Research progress of traditional Chinese medicine for the H-hype hypertension / 国际中医中药杂志

Hypertension with high serum Homocysteine (Hcy) significantly increases the incidence of cardiovascular and cerebrovascular events, which is defined as H-Type Hypertension by Chinese scholars. Plenty of researches have confirmed that high prevalence of H-Type Hypertension in Chinese population is now the big public problem in China. Traditional Chinese Medicine(TCM)treatment shows the advantages in integral regulation, less side effect, and anti-Hcy effect in hypertension. This paper discussed the prevalence, TCM syndrome and TCM treatment progress in H-Type Hypertension to provide some ideas and references for the intervention of H-Type Hypertension by TCM.

Clinical observation of different minimally invasive surgeries for the treatment of impacted upper ureteral calculi

To compare the clinical effects of three minimally invasive surgeries on the treatment of impacted upper ureteral calculi. 135 patients with impacted upper ureteral calculi were selected and randomly divided into three groups [Group A-C] [n=45], which were treated with transurethral ureteroscopic lithotripsy, minimally invasive percutaneous nephrolithotomy, and retroperitoneal laparoscopic ureterolithotomy respectively. Relevant results of the three groups were compared. The surgery time of Group C was significantly longer than those of Group A and Group B [P < 0.05]. The postoperative hospitalization time of Group B was significantly longer than those of Group A and Group C [P < 0.05]. 37.78% [17/45] of Group A patients required extracorporeal shock wave lithotripsy, being significantly more than those in Group B [6.67%, 3/45] and Group C [0, 0/45] [P < 0.05]. The postoperative calculus clearance rate of Group A [51.11%, 82.22%] was significantly lower than those of Group B [91.11%, 97.78%] and Group C [93.33%, 100%]]P < 0.05]. The incidence rates of postoperative complications in Group A-C were 11.11% [5/45], 8.89% [4/45] and 6.67% [3/45] respectively without significant differences [P>0.05]. The three surgical methods for impacted upper ureteral calculi should be selected according to practical conditions to improve therapeutic effects and to ensure safe surgery