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2017 Vol. 24, No. 16
Published: 2017-06-08
4
Clinical study of Qiliqiangxin Capsules applied in elderly patients with heart failure complicated with decreased glomerular filtration rate
SUN Gui-feng；LIU Yu；WANG Yan-xia；WANG Ying；XUE Yu-zeng
ObjectiveTo observe the safety and effectiveness of Qiliqiangxin Capsules applied in elderly patients with heart failure complicated with decreased glomerular filtration rate.MethodsA total of 172 elderly patients with heart failure complicated with decreased glomerular filtration rate treated in department of geriatrics were enrolled continuously from February to April 2016,and they were randomly divided into the two groups.The control group was treated with standardized treatment of heart failure,while the study group was treated with Qiliqiangxin Capsules on the basis of standardized treatment
received：
.After 12 weeks,eGFR,B type natriuretic peptide (BNP)and Minnesota Living with Heart Failure questionnaire (MLHFQ)score were compared between the two groups.ResultsThere was no significant difference between the two groups before treatment(P＞0.05).After 12 weeks,the difference of BNP level and estimated eGFR and MLHFQ score in the two groups was statistically significant compared with before treatment(P＜0.05).Study group compared with the control group,the BNP level decreased[(865.0±124.5)pg/ml vs.(997.0±141.7)pg/ml(P＜0.05),the estimated eGFR improved[(74.2±16.2)ml/（min·1.73 m2） vs.(69.3±15.4)ml/（min·1.73 m2）](P＜0.05)and MLHFQ score decreased[(24.5±11.2)points vs.(36.6±12.3)points] (P＜0.05).ConclusionFor elderly patients with heart failure received Qiliqiangxin Capsules does not affect the renal function of patients based on standard treatment,and can improve cardiac function and improve the quality of life.
2017 Vol. 24 (16): 4-7 [
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rhEPO reduces neuron apoptosis after intracerebral hemorrhage in rats by regulating JAK2/STAT5 signaling
LIANG Jun-jun；WANG Ya-bing；XIN Hai-bin；LIU Wei
ObjectiveTo investigate whether recombinant human erythropoietin(rhEPO)could decrease neuron apoptosis after cerebral hemorrhage by regulating JAK2/STAT5 signaling pathway.Methods30 Wistar male rats of 8 weeks old were randomly divided into 3 groups:sham operation group,ICH model group and rhEPO group,the rats in ICH model group were treated with ICH.In the sham operation group,the treatment were same as ICH group except blood injection.rhEPO group was injected with rhEPO at 5 min after operation.All animals were scored with neurological score at 24 h after the ICH model was established.The effect of neuronal apoptosis were detected by TUNEL staining.The expression of pro-apoptosis protein Caspase3 was detected by immunohistochemistry.The expressions of JAK2 and STAT5 mRNA and protein were measured by Real time PCR and Western blot.ResultsNeurological score was performed 24 hours after the establishment of the intracerebral hemorrhage model.According to the criteria of Longa5 standard,in ICH group,four rats were evaluated as score 1,three rats were rated as score 2 and two rats were rated as score 3.In rhEPO group,five rats were evaluated as score 1 and two rats were rated as score 2,one rat were rated at score 3,indicating that rhEPO can ameliorate neuronal damage and restore nerve function after intracerebral hemorrhage in rats.Compared to sham group,the quantity of apoptotic cells and the expression of Caspase3 in ICH model group and rhEPOgroup were significantly increased(P＜0.05),while the apoptotic cells in rhEPO group were significantly down-regulation compared with the ICH group (P＜0.05).Compared with the sham group,the protein expression and mRNA expression of JAK2 and STAT5 in ICH group and rhEPO group were significantly up-regulated (P＜0.05),while the protein expression and mRNA expression of JAK2 and STAT5 in rhEPO group were decreased significantly compared to ICH group(P＜0.05).ConclusionrhEPO reduce neuronal apoptosis by regulating JAK2/STAT5 signal after cerebral hemorrhage,and has protective effect on the nervous system in rats.
2017 Vol. 24 (16): 8-12 [
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199
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Study on TNF-α inducing human squamous cell carcinoma of lung to produce EMT promoting metastasis
HONG Qiong-chuan；TANG Yi-ling；MAI Jin；ZHAO Yong
ObjectiveTo clarify the potential mechanism of TNF-α inducing human squamous cell carcinoma of lung to produce EMT changing and promoting the invasion and metastasis of carcinoma cells.MethodsSK-MES-1 cells of Human lung squamous cell carcinoma treated with TNF-α,and the motion,migration and invasion ability of lung cancer cells were detected by Scratch-wound assay and Transwell chamber assay,and Western blot was performed to examine whether the cell producing EMT change or not(markers Vimentin and E-cadherin).ResultsTNF-α could promote the motion,migration and invasion ability of SK-MES-1 cells of Human lung squamous cell carcinoma,and could make the cell produce EMT change,the epithelial marker(E-cadherin)decreased and the expression of the mesenchymal marker(Vimentin)increased.ConclusionTNF-α can induce EMT change in squamous cell carcinoma of lung and promote metastasis.
2017 Vol. 24 (16): 13-16 [
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Research progress on exogenous behavior in patients with mental illness
DENG Li-zhang；HUANG Jia-wei；YANG Xin-hu；LENG Chuan-fang；CAI Dong-bin；CHEN Yan-fen；NING YU-ping；ZHENG Wei；XIANG Ying-qiang
Exogenous behavior in patients with mental illness causes substantially safe risk in psychiatric ward management,which may further lead to social harm and severe medical disputes.However,exogenous behavior of patients with mental illness is associated with a variety of factors.So a series of effective measures should be worked out to prevent or intervent.Thus,this paper summarized a research status based on its prevalence,relative influencing factors,and intervention measures in the last few years,aimed to further examine the factors and intervention methods of exogenous behavior in patients with mental illness.
2017 Vol. 24 (16): 17-19转32 [
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152
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Research progress of traditional Chinese medicine in the treatment of diabetic kidney disease
JIANG Xi-yuan ；LIU Li-yan； LU Yu-feng ；LIU Fu-tian
Diabetic kidney disease is one of the major complications of diabetes,is a major cause of chronic renal failure.Western medicine has no good treatment for this disease.Traditional Chinese Medicine has achieved good results in the treatment of diabetic nephropathy，especially in improving clinical symptoms.On the basis of conventional western medicine treatment，it can effectively reduce and delay the development of the disease.In this paper，a comprehensive review of the literature on the treatment of diabetic kidney disease in recent years，to explore the advantages of traditional Chinese medicine in the treatment of diabetic nephropathy.
2017 Vol. 24 (16): 20-23 [
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170
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Clinical effect and safety of Zoledronic Acid Injection combined with Caltrate D in treatment of diabetic osteoporosis
HUANG Bing
ObjectiveTo probe into the clinical effects and safety of Zoledronic Acid Injection combined with Caltrate D in treatment of diabetic osteoporosis.Methods77 cases of patients with diabetic osteoporosis and who accepted treatments in our hospital from April 2012 to April 2016 were selected as the research object，and were grouped by the random number table method,the observation group of 39 cases and the control group of 38 cases.The control group were used the conventional hypoglycemic therapy combined with Caltrate D treatment,while the observation group was added with Zoledronic Acid Injection on the basis of the control group.Then,the changes of bone mineral density,bone metabolism and adverse reactions after treatment of two groups of patients were observed.ResultsBefore treatment,there was no significant difference in bone mineral density of the femoral neck,lumbar spine and Ward′s triangle between the two groups（P＞0.05）,after the treatment,the bone mineral density levels of two groups of patients were improved,and the bone mineral density after treatment in the observation group was significantly higher than that of the control group,the difference was statistically significant（P＜0.05）.Before the treatment,there was no significant difference in the ALP,Ca,P,HCT,BGP and other bone metabolic markers between two groups of patients（P＞0.05）,after the treatment,the ALP in the control group was lower than that before treatment,and there was no significant difference between the other indexes（P＞0.05）,and the changes of the indexes in the observation group were statistically significant compared with the control group （P＜0.05）.There was no serious adverse reactions of two groups of patients，the observation group had 2 cases of nausea,bone pain,fever and other symptoms,disappeared after symptomatic treatment.ConclusionThe Zoledronic acid combined with Caltrate D which can improve bone mineral density in patients with diabetic osteoporosis,improve bone metabolism,and safety is high,thus it is worthy to be promoted.
2017 Vol. 24 (16): 24-26 [
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209
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The difference in the effect of glycerine enema and post-bowel enema and compound polyethylene glycol electrolyte in the preparation of intestinal cleaning of PPH
OUYANG Qin ；LIN Yue-chun ；WANG San-ying
ObjectiveTo explore the difference of the effect between the glycerine enema and oral compound polyethylene glycol electrolyte in the preparation of intestinal cleansing after procedure for prolapse and hemorrhoids(PPH)surgery.Methods84 case of proposed to PPH patients in our hospital from March 2015 to March 2017 were selected,and they were divided into group A (42 cases)and group B (42 cases)by extracting hospitalization number through computer software,they were given the different preoperative bowel cleansing of clean enema and compound polyethylene glycol electrolyte disintegration combined with enema enema respectively.The efficacy and adverse reactions of the two groups were compared.ResultsThere was no significant difference in the preparation of intestinal cleansing between the two groups(P＞0.05).The incidence of abdominal pain,fecal spontaneous outflow and defecation in group A was significantly higher than that in group B (P＜0.05).ConclusionClean enema and compound polyethylene glycol electrolyte disperse combined with cypriot enema in the preparation of intestinal cleansing have a significant effect,but the compound polyethylene glycol electrolyte combined with open plug enema can reduce the occurrence of adverse reactions of patients related to the intestinal preparation process,and improve comfort of patients.
2017 Vol. 24 (16): 27-29 [
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193
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Control effect of surgical incision and drainage on anal fistula formation in patients with perianal abscess
JIANG Peng-jun；MA Guo-zhen；LIU Heng-liang；GONG Ying-sheng；PENG Wen
ObjectiveTo study the effect of incision and drainage on the formation of anal fistula formation in perianal abscess by surgery，and to provide help for clinical medical treatment.Methods80 patients with clinical data from April 2016 to January 2017 were selected.The patients were divided into two groups:the observation group and the control group by random grouping(ie,digital grouping method).The number of patients in each group were 40 cases.The patients in the observation group were treated with a one-time surgical incision and drainage technique，and the abscess was cut by conventional treatment only in the control group.The two groups of patients after treatment and disease recurrence probability,the corresponding conclusions were compared.ResultsThe abscess recurrence rate and anal fistula formation rate of observation group was 2.5%and 5.0%respectively,the control group was 12.5%and 25.0%,the difference between the two groups was statistically significant(P＜0.05).ConclusionThe treatment of perianal abscess with one-time surgical incision and drainage is a good way to shorten the treatment course of the patients.It is effective to avoid the worsening of the wound after various operation.It is suggested that it should be widely used clinically.
2017 Vol. 24 (16): 30-32 [
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163
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Comparative study of photorejuvenation and Q1064 nm for laser on facial chloasma
QI Wei；JIAO Na
ObjectiveTo compare the effect of Q1064 nm laser and photorejuvenation techniques for facial chloasma.Methods80 cases with chloasma treated in our hospital from May 2013 to August 2015 were selected and randomly divided into two groups according to the random numbers method,the observation group (n=40)was treated with Q1064 nm laser photorejuvenation instrument,and the control group (n=40)was treated with IPL Queen SR treatment.VISIA skin image and SOFT5.5 skin properties test results of two groups before and after the intervention were compared,clinical onset time and total treatment time of the two groups were calculated.ResultsThe scores of pigment,wrinkle,texture,pores,and quality of skin of the observation group were higher than those of the control group(P＜0.05),the skin pH,moisture and elasticity of SOFT 5.5 skin test of the observation group were better than those of the control group (P＜0.05).The treatment time in the observation group was shorter than that in the control group,and the total treatment time was shorter than that in the control group(P＜0.05).ConclusionQ1064 nm laser can effectively improve the skin of patients with chloasma,shorten the treatment cycle,and improve the clinical treatment.
2017 Vol. 24 (16): 33-35 [
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Clinical observation of leukotriene antagonist combined with inhalation of Seretide in the treatment of senile asthma
LI Yan-mei
ObjectiveTo explore the clinical therapeutic effect of leukotriene antagonist combined with inhalation of seretide in elderly patients with asthma.MethodsA total of 120 elderly patients(85 in male and 35 in female)visited our hospital from January 2015 to February 2017 were selected as research objects.By a random number table,these participants were evenly divided into control group and treatment group,60 cases in each group.In the control group,inhalation of Seretide was used,while leukotriene antagonist combined with inhalation of Seretide was adopted for the treatment.The clinical effect in the two groups was compared.ResultsAfter therapy,certain effect was obtained in both groups.However,compared with the control group,the scores of FEV1,FVC,and PEF were higher as well as IL-12 in the treatment group.The IL-13 was in great decrease in the treatment group.In comparison of the control group,the scores of asthma,psychologicalstatus,self-care,andactivity limited were much better and with statistical differences(P＜0.05).Conclusion The combination of leukotriene antagonist and inhalation of Seretide in the treatment of elderly patients with asthma can improve pulmonary function,weaken the inflammatory mediators,enhance the quality of life with a great effect,which is worthy of great promotion and application in clinic.
2017 Vol. 24 (16): 36-38 [
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Efficacy of Terbutaline inhalation in the treatment of chronic obstructive pulmonary disease
WU Zhi-wen；XIE Guang-yuan
ObjectiveTo investigate the clinical efficacy of Terbutaline inhalation therapy for chronic obstructive pulmonary disease(COPD).Methods60 patients with acute COPD were enrolled in our hospital from January 2015 to December 2016，randomized by digital table method,and 30 patients in the control group were treated with inhalation of budesonide，30 patients in the study group were treated with control group based on the use of Terbutaline,the two groups of patients were treated for 1 week,after the end of treatment to evaluate the efficacy and improve the patient′s lung function improvement.ResultsThe total effective rate was 96.7%(29/30)in the study group and 80.0%（24/30） in the control group， the difference was statistically significant（P＜0.05）;forced expiratory volume （FEV1）and FEV1/FVC were not statistically significant（P＞0.05）.After treatment,the study group for the indexes above were significantly better than those in the control group,the differences were statistically significant(P＜0.05).ConclusionThe efficacy of Terbutaline combined with Budesonide inhalation in the treatment of acute chronic obstructive pulmonary disease is superior to that of Budesonide alone，which can effectively improve the pulmonary function of patients and is worthy of clinical application and promotion.
2017 Vol. 24 (16): 39-41 [
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209
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Clinical value analysis of laparoscopy in treatment for cholelithiasis
YAN Hai-lan
ObjectiveTo investigate clinical value of laparoscopy in treatment for cholelithiasis.Methods112 patients with cholelithiasis were selected in hospital from October 2015 to October 2016,who were divided into two groups by random number table method.56 patients
received：
open surgery as control group.56 patients received laparoscopic surgery as observation group.Operation indications，postoperative recovery and complications were compared between two groups.ResultsOperation time[(103.2±14.8)min,intraoperative blood loss[(11.6±2.3)ml],postoperative hospitalization time [(7.3±1.2)d]in observation group were less than those in control group[(117.9±15.1)min,(45.8±6.2)ml,(10.9±1.8)d].Stone extraction rate (100.0%)in observation group was higher than that in control group (92.9%).Postoperative exhaust time[(28.6±1.9)h],postoperative defecation time[(35.8±2.6)h],postoperative bed time[(41.6±2.2)h]in observation group were earlier than control group[（34.7±2.8）,（43.5±3.1）,(52.8±2.5)h].Complication rate(1.8%)in observation was lower than that in control group(12.5%).Differences were statistically significant(P<0.05).ConclusionLaparoscopic surgery has significant effect in treatment for cholelithiasis,which has the characteristics of smaller trauma，faster postoperative recovery and higher safety.
2017 Vol. 24 (16): 42-44 [
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The effect of Simvastatin treatment of chronic obstructive pulmonary disease（COPD）and its influence on patients with BNP paribas
ZHENG Guang-yang ；FAN Rong－xing ；LIANG Da－qiang； FENG Jun－xing； DENG Jin－xia
ObjectiveTo research the curative effect of Simvastatin treatment for chronic obstructive pulmonary disease and its effects on patients with plasma brain natriuretic peptide.Methods180 cases of chronic obstructive pulmonary disease patients were selected as the research object,in the department of respiratory medicine,from October 2015 to April 2016.They were randomly divided into control group and treatment group,90 cases in each group.Two groups of patients were treated with routine,Simvastatin treatment group patients were used;eight months after treatment,two groups of patients were compared before and after treatment in patients with lung function index,dyspnea score index,plasma BNP levels.ResultsAfter 8 months of treatment,two groups of patients with FEV1%and FEV1/FVC levels were significantly better than before treatment （P<0.05）;treatment group patients were found to breathing difficulties questionnaire（mMRC） assessment level was significantly reduced,and the patients in treatment group were found based dyspnea index （BDI） score compared with the control group with significant difference（P<0.05）;treatment group patients were found the BNP level was significantly reduced （P<0.05）.ConclusionSimvastatin combined with routine treatment of chronic obstructive pulmonary disease patients to improve patients′lung function and respiratory difficulty score,can reduce patients BNP,worth clinical promotion.
2017 Vol. 24 (16): 45-47 [
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167
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Clinical study of glucagon-like peptide-1 in the prognosis of patients with ST-elevationacute myocardial infarction
ZHANG Hui；DENG Gen-qun；ZHENG Xiao-qun
ObjectiveTo observe the efficacy and safety of Liraglutide in PCI treatment for patients with ST-elevation acute myocardial infarction.Methods160 new patients with STEMI given emergency PCI accompanying with high blood glucose on admission treated in our hospital from January 2014 to November 2016 were selected and they were randomly divided into the experimental group(n=80)and control group(n=80).In the experimental group,Liraglutide was used as soon as possible after being selected to intervene the blood glucose,while in the control group,other methods were used to intervene the blood glucose.The glycosylated hemoglobin,left ventricular end diastolic diameter and left ventricular ejection fraction were observed and compared between the two groups after 7,30 and 90 d operation;the incidence rate of major cardiovascular events(MACE)including possible or definite ventricular fibrillation,cardiac death,recurrent angina,acute left heart attack,and revascularization between two groups were compared.ResultsThe left ventricular end diastolic diameter and left ventricular ejection fraction in the observation group after 30 and 90 d operation were better than those in the control group (P＜0.05).There was 1 case of cardiac death in two groups,and it can be thought as ardiac rupture,and the observation group of 5 cases underwent revascularization,7 cases in the control group were scheduled for non infarct relatedartery revascularization,and incidence rate of MACE between two group showed no significant difference(P＞0.05).ConclusionBased on AMI conventional direct PCI and drug treatment,Liraglutide added to conduct blood glucose intervening can improve the left ventricular remodeling recently and increase the ejection fraction of left ventricle.
2017 Vol. 24 (16): 48-50转57 [
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168
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Application evaluation of Amlodipine combined with Atorvastatin Calcium in the treatment of hypertension with hyperlipemia
JIN Wei
ObjectiveTo evaluate the application effect of Amlodipine combined with Atorvastatin Calcium in the treatment of patients with hypertension and hyperlipidemia.Methods120 elderly patients with hypertension and dyslipidemia treated in our hospital from May 2015 to May 2016 were selected and were randomly divided into two groups with 60 cases in each group.The patients in the control group were only treated with Amlodipine while the patients in the observation group were treated with Atorvastatin Calcium based on the treatment of the control group.Treatment effect and the incidence rate of adverse reaction occurred during treatment between two groups were compared.ResultsAfter treatment,systolic blood pressure(SBP)and diastolic pressure(DBP)were significantly decreased in the two groups(P＜0.05),and those in the observation group were significantly lower than those of the control group(P＜0.05).After treatment,the total cholesterol(TC),triglyceride(TG),low density lipoprotein(LDL-C)and high density lipoprotein(HDL-C)of the patients in two groups were significantly improved(P＜0.05),and those in the observation group were improved better than those in the control group(P＜0.05).The total effective rate of the observation group was 93.33%,while that of the control group was 80.00%and the curative effect in the observation group was better than that of the control group(P＜0.05).The incidence of adverse reactions was 0.03%in the observation group while that was 0.05%in the control group,but the difference was not statistically significant(P＞0.05).ConclusionThe pesticide effectof Amlodipine combined with Atorvastatin Calcium is obviously better than the single use of Amlodipine.Combined drugs can effectively achieve the effect of lipid-lowering and lowering blood pressure.This treatment has high safety and a high clinical value.
2017 Vol. 24 (16): 51-53 [
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Clinical research of emergency percutaneous coronary intervention with intra aortic balloon pump applied in acute myocardial infarction complicated with cardiogenic shock
LIU Zhi-hui；HE Wei-xi；FENG Ji；DONG Meng-shu
ObjectiveTo investigate clinical effect of emergency percutaneous coronary intervention with intra aortic balloon pump applied in acute myocardial infarction complicated with cardiogenic shock.Methods86 patients with cardiogenic shock complicated with acute myocardial infarction treated in our hospital from October 2014 to October 2016 were selected and they were divided into two groups according to the random number table method.43 patients
received：
emergency percutaneous coronary intervention were selected as control group.43 patients received emergency percutaneous coronary intervention with intra aortic balloon pump were selected as observation group.Change of clinical indicators before and after treatment,complications,prognosis were compared between two groups.ResultsAfter treatment,mean arterial pressure,cardiac output,left ventricular ejection fraction,cardiac index,stroke volume increased in two groups(P＜0.05).Cardiac troponin,creatine kinase isoenzyme,heart rate decreased in two groups(P＜0.05).Mean arterial pressure,cardiac output,left ventricular ejection fraction,cardiac index,stroke volume in observation group were higher than control group (P＜0.05).Cardiac troponin,creatine kinase isoenzyme,heart rate,the total incidence rate of complication in observation group were lower than control group.Prognosis in observation group was better than that in control group (P＜0.05).ConclusionEmergency percutaneous coronary intervention with intra aortic balloon pump has significant effect int reatment of cardiogenic shock complicated with acute myocardial infarction,which can significantly improve clinical symptoms and signs and it also has high safety.
2017 Vol. 24 (16): 54-57 [
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Correlation study on serum resistin in postmenopausal female with cerebral infarction
LIU Shao-ni；LIN Chu-sheng； LU Xiao-hang
ObjectiveTo study correlation study on serum resistin in postmenopausal female with cerebral infarction.Methods40 patients of female cerebral infarction who
received：
therapy from June 2015 to June 2016 in our hospital were selected as research objects,and 40 female patients who were admitted to our hospital during the same period were selected as control group,they all were menopause.The serum resistin,fasting insulin,blood pressure,blood glucose,blood lipids,high sensitive C reactive protein(hs-CRP)and insulin sensitivity were compared between the two groups.ResultsThere were significant differences in systolic blood pressure (SBP),diastolic pressure (DBP),serum resistin,insulin,insulin sensitivity,fasting plasma glucose (FBG),high density lipoprotein cholesterol (HDL-C),low density lipoprotein cholesterol(LDL-C),hs-CRP between the two groups(P＜0.01)and there was no significant difference in the triglyceride(TG),total cholesterol(TC)between the two groups(P＞0.05).In the f single factor analysis,the serum resistin was positively correlated with SBP,DBP,insulin,FBG,LDL-C and hs-CRP (P＜0.05),and negatively correlated with insulin sensitivity and HDL-C (P＜0.05).Resistin as a dependent variable,the remaining indicators as independent variables,in the multivariate analysis,the serum resistin was positively correlated with insulin SBP,LDL-C and hs-CRP (P＜0.05),and negatively correlated with insulin sensitivity and HDL-C(P＜0.05).ConclusionIn the postmenopausal female with cerebral infarction,serum resistin levels were significantly increased,the cause of the increase may be related to the inflammatory activation in vivo.
2017 Vol. 24 (16): 58-60 [
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Effect comparison of large bone flap craniotomy and routine craniotomy treating severe craniocerebral injury
ZENG Jia-liang ；XIE Fei；YE Yong-qiang ；ZHANG Chang-feng
ObjectiveTo compare the efficacy of large bone flap craniotomy and conventional bone flap craniotomy treating severe traumatic brain injury.Methods320 patients with severe craniocerebral injury admitted into our hospital from January 2012 to November 2016 were selected and divided into observation group and control group according to the operation mode,each group had 160 cases.The observation group was treated with large bone flap craniotomy,while the control group was given conventional craniotomy.The treatment effect of two groups was compared.ResultsIn the observation group,recovery was good in 51 cases,30 cases were moderate disability,29 severe were disability,plant survival was in 27 cases,23 cases were death,while in the control group,27 cases were good recovery,24 cases were moderate disability,44 cases were severe disability,32 cases were plant survival,33 cases were death.The curative effect of observation group was better than that of the control group(P<0.05).ConclusionLarge trauma craniotomy has a better curative effect in patients with severe craniocerebral injury,which is superior to the conventional craniotomy surgery,and it can obviously reduce the morbidity and mortality of the patients.
2017 Vol. 24 (16): 61-63 [
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162
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Effectiveness analysis of treatment of Nitroglycerin combined with Ginkgo Dipyridamole in patients with hypertensive encephalopathy
LI Zhen-fei ；LI Shui-kang
ObjectiveTo discuss the effectiveness of treatment of Nitroglycerin combined with Ginkgo Dipyridamole in patients with hypertensive encephalopathy.Methods120 cases with hypertensive encephalopathy treated in our hospital from December 2015 to December 2016 were selected and they were randomly divided into observation group(n=60)and control group(n=60).The control group was treated with Sodium Nitroprusside,and the observation group was treated with Nitroglycerin Combined with Ginkgo Dipyridamole.The clinical treatment effect and the degree of blood pressure recovery were observed in patients of two groups.ResultsAfter treatment,the total effective rate in patients of the observation group(98.33%)was obviously higher than that of control group(80.00%)(P<0.05).After treatment,the systolic and diastolic blood pressure in patients of the observation groups was(153.56±6.35)mmHg and(91.55±5.95)mmHg,and the control group was(162.78±10.99)mmHg and(95.12±8.68)mmHg,and the systolic blood pressure and diastolic blood pressure recovery in the observation group was better than the control group,and the difference was statistically significant(P<0.05).ConclusionFor patients with hypertensive encephalopathy,Nitroglycerin combined with Ginkgo Dipyridamole can effectively improve the clinical effect of patients,and is conducive to the recovery of systolic and diastolic blood pressure.It is worthy of clinical promotion.
2017 Vol. 24 (16): 64-66 [
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Comparison of clinical effectiveness of transurethral plasmakinetic resection and enucleation of prostate in the treatment of prostatic hyperplasia
XI Jing ；GUO Xun-wei；ZHONG Yun； QIU Guang-huai；ZHONG Yang-xian
ObjectiveTo explore the clinical effectiveness of transurethral plasmakinetic resection and enucleation of prostate in the treatment of prostatic hyperplasia.MethodsAltogether 128 cases of prostatic hyperplasia patients who were treated in our hospital from December 2014 to December 2016 were involved as the object of this research and randomly divided into control group and observation group,64 cases in each group.Control group was given transurethral plasmakinetic resection of prostate;while,the observation group was treated with transurethral plasmakinetic enucleation of prostate.The clinical effectiveness of the two groups was compared.ResultsThe clinical curative effect of observation group was higher than that of the control group(96.88%vs.70.31%,P＜0.05).The operation time,bleeding volume,prostate enucleation quality,indwelling catheter time and hospitalization time of observation group were significantly better than those of the control group(P＜0.05).The total incidence of complications,such as urinary incontinence,bladder spasm pain,anterior urethral stricture,postoperative bleeding,mild urethral stimulation of the observation group was lower than that of control group,with significant difference(P＜0.05).The incidence of recurrence of observation group was much lower than that of control group,with statistically significant difference(P＜0.05).ConclusionCompared with transurethral plasmakinetic resection,the transurethral plasmakinetic enucleation of the prostate has higher application value in clinical treatment of prostate hyperplasia.
2017 Vol. 24 (16): 67-69 [
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The efficacy comparison of fixing the corpus penis to penis root′s dermis and pectineal fascia in Devine surgery for concealed penis
FENG Neng-zhuo；HE Jing-wei；GUAN Wen-feng；LIANG Qi-yan
ObjectiveTo compare the efficacy of fixing the corpus penis to penis root′s dermis and pectineal fascia in Devine surgery for concealed penis.MethodsFrom March 2013 to March 2016，46 concealed penis patients(23 cases in PF group and 23 cases in PR group)，the corpus penis in PF and PR group were fixed to penis root′s dermis and pectineal fascia respectively.The operation time，blood loss，postoperative pain level(VAS)，preoperative and postoperative penile length ，edema time，penile retraction and complications were comparatively analyzed.ResultsThe operation time was(39.0±1.2)min in PF group and(37.3±2.1)min in PR group(P＜0.05).The blood loss was(9.9±0.7)ml in PF group and(10.3± 0.6)ml in PR group(P＜0.05)，the edema time was(20.6±2.4)d vs.(19.1±2.1)d(P＜0.05).The postoper ative penile length in PR group was significantly longer than PR group(P＜0.05).There were no significant statistical differences between two groupspenile retraction,VAS and complications(P＞0.05).ConclusionCompared with fixing the corpus penis to penis root′s dermis in Devine surgery for concealed penis，fixing to pectineal fascia can obviously shorten the operation and edema time，remarkably improve the postoperative penile length.
2017 Vol. 24 (16): 70-72 [
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Clinical observation of surgical castration combined with intermittent androgenic blockade therapy for locally advanced prostate cancer
ZHANG Xin-qi；GENG Li-cong；HUANG Zhong
ObjectiveTo evaluate the clinical efficacy of surgical castration combined with intermittent androgenic blockade therapy in the treatment of locally advanced prostate cancer(LAPC).Methods96 patients with LAPC treated in our hospital from January 2012 to December 2014，were randomly divided into control group and observation group，48 cases in each group.All were treated with bilateral testicular surgery on the basis，observation group was given intermittent androgen blockade therapy.The therapeutic effects of the two groups were compared.ResultsAfter treatment，the levels of serum PSA in the two groups were significantly lower than those before treatment(P＜0.05)，while the observation group decreased more significantly(P＜0.05).The PSA level of the observation group was significantly lower than that of the control group at 1 w and 1，3，6，9，and 12 months after treatment(P＜0.05).PFS and OS in the observation group were significantly longer than those in the control group(P＜0.05)，and the QLQ-PR 25 score was significantly better than that of the control group (P＜0.05).ConclusionSurgical castratio,combined with intermittent androgen total blockade therapy for LAPC，the efficacy of certain，can significantly extend the patient's PFS and OS time，improve patient quality of life.
2017 Vol. 24 (16): 73-75 [
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163
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Clinical study of selective decompression of the intervertebral foramen technique intervertebral disc approach in the treatment of degenerative lumbar spinal stenosis
ZHONG Hong-fa；ZENG Li-mei；CHEN Rong-chun；LU Zhi-jun；ZHONG Ming-liang；LIU Ning；YE Shu-xi1
ObjectiveTo explore the clinical effect of selective decompression of the intervertebral foramen technique intervertebral disc approach in the treatment of degenerative lumbar spinal stenosis.Methods78 cases of degenerative lumbar spinal stenosis from June 2015 to June 2016 in our hospital were selected and divided into the experimental group and the control group according to randomized,double blind method,39 cases in each group.The control group was given conventional laminectomy treatment,the experimental group was given selective decompression of the intervertebral foramen technique intervertebral disc approach treatment.The treatment effect in the two groups was compared.ResultsThe JOA score and the total effective rate of the immediate,3 and 6 months after operation in the experiment group was significantly higher than that in the control group,the VAS score of the immediate,3 and 6 months after operation in the experiment group was significantly lower than that in the control group,with significant difference (P＜0.05).ConclusionThe treatment of selective decompression of the intervertebral foramen technique intervertebral disc approach can effectively improve the clinical treatment effect on patients with degenerative lumbar spinal canal,improve the neurological function,relieve pain,the effect is remarkable,it is worthy of clinical promotion and application.
2017 Vol. 24 (16): 76-78 [
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148
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Analysis of effects of Sodium Hyaluronate on preventing adhesion after tendon suture
CHEN Ming-jin
ObjectiveTo investigate the preventive effect of Sodium Hyaluronate on adhesion after tendon suture and the influence of hand function.Methods74 patients with hand injuries accompanied by rupture at least 1 extensor tendons or flexor tendons from March 2014 to December 2016 in our hospital were selected as the subjects,all patients were divided into the control group (27 cases of extensor tendon,10 cases of flexor tendon)and the treatment group(27 cases of extensor tendon,10 cases of flexor tendon)according to random control and voluntary principle,37 cases in each group.The control group was treated with modified Kessler suture,and no Sodium Hyaluronate.The treatment group was treated with modified Kessler suture,and sodium hyaluronate was used to suture the tendon suture,or Sodium Hyaluronate was injected into the tendon sheath,all patients were observed and recorded in 1,2,3 months after the finger total activity(TAM),and clinical effect of the treatment of flexor tendon rupture were recorded at the same time,the complications of tendon adhesion were compared after 3 months.ResultsThe TAM of the fingers in the two groups after 1,2 and 3 months was higher than that before the treatment,with significant difference(P＜0.05).The TAM of the fingers in the treatment group after 1,2 and 3 months was higher than that of the control group,with significant difference (P＜0.05).The excellent and good rate of extensor tendon and flexor tendon in the treatment group after 3 months was higher than that in the control group,with significant difference(P＜0.05).The adhesion rate of the treatment group was 5.40%,which was lower than 27.02%of the control group,with significant difference(P＜0.05).ConclusionSodium Hyaluronate can effectively relieve tendon adhesion,promote postoperative recovery,improve the quality of life of patients,and no obvious adverse reaction,it is worthy of clinical promotion and application.
2017 Vol. 24 (16): 79-82 [
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139
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Effect comparison of arthroscopic non-absorbable suture and Kirschner wire fixation in the treatment of anterior cruciate ligament tibial avulsion fracture
LAI Bing； HUANG Jian ；JIANG Yu-qing
ObjectiveTo compare the effect of arthroscopic non-absorbable suture and Kirschner wire fixation in the treatment of anterior cruciate ligament tibial avulsion fracture.Methods40 patients with anterior cruciate ligament tibial avulsion fracture fixation from January 2013 to January 2016 in our hospital were selected and randomly divided into the experimental group and the control group,20 cases in each group.The experimental group was treated with arthroscopic non-absorbable suture fixation,while the control group was given Kirschner wire internal fixation.The Lysholm score,the IKDC score,the Tegner score,the condition of postoperative joint adhesion,the condition of anterior drawer test,average time of bony healing,average time of starting weight-bearing and average degree of knee flexion were compared between the two groups.ResultsThe Lysholm score,the IKDC score and the Tegner score in the experimental group was lower than that in the control group,with significant difference (P＜0.05).There was no significant difference in the condition of postoperative joint adhesion and the condition of anterior drawer test between the two groups(P＞0.05).The average time of bone healing and the average time of starting weight-bearing in the experimental group was shorter than that in the control group,and the average degree of flexion of the knee joint in the experimental group was higher than that in the control group,with significant difference(P＜0.05).ConclusionArthroscopic treatment of anterior cruciate ligament of the knee anatomy of the tibial fracture is an internal fixation of the intra-articular fracture.Compared with Kirschner wire,fixation materials used non-absorbable suture has the advantages of better recovery of knee joint,less joint adhesion and quick recovery of knee flexion function,it is worthy of clinical promotion and application.
2017 Vol. 24 (16): 83-85转110 [
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Application effect of dual energy X-ray absorptiometry and quantitative ultrasonic bone mineral density in the screening of postmenopausal osteoporosis in postmenopausal women
ZHUANG Gao-feng
ObjectiveTo investigate the application effect of dual energy X-ray absorptiometry (DXA)and quantitative ultrasound(QUS)bone mineral density test in the screening of postmenopausal osteoporosis in postmenopausal women.MethodsFrom June to October in 2016,186 postmenopausal women volunteers in 6 communities close to our hospital were selected,bone mineral density test was measured by DXA and QUS,respectively.The DXA diagnosis was regarded as the gold standard,the relationship between age and the incidence of osteoporosis was analyzed by by using linear regression analysis,QUS diagnosis of osteoporosis screening accuracy,sensitivity,specificity,positive predictive value and negative predictive value were evaluated.ResultsOf the 186 postmenopausal women included in the study,58 cases(31.19%)had normal bone mass,74 cases(39.78%)had osteopenia,and 54 cases(29.03%)had osteoporosis,and with the increase of age,osteopenia and osteoporosis incidence rate increased significantly.The accuracy of QUS diagnosis of osteoporosis was 86.02%,sensitivity was 74.07%,specificity was 90.91%,the positive predictive value was 76.92%,the negative predictive value was 89.55%.The accuracy of QUS diagnosis of osteopenia was 80.65%,the sensitivity was 70.27%,the specificity was 87.50%,the positive predictive value was 78.79%,and the negative predictive value was 81.67%.Conclusion Postmenopausal women,especially for over 80 years old,have high osteopenia and osteoporosis rates,the QUS bone mineral density test is a good screening choice for osteoporosis.However,the clear diagnosis should be confirmed by DXA.
2017 Vol. 24 (16): 86-88 [
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Effect observation of posterior internal fixation and transpedicular vertebral bone grafting in the treatment of thoracolumbar vertebral fracture
SONG Zhi-hui；CHEN Jin； CHEN Si；MA Jun-chang ；XIONG Shu-hong ；YUAN Jian-bing
ObjectiveTo explore the effect of posterior internal fixation and transpedicular vertebral bone grafting in the treatment of thoracolumbar vertebral fracture.Methods40 patients with thoracolumbar vertebral fracture treated in our hospital from January 2014 to January 2016 were selected and divided into group A and group B according to different treatment methods,20 cases in each group.Patients in group A were given routine internal fixation and posterior lateral bone grafting,and patients in group B were given transpedicular vertebral bone grafting.The Cobb angle of the injured vertebra,the height compression ratio of the front and back edges of the vertebral body before operation,3 months and 12 months after operation,and prognosis of fracture after three months of operation and incidence rate of complications in the two groups were compared.ResultsThe Cobb angle,the height compression ratio of the front and back edges of the vertebral body at 3 months and 12 months after operation in group B was better than that in group A,with significant difference(P＜0.05).The VAS score at 3 months after operation in group B was lower than that in group A,with significant difference(P＜0.05).The healing rate of group B at 3 months after operation was higher than that of group A,and the incidence rate of complication in group B was lower than that in group A,with significant difference(P＜0.05).ConclusionApplication of posterior internal fixation and transpedicular vertebral bone grafting in the treatment of thoracolumbar vertebral fracture has significant effect,which can promote the Cobb angle of patients after operation,reduce the height compression rate of the front and back edges of the vertebral body,improve healing rate,and decrease the incidence rate of complications,it is worthy of clinical promotion and application.
2017 Vol. 24 (16): 89-91 [
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133
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Influence of open reduction and internal fixation on the curative effect and SF-36 score of fracture dislocation of ankle joint
TAO Lei
ObjectiveTo study the influence of open reduction and internal fixation on the curative effect and SF-36 score of fracture dislocation of ankle joint.Methods106 cases of ankle fracture dislocation in our hospital from January 2016 to January 2017 were selected and randomly divided into the observation group and the control group,53 cases in each group.The control group was treated with reduction plaster external fixation,and the observation group was treated with open reduction and internal fixation,the therapeutic effects of the two groups was observed.ResultsThe total excellent and good rate and SF-36 scale score of the observation group was higher than that of the control group,the fracture healing time and length of hospitalization in the observation group was shorter than that in the control group,the incidence rate of complications in the observation group was lower than that in the control group,with significant difference(P＜0.05).ConclusionUsing of open reduction and internal fixation can effectively improve ankle function of patients,promote the patient′s early recovery.
2017 Vol. 24 (16): 92-94转123 [
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147
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Clinical effect observation of Indometacin Cataplasms in the treatment of acute ankle sprain
PAN Yong-xiong ；YANG Guang-gang ；SUN Zhan-dong； LI Zhong-wan
ObjectiveTo investigate the clinical effect of Indometacin Cataplasms in treating acute ankle sprain.MethodsFrom March 2015 to March 2016,120 patients with acute ankle sprain in our hospital were selected and randomly divided into the treatment group(61 cases)and the control group(59 cases).The treatment group was treated with Indometacin Cataplasms,the control group was treated with Voltaren Gel.The Kofoed ankle joint scales and the VAS scores were utilized,the clinical effects between the two groups was observed and compared.The adverse effect of drug were also recorded in the whole process.ResultsThe Kofoed score of the treatment group on the first,fifth,tenth day after treatment was significantly higher than that of the control group,with significant difference (P＜0.05).The VAS score of the treatment group on the first,fifth,tenth day after treatment was significantly lower than that of the control group,with significant difference (P＜0.05).The clinical efficacy of the treatment group was better than that of the control group,with significant difference(P＜0.05).Ther was no adverse reactions occurred in the two groups.ConclusionThe effect of Indometacin Cataplasms in the treatment of acute ankle sprain is superior to topical Votalin Gel,it is worthy of clinical promotion and application.
2017 Vol. 24 (16): 95-97 [
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131
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Comparison of effect of posterior cervical single and bilateral open-door laminoplasty in cervical spinal canal stenosis
FAN Zhi-dan ；LI Qing ；LIANG Dao-chen ；ZHANG Ai-ming ；ZHAO Cheng-yi；MEI Zhi
ObjectiveTo investigate the value of application of cervical posterior single/bilateral open-door laminoplasty in the treatment of cervical spinal canal stenosis.MethodsAltogether 30 patients with cervical spinal canal stenosis from January 2012 to January 2017 in our hospital were selected and divided into the experiment group and the control group according to the different treatment methods.The experiment group was given posterior cervical bilateral opendoor laminoplasty,while the control group was given posterior cervical single open-door laminoplasty treatment.The treatment effect of the two groups was compared.ResultsThere was no significant difference in the JOA score,duration of surgery,intraoperative blood loss and hospitalization time between the two groups(P＞0.05).There was no significant difference in the incidence rate of postoperative complications(cerebrospinal fluid leakage,axial symptoms,infection and hematoma)between the two groups(P＞0.05).ConclusionApplication of posterior cervical single and bilateral open-door laminoplasty in the treatment of patients with cervical spinal canal stenosis can achieve good effect,and which has advantages and disadvantages.Targeted therapies should be used in clinical treatment based on the patients′conditions,operation equipment condition and technical level of medical personnel so as to promote the prognosis of patients with cervical spinal canal stenosis.
2017 Vol. 24 (16): 98-100 [
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122
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Clinical effect of position chiropractic combined with acusector,polarized infrared in the treatment of lumbar spondylolisthesis
LIANG Liang-biao； YUAN Hong-ling
ObjectiveTo explore clinical effect of position chiropractic combined with acusector,polarized infrared in the treatment of lumbar spondylolisthesis.Methods68 cases of lumbar spondylolisthesis from February 2015 to January 2017 in our hospital were selected and divided into the control group and the observation group according to different treatment measures,34 cases in each group.The control group was given traction,acusector,ultrashort wave treatment,and the observation group was given position chiropractic combined with acusector,polarized infrared treatment.The excellent and good rate of lumbago improvement,functional prognosis and recurrence rate of the two group were observed.ResultsThe excellent and good rate of lumbago improvement in the observation group was higher than that in the control group,with significant difference(P＜0.05).The total effective rate of prognosis in the observation group was higher than that in the control group,with significant difference(P＜0.05).The recurrence rate of the observation group was 2.94%,which was lower than 23.5%of the control group,with significant difference(P＜0.05).ConclusionThe clinical effect of position chiropractic combined with acusector,polarized infrared in the treatment of lumbar spondylolisthesis is obvious,and the prognosis is good.It is worthy of clinical promotion and application.
2017 Vol. 24 (16): 101-103 [
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140
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Study on the application value of"one-to-one"pre-pregnancy health consultation in pregnancy of second-child old women
YE Lin
ObjectiveTo explore the application value of"one-to-one"pre-pregnancy health counseling in the second pregnancy of elderly women.Methods126 cases of second pregnancy elderly women in our hospital for hospital delivery from February 2016 to February 2017 were seleted as the study objects,according to the random number table they were divided into control group(63 cases)and observation group(63 cases).The control group was given routine preoperative care,and the observation group was given"one-to-one"pre-pregnancy health counseling content on the basis of the routine preoperative care.The outcomes of maternal deliveries and scores the two groups of were compared.ResultsThe incidence of preeclampsia and gestational diabetes mellitus,and cesarean section rate in the observation group were lower than those in the control group;the postpartum hemorrhage was less than the control group,the differences were statistically significant(P＜0.05).Conclusion"One-to-one"pre-pregnancy health counseling has a high application value in the clinical nursing of the second pregnancy women.
2017 Vol. 24 (16): 104-106 [
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136
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Feasibility and safety research on vaginal delivery in re-pregnancy by scarred uterus after cesarean section
YANG Jin-e
ObjectiveTo explore the feasibility and safety of vaginal delivery in re-pregnancy by scarred uterus.MethodsSixty-two puerperae in re-pregnancy by scarred uterus who were willing to accept vaginal delivery from October 2016 to February 2017 in our hospital were selected as observation group.Sixty pluriparae(natural labor in the first pregnancies)meeting the criteria of vaginal delivery admitted into our hospital during the same period were classified into control group.The success rate of vaginal delivery,stage of labor,postpartum hemorrhage,hospital stay,score of neonatal Apgar,and incidence of postpartum complications in puerperae were compared in the two groups.ResultsThere were 49 puerperae succeeding in vaginal delivery in both observation group and control group,the success rate of vaginal delivery was 79.03%and 81.67%respectively,without statistically significant difference (P＞0.05).There was no significant difference in stage of labor,postpartum hemorrhage,hospital stay or score of neonatal Apgar(P＞0.05).There was no statistically significant difference in postpartum complications detected in the two groups(P＞0.05).ConclusionAs long as sufficient assessment and emergency plan and measures be prepared before delivery,together with strict control of vaginal delivery indications,vaginal delivery is still feasible in puerperae with scarred uterus.
2017 Vol. 24 (16): 107-110 [
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157
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Changes of coagulation-related indexes in patients with pregnancy-induced hypertension and its clinical significance
YANG Ling
ObjectiveTo analyze and explore the changes and clinical significance of coagulation-related indexes in patients with pregnancy-induced hypertension.MethodsFrom January 2015 to December 2016,300 patients with pregnancy-induced hypertension admitted into our hospital were selected as research objects.Among them,120 patients diagnosed as gestational hypertension were classified into group A,108 patients with mild preeclampsia were set as group B,and the rest 72 severe preeclampsia patients were set as group C.After that,60 healthy pregnant women in full term during the same period were set as normal late pregnancy group.The activated partial thromboplastin time(APTT),fibrinogen(FBG),prothrombin time (PT),antithrombinⅢ (AT-Ⅲ),thrombin time (TT),PT-INR,total cholesterol(TC),triglyceride triglyceride(TG),thrombocytocrit(PCT),platelet distributing width(PDW),platelet count(PLT),and mean platelet volume(MPV)were observed and compared in these groups.ResultsCompared with the normal late pregnancy group,APTT,PT,AT-Ⅲ,PT-INR,and PLT of the group A,B,and C were all greatly decreased,the differences were statistically significant(P＜0.05).The PT was gradually decreased in group A,B,and C.In comparison of the normal late pregnancy group,FBG,TG,PDW,and MPV were all markedly increased,the differences were statistically significant(P＜0.05).MPV was gradually increased in group A,B,and C accordingly.There was no significant difference in TT,TC,PCT(P＞0.05).ConclusionFor patients with pregnancy-induced hypertension,the more severe the disease condition is,the easier coagulation becomes as well as thrombogenesis.
2017 Vol. 24 (16): 111-113 [
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135
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Effect analysis Montmorillonite Powder combined with Sucralfate Tablets in the treatment of neonatal swallowing syndrome
QU Yun-ping
ObjectiveTo investigate the clinical effect of Montmorillonite Powder and Sucralfate Tablets in the treatment of neonatal paroxysmal syndrome.MethodsFrom December 2014 to December 2016,90 children with neonatal psoriasis who were treated in our hospital were selected and randomly divided into observation group(n=45)and control group (n=45).The control group was treated with Montmorillonite Powder,the observation group was treated with Montmorillonite Powder and Sucralfate Tablets.After treatment,the clinical efficacy,the incidence of vomiting and further gastric lavage of the two groups were compared.ResultsIn the observation group,the total effective rate was 97.8%,the incidence of vomiting was 4.4%,the incidence of gastric lavage was 2.2%,which was significantly different from that of the control group (84.4%,17.8%,13.3%),the difference was statistically significant(P＜0.05).ConclusionThe combination of Montmorillonite Powder and Sucralfate Tablets in the treatment of neonatal swallowing syndrome is effective,which can effectively reduce the incidence of recurrent vomiting and gastric lavage again,and has high clinical value.
2017 Vol. 24 (16): 114-116 [
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146
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Effect of different mechanical ventilation modes on hemodynamics of neonatal meconium inhalation syndrome
ZHANG Wen-ming；LI Chi-wang
ObjectiveTo explore the effect of different mechanical ventilation patterns on hemodynamics of neonatal meconium aspiration syndrome.MethodsA total of 104 cases of neonatal meconium aspiration syndrome from January 2014 to July 2016 in our hospital were selected as the study object,they were divided into conventional ventilation group and high frequency ventilation group by random number table,each group of 52 cases.The conventional ventilation group was treated by constant frequency mechanical ventilation,the high frequency ventilation group was treated by high frequency oscillating mechanical ventilation.The effective rate,time of ventilator,hospitalization time were compared between the two groups;the pressure of oxygen,the partial pressure of carbon dioxide,the stroke volume and the pulse index before and after treatment were compared between the two groups.ResultsThe total effective rate of the high frequency ventilation group was higher than that of the conventional ventilation group (P＜0.05).The time of ventilator,hospitalization time of the high frequency ventilation group were shorter than those of the conventional ventilation group(P＜0.01).The oxygen partial pressure,carbon dioxide partial pressure,stroke volume and pulse index were similar in the two groups before treatment(P＞0.05);the partial pressure of oxygen and the partial pressure of carbon dioxide in the high frequency ventilation group were significantly better than those in the conventional ventilation group (P＜0.05).There was no significant difference in stroke volume,pulsatility index and before treatment between the two groups(P＞0.05).ConclusionThe high frequency mechanical ventilation model can improve the hemodynamics of neonatal meconium aspiration syndrome,improve the results of blood gas analysis,shorten the time of ventilator treatment and the time of hospitalization,and improve the prognosis of children.
2017 Vol. 24 (16): 117-119 [
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154
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Analysis of ultrasonographic diagnosis and pathological features on extranodal lymphoma of superficial organs in children
ZHOU Wei；LI Shou-lin；XU Ya-nan；LI Ling-shan
ObjectiveTo explore the features of ultrasonography and general pathology on extranodal lymphoma of superficial organs in children.MethodsThe ultrasonographic and pathological features of 16 children with superficial organ extranodal lymphomas proved by surgery and pathology in Shenzhen Children′s Hospital from September 2007 to June 2016 were analyzed retrospectively.ResultsAmong 16 cases,11 cases were diagnosed as non-Hodgkin lymphoma and the rest 5 cases were Hodgkin lymphoma.By ultrasonograpy,6 cases of the extranodal lymphoma were in mass-type,and the rest in diffuse type.The features of the 6 mass-type tumor were low or extremely low echo mass,less clear of the margin,irregularshape,lobulatedshape,enhanced rear echo,uneven internal echo,absence of fluid echoless inside,rare strong echo of calcification,and rich blood flow signal in focus by CDFI.The characteristics of the rest 10 cases of diffuse type tumors were diffusive enlargement of solid organs,decreased and uneven internal echo,dissipated extreme lowecho inside,absence of marked fluid echoless and strong echo due to calcification,rich blood flow signal in solid organs,and dotted and striped blood signals in low echo.ConclusionThe typical ultrasonographic features were existent in extranodal lymphoma of superficial organs in children.Ultrasonography can provide valuable diagnostic information in the diagnosis of lymphoma.
2017 Vol. 24 (16): 120-123 [
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Clinical application advantages analysis of multi-slice spiral CT guided percutaneous biopsy
ZHOU Guo-yong；LIU Wei-bo；ZHANG Cui-lu ；ZHANG Ming-wen
ObjectiveTo explore clinical application advantages of multi-slice spiral CT (MSCT)guided percutaneous biopsy.Methods60 patients who were performed CT guided percutaneous biopsy in our hospital from January 2013 to December 2016 were selected and randomly divided into the study group and the control group,30 cases in each group.The study group was given MSCT guided biopsy,and structure and surrounding tissue of the lesion was analyzed by three-dimensional reconstruction.The control group was given routine CT axial position guided biopsy.The success rate of the first puncture,the rate of repeated puncture,the rate of pathological detection,the classification of puncture accuracy and the incidence rate of complications were compared between the two groups.ResultsThe success rate of the first puncture in the study group was significantly higher than that in the control group,with significant difference(P＜0.05).The repeated puncture rate and the incidence rate of complications in the study group was lower than that in the control group,with significant difference(P＜0.05).There was no significant difference between the two groups in the rate of pathological detection and the classification of puncture accuracy(P＞0.05).ConclusionThe positioning of MSCT guided percutaneous biopsy is more accurate,more safe and more reasonable for the insertion point and puncture path planning.The success rate of the first puncture is high,and the rate of repeated puncture and complications are low.Comparison with traditional CT guided biopsy,MSCT guided percutaneous biopsy has obvious clinical advantages.
2017 Vol. 24 (16): 124-127 [
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Observation on effect of Cimetidine combined with Dipyridamole in treating autumn diarrhea in children
LIU Gen-hua
ObjectiveTo research and analyze the efficacy of Cimetidine combined Dipyridamole in treating autumn diarrhea in children.Methods94 children with autumn diarrhea treated in our hospital from December 2015 to December 2016 were selected as research objects and were divided into two groups randomly，the observation group and the control group， each group for 47 cases.Two groups
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conventional treatment， based on which the control group was treated with Dipyridamole and the observation group was treated with Cimetidine combined Dipyridamole,the treatment effect of two groups was evaluated，and the evaluation indicators included the antidiarrheal time，fever clearance time and effective rate.ResultsThe effective rate of the observation group was higher than that of the control group，which had statistical significance(P<0.05).The antidiarrheal time and fever clearance time of the observation group was lower than that of the control group，which had statistical significance(P<0.05).There was no adverse reactions for two groups.And the blood and urine routine and the liver and kidney function examination has no evident exception.ConclusionCimetidine combined Dipyridamole with treating autumn diarrhea in children not only has ideal efficacy，but also can effectively improve the treatment rate， and has higher clinical application value， which is worthy of promotion in clinical practice.
2017 Vol. 24 (16): 128-129转139 [
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Clinical analysis of the treatment of alcoholic liver disease combined with Polyene Phosphatidyl Choline and Levocarnitine
CHEN Song
ObjectiveTo study and explore the clinical effect of Polyene Phosphatidyl Choline combined with Levocarnitine treatmtoent in alcoholic liver disease.Methods100 cases of alcoholic liver disease patients were selected from January 2013 to October 2016 in our hospital as the research object，the patients were randomly divided into two groups by taking computer single blind grouping method，the 50 cases in the control group were treated with Polyene Phosphatidyl Choline treatment，the 50 cases in the observation group were treated with Polyene Phosphatidyl Choline and Levocarnitine treatment，the treatment effect，Child-Pugh score of liver function，liver function indexes and blood lipid were compared between two groups.ResultsThe total effective rate in the observation group was significantly higher than that in the control group(P＜0.05);compared with before treatment，the Child-Pugh score and liver function index in two groups after treatment were significantly decreased(P＜0.05)，the blood lipid indexes were significantly decreased(P＜0.05)，and after treatment，the Child-Pugh score，liver function index and blood lipid indexes in the observation group were significantly lower than those in the control group(P＜0.05).ConclusionIn the treatment of alcoholic liver disease，the Polyene Phosphatidyl Choline and Levocarnitine combined therapy can improve the curative effect，improve liver function，also can be controlled on the level of blood lipids.
2017 Vol. 24 (16): 130-132 [
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Etiological factors and clinical diagnostic analysis of traditional Chinese medicine and Western medicine of acute abdominal pain in the area of Fuzhou University Town
WANG Qing-lian； SHAO Yan-feng
ObjectiveTo analyze the causes of acute abdominal pain and the clinical diagnosis of traditional Chinese medicine(TCM)and Western medicine for 17-30 year olds in the area of Fuzhou University Town,and to provide guidance for clinical diagnosis and health care for young students.MethodsStrictly according to the case of inclusion and exclusion criteria,etiology,pain location,pain time,western medicine diagnosis,TCM syndrome type of 318 students with acute abdominal pain as chief complaint from July 2015 to December 2016 of the Third People′s Hospital Affiliated to Fujian University of Traditional Chinese Medicine were analyzed and studied.ResultsThe acute abdominal pain of young students in the area of Fuzhou University Town was mainly the digestive system diseases,the mean duration of pain was(13.6±2.4)h.The distribution of TCM syndromes was relatively broad,mainly of damp heat accumulation and stagnation,retention of food and drink,depression and stagnation of Qi.ConclusionThe acute abdominal pain of young students in the area of Fuzhou University Town is related to the climatic factors and the medical diseases caused by improper diet,the disease is relatively single,TCM syndrome type is the type of damp heat accumulation and stagnation,retention of food and drink,depression and stagnation of Qi.
2017 Vol. 24 (16): 133-135 [
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Investigation and analysis of sexual function and sexual concept in infertile women
SHI Yan-hua；YANG Bao-zhi；LI Jing
ObjectiveTo understand the incidence rate,common causes and related factors of sexual dysfunction in infertile women,so as to explore the prevention and treatment of sexual dysfunction in infertile women and improve the physical and mental health and quality of life of infertile women.MethodsSexual function,sexual satisfaction and sexual activity statusaswellasinfluencingfactorsof860infertilewomenfromJunetoDecemberin2015wereinvestigatedbyquestionnaire.ResultsThe incidence rate of sexual dysfunction with different degrees and types in infertile women was more than 50%.The reason was multifaceted,but most of them were related to the lack of sexual knowledge in both sides;there were 61.08%of people who answered"sexual satisfaction";the proportion of asking sexual life actively was low,and 12.18%of people never asked the sexual life actively;58.97%of women was cooperative after the males asked for a sexual life;there were 42.56%of women having sexual life with the aim to"enhance the relationship between husband and wife".ConclusionThe incidence rate of sexual dysfunction in infertile women is fairly high,but most of them are psychogenic;the factors influencing sexual satisfaction are complex,most women have the right sexual concepts and sexual attitudes.
2017 Vol. 24 (16): 136-139 [
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Influence of motivational interviewing on the negative emotion of patients with PICC catheter
YANG Yun-jie ；SHUAI Shui-yun； CHENG Shu-hua
ObjectiveTo explore the influence of motivational interviewing on the negative emotion of patients with PICC catheter.Methods60 patients with PICC catheter in our hospital from January 2016 to December 2016 were selected and divided into the observation group and the control group according to the hospitalization number,with 30 cases in each group.The control group was given routine treatment and nursing,while the observation group was given motivational interviewing on the basis of the control group.The degree of anxiety and depression were compared between two groups.ResultsBefore intervention,there were no significant differences among the scores of SAS and SDS in two groups(P＞0.05);after intervention,the scores of SAS and SDS in two groups were all decreased,and compared with those before intervention,the differences were statistically significant(P＜0.05).And those in the observation group was lower than those in the control group,and the differences were statistically significant(P＜0.05).ConclusionMotivational interviewing to reduce the negative emotions of patients with PICC tube is feasible,PICC tube can effectively reduce the anxiety and depression of the patients,help patients to establish the correct health belief,improve the quality of life of patients.
2017 Vol. 24 (16): 140-142 [
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Application of homemade vacuum airbag combined with water cushion to prevent pressure ulcers in fracture patients
LIU Gui-lian；GUAN Xi-hong
ObjectiveTo explore the clinical effect of homemade vacuum airbag combined with water cushion to prevent pressure ulcers in fracture patients.MethodsA total of 76 patients from June 2015 to January 2017 were randomly divided into study group and control group of 38 cases.The patients in control group were treated by routine method,and those in test group were treated by homemade vacuum airbag combined with water cushion.The local skin pressure and the rate of pressure ulcers were observed in both groups,and the satisfaction of the two groups was evaluated.ResultsStudy group of patients under pressure skin condition (including skin moisture,redness,etc.)and the patients′family satisfaction were significantly better than the control group (P＜0.05).No significant difference was found in the rate of pressure ulcers in the two groups(P＞0.05).ConclusionHomemade vacuum airbag combined with water cushion could significantly improve the fracture patient's family satisfaction and effectively prevent the skin damp,red and other skin defects occur.
2017 Vol. 24 (16): 143-145 [
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140
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Application value of fast track surgery in patients undergone PPH
WANG Jian-jing ；GUO Qiu-lan； LUO Han-mei
ObjectiveTo explore the application value of fast track surgery in patients undergone PPH.MethodsA total of 150 patients undergone PPH from July 2014 to June 2016 in our hospital were selected in this study and evenly divided into the observation group(n=75)and the control group(n=75)by drawing lots.The control group was given routine nursing,while the observation group was given fast track surgery nursing on the basis of the control group.The nursing satisfaction,postoperative conditions and the incidence of complications were compared between two groups.ResultsThe nursing satisfaction in the observation group (97.3%)was higher than that in the control group (85.3%),the incidence of complications(21.3%)was lower than that in the control group (50.7%),the time of being off bed,hospital stay,and the first defecation time[(7.3±1.3)h,(3.5±0.6)d,(18.3±2.1)h]were shorter than that in the control group [(15.4±1.9)h,(6.5±1.1)d,(27.6±2.9)h],and the differences were statistically significant(P＜0.05).ConclusionFast track surgery obtains a remarkable application effect on PPH at advantages of improved nursing satisfaction and recovery,and has decreased incidence of complications,which is worthy of reference and promotion.
2017 Vol. 24 (16): 146-148 [
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Risk factors and nursing strategies of pulmonary infection in elderly patients after cardiac intervention
ZHANG Ling-zhi
ObjectiveTo explore the risk factors and nursing strategies of pulmonary infection in elderly patients after cardiac intervention.MethodsA total of 329 elderly patients were enrolled in our hospital from January 2014 to October 2016 and were divided into infection group(n=22)and non infection group(n=307)according to whether the patients had pulmonary infection after cardiac intervention.The clinical data were retrospective analyzed and logistic regression analysis was used to analyze the risk factors of pulmonary infection.ResultsThere were 22 cases of pulmonary infection in 329 patients,the infection rate was 6.69%.There were significant differences in smoking,pulmonary function classification,mental status,time of bed movement and intake of antibiotics after operation between the infection group and non infection group group(P＜0.05),whereas there was no significant difference in age,gender,body weight,hypertension,diabetes mellitus,operation mode and cardiac function grade in two grops(P＞0.05).Logistic regression analysis showed that smoking,pulmonary function classification,mental state,postoperative time of bed movement were the main influencing factors of pulmonary infection after cardiac intervention(P＜0.05).ConclusionLong-term smoking,poor lung function,depression and anxiety and long-term bed rest are related to pulmonary infection,and corresponding nursing measures should be taken to reduce the risk of pulmonary infection in elderly patients after cardiac intervention.
2017 Vol. 24 (16): 149-152 [
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Application of fast track surgery concept and technique in perioperative period of orthopedics
LI Xu-chun ；GONG Min； KANG Jian
ObjectiveTo explore the application of fast track surgery concept and technique in perioperative period of orthopedics.Methods162 cases of patients admitted to Department of Orthopaedics in our hospital from June 2014 to June 2016 were selected and divided into the observation group and the control group according to the random number table method.The control group was treated with routine perioperative period,while the control group were used fast track surgery concept and technique,the intranperative indexes,postoperative hospitalization time,levels of anxiety and pain,incidence of complication were compared between two groups.ResultsThere was no significantly different between nasopharyngeal temperature in two groups(P＞0.05),the intranperative heart rate,blood pressure and blood glucose in the observation group were lower than that in the control group,the postoperation scores of SAS and pain were lower than that in the control group,1 week after operation,the incidence of complication was lowere than that in the control group(P＜0.05).ConclusionThe application of rapid rehabilitation concept and technique in the perioperative period of orthopedics can significantly improve the stress state of patients,reduce the incidence of postoperative complications and shorten the recovery time of patients.
2017 Vol. 24 (16): 153-155 [
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129
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Research of psychological nursing combined with cognitive behavioral intervention in improving sleep disorders in elderly patients
XIE Ping-xiang； WANG Tao
ObjectiveTo study the influence of psychological nursing combined with cognitive behavioral intervention on sleep disorders in elderly patients.Methods120 elderly patients with sleep disorders and in the hospital from June 2014 to February 2016 were selected,and they were randomly divided into control group and experimental group,and there were 60 cases in each group.Two groups of patients were given the routine nursing measures,while the experimental group was given psychological nursing and cognitive behavior intervention.Pittsburgh sleep quality index(PSQI)score on admission and after 4,8 weeks nursing intervention between two groups were compared.ResultsCompared with on admission,PSQI score after 4,8 weeks nursing intervention in the two groups decreased and there was a statistical difference in the same group(P=0.000).There was no statistical difference of PSQI score between two groups(P＞0.05),after 4,8 weeks nursing intervention,PSQI score of the experimental group was lower than that of the control group (P＜0.05).After intervention,the score of sleep quality,sleep time,sleep efficiency,sleep disorder and hypnotic drugs in the experimental group were significantly lower than those in the control group (P＜0.05).ConclusionPsychological nursing combined with cognitive behavioral intervention plays an important role in improving sleep quality in elderly patients with sleep disorders,and has a significant effect,and has a higher clinical practicability and popularization.
2017 Vol. 24 (16): 156-158 [
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Application of evidence based nursing in children with severe hand-footand-mouth disease(EV71)combined with encephalitis
CHEN Gui-qiong ；MO Liu-yi；CHEN Li-shan
ObjectiveTo explore the application of evidence based nursing in children with severe hand-foot-andmouth disease(EV71)combined with encephalitis.Methods140 children patients with severe hand-foot-and-mouth disease(EV71)combined with encephalitis in our hospital from March 2015 to March 2016 were selected and randomly divided into the observation group and the control group.The two group were all given clinical routine therapy,and the control group was given routine nursing,the observation group was given evidence based nursing.The effective rate and length of hospital stays were compared between two groups.ResultsThe effective rate in the observation group(94.29%)was higher than that in the control group(74.29%),the length of hospital stays[(8.5±2.5)d]was longer than that in the control group[(12.0±3.0)d],and the differences were statistically significant(P＜0.01).ConclusionIn children with severe severe hand-foot-and-mouth disease(EV71)type merger encephalitis used in the treatment of evidence-based nursing intervention can significantly improve the treatment effect,speed up the patients′recovery time.
2017 Vol. 24 (16): 159-161 [
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Application efficacy of detail nursing in patients with type 2 diabetes mellitus
DENG Pingfan ；HU Zhu-fang ；XU Hai-fu
ObjectiveTo explore the effect of detail nursing in patients with type 2 diabetes mellitus.Methods96 patients with type 2 diabetes mellitus admitted in our hospital from December 2015 to May 2016 were selected and randomly divided into two groups based on the digital random table method.Patients in the control group were given routine care,while the patients in the observation group were given the detail nursing intervention based on the control group.The blood glucose level and medication compliance were compared between two groups.ResultsThe levels of fasting plasma glucose,postprandial 2 h blood glucose and HbA1c in the observation group [(7.08±1.48)mmol/L,(9.89±1.63)mmol/L and (6.42±1.36)%]were lower than those in the control group [(8.36±1.53)mmol/L,(11.63±1.57)mmol/L,(7.63±1.51)%];the compliance of the patients in the observation group(95.83%)was significantly higher than that in the control group(72.92%),and the difference was statistically significant(P＜0.05).ConclusionThe use of detailed nursing intervention in patients with type 2 diabetes can significantly reduce blood sugar levels,improve medication compliance,and promote the recovery of patients;the advantages are significant.It is worthy of clinical application.
2017 Vol. 24 (16): 162-164 [
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Efficacy of diversity nursing in patients with diabetes mellitus complicated with myocardial infarction
ZHANG Xiu-juan；XU Ying-lin；XUE Rui-qin；HUANG Xiao-chun
ObjectiveTo explore efficacy of diversity nursing in patients with diabetes mellitus complicated with myocardial infarction.Methods38 patients with diabetes complicated with myocardial infarction in our hospital from February 2015 to December 2016 were selected and randomly divided into the observation group and the control group,with 19 cases in each group.Patients in the control group were given conventional nursing,while patients in the observation were given diversity performed nursing on the basis of the control group.The levels of blood glucose and nursing satisfaction were compared between two groups were compared.ResultsBefore nursing,there were no significantly different between the levels of blood glucose in two groups(P＞0.05);after nursing,the levels of blood glucose in two groups were all decreased,and compared with those before nursing,the differences were statistically significant(P＜0.05).And that in the observation group was lower than that in the control group,and the differences was statistically significant(P＜0.01).The number of nursing satisfaction in the observation group was higher than that in the control group,and the differences was statistically significant(P＜0.05).ConclusionFor patients with diabetes mellitus complicated with myocardial infarction,it can effectively interfere with the changes of blood glucose and total satisfaction,so as to improve the cure rate of patients.
2017 Vol. 24 (16): 165-167 [
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Improvement effect of empathy nursing in emergency on the treatment coordination and stress response in patients
CHEN Chu-yun
ObjectiveTo explore the efficacy of empathy nursing in emergency on the treatment coordination and stress response in patients.Methods53 cases of emergency patients and who accepted treatments in our hospital from August 2015 to October 2016 were selected and divided into the observation group(n=27)and the control group(n=26)by the computer randomly method.Patients in the control group were given routine nursing,while patients in the observation group were given empathy nursing countermeasures.The psychological states,treatment coordination,stress response and nursing satisfaction were compared between two groups.ResultsThe scores of SAS and SDS in the observation group[(42.0±3.7),(40.9±4.2)points]were higher than that in the control group[(48.1±4.5),(46.0±5.3)points];the the scores of indexes in treatment coordination were higher than that in the control group,the incidence of stress response(7.41%)was lower than that in the control group(19.23%),the nursing satisfaction(92.59%)was higher than that in the control group(80.77%),and the differences were statistically significant(P＜0.05).ConclusionThe implementation of empathy nursing for the nursing in the emergency patients,which can effectively improve the treatment of patients with the degree of cooperation and improve the stress response,the method has been proved to be effective.It is worthy of clinical application.
2017 Vol. 24 (16): 168-170 [
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Comparison of the application of peripherally inserted subclavian vein catheterization in patients with malignant tumor
ZOU Yu-fen ；ZHANG Hua-xiang
ObjectiveTo compare the effect of peripheral catheterization(PICC)and subclavian vein implantation in central venous catheters(CVC)in patients with malignant tumor.Methods142 patients with advanced malignant tumor
received：
chemotherapy in our hospital from from January 2015 to January 2016 were selected and divided into two groups according to random numbers table method,72 patients were given peripheral vein puncture(the observation group),72 patients were given clavicle(the control group).The one-time success rate,catheter indwelling time and incidence of complications were compared were compared between two groups.ResultsThere were no statistically significant differences of one-time success rate(95.8%vs.90.3%),the catheter indwelling time[(70.52±33.54)d vs.(76.01±36.47)d]between two groups(P＞0.05).The incidence of complications in the observation group (9.7%)was lower than that in the control group(22.2%),and the difference was statistically significant(P＜0.05).ConclusionPICC catheterization has a good effect on reducing the incidence of complications in patients with advanced chemotherapy,and it has no adverse effect on the success rate of catheter retention and so on.It is worthy to be popularized.
2017 Vol. 24 (16): 171-173 [
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Efficacy of comprehensive nursing intervention on promoting successful breastfeeding in puerpera with crater nipples
GUO Ke
ObjectiveTo investigate the efficacy of comprehensive nursing intervention on promoting successful breastfeeding in the puerpera with crater nipples(including flat nipples).Methods100 puerpera with crater nipples(including flat nipples)who were treated in our hospital from January 2014 to December 2015 were selected as the research subjects.According to the random number method,the patients were divided into the control group and the observation group,with 50 cases in each group.Puerperas in the control group were given routine nursing intervention,and puerperas in the observation group were given comprehensive nursing intervention.The incidence of nipples recovery and nipple comfort and the breastfeeding situation were compared between two groups.ResultsThe The incidence of nipples recovery and nipple comfort of puerperas withⅠ-Ⅱ crater nipples and all the puerperas in the observation were higher than that in the control group.At discharge and 1,2,3,4,6 months after discharge,the incidence of breastfeeding was higher than that in the control group,and the differences were statistically significant(P＜0.05).ConclusionThe comprehensive nursing intervention in the puerpera with crater nipples(including flat nipples)is able to significantly improve the comfort rate of nipples,help successful breastfeeding,and improve the breastfeeding rate.It has a positive promoting effect on puerpera,which is worthy of clinical promotion and application.
2017 Vol. 24 (16): 174-176 [
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Application of comfortable nursing in voluntary blood donation
HE Min-jing；LIN Min-shi；YE Zhi-yu；LI Mo；WAN Jin-kui；PAN Gui-xiang
ObjectiveTo explore the application of comfortable nursing in voluntary blood donation.Methods480 cases of blood donors from February 2014 to June 2015 were selected as the control group,and 480 cases from July 2015 to December 2016 were selected as the observation group.The control group was given routine nursing intervention,while the observation group was given comfortable nursing intervention.The comfort level,pain degree,blood donation reaction,nursing satisfaction and willingness to donate blood were compared between two groups.ResultsThe comfort level of blood donors in the observation group was higher than that in the control group,the pain degree and blood donation reaction were lower than those in the control group,the nursing satisfaction and willingness to donate blood were higher than those in the control group,and the differences were statistically significant(P＜0.05).ConclusionThe use of comfortable nursing in the work of voluntary blood donation can effectively improve the blood donations′comfort,reduce the blood donations′blood donation response and pain,improve the satisfaction and willingness to donate blood,it is worthy of clinical use.
2017 Vol. 24 (16): 177-179 [
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Influence study of high-quality nursing intervention on neurological rehabilitation in patients with cerebral embolism
CHAO Shan-shan ；FENG Li-mian ；DENG Guo-min ；PENG Ying-ying； LI Lin
ObjectiveTo explore the efficacy of high-quality nursing intervention on neurological rehabilitation in patients with cerebral embolism.MethodsThe clinical data of 80 patients with cerebral embolism admitted into department of neurology in our hospital from January 2015 to February 2016 were selected and divided into the control group(routine nursing measures,n=40)and the observation group(high-quality nursing intervention,n=40)according to different nursing measures.The neurological function,motor function,daily life activity and quality of life were compared between two groups.ResultsBefore nursing,there were no significantly different among the scores of neurological function,motor function,daily life activity and quality of life in two groups(P＞0.05);after nursing,the scores of neurological function in two groups were all decreased,the scores of motor function,daily life activity and quality of life in two groups were all increased,and compared with those before nursing,the differences were statistically significant(P＜0.05).The score of neurological function in the observation group was lower than that in the control group,the scores of motor function,daily life activity and quality of life were higher than those in the control group,and the differences were statistically significant(P＜0.05).ConclusionThe application of high-quality nursing intervention in patients with cerebral embolism can restore neurological function,improve motor function as well as daily living ability,which is beneficial to the improvement of quality of life and is worthy of clinical promotion.
2017 Vol. 24 (16): 180-182转185 [
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Application of responsibility nursing intervention in the whole course treatment of hospitalized patients with pulmonary tuberculosis complicated with hemoptysis
LYU Hong-hai
ObjectiveTo investigate the application effect of responsibility nursing intervention in the whole course treatment of hospitalized patients with pulmonary tuberculosis complicated with hemoptysis.Methods60 patients with pulmonary tuberculosis complicated with hemoptysis treated in department of infectious internal medicine of our hospital from November 2015 to November 2016 were selected and they were randomly divided into the responsible group(n=30)and routine group(n=30).The regular group was given the routine nursing,while the responsible group was given the responsibility nursing of whole course.Hemoptysis stoping time,length of stay and the total incidence rate of the bad ending such as massive hemoptysis,shock,asphyxia,death and so on in patients between two groups were compared.Results Hemoptysis stoping time,length of stay in the responsible group was shorter than those of the routine group[(11.4±3.2)h vs.(19.3±3.7)h，(6.8±1.1)d vs.(8.6±1.3)d](P＜0.05).The total incidence rate of the bad ending in the responsible group was lower than that of the routine group(6.67%vs.26.67%)(P＜0.05).ConclusionResponsibility nursing intervention applied in the whole course treatment of hospitalized patients with pulmonary tuberculosis complicated with hemoptysis can help improve the clinical efficacy of patients.
2017 Vol. 24 (16): 183-185 [
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Effec observation of PDCA cycle management model on the improvement of exercise of postoperative affected limb function in the patients with breast cancer
CHENG Jian-huan； HU Mei-xiao； LI Yun-xia ；ZHONG Bi-hong
ObjectiveTo observe and analyze the effect of PDCA cycle management mode on the exercise of affected limb function in the patients with breast cancer.Methods150 patients who were admitted in our hospital and underwent postoperative recovery of affected limb function exercise after the radical resection of breast cancer from January 2015 to January 2017 were randomly divided into two groups.Among them,70 patients who were given the nursing by PDCA cycle management mode were assigned to the PDCA group,and 80 patients who were given general nursing management mode were assigned to the control group.The nursing compliance,the height of the finger climbing the wall upon discharge and the length of stay,and the shoulder joint activity after 3 months of discharge were compared between the two groups.ResultsThe total compliance rate(100.00%)in the PDCA group was higher than that of the control group(88.75%)(P＜0.05).The height of finger climbing the wall in the PDCA group was higher than that in the control group,and the length of stay was shorter than that in the control group.The differences were statistically significant(P＜0.05).The shoulder joint activities such as shoulder extension,flexion,upper abduction in the PDCA group were better than those in the control group,and the differences between the two groups were statistically significant(P＜0.05).ConclusionPDCA cycle management mode is applied in the recovery of the exercise of postoperative affected limb function after the surgery of breast cancer in our hospital,and advanced planning and post-processing check mode is applied.Through the targeted implementation,detection and solving problems by the medical staff,patients and family members,the function of postoperative affected limb is improved,so that the management of patients in the departments is more standardized,the compliance with the treatment is improved and the length of stay is shortened.It is of great value of clinical popularization,promotion,and application.
2017 Vol. 24 (16): 186-188 [
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Clinical application of high quality nursing in the rescue of acute pulmonary thromboembolism
WU Juan ；ZHANG Hui-miao
ObjectiveTo study the application effect of high quality nursing in the rescue of acute pulmonary thromboembolism.Methods150 patients with acute pulmonary thromboembolism treated in our hospital from January 2015 to January 2016 were chosen and they were randomly divided into the observation group and the control group,each group had 75 cases according to the random number table method.The respiratory rate,blood pressure and oxygen partial pressure of the two groups were counted,and the total satisfaction degree,length of stay and recurrence rate between two groups were compared.ResultsThe respiratory rate,systolic blood pressure and oxygen partial pressure in the observation group were better than those in the control group (P＜0.01).The total satisfaction degree of the observation group was significantly higher than that of the control group (P＜0.01).The length of stay of the observation group was significantly shorter than that of the control group,the difference was statistically significant(P＜0.01).The recurrence rate of the observation group was 2.7%,which was lower than that of the control group (13.3%),and the difference was statistically significant(P＜0.05).ConclusionThe high quality nursing program can effectively improve the rescue effect of acute pulmonary thromboembolism,and it is worthy of clinical wide popularization.
2017 Vol. 24 (16): 189-191 [
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Feasibility of case management nursing model in elderly patients with diabetes mellitus
KONG Ai-Hua
ObjectiveTo explore the feasibility of case management nursing model in elderly patients with diabetes mellitus.Methods138 patients with diabetes mellitus in our hospital from January 2014 to January 2016 were selected and divided into the observation group and the control group,with 69 cases in each group.The control group was given routine diabetes care mode,while the observation group was given case management model.The levels of FBG,HbA1c,diabetes knowledge,quality of life and self behavior management were compared between two groups.ResultsBefore intervention,there were no significantly different among the levels of FBG,HbA1c in two groups(P＞0.05);after intervention,the levels of FBG,HbA1c 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 was lower than those in the control group,and the differences were statistically significant(P＜0.05).Before intervention,there were no significantly different among the scores of DKT,DSQL self behavior management(diet control,exercise management,foot care,drug monitoring,hyperglycemia processing)in two groups(P＞0.05);after intervention,the scores of DKT and all indexes in self behavior management in the observation group were increased,the score of DSQL 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 intervention(P＞0.05).And the scores of DKT and all indexes in self behavior management in the observation group was higher than those in the control group,the scores of DSQL was lower than that in the control group,and the differences were statistically significant(P＜0.05).ConclusionThe application of case management model in elderly patients with diabetes mellitus can effectively control the blood glucose and improve the self behavior management ability of diabetes in patients.It is worthy to be popularized.
2017 Vol. 24 (16): 192-194转197 [
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Effect of perioperative nursing support in patients with selective cerebrovascular intervention
CHEN Ting
ObjectiveTo study the application effect of perioperative nursing support in patients with selective cerebrovascular intervention.Methods98 patients scheduled for cerebrovascular intervention from March 2015 to February 2017 were selected and there were 49 patients in each group.In the control group,the perioperative nursing work was routinely carried out.The nursing support group strengthened the perioperative nursing support on the basis of the control group.The change of psychological characteristics (SCL-90 scale)score,perioperative nursing satisfaction degree and the incidence rate of complications such as the drastic change of intraoperative heart rate and systolic blood pressure,chest tightness and nausea and vomiting and so on,and hospitalization time,care quality score were compared between the two groups.ResultsThe satisfaction degree of perioperative nursing in nursing support group was obviously higher than that in control group (P＜0.05).The total incidence rate of complication in the nursing support group was lower than that of the control group(P＜0.05).Before nursing,there were no statistically significant differences in psychological characteristics between the two groups(P＞0.05).The score of psychological characteristics of the patients in the nursing support group were significantly better than those in the control group (P＜0.05).The hospitalization time of the nursing support group was shorter than that of the control group,and the score of nursing quality was higher than that of the control group (P＜0.05).ConclusionApplication effect of perioperative nursing support in patients with selective cerebrovascular intervention is exact,and it can effectively improve the bad psychology of patients,reduce the incidence of adverse events,improve the quality of nursing service,shorten hospitalization time,improve nursing satisfaction degree,and it is worthy of popularization and application.
2017 Vol. 24 (16): 195-197 [
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