The curative effect and safety of microinvasive percutaneous nephrolithotomy and ureteroscope lithotripsy in treatment of children' s middle and upper segment ureteral calculi / 中国医师进修杂志

Objective To investigate the curative effect and safety of microinvasive percutaneous nephrolithotomy (MPCNL) and ureteroscope lithotripsy (URSL) in treatment of children′s (≤6 years old) middle and upper segment ureteral calculi. Methods Eighty children (≤6 years old) with middle and upper segment ureteral calculi were selected, and they were divided into observation group and control group according to random number table method with 40 cases each. The children of observation group were treated with MPCNL, and the children of control group were treated with URSL. The operation time, hospitalization time, calculi clearance rate of the first phase, decline situation of the postoperative hemoglobin and hematocrit and complication were compared between 2 groups. Results The operation time and hospitalization time in observation group were significantly shorter than those in control group:(45.43 ± 9.76) min vs. (68.32 ± 11.28) min and (8.12 ± 1.03) d vs. (13.45 ± 2.34) d, the calculi clearance rate of the first phase was significantly higher than that in control group: 100.0% (40/40) vs. 62.5%(25/40), the incidence of complication was significantly lower than that in control group:20.0%(8/40) vs. 60.0% (24/40), and there were statistical differences (P0.05). Conclusions The MPCNL in treatment of children′s middle and upper segment ureteral calculi has short operation time, high calculi clearance rate of the first phase, and low incidence of perioperative complication. Compared with URSL, the URSL is safe and efficient, and it is worthy of clinical application.

Analysis to the Therapeutic Effect of Acupuncture for Restoring Consciousness and Inducing Resuscitation in Promoting Revival of Coma for the Patient of Diffuse Axonal Injury / 国际中医中药杂志

Objective To investigate the therapeutic effect of acupuncture for restoring consciousness and inducing resuscitation in promoting revival of coma for the patient of diffuse axonal injury(DAI). Methods 60 cases of DAI (GCS≤ 8) were randomly recurited into a control group and a treatment group. The control group was treated by routine treatment, while the treatment group was treated with acupuncture on the basis of routine treatment .The improving rate of consciousness at the two months of treatment was compared between the two group, and the prognosis was evaluated according to GOS scores. Results The revival rate in the treatment group was 86.7%, higher than that of 60.0% in the control group (P<0.05). The revival time in the treatment group was shorter than the control group (X2=5.45、 t= 8.051, P<0.05 ) .Conclusion The integrated therapy of acupuncture for restoring consciousness and inducing resuscitation and western medicine can promote the effect of coma revival and improve life condition for the patient of DAI.

Biodynamics rule of flexion and extension work of the knee joints in healthy children / 中国组织工程研究

0.05),while there were significant differences at speed of 240?/s(P