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    25 September 2016, Volume 37 Issue 9
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    Analysis of risk factors of contrastinduced nephropathy in patients undergoing coronary angiography or nonemergent percutaneous coronary intervention
    WANG Hongchao，LIU Jinming，LI Fang，XIE Yanan，HAO Yuming
    2016, 37(9):  993-996,1005.  doi:10.3969/j.issn.10073205.2016.09.001
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    [
    Abstract ] Objective Toobservetherenalfunctionalvariancebeforeandaftercoronary
    angiography ( CAG ) ornon-emergentpercutaneouscoronaryintervention (
    PCI ) inpatientswith
    unstableangina , todeterminetheincidencerateofcontrast-inducednephropathy ( CIN ) andto
    discusstheriskfactors.Methods Fivehundredpatientswithunstableanginaenrolledintothe
    study.CystatinC ( CysC ), serumcreatinine ( SCr ) andestimatedglomerularfiltrationrate ( eGFR )
    werecollectedbeforeandafterCAGornon-emergentPCIatdifferenttimepointsonthebasisof
    thetreatmentofhydrationtoestimatetheincidenceofCIN.ThepatientsweredividedintoCIN
    groupandnon-CINgroup , andthechangesofrenalfunctionbeforeandafteroperationingroup
    CINwereevaluated.Theclinicalcharacteristicsofthetwogroupswerecompared , andtherisk
    factorsoftheoccurrenceofCIN wereanalyzedbyCINriskscore ( Mehranscoringsystem ) .
    Results CINoccurredin72of500patients , andtheincidencewas14. 4%.Thefactorsofage ,
    baselineCysClevel , baselineSCrlevel , thedosageofcontrastmedium , hypertensionhistory  diabetichistory , severityofcoronarylesions , MehranscoresofCINgroupwerehigherthanthat
    ofnon-CIN group , andbaselineeGFRlevelwerelowerthanthatofnon-CIN group.The
    differencewasstatisticallysignificant ( P <0.05 ) .ThelevelofCysCandSCrinpatientswithCIN
    afteroperationshowedatrendoffirstincreasingandthendecreasingandtheeGFRlevelwas
    decreasedandthenincreased.Thedifferencewasstatisticallysignificant ( P <0.05 ) .Theresults
    ofmultivariateLogisticregressionanalysisshowedthat : baselineCysClevel , baselineeGFR
    level , diabetichistory , thedosageofcontrastmedium , andMehranscoresweretheriskfactors
    ofCIN.Conclusion TheincidenceofCINisstillhigh , even withthepreventiveuseofthe
    treatmentofhydration.ThedetectionratewillbeincreasedifCysCandSCrarecombined.
    Diabeteshistory , baselinerenaldysfunction , thedosageofcontrastmediumandMehranscoreare
    independentriskfactorsforCIN , andthemostrelevantriskfactorisMehranscore , whichcanbe
    appliedbeforeoperation.
    Effect of group rehabilitation therapy on anxiety， depression and ADL for patients with hemiplegia following stroke
    MA Jiang1， YAN Xiao Li2， HUANG Jie1， HAN Zhenping1*， ZHANG YuHong1， XIE PengCheng1
    2016, 37(9):  1001-1005.  doi:10.3969/j.issn.10073205.2016.09.003
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    [
    Abstract ] Objective Toexploretheeffectsofgrouprehabilitationtherapyonanxietyand
    depression , aswellasactivitiesofdailyliving ( ADL ) forpatientswithhemiplegiafollowing
    stroke.Methods Eightypatientsfollowingstrokewithhemiplegiawerecollected.Theywere
    dividedintoobservationgroup ( 40cases ) andcontrolgroup ( 40cases ) bytherandom number
    table.Afterfourweeksintervention , observationgrouplost2patients , controlgrouplost5
    patients.All patients received rehabilitation nursing and education.Control group with
    conventionalrehabilitationtraining , butexperimentalgrouppatientsreceivedgrouprehabilitation
    therapyforfourweeks.Then , afterfourweeks , anxietyanddepressionaswellasADLscore
    werecompairedbetweentwogroups.Results Inobservationgroup , themoodofanxietyand
    depressionweresignificantimprovementafterintervention ( P <0.05 ) .Thescoreofdailylife
    activityaftertheinterventioninthetwogroupswereobviouslyhigherthanthatbeforethe intervention ( P <0.05 ) .Thescoreofdailylifeactivityaftertheinterventionintheobservation
    groupwasobviouslyhigherthanthatofcontrolgroup ( P <0.01 ) .Conclusion Fourweeksgroup
    rehabilitationtherapycansignificantlyimprovepatients'anxietyanddepressionaswellasimprove
    theADL.Grouprehabilitationtherapyisapracticalandeffectivetreatment , andprovides
    patientswithapos
    Study on the correlation between suicide attitude and selfacceptance of depression patients
    〗LIHui1， MU Xishu1， LI Chunsu1， WEI Zhonghua1， WANG Wei2*
    2016, 37(9):  1006-1009.  doi:10.3969/j.issn.10073205.2016.09.004
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    [
    Abstract ] Objective Toinvestigatethecorrelation betweensuicideattitudeandself-
    acceptanceofdepressionpatientsandtoprovideatheoreticalbasisfortheclinicaltreatmentand
    nursing.Methods Seventy-eightinpatientswithdepression wereselectedandassessed with
    HamiltonDepressionScale ( HAMD ), SuicideAttitudeQuestionnaire ( QSA ) andSelfAcceptance
    Questionnaire ( SAQ ), respectively.Results Theself-evaluation'sscoreofSAQ waspositively
    correlatedwithF2ofQSA ( r =0.234 , P =0.039 ), andnegativelycorrelatedwithHAMD ( r =
    -0. 263 , P =0.020 ) .SAQself-acceptancewaspositivelycorrelatedwithF1 , F1positiveattitude
    andF4ofQSA ( r =0.294 , 0.722 , 0.282 , P =0.009 , 0.043 , 0.012 ) .Therewasclosenegative
    correlation ( r =-0. 223 , P =0.050 ) betweenHAMD withF1ofQSA.HAMDandF1positive
    attitude , F2neutralattitudeshowednegativecorrelationrespectively ( r =-0. 760 , -0. 255 , P =
    0.029 , 0.047 ) .Conclusion Thereisacloselycorrelationbetweensuicideattitudeandself-
    acceptanceofdepressionpatients.
    Dynamic observation and analysis of sIL2R in patients with active pulmonary tuberculosis in different age groups
    ZHANG Xiaoguang1， LIU Hui2*， FU Hongyi2， LI Weihong2， WANG Xianlei2， ZHANG Huan2
    2016, 37(9):  1010-1013.  doi:10.3969/j.issn.10073205.2016.09.005
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    [
    Abstract ] Objective Throughthedynamicobservationofclinicalsymptomsandsoluble
    interleukin-2receptor ( sIL-2R ) inpatientswithactivepulmonarytuberculosisindifferetagesand
    indifferentstagesofthetreatment , toinvestigatetherelationshipbetweenthediseasevarietyand
    sIL-2Rinelderlypatients.Methods Eightypatientswithsecondarypulmonarytuberculosiswere
    dividedintogroupA ( youngerthan60yearsold , 40cases ) andgroupB ( olderthan60yearsold ,
    40cases ) .Allpatientswerereceived2HRZE / 4HRanti-tuberculosistreatment.Inthreedifferent
    timepoints [ beforethetreatment , 1 month afterthetreatmentand 6 monthsafterthe
    treatment ], thechangesofthechlinicalsymptoms , sputumnegativeconversionrate , thechest
    X-rayimagesandtheconcentionsofsIL-2R wereobserved.Thedynamicchangesofimmune
    statusin2groupswerecomparedandanalyzed.Results Onemonthafterthetreatment , the
    changesoftheclinicalsymptoms , sputumnegativeconversionrate , thechestX-rayimagesof
    groupAwerebetterthanthoseofgroupB ( all P <0.05 ) .Sixmonthsafterthetreatment , the differenceofeffectiveratesbetweenthetwogroupshadnostatisticalsignificance ( P >0.05 ) .The
    2groupsinthetreatmentof1monthsand6monthsshowedagradualdownwardtrend.ButtheB
    groupatalltimepointswerehigherthantheAgroup.Thereweresignificantdifferencesbetween
    the2groupsinthegroup , thetimebetweenthetime , theinteractionbetweenthegroups (
    P <
    0.05 ) .Conclusion TherecoveryofsIL-2Rlevelinthecourseoftreatmentinelderlypatientsis
    slowerthanthatofyoungerpatients.Thesemayaffectthetreatmentandthecuretimeofelderly
    patientswithpulmonarytuberculosis
    Effect of ursodeoxycholic acid combined with gallbladder protected lithotomy on postoperative bile composition and expression of Calponin and VIP in biliary smooth muscles
    WANG Wei, SHI Xin, CHEN Hu, MIAO Fulong, QIN Qiyu, CHEN Jinjun
    2016, 37(9):  1014-1017.  doi:10.3969/j.issn.10073205.2016.09.006
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    [
    Abstract ] Objective Tostudytheeffectofursodeoxycholicacidcombinedwithgallbladder
    protectedlithotomyonpostoperativebilecompositionandmusclecompositioninrabbitmodelof
    gallbladderstones.Methods SixtymaleNewZealandrabbitswerechosenasresearchsubjects ,
    endoscopicgallbladderprotectedlithotomywereconductedaftergallstonesmodelweremade ,
    randomlydividedintothreegroupsaccordingtopostoperativetreatment , thecontrolgroup
    receivednormaldiet , themodelgroupreceivedlithogenicdiet , theinterventiongroupreceived
    lithogenicdiet+ursodeoxycholicacid.Thenserumlipidcontents , biletotalcholesterol ( TC ) and
    totalbileacid ( TBA ), calponin ( Cap ) andvasoactineintrestinalpeptide ( VIP ) expressioninbiliary
    smoothmuscle weredetected.Results Afterfive weeksofintervention , serum triglyceride
    ( TG ), TC , lowdensitylipoproteincholesterol ( LDL-C ) contentsin modelgrouprabbitswere
    higherthanthatinthecontrolgroup ( P <0.05 ) .Serum TG , TC , LDL-Clcontentsin
    interventiongroupwerelowerthanthatin modelgroup ( P <0.05 ) .BileTCcontentsmodel
    grouprabbits werehigherthanthatinthecontrolgroup ( P <0.05 ); bile TCcontentsin interventiongroupwerelowerthanthatinthemodelgroupandwerehighterthanthatinthe
    controlgroup ( P <0.05 ); bileTBAcontentsininterventiongroupwerehigherthanthatinthe
    controlgroupandthemodelgroup ( P <0.05 ) .VIPandCapinmodelgroupgallbladdertissue
    werehigherthanthatinthecontrolgroup ( P <0.05 ) .VIPand Capininterventiongroup
    gallbladdertissue were lower than thatin the model group ( P < 0.05 ) .Conclusion
    Ursodeoxycholicacidcapsuleinterventionscanregulatebilecomponentsandreduceexpressionof
    CapandVIPinrabbitmodelofgallbladderstonesreceivedgallbladderprotectedlithotomy.
    Efficacy analysis of anterior thorough debridement of Ⅰperiod in the treatment of thoracic tuberculosis with nerve injury
    YAO Xiaowei， DONG Zhaoliang， JIA Chenguang， LI Zhuo， GAO Jianguo， LIU Fengsheng*
    2016, 37(9):  1018-1022.  doi:10.3969/j.issn.10073205.2016.09.007
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    [
    Abstract ] Objective Toinvestigatetheclinicefficacyandfeasibilityoftreatingthoracic
    tuberculosiscomplicated with nerveinjury byanteriorthorough debridementof Ⅰperiod ,
    decompressionofthespinalcanalandbonegraftingandinternalfixation.Methods Thesurgery
    ofdebridementofⅠperiod , decompressionofthespinalcanalandbonegraftingandinternal
    fixationwerecarriedouton157 patients.Thepatients wereapplied withanti-tuberculosis
    treatmentstrengthenedfor3-4weeksregularlybeforesurgery , andthenperformedanoperation
    untiltheyhadnosurgicalcontraindications.Theywouldbecontinuousreceivedintensiveanti-
    tuberculosistreatmentfor12-18 monthspostoperative.Thesituationsoflesionshealing ,
    neurologicalfunctionrecovery , aswellastheimprovementandlossofthekyphosisdeformity
    wereevaluated.Results Patientsweresuccessfullyoperated , theaverageoperationtimewas (
    5. 2±0.5 ) handtheaveragebleedingamountwas ( 800±150 ) ml.Therewere2casesforpleural
    injury , 13casesforintercostalnervepain
    , and1caseforcerebrospinalfluidleakage.One
    hundredandfifty-sevencaseswerefollowedupfor147cases , andthefollow-upratewas93.6%.
    Theaveragefollow-upwas36months , from3monthsto36months.Thesurgicalincisionswere
    healingin136cases , infectivein7casesbuthealingbysecondintentionthroughtherapywith
    antibioticsanddressing.Onecasedevelopedfistulas , butwashealedafterdressingfor5months.
    Primarylesionsoftuberculosiswererecurrencein3cases , andthepatientswereperformedlesion
    removalsurgeryandrevisiontwice.Foroneyearsafterthehealingofbonemetastases , 76casesof
    patientswerewithgradeIbonehealing , GradeⅡ boneunionwasobtainedin40cases.Ⅲgrade
    bonehealingwasobtainedin24cases.Ⅳgradebonehealingwasobtainedin5cases.Incomplete
    fusionofgraftboneandinternalfixationfracturewereoccurredin2cases.Theywerefollowedto
    receiverevisionsurgery , and5d-2monthslaternervesbegantorecover.Lastfollow-upCobb
    angleandVASscoreswerelowerthanpreoperative1d.ASIAgradecomparedwithpreoperative
    1daywasobviouslyimproved.Thedifferencewasstatisticallysignificant ( P <0.05 ) .Conclusion
    Onthebasisoftheeffectiveanti-tuberculosistreatment , theimplementationofphaseⅠ by
    anteriorradicaldebridementanddecompressionandinternalfixationfortreatmentofthoracic
    vertebraetuberculosiscomplicatedwithnerveinjurywerebeneficialtotherecoveryofneural
    function , kyphosiscorrection , restorethebiomechanicalstabilityofthespine.Itcanbeusedas
    aneffectivechoiceforpatientswiththoracictuberculosiswithnerveinjury.
    The effect of type 2 diabetes mellitus control on the occurrence of acute urinary retention in patients with benign prostatic hyperplasia
    ZHAO Wei
    2016, 37(9):  1023-1025.  doi:10.3969/j.issn.10073205.2016.09.008
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    [ Abstract ] Objective Tostudywhethertype2diabetescanincreasetheriskofacuteurinary
    retentioninpatientswithbenignprostatichyperplasia.Methods Fourhundredandeighty-eight
    casesofbenignprostatichyperplasiaweredividedinto3groupsaccordingtowhetherthereis
    diabetesandbloodglucosecontrollevel : 243caseswithsimplebenignprostatichyperplasiain
    group1 ; 140caseswithbenignprostatichyperplasiacombinedwithdiabetesmellitusandblood
    glucosecontroltostandardingroup2 ; 105caseswithbenignprostatichyperplasiacombinedwith
    diabetesmellitusandbloodglucosecontrolnottostandardingroup3.Thedifferenceofprostate
    volume ( PV ), urinarytractinfectionrateandoccurrencerateofurinaryretentionamongthe3
    groupswerecompared.Results PVingroup3 wasbiggerthanthatingroup1and2.The
    percentageofurinarytractinfectionrateandurinaryretentionrateingroup3werehigherthan
    thatingroup1and2 ( P <0.05 ) .Therewasnosignificantdifferencebetweengroup1andgroup2
    foralltheindexabove ( P >0.05 ) .Conclusion Inpatientswithbenignprostatichyperplasiawith
    poorbloodglucosecontrol , theprostatevolumeislarger , theincidenceofurinarytractinfection
    ishigher , andtheincidenceofacuteurinaryretentionishigher.
    Clinical effect of mifepristone combined with traditional Chinese medicine on the treatment of endometriosis and its effect on the level of CA125
    LIU Sufang1, WEI Liping2, ZHAO Donglan3, TIAN Tian4, LIU Hailong5, ZHANG Haiman6
    2016, 37(9):  1026-1029.  doi:10.3969/j.issn.10073205.2016.09.009
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    [ Abstract ] Objective To exploretheclinicaleffects of mifepristonecombined with
    traditionalChinesemedicineonthetreatmentofendometriosisanditseffectonthelevelofcancer
    antigen125 ( CA125 ) .Methods A totalof116casesofpatients withendometriosis were
    randomlydividedintoexperimentgroupandcontrolgroup , thecontrolgroupweretreatedby
    mifepristone , theexperimentgroupweretreatedbymifepristonecombinewithchinesetraditional
    medicine.Theclinicaleffects , thelevels of CA125 , follicle-stimulating hormone ( FSH ), uteotropichormone ( LH ), estradiol ( E 2 ) andadversereactions werecomparedforthetwo
    groups.Results Therewasnosignificantdifferenceonthetotaleffectiveratebetweenthetwo
    groups ( P >0.05 ) .TherewasnosignificantdifferenceonthelevelsofCA125beforetreatment
    (
    P >0.05 ); ThelevelsofCA125aftertreatmentintheexperimentgroupwerelowerthanthat
    beforetreatmentandthatinthecontrolgroup ( P <0.05 ) .ThelevelsofCA125aftertreatmentin
    thecontrolgroupwerelowerthanthatbeforetreatment ( P <0.05 ) .Therewasnosignificant
    differenceonthelevelsofFSH , LH , E 2 beforeandaftertreatment ( P >0.05 ) .Therateofbody
    weightgain , alaninetransaminaseabnormity , hypaphrodisia , edemaintheexperimentgroup
    werelowerthanthatinthecontrolgroup ( P <0.05 ) .Therewasnosignificantdifferenceonthe
    rateofvaginalbleedingbetweenthetwogroups ( P >0.05 ) .Conclusion Ithasgoodclinical
    effectsforthepatients withendometriosisby mifepristonecombine withchinesetraditional
    medicine.ItcanimprovethelevelsofCA125 , withoutsignificantinfluenceonsexhormoneand
    withlessadversereaction.Ithashigherclinicalapplicationvalues.
    Analysis on the causes of abortion among women of childbearing age from 2010 to 2015 years old
    LV Yingpu1， SHI Wenhui1， ZHANG Nana2， JIA Lulu1， WANG Hongyan1， NIE Wenhua1
    2016, 37(9):  1030-1033,1037.  doi:10.3969/j.issn.10073205.2016.09.010
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    [
    Abstract ] Objective Tostudythereasonsandrelatedfactorsofabortionduringthe
    childbearingagewomenfrom2010to2015.Methods Collected17717childbearingagewomen
    whoreceivedabortionoperationfromjanuary-2010todecember-2015inthedepartmentof
    obstetricsandgynecology , thefirsthospitalofShijiazhuangwereselected.Therearesixgroups
    :
    2010group : 2328cases , 2011group : 2634cases
    ; 2012group : 2982cases ; 2013group : 3241
    cases ; 2014group : 3502cases ; 2015group : 3030cases.Accordingtodifferentstandards , there
    aredifferentgroupsbyanalyzingproportionineachgroupofthepatients'age , maritalstatus ,
    education , historyofabortion , abortionreasons , andtocomparedthesedifferences , andanalyzed
    thecauseofthesechange.Results ThetotalnumberofabortionsincreasedyearbyyearIn
    particular , painlessinducedabortion , unmarriedpatients , theabortionofunmarriedpeople
    accountedforalargeproportionofthepopulation.Themainagesofabortionare20to30year
    and30to40yearsold.Unwantedpregnancyisamajorcauseofthisabortion.Andtherateof
    accidentalpregnancyandmissedabortionisincreasingyearbyyear.Conclusion Thenumberof
    abortionissignificantlyincreasedinrecentyears.Especially , painlessartificialabortionin
    unmarried , youngpeople , loweducationandothergroupswereincreasedsignificantly.
    The theraputic effect observation of the combined use of leukotriene receptor antagonist on the moderate to severe persistent allergic rhinitis
    XU Ou， REN Xiumin， DONG Jinhui， WANG Jianxing
    2016, 37(9):  1034-1037.  doi:10.3969/j.issn.10073205.2016.09.011
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    [
    Abstract ] Objective Toevaluatetheeffectofglucocorticoid , oralantihistaminesplusanti
    leukotrienedrugsfortreatmentofmoderateandseverepersistentallergicrhinitisandthechoice
    ofclinicaltreatmentschedules.Methods Eighty-fourpatientswererandomizeddevidedintotwo
    groups , thecontrolgroupwasadministeredwithmometasonefuroateaqueousnasalspray200 μ
    g
    perdayanddesloratadine10mgperday , thetreatmentgroupwasadministeredwithmometasone
    furoateaqueousnasalspray200 μ gperdayanddesloratadine10 mgperdayand montelukast
    sodium10mgperday , respectivelyforeightweeks.Theimprovementofsymptomandtheeffect
    oftreatmentwereobserved.Results Aftertherapy , thesymptom andsignscorewereboth
    decreasedgraduallyinthesetwogroups , especiallyinexperimentgroup.Thedifference was
    significantbetweenthesetwogroups , indifferenttimeandgroup · timeinteraction ( P <0.05 ) .
    After4weeks , thedifferencesofthetreatmenteffectivenessandthetotaleffectratewerenot
    significantbetweenthesetwogroups ( P >0.05 ) .After8weeks , thedifferenceofthetreatment
    effectivenesswasnotsignificantbetweenthesetwogroups ( P >0.05 ) .Butthedifferenceofthe
    totaleffectratewassignificant ( P <0.05 ) .Conclusion Fortreatmentofallergicrhinitis , the
    treatmenteffectofglucocorticoid , oralantihistaminesplusantileukotrienedrugsinconjunctionis betterthanthatofglucocorticoidandoralantihistaminesinconjunction , whichisworthwidely
    used.
    Effect of multienzyme biofilm detergent on the removal efficiency of the biofilm in the otolaryngology surgery instruments
    Dong Mei1, Zhang Xuemei2*
    2016, 37(9):  1038-1040,1046.  doi:10.3969/j.issn.10073205.2016.09.012
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    [
    Abstract ] Objective Toinvestigatethecleaningeffectofmultienzymebiofilmdetergentfor
    biofilm ontheotolaryngologysurgicalinstruments.Methods Selected600 otolaryngology
    surgicalinstrumentswererandomlydividedintogroupA ( multienzymebiofilmdetergentgroup )
    andgroupB ( conventionaldetergent ), eachgouphas300otdaryngdogysurgicalinstruments
    throughvisualinspection , microscope , andscanningelectronmicroscope , toobservepollutants
    andbiofilmscleaningrate.Results Allinstrumentswerequalifiedthrouhgvisualinspectionafter
    rinsebythesetwodetergentsrespectively.95. 0% ofinstrumentsingroupA werequalifiedby
    microscopedetection , 84. 0%ingroupB , andbiofilmdetergenthadbettercleaningeffectthan
    conventionaldetergent ( P < 0.01 ) .Biofilm detergent remove biofilm rate was 99.0% ,
    conventionaldetergentwas94. 0% , andbiofilmdetergenthadabetterremovaleffectonbiofilm
    thanconventionaldetergentthroughscanningelectron microscopeinvestigation ( P <0.01 ) .
    Conclusion Multienzyme biofilm detergent can clean pollutants and biofilms on the
    otolaryngologysurgicalinstrumentseffectively.
    A preliminary study on the application of cone beam CT on class Ⅱ patients with orthodontic micro implant bone assessment
    PAN Feng, ZHOU Hong, LU Zhen
    2016, 37(9):  1041-1046.  doi:10.3969/j.issn.10073205.2016.09.013
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    [
    Abstract ] Objective Toaccesstheamountofmaxillaryandmandibularinterradicularbone
    andtodeterminethemostreliableimplantsitesinclassⅡ patients.Methods Twenty-four ( 12
    females , 12males ) class Ⅱ patientsconebeamcomputedtomographyrecordswereobtained ,
    mesiodistadirection measurements were made at 0 , 1 , 2 , 3 , 4 , 5 mm heights from
    cementoenameljunctionthroughaxialslices.Results Inbothmaxillaryandmandibulararch , the
    inter-radicularspacewasincreasedintheapicaldirectionexceptbetweentheupperfirstand
    secondmolar.Themeasurementsofregionbetweentheuppercanineandfirstpremolarshowed
    significantdifferencesbetweenmaleandfemalegroups.Thebonespaceexceeds3.2mmlocated
    atregionsincludemaxilla : betweencentralincisors ( 5mm ), lateralincisorandcanine ( 5mm ),
    canineandfirstpremolar ( male , 3mmabove ), firstandsecondpremolars ( 4mmabove ), second
    premolarandfirstmolar ( 3 mmabove ) .In mandible , thedistancebetweentherootandroot
    increasedalongtherootapex.Thedistancefromtheroottothedistalpartoftherootlongerthan
    3. 2 mminclude : firstandsecondpremolars ( 2 mm above ), firstandsecond molars ( 2 mm above ), secondpremolarandfirstmolar ( 1mmabove )( mandible ) .Conclusion Theregionsthat
    werenotidealformini-implantsinsertionforclassⅡpatientsincludedareasbetweencentraland
    lateralincisorsormolars ( maxilla ); regionsbetweenincisorsandcanines.Thereweredifferences
    inthepositionofthesafetyimplantfordifferentposition.
    The diagnosis and treatment of fibrin shell formation of central verlous port access system#br#
    WANG Janxin1, WU Zhonglin2*, SUN Jinna1, WANG WeiNa1, XIE Yanli1, WANG JianPing1
    2016, 37(9):  1047-1050.  doi:10.3969/j.issn.10073205.2016.09.014
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    [
    Abstract ] Objective Toanalyzethediagnosisandtreatmentoffibrinshellformationof
    centralverlousportaccesssystem ( CVPAS ) .Methods There were131casesofcatheter
    dysfunctionofCVPAS.Byusingthedigitalsubtractionangiography ( DSA ) andtheexternal
    interfaceofthebutterflywingneedleintheportalvein , thecontrastagentwasperformedin
    vivo , andtheDSAexpressionwasanalyzed , andthetreatmenteffectwasobserved.Results
    Fifty-onecasesoffibrinshellformationwerefoundbyDSA , whichaccountedfor38. 9% ofthe
    venousportcatheterdysfunction ( 51 / 131 ) .Amongthose , 43caseswerelocalizedintheendofthe
    catheter , 5casesofdiffusefibrousproteininthebody , and3casesofextensivefibroussheath
    formation.DSAspecificimagingshowstheline , columnarandirregularhighdensityalongouter
    wallofbodycatheterandparcelbodycatheter.Thediameterofparcelcatheterisobvious
    thickening , Thecontrastagentrefluxintothevenacava
    ,
    theimplantationsideofCVPASandthe infusionseat peripheralsubcutaneous sofetissue.Fifty one patients are given urokinase
    treatment , 48casesCVPAscontinuetouse , 3casesCVPASanticipateextirpation.Thetreatment
    successratesoflocal , diffuseandextensivefibrinshellformationgivenurokinasetreatmentare
    respectively100. 0% ( 43 / 43 ), 100. 0% ( 5 / 5 ) vs 0. 0% ( 0 / 3 ) .Conclusion Thecausesofcatheter
    diffusefibrinshellformationofCVPAScanbeevaluatedaccuratelybymeansoftheDSA.The
    maincauseofcatheterdysfunctionisfibrinshellformation.Urokinasehasgoodtherapeuticeffect
    onlocalfibrinshellformation.
    Clinical study of high frequency ultrasonography combined with EMG in the diagnosis of the cubital tunnel syndrome
    CAO Yakun1， GUO Weidong1， WANG Limin2， ZHANG Chenbing3， ZHANG Lihua1， ZHAO Gang1
    2016, 37(9):  1051-1054,1059.  doi:10.3969/j.issn.10073205.2016.09.015
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    [
    Abstract ] Objective TousehighfrequencyultrasoundcombinedwithEMGinthediagnosis
    ofcubitaltunnelsyndrome.Methods Thirty-twopatientsandthirty-twohealthyvolunteerswere
    testedinhighfrequencyultrasoundandEMGrespectively.Theechochangesoftheulnarnerve ,
    themaximumtransversediameter , thecircumference , thecross-sectionalarea ( CSA ) andthe
    surroundingtissuewereobservedbyhighfrequencyultrasound.Atthesametime , testingthe
    motornerveconductionvelocity ( MNCV ) andamplitudeofwristtoelbowunder5cm , elbow
    under5cmtoelbowandelbowtoelbowabove5cmatsegmental.Thesensorynerveconduction velocity ( SNCV ) and amplitude of little finger to wrist were examined. While the
    electrophysiologicalindexofthefirstinterosseousmuscle , abductordigitiminimiandflexorcarpi
    ulnarismusclewererecordedbyEMG.ThePearsoncorrelationanalysisbetweenmaximalCSA
    andMNCVinthepatientsgroup wasthenperformed.Receiveroperatorcharacteristiccurves
    ( ROCcurves ) weremadebySPSStogetthediagnosticcriteria.Results Inpatientsgroup ,
    comparedwiththehealthyadults , theechoesoftheunlarnervebundlestructuredisplaywere
    hypoechoic , obviousimpressioncouldbeseenatlongaxis.Attheshortaxisoftheulnarnerve
    echogenicdotsweredisappearandnervediameterwereincreased.TheMNCVfromelbowunder
    5cmtoelbowandelbowtoelbowabove5cmweredecreasedsignificantly.TheSNCVfromlittle
    fingertowristweredecreasedsignificantly.TheCSAandMNCVhadnegativelycorrelations.The
    diagnosticcriterionofCSA was0. 0695cm
    2 ,
    thesensitivitywas71.4% andthespecificitywas
    92.3%.Conclusion Highfrequencyultrasoundcanclearlyshowtheulnarnerveoftheelbow.
    CombinedwithhighfrequencyultrasoundandEMGcanbeusedtodiagnosetheinjuryofthe
    ulnarnerveattheelbowfrom morphologyandfunction , andtodeterminetheindicationsof
    operation.
    The impact and possible mechanisms of operation time on the postoperative recovery of elder patients with laparotomy#br#
    HANG Taixiang, WU Shanshan, WANG Yujie, ZHANG Yu*
    2016, 37(9):  1055-1059.  doi:10.3969/j.issn.10073205.2016.09.016
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    [
    Abstract ] Objective Toinvestigatetherelationshipbetweenpostoperativerecoveryand
    operationtimeinelderlypatientsundergoingopensurgery.Methods Clinicaldataof80gerontal
    patientswithlaparotomyundergeneralanesthesiaatourhospitalwasretrospectivelyanalyzed.
    Patientsweredividedintotwogroupsaccordingtotheoperationtime , groupA ( operationtime<
    3hours ) andgroupB ( operationtime≥3hours ) .Theclinicaldata ( includinggeneralinformation
    andthesurgery-relatedinformation ), thepostoperativerecoveryrelatedindexesandthelevelsof
    inflammatoryfactorsbeforeandaftertheoperationofpatientsintwogroupswerecompared.
    Results Thetransfusion quantity , dosageofpropofol , operationtime , recoverytime of
    spontaneousbreathing , extubationtime , recoverytimeandtheadversereactionrateofdelirium ,
    fluctuationofbloodpressureafteroperationofpatientsingroupAwereallobviouslylowerthan
    thosein group B ( P <0.05 ) .There wasnostatisticaldifference withthebloodlossand
    temperatureaftertheoperationintwogroups ( P >0.05 ) .Therewerenosignificantdifferencesin
    thelevelsofC-reactiveprotein ( CRP ), tumornecrosisfactor-α ( TNF-α ), interleukin-2 ( IL-2 ) and interleukin-6 ( IL-6 ) betweenthe2groupsbeforetheoperation.At12hafteroperation , thelevels
    ofCRP , TNF-α , IL-2andIL-6wereallsignificantlyincreasedintwogroups.Furthermore , the
    levelsofCRP , TNF-α , IL-2andIL-6ingroupAwereallsignificantlylowerthanthoseingroup
    B ( P <0.05 ) .Conclusion Theoperationtimehadimportantinfluenceonpostoperativerecovery
    ofgerontalpatients.Theinvolved mechanismswerecorrelated withthedosageof
    The clinical study on the effect of dexmedetomidine and remifentanil combined anesthesia with laryngeal mask in pediatric department of ophthalmology surgery
    WANG Hong1， WANG Yuexin2， ZHAO Jianhui1， SONG Tieying1， GU Kunfeng1
    2016, 37(9):  1060-1063,1068.  doi:10.3969/j.issn.10073205.2016.09.017
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    [
    Abstract ] Objective Toanalyzethehemodynamiceffectsandclinicalresponseindexof
    dexmedetomidineandremifentanilcombinedanesthesiainpediatricdepartmentofophthalmology
    surgerywithlaryngealmaskduringperioperativeperiod.Methods The120casesofpatients
    comingfromthepediatricophthalmicsurgery wererandomlydividedintothreegroupswith
    envelopemethod , asforremifentanilanesthesiagroup , dexmedetomidineanesthesiagroup , the
    combinedgroup ( dexmedetomidineandremifentanilcombinedanesthesia
    ), whichwerefortycases
    ineachgroup.Respectivelybeforeinduction ( T 0 ), fiveminutesafterinduction ( T 1 ), laryngeal
    maskinsertion ( T 2 ), intrasurgery ( T 3 ), pullouttube ( T 4 ), 5minafterpullouttube ( T 5 ), The
    levelsofmeanarterialpressure ( MAP ), respiration ( RR ), heartrate ( HR ) wereseparately
    monitored.Beforeinduction ( T 0 ), intrasurgery ( T 3 ) andfiveminutesafterextubation ( T 5 ), the
    levelsofcortisolconcentration ( COR ) andnorepinephrine ( NE ) invenousbloodweredetected. Theindexesoflaryngealmaskinsertiontime , theone-timeinsertionoflaryngealcoversuccess
    rate , coughchokereactionrate , spontaneousbreathingrecoverytime , removaloflaryngealmask
    airwaytime , waketime , emergencedelirium occurrencerate , nausea , vomitingincidencewere
    recordedandcomparedamongthreegroupsofpatients.Meanwhile , itwasdonetofurther
    comparetheclinicaladversereactionswithinperioperative.Results ThelevelsofMAP , RR , HR ,
    CORandNEamongthreegroupsofpatientswerenotstatisticallysignificantatdifferenttime
    pointsandatdifferenttimepointsandtheinteractionbetweendifferentgroupsanddifferenttime
    pointswasalsonotstatisticallysignificant ( P >0.05 ) .Thespontaneousbreathingrecoverytime
    andtheremovaltimeofthelaryngealmaskinthedexmedetomidinegroupwerelessthanthe
    remifentanilgroup.butthewaketimeinthedexmedetomidinegroupwaslongerthanthatof
    remifentanilgroup ( P <0.05 ) .Thelaryngealmaskinsertiontime , recoverytimeofspontaneous
    breathing , theremovaltimeofthelaryngealmaskinthecombinedgroupwereshorterthanthe
    remifentanilgroupandthedisposablesuccessrateofthelaryngealmaskinsertionwashigherthan
    theremifentanilgroup.theincidenceratesofnauseaandvomitingwerelessthantheremifentanil
    group , thelaryngealmaskinsertiontime , theremovaltimeofthelaryngealmaskandwake-up
    timewereshorterthanthedexmedetomidinegroup ( P <0.05 ) .Theincidencerateofcough
    responseanddeliriumamongthreegroupsshowednosignificantdifference ( P >0.05 ) .Conclusion
    Remifentanilanddexmedetomidinecombinedanesthesiacouldhelptostabletheperioperative
    hemodynamicparameters , reducesurgicalstressresponseand decreasetherateofadverse
    reactionsduringlaryngeal maskinsertionand pulltubetimeforthepatientsofpediatric
    ophthalmology with laryngeal mask anesthesia.The clinicaleffectis betterthan that of
    remifentanilordexmedetomidinefixedmedicationalone.
    Effect of resveratrol on proliferation of lung cancer A549 cells and the expression of NFκB
    YAN Jingxia1, GUO Yong2, ZHANG Rui1, GUO Wei3, HUA Guoxiang4, SU Junhua1*
    2016, 37(9):  1064-1068.  doi:10.3969/j.issn.10073205.2016.09.018
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    [
    Abstract ] Objective Tostudytheeffectofresveratrolonproliferationofhumanlung
    cancercelllineA549andtheexpressionofnuclearfactorkappaB ( NF-κB ) .Methods Theeffect
    ofresveratrolonthe proliferation of A549 cells was detected by methylthiazolyldiphenyl-
    tetrazoliumbromide ( MTT ) method.TheeffectofresveratrolontheexpressionofmRNANF-κB
    inA549cellswasdetectedbyreversetranscription-PCR ( RT-PCR ) .EffectofresveratrolonNF-
    κBproteinlevelsinlungcancerA549cellswasdetectedbywesternblotting.Results Withthe
    increaseoftheconcentrationofresveratrol , thecellgrowthinhibitionratesingroupB , CandD
    werehigherthaninthatingroupA.ThecellgrowthinhibitionratesingroupCandD were
    higherthanthatingroupB.ThecellgrowthinhibitionratesingroupDwashigherthanthatin
    groupC ( P <0.05 ) .Cellgrowthinhibitionrateat24hand48ingroupB , CandDarehigher
    thanthatat12h.Cellgrowthinhibitionrateat48hwashigherthanthatat24h ( P <0.05 ) .
    A549cellswith100mol
    / Lresveratrolfor48hcansignificantlydownregulatetheexpressionof
    NF-kappamRNA.Conclusion Resveratrolcansignificantlyinhibittheproliferationoflung cancerA549cellsandtheexpressionofNF-κB.
    The value of dynamic monitoring on caspase3 and NSE in the diagnosis and treatment of neonatal hypoxic ischemic encephalopathy#br#
    GUO Yinghui, LI Mei*, LIU Xinguang， YAN Hong
    2016, 37(9):  1069-1072.  doi:10.3969/j.issn.10073205.2016.09.019
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    [
    Abstract ] Objective Todynamicallyobservecaspase-3andneuronspecificenolase ( NSE ) of
    theneonatewiththedifferentstageofhypoxicischemicencephalopathyandtoexploretherelated
    significance.Methods Sixty-seven ofchildren with hypoxicischemicencephalopathy were
    randomlyselected , in which mild , moderateandseveregroup were23 , 23 , 21respectively.
    Twentyneonatesoffulltermnormalwereascontrolgroup.Alltheneonatesin1day , 3days , 7
    daysaftertheirbirthweretakenbloodtodetecttheserumlevelsofcaspase-3andNSE.Results
    Caspase-3levelsineachgroupshowedatrendofincreaseinfirstdays , thirddaysandseventh
    days , buttheamountoftheincreaseanddecreaseinthecontrolgroupwasverysmall , whilethe
    changerangewasverybiginthemildHIEgroup , moderateHIEgroupandsevereHIEgroup ,
    andtheheaviertheconditionthegreaterthefluctuation.ThelevelofNSEinthecontrolgroup
    andthemildHIEgroupshowedatrendoffirstincreasingandthendecreasing.ButtheNSElevel
    of moderate HIEgroupandsevere HIEgroupshowedagradualdownwardtrend.Thereis significantdifferencebetweenthegroups , thetimepointsandtheirinteraction ( P <0.01 ) .
    Conclusion Bothcaspase-3andNSEwereinvolvedinthepathophysiologicalprocessofHIE , the
    levelsofcaspase-3 and NSE werecloselyrelatedtotheseverity andthecourse of HIE
    progression.The moreseverityofthe HIE , thehigherlevelofthetwoindicators.Dynamic
    monitoringofthecaspase-3an