Effect of pelvic floor rehabilitation combined with traditional Chinese medicine on female pressure urinary incontinence and its influence on the quality of life / 中国基层医药

Objective@#To analyze the clinical effect of pelvic floor rehabilitation therapy combined with traditional Chinese medicine prescription in the treatment of female pressure urinary incontinence, and its influence on quality of life.@*Methods@#A retrospective study of 190 females with stress urinary incontinence was conducted.The patients were divided into control group and observation group according to the treatment method.Patients in the control group were treated with pelvic floor rehabilitation.The observation group was treated with traditional Chinese medicine prescription based on the treatment of the control group.The therapeutic effect of the two groups was analyzed.@*Results@#The total effective rate of the observation group was 96.84%, which was significantly higher than 86.32% of the control group (χ2=3.168, P<0.05). After treatment, the maximal urethral pressure, maximum urethral closure pressure of the observation group were (55.16±8.96)cmH2O, (45.65±12.41)cmH2O, respectively, which of the control group were (40.58±5.64)cmH2O, (31.69±8.87)cmH2O, respectively, the differences between the two groups were statistically significant (t=6.456, 5.124, all P<0.05). After treatment, the scores of restrictive behaviors, social psychology, formed the social awkwardness of the observation group were (73.54±12.54)points, (75.23±14.11)points, (76.21±15.12)points, respectively, which of the control group were (67.13±7.84)points, (68.16±8.14)points and (65.28±8.13)points, respectively, the differences between the two groups were statistically significant(t=5.124, 4.058, 6.218, all P<0.05).@*Conclusion@#The clinical curative effect of pelvic floor rehabilitation combined with traditional Chinese medicine in the treatment of female stress urinary incontinence is better than pure pelvic floor rehabilitation, it can improve women's quality of life, the bladder urine storage and urinary continence ability, it is worthy of popularizing in clinical application.

Research progress of transforming growth factor beta 1 in the treatment of chronic viral hepatitis B / 中国医师进修杂志

Transforming growth factor beta1 (TGF-β1) is the product and adjusting factor of the hepatocyte immune process when Hepatitis B virus (HBV) invades. There was a correlation among the level of TGF-β1, immune cell cytokines and HBV replication during antiviral therapy. It has an important clinical significance for the researchers to investigate dynamic change of TGF-β1 in chronicviral hepatitis type B (CHB) immunological response and antiviral treatment.

Study of acoustic rhinometry and rhinomanometry for normal adult / 临床耳鼻咽喉头颈外科杂志

OBJECTIVE@#To obtain the normal values of acoustic rhinometry and rhinomanometry parameters of normal adult and analyze the correlation of two measurement results between rhinomanometry and acoustic rhinometry.@*METHOD@#Eighty-two normal adults were recruited in our research. Acoustic rhinometry was used to acquire unilateral area of first constriction (UA1), unilateral area of second of constriction (UA2), unilateral minimum cross-sectional area (UMCA), unilateral nasal volume 0-5 cm, 2-5 cm (UV5, UV2-5), and rhinomanometer was used to measure the effective unilateral and total nasal resistances in inspiration, expiration at 150 Pa or Broms (radius is 200 Pa) (UR(ins150), UR(ins200), UR(exp150), UR(exp200), TR(ins150), TR(ins200), TR(exp150), TR(exp200)).@*RESULT@#UA1 was (0.63 +/- 0.14) cm2 for male, (0.60 +/- 0.14) cm2 for female; UA2 was (0.72 +/- 0.48) cm2 for male, (0.6 +/- 0.4) cm2 for female; UMCA was (0.50 +/- 0.16) cm2 for male, (0.47 +/- 0.18) cm2 for female; UV5 was (5.68 +/- 1.73) cm3 for male, (5.16 +/- 1.85) cm3 for female; UV2-5 was (4.13 +/- 1.56) cm3 for male, (3.83 +/- 1.66) cm3 for female. No statistical significance was found between men and women (T = 0.093, 0.134, 0.392, 0.408, P > 0.05). UR(ins150) was (0.86 +/- 0.96) Pa/(cm3 x s); UR(ins200) was (0.45 +/- 0.61) Pa/(cm3 x s); UR(exp150) was (0.83 +/- 0.71) Pa/(cm3 x s); UR exp200 was (0.52 +/- 0.88) Pa/(cm3 x s); TR(ins150) was (0.38 +/- 0.34) Pa/(cm3 x s); TR(ins200) was (0.18 +/- 0.24) Pa/ (cm3 x s); TRp(exp150) was (0.38 +/- 0.27) Pa/(cm3 x s); TR(exp200) was (0.19 +/- 0. 24) Pa/(cm3 x s). There was significant correlation between UR(ins150), UR(exp150), TR(ins150), TR(exp150 and UMCA, UV5, UV2 - 5 (P < 0.05, respectively).@*CONCLUSION@#There was correlation between acoustic rhinometry and rhinomanometry. The results of this study can be used as a valuable reference to judge nasal cavity condition of normal adult.

Study of acoustic rhinometry and rhinomanometry for severe obstructive sleep apnea-hypopnea syndrome / 临床耳鼻咽喉头颈外科杂志

OBJECTIVE@#To study the relationship between nasal airway function and severe obstructive sleep apnea-hypopnea syndrome (sOSAHS).@*METHOD@#One hundred and four cases were divided into 3 groups: group A was 39 normal adult men, group B was 25 nonobese patients with sOSAHS (BMI or = 28). Acoustic rhinometry and rhinomanometer was used to acquire unilateral area of first constriction, unilateral area of second of constriction, unilateral minimum cross-sectional area,unilateral nasal volume 0-5 cm, 2-5 cm, the effective unilateral and total nasal resistances in inspiration, expiration at 150 Pa (URins, URexp, TRins, TRexp).@*RESULT@#Nasal resistance were significantly higher in the group B compared to the group A and group C (P<0.05). Among the group B, but not the group A and group B, we found significant correlations between TRins,TRexp and apnea hypopnea index (r=0.402, 0.401, P<0.05).@*CONCLUSION@#Nasal resistance is an important factor for nonobese patients with sOSAHS.

Observation on the effect of serf-care education and nursing package usage on non-throat patients / 中国实用护理杂志

Objective To discuss the effect of self- care education at the early time of postoperation and the use of nursing packages during the later period on non- throat patients. Methods 40 patients having un-dergone total laryngectomy were divided into the control group and the experimental group according to the surgery date with 20 cases in each group. The control group received conventional nursing, while the experi-mental group was given the system intervention by specialized nurses. The intervention content included self-care education at the early time of postoperation and the use of nursing packages during the later period. The questionnaire survey was carried out 15 days and 3 months after operation.The coping style,self-care ability and survival quality were compared between the two groups. Results The comparison of coping style showed re-markable difference in the two groups. The comparison of self- care ability and level of health knowledge showed significant difference 15 days after operation except two other items,but the four items demonstrated significant difference 3 months after operation. Difference also existed in the total scorn of survival quality. Conclusions Early system serf- care education after operation and the use of nursing package during the later period can impel the patients to cope positively, enhance self-care ability and survival quality.

Significance of acoustic rhinometry and rhinomanometry in the evaluation of surgical treatment of nasal septal deviation / 解放军医学杂志

Objective To discuss the significance of acoustic rhinometry(AR) and rhinomanometry(RM) in the evaluation of surgical treatment of nasal septal deviation.Methods Fifty-one patients of nasal septal deviation were recruited,and seventy-two nasal cavities were tested(twenty-one patients with narrowing of double sides).Visual analogue scale(VAS) was used to estimate the degree of nasal obstruction.AR and RM were used to obtain the data of nasal airway resistance(NAR),nasal cavity 0-5cm volume(NCV0-5) and nasal minimal cross-sectional area(NMCA).The data were used to assess the airflow function of nasal cavity.Each patient was tested at the time both before surgery and 12 weeks after surgery.The pre-and post operative data were used to calculate paired t-test by SPSS 16.0,and to disclose the correlation among ?NCV,?NMCA,?NAR and ?VAS.Results The preoperative data showed that NCV0-5 was 4.07?0.91cm3,NMCA 0.33?0.08cm2,NAR 1.14?0.34kPa?s?L-1,and VAS 7.36?1.23;and the postoperative data showed that NCV0-5 was 7.29?0.68cm3,NMCA 0.56?0.08cm2,NAR 0.35?0.12kPa?s?L-1,and VAS 1.14?0.91.Significant differences existed in NCV0-5,NMCA,NAR and VAS(P