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2017 Vol. 24, No. 21
Published: 2017-07-28
4
Exploration of open field test evaluating the mental fatigue of rats with spleen qi and spleen yang deficiency
LIU Wen-jun；GAO Yu-ting；DOU Zhi；YU Kai-yang；LIU Feng-zhi；NIAN Yu-ting；SHAN De-hong
ObjectiveTo explore the possibility and the preliminary mechanism of open field test evaluating the mental fatigue of rats with spleen qi deficiency(SQD)and spleen yang deficiency(SYD).Methods24 SPF male SD rats were selected as objects and they randomly divided into control group,SQD and SYD group,each group had 8 rats.The OFT method was used to detect the motion distance and vertical times.Electron microscope was used to observe the mitochondrial morphology of hippocampal neurons.ATP level in hippocampal tissues of each group were measured by colorimetry.ResultsMotion distance in open field test of SQD and SYD group was shorter than that of control group,and vertical times in SQD and SYD group was fewer than that of control group,and there was a statistical difference(P<0.05).Motion distance in open field test of SYD group was shorter than that of SQD group,and vertical times in SYD group was fewer than that of SQD group,and and there was a statistical difference(P<0.01).Hippocampus neuron mitochondria in SQD and SYD group showed swelling and vacuolization,and ATP level in SQD and SYD group were significantly lesser than that in control group(P<0.01),and ATP level in SYD group was lower than that in SQD group(P<0.01).ConclusionOFT can be used to evaluate and rank the mental fatigue of rats of SQD,SYD objectively and its biological bases might related to the damage of hippocampus neuron mitochondria.
2017 Vol. 24 (21): 4-06转10 [
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211
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Meta-analysis of Shensongyangxin Capsules treating viral myocarditis
ZHANG Shu-dan；LI Qi；DU Chang-sheng
ObjectiveTo review systematically the effect and safety of Shensongyangxin Capsules treating viral myocarditis,and provide the related basis of evidence based medicine for Shensongyangxin Capsules treating viral myocarditis.MethodsPubMed,EMbase,Cochrane Library,CBM,WanFang,CNKI and VIP were retrieved using the computer for collecting RCT and CCT for database construction to November 4,2016,and all references included in the literature were traced.According to the inclusion and exclusion criteria,two reviewers screened and assessed independently the literature,and then the data was extracted.The data was given a Meta-analysis by using RevMan 5.3 software.Results12 study articles were included.Meta-analysis showed that the clinical curative effect of the Shensongyangxin group treating viral myocarditis was better than the Western medicine group(OR=3.19,95%CI:2.14-4.74,P＜0.01).The clinical curative effect of the Shensongyangxin group treating ventricular arrhythmia was better than the Western medicine group(OR=3.64,95%CI:2.50-5.30,P＜0.01).The occurrence rate of adverse events was lower and the reactions was low and mild in the Shensongyangxin group.ConclusionShensongyangxin Capsules has a significant curative effect treating viral myocarditis,and the safety is good.
2017 Vol. 24 (21): 7-10 [
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194
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Progress in the study of denture adhesive
WANG Fan；ZHAO Bin；WU Feng
Complete denture retention is a difficult point in clinical repair.It seriously affects the life of the active teeth.The use of denture adhesive can increase the retention of complete denture.This review compares the traditional denture adhesive with the new denture adhesive,and discusses the existing problems in the study of denture adhesive in order to provide ideas for the development of a adhesive to meet the needs of patients.
2017 Vol. 24 (21): 11-13 [
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167
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Research progress in hypertension with anxiety or depression
JI Run-qing；WANG You-xin
Many studies have found that hypertension is closely related to anxiety or depression.Anxiety and depression disorders can cause the occurrence and development of hypertension.Hypertension makes anxiety and depression more prominent.Although there are more studies between anxiety and depression and hypertension,but there is no uniform conclusion,there are still many problems need study.This article summarizes the progress hypertension with anxiety or depression,and provides a possible direction for further research.
2017 Vol. 24 (21): 14-16 [
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170
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Clinical application of hemorrhoidal mucosa transfixion combined with external dissection(cut)and internal“hui”ligature treating mixed hemorrhoids
ZENG Ling-quan；ZHU Jun-jie；XIE Ye-qing；YANG Feng；CHEN Yong-ying
ObjectiveTo compare the clinical effect of hemorrhoidal mucosa transfixion combined with external dissection(cut)and internal“hui”ligature,procedure for prolapse and hemorrhoids(PPH)and milligan-morgan hemorrhoidectomy trerating mixed hemorrhoids.MethodsNinety hospitalized patients with mixed hemorrhoids in Department of Anorectum,Ganzhou Municipal Hospital from November 2015 to December 2016 were selected as objects and they were randomly divided into treatment group,control group A and control group B and there were 30 cases in each group.Treatment group was given hemorrhoidal mucosa transfixion combined with external dissection(cut)and internal“hui”ligature,control group A was given PPH operation,while control group B was given milligan-morgan hemorrhoidectomy.The operation time,intraoperative blood loss,hospital stay,hospitalization cost and incidence of complication in two groups were observed.ResultsThe hospital stay,the hospitalization cost and intraoperative blood loss in treatment group were significantly lower than those in control group A and control group B,and there was a statistical difference(P<0.05),and there was no significant difference of the operation time among the three groups(P>0.05).The difference of bleeding among the three groups after 7 d operation was statistically significant(Z=-4.128,P<0.01).There was no significant difference of prolapse among the three groups at each time point after operation(P>0.05).ConclusionHemorrhoidal mucosa transfixion combined with external dissection(cut)and internal“hui”ligature treating mixed hemorrhoids has a ideal effect and it is worthy of promotion and application.
2017 Vol. 24 (21): 17-20 [
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173
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21
Clinical effect of Epinephrine combined with Thrombin in the treatment of peptic ulcer complicated with hemorrhage under gastroscope
ZOU Hui
ObjectiveTo observe the clinical effect of Epinephrine combined with Thrombin in the treatment of peptic ulcer complicated with hemorrhage under gastroscop.Methods76 patients with peptic ulcer complicated with hemorrhage treated in our hospital from April 2014 to February 2015 were selected and they were randomly divided into observation group(n=38)and control group(n=38)using the random number table method.The patients in the observation group were treated with Adrenaline combined with Thrombin,and the control group
received：
only adrenaline treatment.Treatment effect between the two groups was compared.ResultsThe therapeutic effect of the observation group was significantly better than that of the control group,the rate of rebleeding was significantly lower than that of the control group(P<0.05).The time of stopping,infusion and hospitalization were significantly shorter in the observation group than in the control group,and the amount of blood transfusion was significantly less than that of the control group,and the cost of hospitalization was significantly lower than that of the control group(P<0.05).At after 24 h,48 h and 72 h treatment,the pH value of fasting gastric juice in the two groups was significantly higher than that before treatment and the pH value of fasting gastric juice was significantly higher than that in the control group(P<0.05),and the blood transfusion was significantly lower than that of the control group(P<0.05).ConclusionThe clinical effect of Epinephrine combined with Thrombin in the treatment of peptic ulcer complicated with hemorrhage is significant,which can effectively shorten the time of hemostasis,reduce the rate of rebleeding and cost of hospitalization.It has a clinical promotion and application value.
2017 Vol. 24 (21): 21-23 [
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164
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24
Clinical application of Straub thrombus rotary cutter in lower extremity deep venous thrombosis
WU Wei-dong；YANG li；HUANG Xu-guang；ZHOU Gui-qin；WAN Bo
ObjectiveTo explore the application effect of Straub thrombus rotary cutter in lower extremity deep venous thrombosis.Methods88 patients with lower extremity deep venous thrombosis treated in our hospital from October 2009 to August 2013 were randomly selected.Patients were divided into observation group and control group according to the simple randomization principle,and each group had 44 cases.The control group was given drug thrombolysis treatment,while the observation group was given the plan of Straub thrombus rotary cutter interventional therapy.The change of the diameter of the lower extremity,cure rate,the incidence of complications and venous valve function of patients between the two groups were compared.ResultsThe mean follow-up was(27.2±10.9)months.The decrease of diameter of the lower extremity in observation group and control group was(4.0±1.2)cm and(1.3±0.5)cm respectively,and the cure rate in observation group and control group was 90.8%and 34.2%respectively,and the difference between two groups was significant(P<0.05).Incidence of incidence of complications in observation group was obviously lower than that in control group(P<0.05).The venous valve function in observation group was obviously better than that in control group(P<0.05).ConclusionThe application effect of Straub in lower limbs deep venous thrombosis is more effective than that of the single drug thrombolytic therapy,and it has the advantages of safety,quickly clearing thrombus and resuming normal blood flow,reducing complications due to venous reflux disorder.It is worthy of clinical promotion and application.
2017 Vol. 24 (21): 24-26 [
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180
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Effect of Azithromycin combined with Cefotaxime Sodium in treatment of pulmonary infection and its influence on level of inflammatory factor
YU Ke-jing
ObjectiveTo investigate the effect of Azithromycin combined with Cefotaxime Sodium in treatment of pulmonary infection and its influence on level of inflammatory factor.Methods80 patients with pulmonary infection treated in Traditional Chinese Medicine Hospital of Anyi County from January 2015 to June 2016 were selected and they were divided into observation group(n=40)and control group(n=40)according to the random number table method.Observation group was treated with Azithromycin combined with Cefotaxime Sodium,while control group was treated with Cefotaxime Sodium.The curative effects,levels of inflammatory factors[C-reactive protein(CRP),tumor necrosis factor α(TNF-α),interleukin-6(IL-6)]and incidence rate of adverse reactions between two groups were compared.ResultsThe total effective rate of observation group was 95.00%,which was higher than 72.50%of control group(P<0.05).After treatment,the levels of TNF-α,IL-6,CRP of observation group were lower than those of control group(P<0.05).The incidence rate of adverse reactions of observation group was 7.50%,which was lower than 20.00%of control group,but the difference had no statistical difference(P>0.05).ConclusionAzithromycin combined with Cefotaxime Sodium in treatment of pulmonary infection have significant curative effect,and it can effectively adjust level of inflammatory factors and have less adverse reactions,which is worthy of clinical application.
2017 Vol. 24 (21): 27-29 [
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204
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Clinical study of single port video-assisted thoracic surgery in the surgical treatment of pulmonary infectious diseases
ZHANG xue-yu；CHEN Zhong-shu；LING Dong-jin；FENG Jian-xiong；LIU Sheng
ObjectiveTo explore the clinical effect of single port video-assisted thoracic surgery(VATS)in the surgical treatment of pulmonary infectious diseases.MethodsSixty patients with pulmonary infection admitted into our hospital from February 2016 to February 2017 were selected and divided into experimental group(n=30)and control group(n=30).In the control group,multi-port VATS was used,while in the experimental group,single port VATS was adopted.The surgical time,intraoperative amount of bleeding,amount of pleural fluid of 24 h after surgery,hospital stay,postoperative pain,and incidence of complications were observed in the two groups.ResultsIn the experimental group,the surgical time and hospital stay were shorter compared with those in the control group.The intraoperative amount of bleeding and amount of pleural fluid of 24 h after surgery were less than those in the control group.The pain degree of incision was lower than that in the control group.PCT level after surgery in the experimental group was greatly lower than that in the control group(P<0.05).The incidence rate of complications in the experimental group was lower in comparison with that in the control group(P<0.05).ConclusionFor patients with pulmonary infectious diseases,application of single port VATS has higher safety,and it can reduce the incidence of complications,and alleviates patients′suffereing,and improves the overall therapeutic effect.
2017 Vol. 24 (21): 30-32 [
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159
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Efficacy of vacuum sealing drainage combined with oxygen-containing liquid rinse on chronic wound and its influence on inflammatory factors
GUO Min；ZHONG Lin-hai；CAO Jun；ZHANG Dong-yuan；LIAO Yuan-ping；ZHANG Sui-hui
ObjectiveTo explore the efficacy of vacuum sealing drainage(VSD)combined with oxygen-containing liquid rinse on chronic wounds and its influence on inflammatory factors.MethodsA total of 89 type 2 diabetes mellitus patients who were occurred with chronic wounds including diabetic foot admitted to our hospital from June 2013 to December 2016 were enrolled in this study and were divided into the observation group(n=44)and the control group(n=45)according to a random number table.All participants were dealt with debridement.After that,patients in the control group were provided with VSD and normal saline rinse,while in the observation group,patients were treated with VSD plus oxygen-containing saline rinse.The levels of inflammatory factors and superoxide dismutase(SOD)and the clinical effect were compared between two groups.ResultsBefore treatment,there were no significant differences between two groups in the levels of TNF-α,IL-10 and SOD(P>0.05);after treatment,the levels of TNF-α in two groups were decreased,the levels of IL-10,SOD were increased,and compared with those before treatment,the differences were statistically significant(P<0.05).And the levels of TNF-α in the observation group was lower than that in the control group,the levels of IL-10,SOD were higher than those in the control group,and the differences were statistically significant(P<0.05).The coverage rate of granulation tissue,rate of bacterial clearance,and survival rate of skin-grafting in stageⅡsurgery after therapy in the observation group were higher than those in the control group with statistical difference(P<0.05).ConclusionCombination of VSD and oxygen-containing liquid rinse can obtain a remarkable effect on treating chronic wounds.It can effectively improve inflammatory response in great antioxidant effect,which is worthy of promotion.
2017 Vol. 24 (21): 33-35 [
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145
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Expression and clinical significance of Lin28B in triple-negative breast cancer
SHI Hua-qiu；XIE Rui-lian
ObjectiveTo study the expression of Lin28B in triple-negative breast cancer(TNBC)and its clinical significance.MethodsFrom January 2008 to December 2013,96 patients with TNBC treated in our hospital were selected as observation objects.The expression of Lin28B protein in cancer tissue and para-carcinoma tissue was detected by immunohistochemical method in order to analyze the correlation between Lin28B protein expression and pathological characteristics in patients with TNBC.ResultsThe positivity rate of Lin28B from cancer tissue was 70.8%and in para-carcinoma tissue,its positivity rate was 29.2%,which was displayed statistical difference(P<0.05).There was no relationship between Lin28B protein expression and age,the stage of tumor,and the condition of menstruation of patients(P>0.05).The expression of Lin28B protein was positively correlated with tumor differentiation degree,distal metastasis,lymph node metastasis,Ki67 expression(P<0.05).ConclusionThe expression of Lin28B is related to the occurrence and development of TNBC,and may affect the development of disease and prognosis of patients.
2017 Vol. 24 (21): 36-37转40 [
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179
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Clinical effect observation of cervical loop eleetrosurgieal excision procedure treating cervical precancerous lesion
WANG Jing
ObjectiveTo study the clinical effect of cervical loop eleetrosurgieal excision procedure(LEEP)treating cervical precancerous lesions.MethodsFrom March 1,2015 to February 28,2016,82 patients with cervical precancerous lesion treated in our hospital were selected.By odd and even number,they were divided into two group and there were 41 cases in each group.Patients of control group were treated with conventional surgery,while patients of observation group were treated with cervical LEEP.The clinical effect,surgical related indicators,incidence of complications,and recurrence rate were compared between two groups.ResultsIn the observation group,the total clinical effective rate was 95.12%,the surgical related indicators including operation time[(8.69±3.74)min],intraoperative blood loss[(12.48±4.72)ml],and hospital stay[(2.43±1.05)d]and incidence of complications(9.76%)and recurrence rate(7.32%)in the observation group were better than those of control group[the total clinical effective rate:73.17%;the operation time:(42.17±5.48)min;intraoperative blood loss:(40.86±15.64)ml;hospital stay:(6.45±1.64)d;the incidence of complications:29.27%;recurrence rate:24.39%](P<0.05).ConclusionFor patients with precancerous lesions,effect of cervical LEEP is superior.
2017 Vol. 24 (21): 38-40 [
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177
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Effect of Mometasone combined with Ganciclovir on herpes simplex keratitis
ZHOU Guang-hua；LUO Ping；LIU Cheng-yi；WEN Zhi-cong；SUN Qing-qing
ObjectiveTo observe the clinical effect of Fumarillon combined with Ganciclovir in the treatment of herpes simplex keratitis.Methods56 patients with herpes simplex keratitis were enrolled in our hospital from May 2015 to January 2016.They were divided into control group(n=34)and study group(n=34),The control group was given Ganciclovir Gel for treatment,the study group on the basis of combined with Fluoride Miron Eye Drops for treatment,compared the two groups of treatment,recurrence,treatment time and safety.ResultsThe incidence of adverse reactions there was no significant difference between the two groups(P>0.05).The total effective rate of the study group was higher than that of the control group(P<0.05).The treatment time of the study group was shorter than that of the control group(P<0.05).The re lapse rate of the study group was lower than that of the control group，the difference was statistically significant(P<0.05).ConclusionThe combination of Mometrolone and Ganciclovir in the treatment of herpes simplex keratitis is effective,safe and low recurrence rate,which can effectively shorten the treatment time and deserve clinical selection and further popularization.
2017 Vol. 24 (21): 41-43 [
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185
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Effect comparison of vocal cord polypectomy under support monitoring laryngoscope and electronic laryngoscope in the treatment of vocal cord polyp
SU Zhi-jian；CHEN Qiu-huan；JIN Huan-ting；YE Ji-cai；QIU Hai-dong
ObjectiveTo explore the clinical effect of vocal cord polypectomy under support monitoring laryngoscope and electronic laryngoscope in the treatment of vocal cord polyp.MethodsThe clinical data of 120 patients with polyp of vocal cord treated in our hospital from January 2015 to December 2016 were analyzed retrospectively,and all patients were divided into the control group and the study group according to the operation mode,60 cases in each group.The control group was given vocal cord polypectomy under electronic laryngoscope,and the study group was given vocal cord polypectomy under support monitoring laryngoscope.The clinical efficacy and complications of the two groups were compared.ResultsThe clinical efficacy of the study group was significantly better than that of the control group,with significant difference(P＜0.05).The incidence rate of complication of the study group was 8.33%,and the incidence rate of complication of the control group was 3.33%,there was no significant difference between the two groups in the incidence rate of complication(P＞0.05).ConclusionThe effect of vocal cord polypectomy under support monitoring laryngoscope in the treatment of vocal cord polyp is accurate,and it is worthy of clinical promotion and application.
2017 Vol. 24 (21): 44-46 [
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174
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Effect of postoperative analgesia and influence on PGE2of Parecoxib Sodium in patients with laparoscopic cholecystectomy
TAN Jian；WU Zhi-guo；QI Zhao；LIAO Yong-qiang；PENG Hong
ObjectiveTo investigate the effect of laparoscopic cholecystectomy in patients with application of Parecoxib Sodium on serum prostaglandin E2(PGE2)and the effect of postoperative analgesia.MethodsA total of 150 cases of abdominal laparoscopic surgery patients in our hospital from June 2015 to April 2017 were selected and divided into group A(saline blank control group),B(Parecoxib group)and C(Postoperative analgesic group of Parecoxib and Sufentanil)according to the random number table method and double blind method,50 cases in each group.The PGE2concentration and the degree of pain at different time points after surgery of three groups were compared.ResultsThe PGE2concentration of patients in group B 1,6,12 and 24 h after operation were lower than those of the other two groups,and the difference was statistically significant(P<0.05).The VAS score of patients in group B 1,6,12 and 24 h after operation were the lowest one in the three groups,and the difference was statistically significant(P<0.01).ConclusionLaparoscopic cholecystectomy in patients with application of Parecoxib Sodium can increase the alleviate serum PGE2and decrease the concentration of PGE2.The postoperative analgesic effect is obvious and worth promoting.
2017 Vol. 24 (21): 47-49 [
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146
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Application of Dexmedetomidine in endotracheal intubation for patients with severe multiple trauma
GONG Liang-guo；BAI Yuan；HONG De-quan；LIU Yan-jun；XIE Bin-yun
ObjectiveTo investigate the clinical application value of Dexmedetomidine in endotracheal intubation for patients with severe multiple trauma.MethodsAltogether 42 patients who had multiple trauma(ISS score>16)and required emergency tracheal intubation from May 2014 to November 2015 in our hospital were selected and divided into two groups according to the number of patients admission time:22 cases in Dexmedetomidine group and 20 cases in Midazolam group.The effects of two groups were compared.ResultsThe SBP,SDP and heart rate indexes were compared between two groups of patients in intubation and 1 and 3 min after intubation,differences were statistically significant(P<0.05).The SpO2level of 1 min and intubation with the premedication of two group were compared,the difference of Dexmedetomidine group was not statistically significant(P＞0.05),however the difference of Midazolam group was statistically significant(P<0.05).ConclusionThe effect of dexmeitomidine on the tracheal intubation of patients with severe multiple trauma is more significant than Midazolam.It is beneficial to reduce the cardiovascular response and reduce the effect of respiratory function on patients,and its clinical value is remarkable and worth promoting its application.
2017 Vol. 24 (21): 50-52 [
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135
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Clinical application of Midazolam-Propofol sequential administration in the sequencing sedation of mechanical ventilation
LI Huan-yi；LUO Qiong-xiang；DENG Chun-tao
ObjectiveTo study the clinical application of Midazolam and Propofol sequential administration during the sequencing sedation of mechanical ventilation.Methods80 patients from January 2015 to February 2016 in the ICU of our hospital were selected.According to the doctors′evaluations,all the patients were
received：
the mechanical ventilation for>72 h or more.The subjects were divided into group P(26 cases),group M(26 cases)and group M-P(28 cases)according to the different administration methods.Group P took Propofol;group M took Midazolam;group M-P took the combined therapy of Midazolam and Propofol.During the process,the related index for three groups was compared.ResultsThe hospitalization cost for group P[(4002.35±741.01)yuan]was significantly higher than group M[(852.32±43.21)yuan]and group M-P[(902.36±54.32)yuan](P=0.000).The awakening time for group M[(7.20±1.00)h]was significantly longer than group P[(0.79±0.52)h]and group M-P[(1.00±0.25)h](P=0.000).The incidence rate of repeated dysphoria for group M was higher than group P and group M-P(χ2=4.722,P=0.094).The dosage of Propofol for group P[(7882.24±1001.50)mg]was significantly higher than group M-P[(1153.50±105.30)mg](t=35.371,P=0.000).The overall dosage of Midazolam for group M-P[(310.23±51.06)mg]was lower than group M[(428.23±70.55)mg](t=7.078,P=0.000).Before sedation,after 1 h of sedation,during the sedation,levels of MAP,HR of the group P had no significant change(P>0.05),while had significant change in the group M(P<0.05),both MAP and HR had no significant change in the group M-P in each time point(P>0.05).Before sedation,after 1 h of sedation,during the sedation,the SpO2of patients in the three groups of was in creased gradually(P<0.05).ConclusionDuring the sequencing sedation of mechanical ventilation,the Midazolam and Propofol sequential administration has an obvious effect in ICU patients,can reduce the dosage of the single sedation drugs,hospitalization costs,overall dosage and incidence rate of dysphoria.Meanwhile,the combined therapy can improve the sedation effect.
2017 Vol. 24 (21): 53-55转68 [
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Application value of ultrasound elastography in Hashimoto thyroiditis and its associated nodules nature
JIANG Ru；XIAO Jia-yi；MENG Xin-xiang；LI Min；LI Ting；YU Qiu-lei；LIU Chun-feng
Hashimoto thyroiditis can coexist with benign and malignant thyroid nodules.Because of the pathological process and different duration,the clinical manifestations of Hashimoto thyroiditis are complex,which determines Hashimoto thyroiditis has the different performance of the ultrasound image.Ultrasound diagnosis of Hashimoto thyroiditis with thyroid nodules is more difficult,to avoid unnecessary surgery,diagnosis of thyroid nodules before surgery is of great significance for clinical treatment and judgement prognosis.
2017 Vol. 24 (21): 56-58转71 [
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Application value of MSCT in the diagnosis of thyroid carcinoma
CAI Hui；HUANG Wen-qing；LIN Chuan-biao；DING Du-bin；JIANG Gui-min
ObjectiveTo analyze the application value of multi-slice spiral CT(MSCT)in the diagnosis of thyroid carcinoma.Methods59 patients with suspected thyroid cancinoma from July 2014 to July 2016 in our hospital were selected as the subjects,all patients underwent MSCT scan,and the accuracy,specificity and sensitivity of MSCT in the diagnosis of thyroid carcinoma were evaluated according to pathological findings or surgical results,and the coincidence rate was observed.ResultsThe sensitivity of MSCT in diagnosing thyroid cancer was 85.30%,specificity was 84.00%,accuracy was 84.75%.ConclusionIn the diagnosis of thyroid carcinoma,MSCT can reduce the time of diagnosis and treatment,avoid unnecessary trauma,and is worthy of clinical promotion and application.
2017 Vol. 24 (21): 59-61 [
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Application value of CT and MRI in the preoperative staging diagnosis of cervical cancer
GAO Zhong-bo；SU Li-mei；LIANG Qi-xing；QIAN Xi-xue
ObjectiveTo investigate the application value of computed tomography(CT)and magnetic resonance imaging(MRI)in the preoperative staging diagnosis of cervical cancer.Methods47 patients with cervical cancer who admitted into our hospital and diagnosed from March 2013 to December 2016 were selected as the research object.All the patients were given CT and MRI examination before operation for one week,and the results of pathological diagnosis were taken as gold standard.The application value of CT and MRI in the preoperative staging diagnosis of cervical cancer was analyzed.ResultsAccording to the pathological results,there were 16 cases ofⅠB1stage and below,22 cases ofⅠB2-ⅡA stage,9 cases ofⅡB stage and above among 47 cases of patients with cervical cancer.At the same time,there were 16 cases of pelvic lymph node metastasis positive,11 cases of uterine invasion positive and 20 cases of vaginal infiltration.The accordance rate ofⅠB1stage and below diagnosed by MRI was higher than that diagnosed by CT,and the difference had statistical significance(P＜0.05).The specificity and accuracy of pelvic lymph node metastasis,the accuracy of uterine invasion diagnosed by CT were higher than those diagnosed by MRI,and the difference had statistical significance(P＜0.05).The sensitivity and accuracy of vaginal infiltration diagnosed by MRI were higher than those diagnosed by CT,and the difference had statistical significance(P＜0.05).ConclusionMRI in the diagnosis of cervical cancer(ⅠB1stage and below)and vaginal infiltration has significant diagnostic effects,while the CT in the diagnosis of pelvic lymph node metastasis and uterine invasion has better diagnostic effects.
2017 Vol. 24 (21): 62-64 [
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Efficacy and safety study of Bivalirudin therapy in STEMI patients undergoing emergency PCI
ZHANG Hui；DENG Gen-qun；ZHENG Xiao-qun
ObjectveTo observe the efficacy and safety of Bivalirudin therapy in STEMI patients undergoing emergency PCI.Methods80 STEMI patients with emergency PCI from August 2014 to February 2015 in our hospital were randomly selected and randomly divided into the observation group and the control group,40 cases in each groups.The observation group was treated by Bivalirudin therapy during the period of PCI,and the control group was treated with unfractionated Heparin(UFH).TIMI flow grade and myocardial perfusion grade(TMPG)were observed in the two groups post PCI.ST-segment of ECG,LVEF,left ventricular and diastolic diameter(LVEDD),the incidence of major adverse cardiac event(MACE),bleeding and the incidence of thrombocytopenia were compared between the two groups.ResultsThere was no statistically significant difference in the TIMI flow grade or TMPG between the two groups(P＞0.05).The ST-segment of ECG,the level of LVEF and LVEDD in 30 days after PCI in the observation group was better than that in the control group,with significant difference(P＜0.05).The incidence of gingival bleeding and hematuria in the observation group was higher than that in the control group,with significant difference(P＜0.05).There was no significant difference between the two groups of 30 d in the hospitalization rate of recurrent angina pectoris because of heart failure and adverse reaction rate between the two groups(P＞0.05).ConclusionIn STEMI patients with emergency PCI,application of Bivalirudin is safe and effect.Bivalirudin can be used in emergency PCI in patients with STEMI conventional anticoagulant treatment measures.
2017 Vol. 24 (21): 65-68 [
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147
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Effect observation of the Epalrestat combined with Berberine in treating diabetic foot
LI Jin；HE Jing-jing；YI Rui
ObjectiveTo explore the effects of Epalrestat combined with Berberine in treating diabetic foot.Methods62 diabetic foot patients from June 2015 to June 2016 in our hospital were selected and randomly divided into the observation group and the control group,each group was 31 cases.Two groups were given Epalrestat on the basis of general treatment,the observation group was further given Berberine.The effect and ABPI of the two groups were compared before and after treatment.ResultsThe total effective rate of the observation group was 100.0%,which was significantly higher than 87.1%of the control group(P＜0.05).There was no significant difference between the two groups in the ABPI value before treatment(P＞0.05).The ABPI value of the two groups after treatment was significantly higher than that before treatment,and the ABPI value of the observation group after treatment was significantly higher than that of the control group(P＜0.05).ConclusionUsing Epalrestat combined with Berberine in treating diabetic foot can obvious enhance the clinical cure rate of diabetic foot and it is worthy of clinical promotion and application.
2017 Vol. 24 (21): 69-71 [
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211
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72
Clinical observation of Ganciclovir combined with Interferon in the treatment of pediatric viral encephalitis
HE Qiang
ObjectiveTo observe the efficacy of Ganciclovir combined with Interferon in the treatment of pediatric viral encephalitis.MethodsAll the 60 patients with pediatric viral encephalitis who were diagnosed in our hospital from January 2016 to January 2017 were selected and randomly divided into the observation group and the control group,30 cases in each group.The control group was treated with conventional Ganciclovir,the observation group was treated with Ganciclovir combined with Recombinant Human Interferon on the basis of the control group.The efficacy was compared between the two groups.ResultsThe total effective rate of the observation group was 96.7%,which was higher than 80.0%of the control group,with significant difference(P＜0.05).The incidence rate of adverse reactions such as fever,headache,vomiting,anemia,malnutrition,confusion and abnormal EEG in the observation group was significantly lower than that in the control group,with significant difference(P＜0.05).ConclusionThe effect of Ganciclovir combined with Interferon in the treatment of pediatric viral encephalitis is significant,which has a high clinical value.
2017 Vol. 24 (21): 72-74 [
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136
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Clinical efficacy of Levofloxacin in the treatment of acute pyelonephritis
LIAO Xin-yuan；LI Jin-cheng
ObjectiveTo study the effect of Levofloxacin in the treatment of acute pyelonephritis.MethodsFrom March 2015 to March 2017,50 patients with acute pyelonephritis in our hospital were selectad and randomly divided into the control group and the observation group,25 cases in each group.The control group was treated with Metoprolol,and the observation group was treated with Levofloxacin.The total efficiency,the incidence rate of adverse reactions and the remission time of clinical symptoms in both groups were compared.ResultsThe total effective rate in the observation group was 95.0%,which was higher than 75.0%in the control group(P＜0.05).The remission time of the clinical symptoms(the time of fever,the time of percussion pain,the relief time of the lumbago and the remission time of bladder irritation symptoms)in the observation group was shorter than that in the control group(P＜0.05).There was no significant difference in the incidence rate of adverse drug reactions between the two groups(P＞0.05).ConclusionLevofloxacin is effective in the treatment of acute pyelonephritis,which can quickly relieve the clinical symptoms,promote the recovery of patients,and is worth popularizing.
2017 Vol. 24 (21): 75-77 [
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177
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Comparison of Bismuth quadruple and traditional triple therapy in the treatment of pediatric gastritis with positive Helicobacter pylori
TANG Xiao-jun；LIU Ting
ObjectiveTo compare the clinical effect of Bismuth quadruple and traditional triple therapy in the treatment of pediatric gastritis with positive Helicobacter pylori.MethodsEighty pediatric patients with gastritis of positive Helicobacter pylori from September 2015 to September 2016 treated in our hospital were selected and were randomly divided into the observation group and control group,and there were 40 cases in each group.Patients in the control group were treated with triple therapy,and in the observation group,patients were provided with Bismuth quadruple therapy.The eradication rate of Helicobacter pylori was analyzed using14C-urea breath test.ResultsThe total effective rate was 90%in the observation group,which was much higher than that in the control group(75%),and in the observation group,the eradication rate of Helicobacter pylori was 92.5%,which was higher than that in the control group(77.5%),and at the same time,the incidence rate of adverse reactions was 5%,which was greatly lower than that in the control group(15%),which were all displayed statistical difference(P<0.05).Conclusion Bismuth quadruple and traditional triple therapy in the treatment of pediatric gastritis with positive Helicobacter pylori can obtain a better effect.
2017 Vol. 24 (21): 78-80 [
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129
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Study of anti-tumor activity in vitro of Keggin-type Silicotungstate K4[α-SiW12O40]·17H2O
C HEN Meng；GAO Ying-xue；YU Na；WANG Xiao-xiao；FAN Mei-tian；XUE Ying-xue
ObjectiveTo synthesize Keggin-type silicotungstate K4[α-SiW12O40]·17H2O(abbreviated form:KSiW12),and to study the in vitro anti-tumor activity.MethodsThe structure of KSiW12was characterized by IR and UV.The inhibitory effect of KSiW12on the growth of human hepatoma HepG2 cells and lung cancer A549 cells was studied by MTT(3-[4,5-dimethylthiazo-2-y]-2,5-diphenyltetrazolium bromide)assay.The morphological change in tumor cells affected by different concentration of drugs was observed by optical microscopes.ResultsKSiW12could inhibited HepG2 and A549 cells proliferation,showing dose-dependent,with IC50value of(7.5×10-5±3.2)mol/L and(1.7±10-4×3.8)mol/L,respectively.The morphological changes in tumor cells showed shrinking of cells and round cells under an optical microscope after treating with different concentrations of KSiW12.ConclusionKSiW12can inhibit tumor cells growth.
2017 Vol. 24 (21): 81-84转88 [
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159
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Detection study for 3 kinds inhibitor of PDE5 illegally added into health products and traditional Chinese medicine using TLC-SERS
LI Qi-hong
ObjectiveTo establish a rapid screenning method for tonic traditional Chinese medicines and to products with illegally added chemicals such as Sidenafil,Amino Tadalafil,Vardenafil.MethodsThe thin-layer spots was prepared by slica gel GF254 thin layer developing in ethanol-hexane(70∶30),and SERS spectrum was determined via adding silver glue on it.ResultsThis metod was applied to the detection of seven tonic traditional Chinese medicines and health products,and three were detected with sidenafil drμgs.ConclusionThis TLC-SERS rapid method is simple and rapid,and can be use to detect the three PDE5 inhibitors illegally added into tonic traditional Chinese medicine and health products.
2017 Vol. 24 (21): 85-88 [
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149
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Clinical Effect of Zhuimaihuichun Decoction combined with acupuncture treating cervical spondylosis of vertebral artery type
ZHANG Chun-hong
ObjectiveTo analyze the clinical effect of Zhuimaihuichun Decoction combined with acupuncture treating cervical spondylosis of vertebral artery type.Methods80 cases with cervical spondylosis of vertebral artery type treated by our department from January 2014 to August 2016 were selected and they were randomly divided into two groups with 40 cases in each group.The control group was treated with Zhuimaihuichun Decoction while the observation group was treated with Zhuimaihuichun Decoction combined with acupuncture.The blood velocity of left vertebral artery,right vertebral artery and basilar artery,and the total effective rate were compared between the two groups.ResultsIn the obser vation group,the blood velocity of left vertebral artery[(34.50±7.20)cm/s],right vertebral artery[(35.16±8.20)cm/s]and basilar artery[(45.50±10.85)cm/s]were better than those of control group(P<0.05).The total effective rate of the observation group was 90.00%,which was higher than that of the control group(62.50%)(P<0.05).ConclusionZhuimaihuichun Decoction combined with acupuncture treating cervical spondylosis of vertebral artery type has a significant clinical effect.
2017 Vol. 24 (21): 89-91 [
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163
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Clinical effect of comprehensive therapy of TCM in the treatment of Helicobacter pylori-related chronic gastritis
CHEN Hai-sheng
ObjectiveTo investigate the clinical effect of comprehensive therapy of TCM in the treatment of Helicobacter pylori-related chronic gastritis.MethodsA total of 82 patients with Helicobacter pylori-related chronic gastritis from July 11,2015 to January 5,2017 were selected and according to the principle of random grouping,the patients were divided into two groups,and there were 41 cases in each group.The control group was given western medicine,and the observation group was given comprehensive therapy of TCM.The ulcer healing rate,the negative conversion rate of Helicobacter pylori,symptom score,and score of quality of life were observed in both groups.ResultsAfter treatment,the ulcer healing rate was 95.12%,the negative conversio rate of Helicobacter pylori was 97.56%,the score of acid reflux was(0.56±0.08)points,the score of abdominal distention was(0.44±0.17)points,the score of belching was(0.32±0.11)points,the score of abdominal pain was(0.24±0.10)points,and the score of quality of life was(85.68±2.03)points,and the abovementioned data in the observation group were better than those of the control group[the ulcer healing rate:75.61%);the negative conversio rate of Helicobacter pylori:73.17%,the score of acid reflux:(1.47±0.35)points,the score of abdominal distention:(1.25±0.83)points,the score of belching:(1.14±0.51)points,the score of abdominal pain:(1.03±0.29)points,and the score of quality of life:(75.34±3.49)points](P<0.05).ConclusionThe comprehensive therapy of TCM in the treatment of helicobacter pylori-related chronic gastritis is effective.
2017 Vol. 24 (21): 92-94 [
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163
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Observation on acupoint sticking therapy of winter diseases in summer treating senile bronchial asthma
SHEN Li-ping；OUYANG Hao；LU Jiang-ning
ObjectiveTo investigate the therapeutic effect of acupoint sticking therapy of winter diseases in summer treating senile bronchial asthma(BA).Methods50 elderly patients with BA from June 2012 to April 2014 treated in our hospital were selected and they were divided into normal group and acupoint group according to the admission number,and there were 25 cases in each group.The conventional group was treated routine treatment,while the acupoint group was given the canicular days acupoint sticking therapy on the basis of the conventional group.The therapeutic effect between the two groups were compared.ResultsAfter 1 year,the pulmonary function index of the two groups of pa tients with 1 s forced expiratory volume(FEV1),FEV1/forced vital capacity(FEV1/FVC)and FEV1accounted for the percent age of predicted value(FEV1%)increased significantly than before treatment,and the range of increase was greater in acupoint group(P<0.05).The number of asthmatic attack,emergency and hospitalization were significantly lower than before treatment(P<0.05),and the degree of reduction in acupoint group was significantly higher than that of the conventional group(P<0.05).The total effective rate of acupoint group was significantly higher than that in the conventional group(68.0%vs.12.0%)(P<0.05).ConclusionThe application of acupoint sticking therapy can effectively improve the lung function of elderly patients with BA,reduce the number of seizures,the curative effect is affirmative,and the operation is convenient and simple,it is worthy of recommending.
2017 Vol. 24 (21): 95-97 [
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158
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Clinical study of needle knife combined with acupuncture therapy treating scapulohumeral periarthritis
FENG Ping-dong；HE Ze-duo；HUANG Chun-ming
ObjectiveTo explore the method and effect of needle knife combined with acupuncture therapy treating scapulohumeral periarthritis.MethodsSixty-eight patients with scapulohumeral periarthritis treated in Traditional Chinese Medicine Hospital of Maonan District in Maoming City from January 2016 to April 2017 were selected randomly and they were divided into the treatment group(n=34)and control group(n=34).The patients in the treatment group were treated with needle knife to release the adhesion tissue,and the distal limb acupuncture exercise therapy was given.The control group was treated with conventional massage combined with TDP treatment instrument to beam,oral Dai Fen Capsules treatment.The efficacy and shoulder function scores were compared between the two groups.ResultsThe total effective rate was 91.2%in the treatment group and 61.8%in the control group,and there was a significant difference(P<0.05).After treatmeng,the shoulder function score in the treatment group[(88.27±3.28)points]was higher than that of the control group[(73.67±2.56)points](P<0.05).ConclusionKnife combined with acupuncture therapy treating scapulohumeral periarthritis has an obvious effect,and it can improve the quality of life of patients and relive the pain and it is worthy of promption.
2017 Vol. 24 (21): 98-100 [
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147
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Clinicopathological features of mature cystic teratoma associated with mucinous borderline tumors of the ovary
PAN Zai-xuan ； ZHOU Yi-zhi
ObjectiveTo observed the ovarian mature cystic teratoma with mucinous borderline tumors of the clinical and pathological features.MethodsTwenty patients with mature cystic teratoma with mucinous borderline ovarian tumors from January 2001 to December 2016 in our hospital were included in this study,clinical data of patients were retrospectively analyzed,the clinical pathological features were analyzed and summarized,and the prognosis were also discussed.ResultsThe age of onset of ovarian mature cystic teratoma with mucinous borderline tumors in middle-aged people;laboratory examination showed that serum tumor markers increased;pelvic CT examination showed ovary was cystic mass,clear tumor boundaries;macroexamination visible tumor local break,break with a little mucus like substance out of the cross section of the tumor were multilocular cystic.Solid mass,cystic part containing mucus like material,the solid part was white;microscopic examination showed cystic cavity was mucinous epithelial cells,ovarian stromal invasion,there was no interstitial nipple like part of the region,the formation of common wall hole shaped sieve glands,epithelial cells could be seen at high magnification of good.A tall columnar cytoplasmic mucin and mitotic nuclei increased;immunohistochemical detection of visible teratoma epithelial showed CK7 negative,CK20 was positive in focal,mucinous borderline tumors of epithelial,CK7 showed diffuse positive,CK20 showed focal positive.All patients underwent tumor resection,and without recurrence 3 months after treatment.ConclusionOvarian mature cystic teratoma with mucinous borderline tumors is relatively rare in clinic,differential diagnosis can be carried through the detection of serum tumor markers,CT and hysteroscopy,and with relatively good prognosis after tumor resection.
2017 Vol. 24 (21): 101-103 [
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132
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Effects and mechanisms of TERT modified bone marrow mesenchymal stem cells transplantation on autophagy and cognitive function in TBI rats
YANG Feng
ObjectiveTo investigate the effects of bone marrow mesenchymal stem cells(BMSCs)under modification of telomerase reverse transcriptase(TERT)gene in improving brain tissue autophagy and cognitive function of rats with traumatic brain injury(TBI),as well as to investigate possible molecular mechanisms.MethodsBMCSs of rats was separated and authenticated,pLXSN-TERT virus recombinants were applied to carry out transfection of BMSCs,Marmarou method was adopted to prepare the models of rats with TBI.64 rats were randomly divided into four groups,namely TBI group,BMSCs-TBI group,TERT-BMSCs-TBI group and the control group,with 16 rats in each group.HE light microscopy was used to observe the brain tissue structure of rats and pathologic change.The protein expression levels of BDNF,NGF and other nerve growth factors were detected with Western blot;as well as the protein expression levels of Beclin1 and Parkin relevanttoautophagyweredetectedcorrespondingly.ThenMorris(MorrisWaterMaze)wasappliedtodetectthechangeonlearning and memorizing cognitive function of rats.ResultsAmong Morris detecting place navigation test of rats,the mean escape latency of TBI group prolongs compared to the control group(P<0.05).Compared to TBI group,the TERT-BMSCs-TBI group and BMSCs-TBI group take less mean escape latency(P<0.05).In the space probe trial,the duration of stay of TBI group in original platform quadrant was obviously less than the control group;the duration of stay of TERT-BMSCs-TBI group and BMSCs-TBI group significantly prolong compared to TBI group(P<0.05).Through Western blot detection,the result indicated that expression of protein of BDNF,NGF,Beclin1,Parkin in brain mantle tissue increased obviously in TERT-BMSCs-TBI group and BMSCs-TBI group compared to TBI group(P<0.05),and significantly increased in group TERT-BMSCs-TBI compared with BMSCs-TBI group(P<0.05).ConclusionCompared to general BMSCs transplant,the rats with BMSCs under modification of TERT have more significant learning and memorizing cognitive recovery function,that the molecular mechanism may be related to autophagy function enhancement.
2017 Vol. 24 (21): 104-106转115 [
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Exploration of the apoptosis of hepatic stellate cells after bone marrow mesenchymal stem cell transplantation and its mechanism in the treatment of hepatic fibrosis
WU Xiong-jian；ZHENG Hong；ZHU Hai-yan；MAO Zhong-yi；ZHANG Lei；XIE Jun
ObjectiveTo investigate the apoptosis of hepatic stellate cells after bone marrow mesenchymal stem cell transplantation and its mechanism in the treatment of hepatic fibrosis.Methods30 clean SD rats were purchased from Animal Experimental Center,Zhongshan University,and 20 of them were prepared for experimental research.Only ten rats whose bone marrow mesenchym stem cells were extracted and selected as the experimental group for the establishment of rat model with hepatic fibrosis.The hepatic fibrosis and apoptosis of hepatic stellate cells were intervened by bone marrow stem cell mobilization to test these indices.Another group without extraction of bone marrow mesenchymal stem cells was classified into the control group(n=10),which was not performed with intervention.The purity identification of bone marrow mesenchymal stem cells was analyzed,and the hydroxyproline content as well as hepatic stellate cell activation and apoptosis were statistically analyzed.ResultsThe percentage of CD34,CD44,CD45 and CD95 in negative cells were 99.75%,99.51%,99.80%and 95.72%,respectively.After 8-week induction via subcutaneous injection of CCl4,the content of hydroxyproline in the rat′s liver in the experimental group was significantly higher than that before transplantation(P＜0.05).In the experimental group,the content of hydroxyproline in the liver after one-week bone marrow mesenchymal stem cell transplantation was much lower compared with that 3-day after transplantation(P＜0.05).In the control group,the content of hydroxyproline in the liver after one-weekbone marrow mesenchymal stem cell transplantation was greatly higher in comparison with that 3-day after transplantation(P＜0.05).The content of hydroxyproline in the liver after one-week bone marrow mesenchymal stem cell transplantation in the experimental group was remarkably lower than that in the control group(P＜0.05).The amount of hepatic stellate positive cells in the experimental group one-week after bone marrow mesenchymal stem cell transplantation was greatly less than that in the control group(P＜0.05).The amount of hepatic stellate apoptotic cells 3-day after bone marrow mesenchymal stem cell transplantation in the experimental group was remarkably more than that before transplantation and in the control group(P＜0.05).ConclusionThe hepatic stellate cell apoptosis induced by bone marrow mesenchymal stem cells may be a major mechanism for the treatment of hepatic fibrosis.
2017 Vol. 24 (21): 107-110 [
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164
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Hemorheological indexes of patients with hyperlipidemia and their influence on biochemical detection of liver functions
SHI Zhen-gang
ObjectiveTo investigate hemorheological indexes of patients with hyperlipidemia and their influence on biochemical detection of liver functions.MethodsAltogether 60 patients who were diagnosed as hyperlipemia and treated from January 2016 to January 2017 in our hospital were selected as the observation group,60 healthy people who underwent physical examinations in our hospital over the same period were selected as the control group.The hemorheological indexes(whole blood viscosity at low shear rate 10/s,whole blood viscosity at middle shear rate 60/s,whole blood viscosity at high shear rate 150/s,plasma viscosity 120/s)and the liver function index[alanine aminotransferase(ALT),aspartate aminotransferase(AST),γ-glutamyl transpeptidase(γ-GT)]of the two groups were compared.ResultsThe level of whole blood viscosity at low shear rate 10/s,whole blood viscosity at middle shear rate 60/s,whole blood viscosity at high shear rate 150/s,plasma viscosity 120/s in the observation group was higher than that in the control group,with significant difference(P＜0.05).The levels of ALT,AST and γ-GT in the observation group was significantly higher than that in the control group,with significant difference(P＜0.05).ConclusionThe hemorheological indexes and biochemical indicators of liver function of patients with hyperlipidemia are clinically tested and proven to be significantly higher than the normal population,which is conducive to the early diagnosis,prevention and treatment and has the use and promotion value.
2017 Vol. 24 (21): 111-112转134 [
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176
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Application of PCR-SSP method in the identification of suspicious ABO blood group
ZHONG Sheng-ying
ObjectiveTo explore the clinical value of PCR-SSP in the identification of suspicious ABO blood group.Methods225 cases of suspicious ABO blood type subjects admitted by our hospital from January 2015 to December 2016 were selected and respectively tested by the PCR-SSP and serological typing methods.The relevant data differences were compared.ResultsThe results of PCR-SSP and serological typing methods were compared and the differences were statistically significant(P<0.05).ConclusionThe PCR-SSP method has high clinical value in the identification of suspicious ABO blood group and it is worth the attention of clinical transfusion workers.
2017 Vol. 24 (21): 113-115 [
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145
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Discussion on safety management and countermeasures of laboratory in general hospital
ZHENG Gu-yan；MENG Xiang-yu
As an important part in hospital construction,central laboratory plays a significant and special role in the overall development of a general hospital in medicine,education and research.With the recent development and positioning of large general hospitals,the construction of central laboratory marks as an important and indispensable approach for building a research-oriented hospital.Currently,the introduction and adoption of various new technologies,instruments and equipment brings higher and more complex requirements on safety protection and management of central laboratory.Laboratory safety management is therefore enriched with new content.The central laboratory of general hospital offers a major platform for basic medical research,thus playing an important role in enhancing the overall strength of hospital.Safety management is crucial to the rapid and effective development of laboratory.Implementation of laboratory safety management has an important effect on the overall safety of both laboratory and hospital.In this paper,according to the practical situation of Central Laboratory in Peking University International Hospital,how to establish and improve the safety management strategy of central laboratory was analyzed and discussed.
2017 Vol. 24 (21): 116-118 [
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154
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Application of targeted nursing management intervention in pediatric venipuncture
YU Jin-hua；GUO Li-yuan
ObjectiveTo explore the effect of targeted nursing management intervention in pediatric venipuncture.Methods300 cases of children with intravenous infusion from June 2013 to December 2016 treated in our hospital were divided into two groups,150 cases in each group.Routine nursing management intervention was carried out in the conventional group,and the targeted group was treated with targeted nursing management.The scores of adherence to nursing management,scores of pediatric puncture compliance,comfort score,pain score and venipuncture success rate were compared between two groups.ResultsThe success rate of puncture in the group was significantly higher than that in the conventional group(P<0.05).The incidence of adverse reactions after targeted puncture was significantly lower than that of the conventional group(P<0.01).Among them,the conventional group of 5 cases of puncture site edema,6 cases of phlebitis,4 cases of puncture site bleeding.1 case of puncture site edema in the target group.The score of satisfaction,nursing score and pain score of the children of the target group were significantly better than those of the conventional group(P<0.01).ConclusionThe implementation of targeted nursing management intervention has a significant impact,it on the success rate of pediatric venipuncture can greatly improve the compliance of puncture in children,improve the success rate of vein puncture,improve children′s comfort,reduce the pain and the adverse reaction,parents of children with high satisfaction with nursing services,it is worth promoting the application.
2017 Vol. 24 (21): 119-121 [
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129
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Effect observation on nursing risk management in critically ill patients with respiratory disease
WANG Xiao-ying
ObjectiveTo discuss the effect of nursing risk management in critically ill patients with respiratory disease and to compare the effect of nursing care.Methods78 patients who
received：
respiratory medicine from our hospital in February 2014 to November 2016 were randomly divided into control group(n=39)and observation group(n=39).Patients in the control group were given routine nursing,while those in the observation group were given nursing risk management.The clinical symptoms,patients′satisfaction and nursing effects were observed and recorded.ResultsThe respiratory rate,heart rate and pH value of patients in the observation group were more stable than those in the control group,and the patient′s breathing state was relatively better,with statistically significant differences(P<0.05).The incidence rates of unplanned extubation,nurse-patient disputes,and accidents were significantly lower in the observationgroup after nursing risk management than those in the control group(P<0.05).The satisfaction rate of patients and their families was 97.4%in the observation group after nursing risk management,significantly higher than thatin the control group(84.6%,P<0.05).The overall response rate in the observation group(94.8%)was significantly higher than that in the control group(79.5%,P<0.05).ConclusionApplication of nursing risk management in critically ill patients with respiratory disease is excellent in nursing effect,which can effectively reduce the nursing risk and improve the safety of nursing,thus is worthy to be promoted in clinical practice.
2017 Vol. 24 (21): 122-124 [
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Effect of health intervention on empty nest elderly patients with hypertension in community
MIU Li-chuan；HE Yuan-zhen；CHEN Bi
ObjectiveTo explore the effect of health intervention on empty nest elderly patients with hypertension.MethodsAltogether 50 cases of elderly empty nest patients with hypertension who lived in the community from July 2013 to August 2016 were selected as the object of this research and randomly divided into observation group and control group,with 25 cases in each group.Control group
received：
conventional antihypertensive treatment and nursing care;while,observation group accepted health intervention;the intervention period of both groups was 6 months.ResultsThe postinterventional systolic blood pressure and diastolic blood pressure of observation group,were significantly lower than those of control group;the knowledge awareness rate(84.0%),the reasonable diet rate(88.0%),the proper exercise rate(80.0%)and the medication compliance rate(72.0%)of observation group were significantly higher than those of control group(56.0%,60.0%,48.0%and 44.0%);the total incidence of complications(including coronary heart disease,stroke,heart failure and kidney failure)of observation group was 8.0%,significantly lower than that of control group(32.0%),with statistically significant difference(P<0.05).ConclusionHealth intervention can effectively control blood pressure level and reduce the risk of complications in elderly empty nest patients with hypertension in community,which is suitable for popularization and application in grass-roots community.
2017 Vol. 24 (21): 125-127 [
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Etiology factor analysis on hospital infection in patients with atrial fibrillation combined with stroke
XU Pei-yan
ObjectiveTo explore the etiology of hospital infection in patients with atrial fibrillation combined with stroke and analyze the risk factors so as to effectively reduce the incidence of hospital infection in patients with atrial fibrillation combined with stroke.MethodsA total of 236 patients with atrial fibrillation combined with stroke who were treated in hospital from May 2010 to April 2016 were enrolled in the study.The univariate analysis and multivariate logistic regression analysis were performed for influential factors for patients with atrial fibrillation combined with stroke.ResultsOf the 236 patients,75 were complicated with hospital infections,and the hospital infection rate was 31.8%.Of the 75 patients，there were 42(56%)strains of gram-negative bacteria,29(38.7%)strains of gram-positive bacteria and 4(5.3%)strains of fungi.The results of the univariate analysis indicated that the incidence of hospital infection in the patients was associated with the age,antibacterial drug kinds,hospital stay time and complication of DM and disturbence of consciousness(P<0.05).The logistic regression analysis showed that the independent risk factors for the hospital infection in the patiens with atrail fbrilliation combined with stroke included the age,antibacterial drug kinds,hospital stay time and complication of DM(P<0.05).ConclusionThe independent risk factors for the hospital infection in the patients with atrial fibrillation combined with stroke include the age,antibacterial drug kinds,hospital stay time and complication of DM,to which the clinicians should attach great importance.
2017 Vol. 24 (21): 128-130 [
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Exploration and practice of continuing medical education in specialist training in otolaryngology head and neck surgery
HAO Jin；LI Yong-xin
With the rapid development of medical technology,continuing medical education has become an important part in the medical education system.Otolaryngology head and neck surgery is characterized by its highspecialization,strong demand on facilities and devices,and interdisciplinarity,which makes it one of the most difficult majors in the continuing medical education.Currently,the forms of continuing medical education can be generally divided into two categories:traditional form,including seminar,trouble case consultation,symposium,academic salon and special column in medical journals,and internet-related new form.The latter includes pubic WeChat platform,massive open online course(MOOC)and so on.The opportunity and challenge of continuing medical education in specialist training in otolaryngology head and neck surgery will promote its improvement in systematic arrangement of the course and standardization of its evaluation system.
2017 Vol. 24 (21): 131-134 [
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Application effect of individualized teaching method in nursing students of neurology department
GUO Qing-li
ObjectiveTo explore the application effect of individualized teaching method in the teaching of nursing students in neurology department.MethodsFrom August 2014 to April 2016,121 nursing students in neurology department of our hospital were selected as subjects,and randomly divided into the experimental group(53 cases)and the control group(68 cases).The control group was used the traditional mode of teaching,the experimental group was used personalized teaching method.The effects of the two groups was compared.ResultsThe theoretical knowledge assessment and skill assessment of the experimental group was significantly higher than that of the control group,with significant difference(P＜0.01).The scores of learning interest,self-study ability,problem analysis ability,problem-solving ability and service consciousness of the experimental group was higher than that of the control group,with significant difference(P＜0.01).The satisfaction degree of teaching methods,teaching quality and teaching management in the experimental group were significantly higher than that in the control group,with significant difference(P＜0.01).In the terms of patient satisfaction degree,the satisfaction degree of operation skills,health education,nurse patient communication and service attitude in the experimental group was significantly higher than that in the control group,with significant difference(P＜0.01).ConclusionThe individualized teaching method can not only improve the learning enthusiasm of the nurses in the department of neurology,but also improve the performance of the theory and skills,enhance the sense of identity and improve the teaching quality.
2017 Vol. 24 (21): 135-137 [
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Application effect observation of delicacy management in clinical teaching for nursing interns
XU Xiao-shan
ObjectiveTo explore the application effect of delicacy management in clinical teaching for nursing interns.MethodsFrom January to December in 2016,100 nursing interns attending clinical nursing practice in our hospital were selected and randomly divided into the control group and the observation group,50 cases in each group.In the control group,interns were provided with traditional clinical teaching,while in the observation group，delicacy management was adopted during clinical teaching.The theoretical knowledge of nursing,nursing operating skill,and communication skill between nurse and patient were compared.Besides,the self-assessment results,teaching satisfaction,and the incidence rate of nursing errors were also compared.ResultsThe examination results of nursing theory knowledge,nursing skills,nurse and patient communication ability in the observation group was significantly higher than that in the control group,with significant difference(P＜0.05).The self-assessment results like improving self-learning ability,learning efficiency,comprehensive ability of nursing,ability to solve problems,and team-work spirit,etc.in the observation group were greatly superior to those in the control group,with significant difference(P＜0.05).The satisfaction rate on clinical teaching in the observation group was 100%,which was higher than 90%in the control group,with significant difference(P＜0.05).The incidence rate of nursing errors in the observation group was significantly lower than that in the control group,with significant difference(P＜0.05).ConclusionApplication of delicacy management in clinical teaching for nursing interns can effectively improve the clinical teaching effect,so that they can master more nursing theoretical knowledge and operational skills,thereby improve nursing quality and reduce the nursing errors during internship.
2017 Vol. 24 (21): 138-140转152 [
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148
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Application of webucation combined with flipped classroom on on-thejob training in nursing
YAN Xiao-qin
ObjectiveTo explore the application of webucation combined with flipped classroom on on-the-job training in nursing.Methods147 nurses in our hospital from February 2015 to March 2016 were selected and were divided into the onservation group(n=75)and the control group(n=72)according to the different training mode.The contol group were given traditional training mode,while the observation group was given webucation combined with flipped classroom mode.The theoretical and operation examination result and learning satisfaction were compared between two groups.ResultsThe theoretical and operation examination result in the onservation group was better than those in the control group,the learning satisfaction was higher than that in the control group,and the differences were statistically significant(P<0.05).ConclusionThe application of on-the-job training by webucation combined with flipped classroom in nursing,which could improve theory and practice level,it is worth to be used.
2017 Vol. 24 (21): 141-143转158 [
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152
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Effectofhealtheducationoftumorchemotherapyontreatment compliance and negative emotion of patients
WANG Xing-ying；HE Ye
ObjectiveTo investigate the effect of health education of tumor chemotherapy on treatment compliance and negative emotions of patients.Methods90 patients with cancer treated in our hospital from October 2014 to September 2015 were selected and divided into observation group and control group using the random number table method,and each group had 45 cases.The change of SAS score,SDS score,and score of life quality were observed,and the treatment compliance was compared between the two groups.ResultsThere was no significant difference in SAS score and SDS score between two groups before treatment(P>0.05).After intervention,the SAS score and SDS score were decreased in both groups,and SAS score and SDS score in the observation group[(43.45±8.12),(42.98±8.39)points]were significantly lower than those in the control group[(49.45±8.90),(47.02±8.69)points]after intervention,and there was a statistical difference(P<0.05).The compliance rate of the observation group was 95.56%,which was significantly higher than that of the control group(73.33%),and there was a statistical difference(P<0.05).The quality of life score in the observation group[(57.12±11.02)points]was significantly higher than that in the control group[(52.68±8.69)points]after nursing intervention,and there was a statistical difference(P<0.05).ConclusionChemotherapy health education can effectively relieve tension and anxiety of patients,improve the compliance and life quality of patients,and the effect is significant.
2017 Vol. 24 (21): 144-146 [
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126
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Application of evidence-based nursing care in pregnancy with severe preeclampsia
HUANG Xiao-chun
ObjectiveTo explore application of evidence-based nursing care in preeclampsia pregnancy.Methods200 patients with severe preeclampsia in our hospital from January 2015 to February 2016 were selected and randomly divided into the observation group and the control group,with 100 cases in each group.The control group was given routine nursing,while the observation group was given evidence-based nursing intervention.The incidence of complication,the length of hospital stays and nursing satisfaction of pregnancy and the incidence of complication and score of Apgar of newborns were compared between two groups.ResultsThe incidence of complication of pregnancy in the observation group was lower than that in the control group,the length of hospital stays was shorter than that in the control group,the nursing satisfaction was higher than that in the control group;the incidence of complication of pregnancy(fetiparous,fetal distress,neonatal asphyxia)in the observation group was lower than that in the control group,the score of Apgar of new borns was higher than that in the control group,and the differences were statistically significant(P<0.05).Conclusion The use of evidence-based nursing approach for the treatment of severe preeclampsia pregnant women can effectively prevent maternal and neonatal related adverse complications,improve the quality of clinical care and neonatal quality of life,shorten the treatment time,has a high clinical application value.
2017 Vol. 24 (21): 147-149 [
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137
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Application effect of targeted nursing in PICC
Wu Xi-ying
ObjectiveTo explore the application effect of targeted nursing in peripherally inserted central catheter(PICC).MethodsThe clinical effects of applying PICC combined with targeted nursing in 30 tumor patients admitted into our hospital from December 2015 to February 2017 February were retrospectively analyzed and were selected as the observation group.At the same time,the clinical effect of another 30 tumor patients in our hospital and were applied with PICC was selected as the control group.The incidence of complication were compared between two groups.ResultsThe incidence of complications(bleeding or infection of the puncture point and thrombosis)in the observation group(3.33%)was lower than that in the control group(30.00%),and the difference was statistically significant(P<0.01).ConclusionCombination of PICC and targeted nursing protects peripheral blood vessels,can observe and detect nursing problems in time,and taking effective measures can decrease and prevent bleeding or infection of the puncture point and thrombosis complications,avoids the pain caused by repeated puncture,provide a painless therapeutic pathway,and ensures the successful accomplishment of chemotherapy in cancer patients,which has a great adaptability in clinic.
2017 Vol. 24 (21): 150-152 [
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138
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Application effect of comprehensive nursing intervention on patients with subtotal thyroidectomy
SONG Cui-cui
ObjectiveTo explore the application effect of comprehensive nursing intervention on patients with subtotal thyroidectomy.Methods94 cases of subtotal resection patients in our hospital from January 2015 to January 2016 were selected in this reasearch and randomly divided into the observation group and the control group according to casting coins,with 47 cases in each group.The observation group was given comprehensive nursing intervention,while the control group was given routine nursing.The length of hospital stays,the levels of anxiety and depression,the incidence of complication and nursing satisfaction were compared between two groups.ResultsThe length of hospital stays[(5.2±0.5)d]in the observation group was shorter than that in the control group[(7.0±1.2)d],the scores of SAS,SDS[(24.7±2.5),(28.5±2.8)points]were lower than those in the control group[(33.9±3.6),(37.1±3.7)points],the incidence of complication(10.64%)was lower than that in the control group(23.40%),the nursing satisfaction(95.74%)was higher than that in the control group(85.11%),and the differences were statistically significant(P<0.05).ConclusionFor subtotal thyroidectomy patients,comprehensive nursing interventioncan can improve the satisfaction of patients,reduce complications,help patients to establish a good state of mind and also can shorten the length of hospital stay.
2017 Vol. 24 (21): 153-155 [
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123
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Study on significance of clinical nursing pathway in patients with type 2 diabetes mellitus
WU Zhi-hua；LIN Hui；ZHANG Dong-hui；LU Ze-yuan；CHEN Xiao-yan
ObjectiveTo explore the intervention nursing on patients with type 2 diabetes mellitus.Methods122 patients with type 2 diabetes admitted into our hospital from January 2014 to December 2016 were selected as the subjects.The patients were divided into 2 groups randomly.The observertion group(n=64)was given the intervention nursing and the control group(n=58)was given with the routine nursing.The patients′nursing results were assessed using the Hamilton anxiety scale(HAMA).ResultsHAMA score of two groups of patients was lower than that of admission,and the difference was statistically significant(P<0.05).HAMA score of the observation group after nursing was lower than that of the control group,and the difference was statistically significant(P<0.05).FBG and PBG value of the two groups were significantly lower than those of the patients after nursing and the difference was statistically significant(P<0.05).FBG and PBG value in the observation group leaving hospital were significantly lower than those in the control group,the difference was statistically significant(P<0.05).ConclusionThe effective nursing path can effectively improve the anxiety state of patients with type 2 diabetes,timely control the blood glucose of patients and improve the prognosis of patients.
2017 Vol. 24 (21): 156-158 [
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141
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Efficacy of comprehensive nursing intervention on nursing of patients with endometrial
SUN Yun-ling；DAI Ping-hua；ZHANG Yu
ObjectiveTo explore the efficacy of comprehensive nursing intervention in nursing patients with endometrial carcinoma.Methods30 patients with endometrial carcinoma from October 2014 to October 2016 were selected and randomly divided into the control group and the observation group,with 15 cases in each group.The control group was given routine nursing intervention,and the observation group was given comprehensive nursing intervention.The nursing satisfaction,the levels of anxiety and depression,the quality of life were compared between two groups.ResultsThe nursing satisfaction in the observation group was higher than that in the control group,the scores of HAMA,HAMD were lower than those in the control group,the quality of life was higher than that in the control group,and the differences were statisti cally significant(P<0.05).ConclusionComprehensive nursing care intervention is carried out in patients with endometrial carcinoma.The quality of life of patients is improved obviously,the nursing satisfaction is improved,the psychological condition is improved and it is worthy of clinical application.
2017 Vol. 24 (21): 159-161 [
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152
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Influence of nursing intervention on treatment compliance in patients undergoing endoscopic sinus surgery
WAN Yong-hong；CHEN Xiu-li；WANG Jun
ObjectiveTo explore the Influence of nursing intervention on treatment compliance in patients undergoing endoscopic sinus surgery.Methods94 patients undergoing endoscopic sinus surgery in our hospital from February 2015 to January 2017 were selected and divided into the observation group and the control group according to the odd and even numbers,with 47 cases in each group.The control group was given conventional nursing methods,while the observation group was given nursing intervention.The treatment compliance,nursing satisfaction,the level of behavioral and cognitive and incidence of complication were compared between two groups.ResultsThe treatment compliance and nursing satisfaction in the observation group were higher than those in the control group,the master rate of medication methods,the awareness rate of pathogenesis,precaution and self-nursing were higher than those in the control group,the incidence of complication was lower than that in the control group,and the differences were statistically significant(P<0.05).ConclusionThe nursing intervention for patients with endoscopic sinus surgery,not only make the nursing satisfaction of patients,but also improve the treatment compliance,accelerate patient recovery.
2017 Vol. 24 (21): 162-164 [
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136
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Effect evaluation of continuous comfort nursing in elderly patients with hip fracture after surgery
CHEN Xiao-qing
ObjectiveTo explore the efficacy of continuous comfort nursing in elderly patients with hip fracture after surgery.Methods88 elderly patients with hip fractures undergone surgery from January 2015 to January 2016 in our hospital were selected and randomly divided into the observation group and the control group,with 44 cases in each group.The control group was given routine nursing,while the observation group was given continuous comfort nursing.The psychological states before and after nursing,incidence of complication,mortality rate,the conditions of hip joint function and activities of daily living were compared between two groups.ResultsBefore nursing,there were no significant differences among the scores of SAS and SDS in two groups(P>0.05);after nursing,the scores of SAS and SDS 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<0.05).The incidence of complication in the observation group were lower than those in the control group,the score of Harris was higher than those in the control group,the score of ADL was lower than that in the control group,and the differences were statistically significant(P<0.05).There were no significant difference between two groups in mortality rate(P>0.05).ConclusionFor elderly patients with hip fracture after surgery,implementation of continuous comfort care can effectively improve patient’s postoperative anxiety and depression,significantly reduce the incidence of postoperative complications,remarkably enhance the joint activity in the affected side as well as patient’s quality of life,which is worthy of promotion.
2017 Vol. 24 (21): 165-167转193 [
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144
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Efficacy of interactive health education in children with fracture
ZHANG Li-chun
ObjectiveTo explore the efficacy of interactive health education in children with fracture.Methods116 children patients with fracture in our hospital from January 2015 to January 2016 were selected and divided into the observation group and the control group according to the order of hospitalization,with 58 cases in each group.The control was given routine health education,while the observation group was given interactive health education.The mastery rate of fracture information of children′s parents,the malunion rate and complete functional recovery rate of patients and the nursing satisfaction of children′s parents were compared between two groups.ResultsThe mastery rate of fracture information of children′s parents,complete functional recovery rate and nursing satisfaction of children′s parents were higher than those in the control group,the malunion rate was lower than in the control group,and the differences were statistically significant(P<0.05).ConclusionThe implementation of interactive health education in nursing care of children with fracture of children when Education measures can significantly improve the children′s family members to master the knowledge of fracture,improve the rehabilitation effect of children fracture and the satisfaction degree of the family members of the children,which is worthy of clinical promotion
2017 Vol. 24 (21): 168-170 [
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133
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Influence of Bifid Triple Viable Capsules combined with early enteral nutrition on nutritional status and gastrointestinal function for patients with acute cerebral infarction
ZHAO Jing
ObjectiveTo discuss the influence of Bifid Triple Viable Capsules combined with early enteral nutrition on nutritional status and gastrointestinal function for patients with acute cerebral infarction.Methods74 patients with acute cerebral infarction treatedin our hospital from September 2015 to July 2016 were selected as the research objects,and they were divided into the observation group and the control group according to the random number method,and there were 37 cases in each group.The control group was given early enteral nutrition,while the observation group was given Bifid Triple Viable Capsules combined with early enteral nutrition.Then,the nutritional status and gastrointestinal function of patients in two groups were observed.ResultsBefore intervention,there was no significant difference in prealbumin(PA),hemoglobin(Hb),albumin(Alb),transferrin(TRF)between the two groups(P>0.05).After intervention,the nutritional indexes in the observation group were better than those in the control group,and the difference was statistically significant(P<0.05);Before intervention,there was no significant difference in the function of intestinal mucosa such as D-lactic acid,endotoxin,serum two amine oxidase(DAO),urinary lactulose/mannitol(L/M)value between the two group(P>0.05).After intervention,the intestinal mucosal function indicators of patients in two groups had been improved,but the each index in the observation group was significantly lower than those in the control group,and the difference was statistically significant(P<0.05).The incidence of diarrhea,abdominal distension,vomiting and constipation in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).ConclusionBifid Triple Viable Capsules combined with early enteral nutrition can improve the nutritional status of patients with acute cerebral infarction,but also can improve the gastrointestinal function,and it play a adjuvant therapy role,thus it is worthy of promotion in clinic.
2017 Vol. 24 (21): 171-173 [
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152
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Efficacy of extended nursing on compliance behavior of elderly patients with diabetes mellitus
XIE Qi
ObjectiveTo explore the efficacy of extended nursing on compliance behavior of elderly patients with diabetes mellitus.Methods40 patients with diabetes mellitus in our hospital from January 5th2016 to March 6th2017 were selected and were divided into the observation group and the control group according to the different nursing methods,with 20 cases in each group.The control group was given routine nursing,while the observation group was given extended nursing.The compliance behavior,postprandial blood glucose,glycosylated hemoglobin,nursing satisfaction and master degree of blood glucose knowledge were compared between two groups.ResultsBefore intervention,there were no significant differences between two groups on compliance behavior,fasting blood glucose postprandial blood 2 h glucose and glycosylated hemoglobin(P>0.05);after intervention,the compliance behavior in the observation group was higher than that in the control group,the levels of postprandial 2 h blood glucose and glycosylated hemoglobin were lower than those in the control group,and the differences were statistically significant(P<0.05).The nursing satisfaction and master degree of blood glucose knowledge in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).ConclusionThe Conclusion:Extensive nursing is of great significance to elderly patients with diabetes mellitus,which can effectively improve the compliance behavior and control the blood glucose level.It is worthy to be popularized clinically.
2017 Vol. 24 (21): 174-176 [
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137
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Efficacy comfortable nursing on decreasing the incidence of urinary fistula in children with hypospadias after Snodgrass surgery
DENG Zhi-mei
ObjectiveTo explore efficacy comfortable nursing on decreasing the incidence of urinary fistula in children with hypospadias after Snodgrass surgery.Methods200 cases in the hospital with hypospadias undergoing Snodgrass surgery from January 2010 to December 2016 were selected and divided into two groups according to the random number method.100 cases were given routine nursing care(the control group),100 cases were given comfortable care on the basis of the control group(the observation group).The number of crying,postoperative pain,the first defecation time,stool con sistency,the incidence of postoperative urinary fistula and incision complications were compared between two groups.ResultsThe number of crying patients in the observation group was significantly less than that in the control group,and the crying time was significantly shorter than that of the control group(P<0.05).The number of pain caused by different causes in the observation group was significantly less than that in the control group(P<0.05).The first defecation time of the patients in the observation group was significantly shorter than that of the control group,and the number of stool soft wet symptoms was significantly higher than that of the control group(P<0.05).The incidence of postoperative urinary fistula and incision complications were significantly lower than thoset of the control group(P<0.05).ConclusionNursing care of children with hypospadias undergoing Snodgrass surgery in the choice of comfort care can significantly reduce the pain of patients,reduce the incidence of incision complications and urinary fistula after operation,promote the rehabilitation of patients.It is worthy of promotion in clinical use.
2017 Vol. 24 (21): 177-180 [
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Application effect of meticulous nursing in cesarean section and myomectomy
YUAN Yu-mei；REN Kui-shun；CHEN Yue-mei；XIE Jian
ObjectiveTo investigate the application effect of meticulous nursing in cesarean section and myomectomy.MethodsFrom February 2014 to January 2016,100 cases of cesarean section and myomectomy treated in our hospital were selected as objects.The patients were randomly divided into the control group and the intervention group,and there were 50 cases in each group.The patients in the control group
received：
routine nursing,while the intervention group received routine care supplemented by meticulous care.Postoperative recovery indicators and nursing satisfaction degree between the two groups were compared.ResultsHospitalization time,temperature converting time(<38℃),anal exhaust time and lochia clean time in the intervention group were significantly shorter than those of the control group,and the difference was statistically significant(P<0.05).Total nursing satisfaction degree of patients in the intervention group(96.0%)was higher than that of the control group(80.0%),and the difference was statistically significant(P<0.05).ConclusionMeticulous nursing intervention applied in cesarean section combined with myomectomy has good application effect.It can accelerate the postoperative rehabilitation rate,shorten the hospitalization time,improve the quality of nursing service and the satisfaction degreof patients,and it can be popularized and applied in primary hospitals.
2017 Vol. 24 (21): 181-183 [
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183
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Perioperative nursing care of patients with acetabular prosthesis combined with particle impaction bone grafting acetabular revision
TU Jun-ling
ObjectiveTo explore the perioperative nursing care of patients with acetabular prosthesis combined with particle impaction bone grafting acetabular revision.Methods50 patients with acetabular prosthesis in our hospital from February 2013 to May 2015 were selected,all patients were treated with cementless acetabular components combined with bone graft impaction of acetabular revision,and were divided into two groups according to the different nursing methods,with 25 cases in each group.The control group was treated with routine perioperative nursing,while the onservation group was treated with comprehensive nursing in the perioperation period.The nursing effects were compared between two groups were compared.ResultsBefore operation,there were no significant differences between the scores of Harris in two groups(P>0.05);after operation,the scores of Harris in two groups were all increased,and compared with those before operation,the differences were statistically significant(P<0.05).And that in the observation group was higher than that in the control group,and the differences were statistically significant(P<0.05).The incidence of postoperative complications in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).ConclusionIn the biological type acetabular prosthesis with particle impaction bone grafting in acetabular revision,give a scientific and reasonable perioperative nursing intervention can effectively promote the recovery of hip joint function,reduce the incidence of complications,it has clinical application and popularization value.
2017 Vol. 24 (21): 184-186转189 [
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156
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Efficacy of exercise rehabilitation nursing on cardiac function and quality of life in patients with chronic heart failure
HUANG Ming；XU Hui-yu
ObjectiveTo explore the efficacy of exercise rehabilitation nursing on cardiac function and quality of life in patients with chronic heart failure.Methods80 patients with chronic heart failure who were treated in our hospital during January 2015 to January 2017 were selected and were randomly divided into the observation group and the control group,with 40 cases in each group.The control group was given routine nursing,while the observation group was given exercise rehabilitation nursing on the basis of the control group.The recovery effect and quality of life between two groups were compared.ResultsThe heart function of the observation group was better than than in the control group,and the difference was statistically significant(P<0.05).Before intervation,there were no significant differences among the scores of indexes in SCL-36 in two groups(P>0.05);after nursing,those in the observation group were higher than those in the con trol group,and the differences were statistically significant(P<0.05).ConclusionFor patients with chronic heart failure to take exercise rehabilitation nursing,can promote the recovery of heart function in patients to a certain extent and improve the quality of life of patients,It is worthy of clinical application and promotion.
2017 Vol. 24 (21): 187-189 [
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138
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Application of fast track surgery concept in the nursing of laparoscopic cholecystectomy in patients with cirrhosis
ZHONG Bi-liu；ZHONG Yi-hong
ObjectiveTo explore the application of fast track surgery concept in the nursing of laparoscopic cholecystectomy in patients with cirrhosis.Methods114 patients with cirrhosis
received：
laparoscopic cholecystectomy in our hospital from November 2013 to December 2015 were selected and divided into the control group and the observation group according to the random number table,with 57 cases in each group.The control group patients were given routine nursing methods,while the observation group patients were given the rapid rehabilitation surgery concept.The operation time,hospitalization time,intestinal ventilation time,psychologic status,the incidence of postoperative complications and nursing satisfaction were compared between two groups.ResultsThe operation time,hospitalization time and intestinal ventilation time in the observation group were shorter than those in the control group,the incidence of postoperative complications was lower than that in the control group,the nursing satisfaction was higher than that in the control group,and the differences were statistically significant(P<0.05).Before nursing,there were no significant differences among the scores of SAS and SDS in two groups(P>0.05);after nursing,the scores of SAS and SDS in the observation group were decreased,and compared with those before nursing,the differences were statistically significant(P<0.05),but there were no statistically significant differences in the control group between those before and after nursing(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).ConclusionRapid rehabilitation surgery concept of laparoscopic cholecystectomy in patients with cirrhosis can effectively improve the effect of the treatment of patients with nursing,which is worth popularization in clinical work.
2017 Vol. 24 (21): 190-193 [
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Efficacy of acupuncture combined empathy nursing on sleep quality of patients with chronic insomnia
LI Shu-lan；YAO Dong-mei
ObjectiveTo explore the efficacy of acupuncture combined empathy nursing on sleep quality of patients with chronic insomnia.Methods80 patients with chronic insomnia patients in our hospital from August 2014 to December 2016 were selected and were randomly divided into the control group and the observation group,with 40 cases in each group.The observation group was treated with acupuncture method combined with empathy nursing,while the control group was treated with acupuncture combined with routine nursing.The clinical effects and sleep conditions were compared between two groups.ResultsThe total effective rate and sleep quality improvement rate in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).Before nursing,there were no significant differences among the scores of PSQI,time to falling asleep,sleeping time and number of taking sleeping pills a week in two groups(P>0.05);after nursing,the scores of PSQI,time to falling asleep,sleeping time in the observation group were shorter than those in the control group,the number of taking sleeping pills a week was less than those in the control group,and the differences were statistically significant(P<0.05).ConclusionCombined Acupuncture with moxibustion therapy can significantly improve the empathy nursing of patients with chronic insomnia,insomnia,sleeping pills to take to reduce the number of patients with insomnia,reduce the pain,improve the sleep quality of patients significantly.
2017 Vol. 24 (21): 194-196 [
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162
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