Clinical Study on Modified Angelica Fritilaria Sophorae Pill Assisting TACE to Treat ;Primary Liver Cancer / 中国中医药信息杂志

Objective To evaluate the clinical efficacy of modified Angelica Fritilaria Sophorae Pill assisting transcatheter arterial chemoembolization (TACE) to treat primary liver cancer. Methods Totally 84 patients with primary liver cancer were randomized into combination treatment group (42 cases) and conventional control group (42 cases). The conventional control group received TACE treatment, the combination treatment group received modified Angelica Fritilaria Sophorae Decoction and TACE. The tumor volume, TCM syndrome score, life quality, immune function and toxicity reaction of both groups were observed. Results Clinical observation was completed with 37 patients in each group. After three courses of treatment, the objective tumor response rate was 91.9% in combination treatment group and 86.4% in conventional control group (P<0.05). The clinical symptoms (fever, abdominal pain, vomiting, fatigue) in both groups were improved (P<0.05), with significant difference between the two groups (P<0.05). After treatment, KPS scores increased (P<0.05) in combination treatment group, and the scores of combination treatment group were significantly higher than those of the conventional control group (P<0.05). After treatment, Th1 function level increased (P<0.05) in combination treatment group, and that was better than the conventional control group (P<0.05). The incidence of liver toxicity and gastrointestinal reaction in the combination treatment group was significantly lower than that in the conventional control group (P<0.05). Conclusion Modified Angelica Fritilaria Sophorae Pill can enhance the efficacy of TACE treatment to treat primary liver cancer, reduce adverse reactions, and improve life quality of patients with primary liver cancer.

Candida in Nosocomial Infection:A Clinical Study and Drug Sensitivity Analysis / 中华医院感染学杂志

OBJECTIVE To investigate the relevant factors and drug sensitivity of Candida in nosocomial infection from a class A comprehensive hospital in Hangzhou in order to prevent and control nosocomial infection.METHODS We collected and identified clinic samples from inpatients during from Jan 2004 to Dec 2006 and drug resistance test was performed for Candida strains.The CHROMagar candida color medium and the Analytic Products Inc(API)20CAUX identification system were used to isolate and identify Candida strains from inpatients.The Etest was used to study the antifungal sensitivity.The data were analyzed by WHONET-5 software and were determined by the Clinical and Laboratory Standard Institute(CLSI)method.RESULTS Totally 264 strains of Candida were detected in the three years.The detection ratio in each year was 78 strains(29.5%),87 strains(32.9%),and 99 strains(37.5%),respectively.The C.albicans was the most commonly isolated species(65.5%)and then was C.tropicalis(15.1%)in all Candida species.The detection ratio was the highest in sputum samples(108 strains,40.9%)and the patients with respiratory tract infection(58 strains,22%).The results of antifungal drug sensitivity test showed that Candida were the most susceptive to amphotericin B,followed by fluconazole.The results of change showed that Candida remained stable susceptive to amphotericin B,but susceptive ratio to fluconazole was descent in the three years.CONCLUSIONS Candida in nosocomial infection are an increasing tendency and C.albicans is the commonest.Sensitivity of Candida to various antifungal drugs is different and there is a developing change in susceptive ratio to antifungal drugs.Strengthening supervising relevant factors and improving the immunity of organism are the main measures to prevent Candida in nosocomial infection.Antifungal drug should be used reasonably based on drug sensitive test.

Correlation analysis between syndrome of qi deficiency of both lung and spleen and immune function, T cell subset of child with repeated respiratory infection / 中华中医药杂志

Objective: To analyze the correlation of syndrome of qi deficiency of both lung and spleen and immune function, T cell subset of child with repeated respiratory infection. Methods: 30 Cases of syndrome of qi deficiency of both lung and spleen of repeated respiratory infection child were selected according to the diagnostic criteria of repeated respiratory infection child. The indexes of Ig G, Ig A, Ig M, Ig E, CD3, CD4, CD8 in fasting blood were detected. Results: Compared with healthy child group, the IgG, IgA, CD3, CD4, CD4/CD8 decreased obviously in repeated respiratory infection group (P

Clinic study of deep venous thrombosis patients treating by filter implantation and operation / 重庆医科大学学报

Objective:To observe the effects of deep venous thrombosis patients treating by filter implantation and operation.Methods:After filter implantation and operation,the coagulan and lim swelling of 43 case patients were observed,and limb swelling was observed by perimeter of limb.Clinic intervention was adopted to the patients of coagulant function abnormality or less regression of limb swelling.Results:After Clinic intervention,1 patient had less regression and 2 patients had coagulant function abnormality.Conclusions:By observation of peri-operation and Clinic intervention,the complication can decreased and healing race be increased for the patients treated by filter implantation and operation.