鹤岗市公共场所卫生状况分析

目的 了解鹤岗市公共场所的卫生状况,找出公共场所存在的问题,为制定公共场所预防措施提供依据. 方法 按<公共场所卫生标准检测方法>进行采样,空气检测主要是仪器法,饮具和公共用品用涂抹法. 结果 公共场所空气的合格率为97.5%,茶具的合格率为100%,公共用品的合格率为99.7 %. 结论 鹤岗市公共场所卫生情况良好,但仍然存在一些问题,要继续加大监督检测力度,力争创建一个安全卫生的公共场所.     

呼和浩特地区铁路公共场所卫生状况分析

目的:了解呼和浩特地区铁路公共场所的卫生状况,找出公共场所存在的问题,为制定公共场所预防措施提供依据。方法:按《公共场所卫生标准检验方法))GB/T18204-2000进行采样,空气检测主要是仪器法,饮具和公共用品用涂抹法。结果:公共场所空气的合格率为96.0%,公共用品的合格率为97.3%。结论:呼和浩特地区铁路公共场所卫生情况良好,但仍然存在一些问题。进一步加强对铁路公共场所及车站、旅客列车环境的整治力度,为铁路职工、乘客提供良好的生产、生活及乘车卫生环境。     

建瓯市2003-2005年公共场所卫生指标监测的结果分析

目的：通过监测宾馆饭店，旅社招待所，美容理发店，文化娱乐及洗浴场所的卫生指标，以便进一步加强对公共场所的卫生监督管理。方法：从2003-2005年对市区的公共场所459家的公共用品、用具、空气卫生指标按GB／T18204.1-18204．30-2000《公共场所卫生标准检验方法》进行监测。结果：公共用品、用具的致病菌合格率达100％，3年各场所检测的平均合格率分别为76．7％、83．2％、88．2％，经x^2检验，差异非常显著（x^2=-26．20，p〈0．01），其中，宾馆饭店合格率为89．1％，旅社招待所合格率为77．4％，美容理发店合格率为80．7％，文化娱乐及洗浴场所合格率为83．6％。结论：公共卫生意识己在人们心目中日渐提高，但公共场所的卫生监督监测工作还需进一步加强。     

卧龙区公共场所公共用品用具消毒状况调查

目的防止传染病的发生和流行。方法采用抽样调查方法对卧龙区公共场所单位的公共用品用具消毒质量进行调查；用品用具细菌学检测。结果在53家公共场所单位中，有80％的公共场所从业人员不懂用品用具的洗刷、消毒、保管等卫生知识，且保洁措施不全。用品用具的总合格率为71．87％。结论应加强公共场所用品用具消毒卫生管理工作。     

2011-2013年石嘴山市公共场所卫生质量监测结果分析

目的 了解石嘴山市公共场所卫生现状.方法 2011-2013年对石嘴山市旅店业、文化娱乐、美容美发、公共洗浴等公共场所的空气和公共用品进行采样监测.结果 2011-2013年空气合格率分别为94.66％、96.82％、97.91％,公共卫生用品合格率分别为95.68％、95.98％、96.50％;各类公共场所公共用品合格率从高到低排序别为美容美发、文化娱乐、公共浴池和旅店业,分别为97.68％、97.01％、96.25％和91.28％;各类公共卫生用品的合格率从高到低分别为拖鞋（理发工具）、茶具、卧具和毛巾,分别为100％（100％）、96.51％、94.08％、92.49％;茶具的合格率文化娱乐业高于旅店业,分别为97.00％和94.56％;毛巾的合格率从高到低排序别为美容美发、公共浴池和旅店业,分别为92.80％、92.47％和91.60％.结论 石嘴山市公共场所卫生质量总体良好,旅店业公共用品（茶具、卧具和毛巾）的合格率相对较低.     

广州市白云区公共场所卫生监测结果分析

目的了解广州市白云区公共场所卫生质量,为加强公共场所卫生管理提供依据。方法按照《公共场所卫生监测技术规范》、《公共场所卫生标准检验方法》进行公共场所的采样和检测;按照《公共场所卫生标准》进行评价。结果共监测空气样本29339份,合格28363份,合格率为96.67%,体育馆空气合格率最高99.29%,公共浴室最低81.38%,各类公共场所监测合格率差异有统计学意义(χ2=1524,P<0.01)。监测项目中风速合格率最高99.64%,温度合格率最低88.01%,不同监测项目的合格率差异有统计学意义(χ2=1199,P<0.01)。共监测公共用品21724份,合格率为95.95%,旅店业的公共用品合格率最高99.26%,理发美容店合格率最低88.37%,差异有统计学意义(χ2=1203,P<0.01);工用具的合格率最高98.86%,毛巾的合格率最低93.57%,差异有统计学意义(χ2=283.6,P<0.01)。结论广州市白云区公共场所室内环境及用品卫生状况良好,公共浴室的室内空气,理发美容店公共用品有待进一步提高。     

公共场所公用物品卫生状况调查分析

目的 调查本市公共场所卫生状况,找出薄弱环节,为卫生监督工作提供参考.方法 抽检本市公共产所物品的卫生情况,空气检测主要是仪器法,饮具和公共用品用涂抹法.结果 本市旅店业公用物品合格率为91 13%,洗浴行业公用物品合格率为80 65%,理发店公用物品合格率为79 83%,美容院为84 64%.结论 本市公共场所公用物品总体卫生状况较好,但是仍存在一些薄弱环节,需要进一步加强管理.     

江阴市2005-2009年公共场所公共用品监测结果分析

目的了解江阴市公共场所公共用品的卫生状况。方法各类公共用品监测采集按照GB/T17220-1998《公共场所卫生监测技术规范》执行,并按照GB/T18204-2000《公共场所卫生标准检验方法》进行检验。检验结果依据《公共场所卫生标准》进行判定。结果 2005-2009年共监测公共场所公共用品22 849份,其中合格20 624份,总合格率为90.26%。表明公共用品的监测合格率逐年上升,各类公共用品消毒合格率不均。结论本市公共场所公共用品的消毒质量存在问题,卫生监管仍需加强。     

2013-2017年江苏省江阴市公共场所卫生状况监测结果分析

目的全面了解江阴市公共场所室内空气和公共用品卫生情况,为管理部门重新制订和修改《公共场所卫生管理条例》提供科学依据。方法依据《公共场所卫生监测技术规范》(GB/T 17220-1998)、《公共场所卫生标准检验方法》(GB/T 18204.1-18204.30-2000)对公共场所室内环境和公共用品进行采样、检测,采用χ2检验对合格率进行统计学分析。结果 2013-2017年江阴市公共场所室内环境检测样品1 521件,合格1 474件,合格率96.91%,室内环境检测合格率各年份间差异有统计学意义(P<0.05),其中2014年样品合格率最低,为93.09%,2017年最高,为100.00%;空气检测合格率在各场所间差异有统计学意义(P<0.05),其中文化娱乐场所最低,为91.71%,较低的是旅店业,为95.25%;各类公共用品共监测6 712件,合格6 625件,合格率98.70%,样品合格率在各类公共用品间差异有统计学意义(χ2=53.360,P<0.05),其中浴盆、脸(脚)盆、座便器垫合格率最低,为97.05%,毛巾和床上卧具合格率相对较高,为98.43%,茶具合格率最高,为100.00%。结论 2013-2017年江阴市公共场所室内空气和公共用品大体情况较好,需要加强旅店业公共用具的清洗消毒和室内通风,以及文化娱乐场所空气的监测。     

2007年度广州市星级宾馆客房卫生质量监测结果及分析

目的了解广州市星级宾馆客房的卫生状况，提高客房内空气及公共用品用具的卫生质量。方法对广州市区内的35家星级宾馆的客房空气质量、噪声、照度及公共用品的消毒效果进行卫生监测，并对结果进行统计分析．同时将细菌学部分的检验结果与2002年度作比较。结果2007年度空气质量指标中合格率最低的是CO2，仅78．99％．空气细菌数的合格率为80．36％，公共用品用具中洁具类的合格率最高为98．13％，2007年度的空气细菌数及公共用品用具的合格率均明显高于2002年度。结论目前广州市星级宾馆客房的卫生状况较SARS发生前已有明显的改善，但仍应加强卫生管理工作。     

Value of D-Dimers in patients with acute aortic dissection

Objective: To evaluatel the value of D-dimers in patients with acute aortic dissection (AAD). Methods: This study consisted of 16 patients with AAD and 27 non-AAD patients. Serum D-dimets were measured by Sta-Liatest D-DI immunoturbidimetric assay. Results: D-dimer level was higher (P ＜ 0.001) in patients with AAD(7.91 ± 5.52 μg/ml) than that in non- AAD group(1.57±1.24 μg/ml). D-dimer was positive (＞0.4 μg/ml) in all patients with AAD and in 10 control group patients (37%). Among patients with acute AAD, D-dimers tended to be higher in Stanford A than in Stanford B (8.67 ± 4.31 μg/ml vs. 3.24±1.27 μg/ml, P ＜0.01). D-dimer values tended to be higher in more extended disease(3.84 ± 1.65 μg/ml, 8.57 ± 3.58 μg/ml and 11.87 ± 5.69 μg/ml in thoracic aorta, thoracic and abdominal aorta, thoracic and abdominal aorta and iliacal arteries, respectively, P ＜ 0.05 for both 8.57 ± 3.58 and 11.87 ± 5.69 vs. 3.84 ± 1.65 ). Including the control group into the analysis, we found a sensitivity of 100%, a negative predictive value of 100%, and a specificity of 66% and a positive predictive value of 64% for D-dimer in diagnosis of AAD in our patients with suspected AAD. Conclusion: D-dimer was elevated in patients with AAD. A negative D-dimer test result could be useful in excluding AAD.     

Research of combined liver-kidney transplantation model in rats

Objective： To set up a simple and reliable rat model of combined liver-kidney transplantation. Methods： SD rats served as both donors and recipients. 4℃ sodium lactate Ringer＇s was infused from portal veins to donated livers,and from abdominal aorta to donated kidneys, respectively. Anastomosis of the portal vein and the inferior vena cava （IVC） inferior to the right kidney between the graft and the recipient was performed by a double cuff method, then the superior hepatic vena cava with suture. A patch of donated renal artery was anastomosed to the recipient abdominal aorta. The urethra and bile duct were reconstructed with a simple inside bracket. Results： Among 65 cases of combined liver-kidney transplantation, the success rate in the late 40 cases was 77.5%. The function of the grafted liver and kidney remained normal. Conclusion： This rat model of combined liver-kidney transplantation can be established in common laboratory conditions with high success rate and meet the needs of renal transplantation experiment.     

BLOOD PRESSURE CHANGE WITH AGE IN SALT-SENSITIVE TEENAGERS

Objective To observe blood pressure change with age in salt-sensitive teenagers whose salt sensitivity were determined by repeated testing.Methods Salt sensitivity was determined through intravenous infusion of normal saline combined with volume-depletion by oral diuretic furosemide in 55 teenagers. After five years, salt sensitivity was re-examined and subject blood pressure was followed up. Blood pressure changes in salt-sensitive teenagers were compared to that of non-salt sensitive teenagers over five years.Results After 5 years, the repetition rate of salt sensitivity determined by intravenous saline loading is 92.7%. In teenagers with salt sensitivity on the baseline, both the systolic blood pressure increments and increment rates were much higher than non-salt sensitive teenagers (12.7±12.1 mmHg vs. 2.8±5.2 mmHg, P＜ 0.01; 12.2%± 12.0% vs. 2.5% ±4.4%, P＜ 0.001,respectively). There was a similar trend for diastolic blood pressure (8.4 ± 6.4 mmHg vs. 3.7 ± 6.4 mmHg, P = 0.052; 13.2% ±10.6 % vs. 6.8%± 10.1%, P = 0.053, respectively).Conclusions Salt sensitivity determined by intravenous saline loading showed good reproducibility. Blood pressure increments with age were much higher in salt-sensitive teenagers than non-salt sensitive teenagers, especially in terms of systolic blood pressure.     

APPLICATION OF LORNOXICAM TO PATIENT-CONTROLLED ANALGESIA IN PATIENTS UNDERGOING ABDOMINAL SURGERIES

FOR anesthesiologis s ,treatingpostoperativepainhas alwaysbeen a problem.Althoughopioidshave been provedtobe effective,theirsideeffectscouldnotbeignored.With thedevelopmentofscienceand pharmacology,many drugs with aspectsof satisfactoryanalgesicefficacyand couldbe welltoleratedby patientshave been developed.And lornoxicamisone of them, which isa non-steroidalanti-inflammatorydrug (NSAID ), with analgesic, anti-infl-ammatory,andantipyreticproperties.Itseliminationhalf-time(3 to 5 hours) isle…     

安心颗粒对急诊经皮冠状动脉介入术后生活质量影响的研究

目的：评价使用安心颗粒对急诊经皮冠状动脉介入术（PPCI）术后生活质量的影响.方法：将160例接受PPCI的急性ST段抬高型心肌梗死患者随机分为安心颗粒组（术前顿服安心颗粒8.8g,术后安心颗粒4.4 g/次,每日2次）和对照组（仅接受基础药物治疗）.所有患者均服用阿司匹林、氯吡格雷和阿托伐他汀.分别在入院时、出院前1d、出院后180 d时,应用心肌梗死多维度量表（MIDAS）、中文版SF-36评价量表对患者生活质量评分.并观察术后30 d以内的出血并发症、血小板减少症发生情况.结果：入院时和出院前1d,两组患者的心肌梗死MIDAS、SF-36量表评分比较无差异（P＞0.05）;出院后180 d时,与对照组比较,安心颗粒组MIDAS、SF-36评分明显减低（P＜0.05）;组内与入院时比较,两组出院前1d、出院后180 d时,MIDAS、SF-36评分均降低（P＜0.05）.两组患者在随访期间均无大量出血、少量出血、重度和极重度血小板减少症发生,安心颗粒组有4例、对照组有7例发生不明显出血（P＞0.05）.两组发生轻度血小板减少症的患者数比较无差异（P＞0.05）.结论：PPCI使用安心颗粒,能改善急性ST段抬高型心肌梗死患者的生活质量,且不增加出血风险.     

The comparative studies of the influences of Urapidil and Nicardipine on sino-atrial node function, atrio-ventricular node function and hemodynamics

Objective:To investigate the influences of urapidil and nicardipine on rabbit sinus function,atrio-ventricular node function and hemodynamics.Methods:Thirty-two Angora's rabbits were selected and randomly divided into four groups.U1 group:urapidil 0.25 mg/kg;U2 group:urapidil 0.5 mg/kg;N1 group:nicardipine 10 μg/kg;N2 group:nicardipine 20 μg/kg.All these medicine were administrated within 30 seconds.Measurements were taken before and after the administration of urapidil or nicardipine for the following data:mean blood pressure(MAP),heart rate(HR),sino-atrial conduction time(SACT),maximal sinoatrial recovery time(SNRTmax)corrected sinus node recovery time(CSNRT),index of sinus node recovery time(SNRTI),Wenckebach A-V conduction frequency (WB),and P-R interval.Results:Significant MAP and HR changes were identified in all of the four groups before and after administration of both urapidil and nicardipine.No significant changes could be found in the rest of the parameters.Intergroup analysis showed that SACT and CSNRT of N1 and N2 groups were shorter than those of the U2 group(P＜0.01);the MAP decreased(P＜0.01)and the HR increased drastically(P＜0.01).Conclusions:Neither urapidil(0.25 mg/kg,0.5 mg/kg)nor nicardipine(10μg/kg,20μg/kg)has any significant influence on rabbit sinus function or rabbit atrio-ventricular node function.Nicardipine could be a better choice than urapidil for parafunctional sinus node patients.     

Expression of OPGmRNA and ODFmRNA in the patients of hip fracture due to osteoporosis

Objective：To investigate the gene expression of osteoprotegerin（OPG） and osteoclast differentiation factor（ODF） in the bone tissue of patients with hip fracture due to osteoporosis. Methods：OPGmRNA and ODFmRNA in the bone tissue in 50 cases of osteoporosis sufferers（over 50 years old） with hip fracture（Observer Group） and 30 cases of hip facture sufferers with no osteoporosis（Control group） were analyzed with the Semi-Quantitative RT-PCR method. Results：The mRNA expressed of ODF, OPG were both high in the patients with hip fracture. In the control group, the expression of OPG mRNA was observed, while the expression of ODF mRNA was very slight. Conclusion：Aged patients contained all signals including OPG, ODF that are essential for inducing osteoclastogenesis and promoting bone resorption.     

Dynamic Changes in Serum Estradiol and Progesterone levels in Patients of Premenstrual Syndrome with Adverse Flow of Liver-qi

Objective:To probe into the influence of changes of ovarian hormones on the pathogenesis of the specific sub-type premenstrual syndrome(PMS)and reveal partial microcosmic mechanisms of adverse flow of liver-qi.Methods:Estradiol(E2)and progesterone(P)levels in serum were determined at different phases of menstrual cycle by radioimmunoassay.Results:In the group of PMS with adverse flow of liver-qi.the secretive peak value Of E2 and P at the follicular phase significantly decreased,and the secretive peak value at the luteal phase did not come into being.Conclusions:Low E2 and P secretive peak at the follicular phase and absence of secretive peak at the luteal phase is one of the microcosmic mechanisms of PMS with adverse flow of liver-qi.One of the pathophysiologic mechanisms of specific sub-type PMS is probably the continuous low level of E2and P.     

Real-time Three-dimensional Echocardiography in Assessment of Left Ventricular and Right Ventricular Volumes

Real-time three-dimensional echocardiography (RT3DE)is a new ultrasound technique that enables dynamic threedimensional visualization and quantification of the heart in real time. Investigation of feasibility and methodology of RT3DE in determining left ventricular (LV) and right ventricular (RV) volumes, RT3DE was performed in 35 normal adults using Philips SONOS 7500 system with a 2-4 MHz matrix array transducer. The 60°×60° "pyramid" volume database was obtained and analyzed on a TomTec echo workstation. Both LV and RV volumes were calculated with four 3DE methods (i.e. apical 2, 4, 8, and 16-plane) through manually tracing ventricular endocardial borders in end diastole and end systole. Stroke volumes were then calculated. LV volume was also measured by 2DE Simpson's rule using GE VIVID 7 ultrasound machine.     

SCREENING FOR A 21-CHROMOSOME ABNORMALITY IN PREIMPLANTED EMBRYOS OF ELDERLY WOMEN

Increasing maternal age is the only etiological factor unequivocally linked to Down's syndrome in humans. The occurrence rate of newborns with Down's syndrome is about 1/220 in women over 35 years old. However, the occurrence rate in embryos fertilized in vitro, of the elder woman is unclear. Using FISH we screened the number of chromosome 21 in preimplanted embryos of 5 elderly women (average age, 38.4 years) to study the feasibility and necessity of screening trisomy 21 in embryos in patients over 35 years old at the in vitro fertilization (IVF) center.