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2017 Vol. 24, No. 15
Published: 2017-05-28
4
Meta-analysis of influence of continuity nursing on the activity of daily living and compliance in patients with stroke
TU Shu-hua;WANG Zhen-zhen;PENG Yu-yan;YUE Li-chun;MEI Gui
ObjectiveTo evaluate the effect of continuity nursing intervention on the activity of daily living and treatment compliance of patients with stroke.MethodsThe randomized controlled trials(RCTs)of the continuity nursing intervention in patients with stroke were collected through the databases such as the Cochrane Library,PubMed,CBM,VIP, CNKI and WanFang Data from January 2010 to December 2016,and Meta-analysis was conducted for the included studies using the RevMan 5.0 software.Results11 RCTs study involving 1070 patients were included.Meta-analysis showed that continuity nursing intervention can improve the activities of daily living(ADL)of patients with stroke[WMD=20.09, 95%CI=16.51-23.67(P＜0.01)],improve patient treatment compliance and overall quality of life[OR=7.04,95%CI=4.24-11.69(P＜0.01);SMD=0.88,95%CI=0.25-1.50(P＜0.01)]and the differences was statistically significant.ConclusionContinuity nursing intervention can improve the activities of daily living and treatment compliance of patients with stroke, and improve their quality of life.
2017 Vol. 24 (15): 4-8 [
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Experimental study of the effects of Huoxue Powder on acute soft tissues injury and its anti-inflammatory and analgesic effects
LIU Jun-ning;WANG Qing-lian; ZHANG Yan; NIU Su-sheng
ObjectiveTo study the effect of Huoxue Powder of old Mr.LIN Ru-gao on acute soft tissues injury and its effect on repair and treatment of damaged soft tissues.MethodsExperimental animals were 56 mice,half of male and female.Each group of mice were half of male and female.16 mice were randomly divided into model control group(8 mice)and Huoxue Powder treatment group(8 mice).The anti-inflammatory effect of Huoxue Powder was observed by xylene auricle swelling method;16 mice were randomly divided into model control group (8 mice)and Huoxue Powder treatment group(8 mice,half of male and female).The analgesic effect of Huoxue Powder was observed by acetic acid writhing method.24 mice were randomly divided into two groups∶the group (12 mice)and the model control group(12 mice).Six mice(half of male and female)were randomly selected at 2 and 4 days after treatment,and the subcutaneous and muscle tissues were taken at the time of anesthesia to observe the histological.ResultsThe degree of ear swelling in mice of Huoxue Powder treatment group was significantly lighter than that in model control group (P＜0.05).The number of writhing in mice of Huoxue Powder treatment group was significantly less than that in model control group(P＜0.05).The repair process of skeletal muscle cells in the treatment group was significantly earlier than that in the model control group.ConclusionHuoxue Powder has a good anti-inflammatory analgesic effect,which can accelerate the repair of acute soft tissue injury process.
2017 Vol. 24 (15): 9-11 [
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169
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Diagnostic value of ultrasound in cervical lymph node metastasis of thyroid carcinoma
MENG Xin-xiang;XIAO Jia-yi;JIANG Ru1LI Min;LIU Chun-feng
Thyroid cancer is the most prone to early cervical lymph node metastasis,and the transfer rate is high,which requires to determine the lymph node metastasis and metastasis of regional clinicians before operation for clinical doctors in order to avoid dissection of cervical lymph node is insufficient or excessive dissection.Ultrasonography has realtime,noninvasive,simple operation and other advantages,and it has become the preferred method the diagnosis of cervical lymph node metastasis.This review mainly summarizes the application of ultrasound in cervical lymph node metastasis of thyroid carcinoma.
2017 Vol. 24 (15): 12-14 [
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138
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The function and influence to intestinal barrier in ischemia-reperfusion injury
FAN Li-hui;FU Ting-liang;HAN Xin-ling
The intestinal mucosal barrier is a important biological barrie which protect the body from intestinal bacteria and endotoxin,and it is an important part of the body′s prote-ctive system.It consists of three parts∶mechanical barrier and intestinal mucosa barrier of biological barriers and immune barrier,and every barrier has different structure,different molecular regulation mechanism and biological function.At the same time,this three parts unifies in together through their signaling pathways organically and defense foreign antigen material for the body.In clinic,pathological batter in different reasons often cause intestinal ischemia,and intestinal ischemia-reperfusion injury after intestinal barrier damage is the common pathological changes.Intestinal barrier function change has multiple factors in ischemia-reperfusion, ischemia and reperfusion in intestinal will damage the three parts.This paper will write a review about the influence of ischemia-reperfusion injury on function of intestinal barrier.
2017 Vol. 24 (15): 15-18 [
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Clinical efficacy research on different laparoscopic surgery for patients with inguinal indirect hernia
YAN Cong;WU Xiong-hui;YAN Bing;CHEN Yong-qiang;CHEN Zhi-qiang;HE Long-juan
ObjectiveTo compare the clinical efficacy of laparoscopic hernia repair via the limb subcutaneous approach (LHR-L)and laparoscopic hernia repair via the total extraperitoneal approach (LHR-TEP).MethodsA total of 86 patients with inguinal indirect hernia in our hospital from September 2013 to August 2015 were selected and randomly divided into observation group and control group,43 cases in each group.Patients in the observation group were given LHR-L and control group were given LHR-TEP.The clinical efficacy and complications of two group were observed and compared.ResultsAll the 86 cases finished operation successfully.The operation time,blood loss within operation, and hospitalization expenses in observation group were less than those of control group with difference being statistically significant(P＜0.05).At the time of 6,24,and 48 h after operation,the VAS pain scores of observation group was lower than those of control group(P＜0.05),and the SF-36 scores of observation group was higher than that of control group(P＜0.05). The recent complication of observation group(4.66%)was lower than those of control group(18.60%)(P＜0.05).ConclusionLHR-L has the advantage of simple handling,definite efficacy,less postoperative complications and faster recovery, and can be promoted clinically.
2017 Vol. 24 (15): 19-22 [
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Treatment strategy of recurrent Candidal balanoposthitis
WANG Yu;HUANG Ming-tong;HUANG Zhi-kai;LU Yu1TAO Gui-qun
ObjectiveTo investigate the clinical treatment strategy of recurrent candidal balanoposthitis and improve the patients′curative rate,so as to provide reference for clinical treatment.MethodsAltogether 80 cases of recurrent Candidal balanoposthitis patients who were treated in our hospital from November 2014 to September 2016 were selected and randomly divided into control group and treatment group,with 40 cases in each group;treatment group was treated with 2%Sertaconazole Nitrate Cream combined with red and blue light treatment,control group was treated with Miconazole Nitrate Cream.The curative effect was observed and the incidence of adverse reactions was recorded.The follow-up visit was conducted at post-operative 2 months and 6 months to observe the curative effect.ResultsThe effective rate of control group and treatment group at post-operative 2 weeks was 100.0%and 97.5%respectively,without statistical significance difference(P＞0.05);the recurrence rate of treatment group and control group at post-operative 2 weeks was 2.5%and 15.0%respectively;the recurrence rate of treatment group and control group at post-operative 6 weeks was 7.5%and 27.5%respectively;there was significant difference in the recurrence rate at post-operative 2 weeks and 6 weeks (P＜0.05).ConclusionCombination application of 2%Sertaconazole Nitrate Cream and red and blue light treatment is effective in the prevention and treatment of recurrent Candidal balanoposthitis,which can effectively prevent the recurrence of the disease and is worthy of clinical promotion and application.
2017 Vol. 24 (15): 23-24转30 [
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Intervention effect of Tanreqing Injection on disease progression and death rate in treating sepsis
HUANG Xue-min
ObjectiveTo observe the mend matters of sepsis and intervention effects of death rate with Tanreqing Injection.Methods90 sepsis patients in our hospital from May 2013 to May 2016 were selected and divided into observation group and control group by the method of random number table,45 cases in each group.The control group was treated with normal western medicine,while the observation group was treated with Tanreqing Injection additional on the basis of normal western medicine.After 7 days of treatment,the changes of inflammatory marks including CRP,PCT,IL-6, IL-8,TNF-α were observed.APACHEⅡwas recorded before and after treatment.After 21 days of treatment,the curative effect and death rate were counted.ResultsAfter 7 days of treatment,the observation group had better improvement effects on CRP,PCT,IL-6,IL-8,TNF-a than the control group,with statistically significant differences(P＜0.05).The APACHEⅡscore of the observation group was lower than that of the control group (P＜0.05).After 21 days of treatment,efficiency rate of observation group(44.4%)was higher than the control group(28.9%),with statistically significant differences(P＜0.05). There were no statistically significant differences between two groups in the death rate (P＞0.05).The observation group had lower incidence rates of shock and deep venous thrombosis than the control group with statistically significant differences(P＜0.05).ConclusionTanreqing Injection can reduce sepsis patients′inflammation,improve clinical symptoms and cut the death rate.
2017 Vol. 24 (15): 25-27 [
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Study on the effect of Ambroxol hydrochloride in patients with COPD complicated with pulmonary infection
SHEN Lu
ObjectiveTo investigate the effect of Ambroxol hydrochloride in patients with COPD complicated with pulmonary infection.Methods112 patients with COPD complicated with pulmonary infection in our hospital from September 2013 to September 2016 were randomly divided into observation group and control group，each group with 56 cases.Patients in the control group were treated by conventional symptomatic treatment,patients in the observation group were treated with ambroxol hydrochloride on the basis of routine treatment.The therapeutic effects and adverse reactions of the two groups were observed and compared.ResultsThe total efficiency of the observation group was 91.1%，significantly higher than the control group(78.6%)，the difference was statistically significant(P＜0.05).After treatment，CPIS score of patients in the two groups was significantly decreased compared with before treatment，and the CPIS score of treatment group was significantly lower than that of the control group，the clinical symptoms improved time and hospitalization time of patients in the observation group were significantly shorter than those of the control group，the differences were statistically significant(P＜0.05).There was no significant difference in adverse reactions between the two groups（P＞0.05）.ConclusionAmbroxol hydrochloride has significant curative effect in patients with COPD combined with pulmonary infection，can effectively improve the clinical symptoms of patients，promote the early recovery of patients，with less adverse reactions and safety，and has a high clinical value.
2017 Vol. 24 (15): 28-30 [
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The effect assessment of ascites concentrated transfusion in the treatment of 40 cases of cirrhotic ascites
WU hao;TANG Wu;PENG Bao-gang
ObjectiveTo study the treatment effect of concentration back to lose of 40 patients with cirrhotic ascites.Methods80 patients with liver cirrhosis ascites in our hospital from February 2015 to January 2016 were selected and divided into group A and group B,with 40 cases in each group.Patients of two groups were given dieresis and protect liver treatment,on the basis of conventional treatment,group A was given multiple therapeutic abdomen through dispersing treatment;on the basis of conventional treatment,group B was given the treatment of ascites concention doping,ultrafiltration volume was 4000-10 000 ml each time,treatment time control in 1.5-3.0 h,1 time/week.The liver cirrhosis ascites weight, 6,24 hour urine,blood serum protein,glomerular filtration rate and 24 hours urinary sodium concentration before and after treatment and clinical curative effect after treatment of patients in the two groups were observed.ResultsIn 4 weeks after treatment,weight of B group was(64.87±6.23)kg,abdominal girth was(64.14±7.14)cm,urine volume in 24 hours was(1487.87±401.41)ml,were superior to those of the group A(P＜0.05);the serum ALB was(31.71±5.23)g/L, glomerular filtration rate was(67.14±14.80)ml/min and 24 hours urinary sodium concerntration was(72.87±10.03)mmol/L, were higher than those of the group A(P＜0.05);Cys concention was(1.24±0.23)mg/L,was lower than those in group A (P＜0.05),the total effective rate of group B was 85.00%,higher than that of group A(P＜0.05).ConclusionThe ascites cercention doping technique for the treatment of ascites significantly is worth popularizing in clinical implementation.
2017 Vol. 24 (15): 31-33 [
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Effect of Tiopronin combined with Lamivudine in the treatment of pulmonary tuberculosis complicated with chronic hepatitis B
FENG Xia
ObjectiveTo analyze the effect of Tiopronin combined with Lamivudine in the treatment of pulmonary tuberculosis complicated with chronic hepatitis B.Methods87 cases of pulmonary tuberculosis associated with chronic hepatitis B in our hospital from July 2016 to January 2017 were randomly selected according to clinical treatment and different therapy,all patients were divided into experimental group and control group,40 patients in control group were given anti tuberculosis drugs combined with liver 2HTELfx/4HT treatment,47 patients of experimental group was given Tiopronin combined with Lamivudine with conventional treatment scheme in the treatment of patients,the incidence of adverse reactions and the effects were compared between the two groups.ResultsThe clinical treatment effect of the experimental group was better than that of the control group(95.8%vs.82.5%,P＜0.05).The incidence of adverse reactions in the experimental group was significantly lower than that of the control group,the difference was statistically significant (10.5%vs.20.0%,P＜0.05).ConclusionCombination of tiopronin and Lamivudine with 2HTELfx/4HT in the treatment of patients with pulmonary tuberculosis complicated with chronic hepatitis B can effectively reduce the incidence of adverse reactions such as nausea,vomiting,rash and skin pruritus.
2017 Vol. 24 (15): 34-36 [
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Value of combined detection of NT-proBNP and hs-cTnT in patients with chronic cardiac insufficiency
WU Yong-hao;WANG Wei-hao;LIN Hai-yun;DENG Le-hua
ObjectiveTo evaluate the prognostic value of combined detection of NT-proBNP and hs-cTnT in patients with chronic cardiac insufficiency.Methods60 patients with CCI treated in Changping Hospital of Dongguan from January 2013 to December 2016 were selected as and the observation group and were divided into groupⅠ-Ⅳ according to the classification of NYHA(cardiac function classification in New York);another 60 healthy persons were selected as the control group.The changes of NT-proBNP and hs-cTnT levels were observed in patients and healthy controls during hospitalization and 12 months′follow-up.ResultsThe levels of NT-proBNP and hs-cTnT in the observation group were higher than those in the healthy control group,and the differences were statistically significant(P＜0.05).In the observation group of different NYHA classification,the higher the grade,the higher the level of NT-proBNP and hs-cTnT,the difference was statistically significant(P＜0.05).Pearsons analysis of NYHA was positively correlated with NT-proBNP and hs-cTnT(r=0.325,0.652,P＜0.05).ConclusionThe combined detection of NT-proBNP and hs-cTnT has clinical value in the clinical diagnosis and prognosis evaluation of CCI patients,which is worthy of clinical application.
2017 Vol. 24 (15): 37-39 [
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Effect comparison between Propafenone and Amiodarone in treatment of arrhythmia and their influence on serum hs-CRP
JIN Wei
ObjectiveTo compare the clinical effect of Propafenone and Amiodarone in treatment of arrhythmia and their influence on serum hypersensitive C-reactive protein (hs-CRP).Methods96 patients with arrhythmia treated in our hospital from Decembere 2015 to December 2016 were randomly divided into Propafenone group and Amiodarone group,with 48 cases in each group.Patients in the Propafenone group were orally given Propafenone hydrochloride tablets,and those in the Amiodarone group were orally given Amiodarone hydrochloride tablets.The overall response rates and changes of serum hs-CRP level were compared.ResultsAfter treatment,the overall response rate in the Amiodarone group was 95.83%,significantly higher than the 83.33%in the Propafenone group(P＜0.05).After treatment,the levels of serum hs-CRP were evidently lowered in both groups,and the hs-CRP level was significantly lower in the Amiodarone group[(7.63±2.60)mg/L]than that in the Propafenone group[(12.56±3.50)mg/L].ConclusionThe effect of Amiodarone is better than that of Propafenone in treatment of arrhythmia,and Amiodarone is more effective in lowering the level of serum hs-CRP,thus is worthy to be promoted.
2017 Vol. 24 (15): 40-42 [
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Curativeeffectand theadrenalfunction ofmethylprednisolonein treatment of recurrent nephrotic syndrome in children
LI Chun-hua;GONG Xian-ming;PENG Yong-yan
ObjectiveTo study The effect and function of adrenal cortex of methylprednisolone in treatment of recurrent nephrotic syndrome in children.Methods90 cases of children with nephrotic syndrome from January 2014 to March 2015 in our hospital were selected as research object,and they were divided into observation group and control group according to the random number table,45 cases in each group.The observation group was treated with Methylprednisolone, the control group treatment was treated with oral Prednisone.The adrenocortical function,urinary protein clearance time, the first course of non negative exit rate,recurrence rate and adverse reactions after treatment,treatment effect in two groups were compared.ResultsAfter treatment and 3 months after treatment,the level of ACTH in the observation group [(16.89±2.09),(25.92±10.28)ng/L]was significantly higher than that of the control group [(4.79±1.23),(19.74±12.39)ng/L] (P＜0.05),Cr level[(368.28±93.27),(203.40±46.20)μg/L]was significantly lower than the control group(413.79±94.76), (258.73±49.87)μg/L](P＜0.05);the negative time of urine protein [(7.41±2.01)d],the rate of the first course of treatment (6.67%)and the recurrence rate(4.44%)was significantly lower than that of the control group[(10.98±3.10)d,26.67%, 22.22%](P＜0.05);the incidence of adverse reactions(6.67%)was significantly lower than control group(33.33%)(P＜0.05);the total effective rate(95.56%)was significantly higher than the control group(71.11%)(P＜0.05).ConclusionThe effect of methylprednisolone in treatment of recurrent nephrotic syndrome in children is significant,can reduce the influence on adrenocortical function,reduce adverse reactions,reduce urinary protein clearance time,improve the treatment effect.
2017 Vol. 24 (15): 43-45转65 [
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Effect of early intelligence intervention combined with ganglioside in the treatment of neonatal hypoxic ischemic encephalopathy
LI Guang-zhong
ObjectiveTo investigate the effect of early intelligence intervention combined with ganglioside in the treatment of neonatal hypoxic ischemic encephalopathy (HIE).Methods120 cases of neonatal hypoxic ischemic encephalopathy(HIE)in our hospital from May 2015 to October 2016 were selected and randomly divided into two groups：control group and observation group,60 in each group.The control group was treated with ganglioside treatment, while the observation group was given early intelligence intervention on the basis of ganglioside treatment,and the final treatment effect of the two groups were compared.ResultsThe total effective rate of the observation group was 96.7%, compared with 85.0%in the control group,with significant difference (P＜0.05);satisfaction of the observation group was 98.3%,compared with 86.7%in the control group,with significant difference(P＜0.05);the DQ score and neurological score of the patients in the observation group were better than the control group,the differences were statistically significant(P＜0.05).ConclusionThe early intelligence intervention combined with ganglioside treatment of neonatal hypoxic-ischemic encephalopathy can promote the development of the nervous system of children,improve children′s perception of cognitive level,and improve the prognosis,with higher application value.
2017 Vol. 24 (15): 46-48 [
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Application effect of Narcotrend monitoring in tracheal extubation in elderly patients with hypertension during general anesthesia recovery time
GUO Xin;HOU Zhi-qiLUO;Huan-huan
Objection To investigate the application effect of Narcotrend monitoring in tracheal extubation in elderly patients with hypertension during general anesthesia recovery time.Methods90 elderly hypertensive patients in our hospital from August 2015 to June 2016 undergoing elective operation in general anesthesia were selected.All patients were randomly divided into three groups(n=30)according to the NT value during recovery time.The NT value of recovery period∶group A was maintained was 55.0±5.0,group B was 75.0±5.0,group C was 95.0±5.0.Preoperative blood pressure was controlled below 160/100 mmHg in all patients,and NT monitoring was performed from the beginning of anesthesia to the recovery of patients.After the end of surgery continous infusion of propofol until extubation.The endotracheal tube was removed after full recovery of respiration and the propofol infusion was stopped immediately after extubation.Compared the changes of MAP and HR before and after extubation of three groups of patients,recovery time,observers assessment of alertness/sedation(OAA/S)scale,cough reaction,oropharygeal airway utilization and extubation awareness incidence.ResultsThere were no significant changes of MAP and HR in groups A and B before and after extubation(P＞0.05).After extubation,MAP and HR of group C increased significantly compared with before extubation(P＜0.05).MAP and HR in group C were significantly higher than those in group A and B after extubation(P＜0.05).Compared with group B and C,the oropharyngeal airway utilization and awake time of group A increased significantly,the difference was statistically significant(P＜0.05).The rate of cough and extubation awareness of group C were significantly higher than that of group A and B (P＜0.05).ConclusionThe NT value of 75.0±5.0 can be a proper indication of tracheal extubation under deep sedation in elder patients with hypertension.
2017 Vol. 24 (15): 49-52转89 [
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Influence of Sufentanil on the analgesic effect and delivery outcome of vaginal delivery in patients with scarred uterus
XU Jian-wu;LIN Yi-yu2
Objective
To explore the influence of Sufentanil on the analgesic effect and delivery outcome of vaginal delivery in patients with scarred uterus.Methods60 patients with scarred uterus and received
vaginal delivery in our hospital from July 2015 to September 2016 were selected and divided into the obseration group and the control group according to the random number table,with 48 cases in each group.The onservation group was treated with Sufentanil for analgesia,while the control group were not enrolled labor analgesia.The scores of VAS and the delivery outcome were compared between two groups.ResultsBefore analgesia,there were no significantly different between the scores of VAS in two groups(P＞0.05);10,20,30 min after analgesia and uterine orifice opend,the scores of VAS in the observation group [(5.6±1.5),(4.4±1.3),(3.5±0.9),(4.6±1.0)points]was lower than those in the control group [(8.4±1.2),(8.5±1.1),(8.5±1.4), (8.5±1.3)points],and the differences were statistically significant(P＜0.01).There were no significant differences in the incidence of caesarean section and neonatal asphyxia,neonatal?weight between two groups(P＞0.05).The bleeding volume in the observation group[(335.2±150.8)ml]was less than that in the control group[(446.4±146.5)ml],the hospital stays in the observation group[(4.1±2.0)d]was shorter than that in the control group[(6.3±2.4)d],the differences were statistically significant(P＜0.01).ConclusionSufentanil is effective in reducing the maternal pain,and the cesarean section rate is low,it can shorten the hospitalization time and improving the maternal and child outcomes significantly.
2017 Vol. 24 (15): 53-55 [
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Influence of dexmedetomidine anesthesia on agitation and hemodynamics in hypertensive patients during recovery period
LIU Qi
ObjectiveTo explore the effect of dexmedetomidine on agitation and hemodynamics in hypertensive patients during recovery period.MethodsFrom July 2014 to July 2016,clinical data from 86 hypertensive patients undergone surgeries via general anesthesia were selected as observation objects.According to a random number table,they were evenly divided into experimental group and control group.Sixty minutes before the end of the operation,20 ml saline by intravenous micro-pump injection was used for patients in the control group.In the experimental group,0.5 μg/kg dextromethorphan via intravenous micro-pump injection was applied.Theagitation,pain degree,and hemodynamics at T0to T4during recovery period in the two groups were compared.ResultsIn the experimental group,the agitation rate during recovery period was 13.95%,much lower than that in the control group accounting for 48.84%with a statistical difference(P＜0.05).The score of VAS one-hour after surgery in the experimental group was greatly lower than that in the control group with a statistical difference(P＜0.05).The mean arterial pressure(MAP)and heart rate(HR)at different time points in the experimental group were lower than those in the control group with statistical differences(P＜0.05).ConclusionDeemethomidine has a great effect on the reduction of restlessness during anesthesia recovery in hypertensive patients.It maintains the stability of hemodynamics,alleviates postoperative pain degree,and improves the awakening quality.
2017 Vol. 24 (15): 56-58 [
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The safety and feasibility of the application of nerve stimulator in lower limb surgery of children with sciatic nerve and femoral nerve block
JIANG Wei-qun;TAO Xiao-san
Objective
To analyze the safety and feasibility of the application of nerve stimulator in the lower limb operation of sciatic nerve and femoral nerve block in children.Methods82 cases of children with unilateral lower limb surgery in our hospital from October 2016 to February 2017 were randomly divided into experimental group and control group,each group of 41 cases.The traditional method of nerve block was used in the control group,and the nerve block was used in the experimental group,according to random number table.The two groups of children′s operation time, working time,complete occlusion time and success rate of nerve block were compared.ResultsThe operation time of the experimental group was （5.1±2.3)min,the time of was （12.4±3.2)min,less than those of the control group（8.8±2.5）min and（18.6±4.4）min,the differences were statistically significant（P＜0.05).The onset time of the experimental group was （4.6±1.4)min and the control group was （5.3±1.8)min,the difference was not statistically significant（P＞0.05).The success rate of nerve block in the experimental group was 97.56%,higher than 82.92%in the control group,the difference was statistically significant（P＜0.05).ConclusionThe nerve block effect of sciatic nerve stimulator in 82.92%pediatric lower extremity surgery+femoral nerve block is obviously better than the traditional methods,and can reduce the incidence of postoperative complications.
2017 Vol. 24 (15): 59-61 [
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Diagnosing technique research on 22q 11.2 microdeletion accompanied with congenital heart disease
JIANG Hua-jing;CHEN Jing;LIN Li-xuan;XIONG Jian;QI Fang;HU Zhi-yang
Objective
To discuss the clinical value of fluorescence in situ hybridization(FISH)combined with ultrasonic cardiogram on 22q 11.2 microdeletion accompanied with congenital heart disease(CHD).MethodsA total of 62 high risk pregnant women from January 2013 to December 2014 were chosen.The FISH technique was applied to detect 22q 11.2 microdeletion,and ultrasonic cardiogram was used to diagnose clearly.ResultsFive fetuses with 22q 11.2 microdeletion were detected,from whom 3 fetuses were diagnosed as tetralogy of Fallot,and 2 fetuses were diagnosed as ventricular septal defect.The ultrasonic cardiogram showed that 2 fetuses with tricuspid regurgitation slightly,2 fetuses with pulmonary stenosis and 1 fetus with patent ductus arteriosus were detected in 57 fetuses without 22q 11.2 microdeletion. Abnormality rate in group with 22q 11.2 microdeletion and group without 22q 11.2 microdeletion was 100.00%and 8.77%respectively,and difference was statistically significant(χ2=28.28,P＜0.01).ConclusionDetecting 22q 11.2 microdeletion with FISH technique and diagnosing clearly CHD with ultrasonic cardiogram has high clinical application value and it is worthy of clinical promotion and application.
2017 Vol. 24 (15): 62-65 [
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Application of ultrasonic image examination in clinical diagnosis of acute abdomen in department of gynaecology and obstetrics
XIE Li-ling;HUANG Ri-lin;CHEN Yan-ling;YANG Zu-xi;WANG Qin;QU Xiao-ying
ObjectiveTo investigate the application value of ultrasonic image examination technology in clinical diagnosis of acute abdomen in department of gynaecology and obstetrics.MethodsEighty patients with acute abdomen admitted into our hospital from June 2014 to June 2016 were selected as subjects.All patients were diagnosed by ultrasonography and its results was compared with pathological diagnosis.The clinical diagnosis rate was counted.ResultsThe diagnostic results of ultrasound for 80 patients with acute abdomen showed that there were 5 cases of rupture and bleeding of ovarian cyst,5 cases of torsion of the pedicle of ovarian cyst,3 cases of corpus luteum rupture,11 cases of abortion,2 cases of perforation of uterus,18 cases of placenta previa,and the accuracy rate of diagnosis for the abovementioned disease were 100.0%.Among 6 cases of acute pelvic inflammatory disease,1 case (acute appendicitis)was misdiagnosed.and among 30 cases of ectopic pregnancy,1 case(adnexal tumor)was misdiagnosed.The accuracy of ultrasound diagnosing 80 patients with acute abdomen was 97.5%(78/80).ConclusionUltrasonography technology has made certain achievements in the field of diagnosis of diseases.It is convenient and fast,noninvasive,having high diagnostic rate and clinical significance,especially in the diagnosis of acute abdomen of obstetrics and gynecology.
2017 Vol. 24 (15): 66-68 [
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Application of image-guided radiotherapy based on kV in thoracic tumor
QIU Min-min;REN Yu-feng;ZHONG Jia-jian;LIN Ze-huang;ZHAO Wen-bin;DENG Yong-jin;WANG Zhen-yu;WEN Bi-xiu
ObjectiveTo analyze the inter-and intra-fractional setup errors of thoracic tumors using kilovolt-image guided radiotherapy (kV-IGRT),and to study the influence of kV image guidance on the accuracy of intensity modulated radiotherapy(IMRT)of thoracic tumors.Methods10 patients with thoracic tumors in our hospital from March to October in 2016 were selected,and the Varian Novalis Tx Linear Accelerator with on board image (OBI)system was used for daily image scanning before radiotherapy,if the bed needs to be moved,image scanning after the moving bed and scanning after radiotherapy was carried out.After the automatic reconstruction of the scanned image,the CT image of the treatment plan was registered,and the setup error of the patient′s Vrt,Lng,Lat were obtained and analyzed statistically.Results688 sets of images were obtained,the pre-radiotherapy setup error of Vrt,Lng,Lat were (-0.03±2.06),(0.16± 2.69),(0.18±2.28)mm,respectively.The setup error after the moving bed were(0.65±0.92),(0.65±0.93),(0.61±0.80)mm,respectively.The post-radiotherapy setup error were (-0.08±1.12),(0.32±1.13),(0.16±1.08)mm,respectively.ConclusionDaily kV-IGRT can significantly reduce the setup error of radiotherapy for thoracic tumors,and is of great significance for improving the accuracy of IMRT for thoracic tumors.
2017 Vol. 24 (15): 69-72 [
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168
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Comparative study between CT and MRI diagnosis in early ischemic necrosis of femoral head
CHEN Fu
ObjectiveTo compare the value of CT and MRI in the diagnosis of early ischemic necrosis of femoral head.Methods60 patients with early ischemic necrosis of femoral head treated in our hospital from January 2016 to December 2016 were selected and diagnosed by CT or MRI.The display ratio of signs was compared between the two groups.ResultsThe detection ratio of ischemic necrosis of femoral head at stageⅠtoⅡof MRI was 91.38%,which was higher than 63.79%of CT,with significant difference(P＜0.05).There was no significant difference between MRI and CT in the detection ratio of ischemic necrosis of femoral head at stageⅢandⅣ(P＞0.05).In the diagnosis of ischemic necrosis of femoral head at stageⅠtoⅡ,the display rates of bone marrow edema,linear sign,and bone trabecula haziness of MRI was higher than that of CT,with significant difference(P＜0.05).There was no significant difference in the display rate of local cystic lesions between MRI and CT(P＞0.05).ConclusionThe display rate of MRI is significantly higher than that of CT in early ischemic necrosis of femoral head,which is worthy of clinical promotion and application.
2017 Vol. 24 (15): 73-75 [
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154
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Analysis of application value of conventional high frequency ultrasound combined with ultrasonic elastography in the differential diagnosis of benign and malignant thyroid nodules
LEI Jing
ObjectiveTo investigate the clinical diagnosis value of conventional high frequency ultrasound combined with ultrasonic elastography in the differential diagnosis of benign and malignant thyroid nodules.MethodsAltogether 100 cases of thyroid nodules who were treated in our hospital from September 2015 to September 2016 were selected as the object of this research and examined by using conventional ultrasound and ultrasonic elastographyrespectively to determine the benignity and malignancy of nodules.The operative and pathological diagnosis results were taken as the control to calculate the accuracy,sensitivity and specificity of simple conventional ultrasound,simple ultrasonic elastography and combination of the two approaches in the diagnosis of malignant nodules respectively.ResultsAccording to the operative and pathological diagnosisresults,altogether 121 thyroid nodules were detected,including 94 cases (77.69%)of benign nodules and 27 cases(22.31%)of malignant nodules.The diagnosis results of simple high frequency ultrasound,simple ultrasonic elastography and combination of the two approaches were compared with operative and pathological diagnosis results,it was found that the sensitivity,specificity and accuracy of combination of the two approaches were higher than those of simple high frequency ultrasound and simple ultrasonic elastography in the diagnosis of malignant nodules,with statistically significant difference(P＜0.05).ConclusionCombination of application of conventional high frequency ultrasound and ultrasonic elastography in the diagnosis of thyroid nodules can accurately identify the benignity and malignancy of nodules with excellent diagnostic sensitivity,specificity and accuracy,which can provide reliable basis for treatment and is worthy of clinical promotion and application.
2017 Vol. 24 (15): 76-78转86 [
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150
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Adefovir ester and Lamivudine combination therapy after hepatitis cirrhosis of the liver efficacy and safety analysis
PAN Ai-huan;GUO Rui-hua;LAO Cheng-kang
ObjectiveTo study the curative effects of Adefovir ester(ADV)joint Lamivudine (LAM)and Entecavir (ETV)monotherapy in patients with cirrhosis after hepatitis.Methods120 cases who had hepatitis B cirrhosis treated in our hospital between December 2012 to October 2015 were seleeted,they were randomly divided into control group and observation group,with 60 cases in each group,patients of two groups were given conventional support treatment,control group was given Entecavir treatment,the treatment group was given Adefovir ester joint Lamivudine treatment,after 1 month,2 months,6 months,1 year treatment,hepatitis B virus DNA(HBV DNA)turn rate and hepatitis B e antigen (HBeAg)serological conversion rate of two groups were compared,before and 1 year after treatment Child-Pugh score,albumin(propagated),total bilirubin(TBiL),alanine aminotransferase(ALT),prothrombin activity(PTA)level,and the presence of adverse reactions after treatment of two groups were compard.ResultsTwo groups of patients in the treatment of 1 month to 1 year was compared with HBV-DNA overcast rate,HBeAg serological conversion rates,there was no statistically significant difference (P＞0.05);before treatment and after 1 year of therapy,ALT,TBiL level,Child scores of the two groups were significantly lower,PTA level increased significantly,the difference was statistically significant(P＜0.05).1 year after treatment,the incidence of adverse reactions in patients with similar between the two groups had no statistical significance(P＞0.05).ConclusionAdefovir ester and Lamivudine combination therapy of hepatitis B cirrhosis of the liver curative effect is distinct,and safe and worthy of clinical promotion.
2017 Vol. 24 (15): 79-81 [
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162
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Analysis of drug resistance of clinical common pathogenic bacteria in our hospital from 2013 to 2015
OU Lin-hua;CUI Qing-lin;CHEN Lan
ObjectiveTo investigate the distribution and drug resistance of common pathogenic bacteria in our hospital so as to provide reference for clinical rational use of antibiotics and drug resistance.MethodsThe data of pathogen culture and drug sensitive test in our hospital from January 2013 to December 2015 were collected,and classification statistic was did.The distribution and drug resistance of common pathogenic bacteria was analyzed.ResultsAmong isolated strains,there were Gram-negative bacteria with acorresponding separate rate of 66.7%,73.9%,77.7%in turn from 2013 to 2015.The most commonly encountered Gram-negative bacteria were Escherichia coli,Klebsiella pneumoniae, Pseudomonas aeruginosa and Acinetobacter baumannii.Gram-positive bacteria had acorresponding separate rate of 33.3%,26.1%,22.3%in turn in the three years.The common Gram-positive bacteria were Staphylococcus haemolyticus, S.epidermidis,Saureus and Enterococcus faecalis.The drug resistance of Escherichia coli to cephalosporins,fluroquinolones and aztreonam was severe.44.2%and more than 44.0%of A.baumannii strains were resistant toimipenem and meropenem,respectively.Clindamycin and erythromycin had higher resistance to the main gram-positive cocci.Penicillins werevery sensitive to Enterococcus faecalis.Several strains of vancomycin resistant Staphylococcus and Enterococcus faecalis were found in 2013 and 2015.ConclusionThe clinical common pathogens are Gram negative bacteria in our hospital.The drug resistance is serious,which need to strengthen the monitoring of bacterial resistance and the management of hospital infection,promote the rational use of antibiotics so as to slow down the development of bacterial resistance.
2017 Vol. 24 (15): 82-86 [
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151
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Effect of Somatostatin combined with Pantoprazole in the treatment of severe acute pancreatitis
JIAN Xue-bin;MI Wei
ObjectiveTo probe into the clinical effects of Somatostatin combined with Pantoprazole in the treatment of severe acute pancreatitis(SAP)and influence of inflammatory factor.Methods84 cases of patients with SAP and who accepted treatments in our hospital from September 2014 to June 2016 were selected as the research objects,and were divided into the control group of 42 cases and the observation group of 42 cases by the different treatment methods.The control group were given Pantoprazole on the basis of routine treatment,while the observation group was treated with pantoprazole combined with Somatostatin.Then,the treatment effect and the level of inflammatory factors before and after treatment of two groups of patients were compared.ResultsThe results showed that the total effective rate in the ob servation group was 95.24%,which was significantly higher than that in the control group(80.95%),and the difference was statistically significant(P＜0.05);there was no significant difference in the levels of inflammatory factors between the two groups before treatment(P＞0.05),after treatment,the levels of inflammatory factors in the two groups were lower than those in the same group before treatment,the difference was statistically significant(P＜0.05);the levels of hs-CRP, TNF-α and IL-6 in the observation group were significantly lower than those in the control group,the difference was statistically significant(P＜0.05).ConclusionThe effect of Somatostatin combined with Pantoprazole in the treatment of SAP are exact,which can effectively reduce the level of inflammatory factors,promote the improvement of symptoms,thus it is worth promoting.
2017 Vol. 24 (15): 87-89 [
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115
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Preparation and quality analysis of Sauropus spatulifolius Beille dispersing granules
HUANGHui;ZUOTing
ObjectiveTo prepare the Sauropus spatulifolius Beille dispersing granules and determine its quality,to provide the basis for the quality analysis.MethodsSauropus spatulifolius Beille dispersing granules were prepared by boiling water extraction method of crude drug,and the suitable HPLC method was established.The content of kaempferol -3-O-gentiobioside of Sauropus spatulifolius Beille dispersing granules was determined by using methanol and 0.4% phosphoric acid solution in accordance with the proportion of 48∶52.ResultsThe linear range of kaempferol-3-O-gentiobioside was 0.1208-1.098 μg,r=1.002.The relative standard deviation was 1.03%.ConclusionThe preparation and quality analysis method of Sauropus spatulifolius Beille dispersing granules established in this study is accurate and reliable,it can lay a foundation for further analysis and research.
2017 Vol. 24 (15): 90-92转96 [
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125
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Study of control method and standard for Strychnine in Shengnong Zhengtong Paste
GAN Shu-guang;HU Ji-di;CAO Yue;XIAO Long-gao;XU Shi-qiang
ObjectiveTo establish a content determination method of Strychnine in Shengnong Zhengtong Paste,and to set its limited quantity standard.MethodsC18chromatographic column was used,and the mobile phase was phase A (acetonitrile)∶phase B (0.01 mol/L heptane sodium sulfonate and 0.02 mol/L KH2PO4of equal mixing solution,with 10% H3PO4to adjust pH value to 2.8)=21∶79.The flow rate was 1.0 ml/min,the column temperature was 30℃,and the detection wavelength was 260 nm.ResultsThe linear range was 54.048-2026.8 ng,r=0.9996,and the reproducibility and precision of this method was good (RSD＜2.0%).The limited quantity scheduled having maqianzi of 0.20-1.00 mg every 100 square centimeters calculating with Strychnine (C21H22N2O2).ConclusionThe method is simple,accurate and reproducible.It can be used for the determination of Strychnine in Shengnong Zhengtong Paste.Its limited quantity is objective and rational to ensure the safety of drug use.
2017 Vol. 24 (15): 93-96 [
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172
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Study on technology of water soluble walnut oil powder embedded by spray drying method
LIU Jie-yu;MENG Geng-hai
ObjectiveTo prepare the water soluble walnut oil powder using walnut oil prepared by supercritical CO2extracted as raw material and the egg yolk protein used as wall material and made by our company partly for the first time.MethodsTwogroupsofcompositionandproportionofwallmaterialswerestudied,respectively.Onegroupwasmaltodextrin and soybean protein isolate,the other was soybean protein isolate and egg yolk protein.The former group was assured by embedded state,while the latter one was assured by embedded yield of walnut oil as water soluble oil powder.The proportion of the three kinds of wall materials was determined by the results of the two groups together.Spray drying was adopted to embed walnut oil in powder as water soluble oil powder.ResultsEgg yolk protein produced by my company was used as one of wall materials by the first time.Proportion of maltodextrin and soybean protein isolate was 3∶1, in which soybean protein isolate and egg yolk protein was 1∶1.They were used to produce water soluble oil powder effectively.The oil powder was formed well,so did the embedding effectiveness.Judged by national food safety standard infant formula even,the oil powder was safe in qualities.Macronutrients were provided to people.Walnut oil shelf-life was extended.Equipment and appropriate were convenient for any age or those who need feeding.ConclusionSpray drying and embedding technology preparing water soluble oil powder using egg yolk protein partly concluding selected as wall material provides diversification for the development of functional animal and vegetable oils and fats market.
2017 Vol. 24 (15): 97-100 [
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139
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Content of ammonium glycyrrhetate in Shaoyao Gancao Decoction by HPLC
LI Mo;ZHAO Hui
ObjectiveTo establish an HPLC method for the content determination of ammonium glycyrrhetate in Shaoyao Gancao Decoction.MethodsHPLC was performed on the Phenomenex ODS(250.0 mm×4.6 mm,5 μm)with acetonitrile-0.05%phosphoric acid with a gradient elution program as the mobile phase at a flow rate of 1.0 ml/min,237 nm as the detection wavelength,the temperature of column was at 30℃.ResultsThe linear range of ammonium glycyrrhetate was 6.992-174.800 μg(r=0.9998)and the average recovery rate was 98.62%(n=6)with RSD 0.28%.ConclusionThe results showed that this method was simple,accurate,reliable,and could be used for quality control of Shaoyao Gancao Decoction.
2017 Vol. 24 (15): 101-103 [
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150
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Application of content determination of principal agent in recombinant human granulocyte macrophage colony stimulating factor freeze-dried powder injection by HPLC
ZHOU Fei-yan;KONG Wen-wen;YANG Li-fei
ObjectiveTo establish the method of the main active ingredients in recombinant human granulocyte macrophage colony stimulating factor freeze-dried powder injection(rhGM-CSF)by HPLC.MethodsThe chromatographic condition of HPLC was chromatographic column(TSK gel G3000SW,300.0 mm×7.5 mm,5 μm),Mobile phase was 0.1 mol/L phosphate buffer,Flow rate was 1 ml/min,automatic sampling was 20-40 μl and detection wavelength was 280 nm.Analyzing the ingredients of rhGM-CSF freeze dried powder injection,reproducibility and linear relationship between different sample volume and peak area of each component under this chromatographic condition were studied in this experiment.ResultsThe main components of rhGM-CSF freeze dried powder injection were rhGM-CSF protein and human albumin.The rhGM-CSF protein sample volume and peak area were good linear(R2＞0.99)and the percentage content of RSD values was less than 3%.ConclusionThis method could be used to detect the active component content of the rhGM-CSF lyophilized powder for injection protein with 10-20 μg scope.
2017 Vol. 24 (15): 104-107 [
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106
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Curative effect observation of Lithospermum combined with Polygonum Cuspidatum infused oil preventing and treating PVC-induced phlebitis
XU Wei-ying;HUANG Chun-xiang;WU Tian-zhu
ObjectiveTo explore the clinical effect of Lithospermum combined with Polygonum Cuspidatum infused oil preventing and treating phlebitis caused by PVC.Methods62 cases of PVC-induced phlebitis treated in our hospital from January 2016 and May 2017 were selected and they were randomly divided into the control group (n=31)and observatiom gropu (n=31).The control group was treated with 25%of Magnesium Sulfate for wet compress,and the observation group was treated with Lithospermum combined with Polygonum Cuspidatum infused oil.The treatment effect and treatment satisfaction degree were compared between the two groups.ResultsThe total effective rate of the observation group was 96.77%,which was higher than that of the control group (64.52%),the difference was statistically significant (P＜0.01).The total satisfaction degree of the observation group was 93.55%,which was higher than that of the control group(67.74%),the difference was statistically significant(P＜0.01).ConclusionLithospermum combined with Polygonum Cuspidatum infused oil preventing and treating PVC-induced phlebitis can effectively improve the clinical effect and Its clinical value is worthy of recognition.
2017 Vol. 24 (15): 108-110 [
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125
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The role of dialectical diet of traditional Chinese medicine in the treatment of patients with diabetic nephropathy
WANG Xiang-lian
ObjectiveTo explore the role of dialectical diet of traditional Chinese medicine in the treatment of patients with diabetic nephropathy.Methods90 patients with diabetic nephropathy treated in our hospital from May 2015 to May 2016 were selected and they were divided into control group(n=45)and observation group(n=45).The patients in the two groups were treated with routine treatment of diabetes.The control group was given routine diet guidance.The observation group was given the dietary guidance according to TCM syndrome differentiation,and the two groups of patients were given continuous intervention diet for 8 weeks,the related biochemical indicators before and after between two groups were compared.ResultsThere was no significant difference in fasting blood glucose(FBG),postprandial 2 h blood glucose(2 h PBG),serum creatinine(SCr)and blood urea nitrogen(BUN)in the observation group and control group before intervention(P＞0.05)and after intervention,FBG,2 h PBG,SCr,BUN and other indicators in two groups were improved,while the improvement of observation group was superior to control group(P＜0.05).ConclusionDialectical diet of traditional Chinese medicine in patients with diabetic nephropathy can effectively improve the biochemical indexes and delay the development of p state of an illness.
2017 Vol. 24 (15): 111-113 [
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127
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Clinical effect observation of Gastrodia and Uncaria Decoction modified adjuvant therapy in treatment of hypertension with type of hyperactivity of liver-yang
XIAO Yu-gao
ObjectiveTo discuss the clinical effect of Gastrodia and Uncaria Decoction modified adjuvant therapy in treatment of hypertension with type of hyperactivity of liver-yang,to provide the guidance for the clinic.Methods46 patients with hypertension withh type of hyperactivity of liver-yang treated in our hospital from April 2015 to January 2017 were selected as objects and they were divided into two groups,and there were 23 cases in each group.Patients in the routine western medicine group were given routine western medicine,and patients in the combined group were given routine western medicine+Gastrodia and Uncaria Decoction modified adjuvant therapy.The blood pressure level,score of quality of life,and clinical effect,were compared between two groups.ResultsThe systolic pressure was (142.32±4.53) mmHg and the diastolic pressure was (81.36±2.58)mmHg in the combined group after treatment which were significantly lower than those in the routine western medicine group(P＜0.05).The score of quality of life was(108.78±4.20)in the combined group after treatment which was significantly higher than that in the routine western medicine group (P＜0.05).The total effective rate in the combined group was 91.30%,which was significantly higher than that of the routine western medicine group(73.91%)(P＜0.05).ConclusionApplication of Gastrodia and Uncaria Decoction modified adjuvant therapy in treatment of hypertension with type of hyperactivity of liver-yang can significantly reduce the systolic pressure and diastolic pressure of patients,improve the quality of life,and has significant clinical effect.
2017 Vol. 24 (15): 114-116 [
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144
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Clinical effect of acupoint sticking with traditional Chinese medicine treating insomnia
LI Heng-fei;LI Yong
ObjectiveTo observe the clinical effect of acupoint sticking therapy of traditional Chinese medicine(insomnia)treating insomnia.Methods60 patients with insomnia treated in our hospital from March 2015 to March 2016 were selected as objects.They were randomly divided into two groups,and each group had 30 cases.The sticking group was given sleep stick sticking bilateral yongquan acupoint,while the western medicine group was given oral Estazolam.One month wasa course.The total effective rate,Pittsburgh sleep quality index (PSQI),the incidence of adverse reaction between two groups were compared.ResultsThe total effective rate in the sticking group(76.67%)was significantly higher than that of the western medicine group(63.33%)(P＜0.05).Compared with the western medicine group,fall asleep time, sleep efficiency,daytime dysfunction,and PQSI total score in the sticking group were better than those of the western medicine group(P＜0.05).The incidence of adverse reaction in the sticking group was significantly lower than that of the western medicine group(P＜0.05).ConclusionThe clinical effect of acupoint sticking traditional Chinese medicine treating insomnia is significant,and it is worthy of promotion.
2017 Vol. 24 (15): 117-119 [
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134
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Clinical proven case picked of CHEN bee therapy
ZU Xiang-meng;YE Pei-han;CHEN Hai-yan;WANG Dan;GUO Shen-guo;GUO Wen-chao;SUN Gui-xiang;HEQing-hu
CHEN bee therapy is a precious intangible cultural heritage,an it based on TCM syndrome differentiation theory,continuous learning and mastering the experience of diagnosis and treatment of the predecessors.Learning from meridian theory of TCM and Western Medicine neurology medical knowledge,the connotation of bee therapy is enriched and achieves good results.This paper selects specially the related clinical proven case of CHEN bee therapy to promote the development of bee therapy.
2017 Vol. 24 (15): 120-122转125 [
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Effect observation on Root-Securing Flood-Stanching Decoction combined with acupuncture in treatment of qi-dificiency type of metrorrhagia and metrostaxis
CHEN Bao-ying;LU Xiao-xia;ZHANG Chun;HUANG Fang;LI Min-yan
ObjectiveTo observe the clinical effect of Root-Securing Flood-Stanching Decoction combined with acupuncture in treatment of qi-dificiency type of metrorrhagia and metrostaxis.Methods60 patients with qi-dificiency type of metrorrhagia and metrostaxis treated in our hospital from November 2014 to August 2016 were selected and randomly divided into the treatment group and the control group.Patients in the treatment group were given Root-Securing Flood-Stanching Decoction combined with acupuncture(Yinbai,Zhongji,Sanyinjiao,Guanyuan)for 7 days,and those in the control group were given 8 mg of Medroxyprogesterone Acetate,once every 8 hours,decreasing for 1/3 every 3 days,totally for 9 days to stop drug.The effective rate of treatment,incidence of adverse reaction and the recurrence rate between two groups were compared.ResultsThe effective rate of treatment was 93.33%in the treatment group,which was lower than that in the control group,but showing no significant difference (P＞0.05).The incidence of adverse reaction in the treatment group was 3.33%,which was lower than that of the control group (23.33%),and the difference was statistically significant(P＜0.05).The recurrence rate of the treatment group was lower than that of the control group,the difference was statistically significant(P＜0.05).ConclusionRoot-Securing Flood-Stanching Decoction combined with acupuncture in treatment of qi-dificiency type of metrorrhagia and metrostaxis is better than western medicine,and it has a clinical promotion value.
2017 Vol. 24 (15): 123-125 [
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136
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Clinical drug resistance of Enterobacteriaceae producing ESBLs bacteria
LI Juan;DENG Qiu-lian;LONG Yan;HUANG Yu-jun;SHANG Yan-yan;YANG Li-na
ObjectiveTo study the clinical drug resistance of Enterobacteriaceae producing ESBLs bacteria.Methods4265 strains of Enterobacteriaceae pathogenic bacteria in our hospital from July 2014 to September 2016 were selected, biological Meiliai analyzer was used for identification,after identification of ESBLs producing strain,drug sensitivity test was carried out to analyze the drug resistance of ESBLs producing bacteria in clinical antibiotics.ResultsAmong 4265 strains of Enterobacteriaceae,the ESBLs producing bacteria were mainly distributed in Proteus mirabilis,Klebsiella, Klebsiella pneumoniae and Escherichia coli.There were 2415 strains of ESBLs bacteria,the detection rate was 56.62%. The detection rate of ESBLs bacteria in pus,secretion,urine and bile in human body were higher.There was significant difference in the detection rate of ESBLs bacteria in different samples(P＜0.05).ESBLs producing bacteria were resistant to some antibiotics,most antibiotics were ineffective in producing ESBLs bacteria,while Imipenem was sensitive to ESBLs producing strains.ConclusionAmong the pathogenic bacteria of Enterobacteriaceae,ESBLs bacteria are the main bacteria,and most of antibiotics are ineffective,Imipenem is the last line of defense against ESBLs bacteria.It is suggested that antibiotics should be monitored before the clinical use of antimicrobial agents,and rational use of drugs according to the doctor′s advice is the main means to control and reduce the production of ESBLs bacteria.
2017 Vol. 24 (15): 126-128 [
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Investigation and analysis of the total turnaround time of blood routine samples from adult patients in our hospital
LI Xiao-li;ZHANG Jian-ming;CHEN Xu-dong;JIN Hua;ZHAO Yan-hui
ObjectiveTo lay the foundation for further analysis the total TAT of biochemical and immunization and allover other projects,and then provide objective basis for shortening total TAT and increasing patients′satisfaction through the investigation and analysis of the total turnaround time(TAT)of the blood routine samples from adults in our hospital.Methods11 662 blood routine samples from January to June 2016 in our hospital were randomly selected and divided into outpatient,inpatient,emergency groups;and morning,afternoon,night time.The average of pre-analytical,intral-aboratory,post-analytical TAT and inpatient specimen total TAT were compared and analyzed,the mean value was calculated and the differences between each group were compared.ResultsInpatient specimen total TAT,pre-analytical and intral-aboratory TAT were significantly longer than that of outpatient and emergency groups,with significant difference (P＜0.05).The total TAT was the shortest in the afternoon time.Pre-analytical,intral-aboratory and post-analytical TAT in the afternoon time was significantly shorter than the other two groups,the pre-analytical and intral-aboratory TAT in the morning time was significantly longer than that in the afternoon and night time,with significant difference (P＜0.05).Most of the intral-aboratory TAT were within 30 min.The pre-analytical and post-analytical TAT contributed a large proportion of the total TAT.ConclusionSpecimen quantity is one of the important factors affecting total TAT. Extral-aboratory delays are responsible for a large proportion of the total TAT.Perfect hospital information system(HIS) and laboratory information system(LIS)play an irreplaceable role in shortening the total TAT.
2017 Vol. 24 (15): 129-131转135 [
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Principal component analysis on nutritional status related clinical laboratory indexes in elderly patients with severe pneumonia
XIONG Bo;TANG Wan-ping;ZAN Hai-feng;YAN Xiao-yu;ZENG Qiang-lin;ZHOU Hui
ObjectiveTo explore the imbalance features of nutritional related clinical laboratory indexes in elderly patients with severe pneumonia(SP),and to analyze relationship between such change and mortality.Methods97 elderly patients with severe pneumonia from July 2013 to June 2015 in our hospital were retrospectively analyzed,according to whether patients died,all patients were divided into the death group (38 cases)and the survival group (59 cases).The general data of patients′age,gender,course of disease,combined with basic diseases and clinical data were collected,and related nutrition indicators of hemoglobin(Hb),hematocrit(HCT),total protein(TP),albumin(Alb),prealbumin(PA),serum total cholesterol(CHO),serum creatinine(SCr)were selected,principal component analysis was used to extract comprehensive predictive factors,and comprehensive evaluation of each index was made.ResultsThe cumulative variance contribution rate of the first 4 common factors in the two groups was more than 85%,and in the contribution rates of each factor,λ1was 40.749,λ2was 21.216,λ3was 14.823,λ4was 10.098,λ5was 6.195,λ6was 3.978,λ7was 2.941.The principal component importance scores were as follows∶Hb was 0.140,HCT was 0.247,TP was 0.167,Alb was 0.179,SCr was 0.031,CHO was 0.159,PA was 0.079.ConclusionThe clinical nutrition related test indexes of elderly patients with severe pneumonia have different influence on the death patients and the survival patients,and their detection can play a potential role in auxiliary evaluation of the risk of death.
2017 Vol. 24 (15): 132-135 [
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Analysis of health examination results and intervention effect of health behavior in community diabetic patients
YANG Bo;LIU Xiao-hua;WANG Xiao-hong;LIU Liu-ying;ZHONG Xiao-qun
ObjectiveTo analyze the examination results in community diabetic patients and to explore the effect of community health behavior intervention.Methods96 physical examination results of diabetes mellitus in our center from December 2015 to December 2016 were randomly selected and retrospectively analyzed,and all patients were randomly divided into the control group and the observation group,48 cases in each group.The control group was given routine intervention,and the observation group was given community health behavior intervention.The therapeutic effect between the two groups were compared.ResultsIn 96 cases with diabetic mellitus,90 cases of patients with urine test were positive,6 cases of urine were negative,but the fasting blood glucose levels were higher than 8.8 mmol/L.In patients with positive urine in 90 cases,86 cases had different levels of blood glucose,blood glucose of normal value only had 4 cases.Through community health behavior intervention,the awareness rate of diabetes related prevention and treatment and the compliance behavior of medical compliance in the observation group was significantly higher than that in the control group,with significant difference (P＜0.05).The level of fasting blood glucose,postprandial 2 h blood glucose,glycosylated hemoglobin,body mass index,triacylglycerol and total cholesterol after intervention in the observation group was lower than that in the control group after intervention,with significant difference (P＜0.05).ConclusionUrine negative or weakly positive cases still need to be combined with blood glucose to determine whether the prevalence with blood glucose,blood sugar with diastix can be dynamic observation on patients with diabetes.Community health behavior intervention can improve the patient′s understanding of diabetes knowledge and compliance with medical compliance,and promote them to develop a good lifestyle,and effectively improve the therapeutic effect of diabetes.
2017 Vol. 24 (15): 136-138转151 [
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Different cleaning methods of toothed medical devices and their effect evaluation
LU Ying-jun;OU Shao-qing
ObjectiveTo explore the different cleaning methods of toothed medical devices and their effects.MethodsA total of 330 new hemostatic clamps were selected from January 2013 to December 2014 and randomly divided into manual cleaning group,mechanical cleaning group and mixed cleaning group,each group of 100 pieces.Respectively,by manual brushing method,automatic mechanical spray cleaning method,ultrasonic cleaning+manual brushing method for cleaning.After cleaning,used magnifying glass to detect cleanliness pass rate.ResultsThe qualified rate of cleanliness of the three groups was 96.4%,86.4%and 97.3%.There was no significant difference between the manual cleaning group and the mixed cleaning group(P＞0.05);there were significant differences between the manual cleaning group and the mechanical cleaning group,the mechanical cleaning group and the mixed cleaning group （P＜0.01）.ConclusionManual brushing method and ultrasonic cleaning+manual brushing method can improve the new hemostatic clamps cleaning effect.
2017 Vol. 24 (15): 139-141 [
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110
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The risk management mechanism used in general surgery nursing management effect
LIAO Yu-qiong;ZHANG Xiao-lin;MA Li-ping
ObjectiveTo research on the risk management mechanism using the clinical effect of general surgery in nursing management.Methods200 patients admitted to our hospital from January 2015 to December 2016 were selected as the research objects,randomly divided into 2 groups according to the random number method,100 patients were treated with routine care(control group),100 patients were given nursing risk management(study group).The risk events, nursing satisfaction and risk management effect of two groups were compared.ResultsRisk events in the study group were significantly less than those in the control group (P＜0.05);patients in the study group were significantly higher than those in the control group (P＜0.05);patients in the study group were significantly less than those in the control group,the patients in the study group were significantly higher than those in the control group (P＜0.05).ConclusionThe choice of risk management mode in department of general surgery patients can effectively reduce the risk of patients, improve patient satisfaction and quality of care,have a positive role in promoting patients,it is worthy of clinical use.
2017 Vol. 24 (15): 142-144 [
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The application effect of PDCA cycle management in enhancing the first elective surgery punctuality rate
TAN Hai-yan;ZHONG Cai-tang;OU Min-ling;LIU Cai-yan
ObjectiveTo explore the application effect of PDCA cycle management in enhancing the first elective surgery punctuality rate.Methods200 patients took elective surgery from January to December 2015 were selected as study objects.The factors and time founding of first elective surgery were analyzed.According to the related factors influencing the first selective operation on founding,PDCA cycle management concept was introduced from January 2016 to December.PDCA circulation management was adopt and corresponding management countermeasures was implemented.A comparative study was carried out in 200 patients undergoing elective surgery between January 2016 to December.Before and after the implementation of PDCA cycle management,first elective surgery punctuality rate,punctuality of next surgery,operation delivery time,surgery time interval of next surgery and doctor satisfaction were compared.ResultsCompared with before PDCA cycle management,the first elective surgery punctuality rate and punctuality of next surgery obvious increased after management(P＜0.05);The operation delivery time and surgery time interval of next surgery obvious decreased(P＜0.05);The doctor satisfaction increased obviously(P＜0.05).ConclusionUsing PDCA cycle management in operation can enhance first elective surgery punctuality rate effectively,is helpful to shorten the interval time of the operation and then improve the turnover efficiency of operation room.
2017 Vol. 24 (15): 145-147 [
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136
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Efficacy of trans-theoretical model heath education on blood glucose level and health behavior in patients with type 2 diabetes
LI Gui-lian;HE Shu-chuan
ObjectiveTo explore efficacy of trans-theoretical model(TTM)heath education on blood glucose level and health behavior in patients with type 2 diabetes.Methods200 patients with type 2 diabetes in our hospital from January 2014 to December 2014 were randomly divided into the observation group and the control group,with 100 cases in each group.Patients in the control group were received routine health education,while patients in the observation group were received TTM heath education on the basis of routine health education.Before and after intervention,the levels of FBG,2 hPBG,HbA1c and health behavior were compared between two groups.ResultsBefore intervention,there were no significantly different among the levels of FBG,2 hPBG,HbA1c in two groups(P＞0.05);after intervention,the levels of FBG, 2 hPBG,HbA1c in two groups were all decreased,and compared with those before intervention,the differences were statistically significant(P＜0.05).And those in observation group were lower than those in control group,and the differences were statistically significant(P＜0.05).Before intervention,there were no significantly different among the scores of healthy diet,regular exercise,blood glucose monitoring,coping,drug compliance and risk factor management in two groups(P＞0.05); after intervention,the scores of indexes in two groups were all increased,and compared with those before intervention,the differences were statistically significant(P＜0.05).And those in observation group were higher than those in control group, and the differences were statistically significant(P＜0.05).ConclusionTTM health education is superior to the traditional health education.It can significantly improve the health behavior and reduce the levels of blood glucose of patients with type 2 diabetes.
2017 Vol. 24 (15): 148-151 [
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Application effect analysis of the whole-course health education mode in diabetes care management
XIE Qi
ObjectiveTo explore the efficacy of the whole-course health education mode in diabetes care management.Methods50 patients with diabetes admitted into our inpatient department from January 5th2016 to December 16th2016 were selected and randomly divided into the observation group (whole-course health education)and the control group (regular health education),with 25 cases in each group.The FBG,2 hPG,mastery of knowledge on diabetes,quality of life and nursing satisfaction were compared between two groups.ResultsBefore nursing,there were no significantly different between the levels of FBG and 2 hPG in two groups(P＞0.05);after nursing,the levels of FBG and 2 hPG in observation group was higher than those in control group,and the differences were statistically significant(P＜0.05).The scores of mastery of knowledge on diabetes,physical function,psychological function,social function,material life and nursing satisfaction were higher than those in control group,and the differences were statistically significant(P＜0.05).ConclusionThe whole-course health education mode is of great significance on diabetics.It is effective on controlling blood glucose level and improving QOL,which is worthy of promotion in clinic.
2017 Vol. 24 (15): 152-154 [
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Analysis of 305 cases of pneumoconiosis in Hengyang
LIU Hua-qing;HE Wei-hong;FAN Kun;DENG Cheng-jian
ObjectiveTo analyze the pathogenesis and clinical characteristics of pneumoconiosis patients in recent years in Hengyang and provide scientific basis for the prevention and treatment of pneumoconiosis.MethodsThe physical examination data of 305 patients with pneumoconiosis collected and diagnosed by Hengyang Center for Disease Control and Prevention from January 1st,2013 to 31stDecember 2016 were analyzed.ResultsOf 305 patients with pneumoconiosis, 114 cases at stageⅠ,135 cases at stageⅡ,and 56 cases at stageⅢ.The cases accompanied with cough,chest tightness, shortness of breath,cough up phlegm and chest pain respectively accounted for 96.14%,89.57%,87.57%,81.43%,and 56.71%.The cases complicated with chronic bronchitis,hypertension,tuberculosis,chest,emphysema,lung,the tumor accounted for 68.59%,65.2%,46.23%,33.77%,46.23%,17.37%and 4.2%,respectively.12.86%of patients remained normal lung function.The cases with mild,moderate and severe impaired lung functions respectively accounted for 17.86%,50.71% and 17.86%.Of patients with impaired lung function,the proportion of stageⅠ,ⅡandⅢpneumoconiosis patients was 56.25%,95.24%and 100.00%;patients with dust exposure time of＜15,15-19,and＞19-30 years respectively accounted for 48.15%,93.88%and 98.43%.ConclusionThe pneumoconiosis patients are usually accompanied with high incidence of complications and severely damaged lung function.The regular occupational health examination of dust exposure workers and screening of the pneumoconiosis dust would help to early identify and control the pneumoconiosis.
2017 Vol. 24 (15): 155-157 [
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150
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Experience of teaching biochemistry experiment for foreign students majored in clinic medicine
SU Ze-hong;LIAN Gao-jian
Biochemistry is one of the important elementary courses for those students who are majored in Clinic medicine.It is a practical course,which means the experiment teaching is very important for Biochemistry teaching.Because the experiments are the practice of theory.The quality of experiments teaching is related to the integrity of knowledge system.In this paper,we collect the biochemistry experiment teaching experience for international students,and propose some suggestion on biochemistry experiment teaching,hoping to provide some comments for international students experiment teaching.
2017 Vol. 24 (15): 158-160 [
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129
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Teaching system and Base construction
SHI Lu
This paper as the result of research and practice of three-year application (technical)stomatological talents training model,explores and solves the professional knowledge system of oral medicine specialty and the current medical market professional quality needs inconsistent bottleneck.Through the personnel training program and the actual needs of the community,it changes the educational thinking,innovates teaching system,reforms the training means,adjusts the teaching content to combinethe school teaching with outside practice base.For the construction of a set of teaching system and practical base inside and outside the school,the paper explores and gives the specific ideas and practical ways.
2017 Vol. 24 (15): 161-163 [
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Analysis of 1 case of implant surgery of severe bone loss in aesthetic area
FENG Yuan-hua;LUO Cui-fen;PENG Guo-guang;HUANG Jia-wen
With the increasing maturity and wide application of implant restoration,the edentulous patients not only pursue functional recovery,but also pay more attention to the aesthetic reconstruction,especially for the edentulous patients with the maxillary anterior teeth defect.However,the amount and quality of bone in the aesthetic area seriously affect the implant′s success in implanting the alveolar bone and its long-term function,aesthetic effect and so on.In this paper,1 cases of maxillary alveolar bone defect and traumatic tooth loss（14-22）were treated with bone graft and delayed implant denture.
2017 Vol. 24 (15): 164-166 [
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1 case of clinical nursing for hyperemesis gravidarum patients with Wernicke encephalopathy
LI Hong-ling;CUI An-na
Normal pregnancy vomiting belongs to early pregnancy reaction,but if frequent vomiting and severe,can cause the water electrolyte disorder,severe cases will be changes in consciousness,secondary Wernicke encephalopathy and death.Our hospital treated one patient who had hyperemesis gravidarum with Wernicke encephalopathy,through reasonable and effective therapeutic treatment and careful nursing(having the patient′s condition changes under observation all the time,giving the patient guidance and nursing on diet,activities,rest,safety and mentality),the patient left the hospital with good recovery.
2017 Vol. 24 (15): 167-169 [
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Experience summary of 1 cases of classical prescription Baihu Decoction with Ginseng combined with Halloysite and Limonite Decoction in the treatment of children with severe Mycoplasma pneumonia with severe diarrhea
ZHOU Li
Mycoplasma pneumonia is also known as primary atypical pneumonia,and condensing pneumonia,is one of atypical pneumonia,caused by Mycoplasma pneumoniae (MP),characterized by interstitial pneumonia and bronchiolitis changes,which accounts for 10%to 40%of community-acquired pneumonia in children,the pulmonary lesion showed confluent bronchopneumonia,interstitial pneumonia,accompanied by bronchitis.There is a small amount of inflammatory exudate in the alveoli,which may involve focal atelectasis,consolidation of the lung,and emphysema.Mycoplasma pneumonia in children is a common and frequently occurring disease in children,it is also a common cause of the harm to children′s health.At present,western medicine treatment is not ideal,and it is easy to relapse.In this paper,the effect of classical prescription Baihu Decoction with Ginseng combined with Halloysite and Limonite Decoction in the treatment of children with severe mycoplasma pneumonia with severe diarrhea is significant,medication is simple and inexpensive. Through the analysis and introduction of the case,the author hopes to work accurately in clinical application of classical prescriptions to deal with difficult and critical illness,and enhance Traditional Chinese medicine dialectical treatment of difficult miscellaneous diseases.
2017 Vol. 24 (15): 170-172 [
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Impact of psychological nursing on psychological status and pregnancy outcome of patients undergoing in vitro fertilization embryo transfer repetition period
LIAO Guang-hua
ObjectiveTo explore the impact of psychological nursing on psychological status and outcome of patients undergoing in vitro fertilization embryo transfer(IVF-ET)repetition period.Methods100 IVF-ET repetition period patients in our hospital from March 2014 to February 2015 were selected and were randomly divided into the observation group and the control group,with 50 cases in each group.The control group was given the routine nursing,while the observation group was given the psychological nursing intervention.The psychological status and pregnancy outcome were compared between two groups.ResultsBefore intervention,there were no significantly different among the scores of SAS, SDS in two groups(P＞0.05);after intervention,the scores of SAS,SDS in two groups were all decreased,and compared with those before intervention,the differences were statistically significant(P＜0.01).And those in observation group was lower than those in control group,and the differences were statistically significant(P＜0.01).There were no significant differences on the number of oocytes,embryos transferred and embryos between two groups(P＞0.05).The HCG positive rate in the observation group was higher than that in the control group,the abortion rate was lower than that in the control group,the differences were statistically significant(P＜0.05).ConclusionIVF-ET patients in the course of treatment,giving effective psychological nursing intervention to them can promote their adverse psychological relief,improve the pregnancy success rate and improve the pregnancy outcome.
2017 Vol. 24 (15): 173-175 [
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Application effect of individual nursing intervention in postoperative nursing of rectal cancer ostomy
ZENG Cai-yun;TANG Dan;ZHANG Li-feng
ObjectiveTo explore the application effect of individual nursing intervention in postoperative nursing of rectal cancer ostomy.Methods86 patients with rectal cancer ostomy in our hospital from January 2014 to January 2017 were selected and divided into the observation group and the control group according to the admission order,with 43 cases in each group.Patients in the control group were given routine nursing,while patients in the observation group were given individual nursing intervention.The self-care ability,the levels of self-esteem,the nursing satisfaction were compared between two groups.ResultsAfter intervention,the indexes of self-care ability scores,the indexes of SSES scores and the degree of nursing satisfaction in the observation group were higher than those in the control group,and the differences were statistically significant(P＜0.05).ConclusionIndividual nursing intervention for rectal cancer ostomy can increase patients′self-care ability and the level self-esteem,improve the degree of nursing satisfaction.It is worthy of clinical application.
2017 Vol. 24 (15): 176-178 [
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Effects of natural delivery and cesarean section on early uterine recovery in primiparas
LAN Xiu-qing;CHEN Jin-xiu;WEI Xiao-li;ZHU Xiao-ping;WENG Yi
ObjectiveTo explore the effect of natural delivery and cesarean section on early uterine recovery in primiparas.Methods300 primiparas delivery in our hospital from April 2016 to July 2016 were selected and divided into natural delivery group and cesarean section group according to the delivery mode,with 150 cases in each group.Both groups received obstetric routine care in prenatal and postpartum.The natural delivery group were given natural childbirth,while the cesarean section group were given lower uterine cesarean section.The postpartum uterine descent speed, the postpartum lochia situation and the uterine recovery situation were compared between the two groups.ResultsThe postpartum uterine descent speed in the natural delivery group [(1.83±0.27)cm]was faster than that in the cesarean section group [(1.23±0.33)cm];the postpartum bloody lochia duration and the time of lochia of natural delivery group [(2.59±0.78),(30.28±2.74)d]was shorter than that in the cesarean section group[(3.83±1.02),(40.35±3.42)d];the uterine recovery rate of natural delivery group (96.0%)was higher than that in the cesarean section group (86.0%),the differences were statistically significant(P＜0.05).ConclusionNatural delivery compared to cesarean section is more conducive to postpartum uterine recovery.Health care workers should strictly control the indications for cesarean section and do a good job of health education and guidance to reduce cesarean section rate.
2017 Vol. 24 (15): 179-181 [
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Influence of high quality nursing on patients received
expectant treatment with AMI and arrhythmia
Influence of high quality nursing on patients received
expectant treatment with AMI and arrhythmia[J]. 中国当代医药, 2017,24(15): 182-184')" href="#">
LI Fa-ling
ObjectiveTo explore the influence of high quality nursing on patients received expectant treatment with AMI and arrhythmia.Methods80 patients received expectant treatment with AMI and arrhythmia in our hospital from February 2015 to February 2016 were selected and divided into the observation group and the control group according to different nursing methods,with 40 cases in each group.The observation group was given the routine nursing,while the control group was given the high quality nursing.The bed rest time,hospital stays,hospitalization expenses,arrhythmia recurrence rate,cardiac functional grading,clinical effects were compared between two groups.ResultsThe bed rest time [（2.8±0.5）d]and hospital stays[（12.5±1.5）d]in the observation group were shorter than those in the control group[（5.5± 1.1），（18.2±2.0）d],the hospitalization expenses[（5230.5±626.9）yuan]was less than that in the control group[（7000.8± 620.3）Yuan],arrhythmia recurrence rate（10%）was lower than in the control group（60%）,cardiac functional grading were better than in the control group,and the differences were statistically significant(P＜0.05).ConclusionThe application of AMI with arrhythmia for expectant treatment by high quality nursing，which could decrease hospital stays、expenses and arrhythmia recurrence rate，increase clinical effects and cardiac functional grading，it is worth to be used.
2017 Vol. 24 (15): 182-184 [
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Analysis of effect of application of OB tampon in clinical nursing of rectovaginal fistula
ZHU Ting;QIU Dan-dan;DONG Wei;BAO Lei
ObjectiveTo explore the effect of application of OB tampon in clinical nursing of rectovaginal fistula.Methods 42 patients with rectovaginal fistula treated in Department of Gastrointestinal Surgery in our hospital from March 2014 to July 2016 were selected and randomly divided into the control group(n=20)and the observation group(n=22). The control group were received routine nursing,while the observation group were accepted nursing intervention with OB tampon on the basis of the control group.The integrity of perineal skin,the healing time and recurrence rate of damaged skin,the number of skin care in the pubic area and the incidence of complication were compared between two groups during hospitalization.ResultsThe integrity of perineal skin was higher than that in the control group,the healing time of damaged skin was shorter than that in the control group,the number of skin care in the pubic area was smaller than that in the control group,the recurrence rate of damaged skin and the incidence of complication were lower than those in the control group,the differences were statistically significant(P＜0.05).ConclusionOB tampon has certain effectiveness in improving the clinical nursing quality of rectovaginal fistula,and it is beneficial to improve the quality of patients′life,which is worth popularizing in clinical practice.
2017 Vol. 24 (15): 185-187 [
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Application efficacy of high-quality nursing intervention in post-operational patients with hyperparathyroidism secondary to uremia
GUO Huan-kai;CHEN Xiao-he;LIU Cai-ling;LIANG Jin-yun;ZENG Ling-ling
ObjectiveTo explore the application efficacy of high-quality nursing intervention post-operational patients with hyperparathyroidism secondary to uremia.Methods43 post-operational patients with hyperparathyroidism secondary to uremia in our hospital from June 2015 to February 2016 were selected as the control group and given general nursing service;another 43 patients from March 2016 to November 2016 were selected as the observation group and given high-quality nursing intervention.The degree of anxiety,nursing satisfaction and the incidence of complication were compared between two groups.ResultsBefore intervention,there were no significantly different between the scores of SAS in two groups(P＞0.05);after intervention,the scores of SAS in two groups were all decreased,and compared with those before intervention,the differences were statistically significant(P＜0.01).And those in the observation group was lower than those in the control group,and the differences were statistically significant(P＜0.01).The nursing satisfaction in the observation group was higher than that in the control group,the incidence of complication was lower than that in the control group,and the differences were statistically significant(P＜0.01).ConclusionHigh-quality nursing intervention can effectively improve the post-operational anxiety of patients with uremia secondary hyperparathyroidism,which is featured with less complications and high patients′satisfaction.
2017 Vol. 24 (15): 188-190 [
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Study on the Efficacy of unprotected midwifery nursing on natural childbirth
CHEN Xiao-qing;CHEN Ju-mei
ObjectiveTo explore the efficacy of unprotected midwifery nursing on natural childbirth.Methods120 cases of natural childbirth puerperas in our hospital from February 1st2015 until December 20th2015 were selected and were randomly divided into the observation group and the control group,with 60 cases in each group.Patients in the control group were given routine help nursing,while patients in the observation group were given unprotected midwifery nursing,the incidence of neonatal asphyxia,postpartum urinary retention,postpartum hemorrhage perineal tear and perineal incision were compared between two groups.ResultsThe incidence of neonatal asphyxia,postpartum urinary retention, postpartum hemorrhage perineal tear and perineal incision(3.33%,1.67%,5.00%,8.33%,6.67%)in the observation group were lower than those in the control group(16.67%,11.67%,18.30%,23.33%,25.00%),the differences were statistically significant(P＜0.05).ConclusionIt is not only effective to reduce neonatal asphyxia,postpartum urinary retention,postpartum hemorrhage rate,but also reduce the incidence of perineal tear,the incidence of perineal incision,and ensure the safety of mother and child.
2017 Vol. 24 (15): 191-193 [
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Efficacy of evidence-based nursing in improving early compliance of bedsitting seat in elderly patients with hip fracture
YANG Lin;LIANG Yan-ling;LUO Bi-ru
ObjectiveTo explore the efficacy of evidence-based nursing in improving early compliance of bed-sitting seat in elderly patients with hip fracture.Methods124 cases of elderly patients with hip fracture in our hospital from June 2014 to December 2016 were selected and randomly divided into the control group and the observation group,with 62 cases in each group.The control group was given routine nursing,while the observation group was given evidencebased nursing.The compliance,the incidence of complication and nursing satisfaction were compared between two groups.ResultsThe postoperative compliance rate in the observation group(95.16%)was higher than that in the control group(80.65%),the incidence of complications(3.23%)was lower than that in the control group(12.90%),the nursing satisfaction [(83.31±8.13)points]was higher than that in the control group [(60.15±7.30)points],and the differences were statistically significant(P＜0.05).ConclusionEvidence-based nursing care of elderly patients with hip fractures can significantly reduce the incidence of postoperative complications and improve the early compliance of bed-sitting and patient satisfaction,which is worthy of clinical application.
2017 Vol. 24 (15): 194-196 [
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