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Quick Search     Adv Search 2017 Vol. 24, No. 27 Published: 2017-09-28   4 Study on preparation process of 1-Triacontanol Dropping Pills WU Hong-ping； FAN Xian-e； LI Lai-wei；SUN Ji-fu ；DUAN Yin ；ZHANG Wei Objective To determine the optimum preparation process of 1-Triacontanol Dropping Pills.Methods 1-Triacontanol Dropping Pills were prepared by PEG 4000 and PEG 6000 as excipient,proportional fluid wax and vegetable oil were used as condensate.Single factor test was used to screen the mass ratio of matrix and condensate.The L9(34)orthogonal test was used to screen the drug-soup temperature,condensate temperature,dropping distance,dropping speed and to decide the best preparation process.Results m(PEG4000):m(PEG6000)=1:4,m(API):m(matrix)=1:10,the temperature of drug was 80～85℃,the dripping speed was 30 drops per minute,the condensate temperature was 10～15℃,the dropping distance was 3 cm were the optimum preparation technology of 1-Triacontanol Dropping Pills.The preparation of the Drop Pills had a good roundness,a good hardness and a uniform color.Conclusion This method is feasible for the preparation of 1-Triacontanol Drop Pills,which is in accordance with the quality of the Dropping Pills in Pharmacopoeia of the People′s Republic of China(2010 edition). 2017 Vol. 24 (27): 4-07 [Abstract] ( 173 ) HTML (44 KB)  PDF  (0 KB)  ( 37 ) 8 Study on method for determination of Qingyanhou Oral Solution WANG Qing-xue；HAN Lin Objective To establish a identifition method for the major components of Forsythiae Fructus,Scutellariae Radix and Rehmanniae Radix in Qingyanhou Oral Solution.Methods The major components of Forsythiae Fructus and Scutellariae Radix in Qingyanhou Oral Solution were determined by TLC.The major components of Rehmanniae Radix in Qingyanhou Oral Solution were determined by HPLC.Results The results showed that Baicalin,Baicalein,Wogonin and Forsythia Glycosides in Forsythiae Fructus and Scutellariae Radix were clearly detected and were well separated by TLC.Acteoside Kusaginin and Catalpa Alcohol in Rehmanniae Radix were detected at different wavelengths by HPLC.Conclusion The method can be readily utilized as a identifition method for the major components in Qingyanhou Oral Solution.It can be a quality standard of Qingyanhou Oral Solution. 2017 Vol. 24 (27): 8-11 [Abstract] ( 201 ) HTML (39 KB)  PDF  (0 KB)  ( 39 ) 12 The development of corticolomy surgery accelerate the orthodontic teeth movement ZHANG Jie；ZHENG Zhi-jun；XU Wei-hua With the development of technology,the quality of life has improved.The self-image issue has attracted more and more people.The proportion of adults who accepted the orthodontic treatment has increased greatly.Traditional orthodontic treatments been confirmed so inefficient,teeth could be moved almostly 1 mm each month,the whole treatment may last for two years.Many malocclusion patients gived up treatment dued to the long period of the treatment.Compared with teenagers,the capacity of adults bone remodeling relatively weak.Obviously,great attention has been paid to the efficiency of the teeth movement.There are plenty of methods used to improve the efficiency of the teeth movement,Many animal experiments and clinical experiments proved Corticolomy surgery belonged to one of high efficiency ways for teeth movement.This paper mainly elaborate the development mechanism and clinical use of corticolomy surgery. 2017 Vol. 24 (27): 12-14转24 [Abstract] ( 184 ) HTML (42 KB)  PDF  (0 KB)  ( 33 ) 15 Clinical application of modified three-hole laparoscopic appendectomy with hidden scars WAN Bing； ZHANG Shan-zhong ；LIU Qin Objective To evaluate the clinical application effect of modified three-hole laparoscopic appendectomy with hidden scars.Methods 100 patients undergoing appendectomy who were admitted to our hospital from March 2015 to August 2016 were selected as the experimental subjects.They were randomly divided into experimental group and control group,with 50 cases in each group.The control group was given conventional open appendectomy,and the experimental group was givenmodified three-hole laparoscopic appendectomy with hidden scars.The clinical indicators,the incidence rate of complications,the application rate of analgesia and peritoneal drainage tube placement rate were compared and analyzed between the two groups.Results The blood loss during the surgery in the experimental group was significantly lower than that in the control group(P<0.05).The average hospital stay was shorter in the experimental group than that in the control group (P<0.05);the average incision length in the experimental group was significantly shorter than that in the control group (P<0.05);the incidence rate of complication was 16.0% (8/50)in the experimental group and 42.0%(21/50)in the control group,the experimental group was significantly lower than the control group,and the difference was statistically significant(P<0.05);the rate of analgesic use and the placement rate of peritoneal drainage tube in the experimental group were significantly lower than those in the control group(P<0.05).Conclusion The clinical application of modified three-hole laparoscopic appendectomy with hidden scars is effective,which can effectively reduce the risk of postoperative complications,with fast recovery and less trauma,which is worthy of application and promotion. 2017 Vol. 24 (27): 15-17 [Abstract] ( 157 ) HTML (33 KB)  PDF  (0 KB)  ( 42 ) 18 Clinical observation of Flamigel combined with external recombinant human granulocyte-macrophage stimulating factor gel on treating levelⅡdeep burn GAO Ming-long；PENG Wen-fang；CHENG Zhi-hua；CHENG Xiao-ping Objective To observe the clinical efficacy of Flamigel combined with external recombinant human granulocyte-macrophage stimulating factor gel on treating levelⅡdeep burn.Methods From May 2016 to May 2017,103 patients with levelⅡdeep burn treated in our hospital were selected as research objects.By odd or even numbers and computerized randomization,they were divided into control group(n=51)and observation group(n=52).Besides smearing recombinant human granulocyte-macrophage stimulating factor gel on the wound,external application of sulfadiazine silver cream and Flamigel gauze was used in the control group and observation group respectively.The wound healing rate,healingtime,bacterialculture,and adverse reaction were observed in both groups.Results With the time prolonging,the healing rate in the two groups was increased,but the rate in the observation group was higher(P<0.05).The average healing time was(24.5±3.8)d in the observation group,shorter than that in the control group,(29.6±4.7)d.There was no significant difference in the positivity rate of bacterial culture within one week between the two groups(P＞0.05).No obvious adverse reactions of the skin or abnormal liver and kidney functions was displayed.Conclusion Combination of Flamigel andexternal recombinant human granulocyte-macrophage stimulating factor gel can obtain a remarkable effect on treating levelⅡdeep burn,which is worthy of promotion in clinic. 2017 Vol. 24 (27): 18-20 [Abstract] ( 165 ) HTML (32 KB)  PDF  (0 KB)  ( 40 ) 21 Application of mild hypothermia therapy in brain protection of patients with traumatic brain injury ZHANG Hua；GU Wei-cheng；CHEN Jie-ming；HOU Yu Objective To study the clinical application effect of mild hypothermia in brain protection of patients with traumatic brain injury.Methods 60 patients with traumatic brain injury admitted to our hospital from January 2013 to January 2016 were selected as the subjects,and all patients were randomly divided into the mild hypothermia group and the control group,30 cases in each group.The patients in the control group were given only craniotomy,anti-inflammatory,hemostasis,dehydration and other basic treatment.In the mild hypothermia group,the hypothermia treatment was performed 24 hours after the injury,and the body temperature was controlled at 33-35℃for 5-7 days on the basis of the control group.The total effective rate of the two groups was compared.Before and after treatment,the brain edema volume,serum SOD and MDA levels were evaluated.The KPS score and the side effects of the two groups were recorded.Results The total effective rate was 46.7%in the mild hypothermia group,which was higher than 23.3%in the control group,with significant difference (P＜0.05).There was no significant difference in the levels of SOD and MDA,the brain edema volume between the two groups(P＞0.05).The brain edema volume,the levels of SOD and MDA in the brain tissue of the two groups after treatment was significantly lower than that before treatment,with significant difference(P＜0.05).The brain edema volume,the levels of SOD and MDA in the brain tissue of the mild hypothermia group after treatment was significantly lower than that of the control group,with significant difference(P＜0.05).The KPS score in the mild hypothermia group was significantly better than that in the control group,with significant difference(P＜0.05).There was no significant difference in the incidence rate of side effects between the two groups(P＞0.05).Conclusion The clinical application of mild hypothermia in the treatment of traumatic brain injury is effective,which can reduce brain edema and improve the prognosis of patients,it is worthy of promotion. 2017 Vol. 24 (27): 21-24 [Abstract] ( 145 ) HTML (39 KB)  PDF  (0 KB)  ( 44 ) 25 Curative effect comparison of laparoscopic and open surgery in the treatment of perforated appendicitis SUN Qiang Objective To study the curative effect of laparoscopic surgery and open surgery in the treatment of perforated appendicitis.Methods 74 cases of perforated appendicitis from March 2016 to March 2017 in our hospital were selected as the research object,all patients were randomly divided into the laparoscopic group and the open surgery group,37 cases in each group.The laparoscopic group was given the implementation of laparoscopic surgery,and the open surgery group was treated with open surgery.The operation time,ambulation time,postoperative exhaust time,the score of 8 h postoperative pain,the incidence of complications,hospitalization time and treatment cost were compared in the two groups.Results The ambulation time,postoperative exhaust time,hospitalization time of the laparoscopic group was shorter than that of the open surgery group,the scores of 8 h postoperative pain,the incidence rate of complication in the laparoscopic group was lower than that in the open surgery group,with significant difference (P＜0.05).There was no significant difference in the operation time and treatment cost between the two groups(P＞0.05).Conclusion The effect of laparoscopic surgery in the treatment of perforated appendicitis is remarkable,with less trauma,less complications,rapid recovery,shorter hospitalization time,and is suitable for clinical application. 2017 Vol. 24 (27): 25-27 [Abstract] ( 145 ) HTML (32 KB)  PDF  (0 KB)  ( 60 ) 28 Influence study of minimally invasive locking plate internal fixation on improvement of shoulder joint function in patients with proximal humerus fractures MIN Zhi-rong Objective To explore the influence of minimally invasive locking plate fixation on improvement of the function of shoulder joint in patients with proximal humerus fractures.Methods 60 cases of proximal humerus fractures received in our hospital from January 2014 to June 2017 were selected as the study subjects,and all patients were divided into the control group and the observation group according to different treatment methods.In the control group,the incisional reduction of the lateral incision combined with the minimally invasive conventional locking plate was used,the observation group was treated with the small incision closure and the minimally invasive locking plate.The scores of Neer shoulder joint function,QOL score,shoulder joint function score,the incidence rate of complication and fracture healing time were compared between the two groups.Results The scores of Neer shoulder joint function,QOL score and shoulder function joint score in the observation group was significantly higher than that in the control group,with significant difference(P＜0.05).The incidence rate of complication in the observation group was significantly lower than that in the control group,with significant difference (P＜0.05).The fracture healing time of the observation group was significantly shorter than that of the control group,with significant difference (P＜0.05).Conclusion The minimally invasive locking plate fixation can improve the function of shoulder joint in patients with proximal humerus fractures,which is worthy of further study. 2017 Vol. 24 (27): 28-30 [Abstract] ( 159 ) HTML (33 KB)  PDF  (0 KB)  ( 63 ) 31 Postoperative analgesic effect of Chloroprocaine combined with Morphine via epidural anesthesia on cesarean section and its effect on inflammatory factors LING Mei-cheng； ZHANG Xue-jing ；ZENG Nan-jing Objective To explore the analgesic effect of Chloroprocaine combined with Morphine via epidural anesthesia after cesarean section and its influence on inflammatory factors.Methods From February 2015 to January 2016,90 patients undergone cesarean section in our hospital were selected as research objects,and they were randomly divided into groups A,group B and group C.In group A,100 mg Pethidine by intramuscular injection was used;in group B,Chloroprocaine combined with Morphine by epidural analgesia as a continuous pump;in group C,5 mg Droperidol combined with 1.5 μg/ml Sufentanil via intravenous analgesia was adopted.The analgesic measures were performed after cesarean sections.The VAS scores and levels of inflammatory factors including IL-6 and IL-10 at 4,12,24,48 h after cesarean section,and postoperative incidence rate of adverse reactions among three groups were compared.Results There was no significant difference in VAS scores at 4 h after cesarean section among three groups(P＞0.05).The VAS scores at 12,24,48 h after cesarean section in group B and group C was lower than that in group A,the level of IL-6 and IL-10 at 4,12,24,48 h after cesarean section in group B and group C was all lower than that in group A,with significant difference (P＜0.05).The incidence of adverse drug reactions in group B was higher than that in groups A and group C,with significant difference(P＜0.05).Conclusion The effect of Chloroprocaine combined with Morphine via epidural analgesia as a continuous pump is relatively significant,but with quite a lot adverse reactions.In clinic,the targeted analgesic measures are applied based on the specific situations in patients undergone cesarean section in order to ensure the life safety of puerperae and relieve pain. 2017 Vol. 24 (27): 31-33 [Abstract] ( 175 ) HTML (32 KB)  PDF  (0 KB)  ( 44 ) 34 Influence of combined spinal-epidural anesthesia on stress response and hemodynamics in senile patients with orthopedic surgery WAN Xiao-yong ；TU Chuan-gang ；DENG Sheng-wen Objective To investigate the influence of combined spinal-epidural anesthesia (CSEA)on stress response and hemodynamics in senile patients with orthopedic surgery.Methods 100 senile patients with fracture received surgery in our hospital from February 2015 to February 2016 were selected as the research object,and they were divided into the observation group and the control group according to random number table method,50 cases in each group.The patients in control group was given general anesthesia,while the patients in observation group was given CSEA.The stress response and changes of hemodynamic indexes were compared between the two groups.Results The epinephrine,angiotensin,renin,norepinephrine in the observation group was lower than that in the control group,with statistical difference(P＜0.05).Before the anesthesia,the level of DBP,SBP,HR between the two groups were compared,there was no statistical difference(P＞0.05).After the anesthesia for 10 min and 30 min,the levels of DBP,SBP,HR in the two groups significantly decreased compared with those before anesthesia,and the descend speed of the control group was more quicker,with statistical difference (P＜0.05).Conclusion CSEA in senile patients with orthopedic surgery is effective,it can reduce stress response and improve indexes of hemodynamics,which is worthy of clinical application. 2017 Vol. 24 (27): 34-36 [Abstract] ( 181 ) HTML (31 KB)  PDF  (0 KB)  ( 42 ) 37 Application value of X-ray and CT in the diagnosis of central lung cancer XIAO Ben-mo Objective To investigate the imaging features and clinical value of X-ray and CT in the diagnosis of central lung cancer.Methods 53 patients with central lung cancer who were diagnosed and treated from December 2015 to September 2016 in our hospital were selected as the study subjects.X-ray and CT diagnosis were performed respectively,and the diagnostic accuracy of X-ray and CT on the central lung cancer was compared.The imaging features of X-ray and CT in the diagnosis of central lung cancer was evaluated.Results The diagnostic accuracy of type of central type lung cancer in CT diagnosis was 96.23%,which was higher than 84.91%in X-ray diagnosis,with significant difference (P＜0.05).The diagnostic accuracy of location of central type lung cancer in CT diagnosis was 100.00%,which was higher than 88.68%in X-ray diagnosis,with significant difference (P＜0.05).Conclusion The imaging features of X-ray and CT in the diagnosis of central lung cancer are significant,but the diagnostic accuracy of CT in the diagnosis of central type lung cancer is higher than that of X-ray.It is suggested that clinicians,when suspected of the central lung cancer via the diagnosis of X ray,further confirm the diagnosis by CT,so as to enhance its clinical diagnostic value,which is worthy of promotion and application. 2017 Vol. 24 (27): 37-39 [Abstract] ( 152 ) HTML (31 KB)  PDF  (0 KB)  ( 71 ) 40 Value analysis of spiral CT in the diagnosis of AIDS complicated with pulmonary infection JIANG Xue-wen Objective To study the value of spiral CT in the diagnosis of AIDS complicated with pulmonary infection.Methods From April 2016 to March 2017,50 AIDS patients complicated with pulmonary infection treated in our hospital were selected as research objects.All participants were examined by X-ray and spiral CT respectively.The diagnostic results of the two methods were compared.Results The positivity rate by spiral CT was 62.00%,which was significantly higher than that by X-ray examination(24.00%),with significant difference(P＜0.05).There was significant difference in the imaging findings between spiral CT and X-ray(P＜0.05).Conclusion The spiral CT applied to examine the AIDS combined with pulmonary infection obtains a high positivity rate,and can provide imaging support for the selection of therapeutic regimen for symptomatic infection in clinic,which has a good clinical diagnostic value. 2017 Vol. 24 (27): 40-42 [Abstract] ( 150 ) HTML (32 KB)  PDF  (0 KB)  ( 62 ) 43 Application of Mirena and conventional drugs in preventing recurrence of endometrial polyps ZHANG Shu-lian； XIA Jing； LI Tao Objective To analyze the application effect of Levonorgestrel-releasing intrauterine system Mirena and conventional drugs after hysteroscopic endometrial polypectomy.Methods A total of 108 patients with endometrial polyps treated in our hospital from March 2013 to March 2015 were selected as research objects.They were evenly divided into observation group and control group in random.In the observation group,the therapeutic regimen of hysteroscopic endometrial polypectomy plus Mirena was applied,while in the control group,the treatment scheme of hysteroscopic endometrial polypectomy plus Yasmin was used.The indexes in the two groups were observed and recorded.Results In the observation group,the endometrial thickness 1,6,12 and 24 months after operation was all thinner than those in the control group (P＜0.05).The PBAC scores of menses 1,6,12 and 24 months after operation in the observation group were all higher than those in the control group (P＜0.05).Conclusion After endometrial polypectomy,application of Mirena(levonorgestrel-releasing intrauterine system)can effective decrease the risk of recurrence of endometrial polyps as well as adverse reactions in a good clinical value. 2017 Vol. 24 (27): 43-45 [Abstract] ( 169 ) HTML (32 KB)  PDF  (0 KB)  ( 44 ) 46 Clinical research of discontinuity Clopidogrel combined with Aspirin in the treatment of cerebral arterial thrombosis HUANG Jun-shi；CHEN Xiu-juan； HE Jing-wei Objective To explore the effect of discontinuity Clopidogrel combined with Aspirin in the treatment of cerebral arterial thrombosis.Methods 98 cases of cerebral arterial thrombosis in our hospital from February 2016 to February 2017 were selected and divided into the control group(48 cases)and the observation group(50 cases)according to different treatment methods.The control group was treated with Aspirin,and the observation group was treated with discontinuity Clopidogrel combined with Aspirin.The level of blood lipid before treatment and after treatment,clinical effects,the incidence rate of adverse reaction,the recurrence rate of the two groups were compared.Results There was no significant difference in the level of TC,TG,HDL-C,LDL-C between the two groups before treatment(P＞0.05).There was no significant difference in the level of TC,TG,HDL-C,LDL-C of the control group between before treatment and after treatmen(P＞0.05).The level of TC,TG,LDL-C of the observation group after treatment was lower than that before treatment and the control group after treatment,the level of HDL-C in the observation group after treatment was higher than that before treatment and the control group after treatment,with significant difference (P＜0.05).The clinical total effective rate of the observation group was higher than that in the control group,the incidence rate of adverse reactions and the recurrence rate of the observation group was lower than that of the control group,with significant difference (P＜0.05).Conclusion The treatment cerebral arterial thrombosis patients by discontinuity Clopidogrel combined with aspirin,blood lipid improve well,curative effect is obviously,prognosis is good,which is worthy of clinical promotion and application. 2017 Vol. 24 (27): 46-48 [Abstract] ( 165 ) HTML (34 KB)  PDF  (0 KB)  ( 43 ) 49 Effect of Tripterygium Wilfordii Glycosides in the treatment of chronic kidney disease HU Ju-lan ；ZHOU Qun； JIANG Fang Objective To explore clinical effect of Tripterygium Wilfordii Glycosides in the treatment of chronic kidney disease.Methods 50 cases of chronic kidney disease treated in our hospital from July 2014 to January 2017 were selected as the study objects,and were divided into the control group and the study group according to random number table method,25 cases in each group.The control group was given routine Telmisartan treatment,and the study group was given Tripterygium Wilfordii Glycosides treatment on the basis of the control group.24 h urinary protein quantification,serum creatinine(SCr)and urea nitrogen (BUN)and other indicators of renal function changes before and after treatment,clinical effect and adverse reactions were compared in the two groups.Results There were no significant differences in the level of 24 h protein,SCr and BUN between the two groups before treatment(P＞0.05).The indexes level of 24 h protein,SCr and BUN in the two groups after treatment was lower than that before treatment,and the indexes level of 24 h protein,SCr and BUN in the study group after treatment was lower than that in the control group,with significant difference (P＜0.05).The clinical effective rate of the study group was 96.00%,which was higher than that of 68.00%of the control group,with significant difference(P＜0.05).There was no significant difference in the incidence of adverse reactions between the two groups(P＞0.05).Conclusion For chronic kidney disease and proteinuria,tripterygium Wilfordii Glycosides can more effectively reduce proteinuria and delay progression of chronic kidney. 2017 Vol. 24 (27): 49-51 [Abstract] ( 144 ) HTML (33 KB)  PDF  (0 KB)  ( 45 ) 52 Clinical effect of Chlorpromazine in the treatment of gravidarum hyperemesis HONG Ling； LI Wei-wen ；LIU Mei；ZHANG Ming-cheng Objective To observe the clinical efficacy of Chlorpromazine in the treatment of gravidarum hyperemesis.Methods 60 patients with gravidarum hyperemesis from June 2016 to February 2017 in our hospital were randomly selected and divided into the observation group(n=30)and the control group(n=30)according to the way of drawing.The patients in the control group were treated with routine therapy.The patients in the observation group were treated with Chlorpromazine.The total effective rate after treatment,the SAS score before and after treatment,the incidence rate of adverse reactions and hospital stay in the two groups were compared.Results The total effective rate of the observation group was 96.7%,which was higher than 70%of the control group,with significant difference(P＜0.05).There was no significant difference in the SAS score before treeatment between the two groups(P＞0.05).The SAS score after treatment in the observation group was significantly lower than that in the control group,with significant difference(P＜0.05).The incidence rate of adverse reactions in the observation group was 3.3%,which was lower than 23.3%in the control group,with significant difference(P＜0.05).The hospitalization time of the observation group was shorter than that of the control group,with significant difference (P＜0.05).Conclusion The clinical effect of Chlorpromazine in the treatment of gravidarum hyperemesis is remarkable,which can effectively relieve the symptoms of vomiting,reduce the incidence of adverse reactions and shorten the treatment time,and which is worthy of promotion and application. 2017 Vol. 24 (27): 52-54 [Abstract] ( 162 ) HTML (34 KB)  PDF  (0 KB)  ( 44 ) 55 Clinical effect of Gamma Globulin combined with Methylprednisolone in the treatment of acute severe Mycoplasma pneumonia in children LI Qing Objective To analyze the clinical effect of Gamma Globulin combined with Methylprednisolone in the treatment of Mycoplasma pneumonia in children.Methods From January 2015 to July 2016,84 children with acute severe Mycoplasma pneumonia in our hospital were selected and randomly divided into the observation group and the control group,42 cases in each group.Regular comprehensive therapies including oxygen uptake,cough and asthma relieving,phlegm expectoration,abatement of fever,liver protection were applied in both groups.Besides,participants in the observation group were treated by Gamma Globulin,Methylprednisolone,and Azithromycin,while in the control group,only Azithromycin was applied.The therapeutic effects of the two groups was compared.Results The total effective rate of the observation group was 92.86%,which was significantly higher than 69.05%of the control group,with significant difference(P＜0.05).The time of abating fever,cough disappearing,recovery of chest X-ray,and average hospital stay in the observation group was much shorter than that in the control group,with significant differences(P＜0.05).Conclusion Combination of Gamma Globulin and Methylprednisolone in the treatment of children with acute severe Mycoplasma pneumonia can remarkably improve patients′symptoms,which is worthy of clinical application and promotion. 2017 Vol. 24 (27): 55-57 [Abstract] ( 164 ) HTML (32 KB)  PDF  (0 KB)  ( 76 ) 58 Effect observation of silver ion antibacterial functional dressing combined with compound tung leaf burn oil and Sulfadiazine Cream on treating diabetic foot HUANG Qin；XIONG Dong-lin；CHEN Huan Objective To observe the effect of silver ion antibacterial functional dressing combined with compound tung leaf burn oil and Sulfadiazine Cream on diabetic foot.Methods From June 2014 to April 2016,62 patients with diabetic foot ulcer in our outpatient clinics and inpatient department were selected.They were divided into three groups based on a random number table，treatment group 1(n=20),treatment group 2(n=21),and control group(n=21).In the treatment group 1,on the basis of conventional treatment,compound tung leaf burn oil and Sulfadiazine Cream were applied.In the treatment group 2,on the basis of conventional treatment,silver ion antibacterial functional dressing combined with compound tung leaf burn oil and Sulfadiazine Cream was provided.On the control group,on the basis of conventional treatment,regular surgical dressing change was used.The effect on diabetic foot among three groups was observed.Results In treatment group 2,the area reduction of ulcer and granulation coverage were both significantly higher than those in the treatment group 1 and the control group (P<0.05).The difference was also displayed between the treatment group 1 and the control group (P<0.05).The cure rate in the treatment group 2 was significantly higher than that in the treatment group 1 and the control group (P<0.05).The cure rate in the treatment group 1 was greatly higher than that in the control group(P<0.05).Conclusion The silver ion antibacterial functional dressing combined with compound tung leaf burn oil and sulfadiazine cream can improve the curative effect on diabetic foot. 2017 Vol. 24 (27): 58-60 [Abstract] ( 161 ) HTML (35 KB)  PDF  (0 KB)  ( 36 ) 61 Clinical analysis of Almagate Suspension combined with Omeprazole in the treatment of gastric ulcer complicated with gastric hemorrhage ZHANG Qing-li；SUN Da-yong；LING Tao；ZHENG Yan-e；ZENG Xiao-hui Objective To investigate the clinical effect of Almagate Suspension combined with Omeprazole in the treatment of gastric ulcer complicated with gastric hemorrhage.Methods The clinical data of 120 patients with gastric ulcer and gastric hemorrhage treated in our hospital from February 2014 to March 2017 were analyzed.According to the different therapeutic methods,they were evenly divided into control group(intravenous drip of Omeprazole)and observation group (on the basis of Omeprazole,Almagate Suspension was combined).The improvement of clinical symptoms,clinical effect,and the incidence of adverse reactions in the two groups were observed.Results In the observation group,time to stop blood vomiting,time of stool OB test negative,andabdominal pain disappearing were(1.6±0.3)d,(4.5±1.0)d,and(2.1±0.3)d,all shorter than those in the control group[(2.2±0.5),(6.7±1.2)d,and(3.5±0.6)d]in turn.The total effective rate of clinical treatment was 96.7%,much higher than that in the control group accounting for 80.0%.The percentage of adverse reactions including nausea and vomiting,rash，and abdominal discomfort was 3.3%,0.0%,and 3.3%,all lower than those in the control group(10%,8.3%,and 8.3%)accordingly,which were displayed statistical differences(P<0.05).Conclusion Combination of Almagate Suspension and Omeprazole in the treatment of gastric ulcer complicated with gastric hemorrhage has advantages of remarkable improvement of clinical symptoms，great effect,and few adverse reactions,which is worthy of promotion in clinic. 2017 Vol. 24 (27): 61-63 [Abstract] ( 172 ) HTML (33 KB)  PDF  (0 KB)  ( 42 ) 64 Effect observation of Bifidobacterium Tablets combined with Esomeprazole-based Quadruple Therapy in treatment of Hp infection-induced gastric ulcers PENG Ru-jie Objective To investigate the clinical efficacy of Bifidobacterium Tablets combined with Esomeprazole-based quadruple therapy in the treatment of Hp infection-induced gastric ulcers.Methods 90 patients visiting our hospital due to Hp infection-induced gastric ulcers from June 2015 to February 2017 were included to this study and randomly divided into control group(n=45;undergoing Esomeprazole-based quadruple therapy)and observation group (n=45;receiving oral administration of Bifidobacterium Tablets combined with Esomeprazole-based quadruple therapy).Inflammatory factors including interleukin-6(IL-6)and interleukin-1(IL-1)and gastrointestinal hormones including motilin(MTL)and gastrin (GAS)in the two groups were compared before and after treatment.Clinical efficacy was compared.Results After treatment,IL-6 and IL-1 decreased,which was more significant in the observation group (P<0.05);MTL increased while GAS reduced,which was more obvious in the observation group (P<0.05).Total effective rate in the control group and the observation group was 86.67%(39/45)and 95.56%(43/45),respectively,showed no significant difference(P＞0.05).The clearance rate of Hp was higher and the recurrence rate of Hp was lower in the observation group as compared with the control group (P<0.05).Conclusion Bifidobacterium Tablets combined with Esomeprazole-based quadruple therapy can better improve mucosal inflammatory response,promote the recovery of gastrointestinal function and reduce the infection rate of Hp.Therefore,it is worth popularizing. 2017 Vol. 24 (27): 64-66 [Abstract] ( 170 ) HTML (34 KB)  PDF  (0 KB)  ( 76 ) 67 Effect study of Zhixue Powder combined with thrombin and Omeprazole on treating acute upper gastrointestinal hemorrhage ZHOU You-zhi Objective To investigate the clinical efficacy of Zhixue Powder combined with thrombin and Omeprazole in the treatment of acute upper gastrointestinal bleeding.Methods 202 patients with acute upper gastrointestinal bleeding treated in our hospital from February 2012 to February 2016 were selected as research objects.They were randomly divided into experimental group (n=101)and control group (n=101).Thrombin and Omeprazole were provided in both groups.In the experimental group,Zhixue Powder was added.The clinical efficacy,time to stanch bleeding,recurrence rate of bleeding,and adverse reactions were analyzed and compared.Results The total effective rate was 95.04%in the experimental group,much higher than that in the control group accounting for 89.10% (P<0.05).The average hemostasis time was(16.9±2.8)h in the experimental group,significantly shorter than that in the control group[(31.2±3.6)h](P<0.05).The rate of rebleeding was 3%and 18%in the experimental group and control group respectively,and the former one was significantly lower(P<0.05).Conclusion Zhixue Powder combined with thrombin and Omeprazole can significantly shorten the hemostasis time in patients with acute upper gastrointestinal hemorrhage and reduce the rate of rebleeding in a favorable effect,which is worthy of promotion in clinical practice. 2017 Vol. 24 (27): 67-69 [Abstract] ( 176 ) HTML (32 KB)  PDF  (0 KB)  ( 72 ) 70 Effect comparison of Clopidogrel combined with Aspirin and Clopidogrel combined with Edaravone in the treatment of acute cerebral ischemic stroke LIU Han；LAN Ju-song Objective To investigate the clinical efficacy of Clopidogrel combined with Aspirin and Clopidogrel combined with Edaravone in the treatment of acute cerebral ischemic stroke.Methods A total of 71 patients with acute cerebral ischemic stroke treated in our hospital from January 2015 to May 2016 were selected as observation objects.By drawing lots,they were divided into the experimental group (35 cases)and the control group (36 cases).In the control group,Clopidogrel combined with Aspirin was provided,while in the experimental group,Clopidogrel combined with Edaravone was applied.The Barthel index,ESS socre,NIHSS score,and clinical efficacy before and after treatment in the two groups were compared.Results There was no significant difference in the Barthel index,ESS score and NIHSS score between the two groups before treatment(P＞0.05).The Barthel index in the two groups after treatment was higher than that before treatment,and the NIHSS score in the two groups after treatment was lower than that before treatment,with significant difference (P＜0.05).The Barthel index in the experimental group after treatment was higher than that in the control group,and the NIHSS score in the experimental group after treatment was lower than that in the control group,with significant difference (P＜0.05).There was no significant difference in the ESS score between the two groups at admission (P＞0.05).The ESS score of the experimental group after treatment at 2 and 4 weeks was lower than that of the control group,with significant difference(P＜0.05).The clinical total effective rate in the experimental group was 91.43%,which was much higher than 72.22%in the control group,with significant difference (P＜0.05).Conclusion Combination of Clopidogrel and Edaravone in the treatment of acute cerebral ischemic stroke is safe and effective,and can significantly improve the neurological impairment in patients,which is worthy of clinical application and promotion. 2017 Vol. 24 (27): 70-72转75 [Abstract] ( 165 ) HTML (37 KB)  PDF  (0 KB)  ( 40 ) 73 Content determination of Andrographolide in Chuanxinlian Injection by HPLC WANG Yun-feng Objective To establish the HPLC method for determination of Andrographolide content in Chuanxinlian Injection.Methods HPLC was used in content determination,the chromatographic column was Agilent TC-C18(4.6 mm×150 mm,5 μm),the mobile phase consisted of methanol-water(50:50),the detection wavelength was 224 nm and the flow rate was 1.0 ml/min.Results The good linear relation was maintained when Andrographolide was from 0.02 022 to 0.1011 mg/ml(r=0.9999).The average recovery was 99.1%(n=6,RSD=1.1%).Conclusion The method of determination of Andrographolide is accurate and effective,which can help to complete the quality control method of Andrographolide Injection. 2017 Vol. 24 (27): 73-75 [Abstract] ( 179 ) HTML (32 KB)  PDF  (0 KB)  ( 62 ) 76 Analysis on quality of Lumbricus decoction pieces WANG Qin；LI Jian Objective To evaluate the quality of Lumbricus in the market and analysis the reason of unqualified items as a reference for clinical medication and drug supervision.Methods Referring to the Chinese Pharmacopeia(2010 and 2015 Editions,part 1),impurity,moisture,total ash,acid-insoluble ash and water-soluble extract of the 10 batches of samples were determined.Results Some quality problems existed in these samples,impurity,total ash,acid-insoluble ash and water-soluble extract were the main unqualified items.Conclusion The problems of excessive impurity in Lumbricus decoction pieces are serious in this region.The harvesting and processing enterprises of Lumbricus do not remove its viscus,sediment,foreign matters completely,which should be strictly performed in accordance with the quality standard.It is suggested that these enterprises strictly control the quality of Lumbricus decoction pieces.The drug administration ought to strengthen inspection and supervision in order to ensure the safe and effective in clinical medication. 2017 Vol. 24 (27): 76-78 [Abstract] ( 167 ) HTML (34 KB)  PDF  (0 KB)  ( 36 ) 79 Clinical study of Shenfu Injection applied in the second stage of labor ZHENG Gan-hong；ZHAO Ling-rui；WU Yun-gen；DU Yong-yan；ZHENG-CHENG Jing-zi；LI Hong-mei Objective To investigate the application effect of Shenfu Injection in the second stage of labor.Methods 80 primiparae with hospital delivery in Traditional Chinese Medicine Hospital of Dexing City from January to May 2017 were selected as the research object,and they were divided into observation group and control group according to random number table method,and there were 40 cases in each group.Observation group was given 5%Glucose 500 ml plusing intravenous drip of Shenfu Injection 40 ml in the second stage of labor,while control group was given intravenous drip of 5%Glucose 500 ml in the second stage of labor.The time of second stage of labor,Apgar 1 min score and postpartum bleeding volume were compared between the two groups.Results The time of second stage of labor in observation group was shorter than that in control group,and Apgar 1 min score was higher than that in control group(P＜0.05).The intrapartum and postpartum bleeding volume of observation group were significantly fewer than those of control group (P＜0.05).Conclusion Shenfu Injection can shorten the second stage of labor,reduce postpartum bleeding and improve Neonatal score.It can provide basis for more extensive application of traditional Chinese medicine and provide new methods for clinical treatment. 2017 Vol. 24 (27): 79-81 [Abstract] ( 175 ) HTML (33 KB)  PDF  (0 KB)  ( 35 ) 82 Empirical examples of Guizhi Fuling Pill applied by ZHANG Zhao-yuan of famous veteran teran doctor of TCM ZHU Ting-ting；SONG Yan-jie；WANG Li-yan；ZHANG Zhao-yuan As a classic traditional chinese prescription for tratment of blood stasis,but Guizhi Fuling Pill was is usually used only in gynecological diseases and its range of use was limited,and the report of Guizhi Fuling Pill applied in other diseases from various department was rare.Treatment cases of Guizhi Fuling Pill used widely in bronchiectasis,coronary heart disease,refractory insomnia,acne,postherpetic neuralgia by ZHANG Zhao-yuan of famous veteran teran doctor of TCM were systematically summarized,furthermore,this article points out the application value of the prescription in the difficult miscellaneous diseases in department of internal medicine,and it provides a useful exploration for the expansion and application of Guizhi Fuling Pill in the future. 2017 Vol. 24 (27): 82-85 [Abstract] ( 173 ) HTML (50 KB)  PDF  (0 KB)  ( 43 ) 86 Effect of Kanglaite on palliative care in patients with advanced lung cancer RONG Xiu-mei；WANG Su；LI Dong-yun Objective To explore the effect of Kanglaite Injection on physical ability,cancer pain,traditional Chinese medicine symptoms,mental symptom of patients with advanced lung cancer,to evaluate its role in palliative care of advanced lung cancer.Methods 101 patients with advanced lung cancer were selected from August 2014 to May 2017 in Zhongguancun Hospital,which were divided into the observation group (49 cases)and the control group (52 cases)according to different treatment methods.Patients in control group were given supportive treatments only,and the observation group was given Kanglaite Injection for two cycles on the basis of the control group.The therapeutic effects of the two groups were compared.Results The score of Karnofsky and pain score in the observation group was better than that in the control group,with significant difference (P＜0.05).After treatment,the scores of traditional Chinese medicine symptoms,scores of anxiety and depression in the observation group was lower than that in the control group,with significant difference(P＜0.05).There was no significant difference in the incidence rate of adverse reactions between the two groups(P＞0.05).Conclusion Kanglaite Injection plays an important role in palliative care,and it can improve life quality of advanced lung patient. 2017 Vol. 24 (27): 86-88 [Abstract] ( 180 ) HTML (36 KB)  PDF  (0 KB)  ( 40 ) 89 Clinical effect of differentiation and selection of acupoints and regular acupoints in the treatment of nerve root type cervical spondylosis HUANG Xiao-yan；XU Xiao-hong；FU Jie Objective To investigate the clinical effect of differentiation and selection of acupoints and regular acupoints in the treatment of nerve root type cervical spondylosis.Methods 94 nerve root type cervical spondylosis patients from January 2016 to February 2017 in our hospital were selected and divided into the observation group and the control group according to random number table method,and each group was 47 cases.The control group was used regular acupoints,and the observation group was used differentiation and selection of acupoints.The clinical effect,symptoms and pain in the two groups were compared.Results After treatment,the clinical total effective rate and symptom improvement score in the observation group was respectively 93.62%and (15.48±3.05)points,which was obvious higher than that in the control group[78.72%and(13.25±3.14)points]respectively;the pain score in the observation group was(2.51±1.02)points,which was lower than that in the control group[(3.47±1.06)points],with significant difference(P＜0.05).Conclusion Compared with regular acupoints,differentiation and selection of acupoints can improve the treatment effect of nerve root type cervical spondylosis,alleviate the pain degree of patients and it is worthy of clinical application. 2017 Vol. 24 (27): 89-91 [Abstract] ( 161 ) HTML (33 KB)  PDF  (0 KB)  ( 40 ) 92 Evaluation of immune function in patients with leprelcosis YOU Yong；LI Jun-yong；WU Ai-jin；WU Yuan-jin；LIU Shi-ji Objective To investigate the immune function in patients with leprelcosis.Methods 60 patients with leprelcosis in the Hongwei Hospital of Nanhai District in Foshan City and Centers for Disease Control and Prevention of Nanhai District in Foshan City from January 2016 to May 2017 were selected as the observation group，at the same time,60 leprosy patients without ulcer in the were selected as the control group,and 60 healthy people received physical examination were selected as healthy group.The levels of peripheral blood lymphocyte subsets(CD3+,CD3+CD4+,CD3+CD8+,CD16+CD56+,CD19+,CD4+/CD8+）,immunoglobulin (Ig)in the three groups were detected respectively.Results The levels of CD3+,CD3+CD4+,CD3+CD8+,CD16+CD56+,CD19+,CD4+/CD8+in the control group and healthy group were compared，there was no statistical difference (P＞0.05);The levels of CD3+,CD3+CD4+,CD3+CD8+,CD16+CD56+,CD4+/CD8+in observation group were significantly lower than those in control group,but the level of CD19+in observation group was higher than that in control group,with statistical difference(P<0.05);The levels of IgG,IgA,IgM in the control group and healthy group were compared,there was no statistical difference(P＞0.05);Compared with the control group，the levels of IgG,IgA,IgM in the observation group were significantly increased,with statistical difference (P<0.05).Conclusion The leprelcosis patients have excessive humoral immune responses.The decreased cellular immune function is associated with the occurrence and development of leprelcosis. 2017 Vol. 24 (27): 92-94 [Abstract] ( 163 ) HTML (41 KB)  PDF  (0 KB)  ( 31 ) 95 Application value of medical failure modes and effect analysis in long distance relay of critical patients SHI Bi-yu；LI Qiong；HUANG Ting-ting；XIA Yuan-shi Objective To explore the clinical value of healthcare failure mode and effect analysis(HFMEA)in long distance relay of critical patients.Methods 120 cases of long-distance transport of critical patients in our Hospital from April 2016 to April 2017 were selected in this reaserch,60 cases of patients was transfered by traditional transfer method were selected as the control group,60 cases of patients was transfered by HFMEA transfer method were selected as the observation group.The average transit time,patients′satisfaction,accident rate oft ransshipment,the success rate of rescue,transshipment process and risk management knowledge awareness rate of the nursing staff were recorded.Results The average transit time,accident rate of transshipment in the observation group was lower than the control group,the difference was statistically significant(P＜0.05);the patients′satisfaction,the success rate of rescue,knowledge rate of nursing staff in the observation group was better than that of the control group,the difference was statistically significant(P＜0.05).Conclusion Long distance relay of critical patients has high risk,HFMEA can accurately assess the risk of transport,optimized transport procedure,reduce the transit time and the incidence of adverse events,improve patient satisfaction,it is worthy of clinical promotion. 2017 Vol. 24 (27): 95-97转101 [Abstract] ( 142 ) HTML (35 KB)  PDF  (0 KB)  ( 45 ) 98 Discussion on methods and effect of safety management of high-risk drugs in wards HUANG Zhao-fang ；XIANG Jun-lian； LI Yang Objective To explore the method of safety management of high-risk drugs in wards,so as to provide reference for clinical use.Methods The examination data of high-risk drug management in Department of Urology of our hospital from May 2015 to April 2017 was selected and divided by May 2016 into pre-management and post-management.The incidence of common drug management problems of pre-management and post-management was compared.Results After strengthened management of high-risk drugs in wards,the incidence of inconsistency with cardinality was 6.67%,lower than pre-management one(26.67%);the incidence of overdue expiration was 0,lower than pre-management one(16.67%);the incidence of un-standardized labeling was 6.67%,lower than pre-management one(36.67%);the incidence of mixed drug placement was 2.67%,lower than pre-management one (33.33%),all with statistically significant difference(P＜0.05);the incidence of improper storage was 3.33%,lower than pre-management one(13.33%),without statistically significant difference (P＞0.05).Conclusion Strengthened management of high-risk drugs can improve the nurses and patients′medication safety,which can better protect the patients′life safety. 2017 Vol. 24 (27): 98-101 [Abstract] ( 128 ) HTML (37 KB)  PDF  (0 KB)  ( 38 ) 102 Analysis of the effect of nursing management intervention on reducing hospitalization expenditure of patients with chronic obstructive pulmonary disease and its influencing factors WANG Fang-fang ；XIE Li-li；LYU Yan-qing Objective To analysis the effect of nursing management intervention on hospitalization expenses of patients with chronic obstructive pulmonary disease and its influencing factors.Methods Clinical data of 90 cases of chronic obstructive pulmonary disease in our hospital from February 2015 to February 2017 were retrospectively analyzed.According to the nursing management method,the patients were divided into two groups,45 cases in each group.The routine group was treated with routine nursing management,and the comprehensive group was given the comprehensive nursing management.The prevalence of hospitalization,hospitalization and nursing management satisfaction and the incidence of nursing disputes were compared between the two groups.The total effective rate of treatment of chronic obstructive pulmonary disease,anxiety and depression of patients before and after treatment were compared.Results In the comprehensive group,the satisfaction rate of nursing was significantly higher than that of the conventional group,the incidence of comprehensive group was significantly lower than that of the conventional group,the hospitalization time of the patients was significantly shorter than that of the conventional group,and the cost of hospitalization was significantly lower than that of the conventional group,the differences were statistically significant(P＜0.05).The total effective rate of comprehensive group was significantly higher than that of conventional group(P＜0.05).The scores of SAS,SDS,SF-36 of the two groups were similar before nursing (P＞0.05);after treatment,the scores of SAS,SDS,SF-36 in the comprehensive group were significantly better than those in the conventional group (P＜0.05).Conclusion The comprehensive nursing management intervention can effectively reduce the patients′bad mood,speed up the rehabilitation of the disease,shorten the hospitalization time,reduce the hospitalization expenses,improve the quality of life and the satisfaction,and reduce the incidence of care disputes,so it is worth promoting. 2017 Vol. 24 (27): 102-104 [Abstract] ( 169 ) HTML (37 KB)  PDF  (0 KB)  ( 47 ) 105 Effect of meticulous management on quality of nursing and operation efficiency in operation room GUO Zhi-juan； RUI Ting； CAI Jing Objective To explore the effect of meticulous management of operation room nursing quality and operation efficiency.Methods Clinical trials of 100 patients accepted in our hospital from August 2015 to August 2016 were conducted,patients were divided into two groups according to the different forms of management,the observation group (n=50)was given fine surgical management,the control group(n=50)was given conventional surgical management,the quality of care and the efficiency of the two groups were compared.Results The aseptic condition,item management,nursing records,health education,knowledge of basic nursing assessment,six operation room nursing quality evaluation scores of the observation group were higher than those of the control group;the operation room surgery preparation time,transfer time of each operation of patients in the observation group was shorten than those of the control group,the differences were statistically significant(P＜0.05).Conclusion Fine management can enhance the quality of care in the operating room,promote the improvement of surgical efficiency,it can be popularized and applied. 2017 Vol. 24 (27): 105-107 [Abstract] ( 140 ) HTML (33 KB)  PDF  (0 KB)  ( 42 ) 108 Application effect of health education pathway in chemotherapy of patients with advanced lung cancer YANG Hong ； HAN Zhen ；WU Jia ； HE Min ； ZOU Xiao-hong ； ZHANG Cui-ying Objective To explore the application effect of health education pathway in chemotherapy of patient with advanced lung cancer.Methods 90 patients with advanced lung cancer who were admitted to our hospital from March 2015 to March 2017 were randomly divided into the control group and the observation group via random number drawing (n=45).The control group was given conventional treatment and diagnosis methods,and the observation group was given the approach of health education pathway on the basis of the conventional treatment and diagnosis methods.The SDS and SAS were selected,so as to conduct a follow-up survey for the psychological conditions of the patients with advanced lung cancer before and after the diagnosis and treatment and the degree of nursing satisfaction.Results The standard rates of drug knowledge,disease knowledge,healthy diet,self-care and treatment compliance in the two group,there was significant difference between the two groups(P＜0.05);compared with the control group，the scores of SDS and SAS were significantly decreased in the observation group after the diagnosis and treatment via health education pathway(P＜0.05).The satisfaction rate in the observation group was higher than that in the control group(P＜0.05).Conclusion Health education pathway on the basis of conventional diagnosis and treatment can significantly improve the understanding of the disease in the patients with advanced lung cancer,effective enhance patients′compliance with the treatment,and improve their satisfaction. 2017 Vol. 24 (27): 108-110 [Abstract] ( 143 ) HTML (33 KB)  PDF  (0 KB)  ( 63 ) 111 Application of the combination mode of CBL and PBL in neurosurgery teaching rounds XU Gang-zhu； WANG Min-juan；JIN Lin；ZHANG Bei；ZHAO Hang；ZHANG Jun-feng；LI Ya-jun Objective To explore the effect of the teaching mode which combines problem based learning(PBL)with case based study(CBS)in neurosurgery teaching rounds.Methods 120 externs were treated with the combination of PBL and CBS in neurosurgery teaching rounds between October 2016 and April 2017(as experiment group),while the previous 116 externs were treated with the traditional mode in teaching rounds between April 2016 and September 2016(as control group).The qualified rates of theoretic examination and the extern satisfaction were compared between the two groups after application of different teaching modes.Results Through application of different teaching modes,the qualified rate of theoretic examination in the experiment group was obviously higher than that in the control group (100.00%vs.81.03%),and the teaching mode satisfaction in the experiment group was obviously higher than that in the control group(95.83%vs.85.34%),and there were statistically significant difference in both comparisons(P<0.05).Conclusion The effect of the combination mode of PBL and CBS in neurosurgery teaching rounds is better than that of the traditional teaching mode,which can obviously improve the qualified rate of theoretic examination and the teaching mode satisfaction. 2017 Vol. 24 (27): 111-113 [Abstract] ( 140 ) HTML (37 KB)  PDF  (0 KB)  ( 35 ) 114 Design and application of practical nursing practice handbook XU Ru-mei Objective To explore the application value of designing practical nursing practice handbook in order to improve nursing students′abilities to apply and practice as well as ensure the quality of clinical nursing teaching.Methods From May 2014 to May 2016,252 student nurses were selected as observation objects.The survey was conducted using the questionnaire designed by the staff in our hospital to understand the knowledge needs of student nurses,based on which the corresponding handbook with the characteristics of the specific department was designed.Results The ratio of knowledge demands after internship was much higher than that before(P<0.05).After internship,the ratio of demands for handbook in the specific department by student nurses was greatly increased compared with that before(P<0.05).Conclusion Practical nursing practice handbook guides both the clinical teachers and students by improving teaching quality and learning enthusiasm by nursing students,but needs to be further improved. 2017 Vol. 24 (27): 114-116 [Abstract] ( 121 ) HTML (36 KB)  PDF  (0 KB)  ( 67 ) 117 Influence of project-driven teaching method on critical thinking and clinical decision-making ability of nursing students PAN Tai-jian；YAN Wen-ying；ZHU Ying；WANG Xin-guo；HUANG Chang-fu；ZHANG Yu Objective To explore the influence of project-driven teaching method on critical thinking and clinical decision-making ability in higher vocational colleges.Methods Altogether 65 of nursing students in 6-year 2013-Grade senior nursing students of the higher vocational college were selected as the objects of this research and randomly divided into two class:32 cases in Class 1 were taken as experiment group and taught by using the combination of project-driven teaching method and traditional teaching method,while 33 cases in Class 2 were taken as control group and taught by using traditional teaching methods.Mid-term exam results and final exam results of surgical nursing as well as the difference of critical thinking and clinical decision-making ability were compared between two groups,and the correlation between critical thinking and clinical decision-making ability was analyzed.Results The average mid-term exam results of experiment group [(82.93±7.90)scores]were compared with the control group [(81.15±7.84)scores],and the difference was not statistically significant(P>0.05).The final exam results of experiment group [(80.62±6.05)scores]were compared with the control group[(72.73±6.21)scores],and the difference was statistically significant(P<0.05).The total scores of critical thinking ability of experiment group[(259±31.9)scores]was higher than control group[(237±7.8)scores],the difference was statistically significant (P<0.05);the nursing students of two groups were compared in self-confidence and appetite for knowledge,and the difference was not statistically significant(P>0.05).The total scores of clinical decision-making ability of twogroups were generally low and the overall score was[(77.49±8.7)scores],statistically significant differences were only seen between two groups in goals determination and the total score of decision-making (P＜0.05),there was no statistically significant difference in the other four sub-projects(P＞0.05).The determining goals of clinical decision-making ability was positively correlated with 5 sub-projects and the total scores of critical thinking ability (P＜0.05),decision implementation was positively correlated with systematization(P＜0.01),the systematization was positively correlated with the total score of clinical decision-making ability(P＜0.01).Conclusion The critical thinking ability of higher vocational nursing students before learning clinical classes is in the middle level and their clinical decision-making ability is close to undergraduate nursing interns and standardized training nurses.The implementation of the project-driven teaching method is helpful to improve nursing students′critical thinking and clinical decision-making ability.The study on cultivation methods needs to be further strengthened to enhance nursing students′self-confidence,appetite for knowledge and the ability in finding problems,making decisions,implementing decisions and evaluation feedback so as to improve the comprehensive ability of nursing students pre-clinically. 2017 Vol. 24 (27): 117-120 [Abstract] ( 149 ) HTML (45 KB)  PDF  (0 KB)  ( 41 ) 121 The effect of “student centered” educational ideas on teaching management in medical universities XIAO Xuan With the promotion of the new curriculum reform in our country,students as one of the three elements in teaching are becoming more and more prominent in recent years.The traditional teaching ideas have been difficult to meet the needs of modern social development.And the “student centered” concept of education has been received more and more attention from the educational department.This paper mainly expounds the content of“student centered” education idea and probes into the effect of the educational idea in the teaching management of medical university. 2017 Vol. 24 (27): 121-123 [Abstract] ( 98 ) HTML (35 KB)  PDF  (0 KB)  ( 73 ) 124 A case of invasive pulmonary Aspergillus infection complicated with leukemoid reaction in children and literature review SHI Chang-song； LI Jie； NIE Chao-qun ；ZHANG Mei-hui Through retrospective analysis of the diagnosis and treatment of a case of invasive pulmonary Aspergillus infection (IPAI)complicated with leukemoid reaction in children and review of the related literature,it can be seen that IPAI mainly occurs in children with heavy underlying disease and long-time use of mechanical ventilation,antibiotics and glucocorticoids,which can be associated with leukemoid reaction.Attention should be paid to combine the clinical and laboratory examinations,early diagnosis and treatment of IPAI. 2017 Vol. 24 (27): 124-126 [Abstract] ( 151 ) HTML (29 KB)  PDF  (0 KB)  ( 78 ) 127 One case and literature review of Duchenne muscular dystrophy without 44-47 exons DUAN Wen-juan； LU Li-qun Duchenne muscular dystrophy (DMD)is the most common muscle disorder in children,when it is not in motion retardation for the first clinical symptom will be easily ignored.The majority of identified mutations are deletions,accounting for 60%-65%of DMD.It is called “Gower syndrome” that children walk like duck and have a special process when they are lying down to stand up.Infants with"Gower syndrome"will be easily ignored,the level of AST or CK rising is lack of specificity,therefore,in the case of elevated liver enzymes and muscle enzymes,we should pay more attention.The method of the genetic testing is rapid and effective in diagnosing DMD.Being confirmed of genetic loci may have contribute to an early assessment in the prognosis of children. 2017 Vol. 24 (27): 127-129 [Abstract] ( 145 ) HTML (29 KB)  PDF  (0 KB)  ( 41 ) 130 Effect of hospital-community-family ternary linkage nursing mode on quality of life of stroke patients TU Shu-hua ；MEI Gui；YUE Li-chun Objective To explore the effect of hospital-community-family ternary linkage nursing mode on quality of life of stroke patients.Methods 80 patients with stroke who were discharged from a grade A class three hospital in Nanchang from June 2015 to June 2016 were selected as study objects,and were divided into the intervention group and the control group,with 40 patients in each group.The control group was given a regular discharge nursing mode,and the intervention group was given a ternary linkage nursing mode.The quality of life and neurological defects were investigated in two groups of patients after discharge,3 months and 6 months after discharge.Results The NIHSS score of the intervention group was lower than the control group for 3 months and 6 months after discharge,the difference was statistically significant(P＜0.01).The physiological,psychological and independent scores of the patients for 3 months and 6 months after discharge of the intervention group were compared with control group,and the differences were statistically significant (P＜0.05).Conclusion The hospital-community-family ternary linkage nursing model can effectively improve the quality of life of stroke patients and improve the neurological deficits. 2017 Vol. 24 (27): 130-132 [Abstract] ( 151 ) HTML (35 KB)  PDF  (0 KB)  ( 45 ) 133 Effect of condom vaginal plugging in preparations before female pelvic CT examination HE Yu′e ；XU Sai-xiu； ZHAO Xiao-li Objective To investigate the effect of condom vaginal plugging and traditional vaginal plugging on preparations before female pelvic CT examination.Methods Altogether 200 cases of married female patients who underwent vaginal plugging before pelvic CT examination in our hospital from December 2016 to March 2017 were selected as the objects of this study and randomly divided into two groups,each with 100 cases.The condoms plus gauze roll plugging method was used in the observation group,patients in the control group underwent traditional vaginal plugging with gauze rolls.The pain degree,CT imaging quality and patients′satisfaction of two groups were compared and analyzed.Results The pain degree of the patients in observation group (9%)was significantly lower than that of control group(86%),and difference was statistically significant(P＜0.01).The image clarity rate of the observation group (96%)was significantly higher than that of control group(85%),difference was statistically significant(P＜0.05).The patients′satisfaction of the observation group(97%)was significantly higher than that of the control group(71%),and difference was statistically significant(P＜0.01).Conclusion The implementation of condoms plus gauze roll plugging method before female pelvic CT examination can reduce the patients′pain degree,not easy to damage the vaginal mucosa and improve the imaging quality.At the same time,the method is simple to operate and convenient to draw materials,easy to be accepted by patients,which improves patients′satisfaction rate and is worthy of clinical application. 2017 Vol. 24 (27): 133-135 [Abstract] ( 185 ) HTML (34 KB)  PDF  (0 KB)  ( 46 ) 136 Study of continuous care on quality of life and sleep disorder in patients with advanced lung cancer YU Jia； YANG Ju-lian ；XIE Yan Objective To explore the influence of continuous care on quality of life and sleep disorder in patients with advanced lung cancer.Methods Sixty-eight patients with advanced lung cancer admitted into our hospital from March 2015 to January 2017 were selected as the study subjects,and they were randomly divided to the observation group (n=34)and control group(n=34).The control group received conventional care while the observation group continuous care.The improvement in quality of life and sleep disorder of patients in patients between the two groups.Results The score of physical function,emotional function,social function,cognitive function and overall health in the observation group were significantly higher than those of the control group after care,and the difference was statistically significant(P<0.05).After care,the score of sleep quality,fall asleep time,sleep time,sleep efficiency,sleep disorders,sleep medication,daytime function in the observation group were significantly improved,and it was higher than that of the control group,the difference was statistically significant(P<0.05).Conclusion For patients with advanced lung cancer,continuous care can significantly improve the quality of life and sleep disorder of patients,and it is worthy of clinical promotion and application. 2017 Vol. 24 (27): 136-138 [Abstract] ( 149 ) HTML (34 KB)  PDF  (0 KB)  ( 38 ) 139 Clinical study on high-quality nursing intervention in prevention of orthopedic wound infection in operating room CHENG Lou-ying；QI Yin-di；LI Ju-zi；WANG De-jin Objective To analyze the clinical effect of high-quality nursing intervention in the prevention of orthopedic wound infection in operating room.Methods 80 patients with different orthopedic surgery in our hospital from September 2016 to February 2017 were selected as the research objects,and they were randomly divided into two groups according to the random number table method,with 40 cases in each group.The control group was given routine nursing,while observation group was given management of operating room,management of infection in operating room,standardized operation performance,improved disinfection in operation area,strict aseptic operation on the basis of routine nursing.The wound infection,healing,improvement of inflammatory marks were compared between the two groups.Results The healing effect in the observation group was significantly better than that in the control group,and the wound infection in the observation group was less than that in the control group,the differences were statistically significant(P＜0.05).The levels of CRP,WBC,NEU,NAP in the observation group were lower than those in the control group,and the differences were statistically significant(P＜0.05).Conclusion High-quality nursing intervention in operating room can effectively decrease the incidence of orthopedic wound infection,reduce the influence of inflammatory factors on the patients,increase the prognostic recovery and quality of life,which is worthy of generalization in the clinical application. 2017 Vol. 24 (27): 139-141 [Abstract] ( 151 ) HTML (32 KB)  PDF  (0 KB)  ( 37 ) 142 Application of predictive nursing in postoperative rehabilitation of hepatolithiasis complicated with cholangiocarcinoma XU Wei-ying Objective To investigate the clinical effect of predictive nursing intervention in postoperative rehabilitation of hepatolithiasis complicated with cholangiocarcinoma.Methods From January 2015 to January 2017,88 patients with hepatolithiasis complicated with cholangiocarcinoma treated in our hospital were randomly divided into the control group and the observation group,44 patients in each group.The control group underwent routine hepatobiliary surgery nursing and the observation group received predictive nursing intervention.The adverse reaction cases,postoperative anal exhaust time,leave bed activity time,hospitalization time,the satisfaction of nursing service during surgical treatment of hepatolithiasis complicated with cholangiocarcinoma,VAS,SDS,SAS scores before and after nursing intervention of patients in the two groups were compared.Results There were only 2 cases(4.5%)of adverse reactions during the perioperative period of the observation group,less than 9 cases(20.5%)in the control group,and difference was statistically significant(P＜0.05).The postoperative anal exhaust time,leave bed activity time and hospitalization time were shorter than the control group,the differences were significant(P＜0.05).The satisfaction of nursing service of the observation group(95.5%)was less than that in the control group(79.6%),and the difference was statistically significant(P＜0.05).The VAS,SDS and SAS scores were comparedbeforeandofthetwogroups,andthedifferencesweresignificant(P＜0.05).Theindexscores of the patientsintheobservation group were compared with the control group after nursing intervention,and the differences were statistically significant(P＜0.05).Conclusion Patients with hepatolithiasis complicated with cholangiocarcinoma predictive nursing intervention after surgical treatment can shorten the postoperative recovery time,reduce the adverse reaction and control pain.The patient can maintain peace of mind and achieve the aim of improving the therapeutic effect and nursing satisfaction. 2017 Vol. 24 (27): 142-144 [Abstract] ( 148 ) HTML (36 KB)  PDF  (0 KB)  ( 59 ) 145 Influence of whole-course nursing intervention on eradicating Helicobacter pylori by sequential therapy WU Xiao-yan Objective To analyze the influence of whole-course nursing intervention on eradicating Helicobacter pylori by sequential therapy.Methods From May 2014 to November 2015,140 patients with Helicobacter pylori infection treated with sequential therapy in our hospital were selected and they were divided into the control group (n=70)and observation group (n=70)according to the random number table method.In the control group,routine nursing for digestive system diseases was used,while in the observation group,the whole-course nursing intervention was applied.The total treatment time,the incidence of adverse reactions,the nursing satisfaction degree and the total effective rate between the two groups were compared.Results The total treatment time of patients in the observation group was shorter than that of the control group with a statistical difference (P＜0.05).The incidence of adverse reactions in the observation group(4.3%)was lower than that of the control group(20.0%)with a statistical difference(P＜0.05).The nursing satisfaction degree during treatment in the observation group(94.3%)was higher than that of the control group(75.7%)with a statistical difference (P＜0.05).The total effective rate in the observation group (91.4%)was higher than that of the control group(72.9%)with a statistical difference(P＜0.05).Conclusion The whole-course nursing intervention for patients with Helicobacter pylori during the sequential therapy can shorten the treatment time,reduce the incidence of adverse reactions,improve nursing satisfaction degree and treatment effect. 2017 Vol. 24 (27): 145-147 [Abstract] ( 151 ) HTML (37 KB)  PDF  (0 KB)  ( 63 ) 148 Comparison of effect of clinical nursing pathway and traditional nursing in replantation of amputated fingers during perioperative period HE Hai-yan Objective To evaluate the effect of clinical nursing pathway and traditional nursing in replantation of amputated fingers during perioperative period.Methods Altogether 89 patients who underwent replantation of amputated fingers in our hospital from November 2015 to July 2016 were involved as the objects of this research and randomly divided into experiment group(n=45)and control group(n=44)by using touch-ball method.The control group adopted the traditional nursing in replantation of amputated fingers during perioperative period,while the experiment group adopted clinical nursing path.The therapentic effects of two groups were compared.Results After the intervention,hospitalized time[(9.8±1.7)d]of the patients in experimental group was shorter than the control group [(14.3±1.2)d],hospitalization expenses[(13 789.3±19.3)yuan]was less than the control group [(16 563.2±27.9)yuan],amputated finger survival rate(91.11%)was higher than the control group(72.73%),the differences were statistically significant(P＜0.05).The satisfaction degree of patients in the experimental group(93.33%)was higher than that in the control group(93.33%),and the difference was statistically significant(P＜0.05).Conclusion Application of clinical nursing pathway in replantation of amputated fingers during perioperative period can provide more effective and specific care for patients and improve the patients′satisfaction of medical services,which makes patients recover more quickly. 2017 Vol. 24 (27): 148-150 [Abstract] ( 144 ) HTML (34 KB)  PDF  (0 KB)  ( 62 ) 151 Effect of psychological nursing intervention on depressed mood and selfacceptance in patients with first-episode depression QIN Tao；LYU Yun-huo；XIA Xue-bin Objective To investigate the effect of psychological nursing intervention on depressed mood and self-acceptance in patients with first-episode depression.Methods 70 patients with first-episode depression who were admitted to our hospital from May 2014 to May 2016 were selected as the study subjects,and they were randomly divided into observation group and control group,35 cases in each group.Control group was given routine treatment and nursing,while observation group was given psychological nursing intervention based on control group.The depressed mood,self-acceptance and nursing satisfaction were compared between the two groups.Results After nursing,the score of HAMD in observation group[(21.21±5.04)points]was lower than that in control group[(25.11±6.12)points],while the scores of SAQ[(20.61±4.37),(21.54±3.47)points]were higher than control group [(18.45±4.20),(19.61±3.31)points],the differences were statistically significant(P＜0.05).The total nursing satisfaction in observation group(91.43%)was higher than that in control group(71.43%),the difference was statistically significant(P＜0.05).Conclusion Psychological nursing intervention can improve depressed mood,promote self-acceptance and achieve good nursing satisfaction,it is worth promoting application. 2017 Vol. 24 (27): 151-153 [Abstract] ( 146 ) HTML (33 KB)  PDF  (0 KB)  ( 42 ) 154 Explore of nursing intervention of traditional Chinese medicine in the sleep disorder of stroke YANG Xue ；LIN Ping ；ZHENG Ying-mei； ZHENG Ya-lan Objective To explore and analyze the clinical application value of traditional Chinese medicine nursing intervention to improve the sleep disorder of stroke patients.Methods 90 patients with stroke treated in our hospital from July 2015 to September 2016 were selected as the subjects.According to the hospitalization order,the patients were divided into two groups,45 cases per group.The patients in conventional group was given routine nursing care.The patients in Chinese medicine group was given intervention measures for Chinese medicine care.And the quality of sleep and anxiety after nursing were compared of patients in the two groups.Results Before nursing,the sleep quality scores of the two groups were cmpared,and the difference was not statistically significant(P＞0.05).After nursing,the sleep quality scores of patients in the Chinese medicine group were significantly lower than those in the conventional group,and the difference was statistically significant(P＜0.05).After nursing,the improvement of anxiety in the Chinese medicine group was better than that of the conventional group,and the difference was statistically significant(P＜0.05).Conclusion Intervention measures of Chinese medicine nursing for stroke patients with sleep disorder have a significant clinical effect on improving the quality of sleep in patients,and have a good effect on improving the negative emotions of patients,and is worthy of clinical application. 2017 Vol. 24 (27): 154-156转159 [Abstract] ( 146 ) HTML (37 KB)  PDF  (0 KB)  ( 33 ) 157 Application effect analysis of blood transfusion pathway in clinical bloodtransfusion nursing XIAO Xin Objective To investigate the application effect of blood transfusion pathway in clinical transfusion care.Methods A total of 168 patients who were admitted to our hospital from August 2015 to August 2016 were selected as the study subjects,and were divided into two groups according to the random number table method,each with 84 cases.Patients in the control group were treated with routine blood transfusion,while the patients in the observation group were treated with blood transfusion pathway.The error rate of blood transfusion,the satisfaction of patients and knowledge of nursing staff of two groups were compared.Results The satisfaction of patients in the observation group(98.81%)was higher than that in the control group(88.10%),the error rate of blood transfusion in the observation group(0.00%)was greatly lower than that in the control group (5.95%),the scores of blood transfusion knowledge such as the laws and regulations,basic knowledge and skill operation of nursing personnel of the nursing staff in the observation group were significantly higher than those in the control group,and the differences were statistically significant(P＜0.05).Conclusion In clinical blood transfusion nursing,application of blood transfusion pathway is beneficial to ensure the normalization and standardization of nursing and blood transfusion,decrease the blood transfusion error,and improve patient′s satisfaction,which has a high clinical value. 2017 Vol. 24 (27): 157-159 [Abstract] ( 153 ) HTML (29 KB)  PDF  (0 KB)  ( 73 ) 160 Effect evaluation of nursing intervention on reducing the incidence of phlebitis caused by intravenous indwelling needles in newborns WANG Ming-ying；HUANG Xi-hua；ZHANG Shu-mei Objective To explore the effect of nursing intervention on reducing the incidence of phlebitis caused by intravenous indwelling needle in newborns.Methods 80 of the newborns received treatment in our hospital from March 2014 to December 2016 were selected as the study subjects.All the newborns were given intravenous indwelling needle,randomly divided into two groups according to the random table method,each with 40 cases.The newborns in control group received routine nursing care,while the newborns in observation group received additional nursing intervention.The incidence of phlebitis,phlebitis grade,the family′s satisfaction with nursing and so on were compared between the two groups.Results The incidence of phlebitis in the observation group (7.5%)was lower than that in the control group(27.5%),and the severity of the phlebitis of newborns in the observation group was more mild than that in the control group,the differences were statistically significant(P＜0.05).The family′s satisfaction in the observation group (97.5%)was higher than that in the control group(82.5%),and the differences were statistically significant(P＜0.05).Conclusion Nursing intervention can help reduce the occurrence of phlebitis in the nursing service of intravenous indwelling needles in newborns,and it is worth promoting the harmonious nursing relationship,is worthy of clinical application. 2017 Vol. 24 (27): 160-162 [Abstract] ( 165 ) HTML (33 KB)  PDF  (0 KB)  ( 40 ) 163 Influence of health-promotion lifestyle and social support on elderly patients with hypertension in the community LUAN Shuang Objective To explore the influence of health-promotion lifestyle and social support on the elderly patients with hypertension in the community.Methods The clinical data of 60 elderly patients with hypertension in our welfare house from February 2015 to February 2017 were analyzed.According to different nursing measures,they were evenly divided into control group(conventional nursing measures)and observation group(health-promotion lifestyle and social support).The score of sleep quality and social support before and after nursing between the two groups were observed.Results Before nursing,the score of sleep quality,sleep latency,sleep duration,sleep efficiency,sleep disturbance,sleep medication,and daytime sleep disorders,total score of sleep quality,and the utilization degree score of objective support,subjective support,and social support were not displayed statistical differences in the two groups(P＞0.05).After nursing,the score of sleep quality,sleep latency,sleep duration,sleep efficiency,sleep disturbance,sleep medication,and daytime sleep disorders,and total score of sleep quality were all lower than those before nursing.The utilization degree score of objective support,subjective support,and social support were all higher than those before nursing.In the observation group,the score of sleep quality,sleep latency,sleep duration,sleep efficiency,sleep disturbance,sleep medication,and daytime sleep disorders as well as the total score of sleep quality were all lower than that in the control group and the utilization degree score of objective support,subjective support,and social support were higher than those of the control group,and there was a statistical difference (P＜0.05).Conclusion Application of health-promotion lifestyle and social support in elderly patients with hypertension in the community can improve their sleep quality as well as social support,which is worthy of clinical promotion and application. 2017 Vol. 24 (27): 163-165转168 [Abstract] ( 163 ) HTML (34 KB)  PDF  (0 KB)  ( 63 ) 166 The effect of predictive care in preventing pressure sore caused by longterm bed HUANG Jian Objective To explore the effect of predictive care in preventing pressure sore caused by long-term bed.Methods 98 long-term bed patients treated in our hospital from August 1,2014 to July 31,2016 were selected as study object,and they were randomly divided into group A(n=49)and group B(n=49)using the lottery grouping method.Group A was given predictive care,while group B was given routine care.The formation time and incidence of pressure sores,frequency of defecation and skin lesions situation in patients between the two groups were compared.Results The formation time of pressure sore in group A was(10.21±1.05)days,and it was longer than that in group B [(4.36±1.14)days],and frequency of defecation per week was(2.86± 1.04)times in group A and it was more than that of group B[(1.02±0.38)times],and the score of skin lesions degree was(1.12±0.37)points,the score of skin lesions score was(1.51±0.48)points and the incidence of pressure ulcer was 6.12%,and it was lower than that of group B [(3.54±0.89)points,(3.66±0.74)points and 20.41%),and the difference was statistically significant(P＜0.05).Conclusion The implementation of predictive care for long-term bed patients is beneficial to the prevention of pressure sore,and it can relaxing the bowels,and the effect of reducing the lesion area and reducing the degree of skin lesions is more ideal. 2017 Vol. 24 (27): 166-168 [Abstract] ( 136 ) HTML (33 KB)  PDF  (0 KB)  ( 54 ) 169 Influence of nursing intervention on nursing effect and mental state of perioperative patients with ectopic pregnancy under laparoscope ZHOU Xiao-mei Objective To investigate the influence of nursing intervention on nursing effect and mental state of perioperative patients with ectopic pregnancy under laparoscope.Methods 76 patients with ectopic pregnancy treated by laparoscope in our hospital from June 2015 to June 2016 were selected.According to the order of admission,they were divided into the control group and observation group,and each group had 38 cases.Patients of the control group were given general care methods,while patients of observation group were given nursing intervention on the basis of general nursing.The nursing effect and anxiety and depression score before and after nursing in patients between the two groups were compared.Results The nursing effect of the observation group was significantly better than that of the control group,and the score of anxiety and depression after nursing in the observation group were significantly lower than that of the control group,the difference was statistically significant(P＜0.05).Conclusion The nursing intervention applied in perioperative patients with ectopic pregnancy under laparoscope has the role of improving the curative effect,and actively improve the psychological state of patients. 2017 Vol. 24 (27): 169-171 [Abstract] ( 142 ) HTML (33 KB)  PDF  (0 KB)  ( 66 ) 172 The role of clinical nursing pathway in improving cognitive status and satisfaction of elderly patients with essential hypertension QIU Ai-ping ；WANG Jing-yi Objective To explore the role of clinical nursing pathway in improving cognitive status and satisfaction of elderly patients with essential hypertension.Methods 100 patients with essential hypertension treated in our hospital from February 2014 to December 2016 were divided into two groups according to the random number method and there were 50 patients in each group.The control group wasgiven the routine nursing intervention,while the study group was given the clinical nursing path.Mastery degree of cognitive status for hypertension knowledge such as rational use of drugs,definition and etiology,reasonable diet,self-test blood pressure and adhere to campaign and so on,hospitalization time,hospitalization expenses,and blood pressure level before and after intervention in patients between the two groups were compared.Results Mastery degree of cognitive status for hypertension knowledge in the study group was significantly better than that in the control group(P＜0.05).The satisfaction degree of nursing in the patients of the study group was significantly better than that in the control group (P＜0.05).The hospitalization time of the study group was significantly shorter than that of the control group,the hospitalization expense was lower than that of the control group,and the blood pressure level was significantly lower than that of the control group (P＜0.05).Conclusion The clinical nursing pathway can significantly improve the mastery degree of cognitive status for hypertension knowledge and satisfaction of elderly patients with essential hypertension,shorten the hospitalization time and reduce the economic pressure of patients. 2017 Vol. 24 (27): 172-174 [Abstract] ( 147 ) HTML (36 KB)  PDF  (0 KB)  ( 37 ) 175 The preventive effect of quality control circle on subcutaneous hemorrhage after injectection of Low Molecular Heparin Sodium under the abdominal wall REN Qi-hua ；LI Fang ；CHEN Meng-xia ；HE Ling-xia Objective To explore the preventive effect of quality control circle(QCC)on subcutaneous hemorrhage after injection of Low Molecular Heparin Sodium under the abdominal wall.Methods 95 patients injected Low Molecular Heparin Sodium under the abdominal wall in department of cardiovascular medicine of our hospital from September to October 2016 were chosen as study object after the establishment of QCC,while another 95 patients injected Low Molecular Heparin Sodium under the abdominal wall from April to May 2016 were chosen as control before the establishment of QCC.The rate of subcutaneous hemorrhage and main cause of hemorrhage in patients before and after the establishment of QCC were compared between the two groups.Results After QCC activity,the rate of subcutaneous hemorrhage was reduced from 42.0%to 11.6%,and the difference was statistically significant(P＜0.05).The main cause of subcutaneous hemorrhage were changed from no front air when injected,the wrong way to picke up the injected skin,and the incorrect operation of pull into and out the needle to no front air when injected,the wrong method to pick up the skin.Conclusion Quality management tool of QCC can effectively reduce the rate of subcutaneous hemorrhage after injected Low Molecular Heparin Sodium under the abdominal wall,improve the initiative and ability of nurses to solve the problems in clinical work,and strengthen the cooperation and communication between doctors and nurses. 2017 Vol. 24 (27): 175-178 [Abstract] ( 146 ) HTML (37 KB)  PDF  (0 KB)  ( 46 ) 179 Application of improved nursing care on senile type 2 diabetes complicated with cerebral infarction CHEN Yi；LIU Jia-jun； HAN Tao ；WANG Qi；LU Sai-sai Objective To study application of improved nursing care on senile type 2 diabetes complicated with cerebral infarction.Methods The 99 senile type 2 diabetes patients with type 2 diabetes mellitus complicated with cerebral infarction who treated in our department were selected as subjects from April 2015 to April 2017,and they were randomly divided into two groups:research group of 50 cases and control group of 49 cases.The patients in research group were received improved nursing care and patients in control group were received routine nursing care.The ESS score,FPG,2 h BG,HbA1c and clinical efficacy were compared respectively between the two groups before and after nursing.Results The ESS score of research group was higher than that of control group,FPG and 2 h BG of research group were lower than that of control group,the differences were statistically significant(P＜0.05).There were no significant differences between the two groups in HbA1c(P＞0.05).The rate of efficiency in the research group(80.5%)was higher than that of the control group (57.8%),and the differences were statistically significant(P＜0.05).Conclusion Improved nursing measures can improve the ESS score of senile type 2 diabetes patients complicated with cerebral infarction,reduce FPG and 2 h BG,improve clinical efficacy and is worthy of promotion. 2017 Vol. 24 (27): 179-181转184 [Abstract] ( 158 ) HTML (36 KB)  PDF  (0 KB)  ( 65 ) 182 Influence of acupoint massage combined with rehabilitation nursing on neurologic impairment and ability of daily living in patients with cerebral apoplexy during recovery period LIAO Li-xia Objective To analyze the influence of acupoint massage combined with rehabilitation nursing on neurologic impairment and ability of daily living(ADL)in patients with cerebral apoplexy during recovery period.Methods A total of 105 patients with cerebral apoplexy during recovery period from January 2,2015 to February 12,2016 were selected in our hospital.They were randomly divided into control group (n=52)and observation group (n=53).The control group was given acupoint massage,while the observation group was given acupoint massage combined with rehabilitation nursing.The score of ADL and neurologic impairment in patients between the two groups were compared.Results In the observation group,the score of ADL was (56.47±20.15)points,and it was higher than that in the control group [(45.12±24.11)points](P＜0.05).The neurologic impairment score in the observation group was(11.49±5.68)points and it was lower than that in the control group[(14.72±7.75)]points(P＜0.05).Conclusion Acupoint massage combined with rehabilitation nursing can obtain a remarkable effect on ADL and neurologic impairment in these patients with cerebral apoplexy during recovery period at advantages of non-combination of equipment,absence of adverse reactions,and nonsite limitation,which not only promotes patients′rehabilitation,but also has great economic and social benefits. 2017 Vol. 24 (27): 182-184 [Abstract] ( 152 ) HTML (27 KB)  PDF  (0 KB)  ( 62 ) 185 Influence of holistic nursing intervention on blood donation reaction XIONG Hui-lian Objective To analyze the clinical effect of holistic nursing intervention in blood donors by machine.Methods From May to December 2015,341 blood-donation volunteers without the holistic nursing intervention in our blood bank were selected and classified into control group.From January to August 2016,another 341 blood-donation volunteers applied with the holistic nursing as an intervention was categorized into observation group.All participants were performed with machine for blood donation.The blood donation reaction during peri-blood donation period,satisfaction degree on nursing service after blood donation by machine,and improvement of mental static indexes like SAS and SDS,etc.Before and after machine,and observing time in the blood bank after donation were compared between the two groups.Results The incidence of blood donation reactions during peri-blood donation period in the observation group was lower than that in the control group with a statistical difference(P＜0.05).With regard to satisfaction on nursing service during blood donation by machine,the satisfaction degree in the observation group was much higher than that in the control group,which was displayed a statistical difference (P＜0.05).The score of SAS and SDS in the observation group were lower than those in the control group,the difference was statistically significant(P＜0.05).The observing time in the blood bank in the observation group was shorter compared with that in the control group with a statistical difference(P＜0.05).Conclusion For blood donation volunteers by machine,application of the holistic nursing intervention can effectively decrease the incidence of blood donation reactions in these volunteers,keep mental balance,and improve satisfaction degree. 2017 Vol. 24 (27): 185-187 [Abstract] ( 135 ) HTML (35 KB)  PDF  (0 KB)  ( 64 ) 188 Application of high quality nursing in nursing of patients with hypertensive cerebral hemorrhage LIU Qing ；XU Ping ；MIN Rui Objective To study the clinical effect of high quality nursing in patients with hypertensive intracerebral hemorrhage.Methods 142 patients with hypertensive cerebral hemorrhage treated in department of neurosurgery of our hospital from November 2013 to November 2016 were selected and they were divided into the control group and observation group,and there were 71 cases in each group.The control group received routine department of neurosurgery nursing intervention,while the observation group received high quality nursing intervention on the basis of routine nursing.The curative effect,the satisfaction degree of the nursing service mode during the treatment period,the total hospitalization time and the incidence of adverse reactions during the perioperative period of patients between the two groups were compared.Results The total effective rate of the observation group was higher than that of the control group,and the satisfaction degree of the nursing service mode during the treatment period was higher than that of the control group,and the total hospitalization time was shorter than that of the control group(P＜0.05).The incidence of adverse reactions in the observation group was 2.82%during the perioperative period,which was lower than that in the control group(11.27%)(P＜0.05).Conclusion High quality nursing given in patients with hypertensive cerebral hemorrhage can control the disease in a short period of time,prevent adverse reactions after operation,reduce the incidence of rebleeding event,improve the treatment effect and satisfaction degree of nursing service patients. 2017 Vol. 24 (27): 188-190 [Abstract] ( 119 ) HTML (34 KB)  PDF  (0 KB)  ( 70 ) 191 Application of comprehensive nursing model inelderly patients after intestinal obstruction operation WANG Fa-yu；ZHANG Jing-yu；ZHENG Tao；WANG Yan；ZHENG Wei-qing Objective To investigate the application effect of comprehensive nursing intervention in elderly patients after intestinal obstruction.Methods 76 patients with intestinal obstruction treated in our hospital from January 2014 to December 2016 were selected and they were divided into the control group and the observation group,and each group contained 38 patients.Patients in the control group received the routine nursing,while patients in the observation group received the comprehensive nursing intervention.Incidence of postoperative complication and nursing satisfaction degreewere compared between the two groups.Results The incidence of postoperative complication in the observation group was lower than that in the control group,the difference was statistically significant(P＜0.05).The total nursing satisfaction degree of patients in the observation group was significantly higher than that of the control group,the difference was statistically significant(P＜0.05).Conclusion Early comprehensive nursing intervention can effectively reduce the postoperative complication after intestinal obstruction in elderly patients and optimize the nurse-patient relationship,which deserves the clinical expansion. 2017 Vol. 24 (27): 191-193 [Abstract] ( 129 ) HTML (37 KB)  PDF  (0 KB)  ( 36 ) 194 Application of continuous improvement of quality nursing management quality in nursingof patients with uterine fibroids LI Shu-mei Objective To explorethe application effect of continuous improvement of quality nursing management quality in nursingof patients with uterine fibroids.Methods 53 cases with uterine fibroids treated in our hospital from February 2016 to February 2017 were selected to be studied,and the patients were randomly divided into the observation group(27 cases)and the control group(26 cases).The observation group was given the continuous improvement of the quality of nursing management,while the control group was given the routine nursing management.The treatment effect,patients′satisfaction degree,quality of life and quality of nursing were compared between the two groups.Results The total effective rate and patients′satisfaction degree score of the observation group were significantly higher than that of the control group (P＜0.05).The quality of life and the quality of nursing score in the observation group were higher than those in the control group,the difference was statistically significant(P＜0.05).Conclusion The continuous improvement of the quality of nursing management quality will help improve the treatment effect of patients and the quality of service of nursing staff,and improve the quality of life in patients,and the effect in nursing of uterine fibroidsis remarkable.It is worthy of promotion and application. 2017 Vol. 24 (27): 194-196 [Abstract] ( 129 ) HTML (34 KB)  PDF  (0 KB)  ( 50 )

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