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2017 Vol. 24, No. 23
Published: 2017-08-18
 
 
4 Efficacy of normal saline and heparin sodium on central venous indwelling catheter tube-sealing：a Meta-analysis
LIU Yuan-yuan;ZHANG Feng-jiao;YIN Chong-gao
ObjectiveTo analyze the efficacy of normal saline and heparin sodium on sealing of central venous indwelling catheter and offer some helps about the use of central venous indwelling catheter.MethodsA search was carried out using“central venous indwelling catheter”“heparin sodium”and“normal saline”in CNK1,CBM,Wanfang,VIP and PubMed ranging from Jaunuary 1997 to April 2017.Meta analysis were performed using RevMan 5.1 software.ResultsA total of 3238 case studies in 13 articles including 1592 normal saline group and 1646 heparin (control)group were conducted.Meta-analysis results suggested that the incidences of phlebitis in the normal saline group was lower than that of heparin(control)group[OR=1.54,95%CI(1.02,2.30),P=0.04],the incidence of bleeding in normal saline group was lower than that of heparin(control)group[OR=3.79,95%CI(1.48,9.69),P=0.005],and there was no significant differences in the incidence of blocking pipe between the normal saline group and the heparin (control)group [OR=1.37,95%CI(1.01,1.87),P=0.05].The shape of the funnel plot did not reveal any evidence of obvious asymmetry.ConclusionThe meta-analysis results show that normal saline sealing has a better effect on effectively reducing phlebitis and avoiding bleeding than heparin sodium sealing.
2017 Vol. 24 (23): 4-7 [Abstract] ( 194 ) HTML (43 KB)  PDF  (0 KB)  ( 71 )
8 Influence of131I combined with Prednisolone Tablets on bone metabolism and A-TPO and TRAb levels among patients with Graves disease
ZHONG Bin-li
ObjectiveTo investigate the influence of131I combined with Prednisolone Tablets on bone metabolism and anti-Thyroid-Peroxidase antibody(A-TPO)and thyrotropin receptor antibody(TRAb)levels among patients with Graves disease.Methods89 patients with Graves disease treated in our hospital from September 2014 to December 2016 were selected and randomly divided into the control group(45 cases)and the observation group(44 cases).The control group was treated with131I alone,and the observation group was given orally administrated with131I combined with Prednisolone Tablets.The clinical efficacy was compared between the two groups.ResultsThe level of aminoterminal propeptide of typeⅠprocollagen (PINP),TRAb and A-TPO in the two groups after treatment was lower than that before treatment,PTH in the two groups after treatment was higher than that before treatment,with significant difference(P＜0.05).The level of PINP,TRAb and A-TPO of the observation group after treatment was lower than that of the control group,the level of PTH of the observation group after treatment was higher than that of the control group,with significant difference(P＜0.05).The total amount of Bisoprolol Tablets and Thiamazole Tablets of the observation group was lower than that of the control group,the recovery time of thyroid function of the observation group was shorter than that of the control group,with significant difference(P＜0.05).ConclusionThe effect of131I combined with Prednisolone Tablet in the treatment of Graves disease is significant,and which can better improve bone metabolism and A-TPO and TRAb levels.Therefore,it is worth promoting.
2017 Vol. 24 (23): 8-10 [Abstract] ( 170 ) HTML (35 KB)  PDF  (0 KB)  ( 73 )
11 Research progress on the application of traditional Chinese medicine after gastric cancer operation
ZHANG Wan-zong;YU Qing-sheng;SHEN Yi;ZHANG Qi;LIU Ju-da
Gastric cancer is one of the most common malignant tumors of digestive tract.The morbidity and mortality are both high in China.At present,surgical treatment,chemotherapy,radiotherapy,and targeted therapy are the main treatment approaches.With the development of modern medical technology,attentions have been paid to the effect of Chinese medicine in the treatment of gastric cancer.Especially in terms of the prevention and treatment of postoperative complications of gastric cancer,combined chemotherapy,prevention of recurrence and metastasis of gastric cancer and other aspects,Chinese medicine plays a role of improving the quality of life of patients and extending survival.This article reviews the progress of combined Chinese medicine in postoperative gastric cancer in recent years in terms of the prevention and treatment of postoperative complications of gastric cancer,combined chemotherapy and prevention of recurrence and metastasis of gastric cancer,so as to provide thoughts and ideas for the establishment of Chinese medicine in the treatment of postoperative gastric cancer.
2017 Vol. 24 (23): 11-13 [Abstract] ( 173 ) HTML (34 KB)  PDF  (0 KB)  ( 77 )
14 Clinical study of ligation of intersphincteric fistula tract in the treatment of high anal fistula
WANG Jing;SHI Rong;HUANG Juan
ObjectiveTo study the clinical efficacy of ligation of intersphincteric fistula tract in the treatment of high anal fistula.MethodsFrom October 2013 to May 2015,60 patients with high sphincter anal fistula in our hospital were selected and divided into the treatment group (n=30)and the control group (n=30)according to random number table method.The treatment group was treated with ligation of intersphincteric fistula tract,and the control group was given the traditional incision and thread technique.The time of hospitalization and wound healing were observed in the two groups.The anus function was evaluated at 1 day before operation and 3 months after operation.ResultsThe two groups completed the operation successfully,there were no significant differences in the operation time,cure rate,recurrence rate,follow-up time and the number of fecal incontinence between the two groups(P＞0.05).The time to return to routine activities,hospitalization and wound healing time in the treatment group was shorter than that in the control group,with significant difference(P＜0.05).The Wexner score,maximum systolic pressure of anal canal,anal canal rest pressure,rectal minimum sensory capacity,initial defecation capacity,maximum tolerance capacity and maximum systolic amplitude in the two groups at 3 months after treatment was better than that before treatment,the Wexner score,maximum systolic pressure of anal canal,anal canal rest pressure,rectal minimum sensory capacity,initial defecation capacity,maximum tolerance capacity and maximum systolic amplitude in the treatment group at 3 months after treatment was better than that in the control group,with significant difference (P＜0.05).ConclusionCompared with the traditional incision and thread technique,ligation of intersphincteric fistula tract can shorten hospitalization and healing time,which can return to daily activities faster,can ensure the cure rate and better protect the anal sphincter function,so it has important clinical significance.
2017 Vol. 24 (23): 14-17 [Abstract] ( 174 ) HTML (38 KB)  PDF  (0 KB)  ( 71 )
18 Influence of serum ferritin levels on type 2 diabetes mellitus
LIU Jian;HE Ying-yi;FENG Xiang;LIANG Jia-qi;HE Xiao-neng;LAI Yu-hong;TAN Bian-wen;QIU Mei-juan
ObjectiveTo observation the relationship between serum ferritin (SF)level and type 2 diabetes mellitus(T2DM).Methods96 patients with impaired fasting glucose/impaired glucose tolerance (IFG/IGT)in our hospital from October to December in 2014 were selected.According to IFG/IGT,they were divided into the high SF level group and the low SF level group,48 cases in each group.101 people with normal glucose tolerance (NGT)were selected as the control group at the same period.The incidence of T2DM in each group after 2 years and the dynamic changes of SF in each group in 2 years were compared.ResultsThe level of Glu in the high SF level group was higher than than in the low SF level group for 2014-2016 years (P＜0.05).The incidence rate of T2DM in the high SF level group was 18.4%,which was higher than that in the low SF level group(0.0%)(P＜0.05).And the prevalence rate of IFG in the high SF level group was 59.2%,which was higher than that in the low SF level group(51.0%)(P＜0.01).The NGT in the high SF level group was lower than that in the low SF level group(P＜0.01).The level of cholesterol(CHOL),triglyceride(TG),highdensity lipoprotein cholesterol(HDL-C)and low-density lipoprotein cholesterol(LDL-C)in the high SF level group was higher than that in the low SF level group,with significant difference (P＜0.05).Glu was positively correlated with SF,CHOL,TG,LDL-C,but there was not correlated with HDL-C.ConclusionThe SF level is positively correlated with T2DM,so controlling the level of SF is an important measure to reduce morbidity.
2017 Vol. 24 (23): 18-20转29 [Abstract] ( 153 ) HTML (35 KB)  PDF  (0 KB)  ( 60 )
21 Predictive value of SVV for volume response in fluid resuscitation in the treatment of mechanically ventilated patients with septic shock
YE Zhao-wei;CHEN Jie;SHAO Han-quan
ObjectiveTo explore the predictive value of stroke volume variation (SVV)for volume response of fluid resuscitation in the treatment of mechanically ventilated patients with septic shock.MethodsA total of 58 patients with septic shock mechanical ventilation from December 2014 to December 2015 in our hospital were treated with liquid resuscitation,the patients were divided into the study group(32 cases)and the control group(26 cases)according to the difference of CT before and after resuscitation.The heart function indexes of the two groups were observed and recorded,including stroke volume variation(SVV),central venous pressure(CVP),heart rate(HR),mean arterial pressure(MAP),cardiac output(CO),intrathoracic blood volume index(ITBVI),cardiac index(CI),and the correlation between SVV and CVP,CI difference(ΔCI)was analyzed.ResultsThe levels of SVV,CVP,HR,MAP,CO,ITBVI and CI in the control group before fluid resuscitation was better than that in the study group,with significant difference(P＜0.05).The levels of SVV,CVP,HR,MAP,CO,ITBVI and CI in the two groups after fluid resuscitation were significantly improved,and the levels of SVV,MAP,CO and CI in the study group after fluid resuscitation was significantly better than that in the control group,with significant difference(P＜0.05).The correlation analysis of SVV,CVP and CI of the two groups were analyzed before and after the fluid resuscitation,after fluid resuscitation,SVV and ΔCI(r=0.763,P=0.008),CVP and ΔCI(r=0.386,P=0.038)were positively correlated,and the correlation between SVV and ΔCI was more obvious than that of CVP and ΔCI.ConclusionCompared with other predictive capacity indexes,SVV is more effective and is worthy of clinical promotion.
2017 Vol. 24 (23): 21-23转33 [Abstract] ( 178 ) HTML (33 KB)  PDF  (0 KB)  ( 59 )
24 Clinical application of fiber choledochofiberscopy combined with laparoscopic gallbladder preserving lithotomy
WU Hua-fei;HE Hai-qing
ObjectiveTo analyze the clinical value of fiber choledochofiberscopy combined with laparoscopic gallbladder preserving lithotomy.Methods62 patients with gallstones admitted in our hospital from July 2015 to June 2016 were selected and divided into the experimental group (n=31)and the reference group (n=31)according to the different treatment methods.The reference group was treated with laparoscopic gallbladder preserving lithotomy.The experimental group was treated with fiber choledochofiberscopy combined with laparoscopic gallbladder preserving lithotomy.The operation time,length of stay,ambulation time,the amount of bleeding during operation,the incidence rate of adverse reaction and patient satisfaction were compared between the two groups.ResultsThe operation time,length of stay and ambulation time of the experimental group was significantly shorter than that of the reference group,and the amount of bleeding during operation of the experimental group was significantly less than that of the reference group,with significant difference (P＜0.05).The total satisfaction degree of the experimental group was 100.0%,which was higher than 74.2%of the reference group,with significant difference(P＜0.05).The incidence rate of adverse reactions in the experimental group was 3.2%,which was lower than 22.6%of the reference group,with significant difference (P＜0.05).ConclusionThe clinical effect of fiber choledochofiberscopy combined with laparoscopic gallbladder preserving lithotomy is obvious,the recovery is faster and the adverse reaction is low,it is worthy of clinical promotion and application.
2017 Vol. 24 (23): 24-26 [Abstract] ( 158 ) HTML (31 KB)  PDF  (0 KB)  ( 60 )
27 Clinical effect of laparoscope combined with choledochoscope in the treatment of choledocholithiasis
SI Wei;LI Bin-bin;ZHAO Yun▲
ObjectiveTo explore the clinical effect of laparoscope combined with choledochoscope in the treatment of choledocholithiasis.MethodsA total of 156 patients who were suffered from choledocholithiasis from June 2014 to January 2017 in our hospital were selected and divided into the experimental group and the control group according to the random number table method,with 78 patients in each group.In the experimental group,combination of laparoscope and choledochoscope was used,while in the control group,traditional laparotomy was provided.The incidence rate of postoperative complications,operation time,amount of bleeding,hospital stay,and recovery time of gastrointestinal function were compared between the two groups.ResultsNo residual stone occurred in both groups.The incidence rate of wound infection,biliary fistula and esophagitis was 1.28%,0.00%and 2.56%in the experimental group,and the incidence rate was 8.97%,3.85%,and 11.54%in the control group,which was displayed a statistical difference (P＜0.05).The operation time in the experimental group was longer than that in the control group,and the other indexes of amount of bleeding in the experimental group was less than that in the control group,hospital stay after surgery and recovery time of gastrointestinal function in the experimental group was shorter than that in the control group,with statistical differences(P＜0.05).ConclusionCombination of laparoscope and choledochoscope in the treatment of choledocholithiasis has advantages of low incidence of postoperative complications,short recovery period,and low residual stone rate.
2017 Vol. 24 (23): 27-29 [Abstract] ( 134 ) HTML (30 KB)  PDF  (0 KB)  ( 66 )
30 Clinical study exploration of a one stage laparoscopic surgery in the treatment of periappendiceal abscess
CHANG Chun;LI Feng;CHI Yu-ming
ObjectiveTo study the clinical efficacy and feasibility of a one stage laparoscopic surgery in the treatment of periappendiceal abscess.MethodsFrom October 2012 to October 2015,118 cases of acute periappendiceal abscess in our hospital were selected and divided into group A(48 cases),group B(38 cases)and group C(32 cases)according to the different methods of operation.Group A was treated with laparoscopic surgery,group B was treated with open surgery,and group C was treated with conservative treatment.The operation time,hospitalization time,hospitalization expenses,the incidence rate of complications of the three groups were analyzed.ResultsIn group A,38 patients underwent one stage laparoscopic surgery,and 10 patients underwent abscess drainage without conversion to laparotomy.In group B,20 cases underwent one stage appendectomy,and 18 cases received abscess drainage.The duration of operation in group A was shorter than that in group B,and the length of incision in group A was longer than that in group B,with significant difference (P＜0.01).There was no significant difference between group A and group B in the amount of drainage and the amount of bleeding during operation (P＞0.05).The body temperature and the time of normal recovery of leukocyte,the time of getting out of bed,the time of anal exhaust,the time of drainage,the time of using antibiotics and the length of hospitalization in group A was shorter than that of group B,and the incidence rate of complication in group A was lower than that of group B,with significant difference(P＜0.01).There was no significant difference between group A and group B in the hospitalization expenses (P＞0.05).The body temperature and the time of normal recovery of leukocyte,hospitalization time in group A were shorter than that in group C,and the incidence rate of complication in group A was lower than that in group C,with significant difference (P＜0.05).The body temperature and the time of normal recovery of leukocyte in group B was shorter than that in group C,and the incidence rate of complication in group B was higher than that in group C,with significant difference (P＜0.05).There was no significant difference between group B and group C in the hospitalization expenses and the hospitalization time (P＞0.05).ConclusionOne stage laparoscopic surgery in the treatment of periappendiceal abscess is feasible and safe,which is better than open surgery and conservative treatment,less damage,quick recovery,less infection,and can shorten the course of periappendiceal ab-scess.
2017 Vol. 24 (23): 30-33 [Abstract] ( 156 ) HTML (38 KB)  PDF  (0 KB)  ( 56 )
34 Clinical therapy effect of double antiplatelet aggregation therapy in the treatment of diabetes mellitus complicated with cerebral infarction
ZHAO Yu-xia;LIU Qiao-qiao
ObjectiveTo investigate the clinical significance of double antiplatelet aggregation therapy in diabetic mellitus patients with cerebral infarction.MethodsFrom May 2015 to February 2017,72 patients with diabetes mellitus complicated with cerebral infarction in our hospital were selected and divided into the control group and the observation group according to the random number method,36 cases in each group.The control group was treated with Clopidogrel alone,and the observation group was treated with double antiplatelet aggregation therapy,on the basis of the control group,Aspirin was added.The neurological deficits,daily living ability and adverse events were observed before and after treatment in the two groups.ResultsThe Barthel score 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 score in the observation group after treatment was higher than that in the control group,and the NIHSS score in the observation group after treatment 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 events between the two groups(P＞0.05).ConclusionDouble antiplatelet aggregation therapy in the treatment of diabetes mellitus complicated with cerebral infarction has high clinical value,which can effectively improve neurological function and living ability and high safety.
2017 Vol. 24 (23): 34-36 [Abstract] ( 192 ) HTML (29 KB)  PDF  (0 KB)  ( 59 )
37 Effect of proton pump inhibitor combined with gastric motility drugs in the treatment of stable COPD complicated with gastroesophageal reflux
HE Bingl;WEI Hai-long
ObjectiveTo observe the effects of proton pump inhibitor(PPI)combined with gastric motility drugs in the treatment of stable chronic obstructive pulmonary disease (COPD)and gastroesophageal reflux disease(GERD).Methods 90 outpatients with stable COPD and GERD in our hospital from March 2015 to March 2016 were selected and divided into the control group and the intervention group respectively according to the order of treatment.The original treatment about COPD was not changed for both groups and the intervention group was treated with Omeprazole(20 mg,po bid)and Mosapride(5 mg,po tid)for 8 weeks additionally.The reflux diagnostic questionnaire(RDQ)score,St George′s respiratory questionnaire (SGRQ)score,lung function (FEV1%pred)and 6 minute walk distance (6MWD)were compared between the two groups before and after treatment.ResultsCompared with the control group,the RDQ score,each part and the total score of SGRQ in intervention group after treatment was significant lower(P＜0.05),while FEV1%pred and 6MWD had no significant change(P＞0.05).The RDQ score was negatively correlated with FEV1%pred and 6MWD before and after treatment in the two groups,while positively correlated with the score of SGRQ (P＜0.05).ConclusionTreatment with PPI combined with gastric motility drugs can improve clinical symptoms and life quality of patients with COPD coexisting with GERD.
2017 Vol. 24 (23): 37-39 [Abstract] ( 164 ) HTML (31 KB)  PDF  (0 KB)  ( 81 )
40 Observation of effect of thrombolysis combined with anticoagulation in the treatment of severe acute pulmonary thromboembolism
LIU Bin-sen
ObjectiveTo study the efficacy of thrombolysis combined with anticoagulation in the treatment of severe acute pulmonary thromboembolism.MethodsAltogether 60 patients with severe acute pulmonary thromboembolism who were treated in Department of Emergency in our hospital from January 2015 to January 2017 were selected as the object of this research and randomly divided into the control group and the observation group,with 30 cases in each group.Patients in the control group was only given anticoagulant therapy,the observation group was given thrombolysis and anticoagulant therapy.The clinical efficacy and coagulation function index were compared between the two groups.ResultsThe clinical total effective rate of the observation group was 96.67%,which was higher than 76.67%of the control group,with significant difference (P＜0.05).The levels of PT,FIB and APTT in the observation group after treatment was better than that in the control group,with significant difference (P＜0.05).ConclusionPatients with severe pulmonary thromboembolism may suffer from dyspnea,chest pain,fever and other clinical manifestations.The effect of application of combination of thrombolysis and anticoagulant therapy is better than that of single anticoagulation therapy.
2017 Vol. 24 (23): 40-42 [Abstract] ( 160 ) HTML (31 KB)  PDF  (0 KB)  ( 68 )
43 Effect of laparoscopic cholecystectomy in the treatment of acute cholecystitis
ZHAO Jun-min;LI Wei;HU Peng-cheng
ObjectiveTo investigate the effect of laparoscopic cholecystectomy in the treatment of acute cholecystitis.Methods160 patients with acute cholecystitis in our hospital from August 2014 to December 2016 were selected and divided into the control group and the observation group according to the number of admission,80 cases in each group.Patients in the control group were treated with traditional open cholecystectomy,while the observation group was treated with laparoscopic cholecystectomy.The total effective rate,relative operative indexes,postoperative recovery,the proportion of analgesics and the incidence rate of postoperative complications were compared between the two groups.ResultsThe total effective rate of the observation group was significantly higher than that of the control group,and the proportion of analgesic use and the incidence rate of postoperative complication of the observation group was significantly lower than that of the control group,with significant difference (P＜0.05).The operative time,ambulation time,hospitalization time,recovery time of bowel sound and anal exhaust time of the observation group was significantly shorter than that in the control group,the amount of intraoperative bleeding of the observation group was significantly lower than that of the control group,with significant difference (P＜0.05).ConclusionLaparoscopic cholecystectomy in the treatment of acute cholecystitis has reliable clinical effect,with fast recovery of gastrointestinal function,high safety.
2017 Vol. 24 (23): 43-45 [Abstract] ( 143 ) HTML (34 KB)  PDF  (0 KB)  ( 58 )
46 Effect and safety study of glucocorticoid in different administration methods in the treatment of acute exacerbation of chronic obstructive pulmonary disease
ZHANG Shao-xin;GUO Ling-ling
ObjectiveTo investigate the efficacy and safety of glucocorticoid in oral administration and intravenous infusion in the treatment of acute exacerbation of chronic obstructive pulmonary disease(AECOPD).MethodsA total of 102 patients with AECOPD who were enrolled in our hospital from October 2015 to December 2016 were selected as research objects.They were evenly divided into the oral administration group and the intravenous infusion group according to a random number table method.In the oral administration group,32 mg/d Methylprednisolone was used,while in the intravenous infusion group,Methylprednisolone via intravenous drip was adopted.The dose in the first three days was 1 mg/(kg·d),and 0.5 mg/(kg·d)from day 4 to day 7.After one-week treatment,the efficacy was assessed and the occurrence of adverse reactions in the two groups was compared.ResultsThere was no significant difference in the total effective rate between the two groups(P＞0.05).The level of PaO2and PaCO2after treatment in the two groups was significantly better than that before treatment,with significant difference (P＜0.01).There was no significant difference in the level of pH,PaO2and PaCO2before treatment and after treatment between the two groups(P＞0.05).There was no significant difference in the incidence of digestive tract reaction between the two groups(P＞0.05).The incidence rate of elevated blood glucose,elevated blood pressure,and pulmonary encephalopathy in the oral administration group was significantly lower than that in the intravenous infusion group,with significant difference (P＜0.05).ConclusionGlucocorticoid both in oral administration and in intravenous infusion obtain satisfactory effect on treating AECOPD,but the oral administration has less complications and higher safety.
2017 Vol. 24 (23): 46-48转65 [Abstract] ( 164 ) HTML (37 KB)  PDF  (0 KB)  ( 50 )
49 Effect of low glycemic index medical food in nutritional therapy for type 2 diabetes mellitus
SUN Ling;SHUAI Shui-yun;HU Xiang-ying;HE You-hua
ObjectiveTo explore the effect of low glycemic index medical food in nutritional therapy for type 2 diabetes mellitus.MethodsFrom July 2015 to July 2016,100 patients with type 2 diabetes mellitus treated in our department of endocrinology were selected as the subjects.The patients were divided into the nutrition treatment group and the control group by simple random sampling,each group had 50 cases.The control group was ensured a reasonable total energy intake,reduced fat,increased dietary fiber intake,and provided adequate vitamins and minerals.The treatment group was controlled the standard diet,reduced the intake of meals and energy supply,and used the low GI medical food as substitute meal instead of the corresponding energy dinner on the basis of the control group.The glycolipid metabolism and anthropometric indexes of two groups were measured at different time before and after treatment,and then compared and analyzed.ResultsThe blood glucose,cholesterol and triglyceride level of the two groups decreased and weight control improved compared with before treatment(P＜0.05).The blood glucose,cholesterol and triglyceride level in the treatment group were lower than those in the control group(P＜0.05),the improvements in weight control were also better than that of the control group(P＜0.05).ConclusionLow GI medical food is helpful to control blood sugar and nutritional status.It has higher application prospect and is worthy of practice and popularization.
2017 Vol. 24 (23): 49-51 [Abstract] ( 170 ) HTML (30 KB)  PDF  (0 KB)  ( 57 )
52 Influence factor analysis of cardiac complications during non-cardiac surgery perioperative period in patients with metabolic syndrome
WANG Zhong;CHEN Shou-lin;YUAN Lin-hui;CAO Jian;WANG Xiao-yan
ObjectiveTo explore the influencing factors of cardiac complications during non-cardiac surgery perioperative period in patients with metabolic syndrome,and to provide reference for the prevention of postoperative complications.MethodsFrom January 2012 to December 2015,265 patients with metabolic syndrome but without cardiac surgeries admitted into our hospital were selected as research objects.The incidence rate of cardiac complications during non-cardiac surgery perioperative period was observed and calculated,they were divided into the complication group and the non-complication group,the influence of clinical data,operation condition and other factors on complications were observed in the two groups.Logistic regression analysis was used to analyze the related influencing factors,and to explore the potential risk factors of complications.ResultsComplications of 30 cases occurred in 265 patients during the perioperative period,and the incidence rate was 11.32%.The principal complications were arrhythmia (11 cases),angina pectoris(9 cases),myocardial infarction(6 cases),and low cardiac output syndrome(4 cases).Logistic multivariate regression analysis displayed age,operation time and type,and grade of cardiac function were the main risk factors of cardiac complications during non-cardiac surgery perioperative period in patients with metabolic syndrome.ConclusionThe incidence of complications during non-cardiac surgery perioperative period in patients with metabolic syndrome is closely related with patient′s age,operation method,surgical time,and grade of cardiac function.Young age,minimal-invasion surgery,shortened surgical time,and great cardiac function can decrease the incidence of cardiac function and also provide reference for the prevention of cardiac complications.
2017 Vol. 24 (23): 52-54 [Abstract] ( 145 ) HTML (31 KB)  PDF  (0 KB)  ( 69 )
55 The clinical effect of Deer Blood Crystal preventing leucopenia of patients with NSCLC after chemotherapy
ZENG Chun-sheng;XU Qing-yun;GUO Shou-jun;YI Yan-fei
ObjectiveTo observe the influence of Deer Blood Crystal on the curative effect and quality of life of leukopenia in patients with NSCLC after chemotherapy.Methods80 cases with NSCLC treated firstly by the envelope method from January 2015 to December 2016 were randomly divided into study group and control group,and there were 40 cases in each group.The study group was treated with GP chemotherapy combined with Deer Blood Crystal treatment while the control group was not given Deer Blood Crystal during GP chemotherapy.The change of white blood cell,the usage dose of rhG-CSF,quality of life score and adverse reactions in the two groups were observed.ResultsThere were 8 cases (20.0%)withⅢ～Ⅳ grade leucopenia in the study group which was lower than that of the control group[11 cases (27.5%)],but the difference was not statistically significant(P＞0.05).The duration time of leukopenia after chemotherapy in the study group was shorter compared with the control group,but the difference was not statistically significant(P＞0.05).The usage dose of rhG-CSF in the study group was significantly reduced compared with the control group,and the difference of more than 5 branches was statistically significant(P＜0.05).The quality of life score in the study group score was higher than that of the control group,and the difference was statistically significant(P＜0.05).There was no significant difference in the incidence rate of adverse reactions such as thrombocytopenia,hemoglobin reduction,abnormal liver and kidney function,phlebitis and electrocardiogram change in the study group and the control group(P＞0.05).ConclusionDeer Blood Crystal can prevent the occurrence of leucopenia in patients with NSCLC after chemotherapy,improve the quality of life,but it also needs to be expanded the cases for further clinical research to confirm.
2017 Vol. 24 (23): 55-57 [Abstract] ( 147 ) HTML (36 KB)  PDF  (0 KB)  ( 68 )
58 Clinical effect of esophageal stent placement combined with conformal radiotherapy in the treatment of local advanced esophageal cancer
WAN Lin-lin;LIU Xiao-hong;XIONG Yong;GONG Xiao-bao;SONG Wei-ping;RUAN Jiu-gen
ObjectiveTo investigate the clinical effect of esophageal stent placement combined with conformal radiotherapy in the treatment of local advanced esophageal cancer.MethodsA total of 60 patients with local advanced esophageal cancer were enrolled in the oncology department from January 2014 to April 2016.They were divided into experimental group and control group,and there were 30 cases in each group.Experimental group was treated with stent placement,and then given the conformal radiotherapy,while control group was treated with conformal radiotherapy alone.The radiation methods and dosage in the two groups were the same.Short-term effect(CR+PR),6 months and 1 year survival rate and incidence of treatment-related complications were compared in patients between the two groups after treatment.ResultsThe total effective rate of short-term in experimental group was 93.3%,which was higher than that of control group(70.0%),and the difference was statistically significant(P＜0.05).6 months and 1 year survival rate of experimental group was 90.0%and 76.7%respectively,which were higher than those of control group(66.6%and 50.0%),and the differences were statistically significant(P＜0.05).The incidence of chest pain above classⅡ in experimental group and control group was 26.7%and 6.6%respectively,and the incidence of esophageal restenosis in experimental group and control group was 3.3%and 23.3%respectively after treatment,the incidence of esophageal perforation were 0 and 13.3%respectively,and there was a statistical difference between the two groups(P＜0.05).There was no statistical difference of incidence of esophagitis between the two groups (P＞0.05).ConclusionCompared with simple radiotherapy,esophageal stent placement combined with conformal radiotherapy has a higher the total effective rate of short-term and 1 year survival rate,and a lower the incidence of esophageal perforation and esophageal restenosis and can significantly improve the nutritional status and life quality of patients with advanced esophageal cancer.
2017 Vol. 24 (23): 58-60 [Abstract] ( 152 ) HTML (34 KB)  PDF  (0 KB)  ( 57 )
61 A systematic review of efficacy and safety of Pirarubicin and Mitomycin with intravesical instillation after superficial bladder cancer operation
KANG Wei-min
ObjectiveTo compare the efficacy and safety of Pirarubicin and Mitomycin with intravesical instillation after superficial bladder cancer operation.MethodsThe domestic and abroad literatures on intravesical instillation with Pirarubicin and Mitomycin for superficial bladder cancer that were published from 2013 to 2016 were collected and the results were analyzed using Revman 5.3 software(Meta).ResultsA total of 20 literatures were involved and the results showed that:the recurrence rate of Pirarubicin group of bladder cancer in 6 months,12 months and 24 months were lower than those of Mitomycin group,with statistically significant differences(P＜0.05).After superficial bladder cancer operation,the incidence of local and systemic adverse reactions of Intravesical instillation in Pirarubicin group was lower than that of Mitomycin group,with statistically significant differences(P＜0.05).ConclusionIntravesical instillation of Pirarubicin in treatment of superficial bladder cancer is safe and reliable and have certain advantages in the recurrence of bladder cancer and adverse reactions over intravesical instillation of Mitomycin after superficial bladder cancer operation.
2017 Vol. 24 (23): 61-65 [Abstract] ( 154 ) HTML (45 KB)  PDF  (0 KB)  ( 60 )
66 Clinical effect evaluation of early breast conserving surgery combined with adjuvant chemotherapy in patients with breast cancer
SONG Nan
ObjectiveTo investigate the clinical effect and safety of breast conserving surgery combined with adjuvant chemotherapy in patients with breast cancer.Methods90 cases with early breast cancer treated in our hospital from August 2014 to August 2015 were selected and they were randomly divided into the observation group and the control group,and each group had 45 cases.Patients in the control group were treated with early breast cancer radical operation,while the observation group was given early breast conserving surgery,and the two groups were treated with chemotherapy after operation.All patients were followed up for one year.The cosmetic effect and quality of life of the two groups were recorded,and the incidence of complications and recurrence rate were compared in patients between the two groups.ResultsCompared with the control group,observation group,operation time and hospitalization time were significantly shorter,intraoperative blood loss and volume of drainage were significantly less in the observation group,and the difference was statistically significant(P＜0.05).The good and excellent rate of cosmetic effect after operation in the observation group(93.33%)was significantly higher than that of the control group(66.67%),and the difference was statistically significant(P＜0.05).There was no statistical difference of the incidence of complication and local recurrence rate between the two groups(P＞0.05).Quality of life score of the observation group[(96.1±4.2)points]was significantly higher than that of the control group[(78.9±5.3)points]s,and the difference was statistically significant(P＜0.05).ConclusionEarly breast conserving surgery combined with adjuvant chemotherapy treating early breast cancer can effectively improve the degree of breast appearance after surgery of patients,protect the quality of life of patients,and the incidence of complications and the recurrence rate is low,it is worthy of clinical promotion and application.
2017 Vol. 24 (23): 66-68 [Abstract] ( 170 ) HTML (32 KB)  PDF  (0 KB)  ( 61 )
69 Clinical study of Apatinib combined with Tegafur as second line treating advanced gastric cancer
WU Zhi-wei;CAI Jun;LU Wang-kun;MA De;HOU Juan
ObjectiveTo evaluate the clinical effect and safety of Apatinib combined with Tegafur as second line treating advanced gastric cancer.Methods28 patients with advanced gastric cancer treated in the department of internal medicine-oncology of our hospital from December 2015 to February 2017 were selected and randomly divided into observation group and control group,each group contains 14 patients.Observation group was treated with Apatinib of 500 mg,qd,and Tegafur Capsules of 40-60 mg for oral administration,bid,from day 1 to day 14 then withdrawal for one week,and 21 days were one cycles.The whole treatment lasted at least 4 cycles.Control group only received Tegafur Capsulesas second line treatment of 40-60 mg for oral administration,bid,from day 1 to day 14,then withdrawal for one week,and 21 days were one cycles.The whole treatment lasted at least 4 cycles.The treatment effect,the nutritional status,the quality of life,and the adverse reactions between the two groups were compared after treatment.ResultsThe total remission rate and disease control rate of the observation group(21.4%and 92.9%)were significantly higher than those of the control group(7.1%and 71.4%)(P＜0.01).The quality of life in the observation group was significantly lower than that in the control group after treatment(P＜0.01).The nutritional status score in the observation group was significantly better than that in the control group after the treatment(P＜0.01).The incidence of chest tightness,hypertension,proteinuria,appetite loss,nausea and vomiting,peripheral nerve toxicity and hemoglobin reduction in the observation group were significantly higher than those in the control group (P＜0.01 or P＜0.05).ConclusionThe effect and toxicity of Apatinib combined with Tegafur as second line treatment of patients with advanced gastric cancer is better,but it has more adverse reactions,and may reduce the patients′nutritional status and quality of life,thus its clinical application should be considered carefully.
2017 Vol. 24 (23): 69-71转75 [Abstract] ( 145 ) HTML (35 KB)  PDF  (0 KB)  ( 62 )
72 Clinical application of Dydrogesterone in ovulation induction under high progesterone condition
HUANG Yun;LIAO Hua;YUE Lin-lin
ObjectiveTo investigate the application effect of Dydrogesterone in the treatment of infertility patients due to hypofunction of ovarian reserve in the regimen of ovulation induction.MethodsFrom January 2016 to February 2017,213 cases of infertility patients due to hypofunction of ovarian reserve in our hospital were selected as research objects.According to the admission time,they were divided into group A and group B.The patients in group A were treated by Dydrogesterone combined with injection of urofollitropin for ovulation (n=144),the patients in group B were implemented antagonist regimen(n=69).The difference of therapeutic effect in the two groups was analyzed.ResultsDuring ovulation induction,no one was presented with LH peak.The number of ova,number of mature ova,number of fertilization,number of cleavage,rate of ovum-plantation,rate of mature ova,rate of fertilization,rate of cleavage,and rate of high quality embryos in the two groups were compared,and the differences were not statistically significant(P＞0.05).The embryo resuscitation success rate,embryo implantation rate and biochemical pregnancy rate of two groups in PET period were compared,and the differences were not statistically significant(P＞0.05).The clinical pregnancy rate in group A was higher than that in group B，the difference was statistically significant(P＜0.05).ConclusionIn the process of ovulation,high progesterone status created by Dydrogesterone for ovulaton induction can effective inhibit the LH peak.What′s more,the clinical pregnancy rate in Dydrogesterone combined group is higher than that in the antagonist group,and is favorable regimen for ovulation induction.
2017 Vol. 24 (23): 72-75 [Abstract] ( 177 ) HTML (32 KB)  PDF  (0 KB)  ( 65 )
76 Therapeutic effect of radical hysterectomy with the preservation of pelvic autonomic nerve in the treatment of cervical cancer
CHEN Yan;CAO Xue-feng;ZOU Chun-jing;ZENG Si-yuan
ObjectiveTo analyze the therapeutic effect of radical hysterectomy with the preservation of pelvic autonomic nerve in the treatment of cervical cancer.MethodsA total of 160 patients with cervical cancer treated by our hospital were selected in this study from August 2012 to July 2016.They were randomly divided into control group and observation group by computer,80 cases in each group.The patients in control group were treated with traditional radical hysterectomy,while the patients in observation group were treated with radical hysterectomy with the preservation of pelvic autonomic nerve.The indexes of maximal abdominal pressure,maximal bladder pressure,the first amount of urine,amount of bleeding in hysterectomy,total amount of bleeding during surgery,total operation time,hysterectomy time after therapy were compared in the two groups.ResultsAfter treatment,the maximum abdominal pressure[(4.81±1.95)cmH2O]in the observation group was lower than the control group[(11.01±4.12)cmH2O];the maximal bladder pressure[(36.12±7.25)cmH2O]was higher than the control group[(28.01±6.75)cmH2O];the first amount of urine[(160.79±43.95)ml]was less than the control group[(259.12±108.54)ml];the amount of bleeding in hysterectomy[(505.12±98.01)ml]and total amount of bleeding during surgery[(702.11±110.50)ml]were less than the control group[(663.01±98.17),(735.16±121.15)ml];the total operation time[(210.12±15.43)min]and hysterectomy time[(73.01±12.33)min]were shorter than the control group[(241.77±16.30),(78.45±12.78)min].The differences were statistical significance (P＜0.05).ConclusionRadical hysterectomy with the preservation of pelvic autonomic nerve on treating cervical cancer can obtain a remarkable effect by decreasing the amount of bleeding in hysterectomy and total amount of bleeding during surgery,shortening the total operation time and hysterectomy time,improving patients′indexes,and promoting rehabilitation.
2017 Vol. 24 (23): 76-78 [Abstract] ( 128 ) HTML (32 KB)  PDF  (0 KB)  ( 55 )
79 Intervention effect of systematic health education on perinatal maternal health literacy
ZHU Bo;CHEN Qian;LIANG Tong
ObjectiveTo study the intervention effect of systematic health education on perinatal maternal health literacy so as to provide theoretical basis for improvement of the overall maternal and child health.MethodsAltogether 120 pregnant women who accepted regularly antenatal care in our hospital from July to December 2016 were selected as the objects of this research and randomly divided into control group and study group,with 60 cases in each group.The regular prenatal examination and prenatal guidance were used in the control group,and the study group was given systematic health education intervention based on the control group.The perinatal maternal health literacy scale was used to assess the level of maternal health literacy and the maternal pregnancy outcomes were assessed by using neonatal birth weight.ResultsThe total scores of health literacy score in study group was(112.68±8.31)scores and control group was(114.12±7.63)scores,there was no statistically significant difference between the two groups(P＞0.05).After systematic health education,the scores of dimensions of health literacy and total scores of the patients in the study group were higher than those in the control group,the differences were statistically significant(P＜0.05).There were 5 cases(8.33%)of low birth weight and macrosomia in study group,was lower than that in the control group[9 cases(15.00%)],but the difference was not statistically significant(P＞0.05).ConclusionSystematic health education can promote the health literacy level of perinatal pregnant women and improve the outcome of bad pregnancy,it is worthy of clinical promotion.
2017 Vol. 24 (23): 79-81 [Abstract] ( 141 ) HTML (30 KB)  PDF  (0 KB)  ( 65 )
82 Clinical comparison of Phloroglucinol and cervical catheterization in the degree of cervical softening before hysteroscopic resection
GU Mei
ObjectiveTo compare the differences of Phloroglucinol and cervical catheterization in the degree of cervical softening before hysteroscopic resection.MethodsFrom January 2016 to January 2017,a total of 100 patients treated with hysteroscopic resection in our hospital were selected and divided into Phloroglucinol group and cervical catheterization group according to the random number table method.There were 50 cases in each group.The patients in the Phloroglucinol group were treated with intravenous drip of Phloroglucinol for cervical pretreatment,while the patients in the cervical catheterization group were treated with cervical catheterization on the 16th urine tube for cervical pretreatment.The differences of patients′enlargement size which were no resistance to pass,cervical expansion time,difficulty of cervical expansion and intra-operative cervical leakage rate in the two groups were compared.ResultsThere was no significant difference between the enlargement size which had no resistance to pass of patients in two groups(P＞0.05).There was no significant difference between the time of cervical expansion to 10.0 mm of patients in two groups(P＞0.05).There was no significant difference between the difficulty of cervical expansion of patients in two groups(P＞0.05).The intra-operative cervical leakage rate in the patients of Phloroglucinol group was significantly lower than that in the cervical catheterization group,the difference was statistically significant(P＜0.05).ConclusionCompared with cervical catheterization,the use of Phloroglucinol in hysteroscopic resection of patients with preoperative cervical softening treatment,not only can achieve a good effect of cervical softening,but also can significantly reduce the rate of cervical leakage in patients.And the operation is more simple,clinical application of higher security,can effectively avoid the pain caused by cervical catheterization operation.
2017 Vol. 24 (23): 82-84 [Abstract] ( 129 ) HTML (33 KB)  PDF  (0 KB)  ( 64 )
85 Effectiveness evaluation of Ribavirin Aerosol on the treatment of children with hand-foot-mouth disease
SUN Ling-ling;CAI De-feng;CHEN Yun-sheng
ObjectiveTo investigate the clinical effect of Ribavirin Aerosol on the treatment of children with handfoot-mouth disease and the negative conversion of the virus.MethodsAltogether 74 cases of children with hand-footmouth disease who were treated in our hospital from March 2016 to June 2016 were selected and randomly divided into control group and treatment group,with 37 cases in each group.Both groups were given basic treatment and treatment group was treated with Ribavirin Aerosol in addition.The total effective rate,clinical symptom improvement time,the virus negative conversion rate and adverse reaction rate of two groups were observed and compared after 1 week of treatment.ResultsAfter 1 week of treatment,the total effective rate of treatment group (97.30%)was higher than that in the control group(78.37%),the adverse reaction rate of treatment group(2.70%)was lower than that in the control group(13.51%),the differences were statistically significant(P＜0.05).The herpes crusting,disappearance and initial eating time of treatment group were shorter than those in the control group,the differences were statistically significant(P＜0.05).The positive rate of virus of two groups by using throat swab before treatment were compared,the differences were not statistically significant(P＞0.05).After 1 week of treatment,the virus negative conversion rate of the patients in the treatment group was higher than that in the control group,the difference was statistically significant(P＜0.05).ConclusionRibavirin Aerosol demonstrates its significant clinical effect,safety and reliability in treatment of children with hand-footmouth disease.
2017 Vol. 24 (23): 85-87 [Abstract] ( 147 ) HTML (31 KB)  PDF  (0 KB)  ( 64 )
88 Retrospective analysis of 16 cases of fetal chromosomal abnormalities related to single serological indicators abnormal of Down′s syndrome screening
ZHOU Deng-shi;CHEN Zhi-hua;HUANG Fang;ZHONG Jin
ObjectiveTo investigate the relationship between single serological indicator abnormalities of Down′s syndrome screening and fetal chromosomal abnormalities.MethodsFrom March 2015 to March 2017,a total of 35 792 cases of pregnant women who were inspected in our hospital selected as objects.The detection of single serological indicator abnormalities,non-invasive prenatal DNA testing and non-invasive prenatal diagnosis were conducted.These indicators data were analyzed.ResultsNon-invasive prenatal diagnosis were performed to 26 cases of women whose single serological indicators and non-invasive prenatal DNA testing were both abnormal.16 cases of chromosomal abnormalities were confirmed,9 cases of Trisomy-21,5 cases of sex chromosome abnormalities (4 cases were the number of sex chromosomes abnormal,1 case of X chromosome microduplication results suggestted by nechip detection),2 cases of chromosome polymorphism.ConclusionThe single serological indicators abnormal of Down′s syndrome screening has a certain effect on fetal chromosomal abnormalities.
2017 Vol. 24 (23): 88-90转94 [Abstract] ( 159 ) HTML (33 KB)  PDF  (0 KB)  ( 53 )
91 Clinical observation on the treatment of pediatric oblique inguinal hernia by high ligation of hernia sac with single-pore transumbilical laparoscopy
XIA Zhi-sheng;CHE Yu-jun;WANG Ji-wen
ObjectiveTo investigate the clinical effect of using the high ligation of hernia sac with single-pore transumbilical laparoscopy to treat pediatric oblique inguinal hernia.Methods80 cases of children with oblique inguinal hernia treated by our hospital from April 2014 to April 2016 were selected as the study subjects,they were divided into the traditional open group and the laparoscopy group according to the simple randomization method,there were 40 cases in each group.The traditional open group was given the open hernia sac high ligation,while the laparoscopic group was treated with high ligation of hernia sac with single-pore transumbilical laparoscopy.The surgical indexes,postoperative complications and hernia recurrence were compared and analyzed between the two groups.ResultsThe incision length,the operation time and the length of stay in the laparoscopic group were shorter than traditional open group,the amount of blood was less than the traditional open group,differences were statistically significant(P＜0.05).The total incidence of postoperative complications of laparoscopy(7.5%)was well below the traditional open group(22.5%),and the difference was statistically significant(P＜0.05).1 year after operation,the rate of hernia recurrence in laparoscopic group was lower than that in traditional open group,and the difference was statistically significant(P＜0.05).ConclusionUsing singlepore transumbilical laparoscopy to treat the pediatric inguinal hernia has the characteristics of small incision,small trauma,less hemorrhage in the operation,rapid recovery and short hospital stay etc.This method is safe and reliable,and with lower incidence of postoperative complications and hernial recurrence,so it can be widely used in the clinic of basiclevel hospital.
2017 Vol. 24 (23): 91-94 [Abstract] ( 150 ) HTML (35 KB)  PDF  (0 KB)  ( 60 )
95 Relationship between gestational weight gain in pregnant women with gestational diabetes mellitus and maternal-infant outcomes
ZOU Sui-yi
ObjectiveTo investigate the relationship between gestational weight gain in pregnant women with gestational diabetes mellitus and maternal-infant outcomes.MethodsFrom January 2015 to January 2016,260 cases of pregnant women with gestational diabetes in our hospital for antenatal care and delivery were selected as the study subjects.According to the gestational weight gain,the pregnant women groups were divided into A,B and group.There were 117 pregnant women in group A,who were insufficient gestational weight gain (＜0.3 kg per week),105 pregnant women in group B,who were normal gestational weight gain (0.3-0.6 kg per week),and 38 pregnant women in group C,who were excessive gestational weight gain(＞0.6 kg per week).The gestational weight gain and pre-pregnancy BMI of pregnant women in three groups were recorded,and the maternal-infant outcomes of pregnant women in three groups were compared.ResultsThe incidence rate of anemia,gestational hypertension and dystocia of pregnant women in three groups were compared,the differences were not statistically significant(P＞0.05).The incidence rate of postpartum bleeding in group C was higher than that in group A and B,the difference was statistically significant(P＜0.05).The incidence rate of premature delivery,low-birth weight,and neonatal asphyxia of pregnant women in three groups,the differences were not statistically significant(P＞0.05).The incidence rate of fetal macrosomia in group C was much higher than that in group A and B,the difference was statistically significant(P＜0.05).ConclusionFor pregnant women with gestational diabetes mellitus,overweight and obesity before pregnancy can be very dangerous.Excessive gestational weight gain for pregnant women with gestational diabetes mellitus will increase the incidence rate of postpartum bleeding and fetal macrosomia,which could be reduced a bit by insufficient gestational weight gain.
2017 Vol. 24 (23): 95-97 [Abstract] ( 142 ) HTML (30 KB)  PDF  (0 KB)  ( 52 )
98 Comparison of the effect of electrical stimulation combined with biofeedback and pelvic floor muscle training in the prevention of female pelvic floor dysfunction
FANG Cai-jun;GUO Hui-lian
ObjectiveTo investigate the effect of electrical stimulation combined with biofeedback and pelvic floor muscle training in the prevention of female pelvic floor dysfunction.MethodsFrom June 2015 to June 2016,350 cases of puerperae who received treatment in our hospital were selected as research subjects.According to the different training methods of pelvic floor muscle,all the subjects were divided into treatment group and control group.210 cases in the treatment group were given electrical stimulation combined with biofeedback therapy 6 weeks after delivery;140 cases in the control group performed pelvic floor muscle training themselves at home.Relevant clinical data of 6 weeks,6 months and 1 year after delivery of two groups were recorded and compared,including pelvic floor electrophysiological parameters,POP-Q indexs,PFIQ-7 scores and PISQ-12 scores.ResultsThe ratios of muscle strength levelⅢor above of gradeⅠmuscle fibers and gradeⅡmuscle fibers in two groups were significantly improved in 6 months and 1 year after the delivery,and the improvement in the treatment group was higher than the control group.The differences between the two groups were statistically significant(P＜0.05).The electrophysiological parameters of pelvic floor were compared between the two groups of puerpera 6 months and 1 year after the delivery.The improvement of other pelvic floor electrophysiological parameters in the treatment group were significantly better than that in the control group,and the differences between the two groups were statistically significant(P＜0.05).The improvement of POP-Q indexing Aa indication point in the treatment group was better than that of the control group in 6 months and 1 year after the delivery,and the differences were statistically significant(P＜0.05),while there were no significant differences in other indication points between the two groups(P＞0.05).The PFIQ-7 scores and PISQ-12 scores were compared between the two groups,and the differences were not statistically significant(P＞0.05).ConclusionElectrical stimulation combined with biofeedback therapy and other pelvic floor muscle training have the effect of improving the electrophysiological parameters of pelvic floor,which has a significant effect in the prevention female pelvic floor dysfunction,and is worthy of promotion and application.
2017 Vol. 24 (23): 98-101 [Abstract] ( 147 ) HTML (35 KB)  PDF  (0 KB)  ( 58 )
102 Evaluation of a second-time transvaginal delivery in scarred uterus in a full-term pregnancy and its feasibility analysis
WANG Ai-tao;DENG Ju-xiang;WANG Li-qun;DENG Qin;WANG Hong-li;LI Yang
ObjectiveTo explore the safety and feasibility of transvaginal delivery in scarred uterus in a full-term pregnancy.MethodsFrom January to December 2016,89 pregnant women with scarred uterus delivered in our hospital were selected.According to the principle of voluntariness,they were divided into vaginal trial group and cesarean section group.Meanwhile,40 healthy pregnant women without scarred uterus who gave delivery in our hospital were selected during the same period and categorized into non-scarred uterus group.The postpartum 24 h bleeding,labor time,hospital stay,neonatal conditions,and puerperal infection in pregnant women among three groups were compared.ResultsSixtyfour pregnant women tried vaginal trial,and 17 cases were failed and turned to cesarean section,which were classified into the cesarean section group.The number of the final vaginal delivery was 47 cases,and the success rate of vaginal trial was 73.44%.There were 42 cases and 40 cases in the cesarean section group and non-scarred uterus group respectively.The indexes of hospital stay,amount of bleeding 24 h after delivery,neonatal Apgar score,puerperal infection,and labor time in the vaginal delivery group were greatly superior to those in the cesarean section group with statistical differences(P＜0.05).No statistical difference was displayed in labor time,hospital stay,amount of bleeding 24 h after delivery,puerperal infection,and neonatal Apgar score after comparing with those in the non-scarred uterus group (P＞0.05).ConclusionIn comparison with delivery by cesarean section,a second-time transvaginal delivery in scarred uterus can effectively improve outcomes in pregnancy and neonates.Under the strict control of indications of vaginal delivery,opportunity for vaginal trial delivery in pregnant women should be provided.
2017 Vol. 24 (23): 102-104 [Abstract] ( 153 ) HTML (30 KB)  PDF  (0 KB)  ( 58 )
105 Relationship between ultrasound abnormalities in middle pregnancy and abortion or premature delivery in late pregnancy
YIN Ying-hui;WANG Mei
ObjectiveTo investigate the effect of chorionic hematoma,low status of placenta and cervical canal separation in the second trimester of pregnancy diagnosed by ultrasound on pregnancy outcomes.MethodsThe clinical data of 150 cases of puerperas who were hospitalized for treatment of threatened abortion in mid-pregnancy in department of obstetrics and gynecology of our hospital from January 2014 to December 2016 were retrospectively analyzed.ResultsSingle-factor analysis showed that puerperas with chorionic hematoma and vaginal bleeding in the second trimester had higher incidence of abortion (premature birth)in the late pregnancy (P＜0.05);according to the multivariate analysis,subchorionic hematoma(OR=2.430,95%CI 1.019-5.794,P＜0.05)and vaginal bleeding(OR=3.974,95%CI 1.493-10.578,P＜0.01)in the second trimester were independent risk factors of late abortion or premature delivery.ConclusionChorionic hematoma in middle pregnancy increases the risk of miscarriage (premature birth)in the late pregnancy,whereas low placental status and separation of the cervical canal are independent of late miscarriage(premature delivery).
2017 Vol. 24 (23): 105-107 [Abstract] ( 147 ) HTML (32 KB)  PDF  (0 KB)  ( 69 )
108 Results analysis of neonatal hearing screening by otoacoustic emission combined with automatic auditory electroencephalic response
ZHU You-lian
ObjectiveTo explore the effect of otoacoustic emission (OAE)and automatic auditory electroencephalic response(AAEER)on the neonatal hearing screening.MethodsA total of 300 neonates in full term visited our clinic for hearing screening in our hospital from January to December 2016 were selected as research objects.According to the odd and even sequence of visiting doctors,they were evenly divided into observation group and control group in random.In the observation group,combination of OAE and AAEER was adopted,while in the control group,only OAE was used.The screening outcome between the two groups was compared.ResultsThe passing rate of hearing screening was 85.3%in the observation group,which was much lower than that in the control group accounting for 92.0%,which was displayed statistical difference (χ2=3.573,P＜0.05).Accordingly,the rate of failing to pass hearing screening test was 14.7%in the observation group,which was significantly higher than that in the control group accounting for 8.0%(χ2=3.573,P＜0.05).ConclusionCombination of OAE and AAEER can effectively improve accuracy rate of screening,reduce the occurrence of misdiagnose and missed diagnosis,and simultaneously provide the diagnostic basis for accurate judgment of neonatal disease location and degree in clinic.
2017 Vol. 24 (23): 108-110 [Abstract] ( 135 ) HTML (29 KB)  PDF  (0 KB)  ( 38 )
111 Correlative analysis of retinopathy and maternal factors in premature infants
LAI Xiao-ning;DU Hua-yu;LIAO Wen-feng
ObjectiveTo study the correlation between occurrence of retinopathy of prematurity (ROP)and maternal factors.MethodsA total of 250 premature infants born in our hospital from January 2013 to December 2015 were included in the study.Among them,225 cases were not occurred with ROP,and the rest were ROP.The correlation of ROP and maternal placental abnormalities,intrauterine infection,and pregnancy-related diseases was analyzed.ResultsThe incidence of ROP was high when body weight ranging from 1500 g to less than 2000 g,gestational age being 32 to 38,and single pregnancy.By Spearman correlation analysis,ROP had a positive correlation with birth weight(r=0.134,P＜0.05).The incidence of mother for children with ROP with intrauterine infection(χ2=7.341,P＜0.05)and placental abnormalities(χ2=4.574,P＜0.05)were higher than having no ROP.By Spearman correlation analysis,there was no relationship between ROP and mother′s age(r=0.037,P＞0.05).ConclusionThere is a positive correlation between retinopathy in premature infants and birth weight.Mothers occurred with intrauterine infection or placental abnormalities,ROP is more likely to occur.Targeting on these factors causing ROP,the corresponding interventions should be taken.
2017 Vol. 24 (23): 111-113 [Abstract] ( 143 ) HTML (28 KB)  PDF  (0 KB)  ( 73 )
114 Clinical effect analysis of pterygium excision combined artificial amniotic membrane transplantation treating complicated pterygium
JIANG YU
ObjectiveTo discuss the effect of pterygium excision combined with amniotic membrane transplantation treating complicated pterygium.Methods30 patients(42 eyes)with complicated pterygium from Puning People′s Hospital during February 2015 to November 2016 were randomly divided into the observation group(n=16 patients,22 eyes)and the control group(n=14 patients,20 eyes)according to the number random method.The control group was treated with pterygium excision,while the observation group was treated with pterygium excision combined with artificial amniotic membrane transplantation.The curative effect,wound healing time,disappearance time of discomfort symptom,the incidence of complications,recurrence rate were contrasted between the two groups.ResultsThe effective rate was 90.1%in the observation group,which was significantly higher than that of the control group(55.0%)(P＜0.05).The wound healing time and disappearance time of discomfort symptom in the observation group were significantly shorter than those of the control group(P＜0.05).The incidence of complications was 9.1%in the observation group,which was significantly lower than that of the control group(31.8%)(P＜0.05).The recurrence rate was 4.5%in the observation group,which was significantly lower than that of the control group(27.3%)(P＜0.05).ConclusionPterygium excision combined with artificial amniotic membrane has higher efficacy in the treatment of complicated pterygium,with rapid postoperative recovery,fast postoperative recovery,less complications,and low recurrence rate.
2017 Vol. 24 (23): 114-116 [Abstract] ( 142 ) HTML (32 KB)  PDF  (0 KB)  ( 60 )
117 Influence of sciatic nerve block combined with ultrasound-guided continuous femoral nerve block on stress responseelderly in patients undergoing unilateral total knee arthroplasty
JIANG Wei-qun;TAO Xiao-san
ObjectiveTo study the influence of sciatic nerve block (SNB)combined with ultrasound-guided continuous femoral nerve block(CFNB)on stress responseelderly in patients undergoing unilateral total knee arthroplasty.Methods56 elderly cases underwent unilateral total knee arthroplasty by our hospital from March to October 2016 were selected and were divided into control group(general anesthesia)and observation group(SNB combined with ultrasound-guided CFNB).The level of hemodynamics and stress related hormones were monitored before anesthesia induction(T1),surgical resection(T2),30 min of operation(T3),at the end of surgery(T4)and postoperative 1 h(T5).ResultsMAP and HR level on T2of two groups were significantly lower than T1,the difference was statistically significant(P＜0.05);MAP and HR level on T3and T5of the observation group were significantly lower than the control group at the same time,the difference was statistically significant(P＜0.05).COR,AD and NE levels on T2,T3,T4and T5of the observation group were significantly lower than the control group at the same time,the difference was statistically significant(P＜0.05).ConclusionSNB combined with CFNB is helpful to maintain hemodynamic stability and suppress stress response in elderly patients undergoing unilateral total knee arthroplasty.
2017 Vol. 24 (23): 117-119 [Abstract] ( 133 ) HTML (33 KB)  PDF  (0 KB)  ( 71 )
120 The postoperative analgesic effect of Buprenorphine transdermal patch used after calcaneal fracture surgery
LIN Jian-xing;PAN Yong-xiong;YANG Guang-gang
ObjectiveTo study the postoperative analgesic effect of Buprenorphine transdermal patch used after calcaneal fractures surgery.Methods100 cases after calcaneal fracture surgery treated in our hospital from June 2015 to June 2016 were randomly divided into two groups.50 cases in observation group were given Buprenorphine transdermal patch for postoperative analgesia while 50 cases in control group were given epidural controlled analgesia pump for postoperative analgesia.The postoperative analgesic effect and adverse reactions were observed and compared between the two groups.ResultsVAS score after 6 h,12 h,24 h,48 h,72 h operation and the seventh days after operation in patients between the two groups were no statistical significance （P＞0.05）.Postoperative adverse reactions(gastrointestinal reaction,dizziness,drowsiness)in observation group were less than those of the control group,and the differences were statistically significant(P＜0.05).ConclusionCompared with postoperative epidural controlled analgesia pump,the postoperative analgesic effect of Buprenorphine transdermal patch for paitiens with calcaneal fractures is satisfied with less adverse reactions.It is worthy of clinical popularization and application.
2017 Vol. 24 (23): 120-122 [Abstract] ( 168 ) HTML (32 KB)  PDF  (0 KB)  ( 64 )
123 Effect of Glucocorticoid,Cyclophosphamide Combined with Sildenafil in treatment of connective tissue disease complicated with pulmonary hypertension(CTD-PAH)
JU Yan-juan;GUO Di-bin;ZHOU Xu-feng;SUN Jian-fang

ObjectiveTo investigate the effect of Glucocorticoid,Cyclophosphamide Combined with Sildenafil in treatment of connective tissue disease complicated with pulmonary hypertension (CTD-PAH).Methods70 patients with CTD-PAH treated in our hospital from December 2015 to February 2016 were selected as the study objects,and they were divided into two groups according to the number random method,and there were 35 cases in each group.The control group was treated with Sildenafil alone,and the observation group was given combined Cyclophosphamide and Glucocorticoids therapy on the basis of the control group.Clinical effect,pulmonary artery systolic pressure level and adverse reactions were observed in the two groups.ResultsTotal effective rate of the observation group was 97.14%,which was significantly higher than that of the control group(80.00%)(χ2=5.081,P=0.024).Systolic pulmonary arterial pressure level was significantly lower than that of the control group (P＜0.05),and walking distance of 6 min was significantly longer than that in the control group (P＜0.05).The incidence of adverse reactions in the observation was 5.71%,which was significantly lower than of that of the control group (22.86%)(χ2=4.200,P=0.040).ConclusionGlucocorticoid,Cyclophosphamide Combined with Sildenafil treatment of connective tissue disease complicated with pulmonary hypertension(CTD-PAH)
2017 Vol. 24 (23): 123-125 [Abstract] ( 153 ) HTML (31 KB)  PDF  (0 KB)  ( 67 )
126 Effect analysis of Magnesium Isoglycyrrhizinate treating drug-induced hepatitis
LIN Tu-kun;YI Chao-fang;HUANG Zhi-ming
ObjectiveTo explore the effect of Magnesium Isoglycyrrhizinate treating drug-induced hepatitis.MethodsFrom February 2015 to December 2016,60 patients with drug-induced hepatitis admitted into our hospital were evenly divided into observation group(n=30)and control group(n=30).Magnesium Isoglycyrrhizinate was used in the observation group,while in the control group,Reduced Glutathione was provided.The therapeutic effect between the two groups was compared.ResultsThere was no statistical difference in liver function before treatment between the two groups(P＞0.05).After therapy,the indexes of liver function in the observation group and total effective rate were both superior to those in the control group,and there was a statistical difference(P＜0.05).ConclusionMagnesium Isoglycyrrhizinate can obtain a remarkable effect treating drug-induced hepatitis with adverse reactions,which is worthy of promotion and application in clinic.
2017 Vol. 24 (23): 126-128 [Abstract] ( 136 ) HTML (31 KB)  PDF  (0 KB)  ( 71 )
129 Effect of Mecobalamin treating diabetic neuropathy
ZHANG Bin;PAN Jie-min
ObjectiveTo observe the effect of Mecobalamin treating diabetic neuropathy.MethodsA total of 74 patients with diabetic neuropathy treated in our hospital from March 2015 to July 2016 were selected and they were divided into the control group and observation group,and there were 37 cases in each group.The control group received the routine treatment while the observation group was treated with Mecobalamin on the basis of the control group.The clinical efficacy and the improvement of function,the nerve conduction velocity,blood sugar level and adverse symptoms between the two groups were compared.ResultsThe total effective rate of the observation group was 94.59%,which was higher than that of the control group (75.68%)(P＜0.05).The improvement rate of left bicipital muscle of arm,right bicipital muscle of arm,tendon reflex of left knee and tendon reflex of right knee were higher than those of the control group(P＜0.05).After treatment,the conduction velocity of ulnar nerve motor nerve,ulnar nerve sensory nerve,peroneal nerve motor nerve and peroneal nerve in patients of the observation group were significantly improved compared with before treatment and the improvement range in the observation group was larger than that of the control group (P＜0.05).After treatment,fasting blood glucose and postprandial blood glucose levels of 2 h in the two groups were significantly lower than before treatment,and the above-mentioned indexes in the observation group after treatment were lower than those of the control group (P＜0.05).The improvement rate of limb pain,numbness,fever,chills,hypoesthesia,diarrhea,sweating,difficult defecation in the observation group were significantly higher than those of the control group(P＜0.05).ConclusionMethylcobalamin treating diabetic neuropathy can significantly improve the patients′function and nerve conduction velocity,effective control the blood sugar,and has a high safety,it is worthy of clinical wide application.
2017 Vol. 24 (23): 129-132 [Abstract] ( 145 ) HTML (36 KB)  PDF  (0 KB)  ( 69 )
133 Clinical effect of Alprostadil combined with Salviaemiltiorrhizae and Ligustrazine in the treatment of vertigo due to lacunar infarction
MIAO Xin-ya
ObjectiveTo study the effect of injection of Salviaemiltiorrhizae and Ligustrazine combined with Alprostadil(PGE1)on treating vertigo due to lacunar infarction (LI).MethodsFrom August 2015 to April 2017,117 LI patients treated in our hospital were selected and randomly divided into the PGE1 group(n=59)and the combination group(n=58).In the combination group,injection of Salviaemiltiorrhizae and Ligustrazine was selected for treatment,while in the PGE1 group,PGE1 was adopted.The effect on treating vertigo and cerebral blood flow including basilar artery,right vertebral artery,and left vertebral artery blood flow were compared in the two groups.ResultsThe effective rate in the combined group was 91.38%,which was higher than that in the PGE1 group accounting for 77.97%,with statistical difference (P＜0.05).The cerebral blood flow velocity in the combined group was significantly faster than that in the PGE1 group,with significant difference (P＜0.05).ConclusionThe combination of traditional Chinese herbal medicine compound preparation of Salviaemiltiorrhizae and Ligustrazine combined with PGE1 can obtain a definite effect on treating vertigo due to LI.
2017 Vol. 24 (23): 133-135 [Abstract] ( 144 ) HTML (31 KB)  PDF  (0 KB)  ( 78 )
136 Clinical intervention study of Buzhong Yiqi method combined with Prednisone on platelet count in patients with chronic idiopathic thrombocytopenic purpura
ZOU Zhi-ning
ObjectiveTo observe the intervention effect of Buzhong Yiqi method combined with Prednisone on platelet count in chronic idiopathic thrombocytopenic purpura (CITP).MethodsFrom September 2013 to September 2014,108 CITP patients treated in our hospital were selected as observation objects.They were evenly divided into the observation group and the control group in random,54 cases in each group.In the control group,Prednisone was used,while in the observation group,on the basis of the Prednisone,Buzhong Yiqi method was added.The change of platelet count in the two groups was observed.ResultsThe platelet count in the observation group after 3 or 6 months treatment was higher than that in the control group,with statistical differences(P＜0.05).The clinical total effective rate in the observation group was 88.889%,which was much higher than that in the control group accounting for 74.074%,with statistical difference(P＜0.05).ConclusionFor CITP patients,on the basis of Prednisone,application of Buzhong Yiqi method can obtain a more favorable clinical effect on intervening with platelet count and hemorrhage,which is worthy of promotion and application.
2017 Vol. 24 (23): 136-138 [Abstract] ( 148 ) HTML (29 KB)  PDF  (0 KB)  ( 55 )
139 Comparative study on differences of legal awareness among undergraduate nursing students at school and in practice
LAN San-rong;LAI Bao-chun;CHEN Jin-mei;OU Rui;HUANG Pei-qin;WU Yan
ObjectiveTo analyze the differences of legal consciousness among undergraduate nursing students at school and in practice so as to explore the countermeasures to improve their legal consciousness.MethodsA questionnaire survey was conducted to 120 undergraduate nursing students at school and 120 undergraduate nursing students in practice from October 2016 to January 2017 to investigate the cognition degree of legal issues,the ways of solving legal problems and the approach of achieving legal knowledge.ResultsThere was no significant difference in the legal issues of cognition between the two groups(P＞0.05).There was significant difference in the ways of solving legal problems between the two groups(P＜0.05).Although the nursing students could obtain legal knowledge through the internet,television,newspapers and other methods,but the study in classroom was still the main way.ConclusionNursing colleges should pay attention to the cultivation of legal consciousness of nursing students.The training hospital should impart the legal knowledge throughout the course of teaching and strengthen the legal consciousness of undergraduate nursing students via improvement of students′initiative.
2017 Vol. 24 (23): 139-141 [Abstract] ( 156 ) HTML (37 KB)  PDF  (0 KB)  ( 65 )
142 Analysis of irrational prescriptions in pharmacy intravenous admixture services of our hospital
PENG Jia-bing;MA Xiao-juan;PENG Li-na;TONG Xue;XU Can-can
ObjectiveTo analyze the irrational prescriptions in pharmacy intravenous admixture services(PIVAS)of our hospital,in order to ensure the safety of drug use.MethodsThe medical advice of intravenous drug from May to December in 2015 of PIVAS was classified,summarized,and analyzed.ResultsAltogether 220 613 medical advices of intravenous drug of PIVAS were received ,among them,1619 prescriptions were unreasonable drug use,and the qualification rate was 99.27%.The top scale of irrational prescriptions was the improper dosage of solvent(32.74%),improper solvent selection was the next(23.29%).ConclusionPharmacis can correct clinical intravenous pharmacy problems promptly,reduce the side effects of drugs and avoid the occurrence of medical disputes.
2017 Vol. 24 (23): 142-144转157 [Abstract] ( 138 ) HTML (36 KB)  PDF  (0 KB)  ( 63 )
145 Efficacy of psychological intervention on improving the quality of life of caregivers of patients with advanced cancer
XIE Chun-fang;YANG Jia-wen;ZHU Xing-pei;CUI Zhe;LIU Jin-yu;LU Xing-juan;LIANG Wan-yi
ObjectiveTo explore the efficacy of psychological intervention on improving the quality of life of caregivers of patients with advanced cancer.MethodsFrom January 2016 to June 2016,120 caregivers of patients with advanced cancer in the Department of Oncology of People′s Hospital of Sanshui district Foshan City were selected and randomly divided into the observation group and the control group.The caregivers in intervention group were provided routine education and psychological intervention.The caregivers in control group were only provided routine education.The life quaility were compared between two groups.ResultsBefore intervention,there were no significant differences among the scores of indexes of life quality in two groups(P＞0.05);after intervention,the total score of quality life,the score of physical,psychological and social relations in the observation group were increased,and compared with those before intervention,the differences were statistically significant(P＜0.05),but there were no statistically significant differences in the control group between those before and after intervention(P＞0.05).The total score of quality life,the score of psychological and social relations in the observation group were higher than those in the control group,and the differences were statistically significant(P＜0.05).ConclusionThe psychological intervention can effectively improve the quality of life of caregiversofpatients with advanced cancer.
2017 Vol. 24 (23): 145-147转163 [Abstract] ( 158 ) HTML (32 KB)  PDF  (0 KB)  ( 68 )
148 Application effect of detail management in nursing management of operating room
DENG Rui

ObjectiveTo investigate the application effect of detail management in nursing management of operating room.MethodsFrom March 2016 to March 2017,130 cases of patients receiving surgical treatment in our hospital were selected as the study subjects.According to the parity of admission time,patients were divided into experimental group and control group,65 cases in each group.The patients in the control group were treated with routine nursing intervention,while the patients in the experimental group were treated with intensive nursing management.The nursing quality score,the level of comfort and coordination and the nursing satisfaction degree of the patients in the two groups were compared.ResultsThe nursing quality score of patients in the experimental group was significantly higher than that in the control group,and the difference was statistically significant(P＜0.05).The level of comfort and coordination of patients in the experimental group were significantly better than those in the control group,and the differences were statistically significant(P＜0.01).The nursing total satisfaction degree of the patients in the experimental group was significantly higher than that in the control group,and the difference was statistically significant(P＜0.05).ConclusionAdd detail management to operating room nursing management makes the patient more comfortable in the operation and can significantly improve the quality of surgical care and the nursing satisfaction degree.
2017 Vol. 24 (23): 148-150 [Abstract] ( 129 ) HTML (32 KB)  PDF  (0 KB)  ( 65 )
151 The application of the nursing human resource management in the blood station work
LIANG Jie-zhen;LU Shao-fen;CHEN Cun-yi;LIAO Yang-xun;CHEN Chao-hong

ObjectiveTo investigate the impact of incentive assistance measures on the work efficiency,work quality,service quality and job satisfaction of nursing staff.MethodsThe nursing staff of this station were selected as the research object,35 nurses from January to December 2015,when the performance incentive mechanism was not implemented,and 36 nurses from January to December 2016,the performance incentive mechanism was implemented,the mechanism of the nursing human resource management was strengthened,and the nurses in the whole station have been given an overall arrangement and mutual assistance.The related indicators of nursing work before and after implementation were observed and compared.ResultsThe incidence of nursing defects,the number of blood donors waiting for blood donation,composition blood daily preparation,the time of overtime and the job satisfaction of the nurses before and after the implementation of incentive mechanism were compared,the differences were statistically significant(P＜0.05).ConclusionThe sharing of blood collection and blood supply process share nursing human resources through implementation of performance incentive assistance mechanism can effectively solve the problem of nurses shortage in the process of blood collection and blood supply,balance the phenomenon of busyness or leisure,relieve nurses′work pressure and improve the working efficiency,working quality and service quality.
2017 Vol. 24 (23): 151-153 [Abstract] ( 132 ) HTML (32 KB)  PDF  (0 KB)  ( 68 )
154 Safety and perioperative care of hybrid transvaginal NOTES laparoscopic versus standard laparoscopic partial nephrectomy
LI Li-li;MENG Mei-ying;LIU Lan-ying;ZHU Gui-xiang;ZOU Xiao-feng;ZHANG Guo-xi
ObjectiveTo explore the safety,advantages and perioperative nursing experience of hybrid transvaginal NOTES laparoscopic partial nephrectomy.MethodsThe clinical data of 14 patients who underwent hybrid transvaginal NOTES laparoscopic partial nephrectomy from August 2013 to January 2016 were retrospectively analyzed as the study group,and 16 patients who underwent standard laparoscopic partial nephrectomy as the control group.The preoperative nurse preparation time,the operation time,the intraoperative blood loss,the postoperative drainage tube extubating time,the rate of conversion to open surgery,the postoperative Visual Analogue Scale(VAS)and Patient Scar Assessment Questionnaire and Scoring System (PSAQ)and the postoperative hospital stay were compared between the two groups.ResultsAll the operations were successfully completed in twogroups.There were no significant differences in the preoperative nurse preparation time,operation time,intraoperative blood loss,postoperative drainage tube extubating time and rate of conversion to open surgerybetween the two groups(P＞0.05).No patients required conversion to open surgery and adding trocars.There were significant differences in the VAS,PSAQ and postoperative hospital stay between the two groups(P＜0.05).All the patients were followed up from 3 to 30 months,patients survived without tumor recurrence.ConclusionHybrid transvaginal NOTES laparoscopic partial nephrectomy is a safe and reliable new procedure without increasing the labor intensity of theoperating room nurses.Compared with the standard partial laparoscopic partial nephrectomy,It is worthy of clinical application with more minimally invasive,less pain,faster postoperative recovery and better cosmetic results.
2017 Vol. 24 (23): 154-157 [Abstract] ( 123 ) HTML (35 KB)  PDF  (0 KB)  ( 64 )
158 Efficacy of 10-min delay observation on the accuracy of skin test results by directional medication device
HUANG Yu-feng;LIU Yi-xiu
ObjectiveTo analyze and discuss the effect of 10 min delay observation on the accuracy of skin test results by directional medication device,so as to provide valuable references for future clinical work.Methods358 patients who were admitted to our hospital and received skin test by directional medication device from January 2015 to December 2016 were selected as the research subjects.5 min after the test,the results of skin test were observed.If the results after 5 min showed negative,but the patients self-reported symptoms of discomfort,the observation was delayed to 10 min.The observation results were recorded.ResultsIn this group of subjects,after 5 min and 10 min delayed observation,a total of 65 patients were detected as positive.The positive rate was 18.16%,and the positive rate within 5 min(12.85%)was less than the positive rate within 10 min (P＜0.05).There was no longer positive detection after 10 min.ConclusionThe observation of 10 min delay can improve the positive rate of skin test by directional medication device,increase the accuracy of the results,improve the nurses′work efficiency and obtain good social benefits.
2017 Vol. 24 (23): 158-160 [Abstract] ( 146 ) HTML (31 KB)  PDF  (0 KB)  ( 63 )
161 Application effect of nursing risk management on cardiovascular medicine
XIAO Bi-qing;XIAO Feng-lian;LIU Shao-hua;ZHU Hong
ObjectiveTo explore the application effect of nursing risk management on cardiovascular medicine.Methods80 patients with cardiovascular disease in our hospital from August 2015 to October 2017 were selected and randomly divided into the observation group and the control group according to the odd and even numbers,with 40 cases in each group.The control group was treated with conventional methods,while the observation group was given nursing risk management on the basis of the control group.The nursing pass rate,nursing satisfaction and the incidence of adverse events were compared between two groups.ResultsThe nursing pass rate(95.00%)and nursing satisfaction(92.50%)in the observation group were higher than those in the control group(77.50%,72.50%),the incidence of adverse events(5.00%)were lower than that in the control group(20.00%),and the differences were statistically significant(P＜0.05).ConclusionThe application of nursing risk management to the clinical treatment of patients with cardiovascular disease can not only improve the patients′nursing satisfaction,but also improve the quality of nursing care,reduce the risk factors,decrease the incidence of nursing adverse events,so as to ensure the safety of patients.
2017 Vol. 24 (23): 161-163 [Abstract] ( 150 ) HTML (29 KB)  PDF  (0 KB)  ( 70 )
164 Efficacy of different nursing methods on prevention of urinary tract infection in patients with indwelling urinary catheter
YI Xiao-hong;SUI Zhi-gang;ZHANG Guo-rong;YI Chun-yan
ObjectiveTo explore the efficacy of different nursing methods on prevention of urinary tract infection in patients with indwelling urinary catheter.Methods94 cases of patients with indwelling catheter in our hospital from August 2015 to August 2016 were selected and were divided into the observation group and the control group according to the difference nursing methods,with 47 cases in each group.The control group was given routine nursing,while the observation group was given the nursing of indwelling catheter.The length of hospital stays,catheter indwelling time,the incidence of urinary tract infection and nursing satisfaction were compared between two groups.ResultsThe length of hospital stays and catheter indwelling time in the observation group[(9.2±2.5),(6.7±2.1)d]were shorter than those in the control group[(14.0±2.2),(10.9±3.6)d],the incidence of urinary tract infection(2.13%)was lower than that in the control group(17.02%),the nursing satisfaction(95.74%)was higher than that in the control group(85.11%),and the differences were statistically significant(P＜0.05).ConclusionThe indwelling catheter for patients with indwelling catheter nursing can effectively reduce the incidence of urinary tract infection，improve patient satisfaction with care，reduce the length of hospital stay and pain of patients.
2017 Vol. 24 (23): 164-166 [Abstract] ( 134 ) HTML (32 KB)  PDF  (0 KB)  ( 76 )
167 Application effect of systematic health education in the patients with spinal tuberculosis
ZHANG Li-chun
ObjectiveTo explore the application effect of systematic health education in the patients with spinal tuberculosis.MethodsA total of 72 patients with spinal tuberculosis from July 2015 to September 2016 were selected and divided into the observation group and the control group according to the order of admission,with 36 cases in each group.The control group was given traditional nursing measures,and the observation group was given systematic health education on the basis of the control group.The degree of cooperation,treatment compliance,mastering level of disease knowledge,nursing satisfaction and complication were compared between two groups.ResultsThe degree of cooperation(80.56%),treatment compliance(97.22%),mastering level of disease knowledge(97.22%)and nursing satisfaction(100.00%)in the observation group were higher than those in the control group(41.67%,86.11%,86.11%,91.67%),the incidence of complication(5.56%)was lower than that in the control group(33.33%),and the differences were statistically significant(P＜0.05).ConclusionSystematic health education can be used in the patients with spinal tuberculosis,which can improve the mastering rate of disease knowledge,promote patients′active cooperation,improve patients′compliance and nursing satisfaction,and have a high clinical application value.
2017 Vol. 24 (23): 167-169 [Abstract] ( 126 ) HTML (32 KB)  PDF  (0 KB)  ( 68 )
170 Application of comprehensive nursing intervention in patients with chronic gastritis and gastric ulcer
MA Na;LIU Lin;ZHAO Xue-han;PAN Wei
ObjectiveTo explore application of comprehensive nursing intervention in patients with chronic gastritis and gastric ulcer.Methods80 patients with chronic gastritis and peptic ulcer patients in our hospital from December 10th2014 to December 20th2016 were selected and were randomly divided into the observation group and the control group according to the random number table,with 40 cases in each group.The observation group was given general nursing intervention,while the observation group was given comprehensive nursing intervention.The nursing efficiency and quality of life were compared between two groups.ResultsThe nursing efficiency in the observation group(95.00%)was higher than that in the control group(72.50%),the difference was statistically significant(P＜0.05).Before nursing,there were no significant differences between the scores of quality of life in two groups(P＞0.05);after nursing,the scores of quality of life in two groups were all increased,and compared with those before nursing,the differences were statistically significant(P＜0.05).And that in the observation group was higher than that in the control group,and the difference was statistically significant(P＜0.05).ConclusionComprehensive nursing intervention in patients with chronic gastritis and peptic ulcer can significantly improve the nursing effect and improve the quality of life of patients,and it is worth to be used by various hospitals.
2017 Vol. 24 (23): 170-172 [Abstract] ( 148 ) HTML (34 KB)  PDF  (0 KB)  ( 61 )
173 Application effect of clinical nursing path in elderly patients with essential hypertension
CAO Yuan;LIU Han-jiao;PENG Yu-mei;YE Ren-qun
ObjectiveTo explore the application effect of clinical nursing path in elderly patients with essential hypertension.Methods120 cases elderly patients with essential hypertension from February 2015 to October 2016 in our hospital were selected as the research objects and randomly divided into the observation group and the control group according to the random number table,with 60 cases in each group.The control group were given routine care,while the observation group was given clinical nursing path.The cognition of hypertension definition and etiology,reasonable diet,exercise,self-testing blood pressure and reasonable medication,blood pressure,nursing satisfaction degree and nursing effect were compared between two groups.ResultsThe cognition of hypertension definition and etiology,reasonable diet,exercise,self-testing blood pressure and reasonable medication in the observation group was higher than that in the control group,and the difference was statistically significant(P＜0.05).Before nursing,there were no significant differences of the levels of diastolic pressure and systolic pressure between two groups(P＞0.05);after nursing,the levels of diastolic pressure and systolic pressure in two groups were all decreased,and compared with those before nursing,the differences were statistically significant(P＜0.05).And those in the observation group were lower than those in the control group,and the differences were statistically significant(P＜0.01).The nursing satisfaction degree and total effective rate in the observation group were higher than those in the control group,and the differences were statistically significant(P＜0.05).ConclusionClinical nursing pathway for elderly patients with essential hypertension can effectively improve their awareness of all aspects of hypertension,improve blood pressure and nursing satisfaction,it is worth clinical promotion.
2017 Vol. 24 (23): 173-175转178 [Abstract] ( 160 ) HTML (36 KB)  PDF  (0 KB)  ( 65 )
176 Application of comprehensive nursing in patients with hypertension combined with coronary heart disease
ZHOU Xiao-ping;WU Xiao-hong;HUANG Wen
ObjectiveTo explore the application of comprehensive nursing in patients with hypertension combined with coronary heart disease.Methods88 patients with hypertension and coronary heart disease in our hospital from February 2015 to January 2017 were selected and divided into the observation group and the control group according to the different nursing method,with 44 cases in each group.The control group was given routine nursing intervention,while the observation group was given comprehensive nursing intervention.The levels of blood pressure,blood lipid and quality of life were compared between two groups.ResultsBefore nursing,there were no significant differences of the levels of blood pressure,blood lipid and quality of life between two groups(P＞0.05);after nursing,the levels of blood pressure and blood lipid in the observation group were lower than those in the control group,the quality of life was higher than that in the control group,and the differences were statistically significant(P＜0.05).ConclusionComprehensive nursing in patients with hypertension combined with coronary heart disease in the application of better than conventional nursing.
2017 Vol. 24 (23): 176-178 [Abstract] ( 118 ) HTML (30 KB)  PDF  (0 KB)  ( 74 )
179 Application of transitional nursing model in discharge nursing of children with purpura nephritis
LI Ming
ObjectiveTo explore application of transitional nursing model in nursing care of children with purpura nephritis.MethodsA total of 76 child patients with purpuric nephritis in our hospital from July 2015 to May 2016 were selected and were randomly divided into the observation group and the control group,with 38 cases in each group.The control group was given routine nursing mode,while the observation group was given transitional nursing model.The nursing compliance,length of hospital stays and master degree of purpura nephritis knowledge were compared between two groups.ResultsThe nursing compliance(97.37%)and the master degree of purpura nephritis knowledge(100.00%)were higher than those in the control group(78.95%,76.32%),the length of hospital stays[(7.21±1.45)d]was shorter than that in the control group[(10.95±3.58)d],and the differences were statistically significant(P＜0.05).ConclusionThe transitional nursing model is effective in the care of children with purpura nephritis,which can effectively improve the compliance of children′s medication and the knowledge of children′s knowledge of children with purpuric nephritis and promote their early discharge.
2017 Vol. 24 (23): 179-181 [Abstract] ( 138 ) HTML (30 KB)  PDF  (0 KB)  ( 40 )
182 Clinical effect of warning nursing intervention on prevention bedsore in critical patients in department of neurosurgery
XU Ai-wu
ObjectiveTo explore clinical effect of warning nursing intervention on prevention bedsore in critical patients in department of neurosurgery.Methods80 critically patients from January 2016 to January 2017 in Department of Neurosurgery were selected and randomly divided into the control group and the observation according to digital sampling method,with 40 cases in each group.The control group was given general mursing mode,while the observation group was given warning nursing intervention.The incidence of bedsore,nursing satisfaction and quality of life were compared between two groups.ResultsThe incidence of bedsore in the observation group (5.00%)was lower than that in the control group(25.00%);the nursing satisfaction(92.50%)was higher than that in the control group(70.00%);the scores of quality of life was higher than that in the control group,and the differences were statistically significant(P＜0.05).ConclusionWarning nursing intervention in department of neurosurgery critical patients with good results,which can obviously reduce the incidence of pressure sores,enchance the satisfaction degree of nursing,improve the quality of life of patients,and has definite clinical curative effect,and is worth popularizing widely.
2017 Vol. 24 (23): 182-184 [Abstract] ( 164 ) HTML (31 KB)  PDF  (0 KB)  ( 75 )
185 Application of comfort nursing intervention in elderly patients with chronic heart failure
ZHANG Xiao-lan
ObjectiveTo explore the application of comfort nursing intervention in elderly patients with chronic heart failure.MethodsA total of 114 elderly patients with chronic heart failure in our hospital from May 2014 to May 2015 were selected and were randomly divided into the observation group and the control group,with 57 cases in each group.The control group was given routine nursing care,while the observation group was given comfort nursing intervention on the basis of the control group.The bedridden time,hospitalization time,nursing satisfaction,clinical efficacy and quality of life were compared between two groups.ResultsThe bedridden time and hospitalization time in the observation group were shorter than those in the control group,the nursing satisfaction and clinical efficacy were higher than those in the control group,the scores of physical function,role physical,general health,vitality,role emotional and psychological health were higher than those in the control group,and the differences were statistically significant(P＜0.05).There were no significant differences in the scores of body pain and social function between two groups(P＞0.05).ConclusionIt is worthy to be used in clinical intervention to improve the patients′clinical curative effect and improve the quality of life of elderly patients with chronic heart failure.
2017 Vol. 24 (23): 185-187 [Abstract] ( 156 ) HTML (33 KB)  PDF  (0 KB)  ( 58 )
188 Application effect of clinical nursing pathway in health education for elderly patients with hypertension in community
SHI Lei
ObjectiveTo explore the application effect of clinical nursing pathway in health education for elderly patients with hypertension in community.Methods130 cases of elderly patients with hypertension in one community from April 2016 to November 2016 were selected as the research object and randomly divided into the observation group and the control group,with 65 cases in each group.The control group was taken by the routine methods of health education of hypertension,while the observation group was given health education according to the clinical nursing pathway.The disease knowledge passing rate,daily behavior compliance rate,medication compliance and nursing satisfaction were compared between two groups.ResultsThe disease knowledge passing rate(97.00%),daily behavior compliance rate(91.00%),medication compliance(91.00%)and nursing satisfaction(100.00%)in the observation group were higher than those in the control group(75.00%,68.00%,77.00%,88.00%),and the differences were statistically significant(P＜0.05).ConclusionThrough community using clinical nursing pathway to carry out health education for elderly hypertensive patients,can promote the understanding and medication compliance of patients with the disease knowledge,help patients improve bad habits,improve nursing satisfaction,on patients with hypertension disease control is very practical.
2017 Vol. 24 (23): 188-190 [Abstract] ( 148 ) HTML (34 KB)  PDF  (0 KB)  ( 69 )
191 Efficacy of whole course nursing intervention on quality of life and anxiety and depression in patients with gastric cancer undergoing radical gastrectomy
WU Jie
ObjectiveTo explore the efficacy of whole course nursing intervention on quality of life and anxiety and depression in patients with gastric cancer undergoing radical gastrectomy.Methods80 patients with gastric cancer in our hospital from April 2015 to January 2017 were selected and were divided into the observation group and the control group according to the random number table.The control group was given routine nursing intervention,while the observation group was given whole course nursing intervention.The nursing satisfication,the time of operative,first exhaust and defecation and hospitalization,quality of life and anxiety and depression states were compared between two groups.ResultsThe nursing satisfication in the observation group was higher than that in the control group,the time of operative,first exhaust and defecation and hospitalization were shorter than those in the control group,and the differences were statistically significant(P＜0.05).Before intervention,there were no significant differences among the scores of SAS,SDS and QOL in two groups(P＞0.05);after intervention,the scores of SAS and SDS in the two group were decreased,the score of QOL was increased,and compared with those before intervention,the differences were statistically significant(P＜0.05).And the scores of SAS and SDS in the observation group were lower than those in the control group,the score of QOL was higher than that in the control group,and the differences were statistically significant(P＜0.05).ConclusionThe effect of whole nursing intervention on the quality of life and anxiety and depression of patients with radical gastrectomy is effective in alleviating the anxiety and depression of patients,shortening the operation time and shortening the recovery time and hospitalization time of postoperative gastrointestinal function,and improving the quality of life and nursing satisfaction is significant and worthy of promotion.
2017 Vol. 24 (23): 191-193 [Abstract] ( 147 ) HTML (32 KB)  PDF  (0 KB)  ( 69 )
194 Application effect of high quality nursing in patients with perineal laceration caused by labor
LI Ju-ying WANG Zi-yan
ObjectiveTo explore the application effect of high quality nursing in patients with perineal laceration caused by labor.Methods80 patients with perineal laceration caused by labor in our hospital from September 2014 to September 2016 were selected as the research objects and divided into the observation group and the control group according to the random number table,with 40 cases in each group.The control group were given conventional methods of nursing care,while the observation group was given high quality nursing care.The nursing satisfaction,pain degree,hospitalization time and the incidence of complications were compared between two groups.ResultsThe score of VAS and the incidence of complications in the observation group[(2.45±1.08)points,5.00%]were lower than those in the control group[(4.13±1.62)points,20.00%],the hospitalization time[(6.24±2.10)d]was shorter than that in the control group[(10.79±2.83)d],the nursing satisfaction(97.50%)was higher than that in the control group(82.50%),and the differences were statistically significant(P＜0.05).ConclusionHigh quality nursing care in childbirth by application of perineal laceration in patients with good,to ease the pain of patients,improve nursing satisfaction,shorten hospitalization time,reduce the incidence of complications,higher application value,it is worthy of popularization and Application.
2017 Vol. 24 (23): 194-196 [Abstract] ( 138 ) HTML (30 KB)  PDF  (0 KB)  ( 66 )
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