Objective To predict the urinary infection factors by classification tree model for benign prostatic hyperplasia (BPH) patients with postoperative urinary tract, and put forward nursing measures toward these risk factors.Methods By the methods of medical records information acquisition and prevalence study, patients were collected, who saw a doctor and accepted the TURP for the treatment of urinary tract infection with 112 cases infected and 2586 cases not infected retrospectively in 7 hospitals in Daqing. All information acquired by recording or documents. The model was constructed that whether occurred postoperative urinary tract infection was set up as outcome variable and the possible risks for postoperative urinary tract infections was established as independent variable. According to the model result, model risk factors will be put forward. Results Catheter indwelling time, age, degree of anxiety, diabetes and smoking were the main risk factors for postoperative BPH urinary tract infection (t=14.23, 11.30, 10.42,6.23,8.27,7.29;P<0.05), and catheter indwelling time had the largest effect.Conclusions For patients with different ages, to shorten the time for placing a urinary catheter, anxiety levels and blood glucose control, strict quitting smoking can reduce the incidence of postoperative BPH urinary tract infection.

Objective To observe the terms of loratadine joint compound cortex phellodendri liquid and the clinical curative effect of semiconductor laser to treat acute eczema.Methods Selected 90 cases of patients with acute eczema were randomly divided into treatment group(30 cases)1,2 treatment group(30 cases)and treatment group(30 cases)3, all patients with oral citrate acid to loratadine tablets 8.8 mg/d (1 time),treatment group 1 at the same time the joint compound cortex phellodendri fluid 30 min shi fu treatment (1/d);Treatment of 2 groups at the same time with semiconductor laser therapy for 20 min(1/d);3 in combination with liquid compound cortex phellodendri 30 min shi fu (1/d)and semiconductor laser treatment of 20 min (1/d). 1 week after treatment to observe curative effect and record.Results Three groups of efficient treatment were 56.7,73.3,93.3%. 3 group had a signiifcantly higher efifcient 1 treatment group(P<0.05);And effective for the treatment of three groups of time were signiifcantly shorter in treatment group 1, 2 groups (P<0.05)’The above differences were statistically signiifcant. In addition, three groups of patients without obvious adverse reactions.Conclusion In terms of loratadine joint lfuid of compound cortex phellodendri and semiconductor laser treatment of the clinical curative effect is distinct, work fast, shorten the course of the disease, is worthy of clinical recommendations.

A 70-year-old female patient with strip sample blisters on the right season costal area and right side of the abdominal skin and feeling prickling pain was diagnosed as herpes zoster. The patient was given foscarnet sodium injection (90 mg·kg-1, qd, ivgtt), mecobalamin, vitamin B1 and acyclovir ointment. On the iffth day, the limbs and face of the patient appeared edema, as well as nausea, loss of appetite, less urine, itchy skin. The patient's serum creatinine, urea nitrogen tendency and urine speciifc gravity were542μmol·L-1,28.6 mmol·L-1and 1.005 respectively, the patient was diagnosed as acute renal failure, foscarnet sodium injection was stopped immediately. After hospitalization, lfuid intake was restricted, and the patient was given a low salt, low fat, high quality protein diet. Ten days later, the edema and pruritus disappeared, the patient's serum creatinine, urea nitrogen tendency and urine speciifc gravity changed to be86μmol·L-1,7.1 mmol·L-1 and 1.012 with normal renal function.

Objective To investigate the expression of Caveolin-1 and RhoE in primary liver carcinoma (PLC),and their relation to the clinicopathological features and the prognostic value.Methods Immunohistochemical method was used to assess the expression of Caveolin-1 and RhoE in 20 normal liver tissues,32 cirrhosis tissues and 68 PLC tissues.Results The expression rate of Caveolin-1 in normal liver tissues,cirrhosis tissues and PLC tissues was 85.00％ (17/20),56.25％ (18/32) and 27.94％ (19/68) with significant difference (P ＜ 0.05).The expression levels of Caveolin-1 were related to histology grade and blood vessel invasion of PLC (P ＜ 0.05).The expression rate of RhoE in normal liver tissues,cirrhosis tissues and PLC tissues was 95.00％ (19/20),71.88％ (23/32) and 50.00％ (34/68) with significant difference (P ＜ 0.05).There was a close relation between the expression of RhoE and histology grade,blood vessel invasion and TNM stage (P ＜ 0.05).Conclusion The expression of Caveolin-1 and RhoE may play an important role in the carcinogenesis of liver carcinoma.

This paper describes the nursing experience of in traditional Chinese and western medicine Care vitiligo patients.The focus on the emotional care,dialectical nursing specific implementation method.The result is that through careful observation, intensive care,timely adjustment and perseverance,you can achieve the desired therapeutic effect.

Objective To observe the therapeutic effect of combined traditional Chinese and Western medicine in the treatment of severe acute pancreatitis.Methods The patients were randomly divided into two groups,with 60 cases in treatment group and 60 cases in control group.The control group was given conventional Western medicine treatment;treatment group was treated with integrated Chinese and Western medicine treatment method based on control group treatment.The curative effect and adverse reaction of patients were observed.Results After treatment,in clinical improvement symptoms in two groups,the treatment group was better than the control group;the treatment group cure rate and total effective rate was higher than that of the control group.Through χ2 test,the difference was significant between the two groups(P 0.05).Conclusion The combination of occurrence can significantly shorten the course of treatment and reduce the complications in the treatment of acute pancreatitis integrated traditional Chinese and Western medicine.

Objective To observe the effect of high frequency electric knife and 5-amino ALA(ALA) photodynamic therapy(ALA-PDT) for the treatment of recurrent condyloma acuminatum Methods 156 cases of patients with recurrent genital warts were randomly divided into two groups,treatment group and control group,78 cases per group,the first group-control group was treatment group of high-frequency electric knife,the second group-treatment group for high-frequency electric knife combined photodynamic therapy group.high-frequency electric knife eliminate immediately before the use of photodynamic therapy.The last first week after treatment to evaluate the curative effect,in the 3 months following treatment of patients were followed up to evaluate the rate of recurrence. Results Two groups in the treatment of warts disappeared completely after all,return to normal mucosa.The first group of recurrence rate was 55.1%,the average time to recurrence of 24.56 d;the second group of recurrence rate was 9.0%,the average recurrence of stay for 80.1 d. Conclusion 5-ALA photodynamic therapy combined with high-frequency electric knife treatment is effective in treating recurrent genital warts,in particular,can effectively reduce recurrence and prolong time to recurrence.

Objective:The goal discussion treats the vice-psoriasis effectively the method.Methods:44 example patients was divides into stochastically two group of phototherapy groups(UVB union interferon intramuscular injection treatment) and the non-phototherapy group(oral administration traditional Chinese medicine disappears silver capsule union external use medicinal ointment).Results:the phototherapy group reveals efficiency 63.64%,the non-phototherapy group reveals efficiency 40.91%.Conclusion:UVB union interferon intramuscular injection treats the vice-psoriasis curative effect to be good,may take this gets sick the treatment choice,is one kind treats the vice-psoriasis safe effective method.

目的 他克莫司软膏治疗面部皮肤慢性皮炎,如神经性皮炎、慢性接触性皮炎、顽固性激素依赖性皮炎等的临床观察.方法 采用卡方检验比较他克莫司软膏用于治疗面部的慢性皮炎与传统口服抗组胺药物及外用药物治疗面部慢性皮炎存在的差异.结果 他克莫司软膏治疗面部皮肤慢性皮炎疗效好,无明显的不良反应及副作用.结论 他克莫司软膏治疗面部皮肤慢性皮炎疗效确定,安全性高.

白癜风是一种临床上常见的局限性或泛发性的皮肤色素脱失性皮肤病 ,该病发生于人的体表,当其发生于暴露部位如颜面部时,影响患者的容貌,给患者带来一定的心理障碍,因此患者求治的心情往往很迫切.寻找高效、副作用小的治疗白癜风的方法是皮肤科医师一直探索和研究的问题[1].笔者对皮肤科门诊从2010年3月～2O11年4月白癜风患者48例,予局部外用复方补骨脂酊加黑光局部照射治疗,6个月后判定疗效,并将结果报道如下.

目的 探讨前哨淋巴结活检术(sentinel lymph node biopsy,SLNB)在乳腺外科中的临床应用,摸索其可行性及准确性.方法 对2004年以来收治的Ⅰ、Ⅱ期乳腺癌患者38例,术前于肿瘤表面皮内周围联合注射99mTc-DX及美蓝,术前、术中用γ-探测仪探测SLN的位置,并通过美蓝染色寻找SLN,行SLNB后,常规行乳腺癌手术,术后对SLNB和腋窝淋巴结清扫(axillary lymph node dissection,ALND)的病理结果进行比较分析.结果 38例中37例发现SLN,检出率为97.4%(37/38),共检出SLN73个,平均1.97个,本组SLNB的检出灵敏度为97.3%(36/37),准确性97.3%(36/37),假阴性率2.6%(1/38),假阳性率为0.结论 乳腺癌SLNB是一种简便、安全的检测技术,可用于了解腋窝淋巴结的状况.乳腺癌治疗失败的主要原因并不在于局部复发而在于远处转移,SLNB是乳腺癌治疗中的实用技术.

<正>注射用棓丙酯粉针是中药赤芍中的活性成分-没食子酸酯的衍生物,是在没食子酸酯的结构上进行修饰而得到的具有更强生物效应的药物[1]。临床上主要用于治疗缺血性脑血管病(如急性脑梗死、慢性脑血栓、腔隙性脑梗死、脑供血不足、脑昏迷后遗症、脑外伤、脑震荡)。

光动力疗法(photodynamic therapy,PDT)是应用光动力效应的原理、联合使用光敏剂8-氨基酮戊酸(ALA)及相应光源选择性破坏靶组织的一种非侵袭性的全新治疗技术,它能特效针对靶组织,并且同一时期可以多次重复治疗而不累积毒性.2008年6月至2009年6月,我院联合应用PDT和ALA治疗102例尖锐湿疣(CA)患者,疗效比较满意报道如下.

目的:探讨右半结肠癌误诊为急性阑尾炎的原因.方法:回顾性分析大庆龙南医院2003-03/2009-10收治的右半结肠癌误诊为急性阑尾炎18例的临床资料.结果:术后恢复良好,无死亡病例.术后并发局限性腹膜感染1例,经保守治疗治愈;并发切口感染2例,经换药愈合.结论:早期结肠癌患者症状不典型,详细的病史询问及体格检查和术中仔细探查是避免结肠癌误诊、漏诊的有效措施.

目的 探讨不同类型的四肢外伤性假性动脉瘤的外科治疗.方法 回顾性分析17例四肢假性动脉瘤患者资料,全部患者均获随访,随访时间为2周～1年.结果 全部患者均治愈出院,随访中未见假性动脉瘤复发和肢体缺血症.采用非手术治疗局部加压包扎1例.结果 本组患者无死亡或肢体坏死,治疗后临床症状消失.患者平均随访12.5个月,患肢功能良好.结论 四肢刨伤性假性动脉瘤诊断明确后,应根据不同类型采取不同的治疗方法.

目的观察盐酸布替萘芬搽剂对花斑癣的疗效和安全性。方法对照组54例,外用复方水杨酸酒精擦剂,2次/天。治疗组56例,外用盐酸布替萘芬搽剂2次/天,均用药28天。结果治疗组有效率92.86%,对照组有效率为74.07%,两组比较差异有显著性(P<0.05)。结论盐酸布替萘芬搽剂治疗花斑癣疗效好。

目的 探讨光动力激光治疗尖锐湿疣的临床疗效.方法 将符合诊断标准的50例患者随机分为治疗组和对照组.对照组25例采用电离子电烧治疗.治疗组25例采用光动力激光治疗仪PDT法治疗.疗程均为1个月.观察两组临床治愈和复发情况.结果 治疗组疗效明显优于对照组,差异有显著性(P<0.01).结论 光动力激光治疗尖锐湿疣疗效好,治愈率高,复发率低,损伤小,安全性高.

目的:探讨经下腹单横切口补片法治疗双侧腹股沟疝.方法:回顾性分析2006年1月～2009年10月,我科行经下腹单横切口补片法治疗双侧腹股疝41例.结论:一个切口可以同时处理双侧腹股沟疝、手术解剖更加快捷、结构更清晰易辨.

1 资料和方法 1.1临床资料 126例患者均为本科门诊患者,确诊为神经性皮炎[1],病程2月至10年.排除标准:年龄<16岁,皮损发生于面部,合并细菌或真菌、病毒感染的皮肤病患者;肝、肾功能不全的患者;有化脓性或过敏性炎症者;对卡介菌素、乙氧苯柳胺膏过敏者;妊娠及哺乳期妇女;患者不能配合治疗和定期随访、随诊者.

1 病例资料 患者,男,20岁.左侧腰部出现水疱十余年.患者十余年前无明显诱因于左侧腰部出现数个粟粒至黄豆大小的成簇透明水疱,无瘙痒及疼痛症状.自行搓破后有透明液体流出,不久在原处长出新的水疱,未系统诊治.为求进一步诊治,患者于2009年4月来我院皮肤科门诊就诊.