Objective To observe the protective effect of ultrasonic scalpel on recurrent laryngeal nerve and thyroid tissue protecting in thyroid gland surgery.Methods 120 patients with thyroid diseases in our hospital from January to December in 2016 were selected and divided into control group and observation group.In control group, patients were operated by traditional electrosurgical scalpel and in observation group patients were operated by ultrasound knife.The effects of the two surgical methods were compared.Results Comparing with electro tome, ultrasound knife can significantly shorten the gland resection time and total operation time, reduce the blood loss during operation, the differences were statistically significant (P<0.05).The differences of postoperative drainage amount and hospital stays were not significant (P>0.05).The incidence of recurrent laryngeal nerve injury and hypoparathyroidism in the observation group was lower than that in the control group, but the difference was not significant (P>0.05).The hoarseness of all the patients in the observation group recovered within 3 months while in the control group 3 cases were in 3~6 months and 2 cases did not recover more than one year.Conclusion Ultrasound knife can significantly shorten the operation time and reduce the amount of blood loss during operation in thyroid surgery, which is helpful for the identification and protection of the recurrent laryngeal nerve and the thyroid tissue.It is a safe and feasible surgical method.
Objective To observe the clinical therapeutic effect of fructus aurantii immaturus and fructus aurantii in compound in treatment of coronary heart disease and comparative analysis.Methods 260 cases patients with coronary heart disease were randomly divided into control group,compound group(1～4 group),negative group(a～d group),observation group(Ⅰ～Ⅳ group),8 weeks of treatment.Results According to the evaluation index,the compound group(1～4)and observation group(Ⅰ,Ⅱ)was significantly improved than the control group(P＜0.05),there is no significant difference between the observation group and the corresponding compound group(P＞0.05),but the observation group(Ⅲ,Ⅳ)compound rate of adverse reactions was higher than the corresponding.Conclusion The curative effect of compound fructus aurantii immaturus and fructus aurantii treatment of coronary heart disease angina pectoris,can relieve angina symptoms,improve clinical symptoms,improve the therapeutic effect,between the two can not completely replace each other.
Objective To study the bacterial vaginal disease and metronidazole effects on pregnancy outcome.Methods From July 2014 to July 2015 treated 120 cases of middle-late pregnancy with BV, according to the voluntary principle can be divided into the treatment group and treatment group (group C).In the treatment group oral drugs for group A, vaginal drug use for group B.Results Treatment group in two different treatment for all has obvious therapeutic effect in patients with pregnancy with BV, 2 groups had no statistical significance (P>0.05);Total defective rate is only 10%, the treatment group pregnancy outcomes were not defective rate as high as 73.3% in treatment group, compare the gap significantly, with statistical significance (P<0.05).Conclusion The pregnancy women with metronidazole combined bacterial vaginal disease, to upgrade the quality of life of women during pregnancy and reduce the risk of adverse pregnancy has a key role, and has important reference meaning.
目的 探究膝关节退行性关节炎患者应用穴位注射配合氨基葡萄糖胶囊治疗临床疗效.方法 随机抽取2016年2月至2017年2月收治的膝关节退行性关节炎患者102例,分为X组(n =51)和Y组(n =51).Y组进行穴位注射治疗,X组在Y组的基础上进行氨基葡萄糖胶囊治疗.对比X、Y两组的治疗效果、VAS评分以及Lysholm评分.结果 相对于Y组的治疗效果以及Lysholm评分,X组较高,P< 0.05,具有统计学意义;相对于Y组的VAS评分,X组的较低,P< 0.05,具有统计学意义.结论 膝关节退行性关节炎患者应用穴位注射配合氨基葡萄糖胶囊治疗取得了显著的临床疗效,疼痛明显减轻,膝关节功能明显提升,值得借鉴和推广.
The results showed that the content of selenium in the surface soil of Xingwen County was 0.075~2.540 mg/kg, the average value was 0.43 mg/kg, and the area of selenium-enriched land was 734.75 square kilometers, accounting for 53.25% of of the survey area.The average content of Se in the rice was 0.064 mg/kg, and the selenium content was at a relatively high level.There was a positive correlation between the content of selenium in rice and root soil.When the water-soluble and ion-exchangeable selenium is higher in the root soil, it is easy to produce selenium-rich crops.
Objective To explore the realtionship UGT1A1*28 gene polymorphisms and irinotecan-associated toxicity and efficacy in treatment of non-small cell lung cancer.Methods The frequency of UGT1A1*28 TATA box thymine-adenine(TA) was performed by direct sequencing.The influence of the UGT1A1 *28 polymorphism on the short-term efficacy and toxicity of irinotecan was record.Results Among 50 patients with non-small lung cancer,marked increases in diarrhea (58.3% VS 15.8%,P=0.007) and thrombocytopenia (41.7% VS 10.5%,P=0.027) were observed in patients who had the TA6/7 or T7/7 genotype.Conclusion This study demonstated that UGT1A1*28 polymorphism TA6/7 or T7/7 increased the risk the developing grade Ⅲ or more sever diarrhea and thrombocytopenia for patients after receiving irinotean treatment but no influence on short-term efficacy of chemotherapy.
Objective To analyze the curative effect of heat treatment on periarthritis of shoulder.Methods 80 patients with frozen shoulder were enrolled in our hospital from March 2016 to February 2017.According to the difference of treatment,the difference was divided into two groups.The proportion of each group was 40 cases.Patients who were treated with warm needle therapy and routine rehabilitation training were included as control group.Patients with hot needle + routine rehabilitation training were treated as treatment group.Finally,the therapeutic effects of the two groups were analyzed statistically.Results After treatment with different methods,the total effective rate of the treatment group was significantly higher than that of the control group.The data between the two groups were statistically The tool was tested for statistical significance.Conclusion Periarthritis of the pancreas should be treated with heat needle,can be relieved and the clinical application is important.
当前,水稻种植中的土壤砷污染问题已经成为我国所面临的一个重要环境污染问题.为了保证水稻的产量以及粮食安全,亟需采取相应的措施对受污染的土壤进行修复和治理.近年来,在众多治理措施中,生物炭以其独特的吸附特性,便利的原料来源以及有效的修复效果成为了一个治理土壤重金属污染的热点,该文介绍了生物炭的基本性质,对生物炭在治理土壤污染方面的研究进行了简要总结,分析了在研究过程中存在的问题并提出相应的对策,以便对废弃物资源化,水稻安全生产提供参考和依据.
Objective To study the AIDS kwai clearing damp party combined with the pressure of auricular application in the treatment of perimenopausal clinical observation of insomnia.Methods A retrospective analysis in May 2014 to October 2016 in our hospital treatment of department of gynaecology of the clinical data of 50 patients with insomnia menopausal transition,the control group of 25 patients with estazolam treatment,observation group of 25 patients with AIDS kwai clearing damp combined with auricular application pressure treatment,compare the curative effect of two groups of patients,the sleep quality.Results The observation group treatment effective rate was 96％,significantly higher than that of control group 80％,the difference was statistically significant(P＜0.05);Observation group of sleep quality,sleep time,sleep time,sleep efficiency,sleep disturbance,hypnotic drugs,daytime dysfunction and total scores of PSQI were significantly compared with control group,the difference was statistically significant(P＜0.05).Conclusion Zi kwai clearing damp party combined with the pressure of auricular application in the treatment of perimenopausal insomnia effect is remarkable,is helpful to improve patients' symptoms of the menopausal transition,strengthen the quality of sleep,have positive clinical significance.
Objective To study the diagnostic value of magnetic resonance angiography in carotid artery stenosis.Methods All the data of 39 patients with carotid artery stenosis admitted in our hospital from December 2015 to December 2016 were retrospectively analyzed.The results of subtraction angiography were taken as gold standard for magnetic resonance angiography.Sex, accuracy, and specificity.Results The sensitivity, accuracy and specificity of specificity were 97.43%, 92.31% and 94.87% respectively by magnetic resonance angiography.Conclusion The application of magnetic resonance angiography in the examination of carotid artery stenosis has a significant effect, can improve the accuracy rate, it is worthy of extensive application and research.
Objective To develop bioelement content determination and functional evaluation protocol of Quinton drinkable sea water from Spain by ICP-MS.(In this artical bioelement refers specifically to the macro elements and trace elements needed by human body).Methods A method of simultaneous determination of 21 kinds of bioelements in Quinton drinkable sea water was established by inductively coupled plasma mass spectrometry(ICP-MS).Results The detection limit is 0.01～0.10 μg/mL,the recovery is 94.12％～104.35％,the relative standard deviation is 0.3％～12.2％.Conclusion The method is simple,rapid and accurate.It is suitable for simultaneous determination of multi-element content in sea water.And evaluate the properties and functions of Quinton drinkable sea water based on element content.
Objective Transurethral enucleation of prostate and transurethral bipolar plasmakinetic resection of prostate in treatment of benign prostatic hyperplasia clinical curative effect.Methods We selected 86 cases of high-risk benign prostatic hyperplasia patients were randomly divided into experimental group and control group, respectively, using transurethral enucleation of the prostate, transurethral bipolar plasmakinetic resection of prostate in two patients, the operation effect of the two groups were compared.Results There were no significant differences in clinical efficacy and adverse reactions of the two groups of patients (P>0.05), but the operation time, bladder irrigation time patients and hospitalization time were shorter than the control group, intraoperative bleeding was less than the control group, the difference was statistically significant (P<0.01).Conclusion Transurethral enucleation of prostate and transurethral bipolar plasmakinetic resection of prostate for treatment of benign prostatic hyperplasia were safe and effective, but the operation time, bladder irrigation time transurethral enucleation of the prostate and a shorter hospital stay, less intraoperative bleeding.
Objective To study and explore the application of neoadjuvant chemotherapy in the treatment of soft tissue sarcoma.Methods From January 2013 to June 2016 our hospital during the period of soft tissue sarcoma 80 cases as the research object, take the single blind random grouping randomly divided into two groups (40 cases, control group treatment with surgery, observation group of preoperative neoadjuvant chemotherapy, compared two groups of patients with limb salvage rate, treatment effect and postoperative recurrence of half a year.Results The observation group of patients with limb-salvage surgery at a rate of 77.50%, control group patients was 55.00%, the difference is statistically significant (P<0.05);The treatment of patients with total effective observation group was obviously higher than that of control group (P<0.05);Postoperative follow-up found six months, the recurrence rate of observation group was obviously lower than the control group (P<0.05);Observation group of patients during neoadjuvant chemotherapy does not appear serious adverse reactions.Conclusion In patients with soft tissue sarcomas line implementation of neoadjuvant chemotherapy before surgery, patients can improve the limb salvage rate, improve the treatment effect, reduce recurrence and to improve prognosis.
Objective To analyze the clinical effect of the application of the low ion coagulation technology in blood transfusion.Methods Treated by blood transfusion and blood supply were analyzed in 200 cases, select the period from June 2015 to June 2016 period, with the draw for the group of 100 cases treated with conventional method of saline transfusion testing patients as the control group, and 100 cases treated with low ionic Polybrene test blood transfusion technology for the patients the test results, 2 groups of patients were compared and analyzed.Results Compared with the control group, the positive detection rate, stability, accuracy and sensitivity were significantly higher in the experimental group, and the difference was statistically significant (P<0.05).Conclusion The application of low ionic coagulation technology in blood transfusion test has a high application effect, and is worthy of application and popularization.
目的 分析CT与X线诊断脊柱骨折的临床效果.方法 研究对象为九江市濂溪区人民医院随机选取的60例脊柱骨折患者,研究时间为2015年2月至2016年7月,研究对象分为对照组和观察组,每组纳入30例.对照组行X线诊断,观察组行CT诊断,总结归纳两组患者的最终诊断效果.结果 经CT诊断,观察组诊断效果更接近预设值,与对照组相比,诊断和符合率、诊断评分、诊断满意度更为理想,P<0.05,存在统计学意义.结论 与X线诊断相比,CT诊断的符合率更高,能够有效降低漏诊率,进而为医生提供依据,以更好制定相应的治疗方案,进而维护患者健康,应用价值较高.
Objective This study aims to study the application of Fe3O4 nanoparticles in rat brain magnetic resonance imaging and CT water in the model,provide a theoretical basis for clinical application,to provide the experimental basis for the reasonable development of the nano particles.Methods Using simple random grouping method in 60 were divided into control group(20 rats,treated with sterile saline was injected into the cisterna magna)and experimental group(40 rats,making rat model of hydrocephalus,the use of kaolin by MR screening of rat model of hydrocephalus,the model of subarachnoid injection into the Fe3O4 nanoparticles after 1 hours,CT examination,and after 1 months under the microscope in blank control group and experimental group fe3o4nanoparticles accumulation in brain,heart,liver,spleen,lung,kidney and other organs.Results(1)In the experimental group,the rats died in operation and anesthesia,and the mortality rate of the experimental group was 15％ and that of the control group was as high as 6.The mortality rate of control group was 10％.The overall mortality rate was 13.3％.(2)In the experimental group,hydrocephalus was formed in 32 rats.The success rate of the model was about 88.9％,and the total success rate was.(3)In the rat spinal Fe3O4 magnetic resonance imaging showed poor contrast CT has good effect;(4)Subarachnoid injection of Fe3O4 nanoparticles after 1 months in the brain,liver,spleen,lung,kidney and other organs showed no accumulation.Conclusion Intrathecal injection of superparamagnetic Fe3O4 nanoparticles is safe and reliable,can be used as a contrast agent for the CT examination of brain hydrocephalus.
Objective Objective to investigate the clinical effect of different laser cosmetic treatment techniques.Methods Selected 48 cases of patients with symptoms of dark pigmentation and benign skin hyperplasia in our hospital during January 2014 to 2016 in as the research object, were randomly divided into control group and observation group, each group of 24 cases.Two groups of patients according to beauty needs to develop YAG laser treatment scheme, the control group was treated with YAG laser (Q SwitehingNd:YAGLaserDeviee) treatment, the observation group in the control group based on the increase of intense pulsed light treatment, observe two groups of patients with treatment time of skin damage and skin damage, the clinical curative effect of healing after 1 months.Results The total effective rate of the observation group was 95.83% (23/24), which was significantly higher than that of the control group (79.17%, 19/24), and the difference was statistically significant (P<0.05).The healing time of skin injury in the observation group(11.36±5.69)d was significantly lower than that of the control group (15.23±6.58) d, and the difference between the groups was P<0.05.There was no significant difference in the degree of skin injury between the two groups in the observation group and the control group (P>0.05).Conclusion The application of YAG laser combined with intense pulsed light technology in clinical medical cosmetology is effective, and the recovery time is shortened.
Objective To study and analyze the treatment of periodontal disease with local slow-release compound drug effect.Methods To collect a total of 74 patients with periodontitis, in accordance with the principle of randomization group were divided into control group (37 cases) and observation group (37 cases) and control group accepted routine treatment, the observation group received local slow-release compound drug treatment, the total number of bacterial pathogens are relevant to the curative effect of two groups of patients, observation and comparison.Results The curative effect observation group is significantly higher than the control group and observation group related to the total number of bacterial pathogens significantly lower than the control group, P<0.05.Conclusion In the process of the treatment of patients with periodontitis, local slow-release compound drugs can make patients get better curative effect, reduce pathogenic bacteria, inhibiting illness development, is worthy of popularization and application.
目的 分析讨论健康宣教应用在儿科疾病恢复中的临床干预方法以及临床护理效果.方法 选择2015年6月-2016年6月在台山市妇幼保健院接受治疗的82例儿科患者作为观察对象,分为对照组和试验组,每组41例.其中,对照组接受常规护理,试验组接受健康宣教.结果 患者经过临床治疗及护理后,对两组小儿患者的临床疗效进行评估,对照组的临床总有效率为75.61％,试验组患者的临床总有效率为95.12％,试验组患者的临床疗效明显比对照组高(P＜0.05).结论 就儿科患者而言,临床中及时的给予有效措施进行治疗与护理,且充分的对宣教时机进行了解与掌握,可以显著提高临床疗效及护理满意度,确保患者早日恢复健康,值得在临床中广泛推广应用.
