Objective：To explore curative effect and side effects of the patients with ovarian epithelial cell carcinoma after surgery administered by continous hyperthermic peritoneal perfusion chemotherapy（ CHPPC） with lobaplatin in combination with intravenous chemotherapy（IC）.Method：46 cases of advanced ovarian carcinoma patients after cytoreductive or radical surgery were selected from July 2007 to July 2009，and were divided into cisplatin group and the Lobaplatin group，23 cases in each group，all of them were treated IC+CHPPC， curative effect and side effects were observed.Result：The 46 patients of two groups finished all six cycles chemotherapy.In Lobaplatin group three-year and five-year survival rates respectively was 69.5%，52.1%，the differences were not statistically significant（P>0.05）.Although we find the two groups had statistically significant in some aspects（P<0.05）， all the patients could stand them.Conclusion：Continous hyperthermic peritoneal perfusion chemotherapy with Lobaplatin in combination with intravenous chemotherapy are safe and feasible treatment modality for patients with advanced ovary carcinoma.Patients in lobaplatin group have better compliance than cisplatin， but the two medicines both have acceptable complications rates，all have marked improvements in survival.

2015 Vol. 12　(11):　1-4 [Abstract]（ 744 ） HTML (1 KB)  PDF  (697 KB)  ( 415 )

Objective：To analyze and study on effect of radiotherapy in patients with hepatocellular carcinoma using situation and the role of diffusion weighted imaging evaluation.Method：Randomly selected from July 2012 to July 2014， conducted in our hospital oncology radiotherapy of 67 cases of liver cancer patients.Respectively by traditional morphological imaging and diffusion weighted imaging method to evaluate the clinical curative effect of patients， and the
evaluation function of the two methods of comparison， statistics and analysis.Result：The clinical analysis showed that patients with traditional morphological imaging scan no difference between the value of tumor size， before and after was not statistically significant（ P>0.05）.And diffusion weighted imaging scans of ADC values had significant changes before and after treatment， compared before and after there were significant difference， statistically significant（ P<0.05）.Conclusion：The use of diffusion weighted imaging in patients with liver cancer radiotherapy curative effect evaluation，can timely， accurately reflect the changes of lesions ADC， therefore， it is a scientific， effective and ideal method to evaluate liver cancer radiotherapy.

2015 Vol. 12　(11):　8-11 [Abstract]（ 494 ） HTML (1 KB)  PDF  (728 KB)  ( 285 )

Objective：To observe the concentration and clinical meaning of plasma homocysteine on chronic heart failure patients（CHF）.Method：There were 200 patients， 100 of them do not have CHF（ control group），100 of them have CHF（CHF group）.The CHF patients were separated as group Ⅱ，group Ⅲ，group Ⅳ according to the America New York Heart Association（ NYHA）.The plasma homocysteine，N-terminal B-type natriuretic peptide（ NTproBNP）
and left ventrical eject function（LVEF） were compared on all of the patients.Result：The plasma homocysteine was higher on the group CHF than on the control group（P<0.05）.The plasma homocysteine was different from group Ⅱ to group Ⅲ and group Ⅳ（P<0.05）.The NT-proBNP was higher on the group CHF than on the control group（P<0.05）.The plasma NT-proBNP was different from group Ⅱ to group Ⅲ and group Ⅳ（P<0.05）.The LVEF was lower on the
group CHF than on the control group（P<0.05）.The LVEF was different from group Ⅱ to group Ⅲ and group Ⅳ（P<0.05）.The plasma homocysteine was positively correlated with NT-proBNP， and negatively correlated with LVEF on the CHF patients.Conclusion：The plasma homocysteine is higher on the CHF， it may be considered as one of the important CHF markers.

2015 Vol. 12　(11):　14-16 [Abstract]（ 499 ） HTML (1 KB)  PDF  (676 KB)  ( 186 )

Objective：To analyze the effect on the related factors of renal osteopathy of different blood purification method.Method：From January 2009 to August 2014，a total of 326 patients with renal osteopathy treated in our hospital by blood dialysis were randomly divided into two groups.163 cases of patients in the control group were treated using common blood purification method； 163 cases of patients in the observation group were treated with combinedtype blood purification methods.The blood blood calcium， phosphorus， parathyroid hormone，the change of the beta 2-microglobulin and the calcium-phosphorus product in the two groups before and after treatment were compared.Result：After treatment， blood calcium content of the patients in the observation group significantly increased（P<0.05），and the blood phosphorus，parathyroid hormone，beta 2-microglobulin and calcium-phosphorus product significantly decreased（P<0.05）.But all the indexes of patients of the control group changed non-significantly.Clinical therapeutic effect of the observation group was significantly higher than the control group， but the adverse reaction was significantly lower than that in the control group（P<0.05）.Conclusion：The effects on the related factors of renal osteopathy of different blood purification methods are different.Combined-type blood purification methods can better remove patients parathyroid hormone and beta 2-macroglobulin，and repair the body calcium phosphorus metabolism disorder phenomenon.

2015 Vol. 12　(11):　20-23 [Abstract]（ 495 ） HTML (1 KB)  PDF  (694 KB)  ( 226 )

Objective： To summarize the barbiturate coma therapy in clinical curative effect and prognosis of severe head trauma. Method： 82 patients of severe craniocerebral trauma were selected in our hospital from February 2013 to August 2014 during the period of accepted the diagnosis and treatment，and randomly divided into two groups，41 cases in each group.The control group were underwent routine therapy， while the experimental group was treated barbiturate coma therapy， at the same time，two groups’ treatment and prognosis were contrasted and analyzed.Result： Two groups 24 hours and 48 hours after treatment gived the real-time monitoring， the test results showed that the two groups in the cavity of cerebrospinal fluid pressure and cerebral blood flow and other clinical indicators were dropped. Compared with control group， the experimental group patients clinical index fell more， the difference was statistically significant（P<0.05）.Conclusion：The clinical barbiturate coma therapy on the clinical curative effect and prognosis of severe head trauma effect is significant， in addition to being able to control the cerebrospinal fluid pressure in patients with cranial cavity， maximize the cerebral perfusion， at the same time also can improve the patients’ symptoms of cerebral ischemia or hypoxia，plays a comprehensive protection for the brain， thus it has the high feasibility and is worth promoting.

2015 Vol. 12　(11):　26-29 [Abstract]（ 632 ） HTML (1 KB)  PDF  (703 KB)  ( 457 )

Objective：To investigate the affect of the serum B lymphocytes stimulating factor（BlyS） on the anti-IgE antibody and anti-FcεRI antibody of the patients with chronic idiopathic urticaria. Method： 100 cases of patients with chronic idiopathic urticaria were selected as disease group， 100 cases of healthy people in the same period were selected as the healthy group. The serum level of the BlyS， anti-IgE antibody and anti-FcεRI antibodies were detected；the B lymphocytes from the peripheral blood of the disease group patients were isolated and cultured， and divided into two shares， add BlyS in one share as the experimental group，another share as blank control group，the level of the anti-IgE antibody and anti-FcεRI antibodies were detected. The relationship among the BlyS，anti-IgE antibody and anti-FcεRI antibodies were analyzed. Result：The serum levels of the BlyS，anti-IgE antibody and anti-FcεRI antibodies of the disease group were significantly higher than the healthy group，the differences had statistical significance（ P<0.05）.The levels of the BlyS，anti-IgE antibody and anti-FcεRI antibody of the experimental group were significantly higher than the control group， the differences had statistical significance（P<0.05）. The levels of the anti-IgE antibody and anti-FcεRI antibodies of the experimental group were positively correlated with the BlyS（ r=0.765，0.722，P<0.05）.Conclusion：BlyS can stimulate B lymphocytes to produce the anti-IgE antibody and anti-FcεRI antibodies of patients with chronic idiopathic urticaria， this may be related to the pathogenesis of chronic idiopathic urticaria.

2015 Vol. 12　(11):　32-34 [Abstract]（ 435 ） HTML (1 KB)  PDF  (694 KB)  ( 319 )

Objective：To investigate and analyze the clinical effect of budesonide combined with montelukast in treatment of children with cough variant asthma.Method：60 cases of infantile cough variant asthma from April 1，2013 to April 30， 2014 in our hospital were selected，according to the treatment methods they were divided into test group（ 30 cases） and control group（ 30 cases）.Control group patients were given budesonide treatment，experimental group patients were given oral montelukast on the basis of the control group，their therapeutic effect were observed.Result：The treatment efficiency of test group（ 96.67%）was higher than that in the control group（ 73.33%），the test group the recurrence rate（6.67%） was lower than that of the control group（20.00%），after treatment，relieve cough time，cough disappeared time of the test group were significantly better than the control group（P<0.05）.Conclusion：Budesonide
combined with oral montelukast has good clinical effect on treating children with cough variant asthma，they improve the treatment efficiency and the patients’ PEF，FEV1，FVC，FEV1/FVC and a number of items of pulmonary function，clinical can consider expanding application.

2015 Vol. 12　(11):　39-41 [Abstract]（ 545 ） HTML (1 KB)  PDF  (683 KB)  ( 230 )

Objective： To analyze the clinical application effects of Ventricular premature beat treated by radiofrequency ablation. Method： 60 patients who suffered from the ventricular premature beat and who accepted treatment in our hospital from April 2012 to April 2013 were selected as the research objects，and were randomly divided into the control group and the observation group， 30 patients in each group. In the control group， the patients suffered from the ventricular premature beat were treated with the propafenone， while in the observation group， the patients suffered from the ventricular premature beat were treated with radiofrequency ablation. Then， the treatment effects of these two groups were analyzed and compared. Result： In the control group， the significant effective rate of these patients was 56.7% and the total effective rate was 73.3%. However， in the observation group， the significant effective of these patients was 93.3%  and the total effective rate was 100%. Thus， the differences were evident and there were statistical significance（P<0.05）.In addition， in the observation group， the recurrence rate of these patients after the treatment was 6.7%， which was evidently lower than 33.3% in the control group，the difference was statistically significant（P<0.05）. Furthermore， after treatment，3 patients in the control group suffered from the adverse drug reaction and the related serious complications.However， in the observation group no patients suffered from the adverse drug reaction and the related serious complications.In addition， according to the 24-hour dynamic electrocardiogram， the time of bigeminy coupled rhythm and the trigeminal beats in the observation group was 0 and the total number of early room were（ 168±86）， which was evidently lower that that in the control group ， the differences were statistically significant（P<0.01）.Conclusion：The clinical application effects of ventricular premature beat treated by radiofrequency ablation is good and has high success rate and low recurrence rate. In addition， the complications are few. Thus， it should be promoted in the clinic applications.

2015 Vol. 12　(11):　44-46 [Abstract]（ 543 ） HTML (1 KB)  PDF  (672 KB)  ( 464 )

Objective：To evaluate the long-term effect of atovastatin calcium on carotid atherosclerosis plaque in patients with acute cerebral infarction.Method：100 cases of patients in our hospital were chosen as the experimental objects.，and were divided into experimental group and control group，control group were treated with routine  treatment，and the experimental group were treated with atovastatin calcium on the basis of control group，the TC，TG，LDL，HDL，hs-CRP，IMT，plaque area and adverse reaction between two group were compared.Result：After 12 months’treatment，TC，TG，LDL，HDL，hs-CRP of the experimental group were statistically better than that of the control group（P<0.05）.The plaque area and IMT of the experimental group were statistically lower than that of the control group（P<0.05）.The adverse reaction between two group had no significant difference（ 字2=1.375，P<0.05）.Conclusion：Atovastatin calcium could improve the blood lipid level，reduce the inflammation response，has a stable and promote the ablation effect on plaque.

2015 Vol. 12　(11):　49-51 [Abstract]（ 572 ） HTML (1 KB)  PDF  (683 KB)  ( 325 )

Objective：To analyze the Desogestrel and Ethinylestradiol Tablets（ Marvelon） effect in the treatment of uterine scar incomplete drug abortion intrauterine residue.Method：142 cases of medicine logistics postpartum were selected in our hospital from May 2013 to May 2014， in which two weeks patients were with persistent vaginal bleeding，were randomly divided into two groups， the observation group of 72 cases with Desogestrel and Ethinylestradiol Tablets
combined with motherwort conservative treatment， the control group of 70 cases with drug abortion decidual residue operation curettage therapy， compared two the therapeutic effect of the group. Result： The observation group hemostasis rate was 84.7%（61/72） was significantly higher than that in control group 47.1%（33/70）， with significant difference（P<0.05）；the observation group after treatment of uterine volume（ 143.6±50.2）cm3 was significantly lower than that of control group（ 169.9±54.4）cm3，endometrial thickness（ 0.8±0.2）cm also significantly less than that of the control group（ 1.4±0.3）cm，the duration of vaginal bleeding after drug（ 5.6±2.2）d was significantly shorter than that in control group（ 9.4±2.5）d，gestational residue discharge time（ 4.2±2.5）d was significantly shorter than that in control group（ 6.8 ±2.8）d，menstruation was significantly better than the control group， the difference differences were statistically significant（P<0.05）.Conclusion：Marvelon in the treatment of incomplete abortion Intrauterine Residue after the hemostasis rate is high， the vaginal bleeding time is short，and which can regulate menstruation and promote uterine recovery.

2015 Vol. 12　(11):　55-58 [Abstract]（ 590 ） HTML (1 KB)  PDF  (693 KB)  ( 274 )

Objective：To compare the clinical value of spiral CT with high-frequency ultrasound in the diagnosis of atypical acute appendicitisl.Method：To retrospectively analyze the medical records of 50 patients with clinical diagnosis of atypical acute appendicitisl.Before surgery， patients were given spiral CT and high frequency ultrasound examination to surgery-pathology results as the gold standard， the results of the spiral CT and high-frequency ultrasonography were compared and analyzed.Result：Pathological diagnosis：normal appendix 17 cases， 33 cases of acute appendicitis（ 12 cases of edema， cellulitis for 12 cases， 9 cases of gangrenous）.Spiral CT diagnosis of acute appendicitis atypical sensitivity， specificity and accuracy were significantly higher than those of the high-frequency ultrasound between the two groups， which was statistically significantly different（ P<0.05）.Spiral CT in acute edema and cellulitis appendicitis diagnosis the correct rate was higher than that of the high-frequency ultrasound， the difference was statistically significant（ P<0.05）； for gangrenous appendicitis， spiral CT were correctly diagnosed with high-frequency ultrasound， the accuracy was 100%， the difference was not statistically significant.Conclusion：In the diagnosis of acute appendicitis in the atypical， the spiral CT high-frequency ultrasound advantage.For suspected acute appendicitis in patients with atypical， such as high-frequency ultrasound examination is negative， should further spiral CT scan to confirm the diagnosis.

2015 Vol. 12　(11):　61-63 [Abstract]（ 609 ） HTML (1 KB)  PDF  (673 KB)  ( 198 )

Objective：To acquaint the status of hepatitis B virus（ HBV） infection in nursing students，and provide data for occupational protection of hepatitis B.Method：Hepatitis B serological markers were measured in nursing and midwifery students of 2012 grade from a college of Guangxi before clinical practice，and questionnaire survey of Hepatitis b vaccination situation was proceeded in those five serological markers negative，statistical results were analyzed.Result：The detection results of 638 nursing students display，the positive rate of HBsAg was 5.96% in total，HBeAg positive rate was 1.10%， HBeAb positive rate was 2.98%；five HBV markers negative in 339 cases， accounted for 53.13% of the total number.The results of a questionnaire survey showed that 79.88% of nursing students thought hepatitis B serological markers detection before practice was necessary， but awareness rate for the hepatitis B vaccine prevention was low.Conclusion：20-22 years old nursing students HBsAg positive rate are lower than the HBsAg of our country carrying rate level， large numbers of people are lack of specific immunity for HBV， and the awareness of hepatitis B vaccination rate is low.The propaganda of knowledge of hepatitis B prevention in nursing students should be increased，high-risk individuals should get vaccinations against hepatitis B or reseed vaccine.

2015 Vol. 12　(11):　66-69 [Abstract]（ 476 ） HTML (1 KB)  PDF  (691 KB)  ( 285 )

Objective：To explore the superiority of modern university medical applied talents training mode.Medical students need to do professional， active， positive， careful， the education of medical ethics， and should be able to meet the needs of modern society.Method：Optional class 2010 grade English class teaching was selected as the research object， 20 class for the control group（ the traditional teaching mode）， 21 class as the experimental group（ the applied
talents training mode）.20 classes studied as the traditional method of teachers taught， students’ learned methods.21 class used the teaching method of cultivating applied talents.At the end of the whole course， carries on the theory of the exam， according to a scale to carry on the classification， the results of the experimental group and the control group，were compared and analyzed.Result：Through questionnaire， reflects the medical students’ approval of new methods，new model of teaching and requirements， students could set off from reality to view of modern medicine and society.After a full semester teaching， two groups of final theory test scores were compared， proficiency group than the control group significantly increased， and the sum of outstanding and good experimental group than the control group.Internship phase the results of the experimental group than the control group with obvious prominent， especially on the complete case analysis problem was significantly improved.There was the outstanding analysis， handle problems and practical ability.Conclusion：Medicine itself is a real medicine itself is a practical science， medical education need to fully mobilize students’ subjective initiative， to cultivate the students’ self-confidence and creativity cultivation of noble medical ethics.Applied talents training mode can enhance the students’ subjective actively search ability， flexible comprehensive logical ability， improve the ability of independent analysis， handle problems.

2015 Vol. 12　(11):　73-75 [Abstract]（ 436 ） HTML (1 KB)  PDF  (671 KB)  ( 376 )

Objective： To investigate patients with the non-invasive ventilation during treatment assessment and care measures.Method： 50 patients were treated in nursing assessment and based on the assessment results，the appropriate care measures. Result：In 50 patients， 45 cases of treatment were effective， 5 cases of ineffective.Conclusion： The use of non-invasive ventilator patients assessment and care，enabling patients to actively cooperate to improve patients’ compliance，increase patients’ comfort，reduce the incidence of complications， and achieve satisfactory results.

2015 Vol. 12　(11):　79-80 [Abstract]（ 579 ） HTML (1 KB)  PDF  (652 KB)  ( 204 )

Objective：To study the effect of psychological nursing intervention on depression.Method：64 cases of depression were selected in our hospital from July 2011 to April 2013， 32 cases were randomly divided into two groups，using conventional nursing， and antidepressant treatment for the control group， on the basis of antidepressant treatment given psychological nursing intervention for the observation group.Result：Control group using conventional care patients’
compliance was 56.25%， while the use of psychological nursing intervention group patients compliance was 87.50%， the difference between the two groups（P<0.05）.Compared with two groups at the end of the period of treatment was found that in the control group were treated， the total effective rate was 75.00% group total effective rate of treatment was as high as 96.88%， a significant difference was found in two groups（P<0.05）.Conclusion：Psychological nursing intervention has important effect on treatment of depression patients， can improve the patients compliance，improve the treatment effect，worth clinical promotion and application.

2015 Vol. 12　(11):　84-86 [Abstract]（ 671 ） HTML (1 KB)  PDF  (684 KB)  ( 364 )

Objective：To observe and compare with the clinical efficacy of Ziwuliuzhu method or acupuncture and moxibustion method treatment of insomnia. Method：124 outpatients with insomnia were randomly divided into two groups，62 cases in the treatment group，62 cases in the control group， the treatment group in accordance with the law of midnight-noon timing by selecting acupoints，this was used by the method of tonifying mother and purging son，according
to the twelve Earthly Branches in time，at the same time with the twelve meridians of breath and blood running sequential acupuncture therapy. The control group according to the routine acupuncture acupoint such as Baihui， Neiguan，Shenmen etc，with acupuncture treatment at any time， the treatment effect between the two groups was compared.Result：The total efficiency of the treatment group was 93.8% and 85.5% in the control group， there was a significant
difference in the two groups（ P<0.05）.The PSQI and sleep rate of the two groups had a significant differences（P<0.05）.Conclusion：According to the method of Ziwuliuzhu acupoints，the timing of acupuncture and moxibustion has a significant efficacy in treating insomnia. It is worthy of popularization and application.

2015 Vol. 12　(11):　89-92 [Abstract]（ 606 ） HTML (1 KB)  PDF  (692 KB)  ( 1352 )

Objective：To explore the setup errors　of　two different position fixing in radiotherapy of esophagus
cancer.Method：50 cases of esophagus cancer patients with radiotherapy were randomly divided into two groups，group A
25 cases use a simple vacuum pad fixing technology，25 cases of group B use Head-neck-shoulder omentum droping
Combined with the foot "U" fixed　method，The setup accuracy of marked method of two groups were compared.
Result：The differences on Three-dimensional setup errors were significantly（t=3.78，P<0.05）.Conclusion：The
positioning accuracy of Head-neck-shoulder omentum droping　combined with the foot "U" fixed method in treatment of
esophagus cancer is significantly improved and recommended for clinical use.

2015 Vol. 12　(11):　95-97 [Abstract]（ 530 ） HTML (1 KB)  PDF  (671 KB)  ( 221 )

Objective：To investigate the clinical pathway used in recovery period of general anesthesia to control the complications.Method：43 cases of patients after general anesthesia in our hospital from October 2013 to October 2014 were selected as the control group and the experimental group.The effect of clinical pathway used in anesthesia recovery period to control the complications and the patient satisfaction was analyzed.Result：The incidence of complications in experimental group was significantly lower than that of control rol group（ X²=5.119，P<0.05）.And the satisfaction in experimental group　was significantly higher than that of control group（ Z=2.093，P<0.05）.Conclusion：Clinical pathway used in anesthesia recovery period can reduce the incidence and the degree of complications such as respiratory，circulatory and nervous systems and pain， and improve the patients’ satisfaction.

2015 Vol. 12　(11):　101-103 [Abstract]（ 596 ） HTML (1 KB)  PDF  (682 KB)  ( 220 )

Objective：To study the surgical techniques，complications and clinical significance of ultrasoundguided internal jugular vein implantation of access port（IVAP）.To assess the safety and feasibility of the access port.Method：The clinical data 196 cases breast cancer patients who implanted IVAP from January 2013 to June 2014 in our hospital were analyzed retrospectively.Result：The success rate of first puncture in this group of patients was 100%，the catheter tip was located between the 4-6 T in the chest radiograph.There were no pneumothorax， hemothorax， arterial puncture，arrhythmia，hematoma，gas embolism and other complications in the patients.5 cases of neck discomfort and a sense of pulling.The catheter into the angle in 1 cases（through the left internal jugular vein）， 3 cases finded the catheter distort in the injection seat at the connection.No patient removed transfusion port because of complications. Conclusion：Ultrasound-Guided Insertion of Implantable venous access port through Internal jugular vein is safe and effective， simple and feasible，can reduce the pain of patients， improve the patient’s quality of life.So it is worthy of promotion in clinical work.

2015 Vol. 12　(11):　107-110 [Abstract]（ 835 ） HTML (1 KB)  PDF  (703 KB)  ( 902 )

Objective：To evaluate the clinical characteristics and MRI diagnostic value of hirayama disease.Method：Analyse the clinical and　MRI feature of hirayama disease　in　6 cases proved by clinical.Result：5 males and 1 female in 6 cases，with muscle weakness and atrophy on uooer limbs， 5 cases showed unilateral and 1 case showed bilateral but asymmetric involvement.In the flexion position MRI scan，the forwords movement of lower cervical cord and
the abnormal lunular signal with posterior epidural space in all cases.Conclusion：Hirayama disease occurs mainly in young males.The hirayama disease shows characteristic manifestations on the flexion position MRI appearance，which can help the doctor make diagnosis in the early stage.

2015 Vol. 12　(11):　113-116 [Abstract]（ 657 ） HTML (1 KB)  PDF  (801 KB)  ( 231 )

Objective：To investigate the risk factors and nursing countermeasures of catheter-associated urinary tract infection（ CAUTI） among patients with indwelling catheter.Method：The incidence of CAUTI in 320 patients with indwelling catheter were observed，and its risk factors and nursing countermeasures were explored.Result：Among 320 patients with indwelling catheter，60 cases had CAUTI，the incidence rate was 18.75%.Logistic regression showed the risk factors of CAUTI were age，gender，time of indwelling catheter and bladder irrigation.Conclusion：The incidence rate of CAUTI is still at a high level in patients with indwelling catheter.Nurses must take proper measures to prevent and reduce the incidence of CAUTI.

2015 Vol. 12　(11):　119-121 [Abstract]（ 642 ） HTML (1 KB)  PDF  (670 KB)  ( 353 )

Objective：To analyze causes of insufficient blood volume in volunteer blood donors，seek to improve solution measures.Method：From January 2013 to July 2014，307 cases of insufficient volume blood in 101 619 voluntary blood donors come into being the cause of analyses and statistics.Result：Incidence of deficiency of blood collection was 0.302%，which proportion of deficiency cause by a reaction of 0.133%，see needles and other reasons causing the deficiency rate was 0.169%.Teams lack of voluntary unpaid blood donation amount less proportion of voluntary unpaid blood donation shortage.Insufficient flow of voluntary unpaid blood donation ratio higher than that of blood donation.Conclusion：Providing a good environment for blood donation，improved puncture technique of blood nurse ，prevention and reaction ，to reduce the amount of enough blood from source .

2015 Vol. 12　(11):　125-127 [Abstract]（ 486 ） HTML (1 KB)  PDF  (674 KB)  ( 431 )

Objective：To investigate the clinical effect of laparoscopic resection combined with goserelin treatment in patients with uterine adenomyoma.Method：60 cases with uterine adenomyoma patients were selected in November 2012 to October 2014 in our hospital underwent laparoscopic lesions resection as the study object， the clinical data of all patients were reviewed and analyzed.Result：The uterine myoma patients after clinical treatment the strength and the amount of menstrual dysmenorrhea were significantly better than before the surgery，the differences had statistical significance（P<0.05）；compared the menstrual cycle and the menstrual period before and after，the differences were no statistically significant（P<0.05）.Conclusion：The application of laparoscopy lesion resection combined with goserelin in patients with uterine adenomyoma，it has significant effect.

2015 Vol. 12　(11):　129-130 [Abstract]（ 496 ） HTML (1 KB)  PDF  (652 KB)  ( 294 )

Objective：To investigate the clinical anesthetic effect of remifentanil combined with sevoflurane and remifentanil combined with propofol in laparoscopic operation.Method： 80 cases of gynecological laparoscopic surgery patients were selected from November 2013 to Octomber 2014 in our hospital as the research object，and were randomly divided into the observation group and the control group，40 cases in each group.Patients in the control group were
treated by remifentanil combined with propofol anesthesia，the observation group patients were treated by remifentanil combination with sevoflurane.Result： After clinical treatment，directional force of recovery time，eye opening time，spontaneous breathing time and extubation time of two groups’ patients were analyzed，the differences had no statistically significant（P>0.05）.Conclusion： In the process of the implementation of laparoscopic surgery，two kinds of anesthesia methods have their advantages and disadvantages，so you can choose a proper method of anesthesia according to the actual situation.

2015 Vol. 12　(11):　133-135 [Abstract]（ 509 ） HTML (1 KB)  PDF  (685 KB)  ( 282 )

Objective：To study clinical application value and its influence of transurethral ureteroscopy and percutaneous nephroscope in ureteral calculi surgery patients.Method：A retrospective analysis of our hospital uropoiesis surgical department from January 2012 to July 2014 accepts treatment， the clinical data of 120 patients with ureteral calculi were randomly divided into experimental group and control group， experimental group of patients with urethral ureter mirror surgery method of treatment， the control group were treated by skin kidney surgery method of treatment the mirror， by observing two groups of patients with calculi clearance rate of adverse reaction operation time and operation expenses， etc.Result：Ureter mirror：the experimental group USES the urethra stone extraction for the cure rate of patients was obviously higher than that of control group， and the probability of adverse reactions are significantly lower than the
control group， shorter operation time， less operation cost， the patient’s recovery was good， but the control group of stone clearance rate higher than that of the experimental group， whereas the control of operation time was long， the high cost of operation， the difference was statistically significant（P<0.05）.Conclusion：Ureteroscopy take urethral stone with high cure rate Less adverse reaction Recovery time is short high safety， can effectively reduce the incidence of serious complications， the patients treated with percutaneous nephroscope calculi clearance rate is high， but the operation time is long， the high cost of operation， therefore， before the surgery should be the best treatment for different patients take corresponding measures， in order to improve the success rate of surgery.

2015 Vol. 12　(11):　137-139 [Abstract]（ 558 ） HTML (1 KB)  PDF  (682 KB)  ( 318 )

Objective： To investigate the application effectiveness and safety inquiry of patients with cesarean section scar pregnancy treated with vaginal surgery. Method： 30 cases of patients with cesarean section scar pregnancy were chosen from January 2011 to August 2013 in our hospital to received treatment，and divided into observation group and control group，15 patients in each group. The effects and complications were analyzed.Result： After treatment，analyzed the efficacy of observation group and the control group， the success rate was respectively 93.3% and 66.7%，after a comparative analysis， the difference was statistically significant（ 字2=6.282，P<0.05）.After treatment， analyzed after comparative analysis the amount of bleeding，length of stay and β-hCG in the observation group and the control group of patients，the differences were statistically significant（ P<0.05）.30 cases of CSP patients after treatment， 28
cases of patients were able to complete the preserve fertility. In the followed-up process， the blood β-hCG value of the observation group was able to quickly return to normal； the control group patients after the weekly review， blood β-hCG values in 12 patients 1-5 weeks after discharge can be restored normal. 25 patients were in the 30-40 d menstrual cramps，5 patients were in the 40-60 d menstrual cramps.Conclusion： After vaginal surgery for the treatment of patients with caesarean section scar pregnancy is a more appropriate treatment， but for the patients of vaginal stenosis， cervical difficult to expose， should be based on the actual situation， through the vaginal ultrasound and surgical experience of physicians，to take reasonable treatment programs and provide protection for the rehabilitation of patients.

2015 Vol. 12　(11):　143-145 [Abstract]（ 575 ） HTML (1 KB)  PDF  (672 KB)  ( 263 )

Objective：To investigate the application of hypertension patients sinistral amlodipine joint treatment the clinical effect of atorvastatin calcium tablet.Method：140 cases of patients with high blood pressure can be divided into two groups at random， 70 cases in each group.Amlodipine group application joint atorvastatin calcium treatment，control group nifedipine retard-20 tablet treatment，compared two groups of patients before and after treatment the blood，heart rate，and the change of quality of life.Result：After treatment，the observation group total effective rate（97.14%） were significantly better than the control group（87.14%）， statistically significant difference（P<0.05）.Conclusion：Using amlodipine in combination with atorvastatin calcium treatment of high blood pressure， heart rate，blood pressure can obviously improve patients such as indicators， relieve symptoms， improve the patients quality of life，clinical effect is remarkable， is worth popularizing in clinical application.

2015 Vol. 12　(11):　148-149 [Abstract]（ 746 ） HTML (1 KB)  PDF  (652 KB)  ( 496 )

Hand-foot-mouth disease（HFMD） is a common infection disease in preschool children，it is usually caused by enterovirus 71 and coxsackievirus A16. HFMD had aroused peoples wide attention because the clinical features of involving wide area and much population.It has been noted that enterovirus 71 infection is more severe with serious complications and fatality.The progress on the prevent measures and treatment will be reviewed，and provide a theoretical basis for clinical prevention and treatment for HFMD.

2015 Vol. 12　(11):　153-156 [Abstract]（ 526 ） HTML (1 KB)  PDF  (704 KB)  ( 466 )