Central Plains Medical Journal最新文献

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Clinical effects of combination of edaravone, clopidogrel and butylphthalide injection on acute progressive cerebral infarction 依达拉奉、氯吡格雷、丁苯酞联合治疗急性进展性脑梗死的临床观察
Central Plains Medical Journal Pub Date : 2020-03-10 DOI: 10.3760/CMA.J.ISSN.1674-4756.2020.05.034
X. Zhuang, Shuyan Jiang
{"title":"Clinical effects of combination of edaravone, clopidogrel and butylphthalide injection on acute progressive cerebral infarction","authors":"X. Zhuang, Shuyan Jiang","doi":"10.3760/CMA.J.ISSN.1674-4756.2020.05.034","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1674-4756.2020.05.034","url":null,"abstract":"Objective \u0000To analyze the clinical effects of combination of edaravone, clopidogrel and butylphthalide injection in the treatment of acute progressive cerebral infarction. \u0000 \u0000 \u0000Methods \u0000Seventy-eight patients with acute progressive cerebral infarction treated in Shouguang People’s Hospital from August 2018 to July 2019 were selected and divided into two groups, by random number table method. In the control group, 39 patients were treated with clopidogrel tablets and butylphthalide injection; while 39 patients in the observation group were treated with edaravone based on the treatment of control group. The therapeutic effects, neurological function, daily activities ability were compared between the two groups after treatment; and changes of neuron-specific enolase (NES), S-100β protein, interleukin-1, (IL-1) interleukin-2 (IL-2), interleukin-6(IL-6) were analyzed between the two groups. The incidence of adverse reactions of the two groups were observed and recorded. \u0000 \u0000 \u0000Results \u0000After treatment, the American National Institute of Health stroke scale (NIHSS) scores of the observation group were significantly lower than those of the control group, and the Barthel index of the observation group was significantly higher than that of the control group (P 0.05). \u0000 \u0000 \u0000Conclusions \u0000Combined treatment of edaravone, clopidogrel and butylphthalide in jection in patients with acute progressive cerebral infarction can improve the daily activities of patients, reduce nerve damage, and regulate levels of serum S-100β protein, NSE, IL-1, IL-2, IL-6 and other indicators, which has a good application effect. \u0000 \u0000 \u0000Key words: \u0000Edaravone; Butylphthalide; Clopidogrel; Acute cerebral infarction","PeriodicalId":9667,"journal":{"name":"Central Plains Medical Journal","volume":"2 1","pages":"114-117"},"PeriodicalIF":0.0,"publicationDate":"2020-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74647745","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Effects of selenium yeast combined with levothyroxine sodium on Hashimoto thyroiditis complicated by hypothyroidism 酵母硒联合左旋甲状腺素钠治疗桥本甲状腺炎合并甲状腺功能减退的疗效观察
Central Plains Medical Journal Pub Date : 2020-03-10 DOI: 10.3760/CMA.J.ISSN.1674-4756.2020.05.032
Z. Qu, Tingting Li, Hao-Jie Guan, Jing Huo, Yu Chen
{"title":"Effects of selenium yeast combined with levothyroxine sodium on Hashimoto thyroiditis complicated by hypothyroidism","authors":"Z. Qu, Tingting Li, Hao-Jie Guan, Jing Huo, Yu Chen","doi":"10.3760/CMA.J.ISSN.1674-4756.2020.05.032","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1674-4756.2020.05.032","url":null,"abstract":"Objective \u0000To investigate the therapeutic effects of selenium yeast combined with levothyroxine sodium on Hashimoto thyroiditis patients with hypothyroidism. \u0000 \u0000 \u0000Methods \u0000The clinical data from 85 patients with Hashimoto thyroiditis and hypothyroidism admitted to Dezhou People’s Hospital from February 2018 to March 2019 were retrospectively analyzed. According to the drug treatment plans, patients were divided into the control group (42 cases treated with levothyroxine sodium) and observation group (43 cases treated with selenium yeast and levothyroxine sodium). Both groups were treated continuously for 90 d, and the clinical effects of the two groups were observed. The changes of thyroid function index, thyroid peroxidase antibody and thyroglobulin antibody of the two groups before and after treatment were compared. And the adverse reactions of the two groups were recorded. \u0000 \u0000 \u0000Results \u0000The total effective rate of the observation group (93.02%, 40/43) was higher than that of the control group (76.19%, 32/42), P 0.05). \u0000 \u0000 \u0000Conclusions \u0000Selenium yeast combined with levothyroxine sodium can effectively improve thyroid function, reduce thyroid antibodies and effectively control the incidence of adverse reactions in Hashimoto thyroiditis patients with hypothyroidism. \u0000 \u0000 \u0000Key words: \u0000Hashimoto thyroiditis; Hypothyroidism; Selenium yeast; Levothyroxine sodium","PeriodicalId":9667,"journal":{"name":"Central Plains Medical Journal","volume":"24 1","pages":"106-109"},"PeriodicalIF":0.0,"publicationDate":"2020-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75113311","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Clinical value of monitoring the spiral artery blood flow in patients with early threatened abortion by color Doppler ultrasound 彩色多普勒超声监测早期先兆流产患者螺旋动脉血流的临床价值
Central Plains Medical Journal Pub Date : 2020-03-10 DOI: 10.3760/CMA.J.ISSN.1674-4756.2020.05.025
Shufan Cui
{"title":"Clinical value of monitoring the spiral artery blood flow in patients with early threatened abortion by color Doppler ultrasound","authors":"Shufan Cui","doi":"10.3760/CMA.J.ISSN.1674-4756.2020.05.025","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1674-4756.2020.05.025","url":null,"abstract":"Objective \u0000To investigate the clinical value of color Doppler ultrasonography in monitoring the uterine spiral artery blood flow in patients with early threatened abortion. \u0000 \u0000 \u0000Methods \u0000A total of 360 women with threatened abortion in the early 5-8 weeks of pregnancy treated in Taihang Hospital from June 2017 to June 2019 were selected as the study group. And another 100 healthy women with early pregnancy in the same period were selected as control group. All the pregnant women were examined by abdominal color Doppler ultrasound. The index of uterine spiral artery blood flow resistance indexes, including pulsation index, peak systolic velocity and end-diastolic velocity, were measured and compared. \u0000 \u0000 \u0000Results \u0000①There was no significant difference in comparison on peak systolic velocity between the study group and control group, which was (44.89±2.45)cm/s vs. (44.35±3.18)cm/s (t=1.573, P=0.058). The end-diastolic velocity of the study group was (7.45±1.26)cm/s, lower than the (9.31±1.15)cm/s of the control group, and the resistance index (2.67±0.42) and pulse index (0.91±0.15) were higher than those of the control group (1.75±0.28, 0.72±0.09), t=14.006, 25.775, 15.861, all P<0.01. ②There was no significant difference in peak systolic velocity between successful and unsuccessful foetus protectors, (44.34±3.84)cm/s vs. (44.82±2.65)cm/s, t=0.812, P=0.209. The end-diastolic velocity of successful foetus protectors was (9.06±1.42) cm/s, higher than the (7.06±1.33) cm/s of the unsuccessful foetus protectors, while the resistance index (1.99±0.35) and the pulse index (0.82±0.19) were lower than those of the unsuccessful foetus protectors (2.98±0.41, 0.91±0.13), t=6.947, 11.728, 3.102, all P<0.01. ③There were no statistically significant differences in systolic peak and end-diastolic velocities between the successful foetus survivors in the study group and in the control group (t=0.423, 1.804, P=0.336, 0.056), while the resistance index (1.99±0.35) and pulse index (0.82±0.19) were higher than those in the control group (1.75±0.28, 0.72±0.09), t=7.085, 7.291, both P<0.01. ④The systolic peak velocity of women with miscarriage in the study group was (44.82±2.65)cm/s, which was not significant different from the (44.18±3.15)cm/s in the control group (t=1.006, P=0.158). While the end-diastolic velocity in with miscarriage in the study group was (7.06±1.33)cm/s, lower than the (9.31±1.15)cm/s in the control group (t=7.494, P<0.01). And women with miscarriage in the study group had higher resistance index (2.98±0.41) and pulse index (0.91±0.13) than the control group (1.75±0.28, 0.72±0.09), t=13.673, 6.652, both P<0.01. \u0000 \u0000 \u0000Conclusions \u0000Color Doppler ultrasound monitoring the uterine spiral artery blood flow indicators in patients with early threatened abortion is of great clinical significance, and plays a positive role in predicting the prognosis of patients and reasonably guiding the fetal care treatment program. \u0000 \u0000 \u0000Key words: \u0000Color Doppler monitoring;","PeriodicalId":9667,"journal":{"name":"Central Plains Medical Journal","volume":"48 1","pages":"83-86"},"PeriodicalIF":0.0,"publicationDate":"2020-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88267422","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Expression and gene isoforms of HLA-B27 in ankylosing spondylitis patients 强直性脊柱炎患者HLA-B27的表达及基因异型
Central Plains Medical Journal Pub Date : 2020-03-10 DOI: 10.3760/CMA.J.ISSN.1674-4756.2020.05.004
B. Luo
{"title":"Expression and gene isoforms of HLA-B27 in ankylosing spondylitis patients","authors":"B. Luo","doi":"10.3760/CMA.J.ISSN.1674-4756.2020.05.004","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1674-4756.2020.05.004","url":null,"abstract":"Objective \u0000To analyze the expression and gene isoforms of HLA-B27 in patients with ankylosing spondiylitis (AS). \u0000 \u0000 \u0000Methods \u0000Forty-seven AS patients treated in Central People’s Hospital of Huizhou from January to December of 2018 were selected as observation group, and 47 persons who underwent physical examination in the same period were selected as control group. The expression of HLA-B27 of the two groups were determined by flow cytometry, and gene isoforms of HLA-B27 in positive patients were detected by fluorescence quantitative polymerase chain reaction. The examination results of the two groups were analyzed. \u0000 \u0000 \u0000Results \u0000The positive rate of HLA-B27 of the observation group was 91.49% (43/47), higher than the 8.51% (4/47) of the control group (P 0.05). HLA-B2706 and HLA-B2709 were predominant types of gene isoform in the control group, while HLA-B2704 and HLA-B2705 were main gene isoforms in the observation group. The proportion of patients with HLA-B2704 or HLA-B2705 in the observation group was bigger than that in the control group, but the proportion of patients with HLA-B2706 and HLA-B2709 in the observation group was less (P<0.05). \u0000 \u0000 \u0000Conclusions \u0000HLA-B27 positive is common in young male adults. Moreover, most of AS patients are HLA-B27 positive, with HLA-B2704 or HLA-B2705 as predominant gene isoforms, which is significantly different from healthy persons. Performing determination on gene iosforms of HLA-B27 is conductive to early diagnosis and treatment of AS in clinical. \u0000 \u0000 \u0000Key words: \u0000Spondylitis, ankylosing; HLA-B27; Gene isoforms; Differential diagnosis","PeriodicalId":9667,"journal":{"name":"Central Plains Medical Journal","volume":"36 3 1","pages":"12-15"},"PeriodicalIF":0.0,"publicationDate":"2020-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89589107","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Expression of LC3-II protein and p53 protein in ovarian cancer tissue and their relationships with tumor development LC3-II蛋白和p53蛋白在卵巢癌组织中的表达及其与肿瘤发展的关系
Central Plains Medical Journal Pub Date : 2020-03-10 DOI: 10.3760/CMA.J.ISSN.1674-4756.2020.05.009
Tao Bo, Suping Li, Fenghua Liu
{"title":"Expression of LC3-II protein and p53 protein in ovarian cancer tissue and their relationships with tumor development","authors":"Tao Bo, Suping Li, Fenghua Liu","doi":"10.3760/CMA.J.ISSN.1674-4756.2020.05.009","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1674-4756.2020.05.009","url":null,"abstract":"Objective \u0000To investigate the expressions of microtubule light chain I protein 3-Ⅱ type (LC3-Ⅱ) protein and p53 protein in ovarian cancer tissues and their relationship with the development of ovarian cancer. \u0000 \u0000 \u0000Methods \u0000Eighty-four pathological specimens of epithelial ovarian cancer patients collected by the Pathology Department of the Fifth People’s Hospital of Jiaozuo were selected as the ovarian cancer group. And 80 tissue specimens of benign ovarian cancer patients were selected as the benign group. Western-blot method and immunohistochemical staining were used to detect the expression of LC3-Ⅱ and p53 protein. \u0000 \u0000 \u0000Results \u0000The positive expression rates of LC3-Ⅱ and p53 protein in ovarian cancer group were 66.67% (56/84) and 61.90% (52/84), which were significantly higher than the 26.25%(21/80) and 18.75% (15/80) in the benign group (P<0.05). In ovarian cancer tissues with lymph node metastasis, the positive expression rate of LC3-Ⅱ was 77.08% (37/56), which was higher than that in ovarian cancer tissues without lymph node metastasis (52.78%, 19/28), P<0.05. The positive expression rate of p53 protein in lymph node metastasis and low differentiation ovarian cancer was 75.00% (36/52) and 80.65% (25/52), respectively, which were higher than the 44.44% (16/52) and 50.94% (27/52) in high middle differentiation ovarian cancer without metastasis (P<0.05). \u0000 \u0000 \u0000Conclusions \u0000The up-regulation of LC3-Ⅱ and p53 protein in ovarian cancer tissues may be related to the occurrence and exacerbation of ovarian cancer. \u0000 \u0000 \u0000Key words: \u0000Ovarian neoplasms; Microtubule light chain I protein 3-Ⅱ type protein; p53 protein","PeriodicalId":9667,"journal":{"name":"Central Plains Medical Journal","volume":"59 1","pages":"28-32"},"PeriodicalIF":0.0,"publicationDate":"2020-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84576239","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Therapeutic effects of nerve block combined with radiofrequency ablation on trigeminal nerve pain in oral and maxillofacial region 神经阻滞联合射频消融术治疗口腔颌面三叉神经痛的疗效观察
Central Plains Medical Journal Pub Date : 2020-03-10 DOI: 10.3760/CMA.J.ISSN.1674-4756.2020.05.013
Zihan Li, Hongpei Wang, Jian Guo, D. Lei
{"title":"Therapeutic effects of nerve block combined with radiofrequency ablation on trigeminal nerve pain in oral and maxillofacial region","authors":"Zihan Li, Hongpei Wang, Jian Guo, D. Lei","doi":"10.3760/CMA.J.ISSN.1674-4756.2020.05.013","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1674-4756.2020.05.013","url":null,"abstract":"Objective \u0000To investigate the clinical effects of nerve block combined with radiofrequency ablation in the treatment of trigeminal pain in oral and maxillofacial region. \u0000 \u0000 \u0000Methods \u0000Eighty patients with trigeminal pain in oral and maxillofacial region admitted to Second Hospital of Lanzhou University from December 2016 to October 2018 were enrolled in the study. The patients were grouped according to the order of admission, of which the first 40 cases were allocated into single group and the latter 40 cases were allocated into combined group. And the single group was treated by nerve block therapy, and the combined group was treated by nerve block combined with radiofrequency surgery. The efficacy, degree of pain before and after treatment, frequency of pain, incidence of adverse reactions, and quality of life were compared between the two groups. \u0000 \u0000 \u0000Results \u0000The excellent and good rate of treatment was 70.00% (28/40) in the single group, and 90.00% (36/40) in the combined group; the difference in excellent and good rate was significant between the two groups (P<0.05). After treatment, the pain scores, frequency of pain onset and quality of life interference scores of the combined group were lower than those of the single group (P<0.05); moreover, the adverse reaction rate of the combined group was 5.00% (2/40), lower than the 25.00% (10/40) of the single group (P<0.05). \u0000 \u0000 \u0000Conclusions \u0000In the treatment of patients with oral and maxillofacial trigeminal pain, nerve block and radiofrequency surgery can effectively improve the pain symptoms, reduce the frequency and degree of pain, reduce the incidence of adverse reactions, and improve the quality of life of patients, with great long-term efficacy. \u0000 \u0000 \u0000Key words: \u0000Nerve block; Oral and maxillofacial; Trigeminal pain; Radiofrequency surgery","PeriodicalId":9667,"journal":{"name":"Central Plains Medical Journal","volume":"25 1","pages":"44-46"},"PeriodicalIF":0.0,"publicationDate":"2020-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90473288","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Comparison of effects of combined spinal and epidural anesthesia versus total intravenous anesthesia in percutaneous nephroscope lithoipsy 脊髓硬膜外联合麻醉与全静脉麻醉在经皮肾镜取石术中的效果比较
Central Plains Medical Journal Pub Date : 2020-03-10 DOI: 10.3760/CMA.J.ISSN.1674-4756.2020.05.024
W. Dong, Xianbing Zhao, Yongqiang Guo
{"title":"Comparison of effects of combined spinal and epidural anesthesia versus total intravenous anesthesia in percutaneous nephroscope lithoipsy","authors":"W. Dong, Xianbing Zhao, Yongqiang Guo","doi":"10.3760/CMA.J.ISSN.1674-4756.2020.05.024","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1674-4756.2020.05.024","url":null,"abstract":"Objective \u0000To compare the effects of combined spinal and epidural anesthesia (CSEA) and total intravenous anesthesia (TIVA) in percutaneous nephroscope lithoipsy (PCNL). \u0000 \u0000 \u0000Methods \u0000Sixty patients who underwent PCNL in Xuchang Central Hospital from June 2017 to March 2018 were selected as the study objects. All the patients were randomly divided into control group and study group, with 30 cases in each group. Patients in the control group were anesthetized with TIVA, and patients in the study group were anesthetized with CSEA. Before anesthesia, at 10 minutes, 20 minutes, 30 minutes and 60 minutes after operation started, and after operation, the heart rate, blood oxygen saturation and blood pressure levels of the patients in the two groups were compared and analyzed. The occurrence of adverse reactions, such as dyspnea, delayed recovery and hypothermia, were recorded and analyzed. The recovery time, total block time and onset time of anesthesia were observed. \u0000 \u0000 \u0000Results \u0000The recovery time and the onset time of anesthesia in the study group were (14.90±1.90) min, (25.54±7.90)s, respectively, which were significantly shorter than the (19.43±2.89)min, (38.10±10.09)s in the control group (P 0.05). The blood pressure and heart rate of the study group were lower than those of the control group at 10 min, 20 min, 30 min and 60 min after operation started (P<0.05). The incidence of adverse reactions in the study group was 16.67%(5/30), which was significantly lower than the 50.00%(15/30) in the control group (P<0.05). \u0000 \u0000 \u0000Conclusions \u0000CSEA can effectively reduce the incidence of postoperative adverse reactions, and shorten onset time of anesthesia, with high safety. \u0000 \u0000 \u0000Key words: \u0000Anesthetics; Combined spinal and epidural anesthesia; Anesthesia, intravenous; Percutaneous nephrolithotripsy","PeriodicalId":9667,"journal":{"name":"Central Plains Medical Journal","volume":"22 1","pages":"80-82"},"PeriodicalIF":0.0,"publicationDate":"2020-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77380392","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Effect of hemabate combined with low B-Lynch suture in the treatment of refractory placenta previa postpartum hemorrhage hemabate联合低B-Lynch缝合治疗难治性产后前置胎盘出血的疗效观察
Central Plains Medical Journal Pub Date : 2020-03-10 DOI: 10.3760/CMA.J.ISSN.1674-4756.2020.05.023
Ruiliu Li
{"title":"Effect of hemabate combined with low B-Lynch suture in the treatment of refractory placenta previa postpartum hemorrhage","authors":"Ruiliu Li","doi":"10.3760/CMA.J.ISSN.1674-4756.2020.05.023","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1674-4756.2020.05.023","url":null,"abstract":"Objective \u0000To investigate the efficacy of hemabate combined with low B-Lynch suture in the treatment of refractory placenta previa postpartum hemorrhage. \u0000 \u0000 \u0000Methods \u0000The clinical data from 96 patients with refractory placenta previa postpartum hemorrhage treated in Shanxi Maternal and Child Health Care Hospital from February 2017 to August 2019 were analyzed. And enrolled patients were divided into control group (48 cases) and observation group (48 cases) by their treatment methods. Patients in the control group were treated by oxytocin and interrupted figure 8 suture, and patients in the observation group were treated by hemabate and low B-Lynch suture. The curative effects, volume of bleeding and uterine volume were compared between the two groups. \u0000 \u0000 \u0000Results \u0000The total effective rate of treatment in the observation group was 97.92% (47/48), higher than the 83.33% (40/48) in the control group (P<0.05). The vaginal blood loss at 2 and 24 h after operation in the observation group were (60.39±12.64)ml and (31.26±6.41)ml, respectively, which were lower than the (124.43±24.72)ml and (65.68±9.27)ml in the control group (P<0.05). The uterine volumes in the observation group at 30 and 45 d after treatment were (167.53±18.29) cm3 and (103.14±15.29) cm3, respectively, which were smaller than the (208.42±23.46) cm3 and (146.19±18.37) cm3 in the control group (P<0.05). \u0000 \u0000 \u0000Conclusions \u0000Hemabate combined with low B-Lynch suture is effective in the treatment of refractory placenta previa postpartum hemorrhage, which can reduce postoperative bleeding and promote uterine recovery. \u0000 \u0000 \u0000Key words: \u0000Postpartum hemorrhage; Placenta previa; Low B-Lynch surture; Efficacy","PeriodicalId":9667,"journal":{"name":"Central Plains Medical Journal","volume":"21 1","pages":"77-79"},"PeriodicalIF":0.0,"publicationDate":"2020-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80505606","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Clinical features and distribution of pathogenic microorganisms of diarrhea in 186 infants 186例婴幼儿腹泻病原微生物的临床特征及分布
Central Plains Medical Journal Pub Date : 2020-03-10 DOI: 10.3760/CMA.J.ISSN.1674-4756.2020.05.021
Hongjun Liu, Aixiang Xie, Xiaowei Zheng, Lijing Jin, Hong-li Wang
{"title":"Clinical features and distribution of pathogenic microorganisms of diarrhea in 186 infants","authors":"Hongjun Liu, Aixiang Xie, Xiaowei Zheng, Lijing Jin, Hong-li Wang","doi":"10.3760/CMA.J.ISSN.1674-4756.2020.05.021","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1674-4756.2020.05.021","url":null,"abstract":"Objective \u0000To analyze the clinical features and distribution of pathogenic microorganisms of diarrhea in 186 infants. \u0000 \u0000 \u0000Methods \u0000The clinical data and fecal specimens from 186 children with diarrhea admitted to Puyang Hospital of Traditional Chinese Medicine from December 2015 to December 2018 were collected. The clinical features and distribution of pathogenic microorganisms of children with diarrhea were statistically analyzed. \u0000 \u0000 \u0000Results \u0000The children aged≤3 years accounted for 80.11% among the 186 children with diarrhea. All children had abnormal stool properties, of which 74.73% had loose or liquid stools, 11.83% had thin paste stools and 13.44% had mucous bloody stools. A total of 60.75% children were complicated by fever, and 73.12% cases were complicated by vomiting. Moreover, 52.67% of children with diarrhea were complicated with mild dehydration, 12.37% of enrolled children with moderate dehydration and 5.91% of enrolled children with severe dehydration. And 17.74% of children had leukocyte abnormalities, and 6.45% of children had erythrocyte abnormality. Among all children with diarrhea, bacterial culture of stool samples detected 30 positive cases, with the positive rate of 16.13%; and the detection rate of diarrheogenic Escherichia coli was the highest (58.06%, 18/31). Ninety-nine cases were positive for virus detection, with the positive rate of 53.23%, of which the detection rate of rotavirus was the highest (91.92%, 91/99). The positive detection rate of virus was significantly higher than that of bacteria (P 0.05). \u0000 \u0000 \u0000Conclusions \u0000Diarrhea in infants is mainly characterized by changes of stool properties and clinical symptoms, such as diarrhea complicated with dehydration, fever and vomiting. And it is mainly caused by viral infection, and Rotavirus is the main pathogen causing diarrhea in infants. \u0000 \u0000 \u0000Key words: \u0000Infants; Diarrhea; Clinical features; Pathogenic microorganisms","PeriodicalId":9667,"journal":{"name":"Central Plains Medical Journal","volume":"7 1","pages":"70-73"},"PeriodicalIF":0.0,"publicationDate":"2020-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78258895","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Relationship between the levels of serum lipoprotein (α), homocysteine, uric acid and the degree of coronary stenosis in patients with coronary heart disease 冠心病患者血清脂蛋白(α)、同型半胱氨酸、尿酸水平与冠状动脉狭窄程度的关系
Central Plains Medical Journal Pub Date : 2020-03-10 DOI: 10.3760/CMA.J.ISSN.1674-4756.2020.05.019
Zhong-qin Yan
{"title":"Relationship between the levels of serum lipoprotein (α), homocysteine, uric acid and the degree of coronary stenosis in patients with coronary heart disease","authors":"Zhong-qin Yan","doi":"10.3760/CMA.J.ISSN.1674-4756.2020.05.019","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1674-4756.2020.05.019","url":null,"abstract":"Objective \u0000To investigate the correlations of the levels of serum lipoprotein (α) , that is LP (α), plasma homocysteine (Hcy), serum uric acid (SUA) levels with the degree of coronary artery stenosis of coronary heart disease (CHD) patients. \u0000 \u0000 \u0000Methods \u0000A total of 90 patients with CHD admitted to Zhoukou Hospital of Traditional Chinese Medicine from July 2018 to November 2019 were selected as the study group; and 90 healthy people who had physical examination at the same period were selected as the control group. The levels of LP (α), Hcy and SUA of both groups were detected. The results of the above-mentioned indicators were recorded in the control group and study group. The differences of the detection values of LP(α), Hcy and SUA in patients with different degrees of coronary artery stenosis were analyzed. \u0000 \u0000 \u0000Results \u0000The levels of LP (α), Hcy and SUA in the study group were higher than those in the control group, and the difference was statistically significant (P<0.05). Among the 90 patients with CHD in the study group, the LP (α), Hcy and SUA in the severe stenosis group were the highest levels, while the LP (α), Hcy and SUA in mild stenosis group were the lowest levels, and the difference was statistically significant (P<0.05). \u0000 \u0000 \u0000Conclusions \u0000The detection values of LP (α), Hcy and SUA are helpful to diagnose CHD and assess severity of stenosis in coronary artery. \u0000 \u0000 \u0000Key words: \u0000Coronary disease; Degree of coronary artery stenosis; Serum lipoprotein (α); Uric acid; Correlation","PeriodicalId":9667,"journal":{"name":"Central Plains Medical Journal","volume":"8 1","pages":"64-67"},"PeriodicalIF":0.0,"publicationDate":"2020-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76326172","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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