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Objective:To investigate whether the image quality of total-body PET/CT (TB PET/CT) with 1 min acquisition can meet the clinical diagnostic requirements.Methods:From May 2019 to September 2021, a total of 90 malignant tumor patients (60 males, 30 females, age 31-86 years) with primary lesions confirmed by pathological diagnosis in Zhongshan Hospital, Fudan University were respectively analyzed. All patients underwent conventional PET/CT (C PET/CT) scan with conventional clinical acquisition and TB PET/CT scan with 1 min acquisition after injecting 18F-FDG in random order. Paired t test or Wilcoxon signed rank test was used to analyze the image quality of these two scans. Results:SUV max of primary lesions in TB PET/CT group was significantly higher than that in C PET/CT group (15.9(7.9, 24.6) vs 12.5(5.8, 16.6); z=8.14, P<0.001), so were signal-to-noise ratio (SNR) of the blood pool, liver, muscles (9.3±3.0, 11.4(9.5, 14.2), 8.3(7.3, 10.1) vs 6.2±1.7, 9.4(7.7, 11.8), 6.0(4.9, 7.1)), tumor-to-blood pool ratio (TBR) (9.3(4.3, 14.8) vs 8.5(4.3, 11.1)), tumor-to-liver ratio (TLR) (6.7(3.0, 10.4) vs 6.1(2.9, 7.7)), tumor-to-muscle ratio (TMR) (23.2(11.5, 38.0) vs 18.3(9.6, 26.6); t=9.36, z values: 4.44-7.40, all P<0.001). Conclusion:The image quality of TB PET/CT scan with 1 min acquisition can meet the diagnostic requirements, and is better than the C PET/CT image quality with conventional clinical acquisition.
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Objective To investigate the influence of Simiao pill intervention on the life quality of patients with chronic pelvic inflammatory disease( CPID) . Methods Eighty-five cases of damp heat and blood stasis type of CPID were randomly divided into two groups:the treatment group( n=43) was treated with Simiao pill decoction combined with other Chinese herbs;the control group(n=42)was treated with Fuke Qianjin capsules.Three months after the treatment, clinical efficacy was evaluated and life quality was assessed by WHOQOL-BREF. Results The total effective rate was 90. 70% in the treatment group and 71.43% in the control group(P0.05).After the treatment, score of each dimension of WHOQOL-BREF in both groups were increased, and the total score was(104.21±6.67)in the treatment group and(89.60±7.31)in the control group(P<0.05). Conclusion Simiao pill decoction combined with other Chinese herbs can effectively treat damp heat and blood stasis type of CPID and improve the life quality of the patients.
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Objective] To summarize the clinical experience to treat threatened abortion with Zhejiang Chen Mushan Gynecology calming fetus. [Method] By analyzing the understanding of Chen’s Gynecology to etiology and pathogenesis of threaten abortion, to review typical cases and summarize its characteristic of treatment, to sum up the clinical experience of threatened abortion. [Result]The etiology of threaten abortion of Chen ’s Gynecology is due to fetus fire flaring up, qi and blood deficiency, spleen and kidney insufficiency, therefor causing fetus yuan qi not solid, fetus unease and/or threatened abortion. The paper introduces Chen’s miscarriage prevention and proposes to treat threatened abortion by focusing on tonifying qi and blood, strengthening kidney and spleen, clearing heat and cooling blood, integrating prevention with treatment, emphasizing in harmonizing in the treatment. [Conclusion] Chen’s treating method for threatened abortion by calming fetus has accumulated rich clinical experiences with strong characteristics, it is worth to inheritance and popularizing.
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[Objective] To sum up Mr. Li Xueming's clinical experience, avoiding later learners from losing their way, not only richening the science, but also benefiting the people. [Method] By sorting out his treatment experiences, such as applying Pathogenesis No.19 of Internal Classics,make correspond-ing summary on widely col ecting others good points, smartly using the ancient formulae with clear differentiation of signs, as wel as analysing the medica-tion and pharmacy.[Result] Mr. Li Xueming's clinical treatment originates fromInternal Classics, uses the method of Zhongjing, refers to Jingyue, inher-its from Yegui, differentiates Yin ang Yang, cold and hot, deficiency and excess, organs and viscera; his formulae are like formations, curing diseases with drugs used. [Conclusion] Doctor Li has deep TCM theory,rich experience, outstanding clinical effect, worthy inheritance and promotion.