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2018 Vol. 25, No. 6
Published: 2018-02-28
4
Study on the correlation between serum C-reactive protein and hematoma enlargement at the early stage of cerebral hemorrhage in basal ganglia region
YUAN Wei; LIANG Shao-dong; ZHANG Zhong-min; LI Jin-ku ; ZHAO You-zhi; LI Hong-zhe
ObjectiveTo investigate the correlation between serum C-reactive protein(CRP)and hematoma enlargement at early stage(EHG)of cerebral hemorrhage in basal ganglia region.MethodsThe clinical data of 112 patients with intracerebral hemorrhage in basal ganglia region from January 2010 to June 2017 in Affiliated Hongqi Hospital of Mudanjiang Medical University were continuously collected and analyzed.According to the changes of hematoma volume within 48 hours after admission,the patients were divided into the stable hematoma group(n=81)and the hematoma enlargement group (n=31).The hematoma enlargement group was the patients with absolute increase in hematoma volume＞12.5 ml or relative hematoma growth rate＞33%within 48 hours after admission.The stable hematoma group was the patients with absolute increase in hematoma volume≤12.5 ml or relative hematoma growth rate≤33%within 48 hours after admission.The baseline data between the stable hematoma group and the enlargement group were compared.Logistic regression model was used to analyze the correlation between CRP level and hematoma enlargement of cerebral hemorrhage in basal ganglia region.ResultsAmong the included 112 patients with intracerebral hemorrhage in basal ganglia region,EHG occurred in 31 cases (27.6%),and 81 cases (72.4%)had stable hematoma volume.The stable hematoma group and the enlargement group were compared,and the level of CRP was[(7.1±4.7)mg/L vs.(13.0±5.3)mg/L,P＜0.001].The difference was statistically significant.Logistic regression model analysis suggested that CRP(OR=2.98,95%CI=1.591-5.583,P=0.001)was an independent risk factor for EHG of cerebral hemorrhage in basal ganglia region.ConclusionSerum CRP is an independent risk factor for EHG of cerebral hemorrhage in basal ganglia region.
2018 Vol. 25 (6): 4-7 [
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Clinical research of transurethral evaporation of prostate in the treatment of benign prostatic hyperplasia accompanies weak contractility of the bladder detrusor
TIAN Sheng-ping; WANG Chong-shan ;YANG Wei-zhong; ZENG Fan-fei
ObjectiveTo analyze the clinical effect of transurethral evaporation of prostate (TUEP)in the treatment of benign prostatic hyperplasia (BPH)accompanies weak contractility of the bladder detrusor.Methods110 patients with BPH accompanies weak contractility of the bladder detrusor in our hospital from January 2014 to December 2015 were selected and randomly divided into the observation group and the control group,with 55 cases in each group.The observation group was treated with TUEP,and the control group was treated with transurethral resection of prostate(TURP).The time of the operation,bladder douche,catheter indwelling and intraoperative blood loss,weight of resected tissue of prostate of the two groups were recorded.The changes of the international packet switched service score(IPSS),maximum urine flow rates(Qmax)and post-void residual volumes(PVR)before and after surgery of the two groups were compared.The incidence of complications were recorded of the two groups intraoperative and during 3 months after postoperative.ResultsThe operation time,bladder douche time and catheter indwelling time in the observation group were significantly shorter than those in the control group,with significant difference(P＜0.05).The intraoperative blood loss in the observation group was significantly shorter than that in the control group,the weight of resected tissue of prostate in the observation group was significantly higher than that in the control group,with significant difference(P＜0.05).The postoperative IPSS and PVR in the two groups were significantly lower than those before the operation,and the Qmaxin the two groups was higher than that before the operation,with significant difference (P＜0.05).There was no significant differences in the IPSS,Qmaxand PVR after operation between the two groups(P＞0.05).The incidence rate of the total complications after the operation in the observation group was significantly lower than that in the control group,with significant difference (P＜0.05).ConclusionThe time of the operation,bladder douche,catheter indwelling of TUEP are shorter than that of TURP,and the blood loss in the operation is less,in addition,the prostatic hyperplasia is resected more thoroughly,which can effectively improve the function of bladder detrusor of patients.TUEP has obvious advantages of fewer complications,lower surgical risk and higher security.
2018 Vol. 25 (6): 8-11 [
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310
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Influence of general anesthesia combined with ultrasound-guided thoracic paravertebral block on postoperative pain and stress response in patients with thoracotomy
ZHANG Jian-hua LU Xian-qing HE Hui-jiao PAN Yan-tao
ObjectiveTo investigate the influence of thoracic paravertebral block (TPVB)on postoperative pain and stress response in patients undergoing thoracotomy under general anesthesia combined with ultrasound.MethodsFrom March 2015 to October 2016,48 esophageal cancer patients undergoing thoracotomy in selective period were selected and randomly divided into the simple general anesthesia group(the control group)and the general anesthesia combined with TPVB group (the observation group),24 cases in each group.The general anesthesia applied in the two groups was the same.In the observation group,the ultrasound-guided TPVB was performed before induction of general anesthesia.The intravenous patient-controlled analgesia after surgery was used.The hemodynamics were recorded before anesthesia(T1),immediately after endotracheal intubation(T2),30 min after operation(T3),just after surgery(T4),2 h after surgery(T5),and visual analogue scale(VAS)and Ramsay scores at T5,4 h after operation(T6),8 h after operation(T7),24 h after operation (T8),and 48 h after operation (T9)were also recored.The levels of norepinephrine (NE),epinephrine(E),and dopamine(DA)at T1,T3,T4,T8were detected.The number of postoperative analgesia pump press,sufentanil dose,analgesic satisfaction,and relevant complications were also recorded.ResultsCompared with the control group,systolic blood pressure(SBP),diastolic blood pressure(DBP),and heart rate(HR)at T2,T3and T4were all higher in the observation group(P＜0.05).The VAS scores at T5,T6,T7,T8and T9in both quietness and activity were lower in the observation group (P＜0.05).There was no difference in Ramsay sedation score between the two groups(P＞0.05).The levels of NE and E were higher in the observation group at T3and T4(P＜0.05)and decreased at T5(P＜0.05).The levels of DA was lower at T4and T5(P＜0.05).The number of analgesia pump press was less(P＜0.01).The sufentanil dose was less at 0-12 h and ＞12-24 h(P＜0.01).The analgesic satisfaction was higher (P＜0.05).ConclusionGeneral anesthesia combined with ultrasoundguided TPVB can provide effective analgesia for thoracotomy,greatly inhibit stress response,and reduce the dose of postoperative analgesic drugs.
2018 Vol. 25 (6): 12-16 [
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294
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HPLC determination of ephedrine hydrochloride in Xiangma Hanchuantie
YAO Qi-sheng;SUN Yong-xi;CHEN Ren-yan;WANG Li-juan;
ObjectiveTo establish a HPLC method in the determination of ephedrine hydrochloride in Xiangma Hanchuantie.Methods0.01 mol/L potassium dihydrogen phosphate(adjusted to pH 2.5 with phosphoric acid）-methanol(96︰4)was used as the mobile phase with a Thermo C18column and the detection wavelength was 210 nm.The column temperature was 25℃ and the sampling amount was 5 μl.ResultsA good linear relationship of ephedrine hydrochloride was shown in the range of 15.20-91.17 μg/ml(r=0.9997).The average recovery of ephedrine hydrochloride was 98.78%and the RSD was 0.59%.Determination of 3 batches samples,the total content of ephedrine hydrochloride was 3.20 mg/100 cm2and the RSD was 0.31%.ConclusionThe results show that this method is simple,convenient and accurate.It can be employed as an effective method for the determination of ephedrine hydrochloride content.
2018 Vol. 25 (6): 17-20 [
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268
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Correlation between LncRNA with glioma
WANG Xing-jian; ZHU Shu-xia
Long-chain non-coding RNA(LncRNA)is an essential epigenetic regulator that plays a key role in tumoxrigenesis and malignant progression of brain tissue,especially involved in the development and progression of glioma.In order to understand the potential function of LncRNA in gliomas,this article focuses on the mechanism and clinical significance of several specific LncRNAs and further explores the potential of LncRNA in the diagnosis and treatment of human gliomas.
2018 Vol. 25 (6): 21-24 [
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The research progress of Guillain-Barré syndrome
CUI Guo-jing; LI Qin
Guillain-Barré syndrome is a peripheral neuropathy mediated by autoimmune,it′s characterized by paralysis of limbs,disappearance of tendon reflex and separation of protein and cell in cerebrospinal fluid.Because of the result of respiratory paralysis,it is one of the most common acute and severe neurological diseases.The exact etiology of GBS is unknown,Campylobacter jejuni may be related to it,now that the molecular mimicry theory is one of the probably most important pathogenesis.Respiratory management is an important measure to improve the general condition and improve prognosis with respiratory muscle paralysis.In recent years,many scholars have explored and studied the traditional immunotherapy,and some new treatment methods are found at the same time.In this paper,the newest research progress of GBS in recent years are reviewed.
2018 Vol. 25 (6): 25-27 [
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275
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Application value of visual double-lumen bronchial catheter in pulmonary isolation
LYU Lei;WANG Zhi;LIU Xiu-wen;GUO Yong-qing
ObjectiveTo explore the application value of visual double-lumen bronchial catheter in pulmonary isolation.Methods60 patients with one lung ventilation assisted by video-assisted thoracoscopic surgery who were treated in our hospital from October 2016 to February 2017 were selected as subjects.They were randomly divided into fiberoptic bronchoscopy group(group F)and visual double lumen bronchial catheter group (group VD),with 30 cases in each group.Patients in group F were positioned with the help of fiberoptic bronchoscopy,and patients in group VD were positioned with the help of visible double lumen bronchial catheter.The catheter positioning time,the number of catheter displacement during operation,the number of adverse events caused by catheter displacement in group F and VD were recorded (poor collapse of the lung on the operation side affected the operation field,insufficient ventilation on the healthy side,atelectasis,etc.),and the positioning time was readjusted after catheter displacement.ResultsThe localization time of group VD was shorter than that of group F,there was no significant difference between the two groups(P＜0.05).The incidence of adverse events in group VD was lower than that in group F (P＜0.05).The repositioning time of group VD after catheter displacement was significantly shorter than that in group F,the differents was satistically significant(P＜0.05).ConclusionThe visual double-lumen bronchial catheter is superior to the fiberbronchoscope in the catheter positioning and continuous monitoring.It has a good application prospect in the lung isolation technology.
2018 Vol. 25 (6): 28-30 [
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280
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Treatment of sacral pressure ulnar wound with negative pressure wound treatment combined with advancing superior gluteal artery
GU Wei-gao
ObjectiveTo investigate the clinical effect of negative pressure wound therapy combined with advancing superior gluteal artery perforation flap for the repair of sacrococcygeal pressure sore.Methods40 patients with sacrococcygeal pressure sores diagnosed and treated in our hospital from January 2015 to December 2016 were selected as the research object.They were divided into control group and observation group by random number table method,with 20 cases in each group.The control group was treated with simple superior gluteal artery perforator flap,while the observation group was treated with negative pressure wound combined with superior gluteal artery perforator flap,compared the two groups of patients with surgical related indicators and postoperative recurrence.ResultsThere was no significant difference in operation time between the observation group and the control group(P＞0.05).The amount of bleeding during operation and the time of wound healing in the observation group were less than those in the control group(P＜0.05).The survival rate of skin flap in the observation group was significantly higher than that in the control group(P＜0.05).After one year of follow-up,the recurrence rate of sacrococcygeal pressure sores in the observation group was significantly lower than that in the control group (P＜0.05).ConclusionThe treatment of negative pressure wound combined with perforation of the superior gluteal artery perforator repair the sacrococcygeal pressure sore treatment has a significant effect,postoperative recurrence rate is low,it is worth promoting.
2018 Vol. 25 (6): 31-33 [
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Clinical effect of Cangfu Daotan Decoction combined with Metformin in the treatment of obese polycystic ovary syndrome
HUANG Ding-fang
ObjectiveTo investigate the clinical efficacy of Cangfu Daotan Decoction combined with Metformin in the treatment of obese polycystic ovary syndrome,in order to provide the theoretical basis for clinical treatment.MethodsFrom January 2016 to October 2016,84 patients with polycystic ovary syndrome were selected and randomly divided into control group and study group,with 42 cases in each group.The study group was treated with Cangfu Daotan Decoction combined with Metformin,while the control group was treated with Metformin.The clinical efficacy of the two groups was compared.ResultsAfter treatment,ovulation rate and pregnancy rate in the study group were significantly higher than those in the control group(P＜0.05).BMI of the same group was significantly lower than that before treatment,and the study group was significantly lower than that of the control group,the difference was statistically significant(P＜0.05);There was no significant difference in adverse reactions between the two groups(χ2=0.156,P=0.693).The total effective rate of the study group was significantly better than that of the control group,and the difference was statistically significant(χ2=9.224,P=0.002).ConclusionCangfu Daotan Decoction combined with Metformin in the treatment of obesity type polycystic ovary syndrome patients can significantly improve the ovulation rate and pregnancy rate of the patients.The clinical effect is obvious,with fewer adverse reactions and high safety,so it has good application value.
2018 Vol. 25 (6): 34-36 [
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Analysis of the effect of small intestinal permutation in the treatment of extensive adhesive intestinal obstruction
LI Hai-xu ;LIANG Tao-jun
ObjectiveTo observe and analyze the effect of enteral arrangement in the treatment of extensive adhesive ileus in the prevention of recurrence of adhesive intestinal obstruction.MethodsFrom April 2013 to June 2016,86 patients with extensive adhesive intestinal obstruction were selected and divided into observation group and control group according to different treatment methods,with 43 cases in each group.The control group.
received
conventional intestinal obstruction operation,the observation group received intestinal alignment operation,and the clinical efficacy and operation of the two groups were observed and compared.ResultsThe exhaust time and operation time of the observation group were shorter than those of the control group (P＜0.05).The blood volume in operation was lower than that in control group (P＜0.05).The incidence of postoperative complications and recurrence of adhesive intestinal obstruction in the observation group were significantly lower than those in the control group(P＜0.05).ConclusionIn the treatment of patients with extensive adhesive intestinal obstruction,the application of small intestine arrangement can effectively shorten postoperative recovery time and postoperative recurrence of adhesive intestinal obstruction,which is worthy of clinical application.
2018 Vol. 25 (6): 37-39 [
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Effect study of modified dorsal island flap of index finger on repair of thumb skin defect
HE Ju-lun; ZHOU Jiang-lang ;DOU Wei-yu
ObjectiveTo investigate the clinical effect of improved dorsal island flap of index finger in repairing skin defect of thumb.MethodsThe clinical data of 46 cases of thumb skin defect diagnosed and treated in our hospital from April 11,2013 to July 20,2016 were analyzed retrospectively.The improved group(21 cases,treated with improved dorsal island flap of index finger)and the traditional group(25 cases,treated with traditional dorsal island flap of index finger)were followed up for 1 year.The survival rate,satisfaction score,daily living ability score and finger function score of the improved group and the traditional group were compared.ResultsThere was no signficant difference in the survival rate of skin flap between the two groups(P＞0.05).The satisfaction degree of the improved group was significantly higher than that of the traditional group(P＜0.05).One year after the operation,the scores of daily living activities were significantly higher than those of the traditional group(P＜0.05).One year finger function score of the improved group was significantly higher than that of the traditional group(P＜0.05).ConclusionIt is feasible to improve the treatment of the patients with thumb skin defect by improving the treatment of the dorsal island flap.
2018 Vol. 25 (6): 40-42 [
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The comparative study of pre-hospital and in-hospital intubation in patients with acute severe craniocerebral injury
LONG Gui-hua ；LIAO Yu； WU Jian-fang
ObjectiveTo explore the effects of pre-hospital intubation and in-hospital intubation in patients with acute severe craniocerebral injury.Methods196 patients with acute severe craniocerebral injury (GCS≤8 point)diagnosed and treated in our hospital from May 2015 to May 2017 were randomly divided into pre-hospital endotracheal intubation group(94 cases)and in-hospital endotracheal intubation group(102 cases).The general data,changes of respiratory physiological indexes,prognosis,mechanical ventilation,ICU stay time and complications were compared between the two groups.ResultsThere was no significant difference in general data between the two groups(P＞0.05).The respiratory physiological indexes of pre-hospital group were better than those of pre-hospital group(P＜0.05).The respiratory physiological indexes after intubation in the hospital group were better than those before intubation,the difference was statistically significant(P＜0.05).The respiratory physiological indexes after intubation in the pre-hospital group were better than those in the hospital group,the difference was statistically significant(P＜0.05).The prognosis of tracheal intubation in the early pre-hospital group was higher than that in the hospital group,the difference was statistically significant(P＜0.05).The poor prognosis rate of tracheal intubation in pre-hospital group was lower than that in hospital group,the difference was statistically significant(P＜0.05).The complications in pre-hospital group were lower than those in hospital group,the difference was statistically significant (P＜0.05).The time of ICU stay and mechanical ventilation in both groups were lower than those in hospital group,the difference was statistically significant(P＜0.05).ConclusionPre-hospital early endotracheal intubation can improve oxygenation of patients with acute severe craniocerebral injury,reduce or avoid the happening of hypoxemia,avoid or reduce the occurrence of aspiration,reduce the incidence of aspiration pneumonia,improve the prognosis of patients with good rates.
2018 Vol. 25 (6): 43-45转49 [
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Effect of Mesalazine orally combined with colonic hydrotherapy and Xilei Powder enema on patients with ulcerative colitis
HE Xiao-rui
ObjectiveTo explore the clinical effect and influence on serum inflammatory factors of mesalazine orally combined with colonic hydrotherapy and Xilei Powder enema on patients withulcerative colitis(UC).Methods116 UC patients diagnosed and treated in our hospital from January 2015 to January 2017 were randomly divided into control group and observation group,with 58 cases in each group.The control group was treated with Mesalazine orally,and the observation group was treated with colon hydrotherapy and Xilei Powder enema on the basis of the control group.The clinical effect,serum levels of inflammatory factors and the incidence of adverse reactions were compared between the two groups.ResultsAfter 8 weeks of treatment,the total effective rate of the observation group was significantly higher than that of the control group (P＜0.05).The effective rate of the observation group was significantly higher than that of the control group(P＜0.05).The serum hs-CRP,TNF-α,IL-4,IL-8 and IL-10 levels of the two groups before treatment had no significant difference(P＞0.05).After 8 weeks of treatment,the serum levels of hs-CRP,TNF-α and IL-8 in the two groups were significantly lower than those before treatment(P＜0.05).The serum levels of IL-4 and IL-10 in the two groups were significantly higher than those before treatment(P＜0.05).The serum levels of hs-CRP,TNF-α and IL-8 in the observation group were significantly lower than those in the control group(P＜0.05),and the serum levels of IL-4 and IL-10 in the observation group were significantly higher than those in the control group (P＜0.05).There was no significant difference in the incidence of adverse reactions between the two groups(P＜0.05).ConclusionMesalazine orally combined with colon hydrotherapy and Xilei Powder enema in the treatment of UC is better than Mesalazine simple drug treatment.It can significantly inhibit the inflammatory response,and the side effects are similar.
2018 Vol. 25 (6): 46-49 [
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235
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Clinical efficacy of knee arthroscopy in the treatment of symptomatic knee osteoarthritis
ZHANG Ze
ObjectiveTo investigate the clinical efficacy of knee arthroscopy in the treatment of symptomatic knee osteoarthritis.Methods80 cases with symptomatic knee osteoarthritis treated in our hospital from January 2016 to July 2017 were selected as the subjects,and divided into the two groups (control group and observation group)by random table method,40 cases in each group.The control group were treated with intraperitoneal injection of sodium hyaluronate injection in the knee joint.The observation group was treated with knee arthroplasty under the control group.The VAS score of the knee joint pain during the treatment were compared,the joint ROM angle changes,knee Lysholm functional score and the overall clinical treatment between the two groups were compared.ResultsThe VAS score of knee joint pain in the observation group was lower than the control group at 1 week and 4 weeks after treatment(P＜0.05).The ROM angle in the observation group was higher than that in the control group (P＜0.05).The Lysholm function score in the observation group was higher than that in the control group (P＜0.05).The excellent rate of overall treatment in the observation group was 95.0%,which was significantly higher than 75.0%of the control group,the difference was statistically significant(P＜0.05).ConclusionKnee arthritis combined with sodium hyaluronate can effectively relieve pain in patients with knee joint,improve knee function,and improve the clinical effect in the treatment of osteoarthritis of knee joint with obvious clinical symptoms.
2018 Vol. 25 (6): 50-52 [
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Evaluation of the effect of percutaneous transforaminal endoscopy TESSYS in the treatment of central lumbar disc herniation
CHEN Xiao-long；ZHONG Yong；FAN Zhou-hong；XIANG Yan-miao
ObjectiveTo investigate the clinical value of percutaneous transforaminal endoscopy TESSYS in the treatment of central lumbar disc herniation.MethodsFrom May 2016 to May 2017,120 patients with central lumbar disc herniation treated in our hospital were selected as the subjects,and divided into observation group and control group according to the principle of randomization,60 cases in each group.The observation group was given percutaneous transforaminal endoscopic TESSYS technique,while the control group was treated by conventional therapy.The disease symptoms,quality of life and improvement of pain symptoms in the two groups were analyzed.ResultsThe total effective rate(93.3%)in the observation group was significantly higher than that in the control group (80.0%),the difference was statistically significant(P＜0.05).The physical symptoms([86.5±10.6]points),somatic symptoms([80.6±9.7]points),sleep state([87.6±9.9]points)and psychological symptoms([88.8±11.6]points)were significantly higher than those in the control group,the differences were statistically significant(P＜0.05).After treatment,VAS pain score([2.11±0.95]points)in the observation group was lower than that in the control group([2.95±0.89]points),the difference was statistically significant(P＜0.05).ConclusionThe treatment of central lumbar disc herniation with TESSYS percutaneous transforaminal endoscopic surgery can effectively improve the symptoms of patients,improve the quality of life of patients,and effectively reduce the pain symptoms of patients.It can be actively popularized and popularized.
2018 Vol. 25 (6): 53-55 [
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Effect of orthodontics combined with repair in the treatment of adult anterior malocclusion with dentition defect
ZHAI Ma-li
ObjectiveTo explore the effect of orthodontics combined with repair in the treatment of adult anterior malocclusion with dentition defect in order to provide guidance for clinical practice.MethodsFrom October 10,2014 to May 10,2016,98 adult patients suffering from anterior malocclusion with dentition defect who were treated in our hospital were enrolled as objects.They were evenly divided into two groups in random,49 cases in each group.Patients in the combined group were treated with orthodontic treatment,and orthodontic treatment was performed in the single treatment group.They were all followed up for one year.The efficacy,debris index,attachment loss index and satisfaction score in the two groups were compared.ResultsThe excellent and good rate of the combined group was 93.88%,which was significantly higher than that of the single treatment group accounting for 71.43%,and the difference was statistically significant(P＜0.05).In the observation group,the debris index was (0.10±0.07)%and attachment loss index was(5.28±0.79)%,which were much lower than those in the single group([0.59±0.13]%,[6.97±1.20]%),the satisfaction score was(87.56±4.52)points,which was significantly higher than that of the single group([78.24±4.65]points),and the differences were statistically significant(P＜0.05).ConclusionCombination of orthodonticsand repair can obtain a remarkable effect on treating adult anterior malocclusion with dentition defect,thus is worth a wide application.
2018 Vol. 25 (6): 56-58 [
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Application effect of prefabricated fiber post in prosthodontics
LUO Jun
ObjectiveTo investigate the clinical effect of prefabricated fiber post in oral cavity repair.MethodsFrom October 2015 to October 2016,86 cases of dental patients in our hospital were selected as the research objects.They were divided into experimental group and reference group by random number table method,each group of 43 patients.Patients in the reference group were treated with plastic fiber posts,while those in the experimental group were treated with prefabricated fiber posts.The oral cavity repair success rate,complication rate,operation time of each fiber pile repair and patients′satisfaction of two groups were observed and compared.ResultsThe success rate of repair in the experimental group was significantly higher than that in the reference group,the incidence of complications was significantly lower than that of the reference group,and the operation time of each fiber post was significantly shorter than that of the reference group,and the differences were statistically significant(P＜0.05).Satisfaction of patients in experimental group(95.35%)was significantly higher than that of the reference group of patients(83.72%),the difference was statistically significant(P＜0.05).ConclusionThe application of prefabricated fiber post in the treatment of oral cavity repair can shorten the operation time,reduce complications,improve the clinical repair effect and patient satisfaction,and is worthy of further clinical application.
2018 Vol. 25 (6): 59-61 [
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Effect contrast of different doses of Oxycodone during the anesthesia induction of tracheal intubation
LIN Jiu-yang ;LIN Zong-hang ;HUANG Zhi-ming ;LU Wen-min ;YANG Xiu-huan ;MO Xian-ting
ObjectiveTo study and compare the anesthetic effect of different doses of Oxycodone during the anesthesia induction of tracheal intubation.MethodsA total of 75 patients who
received
of orthopedics surgery for general anesthesia of trachea intubation in the Sixth Hospital Affiliated to Guangzhou Medical University,Qingyuan People′s Hospital from January 2016 to October 2017 were selected as subjects.According to the random number table method,they were divided into low dose group,middle dose group and high dose group,with 25 patients in each group.The low dose group,middle dose group and high dose group were intravenously injected with 0.20,0.25,0.30 mg/kg Oxycodone anesthesia respectively.The concentration of adrenaline,norepinephrine and the indicators of vital signs at different time points in three groups were compared.ResultsThe mean arterial pressure and heart rate in the T1of the three groups were lower than those in the T0,and the differences were statistically significant (P＜0.05).In T2,T3and T4,the epinephrine,norepinephrine,mean arterial pressure and heart rate of patients in low dose group were higher than T0,medium dose group and high dose group,the differences were statistically significant(P＜0.05).There was no statistically significant difference in epinephrine,norepinephrine,average arterial pressure and heart rate in the middle and high dose group at T2,T3and T4compared with T0(P＞0.05).The epinephrine,norepinephrine,average arterial pressure and heart rate at T2,T3and T4in the middle dose group were compared with the high dose group,and the differences were not statistically significant(P＞0.05).ConclusionIn patients with general anesthesia in tracheal intubation,the anesthesia effect of 0.25 mg/kg of Oxycodone for anesthesia induction can reached the anesthesia effect of high dose of Oxycodone,it can effectively relieve stress response and stabilize the vital signs.It s worthy of clinic application
2018 Vol. 25 (6): 62-64 [
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Observation on the effect of low-flow Sevoflurane on anesthesia in laparoscopic surgery
LIU Xiao-ning; HE Yan-na ;ZHENG Han-zhong
ObjectiveTo investigate the clinical effect of low-flow Sevoflurane on the anesthesia in the patients undergoing laparoscopic surgery.Methods80 patients receiving laparoscopic surgery who were admitted to our hospital from January to November 2017 were selected in the study as the study subjects.According to random sampling method,the patients were divided into control group and observation group,with 40 cases in each group.The control group was anesthetized with Remifentanil,and the observation group was anesthetized with low-flow Sevoflurane.The clinical indicators and adverse reactions after anesthesia were compared between the two groups.ResultsThe indicators of HR,SP,DP and SpO2at 10 min after pneumoperitoneum and during recovery in the patients receiving laparoscopic surgery in the observation group were significantly higher than those in the control group,and the differences were statistically significant(P＜0.05).The recovery time,extubation time and waking time in the observation group after laparoscopic surgery were significantly shorter than those in the control group,and the differences were statistically significant(P＜0.05).The incidence rate of adverse reactions in the observation group after laparoscopic surgery(5.00%)was significantly lower than that in the control group(22.50%),and the difference was statistically significant(P＜0.05).ConclusionLow-flow Sevoflurane anesthesia for the patients receiving laparoscopic surgery has a significant effect,which significantly improves hemodynamic indicators,has a high anesthetic safety,and can be applied in laparoscopic anesthesia.
2018 Vol. 25 (6): 65-67 [
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Application effect of Dexmedetomidine combined with Sufentanil for postoperative analgesia in general anesthesia patients
WANG Hai-dong;BIAN Hui;XIAO Dong
ObjectiveTo observe the application effect of Dexmedetomidine combined with Sufentanil for postoperative analgesia in general anesthesia patients.MethodsA total of 104 patients undergoing general anesthesia in our hospital from September 2016 to August 2017 were selected as subjects.According to a random number table method,they were divided into study group and control group,52 cases in each group.In the control group,Sufentanil was used for analgesia,while in the study group,Dexmedetomidine combined with Sufentanil for analgesia was adopted.The Ramsay sedation score,visual analogue scale(VAS)score,incision pain area and incidence of adverse reactions were compared and analyzed in the two groups.ResultsThere was no statistically significant difference in Ramsay sedation score between the two groups(P＞0.05).After 30 min,3 h and 48 h,the VAS score of the study group was lower than that of the control group,and the differences were statistically significant(P＜0.05).After 30 min,3 h and 48 h,the pain area of the postoperative incision in the study group was smaller than that in the control group,and the differences were statistically significant(P＜0.05).The incidence of adverse reactions in the study group was 7.69%,while it was 11.53%in the comparison group,there was no significant difference in the incidence of adverse reactions between the two groups(P＞0.05).ConclusionThe effect of Dexmedetomidine combined with Sufentanil for postoperative analgesia in general anesthesia patient is better compared with sole Sufentanil,which can effectively relieve pain and reduce the area of incision pain,and should be widely used and promoted in clinical practice.
2018 Vol. 25 (6): 68-70 [
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The awake analgesia effect of Remifentanil in overweight outpatients under hysteroscopy
DONG Shi-yang; JIN Wen-jie▲
ObjectiveTo evaluate the conscious analgesia effect of Remifentanil in overweight outpatients undergoing hysteroscopy.MethodsFrom June to August 2016,82 overweight patients underwent hysteroscopy in the outpatient department of the First Affiliated Hospital of Nanjing Medical University were selected as the objects,and were divided into control group and observation group by random number table method,41 cases in each group.The control group was given Remifentanil combined with Propofol anesthesia,while the observation group was given Remifentanil anesthesia.The HR,MAP,SpO2and RR were compared between the two groups at four moments included pre-anesthetic(T0),placed the vaginal speculum(T1),placed the 6#cervical dilator(T2),and the end of hysteroscopy(T3).And the adverse reactions,the postoperative recovery time,the pain simulation score (VAS)and the patients′satisfaction of the two groups were compared.ResultsThere was no significant difference at different time points between the two groups in the levels of HR,MAP,RR and SpO2(P＞0.05).The levels of HR,MAP and RR in T1,T2,T3were significant lower than that in T0(P＜0.05).The satisfaction degree of patients in the observation group was significantly higher than that in the control group,and the difference was statistically significant(P＜0.05).There was no significant difference between the two groups in the VAS score (P＞0.05).The time of recovery after surgery in the observation group was significant difference shorter than in the control group,and the difference was statistically significant(P＜0.05).The incidence rate of drug reactions caused by anesthesia in the observation group was significantly lower than that in the control group,and the difference was statistically significant(P＜0.05).Conclusions Remifentanil in overweight outpatients undergoing hysteroscopy,can keep patient awareness,can significantly reduce the adverse reactions caused by anesthesia,accelerate postoperative rehabilitation and satisfaction degree,it is worthy of promotion.
2018 Vol. 25 (6): 71-74 [
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The differential diagnosis value of perfusion characteristics performing multiple b-value DWI examination in benign and malignant tumors of liver
CHU Ling-Ru ;ZHENG Xiao-Jun
ObjectiveTo investigate the differential diagnosis value of perfusion characteristics performing multiple bvalue DWI examination in benign and malignant tumors of liver.Methods50 cases with liver lesions in our hospital from June 2016 to October 2017 by the comprehensive imaging examination and confirmed by pathology treated with multiple b value of DWI scans,including 32 cases of malignant tumors (15 cases of hepatocellular carcinoma,11 cases of liver metastasis,6 cases of cholangiocarcinoma),18 cases of benign tumors(10 cases of liver hemangioma,8 cases of hepatic cyst).The low b value ADC and eADC value,high b value ADC and eADC value,ADC perfusion and eADC perfusion value were calculated,and the differences between benign and malignant liver tumors of the ADC and eADC value were analyzed.ResultsAt low values of b,ADC and eADC values between benign and malignant liver tumors had no significant difference(P＞0.05).At high values of b,the differences in ADC and eADC values between benign and malignant tumors of the liver were statistical significance (P＜0.05).ADC perfusion and eADC value between benign and malignant liver tumors had a significantly difference(P＜0.05).ConclusionPerfusion ADC value and perfusion eADC value can provide reference information for blood perfusion characteristics of liver tumor.Combined with routine MRI examination and clinical history,it can improve the accuracy of diagnosis of liver benign and malignant tumors.
2018 Vol. 25 (6): 75-77 [
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232
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Evaluation of early diagnostic value of contrast-enhanced ultrasound on small hepatocellular carcinoma at the background of liver cirrhosis
YU Hui-lin; WANG Jing-bo
ObjectiveTo evaluate the early diagnostic value of contrast-enhanced ultrasound on small hepatocellular carcinoma at the background of liver cirrhosis.MethodsIn this study,the observation subjects were all selected from the patients with small liver cancer at the background of liver cirrhosis admitted in our hospital from September 2016 to September 2017.A total of 25 cases(60 lesions)were selected and confirmed by pathological examination after needle biopsy.All subjects were given contrast echocardiography.The sensitivity,the duration of contrast-enhanced ultrasound remission of each lesion,and contrast enhancement mode were recorded.The scores of benign and malignant occupying lesions were analyzed before and after contrast ultrasonography.Results23 patients with small hepatocellular carcinoma at the background of liver cirrhosis were detected by contrast-enhanced ultrasonography.The sensitivity was 92.00%(23/25).The initial enhancement time in the moderate-poorly differentiated cancer group was(14.22±5.35)s，which was significantly shorter than that in the clear cell carcinoma group.The difference between the two groups was statistically significant(P＜0.05);in moderate-poorly differentiated cancer group,the onset time of remission was(60.15±46.57)s.Compared with highly differentiated carcinoma group,the time was significantly shorter,and the difference between groups was statistically significant(P＜0.05);comparison of small hepatocellular carcinoma lesion enhancement mode found that when the ultrasound echo intensity of small liver cancer during parenchyma period was lower than that in the normal liver parenchyma,it was rapid.The detection found that there were 39 lesions in total,accounting for 65.00%.Among them,38 were moderate-poorly differentiated carcinoma lesions and 1 was clear cell carcinoma lesions.Among the 60 lesions,34 cases were diagnosed as malignant,accounting for 56.67%.The ultrasound scores were compared before and after contrast ultrasound.After contrast ultrasound,the score was 5 points for the 51 lesions,and the diagnostic accuracy of small liver cancer was 85.00%.ConclusionFor early diagnosis of small hepatocellular carcinoma at the background of liver cirrhosis,ultrasound contrast has a high clinical value,which can improve the accuracy of ultrasound diagnosis,with high sensitivity.It can be used as an auxiliary imaging method to diagnose small hepatocellular carcinoma at early clinical stage,which is worthy to be further popularized and applied in clinical practice.
2018 Vol. 25 (6): 78-80 [
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The missed diagnosis causes and clinical significance of transabdominal and transvaginal ultrasound in the diagnosis of cervical cyst
WANG Miao;DONG Xin
ObjectiveTo investigate the missed diagnosis causes and clinical significance of transabdominal and transvaginal ultrasound in the diagnosis of cervical cyst.Methods270 cases of cervical cyst patients treated in our hospital from August 2014 to February 2017 were selected as the research objects by random envelope sampling method.The patients were diagnosed by abdominal and transvaginal ultrasound,and the prevalence and misdiagnosis were recorded.ResultsThe bdominal and transvaginal ultrasound respectively to detect cervical cyst were 256 cases and 260 cases,the detection rates were 94.8%and 96.3%,there were no significant difference (P>0.05).There were 14 cases and 10 cases of missed diagnosis of cervical cyst by transabdominal and transvaginal ultrasound,the rate of missed diagnosis was 5.2%and 3.7%,without significant difference(P>0.05).ConclusionTransabdominal and transvaginal ultrasound are effective and accurate method in the early diagnosis of cervical cyst,but there are some missed diagnosis.It is necessary to adopt various diagnostic methods according to the condition of the disease.
2018 Vol. 25 (6): 81-83 [
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218
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Clinical observation on Dydrogesterone Tablets in treating threatened abortion caused by luteal dysfunction
GUO Li-hua
ObjectiveTo explore the clinical value of Dydrogesterone Tablets in the treatment of threatened abortion caused by luteal insufficiency.Methods120 cases of threatened abortion due to luteal insufficiency diagnosed and treated in our hospital from April 12,2015 to November 9,2017 were selected and divided into control group and observation group according to different treatment methods,with 60 cases in each group.The control group was treated with Progesterone injection,and the observation group was treated with Dydrogesterone Tablets.The levels of serum progesterone,estradiol,uric acid (UA)and the incidence of adverse reactions(nausea,headache,scleroma and redness)were observed and analyzed in the two groups.ResultsThe levels of serum progesterone and estradiol in the observation group were higher than that in the control group,while UA was lower than that in the control group,the difference was statistically significant(P＜0.05).The incidence of adverse reactions in the observation group was lower than that in the control group,the difference was statistically significant(P＜0.05).ConclusionThe treatment of threatened abortion caused by luteal insufficiency with diglucoside Dydrogesterone Tablets has high clinical value.It can not only improve the level of serum progesterone and estradiol,but also reduce the incidence of adverse reactions.It is worthy of clinical application and promotion.
2018 Vol. 25 (6): 84-86 [
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Clinical effect of Cefoperazone/Sulbactam combined with Moxifloxacin Hydrochloride in the treatment of severe pneumonia
LI Xue-ping; HUANG Guo-hua; GU Hui;DU Yan-fang
ObjectiveTo investigate the clinical effect of Cefoperazone/Sulbactam combined with Moxifloxacin Hydrochloride in the treatment of severe pneumonia.Methods108 patients with severe pneumonia diagnosed and treated in our hospital from February 2014 to January 2017 were divided into control group (50 cases)and Moxifloxacin Hydrochloride combined with Cefoperazone/Sulbactam group (58 cases)according to the different treatment measures.The inflammation index,white blood cell count and clinical efficacy of the two groups of patients with severe pneumonia before and after treatment were observed.ResultsThere was no significant difference in PCT,WBC and CRP between the two groups before treatment(P＜0.05).After treatment,the levels of PCT,WBC and CRP in the control group and Cefoperazone/Sulbactam combined Moxifloxacin Hydrochloride group were lower than those before treatment(P＜0.05).After treatment,the levels of PCT,WBC and CRP in Cefoperazone/Sulbactam combined Moxifloxacin Hydrochloride group were lower than those in the control group(P＜0.05).The total effective rate of Cefoperazone/Sulbactam combined with Moxifloxacin Hydrochloride group was higher than that of the control group(P＜0.05).ConclusionIn the treatment of severe pneumonia patients,Cefoperazone/Sulbactam combined with Moxifloxacin Hydrochloride greatly improves the clinical symptoms in a favorable effect,which is worthy of clinical application and promotion.
2018 Vol. 25 (6): 87-89 [
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Observation of clinical curative effect of wild Pueraria in Handan
ZHANG Heng-yun; WANG Liang;MA Deng-bin ;LIU Jian-ping; WANG Wei
ObjectiveTo verify the antidiarrheal effect of wild Pueraria in Handan.Methods100 patients(4 cases were shedding cases)with damp-heat diarrhea treated in outpatient of Handan Hospital of Traditional Chinese Medicine from May to September 2015 were selected as the object and they were randomly divided into the treatment group(n=49)and control group(n=47).All the two groups were treated with Puerariae and Scutellariae and Coptidis Decoction,then,the treatment group and control group was given wild Pueraria and cultivated Pueraria in other places of origin.ResultsThe effective rate of the treatment group in the third day was higher than that of control group(P＜0.05),and there was no significant difference between the two groups in the effective rate of treatment in the seventh day(P＞0.05).The degree of abdominal pain,defecation frequency and abdominal distension score of treatment group in the third day was lower than those of control group (P＜0.05),and the two groups had no statistically significant difference in abdominal pain,defecation frequency and abdominal distension score in the seventh days (P＞0.05).ConclusionWild Pueraria in Handan is obvious in the treatment of damp-heat diarrhea and can effectively shorten the course of treatment,the reasonable development and utilization should be strengthened.
2018 Vol. 25 (6): 90-92 [
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206
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Effects of Zhuangyao Jianshen Pills and Liuwei Dihuang Pills in treatment of intractable strained low back pain
LUO Hua-wen
ObjectiveTo investigate the clinical effect of Zhuangyao Jianshen Pills and Liuwei Dihuang Pills in treatment of intractable strained low back pain.Methods150 patients with intractable strained low back pain treated in our hospital from May to December 2016 were selected and they were divided into the two groups according to the random number table method,and there were 75 cases in each group.Control group was given Sulfasalazine Enteric-coated Tablets,while observation group was treated with Zhuangyao Jianshen Pills and Liuwei Dihuang Pills.The clinical efficacy,pain degree,activities of daily living and dysfunction degree were compared between the two groups.ResultsThe total effective rate of observation group was 92.00%,which was higher than that(73.33%)of control group(P＜0.05).The visual analogue scale(VAS)score and Barthel index in observation group([1.34±0.37]points,[96.45±3.21]points)and control group([3.65±0.72]points,[90.16±5.32]points)were compared,there was statistical difference(P＜0.05).The score of Oswestry disability index(ODI)and Japanese orthopaedics association(JOA)in observation group([21.73±3.46]points,[22.40±2.75]points)and control group([28.26±4.42]points,[14.56±4.31]points)were compared,there was statistical difference (P＜0.05).ConclusionZhuangyao Jianshen Pills and Liuwei Dihuang Pills in treatment of intractable strained low back pain is obvious,it can reduce pain degree and dysfunction degree,improve activities of daily living and increase living quality of patients.
2018 Vol. 25 (6): 93-95 [
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Discussion on the mechanism of Gynecological Reconstructive Capsules in the treatment of emmeniopathy
YAO Mei-yu;ZHANG Ling-juan;SU Gai-juan;WANG Fei-fan;LI Bo-lin
Menstrual disorders are common gynecological diseases in clinical practice.They are also disorders of menstrual cycle,period and abnormal menstruation volume,which have a serious impact on the quality of life,and an increasing number of people are now paying attention to it.The complexity of its pathogenesis makes it more difficult to prevent and cure.This article explores the main mechanism of Gynecological Reconstructive Capsules in the treatment of menstrual disorder from the aspect of kidney deficiency,liver depression,blood stasis,phlegm dampness and other etiology of TCM view and hypothalamus-pituitary-ovarian axis abnormalities of Western medicine view.According to years of clinical experience by professor YAO Meiyu,the treatment protocol of"treatment of the symptoms if urgent,and treatment of the nature if stable"was put forwarded,so as to provide a reference for clinical application of Gynecological Reconstructive Capsules.
2018 Vol. 25 (6): 96-98 [
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207
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The significance of thinprepcytologic test combined with human papillomavirus DNA screening in the screening and diagnosis of cervical cancer
ZHANG Chao-qing;LIU Li;WU Ding-bin;DENG Chuan-fang;XU Jin-wen;PAN Yong-kang;LI Li-hui;WEN Ai-ci
ObjectiveTo study the significance of thinprepcytologic test(TCT)combined with human papillomavirus DNA detection (HPV-DNA)in the diagnosis of cervical cancer and the diagnosis of precancerous lesions.MethodsFrom September 2014 to September 2016,330 patients who have been done cervical cancer screening and gynecological cervical cancer in our hospital were selected as the subjects.The patients were examined by colposcopy and histopathological examination.And the patients were randomly divided into three groups,with 110 cases in each group.The patients of group A were conducted with TCT examination.Group B were conducted with HPV examination and group C were conducted with TCT HPV examination.The advantages and disadvantages of the three different detection methods were compared.ResultsCompared with colposcopy and histopathological examinations,the results of group A(TCT)were different and the differences were statistically significant(P＜0.05).The results of group B(HPV)were significantly higher than those of colposcopy and histopathological exams(P＜0.05).The sensitivity,accuracy and specificity of group C(TCT+HPV)in atypical squamous cell(ASC),low grade squamous intraepithelial lesion(LSIL)and high grade squamous intraepithelial lesion(HSIL)were higher than that in group A(TCT)and group B(HPV),with significant difference(P＜0.05).ConclusionThinprepcytologic test combined with human papillomavirus DNA screening is an effective screening method for the diagnosis of cervical cancer.Because of the higher specificity,accuracy and sensitivity,it is clinically worthy of popularization and application of diagnostic methods.
2018 Vol. 25 (6): 99-101 [
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214
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Clinicopathological features of diffuse large B cell lymphoma of the breast for a report of 9 cases
TU Jian-hong ;QU Wei
ObjectiveTo investigate the clinicopathological features,differential diagnosis and prognosis of diffuse large B cell lymphoma of the breast(PBDLBCL).Methods9 cases of patients with diffuse large B cell lymphoma of breast treated in our hospital from March 2013 to August 2017 were selected,and the clinicopathological features and immunophenotype were analyzed retrospectively.The literatures were reviewed.Results9 cases of diffuse large B cell lymphoma of the breast were female,aged 22-80 years,median age of 52 years.5 cases were right,3 cases were left and 1 cases were bilateral.8 cases were diagnosed as primary and 1 were secondary.Immunophenotype:9 cases of diffuse large B cell lymphoma of breast were positive expression of LCA,CD20 and CD79a,CD3,CD5 and CK were negative,Ki-67 index was 70%-95%,median 90%.ConclusionBreast lymphoma is rare,and most of the patients are female.It is very common in unilateral mammary gland.The main pathological type is diffuse large B cell type.Pathological,light and immunohistochemical findings are helpful in the diagnosis and differential diagnosis.
2018 Vol. 25 (6): 102-104 [
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193
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Clinical significance of fibrinogen and D-dimer in the detection of deep venous thrombosis after lower limb fracture in elderly patients
YANG Dong-wen; LIN Shao-sheng;CAI Wei-jun
ObjectiveTo investigate and analyze the clinical significance of fibrinogen(FIB)and D-dimer(D-D)in the detection of deep venous thrombosis after lower limb fracture in elderly patients.Methods60 cases of elderly patients who.
received
lower limb fracture surgery in our hospital from March,2016 to March,2017 were randomly divided into the observation group,other 60 cases of healthy subjects were divided into the control group.Then,the levels of FIB and D-D were compared between the two groups,and the patients in the observation group were divided into DVT group of 8 cases and non DVT group of 52 cases according to color Doppler ultrasound results in the same time.And the levels of FIB and D-D were compared between the two groups.ResultsThe levels of FIB and D-D in the observation group were significantly higher than those in the control group(P＜0.05).There was no significant difference in FIB and D-D levels between DVT group and non-DVT group before operation(P＜0.05),while the levels of various indexes in DVT group after operation were significantly higher than those in non-DVT group(P＜0.05).ConclusionThe FIB and D-D are sensitive markers in detecting deep venous thrombosis after lower limb fracture in elderly patients,and it is great significance for prevention and treatment of deep vein thrombosis in elderly patients with lower limb fracture.
2018 Vol. 25 (6): 105-107 [
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Correlation study between glycosylated hemoglobin and urine microalbumin,and biochemical indexes in patients with type 2 diabetic nephropathy
QIU Hui-ying
ObjectiveTo investigate the relationship between urinary microalbumin (U-mAlb),glycosylated hemoglobin(HbA1c)and biochemical parameters in patients with type 2 diabetic nephropathy (2-DN)in order to provide experience for clinical treatment of 2-DN.Methods100 patients who underwent health examination in our hospital from February 2015 to February 2016 were selected as control group,and 100 patients with 2-DN were selected as observation group.In addition,the patients in observation group were divided into normal albumin (NAU)group,microalbuminuria (MAU)group and clinical albuminuria (CAU)group according to the urinary microalbuminuria excretion rate.The urinary microalbuminuria,glycated hemoglobin and biochemical indexes of the two groups were detected,and the relationship between microalbuminuria,glycated hemoglobin and biochemical indexes of the patients in observation group was discussed.Resultstriglyceride(TG),total cholesterol(TC),low density lipoprotein(LDL-C),fasting blood glucose(FBG),U-mAlb and HbA1c in the observation group were significantly higher than those in the control group,while HDL-C was significantly lower than those in the control group (P＜0.05).TG,TC,LDL-C,FBG and HbA1c in NAU group were significantly higher than those in CAU group and MAU group (P＜0.05).TG,TC,LDL-C,FBG and HbA1c in MAU group were significantly lower than those in CAU group (P＜0.05).ConclusionIn 2-DN patients,U-mAlb and HbA1c were correlated with biochemical parameters,and there is a positive correlation between U-mAlb and biochemical parameters.
2018 Vol. 25 (6): 108-110 [
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Pulmonary function and blood gas analysis in patients with silicosis complicated with chronic obstructive pulmonary disease
LIU Ya;LIU Xian;YU Zhi-bin;ZHANG Xu
ObjectiveTo investigate the pulmonary function and blood gas indexes in patients with silicosis complicated with chronic obstructive pulmonary disease (COPD),and to analyze its clinical significance.Methods100 cases of silicosis patients treated in our hospital from August 2016 to August 2017 were selected as the study subjects.According to whether or not to merge chronic obstructive pulmonary disease,50 patients in the control group were simple silicosis patients,50 patients in the study group were silicosis combined with COPD.The lung function of two groups of patients was measured by the Japanese CHESTAC-50 lung function tester.Two groups of patients were collected for arterial blood,the blood gas analysis was carried out by the United States abbott i-STAT1 blood gas analyzer.ResultsOne second forced expiratory volume(FEV1),forced vital capacity(FVC),one second forced expiratory volume/forced vital capacity(FEV1/FVC)and carbon monoxide dispersion(DLco)in the study group were significantly lower than those in the control group(P＜0.05).The oxygen partial pressure(PaO2),oxygen saturation(SpO2)and blood acidity(pH)in the study group were significantly lower than those in the control group(P＜0.05).The partial pressure of carbon dioxide (PaCO2)in the study group was significantly higher than that in the control group (P＜0.05).ConclusionSilicosis combined COPD showed its unique clinical pathological features,the patients′lung function and blood gas analysis can provide very important for its condition and prognosis judgement of reference.
2018 Vol. 25 (6): 111-113 [
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Diagnostic value of HE4 combined with CA125 detection in early ovarian cancer
WANG Yin-ren;YAN Kai
ObjectiveTo investigate the value of human epididymal secretory protein 4 (HE4)combined with carbohydrate antigen 125 (CA125)in the diagnosis of early ovarian cancer.MethodsFrom June 2015 to March 2017,50 patients with ovarian cancer,40 patients with pelvic benign tumor,and 50 healthy subjects for physical examinations were selected.The blood HE4 and CA125 concentrations of the three groups were detected.The value of two indicators in the diagnosis of ovarian cancer was compared.ResultsSerum HE4 concentration in ovarian cancer group was significantly higher than that in pelvic benign tumor group(P＜0.05).There was no significant difference in serum HE4 concentration between pelvic benign tumor group and control group (P＞0.05).Serum CA125 concentration in ovarian cancer group was significantly higher than that in pelvic benign tumor group (P＜0.05).The serum CA125 concentration of patients with pelvic benign tumor group was significantly higher than that of the control group.The difference was statistically significant(P＜0.05).The sensitivity and specificity of HE4 group in ovarian cancer were 88.00%(44/50)and 93.48%(86/92),which was higher than that of CA125 group of 60.00%(30/50)and 79.59%(78/98),the difference was statistically significant(P＜0.05).There was no statistically significant difference between HE4 group and CA125 group(Z=1.395,P=0.164).There was no statistically significant difference between HE4 and HE4 combined CA125 group(Z=0.705,P=0.481).There was statistically significant difference between CA125 group and HE4 combined CA125 group(Z=2.723,P=0.0062).ConclusionThe value of HE4 combined with CA125 in the diagnosis of early ovarian cancer is better than that of HE4 or CA125 alone.It can be considered as one of the noninvasive methods for the diagnosis of ovarian cancer.
2018 Vol. 25 (6): 114-116 [
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Development and application of elastic compression device for oxygen bag
LI Yan-xiang;OUYANG Liang-mei;LUO Jun-ping;ZHU Mei-Hua;WANG Yan
The purpose of studying the elastic compression device of oxygen bag is to improve the field operation efficiency,improve the equipment applicability and improve the rescue effect of the patient.The traditional oxygen bag device is manually pressurized,resulting in the workload is relatively large,and difficult to operate,technical personnel of an oxygen bag automatic pressure,only need to increase the high elastic belt,fastening device,flow meter can be.After completion of production practice,found that the use of a compression device of the oxygen bag elastic without time and space limitations in the practical application,stable work,without failure,ensure that the hospital treatment,the effect of nursing work.
2018 Vol. 25 (6): 117-119 [
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216
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The application of Blue-wick cardiopulmonary resuscitation machine in pre-hospital care for patients with cardiac arrest
CAI Xuan-Kun ;WANG Xin-sheng ;LI Jian-rong; PENG Guan-hui
ObjectiveTo evaluatethe effect of Blue-wick cardiopulmonary resuscitation machine in pre-hospital care for patients with cardiac arrest.Methods60 cases of patients with cardiac arrest in our hospitalwere recruited from February 2017 to February 2018.Patients were randomly divided into manual compression cardiopulmonary resuscitation group and Blue-wick cardiopulmonary resuscitation machine cardiopulmonary resuscitation group,30 cases in each group.The cardiopulmonary resuscitation effects of two group were compared.ResultsThe cardiopulmonary resuscitation time,and heart rate recovery time of treatment groups were(13.46±2.33)min and(4.94±0.62)min respectively,while the control group were(28.91±4.27)min and(8.01±2.32)min.The differences were statistically significant(P＜0.05).After the treatment of 5 min,there were no significant difference of PaO2,SaO2,PaCO2between the two groups(P＞0.05).After 10 and 15 min treatment,the PaO2and SaO2of treatment groups were significantly higher than those of the control group,while the PaCO2was significantly lower (P＜0.05).The success rate of recovery in treatment group was 46.67%(14/30),significantly higher than that the control group [20.00% (6/30)].The incidence of complications was 6.67%(2/30),significantly lower than that the control group [26.67% (8/30),(P＜0.05)].ConclusionUsing Blue-wick cardiopulmonary resuscitation machine in the pre-hospital care,can，shorten the recovery time of heart rate,improve the blood gas index,enhance the success rate ofcardiopulmonary resuscitation,reduce the incidence of complications.The application prospect of Blue-wickcardiopulmonary resuscitation machineis wide.
2018 Vol. 25 (6): 120-122 [
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Current situation，problems and countermeasures of health insurance for the elderly in Chongqing City under the background of urban and rural medical care
WANG Jing; LIU Ding-gang ;YANG Jie ;Kuang Ying-ying
As China′s aging process continues to accelerate,the number of elderly people continues to grow,accompanied by the gradual decline in physiological function,the risk of disease gradually increased.The demand for medical services in the elderly is more urgent than in the past,how to meet the reasonable needs of this group,how to ensure the fairness of the medical insurance system has become the government must face the problem.This paper investigates the status quo of medical insurance for the elderly in Chongqing,and realizes the actual situation of medical insurance for the elderly in Chongqing.The main problems are found.At the same time,according to the relevant research results at home and abroad,protect the rights and interests of the elderly in different backgrounds.
2018 Vol. 25 (6): 123-125 [
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The correlation research of between illness uncertainty and psychological distress in the patients with tuberculosis
XU Yan-rong
ObjectiveTo explore correlation between illness uncertainty and psychological distress in the patients with tuberculosis.Methods372 patients with tuberculosis were researched using the Mishel Uncertainty in Illness(MUIS)and the 10-item Kessler Psychological Distress Scale (K10)from April to August 2017.ResultsThe total score of MUISS was(100.20±14.62)scores in the patients with tuberculosis,in the MUISS,the score of dimensions of ambiguity was(42.24±5.16)scores,the score of complexity dimensions dimension was(23.62±3.29)scores,the score of information deficiency dimension was(21.11±3.44)scores,the score of unpredictability dimension was(13.25±3.34)scores.The total score of K10 was(32.61±6.35)scores,in the K10,the score of anxiety factor was(14.28±3.28)scores,the score of depression factor was (18.34±4.49)scores.Pearson correlation analysis showed that the total score of psychological distress showed a positive correlation with the total score of illness uncertainty(r=0.315,P＜0.01).ConclusionIllness uncertainty is influence factor of psychological distress,Reducing illness uncertainty can help to relieve psychological distress in the patients with tuberculosis.
2018 Vol. 25 (6): 126-128 [
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Sanitary situation of swimming pool water in Anshan City，2012-2016
ZHANG Tian-jiao
ObjectiveTo evaluate the sanitary situation of swimming pool water,and to provide scientific basis for the health management of swimming places.MethodsBy the methods of scene sampling,field test and laboratory test,according to national standard,the sampling data was collected to evaluate swimming pool water from 2012 to 2016.We monitored the sanitary situation of swimming pool water and those index,including bacterial count,coliform bacteria，free residual chlorine，pH value，turbidity and urea.ResultsThere were 295 samples of water samples in 2012-2016 and 99 samples qualified(33.56%).In those 5 years,the distributions of quality of water quality were significantly different(χ2=11.088,P=0.026),with the highest qualified rate in 2016,while the lowest qualified rate of the six indexes was free residual chlorine(39.66%).The qualified rate of coliform bacteria was 85.76%，the qualified rate of bacterial count was 87.46%,urea qualified rate was 96.27%,the pH value and turbidity qualified rates were all 100%.ConclusionAs the the sanitary situation of swimming pool water in Anshan city,Liaoning Province,is not optimistic,it is necessary to train swimming pool owners in public healthand to have more health supervision.
2018 Vol. 25 (6): 129-131 [
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191
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132
Learning platform construction of online virtual experiment for organic chemistry of laboratory medicine
LI Shu-jing;BEI Zhan-yu;LUO Xiao-bing;YU Qing-bao;XU Jia-lin;CHEN Chao;DU Jin-jie
Online virtual experiment platform is the important component of network teaching resources and the inevitable requirements of open digital teaching.This paper discusses the necessity of the construction of online virtual experiment learning platform for organic chemistry,and studies the ideas,methods and contents of the construction of online virtual experiment learning platform.The application of the virtual experiment online platform to the teaching has an obvious effect on improving the practical ability,operation ability and practical ability of students.
2018 Vol. 25 (6): 132-134 [
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186
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135
Application effect of WeChat public platform in nursing teaching of operating room
ZHOU Can; PENG Yan-mei;DENG Su-juan ;ZHANG Jun-qian
ObjectiveTo observe the role of WeChat platform in the nursing teaching of the operating room to provide new ideas for nursing teaching.MethodsA total of 223 nursing students practicing in the operating room of our hospital from September 2015 to September 2017 were selected as the object.According to the time series,223 nursing students were divided into the control group(n=123)and the observation group(n=100).The control group.
received
the traditional nursing teaching mode,and the observation group accepted the teaching mode,which was mainly taught by WeChat platform.After the end of the teaching,all students were given outage examinations,questionnaires and self-rating scale of self directed learning.ResultsThe theoretical performance,operating performance of observation group students were better than the control group,the difference was statistically significant (P＜0.05).The score of satisfaction degree of teaching intern in observation group were higher than that of control group,the difference was statistically significant(P＜0.05).The score of self-directed learning ability of internship nurses in observation group was higher than that of control group (P＜0.05).ConclusionUsing WeChat platform is conducive to the development of teaching,the improvement of mastery of knowledge,the degree of satisfaction with teaching and self-oriented learning ability,and it is worthy of promotion in the future nursing work.
2018 Vol. 25 (6): 135-137 [
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212
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138
Practice and thoughts of teaching in medical molecular biology experiment class
LIU Yu-ling
In order to improve the self-practice ability and innovation ability of medical student.This paper discussed the common problems in experiment class for medical molecular biology and analyzed the teaching reform program of medical molecular biology experiment class from several aspects of building molecular biology laboratory and faculty,standardizing laboratory supplies,perfecting experimental contents and experimental guidance manual,increasing multimedia teaching and reforming the evaluation method of experimental results,and increasing students′attention.
2018 Vol. 25 (6): 138-140 [
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189
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141
The problems and countermeasures existed in field teaching of modern instrumental analysis for medical and biological graduate students
XU Shi-qiang;HU Xia-min;CAO Xiao-lu;CHEN Ya-jun
Modern instrumental analysis is an important professional technology core course learned by graduate student.In our college,many students are involved in biology,clinical medicine,preventive medicine and so on.The course covers a wide range of knowledge,covers more students,and teaching content should be advanced.This paper analyzes the current situation of the teaching of Modern instrumental analysis in our college,and introduces the current situation and teaching experience of teaching materials,practical problems,objective conditions,and students′differences,and looks forward to the improved method.
2018 Vol. 25 (6): 141-144 [
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205
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145
A report about bronchopleural fistula after the treatment of atrial septal defect occluder
ZHANG Li;YE Lian-hua;WANG Gao-wei;ZHANG Lei;CHEN Ya;TAN Hui;HUANG Yun-chao
Bronchopleural fistula is one of the most rare but serious complications after pneumonectomy,with high mortality.Effective treatment is of great significance to the prognosis of bronchopleural fistula.At present,there are no relevant guidelines and standards for the treatment of bronchopleural fistula.In order to evaluate the clinical efficacy of atrial septal occluder for early bronchopleural fistula(BPF)after total pneumonectomy,this paper retrospectively analyzed the clinical data of one case diagnosed as bronchopleural fistula after total pneumonectomy in Yunnan cancer hospital in December 2016.The clinical manifestations of this patient are cough,expectoration,accompanied by blood in sputum,did chest CT and electronic bronchoscopy,then found left pulmonary bronchopleural fistula.According to the anatomical characteristics and pathological features of bronchopleural fistula,the atrial septal occluder was used to occlude the fistula.The first placement of the atrial septal occluder(6 mm)was successful,and the left pulmonary bronchial fistula was completely occluded after placement of the atrial septal occluder.Five days later,an electronic bronchoscopy was performed to assess the pulmonary and airway conditions and found that the left pulmonary bronchial stump occluder was displaced.To place the atrial septal occluder(18 mm)again,once placed successfully,and the fistula was completely occluded.The left pleural residual cavity disappeared completely after the occluder was placed for 3 months,the fistula healed and the pulmonary function improved obviously.The atrial septal occluder was used to occlude the early bronchopleural fistula after lobectomy.The operation was simple,the fistula healing was accelerated and the residual cavity disappeared.As well as improve the quality of life of patients,the clinical effect is good.A large number of clinical data shows that the atrial septal occluder is a scientific and effective method which owes the advantages of the treatment of bronchopleural fistula,rapid healing of fistula,good surgical safety,simple and convenient operation and less postoperative complications.It can be popularized and applied.
2018 Vol. 25 (6): 145-147 [
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173
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148
Report and literature review of one case of overlapping Miller-Fisher syndrome with positive pathological signs and Guillain-Barré syndrome
YANG Ling;YU Peng
Miller-Fisher syndrome(MFS)is a type of mutation of Guillain-Barré syndrome(GBS).Typical clinical manifestations include extraocular muscle paralysis,ataxia,and disappeared tendon reflex.It is less common clinically,and the symptoms are usually mild,some of which may progress to GBS.The new diagnostic criteria are called"overlapping".When MFS progresses rapidly and presents with clinical manifestations other than peripheral nerve involvement,it needs to be identified.Clinical data and diagnosis and treatment details with integrated TCM and western medicine for a patient with overlapping MFS and GBS showing positive bilateral pathological symptoms,symmetry limb weakness,facial nerve involvement,laryngeal muscle paralysis,respiratory muscle involvement,distal sensory dysfunction,and autonomic nerve dysfunction were retrospectively analyzed.The literature review is combined,so as to deepen the understanding of the new diagnosis classification and standard of GBS and MFS.
2018 Vol. 25 (6): 148-151 [
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224
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152
A cases of multiple myeloma nephropathy with lumbago as clinical manifestation and literature review
TANG Jun-ping ;HUANG Jie-ping ;ZHANG Kui-zheng; HE Min ;ZENG Xiao-lin
In order to improve the clinical diagnosis and treatment of myeloma nephropathy,this paper analyzed the diagnosis and treatment process of patients with multiple myeloma nephropathy with back pain clinical manifestations,and through literature review,summarize the experience in diagnosis and treatment of multiple myeloma nephropathy.The results shows that this case of low back pain in patients with clinical manifestations of bone marrow puncture after the diagnosis of myeloma nephropathy.By analyzing the relevant literature,the diagnosis and treatment of myeloma nephropathy were summarized.Observe the early symptoms of patients with myeloma nephropathy,signs of atypical,patients may be due to bone pain,proteinuria or anemia in the first diagnosis of orthopedics,nephrology or hematology,primary hospital misdiagnosis misdiagnosis.
2018 Vol. 25 (6): 152-154 [
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193
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155
Research on the effect of high quality nursing mode in whole process on the quality of maternal delivery，lactation，satisfaction and comfort in primiparae
LI Wen-jing
ObjectiveTo study the effects of high quality nursing mode in whole process on the quality of delivery,lactation,satisfaction and comfort in primiparae.MethodsA total of 320 primiparae were selected from April to June 2017 in our hospital.The clinical data of these patients were retrospectively analyzed.By drawing lots,they were evenly divided into two groups in random,160 cases in each group.In the control group,routine nursing for primipara was provided,while in the observation group,the whole high quality nursing mode as an intervention was adopted.The quality of delivery,lactation,satisfaction and comfort of the two groups were compared.ResultsThe rate of cesarean section in primiparae in the observation group was 10.00%,significantly lower than that in the control group accounting for 33.13%with a statistical difference(P＜0.05).The initial time of postpartum lactation in the observation group was quite shorter compared with that in the control group(P＜0.05).The 48 h postpartum milk yield was significantly higher in the observation group than that the control group with a statistical difference （P＜0.05）.The nursing satisfaction was 95.63%in the observation group,was higher than that in the control group accounting for 85.00%(P＜0.05).The comfort score in the observation group was(107.23±6.35)points,which was superior to that in the control group(85.31±5.29)points,which displayed statistical significance(P＜0.05).ConclusionApplication of high quality nursing mode in whole process as a nursing intervention for primiparae can effectively improve the quality of maternal delivery,ameliorate the lactation function,enhance nursing satisfaction and comfort,and it is worthy of promotion.
2018 Vol. 25 (6): 155-157 [
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177
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158
Research on the effect of active nursing intervention on the delivery outcome in adolescent women
ZHANG Bang-xiu;MAI Yu-fang;ZENG Xiu-fang;WANG Ai-tao;YAO Jian-fang;LIANG Jie-ping
ObjectiveTo investigate the effect of active nursing intervention on the delivery outcome in adolescent women.MethodsA total of 140 maternal women under age admitted in our hospital from January 2016 to December 2017 were selected as research subjects.By a random drawing lots,they were evenly divided into experimental group and control group,70 cases in each group.In the control group,routine care was used,while in the experimental group,on the basis of the control group,active nursing intervention such as breathing pain-relieving training,birth ball training,psychological care,and prenatal massage,etc was adopted.The mode of delivery,labor time,perineal conditions,2-hour postpartum hemorrhage,and neonatal asphyxia rate in the two groups were compared.ResultsCompared with the control group,there was no significant difference in the rate of cesarean section or neonatal asphyxia rate in the experimental group(P＞0.05).In the experimental group,the amount of bleeding of 2 hours after delivery was(156.7±53.2)ml,it was much lower than that in the control group(235.6±42.3)ml,with a statistical difference(P＜0.05).Compared with the control group,the duration of the first stage of labor and total stage of labor were significantly different(P＜0.05).The total stage of labor in the experimental group was(361.05±17.88)min,which was much lower than that of the control group,(426.27±27.60)min(P＜0.05).In the experimental group,the proportion of non-laceration was significantly higher those in the control group,with a statistical difference(P＜0.05).ConclusionThe implementation of active nursing intervention for underage puerperae can facilitate the progress of labor,reduce the trauma,effectively alleviate the maternal discomfort,and is beneficial to improve the quality of obstetric work,which is worthy of clinical promotion.
2018 Vol. 25 (6): 158-160 [
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217
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161
Analysis and research on clinical nursing points of pertussis complicated with pneumonia
LI Xi-liang
ObjectiveTo study and discuss the key points of clinical nursing for pertussis complicated with pneumonia and provide a reliable reference for the clinical prevention and treatment of pertussis complicated with pneumonia.Methods100 children patients with pertussis complicated with pneumonia who were admitted to the Department of Infectious Disease in Shenzhen Children Shenzhen′s Hospital from January 2014 to March 2017 were selected as the study subjects.According to the computer random number grouping method,the patients were randomly divided into two groups,50 cases in each group.The control group and the observation group were given routine nursing care and targeted nursing care respectively.The symptom relief time,length of hospital stay,anxiety score of parents,score of parents′uncertainty about the disease and parents′satisfaction with nursing were compared between the two groups.ResultsThe relief time of symptoms such as cough,pulmonary rales and fever,and length of stay in the observation group were all shorter than those in the control group(P＜0.05);the scores of anxiety and disease uncertainty after intervention in both groups were lower than those before intervention(P＜0.05).After intervention，the scores of anxiety and disease uncertainty in observation group were lower than those in control group(P＜0.05).The total parents′satisfaction rate with nursing in the observation group(98%)was higher than that in the control group(84%),and the differences were statistically significant(P＜0.05).ConclusionTargeted nursing for children patients with pertussis complicated with pneumonia in clinical nursing can play a role in promoting the relief of symptoms，alleviating the negative emotions of parents and improving parents′satisfaction with the nursing.The nursing effect is significant.
2018 Vol. 25 (6): 161-163 [
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205
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164
Effect of nursing intervention on correcting diet misunderstandings in middle-aged and diabetic patients
QU Jin-qi
ObjectiveTo investigate the effect of nursing intervention on the correction of diet misunderstandings in middle-aged and elderly diabetic patients.MethodsA total of 50 middle-aged and elderly patients with diabetes mellitus were selected from February 2013 to February 2016 in our hospital.The patients were divided into observation group and control group randomly,25 cases in each group.Patients of the control group were given implement routine dietary intervention,patients of the observation group were given implement diet correction intervention.The effect of dietary care was compared between the two groups.ResultsAfter nursing intervention,the observation group had significantly better glycemic control than that of the control group,the difference was statistically significant(P＜0.05).The proportion of patients in the observation group who corrected bad dietary tendency and established correct eating habits was higher than that in the control group,the difference was statistically significant(P＜0.05).ConclusionThe nursing intervention on middle-aged and elderly diabetic patients can effectively correct the errors of diet,reduce the incidence of related complications and effectively improve the quality of life of patients.
2018 Vol. 25 (6): 164-166 [
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202
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Effect analysis of nursing behavior ability on and behavior goal attainment in clinical nurses
PAN Yong-juan
ObjectiveTo explore effect analysis of on nursing behavior ability on and behavior goal attainment in clinical nurses,in order to afford guide for nursing management.Methods272 clinical nurses were researched with Competency Inventory for Registered Nurse(CIRN)and Nurse′s Performance for Goal Attainment(NPGA)in May,2017.ResultsThe total score of CIRN was (144.98±21.37)points,it was medium level,the total score of NPGA was (156.27±21.37)points,it was low level.Correlation analysis showed，Nurse′s performance for goal attainment was positively correlated with competency inventory for registered nurse(r=0.570,P＜0.01）,Regression analysis showed that core competence could explain 35.7%of variability of behavior goal attainment.ConclusionThe total level of post competency and behavior goal attainment of clinical nurses are not high,post competency of clinical nurses is an important forecasting factor of behavior goal attainmenty.
2018 Vol. 25 (6): 167-169转172 [
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211
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170
Application effect of postoperative nursing in obese cancer patients by infusion port implantation
XU Min； DENG Li-e ；LIU Xiao-ting
ObjectiveTo investigate the application effect of postoperative nursing in patients with obese cancer by infusion portimplantation.MethodsFrom October 2013 to September 2014,35 obese cancer patients performed with infusion port implantation in our hospital were selected as control group.The clinical nursing problems were retrospectively analyzed.From October 2014 to December 2015,20 obese cancer patients treated in our hospital were selected into observation group.After optimized the nursing method in these patients with infusion portimplantation,the incidence of adverse events and patients′satisfaction were compared in the two groups.ResultsThe incidence of adverse events in the observation group was significantly lower than that in the control group,with a statistical significance(P＜0.05).The satisfaction score in the observation group was much higher compared with that in the control group with statistical(P＜0.05).ConclusionOptimized nursing for patients with implanted venous infusion port can reduce the incidence of adverse events and improve the patient′s satisfaction.
2018 Vol. 25 (6): 170-172 [
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195
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Application effect of guided education nursing in the rehabilitation of children with cerebral palsy
XING Lu-lu；ZHANG Yan
ObjectiveTo probe into the effects of guided education and nursing in promoting rehabilitation of children with cerebral palsy.Methods80 cases of children with cerebral palsy and who included from December 2014 to April 2017 were grouped into the research，and the children were randomly divided into experimental group and control group，40 cases in each group.The control group was
received
routine rehabilitation nursing intervention，while the experimental group was received guided education and nursing.Then，the rehabilitation of the two groups of children after intervention for 5 months were statistically compared.ResultsAfter the nursing intervention for 5 moths，the effective rate of nursing in the experimental group was 82.50% （33/40），which was higher than that in the control group of 62.50%(25/40）.Before the nursing，the life ability and intelligence score of two groups were lower，and the difference was not statistically significant（P＞0.05）.After the nursing intervention for 5 moths，the scores of two groups were improved.There were statistical differences before and after comparison （P＜0.05）;The experimental group was better than that the control group （P＜0.05）;The family satisfaction in the experimental group was 92.50%（37/40），which was higher than that in the control group of 80.00%（32/40）.ConclusionThe implementation of guided education and nursing care for children with cerebral palsy which can greatly improve the intelligence and life ability of children，and this method can be used in clinical practice.
2018 Vol. 25 (6): 173-175 [
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217
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Application of interactive standard theory in clinical nursing of patients with bipolar affective disorder and evaluation of prognosis
DENG Jin-ying
ObjectiveTo explore the nursing effect of the application of interactive standard theory in patients with bipolar disorder.Methods71 patients with bipolar disorder treated in our hospital from April 2015 to April 2017 were selected and according to nusing method,they were divided into control group (34 cases,routine nursing intervention),research group(37 cases,interactive nursing theory),and nursing effect was evaluated.ResultsThe control group of patients with medication compliance rate of 76.47%,was lower than that the study group 94.59%(P＜0.05),nursing satisfaction score[(95.4±2.7)points]was lower than that the study group[(96.8±1.3)points](P＜0.05),scores of known disease knowledge(46.1±2.2)points was lower than that the disease study group[(47.6±1.4)points](P＜0.05),quality of life score[(93.8±3.6)points]was lower than that the study group [(96.1±2.7)points],the differences were statistically significant(P＜0.05).The life quality of the two groups before nursing had no statistial difference (P＞0.05).ConclusionInteractive standard theory applied in clinical nursing of patients with bipolar disorder,improving patient medication adherence rate and disease knowledge,conducive to the harmonious relationship between nurses and patients to establish and improve the quality of life,has the important function and meaning.
2018 Vol. 25 (6): 176-178 [
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189
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Comparison of the effects of two arterial blood sampling sites
CAO Run-qin
ObjectiveTo explore the selection of arterial blood sampling sites for blood gas analysis,so as to improve the work efficiency of nurses.Methods72 patients receiving arterial blood sampling who were admitted to our department from March 2015 to August 2017 were selected as study subjects and randomly divided into control group and observation group,36 patients in each group.Arterial blood samples were collected from the femoral artery in the control group for blood gas analysis.Arterial blood samples were collected from brachial artery for blood gas analysis in the observation group.The patients′compliance,the success rate of one-time arterial blood sampling,pain,the incidence of subcutaneous hematoma,and the incidence of skin bruise were compared between the two groups.ResultsThe compliance rate was 94.4%in observation group and 80.5%in control group,and the difference was statistically significant(P＜0.05).The successful rate of one-time arterial blood sampling in the observation group was 91.7%,which was significantly higher than that in the control group(80.6%).The difference was statistically significant(P＜0.05).There were statistically significant differences in the pain between the two groups(P＜0.05).The adverse reaction rate in the observation group was 8.4%,and the adverse reaction rate was 13.9%in the control group.The difference between the two groups was statistically significant(P＜0.05).ConclusionCompared with the arterial blood samples collected from femoral artery,the samples collected from brachial artery can obviously improve the compliance of patients,the success rate of one-time arterial blood sampling,relieve the local pain caused by puncture,reduce adverse reactions such as subcutaneous hematoma and skin bruising,which is worthy of clinical promotion and application.
2018 Vol. 25 (6): 179-181 [
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176
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The application of developmental care in the nursing of preterm infants
LIANG Jun；CUI Ni
ObjectiveTo explore the application of developmental care in the nursing of preterm infants.Methods124 premature infants admitted to our department from August 2016 to February 2017 were selected as the research objects.They were divided into observation group and control group according to birth order,62 cases in each group.In twelfth-40 weeks after correcting gestational age of 14 days,26-28 days of neonatal neurobehavioral test(NBNA),the incidence rate of two groups were compared on the intake of milk,sleep time,daily weight growth and quality of recovery time,hospitalization time and normal body adverse reaction.ResultsThe NBNA score，daily milk intake，daily sleep time and daily weight gain of the observation group were all higher than those of the control group.The time of returning to normal body weight was earlier than that of the control group,and the total hospitalization time was shorter than that of the control group.The differences between the two groups were statistically significant(P＜0.05).1 months after the birth,the observation group with body weight,length and head circumference were higher than the control group,the differences were statistically significant(P＜0.05).The observation group with adverse reaction incidence rate was 8.1% （5/62）,of which 1 cases of hospital infection and feeding intolerance in 4 cases of adverse reactions in the control group,the incidence rate was 19.4% （15/62）,the hospital infection in 2 cases,3 cases of neurobehavioral disorders 10 cases,feeding intolerance,the difference between the two groups was statistically significant(χ2=12.367,P＜0.05).ConclusionDevelopmental care can effectively improve the milk intake,prolong sleep time and speed up the recovery of body weight,thereby promoting nerve growth and development,reducing the incidence of adverse reactions and shortening the length of stay.It is worthy of popularization and application in the nursing of premature infants.
2018 Vol. 25 (6): 182-184 [
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181
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Application effect of systematic perioperative nursing on radical resection of early pulmonary carcinoma under thoracoscope
XIE Ying
ObjectiveTo explore the application effect of systematic perioperative nursing on radical resection of early pulmonary carcinoma under thoracoscope.MethodsA total of 62 patients undergone radical resection of early pulmonary carcinoma under thoracoscope from January 2015 to April 2016 were randomly divided into two groups,31 cases in each group.In control group,general nursing was provided,and in observation group,on the basis of the control group,systematic perioperative nursing was carried out.The hospital stay,extubation time,nursing compliance,and complications were observed.ResultsIn the observation group,the hospital stay and extubation time were(10.08±1.76)d and(42.41±3.69)h,which were lower than those in the control group(15.69±3.48)d and(59.62±4.81)h,(P＜0.05).The percentage of total nursing compliance in the observation group was 96.77%,superior to that in the control group accounting for 74.19%(P＜0.05).The incidence of complications in the observation group was 6.45%,lower than that in the control group accounting for 25.81%,the differences were statistically significant(P＜0.05).ConclusionApplication of systematic perioperative nursing is of high clinical value in the process of radical resection of early lung cancer under thoracoscope.
2018 Vol. 25 (6): 185-187 [
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174
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Nursing observation of applying acupoint sticking to prevent nausea and vomiting after gynecological general anesthesia with laparoscope
CHEN Yan-fen； Lv Rui-fang ；HUANG Yi-ping
ObjectiveTo explore the clinical nursing effect of acupoint sticking method to prevent nausea and vomiting after gynecological laparoscopic general anesthesia.MethodsThis study selected the June 2016 to June 2017 were 102 cases of ectopic pregnancy patients as the research object,which was divided into control group and observation group,51 cases in each group.The observation group was
received
routine nursing and traditional Chinese medicine additive acupoint treatment,the control group was received routine nursing care.The incidence and incidence of nausea and vomiting and adverse reactions(such as pruritus,adhesive tape allergy,chest tightness,palpitation)were observed in two groups after operation.ResultsThe postoperative observation group 0-6 h,7-24 h incidence of nausea and vomiting were lower than that the control group,the differences were statistically significant(P＜0.05);the observation group 0-6 h,7-24 h period of nausea and vomiting degree were lower than that the control group,the differences were statistically significant(P＜0.05);the observation group 0-6 h,7-24 h period，nausea vomiting score were lower than that the control group,the differences were statistically significant(P＜0.05).The total incidence of adverse reactions in the observation group (7.84%)was not significantly different from that in the control group (P＞0.05).ConclusionAcupoint sticking therapy can effectively reduce the incidence of nausea and vomiting after gynecological laparoscopic general anesthesia,reduce the degree of nausea and vomiting,and the side effects are small.
2018 Vol. 25 (6): 188-190 [
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228
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Study of psychological status and mental health education in schizophrenia patients′relatives
WU Shu-fang ；ZOU Rong-hai；WU Liang-feng ；WEN Cai-xia； QIN Gui-li
ObjectiveTo investigate the psychological status and mental health education needs for relatives in schizophrenia patients,and to provide basis for formulating nursing intervention meansures.MethodsA total of 320 relatives caring for schizophrenic patients admitted to the Red Cross Hospital of Luogang District in Guangzhou from June 2015 to February 2017 were investigated.According to the different ages,they were divided into groups of 20-35 years old (n=101),36-60 years old(n=201),and over 60 years old(n=18).By self-made demographic questionnaire,Symptom Checklist 90(SCL-90)and Mental Health Education Requirement Questionnaire,their mental health status and mental health education needs were investigated.ResultsThe scores of most factors of SCL-90 in the three groups were higher than those in nationwide survey.Mental health status in age group of 20-35 years old was serious with significant differences in somatization,obsessive-compulsive disorder,interpersonal relationship,depression,anxiety and fear(P＜0.01).In the group of 36-60 years old,the scores of all factors were higher compared with those in nationwide survey(P＜0.05).For the group of over 60 years old,only the average scores of somatization,depression,paranoid and psychosis in the relatives over 60 years old were higher than those in nationwide survey(P＜0.05).Strong demands for health education in terms of patient′s condition and prognosis,relapse revention,treatment of side effects,social support and sleep disorder by the relatives accounted for 78.1%,71.9%,67.8%,86.3%,and 64.1%accordingly.ConclusionThe status of relatives′mental health in hospitalized schizophrenics is very poor.The nursing staff should pay attention to their mental health status，meet their psychological health education needs,and take psychological counseling in time in order to improve their mental health.
2018 Vol. 25 (6): 191-193转196 [
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Application effect of nurses′health education in hospitalized patients
ZOU Mei-xia ；LING Su-huan； LAI Ai-ping
ObjectiveTo investigate the effect of nurses′health education application in hospitalized patients.Methods200 patients hospitalized in our hospital from January 2，2016 to June 1，2017 were divided into control group and observation group by digital randomization method，100 cases in each group.The control group was used routine nursing intervention，the observation group was increased health education.The two groups of anxiety scores，knowledge of disease awareness scores were compared.ResultsAfter intervention，the anxiety score was （46.31±3.58） points in the observation group,which was lower than that in the control group of（52.21±3.64） points，and the cognition score of the original disease and anxiety was higher than that the control group，the differences were statistically significant（P＜0.05）.ConclusionNurses health education can reduce anxiety in hospitalized patients.
2018 Vol. 25 (6): 194-196 [
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203
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