Journal of Hebei Medical College for Continuing Education

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Medical Reserch and Education 2016, 33 (1): 7-12. DOI: 10.3969/j.issn.1674-490X.2016.01.002

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Medical Reserch and Education 2016, 33 (1): 13-17. DOI: 10.3969/j.issn.1674-490X.2016.01.003

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Medical Reserch and Education 2016, 33 (1): 18-22. DOI: 10.3969/j.issn.1674-490X.2016.01.004

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Medical Reserch and Education 2016, 33 (1): 23-28. DOI: 10.3969/j.issn.1674-490X.2016.01.005

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Medical Reserch and Education 2016, 33 (1): 29-34. DOI: 10.3969/j.issn.1674-490X.2016.01.006

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Medical Reserch and Education 2016, 33 (1): 35-41. DOI: 10.3969/j.issn.1674-490X.2016.01.007

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Medical Reserch and Education 2016, 33 (1): 42-47. DOI: 10.3969/j.issn.1674-490X.2016.01.008

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Medical Reserch and Education 2016, 33 (1): 48-50. DOI: 10.3969/j.issn.1674-490X.2016.01.009

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Medical Reserch and Education 2016, 33 (1): 51-55. DOI: 10.3969/j.issn.1674-490X.2016.01.010

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Medical Reserch and Education 2016, 33 (1): 56-61. DOI: 10.3969/j.issn.1674-490X.2016.01.011

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Medical Reserch and Education 2016, 33 (1): 62-64. DOI: 10.3969/j.issn.1674-490X.2016.01.012

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Medical Reserch and Education 2016, 33 (1): 65-69. DOI: 10.3969/j.issn.1674-490X.2016.01.013

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Medical Reserch and Education 2016, 33 (1): 70-73. DOI: 10.3969/j.issn.1674-490X.2016.01.014

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Medical Reserch and Education 2016, 33 (1): 74-77. DOI: 10.3969/j.issn.1674-490X.2016.01.015

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Medical Reserch and Education 2016, 33 (1): 78-80. DOI: 10.3969/j.issn.1674-490X.2016.01.016

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Medical Reserch and Education 2016, 33 (2): 1-5.

Abstract （251）

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Medical Reserch and Education 2016, 33 (2): 6-11.

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Medical Reserch and Education 2016, 33 (2): 12-17.

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Medical Reserch and Education 2016, 33 (2): 18-21.

Abstract （196）

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Medical Reserch and Education 2016, 33 (2): 22-26.

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Medical Reserch and Education 2016, 33 (2): 27-30.

Abstract （200）

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Medical Reserch and Education 2016, 33 (2): 31-35.

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Medical Reserch and Education 2016, 33 (2): 36-39.

Abstract （226）

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Medical Reserch and Education 2016, 33 (2): 40-46.

Abstract （222）

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Medical Reserch and Education 2016, 33 (2): 47-53.

Abstract （213）

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Medical Reserch and Education 2016, 33 (2): 54-56.

Abstract （212）

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Medical Reserch and Education 2016, 33 (2): 57-62.

Abstract （199）

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Medical Reserch and Education 2016, 33 (2): 63-67.

Abstract （202）

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Medical Reserch and Education 2016, 33 (2): 68-72.

Abstract （217）

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Medical Reserch and Education 2016, 33 (2): 73-78.

Abstract （191）

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Medical Reserch and Education 2016, 33 (2): 79-80.

Abstract （323）

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Protection of Rosuvastatin combined with Diltiazem in patients with AMI undergoing percutaneous coronary intervention

ZHANG Lanfang,JIA Xinwei,WANG Zhanqi,XIE Junmin,HAN Kunpeng

Medical Reserch and Education 2016, 33 (3): 1-5. DOI: 10.3969/j.issn.1674-490X.2016.03.001

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Objective To discuss the myocardial protection of Rosuvastatin combined with Diltiazem in patients undergoing percutaneous coronary intervention(PCI).Methods 150 patients with acute myocardial infarction(AMI)undergoing PCI were divided into group A(n=72)and group B(n=78).Both groups received high-dose rosuvastatin befor PCI and diltiazem by injecting intrainfarct-related artery,group A received diltiazem through continuous intravenous infusion additionally.The biochemical indexes,Thrombolysis In Myocardial Infarction(TIMI)and ST segment drop rate after 90 minutes were counted.Results Compared with the group B,the bochemical indexes decreased and rate of TIMI3,ST segment drop rate after 90 minutes increased obviously in group A.Conclusion High-dose rosuvastatin combined with diltiazem injection intrainfarct-related artery and intravenous infusion can protect myocardial.

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Protection of Rosuvastatin combined with Diltiazem in patients with AMI undergoing percutaneous coronary intervention

ZHANG Lanfang,JIA Xinwei,WANG Zhanqi,XIE Junmin,HAN Kunpeng

Medical Reserch and Education 2016, 33 (3): 1-5. DOI: 10.3969/j.issn.1674-490X.2016.03.001

Abstract （338）

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Objective To discuss the myocardial protection of Rosuvastatin combined with Diltiazem in patients undergoing percutaneous coronary intervention(PCI).Methods 150 patients with acute myocardial infarction(AMI)undergoing PCI were divided into group A(n=72)and group B(n=78).Both groups received high-dose rosuvastatin befor PCI and diltiazem by injecting intrainfarct-related artery,group A received diltiazem through continuous intravenous infusion additionally.The biochemical indexes,Thrombolysis In Myocardial Infarction(TIMI)and ST segment drop rate after 90 minutes were counted.Results Compared with the group B,the bochemical indexes decreased and rate of TIMI3,ST segment drop rate after 90 minutes increased obviously in group A.Conclusion High-dose rosuvastatin combined with diltiazem injection intrainfarct-related artery and intravenous infusion can protect myocardial.

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Discussion on the diagnosis and treatment of Lisfranc injury combined with lateral malleolus fracture(Report of 8 cases)

FAN Hongqi,LIU Jianpeng,YAO Xuefeng,YANG Hongzhi,LI Xuefeng

Medical Reserch and Education 2016, 33 (3): 6-9. DOI: 10.3969/j.issn.1674-490X.2016.03.002

Abstract （565）

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Objective To study the diagnosis and treating mechanism of Lisfranc injury associated with lateral malleolus fracture. Methods From December 2014 to January 2013 in two hospitals, the curative effects of reduction with internal fixation in all cases with Lisfranc injury associated with lateral malleolus fracture were analyzed retrospectively. The American Orthopaedic Foot and Ankle Society(AOFAS)scoring system was applied in the study. Results The results indicated that after follow-up study for 6 to 24 months(average, 15 months),the treating effects of fracture and dislocation healing were satisfactory in 8 case,with an average of 86 points in AOFAS score. Conclusion In the case of Lisfranc joint injury,the complete reduction and internal fixation of the fracture and dislocation can provide an excellent environment for the healing of the ligament and soft tissue injury. The lateral malleolus fracture associated with Lisfranc injuries is a low incidence of events,its injury mechanism could be caused by indirect force.

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Application of general anesthesia combined with epidural anesthesia in elderly patients with surgery

SU Xiaohua, SU Hong, CAI Qiaoying, CHEN Jing

Medical Reserch and Education 2016, 33 (3): 10-15. DOI: 10.3969/j.issn.1674-490X.2016.03.003

Abstract （477）

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Objective To investigate the effect of general anesthesia combined with epidural anesthesia in elderly patients with surgery. Methods 100 cases of elderly patients with surgery in our hospital from August to December 2015 were randomly divided into the observation group and the control group, the control group was given general anesthesia, the observation group was given epidural anesthesia, the hemodynamics and postoperative recovery time, recovery period, cognitive avoidance obstacle and security of two groups were compared. Results The results indicated that the blood pressure and heart rate at 3 min after intubation, surgical operation and extubation in the observation group were lower than that in the control group, wake up, extubation and response time were shorter than that in the control group, the difference was statistically significant(P<0.05). The rate of pain in observation group were lower than that in the control group, the MMSE score in 24 h and 12 h after operation were lower than that in control group, and the difference were statistically significant(P<0.05). The adverse reactions between the two groups were not statistically significant(χ²=0.796,P>0.05). Conclusion General anesthesia combined with epidural anesthesia can maintain the stability of vital signs, improve the awakening quality and reduce the incidence of postoperative cognitive impairment.

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Traditional Chinese medicine’s medication rule of polycythemia vera and its translational medicine study

ZHANG Jianhong,LIU Panying,LI Yuan,ZHAO Tingting

Medical Reserch and Education 2016, 33 (3): 16-21. DOI: 10.3969/j.issn.1674-490X.2016.03.004

Abstract （644）

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Objective To explore the Chinese medicine dialectical medication rule of polycythemia vera by applying translational medicine study to promote the process of new drug research and development.Methods The relevent medical case of TCM treatment of polycythemia vera disease were collected and analyzed by using Chinese medicine inheritance auxiliary system software data to explore polycythemia vera syndrome of TCM drug laws,and find new drug prescriptions.Results Based on 81 medical records,the appearance frequency of common syndromes,treatment,frequency of drug and the association rules between drugs were examined,32 core combinations and seven new prescriptions were also determined from the database.Conclusion Chinese medicines are commonly used in promoting blood circulation to remove blood stasis,clear heat and nourish Yin,clear heat and detoxicate,clear the liver and drain the fire efficacy to treat polycythemia vera disease.By using translational medicine conception to study this disease can apply its research achievements quickly to clinical practice.

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Influence factors of SCL-90 factor of college journal editors

WANG Feiran,GAO Yanhua,LIU Guoyi,WANG Zheng

Medical Reserch and Education 2016, 33 (3): 22-28. DOI: 10.3969/j.issn.1674-490X.2016.03.005

Abstract （492）

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Objective To explore the influence factors of SCL-90 factor of college journal editors.Methods SCL-90 score of 196 college journal editors was rated by using multivariate Logistic regression analysis on the influencing factors of each factors.Results Low professional titles and old working age were risk factors to somatization.Male,low education and having administrative positions were risk factors to compulsion.Male,low education,having administrative positions,old working age and engaged in other work were risk factors to interpersonal sensitivity.Low education,low professional titles,and old working age were risk factors to depression.Old working age was risk factor to anxiety.Male,low professional titles and old working age were risk factors to hostile.Low professional titles,having administrative positions,old working age and engaged in other work were risk factors to terror.Male,low professional titles,having administrative duties,old working age and engaged in other work were risk factors to bigotry.Male,low educational,low professional titles and old working age were risk factors to psychoticism.Old working age was risk factors to other factors(especially the situation of sleeping and eating).Conclusion Although the influencing factors of different SCL-90 factors of college journal editors vary,but the main parts are working age,gender and the professional title.Male college journal editors with low professional title should be paied more attention.

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The effects of telephone follow-up continuity of care on non-medicine measure of secondary prevention of patients with coronary heart disease

YANG Hui,WU Di

Medical Reserch and Education 2016, 33 (3): 29-33. DOI: 10.3969/j.issn.1674-490X.2016.03.006

Abstract （467）

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Objective To probe into influence of telephone follow-up continuity of care on non-medicine measure of secondary prevention of patients with coronary heart disease.Methods 68 patients with coronary heart disease after discharge were regular followed up and carried out health education intervention.Life style score was investigated before and after intervention,including diet,no smoking,physical exercise and emotional control.Results Life style score was changed significantly except emotional control.Conclusion Telephone follow-up continuity of care on non-medicine measure of secondary prevention can improve life style.The intervention of emotional control should be strengthened.

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Discussion on postoperative nursing care in patients with thyroid nodules(Report of 536 cases)

GONG Jianping,LI Yunyao,WENG Peishan,ZHANG Caifen,YANG Jiuyi

Medical Reserch and Education 2016, 33 (3): 34-37. DOI: 10.3969/j.issn.1674-490X.2016.03.007

Abstract （559）

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Objective To investigate the clinical nursing effect of thyroid nodules after operation. Methods Retrospective analysis of clinical nursing data in 536 patients with thyroid nodules from Affiliated Hospital of Hebei University from June 2010 to June 2015 were carried out.Results Among 536 cases,34 cases showed postoperative hypocalcemia convulsions,two cases occurred nausea and vomiting,after appropriate treatments they were restored to normal.The average postoperative hospitalization time was(8.1±2.8)d,all were discharged from the hospital. After conducting follow up-study for 3 to 6 months,there was no recurrence in the patients.Conclusion Paying close observation after operation,conducting basic nursing,giving life guidance,psychological care,timely treatment of complications are key measures to the rehabilitation of the patients,which are worthy of widely application in clinical practices.

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Study on application of clinical nursing path form to prevent and treat postpartum hemorrhage in puerperal women

WANG Hongyan,ZHANG Ruihong,ZHU Minjing

Medical Reserch and Education 2016, 33 (3): 38-41. DOI: 10.3969/j.issn.1674-490X.2016.03.008

Abstract （384）

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Objective To detect the abnormal symptoms early and prevent severe complications in the puerpral women. Methods Nurses observed the puerpral women and recorded the abnormal symptoms following the postpartum nursing clinical path forms which was developed according to the reference books and clinical data,collected and analysed the related data of six months from January to July in 2015 and 2014.Results Tha cases of postpartum hemorrage in 2015 were compared with that of 2014,there were no significant differences.Compared the data of 2014,the cases of blood transfusion resulted from severe postpartum hemorrhage in 2015 were less than that of 2014,the rates of abnormal symptoms detected by nurses in 2015 were more than that of 2014,there were signi ficant differences.Conclusion Nurses behavior can be regulated,especially the new hirely nurses. The abnormal symptoms can be detected early in puerpera with employing the clinical nursing path form which was scientific, practical and simple. Postpartum hemorrhage and other’s complications can be prevented and treated in the early stage with the use of the form.

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