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2021 Vol. 28, No. 18
Published: 2021-06-28
 
 
4 Correlation analysis between serum non-high density lipoprotein-cholesterol and neurological impairment in acute phase of cerebral infarction
WANG Ming-nan;WAN Ze-min;LOU Qing;OU Yong-guang
Objective To investigate the correlation between serum non-high density lipoprotein-cholesterol(non-HDL-C)and neurological impairment in acute phase of cerebral infarction.Methods A total of 132 patients with cerebral infarction admitted to the Department of Neurology,Zhaoqing Hospital of Traditional Chinese Medicine from April 2018 to May 2020 were selected as the research objects,and 66 healthy people during the same period were selected as the control group.The differences of blood lipid levels between the two groups were analyzed.According to the level of non-HDL-C,the patients with cerebral infarction were divided into normal non-HDL-C group and elevated non-HDL-C group.The clinical data,blood lipid levels and neurological function scores of patients with different levels of non-HDL-C were compared.The correlation between non-LDL-C level and other blood lipid indexes,neurological function indexes was analyzed.Results The level of HDL-C in the cerebral infarction group was lower than that in the control group,and the levels of non-HDL-C,low-density lipoprotein cholesterol(LDL-C),total cholesterol(TC),and triacylglycerol(TG)were higher than those in the control group,the differences were statistically significant(P<0.05).The proportion of male in patients with elevated non-HDL-C was higher than that in patients with normal non-HDL-C,the difference was statistically significant(P<0.05).The levels TC,non-HDL-C,LDL-C,TG and National Institutes of Health stroke scale(NIHSS)score in patients with elevated non-HDL-C were higher than those in patients with normal non-HDL-C,while HDL-C level and Scandinavian stroke scale(SSS)score were lower than those in patients with normal non-HDL-C,with statistically significant differences(P<0.05).The non-HDL-C was positively correlated with TC,LDL-C,TG and NIHSS score,but negatively correlated with HDL-C and SSS score(P<0.05).Conclusion Serum non-HDL-C has a significant positive correlation with neurological impairment in acute stage of cerebral infarction,which can be used as a marker for evaluating neurological impairment in cerebral infarction.
2021 Vol. 28 (18): 4-7 [Abstract] ( 43 ) HTML (36 KB)  PDF  (0 KB)  ( 5 )
8 Observation on the safety and effectiveness of transumbilical single-incision laparoscopic surgery in tubal ligation
XUE Liu-lian
Objective To investigate the safety and effectiveness of transumbilical single-incision laparoscopic surgery in tubal ligation.Methods A total of 60 married women of the right age who voluntarily asked for tubal ligation in the Sixth People′s Hospital of Huizhou from January 2017 to April 2019 were selected as the research objective and divided into the observation group and the control group according to random number table method,with 30 cases in each group.The control group was treated with translation of core packing method,and the observation group was treated with transumbilical single-incision laparoscopic surgery.The surgical indicators and postoperative follow-up conditions were compared between the two groups,and the safety,acceptability and effectiveness of both surgical methods were evaluated.Results The intraoperative blood loss of the observation group were less than that of the control group,the intraoperative pain of the observation group were lower than that in the control group,the postoperative observation time of the observation group was shorter than that of the control group,and the rate of intraoperative abnormalities of the observation group was higher than that of the control group,the differences were statistically significant(P<0.05).There was no statistically significant difference of total intraoperative complications between the two groups(P>0.05).One month after the surgery,the influence of daily life,labor force and ovarian function in the observation group were less than those in the control group,the differences were statistically significant(P<0.05).Three months after the surgery,the menstrual abnormality rate was lower than that in the control group,and the difference was statistically significant(P<0.05).Follow-up for 12 months,neither group experienced a pregnancy.Conclusion Transumbilical singleincision laparoscopic surgery is more safe,effective,less pain,less bleeding,rapid recovery and other advantages than translation of core packing method.And the hidden pelvic lesions can be found during the operation,the wound healing rate is faster,and the incidence of poor wound healing is lower.
2021 Vol. 28 (18): 8-11转16 [Abstract] ( 52 ) HTML (41 KB)  PDF  (0 KB)  ( 6 )
12 Clinical application of Dapagliflozin in patients with type 2 diabetes mellitus and hypertension
HAO Yan-hong;WU Qing;LI Yun;WANG Ying-li;ZHANG Ying;LUO Ya-hui; LIU Yan-dong; LI Yin
Objective To explore the clinical application of Dapagliflozin in patients with type 2 diabetes mellitus and hypertension.Methods A total of 285 patients with type 2 diabetes mellitus and hypertension were enrolled as the research objects from January 2018 to December 2019 in the Department of Endocrinology,Beijing Jiangong Hospital and were divided into the Dapagliflozin group(142 cases)and Sitagliptin group(143 cases)according to the random number table method.Patients in the Dapagliflozin group were treated with Metformin Hydrochloride Tablets+Dapagliflozin,and patients in the Sitagliptin group were treated with Metformin Hydrochloride Tablets+Sitagliptin.After 24 weeks of treatment,changes of glycosylated hemoglobin(HbA1c),fasting blood glucose(FBG),2 h postprandial blood glucose(2 h PG),systolic blood pressure(SBP),diastolic blood pressure(DBP)and body mass index(BMI)of patients between the two groups were compared.The occurrence of hypoglycemia,hypotension and urinary tract infection was compared between the two groups.Results Finally,133 cases were included in the Dapagliflozin group and 133 cases in the Sitagliptin group.After treatment,the HbA1c and 2 h PG of patients in the Dapagliflozin group were higher than those in the Sitagliptin group,and the differences were statistically significant(P<0.05).There was no statistically significant difference in FBG between the two groups after treatment(P>0.05).The HbA1c,FBG,and 2 h PG of the two groups after treatment were lower than those before treatment,and the differences were statistically significant(P<0.05).The SBP and DBP of patients in the Dapagliflozin group after treatment were lower than those in the Sitagliptin group,and the differences were statistically significant(P<0.05).There was no statistically significant difference in BMI between the two groups after treatment(P>0.05).The SBP and DBP of the two groups after treatment were lower than those before treatment,and the differences were statistically significant(P<0.05).The BMI in the Dapagliflozin group after treatment was lower than that before treatment in this group,and the difference was statistically significant(P<0.05).After treatment,the incidence of urinary tract infection in the Dapagliflozin group was higher than that in the Sitagliptin group,and the difference was statistically significant(P<0.05).There was no significant difference in the incidence of hypoglycemia between the two groups after treatment(P>0.05).There was no hypotension in the two groups.Conclusion When Dapagliflozin is used in patients with type 2 diabetes and hypertension,it is easy to cause urinary tract infections.But its hypoglycemic effect is definite,especially its hypotensive and weight reduction effect is obvious and there are fewer hypoglycemia and hypotension events.As a whole,it is clinically relatively safe.
2021 Vol. 28 (18): 12-16 [Abstract] ( 63 ) HTML (44 KB)  PDF  (0 KB)  ( 6 )
17 Clinical effect of segmental resection and glandular flap molding in patients with nonpuerperal mastitis
HUANG Hai-rong; GAO Hong-xia ;ZHAO Ting-ting
Objective To observe the clinical effect of segmental resection and glandular flap molding in patients with nonpuerperal mastitis(NPM).Methods The clinical data of 96 patients with NPM admitted to Liangxiang Hospital in Fangshan District,Beijing during June 2015 to October 2019 were retrospectively analyzed.According to different treatment methods,they were divided into the observation group and the control group,with 48 cases in each group.The observation group was treated with segmental resection and glandular flap molding,the control group was treated with segmental mastectomy.The total incidence of postoperative complications,postoperative ipsilateral breast recurrence rate and total satisfaction with postoperative breast appearance were compared between the two groups.Results The total incidence of postoperative complications of the observation group was lower than that of the control group,and the difference was statistically significant(P<0.05).The recurrence rate of the observation group was lower than that of the control group,and the difference was statistically significant(P<0.05).The total satisfaction with postoperative breast appearance of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).Conclusion Segmental resection and glandular flap molding for patients with NPM is superior to mere lesion resection as the former leads to less post-operative complications,lower relapse rate and better preservation of the breasts appearance.
2021 Vol. 28 (18): 17-20 [Abstract] ( 40 ) HTML (39 KB)  PDF  (0 KB)  ( 7 )
21 Effect of potassium oxonate combined with different modelling agents on the uric acid value of hyperuricemia in mice
HAN Quan ;WANG Yu-zhi ;FU Guo-feng ;GUO Lu ;HU Liu ;WU Yan; SHEN Yan
Objective To explore the effect of potassium oxonate combined with different modeling agents on the uric acid value of mice with hyperuricemia(HUA),and provide reference for early prevention and treatment of HUA and drug screening.Methods HUA was modeled in ICR mice with 300 mg/kg potassium oxonate,500 mg/kg uric acid,500 mg/kg hypoxanthine and 250 mg/kg ethambutol.Blood samples were taken at different time periods to determine the uric acid value to compare the effects of different modeling factors on blood uric acid.Results The adminwastration of 300 mg/kg potassium oxonate could increase the level of uric acid,but could not maintain the high level of uric acid.The administration of 300 mg/kg potassium oxonate combined with 500 mg/kg uric acid solution could increase the level of uric acid in blood(the increase rate was 207.2%),but the high level of uric acid could not be maintained.The administration of 300 mg/kg potassium oxonate combined with 500 mg/kg hypoxanthine solution could increase the serum uric acid level(the increase rate was 384.4%),but the high level of uric acid could not be maintained either.The administration of 300 mg/kg potassium oxonate combined with 250 mg/kg ethambutol solution could increase the serum uric acid level(the increase rate was 320.8%),and the high level of uric acid could be maintained stably.Conclusion The combination of potassium oxazinate and ethambutol could successfully increase the uric acid value of ICR mice and stably maintain the level of uric acid.The modeling effect was better than that of single potassium oxonate,potassium oxonate combined with uric acid and oxygen,potassium oxonate combined with hypoxanthine.
2021 Vol. 28 (18): 21-25 [Abstract] ( 45 ) HTML (40 KB)  PDF  (0 KB)  ( 7 )
26 Effect of Serrapeptase Enteric-coated Tablets combined with intranasal Glucocorticoid on nasal mucosal recovery after encloscopic sinus surgery
OU Jing ;ZHU Xian-wen▲
Objective To investigate the clinical effect of Serrenopeptidase Enteric-coated Tablets combined with intranasal Glucocorticoid on nasal mucosal recovery after encloscopic sinus surgery.Methods A total of 44 patients with chronic rhinosinusitis treated in Luoding People′s Hospital from January 2017 to October 2019 were selected as the research subjects,and were divided into observation group(22 cases)and control group(22 cases)according to random number table method.Functional nasal endoscopic surgery was performed in both groups.The control group was given Momethasone Furoate Nasal Spray after nasal spray,and the observation group was given Serrenopeptidase Entericcoated Tablets on the basis of the control group orally.Clinical symptom scores and Lund-Kennedy scores were compared between the two groups before and after intervention.Results There was no significant difference in clinical symptom scores between the two groups before treatment(P>0.05).After treatment,the scores of nasal obstruction,runny nose,headache and decreased olfaction in the two groups were lower than before,and the scores of the observation group were lower than those of the control group,the differences were statistically significant(P<0.05).There was no significant difference in Lund-Kennedy scores between the two groups before treatment(P>0.05).After treatment,Lund-Kennedy scores in both groups were lower than before,and Lund-Kennedy scores in the observation group were lower than those in the control group,the differences were statistically significant(P<0.05).Conclusion In patients with chronic sinusitis,Serrapeptase Enteric-coated Tablets orally combined with intranasal Glucocorticoid Nasal Spray can enhance the mucosal swelling reduction and promote the recovery of nasal cavity and sinus mucosa,which has good clinical application value.
2021 Vol. 28 (18): 26-29 [Abstract] ( 55 ) HTML (36 KB)  PDF  (0 KB)  ( 4 )
30 Research progress on technology upgrading and reevaluation of Zhuang medicine Compound Fufangteng Mixture
HE Tian-fu;CHEN Hong-tao; CHEN Xiao-yi;JIANG Lin; WU Yu-qiang
Zhuang medicine Compound Fufangteng Mixture is independently developed by Guangxi University of Chinese Medicine Pharmaceutical Factory,with Zhuang medicine Fufangteng as the main medicine of qi and blood double tonic compound Chinese medicine(Zhuang medicine)preparation.Based on the theory of traditional Chinese medicine and Zhuang medicine,this paper expounds the formula solution of Compound Fufangteng Mixture,and summarizes the research progress of the quality control and efficacy of main herb of formula of Fufangteng as well as the alternative resource Euonymus hederaceus Champ.ex Benth.by consulting literature.The quality control methods and production technology improvement of Compound Fufangteng Mixture were summarized.It was found that the quality standard of Compound Fufangteng Mixture had been studied for more than 20 years,from the determination of single component astragaloside Ⅳby thin layer chromatography to the determination of 13 components by ultra-performance liquid chromatography and mass spectrometry,improve the content determination of multi-parts,multi-components,fingerprint study.This paper summarized the pharmacodynamics,clinical application and secondary development of Compound Fufangteng Mixture in order to provide theoretical basis for the systematic research and secondary development of ethnic medicine.
2021 Vol. 28 (18): 30-35 [Abstract] ( 44 ) HTML (60 KB)  PDF  (0 KB)  ( 5 )
36 Research progress on influencing factors of men′s attitude towards breastfeeding
FAN Yi-dan ;ZHOU Si-yuan ;YING Zhi-yu ;LUO Zhuo-qi ;YU Meng-ting▲
Breastfeeding is beneficial to the health of mother and child.Breastfeeding behavior is affected by many factors,and the influence of male feeding attitude and support behavior on it can not be ignored.Men′s attitude towards breastfeeding can affect women′s breast-feeding self-confidence and choice of feeding methods,which can have an important impact on breastfeeding outcomes.This paper reviews the research progress of influencing factors of male breastfeeding attitude,aiming to analyze that breastfeeding knowledge level,lactation situation exposure,social environment and demographic characteristics are the main factors affecting male breastfeeding attitude,which provides relevant reference information for male breastfeeding attitude investigation and intervention.
2021 Vol. 28 (18): 36-39 [Abstract] ( 44 ) HTML (45 KB)  PDF  (0 KB)  ( 6 )
40 Application of colonoscopy inversion to improve the detection rate of adenoma and polyp in the right colon
FENG Ya-qing; ZHOU Ying; HUANG Min ;YANG Xia ;CHEN Zhi-qing
Objective To explore the application value of colonoscopy reversal in improving the detection rate of right hemicolon adenoma and polyp.Methods A total of 100 patients who received the examination of colonoscopy and were suitable for research in Department of Gastroenterology,Central Hospital of Xinyu Iron and Steel Co.,Ltd.of Jiangxi Province from September 2018 to September 2020 were selected as the research objects.All patients were followed by direct vision and retrospection method and colonoscopy reversal technique to observe the right hemicolon.The detection rates of right hemicolon adenoma,polyp and adenoma with different diameters were compared between the two methods.Results The detection rates of right hemicolon adenoma and polyp by colonoscopy reversal were higher than those of direct vision and retrospection method,and the detection rate of adenoma with diameter<5 mm was higher than that of direct vision and retrospection method,and the differences were statistically significant(P<0.05).The sensitivity,specificity and accuracy of reverse colonoscopy in detecting adenoma and polyp of right colon were higher than those of direct vision method,and the differences were statistically significant(P<0.05).Conclusion Colonoscopy reversal technique can effectively improve the detection rate of right hemicolon adenoma and polyp in the examination of colonoscopy,which has certain guiding significance for the prevention and treatment of colon cancer in the future.
2021 Vol. 28 (18): 40-42 [Abstract] ( 40 ) HTML (31 KB)  PDF  (0 KB)  ( 7 )
43 Clinical effect of fractional CO2 laser combined with Tacrolimus Ointment on vitiligo
SUN Yi-feng ;MA Hong-yan ;YE Jia-wen ;LIANG Yuan ;CHEN Peng ;SHAO Xue-jie ;WANG Mei ;MA Zhi-hong▲
Objective To explore the effect and safety of fractional CO2 laser combined with Tacrolimus Ointment on vitiligo.Methods A total of 60 patients with vitiligo admitted to Hongqi Hospital Affiliated Mudanjiang Medical University from June 2018 to October 2019 were selected as the research objects and divided into the treatment group and the control group according to the random number table method,with 30 cases in each group.The control group was treated with Tacrolimus Ointment,and the treatment group was treated combined with fractional CO2 laser based on the control group.After 12 weeks of treatment,both skin lesions and adverse reactions were observed between the two groups.Results The total efficiency of the treatment group(66.7%)was higher than that of the control group(36.7%),the total skin lesions efficiency of the treatment group(76.2%)was higher than that of the control group(42.1%),the differences were statistically significant(P<0.05).There were no serious adverse reactions were observed in both groups.Conclusion Fractional CO2 laser combined with Tacrolimus Ointment has a good clinical effect in vitiligo therapy and had no serious adverse reactions.
2021 Vol. 28 (18): 43-45 [Abstract] ( 47 ) HTML (35 KB)  PDF  (0 KB)  ( 6 )
46 Clinical effect of ear-point pressing of bean method in treating abdominal distension after colorectal polyp resection
ZOU Hong-xia ；SHEN Hui-qin ；HONG Zheng； FENG Huan▲
Objective To study the effect of ear-point pressing of bean in the treatment of abdominal distension after resection of colorectal polyps.Methods From January 2020 to October 2020,80 patients with colorectal polyps who had abdominal distension after undergoing electrical resection surgery in Jiujiang Traditional Chinese Medicine Hospital were selected as the research objects.According to the random number table method,they were divided into the control group and the observation group,with 40 cases in each group.The control group received abdominal massage,and the observation group received ear-point pressing of bean on the basis of the control group.The recovery time of gastrointestinal function,the degree of abdominal distension at different postoperative time and the quality of life scores were compared between the two groups.Results The bowel sound recovery time,first defecation time and anal exhaust time in the observation group were shorter than those in the control group,and the differences were statistically significant(P<0.05).The abdominal distension score 6 h after surgery in two groups were higher than 1 h after surgery,and the differences were statistically significant(P<0.05).The abdominal distension score of observation group at 1 and 6 h after surgery were lower than those of control group,and the differences were statistically significant(P<0.05).The scores of physiological function,mental health,interpersonal relationship and mental state in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).Conclusion The method of ear-point pressing of bean for patients with abdominal distension after colorectal polyp resection can help patients improve their abdominal distension,speed up the recovery time of postoperative gas,defecation,and bowel sounds,and promote the recovery of gastric function.To improve the quality of life of patients to a certain extent,it is worthy of clinical application.
2021 Vol. 28 (18): 46-48转52 [Abstract] ( 50 ) HTML (33 KB)  PDF  (0 KB)  ( 7 )
49 Effect of Thiatropium Bromide on chronic obstructive pulmonary disease
CHEN Li-hua; LIN Shu-mei ;CHEN Xiao-li
Objective To explore the effect of Thiatropium Bromide on chronic obstructive pulmonary disease(COPD).Methods A total of 90 patients with COPD admitted to Chenxinghai Hospital of Zhongshan City from March 2018 to October 2019 were selected as the research objects,and the patients were divided into two groups according to whether the patients agreed to use tiotropium bromide.The observation group of 48 cases were treated with Thiatropium Bromide,and the control group of 48 cases were not treated with Thiatropium Bromide.The pulmonary function indicators(forced expiratory volume in one second[FEV1],forced vital capacity[FVC]and FEV1/FVC levels)and quality of life in both groups were compared before and after treatment.Results The time,intergroup and interaction compared among FEV1,FVC and FEV1/FVC,the differences were statistically significant(P<0.05).Before the treatment,there were no statistical significance of the quality of life scores between the two groups(P>0.05).Six months after the treatment,the quality of life scores in both groups were higher than the group of before treatment,and the quality of life scores of the observation group was higher than that of the control group,the differences were statistically significant(P<0.05).Conclusion The early diagnosis of COPD and timely treatment with Thiatropium Bromide can effectively improve the Pulmonary function and improve the quality of life,thus it is worth promoting.
2021 Vol. 28 (18): 49-52 [Abstract] ( 52 ) HTML (37 KB)  PDF  (0 KB)  ( 7 )
53 Clinical effect of non-invasive ventilation combined with aerosol inhalation of Ambroxol in the treatment of chronic obstructive pulmonary disease complicated with respiratory failure
LIN Da-yong
Objective To explore the clinical therapeutic effect of non-invasive ventilation combined with aerosol inhalation of Ambroxol on patients with chronic obstructive pulmonary disease and respiratory failure.Methods A hundred patients with chronic obstructive pulmonary disease and respiratory failure admitted to Iron Coal General Hospital of Liaoning Health Industry Group,Liaoning Province from January 2018 to December 2019 were selected as the research subjects.According to the random number table method,they were divided into two groups,with 50 cases in each group.In the control group,non-invasive ventilation adjuvant therapy was used,and in the study group,aerosol inhalation of Ambroxol on the basis of the control group was added.The clinical efficacy of the two groups was recorded,and the changes of related indexes(including heart rate[HR],respiratory rate[RR],blood oxygen saturation[SaO2],arterial oxygen partial pressure[PaO2])before and after treatment and the incidence of adverse reactions between the two groups were compared.Results After treatment,the HR and RR of the study group were(93.82±10.37)times/min and(22.07±1.89)times/min,both lower than those of the control group of(119.28±18.47)and(28.81±1.98)times/min,and the SaO2 of the study group was(99.0±4.8)%,PaO2 of the study group was(66.07±2.97)mmHg,both higher than(79.0±2.2)% and(51.12±2.11)mmHg in the control group,and the differences were statistically significant(P<0.05).The total effective rate of the study group was 96.0%,which was higher than that of the control group(76.0%),and the difference was statistically significant(P<0.05).The total incidence of adverse reactions in the study group was 12.0%,which was lower than 32.0% in the control group,and the difference was statistically significant(P<0.05).Conclusion Non-invasive ventilation combined with aerosol inhalation of Ambroxol therapy has a better clinical treatment effect for patients with chronic obstructive pulmonary disease and respiratory failure,and its safety is high,and it is worthy of widespread promotion.
2021 Vol. 28 (18): 53-55转59 [Abstract] ( 45 ) HTML (35 KB)  PDF  (0 KB)  ( 8 )
56 Application of plasma radiofrequency ablation in the treatment of laryngopharyngeal mass
HUANG Rui-jie ;WU Yu-min ;WANG Dong-li
Objective To explore the application effect of plasma radiofrequency ablation in the treatment of laryngopharyngeal mass.Methods A total of 46 patients with hypopharynx and larynx benign mass admitted to the Department of Otorhinolaryngology,the Second People′s Hospital of Jingdezhen from January 2019 to March 2020 were selected as the research objects,and they were divided into two groups according to the random number table method,23 cases in each group.Patients in the control group underwent conventional surgery to remove the lesions,and patients in the observation group were treated with low-temperature plasma radiofrequency ablation.The operation time,wound healing time,hospitalization time,pain,intraoperative blood loss,recurrence and treatment effect between the two groups were compared.Results There were no statistically significant differences in the surgical effect and visual analogue scale(VAS)score between the two groups after treatment(P>0.05).The wound healing time,operation time,and hospitalization time of the observation group were shorter than those of the control group,and the differences were statistically significant(P<0.05).The intraoperative blood loss of the observation group was less than that of the control group,and the difference was statistically significant(P<0.05).There was no recurrence in both groups.Conclusion For patients with benign mass in the hypopharynx and larynx,low-temperature plasma radiofrequency ablation can be used to treat patients with short operation time,less intraoperative blood loss,quick recovery,and outstanding clinical application value.
2021 Vol. 28 (18): 56-59 [Abstract] ( 46 ) HTML (33 KB)  PDF  (0 KB)  ( 6 )
60 Effect comparison between the laparoscopic modified right hemicolectomy and traditional open surgery in the treatment of colon cancer
SHI Zhen-jun ;GENG Yi ;YANG Jun-jie ;LI Dong-xiao

Objective To compare the effect between the laparoscopic modified right hemicolectomy and traditional open surgery in the treatment of colon cancer.Methods A total of 70 colon cancer patients admitted to the First Department of Surgery,the Affiliated Traditional Chinese Medicine Hospital of Guangzhou Medical University from July 2015 to November 2017 were selected as the research objects,and they were divided into the reference group(35 cases)and the study group(35 cases)according to the random number table method.The reference group used traditional open surgery,and the study group used laparoscopic modified right hemicolectomy.The clinical indicators,postoperative rehabilitation indicators and 3-year return visit indicators of the two groups were compared and analyzed.Results The intraoperative blood loss in the study group was less than that in the reference group,and the operation time was shorter than that in the reference group,the differences were statistically significant(P<0.05).There was no statistically significant difference in the number of lymph node dissections between the two groups(P>0.05).The postoperative rehabilitation indicators(time to exhaust after operation,time to get out of bed after operation,time to use analgesics after operation,length of hospital stay)in the study group were shorter than those in the reference group,the differences were statistically significant(P<0.05).The 3-year survival rate of the study group was higher than that of the reference group,with statistically significant difference(χ2=13.226,P<0.05).The incidence of complications and lymph node recurrence and metastasis rate in the study group were lower than those in the reference group,and the differences were statistically significant(χ2=8.330,5.335,P<0.05).Conclusion Laparoscopic modified right hemicolectomy for the treatment of colon cancer patients can effectively shorten the length of stay in bed,promote postoperative recovery,reduce the risk of postoperative complications,with significant effect.
2021 Vol. 28 (18): 60-62 [Abstract] ( 41 ) HTML (33 KB)  PDF  (0 KB)  ( 6 )
63 Application of laparoscopic splenectomy combined with vagus nerve preservation during devascularization in patients with cirrhotic portal hypertension
LUO Jian; HE Wen-fa
Objective To explore the application effect of laparoscopic splenectomy combined with vagus nerve preservation during devascularization in patients with cirrhotic portal hypertension.Methods A total of 74 patients with cirrhotic portal hypertension treated in Jianli Fifth People′s Hospital,Hubei Province from March 2015 to January 2020 were selected as the research objects,and they were divided into control group(n=37,treated with laparoscopic splenectomy combined with devascularization)and observation group(n=37,given vagus nerve preservation on the basis of control group)according to the random number table method.The related surgical indicators(surgical time,intraoperative blood loss,postoperative free portal vein pressure,postoperative gastric juice drainage volume and hospital stay)were compared between the two groups,the quality of life(quality of life in reflux and dyspepsia questionnaire[QOLRAD]score)was compared between the two groups before surgery and at 3 months after surgery,and the incidence rates of complications(postprandial abdominal distension,diarrhea,gastric retention and portal vein thrombosis)were compared between the two groups within 7 d after surgery.Results The surgical time of the observation group was shorter than that of the control group,the difference was statistically significant(P<0.05).The intraoperative blood loss and postoperative gastric juice drainage volume in the observation group were less than those in the control group,the differences were statistically significant(P<0.05).There were no significant differences in the postoperative free portal vein pressure and hospital stay between the two groups(P>0.05).At 3 months after surgery,there was no significant difference in QOLRAD score in the observation group compared with that before surgery(P>0.05).The QOLRAD score at 3 months after surgery in the control group was lower than that of the same group before surgery,the difference was statistically significant(P<0.05).The QOLRAD score at 3 months after surgery in the observation group was higher than that in the control group,the difference was statistically significant(P<0.05).Within 7 d after surgery,the incidence rates of postprandial abdominal distension,diarrhea and gastric retention in the observation group were lower than those in the control group,the differences were statistically significant(P<0.05).There was no significant difference in the incidence rate of portal vein thrombosis between the two groups(P>0.05).Conclusion Laparoscopic splenectomy combined with vagus nerve preservation during devascularization has more convenient operation in the treatment of patients with cirrhotic portal hypertension,and it can effectively maintain the gastric function,improve the quality of life,and reduce the occurrence of related complications of patients.
2021 Vol. 28 (18): 63-66 [Abstract] ( 36 ) HTML (37 KB)  PDF  (0 KB)  ( 7 )
67 Effect of three-dimensional visualization technology to guide rigid choledochoscope in the treatment of complicated hepatolithiasis
CAO Jun-rong
Objective To analyze the effect of three-dimensional visualization technology to guide rigid choledochoscope in the treatment of complicated hepatolithiasis.Methods A total of 66 patients with complicated hepatolithiasis who were admitted to the First People′s Hospital of Chenzhou City from September 2019 to September 2020 were selected as the research objects.They were divided into the control group(33 cases)and the study group(33 cases)according to the simple randomization method.Patients in the control group used conventional surgical method,and patients in the study group used three-dimensional visualization technology to guide rigid choledochoscope.The surgical effect,total incidence of complications,and postoperative laboratory indicators were compared between the two groups.Results The residual rate of stones in the study group was lower than that in the control group,the amount of intraoperative blood loss was less than that in the control group,and the operation time and postoperative hospital stay were shorter than those in the control group,the differences were statistically significant(P<0.05).There were no significant differences in the levels of alanine aminotransferase(ALT),aspartate aminotransferase(AST)and total bilirubin(TBil)between the two groups after surgery(P>0.05).The albumin(ALB)level of the study group was higher than that of the control group,and the white blood cell(WBC)level was lower than that of the control group,the differences were statistically significant(P<0.05).The total incidence of complications in the study group was lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusion The use of three-dimensional visualization technology to guide rigid choledochoscope in the treatment of complicated hepatolithiasis can significantly reduce the residual rate and the incidence of complications.
2021 Vol. 28 (18): 67-69 [Abstract] ( 43 ) HTML (31 KB)  PDF  (0 KB)  ( 6 )
70 Comparison of insulin lispro and biosynthetic human insulin in patients with gestational diabetes mellitus
ZHOU Bin-ying ;AI Wen ;SONG Yu-hua ;CHEN Yan-qun
Objective To compare the efficacy of insulin liproline and biosynthetic human insulin in patients with gestational diabetes mellitus(GDM).Methods A total of 98 cases of GDM patients who need insulin treatment in Foshan Chancheng District Central Hospital Chancheng District Central Hospital from December 2019 to December 2020 were selected and randomly divided into the study group(n=49)and the control group(n=49)according to the random number table method.The study group was treated with liproline insulin and the control group was treated with biosynthetic human insulin.Blood glucose levels and pregnancy outcomes were compared between the two groups before and after treatment.Results There was no significant difference in fasting blood glucose(FPG),2 h postprandial blood glucose(2 h PG),glycosylated hemoglobin(HbA1c)and insulin resistance index(HOMA-IR)between the two groups before treatment(P>0.05).There was no significant difference in the incidence of postpartum ketosis and postpartum hemorrhage between the two groups after treatment(P>0.05).After treatment,the FPG,2 h PG,HbA1c and HOMA-IR of the study group were lower than those of the control group,the incidence of premature delivery,hyperhydramnios and cesarean section were lower than those of the control group,the incidence of neonatal macrosomia,hyperbilirubinemia,hypoglycemia and fetal distress were lower than those of the control group,and the differences were statistically significant(P<0.05).Conclusion Insulin lispro in the treatment of GDM can effectively reduce the blood glucose level,improve the incidence of adverse pregnancy outcomes,reduce neonatal complications,and the clinical effect is better than that of biosynthetic human insulin,which is worthy of clinical promotion.
2021 Vol. 28 (18): 70-72转76 [Abstract] ( 39 ) HTML (33 KB)  PDF  (0 KB)  ( 6 )
73 Study on the association between GBS positive women and premature rupture of membranes in late pregnancy and its influence on maternal and infant prognosis
CAI Hong-dan
Objective To investigate the effect of Group B streptococcus(GBS)positive on maternal and infant prognosis of pregnant women with premature rupture of membranes in late pregnancy.Methods A total of 100 pregnant women with premature rupture of membranes in late pregnancy treated in Dongguan Guangji Hospital from January 2018 to March 2020 were selected as the premature rupture of membranes group.A total of 100 normal pregnant women underwent routine pregnancy examination in Dongguan Guangji Hospital during the same period were selected as control group.The positive rate of GBS infection was compared between the two groups,and the delivery and neonatal conditions of pregnant women with GBS negative and positive GBS infection were analyzed.Results The positive rate of GBS infection in premature rupture of membranes group was 19.00%,higher than 5.00% of control group,the difference was statistically significant(P<0.05).There was no significant difference in postpartum bleeding rate between GBS infection negative and GBS infection positive women(P>0.05).The proportions of cesarean section,premature delivery,intrauterine infection,fetal distress and puerperal infection in GBS infection positive group were 36.84%,36.84%,21.05%,26.32% and 36.84%,respectively,which were higher than those in negative GBS infection group,the differences were statistically significant(P<0.05).The percentages of neonatal asphyxia,neonatal infection,neonatal pneumonia,neonatal jaundice and chorioamnionitis in positive GBS infection group were 31.58%,26.32%,26.32%,47.37% and 21.05%,respectively,which were higher than 2.47%,4.94%,0.00%,14.81% and 2.47% in GBS infection negative group,the differences were statistically significant(P<0.05).Conclusion The incidence of GBS infection in the pregnant women with premature rupture of membranes in late pregnancy is higher,and GBS infection will increase the incidence of adverse pregnancy outcomes.
2021 Vol. 28 (18): 73-76 [Abstract] ( 45 ) HTML (32 KB)  PDF  (0 KB)  ( 5 )
77 Effect of vagina dumbbell training combined with intensive life intervention on postpartum vaginal relaxation
HUANG Ping;WEI Wen; LI Zhi-xin;LIU Jin-hua;WEN Ming-zhu
Objective To evaluate the important value of vaginal dumbbell training combined with intensive life intervention in postpartum vaginal relaxation nursing.Methods The clinical date of 60 patients with postpartum vaginal relaxation admitted to Ganzhou Municipal Hospital from July 2018 to October 2020 were retrospectively analyzed.According to different nursing methods,they were divided into the study group(30 cases)and the control group(30 cases).The control group was treated with basic nursing intervention,the research group was treated with vagina dumbbell training combined with intensive life intervention,and the duration of vaginal muscle contraction,repetition,and quality of life were compared between the two groups.Results After intervention,the duration of the study group was longer than that of the control group,and the number of repeats was higher than that of the control group,with statistical significance(P<0.05).After intervention,the scores of quality of life in the study group were higher than that of the control group,the differences were statistically significant(P<0.05).Conclusion In postpartum vaginal relaxation care,vaginal dumbbell training has its obvious advantages,but with life intervention strengthening,it can effectively improve postpartum vaginal relaxation and improve the overall quality of life of patients,which is worthy of wide application.
2021 Vol. 28 (18): 77-79转85 [Abstract] ( 44 ) HTML (33 KB)  PDF  (0 KB)  ( 6 )
80 Relationship between maternal body mass,neonatal weight and pelvic floor dysfunction
SUN Jian; XIA Zhi-jun▲
Objective To analyze the influencing factors of pelvic floor dysfunction,and to compare the influence of different levels of body mass index(BMI)of maternal pre-pregnancy,antenatal and neonatal weight on pelvic floor function.Methods The clinical data of 210 full-term postpartum women who underwent pelvic floor function examination in Shengjing Hospital Affiliated to China Medical University from July 2019 to January 2020 were collected and analyzed.Pelvic floor condition,muscle strength,prolapse and stress urinary incontinence were recorded.Multivariate analysis was performed on 100 patients who were followed up for 3 times after delivery,and their pelvic floor muscle strength was assessed at 3 and 6 months postpartum.Results Prenatal BMI,weight gain,fetal weight and birth mode had significant influence on pelvic floor muscle,there were no significant influence in the influence of birth mode and age on pelvic floor muscle(P＞0.05).Dynamic pressure,type Ⅰmuscle strength and type Ⅱmuscle strength were used as dependent variables,and the factors with significance less than 0.1 in univariate analysis were used as independent variables for multivariate regression analysis,the results showed that birth mode had a significant impact on dynamic stress,neonatal weight had a negative impact on type Ⅰmuscle strength,and prenatal BMI had a significant negative impact on type Ⅰand Ⅱmuscle strength(P＜0.05).In univariate analysis,the comparison of pelvic floor muscle function in each group showed that the influence of birth style on urinary leakage was statistically significant(χ2=1.997,P=0.048).With urinary leakage as the dependent variable,univariate analysis showed that the factors with significance ＜0.1(pre pregnancy BMI,prenatal BMI,birth style)were used as independent variables for regression analysis,the results showed that the birth mode was not the same(β=0.151,P=0.029).In univariate analysis,the influence of weight gain,fetal weight and birth mode on pelvic floor muscle function were statistically significant,and electrical stimulation therapy had a significant positive effect(P＜0.05).The dynamic pressure and type Ⅰmuscle strength of the patients who were reexamined 3 months after delivery were taken as dependent variables,and the factors with significance less than 0.1 in univariate analysis were taken as independent variables for multivariate regression analysis,the results showed that birth mode and treatment had significant effects on dynamic pressure and type Ⅰmuscle strength at 3 months postpartum(P＜0.05).The dynamic pressure,class Ⅰmuscle strength and class Ⅱmuscle strength of the patients who were reexamined 6 months after delivery were taken as dependent variables,and the factors with significance less than 0.1 in univariate analysis were taken as independent variables for multivariate regression analysis,the results showed that neonatal weight and prenatal BMI had significant negative influence on pelvic floor muscle strength,and treatment could effectively improve the fast and slow muscle fiber strength.Conclusion Prenatal BMI,weight gain during pregnancy,neonatal weight and birth mode have significant influence on pelvic floor dysfunction.
2021 Vol. 28 (18): 80-85 [Abstract] ( 43 ) HTML (47 KB)  PDF  (0 KB)  ( 6 )
86 Effect of transnasal continuous positive airway pressure in the treatment of children with severe pneumonia complicated with respiratory failure
LI Fu-qian
Objective To investigate the effect of transnasal continuous positive airway pressure treatment in the treatment of children with severe pneumonia complicated with respiratory failure.Methods A total of 104 children with severe pneumonia and respiratory failure admitted to the Department of Pediatrics of Beiliu Maternal and Child Health Care Hospital in Guangxi Zhuang Autonomous Region from January 2018 to July 2020 were selected as the research objects,and they were divided into the control groups(52 cases)and the study group(52 cases)according to the random number table method.The study group was given transnasal continuous positive airway pressure treatment,and the control group was given face mask oxygen therapy.The changes of pediatric critical case score(PCIS),heart rate,respiratory rate,the levels of partial pressure of carbon dioxide(PaCO2),partial pressure of blood oxygen(PaO2),and blood oxygen saturation(SaO2)before and after treatment,therapeutic effect and adverse events were compared between the two groups.Results The PCIS scores of the two groups after treatment were higher than those before treatment,the heart rate and respiratory frequency of the two groups after treatment were lower than those before treatment,the differences were statistically significant(P＜0.05).The PCIS score of the study group after treatment was higher than that of the control group,and the heart rate and respiratory frequency of the study group after treatment were lower than those of the control group,the differences were statistically significant(P＜0.05).The levels of PaCO2 after treatment in the two groups were lower than those before treatment,the levels of PaO2 and SaO2 after treatment in the two groups were higher than those before treatment,the differences were statistically significant(P＜0.05).The level of PaCO2 after treatment in the study group was lower than that in the control group,the levels of PaO2 and SaO2 after treatment in the study group were higher than those in the control group,the differences were statistically significant(P＜0.05).The total effective rate of the study group was higher than that of the control group,the difference was statistically significant(P＜0.05).The total incidence of adverse events in the study group was lower than that of the control group,the difference was statistically significant(P＜0.05).Conclusion After transnasal continuous positive airway pressure treatment in the treatment of children with severe pneumonia and respiratory failure,blood gas analysis indicators,lung function are improved,hypoxic symptoms are alleviated in time,respiratory rate and heart rate are effectively recovered,the clinical effect is significant,it is worthy of clinical application
2021 Vol. 28 (18): 86-89 [Abstract] ( 41 ) HTML (38 KB)  PDF  (0 KB)  ( 6 )
90 Clinical effect of submucosal uterine fibroids treated by hysteroscopic shaving system
CAI Yu ;DIAO Hai-dan▲
Objective To investigate the clinical effect of hysteroscopic shaving system in the treatment of submucosal uterine fibroids.Methods A total of 40 patients with submucosal uterine fibroids admitted to the Dalian Third People′s Hospital from May 2018 to December 2019 were selected as the research subjects,and were divided into study group(20 cases)and control group(20 cases)according to the surgical methods.The control group were treated with hysteroscopic bipolar electrocautery,while the research group were treated with hysteroscopic shaver system.The operation time,intraoperative blood loss,postoperative serum sodium level,postoperative vaginal bleeding time and endometrial thickness were compared.Results The operative time of the study group was shorter than that in the control group,the intraoperative blood loss in the study group was less than that in the control group,and the differences were statistically significant(P<0.05).The duration of postoperative vaginal bleeding in the study group was shorter than that in the control group,and the difference was statistically significant(P<0.05).The endometrial thickness in the study group was thicker than that in the control group one month after surgery,and the difference was statistically significant(P<0.05).There was no significant difference in postoperative serum sodium level between the two groups(P>0.05).Conclusion Hysteroscopic shaving system is feasible and safe for the treatment of submucous myomas,which can shorten the operation time,reduce the amount of intraoperative blood loss,and recover quickly after the operation.It is worthy of clinical promotion.
2021 Vol. 28 (18): 90-93 [Abstract] ( 44 ) HTML (35 KB)  PDF  (0 KB)  ( 10 )
94 Additive effect of Magnesium Sulfate combined with Nifedipine for the treatment of pregnancy-induced hypertension syndrome
ZHANG Li-jie; LUO Yi ;WU Bi-wu; LIU Fang-ming
Objective To explore the effect of magnesium sulfate combined with Nifedipine in the treatment of hypertension in pregnancy.Methods A total of 60 patients with pregnancy-induced hypertension admitted to Guangdong Province Zhuhai Maternity and Child Health Hospital from January 2015 to January 2020 were selected as the research objects,and they were divided into an observation group and a control group by random number table method,each had 30 cases,the control group was treated with Magnesium Sulfate Injection alone,and the observation group was treated with Magnesium Sulfate Injection combined with Nifedipine.The blood pressure indicators,effective rate of drug treatment,adverse drug incidence and quality of life were compared between the two groups before and after treatment.Results The blood pressure index after treatment in the observation group was lower than that in the control group,the difference was statistically significant(P<0.05);the effective rate of drug treatment in the observation group was higher than that in the control group,and the difference was statistically significant(P ＜0.05);the incidence of adverse pregnancy outcomes in the observation group was lower than that in the control group,which was statistically significant(P＜0.05);the scores of all dimensions of the quality of life in the observation group were higher than those in the control group,the difference was statistically significant(P<0.05).Conclusion Magnesium sulfate injection combined with nifedipine can effectively adjust the blood pressure indicators of patients with pregnancy-induced hypertension,improve the efficacy,ensure postpartum safety,and improve the quality of life of women in the perinatal period.It is worthy of clinical promotion.
2021 Vol. 28 (18): 94-97 [Abstract] ( 45 ) HTML (37 KB)  PDF  (0 KB)  ( 6 )
98 Dietary intervention combined with low-dose iron to improve nutritional iron deficiency anemia in infants
WEI Shu-fei; WANG Xing-ling;ZHENG Shao-yun;CHEN Ya-Xing; LAN Hai-yan
Objective To observe the effect of dietary intervention combined with low-dose iron to improve nutritional iron deficiency anemia(IDA)in infants.Methods A total of 124 children who were six to twenty-four months old were selected which were diagnosed with nutritional iron deficiency anemia in pediatrics and pediatric outpatient department of the Second People′s Hospital of Zhaoqing in Guangdong Province from June 2018 to June 2020.They were divided into an experimental group(75 cases)and a control group(49 cases)according to random number table method.Both groups were treated with low dose iron.Dietary intervention was given on the experimental group by attending physician and dietitian.The control group was not given dietary intervention.Both groups were treated for one course of treatment.The laboratory indexes,height,weight and neuropsychological development scores of the two groups before and after treatment were compared.Results The hemoglobin(HB),mean erythrocyte volume(MCV),mean erythrocyte hemoglobin content(MCH),mean erythrocyte hemoglobin concentration(MCHC),serum ferritin(SF),height,weight and neuropsychological development scores were higher than those before treatment,and the differences were statistically significant(P＜0.05).There was no significant difference in HB,MCV,MCH,MCHC,SF between the two groups after treatment(P＞0.05);weight and neuropsychological development scores in the experimental group were higher than those in the control group,and the differences were statistically significant(P＜0.05).Conclusion Dietary intervention combined with low-dose iron to improve nutritional iron deficiency anemia in infants related laboratory indicators are consistent with the efficacy of low-dose iron alone,but dietary intervention combined with low-dose iron in the short term can improve the weight of iron deficiency anemia children,neuropsychological development score is better,and it is worth popularizing.
2021 Vol. 28 (18): 98-101 [Abstract] ( 37 ) HTML (36 KB)  PDF  (0 KB)  ( 8 )
102 Levels and significant of vascular endothelial growth factor and soluble tyrosine kinase receptor-1 in peripheral blood of scarred uterus with placenta previa
JIANG Li-rong;HUANG Xiao-ping;XU Yi-yu
Objective To investigate the levels and significant of vascular endothelial growth factor(VEGF)and soluble tyrosine kinase receptor-1(sFIt-1)in peripheral blood of scarred uterus with placenta previa.Methods A total of 218 cases of pregnant women with scarred uterus treated in Wuxi Yihe Obstetrics and Gynecology Hospital from January 2019 to November 2020 were selected as the research subjects.Among them,76 pregnant women with placenta previa were taken as the observation group,and 142 pregnant women without placenta previa were taken as the control group.VEGF and SFIt-1 levels in the two groups were detected,Pearson was used to analyze the relationship between VEGF and SFIt-1 levels in peripheral blood of the observation group,and the maternal and infant outcomes of the two groups were compared.Results The VEGF in peripheral blood of the observation group was(71.60±24.66)ng/mL,which was lower than that of the control group of(192.41±35.57)ng/mL,the difference was statistically significant(P<0.05).The SFIt-1 of the observation group was(2.98±0.91)ng/mL,which was higher than that of the control group of(1.20±0.45)ng/mL,and the difference was statistically significant(P<0.05).The levels of VEGF and SFIt-1 in peripheral blood of pregnant women of scarred uterus with placenta previa were negatively correlated(r=-0.594,P<0.05).The incidence rates of cesarean section,postpartum hemorrhage,placenta implantation and hysterectomy in the observation group were 100.00%,38.16%,23.68% and 7.89%,respectively,which were higher than those in the control group(68.31%,12.68%,6.34% and 0.00%),the differences were statistically significant(P<0.05).The incidence rates of neonatal asphyxia and premature infants in the observation group were 19.74% and 64.47%,respectively,which were higher than those in the control group(4.23% and 35.92%),the differences were statistically significant(P<0.05).Conclusion There is a correlation between the decrease of VEGF and the increase of SFIt-1 in peripheral blood of pregnant women of scarred uterus with placenta previa,and the incidence of adverse pregnancy outcomes in pregnant women with scar uterus combined with placenta previa is higher.
2021 Vol. 28 (18): 102-105 [Abstract] ( 42 ) HTML (37 KB)  PDF  (0 KB)  ( 7 )
106 Comparison of application effects between self-tapping miniscrew implants anchorage and traditional anchorage in adolescent patients with maxillary protrusion
ZHANG Jing ;LI Chen-chen ;CHEN Bin; MENG Jian
Objective To investigate the therapeutic effects between self-tapping miniscrew implants anchorage and traditional anchorage in adolescent patients with maxillary protrusion.Methods From January 2016 to January 2019,the data of 60 adolescent patients with maxillary protrusion who need extract teeth were analyzed retrospectively from the Department of Stomatology,Xuzhou Central Hospital.According to the type of anchorage,they were divided into two groups: miniscrew implants anchorage group(n=30)and traditional group(n=30).Anchorage group received miniscrew implants and the traditional anchorage group applied with a transpalatal arch and extraoral arch.The cephalometric values and treatment time were compared between the two groups before and after treatment.Results The failure rate of the self-tapping microscrew implants was 11.6%(7/60).The changes of maxillary central incisor protrusion and angle in microscrew group were higher than those in traditional group after treatment and the significant difference between two groups were observed(P<0.05).The mesial movement of maxillary first molar in microscrew group was less than that of traditional group,the difference was statistically significant(P<0.05).The changes of upper alveolar protrusion and upper lip-E distance in the miniscrew anchorage group were higher than those in the traditional group after treatment and the difference was statistically significant(P<0.05).The treatment time of the miniscrew anchorage group was shorter than the traditional group,and the differences were statisticcally significant(P<0.05).Conclusion Compare with extraoral arch and transpalatal arch anchorage,microscrew implants could provide better anchorage control and the patients could achieve a more harmonious facial profile.
2021 Vol. 28 (18): 106-109转119 [Abstract] ( 46 ) HTML (43 KB)  PDF  (0 KB)  ( 5 )
110 Application of bone-supported digital guide plate in the treatment of dental and maxillofacial deformities
SHAO Ben-chun; WANG Jiu-guo;LI Yang
Objective To explore the application value of bone-supported digital guides in the treatment of dental and maxillofacial deformities to guide the optimization of clinical treatment plans.Methods A retrospective analysis of the clinical data of 63 patients with dental and maxillofacial deformities who used bone-supported digital guides for orthognathic surgery in our hospital from January 2016 to August 2019 were included in the observation group,and the traditional occlusal guides were selected for the same period The clinical data of 63 patients with dental and maxillofacial deformity who underwent orthognathic surgery were included in the control group.The operation time,intraoperative blood loss,maxillary error,and hospitalization time were compared between the two groups.The occlusal function(temporal muscle,masseter muscle,and digastric muscle asymmetry index during median bite)was compared before and 3 months after operation.Results The intraoperative blood loss of the observation group was less than that of the control group.The operation time,maxillary error,and hospitalization time of the observation group were all less than those of the control group,the differences were statistically significant(P＜0.05).Three months after the surgery,masseter muscle and digastric muscle asymmetry index were lower than before operation,and masseter muscle and digastric muscle asymmetry index of the observation group were lower than those of the control group,the differences were statistically significant(P＜0.05).Conclusion Bone support digital guide plate is effective in the treatment of dental and maxillofacial deformities.It can reduce intraoperative blood loss,reduce maxillary error,reduce the asymmetry index of the patient's 3 pairs of muscle bundles,and promote the recovery of occlusal function.
2021 Vol. 28 (18): 110-112 [Abstract] ( 40 ) HTML (33 KB)  PDF  (0 KB)  ( 6 )
113 Clinical effect of retroauricular injection of Methylprednisolone on idiopathic sudden deafness
ZHANG Peng-xin ;LUO Yu-xin ;HE Shao-wan
Objective To investigate the clinical effect of Methylprednisolone injection in the initial treatment of idiopathic sudden deafness.Methods A total of 80 patients with idiopathic sudden deafness admitted to the Second Affiliated Hospital of Shantou University Medical College from November 2016 to November 2019 were selected as the research subjects,and they were divided into the control group and the observation group by the random number table method,with 40 patients in each group.The control group was treated with intravenous infusion of Methylprednisolone,and the observation group was treated with injection of Methylprednisolone behind the ear.The clinical efficacy and hearing threshold before and after treatment were compared between the two groups.Results The effective rate of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).Before treatment,there was no significant difference in hearing threshold between the two groups(P>0.05).After treatment,the hearing threshold of the observation group was lower than that of the control group,and the difference was statistically significant(P<0.05).Conclusion Retroauricular injection of Methylprednisolone for the initial treatment of patients with idiopathic sudden deafness is effective,which is worthy of reference and promotion in clinical practice.
2021 Vol. 28 (18): 113-115 [Abstract] ( 47 ) HTML (30 KB)  PDF  (0 KB)  ( 8 )
116 Analysis of the effect of calcium hydroxide preparation in root canal treatment of patients with pulpitis and periapical periodontitis
CHEN Hao
Objective To explore the effect of calcium hydroxide preparations in root canal treatment of patients with pulpitis and periapical periodontitis.Methods A total of 86 patients with pulpitis and periapical periodontitis treated in Shuncheng Branch of Fushun Stomatological Hospital from November 2018 to January 2020 were selected as the research subjects,and divided into the observation group(n=43)and the control group(n=43)by the random number table method.After root canal treatment,the control group was treated with zinc oxide iodoform clove oil cement,and the observation group was treated with calcium hydroxide.The periodontal index,the interappointment emergencies(IAE),the treatment effect and adverse reactions were compared between the two groups.Results Before treatment,there were no significant differences in plaque index(PLI),bleeding index(BI),periodontal depth(PD)and gingival index(GI)between the two groups(P>0.05).After treatment,PLI,BI,PD and GI in the observation group were lower than those in the control group,the differences were statistically significant(P<0.05).The curative effect of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).The incidence of IAE in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).There was no significant difference in ADR between the two groups(P>0.05).Conclusion Calcium hydroxide preparation used in root canal therapy for the treatment of patients with pulpitis and periapical periodontitis has significant effect,high safety and no adverse reactions.It can effectively improve the periodontal condition of patients and relieve the pain symptoms of patients.which has a wild clinical recommendation value.
2021 Vol. 28 (18): 116-119 [Abstract] ( 36 ) HTML (32 KB)  PDF  (0 KB)  ( 7 )
120 Study on the influence of intraoperative ultrasound in laparoscopic myomectomy on the residual and recurrence rate of myoma
LIU Bao-lin; YE Qiu-hong;ZENG Qing-qing; LIAO Lu-hong
Objective To investigate the effect of intraoperative ultrasound on the residual and recurrence rate of fibroids in laparoscopic myomectomy.Methods A total of 60 patients with uterine fibroids treated in the Second People′s Hospital of Nankang District from April 2018 to September 2019 were selected as the research subjects and randomly divided into control group(30 cases)and observation group(30 cases)according to the touch ball method.Basic luminal mirror myomectomy was performed in the control group,and ultrasonic-guided luminal mirror myomectomy was performed in the observation group.The operative indexes,residual rate of uterine fibroids,postoperative disease recurrence rate and complications were compared between the two groups.Results There was no significant difference in the amount of intraoperative blood loss,operation time,hospital stay and postoperative exhaust time between the two groups(P>0.05).The fibroid residual rate,recurrence rate 6 months after operation and the total incidence of complications in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).Conclusion Laparoscopic myomectomy under the guidance of ultrasound can not only reduce the residual fibroids,but also control the recurrence of disease and reduce postoperative complications.
2021 Vol. 28 (18): 120-122 [Abstract] ( 50 ) HTML (31 KB)  PDF  (0 KB)  ( 8 )
123 Clinical value of 64 slice spiral CT and post-processing technology in preoperative staging of colorectal cancer
ZHANG Yan
Objective To explore the clinical value of 64 slice spiral CT and post-processing technology in preoperative staging of colorectal cancer.Methods A total of 90 patients with colorectal cancer admitted to Jianli People′s Hospital from October 2017 to June 2019 were retrospectively selected as the research object.Postoperative pathological results were used as the gold standard for diagnosis and staging of colorectal cancer,and the application value of 64-slice spiral CT and post-processing technology in preoperative staging diagnosis of colorectal cancer was analyzed.Results Pathological examination showed that in 90 patients with colorectal cancer,there were 8 cases of T1 stage,13 cases of T2 stage,55 cases of T3 stage and 14 cases of T4 stage.7 cases of stage N0,70 cases of stage N1 and 13 cases of stage N2.M1 stage 20 cases.In the T1-T4 stage diagnosis of colorectal cancer,the sensitivity of 64-slice spiral CT was 100.00%,76.92%,81.82%,100.00%,and the specificity was 100.00%,87.01%,91.43%,100.00%,respectively.The accuracy was 100.00%,85.56%,85.56%,100.00%,and the diagnostic coincidence rate was 85.56%(77/90). Kappa consistency test showed good consistency between 64-slice spiral CT and pathological examination results(Kappa=0.772,P=0.000).In the N0-N2 stage diagnosis of colorectal cancer,the sensitivity of 64-slice spiral CT was 100.00%,77.14%,84.62%,the specificity was 100.00%,90.00%,79.22%,and the accuracy was 100.00%,80.00%,80.00%,respectively.The diagnostic coincidence rate was 80.00%(72/90). Kappa consistency test showed that 64-slice spiral CT was in good agreement with pathological examination(Kappa=0.570,P=0.002).In the diagnosis of M staging of colorectal cancer,the sensitivity,specificity and accuracy of 64-slice spiral CT were all 100.00%,and the diagnostic coincidence rate was 100.00%(90/90).Kappa consistency test showed that 64-slice spiral CT was in good agreement with pathological examination results(Kappa=1.000,P=0.000).Conclusion The application value of 64 slice spiral CT and post-processing technology in preoperative staging diagnosis of colorectal cancer is high,which provides reference for clinical differential diagnosis and is worthy of promotion and application.
2021 Vol. 28 (18): 123-125转129 [Abstract] ( 43 ) HTML (37 KB)  PDF  (0 KB)  ( 6 )
126 Effect of Yangyin Yiqi Huoxue Decoction on symptom improvement and lung function of patients with interstitial lung disease
ZENG Jing-ling
Objective To explore effects of Yangyin Yiqi Huoxue Decoction on symptom improvement and lung function in patients with interstitial lung disease(ILD).Methods A totla of 80 ILD patients who were admitted to Wuhan Hospital of Traditional Chinese Medicine from June 2018 to June 2020 were selected as the research objects.According to the random number table method,they were divided into the experimental group(40 cases)and the control group(40 cases).The control group was treated with conventional regimen,and the experimental group was treated with Yangyin Yiqi Huoxue Decoction on the basis of the control group.Clinical treatment effect,lung function,traditional Chinese medicine syndrome score and Six-minute walking test(6MWT)were compared between the two groups.Results The total effective rate of the experimental group was higher than that of the control group,and the difference was statistically significant(P<0.05).The traditional Chinese medicine syndrome scores of the two groups after treatment were lower than before treatment,and the traditional Chinese medicine syndrome scores of the experimental group were lower than those of the control group,the differences were statistically significant(P<0.05).Forced expiratory volume(FVC),forced expiratory volume in the first second(FEV1)and FEV1/FVC in the two groups after treatment were higher than before,and FVC,FEV1 and FEV1/FVC in the experimental group were higher than those in the control group after treatment,the differences were statistically significant(P<0.05).The 6MWT of the two groups after treatment were longer than those before treatment,and the 6MWT of the experimental group was longer than that of the control group,the difference was statistically significant(P<0.05).Conclusion The treatment of ILD patients with Yangyin Yiqi Huoxue Decoction,the effect is significant,can improve the clinical symptoms of patients,improve the lung function and activity of patients.
2021 Vol. 28 (18): 126-129 [Abstract] ( 40 ) HTML (35 KB)  PDF  (0 KB)  ( 7 )
130 Effect of Xiba Acupuncture combined with modified Duhuo Jisheng Decoction on primary knee osteoarthritis
WANG Rui-min
Objective To investigate the effect of Xiba Acupuncture combined with modified Duhuo Jisheng Decoction on primary knee osteoarthritis.Methods A total of 114 patients with primary knee osteoarthritis admitted to Xinyang Central Hospital from September 2019 to September 2020 were selected and divided into control group(57 cases)and study group(57 cases)according to random number table method.The control group was treated with conventional western medicine,and the study group was treated with Xiba Acupuncture combined with modified Duhuo Jisheng Decoction.Clinical efficacy,inflammatory cytokines,levels of synovial fluid related cytokines,knee function and the incidence of adverse reactions were compared between the two groups.Results The total effective rate of the study group was 91.22%,higher than that of the control group(77.19%),and the difference was statistically significant(P<0.05).After treatment,the levels of interleukin-6(IL-6),tumor necrosis factor(TNF-α)and hypersensitive C-reactive protein(hs-CRP)in the two groups were lower than before treatment,and the levels of various inflammatory factors in the study group were lower than those in the control group,the differences were statistically significant(P<0.05).After treatment,the levels of osteopontin(OPN)and vascular endothelial growth factor(VEGF)in the two groups were lower than before treatment,and the level of osteoprotective hormone(OPG)were higher than before treatment,and the levels of OPN and VEGF in the study group were lower than those of the control group,and OPG was higher than that of the control group,the differences were statistically significant(P<0.05).The excellent and good rate of knee function in the study group was 85.96%,which was higher than that in the control group(70.18%),and the difference was statistically significant(P<0.05).There was no significant difference in the total incidence of adverse reactions between the two groups(P>0.05).Conclusion The application of Xiba Acupuncture combined with modified Duhuo Jisheng Decoction in the treatment of primary knee osteoarthritis has significant effects,which can improve the level of cytokines related to synovial fluid,reduce the level of inflammatory factors,and is conducive to the recovery of knee function.It is worth popularizing
2021 Vol. 28 (18): 130-133 [Abstract] ( 37 ) HTML (40 KB)  PDF  (0 KB)  ( 6 )
134 Genetic detection and analysis of a fetal small supernumerary marker chromosome 46,X,+mar amniotic fluid sample
LONG Ruo-ting; LIN Cui ;CHEN Shu-xia
Objective Through chromosome aneuploidy analysis and analysis of a short tandem repeat on the Y-chromosome(Y-STR),a genetic analysis of an amniotic fluid specimen with chromosome 46,X,+mar was performed.Methods Quantitative fluorescence polymerase chain reaction(QF-PCR)was used to detect common chromosomal aneuploidies;the AGCU Y-STRs quantitative fluorescent multiplexing PCR amplification analysis system was used to detect 22 STR loci such as DYS391.Results The amniotic fluid specimen was detected double peaks with a peak height of 1∶1 or single peaks with a double peak height on the loci of chromosome 13,18,and 21.The peak height of STRs at the AMELY and XY3 loci was twice as high as that of the X-chromosome loci.The detection results of AGCU Y-STR quantitative fluorescent multiplexing PCR amplification analysis system showed that the peripheral blood of his father was detected a single peak at 22 Y-STR loci.Fetal amniotic fluid specimen was captured single peaks at five loci including DYS456,DYS458,DYS393,DYS19,and DYS522,and no amplified products were detected at the remaining 17 loci.At the above five loci,their genotypes were consistent with those of the father.Conclusion The ratio of sex chromosomes Y to X in amniotic fluid specimens is 2∶1.The Y-chromosome has partial deletions.The genotypes of five loci on the Y-chromosome are derived from the father.
2021 Vol. 28 (18): 134-136转140 [Abstract] ( 49 ) HTML (29 KB)  PDF  (0 KB)  ( 8 )
137 Distribution and drug resistance analysis of sputum culture bacteria in the respiratory department of Huludao Central Hospital from 2014 to 2019
ZHANG Man-jia
Objective To analyze the distribution and drug resistance of sputum culture bacteria in the respiratory department of Huludao Central Hospital from 2014 to 2019.Methods From January 2014 to December 2019,a total of 3617 sputum culture results(2796 patients)meeting the requirements in the respiratory department of Huludao Central Hospital were included.The sputum of the patients was cultured and drug resistance was detected to analyze the distribution of bacteria and drug resistance.Results Among the bacteria in sputum culture,66.33%(2399/3617)were Gramnegative bacilli,mainly Pseudomonas aeruginosa,Klebsiella pneumoniae and Acinetobacter baumannii.Fungi accounted for 31.08%(1124/3617),and Candida albicans was the main fungus.Gram-positive bacilli accounted for 2.60%(94/3617),mainly Staphylococcus aureus.The drug resistance of Gram-negative bacilli showed that among the 24 common antimicrobial drugs,the highest drug resistance rate of Pseudomonas aeruginosa was Cefoxitin(65.72%),the highest drug resistance rate of Klebsiella pneumoniae was Ampicillin(95.01%),the highest drug resistance rate of Acinetobacter baumannii was Sulfamethazole/Trimethoprim(65.32%).Conclusion Gram-negative bacilli were the main bacteria in the sputum culture of respiratory department,followed by fungi.Drug sensitivity test indicated that different strains had different sensitivities to different drugs.
2021 Vol. 28 (18): 137-140 [Abstract] ( 46 ) HTML (30 KB)  PDF  (0 KB)  ( 7 )
141 Analysis of Acinetobacter baumannii infection and drug resistance
YANG Jin-ping; ZHANG Xian-ming ;ZHENG Ding-rong
Objective To explore and analyze the clinical specimens,the drug resistance and resistance genes detected genotype distribution of Acinetobacter baumannii(Ab).Methods A total of 234 Ab strains isolated from various specimens of hospitalized patients in Central Hospital of Bao′an District in Shenzhen City from January 2018 to May 2020 were analyzed.The susceptibility of 18 antimicrobial agents was detected by Kirby-Bauer method(K-B method),and then the distribution of the encoding gene of extended spectrum β-lactamases(ESBLs)was detected by polymerase chain reaction(PCR).Results The main departments of Ab were ICU,respiratory medicine,nephrology and neurosurgery.Specimen types were sputum,pus and ascites.Ab was widely resistant to commonly used clinical antibiotics,among them,Ampicillin,Cefotetan and Aztreonam had the higher drug resistance rates.The resistance rate of Amikacin and Polymyxin B were relatively low.The drug resistance genes were mainly OXA-51,OXA-23,TEM,CTX-M1,CTX-M9,SHV and ADC,OXA-51 and OXA-23 were higher,both exceeding 75%.The proportion of strains both carrying OXA-23 and OXA-51 was the highest,which was 64.96%.Conclusion Ab in Central Hospital of Bao′an District in Shenzhen City was mainly distributed in the ICU and respiratory medicine,with sputum,pus and ascites as the main specimen types.Ab is widely resistant to a variety of antibacterial drugs and most of the strains carry resistance genes in our hospital.The ratio of strains carrying more than two genes is relatively high.The monitoring of drug resistant Ab should be strengthened in clinical practice,rational drug use should be strengthened,and the generation of drug-resistant strains should be controlled and restrained.
2021 Vol. 28 (18): 141-145 [Abstract] ( 46 ) HTML (39 KB)  PDF  (0 KB)  ( 8 )
146 Investigation and research on the identification of pharmacy management undergraduates in our school
JIANG Yun-fang;HE Xun; WU Hong-yan;ZHANG Ke-ren;CUI Xing;LI Xiang-ling;LIAO Wei-ke; CHEN Rui
Objective To investigate the professional identity of the undergraduate students majoring in pharmaceutical management from 2016 to 2019 in Guizhou Medical University,and to collect the evaluation and suggestions of the undergraduate students majoring in pharmaceutical management on the professional training process.Methods Questionnaires were used to collect the basic information,professional identity,professional employment expectation and professional Suggestions of the students majoring in pharmaceutical management from 2016 to 2019.Results Students′ overall professional identity was(0.5146±0.1420)points,among which the highest score was(0.6059±0.1760)points in the professional teaching identity dimension and the lowest score was(0.4501±0.1945)points in the professional employment confidence dimension.The interviewees′ grade,gender,whether they chose their major or not,and whether they were extroverted would affect the students′ professional identity(P<0.05).Conclusion Undergraduate students majoring in pharmaceutical Management have a strong professional teaching identity.It is suggested to improve the curriculum structure,strengthen professional publicity,and improve students′ confidence in the employment of pharmaceutical management major to promote the development of pharmaceutical management major.
2021 Vol. 28 (18): 146-149 [Abstract] ( 37 ) HTML (36 KB)  PDF  (0 KB)  ( 7 )
150 The effect of the construction of Chinese yraditional culture in TCM diagnostic Laboratory
LI Liang; SONG Hou-pan; LIU Ji-yong; CHEN Guang-yu; LI Xin; CAO Jian-zhong; XIE Meng-zhou
Objective To explore the influence of Chinese traditional culture construction in traditional Chinese medicine(TCM)diagnostic research laboratory.Methods A total of 210 students and 90 teachers involved in the TCM Diagnostic Research Laboratory of Hunan University of Traditional Chinese Medicine from 2017 to 2018 were selected as the research objects.The Chinese traditional culture propaganda corridor was set up in the TCM diagnostic laboratory of Hunan University of Chinese Medicine.Questionnaire survey was conducted on students and teachers in the laboratory to understand the influence of Chinese traditional culture on laboratory teaching and scientific research,as well as the necessity of Chinese traditional culture in the construction of laboratory culture,and the attitudes of students and teachers were compared.Results A total of 300 questionnaires were sent out and 288(200 for students and 88 for teachers)were collected with a recovery rate of 96.0%.There were statistically significant differences between students and teachers in terms of whether it was conducive to the teaching of scientific research laboratory,whether it was conducive to the cultural construction of scientific research laboratory of traditional Chinese medicine diagnosis,and whether it was conducive to the enhancement of students′ understanding of Chinese traditional culture and scientific research of traditional Chinese medicine(P<0.05).Conclusion The majority of students and teachers believe that the publicity of Chinese traditional culture is very necessary for laboratory teaching and cultural construction.It is helpful for students to enhance their understanding of Chinese traditional culture and TCM.
2021 Vol. 28 (18): 150-152转157 [Abstract] ( 41 ) HTML (33 KB)  PDF  (0 KB)  ( 8 )
153 Investigation and influencing factors of anxiety and depression status of outpatients in respiratory department during the novel coronavirus pneumonia epidemic
LI Xiu-ye ;LIU Ling; XUE Bing▲
Objective To observe anxiety and depression status of outpatients in the Department of Respiratory Medicine,Beijing Chuiyangliu Hospital during the outbreak of the novel coronavirus pneumonia and analyze the influencing factors for anxiety and depression patients.Methods A total of 200 patients who visited the respiratory outpatient of Beijing Chuiyangliu Hospital from January 2020 to March 2020 were selected as the research objects.Both of self-rating anxiety scale(SAS)and self-rating depression scale(SDS)were used to evaluate anxiety and depression status.For patients with anxiety,depression,using single factor analysis may affect factors,the difference was statistically significant(P<0.05)indicators further lines of multi-factor analysis of influencing factors.Results SAS scores of the outpatients in the respiratory department of Beijing Chuiyangliu Hospital was(42.87±10.33)points,the detection rate of anxiety symptoms was 26.0%.SDS score was(44.81±10.51)points,and the detection rate of depression symptoms was 28.0%.The results of univariate analysis indicated that there were statistically significant differences in the incidence of anxiety among patients with working outside,self-paying,sleep disorder and those with home,non-self-paying,and no sleep disorder(P<0.05).Go out to work,at his own expense and income <6000 yuan/month and that occupy the home,not at his own expense and income ≥6000 yuan/month chances in depressed patients,the differences were statistically significant(P<0.05).The results of multivariate analysis suggested that working out(OR=2.439,95%CI=1.726-4.543,β=0.917,P=0.007)and self-paying(OR=2.073,95%CI=1.234-3.250,β=0.728,P=0.005)were risk factors for anxiety in outpatient patients of respiratory department during the epidemic period(P<0.05).Self-pay(OR=2.087,95%CI=1.527-3.780,β=1.073,P=0.012)and income <6000 yuan/month(OR=2.395,95%CI=1.459-4.512,β=0.837,P=0.021)were risk factors for depression in outpatient patients of respiratory department during the epidemic period(P<0.05).Conclusion During the novel coronavirus pneumonia epidemic,there are more anxiety and depression among patients in the respiratory outpatient.Self-financed patients,who need to go out with touching strangers are at high risk of anxiety ,self-paying patients with income <6000 yuan/month increased the risk of depression.Medical staff should pay more attention to the psychological state of these patients,identify and attach importance to the assessment of related susceptibility factors as soon as possible.
2021 Vol. 28 (18): 153-157 [Abstract] ( 63 ) HTML (39 KB)  PDF  (0 KB)  ( 7 )
158 Analysis of application status of parenteral nutrition solution in a hospital
LIU Yun-ting
Objective To investigate the current conditions of the use of parenteral nutrition（PN）in Qilu Hospital of Shandong University,and analyze the factors that cause irrational prescriptions to provide references for the rational use of PN.Methods A statistical analysis was performed on a total of 18,806 PN prescriptions reviewed by pharmaceutical intravenous admixture services(PIVAS）from October to December 2019 in a hospital.The main,secondary,and general factors that caused the irrational use of PN were analyzed using the Pareto chart.Results The use of parenteral nutrition solution is basically consistent with the diagnosis and treatment needs of clinical departments,and the prescription design is basically reasonable.The proportion of irrational prescriptions was 1.14%.The irrational composition and ratio of the three basic nutrients of glucose,amino acids,and fat emulsion were the main factor bringing about the irrational PN prescriptions（with the cumulative composition ratio of 0%-80%）.While secondary factor was the unreasonable addition of other nutrients in PN prescriptions（with the cumulative composition ratio of 80%-90%）.The general factor were improper input operation of doctors and improper infusion methods（with the cumulative composition ratio of 90%-100%）.The ratio of unreasonable prescriptions of the two-in-one or all-in-one PN(1.26%)was significantly larger than that of the industrially produced three-cavity PN(0.41%),the difference was statistically significant(P<0.05).Conclusion Irrational clinical applications of PN were still partially existed.Both the nutrient composition and ratio of the PN prescriptions and the input operation of the doctors should be deeply.It should be deeply intervened,improved and standardized.Besides,the use of industrialized three-cavity bags to replace two-in-one or all-in-one nutritional solutions maybe expected to improved the rational use of PN.
2021 Vol. 28 (18): 158-162 [Abstract] ( 41 ) HTML (42 KB)  PDF  (0 KB)  ( 9 )
163 Research on the mediating role of family care on the physical and mental comfort and well-being of elderly patients with chronic diseases
SHAO Hong
Objective To explore the mediating role of family care in the physical and mental comfort and well-being of elderly patients with chronic diseases.Methods A total of 326 elderly patients with chronic diseases who were treated in Jining No.1 People′s Hospital from May to July in 2020 were selected.The Family Care Index Questionnaire(Adaptation,Partnership,Growth,Affection and Resolve Index scale,APGAR),Simplified Comfort Status Scale for Elderly Chronic Diseases(CEPCS)and the Memorial University of Newfoundland Scale of Happiness(MUNSH)were used to investigate them.Results The APGAR total score of 326 patients with chronic diseases were(6.31±1.18)points,the CEPCS total score were(76.38±11.25)points,and the MUNSH total score were(28.49±5.35)points.Correlation analysis showed that there was a positive correlation between family care,comfort and happiness(P＜0.01).The mediating effect analysis showed that the mediating effect of family care was 0.139.The Bootstrap test results showed that the mediating effect in 95% confidence interval of family care to subjective well-being was 0.112-0.169.Conclusion Family care plays a mediating role in the physical and mental comfort and well-being of elderly patients with chronic diseases,and can mediate the relationship between the two.
2021 Vol. 28 (18): 163-167 [Abstract] ( 34 ) HTML (40 KB)  PDF  (0 KB)  ( 7 )
168 Investigation on liver and kidney function of 849 radiation workers in hospital
YE Shu-min; LIU Li
Objective To analyze the liver and kidney function examination of radiation staff in some medical institutions in Fujian Province,and to explore the effect of low-dose ionized radiation on liver and kidney function of radiation staff.Methods The physical examination personnel in the Fujian Occupational Disease Prevention and Control Hospital in August 2017 to February 2018 were selected as the research subjects,and divided into the observation group(849 hospital radiation staff)and the control group(398 non radiation exposed health examination personnel of the same period)according to the occupational history.Blood samples were collected on an automatic biochemical analyzer to detect the liver and kidney functions of the two groups,and the results were compared.Results The levels of alanine aminotransferase(ALT),blood urea nitrogen(BUN)and creatinine(CR)in the observation group were higher than those in the control group,the differences were statistically significant(P<0.05).The level of glutamyl transpeptidase(GGT)in the two groups was not statistically significant(P>0.05).According to gender,the levels of ALT,GGT,BUN and CR in the observation group of male were higher than those in the same group of female,the differences were statistically significant(P<0.05).The observation group was divided into four groups according to the age,the GGT,BUN levels were compared among each age groups,with statistical differences(P<0.05).There was no statistically significant difference in GGT level between the age 41-<51 years group and the age ≥51 years group(P>0.05),while the other groups were compared in pairs,the differences were statistically significant(P<0.05).There was no statistically significant of BUN levels between the age 31-<41 years group and the age 41-<51 years group,and no statistically significant of BUN levels between the age 41-<51 years group and the age 41-<51 years group(P>0.05);while the other groups were compared in pairs,the differences were statistically significant(P<0.05);the ALT,CR levels were compared among each age groups,with no statistical differences(P>0.05).The observation group was divided into four groups according to the seniority period,the GGT,BUN,CR levels were compared among each age groups,with statistical differences(P<0.05);the GGT levels between the seniority period <11 years group with other three groups were compared,with statistical differences(P<0.05);the BUN levels between the seniority period <11 years group with the seniority period 21-<30 years group were compared,and the BUN levels between the seniority period <11 years group with the seniority period ≥30 years group were compared,with statistical differences(P<0.05);the CR levels between the seniority period <11 years group with the seniority period 11-<21 years group were compared,and the CR levels between the seniority period <11 years group with the seniority period ≥30 years group were compared,with statistical differences(P<0.05);while the other groups were compared in pairs,there were no statistically significant differences(P>0.05);and GGT,BUN levels gradually increase with age and seniority.The liver and kidney functions of different types of work were compared,the differences were statistically significant(P<0.05);the ALT and GGT levels of the interventional radiation group was higher than the other three groups,with statistical differences(P<0.05);the BUN levels of the radioactive diagnostic group was lower than the radiation group and the interventional radiation group,with statistical differences(P<0.05);the CR levels of the radioactive diagnostic group was lower than the other three groups,with statistical differences(P<0.05);while the other groups were compared in pairs,there were no statistically significant differences(P>0.05).Conclusion Long-term low-dose ionization radiation has a certain damage to the liver and kidney function of radiation workers.GGT and BUN levels increase with age and service with a cumulative effect.The radioactive staff should enhance the awareness of radiation protection,strengthen scientific protection measures,and reduce radioactive damage.
2021 Vol. 28 (18): 168-172 [Abstract] ( 44 ) HTML (41 KB)  PDF  (0 KB)  ( 5 )
173 Influence of team management on cancer-related fatigue,quality of life and complications of postoperative breast cancer patients
LIAO Guang-jing; LUO Yan; WANG Chun-mei
Objective To investigate the influence of team management on cancer-related fatigue,quality of life and complications in patients with breast cancer after operation.Methods A total of 56 patients with breast cancer admitted to the First Affiliated Hospital of Gannan Medical College from May 2018 to May 2020 were selected as the study objects,and they were divided into the comparison group(28 cases)and the experimental group(28 cases)according to before and after the implementation of team management mode(May 2019).The comparison group received routine nursing intervention,and the experimental group carried out team management.The cancer-related fatigue score,quality of life and the incidence of surgical complications were compared between the two groups.Results There was no statistically significant differences in the score of cancer-related fatigue between the two groups before management(P＜0.05).The score of cancer-related fatigue in the two groups after management were lower than those before management,and the differences were statistically significant(P＜0.05).The score of cancer-related fatigue in the experimental group after management was lower than that in the comparison group,and the difference was statistically significant(P＜0.05).There were no significant differences in the quality of life scores between the two groups before management(P＞0.05).The quality of life scores of the two groups after management were higher than those before management,and the differences were statistically significant(P＜0.05).The quality of life scores of the experimental group after management were higher than those of the comparison group,and the differences were statistically significant(P＜0.05).The total incidence of postoperative complications such as subcutaneous hydrops,infection and upper limb edema in the experimental group was 10.71%,which was lower than that in the comparison group(28.56%),with statistically significant difference(P＜0.05).Conclusion Team management can not only improve the living standard of postoperative patients with breast cancer,but also further ensure the safety of surgery,reduce the incidence of postoperative complications,and improve the patients′ cancer-related fatigue,with higher clinical application value.
2021 Vol. 28 (18): 173-176 [Abstract] ( 47 ) HTML (36 KB)  PDF  (0 KB)  ( 7 )
177 Application effect of PDCA circulation method in the management of nursing pathway of acute myocardial infarction
YAN Qiong ;WANG Xia ;LEI Xiu-lan; ZHAI Yi-ru; HU Cong; ZHANG Qin ;HUO Xue-qin
Objective To explore the application effect of PDCA circulation method in the management of nursing pathway of acute myocardial infarction.Methods A total of 72 patients with acute myocardial infarction were selected in 2019 from Department of Cardiology,the First Affiliated Hospital of Nanchang University.From January to June 2019,36 patients were listed as the control group and implemented with the routine acute myocardial infarction nursing pathway.From July to December 2019,36 patients were included in the experimental group.The experimental group was implemented with the PDCA circulation method,that was,to investigate the current status of the routine acute myocardial infarction nursing pathway,analyze the causes,and formulate a rectification plan,organize implementation,and inspect the management.The incidence of interventional adverse events after emergency percutaneous coronary intervention(PCI),the score of health education awareness,and the satisfaction score of patients with nursing services were compared between the two groups.Results The incidence of interventional adverse events in the experimental group was lower than that in the control group,and the difference was statistically significant(P<0.05).The score of health education awareness in the experimental group was higher than that in the control group,and the difference was statistically significant(P<0.05).The satisfaction score of nursing service in the experimental group was higher than that in the control group,and the difference was statistically significant(P<0.05).Conclusion In the management of acute myocardial infarction nursing pathway,PDCA circulation method can significantly reduce the occurrence of adverse events,improve nursing services and promote rehabilitation,and improve patients′ satisfaction.
2021 Vol. 28 (18): 177-179转183 [Abstract] ( 43 ) HTML (32 KB)  PDF  (0 KB)  ( 8 )
180 Study on continuous improvement of medical inspection quality by comprehensive use of modern management tools
ZHAO Dan;WU Wen-rong;CHENG Wen;ZHOU Xiao-juan
Objective To explore the effect of using modern management tools to continuously improve the quality of medical examination.Methods A total of 3739 physical examination reports completed in Maternal and Child Health Hospital of Jiujiang City in Jiangxi Province from July 2018 to June 2020 were selected as the research subjects,and they were divided into a control group(1864)and a research group(1875)according to whether the PDCA cycle was implemented.The control group did not adopt PDCA cycle,and the research group adopted PDCA cycle.The standard of test report,qualified rate of specimen type,sample agglutination rate,severe hemolysis/lipoblood rate,and patient satisfaction were compared between the two groups.Results The rate of physical examination report,outpatient examination report and inpatient examination report in the study group was higher than those in the control group,and the differences were statistically significant(P＜0.05).The qualified rate of specimen type in the study group was higher than that in the control group,and the agglutination rate and severe hemolysis/lipoblood rate of specimens in the study group were lower than those in the control group,and the differences were statistically significant(P＜0.05).The satisfaction of the study group was higher than that of the control group,and the difference was statistically significant(P＜0.05).Conclusion PDCA cycle method for clinical test quality control has significant application value,and is significantly better than conventional clinical test method,worthy of promotion and application and research.
2021 Vol. 28 (18): 180-183 [Abstract] ( 49 ) HTML (35 KB)  PDF  (0 KB)  ( 7 )
184 Effect observation of application of failure mode and effect analysis(FMEA)to the risk reason analysis and countermeasures application of peritoneal infection in peritoneal dialysis patients
LU Hong-hua ;XIAO Li-ping ;LIANG Jie-xian
Objective To explore the application effect of failure mode and effect analysis(FMEA)in the nursing of peritoneal dialysis patients.Methods A total of 120 uremic patients who underwent peritoneal dialysis in People′s Hospital of Ganzhou City from June 2017 to May 2019 were selected and divided into the observation group and the control group according to the random number table method,with 60 cases in each group.The control group was given routine care for peritoneal dialysis,and the observation group was given FMEA nursing intervention on the basis of the control group.The risk priority number(RPN)score,the occurrence of peritoneal infection and the nursing satisfaction of the two groups were compared before and after the nursing intervention.Results After intervention,the RPN scores,the total RPN score and the incidence of peritoneal infection in the observation group were lower than those in the control group,the differences were statistically significant(P＜0.05).The nursing satisfaction in the observation group after intervention was higher than that in the control group,the difference was statistically significant(P＜0.05).Conclusion The application of FMEA in the nursing care of peritoneal dialysis patients has significant effect,which can effectively reduce the occurrence of peritoneal infection and improve the nursing satisfaction of patients.
2021 Vol. 28 (18): 184-186转190 [Abstract] ( 46 ) HTML (32 KB)  PDF  (0 KB)  ( 8 )
187 Application of intelligent chronic disease management system in the management of primary hypertension in rural areas
LAI Xing-min; CHEN Jie;JIANG Wei-guo
Objective To explore the application of an intelligent chronic disease management system(Yiyi system)in the management of primary hypertension in rural areas.Methods A total of 200 patients were diagnosed as hypertension in in two natural villages in Xiaojiang Town in Jiangxi Province from January 2019 to June 2020 were selected as research object,and they were divided into an experimental group and a control group using the respective natural villages as the grouping criteria,each had 100 cases.The control group accepted routine management such as hypertension monitoring and life behavior intervention,and the experimental group accepted the intelligent chronic disease management system(Yiyi system)for follow-up management.The knowledge of hypertension,the rate of blood pressure control and the incidence of complications were compared.Results The standard treatment awareness rate,diagnostic criteria awareness rate,complication awareness rate,and hyperlipidemia awareness rate of the experimental group were higher than those of the control group,the differences were statistically significant(P＜0.05);blood pressure control rate in the experimental group was higher than that in the control group,and the incidence of complications was lower than that in the control group,the differences were statistically significant(P＜0.05).Conclusion The application of the intelligent chronic disease management system(Yiyi system)in the management of primary hypertension in rural areas has effectively increased the rate of hypertension compliance and significantly reduced the incidence of complications,which plays an important role in improving the quality of life of patients.
2021 Vol. 28 (18): 187-190 [Abstract] ( 54 ) HTML (1 KB)  PDF  (0 KB)  ( 8 )
191 Discussion on the construction and optimization strategy of the integrated medical care and elderly care service system under the background of healthy China
LI Jue; LIANG Ya; HUANG Xiao-yu ;QIN Qin
China has now entered a period of deep aging.Home care and community care can no longer fully meet the needs of professional,refined and diversified care.In recent years,integrated medical care and elderly care services have received widespread attention as a new type of care in the context of healthy China.Taking Nanchong City as an example,this paper analyzes the existing problems and proposes optimization strategies through the investigation of the current situation of the construction of the integrated medical and elderly care service system in Nanchong City.The integrated medical care and elderly care service system has been initially established,but there are still problems such as imperfect policy system,shortage of professional talent resources,single service content,and weak awareness of medical-care integrated elderly care.The government needs to further improve the construction of the medical-care integration system and build intelligence optimizing strategies,such as the integrated medical care and elderly care system,strengthen the training of medical and nursing professionals,and provide diversified medical care integrated elderly care services.Actively promote the construction of a medical-care integrated elderly care service system with Chinese characteristics to achieve“healthy aging”and lay a solid foundation for“Healthy China 2030”.
2021 Vol. 28 (18): 191-194 [Abstract] ( 36 ) HTML (37 KB)  PDF  (0 KB)  ( 7 )
195 Prevention and control strategies for perioperative management of general surgery department in the novel coronavirus pneumonia epidemic
CHEN Guang-bin; HU Ming-hua ;LIU Zhi-gang ;SUN Li-xia▲
The current situation in the prevention and control of the novel coronavirus pneumonia epidemic in the country is still severe.It has now been confirmed that novel coronavirus pneumonia has the characteristics of "personto-person transmission".Individuals with asymptomatic infections are also infectious.Meanwhile,there are certain nosocomial infections,which cause a serious threat for surgical staff and hospitalized patients.General surgeons should actively raise their awareness of novel coronavirus pneumonia,closely coordinate the resources of all parties in the hospital,and strive to "dilute" and "categorize" the diagnosis and treatment of patients.Meanwhile,they should grasp the surgical indications under novel coronavirus pneumonia epidemic,strengthen management of perioperative patients,and optimize the diagnosis and treatment process under the epidemic,formulate individualized treatment plan and avoid hospital infections in order to win the battle against epidemic prevention and control as soon as possible.
2021 Vol. 28 (18): 195-197 [Abstract] ( 58 ) HTML (31 KB)  PDF  (0 KB)  ( 7 )
198 Application effect of psychological intensive care unit nursing in patients with depression in psychological intensive care unit
XIAO Qin; WANG Jin-hua ;ZHANG Xiu-juan
Objective To explore the application effect of psychological intensive care unit nursing in patients with depression in psychological intensive care unit.Methods A total of 100 patients with depression admitted to the Department of Clinical Psychology in Jian′an Third People′s Hospital from January 2018 to January 2020 were selected as the research objects,and they were divided into the experimental group(50 cases)and the control group(50 cases)according to the random number table method.The control group was treated with close-off management mode,and the experimental group was treated with psychological intensive care unit nursing.The suicidal tendency rates,depression degrees and quality of life of the two groups were compared at admission and 4 weeks after admission.Results There was no significant difference in the proportion of suicide risk at all levels at admission between the two groups(P>0.05).Four weeks after admission,the suicide risk of the observation group was lower than that of the control group,the difference was statistically significant(P<0.05).There was no significant difference in depression score between the two groups before nursing(P>0.05).The depression score of the two groups after nursing was lower than that before nursing,the difference was statistically significant(P<0.05).The depression score of the experimental group after nursing was lower than that of the control group,the difference was statistically significant(P<0.05).The scores of physiological function,physical function,sleep quality and emotional function of the experimental group were higher than those of the control group,the differences were statistically significant(P<0.05).Conclusion The application effect of psychological intensive care unit nursing in patients with depression in psychological intensive care unit is significant,which can reduce the tendency of suicide,alleviate the degree of inhibition,and improve the quality of life.
2021 Vol. 28 (18): 198-200转204 [Abstract] ( 44 ) HTML (34 KB)  PDF  (0 KB)  ( 5 )
201 Application of quality control circle activities in improving self-efficacy of breast-feeding of primipara after cesarean section
WU Wei; HUANG Shu-mei;XIONG Jing-jing
Objective To explore the application value of quality control circle(QCC)activities in improving self-efficacy of breast-feeding in primipara after cesarean section.Methods A total of 86 primiparas admitted to Fuzhou Maternal and Child Health Care Hospital from January 2019 to June 2020 were selected as the research objects and divided into the control group and the observation group according to random number table method,with 43 cases in each group.The control group received routine health education of breastfeeding,and the observation group received QCC activities on the basis of the control group.Breastfeeding self-efficacy scale(BSES)score,time of first breastfeeding,average daily feeding times,breastfeeding rate and complications 30 days after discharge were compared between the two groups before intervention and 7 d after intervention.Results Before intervention,there was no significant difference in BSES scores between the two groups(P>0.05).After 7 days of intervention,BSES personal inner feeling([65.19±6.14]points)and feeding skills([60.20±6.24]points)in the observation group were higher than those in the control group([56.87±6.02]and[53.67±5.28]points),and the differences were statistically significant(P<0.05).The time of the first breastfeeding in the observation group([2.57±0.34]d)was shorter than that in the control group([4.01±1.20]d),and the average daily feeding times([9.67±2.38]times)was more than that in the control group([8.09±2.35]times),the differences were statistically significant(P<0.05).The rate of breastfeeding in the observation group(95.35%)was higher than that in the control group(81.40%),and the total incidence of complications in the observation group(4.65%)was lower than that in the control group(18.60%),the differences were statistically significant(P<0.05).Conclusion The activities of QCC can effectively enhance the confidence of breastfeeding,improve the rate of breastfeeding,reduce the incidence of postpartum complications,and have positive significance for the recovery of postpartum and the healthy growth of the newborn.
2021 Vol. 28 (18): 201-204 [Abstract] ( 36 ) HTML (36 KB)  PDF  (0 KB)  ( 7 )
205 Problems and countermeasures in the application of English public signs in bilingual medical environment from the perspective of ecological translation
LI Yu-jia; LI Mei-hua;ZHEN Chang-hui
Under the background of rapid development of international communication,scholars and foreigners draw lots of attention to the application of bilingual public signs in medical field.With the continuous development of Chinese medical level,the requirement of bilingual medical treatment is improving rapidly through the internationalization of cities.Therefore,it is of great significance to build a bilingual medical environment of superior quality.This paper makes a survey on the translation of public signs in three a hospitals in some cities of Anhui Province,also summarizes the mistakes and causes based on three aspects from ecological translation.In addition,three suggestions are put forward to improve bilingual medical environment in terms of improving the professionalism of public signs translation from the perspective of ecological translation,strengthening the standardization of the translation of public signs from the perspective of hospital management,enhancing the popularity of bilingual medical from the perspective of medical workers.
2021 Vol. 28 (18): 205-207 [Abstract] ( 44 ) HTML (31 KB)  PDF  (0 KB)  ( 6 )
208 Application of a management model of accelerated rehabilitation surgery nursing combined with integrated medical care in laparoscopic hysterectomy
LI Heng;ZENG Zi-ping; WANG Xia; WANG Wen-hua; HUANG Chun;ZHOU Ping;GUO Zhen; YANG Li-xia
Objective To explore the application of a management mode of accelerated rehabilitation surgery nursing combined with integrated medical care in laparoscopic hysterectomy.Methods A total of 60 patients who needed laparoscopic hysterectomy treated in the Department of Gynecology,People′s Hospital of Pingxiang City from January to December in 2019 were selected as the research objects.They were divided into the control group and the observation group according to the random number table method,with 30 cases in each group.The control group adopted the traditional nursing intervention mode,and the observation group accelerated rehabilitation surgery nursing under the integrated management mode of medical care.Comfort,satisfaction,clinical indicators and nursing quality scores were compared between the two groups after nursing.Results After nursing,the comfort and satisfaction degree of the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).After nursing,the hospital stay,time to get out of bed,anal exhaust time and the anal bowel movement time in the observation group were shorter than those in the control group,the pain score of the observation group was lower than that in the control group,and the differences were statistically significant(P<0.05).After nursing,the clinical nursing environment,nursing practice level,test writing quality and service attitude of the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).Conclusion The management mode of accelerated rehabilitation surgery nursing combined with integrated medical care for patients undergoing laparoscopic hysterectomy can shorten the postoperative recovery time,accelerate the recovery of physical functions,shorten the hospital stay,alleviate clinical pain,and improve the professional level of nurses,enhance comfort and increase satisfaction of patients.
2021 Vol. 28 (18): 208-210转214 [Abstract] ( 36 ) HTML (35 KB)  PDF  (0 KB)  ( 7 )
211 Application of quality control circle activity in drug management of operating rooms and its influence on drug safety
CHEN Qiu-yue; CHEN Wen-yu;ZHENG Xiao-fei
Objective To explore the application of quality control circle(QCC)activity in drug management of operating room and its influence on drug safety.Methods QCC activity with the theme of "improving the quality of drug management in operating room" was carried out in the operating room of Yangjiang Maternal and Child Health Hospital in 2019 to clarify the drug management problems,put forward solutions,and constantly improve the management system and measures,so as to achieve the purpose of improving the quality of drug management in the operating room.The medication in operating room in one year before 2019(from January to December 2018)was used as the control group,and that in operating room in 2019(from January to December 2019)was used as the intervention group.The medicine taking time,the incidence of non-standard registration of standby drugs,the drug expiration rate,the defect rate of postoperative drugs and the error rate of surgical drug taking were compared between the two groups.Results The time of taking medicine in the intervention group was shorter than that in the control group,and the difference was statistically significant(P<0.05).The incidence rate of nonstandard registration of standby drugs,drug expiration rate,defect rate of postoperative drugs and error rate of surgical drug taking in the intervention group were lower than those in the control group,and the differences were statistically significant(P<0.05).Conclusion The effect of QCC activity in the drug management of operating room is significant,which can improve the level of drug management,shorten the time of taking medicine,reduce the error of taking medicine,and promote the safety of drug use,which is worthy of learning.
2021 Vol. 28 (18): 211-214 [Abstract] ( 44 ) HTML (33 KB)  PDF  (0 KB)  ( 7 )
215 Research on the application of based on the CDIO mode in neonatal asphyxia resuscitation training
WU Xuan-xuan; OUYANG Xiu-zhi ;ZENG Yin ;YAN Ping-xia ;LI Xiao-xiao; QIN Guang-ping
Objective To explore the application effect of conceive-design-implement-operate(CDIO)mode in neonatal asphyxia resuscitation training.Methods A total of 100 intern nurses of department from June 2017 to August 2020 in People′s Hospital of Pingxiang City,Jiangxi Province were selected as research objects.According to random number table method,they were divided into the control group and the observation group,with 50 cases in each group.The control group received conventional resuscitation theory teaching and field model operation training,while the observation group received neonatal asphyxia resuscitation training in CDIO mode.The scores of theory and operation assessment,innovation behavior scale(IBS)scores before and after 8 weeks of training were compared between the two groups.Results The scores of theory examination and operation examination of the observation group were higher than those of the control group,and the differences were statistically significant(P<0.05).After 8 weeks of training,the IBS scores of the two groups were higher than those before training,and the IBS score of the observation group was higher than that of the control group,and the differences were statistically significant(P<0.05).Conclusion The application of CDIO teaching mode in neonatal asphyxia resuscitation training can effectively improve the theoretical knowledge level and practical operation skills of intern nurses,and promote the innovation ability of intern nurses.
2021 Vol. 28 (18): 215-217 [Abstract] ( 33 ) HTML (31 KB)  PDF  (0 KB)  ( 7 )
218 Application effect of mobile health education based on WeChat platform in hypertensive patients
HUANG Ya-nan ;ZHAO Yan; LIU Gang; WAN You-feng▲
Objective To explore the application effect of mobile health education based on WeChat platform in hypertensive patients.Methods A total of 103 patients with hypertension who underwent physical examination in the Army 73rd Group Military Hospital from January 2018 to January 2020 were selected as the research subjects.According to the odd and even number grouping method,the patients were divided into the control group(51 cases)and the research group(52 cases).The control group received regular health education,and the research group implemented mobile health education based on the WeChat platform on the basis of the control group.Results There was no statistically significant difference in the self-management level scores of the two groups before intervention(P>0.05).After intervention,the scores of self-management,such as medication management,diet management,exercise management,emotion management,work and rest management,and disease monitoring in the research group were higher than those in the control group,and the differences were statistically significant(P<0.05).There was no statistically significant difference in treatment compliance scores of the two groups before intervention(P>0.05).After intervention,the daily life management behavior,drug compliance behavior,bad drug taking behavior,tobacco and alcohol addiction management behavior scores of treatment compliance in the research group were higher than those in the control group,and the differences were statistically significant(P<0.05).Before intervention,there were no significant differences in systolic and diastolic blood pressure between the two groups(P>0.05).After intervention,the systolic and diastolic blood pressure of the research group were lower than those of the control group,and the differences were statistically significant(P<0.05).Conclusion Mobile health education based on the WeChat platform can improve the effectiveness of the treatment of hypertension by improving the self-management ability and treatment compliance of hypertensive patients.
2021 Vol. 28 (18): 218-221 [Abstract] ( 47 ) HTML (36 KB)  PDF  (0 KB)  ( 7 )
222 Application effect of PBL teaching mode combined with Internet platform in orthopedic surgery teaching
SONG Huan-jin; CHEN Xiang;WU Hao; LIU Ruo-xi; DONG Jun;HUANG Si-hua
Objective To explore the application effect of the PBL combined with the internet platform in orthopedic surgery teaching of clinical students.Methods A total of 60 undergraduate students who were on clinical probation in the Department of Orthopedics,the Second Affiliated Hospital of Xi′an Jiaotong University from May 2020 to October 2020 were selected as the research objects and divided into the experimental group and the control group by drawing lots,with 30 cases in each group.The experimental group was taught by PBL combined with Internet platform,while the control group was taught by traditional teaching mode.The test scores and teaching effect evaluation of the two groups were compared.Results The scores of theoretical examination and practical skill operation in the experimental group were higher than those in the control group,and the differences were statistically significant(P<0.05).The scores of teaching satisfaction,interest in improving independent learning,analytical ability and clinical thinking cultivation in experimental group were higher than those in control group,and the differences were statistically significant(P<0.05).Conclusion The teaching mode of PBL combined with the internet platform has significant effect in orthopedic surgery teaching,and it is worthy of being widely used and promoted in orthopedic surgery teaching.
2021 Vol. 28 (18): 222-224转231 [Abstract] ( 56 ) HTML (34 KB)  PDF  (0 KB)  ( 10 )
225 Application effect and safety of infusion wet compress in nursing of postpartum hemorrhoids
DENG Yue ;GUO Ai-ying▲
Objective To study the application effect and safety of infusion wet compress in the nursing of postpartum hemorrhoids.Methods A total of 168 patients from June 2019 to March 2020 of postpartum hemorrhoids puerpera admitted to the Second Affiliated Hospital of Nanchang University were selected as research objects,according to the random number table method,they were divided into the control group(84 cases)and the experimental group(84 cases).The control group was used 50% magnesium sulfate solution,the experimental group was used wet apply nursing methods.The maximum diameter of hemorrhoids was compared between the two groups,the degree of hemorrhoid edema and pain was evaluated,the occurrence of adverse reactions was observed,and the satisfaction of the nursing methods was investigated.Results After intervention,the diameter of hemorrhoids in the experimental group was shorter than that in the control group,and the degree of hemorrhoid edema and pain were lower than that in the control group,the differences were statistically significant(P<0.05).There was no obvious perianal skin itching,rash and other adverse reactions in the two groups.The total satisfaction of nursing methods in the experimental group was 100.00%,which was higher than that in the control group(90.48%),the difference was statistically significant(P<0.05).Conclusion The application of infusion wet compress in postpartum hemorrhoid nursing can effectively improve hemorrhoid edema subsidence effect,relieve pain,and simple operation,to improve the efficiency of nursing work,good safety,worthy of clinical promotion and application.
2021 Vol. 28 (18): 225-227 [Abstract] ( 45 ) HTML (31 KB)  PDF  (0 KB)  ( 8 )
228 Effects of online appointment of nursing services on physical status，social support and quality of life of elderly discharged patients with chronic diseases
LAI Xiao-rong ;CHEN Juan ;CHEN Kai-hua ;CHEN Yu-quan; CHEN Juan-juan
Objective To explore the effects of online appointment of nursing services on physical status,social support and quality of life of elderly discharged patients with chronic diseases.Methods A total of 174 elderly patients with chronic diseases who were discharged from 171th Hospital of PLA Joint Logistics Support Force were selected from April 2018 to December 2019 and were divided into the control group(86 cases)and the observation group(88 cases)according to the random number table method.Patients in control group were given routine nursing care of guardians,and patients in observation group were given online appointment of nursing services on the basis of control group.The physical status(fatigue,resistance,ambulation,illnesses and loss of weight[FRAIL]),social support(social support rating scale[SSRS])and quality of life(general module of quality of life instrument for chronic diseases[QLICD-GM])were compared between the two groups before intervention and after 2 months of intervention.Results After 2 months of intervention,the FRAIL scores of the two groups were lower than those before intervention,the FRAIL score of the observation group was lower than that of the control group,the differences were statistically significant(P<0.05).The scores of items of SSRS and scores of items of QLICD-GM in the two groups were higher than those before intervention,and the scores of items of SSRS and QLICD-GM of the observation group were higher than those of control group,the differences were statistically significant(P<0.05).Conclusion Online appointment of nursing services can effectively improve the physical status and enhance the social support and quality of life of elderly discharged patients with chronic diseases.
2021 Vol. 28 (18): 228-231 [Abstract] ( 42 ) HTML (34 KB)  PDF  (0 KB)  ( 10 )
232 Application of Watian drinking water test in the eating of patients after modified electroshock therapy
LIAO Yan; PENG Yu-qin; HE Ying ;LI Yan ;LI Ying
Objective To explore the clinical application of the Watian drinking water test in patients after modified electroconvulsive therapy(MECT).Methods From July 2019 to April 2020,98 patients with mental disorders treated by MECT in the Third People′s Hospital of Yichun City were selected and divided into the research group and the control group according to the random number table method,49 cases in each group.Patients in the control group were evaluated using conventional methods,and patients in the research group were evaluated using the Watian drinking water test.The incidence of choking and choking after MECT between the two groups of patients,the rate of eating patients at each time point after surgery,and the satisfaction of nursing care were compared between two groups.Results The incidence of cough and choking in the research group was lower than that in the control group,the differences was statistically significant(P<0.05).In the research group,the ratio of eating patients at 90,and 120 min after MECT was higher than that of the control group,and the differences was statistically significant(P<0.05).There was no statistically significant difference in the ratio of eating patients in 135 and 150 min between the two groups(P＞0.05).The nursing total satisfaction of the research group was 100.00%,which was higher than that of the control group of 83.68%,the difference was statistically significant(P＜0.05）.Conclusion The use of the Watian drinking water test to evaluate patients after MECT and nurses master the quantitative methods for evaluating swallowing function after surgery,can significantly shorten the time for patients to eat and take medicine,and reduce the incidence of cough and choking,which is a scientific and practical evaluation method with simple operation and clear classification,and is worthy of clinical promotion.
2021 Vol. 28 (18): 232-234转238 [Abstract] ( 60 ) HTML (33 KB)  PDF  (0 KB)  ( 7 )
235 Influence of precision nursing intervention on renal function and inflammatory state of patients after renal tumor surgery
LI Li-hua;ZHANG Qun-gui
Objective To study the effect of precision nursing intervention on renal function and inflammatory state of patients after renal tumor surgery.Methods A total of 40 postoperative renal tumor patients who were admitted to Ganzhou Cancer Hospital in Jiangxi Province from July 2019 to March 2020 were selected as the research subjects.They were divided into the control group(n=20)and the observation group(n=20)by random number table method.Patients in the control group underwent routine nursing intervention,and in the observation group,precision nursing intervention was adopted.Both groups had intervention for two weeks.The clinical efficacy,renal function including 24 h urine protein(24 h UP),blood urea nitrogen(BUN),creatinine(SCr)]and inflammatory state including tumor necrosis factor-α(TNF-α)and interleukin-1(IL-1)before intervention and two weeks after intervention were compared in the two groups.Results The overall response rate of the observation group was 80.00%,higher than that of the control group of 50.00%,the difference was statistically significant(P<0.05).Before the intervention,there were no significant differences in 24 h UP,BUN,or SCr level between the two groups(P＞0.05).The levels of 24 h UP,serum BUN,and SCr levels of the observation group after two weeks of intervention were lower than those before the intervention,the levels of 24 h UP,serum BUN and SCr of the observation group were lower than those of the control group after two weeks of intervention,with statistical differences(P<0.05).Before the intervention,the levels of serum TNF-α and IL-1 didn′t differ statistically(P＞0.05).After two weeks of intervention,the serum TNF-α and IL-1 levels of the observation group were lower than those before intervention,serum TNF-α and IL-1 levels in the observation group were lower than those in the control group,with statistical differences(P<0.05).Conclusion Precise nursing intervention can enhance the renal function of patients after renal tumor surgery,and meanwhile regulate the body′s inflammatory state,promote the recovery of the disease,and improve the prognosis.
2021 Vol. 28 (18): 235-238 [Abstract] ( 36 ) HTML (35 KB)  PDF  (0 KB)  ( 6 )
239 Effect of continuous nursing intervention on quality of life and cognitive function of patients with cerebral hemorrhage in rehabilitation period
CAI Zhi-hua ;FU Yun-juan
Objective To explore the effect of continuous nursing intervention on the quality of life and cognitive function of patients with cerebral hemorrhage in rehabilitation period.Methods A total of 140 patients with cerebral hemorrhage in convalescent period who were treated in Fuzhou First People′s Hospital from April 2019 to April 2020 were selected as the observation objects and divided into the intervention group and the control group by random number table method,70 cases in each group.Patients of two groups were given symptomatic treatment and rehabilitation nursing during the recovery period of cerebral hemorrhage.Patients in the control group were given routine nursing measures after discharge,while patients in the intervention group was given continuous nursing measures on the basis of the control group.The treatment compliance and Montreal cognitive assessmen(MOCA)score of the two groups were compared,and the quality of life was evaluated by the ability of life(BI)score.Results The treatment compliance of the intervention group was higher than that of the control group,the difference was statistically significant(P<0.05).Before treatment,there was no significant difference in MOCA score between the two groups(P＞0.05);after treatment,the MOCA scores of the two groups were higher than those before treatment,and the MOCA score of the intervention group was higher than that of the control group,the differences were statistically significant(P<0.05).Before treatment,there was no significant difference in BI score between the two groups(P＞0.05);after treatment,the BI scores of the two groups were higher than those before treatment,and the BI score of the intervention group was higher than that of the control group,the differences were statistically significant(P<0.05).Conclusion For patients with cerebral hemorrhage in rehabilitation period,the application of continuous nursing intervention can improve the treatment compliance of patients,improve their cognitive impairment,and also can effectively improve their quality of life.
2021 Vol. 28 (18): 239-241转245 [Abstract] ( 43 ) HTML (33 KB)  PDF  (0 KB)  ( 6 )
242 Application effect of targeted intensive nursing intervention in patients with percutaneous nephrolithotomy
XU Sha;WU Qian-rong
Objective To explore the application effect of targeted intensive nursing intervention in patients with percutaneous nephrolithotomy.Methods A total of 56 patients with renal calculi treated by percutaneous nephrolithotomy in the Second People′s Hospital of Yichun,Jiangxi Province from February 2019 to February 2020 were selected as the research objects,and they were divided into the intensive care group(n=28)and the conventional group(n=28)according to the random number table method.The routine group was given routine nursing during the perioperative period,while the intensive nursing group was given targeted intensive nursing intervention on this basis.The operation time,ambulation time and hospitalization time were compared between the two groups.Pittsburgh sleep quality index(PSQI)was used to evaluate the sleep quality of the patients.The total incidence of infection,hematuria,bladder irritation,low back pain and other complications in the two groups were analyzed.Results There was no significant difference in the operation time between the two groups(P＞0.05);and the ambulation time and hospitalization time in the intensive care group were shorter than those in the conventional group,the differences were statistically significant(P<0.05).PSQI score of intensive care group was lower than that of routine group,the difference was statistically significant(P<0.05).The total incidence of complications in the intensive care group was lower than that in the conventional group,the difference was statistically significant(P<0.05).Conclusion In the perioperative period of patients with percutaneous nephrolithotomy,on the basis of routine nursing,targeted intensive nursing intervention can improve their sleep quality,reduce operation related complications,and help to promote the rehabilitation of patients.
2021 Vol. 28 (18): 242-245 [Abstract] ( 43 ) HTML (34 KB)  PDF  (0 KB)  ( 7 )
246 Influence of risk management on the occurrence of adverse events in elderly patients with indwelling intravenous infusion
AO Li-ping ;YANG Yi-long
Objective To investigate the influence of risk management on the occurrence of adverse events in elderly patients with indwelling intravenous infusion.Methods A total of 82 elderly patients who underwent intravenous infusion in the Third Affiliated Hospital of Gannan Medical University from January to December 2019 were selected and divided into two groups according to random number table method,41 cases in each group.The control group was given routine management nursing mode intervention,and the observation group was given risk management nursing mode intervention,both were intervened for 7 days.The occurrence of adverse events and nursing satisfaction during the intervention period of the two groups were compared.Results During the intervention period,the incidence of indwelling needle shedding,hematoma,fluid leakage,phlebitis,indwelling needle blockage,and needle blood clotting in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).The nursing total satisfaction of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).Conclusion Risk management and nursing mode intervention can reduce the occurrence of adverse events in elderly patients with indwelling intravenous infusion and improve nursing satisfaction.
2021 Vol. 28 (18): 246-248 [Abstract] ( 45 ) HTML (30 KB)  PDF  (0 KB)  ( 7 )
249 Application analysis of comfortable nursing intervention in emergency nursing of children with acute asthma
LIU Qing-qing ;ZENG Qing-lan ;YI He
Objective To explore the application effect of comfort nursing in emergency care of children with acute asthma.Methods A total of 80 cases of children with acute asthma from January 2019 to January 2020 in Ganzhou Maternal and Child Health Hospital were selected as study subjects,and were divided into the control group(n=40)and study group(n=40)by random number table method.Routine emergency nursing intervention was used in the control group,and comfortable emergency nursing was used in the study group.The cough,wheeze,dyspnea,disappearance time of wheeze and improvement of pulmonary function indexes were compared between the two groups.Results The vanishing time of cough,wheezing,dyspnea,and wheezing in the lungs in the study group were shorter than those in the control group,and the differences were statistically significant(P<0.05).The expiratory flow rate at 25% tidal volume(25%TEF)and expiratory flow rate at 50% tidal volume(50%TEF)in the study group were higher than those in the control group,with statistical differences(P<0.05).The expiratory flow rate at 75% tidal volume(75%TEF)and peak flow rate/tidal volume(PTEF/VT)in the study group were lower than those in the control group,and the differences were statistically significant(P<0.05).Conclusion The active development of comfortable nursing path in the emergency care of children with acute asthma can effectively control the development of the disease,improve the treatment effect,improve the pulmonary function of children,and improve the prognosis of the disease has positive significance,which is worthy of clinical promotion and application.
2021 Vol. 28 (18): 249-251 [Abstract] ( 42 ) HTML (31 KB)  PDF  (0 KB)  ( 7 )
252 Effect of lung rehabilitation nursing combined with noninvasive ventilation on the rehabilitation of pneumoconiosis complicated with respiratory failure
YANG Yan-qin
Objective To explore the effect of pulmonary rehabilitation nursing combined with noninvasive ventilation on the rehabilitation of pneumoconiosis complicated with respiratory failure.Methods A total of 80 patients with pneumoconiosis complicated with respiratory failure in Shaoguan Occupational Disease Prevention and Control Hospital from August 2019 to August 2020 were selected and divided into study group(40 cases)and control group(40 cases)by the random number table method.Both groups were treated with cough relieving,phlegm-reducing,antiasthmatic,anti-pulmonary fibrosis and other drugs.The control group was treated with non-invasive ventilator assisted breathing therapy and routine nursing,while the research group was treated with lung rehabilitation nursing on the basis of non-invasive ventilation treatment.The improvement of arterial partial pressure of oxygen(PaO2)and partial pressure of carbon dioxide(PaCO2)in the two groups were compared.The changes of exercise ability,fractional inspiratory time(Ti/Ttot)and shallow rapid-breathing index(f/VT)of respiratory muscle endurance indexes in the two groups were evaluated by ventilator and 6 min walking ability test,and the changes of quality of life were investigated by St.George′s respiratory questionnaire(SGRQ).Results There was no significant difference in PaO2 and PaCO2 between the two groups before intervention(P>0.05),PaO2 in the two groups after intervention were higher than that before intervention,PaCO2 in the two groups after intervention was lower than that before intervention,the differences were statistically significant(P<0.05),and PaO2 in the research group was higher than that in the control group,PaCO2 in the research group was lower than that in the control group,with statistical significance(P<0.05).There was no significant difference in 6 min walking distance,Ti/Ttot and f/VT between the two groups before intervention(P>0.05).After intervention,the 6 min walking distance and f/VT in both groups were higher than those before intervention,while the Ti/Ttot was lower than that before intervention,the differences were statistically significant(P<0.05).The 6 min walking distance and f/VT in the research group were higher than those in the control group,while the Ti/Ttot was lower than that in the control group,the differences were statistically significant(P<0.05).There was no significant difference in SGRQ score between the two groups before intervention(P>0.05).The SGRQ score of the two groups after intervention was lower than that before intervention,the difference was statistically significant(P<0.05).The SGRQ score of the study group was lower than that of the control group,the difference was statistically significant(P<0.05).Conclusion The application of pulmonary rehabilitation nursing combined with noninvasive ventilation can improve the rehabilitation effect of patients with pneumoconiosis complicated with respiratory failure,improve the respiratory function of patients,relieve the symptoms of dyspnea,and enhance the exercise ability and quality of life of patients.
2021 Vol. 28 (18): 252-255 [Abstract] ( 40 ) HTML (39 KB)  PDF  (0 KB)  ( 7 )
256 Application effect of early rehabilitation nursing in patients with cerebral hemorrhage complicated with depression
WEN Yan-hui ;QIU Qiong ;REN Jian-ping; LYU Xiao-fen
Objective To observe the effect of early rehabilitation nursing intervention in patients with cerebral hemorrhage(CH)complicated with depression(DP).Methods From May 2019 to May 2020,120 patients with CH and DP who were admitted to Shangrao People′s Hospital in Jiangxi Province were selected as the research subjects.They were divided into the control group(n=60)and the observation group(n=60)by throwing coins.In the control group,routine nursing was used;and in the observation group,early rehabilitation nursing intervention was added on the basis of routine nursing.The intervention lasted one month.The patients′ anxiety and depression before the intervention and one month after the intervention were compared,and the countermeasures and the incidence of complications during the intervention were also compared.Results After one month of intervention,the Hamilton anxiety scale(HAMA)and Hamilton depression scale(HAMD)scores of the two groups were lower than those before the intervention,the scores of the two indexes in the observation group were lower than those of the control group,and the differences were statistically significant(P<0.05).After one month of intervention,the score of positive response in the observation group was higher than that of the control group,and the negative response score was lower than that in the control group,and the differences were statistically significant(P<0.05).In the observation group,the total incidence of complications was lower than that of the control group,and the difference was statistically significant(P<0.05).Conclusion Early rehabilitation nursing exerts a certain effect in alleviating the anxiety and depression of patients with CH and depression,enhances the ability to cope with the disease with few complications,and has clinical promotion value.
2021 Vol. 28 (18): 256-258转264 [Abstract] ( 48 ) HTML (32 KB)  PDF  (0 KB)  ( 7 )
259 Influence of acceptance and commitment therapy on subjective well-being and coping styles of patients with artificial airway in intensive care unit
PANG Yan-min
Objective To explore the influence of acceptance and commitment therapy on the subjective well-being and coping styles of patients with artificial airway in intensive care unit(ICU).Methods A total of 120 patients with artificial airway admitted to Heze Municipal Hospital in Shandong Province from September 2017 to December 2019 were selected as the research subjects.The patients were divided into the observation group and the control group by random number table method,60 cases in each group.Patients in the control group were given routine care,and in the observation group,meticulous care of acceptance and commitment therapy was added on the basis of the control group.Before and after nursing intervention,the second edition of the acceptance and action questionnaire(AAQ-Ⅱ),cognitive fusion questionnaire(CFQ),World Health Organization quality of life scale(WHOQOL-100),Hamilton anxiety scale(HAMA),Hamilton depression scale(HAMD),fear visual analogue scale(FAVS),general well-being schedule(GWB),and simplified coping style questionnaire(SCSQ)were used for observation and comparison.Two groups of patients were evaluated by accepting actions,cognitive scores,quality of life,negative emotions,subjective well-being,and coping styles.Results After the intervention,the AAQ-Ⅱand CFQ scores of the observation group were lower than those before the intervention and the control group,the WHOQOL-100 scores were higher in physiology,psychology,independence,social relations,and spiritual support compared with those before the intervention and the control group,the differences were statistically significant(P<0.05).After the intervention,the environmental scores were not significantly different from those before the intervention and the control group(P＞0.05).The scores of HAMA,HAMD,and FAVS after the intervention in the observation group were lower than before the intervention and the control group,the observation group′s GWB score after the intervention was higher than that before the intervention and the control group,the differences were statistically significant（P<0.05）.The observation group′s active response score after the intervention was higher than that before the intervention and the control group,the negative coping score was lower than before the intervention and the control group，the differences were statistically significant(P<0.05).Conclusion The intervention of acceptance and commitment therapy for ICU patients with artificial airway has a remarkable effect.It can effectively adjust the patient′s physical and mental state,improve their negative emotions,promote subjective well-being,ameliorate the quality of life,and help to improve the patient′s coping style.
2021 Vol. 28 (18): 259-264 [Abstract] ( 50 ) HTML (48 KB)  PDF  (0 KB)  ( 7 )
265 Application effect of breastfeeding plan in postpartum three days exclusive breastfeeding
HONG Xiu-yang
Objective To explore the application effect of breast feeding plan in postpartum three days pure breastfeeding.Methods A total of 66 cases of normal delivery women in Quanzhou maternal and Child Health Hospital of Fujian Province from September 2017 to September 2019 were selected as the research objects,and they were divided into the control group(33 cases)and the observation group(33 cases)by ″dynamic random grouping method″.The control group was given routine nursing intervention,while the observation group was given breastfeeding program intervention.The breast-feeding situation,incidence of nipple pain,chapped and breast distension,and the mastery rate of breastfeeding knowledge were compared between the two groups.Results The first effective sucking time of the observation group was shorter than that of the control group,the difference was statistically significant(P＜0.05）.The number of breastfeeding in 1,2 and 3 days after delivery in the observation group was more than that in the control group,the difference was statistically significant(P＜0.05）.The nipple pain or chapped rate and the incidence of breast distention in the observation group were lower than those in the control group;in the control group,the total incidence rate was lower than that in the control group,the differences were statistically significant(P＜0.05）.The mastering rate of breastfeeding knowledge,the rate of exclusive breastfeeding in three days and the rate of exclusive breastfeeding in 42 d in the observation group were higher than those in the control group,the differences were statistically significant(P＜0.05）.Conclusion The value of breast feeding program intervention on postpartum three days pure breast-feeding is significant,which is worthy of implementation.
2021 Vol. 28 (18): 265-267 [Abstract] ( 50 ) HTML (30 KB)  PDF  (0 KB)  ( 8 )
268 Effect of rehabilitation nursing path on cardiac function and prognosis of patients with acute myocardial infarction
CHEN Gui-chun; CHEN Li-zhen
Objective To explore the influence of rehabilitation nursing path on the cardiac function and prognosis of patients with acute myocardial infarction(AMI).Methods A total of 120 AMI patients admitted to Quanzhou First Hospital Affiliated to Fujian Medical University from February 2018 to October 2019 were selected as the research subjects,According to the random number table method,the patients were divided into the path group and the traditional group,60 cases in each group.The traditional group was given conventional nursing intervention,the path group was given rehabilitation nursing path intervention.Left ventricular end-diastolic diameter(LVEDD),left ventricular end-systolic diameter(LVESD),mortality and total incidence of adverse events were observed between two groups.Results There were no significant difference LVEDD,LVESD between the two groups before intervention(P＞0.05).After intervention,the LVEDD,LVESD of the path group were lower than that in the traditional group,the differences were statistically significant(P<0.05).The total incidence and mortality of adverse events in the path group were lower than those in the traditional group,the differences were statistically significant(P<0.05).Conclusion Rehabilitation nursing path can significantly improve the cardiac function indicators of AMI patients,and the adverse events after intervention are significantly reduced,the mortality rate is low,and the patient′s prognosis is good.
2021 Vol. 28 (18): 268-270 [Abstract] ( 50 ) HTML (30 KB)  PDF  (0 KB)  ( 7 )
271 Application effect of high quality nursing service in hemodialysis after arteriovenous internal fistula operation
HE Yan-ying; LI Yan
Objective To observe the application effect of high quality nursing service in hemodialysis(HD)after arteriovenous internal fistula operation,and to analyze the influence of high quality nursing service on the complication rate and other aspects.Methods A total of 100 patients who received HD treatment for arteriovenous internal fistula in Yangchun People′s Hospital in Guangdong Province from January 2019 to June 2020 were selected and divided into the control group and the study group by the random number table method,50 patients in either group.The control group was treated with routine nursing,and the study group was treated with high quality nursing.The incidences of complications and quality of life scores before and 3 months after nursing were compared between the two groups.Results The total complication rate in the study group was 6%,which was lower than 26% in the control group,the quality of life scores in the study group were higher than those in the control group,and the differences were statistically significant(P<0.05).Conclusion In order to improve the quality of life and reduce complications,high quality nursing can be applied in HD patients after arteriovenous internal fistula operation.
2021 Vol. 28 (18): 271-273 [Abstract] ( 46 ) HTML (28 KB)  PDF  (0 KB)  ( 6 )
274 Effect of simulated Child life intervention on children with recurrent respiratory tract infection
ZHANG Xiao-hua;ZHU Ling-qian; YI Xiao-fen; ZHONG Fang-ping;YANG Xia;GUO Xiao-yun
Objective To explore the effect of simulated Child life intervention in children with recurrent respiratory tract infection(RRTI).Methods A Prospective randomized trial method was used,25 children with RRTI who were received by Pingxiang Second People′s Hospital from January to June 2019 were selected and set as the control group,25 children with RRTI who were received by Pingxiang Second People′s Hospital from July to December 2019 were selected and set as the observation group,patients in the control group were used routine continuous nursing,patients in the observation group were used routine continuous nursing combined with simulated Child life nursing model intervention,all patients were intervened for 1 year.The nutritional score,functional exercise compliance,recurrence rate and readmission rate were compared between the two groups before and after 1 year of intervention.Results 1 year after intervention,the screening tool for the assessment of malnutrition in pediatrics(STAMP)score of the observation group was lower than that of the control group,with statistical difference(P<0.05);after 1 year of intervention,the compliance of functional exercise in the observation group was higher than that of the control group,with statistical difference(P<0.05);the recurrence rate within 1 year and readmission rate of the observation group were lower than that of the control group,with statistical differences(P<0.05).Conclusion Simulated Child life nursing intervention mode can improve the STAMP score of RRTI children and improve the compliance of functional exercise,reduce the recurrence of disease and readmission.
2021 Vol. 28 (18): 274-276 [Abstract] ( 44 ) HTML (32 KB)  PDF  (0 KB)  ( 7 )
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