Journal of Dali University

Analysis on the Treatment of 15 Cases with Congenital Gastroschisis

WANG Feng, HUANG Shou-Jiang, QIN Qi, LV Cheng-Jie, CHEN Dui- , MA Dong- , DIAO Xiao-Xia, DOU Jin-Fa

2019, 4(8): 1-5.

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Objective:To investigate the prenatal diagnosis, the effect of one-stage surgery in newborns with congenital gastroschisis
and the change of the abdominal pressure. Methods:The clinical data of 15cases in the Children's Hospital from January 2014to
December 2018, including prenatal B-ultrasound, surgical treatment and prognosis, were retrospectively analyzed. Results:Abdominal
wall abnormalities were found in prenatal B- ultrasound as early as 10gestational weeks of gestation and diagnosed at 18- 24
gestational weeks. Among the 15newborns, one patient with complex malformation gave up treatment and the rest patients all received
one-stage surgery. The maximum postoperative abdominal pressure was not higher than 15mmHg and decreased to normal 3 days after
the surgery. Among all these 14patients, one died of pneumonia and vomiting 2 months after the surgery, and all the others had
basically normal growth and development. Conclusion:Congenital gastroschisis is a severe congenital malformation of the newborn,
which can be detected by prenatal B-ultrasound in early stages. Abdominal pressure could decrease to normal range after one-stage
surgery. Reasonable postoperative care and nutrition support can achieve good theapeutic effects.

Etiological Analysis on 4 Cases of Laparoscopic Pyloromyotomy Reoperation

SONG Zai, SHANG Yue, CHEN Chun, DONG Kui-Ran

2019, 4(8): 6-8.

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Diagnosis and Treatment of Extrahepatic Biliary Cystic Lesions in Neonates

LI E-Dong

2019, 4(8): 9-11.

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Objective: To analyze the diagnosis and treatment of extrahepatic biliary cystic lesions in neonates. Methods: A total of
10 neonatal patients with extrahepatic biliary cystic lesions were studied from August 2016 to May 2018. Intraoperative biliary
angiography, laparoscopy, CT, B-ultrasound, liver function and clinical manifestations were observed and analyzed. Results: There was
no statistically significant difference in liver function between the two groups（P >0.05）. The gallbladder width, gallbladder length, cyst
width and cyst length of the patients with choledochocyst were all larger than the patients with biliary atresia, and the differences were
statistically significant（P<0.01）. Conclusion: A variety of biliary malformations in neonates can cause the appearance of extrahepatic
biliary cystic lesions. Intraoperative laparoscopy and B-ultrasound examination can be used for the differential diagnosis of extrahepatic
biliary cystic lesions in neonates, providing a basis for the treatment of the disease.

Discussion on the Treatment of Perianal Abscess in Infants

YA Lu-Bin, LAI Sai-Cong, JU Ji, FENG Jie-Xiong

2019, 4(8): 12-15.

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Objective: To explore the best treatment strategy for perianal abscess in infants. Methods: Reviewed the treatment
methods of perianal abscess in infants in recent years, including conservative treatment, surgical treatment, traditional Chinese
medicine sitting bath, laser treatment, and so on, combined with the clinical treatment experience of our department, to find out the
most suitable treatment for infants. Results: The cure rate of conservative treatment was low, most infants still needed surgical
intervention. The clinical curative effect of different operation treatments was not very identical. Conclusion: The choice of appropriate
treatment under different circumstances can alleviate the pain of infants and reduce the recurrence rate.

The Management of Neonatal Acute Scrotal Necrotizing Fasciitis in a Case and Literature Review

HE Jie, ZHANG Sha-Sha, SHEN Wei, LI Na, LIU Jing-Ling, WANG Ning, TUN Hua-Dong

2019, 4(8): 16-22.

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Objective: To report the diagnosis and treatment of one neonate with acute necrotizing fasciitis（NF）and explore its
clinical characteristics and key points for treatment with literature review. Methods: Based on the clinical files of this case, the
databases about neonatal acute NF were collected prior to 10th January 2019 from PubMed, METSTR, CNKI, WANFANG and then
literature reviewed. A systematic review of neotatal acute NF was presented. Results: The neonate with scrotal acute NF was cured
successfully by surgery, antibody and antishock therapies and recovered uneventfully with a 9-day hospital stay. A total of 159 articles
in Chinese and English with neonatal NF were retrieved but 184 neonate cases were reported update in 53 articles after excluding the
reviews and cases repeated calculation. There were 93 boys and 91 girls among the 184 cases and 3.5 cases per article in average, but
in only 16 cases the lesion occurred in the perineum including scrotum. After treatment, 115 cases survived with a cure rate of 62.5%
and 69 cases died with a mortality rate of 37.5%. Among the dead, 58 cases died after operation with a postoperative mortality of 33.5%
and the other 11 cases died with conservative treatment. Conclusion: Neonatal NF develops rapidly and is with dangerous prognosis
and high mortality. Prevention and correction of internal environment disorders and anti-infective therapy should be done as soon as
diagnosed and disease progress could be prevented effectively through lesion incision widely and drainage or necrotic tissue clearance
earlier to increase the chances for survival.

Treatment of Supracondylar Fractures of the Humerus in Children Through Anterior Transverse Incision
of the Elbow

LI Lun, KANG Xiao-Feng, CHEN Hao, XU Chao-Chao

2019, 4(8): 23-26.

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Objective: To observe the clinical effect of open reduction and internal fixation through anterior transverse approach in
the treatment of supracondylar fractures of the humerus in children. Methods: 45 children with supracondylar fractures of the humerus
who were difficult to be cured by closed reduction were randomly divided into observation group（23 cases）and control group（22
cases）. The observation group was treated with open reduction and internal fixation through anterior transverse elbow incision, while
the control group was treated with open reduction and internal fixation through lateral elbow incision. The operation time and fracture
healing time were compared between the two groups. Flynn elbow function score was used to evaluate elbow function 3 months after
operation, HSS function score was used to evaluate clinical efficacy, and comparisons were made between groups. Results: Compared
with the control group, the healing time of fracture in the observation group was similar（P > 0.05）, but the operation time was shorter
（P < 0.05）, and the elbow function recovery was similar after 3 months（P > 0.05）, but the clinical curative effect was better（P <
0.05）. Conclusion: Compared with lateral approach of elbow joint, anterior transverse incision of elbow can shorten the operation time
and improve the clinical effects. It can be the first choice of open reduction and Kirschner wire internal fixation for the treatment of
supracondylar fractures of the humerus in children.

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FU Wen-Feng, XIE Jing-Jing, DIAO Yan-Wen, YANG Yong-Shou, XIAO Pei-Yun

2019, 4(8): 27-32.

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Study on the Mechanism of Antihypertensive Effect of Plantain Seed Based on Network Pharmacology

XU Ya, DIAO Qi

2019, 4(8): 33-38.

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Objective: To analyze the mechanism of antihypertensive effect of Plantain seed by using the method of network
pharmacology. Methods: The chemical components and targets related to Plantain seed were searched from the TCMSP Database and
Analysis Platform. Hypertension-related targets were screened by DisGeNET database. The compound-target network was established
by Cytoscape 3.2.1 software and the PPI network were established by STRING Database. The GO enrichment analysis and KEGG
pathway analysis of the targets were performed with DAVID database. Results: 6 effective components were obtained from Plantain
seed, corresponding to 157 targets, and a total of 90 targets of hypertension were selected. The PPI network contained 65 proteins,
including IL6, AKT1, etc. The GO functional enrichment analysis showed 34 GO entries. The KEGG pathway enrichment analysis
showed 36 pathways, involving PI3K-Akt signaling pathway, HIF-1 signaling pathway, and TNF signaling pathway, etc. Conclusion:
The result of this study preliminarily verifies the basic pharmacological antihypertensive mechanism of Plantain seed, which also lays a
good foundation for further studies.

Apatinib Combined with Radiochemotherapy for Advanced Colorectal Cancer in 2 Cases and
Literature Review

ZHANG Jian-Yi, ZHANG Jing, WANG Jian-Hua, DUAN Sai-Zhu, ZHANG Rong-Sheng

2019, 4(8): 39-42.

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Objective: To retrospectively analyze the efficacy and safety of apatinib combined with radiochemotherapy in the
treatment of advanced colorectal cancer. Methods: The efficacy and safety of two patients with advanced colorectal cancer treated with
apatinib combined with radiochemotherapy were analyzed and related literatures were reviewed. Results: Two patients were followed
up for 12 months, all of whom had achieved stable disease and benefited from overall survival. The main adverse reactions were fatigue,
oral pain, and were tolerable after treatment or dose adjustment. Conclusion: The efficacy of apatinib combined with radiochemotherapy
in the treatment of advanced colorectal cancer is positive, and adverse reactions can be tolerated.

Clinical Analysis of Intracranial and Extracranial Artery Bypass and Temporal Muscle Attachment
in the Treatment of Moyamoya Syndrome

TUN Wen-Hua, DAN Feng-Cai, LI Jiang-Feng, LI Xin-Chang, LI Bao-Cheng

2019, 4(8): 43-45.

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Objective: To explore the clinical effects and influencing factors of superficial temporal arterial-middle cerebral artery
bypass and cerebral temporal muscle attachment in the treatment of moyamoya syndrome. Methods: 22 patients with moyamoya
syndrome in People's Hospital of Pu'er City from 2014 to 2018 were selected. Meanwhile, imaging indications showed that all patients
had cerebral infarction lesions, and the symptoms were varying degrees of dizziness and limb decline. By DSA, the patients were
diagnosed with obvious moyamoya vessels, and underwent surgeries in 7 to 14 days. Among them, 9 cases had superficial temporal
artery-middle cerebral artery bypass and temporal muscle attachment, 13 cases were treated by temporal muscle attachment and dural
vascular inversion. Results: 6 months after the surgeries, all patients' ischemic symptoms improved obviously. Muscle strength and limb
movement were significantly improved in 15 cases. DSA demonstrated vascular hyperplasia was obvious in the lesion area in 18 patients,
and external carotid arteriography showed obvious external carotid artery blood supply in the lesion area. Conclusion: Superficial
temporal artery-middle cerebral artery bypass and temporal muscle attachment are safe and effective in the treatment of patients with
moyamoya syndrome and cerebral infarction.

Influence of Tranexamic Acid on Hidden Blood Loss after the Total Knee Arthroplasty

WANG Hong-Beng, LAN Yu-Beng, DAO Qi-Feng, TUN Fei-Feng, CHEN Chun-Yu

2019, 4(8): 46-49.

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Objective: To discuss the influence of tranexamic acid on hidden blood loss after the total knee arthroplasty（TKA）.
Methods: The changes of hemoglobin（Hb）of 211 patients who had undergone TKA in Panzhihua Central Hospital from January 2014
to December 2016 were analyzed before and 1 day, 3 days and 1 week after the surgeries. From January 2014 to June 2015, 100
patients did not receive tranexamic acid during the surgeries, and from July 2015 to December 2016, 111 patients received tranexamic
acid during the surgeries as required. Their hemoglobin were analyzed and the influence of tranexamic acid on hidden blood loss was
deduced. Results: In the third day and one week after the surgeries, the indexes of hemoglobin was statistically different（P<0.05）
between the patients who had used tranexamic acid and those who had not, whereas there was no significant difference（P>0.05）in the
first day after the surgeries. Conclusion: The application of tranexamic acid can significantly reduce the hidden blood loss after TKA.
So it can be used in part of the patients, but the coagulation function should be closed assessed at the same time.

Application of Laparoscopic Suspension and Fixation of Abdominal Wall in Pelvic Floor
Reconstruction Surgery

WANG Ban, YANG Sai-Li, LUO Mo-Xun

2019, 4(8): 50-53.

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Objective: To explore the application value of laparoscopic suspension and fixation of abdominal wall in female pelvic
floor reconstruction surgery. Methods: A total of 30 patients with pelvic floor dysfunction treated in the First People's Hospital of Dali
City from January 2015 to December 2017 were selected as the research objects. All the patients were treated with pelvic floor
reconstruction surgery using laparoscopic suspension and fixation of abdominal wall. The pelvic floor functions and quality of life
before and after surgery were analyzed retrospectively. Results: The average time of operation was（150.43±53.65) min, the average
amount of bleeding during surgery was（87.2±51.3）mL, the time of indwelling urinary catheter was（5.63±0.81）d, and average length
of hospitalization was（7.28 ± 1.23）d. All the 30 patients were successfully cured. No significant complications and recurrence
occurred during and after the operation. Compared with pre-operation, there were statistically significant differences in POP-Q scores
six months after surgery and one year after surgery （P<0.05）. Compared with pre-operation, POPDI-6 score, PISQ-12 score and
PFDI-20 score of six months after surgery were significantly lower（all P<0.01）; CRADI-8 score, UDI-6 score of six months after
surgery showed statistically significant differences in compared with that before surgery（all P<0.05）. Conclusion: Laparoscopic
suspension and fixation of abdominal wall is safe and easy to operate, clinical effect is significant, injury is small, recovery is fast, and it
is worthy of clinical application.

Application of Remifentanil Combined with Sevoflurane in General Anesthesia of Obstetrics

YANG Yi, HE Wen-Wei, GUO Zhen-Hua

2019, 4(8): 54-57.

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Objective: To observe the efficacy of remifentanil combined with sevoflurane in general anesthesia for obstetric surgery.
Methods: The 56 puerperae in the First Affiliated Hospital of Dali University were required to undergo caesarean section under
general anesthesia. They were divided into an experimental group and a control group according to the different general anesthesia
methods. There were 28 cases in each group, group A（control group）adopting traditional general anaesthesia for caesarean section,
and group B（experimental group）being given general anesthesia with remifentanil combined with sevoflurane. Changes in parameters
of HR, SBP, DBP and MAP were observed during the anesthesia of the two groups, and Apger scores were given to the fetus
immediately at birth, 3 min, 5 min and 10 min after birth. Results: There were significant differences in HR, SBP, DBP and MAP
between skin incision and extubation during intubation（P<0.05）. There was no statistically significant difference in the Apger scores
between the two groups at the moment of birth, 3min, 5min, and 10 min（P>0.05）. Conclusion: Remifentanil combined with
sevoflurane general anesthesia is a safe and effective method of anesthesia, and the value of the application in caesarean section should
be applied to the puerperae with general anesthesia.

CT Findings and Gene Mutation Characteristics in a Family with Familial Hereditary Fahr's Disease

SHU Tu-Gong, LI Wen-Wu

2019, 4(8): 58-62.

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Objective: To investigate the CT and gene mutation in familial hereditary Fahr's disease. Methods: Retrospective
analysis was done on cranial CT clinical manifestations and gene mutation characteristic of 4 patients in 3 generations of one family,
and combined with literature, family hereditary Fahr's disease was reviewed. Results: The clinical manifestations of 1 patient were
slow action, decreased memory and delayed response, while the other 3 patients had no clinical symptoms. The cranial CT findings of
all 4 patients showed symmetrical calcification in bilateral cerebellar dentate nucleus, basal ganglia and paraventricular regions; serum
parathyroid hormone, thyroid function, calcium, phosphorus and magnesium were normal in 4 patients; in 3 patients the G mutation of
the exon 1604 of SLC20A2 gene was A in gene detection. Conclusion: According to family history, cranial CT, intracranial
calcification and SLC20A2 gene test results, familial hereditary Fahr's disease can be diagnosed clearly.

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LI Bing-Hao, LIU Jing-Jing

2019, 4(8): 63-66.

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Clinical Application of Color Doppler Ultrasound-Guided Mammotome for Benign Breast Tumors

YAN Ru-Yi, YUAN Cheng-Xin, YAN Feng, WANG Wei, BAO Qing-Mei, ZHANG Guo-Hui

2019, 4(8): 67-69.

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Objective: To evaluate the value of color doppler ultrasound-guided Mammotome in the treatment of benign breast tumors.
Methods: 591 patients with benign breast tumors in the First People's Hospital of Qujing City from May 2014 to June 2018 were
selected as the study subjects. The patients' breast tumors were removed under the guidance of color doppler ultrasound, and biopsy
diagnosis was made. The operative methods and techniques of circumcision were explored, the clinical application value of
circumcision in the treatment of benign breast tumors was evaluated, and the complications and prevention after operation were
discussed. Results: After the operations, the lesions of all patients were successfully resected. There were 64 cases of complications
after operation, accounting for 10.83% . After symptomatic treatment, there were no major obstacles. The average hospitalization
observation lasted for 3 days. Conclusion: Color doppler ultrasound-guided Mammotome is a safe, effective, minimally invasive and
fast recovery method for benign breast tumors. It has great application value in the treatment of benign breast tumors.

Clinical Values of Trans-Vaginal Ultrasound in the Diagnosis of Early Ectopic Pregnancy

WANG Ye, YUAN Yun, GONG Ru-Jie

2019, 4(8): 70-72.

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Objective: To explore the value of trans-vaginal ultrasonography in the diagnosis of early ectopic pregnancy. Methods:
120 patients with suspected ectopic pregnancy and having undergone operations in Yijishan Hospital of Wannan Medical College from
January to December 2017 were analyzed retrospectively, and the coincidence rate of ectopic pregnancy diagnosed by trans-vaginal
ultrasound was judged by the pathological examination as gold standard after operation. Results: Among the 120 cases of ectopic
pregnancy were diagnosed by trans-vaginal ultrasound, 88 cases were diagnosed as extrauterine pregnancy（55 cases of ampulla, 32
cases of isthmus, and 1 case of interstitial part）, 12 cases as uterine horn pregnancy and 20 cases as cesarean scar pregnancy. Compared
with surgical pathology, the coincidence rate of trans- vaginal ultrasound examination was 95.8% . Conclusion: Trans-vaginal
ultrasound has a good clinical value in the diagnosis of ectopic pregnancy.

The Weak D（Rh（D）u）Phenotype Distribution of Voluntary Blood Donors with Rh（D）-Negative Blood by
Screen Testing in Dali Prefecture

HE Yong-Xun, WANG Hua, HONG Fen, XIE Wen-Hua, DU Ru-E, ZHANG Lin-Li, LIANG Yan-Jiao

2019, 4(8): 73-75.

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Objective: To understand the distribution of IgG anti-D-positive among voluntary blood donors with Rh（D）-negative
with screen testing in Dali Prefecture. Methods: IgM+IgG anti-D serum were used to test voluntary donors blood samples from January
2009 to July 2014. 241 Rh（D）-negative donors were preliminary screened as negative samples from 153 826 donors, and Rh（D）
phenotype were further tested with three different batches of IgG anti-D serum. Results: 11 samples were tested as weak D serological
phenotype（Rh（Du））. The proportions of weak D phenotype among the voluntary blood donors of all nationalities were 0.010% in the
Han nationality, 0.004% in the Bai nationality, and 0.005% in the Yi nationality. No weak D phenotype was detected in other
nationalities because of the small number of people. Serological phenotype included CcDuee, ccDuee, CCDuee, and ccDuEe. The
Distribution of ABO blood type of weak D phenotype donors was B＞O＞A＞AB. Conclusion：Among the Rh（D）-negative voluntary
blood donors in Dali Prefecture, there are donors with weak D phenotype in varying degree.

Pathogenic Spectrum and Drug Resistance Analysis of Infectious Pneumonia of Patients in the First
People's Hospital of Dali City from 2016 to 2017

YANG Min, DING Yi-Bo, LI Liu-Qin, WANG Feng

2019, 4(8): 76-81.

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Objective: To analyze the pathogenic spectrum and drug resistance distribution of pneumonia in inpatients, so as to
provide reference for the clinical treatment. Methods: The sputum of inpatients with pneumonia infection in the First People's Hospital
of Dali City from May 2016 to May 2017 was collected. Bacterial culture isolation, biochemical identification and drug susceptibility
test were carried out on sputum. The pathogenic spectrum and drug resistance distribution were statistically analyzed. Results: A total
of 287 strains of pathogenic bacteria were isolated, including 237 strains of Gram-negative bacteria, 43 strains of Gram-positive
bacteria and 7 strains of fungi. Results showed that Gram-negative bacteria were very sensitive to ertapenem, imipenem, meropenem,
amikacin（>98%）, were sensitive to gentamicin, ciprofloxacin, levofloxacin, piperacillin/tazobactam and cefepime（80% <sensitivity <
90%）, and were less sensitive to ampicillin, amoxicillin/clavulanic acid, piperacillin, etc（<60%）. Gram-positive bacteria had high
resistance to penicillin, erythromycin, clindamycin and tetracycline, and were sensitive to the rest. Conclusion: The pathogens isolated
from this investigation were mainly Gram- negative bacteria（82.58%）; all kinds of bacteria were multi-

Prenatal TORCH Ten-Item Detection of 1 022 Pregnant Women in the Dali Area

MA Rong, XU Hong-Yang, YANG Ti-Tong, LI Meng-Huan-1, XIE Rong-Huan, WANG Guang-Meng

2019, 4(8): 82-85.

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Objective: To analyze the results of prenatal TORCH examination in pregnant women and its clinical significance in Dali
area. Methods: The pregnant women who took TORCH screening in the First Affiliated Hospital of Dali University from January 2015 to
December 2017 were selected as the research subjects, and 1 022 cases of pathogenic specimens were collected. The serum specific
antibodies IgG and IgM of TORCH were detected by enzyme linked immunosorbent assay（ELISA）. Results: Among these 1 022
pathogenic specimens, 1 012 were positive, with a positive rate of 99.02%. The positive rates of HSV Ⅰ IgG, HSV Ⅱ IgG, CMV-IgG,
RV-IgG and TOX-IgG were 77.10%, 11.35%, 95.89%, 88.45% and 14.29%. The incidence of co-infection was the most, and the
number of HSVⅠ+CMV+RV-IgG positive cases was the largest, with a total of 520 cases（50.88%）. Conclusion: Firstly, the
distribution of serological indicators of TORCH in the local population is mainly IgG positive. The situation of TORCH infection needs to
be improved in this area because of its high positive rate. Secondly, due to the inability to judge the timing of infection and the impact on
the newborns, targeted examinations should be actively carried out, and early prevention and early diagnosis have certain practical
significance for maternal and infant health.

Nursing Effects of Multiple Modes of Analgesia During Perioperative Period of Total Knee Arthroplasty

ZHOU Yu-Yan, MA Yun-Fang

2019, 4(8): 86-88.

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Objective: To explore the application of nursing of multiple modes of analgesia in perioperative period of total knee
arthroplasty. Methods: 80 patients who received total knee arthroplasty in the First Affiliated Hospital of Dali University from May to
August 2018 were selected for comparison, among whom, 40 cases were chosen as the control group and given routine nursing, and the
other 40 cases were chosen as the observation group who were given analgesic nursing measures in a variety of modes. Finally the
nursing effects of the two groups were compared. Results: The pain control index of the patients in the observation group was
significantly better than that in the control group, and the difference of pain scores between the two groups was statistically significant
（P＜0.05）. Conclusion: The nursing with analgesia of multiple modes during the perioperative period can effectively relieve the pain
after total knee arthroplasty, can promote the active activity of knee joint after operation, can reduce the pain of patients and improve
nursing satisfaction, thus it is worthy of clinical popularization.

Comprehensive Evaluation of Community Health Service by the Fuzzy-Combination of TOPSIS and RSR

BO Qiu-Yu, ZHANG Cheng

2019, 4(8): 89-92.

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Objective: To comprehensively evaluate the workload, the efficiency and the cost of community health service, and to
provide management basis and suggestion for improving community health service. Methods: The community health service was
comprehensively evaluated by TOPSIS method, RSR method, and the fuzzy-combination of TOPSIS and RSR. Results: The highest
evaluation of community health service was in 2013, and except 2014, the community health service level was improved with the
growth of each year. Conclusion: In general, the quality and ability of community health service kept increasing year by year, but there
were still some problems.

Investigation of HBV and HCV Co-Infection in 992 HIV/AIDS Patients in Dali City

HAN Ting-Ting, ZHANG Jian-Bei, SHEN Yuan-Yang

2019, 4(8): 93-96.

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Objective: To investigate and analyze the infection of hepatitis B virus（HBV）and hepatitis C virus（HCV）in 992 HIV/
AIDS patients in Dali City. Methods: The epidemiological data was collected of the 992 HIV/AIDS patients who were confirmed by the
Second People's Hospital of Dali City from January 2005 to July 2018 and were receiving free antiviral treatment at antiviral treatment
sites. Patients were grouped according to whether they were infected with HBV/HCV. The co-infection status of HBV/HCV in HIV/
AIDS patients was statistically analyzed. Results: Among 992 HIV/AIDS patients, the infection rate of HBV was 3.23%（32 cases）,
the infection rate of HCV was 32.26%（320 cases）, and the co-infection rate of HBV and HCV was 2.52%（25 cases）. Among the
patients with HIV/HCV co-infection, the proportion of middle-aged Han males with intravenous drug abuse was the highest, and
compared with the HIV/AIDS patients group, the difference was statistically significant（P<0.05）. Conclusion: Among 992 adults with
HIV/AIDS in Dali City, the infection rate of HBV/HCV was higher than that of the whole country, and among the patients with HIV and
HCV, drug users were the major ones.

Analysis of Sentinel Surveillance Results Among Female Sex Workers in One City of Yunnan Province

ZHANG Min, LIU Ji-Zheng, SHEN Yuan-Yang

2019, 4(8): 97-100.

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Objective: To investigate the differences and influencing factors of HIV and syphilis infections and condom use in
commercial sexual activities of different levels female sex workers（FSWs）. Methods: From April to June 2018, PPS method was used
to conduct a cross-sectional survey on the FSWs outposts with a total of 400 people. Demographic and high-risk behaviors and other
information were collected. Results: The median age of FSWs was 29 years old, and most of them were sexually active, unmarried, and
with poor education and high mobility. The detection rate of HIV antibody was 1.0% and syphilis was 2.5%. At the time of commercial
sex, the rate of condom use was 95.5%, and the risk factors for consistent condom use were not having or receiving partner education
and not having HIV testing consultation in the last year. Conclusion: HIV and syphilis infection among FSWs remained relatively
stable, and condom adherence rates of FSWs at different levels were different. Therefore, it is necessary to strengthen the intervention
for this population.

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