Current Issue http://www.zwyxyj.net EN-US http://www.zwyxyj.net/EN/current.shtml http://www.zwyxyj.net 5 0.05). At 7 d after surgery, the diastolic peak velocity (DPV), systolic peak velocity (SPV), and resistance index (RI) of the two groups were improved compared to those before surgery, and the improvement in the closed group were greater than those in the traditional group, the differences were statistically significant (P<0.05). At 7 d after surgery, the levels of immunoglobulin A (IgA), immunoglobulin M (IgM), and immunoglobulin G (IgG) of the two groups were decreased compared to those before surgery, but the closed group were higher than those in the traditional group, the differences were statistically significant (P<0.05). During the follow-up period, there were no cases of shedding in the two groups. At 6 months after surgery, the VAS scores and MFS scores in the two groups were improved compared to those before surgery, and the improvement range in the closed group were greater than those in the traditional group, the differences were statistically significant (P<0.05). Conclusion: Closed reduction and percutaneous cannulated nail fixation for the treatment of patients with simple external ankle fractures can optimize the surgical path, improve hemodynamic indicators, reduce immune function damage, help fracture healing, alleviate pain, and restore patient ankle function, and does not increase the incidence of complications.]]> 0.05). One day after operation, the levels of blood urea nitrogen (BUN), serum creatinine (Scr), serum cystatin C (Cys C), and neutrophil gelatinase associated lipocalin (NGAL) in group A were significantly lower than those in group B, the differences were statistically significant (P<0.05). One day after operation, the levels of interleukin-6 (IL-6), interleukin-10 (IL-10), tumor necrosis factor-伪 (TNF-伪), and C-reactive protein (CRP) in group A were significantly lower than those in group B, the differences were statistically significant (P<0.05). The total incidence of complications in group A was significantly lower than that in group B, the difference was statistically significant (P<0.05). Conclusion: Both flexible ureteroscopic lithotripsy and percutaneous nephrolithotripsy can achieve good lithotripsy results in the treatment of renal stones. However, flexible ureteroscopic lithotripsy has less damage to renal function, lighter postoperative inflammatory reactions, less intraoperative bleeding, lower complication rates, and faster patient recovery. Therefore, it is recommended to choose flexible ureteroscopic lithotripsy.]]> 0.05). There was no statistically significant difference in E2 between the two groups at 12 hours after operation and 12 hours before operation (P>0.05), the FSH and LH levels at 12 hours after operation in both groups were higher than those at 12 hours before operation, the differences were statistically significant (P<0.05). The levels of high-sensitivity C-reactive protein (hs-CRP), white blood cell count (WBC) and interleukin-6 (IL-6) at 12 hours after operation in the lateral approach method group were lower than those in the direct approach method group, and the differences were statistically significant (P<0.05). The incidence of complications in the lateral approach method group was lower than that in the direct approach method group, and the difference was statistically significant (P<0.05). Conclusion: Both lateral and direct approach separation methods have little effect on ovarian reserve function in patients with laparoscopic total hysterectomy vesicouterine pouch, cavum vesico-uterus closure. However, lateral approach separation method has shorter time consumption, lower incidence of complications, and less postoperative inflammatory reaction of body, it has certain safety.]]> 0.05). After 2 weeks of treatment, the levels of CD3+, CD4+, CD4+/CD8+ in the observation group were higher than those in the control group, while the levels of CD8+, interleukin-1尾 (IL-1尾), interleukin-6 (IL-6), tumor necrosis factor-伪 (TNF-伪), C-reactive protein (CRP) in the observation group were lower than those in the control group, the differences were statistically significant (P<0.05). The incidence of adverse reactions in the observation group was 4.00%, which was lower than 16.00% in the control group, the difference was statistically significant (P<0.05). Conclusion: Using Ningmitai combined with Levofloxacin in the treatment of urinary tract infection can significantly improve immune function and inflammatory factor levels, reduce the incidence of adverse reactions, and have certain safety in clinical treatment.]]> 0.05). The grades of vomiting and constipation in the treatment group were better than those in the control group, and the differences were statistically significant (P<0.05). Conclusion: The analgesic effect and quality of life of "Tongluo Zhitong Fang" acupoint application combined with three steps analgesic drugs are significantly better than that of single-use three steps analgesic drugs, and can reduce the symptoms of vomiting and constipation of patients.]]> 0.05), the positive rates of nuclear associated antigen Ki-67 (Ki-67) and vascular endothelial growth factor (VEGF) in the observation group were lower than those in the control group, the differences were statistically significant (P<0.05). After chemotherapy, the levels of carcinoembryonic antigen (CEA), carbohydrate antigen 125 (CA125) and carbohydrate antigen 153 (CA153) in the observation group were lower than those in the control group, the differences were statistically significant (P<0.05). There was no significant difference in the incidence of adverse reactions between the two groups (P>0.05). Conclusion: The effect of Docetaxel combined with Pirarubicin neoadjuvant chemotherapy given in female breast cancer patients 鈮�40 years old is significant efficacy, and does not increase the incidence of adverse reactions.]]> 0.05). Conclusion: In the treatment of patients with left ventricular failure, the combination of low-dose Spironolactone Tablets and Furosemide Tablets can significantly improve the cardiac function indicators of patients, reduce the degree of ventricular failure, improve the therapeutic effect, and relatively reduce the adverse reactions of single drug. The effect is ideal, which can be used as a clinical treatment plan for patients with left ventricular failure.]]> 0.05). The total nursing cooperation degree of the observation group was 95.45%, which was significantly higher than 81.40% of the control group, the difference was statistically significant (P<0.05). After intervention, the score of compliance behavior in the two groups were higher than those before intervention, and the observation group was higher than the control group, the differences were statistically significant (P<0.05). The scores of nursing satisfaction in the observation group were significantly higher than those in the control group, the difference was statistically significant (P<0.05). Conclusion: Comfort-detail double penetration nursing is beneficial to speeding up the postoperative rehabilitation, enhancing the nursing comfort and cooperation and enhancing medical compliance behaviors in patients undergoing mediastinal tumor resection under VATS, with high nursing satisfaction.]]> 0.05). Conclusion: Emergency hysterectomy has a relatively prominent impact on post traumatic stress disorder at 1-3 months and 4-6 months postpartum, while its impact is not significant at 7-12 months postpartum. Therefore, attention should be paid to early evaluation and intervention in this type of patients.]]> 2 points, patients with new ischemic stroke, peripheral vascular events and cardiovascular events were divided into HR-NICE stable group (n=182) and HR-NICE progressive group (n=66). General data and laboratory test indicators of the two groups of patients were compared, logistic regression analysis was performed on indicators with statistically significant differences, and receiver operating characteristic (ROC) curve was drawn to determine the optimal cut-off value of Hcy for early progression risk of HR-NICE patients. Result: There were no significant differences in high density lipoprotein cholesterol, low density lipoprotein cholesterol, triglyceride, blood uric acid, National Institute of Health stroke scale (NIHSS) score on admission, ABCD2 score on admission, hypertension, diabetes, coronary heart disease, smoking history, drinking history and family history between the two groups (P>0.05). There were statistically significant differences in age, total cholesterol and Hcy between the two groups (P<0.05). logistic regression analysis showed that Hcy was a risk factor for the progression of HR-NICE. The AUC for Hcy evaluation of HR-NICE progress was 0.785; with >15 渭mol/L as the cut-off value, the sensitivity and specificity of HR-NICE progression were 87.10% and 65.70%, respectively. Conclusion: Hcy is a risk factor for HR-NICE progression, and it is of high value in the diagnosis and evaluation of HR-NICE.]]> 0.05). After treatment, the levels of inflammatory cytokines in both groups were lower than those before treatment, the levels in group 2 were lower than that in group 1, the differences were statistically significant (P<0.05). There was no significant differences in intestinal flora indexes between the two groups before treatment (P>0.05). After treatment, the number of Bifidobacterium and Lactobacillus in group 2 were more than those in group 1, and the number of Escherichia coli was less than group 1, the differences were statistically significant (P<0.05). Conclusion: The efficacy of Mesalazine combined with Live Combined Bifidobacterium and Lactobacillus in the treatment of UC is better than that of Mesalazine, which can effectively down-regulating inflammatory factors in patients and improving the intestinal flora.]]> 0.05). The leakage rate of bone cement in the study group (25.0%) was slightly higher than that in the control group (17.9%), but the difference was not statistically significant (P>0.05). There were no significant differences in VAS score, anterior edge height rate of injured vertebra, and Cobb angle between the two groups before operation, at 2 days and 3 months after operation (P>0.05). Compared with before operation, the VAS score and Cobb angle of the two groups were decreased at 2 days and 3 months after operation, and the height rate of the anterior edge of the injured vertebra was increased, and the differences were statistically significant (P<0.05). There were no significant differences in VAS score, Cobb angle, and anterior edge height rate of injured vertebra between the two groups at 2 days and 3 months after operation (P>0.05). Conclusion: Operating bed V-shaped reduction combined with PVP is safe and effective in the treatment of OVCF with vertebral posterior wall fracture. Which can relieve pain, improve vertebral height and Cobb angle, without increasing the risk of bone cement leakage.]]> 0.05). 90.0% (27/30) of the students thought that video clips were helpful to master the anatomical knowledge of gastrointestinal tract and abdominal organs; 83.3% (25/30) of the students thought it was helpful to learn lymph node grouping of gastric cancer; 93.3% (28/30) of the students thought it was helpful to master the steps and skills of distal gastric cancer radical resection; 86.7% (26/30) of the students thought it was helpful to stimulate their interest in learning; 83.3% (25/30) of the students thought it was helpful to improve the ability of clinical thinking; 90.0% (27/30) of the students thought it was helpful to master the diagnosis and treatment process of gastrointestinal cancer in video clip group. Conclusion: The surgical video clip teaching in the clinical teaching of gastrointestinal cancer can improve the examination results of students, help with the understanding of surgical procedures and surgical skills and the clinical comprehensive ability, and improve the teaching quality.]]>