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    25 August 2016, Volume 37 Issue 8
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    Analysis of prognostic factors in patients with  severe pneumonia caused by multidrugresistant acinetobacter Baumannii
    PAN Wensen, ZHANG Lili, YU Jing, HAN Kunpeng, YUAN Yadong*
    2016, 37(8):  869-873.  doi:10.3969/j.issn.10073205.2016.08.001
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    [
    Abstract ] Objective Toanalyzetheclinicalfeaturesinpatientswithseverepneumonia
    infectedbymultipledrugresistantacinetobacterbaumannii ( MDRAB ), andtoexploretherisk
    factorsassociatedwiththeprognosis.Methods Thedataof60patientswithseverepneumonia
    causedbyMDRABinintensivecareunit ( ICU ) wereretrospectivelyanalyzed.Thepatientswere
    dividedintosurvivalgroupanddeathgroup.Theclinicalcharacteristicsofthetwogroupswere
    comparedbysinglefactoranalysisandlogisticregressionanalysis.Results Univariateanalysis
    suggestedthatage , APACHEIIscore , PCT , positivebalanceoffluidaccumulationin72hours
    andmechanicalventilationmaybeassociatedwithpoorprognosis ( P <0.05 ), buttherewereno
    significantdifferenceinwhitebloodcellcountandCRPbetweentwogroups.Logisticregression
    analysisshowedthatPCTelevation , theneedformechanicalventilationand72hliquidpositive
    balancemaybetheindependentriskfactorsforthepoorprognosis.Conclusion Advancedage ,
    highAPACHEIIscore , PCTelevation , needformechanicalventilationandpositivebalanceof fluidaccumulationin72hoursweretheindependentriskfactorsforpoorprognosisinthepatients
    withseverepneumoniacausedbyMDRAB.
    Effects of Celecoxib on the structure and function of rat ventricular and on TXA2 and PGI2 in rats with myocardial hypertrophy
    ZHANG Qi, XUE Mingming*, XUE Feng, XIN Xue
    2016, 37(8):  874-877,888.  doi:10.3969/j.issn.10073205.2016.08.002
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    [
    Abstract ] Objective ToinvestigatetheeffectofCelecoxibonthefunctionandstructureof
    theventricular , andonthecontentofprostaglandinI 2 ( PGI 2 ) andthromboxane 2 ( TXA 2 ) in
    modelsofratswithpressure-overload myocardialhypertrophy.Methods Female Wisterrats
    wererandomlydividedintoshamoperationgroup , modelgroup , Celecoxib2weeksgroupand
    Celecoxib4weeksgroup.Echocardiographicmeasurementswereusedtomeasurecardiacfunction
    indexes.Leftventricletissuesectionswereviewedbylightmicroscope.LVMIwasmeasuredand
    contentofPGI 2 , TXA 2 weremeasuredbyELISAassayinplasmaandmyocardialtissue.Results
    In modelgroup , Celecoxib2weeksgroupandCelecoxib4weeksgroup , Tieindexeswere
    higherthanthatinthethesham group.InCelecoxib4weeksgroupand2weeksgroup , Tie
    indexeswaslowerthanthatinthemodelgroup ( P <0.05 ) .In modelgroupandCelecoxib2
    weeksgroup , IVRT washighercomparedwiththesham group.IVRTofCelecoxib4 weeks groupwaslowerthanthatinthemodelgroupandCelecoxib2weeksgroup ( P <0.05 ) .Inmodel
    group , Celecoxib2weeksgroupandCelecoxib4weeksgroup , EF , FSwerelowerthanthatin
    shamgroup , COwashigherthanthatinshamgroup (
    P <0.05 ) .ThecontentofplasmaPGIin
    Celecoxib4 weeksgroup washigherthanthatinthesham groupand modelgroup.PGI 2 in
    myocardialtissueofCelecoxib4weeksgroupwashigherthanthatinshamgroupandCelecoxib2
    weeksgroup ( P <0.05 ) .TherewasnosignificantdifferenceinthecontentofTXA
    2 inplasmaand
    cardiactissuebetweenthe2groups ( P >0.05 ) .Conclusion Attheearlystageofcardiac
    hypertrophy , ventricularfunctionandstructureweresignificantlychanged.Withtheextensionof
    time , ventricularsystolicfunctionalsoappearedobstacles.PGI 2 inplasmaandmyocardialtissue
    ofcardiachypertrophyratwaschanged.Celecoxibcanalleviatecardiachypertrophy.However ,
    long-termusemayhaveasideeffect.
    Questionnaire on health literacy of infectious diseases based on item response theory
    WANG Jianing1, HUA Weiyu2， WANG Hongyuan1*
    2016, 37(8):  878-882.  doi:10.3969/j.issn.10073205.2016.08.003
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    [
    Abstract ] Objective Toanalyzetheitemsofthequestionnaireonhealthliteracyregarding
    infectiousdiseasesinresidentsinBeijing'usingitemresponsetheory ( IRT ) .Methods Datawas
    collectedfromthesurveyonhealthliteracyregardinginfectiousdiseasesofresidentswholivedin
    Haidiandistrict , Beijing.Thethree-dimensionalquestionnaireidentifiedconceptualknowledge
    andattitudestowardsinfectiousdiseases ; lifestyleandhealthbehavior ; andhealth-relatedskills.
    Three-parameterlogisticmodelwasusedtofitthesampleandtocalculatethediscrimination ,
    difficultyandguessingparameterofeachitem.Results Sinceeachdimensionofthequestionnaire
    satisfiedtheunidimensionalassumption , IRTcouldbeappliedtoexecuteitemanalysis.Among
    thethreedimensions , therewere70. 0% , 90. 9% and0% oftheitemdiscriminationparameters
    lyingintherationaldomainat ( 0.5 , 2 ) respectively , whilerestofthemhadlargerdiscrimination
    values.Alltheitem difficultyparameterswerewithinthereasonablerangeof ( -3 , 3 ) .The
    reasonablevalueintervalofguessingparameterwas ( 0 , 0.2 ) .Fordifferentdimensions , there
    were70.0% , 72.7%and100%itemguessingparameterfitinthisrange.Themaximumvalueof
    theguessingparameterwas0.352.Conclusion Mostoftheitemsinthequestionnairehad acceptablediscriminations.Onlyfewitemshadexcessivediscriminationlevelsandmostlyexisted
    inthehealth-relatedskillsdimension.Thedifficultiesofalltheitemswereinamediumtoslightly
    lowerlevel , whichwasreasonable.Guessingbehavioronlyhappenedt
    Effects of antioxidant lipidlowering therapy on nonalcoholic fatty liver disease in rats
    LU Caiping1, ZHAO Xiaojian2, CAO Junjuan3, SU Baiyu1, WU Lin4, REN Qiaohua1
    2016, 37(8):  883-888.  doi:10.3969/j.issn.10073205.2016.08.004
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    [
    Abstract ] Objective Toinvestigatetheeffectsofatorvastatinandprobucoltherapyon
    nonaloholicfattyliverdisease ( NAFLD ) inrats , andtoexploretherelatedmechanism.Methods
    Thirty-twomaleSDratswererandomlydividedintofourgroup : normalgroupwithnormaldiet andgastricperfusionofsaline , NAFLDcontrolgroupwithhighfatdietandgastricperfusionof
    saline , andprobucolpreventiongroup withhighfatdietandgastricperfusionofprobucol ,
    atorvastatinandprobucolpreventiongroupwithhighfatdietandgastricperfusionofprobucol
    andatorvastatin.Attheendof18thweek , ratsweresacrificedtoobservethechangesofblood
    lipid , insulinandbloodglucoseinrats , andtodeterminethelevelsofserumTNF-α , IL-6andIL-
    8.Results Rats weightandhepaticindexinthe modelgroup , probucolpreventiongroup ,
    atorvastatinandprobucolpreventiongroupwerehigherthanthoseinthecontrolgroup.Rats
    weightinprobucolpreventiongroup , atorvastatinandprobucolpreventiongroupwaslowerthan
    thatinthe modelgroup ( P <0.05 ) .TheTG , TC , LDL-C , ALTinthe modelgroup were
    significantlyhigherthanthatinthecontrolgroup.TheTG , TCandLDL-Cintheprobucol
    preventiongroupweresignificantlyhigerthanthatinthenormalgroup.TG , TC , LDL-Cand
    ALTintheprobucolpreventiongroupweresignificantlylowerthanthoseinthecontrolgroup.
    TG , TCandLDL-Cinatorvastatinandprobucolpreventiongroupwerelowerthanthoseinthe
    modelgroupandprobucolpreventiongroup.ALTinatorvastatinandprobucolpreventiongroup
    waslowerthanthatinthemodelgroup.TheHDLinmodelgroup , probucolpreventiongroup ,
    atorvastatinandprobucolpreventiongroupwerelowerthanthatinthenormalgroup ( P <0.05 ) .
    Theseruminsulinin modelgroup , theprobucolpreventiongroupandtheatorvastatinand
    probucolpreventiongroupwassignificantlyhigherthanthatinthecontrolgroup ( P <0.05 ) .
    Visceralfatandvisceralfatcoefficientinthemodelgroup , theprobucolpreventiongroupandthe
    atorvastatinandprobucolpreventiongroupwerehigherthanthoseinthenormalcontrolgroup
    (
    P <0.05 ) .Visceralfatinprobucolgroup , atorvastatinandprobucolpreventiongroup were
    higherthanthatinthe modelgroup ( P <0.05 ) .HbA 1 cinthe modelgroup , theprobucol
    preventiongroupandtheatorvastatinandprobucolpreventiongroupwerehigherthanthosein
    thenormalcontrolgroup ( P <0.05 ) .TheserumIL-8 , IL-6 , TNF-αinthemodelgroup , the
    probucolpreventiongroupwerehigherthanthoseinthenormalgroup.TheserumIL-8 , IL-6 ,
    TNF-αintheprobucolpreventiongroupandatorvastatinandprobucolpreventiongroupwere
    higherthanthoseinthemodelgroup.TheserumIL-8 , IL-6 , TNF-αinatorvastatinandprobucol
    preventiongroupwerelowerthanthoseintheprobucolpreventiongroup ( P <0.05 ) .Conclusion
    Probucolcouldprotectlivefunctiong , whichmightberelatedtoalleviateinflammation.There
    mightbesynergisticeffectofatorvastatinandatorvastatinonlipidlowering.
    Dynamic observation and analysis of T lymphocyte subpopulations in patients with active pulmonary tuberculosis in different age groups
    LIU Hui1， ZHANG Xiaoguang2*， HUANG Xinli3， LIU Rui1， AN Hejuan1， WANG Yong1
    2016, 37(8):  889-892.  doi:10.3969/j.issn.10073205.2016.08.005
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    [
    Abstract ] Objective ThroughthedynamicobservationofclinicalmanifestationandTcell
    subsetsinpatientswithactivepulmonarytuberculosisindifferetagesandindifferentstagesof
    thetreatment , toinvestigatetherelationshipbetweenthediseasevarietyandTcell-mediated
    immunityinelderlypatients.Methods Eightypatientswithsecondarypulmonarytuberculosis
    weredividedintogroupA ( youngerthan60yearsold , 40cases ) andgroupB ( olderthan60years
    old , 40cases ) .Allpatientswerereceived2HRZE / 4HRanti-tuberculosistreatment.Inthree
    differenttimepoints [ beforethetreatmen ( T 0 )/ 1monthsafterthetreatment ( T 1 )/ 6monthsafter
    thetreatment ( T 6 )], thechangesofthechlinicalsymptoms / sputum smeat / thechestX-ray
    imagesandTlymphocytesubpopulationsofvenousbloodwereanalyzed.Thedynamicchangesof immunestatusin2groupswerecomparedandanalyzed.Results IntheperidofT 1 , theclinical
    manifestations , sptutumsmearnegativeconversionrateandimageperformansesofgroupAwere
    betterthanthoseofgroupB.IntheperiodofT 6 , thedifferenceofeffectiveratesbetweentwo
    groupshadnostatisticalsignificance.Thereweresignificantdifferencesintheinteractionbetween
    thegroups , thetimepointandthetimebetweengroupsforTcells ( P <0.05 ) .ForThcells , The
    differencebetweengroupsandtimepointswasstatisticallysignificant ( P <0.05 ), buttherewas
    nosignificantdifferenceintheinteractionbetweengroupandtime ( P >0.05 ) .ForTscells , there
    werestatisticallysignificantdifferencesbetweenthegroups ( P <0.05 ), butthere wasno
    significantdifferenceintheinteractionbetweentimeandgrouptimebetweenthetwogroups ( P >
    0.05 ) .ForTh / Tsratio , therewerestatisticallysignificantdifferencesbetweenthegroups ( P <
    0.05 ), buttherewasnosignificantdifferenceintheinteractionbetweentimeandgrouptime
    betweenthetwogroups ( P >0.05 ) .Conclusion Timmunefunctioninelderlypatientswith
    secondarypulmonarytuberculosiswaslowerthanthatinyoungpatients , andithasadirect
    impactonthetreatmentofelderlypatientswithpulmonarytuberculosis.
    Effects of extended family care for patients with coronary heart disease after PCI#br#
    HE Cuizhu， LIANG Xin， SU Fei, FANG Yu, QU Yinling
    2016, 37(8):  893-896.  doi:10.3969/j.issn.10073205.2016.08.006
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    [
    Abstract ] Objective Totesttheeffectsofanextendedfamilycareforpatients with
    coronaryheartdiseaseafterpercutaneouscoronaryintervention ( PCI ) .Methods Patientwere
    randomlydividedintocontrolgroupandstudygroupaccordingtodigitalrandom method ,
    including96individualswithcoronaryheartdiseaseafterPCI.Thecontrolgroup ( n =47 ) received
    routinecareandthestudygroup ( n =49 ) receivedextendedfamilycare.Thestudywascarriedout
    ontwogroupsofpatientswith1month , 3months , 6monthsand12monthsoftelephonevisits
    orhomevisits.Thelifestyleanddietcontrol , treatmentcompliance , andtheonsettimesandre
    hospitalizationrateof2groupsofpatients werecompared.Results There weresignificant
    differencesinthegroup , timeandtimebetweenthegroupsforthechangesoflifestyleandthe
    complianceofdietcontrolin2groups ( P <0.05 ) .Thereweresignificantdifferencesinthegroup ,
    timeandtimebetweenthegroupsforthenumberofepisodesofanginapectorisandthenumber
    oftimesofhospitalizationin2groups ( P <0.05 ) .Conclusion Extendedfamilycareforpatients
    withcoronaryheartdiseasenotonlychangesthehabitsofpatients , butalsoimprovesthe
    treatmentcomplianceofpatients.
    Clinical study of nedaplatin combined with 5FU in neoadjuvant chemotherapy for esophageal cancer patients#br#
    TIAN Jingrong1, MIAO Yi2*, HE Xinmei1, LI Xiaomin1, ZHAO Yuqin1, WANG Jumei1
    2016, 37(8):  897-899.  doi:10.3969/j.issn.10073205.2016.08.007
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    [ Abstract ] Objective Todetecttheclinicalefficacyandsafetyofneo-adjuvantchemotherapy
    withnedaplatinand5-fluorouracil ( 5-FU ) forthepatientswithesophagealcancer.Methods A
    totalof72patientswithesophagealcancerrandomlydividedintotreatmentgroup ( 36cases ) and
    controlgroup ( 36cases ) .Treatmentgroupreceivedneo-adjuvantchemotherapywithnedaplatin
    and5-FUfor2cyclesandunderwentoperation3-4weeksafterchemotherapy.Thepatientsof
    controlgroup weretreated with operationalone.Theradicalresectionrate , postoperative
    complicationrateandthree-yearsurvivalratewerecomparedbetweenthetwogroups.Results
    Thepatientsoftwogroupsweresuccessfullycompletedtheoperation.Theradicalresectionrate ,
    postoperativecomplicationrate , three-yearsurvivalrateofthetreatmentgroupwere88.9% ,
    41.7% , 60.0% andthoseofcontrolgroup were69.4% , 36.1% , 34.3% , respectively.The
    radicalresectionrateandthree-yearssurvivalratebetweenthetwogroupsweresignificantly
    different , buttherewasnosignificantdifferenceinpostoperativecomplicationrate.Conclusion
    Nedaplatininneo-adjuvantchemotherapyforesophagealcancercouldsignificantlyincreaseradical
    resection rate and three-year survival rate and presented no negative influence on the postoperativecomplicationrate , whichisworthyofclinicalapplication.
    Effect of mental rehabilitation training on life quality and life satisfaction of patients with schizophrenia
    GUO Jianbing， MA Wenyou*， ZHANG Yingjie， SUN Yan， QIAO Xiaofen， LIU Xiaoyun
    2016, 37(8):  900-902,907.  doi:10.3969/j.issn.10073205.2016.08.008
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    [
    Abstract ] Objective Toinvestigatetheeffectofmentalrehabilitationtrainingonthelife
    qualityandsatisfactionofinpatients withschizophrenia.Methods Eighty-oneschizophrenia
    patientswererandomlydividedintostudygroup ( 41cases ) andcontrolgroup ( 40cases ) .The
    studygroupweretreatedwithdrugscombined withrehabilitationtraining , whilethecontrol
    groupweretreatedwithdrugsandbasicworkandrecreationaltherapy.Theresearchlastedfor
    oneyearandtheassessmentoflifequalityandsatisfactionscalewerecarriedouteachquarterby
    usingthe World Health Organization Quality of Life-BREF ( WHOQOL-BREF ) and Life
    SatisfactionIndex B ( LSIB ) .Results Withtherehabilitationtrainingtimeextended , the
    WHOQOL-BREFandLSIBscoresinthestudygroupandinthecontrolgroupshowedagradual
    increasingtrend.Theamplitudeofthestudygroupwashigherthanthatofthecontrolgroup.
    Thereweresignificantdifferencesintheinteractionofthetwogroupsatdifferenttimepointsand
    betweengroups ( P <0.01 ) .Conclusion Mentalrehabilitationtraininghasasignificanteffecton
    improvingthequalityoflifeandlifesatisfactionofpatientswithschizophrenia.
    Clinicstudyofmicrosurgicalremovalofhematomaandstandardlargetraumacraniotomy#br# totreatthepatientswithseverehypertensivecerebralhemorrhageandearlycranioplasty
    WANG Zhong， SU Ning*， WU Rile， ZHANG Yisong， ZHANG Xiaojun， WANG Junqing
    2016, 37(8):  903-907.  doi:10.3969/j.issn.10073205.2016.08.009
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    [
    Abstract ] Objective Toexploretheclinicalcurativeeffectofmicrosurgicalremovalof
    hematomaandstandardlargetraumacraniotomytotreatthepatientswithseverehypertensive
    cerebralhemorrhageandearlycranioplasty.Methods Retrospectivelyanalyzedtheclinicaland
    radiologicaldatafrom 106 patients managed with microsurgicalremovalofhematomaand
    standardlargetrauma craniotomytotreatthe patients with severe hypertensive cerebral
    hemorrhageandearlycranioplasty.Results Seventy-twohoursafteroperation , thepatients
    underwentCTexamination.Therateofhematomaremovalwas80%-96%.Twelvecasesdied
    andthe mortalityrate was11.32%.Theother94patients weretreatedby3 monthsafter
    operation.TheclinicalefficacywasevaluatedbyusingBarthe1index ( BI ), and45cases ( 47.87% )
    withgooddailylifeability , 24cases ( 25.53% ) with moderatedisability , 15caseswithsevere
    disability ( 15.96% ), 10cases withtotaldependence (
    10.64% ) .Conclusion Microsurgical
    removalofhematomaandstandardlargetraumacraniotomycanrapidlyremovehematoma ,
    relieveintracranialpressure , and promotetherecovery ofneuralfunction andreducethe mortalityrateanddisabilityrateofpatients , whichisaneffective methodfortreatmentof
    hypertensivecerebralhemorrhageandcerebralherniaformation.Earlycranioplastycanimprove
    thequalityoflifeofthepatients , theeffectissatisfactory.Itisworthyofclinicalpromotion.
    Sondgrass urethroplasty treatment of children with distal shaft hypospadias#br#
    QI Jinchun1, ZHANG Yanan1, ZHEN He1, ZHANG Zefeng2， XU Hui1, XUE Wenyong1*
    2016, 37(8):  908-910,915.  doi:10.3969/j.issn.10073205.2016.08.010
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    [
    Abstract ] Objective Toanalyseanddiscusstheeffectsandcomplicationsofdistalshaft
    hypospadiaspatientstotreatmentbySondgrassurethroplasty , andtoprovidethebasisfordistal
    shafthypospadiastreatment.Methods Onehundredandtwenty-eightcasesofdistalshaft
    hypospadiaspatientswereselected , alltakedSondgrassurethroplasty.After6monthsoffollow-
    up
    , theclinicalresultswereanalyzed.Results Onehunredandtwenty-eightofthe101patients
    hadsuccessfuloperationandthesuccessratewas78.9%.Thereare13patientswithurethral
    fistula ( 9caseslocatedincoronarysulcus , 4caseslocatedintheshaftofpenis ), theincidencerate
    is10.2%.Allpatientswithurethralfistulawererepairedsuccessfullyby1-2secondaryurethral
    fistularepairafter6months.Urethralstrictureoccurredin9patients.After2-6monthsurethral
    expansion , 8casesweresuccessfullyrecovered.Urethralstricturedidnotappearagainafter6
    monthsfollow-up.Thereis1casewithurethralatresiacompletely.Urethralexpansioncannot
    pass.Bysplittingtheurethraandreconstructingtheurethralplate , thiscasewassuccessfully
    curedafterhalfayearwithSnodgrass.Thereare3caseswithurinarytractinfectionduring
    intratrachealtube.Bygivingearlyextubationandsupplementedbystaticsensitiveantibiotics , the
    patientswerecured.Besides , therewere2casesappearglansdehiscence.Urethralmouthis locatedincoronaryditchplacewithoutstenosis.Afterfullcommunicationwiththeparentsof
    children , nottemporarysurgicalcorrection wasused.Whetherusingthesurgeryagain was
    decidedbythechildren'spenisandurethralgrowthsituation.Allofthem werefollowedupfor6
    monthsorabove , andnootherdiscomfortandcomplicationsappeared.Conclusion Snodgrass
    urethroplastytotreatdistalshafthypospadiasiseasytodraw materials , simpletooperate , with
    highsuccessrateandlowincidenceofcomplications.Itisworthyofclinicalpromotion.
    The application of hepatectomy conbined with selective devascularization in primary hepatocellular carcinoma complicated with moderate/severe portal hypertension
    FAN Rengen1， ZHOU Yong1, ZHA Wenzhang1, SHAN Xiangxiang2*
    2016, 37(8):  911-915.  doi:10.3969/j.issn.10073205.2016.08.011
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    [
    Abstract ] Objective Toinvestigatetheclinicalefficacyofhepatectomyconbined with
    selectivedevascularizitioninthetreatmentofprimaryhepaticcarcinoma ( PHC ) complicatedwith
    moderate / severeportalhypertension.Methods Clinicaldata of53 patientsof PHC with
    moderate / severeportalhypertensionfrom Nov. 2009toNov. 2014wereretrospectivelyananlyzed.
    Patientsweredividedintotwogroupsaccordingtothesurgery methods : 23patientsreceived
    hepatic-resectionin conbination with splenectomy and selective devascularizition ( observed
    group ); 30 patientsreceived hepatic-resectioninconbination withsplenectomyand normal
    devascularizition ( controledgroup ) .Clinicalresults werecomparedbetweenthetwogroups.
    Results Thewhitebloodcell ( WBC ) andplatelet ( PLT ) wereimprovedafterthesurgeryinboth
    groups ( P <0.05 ) andtheimprovementwasbetterintheobservedgroup (
    P <0.05 ) .Alltheliver
    functionstandardswereimproved ( P <0.05 ) afterthesurgeryinbothgroupsexcepttheALB ,
    whiletheimprovementwasbetterintheobservedgroup ( P <0.05 ) .Theaccumulativeincidence
    ofhemorrhageofdigestivetractwashigherinthecontroledgroup ( P <0.05 ) .Therewereno significantdifferencesbetweenthetwogroupsregardtothecomplications ( P >0.05 ) andalsothe
    medicaleconomicsstandardssuchasthehospitalizationexpensesorlengthofstay ( P >0.05 ),
    amongwhichthelengthofsurgeryintheobservedgroupwasexcluded ( P <0.05 ) .Conclusion
    Hepatectomyconbinedwithselectivedevascularizationiseffectiveinthemanagementofprimary
    hepaticcarcinomacomplicatedwithmoderate / severeportalhypertension.
    Racking the effects of different treatment methods on patients with less than 1 cm breast hyperplasia
    ME Anliang1, ZHAO Haijun2* 
    2016, 37(8):  916-919.  doi:10.3969/j.issn.10073205.2016.08.012
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    [
    Abstract ] Objective Totreatthepatientsbydifferentmethodsandtofollow upfor3
    years , andtoobservetheimagemonitoringresultsandanalysisofbreastultrasoundcensusfound<
    1cmhyperplasiaofbreastnodulesinpatientswithbreasthyperplasialessthan1cmfoundby
    breastcolorDoppler.Methods Fivehundredandsevencaseswith <1cmhyperplasiaofbreast
    noduleswerefoundbybreastultrasoundscreening.304caseswereusedconservativetreatment
    accordingtothevoluntaryprinciple.104caseswereusedbysurgicalresection.53caseswereused
    byMammotome ( Mamotome , namelyvacuumassistedrotationcut ) .29caseswereusedbyhigh
    intensityfocusedultrasound ( HIFU ) .17caseswereusedbyargonheliumknifetreatment.After
    3yearsoffollow-up , noduleimagechanges wereobservedtoevaluatethevalueofbreast
    ultrasoundcensusfound<1cmhyperplasiaofbreastnoduleswithvarioustreatments.Results
    Thedifferencesinnodulediametervariation , imagingscoreandpainscoreafter3yearsof
    treatmentineachgroupwerestatisticallysignificant , comparedtothatbeforethetreatment.
    There were statistical differences in nodule diameter , radiographic score , pain score.
    Mammotometreatment , ultrasonicfocusingknifetreatment , treatmentofargonhelium knife werelowerinsurgerygroupthanthatinnonsurgicaltreatment ( P <0.05 ) .Treatmentofpain
    scoreaftersurgery , Mammotometherapy , focusedultrasoundinthetreatmentwerehigherthan
    thatofargon helium cryoablation ( P <0.05 ) .Surgery , Mammotometreatment , ultrasonic
    focusingknifeandargonheliumknifetreatmenthaverecrudescetubercle.Andthedifferencewas
    significantinthethirdyearoftreatment ( P <0.05 ) .Buttherewerenosignificantdifferences
    betweenthegroups ( P >0.05 ) .Conclusion Withtheextensionoftime.thereisariskfor
    conservativetreatmenton <1cm hyperplasiaofbreastnodules.Andsurgicaltreatmentand
    Mammotometreatmentissuperiortotheultrasonicfocusingknifetreatmentandargonhelium
    knifetreatment.
    Study on the treatment of patients with varicose vein of lower limb by elastic stockings
    LI Yan, YANG Caiyun, WANG Ruo, ZHANG Yanrong, BI Wei
    2016, 37(8):  920-922,926.  doi:10.3969/j.issn.10073205.2016.08.013
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    [
    Abstract ] Objective Toinvestigatetheeffectofelasticstockingsonthefunctionoflower
    legcircumferenceandlowerextremityvenousvalveinpatients withvaricoseveinoflower
    extremity.Methods Eighty-six patients with varicoseveinsoflowerextremity.Theyall
    underwenthighligationofgreatsaphenousvein.Thepatientswererandomlydividedintothe
    stretchsocksgroupandthecontrolgroup.Stretchsocksgroupweregivenimmediatelystretch
    sockspressuretherapyafterthestitches.Thecontrolgroupreceivednaturalrecovery.Theother
    treatmentswerethesameinthe2groups.Legcircumferenceandvenousrefillingtime ( VRT )
    weremeasuredinthetwogroupsofpatientsbeforeandaftersurgery , 6months , 12monthsafter
    themeasurement.Results Therecoveryoflegcircum-ferenceintheelasticstockingsgroupwas
    betterthanthatinthecontrolgroup , andtheVRTvaluewassignificantlylongerthanthatofthe
    controlgroup.Conclusion Elasticsockspressuretreatmentforpatientswithlowerextremity
    varicoseveincaneffectivelycompensatefortheinsufficiency oflowerlimb venousvalve ,
    significantlyreducelegcircumference , prolongtheVRTvalue , andreducethediscomfortof
    lowerlimbedema.
    Clinical study on the correction of hyponatremia after knee joint replacement by the capsule of sugar and salt
    ZHANG Shuhuan， BAI Weixia*， LU Yanhui， WU Xiaowei， MENG Yueping， WANG Fei
    2016, 37(8):  923-926.  doi:10.3969/j.issn.10073205.2016.08.014
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    [
    Abstract ] Objective Toinvestigatetheclinicaleffectofthecapsuleofsugar-saltcapsules
    onthecorrectionofhyponatremiaafterthekneejointreplacementinpatientswithnon-diabetes.
    Methods Sixty non-diabeticcases with hyponatremiaafterkneearthroplasty weredivide
    randomlyintotwogroups : observationgroup ( 30cases ) andcontrolgroup ( 30cases ) .The
    patientsincontrolgroupweregivensaltcapsulesorallyandthepatientsinobservationgroup
    weregivensugar-saltcapsulesorally.Results Thebloodsodiumconcentrationinthe2groups
    weregraduallyrecoveredtothepreoperativelevel.Thebloodsodium concentrationinthe
    observationgroupwasincreasedearlierthanthatinthecontrolgroup.Thereweresignificant
    differencesintheinteractionbetweengroupandtimebetweengroups ( P <0.05 ) .Theincidence
    ofnauseaandvomitinginobservationgroupwaslowerthanthatincontrolgroup.Thedifference
    wasstatisticallysignificant ( P <0.05 ) .Therewasnosignificantdifferenceintheincidenceof
    abdominaldistensionbetweenthecontrolgroupandthecontrolgroup ( P >0.05 ) .Conclusion
    Thetherapeutic effects ofthe sugar-saltcapsules on correcting hyponatremia after knee
    arthroplastyfornon-diabeticswereobviouslysuperiorthanthatofthesaltcapsule , andwere
    fewerside-effectsthanthatofsaltcapsules.
    Evaluation of nursing intervention on VAS pain score and Oswestry disability index in postoperative brucellosis spondylitis patients
    ZHANG Ying, YANG Xinming*， YUAN Meijin
    2016, 37(8):  927-931.  doi:10.3969/j.issn.10073205.2016.08.015
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    [
    Abstract ] Objective ToevaluatethenursingcareonVisualAnalogueScale ( VAS ) pain
    scoreand Oswestrydisabilityindex ofpostoperativebrucellosisspondylitispatientsandto
    improveclinicaloutcome.Methods Thirty-ninecases who underwenta debridementand
    posteriorpediclescrewfixationsurgery weredividedintotwogroups.Onegroupisroutine
    nursinggroup ( groupA , 19cases ) whichwereusedascontrolgroup ,
    theothergroupisnursing
    careinterventiongroup ( groupB , 20cases ) inwhichapreemptiveanalgesiacareplans
    , nursing
    education , medicationcomplianceandhealtheducationclinicalpathwaywerecarriedout.We
    comparedthepostoperativeVASscoreandOswestryDisabilityIndexbetweenthetwogroups.
    Allthecaseswerefollowedupat1 , 3and6monthaftertheoperation.Results Thetwogroups
    werecomparablebeforeoperation.TherewasasignificantdifferencebetweenthegroupBandthe
    groupAintheVASscore , themedicationcomplianceandtheOswestryDisabilityIndexatthe
    sametimepointafterthesurgery ( P <0.05 ) .CasesingroupBweresignificantlybetterthanin groupA , especiallyintheearlytimeaftertheoperation (
    P <0.05 ) .Conclusion Implementation
    ofthenursingcareinterventionscanimprove VASscoresand Oswestry DisabilityIndexin
    brucellosisspondylitispatients , andithassignificanteffectontherehabilitationandimprovement
    ofclinicalcurativeeffectafteroperation.
    Influence of phacoemulsificaiton with different incision on tear film of diabetic patients
    ZHAO Xian, LIU Jie, ZUO Jianxia, SHAO Lijing
    2016, 37(8):  932-934，939.  doi:10.3969/j.issn.10073205.2016.08.016
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    [ Abstract ] Objective Toinvestigatetheinfluenceofphacoemulsificaiton withtheclear
    cornealincisionandthescelrotictunnelincisionontearfilm ofdiabeticpatients.Methods
    Seventy-eightcataractpatients ( 90eyes ) withdiabetesweredividedintotwogroupsrandomly :
    groupA ( 45eyes ) withclearcornealincisionphacoemulsificationandgroupB (
    45eyes ) with
    sclerotictunnelincision.Corneafluorescein ( CFS ), Schirmer Ⅰ test ( SⅠt ) andtearbreak-up
    time ( BUT ) were observed at3 d preoperatively and 1 week , 1 month and 3 months
    postoperativelytoevaluatethechangesoftearfilm.Results TheCFSscoresoftwogroupswere
    obviouslyincreasedat1weekpostoperatively , andthengraduallydecreased.Theincreaseand
    decreaseintheclearcornealincisiongroupwerelarger ( P <0.05 ) .TheSⅠtandBUToftwo
    groupswerebothobviouslylowerat1weekpostoperativelythanpreoperatively ( P <0.05 ), and
    thengraduallyincreased.Theincreaseanddecreaseintheclearcornealincisiongroupwerelarger
    (
    P <0.05 ) .TherewerenosignificantdifferenceofCFS , SⅠtandBUTbetweentwogroupsat3
    monthspostoperatively ( P >0.05 ) .Conclusion Compared withclearcornealincision , the
    changesoftearfilminsc
    Influence of dexamethasone combined with dexmedetomidine on interscalene brachial plexus block
    ZHANG Ning1, SUN Baomin1, CHENG Yan2, YUAN Kuangsheng1
    2016, 37(8):  935-939.  doi:10.3969/j.issn.10073205.2016.08.017
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    [ Abstract ] Objective To observe the effects of dexamethasone combined with
    dexmedetomidineoninterscalenebrachialplexusblock.Methods Sixtypatiensscheduledfor
    upperextremitysurgerywithinterscalenebrachialplexusblockwererandomlydividedintothree
    groups , with20casesineachgroup.Controlgroup (
    groupC ) wasgiven0.5% ropivacaine25
    mL ; Dexmedetomidinegroup ( groupD ) wasreceived0.5%ropivacaine+1 μ g / kgdexmedetomidine25
    mL ; dexamethasonecombinedwithdexmedetomidinegroup ( groupDD ) wasinjectedwith0. 5%
    ropivacaine+1 μ g / kgdexmedetomidineanddexamethasone10 mg25 mL.Hearrate ( HR ),
    meanarterialpressure ( MAP ), oxygensaturation ( SpO 2 ) and OAA / Sscoreatthetimeof
    enteringtheoperatingroom ( T 0 ), beginningoftheoperation ( T 1 ), 30 minafterthestartof
    operation ( T 2 ), attheendofthesurgery ( T 3 ) wereobserved.Theonsettimeanddurationof
    sensoryand motorblock wererecorded.Theadverseeffectssuchasadversecardiovascular
    events , excessivesedation , nauseaandvomitingwerealsorecorded.Results Thedifferencein
    OAA / SscoreandHR , interblockandtimedissimilarityinthethreegroupsatthegroupsand
    timepointswerestatisticallysignificant ( P <0.05 ) .However , therewasnosignificantdifference intheinteractionbetweengroupandtime ( P >0.05 ) .InOAA / SscoreandHR , interblockand
    timedissimilarityofthethreegroupshadstatisticallysignificantdifference.There wasno
    significantdifferenceininteractionofinterblockwithtimedissimilaritybetweenthethreegroups.
    ForMAP , therewerestatisticallysignificantdifferencesintimedissimilarityamongthethree
    groups ( P <0.05 ) .Therewasnosignificantdifferenceininterblockandinteractionofinterblock
    withtimedissimilaritybetweenthethreegroups ( P >0.05 ) .ForSpO 2 , therewasnosignificant
    differenceamongthethreegroups ( P >0.05 ) .ComparedwithgroupC , theonsettimewas ( P >
    0.05 ) .ComparedwithgroupC , theonsettimewassignificantlyshortened , andthedurationof
    blockwasprolonged ( P <0.05 ) ingroupDandgroupDD.ComparedwithgroupsD , theduration
    ofblockwasprolongedingroupsDD ( P <0.05 ) .Theincidenceofnauseaandvomitingingroup
    DDwassignificantlylowerthaningroupD.SomepatientsdevelopedbradycardiaingroupsDand
    DD.Conclusion Dexamethasonecombined withdexmedetomidinecanenhancetheanalgesic
    effectofropivacaine , shortentheonsettime , prolongtheactiontime , reducetheadverse
    reactions , butmayinducebradycardia
    Comparison of liver tumor models of rabbit inoculated with VX2 tumor through liver and spleen
    SHI Bo,PING Yong, WANG Yongzhong, LI Zhigang*
    2016, 37(8):  940-942,948.  doi:10.3969/j.issn.10073205.2016.08.018
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    [
    Abstract ] Objective Toobservewhethertherabbitlivertumormodelscanbesuccessfully
    establishedandtoexplorethedifference betweenthe2 models.VX2tumorstrains were
    inoculatedindifferentpartsoftherabbit ( liverandspleen ) .Imagingfeatureswereexaminedby
    usingCTenhancedscananddigitalsubtractionangiography ( DSA ) .Methods Sixtyrabbitswere
    dividedintotwogroupsrandomly ( 30rabbitsineachgroup ) .Ingroup A , thetumorcell
    suspensioninavolumeof1mLwasinjectedintoliver.IngroupB , thesuspensionwasinjected
    intospleen.TherabbitswereexaminedbyCTperfusionscanandDSAat14and15daysafter
    implantation.TheCT manifestation ( thenumberandenhancementcharacteristicsofhepatic
    lesions ), themanifestationofDSA ( thenumberandstainofthelesions ) andtheparametersof
    CTperfusionscanwereobserved.Results ThrityrabbitsmodelsingroupAwereallsuccessfully
    establishedandtheexperimentswerecompleted.Twenty-eightrabbitsmodelsingroupBwereall
    successfullyestablishedandtheexperimentswerecompleted.Thereweresignificantdifferences
    intheCTscan , DSAexaminationofmultiplefocalliverlesionsandnumberofringenhanced
    lesionsinliverbetweengroupAandgroupB ( P <0.05 ) .Conclusion Therabbitlivertumor
    modelwassuccessfullyestablishedbyVX2cellsuspensioncultureinliverandspleen.Themodel
    establishedbyliverinoculated with VX2tumorstrain wasfoundtobe moreclosetohuman
    primarylivercancerbyusingtheCTscanandDSA.Themodelestablishedbyspleeninoculated
    withVX2tumorstrainwasfoundtobemoreclosetohumanprimarylivermetastasisbyusing theCTscanandDSA.
    Effect of parenteral nutrition containing fish oil fat emulsion in critically ill patients:a Metaanalysis
    HU Huanyu, WEI Yujia, DU Hongzhen, XIE Ying, LI Zengning*
    2016, 37(8):  943-948.  doi:10.3969/j.issn.10073205.2016.08.019
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    [
    Abstract ] Objective Toevaluatetheeffectofparenteralnutritioncontainingfishoilfat
    emulsiononadultcriticallyillpatients.Methods Studieswereidentifiedby Wanfang , CNKI ,
    TheCochraneLibrary ( CochraneCentralRegisterofControlled Trials ), pubmedsearchfor
    originalarticles.AccordingtotheinclusioncriteriaandJadad , dataoftheincludedstudieswere
    extracted , andthe methodologicalquality wasevaluated.Then Meta-analysiswasperformed
    usingRevMan5.1.Results Atotalof28RCTsinvolving1444patientsincluding9highquality
    trials wereincluded.Meta-analysis showed that compared with controlled group , Acute
    PhysiologyandChronicHealthEvaluation ( APACHE ) Ⅱscore [ SMD=-0. 55 , 95% CI ( -0. 76 ,
    -0. 34 ), P <0.00001 , I
    2 =14% ], LengthofICU stay [
    SMD= -1. 06 , 95% CI ( -1. 43 ,
    -0. 70 ), P <0.00001 , I
    2 =84% ] andinfectiouscomplications [
    OR =0.42 , 95% CI ( 0.28 ,
    0.65 ), P <0.0001 , I
    2 =0% ]
    hadsignificantdifferences.Buttherewerenosignificantdifference
    in28-d mortality [ OR =0.59 , 95% CI ( 0.32 , 1.10 ), P =0.10 , I
    2 =0% ]
    .Conclusion The
    parenteralnutritioncontainingfishoilfatemulsioncanpartlyimprovetheconditionsofcritically llpatients , butdidnotaffecttherecentprognosis.