中医体疗与PVP治疗腰椎骨质疏松性骨折的疗效观察

目的:分析有效治疗腰椎骨质疏松性骨折的可靠方法,从而为临床治疗提供借鉴和参考依据。方法:将我院临床收治的腰椎骨质疏松性骨折患者132例,随机分成了中医体疗组和经皮椎体成形术组,每组患者66例。分别实施中医体疗和经皮椎体成形术。对两组患者的骨碱性磷酸酶(ALP)、血骨钙素(BGP)、尿吡啶啉(U-Pyd/Cr)指标进行分析,对治疗效果进行研究。结果:两组患者实施治疗前的各项骨代谢生化指标,组间比较差异均无显著统计学意义(P>0.05);治疗后的各项骨代谢生化指标,中医体疗组患者的指标均明显优于皮椎体成形术组患者,组间比较差异均具有显著统计学意义(P<0.05);两组患者临床总有效率组间比较差异不大,且数据比较差异无显著统计学意义。结论:临床针对腰椎骨质疏松性骨折患者实施治疗的过程中采用中医体疗的临床治疗方法较好,具有一定的临床推广价值。

A subset of ulcerative colitis with positive proteinase-3 antineutrophil cytoplasmic antibody

A small subset of patients with active ulcerative colitis is non-responsive to major known non-biological therapies. We reported 5 patients with positive serum proteinase-3 antineutrophil cytoplasmic antibody (PR3-ANCA) and tried to (1) identify the common clinical features of these patients; (2) investigate the efficacy of a novel therapy using a Chinese medicine compound; and (3) attract more gastroenterologists to be engaged in further study of this subset of patients. The common manifestations of disease in these 5 patients included recurrent bloody diarrhea and inflammatory lesions involving the entire colorectal mucosa. Initial treatment with intravenous methylprednisolone successfully induced remission. Four of these 5 patients were steroid-dependence, and immunosuppressants, such as azathioprine and cyclophosphamide, were in effective. In 3 patients, only the particular Chinese medicine compound could induce and maintain remission. One patient underwent colectomy. No vascular inflammatory lesions were found by histopathological examination. Although more cases are needed for confirmation, our study indicates thatulcerative colitis with positive PR3-ANCA may belong to a subtype of refractory ulcerative colitis. The particular Chinese medicine compound used in our study is by far the most effective in the management of these patients, with additional advantages of having no noticeable side-effects and less financial burden.

UN system efforts to support the response to AIDS in China

In the last two years, we have seen a remarkable intensification in the response to AIDS in China. A number of organizations have joined and contributed to the efforts of the Chinese government in responding the AIDS epidemic in China. This article specifically describes the role of the United Nations in supporting and strengthening those responses. Achievements of the United Nations （UN） highlighted in the article include： strengthened leadership and political commitment to respond to AIDS; improved HIV/AIDS surveillance and information; expanded prevention efforts; improved treatment, care and support to people living with HIV and increased resources for AIDS programs. Additional roles of the United Nations system in the near future include strengthening national leadership by supporting the ‘three ones＇, i. e., one national plan on AIDS; one national coordinating authority for AIDS; and one monitoring and evaluation system for AIDS. In addition, the UN system is expected to strengthen alignment and harmonization of activities of all international organizations and improved accountability and oversight. Remaining challenges identified include increasing awareness of AIDS and reducing stigma and discrimination; reducing vulnerability and risk behaviour among specific groups; providing improved treatment, care and support for people living with HIV; promoting stronger engagement by civil society, and; addressing the gender dimensions of AIDS.

Expression of phosphatase and tensin homolog deleted on chromosome ten in liver of athymic mice with hepatocellular carcinoma and the effect of Fuzheng Jiedu Decoction

AIM： To explore the expression of phosphatase and tensin homolog deleted on chromosome ten （PTEN） in liver of athymic mice with hepatocellular carcinoma （HCC） and the effect of Fuzheng Jiedu Decoction （FJD）. METHODS： Forty eight male BALB/c athymic mice models were built by Bel-7402 with an indirect method. After 24 h of postoperation, the 48 athymic mice were distributed randomly into 4 groups： A, B, C, D, each group had 12 athymic mice. Group A were were treated by intragastric administration with FT207 （Tegafur） for 4 wk. Group B, C and D were treated by intragastric administration with FJD （complex prescription of Chinese crude drug） that had been delegated into 3 kinds of density as the low, middle, and high for 4 wk. At last, athymic mice were put to death, live time, volume of tumors, exponent of tumors and the tumor metastasis in livers were observed; and PTEN was detected in hepatic tissue, latero-cancer tissue and cancer tissue by immunohistochemistry. RESULTS： Four weeks later, the total survival rate in treatment group （A ＋ B ＋ C） was 50% and higher than the control group （0%） treated by FT207, （P 〈 0.01）. The survival rate in group A, B, C was higher than in group D, and except group A with D, there was significant differentces （Fisher＇s Exact Test P = 0.05 or 0.01）. And no differences were observed between the treatment groups and the control group in volume of tumors and exponent of tumors （P 〉 0.05）. Tumor metastasis in livers of the treatment group was less than the controls （Fisher＇s Exact Test, P = 0.021）. The result of immunohistochemistry showed that the intensity of PTEN in latero-cancer tissue was the highest, and then the hepatic tissue, the lowest was cancer tissue （Kruskal- Wallis test, X^2 = 60.67, P = 0.000）. It also showed that the intensity of PTEN in treatment groups （A, B, C） was higher than the control group （D） （F = 5.90, P = 0.002 in hepatic tissue and F = 15.99, P = 0.000 in latero-cancer tissue and X^2 = 26.08, P = 0.000 in cancer tissue）, and group B is the highest in the treatment groups （P 〈 0.05, r = 0.01. respectively）. However, there was no significant statistic difference between group A and group C （P 〉 0.05）. CONCLUSION： FJD can prolong the survival time and decrease tumor metastasis in livers of these experimental mice. Mechanisms of FJD healing HCC may partially be explained by enhancing the expression of PTEN in liver.

Chinese NGOs in action against HIV/AIDS

Chinese nongovernmental organizations (NGOs) have played a significant role in the battle against AIDS in the People’s Republic of China. This article provides a brief overview of the structure of these organizations, as well as an analysis of their principle accomplishments. Of great significance in this analysis is the fact that Chinese NGOs have effectively dealt with many sensitive health education areas that government authorities have felt reluctant to handle directly. As such, they have provided an indispensable component in the HIV/AIDS prevention and control calculus on the mainland.

A genre analysis of medical abstracts by Chinese and English native speakers

This study presents statistical results of a comparison between English abstracts in a leading intemational medical journal and those in a Chinese one. With a genre analysis and discussion of linguistic features of these abstracts, the paper points out the weak points in the abstracts by Chinese writers and provides some suggestions for writing abstracts of medical research articles

Advances in TCM Treatment for Metastasis of Tumors

The above therapeutic results show that TCM drugs have excellent effects in counteracting the metastasis of tumors. They can produce a synergistic effect when used together with surgery, radio- and chemotherapy. In analyzing the relationship between the factors that affect the distant metastasis, the authors strongly recommend that the FDM-survival rate be used, i.e. the survival rate free from distant metastasis as suggested by Hong Minghuang et al in their article. An analysis based on FDM-survival rate in a duration of three or five years with the data treated with the Kaplan-Meier and/or Life Table would be rational and convincible.

Impact of the New Cooperative Medical Scheme on Health Care Service Utilization in Rural China

Using the 2000, 2004, and 2006 CHNS longitudinal survey data and econometric methods （random-effect probit regression model and DID methods）, this study conducted an empirical analysis to estimate the impact of NCMS. The major conclusions are as follows. First, predisposing factors, enabling factors, health care need factors, and lifestyle factors affect health care utilization. Second, results using DID methods indicate that NCMS did not affect health care service utilization （outpatient and inpatient） of individuals when ill, but it might increase the possibility of getting a health examination. Third, there is no difference in health care service utilization （both outpatient and inpatient） between the NCMS enrollment group and the non-enrollment group in both working age group （15-59） and the elderly group （60 and over）. Therefore, it can be said that NCMS did not affect the health care utilization in both the group. However, NCMS positively affects disease prevention behavior （visiting the hospital to receive a health examination） in the working age group, but the effect did not appear in the elderly group.

An introduction of the Yiti Siyuan therapy and clinical application

Traditional Chinese medicine tumor theory was inherited, and clinical therapy experience in Chinese and Western medicine was referenced. The chief physician Zhang Linjun is the director of Beijing traditional Chinese medicine and Western medicine for preventing from chronic disease and the main expert committee of R ＆ D team. The team aims at promoting the national traditional Chinese medicine and Western medicine for preventing from cancer. They put forward the ＂deficiency, stagnation＂ and ＂evil poison poison knot Ke capsule＂ as the etiology and pathogenesis of tumors, and combined with the ＂combination of three and two, a result＂ of traditional Chinese medicine and Western medicine clinical work, according to the Chinese medicine ＂Yin Pingyang Peru, overall and Channel affinity with channel tropism＂ on the traditional theory of the Yiti Siyuan therapy.

An introduction of the Yiti Siyuan therapy and clinical application

Traditional Chinese medicine tumor theory was inherited, and clinical experience in Chinese and Western medicine was referenced. The chief physician Zhang Linjun is the director of Beijing traditional Chinese medicine and Western medicine for preventing from chronic disease and the main expert committee of R ＆ D team. The team aims at promoting the national traditional Chinese medicine and Western medicine for preventing from cancer. They put forward the ~deficiency, stagnation＂, and ~evil poison poison knot Ke capsule＂ as the etiology and pathogenesis of tumors, and combined with the %ombination of three and two, a result＂ of traditional Chinese medicine and Western medicine clinical work, according to the Chinese medicine ~Yin Pingyang Peru, overall and Channel affinity with channel tropism on the traditional theory of the Yiti Siyuan therapy. The integrated four element therapy is based on one disease. One disease must have one main syndrome. There must be a main prescription. One side must have a main drug. After clinical validation, they hope to improve the quality of life of cancer patients and prolong the survival time of patients and obtain satisfactory of clinical effect.

Thermographic Diagnosis for Curative Effect of Acupuncture and Qi-gong

Thermographic technique can be used to measure temperature distribution of bo d y surface in real-time, non-contact and full-field, which has been successful ly used in medical diagnosis, remote sensing, and NDT, etc. The authors have develo ped a thermographic experiment that can be applied to inspect the effect of acti on of acupuncture and qi-gong (a system of deep breathing exercises) by measuri n g the temperature of hand and arm. The observation is performed respectively by thermography for the dynamic changes of temperature of the arm and hand after ac upuncture treatment and qi-gong treatment. Thermographic results show that the t emperature on the collateral channels increases significantly. In the meantime, it can be seen that the above therapies of traditional Chinese medicine can stim ulate the channel collateral system. This also contributes a new basis to the ef fect of action of the therapies of traditional Chinese medicine. The work shows that thermographic technique is a powerful tool for research in traditional Chin ese medicine. In this paper, some thermal images are obtained from the persons t reated with acupuncture and qi-gong.

Major Tasks in Health and Family Planning in China in 2015

On January 12,2015,at the regular press briefing of National Health and Family Planning Commission(NHFPC),NHFPC reported the major tasks in health and family planning in China in 2015.The details are as follows:In-depth Development of Medical and Health System Reform In-depth Development of Medical and Health System Reform.

Continuation of cardiopulmonary resuscitation in a Chinese hospital after unsuccessful EMS resuscitation

Objective To evaluate the efficacy of the continuation of eardiopulmonary resuscitation （CPR） following transportation to the emergency department in a Chinese hospital after unsuccessful emergency medical services （EMS） CPR. Methods From January 2002 to December 2007, emergency records of non-traumatic patients who were transported to a tertiary teaching hospital after unsuccessful EMS CPR were reviewed. Results Eigty-five patients were included, and 13 patients （15%） accomplished restoration of spontaneous circulation in our emergency department. Resuscitative possibility reached zero at around 23 minutes. One patient was discharged with a favourable neurologic outcome. Conclusions This study shows that the continuation of CPR is not futile and may improve outcomes. The outcomes should be re-evaluated in the future when prehospital information can be combined with in-hospital information （J Geriatr Cardio12009; 6：142-146）.

MEDICINAL VESICULATION THERAPY AND ITS CLINICAL APPLICATION

In this paper, the authors introduce medicinal vesiculation therapy from its origin, points for attention in clinical application, and their individual experiences. In clinical application, the authors advocate: ① avoid using drugs that are over-irritating in the property, and strictly controlling the dose of drugs and the duration of application, ② in selection of drugs, some factors as patients’ conditions, the season, the geographic location, etc. should be taken into account. In the present paper, 3 typical cases of bronchial asthma, tonsil swelling and facial paralysis treated with medicinal vesiculation therapy are introduced. Clinical practice demonstrates that this therapy is economical, simple and convenient and fairly effective in treatment of some chronic diseases.

Treatment of Retinochorioiditis Caused by Toxoplasmosis with Traditional Symptom-related Acupuncture and Chronoacupuncture／Zi Wu Liu Zhu.A Case Study

Object: To show that increased and invigorated movement of qi and bloodwithin the organism and their concentration in the diseased organ is crucial for acupuncture andlimitations for acupuncture based upon Western medicine are not necessarily adequate. Methods:Symptom-related and chronoacupuncture were used within a five stages acupuncture beginning withneedling of competent pair of confluent points and followed by Zi Wu Liu Zhu chronoacupuncture.Results: After 58 symptom-related acupuncture treatments the vision increased from 10 to 70 percentand remained stable. 18 months later one Zi Wu Liu Zhu chronoacupuncture was carried out following aneedling concept of five stages. Within one hour the vision increased from 70 to 90 percent.Conclusions: Ophthalmologists should offer acupuncture to patients suffering from eye in-flammationsand retina scars. Acupuncturists should use Zi Wu Liu Zhu and powerful acupoints and acupointcombinations in order to invigorate and to move qi and blood strongly. This case shows theeffectiveness of acupuncture and chronoacupuncture in a case of retina scar caused by toxoplasmosis.Therefore, acupuncture treatment might be successfully applied in diseases where Western medicinecannot offer help.