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2017 Vol. 24, No. 36
Published: 2017-12-28
 
 
4 Analysis on the chemical compounds of volatile oil of Centipeda minima from different area
LYU Qi,HUANG Xing-yu,YANG Qiong-liang,YUAN Jia-min,GAO Wen-ya, JIANG Zheng,HUANG Ying,LI Bo-yang,YAN Hong
Objective To compare the chemical compounds of volatile oil from Centipeda minima in Hunan,Jiangsu and Zhejiang.Methods The volatile oil of Centipeda minima was extracted by steam distillation.The chromatographic peaks were qualitatively identified by gas chromatography-mass spectrometry (GC-MS),and the relative content of each compound was obtained by the method of peak area normalization.Results 77 compositions were identified from Centipeda minima in Hunan,and the main compositions were Bicyclo [3.1.1] hept-2-en-4-ol,2,6,6-trimethyl-,acetate (35.05%),Propanoic acid,2-methyl-,2-[3-[(acetyloxy) methyl] oxiranyl]-5-methylp-henyl ester(16.52%),Neryl (S)-2-methylbutanoate (6.86%),Geranyl isobutyrate (5.77%).28 compositions were identified from Centipeda minima in Jiangsu,and the main compositions were Bicyclo [3.1.1] hept-2-en-4-ol,2,6,6-trimethyl-,acetate (48.40%),Acetic acid,4a-methyld-ecahydronaphthalen-1-yl ester (14.98%),Thymol(11.02%),Butanoic acid,2-methyl-,3,7-dimethyl-2,7-octadienyl ester,(E)-(6.04%).77 compositions were identified from Centipeda minima in Zhejiang,and the main compositions were Benzene,(2,3-dimethyldecyl)-(23.47%),9,12,15-Octadecatrienoic acid (16.85%),(Z,Z,Z)-,9,12-Octadecadienoic acid(Z,Z)-(15.91%),Ethanol,2-(9,12-octadecadienyloxy)-(6.44%),(R)-(-)-(Z)-14-Methyl-8-hexadecen-1-ol(5.42%).Conclusion GC-MS can be used to analysis the composition of volatil-e oil quickly and effectively.The Different area Centipeda minima have different compositions of volatile oil.
2017 Vol. 24 (36): 4-9 [Abstract] ( 232 ) HTML (1 KB)  PDF (550 KB)  ( 200 )
10 Observation on the curative effect of Alteplase thrombolysis combined with Qingnao Tongmai Decoction in the treatment of the patients with acute cerebral infarction in the super early stage
ZONG Zhi-tao
Objective To observe the clinical efficacy of Alteplase thrombolysis combined with Qingnao Tongmai Decoction in the treatment of patients with acute cerebral infarction in the super early stage,and to find a safer and effective method for thrombolytic therapy.Methods 60 patients with cerebral infarction from April 2015 to April 2017 were enrolled in the Department of Neurology,Jiujiang Hospital of Traditional Chinese Medicine.The patients were divided into the treatment group and the control group according to random number table method,30 cases in each group.Two groups of patients were given control of Western medicine for basic treatment.The control group was then treated with Alteplase thrombolytic therapy.The treatment group was given Qingnao Tongmai Decoction oral or nasal feeding on the basis of the control group.The MIHSS score,the Barthel index score,the coagulation function after treatment and the clinical effect were compared before and after treatment between the two groups.The improvement of the safety and efficacy of thrombolytic therapy goals was verified by observing and comparing these indexes before and after treatment.Results There was no significant difference in the NIHSS score and Barthel index between the two groups before treatment (P＞0.05).The NIHSS scale and Barthel index after treatment of the two groups were significantly better than those before treatment,with significant difference (P＜0.05).The NIHSS score of the patients in the treatment group after treatment was lower than that of the control group,while the Barthel index score of the patients in the treatment group after treatment was higher than the control group,with significant difference (P＜0.05).There was no significant difference in the indexes of blood coagulation function between the two groups after treatment (P＞0.05).The total effective rate was 96.67% in the treatment group,which was significantly higher than that in the control group (66.67%),the difference was statistically significant (P＜0.05).Conclusion For patients with acute cerebral infarction in the super early stage,intravenous Alteplase  combined with Qingnao Tongmai Decoction can not only accomplish thrombolysis,but also can avoid the transformation of bleeding to a certain extent,has no effect on the coagulation function of patients,with high efficacy and safety,it is worthy of clinical promotion and application.
2017 Vol. 24 (36): 10-12转19 [Abstract] ( 192 ) HTML (1 KB)  PDF (685 KB)  ( 75 )
13 Clinicopathologic analysis of liver focal nodular hyperplasia
BAI Rui-zhen HE Yu-jie XU Li PU Yong
Objective To explore the clinicopathologic character,pathogen,treatment and prognosis of liver focal nodular hyperplasia (FNH).Methods The clinical data of 5 patients with FNH of the liver from May 2013 to August 2017 in our hospital were collected.The pathological morphology and immunohistochemical staining were observed.The clinical features of FNH were analyzed by review of the latest foreign and chinese literature.Reslults Macroscopically,characteristic center scar was found in classic type of FNH.Microscopically,nodes composed of heptocytes without atypia weres divided by fibrosis septa.The liver plate was consisted of one or two layer of hepatocyts.Non-classical type of FNH should be distinguished from hepatic adenoma and highly differentiated hepatic cancer.Conclusion FNH was a rare benign lesion occurred in liver,which had good prognosis after clinical excision.
2017 Vol. 24 (36): 13-15转23 [Abstract] ( 203 ) HTML (1 KB)  PDF (1095 KB)  ( 68 )
16 Study of risk factors related to lower extremity venous thromboembolism after knee arthroscopy surgery
ZHANG Wei LIU Jing-ling XIAO Sheng-shi
Objective To explore the risk factors related to lower extremity venous thromboembolism after knee arthroscopy surgery.Methods 515 patients who underwent arthroscopy in our hospital from January 2014 to December 2016 were selected as the research subjects,according to whether the patients had venous thromboembolism or not,all patients were devided into the venous thromboembolism group (65 cases) and the without venous thromboembolism group (450 cases).The clinical data and laboratory indexes of the selected patients were collected,and the differences of clinical factors between the two groups were compared,and the risk factors of venous thrombosis after knee arthroscopy surgery were analyzed.Results In this group of 515 patients with knee arthroscopy,65 cases of venous thromboembolic events (VTEs) occurred,incidence rate was 12.62%.There were significant difference in age,BMI,Hyperlipidemia,history of thromboembolic disease,application of tourniquet,antithrombotic pump pressure postoperative of lower limb,the time of bed postoperative,the level of Hcy and Caprini evaluation of two group between the two groups (P＜0.05).Age,antithrombotic pump pressure postoperative of lower limb,the level of Hcy and Caprini evaluation were the independent risk factors for venous thromboembolism after knee arthroscopy surgery.Conclusion Age,antithrombotic pump pressure postoperative of lower limb,the level of Hcy and Caprini evaluation are the independent risk factors for venous thromboembolism after knee arthroscopy surgery.The antithrombotic pump pressure postoperative of lower limb may be a protective factor of venous thromboembolism after knee arthroscopy surgery.
2017 Vol. 24 (36): 16-19 [Abstract] ( 189 ) HTML (1 KB)  PDF (682 KB)  ( 109 )
20 The research of clinical results of rehabilitation in different time pointsfor aphasia post cerebral stroke
GE Yue CHU Hai-juan ZHAO Kai CHEN He-mu FAN Wei WANG Yi GAO Xiao-ping
Objective To study the optimal time of Broca aphasia after stroke.Methods From September 2012 to July 2015,62 patients with Broca aphasia after stroke treated in department of Rehabilitation in The first affiliated hospital of AnHui Medical University were selected as the subjects,and divided into three groups according to the interval between stroke to rehabilitation treatment:less than 15 d from stroke to accept speech rehabilitation(19 cases);more than 15 d but less than 30 d(21 cases);more than 30 d(22 cases).The terminal time point of this study was one year after accept speech rehabilitation.The assessments of speech ability were clinical rehabilitation research center aphasia examination (CR-RCAE) and the evaluation time points were 1 month,3 months,6 months and 1 year post speech rehabilitation.The rehabilitation  were compared among the three groups.Results There was not significiant difference between less than 15 d and more than 15 d but less than 30 d groups in the speech rehabilitation results (P>0.05),but all of them were better than more than 30 d group,the difference was statistically significant (P<0.05).The outcome of patients within three months to accept speech rehabilitation was better than more than three months in the 30 d group,but without significiant difference (P>0.05).Conclusion For Broca associated with stroke,the optional time point to accept speech rehabilitation is within 30 d. The prognosis of patients who accept speech rehabilitation more than 3 months post stroke is poor.
2017 Vol. 24 (36): 20-23 [Abstract] ( 205 ) HTML (1 KB)  PDF (503 KB)  ( 77 )
24 Clinical effect of laparoscopic surgery in treatment of severe acute pancreatitis and its influence on immune function
PENG Jian-cheng XU Xiao-dong PENG Lei LI Qiu PENG Quan-sheng PENG Yuan-lan LIU Qian
Objective To observe the clinical effect of laparoscopic surgery in treatment of severe acute pancreatitis (SAP) and its influence on immune function.Methods 60 SAP patients treated in our hospital from August 2016 to July 2017 were selected,and divided into control group and observation group by random number table,30 cases in each group.The control group was given open surgery,while observation group was given laparoscopic surgery.The levels of cytokines,inflammatory indexes and changes of immune function in two groups before and after treatment were observed.Results Before treatment,there was no statistical difference in the levels of matrix metalloproteinase 9 (MMP-9),intercellular adhesion molecule-1 (ICAM-1),high mobility group box-1 protein (HMGB1),interleukin-6 (IL-6),high-sensitivity C-reactive protein (hs-CRP), procalcitonin (PCT),CD8+, CD4+, CD3+between the two groups (P>0.05).After treatment,the levels of ICAM-1,CD8+,IL-6,hs-CRP,PCT in observation group [(231.34±24.50) ng/ml,(24.13±1.95)%,(18.92±2.16) pg/ml,(8.24±1.07) mg/L,(5.11±0.40)μg/L] were lower than those in the control group,while the levels of CD4+ and CD3+ in observation group [(37.14±1.82)%,(78.92±3.46)%] were higher than those in the control group (P<0.05).Conclusion Laparoscopic surgery in treatment of SAP is effective,which can promote recovery of immune function and cure disease,improve physical-mental state and living quality of patients.
2017 Vol. 24 (36): 24-26 [Abstract] ( 228 ) HTML (1 KB)  PDF (496 KB)  ( 111 )
27 Clinical application of B ultrasound-guided percutaneous puncture and thermal ablation in the treatment of thyroid nodules
LI Jun-tao XIA Lai-yang HUANG Xing-wei DAI Su-juan
Objective To analyze the clinical effect of percutaneous puncture and thermal ablation guided by B ultrasound in the treatment of patients with thyroid nodules.Methods A total of 92 patients with thyroid nodules from June 2015 to June 2017 treated in our hospital were selected as the subjects,and evenly divided into control group and treatment group in random,46 cases in each group.In the control group,routine therapy was used,while in the treatment group B ultrasound-guided percutaneous puncture and thermal ablation was adopted.The time of the symptoms disappearing of thyroid disease,total therapeutic time,adverse reactions caused by the treatment,total clinical effectiveness rate of thyroid nodule disease,and the satisfaction on therapeutic regimen of thyroid disease and the achieved treatment effect were compared between the two groups.Results In the treatment group,the time of symptomatic disappearance and total therapeutic time of thyroid disease were shorter than those in the control group,with significant differences (P<0.05).The rate of adverse reactions caused by the treatment in the treatment group (4.3%) was lower than that in the control group (21.7%),the difference was statistically significant(P<0.05).The total clinical effectiveness rate of patients in the treatment group (91.3%) was,higher than that that in the control group (71.7%),the difference was statistically significant (P<0.05).The total satisfaction on the treatment plan and achieved effect of thyroid disease in the treatment group (93.5%) was higher than that in the control group (78.3%),the difference was statistically significant (P<0.05).Conclusion For patients with thyroid nodules,application of B ultrasound-guided percutaneous puncture and thermal ablation can quickly control the disease condition,greatly improve the thyroid function,reduce adverse reactions,and finally markedly enhance the therapeutic effect and patient′s satisfaction.
2017 Vol. 24 (36): 27-29 [Abstract] ( 212 ) HTML (1 KB)  PDF (526 KB)  ( 77 )
30 Analysis of related factors of pancreatitis after retrograde cholangiopancreatography in the treatment of bile duct stones
ZHANG Xiao-bin TAN Na ZHOU Yi YU Yan-bin JI Gang
Objective To investigate the risk factors of postoperative pancreatitis in patients with  undergoing retrograde cholangiopancreatography (ERCP).Methods From January 2012 to December 2016,296 patients with bile duct stones diagnosed by ERCP were selected as the subjects,and the risk factors of postoperative pancreatitis (PEP) were analyzed from two aspects of clinical pathology and technical operation.Results In 296 cases there were 25 cases of PEP,the incidence rate was 8.4%.The single factor analysis of JPD,visualization of pancreatic duct,difficult intubation and long time operation could increase the incidence rate of PEP,with significant difference (P<0.01),had induced effect on PEP.Nasobiliary drainage or bile/pancreatic stent could reduce the incidence rate of PEP,with significant difference (P<0.01).Incision of elderly and endoscopic sphincterotomy (EST) had no effect on PEP,without significant difference (P>0.05).Logistic regression analysis showed that JPD,multiple pancreatic duct development and multiple pancreatic duct intubation were the risk factors for PEP,and nasal biliary drainage or biliary/pancreatic stent drainage were the protective factors of PEP.Conclusion Patients with JPD are at high risk for PEP,pancreatic duct development and difficult intubation are the risk factors for PEP.Long operation time should also be vigilant.Nasal biliary drainage or biliary/pancreatic stent drainage is an effective way to prevent PEP.
2017 Vol. 24 (36): 30-32 [Abstract] ( 198 ) HTML (1 KB)  PDF (594 KB)  ( 64 )
33 Perioperative application of enteral nutrition support in patients with gastrointestinal cancer
KUANG Wen-yang ZHANG Jian-jun LUO Xiao-bo
Objective To study the clinical effect of perioperative enteral nutrition in patients with gastrointestinal cancer.Methods Totally 84 patients with gastrointestinal cancer who were admitted to our hospital from October 2014 to October 2016 were randomly divided into control group and study group,with 42 cases in each group.Both groups received surgery after admission.The control group perioperative implementation of parenteral nutrition support,and the study group perioperative implementation of enteral nutrition support.Observe and compare the immune index,the inflammatory index,the total time of hospitalization,the incidence of malnutrition and the satisfaction of patients on the first day before operation and the seventh day after operation.Results There was no significant difference in serum albumin (ALB),transferrin (TRF),total protein (TP) and prealbumin (PAB) between the two groups before operation (P>0.05).The levels of TRF and PAB ([1.73±0.19] g/L and [173.52±22.36] mg/L) were higher than those in the control group ([1.46±0.20] g/L and [140.36±27.41] mg/L),the difference was statistically significant (P<0.05).The total postoperative hospitalization time in study group ([11.19±1.34] d) was shorter than that in control group ([15.27±2.06] d),the difference was statistically significant (P<0.05).The rate of malnutrition occurred in study group (2.4%) was lower than that in control group (17.4%).The difference was statistically significant (P<0.05).The satisfaction rate of postoperative nutritional support (95.2%) was higher than that in the control group (78.6%),the difference was statistically significant (P<0.05).Conclusion Gastrointestinal cancer patients undergoing enteral nutrition support during surgical treatment can ensure nutritional supply of postoperative body and improve their immune indexes,speed up the recovery and reduce the possibility of occurrence of malnutrition.
2017 Vol. 24 (36): 33-35 [Abstract] ( 183 ) HTML (1 KB)  PDF (580 KB)  ( 84 )
36 Clinical analysis of gender differences in patients with acute myocardial infarction
CHU Hui-zhong
Objective To investigate the gender difference in incidence,clinical features,treatment and prognosis of patients with acute myocardial infarction (AMI).Methods A retrospective study was performed on 3267 patients with acute myocardial infarction who were hospitalized in our hospital During from January 2011 to December 2016 period.The difference in age of onset,clinical features of admission,treatment and mortality during hospitalization were compared.Results A total of 2432 male patients and 835 female patients were enrolled.The number of males was more than that of females in all age groups(the total ratio of male to female was 2.91∶1),while the average age of female patients was older than that of males,The difference was statistically significant(t=5.97,P<0.05).The incidence of typical clinical manifestations in female patients,such as chest pain, was lower than that of men(χ2=3.31,P<0.05).But the incidence of other aspects such as the rate of reperfusion and the use of heparin or Low Molecular Heparin was lower in female than in male during the acute phase,while the mortality rate was higher in female than in male(χ2=3.13,P<0.05).Conclusion The incidence of male acute myocardial infarction is higher than that of female,and the age of onset is younger.There are more active treatments such as reperfusion therapy in male than in female.The mortality rate of female patients is higher than that of males.
2017 Vol. 24 (36): 36-38转41 [Abstract] ( 205 ) HTML (1 KB)  PDF (458 KB)  ( 119 )
39 The value of aortic dissection score in the early diagnosis of aortic dissection
YAN Liang-liang LI Jia-hui CHEN Liang-wan
Objective To asses the early diagnostic value of aortic dissection score in the early diagnosis of aortic dissection (AD).Methods 50 patients with aortic dissection diagnosed with computed tomography (CTA) in our hospital from January 2015 to September 2017 were selected as the observation group,and 50 patients with non-aortic dissection were treated as the control group.The general conditions,aortic dissection risk factors,the sensitivity of the score of patients were compared between the two groups.Results Short pulse of light,intense chest pain and other risk factors of the two groups had significant differences on the distribution (P<0.05);the score 5 Points with the highest sensitivity of the diagnosis.Conclusion The aortic dissection risk rating is greater than 5 Points,and it′s a high diagnostic basis for early diagnosis of the aorta.
2017 Vol. 24 (36): 39-41 [Abstract] ( 192 ) HTML (1 KB)  PDF (424 KB)  ( 81 )
42 The analysis of each risk factors for the diabetic patients with depression
FAN Guo-zhen MA Yin-hua XIAO Yun YANG Long SUN Xu LIN Dong-mei
Objective To analyze the risk factors of depression in diabetic patients.Methods From October 2015 to August 2017,118 diabetic patients in our hospital were enrolled,including 43 cases of diabetes complicated with depression,75 cases without depression and diabetes mellitus.The risk factors of depression in diabetic patients were analyzed by comparing the age,sex,educational level,occupation,dietary intervention,family history and social support system of the two groups.Results The factors，such as age，sex，educational level,occupation，diet intervention,family history and social support system,of the diabetes patients can affetct the ocurrence of the depression.The proportion of aged more than 65 years (74.42%),men (69.77%),college education (79.07%),other occupation (83.72%),non intervention diet (67.44%),family history (53.49%),the social support system with imperfection (53.49%) of the diabetes complicated with depression patients were significantly higher than that of no depression in patients with diabete,the differences of the diabetes mellitus complicated with depression and no differences in age,sex,culture degree,occupation,family history,diet intervention and social support system and other factors of depression in patients with diabetes were statistically significant (P＜0.05）.From the cultural point of view,the college was 8.214 times the incidence of depressive disorder in patients with college degree or above;from the occupation,the cadre patients depression was 7.246 times higher than the other patients;from the diet intervention,non intervention in patients with depression was 2.071 times higher than intervention patients;from family history,family history of patients with depression higher than that in patients with no family history;from the social support system,social support system more perfect,patients were complicated without depression.Conclusion The risk factors for early diabetes complicated with depression to take effective intervention measures will be helpful to the treatment of depression in patients with diabetes mellitus exist,which is conducive to curb the development of blood glucose control,complications and improve the quality of life and improve the prognosis of patients.
2017 Vol. 24 (36): 42-44 [Abstract] ( 205 ) HTML (1 KB)  PDF (327 KB)  ( 95 )
45 Clinical effect of early hyperbaric oxygen therapy in the treatment of diffuse axonal injury
CAI Chen-zhu GUO Xie-li CAI Ming-fa CHEN Teng-da
Objective To disscuss the effect of early hyperbaric oxygen therapy in the treatment of diffuse axonal injury.Methods 88 cases of diffuse axonal injury in our hospital from January 2013 to January 2017 were selected and divided into the control group and the observation group according to the random number table method,44 cases in each group.The control group was treated with symptomatic comprehensive treatment,the observation group was treated with hyperbaric oxygen in the early stage on the basis of the control group.The improvement of consciousness state,consciousness average recovery time,the sober rate and Grasg′s prognosis score after 6 months of treatment were compared between the two groups.Results The rate of consciousness improvement and the sober rate of the observation group was higher than that of the control group,moreover,the consciousness average recovery time of the patients in the observation group was significantly shorter than that in the control group,and the good rate of the Grasg′s prognosis in the observation group was significantly higher than that in the control group,with significant difference (P＜0.05).Conclusion Early hyperbaric oxygen adjuvant therapy in patients with diffuse axonal injury can significantly accelerate consciousness recovery and resuscitation,which has good prognosis and has certain clinical application value.
2017 Vol. 24 (36): 45-47 [Abstract] ( 212 ) HTML (1 KB)  PDF (431 KB)  ( 110 )
48 Analysis the value of discography in the diagnosis of discogenic lumbar pain
QIU Chuan-jun ZHANG Yue-lin GONG Jun
Objective To analyze the value of discography in the diagnosis of discogenic back pain.Methods 58 cases patients with discogenic lumbar pain from June 2015 to March 2017 treated in our hospital were selected as the subjects.All patients were examined by MRI and intervertebral discography,the results and the correlation between the two test results were recorded and compared.Results There were 48 cases with black discs,11 cases with Modic change,12 cases with high signal area (HIZ) and 47 cases with mild disc herniation.48 cases (112 discs) were examined by intervertebral discography,and 25 cases (45 discs) were positive,the positive rate was 43.1%.Black discs,Modic changes,HIZ MRI and intervertebral disc contrast-induced pain had a significant correlation.Conclusion MRI and discography have diagnostic value on discogenic lumbar pain,and they can be used in conjunction.
2017 Vol. 24 (36): 48-50 [Abstract] ( 246 ) HTML (1 KB)  PDF (374 KB)  ( 432 )
51 The effect of the American chiropractic and Sitting traction method in the treatment of cervical spondylotic radiculopathy
CHEN Fu-jian MO Liu-Xian CHEN Kun
Objective To compare and analyze the effect of American Chiropractic and sitting traction in the treatment of patients with cervical spondylotic radiculopathy.Methods From June 2015 to June 2016,100 patients with cervical spondylotic radiculopathy in our hospital were selected as the subjects,and divided into the study group and the control group by random number table,with 50 cases in each group.The study group was treated with American chiropractic technique,and the control group was treated by sitting traction.The therapeutic effect,quality of life scores and adverse reactions were compared between the two groups.Results The effective rate of treatment of patients in the study group (92.0%)was higher than that in the control (56.0%),the difference was statistically significant (P<0.05).The scores of quality of life in the study group were higher than that in control group,the difference was statistically significant (P<0.05).The adverse reactions rate of patients in the study group (4.0%) was significantly lower than that in the control group(24.0%),the difference was statistically significant (P<0.05).Conclusion American chiropractic manipulation is better for the treatment of cervical spondylotic radiculopathy,and is worthy of popularization and application in clinic.
2017 Vol. 24 (36): 51-53 [Abstract] ( 229 ) HTML (1 KB)  PDF (448 KB)  ( 96 )
54 Effect analysis of percutaneous vertebroplasty in the treatment of vertebral compression fracture
WAN Jun ZHANG Jing-ye HUANG Bo LI Jun SANG Chang-min
Objective To investigate the clinical effect of percutaneous vertebroplasty (PVP) in the treatment of vertebral compression fracture.Methods A total of 46 patients with vertebral compression fracture in our hospital from January 2013 to June 2016 were enrolled and evenly divided into observation group and control group in random.In the control group,percutaneouskyphoplasty (PKP) was used,and PVP was performed in the observation group.The visual analogue scale (VAS) score between the two groups were compared.The pain VAS scores before and first day after surgery were calculated.X-ray for patients was required before,first day and first year after surgery in order to measure the height changes of the vertebral body.The actual height of the vertebral body was deduced based on DR.According to the outcomes of X-ray,the incidence of adjacent vertebral fracture and the degree of bone cement leakage were determined.Results After therapy,the VAS scores in the two groups decreased significantly,and the pain relief was obvious,but there was no significant difference between the two groups (P>0.05).The time of operation in the observation group was greatly shorter than that in the control group,and the volume of cement injection was significantly larger than the control group,with significiant differences (P<0.05).The rate of bone cement leakage in the observation group was higher than that in the control group,but there was no significant difference (P>0.05).During one-year follow up visits after operation,the loss of the height of vertebral body was significantly lower than that in the control group (P<0.05).There was an increase in injured vertebrae after surgeries,which was significantly lower in the observation group than the control group,with significiant difference (P<0.05).Conclusion Percutaneous vertebroplasty for the patients with vertebral compression fractures have a remarkable clinical effect,reduce the incidence of postoperative complications,and the operation is simple,which is worthy of clinical promotion.
2017 Vol. 24 (36): 54-56 [Abstract] ( 193 ) HTML (1 KB)  PDF (524 KB)  ( 75 )
57 Short-term efficacy of knee arthroscopy in the treatment of knee osteoarthritis
SONG Yang DU Qing-jun LIN Yi QIU Geng-tao OUYANG Yi HUANG Ming-guang
Objective To investigate the short-term clinical efficacy of knee arthroscope in the treatment of knee osteoarthritis (KOA).Methods From March 2014 to March 2016,50 KOA patients undergone surgeries in our hospital were selected as the subjects,and performed with arthroscopic debridement.Lysholm score system was used to evaluate the curative effect during follow up visits after surgery.Results After 1,3,6 months and 1 year follow-up visits,the excellent and good rate of knee joint and Lysholm score were significantly higher than those before operation,with significiant differences (P<0.05).Conclusion Knee arthroscopy can obtain a remarkable short-term efficacy in the treatment of knee osteoarthritis,which is worthy of application and promotion in clinical practice.
2017 Vol. 24 (36): 57-59 [Abstract] ( 208 ) HTML (1 KB)  PDF (558 KB)  ( 57 )
60 Clinical effect of strap-uterine suture in the treatment of postpartum hemorrhage after cesarean section
HUANG Hui-juan
Objective To investigate the clinical effect of strap-uterine suture in the treatment of postpartum hemorrhage after cesarean section.Methods From April 16,2016 to April 16,2017,100 puerperae of cesarean section treated in our hospital were selected as subjects.They were evenly divided into two groups by drawing lots,50 cases in each group.In the control group,the routine therapy was used,and the strap-uterine suture was used in the observation group.The operation time,amount of postpartum bleeding,incidence of massive haemorrhage,blood transfusion,puerperal disease,hysterectomy and complications were compared between the two groups.Results The amount of postpartum bleeding of the observation group ([614.25±26.12] ml) was less than that in the control group ([954.18±86.49] ml),the operation time of the observation group ([39.85±3.18] min) was shorter than that in the control group ([52.17±5.62] min),the differences were statistically significant (P<0.05).After surgery,the incidence of massive haemorrhage (2.00%),blood transfusion (0.00%),puerperal disease (2.00%) and hysterectomy (0.00%) of the observation group were lower than those in the control group (28.00%,20.00%,30.00%,10.00%),the differences were statistically significant (P<0.05).The total incidence of complications of the observation group (2.00%) was lower than that in the control group (24.00%),the difference was statistically significant (P<0.05).Conclusion Implementation of strap-uterine suture in the treatment of postpartum hemorrhage in puerperae with cesarean section can reduce the amount of postpartum hemorrhage and improve the adverse outcomes.
2017 Vol. 24 (36): 60-62 [Abstract] ( 234 ) HTML (1 KB)  PDF (399 KB)  ( 95 )
63 The clinical effect of patients with uterine atony postpartum hemorrhage in the treatment of Romethamine
XIONG Qing-qing
Objective To investigate the clinical effect of patients with uterine atony postpartum hemorrhage in the treatment of Romethamine.Methods From January 2016 to January 2017,84 patients of uterine atony postpartum hemorrhage treated in our hospital were selected as subjects and were randomly divided into observation group and control group according to the random table method,42 cases in each group.The control group was given conventional treatment,while the observation group was given Romethamine Injection on the basis of conventional treatment.The clinical efficacy,the postpartum hemorrhage and the adverse reactions of the two groups were compared and analyzed.Results The total effective rate of the observation group was 92.86%,which was significantly higher than that in the control group (76.19%),the difference was statistically significant (P<0.05).The third stage of labor in the observation group was shorter than that in the control group,the amount of postpartum hemorrhage of 2 and 24 h were less than those in the control group,and the decrease of hemoglobin in postpartum 24 h was lower than that in the control group,the differences were statistically significant (P<0.05).Two groups of patients showed different levels of nausea,flushing,diarrhea and elevated blood pressure rising,the total incidence of adverse reactions in the observation group was 9.52%,which was significantly lower than 26.19% of the control group,the difference was statistically significant (P<0.05).Conclusion The clinical efficacy of patients with uterine atony postpartum hemorrhage in the treatment of Romethamine can be improved significantly,the postpartum hemorrhage improves and the incidence of adverse reactions decreases.It is worthy of clinical application.
2017 Vol. 24 (36): 63-65 [Abstract] ( 224 ) HTML (1 KB)  PDF (428 KB)  ( 58 )
66 Application of bilateral ascending uterine artery ligation combined with Misoprostol in patients with postpartum hemorrhage and its effect on coagulation factor
WU Yu-liang
Objective To investigate the application of bilateral ascending uterine artery ligation combined with Misoprostol in patients with postpartum hemorrhage and its effect on coagulation factor.Methods 68 patients with postpartum hemorrhage treated in our hospital from October 2015 to October 2016 were selected as subjects and were divided into two groups by random number table method,34 cases in each group.The patients of control group were treated with B-Lynch suture,while the patients of observation group were treated with bilateral ascending uterine artery ligation combined with Misoprostol.Coagulation factor were detected before and after the treatment.Hemostatic effect,postoperative recovery and complications were compared between two groups.Results The success rate of hemostasis in the observation group was higher than that in the control group,the amount of bleeding and blood transfusion were less than those in the control group,the operation time and the length of hospital stay were shorter than those in the control group,and the differences were statistically significant (P<0.05).The lochia exposure time and postpartum menstrual cycle of patients in the observation group was shorter than those in the control group,menstruation after tide time was earlier than that in the control group,the differences were statistically significant (P<0.05).After treatment,the levels of Ang Ⅱ,clotting factor Ⅷ and clotting factor Ⅸ of patients in two groups were higher than before the treatment,the differences were statistically significant (P<0.05).After treatment,the levels of Ang Ⅱ,clotting factor Ⅷ and clotting factor Ⅸ of patients in observation group were higher than those in the control group,and the differences were statistically significant (P<0.05).The total incidence of complications in the observation group was lower than that in the control group,and the difference was statistically significant (P<0.05).Conclusion The application of bilateral uterine artery ligation combined with Misoprostol in patients with postpartum hemorrhage is significant effect,which can significantly improve coagulation factor status and help to control bleeding.
2017 Vol. 24 (36): 66-68转71 [Abstract] ( 226 ) HTML (1 KB)  PDF (590 KB)  ( 67 )
69 Effect of Insulin Aspart on the treatment of gestational diabetes mellitus and influence analysis on the serum oxide level in of patients
ZHOU Jing-jun CHEN Hai-ping
Objective To investigate the effect of Insulin Aspart on the treatment of gestational diabetes mellitus and influence analysis on the serum oxide level in of patients.Methods A total of 70 patients with gestational diabetes mellitus treated in our hospital from May 2015 to September 2016 were selected as subjects and evenly divided into research group and control group according to the random distribution method,35 cases in each group.In the control group,the Biological Synthetic Human Insulin was used,while in the research group,Insulin Aspart was adopted.The clinical efficacy and the concentration of peripheral serum oxidations were observed and compared.Results After treatment,the concentrations of active oxygen species and glutathione peroxidase in the research group were lower than those in the control group,the concentration of superoxide dismutase in the research group was higher than the control group,the differences were statistically significant (P<0.05).The total effectiveness rate in the research group was higher than that in the control group,the difference was statistically significant (P<0.05).Conclusion The application of Insulin Aspart in the treatment of gestational diabetes mellitus can obtain a definite effect,and also rectify the imbalance between the patients′ antioxidant substances and peripheral serum oxidation,which is worthy of clinical promotion.
2017 Vol. 24 (36): 69-71 [Abstract] ( 201 ) HTML (1 KB)  PDF (558 KB)  ( 99 )
72 Comparison of Apgar and NBNA scores between neonatal vaginal delivery and cesarean delivery
GAO Hang YOU Ming-xue YANG Zhen-zhen
Objective To investigate the effect of cesarean section and vaginal delivery on neonatal Apgar and NBNA scores.Methods 100 cases of cesarean section treated in our hospital were selected as the cesarean section group from January 2015 to January 2017,and 100 cases of maternal vaginal delivery treated in our hospital were selected as vaginal delivery group.The blood volume,length of hospitalization,newborn weight,neonatal Apgar score and NBNA score were compared between the two groups.Results There was no significant difference in Apgar scores between caesarean section group and vaginal delivery group (P>0.05).The blood volume of puerperae in the vaginal delivery group was less than that of cesarean section group,the length of hospitalization was shorter than that of cesarean section group,the weight of the newborn was lower than that of the cesarean section group,and the differences were statistically significant (P<0.05).The behavior ability,primitive reflection,passive muscle tension,active muscle tone and other NBNA scores of newborns in the two groups were compared,and the differences were not statistically significant (P>0.05).Conclusion There is no significant difference in the recent health status and neurobehavior of neonates with cesarean section and vaginal delivery.However,vaginal delivery is more safe and the long-term effect is smaller.It is suggested to reduce the rate of cesarean section as far as possible,and improve the health condition of puerpera and neonatal.
2017 Vol. 24 (36): 72-74 [Abstract] ( 206 ) HTML (1 KB)  PDF (560 KB)  ( 72 )
75 Effect of combined spinal epidural anesthesia with low dose Bupivacaine combined with Fentanyl in emergency cesarean section
PENG Wei KUANG Min-liang
Objective To investigate the effect of combined spinal epidural anesthesia with low dose Bupivacaine combined with Fentanyl in emergency cesarean section.Methods From February 2015 to April 2016,104 cases of emergency cesarean section in our hospital were selected as the research object,randomly divided into single drug group and combined treatment group,with 52 cases in each group.The single drug group was given Bupivacaine (7.5 mg) anesthesia,the combined drug group was given low dose Bupivacaine (5 mg)combined with Fentanyl (20 μg) combined with spinal epidural anesthesia.The results of operation anesthesia,the excellent rate of anesthesia and adverse reactions were observed between the two groups.Results The combined treatment group anesthesia onset time,anesthesia time,completely limb sensation recovery time were lower than those of the single drug group,the difference was statistically significant (P<0.05);The combined treatment group pain recovery time is higher than the single drug group,the difference was statistically significant (P<0.05);Fine rate of the combined treatment group was higher than that of the single drug group,the difference was statistically significant(P<0.05);The incidence of adverse reactions in the combined treatment group was significantly lower than that in the single drug group (7.69% vs. 25%),andthe difference was statistically significant(P<0.05).Conclusion Low dose Bupivacaine combined with Fentanyl combined with lumbar epidural anesthesia is effective in emergency cesarean section and has good analgesic effect and low incidence of adverse reactions.It is worthy of clinical use.
2017 Vol. 24 (36): 75-77 [Abstract] ( 177 ) HTML (1 KB)  PDF (346 KB)  ( 92 )
78 The clinical effect of combining ultrasound-guided femoral nerve block with day-case knee arthroscopy surgery on lower limb motor function
LI You-chun HUANG Chun-ling OUYANG Ai-ping
Objective To investigate the effect of ultrasound-guided femoral nerve block combine with day-case arthroscopy surgery of knee on lower limb motor function.Methods The clinical date of 72 cases of patient undergoing day-case arthroscopy surgery of knee in our hospital from March 2014 to September 2016 were selected to analyzed.The random digital table was used to divide it into a control group and an observation group, with 36 cases in each group.Patient in trial group were anaesthetized by the ultrasound-guided femoral nerve block,cases in control group were given spinal anesthesia method. The VAS,days of taking anodyne, self perception and knee function of these two groups were analyzed and compared.Results All patients were no postoperative complications occurred;Observation group of patients with postoperative 3 h VAS score lower than the control group,the difference was statistically significant (P<0.05);Observation group of patients with oral analgesics time less than the control group,the difference was statistically significant (P<0.05);Self feeling good rate of patients in the observation group after 14 d operatioin was higher than that of the control group,the difference was statistically significant (P<0.05);6 months observation group of patients with postoperative HSS score was higher than that of control group,the difference was statistically significant(P<0.05).Conclusion Ultrasound-guided femoral nerve block is good for patient received day-case arthroscopy surgery of knee,which can promote the recovery of patients′ knee function.
2017 Vol. 24 (36): 78-80 [Abstract] ( 202 ) HTML (1 KB)  PDF (445 KB)  ( 110 )
81 Application value of three-dimensional ultrasonographic omniview combined with volume contrast imaging in the diagnosis of fetal agenesis of the corpus callosum
XIONG Yan
Objective To investigate the clinical value of three-dimensional ultrasonographic omniview combined with  volume contrast imaging (VCI) in the diagnosis of fetal agenesis of the corpus callosum.Methods From October 2015 to May 2017,1054 fetuses for prenatal examinations in our hospital were selected as subjects.They were performed with two-dimensional ultrasound scanning,ultrasonographic omniview and ultrasonographic omniview combined with VCI to observe the displayed effects of the corpus callosum and the accuracy of diagnosing agenesis of the corpus callosum.Results The display rate of corpus callosum of the two-dimensional ultrasound was 72.96%,ultrasonographic omniview was 89.66% and ultrasonographic omniview combined VCI was 98.96%.The display rate of corpus callosum were compared with three methods,and the differences were statistically significant (P<0.05).Postpartum neonatal MRI examination results were used as gold standard,the accuracy of agenesis of corpus callosum in the two-dimensional ultrasound diagnosis was 5.4%,ultrasonographic omniview was 8.3%,the accuracy of ultrasonographic omniview combined with VCI was highest,at 81.2%.The accuracy of agenesis of corpus callosum were compared with three methods,and the differences were statistically significant (χ2=56.3,P<0.01).Conclusion Joint application of the three-dimensional ultrasonographic omniview combined with VCI in the diagnosis of fetal agenesis of the corpus callosum can obtain a remarkable effect and great accuracy.
2017 Vol. 24 (36): 81-83 [Abstract] ( 226 ) HTML (1 KB)  PDF (403 KB)  ( 151 )
84 Diagnostic value of color Doppler ultrasound in breast cancer
CAI Shu-hong JIANG Xiao-ming SHAN Ya-ting LIU Xiao-jie

Objective To investigate the value of color Doppler ultrasound in the diagnosis of breast cancer.Methods From January 2014 to December 2016,100 cases of breast masses suspected as breast cancer treated in our hospital were enrolled as the experimental subjects.They were all performed with ultrasound examinations.The pathological examination results were evaluated as gold standard.The diagnostic accuracy,specificity,sensitivity,misdiagnosis rate and missed diagnosis rate of the two methods were compared.Results Of the 100 patients with suspected breast cancer,the diagnosis of breast cancer was confirmed in 84 and the other 16 patients were benign lesions by pathologic examination.The color ultrasonography results indicated that 81 cases were diagnosed with breast cancer and the other 19 cases were benign tumors.There was no statistically significant difference of the total accuracy between color ultrasound diagnosis and pathological diagnosis of breast cancer patients (P>0.05).The proportion of the morphological irregularity,low echo with calcification point,low echo,posterior echo attenuation and axillary enlargement of lymph nodes of patients in malignant tumor group with color ultrasonography were significantly higher than those of benign tumor group,the differences were statistically significant (P<0.05).The proportion of the peak systolic velocity >15 cm/s,resistance index > 0.7 and blood flow class Ⅱ-Ⅲ of patients in malignant tumor group with color ultrasonography were far higher than those of benign tumor group,the differences were statistically significant (P<0.05).The sensitivity,specificity,missed diagnosis rate and misdiagnosis rate of color ultrasonography were 96.43%,84.21%,3.57% and 15.79% respectively.Conclusion Breast cancer can be characterized by the morphological irregularity,low echo with calcification point and posterior echo attenuation in ultrasound examination.Combined with the distribution of color blood flow and the characteristics of hemodynamics,it is helpful to distinguish benign and malignant tumors,and provides the basis for clinical treatment.
2017 Vol. 24 (36): 84-86转89 [Abstract] ( 179 ) HTML (1 KB)  PDF (556 KB)  ( 98 )
87 The characteristic and clinical diagnostic significance of ultrasonic indirect signs of acute appendicitis
XIONG Xiao-ling
Objective To investigate the characteristic and clinical diagnostic significance of ultrasonic indirect signs of acute appendicitis.Methods From January 2014 to December 2015,74 patients with acute appendicitis treated in our hospital were selected as the research objects.All patients were examined by color Doppler ultrasonography,and the indirect signs and diagnostic significance were analyzed.Results The ileocecal edema,local strong echogenicity,local effusion and lymph node enlargement of the patients in the ultrasound detection group were compared with the surgical detection group,and the differences were not statistically significant (P>0.05).The ileocecal edema,local strong echogenicity,local effusion and lymph node enlargement of the patients in the ultrasound undetected group were compared with the surgical detection group,and the differences were not statistically significant (P>0.05).The detection rate of increased peristalsis of the patients in the ultrasound undetected group was compared with the ultrasound detection group,and the difference was not statistically significant (P>0.05),while the detection rate of lymph node enlargement,mixed lump,tenderness and rebound tenderness were higher than the patients in the ultrasound detection group,and the differences were statistically significant (P<0.05).Conclusion The indirect signs of appendicitis in acute appendicitis have a good effect on the diagnosis.The ileocecal edema,local strong echogenicity,tenderness and rebound tenderness,mixed lump as the main observation index in the diagnosis of acute appendicitis,worthy of clinical application.
2017 Vol. 24 (36): 87-89 [Abstract] ( 196 ) HTML (1 KB)  PDF (514 KB)  ( 83 )
90 Analysis the applied value of multi-phase dynamic enhanced MRI in differential diagnosis of benign and malignant liver lesions
CHEN Lin-juan
Objective To investigate the applied value of multi-phase dynamic enhanced MRI in differential diagnosis of benign and malignant liver lesions.Methods From March 2015 to September 2016,79 cases patients with liver lesions in our hospital were randomly selected as the research objects,both MRI scan and dynamic contrast scan were performed.Combined with postoperative pathological diagnosis,the imaging features of benign and malignant lesions were compared,and the value of multi-phase dynamic enhanced MRI scan in the diagnosis and differential diagnosis of benign and malignant liver lesions was observed and compared.Results 105 lesions were detected in 79 patients with liver lesions.The signal of the lesions showed high signal of T2WI and low signal of T1WI.Dynamic enhanced scan showed nodular enhancement at the margin of the lesion.The signal began to strengthen at the margin and gradually strengthened at the center of the lesion.The diagnostic accuracy of MRI multi-phase dynamic enhanced scan in liver lesions was 92.41%,and the sensitivity of diagnosing benign liver lesions was 96.00% and specificity was 86.21%.Conclusion Multi-phase dynamic enhanced MRI scanning technique has higher in the differential diagnosis of benign and malignant liver lesions in the specificity,sensitivity and accuracy of treatment to guide the clinical treatment in patients with abnormal liver to make reasonable,it is widely used in clinical practice.
2017 Vol. 24 (36): 90-92 [Abstract] ( 153 ) HTML (1 KB)  PDF (560 KB)  ( 77 )
93 Evaluation effect of pancreatitis CT necrosis grading on the efficacy of pancreatitis
LIU Jin-cai
Objective To investigate the evaluation effect of pancreatitis CT necrosis grading on the efficacy of pancreatitis.Methods From July 1,2014 to July 1,2017,55 patients with necrotizing pancreatitis treated in our hospital were selected as the subjects.All patients received CT scan,the CT necrosis grading and prognosis indicators of pancreatitis were analyzed comprehensively to evaluate the therapeutic effect.Results By CT scan,16 cases of point or slice necrosis,22 cases of segmental necrosis and 17 cases of the total pancreas necrosis were diagnosed.The fasting time ([7.12±2.01] d),heating time ([2.48±2.14] d) and hospitalization days ([16.25±5.52] d) of patients with point or slice necrosis were shorter than those of patients with segmental necrosis ([10.26±2.25],[4.52±2.13],[20.16±4.34] d) and the total pancreas necrosis ([15.34±3.31],[6.67±3.32],[40.26±7.15] d),the differences were statistically significant (P<0.05).The fasting time,heating time and hospitalization days of patients with segmental necrosis were shorter than those of patients with total pancreas necrosis,the differences were statistically significant (P<0.05).The incidence rate of the formation of pseudosaccus,organ failure and suffered organ damage was compared in the patients with different CT necrosis grading,the differences were not statistically significant (P>0.05).The transshipment operation rate and mortality of patients with point or slice necrosis and segmental necrosis were compared,the differences were not statistically significant (P>0.05).While the transshipment operation rate (35.29%) and mortality (29.41%) of patients with total pancreas necrosis were higher than those of patients with point or slice necrosis (0.00%,6.25%) and segmental necrosis (9.09%,9.09%),the differences were statistically significant (P<0.05).Conclusion The accuracy of CT in the pancreatic necrosis grading is high.After grading the degree of pancreatic necrosis,the corresponding therapeutic regimen can be adopted in order to improve the prognosis and ensure patients′ life.
2017 Vol. 24 (36): 93-95 [Abstract] ( 200 ) HTML (1 KB)  PDF (581 KB)  ( 61 )
96 Effect comparision of Compound Azimtamide Enteric-coated Tablets and Compound Digestive Enzyme combined with separately Flupentixol and Melitracen Tablets treating chemical dyspepsia
HOU Li-xin LI Shuang HONG Shang-you LI Shu GOU Xiao-jun
Objective To observe the clinical effect of Mite and Compound Digestive Enzyme combined with Deanxit separately in the treatment of chemical dyspepsia.Methods 110 outpatients and inpatients with chemical dyspepsia treated in department of gastroenterology of Baoshan Branch of Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine form January 2014 to December 2016 were selected as study subjects and they were divided into the two groups according to the random number table method.55 cases in the treatment group were treated with Mite combined with Deanxit while 55 patients in the control group were treated with Compound Digestive Enzyme combined with Deanxit.The treatment time was 2 months.Clinical curative effect in patients of the two groups was observaed,and the symptoms integral of GSRS before and after treatment in patients between the two groups were compared,and the incidence of adverse reaction during treatment process in patients of the two groups was recorded.Results The total effective rate was 92.7% in the treatment group,which was obviously higher than that of the control group (76.4%) (P<0.01).After treatment,GSRS score in the two groups was significantly lower than before treatment,and the difference was statistically significant (P<0.01) and GSRS score in the treatment group after treatment was significantly lower than that in the control group,and the difference was statistically significant (P<0.01).Conclusion The effect of Mite combined with Deanxit in the treatment of chemical dyspepsia is more significant compared with Compound Digestive Enzyme combined with Deanxit.It is worthy of clinical promotion and further normative study.
2017 Vol. 24 (36): 96-98转101 [Abstract] ( 204 ) HTML (1 KB)  PDF (488 KB)  ( 246 )
99 Clinical effect and safety analysis of Cisapride in the treatment of functional constipation
YANG Xue-chun WANG Shuai
Objective To analyze the clinical effect and safety of Cisapride in the treatment of functional constipation.Methods 98 patients with functional constipation treated in our hospital from October 20,2015 to March 5,2016 were selected and they were divided into the control group (n=49) and observation group (n=49) .Patients in the control group were treated with Maren Pills,while patientsin the observation group were treated with Cisapride.Clinical effect between the two groups was compared.Results The total effective rate of the observation group was 91.83%,which was higher than that of the control group (71.45%),the incidence of adverse reactions was 6.12% in the observation group,which was lower than that of the control group (20.41%),the recurrence rate was 10.21% in observation group,which was lower than that of the control group (30.61%) (P<0.05).The symptom improvement time of the observation group after treatment was shorter than that of the control group,and the daily defecation frequency was more than that of the control group (P<0.05).Conclusion The effect of Cisapride in the treatment of functional constipation is significant,and it can reduce the abdominal pain,diarrhea,vomiting and other adverse reactions,can promote the rapid recovery of patients,it is worthy of popularization and application.
2017 Vol. 24 (36): 99-101 [Abstract] ( 213 ) HTML (1 KB)  PDF (446 KB)  ( 96 )
102 Comparative analysis of sedative effect of Dexmedetomidine Hydrochloride or Midazolam in mechanical ventilation
LI Hui-hua
Objective To study the sedative effect of Dexmedetomidine Hydrochloride or Midazolam in mechanical ventilation.Methods 60 patients with mechanical ventilation from June 1,2016 to May 31,2017 treated in our hospital were selected and they were divided into the two group in random by computer and there were 30 cases in each group.Patients in the control group were given Midazolam,while patients in the observation group were given Dexmedetomidine Hydrochloride.The sedative effect,time to take sedation,awakening time after drug discontinuance,mechanical ventilation time,extubation time after drug discontinuance,hospital stay,related indexes,occurrence of adverse reaction were compared in patients between the two groups.Results After sedation,Ramsay score in patients of the observation group was lower than that of the control group,and time to take sedation,awakening time after drug discontinuance,extubation time after drug discontinuance,and hospital stay were shorter than those in the control group (P<0.05).The blood pressure,heart rate,and respiratory frequency after sedation were not displayed statistical differences compared with before in the observation group (P>0.05).There were statistical significance in these indicators between the observation group and control group after sedation (P<0.05).There was no statistical difference of mechanical ventilation time between inter-group comparison (P>0.05).The incidence of adverse reaction in the observation group was lower than that in the control group (P<0.05).Conclusion Compared with Midazolam,application of Dexmedetomidine Hydrochloride in mechanical ventilation exerts a more powerful sedative effect and higher safety,which is applicable for clinical promotion and application.
2017 Vol. 24 (36): 102-104 [Abstract] ( 200 ) HTML (1 KB)  PDF (521 KB)  ( 104 )
105 Study of efficacy and safety of Clopidogrel combined with Atorvastatin and Low Molecular Dextran in the treatment of cerebral watershed infarction
LUO Wen-feng LIU Jun-jie LAI Hai-yan LUO Ting
Objective To investigate the efficacy and safety of Clopidogrel combined with Atorvastatin and Low Molecular Dextran in the treatment of cerebral watershed infarction.Methods From October 2016 to January 2017,the clinical data of 65 patients with cerebral watershed infarction in our department were analyzed.According to different therapeutic methods,they were divided into the control group (n=25) and the observation group (n=40).The control group was treated with low molecular dextran,and the observation groupwas treated with Clopidogrel combined with Atorvastatin.The activities of daily living (ADL) score,NIHSS score,and BI score before and after treatment were compared between the two groups.The total effectiveness rate of clinical treatment,the incidence rate of deterioration of neurological function in the 7 days of cerebral watershed infarction,symptomatic intracranial hemorrhage,and death were observed in the two groups.Results There was no significant difference in the ADL score,NIHSS score,and BI score before treatment in the two groups (P＞0.05).The ADL score,NIHSS score,and BI score after treatment in the two groups were all higher than those before treatment,and the ADL score,NIHSS score,and BI score after treatment in the observation group were all superior to those in the control group,with significant difference (P＜0.05).The total effectiveness rate in the observation group was higher than that in the control group,the incidence rate of neurological deterioration in the 7 days of cerebral watershed infarction,symptomatic intracranial hemorrhage,and death in the observation group were lower than those in the control group,with statistical differences (P＜0.05).Conclusion Application of Clopidogrel combined with Atorvastatin in the treatment of cerebral watershed infarction has a remarkable clinical effect,great improvement of clinical symptoms,and low incidence of adverse events,which is worthy of clinical promotion and application.
2017 Vol. 24 (36): 105-107 [Abstract] ( 216 ) HTML (1 KB)  PDF (570 KB)  ( 57 )
108 Clinical value of Tirofiban Hydrochloride in emergency percutaneous coronary intervention in patients with acute myocardial
FENG Ji LIU Juan-feng YAN Mei-jun
Objective To investigate clinical value of Tirofiban Hydrochloride in emergency percutaneous coronary intervention in patients with acute myocardial.Methods 112 patients with acute myocardial treated emergency percutaneous coronary intervention in our hospital from August 2014 to August 2016 were selected and divided into the control group and the observation group according to random number table method,56 cases in each group.The control group was treated with conventional treatment,the observation group was given combination with Tirofiban Hydrochloride.The condition of blood flow,cardiac function,indicator repeat time,adverse events were compared between two groups.Results After treatment,TIMI blood flow of infarct related vessels and cardiac function improved in the two groups (P＜0.05).TIMI blood flow of infarct related vessels and cardiac function improvement in the observation group after treatment were better than those in the control group (P＜0.05).Recovery time of ST segment,occurrence time of myocardial enzyme peak in the observation group were earlier than those in the control group (P＜0.05).Hospitalization time in the observation group was less than that in the control group (P＜0.05).The incidence of adverse events (intraoperative slow flow,reperfusion arrhythmia,bleeding,thrombocytopenia) in the observation group were lower than those in the control group (P＜0.05).Conclusion As emergency percutaneous coronary intervention in patients with acute myocardial,tirofiban hydrochloride can improve TIMI blood flow and cardiac function,which can also reduce the risk of adverse events.
2017 Vol. 24 (36): 108-110转125 [Abstract] ( 209 ) HTML (1 KB)  PDF (857 KB)  ( 147 )
111 Clinical effect observation of traditional Chinese medicine enema combined with thunderbolt moxibustion treating protracted chronic pelvic inflammation
PENG Jing-gen YANG Lin-fang
Objective To observe the clinical effect of traditional Chinese medicine enema combined with thunderbolt moxibustion treating protracted chronic pelvic inflammation.Methods 102 patients with protracted chronic pelvic inflammation treated in our hospital from August 2014 to September 2017 were collected.The patients were divided into the observation group and control group according to the digital parity method,and each group had 51 cases.The control group was given a single traditional Chinese medicine enema treatment,while the observation group was given traditional Chinese medicine enema combined with thunderbolt moxibustion treatment.The treatment effect between the two groups was compared.Results After treatment,TCM syndrome score were significantly reduced in both two groups,and the TCM syndrome score in the observation group was (4.67±1.62) points,which was significantly lower than that in the control group([8.95±1.43] points) (P<0.05).The total effective rate was 92.16% in the observation group,which was significantly higher than that in the control group (68.63%) (P<0.05).Conclusion The effect of traditional Chinese medicine enema combined with thunderbolt moxibustion treating protracted chronic pelvic inflammation isideal,and significantly reduce TCM syndrome score of patients,reduce the pain and promote recovery of patients,and have a higher promotion value.
2017 Vol. 24 (36): 111-113 [Abstract] ( 210 ) HTML (1 KB)  PDF (439 KB)  ( 133 )
114 Clinical research of Reyanbao matching with chiropractic manipulation treating with Lumbar disc herniation
YANG Feng-yun DENG Xu-yong WANG Li-hua YANG Wen-long LIU Min CHEN Gang XU Su-mei
Objective To observe the clinical effect of Reyanbao matching with chiropractic manipulation treating with Lumbar disc herniation.Methods Eighty patients with lumbar disc herniation treated in Affiliated Hospital of Jiangxi College of Traditional Chinese Medicine from December 2013 to February 2015 were selected and they were randomly divided into the two groups,and there were 40 cases in each group.The treatment group was given Reyanbao+chiropractic manipulation;the control group:traditional pelvic traction+oral Celecoxib.The visual analogue score (VAS) was used to evaluate the pain degree,and the clinical efficacy of the two groups was observed.Results The effective rate was 92.75％ in the treatment group,which was higher than that of the control group (82.75％).VAS score in the treatment group after treatment was lower than that of the control group,and there was a statistical difference  (P<0.05).Conclusion Reyanbao matching with chiropractic manipulation treating with Lumbar disc herniation can relieve the pain degree of patients,improve the clinical curative effect.
2017 Vol. 24 (36): 114-116 [Abstract] ( 225 ) HTML (1 KB)  PDF (557 KB)  ( 123 )
117 Clinical research of external application of Huangbai Gushang Powder in the treatment of knee osteoarthritis of type qi stagnation and blood stasis
QU Zhen PANG Rui-ming CHEN Xiao-qing CHEN Feng-zhen ZENG Wei-kun LIN Xiao-hui
Objective To explore the efficacy and safety of Huangbai Gushang Powder as an external application in the treatment of knee osteoarthritis (KOA),and enrich the theory of external treatment for KOA using traditional Chinese medicine.Methods From July 2016 to August 2017,100 outpatients and inpatients with KOA treated in Shenzhen Baoan Hospital (Group) of Traditional Chinese Medicine were divided into the treatment group (n=50) and control group (n=50).In the treatment group,oral administration of Aceclofenac Dispersible Tablets combined with external application of Huangbai Gushang Powder was provided,while in the control group,only oral administration of Aceclofenac Dispersible Tablets were used.The effectiveness indexes (serum tumor necrosis factor-alpha,serum interleukin-1,clinical pain score,WOMAC score of knee joint function) and the safety indexes (score of local skin stimulating response score) were compared in patients between the two groups.Results After treatment,the serum tumor necrosis factor-alpha,serum interleukin-1,clinical pain score,WOMAC score of knee joint function,and the score of local skin stimulating response in the treatment group were all superior to those in the control group,and there was a statistical difference (P<0.05).Conclusion External application of Huangbai Gushang Powder in the treatment of KOA has a higher effectiveness and safey,and it is beneficial to treatment and rehabilitation of patients.
2017 Vol. 24 (36): 117-119 [Abstract] ( 230 ) HTML (1 KB)  PDF (633 KB)  ( 191 )
120 Curative effect observation of seed-embedding at otopoints treating constipation after thoracolumbar compression fracture
LIU Hui-qin JIANG Peng-ying
Objective To explore the effect of seed-embedding at otopoints treating constipation after thoracolumbar compression fracture.Methods 60 patients with constipation after thoracolumbar compression fracture treated in our department December 2015 to August 2017 were selected as object.The "random number generation expert" software was used to randomly generate 60 numbers in the range of 1-60 and numbered it,then patients were randomly divided into the control group (n=30) and experimental group (n=30).The control group was treated with blank paste treatment,and the experimental group was treated with seed-embedding at otopoints.The total effective rate and defecation score were compared in patients between the two groups.Results The total effective rate of the patients in the experimental group was 93.33%,which was significantly higher than that of the control group (P<0.05).After treatment,the score of the strength of the defecation,the interval of defecation,the time of defecation,the shape of the stool in the experimental group were significantly lower than those of the control group (P<0.05).Conclusion The effect of seed-embedding at otopoints treating constipation after thoracolumbar compression fracture is significant,and can improve the quality of life of patients.
2017 Vol. 24 (36): 120-122 [Abstract] ( 224 ) HTML (1 KB)  PDF (628 KB)  ( 185 )
123 Significance of serum tumor markers in the diagnosis and differential diagnosis of pelvic benign and malignant gynecological tumors
WU Jie-ru
Objective To investigate the diagnosis and differential significance of serum tumor markers in pelvic benign and malignant gynecological tumors.Methods Fifty patients with pelvic gynecologic tumor in our hospital from July 5 to December 23,2016 were selected as the research object,According to the nature of the tumor was divided into benign and malignant group(25 cases),and 50 healthy subjects were taken as control group.All patients were given serum tumor markers to detect the detection of positive and biochemical indicators.Results The  positive rate of CA153,CA125 of malignant group were 52.00%,92.00%,higher than the benign group(4.00%,60.00%),the difference was statistically significant(P<0.05),The positive rate of CEA,AFP,CA199  in the  two  groups had,no significant difference(P>0.05);CEA,AFP of the three groups had no statistical significance(P>0.05).In the malignant groups,CA199,CA153,CA125,respectively were[(150.89±7.06),(107.57±4.24),(446.19±10.07)U/ml],benign tumor group [(44.31±3.82),(17.15±1.38),(52.43±5.65)U/ml],were higher than[12.19±0.93),(8.02±0.46),(15.02±2.18)U/ml] of the control group,was statistically significant(P<0.05).Conclusion The detection of serum tumor markers in the diagnosis of pelvic benign and malignant gynecological tumors has a high clinical value and is favorable to the development of treatment regimens.
2017 Vol. 24 (36): 123-125 [Abstract] ( 189 ) HTML (1 KB)  PDF (360 KB)  ( 106 )
126 Changes of serum trace elements and humoral immune factors in children with recurrent respiratory tract infection and their clinical significance
YANG Li-lin
Objective To analyze the changes of serum trace elements and humoral immune factors in children with recurrent respiratory tract infection and their clinical significance.Methods A total of 56 children with recurrent respiratory tract infection were treated in our hospital from January 2016 to January 2017.The number of patients with repeated respiratory tract infection was set up as observation group.In addition,78 normal healthy children were collected at the same period after physical examination,and they were set as control group.Serum trace elements,humoral immune factors and serum complement and C reactive protein levels were measured in two groups of subjects.Results Blood trace elements,humoral immune factors and serum complement and C reactive protein were detected in the two groups,but the blood trace elements and humoral immune factors in the observation group were significantly lower than those in the control group.The serum complement and C reactive protein levels in the observation group were significantly higher than those in the control group,and all the differences showed significant (P<0.05).Conclusion In the implementation of the clinical diagnosis of children with recurrent respiratory tract infection,through the change of blood trace elements and humoral immune factors can play a good effect in clinical diagnosis and treatment can also be carried out according to the corresponding treatment level,in order to achieve better results.
2017 Vol. 24 (36): 126-128转134 [Abstract] ( 190 ) HTML (1 KB)  PDF (821 KB)  ( 69 )
129 Data analysis of questionnaire investigation for pharmaceutical service work in outpatient of a hospital
WU Jun LEI Li-jiao FENG Li-ya PENG Su-wen KUANG Yan MO Yan-ting LUO Yun-qing YUAN Wen-bin FENG Nian-bin
Objective To understand outpatients′ requirements of pharmaceutical service and to provide basis for the pharmacists exploring how to improve the pharmaceutical service quality.Methods From July to August 2016,a questionnaire survey was conducted among 200 patients who took medicine in the dispensary of a hospital.The content of the patients′ satisfaction degree with pharmacist service and the demand for new pharmaceutical service developed were studied,and the data were analyzed according to the results of the questionnaire survey.Results 181 valid questionnaires were collected.97.8% of the patients were informed about the therapeutic regimens;82.3% were aware of drug safety;98.3% were satisfied with the attitude of the pharmacists.Conclusion Pharmacists are expected to provide more professional pharmaceutical service and plumb personalized pharmaceutical services in order to strengthen the information construction of pharmacy.
2017 Vol. 24 (36): 129-131转157 [Abstract] ( 191 ) HTML (1 KB)  PDF (902 KB)  ( 68 )
132 Application effect of optimizing emergency nursing process in patients with head injury
LIU Xiao-lan
Objective To explore the application effect of optimizing emergency nursing process in patients with head injury.Methods 57 patients with head injury from February to November 2015 of emergency department were selected as the control group,and given with traditional emergency nursing process,while 57 patients with head injury from January to November 2016 of emergency department were randomly selected as the intervention group,and given with optimizing emergency nursing process.The time of admission,triage and evaluation,medication and first aid,rescue success rate and nursing quality score in the two groups were evaluated.Results The time of admission,triage and evaluation, and first aid in the intervention group were shorter than those in the control group (P<0.05).The rescue success rate in the intervention group was higher than that in the control group (χ2=5.402,P=0.020).The nursing quality score for family members of patients in the intervention group was higher than that in the intervention group (P<0.05).Conclusion Optimizing emergency nursing process intervention can effectively improve the success rate of rescue,shorten the time of nursing process of emergency and improve the nursing quality of department.
2017 Vol. 24 (36): 132-134 [Abstract] ( 172 ) HTML (1 KB)  PDF (495 KB)  ( 181 )
135 Research on maintenance and maintenance countermeasure of medical linear accelerator
CAO Can
Medical linear accelerator has been widely used and played a significant role in the radiotherapy of tumor patients at present.In order to ensure the quality of service,the precision of treatment and medical linear accelerator work well,it is significant to study the effective method to carry out scientific management.Effective measures are taken to intervene in the maintenance and maintenance of medical linear accelerator,which is of great value to the improvement of the application value of medical linear accelerator.
2017 Vol. 24 (36): 135-136 [Abstract] ( 199 ) HTML (1 KB)  PDF (490 KB)  ( 108 )
137 Application effect of team management mode in emergency nursing management
XIONG Nian-xiu WU Min TU Qun HU Jiang-min LIU Xi-mei
Objective To analyze the application effect of team management mode in emergency nursing management.Methods From June to December 2015,70 patients treated in the emergency department were selected as the control group,while another 70 patients after carrying out team management mode from January to September 2016 were selected as the observation group.The satisfaction degree of basic nursing,service attitude,and the nursing quality scores of qualification rate of filling in information by nurse,performance technique,and department management were compared in patients between the two groups.Results In the observation group,satisfaction degree of the basic nursing,and service attitude were all higher than those in the control group (P＜0.05).The scores of the quality rate of filling in information by nurse,performance technique,and department management were all much higher than those in the control group with statistical differences (P<0.05).Conclusion In the emergency nursing management,the team management mode can improve the overall quality of the nurses,and further increase the patients′ satisfaction degree on nursing performance.Great improvement of nursing quality can facilitate a favorable nurse-patient relationship,which is worthy of application and promotion in nursing management.
2017 Vol. 24 (36): 137-139 [Abstract] ( 186 ) HTML (1 KB)  PDF (562 KB)  ( 96 )
140 Effect analysis of sterilization qualitymonitoring and management of disinfectant supply room
CHEN Hong
Objective To observe and analyze theeffect ofsterilization quality monitoring and management of disinfectant supply room.Methods From January to December 2016,500 sterile samples from disinfectant supply room were studied by regularly monitoring the quality of sterilization in sterile supply room in order to find the problems and take countermeasures in time.Theprobability of qualified air in disinfectant area before and after management,qualified rate of medical stuff’s hands,and eligible sterilization rate were compared.The quality of work and satisfaction from all departments were analyzed before and after management.Results The probability of qualified air in disinfectant area and qualified rate of medical stuff’s hands were 98.00% and 96.4% after management,which were all higher than those in the control group.The qualified rate of sterilization before and after management was displayed a great difference (P<0.05).After the performance,the score of work quality and scores of satisfaction from every department were improved compared with before.Conclusion Aiming at improving the medical safety of sterile supply center,implementation of the quality monitoring and management of disinfectant supply room obtains a remarkable effect.
2017 Vol. 24 (36): 140-142 [Abstract] ( 212 ) HTML (1 KB)  PDF (390 KB)  ( 200 )
143 The role of preventive in tervention in the control of AIDS epidemic
TANG Xiao-rong LIANG Hong-li
Objective To analyze the role of prevention intervention in controlling AIDS epidemic.Methods From October 2015 to October 2016, 50 residents of the community affected by the CDC were selected and AIDS survey was conducted on the selected subjects. The causes and preventive measures of HIV/AIDS were investigated for the investigators Health care lectures and other preventive interventions to analyze and compare the role of preventive interventions in the control of HIV/AIDS by comparing the degree of awareness of HIV/AIDS knowledge and the attitude towards HIV/AIDS among participants after prevention interventions and prevention interventions.Results After prevention intervention,the awareness rate of AIDS knowledge (92%) was significantly higher than before intervention (56%). The rate of non-discrimination against AIDS patients after intervention (82%) was significantly higher than before intervention (52%), and the difference was statistically significant (P<0.05).Conclusion Preventive intervention through health education and questionnaire can increase people's understanding of AIDS, reduce discrimination against AIDS patients, and have a very important role and significance to AIDS prevention and control.
2017 Vol. 24 (36): 143-145 [Abstract] ( 210 ) HTML (1 KB)  PDF (450 KB)  ( 68 )
146 Application of top-quality course construction in nursing training
LIU Yan
Objective To discuss the application effect of top-quality course construction in nursing training.Methods 190 nurses of our hospital were selected as the research objects from April 2014 to June 2016.According to the random number grouping method,they were divided into the control group and the experimental group,and there were 95 cases in each group.The control group received routine nursing knowledge and skills training,while the experimental group received high-quality courses for nursing training.The training effect of nursing staff and satisfaction degree of nursing staff were compared between the two groups.Results The demand of nursing staff for training,the nursing knowledge accounted for 26.32%,communication skills accounted for 28.42%,practical operation accounted for 21.05%,and new nursing methods accounted for 24.21%.The score of theoretical knowledge,communication skills,practical operation and nursing method in the experimental group were significantly higher than those in control group,the two groups had significant difference (P<0.05).The total satisfaction degree of the nursing staff in the experimental group was 95.79%,which was significantly higher than that of the control group (77.89%),and the difference between the two groups was statistically significant (P<0.05).Conclusion Developing the top-quality course of nursing can effectively improve the training effect and satisfaction degree of nursing staff,enhance the enthusiasm of nursing staff,improve the overall professional quality of nursing staff,and it can provide a guarantee to improve the quality of clinical care and patient safety.
2017 Vol. 24 (36): 146-148 [Abstract] ( 180 ) HTML (1 KB)  PDF (345 KB)  ( 196 )
149 Discussion on the problems faced by clinical practice and the reform of teaching
ZHOU Xiang CHEN Jian-chang XU Wei-ting
Medicine is a very practical subject,and it has a strict requirement for the doctors′professionalism.Internship is an important stage for medical students in the transition from theoretical study to clinical practice,and it plays an important role in the growth of medical students.In recent years,due to various reasons,the effects of clinical practice internship are very poor,which may have a serious impact on their future career.Therefore,it is imperative to promote clinical teaching reform.Based on years of internship teaching experience,the author summarizes the problems in the current clinical practice and put forward a series of solutions,hoping to gradually improve the quality of clinical internship in the future.
2017 Vol. 24 (36): 149-151 [Abstract] ( 159 ) HTML (1 KB)  PDF (439 KB)  ( 123 )
152 Modified urinary catheter nursing after urethroplasty with tongue mucosa
WAN Yan-na NIE Ai-ping FU Ling-min
Objective To analyze the effect of modified urethral catheter nursing after tongue mucosa urethroplasty.Methods From January 2015 to June 2017,68 cases of patients with tongue mucosa urethroplasty who were treated in our hospital were enrolled and divided into the observation group and the control group by random number table,34 cases in each group.The control group was treated with traditional catheter,and the observation group was treated with improved catheter.The survival rate,complication rate,tube length,length of stay and maximum urinary flow rate were compared between the two groups.Results The two groups had no significant difference in the survival rate of tongue mucosa (P＞0.05).Compared with the control group,the complication rate of observation group was significantly lower (P<0.05),intubation time and hospitalization time was shorter (P<0.05),maximum urinary flow rate was greater,the difference was statistically significant (P<0.05).Conclusion Modified urethral catheter after tongue mucosa urethroplasty can effectively improve the treatment effect,reduce complications and shorten the recovery time.
2017 Vol. 24 (36): 152-154 [Abstract] ( 180 ) HTML (1 KB)  PDF (413 KB)  ( 153 )
155 Application effect of staged health education model in assisted reproductive technology for pregnant patients
LIAO Guang-hua
Objective To analyze and study the application effect of assisted reproductive technology for pregnant patients by using staged health education model.Methods From January 20 to March 10 in 2017,56 patients with the help of assisted reproductive technology for pregnancy were enrolled.They were evenly divided into observation group and control group.In the control group,the conventional health education model was used,and in the observation group,the staged health education model was adopted.The nursing satisfaction by these participants and scores of mastering health education were compared between the two groups.Results After staged health education in the observation group,the scores of knowledge mastery in the fourth stage,third stage,second stage,and first stage were (95.12±1.45) points,(90.15±1.59) points,(85.45±1.45) points and (86.29±2.49) points,which were all higher than those in the control group,(70.11±0.25) points,(72.29±1.65) points,(36.11±2.45) points and(50.21±2.78) points,the differences were statistically significant(P<0.05).The nursing satisfaction in the observation group was 89.29%,significantly higher than that the control group accounting for 64.29%,the difference was statistically significant(P<0.05).Conclusion The implementation of staged health education model in assisted reproductive technology for pregnant patients has a remarkable nursing effect,and it is worthy of promotion and application.
2017 Vol. 24 (36): 155-157 [Abstract] ( 167 ) HTML (1 KB)  PDF (511 KB)  ( 164 )
158 Application effect of evidence-based nursing in patients with cholecystolithiasis after laparoscopic surgery
LI Ying XU Ai-yu CHEN Jian-jian
Objective To explore the application effect of evidence-based nursing in patients with cholecystolithiasis after laparoscopic surgery.Methods From March 2015 to March 2017,100 patients presenting with pain after laparoscopic cholecystectomy were enrolled.According the the order of admission,they were divided into control group (n=50) and research group (n=50).The patients in the control group were provided with routine nursing,and the patients in the research group were provided with routine nursing combined with evidence-based nursing intervention.The pain duration and VAS score between the two groups were compared and analyzed.Results There was a significant difference in the duration of pain after surgery between the two groups(P<0.05).The VAS score between the two groups was displayed a statistical difference(P<0.05).Conclusion The application of evidence-based nursing in patients with pain after laparoscopy is effective,and can effectively improve the degree of postoperative pain,shorten the pain duration,which is worthy of clinical promotion.
2017 Vol. 24 (36): 158-160 [Abstract] ( 194 ) HTML (1 KB)  PDF (548 KB)  ( 74 )
161 Causes of pruritus in maintenance hemodialysis patients and nursing countermeasures
YAN Hua-zhen
Objective To explore the causes of skin pruritus in maintenance hemodialysis patients and the nursing countermeasures.Methods 48 patients with maintenance hemodialysis treated in our hospital from May  2016 to May 2017 were selected as subjects.The patients were randomly divided into observation group and control group according to odd and even numbers,24 cases in each group.The control group was used routine nursing intervention,the observation group was used target nursing intervention.Followed by comparison of two groups of negative emotions,adverse events,satisfaction,skin pruritus symptom score.Results The satisfaction rate (100.00%) in the observation group was higher than that in the control group (80.00%),the incidence of adverse events (1.67%),pruritus symptom score [(1.02±0.23) points] and anxiety score [(12.02±1.35) points],depression score [(11.04±1.53) points] were lower than those in control group (20.00%),pruritus symptom score [(2.86±0.74) points],anxiety score [(23.69±2.74) points],depression score [(22.86±2.86) points],the differences were statistically significant (P<0.05).Conclusion After analyzing the pruritus factors in maintenance hemodialysis patients,the targeted nursing intervention can improve the pruritus symptoms and reduce the incidence of adverse events.
2017 Vol. 24 (36): 161-163 [Abstract] ( 171 ) HTML (1 KB)  PDF (594 KB)  ( 124 )
164 The correlation of psychological stress response and psychological resilience in emergency observation patients
HUANG Qun-xing LIU Yang-Hui LIU Chun-mei
Objective To investigate the psychological stress and psychological resilience in emergency observation patients,and to analyze its correlation.Methods 232 patients in the emergency observation room of our hospital from June to December 2016 were selected as the subjects,and investigated by stress-reaction questionnaire and Chinese adult Resilience Scale.Results The patients psychological pressure reaction score was (53.79±10.44) points,the emotional response and body reaction score were significantly higher than the national norm,the differences were statistically significant (P<0.01).The behavioral response was significantly lower than the national norm,the difference was statistically significant (P<0.01).The resilience score was (80.07±14.97) points,and the coping style in solving focus was the highest score,in the acceptance was the lowest score.There were negatively correlated between the total score of resilience and the scores of each dimension were with emotional response and somatic reaction score (P<0.01),and positively correlated with behavioral response score (P<0.05).Conclusion There are widespread psychological stress reactions in emergency observation patients,the psychological resilience is closely related to psychological pressure,and clinical doctors and nurses can provide targeted nursing according to their specific psychological resilience,so as to promote the rehabilitation of diseases.
2017 Vol. 24 (36): 164-166转169 [Abstract] ( 189 ) HTML (1 KB)  PDF (745 KB)  ( 119 )
167 Observation of high quality nursing service mode in parturient nursing after cesarean section
NIE Juan-juan ZHANG Ya-jing LIANG Fang
Objective To explore the application effect of high quality nursing service mode in parturient nursing after cesarean section.Methods From January 2016 to May 2017,66 patients undergone cesarean delivery in our hospital were enrolled as research objects.By ranclom draw method,they were evenly divided into research group (high quality nursing service mode) and control group (conventional nursing mode),33 cases in each group.The degree of postoperative pain and incidence of postpartum depression in puerperae in the two groups were compared.Results The incidence of postpartum depressionin in the research group (3.0%) was lower than that in the control group (18.2%),with significant difference (P<0.05).The average score of pain in the research group was lower than that in the control group,with significant difference (P<0.01).Conclusion The application effect of high quality nursing service mode in parturient nursing after cesarean section is definite,which can effectively reduce the postoperative pain and the incidence of postpartum depression.
2017 Vol. 24 (36): 167-169 [Abstract] ( 165 ) HTML (1 KB)  PDF (707 KB)  ( 99 )
170 Analysis of the role of individualized nursing on improving the awareness rate of tuberculosis patients prevention and control knowledge
YAO Ge
Objective To explore the role of individualized nursing on improving the awareness rate of tuberculosis patients prevention and control knowledge.Methods 60 patients with tuberculosis who were treated in our hospital from March 2016 to March 2017 were selected as the study subjects.The patients were divided into the observation group and the control group according to the different ways of nursing,30 cases in each group.The control group was given routine nursing nursing,the observation group was given individualized nursing.The score of tuberculosis prevention and control knowledge and satisfaction degree of patients before and after nursing in the two groups were compared.Results The score of tuberculosis prevention and control knowledge and satisfaction degree of patients after nursing in the observation group were higher than those in the control group,with significant difference(P＜0.05).Conclusion In patients with tuberculosis,personalized nursing can effectively increase the awareness of tuberculosis prevention and control knowledge and treatment compliance,promote the smooth progress of treatment,still can guarantee the curative effect,improve the clinical symptoms of patients,it is worthy of clinical promotion and application.
2017 Vol. 24 (36): 170-172 [Abstract] ( 147 ) HTML (1 KB)  PDF (742 KB)  ( 74 )
173 Application effect observation of detailed nursing in physical examination in the examination center
OUYANG Ling XIN Hong
Objective To explore the application effect of detailed nursing in physical examination in the examination center.Methods A total of 120 patients who underwent physical examinations in our physical examination center were selected as research objects.The physical examination time was from November 2015 to November 2016.By drawing lots,all the subjects were evenly divided into two groups，60 cases in each group.For one group,participants for physical examinations were provided with conventional nursing (conventional group).For the other group,on the basis of the conventional group,detailed nursing was adopted (intervention group).The incidence of emergency,examination quality including sheet handing rate,rate of accomplishing examined items,completion rate of one-time physical examination,and examination time,and satisfaction on physical examinations including overall service,environmental comfort,health education,process convenience,and personal privacy protection in both groups were compared and analyzed.Results The incidence of paroxysmal events in the intervention group was 3.33%,significantly lower than that in the conventional group,accounting for 15.00%,and the difference was in statistical significance (P<0.05).In the intervention group,sheet handing rate,rate of accomplishing examined items,and completion rate of one-time physical examination were 98.33%,93.33% and 96.67%,all higher than those in the conventional group,accounting for 86.67%,80.00% and 83.33% with statistical differences (P<0.05).The examination time in the intervention group was (1.53±0.24) h,much shorter than that in the conventional group[(2.46±0.87) h],which was displayed a statistical difference (P<0.05).The satisfaction on overall service,environmental comfort,health education,process convenience and personal privacy protection in the intervention group was 95.00%,96.67%,93.33%,95.00% and 98.33%,all higher than those in the conventional group(80.00%,81.67%,78.33%,83.33% and 85.00%),which were displayed statistical differences (P<0.05).Conclusion In physical examination center，application of detailed nursing as an intervention during physical examination is beneficial to shortening the examination time,improving the quality as well as satisfaction from the examinees.
2017 Vol. 24 (36): 173-175 [Abstract] ( 190 ) HTML (1 KB)  PDF (739 KB)  ( 117 )
176 Evaluation of the effect of systemic holistic nursing after laparoscopic complete retroperitoneal inguinal hernia repair
WU Jian-ping LI Bao-zhen Gong Jian-an
Objective By observing the patients′ clinical manifestations,to evaluate the effect of laparoscopic complete peritoneal inguinal hernia repair using systemic holistic nursing.Methods 70 cases of inguinal hernia treated in our hospital from April 2015 to June 2016 were selected as the research objects,they were divided into observation group and control group according to the random number method,35 cases in each group.The control group of patients were treated with routine care,the patients in the observation group were treated with systemic care.The clinical data of the two groups were recorded，including two groups of patients with urinary retention,constipation,bleeding and edema and the incidence of pain,drainage tube patency rate,the patients′ postoperative eating and out of bed time and hospital length and so on.Results The incidence of urinary retention,constipation,hemorrhagic edema and pain in the observation group were significantly lower than those in the control group(P<0.05).The patency rate of drainage tube in the observation group was significantly higher than that in the control group(P<0.05).The patients postoperative eating and out of bed time and hospital length were significantly shorter in the observation group than in the control group,the differences were statistically significant(P<0.05).Conclusion Laparoscopic complete retroperitoneal inguinal hernia repair system after the use of systemic care effect is significant,can effectively promote postoperative recovery.Reduce the incidence of postoperative urinary retention,constipation,bleeding and edema and pain.In improving the patency rate of drainage tube has a positive significance,and make the patients′ postoperative eating time,get out of bed practice and hospital stay significantly shorter.So it can be used in clinical practice.
2017 Vol. 24 (36): 176-178 [Abstract] ( 180 ) HTML (1 KB)  PDF (729 KB)  ( 75 )
179 Clinical application of early intensive prevention nursing interventions in the treatment of hand foot and mouth disease
LU Hai-xia
Objective To observe the clinical application of early intensive prevention nursing interventions in the treatment of hand foot and mouth disease (HFMD).Methods 39 HFMD children treated from July 2016 to June 2017 in our emergency department were selected as observation group,the early intensive prevention nursing interventions were applied.39 HFMD children treated in our emergency department from August 2015 to June 2016 were selected as control group,the conventional nursing care was applied.The disappearance time of clinical symptoms,incidence rate of severe HFMD and the family member′s scores on the nursing quality for two groups were evaluated.Results After interventions,the observation group had 38 cases of general type of HFMD (97.44%) and one severe HFMD case (2.56%);the control group had 34 cases of general type of HFMD (87.18%) and 5 severe HFMD cases (12.82%).The evaluation scores of clinical observation,prevention of severe HFMD cases, cooling nursing care and life nursing care for observation group were significantly higher than control group (t=42.401,47.602,33.317,31.685,P＜0.05）.The disappearance time of clinical symptoms and fever and hospitalization time for observation group were significantly shorter than control group,the differences were statistically significant(t=7.853,11.024,5.263,P＜0.05）.Conclusion The early intensive prevention nursing interventions can efficiently avoid the exacerbation of HFMD,reduce the incidence rate of severe HFMD,shorten the disappearance time of clinical symptoms and improve the nursing quality.
2017 Vol. 24 (36): 179-181 [Abstract] ( 158 ) HTML (1 KB)  PDF (777 KB)  ( 96 )
182 The system application of nursing intervention in the nursing of patients with thyroidectomy
LIU Ai-hua
Objective To explore the application of nursing intervention in the nursing of patients in thyroidectomy.Methods Patients of 136 cases received thyroidectomy treatment in our hospital from January 2016 to March 2017 were selected.The patients were divided into observation group (n=68) and control group (n=68) according to random number method.The control group received routine nursing program,and the observation group received systematic nursing intervention measures on the basis of the control nursing.The self rating depression scale (SDS) and self rating anxiety scale (SAS) score of the two groups were evaluated,and the incidence of complications and nursing satisfaction were recorded.Results The scores of SAS and SDS in the observation group were significantly lower than those before the nursing care,and the differences were statistically significant (P＜0.05）.After nursing,the scores of SAS and SDS in the observation group were significantly lower than those in the control group,the differences were statistically significant (P＜0.05）.The incidence of complications after nursing in the observation group (19.11%） was significantly lower than that in the control group (41.18%）,and the difference was statistically significant (P＜0.05）.The total satisfaction of the observation group after nursing (97.08%） was significantly higher than that of the control group (86.76%）,the difference was statistically significant (P＜0.05）.Conclusion Systematic nursing intervention can reduce the anxiety state of patients and improve the treatment satisfaction of patients,which is of great significance for the rehabilitation of patients.
2017 Vol. 24 (36): 182-184 [Abstract] ( 156 ) HTML (1 KB)  PDF (776 KB)  ( 95 )
185 Clinical observation of raditional Chinese medicine （TCM） hot Ⅰ package combination with traditional Chinese nursing in patients with qi-stagnation and blood stasissyndrome lumbar disc herniation
JIANG Zhi-li LI Run-xiang
Objective To observe the effect of traditional Chinese medicine (TCM) hot Ⅰ package combination of Chinese medicine nursing on patients with protrusion of lumbar intervertebral disc of qi-stagnation and blood stasis syndrome.Methods 86 patients of the orthopaedic Nanchang Hongdu Hospital of TCM from January 2016 to January 2017 were selected,patients with protrusion of lumbar intervertebral disc were randomly divided into two groups,43 cases in each group.The experimental group was treated with traditional Chinese medicine Ⅰpackage method and traditional Chinese medicine nursing,and the control group was treated with traditional Chinese medicine nursing,and compared the effects，the improvement of pain and the improvement of quality of life of the two groups.Results In the control group,16 cases were cured,10 cases were improved,and 17 cases were invalid,and the total effective rate was 60.46%.In the experimental group,26 cases were cured,10 cases were improved,7 cases were invalid,and the total effective rate was 83.42%.Compared with the control group,the experimental group was better than the control group,and the difference was statistically significant (P<0.05).The pain symptom and quality of life the experimental group was higher than the control group for and the differences were statistically significant (P<0.05).Conclusion Chinese medicine hot Ⅰ package combined with traditional Chinese medicine treatment of qi stagnation of blood stasis syndrome in patients with is better than the use of traditional Chinese medicine nursing.
2017 Vol. 24 (36): 185-187 [Abstract] ( 173 ) HTML (1 KB)  PDF (822 KB)  ( 278 )
188 The effect of community family visit nursing on the compliance behavior of elderly hypertension patients based on cross-theoretical model
ZHAN Ying-peng
Objective To explore the effect of community home visiting nursing based on cross theoretical model on medication compliance behavior of elderly patients with hypertension.Methods 52 cases of hypertension in our hospital from January 2016 to December were selected and divided into observation group and control group according to the order of patients,26 cases in each group.The control group was treated with routine home visiting nursing intervention,and the observation group was treated with community based home visiting nursing intervention based on the cross theoretical model.The compliance behavior and blood pressure changes of the two groups were observed.Results The patients in the observation group to stop medication,to reduce the frequency of administration,to reduce the dosage,the doctor prescribed medication,medication timing quantitative behavior and total score were compared with the control group,the differences were statistically significant (P<0.05）.The change of compliance behavior stage of the patients in the observation group were significantly higher than the proportion of the action stage in the control group (P<0.05).The patients in the observation group were 1 and 2 stage forward across the proportion were significantly higher than the control group,the observation group compliance behavior change stage span was significantly better than the control group，the differences were statistically significant (P<0.05).After nursing,observation group in 4，8 and 12 weeks the systolic blood pressure control were lower than the control group,the differences were statistically significant (P<0.05).Conclusion The transtheoretical model of community family visit nursing intervention on medication compliance of elderly patients with hypertension has obvious improvement effect on,can improve patient compliance,effective control of blood pressure,clinical use of high value.
2017 Vol. 24 (36): 188-190 [Abstract] ( 176 ) HTML (1 KB)  PDF (816 KB)  ( 130 )
191 Application of rapid rehabilitation surgery nursing during perioperative period of laparoscopic total cystectomy
GAO Shi-jie GUAN Rui DONG Nan-jun
Objective To investigate clinical value of rapid rehabilitation surgery nursing during perioperative period of laparoscopic total cystectomy.Methods 96 patients with laparoscopic total cystectomy were selected in our hospital from October 2013 to October 2015,who were divided into two groups by random number table method.48 patients treated routine nursing during perioperative period as control group.48 patients treated rapid rehabilitation surgery nursing during perioperative period as observation group.Recovery indications,postoperative quality of life,complications were compared between two groups.Results Postoperative feeding time ([7.1±1.3] h),postoperative ventilation time ([31.5±4.6] h),postoperative defecation time([67.9±8.1]) h,ambulation time ([2.8±0.4] d) in observation group were earlier than control group ([18.3±2.0] h [53.2±5.7] h,[82.5±7.2] h,[3.6±0.7] d).Postoperative hospitalization time ([6.5±1.0] d) in observation group was less than control group ([9.8±1.2] d).Postoperative quality of life [psychological function:(85.9±7.3) points,material life:([87.2±6.4] points,physical function:[81.3±5.7] points,social function:[88.0±6.1] points,overall score:[84.6±7.9] points) in observation group were higher than control group ([70.2±5.8] points,[66.3±5.1] points,[69.7±9.2] points,[71.2±5.3] points,[72.4±4.6] points).Complication rate (2.1%) in observation group was lower than control group (14.6%).Differences were statistically significant (P<0.05).Conclusion Rapid rehabilitation surgery nursing have significant application effect during perioperative period of laparoscopic total cystectomy,which can shorten postoperative recovery time and improve quality of life,which also have high safety and worth of clinical use.
2017 Vol. 24 (36): 191-193 [Abstract] ( 177 ) HTML (1 KB)  PDF (833 KB)  ( 88 )
194 Application value of comprehensive nursing intervention in perioperative period of ovarian cyst operation
WANG Xiao-chun
Objective To investigate the application value of comprehensive nursing intervention in perioperative period of ovarian cyst operation.Methods From January 2016 to July 2017,60 cases patients of ovarian cysts treated by operation in our hospital were selected as the subjects.According to the different nursing methods,all the patients were divided into the control group and the observation group,30 cases in each group.The control group was given routine gynecological nursing,and the observation group was treated with comprehensive nursing intervention.The operation time,blood loss,hospitalization time and nursing satisfaction of the two groups were observed.Results The operation time of the observation group ([74.77±27.56] min) was shorter than the control group ([102.5±45.76] min),the difference was statistically significant (P<0.05).The blood loss of the observation group ([52.67±42.38] ml) was less than that of the control group ([78.83±49.53] ml),the difference was statistically significant (P<0.05).The hospitalization time of the observation group ([4.07±0.73] d) was shorter than the control group ([5.70±1.22] d),the difference was statistically significant (P<0.05).The nursing satisfaction rate of observation group (93.33%) was higher than the control group (73.33%),the difference was statistically significant  (P<0.05).Conclusion The use of comprehensive nursing intervention can effectively reduce the operation time,reduce the amount of bleeding in patients during operation,and shorten patient′s hospitalization time.At the same time,it is important to improve the satisfaction degree of nursing,which is worthy of clinical application.
2017 Vol. 24 (36): 194-196 [Abstract] ( 177 ) HTML (1 KB)  PDF (826 KB)  ( 93 )
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