogroups
    aftertreatmentalbumin 、 hemoglobinandimmunoglobulin , IgA , IgMandIgG werehigherthan
    beforetreatment ( P <0.05 ) .Compared withthecontrolgroup , theaboveindexesofthe
    observationgroup weresignificantlyhigher.Observationgroupaftertreatmentofalbumin 、
    hemoglobinandimmunoglobulin , IgA , IgG , higherthanthecontrolgroup ( P <0.01 ), The
    survivaltimeofpatientsintheobservationgroupappearlongerthanthecontrolgroup ( P <
    0.05 ) .Theobservationgrouphadnocomplicationsduringthetreatment , andthecontrolgroup
    had7casesofcomplications ( P <0.05 ) .Conclusion Elderlypatientswithadvanceddigestive
    tract cancer were treated with nutritional support , which can effectively protect the
    gastrointestinalfunction , improvethenutritionalstatusandimprovetheimmunefunctionofthe patientswithadvancedgastrointestinalcancer.
    The Brinzolamide treatment on intraocular pressure in gynecological laparoscopic operation
    ZUO Yanxia1, QIN Shouze1*, XIAO Hongyan2, ZHOU Jie3, WU Shujuan4, ZHANG Fengmin1
    2016, 37(7):  814-817.  doi:10.3969/j.issn.10073205.2016.07.018
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    [
    Abstract ] Objective ToinvestigatetheeffectsofBrinzolamideontheintraocularpressure
    (
    IOP ) duringgynecologicallaparoscopicsurgery.Methods SixtycasesofASAgradeⅠ orⅡ
    gynecologicalpatientswithuterinefibroidsunderwentlaparoscopichysterectomyweredivided
    intotwogroups : thebrinzolamidegroup ( n =30 ) andthecontrolgroup ( n =30 ) accordingto
    differentmodusoperandi.IOP , heartrate ( HR ), meanarterialpressure ( MAP ), end-tidalcarbon
    dioxidepartialpressure ( P ET CO 2 ) andairway pressure ( Paw ) were measured5 minafter
    anesthesia ( T 0 ), 30 min ( T 1 ), 60 min ( T 2 ) and120 min ( T 3 ) afterbrinzolamideeyedrops
    (
    brinzolamide ) treatment , pneumoperitoneum ( PP ) orabdominalwallwassuspended , 30 min
    afterdeflationorabdominalwallwasputdown ( T 4 ) .Results IOPofthegroupAandgroupB wereincreasedsignificantlyatT 1 , T 2 andT 3 .Therewerestatisticallysignificantdifferencesinthe
    interactionbetweengroupandtimepointsaswellasbetweengroups ( P <0.05 ) .MAP , HR , P ET
    CO 2 andPawofthegroupAandgroupBwereincreasedsignificantlyatT 1 , T 2 , T 3 .Therewere
    significantdifferences betweenthetime points ( P <0.05 ) .Conclusion Brinzolamidecan
    effectively preventtheintraocular hypertension during gynecologicallaparoscopic surgery ,
    preventopticnerveinjury , andhasnoeffectontherespiratoryandcirculatorysystem.
    Study on medical cooperation training to improve the comprehensive ability of junior nurses in operation room
    WANG Chunxian, LIU Jianxin, DONG Na, LAN Yufeng
    2016, 37(7):  818-821.  doi:10.3969/j.issn.10073205.2016.07.019
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    [ Abstract ] Objective Tostudytheeffectoftrainingincooperationbetweendoctorandnurse
    onimprovingjuniornurse'scomprehensiveabilities.Methods Applyingtrainingofcooperation
    betweendoctorandnursetocultivatejuniornurse'sspecializedknowledgeandpracticalability ,
    andcomparetheirtheory , operatingcapacityperformanceanddegreeofsatisfactionfromsurgeon
    beforeandaftertraining.Results Bothofparticipatingjuniornurse'stheroy , operatingcapacity
    aresignificantlyenhancedaftertraining ( P <0.01 ); Satisfactionfrom surgeonalsoincrease
    markedlythroughthistraining ( P <0.01 ) .Conclusion Trainingincooperationbetweendoctor
    andnursecanimproveinitiativeandforesightofjuniornurse'soperativecooperation , whichisan
    effectivemeanstoenhanceLow-seniorityoperatingroomnurse'sclinicalpracticalability
    Valueanalysisof3methodsinthediagnosisoftuberculouspleurisy
    ZHENG Liheng1， LIU Xiaojin2, LIU Hui3， ZHANG Xiaoguang4*
    2016, 37(7):  822-825.  doi:10.3969/j.issn.10073205.2016.07.020
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    [
    Abstract ] Objective ToevaluatetheclinicalvalueofXpert MTB / RIFassay , levelof
    adenosinedeaminase ( ADA ) methodandT-SPOT.TBmethodindiagnosisoftuberculouspleurisy.
    Methods Atotalof109patientswithtuberculouspleurisywereenrolledinthisretrospective
    study , andtheirpleuraleffusionweregivenXpertMTB
    / RIFassayandthelevelsofADA were
    measured.The whole blood was detected by T-SPOT.TB method.Results There were
    significantdifferencesin MTB / RIF Xpertsystem and ADA activity detection method , T-
    SPOT.TBmethod , ADAactivitydetectioncombinedT-SPOT.TB method ( P <0.05 ) .There
    weresignificantdifferencesinADA activityassay , T-SPOT.TB assay , ADA activityassay
    combinedwithT-SPOT.TB method ( P >0.05 ) .Conclusion Becausethetuberculouspleural
    effusionisstimulatedandmycobacteriumtuberculosiscontainsverylittlepleuraleffusion , the
    positiverateoftheapplicationofXpertMTB / RIFsysteminhydrothoraxdetectionislow , the
    significanceinthediagnosisoftuberculouspleurisybythismethodislimited.Thepositiverateof
    ADAactivityandT-SPOT.TBtestishigh , andthejointdetectionanddiagnosiseffectisbetter  indicatingADAactivityandT-SPOT.TBtestarevaluablemethodsindiagnosisoftuberculous
    pleurisy.