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2021 Vol. 28, No. 31
Published: 2021-11-08
 
 
4 Comparative study on the intervention mechanism of vibration and electroacupuncture on motor dysfunction in young rats with hypoxic-ischemic encephalopathy
QI Teng-che；WANG Chun-nan；LI Hong
Objective To compare the effect of whole-body vibration training and electroacupuncture on Bederson score,gastrocnemius muscle fiber morphology and gastrocnemius muscle wet weight ratio in young rats with hypoxic-ischemic encephalopathy (HIE)from the perspective of Bcl-2 anti-myocyte apoptosis regulated by NF-κB,and to study the formation and treatment mechanism of motor dysfunction in young rats with HIE.Methods A total of 120 7-dayold healthy SD young rats were divided into 4 groups by random number table method.No modeling and any intervention were done in sham operation group.HIE model was made in the other three groups:the model control group was bound every day;the electroacupuncture treatment group was treated with electroacupuncture;the vibration treatment group was given vibration treatment for 4 weeks.Bederson scores,fibrous morphology,NF-κB gene and Bcl-2 mrna expression levels of gastrocnemius muscle were compared before modeling,2 weeks after modeling and after treatment.Results After 2 weeks of modeling,Bederson scores of model control group,electroacupuncture group and vibration group were higher than those of sham op-eration group,and the differences were statistically significant(P＜0.05).After treatment,the Bederson scores of electroacupuncture treatment group and vibration treatment group were lower than those of model control group,and the differences were statistically significant(P＜0.05).After treatment,there was no statistically significant difference in Bederson score between the electroacupuncture treatment group and the vibration treatment group(P＞0.05).After treatment,the wet weight of gastrocnemius in vibration treatment group and electroacupuncture treatment group were higher than that in model control group,and the differences were statistically significant(P＜0.05).The proportion of wet weight of gastrocnemius muscle in body weight in vibration treatment group was higher than that in electroacupuncture treatment group,and the difference was statistically significant(P＜0.05).After treatment,the gastrocnemius muscle fibers in the model control group shrank significantly and the muscle fibers degenerated,the muscle fibers in the vibration treatment group and electroacupuncture treatment group were closely arranged and the muscle transverse lines were regular versus those in the model control group,the nucleus of muscle fibers in the electroacupuncture treatment group increased significantly.After treatment,the positive expression of Bcl-2 mRNA and NF-κB gene in model control group,vibration treatment group and electroacupuncture treatment group were lower than those in sham operation group,and the differences were statistically significant(P＜0.05).The positive expression of Bcl-2 mRNA and NF-κB gene in vibration treatment group and electroacupuncture treatment group were higher than those in model control group,and the differences were statistically significant(P＜0.05).The positive expression of Bcl-2 mRNA and NF-κB gene in electroacupuncture treatment group were higher than those in vibration treatment group,and the differences were statistically significant(P＜0.05).Conclusion Regulation of Bcl-2 expression by NF-κB gene for reduction of the anti-apoptotic ability of skeletal muscle cells is one of the reasons for skeletal muscle fiber injury,muscle atrophy and motor dysfunction in HIE young rats.Compared with vibration therapy,electroacupuncture can better activate NF-κB,regulate Bcl-2 anti-apoptotic expression,improve the anti-apoptotic and multiplication capacity of skeletal muscle cells,repair muscle cell damage,increase the number of muscle fibers,alleviate muscle atrophy and improve the motor dysfunction of HIE young rats.
2021 Vol. 28 (31): 4-8 [Abstract] ( 57 ) HTML (44 KB)  PDF  (0 KB)  ( 7 )
9 Bibliometric analysis of acupuncture point injection therapy for postpartum urinary retention in China
MAO Ya-jiao；ZHANG Guang-yi；YAO Yan-rong；MA Hong-ya；ZHENG Dong-lian；MI Guang-li
Objective To analyse the research status and development trend of acupoint injection in the treatment of postpartum urinary retention in China,and provide reference for future research.Methods The databases of CNKI,Wanfang and VIP were retrieved by computer.The relevant literature on post partum urinary retention was searched by point injection.The time limit for searching was from database construction to December 31,2020 and the literature were analyed by NoteExpress,Excel and Bicomb tools.Results A total of 110 literatures were included.The literatures were published in 78 journals,and only one of the top 5 journals was nursing journal.The first author came from 23 provinces,autonomous regions and municipalities,of which 26 (23.6%)were published in Shandong province.The authors were mainly general hospitals(59.1%),traditional Chinese medicine hospitals(17.3%)and specialized hospitals(13.6%).The single document was cited 35 times,and only 5 articles received founds.The research type was mainly based on efficacy verification study.The choice of acupoints was mostly Zusanli,followed by Sanyinjiao.The most commonly used drug was Neostigmine.The evaluation indexes were mostly focused on the first voiding time and bladder residual volume.After Bicomb 2.0 software extraction,postpartum urinary retention was a high frequency keyword.Conclusion Acupuncture point injection can effectively improve the symptoms of postpartum urinary retention,but still need to be guided by the Chinese medicine theory,standardize the selection of points,study the mechanism deeply,and broaden the depth and breadth of research.
2021 Vol. 28 (31): 9-13 [Abstract] ( 51 ) HTML (47 KB)  PDF  (0 KB)  ( 7 )
14 Application of Bushen Xiezhuo Prescription combined with Irbesartan Tablets on Cys-C and Hcy in patients with early diabetic nephropathy and study on its mechanism
ZONG Hai-tao；LI Jin-hua；LI Ya-ning
Objective To investigate the effect of Bushen Xiezhuo Prescription combined with Irbesartan Tablets in the treatment of early diabetic nephropathy and its influence on serum cystatin C (Cys C)and serum homocysteine(Hcy).Methods From January 2020 to January 2021,80 patients with early diabetic nephropathy treated in Department of Nephropathy of Jiujiang Hospital of Traditional Chinese Medicine in Jiangxi Province were selected and divided into the treatment group 1 and the treatment group 2 according to random number table method,40 cases in each group.A total of 10 healthy persons who took physical examination in Physical Examination Center of Jiujiang Hospital of Traditional Chinese Medicine in Jiangxi Province in the same period were selected as the control group.The treatment group 2 and the treatment group 1 were given intensive hypoglycemic treatment,diet therapy,exercise therapy,nutrition therapy and other basic treatment.The treatment group 1 was treated with Irbesartan Tablets on the basis of the basic treatment,and the treatment group 2 was treated with Bushen Xiezhuo Prescription on the basis of the treatment group 1.The levels of Cys C and Hcy of the three groups were observed,the symptom scores and related laboratory indexes of the treatment group 2 and the treatment group 1 before treatment and after three courses of treatment were recorded,and the traditional Chinese medicine symptom efficacy,clinical efficacy and the total incidence of adverse reactions of the treatment group 2 and the treatment group 1 were compared.Results There were significant differences in the levels of Cys C and Hcy among the three groups before treatment(P＜0.05).The levels of Cys C and Hcy in the treatment group 2 and the treatment group 1 were higher than those in the control group,and the differences were statistically significant(P＜0.05).There were no significant differences in the levels of Cys C and Hcy between the two groups before treatment(P＞0.05).The symptom scores of the treatment group 2 and the treatment group 1 after treatment were lower than those before treatment,the differences were statistically significant(P＜0.05).The symptom score of the treatment group 2 after treatment was lower than that of the treatment group 1,the difference was statistically significant(P＜0.05).The levels of Cys C,Hcy,microalbuminuria,D-dimer,fasting blood glucose,triglyceride,total cholesterol,serum creatinine(SCr),blood urea nitrogen(BUN),uric acid and C-reactive protein (CRP)in the treatment group 2 and the treatment group 1 after treatment were lower than those before treatment,and the differences were statistically significant(P＜0.05).The levels of Cys C,Hcy,microalbuminuria,D-dimer,fasting blood glucose,triglyceride,total cholesterol,SCr,BUN,uric acid and CRP in the treatment group 2 after treatment were lower than those in the treatment group 1,and the differences were statistically significant(P＜0.05).The total effective rate of traditional Chinese medicine syndrome in treatment group 2 was 92.50%,which was higher than that in treatment group 1(72.50%),and the difference was statistically significant(P＜0.05).The total effective rate of the treatment group 2 was 95.00%,which was higher than 72.50% of the treatment group 1,the difference was statistically significant(P＜0.05).There was no significant difference in the total incidence of adverse reactions between the treatment group 2 and the treatment group 1 (P＞0.05).Conclusion The combination of Bushen Xiezhuo Prescription and Irbesartan Tablets has a good therapeutic effect on patients with early diabetic nephropathy,that is,it improves the clinical efficacy and does not increase adverse reactions.It provides a new way of thinking for the treatment of early diabetic nephropathy with traditional Chinese and Western medicine.
2021 Vol. 28 (31): 14-18 [Abstract] ( 52 ) HTML (44 KB)  PDF  (0 KB)  ( 8 )
19 Analysis of clinical characteristics of heart failure after acute myocardial infarction
LIU Shou-xiong
Objective To analyze the clinical characteristics of patients with heart failure after acute myocardial infarction.Methods A total of 90 patients with acute myocardial infarction (AMI)admitted to the Second Hospital of Nanping City,Fujian Province from April 2019 to April 2020 were selected retrospectively as the research subjects.Patients were divided into two groups according to whether patients complicated with heart failure or not.56 patients without complicated with heart failure were included in the single myocardial infarction group,and 34 patients with complicated with heart failure were included in the combined heart failure group.The clinical characteristics of the two groups were compared.Results The age,proportion of female in the combined heart failure group were higher than those in the single myocardial infarction group,and the differences were statistically significant(P＜0.05).There were no significant differences in the rates of hypertension,diabetes,hyperlipidemia,smoking history and coronary artery bypass transplantation between the two groups (P＞0.05).In terms of biochemical indicators,systolic blood pressure,diastolic blood pressure and hemoglobin in the combined heart failure group were lower than those in the single myocardial infarction group,and the levels of serum creatinine,serum uric acid,creatine kinase and brain natriuretic peptide were higher than those in the single myocardial infarction group,the differences were statistically significant(P＜0.05).There were no significant differences in total cholesterol,triglyceride and low density lipoprotein cholesterol levels between the two groups (P＞0.05).In terms of drug use,the utilization rate of diuretics in the combined heart failure group was higher than that in the single myocardial infarction group,and the utilization rate of β-blockers and angiotensin converting enzyme inhibitor/angiotensin receptor blockers was lower than that in the single myocardial infarction group,the differences were statistically significant(P＜0.05).There were no significant differences in the use rates of interventional therapy,statins,aspirin and clopidogrel between the two groups (P＞0.05).The length of hospital stay in the combined heart failure group was longer than that in the single myocardial infarction group,and the difference was statistically significant(P＜0.05).There was no significant difference in the rate of heart rupture,renal insufficiency,malignant arrhythmia,ventricular aneurysm and embolism,death in the combined heart failure group compared with those in the single myocardial infarction group (P＞0.05).Conclusion The clinical characteristics of patients with heart failure after AMI are somewhat different from those of single AMI,and the prognosis of patients with acute myocardial infarction complicated with heart failure is worse and the risk of death is higher.Interventional therapy is a protective factor for prognosis.
2021 Vol. 28 (31): 19-22 [Abstract] ( 55 ) HTML (35 KB)  PDF  (0 KB)  ( 9 )
23 Clinical efficacy of acupuncture combined with cervical traction in treatment vertebrobasilar ischemic vertigo
YU Li-wen
Objective To investigate the clinical efficacy of acupuncture combined with cervical traction in the treatment of vertebrobasilar ischemic vertigo.Methods A total of 100 patients with vertebrobasilar ischemic vertigo admitted to the Department of Neurology in the Chengji Hospital of Shenyang Orthopedic Hospital from December 2018 to June 2019 were selected.They were divided into the cervical traction group (50 patients)and the combined treatment group (50 patients)according to the random number table method.The cervical traction group was given cervical traction,and the combined treatment group was given cervical traction combined with acupuncture.The treatment duration was 20 days.The scores of vertigo,visual rotation,headache,tinnitus,nausea,vomiting,vertebrobasilar system ischemic neurological dysfunction,ABCD2,vertebrobasilar pulsitility index (PI),velocity systolic (VS)and total effective rate were compared between the two groups.Results After treatment,the scores of vertigo,visual rotation,headache,tinnitus,nausea,vomiting,neurological dysfunction,ABCD2,and PI in the combined treatment group were lower than those in the cervical traction group,with statistically significant differences(P＜0.05).After treatment,the score of VS in the combined treatment group was higher than that in the cervical traction group,with statistically significant difference(P＜0.05).The total effective rate in the combined treatment group was higher than that in the cervical traction group,with statistically significant difference (P＜0.05).Conclusion Acupuncture combined with cervical traction can increase blood flow speed,improve blood circulation,reduce blood lipids,relieve vasospasm,improve neuro-autonomy,and increase cure rate.
2021 Vol. 28 (31): 23-26 [Abstract] ( 50 ) HTML (39 KB)  PDF  (0 KB)  ( 7 )
27 Study on the mechanism of extracellular inhibition of GBC-SD cell proliferation and invasion by Cinobufotalin in gallbladder carcinoma
LI Jun-jie；WU Hai-feng；ZHANG Dong-ming；ZHANG Zhi-ping；LI Ming-zhang
Objective To investigate the mechanism of extracellular inhibition of GBC-SD cell proliferation,invasion and apoptosis by Cinobufotalin in gallbladder carcinoma.Methods The proliferation of GBC-SD cells was determined by CCK-8 cell counting and plate clonogenesis assay after treatment with different concentrations of Cinobufotalin(0,100,300,500 nmol/L).AnnexinⅤ-FITC/PI double staining method was used to detect the effect of different concentrations of Cinobufotalin(0,100,300 and 500 nmol/L)on apoptosis of GBC-SD cells.Flow cytometry(FCM)was used to detect the effect of Cinobufotalin on GBC-SD cell cycle.The change of invasion ability of gallbladder carcinoma cells treated with Cinobufotalin was observed by Transwell chamber experiment.Among them,the concentration of Cinobufotalin of 0 nmol/L was used as the blank drug-free group.Results Compared with the blank drug-free group,Cinobufotalin inhibited the proliferation of GBC-SD cells in a time-and dose-dependent manner(P＜0.01).Annexin V-FITC/PI double staining showed that Cinobufotalin had the ability to induce apoptosis of GBC-SD cells (P＜0.01).With the increase of the concentration of Cinobufotalin,the survival rate of GBC-SD cells decreased significantly,and the apoptosis rates (early apoptosis rate and late apoptosis rate)increased significantly (P＜0.01).Cinobufotalin could promote the expression levels of pro-apoptotic proteins Cleaved-PARP,Cleaved-caspase3,Cleaved-caspase9,BAX.And Cinobufotalin could decreased the expression of anti-apoptotic protein Bcl-2.The proportions of cells distributed in G2/M phase increased with the increase of the concentration of Cinobufotalin,and the differences were statistically significant(P＜0.05).The expression levels of CDK1 and Cyclin B1 in G2/M progressiverelated proteins decreased with the increase of the concentration of Cinobufotalin (P＜0.01).The number of invasive cells was decreased with the increase of the concentration of Cinobufotalin (P＜0.001).The expression levels of E-cadherin,a protein associated with invasive inhibition,were higher than those of blank drug-free group,and the expression levels of N-cadherin and Vimentin,which were protein associated with invasive inhibition,were lower than those of blank drug-free group,with statistical significances(P＜0.01).Conclusion Cinobufotalin can effectively inhibit the proliferation and invasion of GBC-SD cells in gallbladder carcinoma and induce its apoptosis.
2021 Vol. 28 (31): 27-32 [Abstract] ( 65 ) HTML (46 KB)  PDF  (0 KB)  ( 7 )
33 Updates on vascular calcification in chronic kidney disease
YANG Xing-meng；MA Xiao-ying；SHENG Yu-ping；XU Hai-ping；ZHANG Hao-ran；WANG Na；SUN Fu-yun
Cardiovascular disease (CVD)is the most commom factor for death in patients with chronic kidney disease(CKD).Vascular calcification could promote the morbidty of CVD.Vascular calcification of patients with CKD is a complex biological process which is mediated by the dysregulated form of matrix mineral metabolism,change of hormones,epigenetic regulation and the activation of cellular signaling pathways.This paper reviewed the characteristics,physiological mechanism,influence factors of vascular calcificationin in patients with CKD.
2021 Vol. 28 (31): 33-36 [Abstract] ( 60 ) HTML (40 KB)  PDF  (0 KB)  ( 7 )
37 Progress in morphological study and treatment of posterior tibial plateau fracture
HUANG Qiang；GAO Shi-chang
Posterior tibial plateau fracture (PTPF)is a special type of tibial plateau fracture,and it is also one of the difficulties and hotspots in orthopedic trauma treatment.This paper reviews the literature about the injury mechanism,classification,morphological characteristic,surgical approach and fixation of this type of fracture,and draws the following conclusions:①Usually,PTPF is due to axial,varus or valgus violence in flexion position of the knee joint.②PTPF is a vertical fracture pattern close to the coronal plane,so the posterior supporting plate may be more effective in ensuring biomechanical stability.③And the choice of surgical approach and fixation depends on multiple factors,such as the specific morphological characteristics of fracture,the advantages and disadvantages of surgical approach and so on.Therefore,an accurate understanding of the injury mechanism,morphological characteristic and surgical approach of PTPF is helpful to the wise choice of clinical treatment.
2021 Vol. 28 (31): 37-41 [Abstract] ( 50 ) HTML (45 KB)  PDF  (0 KB)  ( 6 )
42 Effect of stellate ganglion block on the cognitive function after carotid endarterectomy
LAN Qing-hai
Objective To investigate the effect of stellate ganglion block on the cognitive function after carotid endarterectomy.Methods A total of 60 patients with carotid artery stenosis who were admitted to Ganzhou People′s Hospital from January 2018 to January 2021 were selected as the study subjects.According to the convenience sampling method,they were randomly divided into a control group (30 cases)and an experiment group (30 cases).The control group was given ordinary general anesthesia,and the experiment group was given stellate ganglion block (SGB)on the basis of the control group.The therapeutic effects,the scores of mini-mental state examination (MMSE)and Montreal cognitive assessment scale (MoCA)at one day before the operation and one,three,seven days after the operation,the levels of serum brain-derived neurotrophic factor(BDNF)and interleukin-6 (IL-6)were compared between the two groups before and after operation.Results The total effective rate of treatment in the experiment group was higher than that in the control group,and the difference was statistically significant(P＜0.05).There were no statistically significant differences in MMSE and MoCA scores between the two groups at one day before the operation(P＞0.05).At one,three,seven days after the operation,the MMSE and MoCA scores in the experiment group were higher than those in the control group in the same period,and the differences were statistically significant(P＜0.05).Before the operation,there were no statistically significant differences in BDNF and IL-6 levels between the two groups(P＞0.05).After the operation,the levels of BDNF and IL-6 in the two groups were higher than those before the operation in the group,and the levels of BDNF and IL-6 in the experiment group were higher than those in the control group in the same period,and the differences were statistically significant(P＜0.05).Conclusion Stellate ganglion block has a significant effect on improving cognitive function after carotid endarterectomy,and it is good safety.Further popularization and application can help improve the therapeutic effect and reduce the occurrence of adverse reactions.
2021 Vol. 28 (31): 42-45 [Abstract] ( 54 ) HTML (34 KB)  PDF  (0 KB)  ( 6 )
46 The influence of medical cold compress on peripheral phlebitis caused by vasoactive drugs
TAO Jing；ZOU Hong；LI Qin
Objective To explore the influence of medical cold compress on peripheral phlebitis caused by vasoactive drugs.Methods A total of 74 patients with peripheral phlebitis in General Hospital of Pingxiang Mining Group Co.,Ltd.from March 2020 to October 2020 were divided into the control group (37 cases)and the study group (37 cases)according to the random number table method.The control group was given Xiliaotuo ointment,and the study group was given medical cold compress.The total effective rate and total satisfaction of the two groups of patients after treatment,the numerical rating scale(NRS)score and the visual analogue scale(VAS)score before and after treatment were compared.Results After treatment,the total effective rate of treatment in the study group was higher than that of the control group,and the total satisfaction of treatment was higher than that of the control group,the differences were statistically significant(P＜0.05).Before treatment,there were no statistically significant differences in NRS and VAS scores between the two groups of patients (P＞0.05);after treatment,the NRS and VAS scores of the two groups were lower than those before treatment,and the study group was lower than that of the control group,the differences were statistically significant(P＜0.05).Conclusion Medical cold compress can effectively reduce the clinical symptoms of patients with peripheral phlebitis caused by vasoactive drugs,relieve pain,improve comfort,and satisfaction.
2021 Vol. 28 (31): 46-48 [Abstract] ( 58 ) HTML (29 KB)  PDF  (0 KB)  ( 5 )
49 Clinical efficacy of Calcipotriol combined with Acitretin Capsules in the treatment of common psoriasis vulgaris
CHEN Xiao-ying；MO Wei-ying；ZHANG Guan-wen；HUANG Run-an

Objective To explore the clinical efficacy of Calcipotriol combined with Acitretin Capsules in the treatment of common psoriasis vulgaris.Methods A total of 80 patients with common psoriasis vulgaris who were admitted to Guangdong Qingyuan Prevention and Treatment Hospital of Chronic Disease from January 2019 to October 2020 were selected.They were divided into two groups by random number table method,with 40 cases in each group.The control group was treated with Acitretin Capsules,and the study group was given Acitretin Capsules combined with Calcipotriol for treatment.All groups were treated for 30 days.The inflammatory factors(tumor necrosis factor-α [TNF-α],interleukin[IL]-23,IL-17),vascular endothelial growth factor(VEGF)levels,psoriasis lesion area and severity index(PASI)scores of patients in both groups before and after treatment were observed and compared,and the treatment effect were compared between the two groups.Results After treatment,TNF-α in study group was (94.23±1.08)μg/L,IL-23 in study group was(184.31±9.16)μg/L,IL-17 in study group was(92.16±6.63)μg/L,which were lower than those in the control group of(105.17±8.32),(207.41±10.69),(103.41±7.69)μg/L,the differences were statistically significant(P＜0.05).After treatment,VEGF level in study group was(93.55±9.14)ng/ml,and PASI score in study group was(5.14±1.05)points,which were lower than those in control group of(114.30±10.80)ng/ml and(7.30±1.26)points,the differences were statistically significant(P＜0.05).The total effective rate in study group(97.5%)was higher than that in control group(70.0%),and the difference was statistically significant(P＜0.05).Conclusion Compared with Acitretin Capsules alone in the treatment of common psoriasis vulgaris,the combined application of Calcipotriol combined with Acitretin Capsules is more effective.It can improve the body′s inflammatory factor levels,reduce the PASI scores and VEGF levels,improve the treatment effect,and help improve the patient′s prognosis and quality of life.
2021 Vol. 28 (31): 49-52 [Abstract] ( 59 ) HTML (36 KB)  PDF  (0 KB)  ( 8 )
53 The effect of Rheum Officinale on the curative effect of severe acute pancreatitis and inflammatory factors
ZHANG Jing
Objective To investigate the effect of Rhubarb Officinale on the curative effect of severe acute pancreatitis and inflammatory factors.Methods A total of 90 patients with severe acute pancreatitis patients who were admitted to Fujian Provincial Hospital from June 2019 to May 2020 were selected as the study subjects.They were divided into the treatment group(45 cases)and the control group(45 cases)by the random number table method.The control group was given conventional treatment methods,and the treatment group was given Rhubarb Officinale based on the control group.The total effective rate of treatment,mortality,length of hospitalization,hospitalization cost,time of symptom relief,and levels of inflammatory factors before and after treatment were compared between the two groups.Results The total effective rate of treatment in the treatment group is higher than that in the control group,and the difference was statistically significant(P＜0.05).The mortality rate of the treatment group was lower than that of the control group,the hospital stay was shorter than that of the control group,and the total hospitalization cost was less than that of the control group,the differences were statistically significant significance (P＜0.05).The treatment group′s first defecation time,abdominal pain disappearance time,abdominal tenderness disappearance time and serum amylase negative time were shorter than those of the control group,the differences were statistically significant(P＜0.05).After treatment,C-reactive protein(CRP),interleukin-10(IL-10)and interleukin-6(IL-6)in the treatment group were lower than those in the control group,and the differences were statistically significant(P＜0.05).Conclusion Rhubarb Officinale can improve the clinical symptoms of severe acute pancreatitis and increase the effective rate of treatment.
2021 Vol. 28 (31): 53-55转59 [Abstract] ( 47 ) HTML (30 KB)  PDF  (0 KB)  ( 6 )
56 The application effect of day surgery combined with enhanced recovery afteresurgery concept in laparoscopic cholecystectomy
ZHAO Rui
objective To explore the application effect of day surgery combined with enhanced recovery aftersurgery(ERAS)concept in laparoscopic cholecystectomy.Methods The clinical data of 988 patients undergoing laparoscopic cholecystectomy (LC)in Department of Hepatobiliary Surgery,the Affiliated Hospital of Guizhou Medical University from January 2020 to January 2021 were retrospectively analyzed,they were divided into day surgery group (n=514)and conventional surgery group (n=474)by differences in surgical methods.Patients in the day surgery group were treated with day surgery combined with ERAS,and patients in the conventional surgery group were treated with the conventional plan.The operation time,intraoperative blood loss,pain score,hospitalization cost,drainage tube placement time,satisfaction with operation effect and total incidence of postoperative complications were compared between the two groups.Results There was no significant difference in operation time and intraoperative blood loss between the two groups of patients(P＞0.05);the pain score and hospitalization cost of patients in the day surgery group were lower than those in the conventional surgery group,and the differences were statistically significant(P＜0.05).The drainage tube placement time in the day surgery group was shorter than that in the conventional surgery group,and the difference was statistically significant(P＜0.05).The total satisfaction of patients in the day surgery group was higher than that of the control group,and the difference was statistically significant(P＜0.05).There was no statistically significant difference in the total incidence of postoperative complications between the two groups (P＜0.05).Conclusions Day surgery combined with ERAS concept can effectively save hospital costs and alleviate postoperative pain for patients undergoing laparoscopic cholecystectomy surgery,improved patients′overall satisfaction with the results of surgery,worthy of vigorous promotion.
2021 Vol. 28 (31): 56-59 [Abstract] ( 53 ) HTML (34 KB)  PDF  (0 KB)  ( 7 )
60 Clinical analysis on Shexiang Baoxin Pills combined with Compound Xueshuantong Capsules in the treatment of short-term coronary slow blood flow after percutaneous coronary intervention
ZHANG Xue-hong；ZENG Lin-fei；CHEN Bin
Objective To investigate the clinical effect of Shexiang Baoxin Pills combined with Compound Xueshuantong Capsules in the treatment of short-term coronary slow blood flow (CSF)after percutaneous coronary intervention(PCI).Methods The clinical data of 60 patients with short-term CSF after PCI who were admitted to Jiangxi Provincial People′s Hospital from January 2016 to November 2020 were retrospectively analyzed.According to different treatment methods,the patients were divided into the experiment group (34 cases)and the control group (26 cases).The control group was treated with Nicorandil,and the experimental group was treated with Shexiang Baoxin Pills combined with Compound Xueshuantong Capsules.Both groups were treated consecutively for one month.The treatment effect after treatment,the improvement of clinical symptoms before and after treatment,the serum tumor necrosis factor-α (TNF-α)and high-sensitivity C-reactive protein(hs-CRP)levels were compared between the two groups.Results The total clinical effective rate in the experiment group was higher than that in the control group,and the difference was statistically significant(P＜0.05).There were no statistically significant differences in the duration of chest pain,the frequency of chest pain episodes,the levels of serum TNF-α and hs-CRP before treatment between the two groups (P＞0.05).After treatment,the duration of chest pain in the two groups were shorter than those before treatment,and the experimental group was shorter than that of the control group,the differences were statistically significant(P＜0.05).The frequency of chest pain,serum TNF-α and hs-CRP levels in the groups were lower than those before treatment,and the experimental group was lower than that of the control group,the differences were statistically significant (P＜0.05).Conclusion Shexiang Baoxin Pills combined with Compound Xueshuantong Capsules can effectively relieve the clinical symptoms of patients with short-term CSF after PCI,reduce the level of serum inflammatory factors,and improve the therapeutic effect.
2021 Vol. 28 (31): 60-62转66 [Abstract] ( 108 ) HTML (32 KB)  PDF  (0 KB)  ( 8 )
63 Clinical effect of Irbesartan Hydrochlorothiazide combined with Bisoprolol in the treatment of chronic heart failure complicated with atrial or ventricular arrhythmia
QIU De-he
Objective To investigate the clinical effect of Irbesartan Hydrochlorothiazide combined with Bisoprolol in the treatment of chronic heart failure complicated with atrial or ventricular arrhythmias.Methods A total of 60 patients with chronic heart failure complicated with atrial or ventricular arrhythmia treated in Linchuan District People′s Hospital of Fuzhou City,Jiangxi Province from January 2016 to January 2020 were selected as the research objects and divided into the control group and study group by random number table method,with 30 cases in each group.The control group was treated with Bisoprolol,and the study group was treated with Irbesartan Hydrochlorothiazide combined with Bisoprolol.The clinical efficacy,cardiac function and incidence of adverse reactions were compared between the two groups.Results The total effective rate of the study group was higher than that of the control group,and the difference was statistically significant(P＜0.05).There were no statistically significant differences between the control group before and after treatment in terms of interventricular septal thickness (IVST),left ventricular posterior wall thickness(LVPWT)and left ventricular ejection fraction(LVEF)(P＞0.05).The IVST and LVPWT in the study group after treatment were lower than those before treatment,and LVEF was higher than that before treatment,the differences were statistically significant(P＜0.05).After treatment,IVST and LVPWT in the study group were lower than those in the control group,and LVEF was higher than that in the control group,the differences were statistically significant(P＜0.05).There was no statistically significant difference in the total incidence of adverse reactions between the two groups(P＞0.05).Conclusion Irbesartan Hydrochlorothiazide combined with Bisoprolol can effectively inhibit myocardial remodeling in patients with chronic heart failure complicated with atrial or ventricular arrhythmia,which is safe,effective and worthy of clinical promotion.
2021 Vol. 28 (31): 63-66 [Abstract] ( 60 ) HTML (33 KB)  PDF  (0 KB)  ( 6 )
67 Clinical effect of Sertraline oral combined with Morita therapy in the treatment of obsessive-compulsive disorder
LUAN Lei；WANG Yan-ru
Objective To investigate the clinical effect of Sertraline oral combined with Morita therapy in the treatment of obsessive-compulsive disorder(OCD).Methods A total of 94 patients with obsessive-compulsive disorder admitted to the Fourth People′s Hospital of Yingkou City from April 2019 to April 2020 were selected and divided into a study group and a reference group according to a random lottery method,with 47 cases in each group.The clinical efficacy of the two groups was compared.The Yale-Brown obsessive compulsive scale (YBOCS)and Hamilton anxiety scale(HAMA)were used to evaluate the improvement of obsessive-compulsive symptoms and anxiety before and after treatment in the two groups.The social disability screening scale (SDSS)was used to evaluate the improvement of social function in the two groups.Results The treatment total effective rate of the study group was higher than that of the reference group,and the difference was statistically significant(P＜0.05).Before treatment,there was no statistically significant difference between the YBOCS and HAMA scores of the two groups (P＞0.05);after treatment,the YBOCS and HAMA scores of the two groups were lower than before treatment,the YBOCS and HAMA scores of the study group were lower than those of the reference group,and the differences were statistically significant(P＜0.05).Before treatment,there was no statistically significant difference in SDSS scores between the two groups(P＞0.05);six months after treatment,the SDSS scores of the two groups was higher than before treatment,the difference was statistically significant(P＜0.05),and the SDSS score of study group was higher than that of the reference group,the difference was statistically significant(P＜0.05).Conclusion The application of Sertralin combined with Morita therapy in patients with obsessive-compulsive disorder can promote the improvement of patients′obsessive-compulsive symptoms and anxiety,improve clinical efficacy,and contribute to the enhancement of patients′social function.
2021 Vol. 28 (31): 67-70 [Abstract] ( 67 ) HTML (35 KB)  PDF  (0 KB)  ( 7 )
71 Effect of relaxation exercise combined with music therapy on psychological symptoms and rehabilitation of patients with chronic schizophrenia
LIN Gui-hong；CHEN Na；SHI Gui-feng
Objective To explore the effect of relaxation exercise combined with music therapy on the psychological symptoms and rehabilitation of patients with chronic schizophrenia.Methods A total of 100 patients with chronic schizophrenia admitted to Jiujiang Fifth People′s Hospital from January 2019 to December 2020 were selected as subjects.According to the random lottery method,they were divided into observation group and control group,with 50 cases in each group.The control group was treated with routine drug intervention,and the observation group was treated with relaxation exercise and music therapy on the basis of the control group.The scores of brief psychiatric rating scale(BPRS),inpatient psychiatric rehabilitation outcome scale(IPROS)and scale for the assessment of negative symptoms(SANS)before and after intervention were compared between the two groups.Results Before the intervention,there was no significant difference between the BPRS,the IPROS and the SANS between the two groups(P＞0.05);after the intervention,the BPRS score,IPROS score and SANS score of two groups were lower than those of before the intervention,and the observation group were lower than those of the control group,the differences were statistically significant(P＜0.05).Conclusion Relaxation exercises and music therapy can be used as auxiliary therapies for patients with chronic schizophrenia,which can effectively improve the psychological symptoms and rehabilitation effects of patients with schizophrenia.
2021 Vol. 28 (31): 71-73 [Abstract] ( 55 ) HTML (30 KB)  PDF  (0 KB)  ( 7 )
74 Effect of application of the loop system in memory clinic on Alzheimer's disease management
GUO Ai-hua；PAN Xiao-ping
Objective To explore the effect of application of the loop system in memory clinic on Alzheimer′s disease management.Methods A retrospective analysis was performed on the clinical data of 298 patients diagnosed with Alzheimer′s disease who were admitted to the Department of Neurology of Guangzhou First People′s Hospital for the first time before the implementation of "loop system"(from January 2017 to December)and after the implementation of "loop system"(from January 2020 to December).Patients first diagnosed from January 2020 to December were included in the study group (179 cases),and patients first diagnosed from January 2017 to December were included in the control group (119 cases).According to the relevant guidelines and consensus at home and abroad,a loop system consisting of community,outpatient screening and diagnosis,comprehensive intervention and return to the community was formed as a comprehensive management mode through standardizing the memory clinic management system,in combination with their own characteristics.The rate of patients who selected memory clinic for the first visit,severity of dementia,completion rates of auxiliary examination and related assessment scales were compared between the two groups.Results The rate of patients who selected memory clinic for the first visit of study group was higher than that in the control group,with statistically significant difference(P＜0.05).The proportion of mild cognitive impairment in study group was higher than that in control group,and the difference was statistically significant(P＜0.05).The completion rate of blood test package,neuropsychiatric inventory (NPI),Montreal cognitive assessment(MoCA),activity of daily living scale (ADL),the delivery rate of cerebrospinal fluid biomarkers were higher than those in the control group,the differences were statistically significant(P＜0.05).There were no significant difference in the completion rates of imaging examination,mini-mental state examination(MMSE),Hamilton anxiety scale(HAMA)and Hamilton depression scale (HAMD)between the two groups(P＞0.05).Conclusion The "loop system" of memory clinic can promote the early screening and standardized diagnosis and treatment of diseases,especially the advancement of disease intervention.
2021 Vol. 28 (31): 74-77转81 [Abstract] ( 50 ) HTML (39 KB)  PDF  (0 KB)  ( 8 )
78 Comparison of the effects of endoscopic intracranial hematoma removal and craniotomy in the treatment of hypertensive cerebral hemorrhage
LIU Jun
Objective To explore the comparison of the effects of endoscopic intracranial hematoma removal and craniotomy in the treatment of hypertensive cerebral hemorrhage.Methods A total of 60 patients with hypertensive intracerebral hemorrhage admitted to Jiu Jiang No.1 People′s Hospital from February 2018 to February 2020 were retrospectively selected as the research subjects.According to different treatment methods,they were divided into treatment group A and treatment group B,with 30 patients in each group.The treatment group A was treated with endoscopic intracranial hematoma removal,and the treatment group B was treated with craniotomy removal.The operation time and intraoperative blood loss of the two groups were observed,and the Glasgow coma scale(GCS)score was observed 3 weeks after operation.The score of daily living ability and total incidence of postoperative complications were also observed in the 6 months after operation.Results The operation time of the treatment group A was shorter than that in the treatment group B,and the intraoperative blood loss was less than that in the treatment group B,the GCS score was better than that in the treatment group B three weeks after treatment,the prognostic good rate was higher than that of the treatment group B,and the total incidence of postoperative complications was lower than that of the treatment group B six months after treatment,and the differences were statistically significant(P＜0.05).Conclusion Endoscopic intracranial hematoma removal for patients with hypertensive cerebral hemorrhage has mild trauma,good prognosis and few complications,and it is worthy of clinical application.
2021 Vol. 28 (31): 78-81 [Abstract] ( 46 ) HTML (35 KB)  PDF  (0 KB)  ( 5 )
82 Application effect of motor relearning programme in community rehabilitation of stroke patients
LI Meng-xiao；CHEN Qing-qing；HUANG Bin-yang；ZHENG Shuang
Objective To explore the application effect of motor relearning programme in community rehabilitation of stroke patients.Methods Thirty stroke patients recruited by Sichuan Nursing Vocational College/Sichuan Third People′s Hospital from January 2020 to January 2021 were selected as the research objects.The patients were divided into control group and experimental group by random number table method,with 15 cases in each group.The control group was treated with routine treatment,and the experimental group was treated with motor relearning programme on the basis of the control group.The clinical therapeutic effect,motor function and daily living ability before and after treatment were compared between the two groups.Results Before treatment,there were no significant differences in Fugl-Meyer assessment(FMA)score and Barthel index(BI)score between the two groups of patients(P＞0.05);after 4 weeks of treatment,the FMA score and BI score of the two groups were higher than those before treatment,the differences were statistically significant(P＜0.05);after 4 weeks of treatment,the FMA score and BI score of the experimental group were higher than those of the control group,and the differences were statistically significant(P＜0.05).The total effective rate of treatment in the experimental group was higher than that in the control group,and the difference was statistically significant(P＜0.05).Conclusion Motor relearning programme has a good application effect in community rehabilitation of stroke patients with hemiplegia,and can improve the patients′exercise ability and activities of daily living.There is a greater value for promotion and application.
2021 Vol. 28 (31): 82-85 [Abstract] ( 46 ) HTML (38 KB)  PDF  (0 KB)  ( 7 )
86 Effect of Donepezil combined with Citicoline Sodium Capsule in the treatment of cognitive impairment after stroke
LIAO YiLIU Zhen-zaiLIU Hong-wen
Objective To analyze the effect of Donepezil combined with Citicoline Sodium Capsule in the treatment of cognitive impairment after stroke.Methods A total of 160 patients with cognitive impairment after stroke admitted to the Department of Neurology of Ganzhou Municipal Hospital from August 2018 to December 2019 were selected as the research objects.They were divided into the control group and the observation group according to the random odd and even number method,with 80 cases in each group.The control group was treated with Donepezil,while the observation group was treated with Donepezil combined with Citicoline Sodium Capsule.The intelligence,cognitive ability,health status,quality of life and total adverse reaction rate of the two groups were compared.Results The cognitive function score and intelligence status score of the observation group after treatment were higher than those of the control group,the difference was statistically significant(P＜0.05).The quality of life score in the observation group after intervention was higher than that in the control group,the difference was statistically significant(P＜0.05).There was no significant difference in the adverse total reaction rate between the two groups (P＞0.05).Conclusion Donepezil combined with Citicoline Sodium Capsule can effectively improve the living ability and neurological function of patients with cognitive impairment after stroke.
2021 Vol. 28 (31): 86-88 [Abstract] ( 61 ) HTML (29 KB)  PDF  (0 KB)  ( 7 )
89 Clinical effect of Risperidone combined with Citalopram regimen in the treatment of negative symptoms of schizophrenia
RUAN Jian-hong
Objective To explore the clinical effect of Risperidone combined with Citalopram regimen in the treatment of negative symptoms of schizophrenia.Methods A total of 80 patients with negative symptoms of schizophrenia from the Third Department of Clinical Medicine in Mental Health Center of Inner Mongolia Autonomous Region from August 2016 to December 2018 were selected as the research subjects.They were divided into Risperidone treatment group(40 cases)and combined treatment group(40 cases)by random number table method.Patients in the Risperidone treatment group were treated with Risperidone,and patients in the combined treatment group were treated with Citalopram combined with Risperidone.The total effective rate,drug onset time and length of stay were compared between the two groups;positive symptom score,negative symptom score,general mental score,total score of positive and negative symptom scale before and after treatment were compared between the two groups;the total incidence of side effect of drugs was compared between the two groups.Results The total effective rate in the combined treatment group was higher than that in the Risperidone treatment group,and the difference was statistically significant(P＜0.05).Before treatment,there were no statistically significant differences in the positive symptom score,negative symptom score,general mental score,the total score of the positive and negative symptom scales between the two groups (P＞0.05).After treatment,the positive symptom score,negative symptom score,general mental score,the total score of positive and negative symptom scales in the combined treatment group were lower than those in the Risperidone treatment group,and the differences were statistically significant(P＜0.05).The drug onset time and length of stay in the combined treatment group were shorter than those in the Risperidone treatment group,and the differences were statistically significant(P＜0.05).There was no statistically significant difference in the total incidence of side effect between the two groups (P＞0.05).Conclusion Citalopram combined with Risperidone is effective in the patients with negative symptoms of schizophrenia,which can effectively improve the patients′negative symptoms,and the onset time is shorter for combined medication,with higher safety.
2021 Vol. 28 (31): 89-92 [Abstract] ( 53 ) HTML (36 KB)  PDF  (0 KB)  ( 6 )
93 Effect of Butylphthalide in the treatment of neurodegenerative diseases and hereditary diseases
KE Lai-shun；XIAO Xue-lian

Objective To explore the effect of Butylphthalide in the treatment of neurodegenerative diseases and hereditary diseases.Methods From December 2018 to December 2020,a total of 82 patients with neurodegenerative diseases and hereditary diseases who were admitted to the Department of Neurology,the Affiliated Dongnan Hospital of Xiamen University were selected as the study subjects.According to the order of admission (odd and even number),they were divided into the reference group and the study group,with 41 cases in each group.The reference group was given conventional medication for treatment,and the study group was given Butylphthalide on the basis of the reference group.The therapeutic effects,as well as the changes in neurological impairment,mental states,and living ability before and after treatment were compared between the two groups.Results The scores of neurological impairment and mental states in both groups of patients after treatment were lower than those before treatment,and the living ability score was higher than that before treatment,and the scores of neurological impairment and mental states in the study group were lower than those in the reference group,the living ability score was higher than that in the reference group,the differences were statistically significant(P＜0.05).The total effective rate of treatment in the study group was higher than that in the reference group,and the difference was statistically significant(P＜0.05).Conclusion Butylphthalide is very effective in the treatment of neurodegenerative diseases and hereditary diseases,and it can significantly reduce the degree of neurological impairment in patients.Also,it can greatly improve the life ability and mental state of patients,which is helpful for the preparation of data for later treatment,and this method can be popularized in clinical practice.
2021 Vol. 28 (31): 93-95 [Abstract] ( 59 ) HTML (29 KB)  PDF  (0 KB)  ( 7 )
96 Clinical effect of psychotherapy combined with Risperidone on middleaged and young schizophrenics
LIU Nian；SONG Li-bo；LI Wei
Objective To explore the clinical effect of psychotherapy combined with Risperidone on middle-aged and young schizophrenia.Methods A total of 108 young and middle-aged patients with schizophrenia admitted to the Jilin Provincial Neuropsychiatric Hospital from June 2018 to September 2019 were selected as the research objects,and were divided into the control group (54 cases)and the observation group (54 cases)using the random number table method.The control group was treated with Risperidone,and the observation group was treated with psychotherapy combined with Risperidone.The clinical efficacy,self-rating anxiety scale (SAS)score self-rating depression scale(SDS)score and the total incidence of adverse reactions were compared between the two groups of patients before and after treatment.Results The total effective rate of treatment in the observation group was higher than that in the control group,and the difference was statistically significant(P＜0.05);the comparison of SAS scores and SDS scores between the two groups before treatment was not statistically significant(P＞0.05);the SAS scores and the SDS score of the observation group after treatment were lower than those of the control group,and the differences were statistically significant(P＜0.05);the total incidence of adverse reactions in the observation group was lower than that of the control group,and the difference was statistically significant(P＜0.05).Conclusion Application of psychotherapy combined with Risperidone can enhance the curative effect of middle-aged and young schizophrenia,improve the symptoms of anxiety and depression and reduce adverse reactions.
2021 Vol. 28 (31): 96-98转102 [Abstract] ( 58 ) HTML (31 KB)  PDF  (0 KB)  ( 8 )
99 Effect of Midazolam combined with Fentanyl on cerebral metabolism in patients with severe subarachnoid hemorrhage
SUN Ke-xin
Objective To explore the effect of Midazolam combined with Fentanyl on cerebral metabolism in patients with severe subarachnoid hemorrhage.Methods A total of 40 patients with severe subarachnoid hemorrhage admitted to Fukuang General Hospital of Liaoning Health Industry Group from February 2017 to May 2019 were selected and divided into control group(20 cases)and observation group(20 cases)according to the order of admission.The control group was treated with Dexmedetomidine and the observation group was treated with Midazolam combined with Fentanyl.The richmond agitation-sedation scale(RASS)score,intensive care unit pain observation tool(CPOT)score,and blood oxygen saturation were compared between the two groups.Results The carotid blood oxygen saturation of the observation group was lower than that of the control group 30 minutes after treatment,and the difference was statistically significant(P＜0.05);the jugular venous blood oxygen saturation and central venous blood oxygen saturation of the observation group were higher than those of the control group 30 minutes after treatment,and the differences were statistically significant(P＜0.05);the RASS score of the observation group after treatment was lower than that of the control group,and the difference was statistically significant(P＜0.05);the CPOT score after treatment between the two groups was not statistically significant(P＞0.05).Conclusion The application of Midazolam combined with Fentanyl for sedation and analgesia in patients with severe subarachnoid hemorrhage can improve brain metabolism and has a good therapeutic effect.
2021 Vol. 28 (31): 99-102 [Abstract] ( 46 ) HTML (33 KB)  PDF  (0 KB)  ( 5 )
103 Efficacy and safety of ureteroscopic holmium laser lithotripsy in the treatment of ureteral calculi
WAN Bin；ZHANG Wen-sheng
Objective To investigate the efficacy and safety of ureteroscopic holmium laser lithotripsy in the treatment of ureteral calculi.Methods A total of 117 patients with ureteral calculi admitted to the Department of Urology of Jiujiang First People′s Hospital from February 2015 to June 2020 were selected and divided into study group (n=82)and control group (n=35)according to different treatment methods.Thirty-five patients in the control group received open surgery,and eighty-two patients in the study group received ureteroscopic holmium laser lithotripsy.The effective rate of treatment,surgical indexes,complications,stone clearance rate and inflammatory factors were compared between the two groups.Results 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 time of operation,exhaust,getting out of bed activities and length of hospital stay in the study group were shorter than those in the control group,and the amount of surgical blood loss in the study group was less than that in 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).There was no statistically significant difference in stone clearance rate between the two groups(P＞0.05).The levels of inflammatory cytokines in the study group were lower than those in the control group,and the difference was statistically significant(P＜0.05).Conclusion The ureteroscopic holmium laser lithotripsy has a significant effect on patients with ureteral calculi,which can improve the surgical indicators of patients,and the stone clearance rate is relatively high.It can reduce the incidence of complications and the level of inflammatory factors in patients,and should be widely used.
2021 Vol. 28 (31): 103-106 [Abstract] ( 55 ) HTML (38 KB)  PDF  (0 KB)  ( 8 )
107 Clinical effect of intravesical infusion of Sterile Sodium Hyaluronate Solution in the treatment of overactive bladder
KANG Xi；ZHANG Ting；WANG Jun；HU Hai-bing；XIE Zhen-lian
Objective To explore the clinical effectiveness and safety of intravesical infusion of Sterile Sodium Hyaluronate Solution in the treatment of overactive bladder(OAB).Methods From June 2016 to December 2019,150 patients with OAB diagnosed in the Outpatient Department of Pingxiang People′s Hospital were selected and randomly divided into the Sterile Sodium Hyaluronate group and the Solinacine group according to random number table method,with 75 cases in each group.The Sterile Sodium Hyaluronate group was intravesically perfused with Sodium Hyaluronate,and the Solinacine group was orally administered with Solinacin Succinate.Both groups were treated for 6 months.The overactive bladder symptom score (OABSS),urodynamic parameters and adverse reactions were compared between the two groups before and after treatment.Results After 6 months of treatment,The total score of OABSS and the scores of diurnal urination,nocturnal urination,urgent urination and urgent urinary incontinence in the Sterile Sodium Hyaluronate group were lower than those in the Solinacine group,the differences were statistically significant(P＜0.05).The volume at first desire and maximum cystometric capacity of the Sterile Sodium Hyaluronate group were higher than those of the Solinacine group,and the maximum urinary flow rate of the Sterile Sodium Hyaluronate group was lower than that of the Solinacine group,the differences were statistically significant(P＜0.05).There were no serious adverse reactions between the two groups.There was no significant difference in the total incidence of adverse reactions between the two groups(P＞0.05).Conclusion Sodium hyaluronate bladder perfusion is safe and effective in the treatment of OAB,which can effectively relieve OAB symptoms and improve bladder function.It is an optional treatment.
2021 Vol. 28 (31): 107-110 [Abstract] ( 46 ) HTML (33 KB)  PDF  (0 KB)  ( 7 )
111 Comparation ofclinical effect of holmium laser lithotripsy and traditional surgery for urinary calculi
SUN Lian-he；ZHANG Wu-jie；JI Hong-liang；YU Song-tao
Objective To compare the clinical effect of holmium laser lithotripsy and traditional surgery in the treatment of urinary calculi.Methods A total of 100 patients with urinary calculi admitted to Fifth People′s Hospital of Liaoyang City from July 2018 to July 2020 were selected and divided into study group and reference group by drawing lots,with 50 cases respectively.The control group was treated with traditional pneumatic lithotripsy and the study group was treated with holmium laser lithotripsy.The success rate of one-time lithotripsy,operation time,blood loss and total inci dence of complications were compared between the two groups.Results The success rate of one-time lithotripsy in the study group was higher than that in the reference group,the difference was statistically significant(P＜0.05).The operation time of the study group was shorter than that of the control group,and the intraoperative blood loss was less than that of the reference group,the differences were statistically significant(P＜0.05).The total incidence of complications in the study group was lower than that in the reference group,the difference was statistically significant(P＜0.05).Conclusion The clinical effect of holmium laser lithotripsy for patients with urinary calculi is better than that of traditional surgery,which shortens the operation time,and also reduces the amount of bleeding,has fewer complications and safer.It is worthy of wide promotion and application in clinic.
2021 Vol. 28 (31): 111-113 [Abstract] ( 47 ) HTML (27 KB)  PDF  (0 KB)  ( 7 )
114 Application of ultrasound-guided thoracic paravertebral block technique in thoracic surgery
HU Xiao-dong；ZHANG Hai-bo；YUAN Wen-tao
Objective To investigate the application effect of ultrasound-guided thoracic paravertebral block technique in thoracic surgery.Methods A total of 60 patients who underwent thoracotomy in Xinyu People′s Hospital from January 2019 to December 2020 were selected and divided into general anesthesia group(group A)and general anesthesia combined ultrasound-guided thoracic paravertebral block group (group B)by random number table method,with 30 cases in each group.The hemodynamics,the number of post-anesthesia care unit(PACU)compressions,the degree of pain and adverse reactions in different postoperative states were compared between the two groups.Results After entering the room and after anesthesia intubation,there was no statistically significant difference of the mean arterial pressure(MAP)between the two groups(P＞0.05).At thirty minutes after the operation and at the end of the operation,the MAP of the group B was lower than that of the group A in the same period,with statistically significant difference (P＜0.05).At thirty minutes after the operation and at the end of the operation,the MAP of the group A was higher than that after entering the room and after anesthesia intubation in the group,with statistically significant difference (P＜0.05).There was no statistically significant difference of the MAP in the group B at various time points(P＞0.05).After entering the room,there was no statistically significant difference of the heart rate (HR)between the two groups (P＞0.05).After anesthesia intubation,at thirty minutes after the operation and at the end of the operation,the HR of the group B was higher than that of the group A in the same period,with statistically significant difference (P＜0.05).After anesthesia intubation,at thirty minutes after the operation and at the end of the operation,the HR of the group A was higher than that after entering the room and after anesthesia intubation in the group,with statistically significant difference (P＜0.05).There was no statistically significant difference of the HR in the group B at various time points (P＞0.05).The PACU presses in the group B was less than that in the group A,the resting state and activity state scores in the group B were lower than those in the group A,the differences were statistically significant(P＜0.05).The total incidence of adverse reactions in the B group was lower than that in the A group,and the difference was statistically significant(P＜0.05).Conclusion General anesthesia combined with ultrasound-guided thoracic paravertebral block anesthesia for patients undergoing thoracic surgery has a good analgesic effect,which is beneficial to stabilize hemodynamics,reduce the number of PACU compressions,and reduce the incidence of adverse reactions.It is worthy of extensive application.
2021 Vol. 28 (31): 114-117 [Abstract] ( 52 ) HTML (37 KB)  PDF  (0 KB)  ( 8 )
118 Effect of ultrasound-guided stellate ganglion block on coagulation function in patients undergoing total knee arthroplasty
DENG Si-min
Objective To investigate the effect of ultrasound-guided stellate ganglion block (SGB)on coagulation function in patients undergoing knee arthroplasty.Methods From January 2019 to January 2021,66 patients with knee osteoarthropathy treated by knee arthroplasty in Ganzhou people′s Hospital of Jiangxi Province were selected as the research objects.According to the coin toss method,they were divided into the research group(34 cases)and the control group(32 cases).The control group received conventional general anesthesia,and the research group was combined with ultrasound-guided SGB.The mean arterial pressure(MAP),heart rate(HR)and central venous pressure(CVP)before block,15 min after block,during intubation and extubation were compared between the two groups;Prothrombin time(PT),D-Dimer(D-D),activated partial thromboplastin time(APTT),platelet count(PLT)and average platelet aggregation rate(ARA)were compared between the two groups before block(T0),60 min after block(T1),24 h(T2)and 48 h(T3).Results There was no significant difference in CVP,HR and MAP between the two groups before block (P＞0.05).The CVP,HR and MAP of the study group were lower than those of the control group at 15 min after block,the differences were statistically significant(P＜0.05).During intubation and extubation,CVP and HR of the study group were lower than those of the control group,while MAP of the study group was higher than that of the control group,the differences were statistically significant(P＜0.05).There was no significant difference in PT,D-D,APTT,PLT and Ara between the two groups at T0(P＞0.05).At T1,T2and T3,PT and APTT in the study group were longer than those in the control group,while D-D,PLT and Ara in the study group were lower than those in the control group the differences were statistically significant(P＜0.05).Conclusion Ultrasound guided SGB can reduce the influence of anesthetics on circulation function,improve postoperative coagulation function and reduce the risk of vascular embolism.
2021 Vol. 28 (31): 118-121 [Abstract] ( 45 ) HTML (42 KB)  PDF  (0 KB)  ( 7 )
122 Effect comparison of the visual laryngoscope and direct laryngoscope in tracheal intubation of obese patients
HONG Fei-cen；ZHANG Si-lai；TANG Bo
Objective To explore the effect of visual laryngoscopy and direct laryngoscopy in endotracheal intubation of obese patients.Methods Fifty-six obese patients who underwent elective oral intubation general anesthesia in the Department of Anesthesiology,Yangjiang Hospital of Traditional Chinese Medicine from May 2020 to April 2021 were selected as the research subjects.According to the odd and even numbers of admission order,they were divided into direct laryngoscopy group (28 cases)and visual laryngoscopy group (28 cases).Cormark-Lehane endoscopic grading(C-L grading),number of trial insertion,success rate of endotracheal intubation,success rate of one-time endotracheal intubation,time of endotracheal intubation and incidence of complications were compared between the two groups.Results The CL classification of the visual laryngoscopy group was better than that of the direct laryngoscopy group,and the difference was statistically significant(P＜0.05).The number of attempts in the visual laryngoscopy group was less than that of the direct laryngoscopy group,and the success rate of one-time tracheal intubation was higher than that of the direct laryngoscopy group,in the visual laryngoscopy group,the tracheal intubation time was shorter than that in the direct laryngoscopy group,the differences were statistically significant(P＜0.05).There was no significant difference in the success rate of endotracheal intubation between the two groups (P＞0.05).The total incidence of complications in the visual laryngoscopy group was lower than that of the direct laryngoscopy group,and the difference was statistically significant(P＜0.05).Conclusion Visual laryngoscope has obvious advantages compared with direct laryngoscope in tracheal intubation of obese patients.It has obvious glottis exposure,few attempts,high success rate of one-time endotracheal intubation,short endotracheal intubation time,and low incidence of complications,which is worthy of application and promotion.
2021 Vol. 28 (31): 122-124转128 [Abstract] ( 57 ) HTML (32 KB)  PDF  (0 KB)  ( 7 )
125 Effect of bilateral transversus thoracis muscle plane block on fast track recovery after pediatric cardiac surgery
LI Qing-qing；FANG Yin；ZHANG Si-bi；WEI Guo-hua；YOU Sha-sha
Objective To explore the efficacy and safety of ultrasound bilateral thoracic transverse muscle plane(TTP)block on reducing postoperative pain in children with cardiac surgery.Methods A total of fifty pediatric patients in the First Affiliated Hospital of Nanjing Medical University from January 2020 to December 2020,and divided into the control group and the TTP group according to the random number table method,with 25 cases in each group.The TTP group received bilateral TTP blocks with 2.5 ml/kg 0.375% Ropivacaine,and the control group received no nerve block.The modified objective pain score (MOPS)in postoperative,the dose of Fentanyl used in interoperatively and postoperative 24 hours,the mechanical ventilation time in postoperative,the ICU stay time,and the length of stay were compared between the two groups,and observed the occurrence of adverse events related with TTP arrest.Results The MOPS of the TTP group was lower than of the control group in postoperative 6,8,12,24 hours,the difference was statistically significant(P＜0.05).The MOPS of the TTP group in postoperative 24 hours was higher than that in postoperative 6 hours in the group,with statistically significant difference (P＜0.05).The dose of Fentanyl used of the TTP group was less than that of the control group in postoperative 24 hours,the mechanical ventilation time in postoperative and the ICU stay time of the TTP group were shorter than those of the control group,with statistically significant differences(P＜0.05).There were no statistically significant differences in the dose of Fentanyl used in interoperatively and the length of stay between the two groups (P＞0.05).None of the children of the TTP group had any adverse events due to TTP block.Conclusion Ultrasound guided bilateral TTP block can be effectively and safely applied to postoperative analgesia in pediatric cardiac surgery,and promote rapid postoperative recovery.
2021 Vol. 28 (31): 125-128 [Abstract] ( 50 ) HTML (33 KB)  PDF  (0 KB)  ( 6 )
129 Application of MRI and mammography in the diagnosis of lesion size and pathological classification before radical mastectomy for breast cancer
LUO Yong；ZHOU Fei-fei；WU Zhou-yang
Objective To investigate the application value of magnetic resonance imaging(MRI)and mammography in the diagnosis of lesion size and pathological classification before radical mastectomy.Methods The clinical data of 80 breast cancer patients admitted to Shangrao People′s Hospital from September 2019 to September 2020 were retrospectively analyzed.The patients were divided into MRI group(41 cases)and breast mammography group(39 cases)according to the different methods of preoperative examinations.In the MRI group,MRI scanning before surgery was used,and in the mammography group,mammography before surgery was performed.The postoperative pathological result was set the gold standard.The diagnostic values of size and pathological classification of the two groups before radical mastectomy were compared.Results Postoperative pathological results showed that in 80 patients undergoing radical mastectomy,the lesion size was 2 to 4 cm3,with an average size of(2.95±0.31)cm3.The size of the tumor detected before radical mastectomy in the MRI group did not differ statistically after comparing with the postoperative pathological results (P＞0.05).The size tumors detected in breast mammography group was smaller than that in the postoperative pathological results,the difference was statistically significant(P＜0.05).The overall coincidence rate of pathological classification in the MRI group before radical mastectomy was 90.24% (37/41),which was significantly higher than 64.10%(25/39)in the breast mammography group(χ2=7.833,P＜0.05).Conclusion Compared with mammography mammography,the diagnosis of tumor size before radical mastectomy by MRI is closer to the pathological results after surgery,and the accuracy of pathological classification is higher.
2021 Vol. 28 (31): 129-131转142 [Abstract] ( 49 ) HTML (32 KB)  PDF  (0 KB)  ( 5 )
132 Predictive value of carotid ultrasound Crouse integral method combined with plasma atherosclerosis index in patients with chronic schizophrenia carotid atherosclerosis
YANG Fan；WANG Xiao-yun；HUANG Li；ZHOU Long-hua
Objective To explore the predictive significance of carotid ultrasound Crouse integration method and plasma arteriosclerosis index (AIP)in patients with chronic schizophrenia carotid atherosclerosis.Methods A total of 150 patients with chronic schizophrenia admitted to the Third People′s Hospital of Ganzhou City from June 2019 to February 2021 were selected as the research subjects and divided into carotid atherosclerosis group (n=49)and non-carotid atherosclerosis group(n=101)according to the results of carotid artery color Doppler ultrasound.The laboratory indexes,AIP and Crouse scores of the two groups were compared.Results The total cholesterol(TC),triglyceride(TG)and low density lipoprotein cholesterol (LDL-C)in carotid atherosclerosis group were higher than those in non-carotid atherosclerosis group,while high density lipoprotein cholesterol (HDL-C)was lower than those in non-carotid atherosclerosis group,the differences were statistically significant(P＜0.05).The scores of AIP and Crouse in carotid atherosclerotic group were higher than those in non-carotid atherosclerotic group,and the differences were statistically significant(P＜0.05).Conclusion Clinically,the combination of crouse score and AIP could be used as a "windstalk" of carotid atherosclerosis in chronic schizophrenia patients,which is indicative for the predictive diagnosis of carotid atherosclerosis in chronic schizophrenia patients.
2021 Vol. 28 (31): 132-134 [Abstract] ( 42 ) HTML (30 KB)  PDF  (0 KB)  ( 5 )
135 The value of 3.0T magnetic resonance multimodal imaging in the differential diagnosis of benign and malignant breast lesions
GONG；TaoTAO Na；YUAN Wu
Objective To study the value of 3.0T magnetic resonance multimodal imaging in the differential diagnosis of benign and malignant breast lesions.Methods Retrospectively selected 62 patients with breast disease admitted to the Yichun People′s Hospital of Jiangxi Province from March 2018 to March 2020 were selected as the research objects.According to the pathological examination results,a total of 68 lesions were divided into the benign group and the malignant group,the number of the benign group was 26 cases and the malignant group was 42 cases respectively.All patients were examined by 3.0T magnetic resonance multimodal imaging (including regular flat sweep and dynamic enhancement inspection)to observe the different morphological characteristics of the lesions and compare the diagnostic value under different parameters.Results The burr and lobular signs of the malignant group were more than those of the benign group,and the differences were statistically significant(P＜0.05).The time-signal intensity curve classification of the two groups were compared,and the difference was statistically significant(P＜0.05).And the peak time of the two groups were compared,and the difference was statistically significant(P＜0.05).Among the dynamic enhancement indicators,the early enhancement rate＞100% can be used as the diagnostic criteria to achieve 100% sensitivity,followed by typeⅡ andⅢ curves,which were 90.48%,the difference was statistically significant(P＜0.05).Conclusion In the clinical diagnosis of breast lesions,3.0T magnetic resonance multimodal imaging could more accurately identify lesions,thereby improving the diagnostic value.
2021 Vol. 28 (31): 135-138 [Abstract] ( 51 ) HTML (33 KB)  PDF  (0 KB)  ( 6 )
139 Clinical value of diagnosising ovarian cyst pedicle torsion by color doppler flow imaging
LIN Xiu-qing
Objective To explore the clinical value of diagnosising ovarian cyst pedicle torsion by color doppler flow imaging.Methods A total of 60 cases suspected ovarian cyst pedicle torsion patients in the Second People′s Hospital Affiliated to Fujian University of Traditional Chinese Medicine from March 2017 to March 2021 were selected as the research object.All patients were standard with color doppler flow imaging diagnosis and histopathology diagnosis,and the histopathology diagnosis was used as the gold standard.The diagnosis result of color doppler flow imaging and histopathology were compared.Results The diagnosis sensitivity of color doppler flow imaging was 93.1%(54/58),specificity was 100%(2/2),accuracy was 93.3%(56/60).The color doppler flow imaging detection rate of ovarian cyst pedicle torsion patients was 90%(54/60),the pathology diagnosis detection rate was 96.7%(58/60),the difference was not statistically significant（P>0.05）.Conclusion The ovarian cyst pedicle torsion patients by color doppler flow imaging,which have high sensitivity,specificity and accuracy,which could provide sound theoretical basis for guiding the clinical treatment.
2021 Vol. 28 (31): 139-142 [Abstract] ( 53 ) HTML (34 KB)  PDF  (0 KB)  ( 6 )
143 Effect of ultrasound-guided lauryl alcohol ablation in the treatment of thyroid cystic nodules
LI Ji-sheng
Objective To investigate the effect of ultrasound-guided lauryl alcohol ablation in the treatment of thyroid cystic nodules.Methods A total of 200 patients with thyroid cystic nodules in the ultrasound department of Anshan Tumor Hospital,Liaoning Province from March 2019 to March 2020 were selected as the research objects,they were divided into observation group and control group according to the random number table method,with 100 cases in each group.The patients in the observation group were treated with ultrasound-guided lauryl alcohol ablation,and the patients in the control group were treated with absolute ethanol injection sclerotherapy under ultrasound-guided.The indexes of the two groups were compared.Results The total effective rate of observation group was higher than that of control group,the difference was statistically significant(P＜0.05).The incidence of adverse reactions in observation group was lower than that of control group,and the difference was statistically significant(P＜0.05).The narrowing rate of the observation group was higher than that of the control group,and the difference was statistically significant(P＜0.05).Conclusion Ultrasound guided polylauryl alcohol ablation for patients with thyroid cystic nodules can achieve significant results,which can not only improve the therapeutic effect,but also reduce adverse reactions.
2021 Vol. 28 (31): 143-145 [Abstract] ( 54 ) HTML (28 KB)  PDF  (0 KB)  ( 8 )
146 Effect of Compound Danshen Dripping Pills combined with Valsartan on blood pressure and vascular endothelial function in elderly patients with essential hypertension
ZHAN Jian；YU Huang-peng
Objective To investigate the effect of Compound Danshen Dripping Pills combined with Valsartan on blood pressure and vascular endothelial function in elderly patients with essential hypertension.Methods A total of 92 elderly patients with essential hypertension admitted to the Third People′s Hospital of Jiujiang City from February 2019 to February 2020 were selected as subjects.They were divided into the Western medicine group and the combination group according to the random number table method,with 46 patients in each group.Both groups were given Aspirin Enteric-coated Tablets and Atorvastatin Calcium Tablets after admission.The Western medicine group were given oral Valsartan to control blood pressure,and the combination group were treated with Compound Danshen Dripping Pills combined with Valsartan.The systolic blood pressure,diastolic blood pressure,serum nitric oxide(NO),and endothelin(ET-1)levels before and after treatment,and clinical efficacy were compared between the two groups.Results Before treatment,there were no statistically significant differences in blood pressure indicators between the two groups (P＞0.05).After treatment,the blood pressure indicators in the two groups were lower than those before treatment,with statistically significant differences (P＜0.05).The blood pressure indicators in the combination group after treatment were lower than those in the Western medicine group,with statistically significant differences(P＜0.05).The total effective rate of the combination group was higher than that in the Western medicine group,with statistically significant difference(P＜0.05).Before treatment,there were no significant differences in vascular endothelial function indexes(NO,ET-1)between the two groups(P＞0.05).After treatment,the NO levels in the two groups were higher than those before treatment,and the ET-1 levels in the two groups were lower than those before treatment,with statistically significant differences (P＜0.05).After treatment,the NO level in the combination group was higher than that in the Western medicine group,and ET-1 level in the combination group was lower than that in the Western medicine group,with statistically significant differences(P＜0.05).Conclusion Compound Danshen Dripping Pills combined with Valsartan has a more significant effect on blood pressure control in elderly patients with essential hypertension and is helpful for the recovery of vascular endothelial function.It is worthy of further clinical investigation.
2021 Vol. 28 (31): 146-149 [Abstract] ( 69 ) HTML (34 KB)  PDF  (0 KB)  ( 6 )
150 Clinical effect of traditional Chinese medicine preparation "Pneumonia No.1 Mixture" combined with antibiotics on children′s community acquired pneumonia
WEI You-jia；WEI Hui-lian；LI Ya-dian；LU Ying-hua
Objective To explore the clinical effect of traditional Chinese medicine preparation "Pneumonia No.1 Mixture" combined with antibiotics on children′s community acquired pneumonia.Methods From October 2019 to March 2021,a total of 180 cases of children with community acquired pneumonia admitted to the First People′s Hospital of Hechi City were selected as the research objects and divided into the control group and the observation group by random number table method,with 90 cases in each group.Children in the control group were given Cefotaxime supplemented with Ambroxol Western medicine to reduce phlegm and relieve cough,while children in the observation group were combined with traditional Chinese medicine preparation "Pneumonia No.1 Mixture" on the basis of the control group.The therapeutic effect,clinical indicators and incidence of adverse reactions were compared between the two groups.Results The total incidence of adverse reactions in the observation group was 2.22%,which was lower than 10.00% of the control group,the difference was statistically significant(P＜0.05).The length of hospitalization,disappearance time of pulmonary rales and cough disappearance time in the observation group were shorter than those in the control group,and the differences were statistically significant(P＜0.05).The total effective rate of treatment in the observation group was 95.56%,which was higher than 86.67% of the control group,the difference was statistically significant(P＜0.05).Conclusion On the basis of conventional Western medicine treatment,the combination of "Pneumonia No.1 Mixture" in the treatment of children community acquired pneumonia can not only effectively improve the clinical efficacy,speed up the recovery of patients,but also reduce the incidence of adverse reactions.
2021 Vol. 28 (31): 150-152转156 [Abstract] ( 56 ) HTML (34 KB)  PDF  (0 KB)  ( 9 )
153 Analysis on the status quo of drug consultation clinic in China
HU Tian-xin；YANG Qi
For promoting construction of healthy China,rational use of drugs should not be absent.Opening drug consultation clinicby clinical pharmacists,who could provide services to patients directly,is conducive to improve the standardization of drug treatment to ensure the safety and compliance of drug treatment,to reduce the occurrence of adverse reactions,to fulfill individualized and accurate medication.At the same time,it can reduce medical disputes,enhancing the overall image of the hospital.As the action of healthy China promoted by Premier LI Ke-qiang to overall state,the idea that everyone is first responsible person for his own health is advocated.Compared with traditional consultation window,establishment of drug consultation clinic can popularize the knowledge of rational use of drugs to patients,as well as meet the self-medication needs for public self-medication.In this paper,we demonstrated the development status of domestic drug counseling service by reviewing relevant literature in the past 10 years,analyzed and summarized the conditions,methods,procedures and significance of setting up drug consultation clinic.Come to the conclusion of drug consultation clinic is a new way for clinical pharmacists to play a role in promoting rational drug use in the future,and also provides ideas and technical guidance for the establishment of relevant pharmaceutical consulting outpatient department.
2021 Vol. 28 (31): 153-156 [Abstract] ( 43 ) HTML (33 KB)  PDF  (0 KB)  ( 8 )
157 Visual analysis of literature on snake bite treated with traditional Chinese medicine in recent 20 years
FU Miao；HAN Ning-lin；CAO Cheng-lou；WANG Kai；FAN Quan；LIU Sha；LI Zhong-zhi
Objective To explore the research status of traditional Chinese medicine in the treatment of snake bite in the past two decades based on visualized analysis of knowledge map,and thus provide thought and basis for the future studies in this field.Methods The literatures on the treatment of snake bite with traditional Chinese medicine in recent 20 years(2001-2020)in China National Knowledge Internet(CNKI)database were searched,Citespace5.7.R5 was used to and analyze literature information,such as published literature number,journal,author,High-frequency cited papers and key words.Results A total of 374 papers were included.The most prominent authors are WANG Wan-chun,the Affiliated Hospital of Jiangxi University of Traditional Chinese Medicine,and ZENG Zhong-yi,Shenzhen Traditional Chinese Medicine Hospital,etc.The cooperative team of them has a greater influence,subsequently the second influential research team is GONG Xu-chu,Nantong Hospital Affiliated to Nanjing University of Chinese Medicine.Key word research shows that the common intervention methods of snake bite are anti-pit viper serum,integrated traditional Chinese and western medicine,Ji Desheng snake tablets and external application of traditional Chinese medicine.Conclusion The literature knowledge map intuitively shows the general situation of snakebite treated by traditional Chinese medicine in the past 20 years,which is conducive to exploring the characteristics and methods of treating snake bites,and providing reference for the clinical and scientific research about this field in the future.
2021 Vol. 28 (31): 157-160 [Abstract] ( 52 ) HTML (39 KB)  PDF  (0 KB)  ( 9 )
161 Study on treatment of scapulohumeral periarthritis by Sanqi Hebi needle combined with Xunqiao method
WAN Dun；YANG Yao-li
Objective To explore the clinical effect of Sanqi Hebi needle combined with Xunqiao method in treating periarthritis of shoulder.Methods A total of 80 patients with periarthritis of shoulder in Nanchang Hongdu Hospital of Traditional Chinese Medicine from June 1,2018 to December 31,2019 were selected as the research objects.They were divided into the observation group and the control group by random number table method,with 40 cases in each group.The observation group was treated with Sanqi Hebi needle combined with Xunqiao method,and the control group was treated with common acupuncture,massage and joint loosening for 4 weeks,respectively.The visual analogue scale(VAS)score,range shoulder of motion score (Melle score)and rehabilitation effect of shoulder function were compared between the two groups before and after treatment.Results There was no statistically significant difference of the VAS score between the two groups before treatment(P＞0.05).The VAS scores of the two groups after treatment were lower than those before treatment,and the differences were statistically significant(P＜0.05).The VAS score of the observation group after treatment was lower than that of the control group,and the difference was statistically significant(P＜0.05).There was no statistically significant difference in Melle score between the two groups before treatment(P＞0.05).The Melle scores of the two groups after treatment were lower than those before treatment,and the differences were statistically significant(P＜0.05).The Melle score of the observation group after treatment was lower than that of the control group,and the difference was statistically significant(P＜0.05).The rehabilitation effect of shoulder joint function in the observation group was better than that in the control group,and the total effective rate in the observation group was higher than that in the control group,the differences were statistically significant(P＜0.05).Conclusion The treatment of scapulohumeral periarthritis by Sanqi Hebi needle combined with Xunqiao method can improve the range of motion of shoulder joint,relieve pain,and effectively restore joint activity,which has good therapeutic effect and is worth promoting in clinical practice.
2021 Vol. 28 (31): 161-163 [Abstract] ( 50 ) HTML (32 KB)  PDF  (0 KB)  ( 6 )
164 Summary of national famous Traditional Chinese Medicine professor Qiu Jianxing′s experience in treatment of refractory gastroesophageal reflux disease
LIU Xi-jian；YANG Si-wei；QIU Jian-xing；YANG Nai-kun；LUO Guo-liang；ZHEN Hui-lian
Objective To collect the experiences of Professor Qiu Jianxing,a well-known Chinese medicine doctor in China,in the treatment of refractory gastroesophageal reflux disease,and to explore the medication rules and treatment ideas.Methods Clinical data of 80 patients with refractory gastroesophageal reflux disease who were admitted to the famous doctor′s studio of Qiu Jianxing in Sanshui Hospital of Foshan Hospital of Traditional Chinese Medicine from January to December 2020 were retrospectively selected.The data table was established,the frequency analysis and descriptive analysis were conducted to analyze the medication rules.Results After treatment,the scores of reflux disease questionnaire(RDQ),self-rating anxiety scale(SAS)and self-rating depression scale(SDS)were lower than those before treatment,and the differences were statistically significant(P＜0.05).Professor Qiu Jianxing treated refractory gastroesophageal reflux disease,a total of 70 traditional Chinese medicines were used,among which 26 medications were used at a frequency of more than 10%.The most frequently used medications were cuttlebone,fritillaria thunbergii,corydalis tuber and magnolia officinalis,with a frequency of 100%,98.75%,86.25%,and 85.00%,respectively.Conclusion Professor Qiu Jianxing focuses on syndrome differentiation in the treatment of refractory gastroesophageal reflux disease and medications are consistent with pathogenesis.It can significantly improve patient′s sleep status and relieve negative emotions,indicating significant effect and high application value.
2021 Vol. 28 (31): 164-167 [Abstract] ( 60 ) HTML (38 KB)  PDF  (0 KB)  ( 7 )
168 Clinical effect of Chuankezhi injection combined with high flow humidified oxygen delivery device in the treatment of acute exacerbation of chronic obstructive pulmonary disease complicated with respiratory failure
QIAN Xu-sheng；LI Bi-fang；TAO Hai-lan；ZHU Bi-yuan；LIAN Le-shen；WANG Ying-kang；GUO Wei-xing
Objective To observe the clinical effect of Chuankezhi injection combined with high flow humidified oxygen delivery devices(AIRVO2)in the treatment of acute exacerbation of chronic obstructive pulmonary disease(AECOPD)complicated with respiratory failure and its influence on inflammatory mediators and cellular immune status.Methods A total of 122 AECOPD patients with respiratory failure admitted to the Department of Pulmonary and Critical Care Medicine of Dongguan Hospital of Traditional Chinese Medicine from September 2019 to November 2020 were selected and divided into the treatment group and the control group according to random number table method,61 cases in each group,1 case left out in each group,and 60 cases completed in each group.The control group was given AIRVO2,anti infection,expectorant and bronchial relaxation according to the guidelines.The treatment group was given Chuankezhi Injection on the basis of the control group.And the course of treatment was 14 days in each group.The traditional Chinese medicine syndrome score,the total white blood cell(WBC)count,C-reactive protein(CRP),arterial blood pH value,arterial partial pressure of oxy-gen(PaO2),arterial partial pressure of carbon dioxide(PaCO2)and peripheral blood interleukin-1β (IL-1β),analysis of interleukin-8 (IL-8)and T lymphocyte subsets(CD3+,CD4+,CD8+,CD4+/CD8+)were observed before and after treatment between the two groups.Results There were no significant difference in the traditional Chinese medicine syndrome score,the levels of WBC,CRP,pH value,PaO2,PaCO2,IL-1β,IL-8 and T lymphocyte subsets before treatment between the two group (P＞0.05).After treatment,the levels of WBC,CRP,PaCO2,IL-1β,IL-8 and CD8+in the two groups were lower than those before treatment,and the differences were statistically significant(P＜0.05).After treatment,the levels of pH value,PaO2,CD3+,CD4+,CD4+/CD8+in the two groups were higher than those before treatment,and the differences were statistically significant(P＜0.05).The levels of WBC,CRP,PaCO2,IL-1β,IL-8 and CD8+in the treatment group after treatment were significantly lower than those in the control group,and the differences were statistically significant(P＜0.05).After treatment,the levels of pH value,PaO2,CD3+,CD4+,CD4+/CD8+of the treatment group were higher than those in the control group,and the differences were statistically significant(P＜0.05).Conclusion Chuankezhi injection combined with AIRVO2can significantly improve the clinical effect of AECOPD with respiratory failure,and improve the inflammatory response and cellular immune status of patients.
2021 Vol. 28 (31): 168-172 [Abstract] ( 60 ) HTML (46 KB)  PDF  (0 KB)  ( 8 )
173 Clinical efficacy of Shugan Jianpi Recipe combined with Entecavir in the treatment of hepatitis B cirrhosis patients with syndrome of liver depression and spleen deficiency
LIU Feng；LI Ming；CHEN Kai-feng；YUAN Tong-li
Objective To explore the clinical effect of Shugan Jianpi Recipe combined with Entecavir in the treatment of hepatitis B cirrhosis patients with syndrome of of liver depression and spleen deficiency.Methods A retrospective analysis of 76 cases of hepatitis B cirrhosis patients with syndrome of of liver depression and spleen deficiency from October 2018 to October 2020 in the First Affiliated Hospital of Hunan College of Chinese Medicin was conducted.The patients were divided into the conventional group (n=36)and the combined group (n=40)according to the treatment plan.The conventional group was given Entecavir,and the combined group was given Shugan Jianpi Recipe on the basis of the conventional group.The treatment efficacy,the scores of traditional Chinese medicine syndrome,liver function,liver fibrosis,cellular immune function before and 3 months after treatment,hepatitis B virus DNA content(HBV DNA)negative rate and the total incidence of adverse reactions of the two groups were compared.Results The total effective rate of the combined group was higher than that of the conventional group,the difference was statistically significant(P＜0.05).After treatment,the scores of traditional Chinese medicine syndromes in the two groups were lower than those before treatment,the differences were statistically significant(P＜0.05).And the scores of traditional Chinese medicine syndromes in the combined group after treatment was lower than the conventional group,the differences were statistically significant(P＜0.05).The levels of total bilirubin (TBIL),aspartate aminotransferase(AST),hyaluronic acid(HA),laminin(LN),pre-Ⅲ collagen peptide(PC-Ⅲ),type Ⅳ collagen(Ⅳ-C),cytotoxic T cell(CD8＋)after treatment in the two groups were lower than those before treatment,and the levels of TBIL,AST,HA,LN,PC-Ⅲ,Ⅳ-C,CD8＋of the combined group after treatment were lower than those of the conventional group,the differences were statistically significant(P＜0.05).After treatment,the levels of albumin(ALB),mature T lymphocytes(CD3＋),and helper T cells(CD4＋)after treatment in the two groups were higher than those before treatment,and the levels of ALB、CD3＋、CD4＋of the combined group after treatment were higher than those of the conventional group,the differences were statistically significant(P＜0.05).After treatment,the HBV DNA negative ratio in the combined group was higher than that in the conventional group,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 Shugan Jianpi Recipe combined with Entecavir tablets in the treatment of liver depression and spleen deficiency syndrome of hepatitis B cirrhosis patients has ideal clinical effect,which can alleviate the clinical symptoms of patients,protect liver function,improve cellular immune function.
2021 Vol. 28 (31): 173-176转180 [Abstract] ( 57 ) HTML (40 KB)  PDF  (0 KB)  ( 8 )
177 Efficacy of Modified Dachaihu Decoction combined with Octreotide Acetate Injection in the treatment of severe acute pancreatitis and its ibfluence on the level of serum tumor necrosis factor
LIN Ping-qing；MIN Jun；DIAO Liang-biao
Objective To explore the effect of modified Dachaihu Decoction combined with Octreotide Acetate Injection in the treatment of severe acute pancreatitis and its influence on the level of serum tumor necrosis factor.Methods From January 2018 to December 2020,80 patients with severe acute pancreatitis who were admitted to Fuzhou Second Hospital Affiliated to Xiamen University were selected as the study subjects.According to the random number table method,they were divided into the control group(40 cases)and the observation group(40 cases).The control group was treated with Octreotide Acetate Injection,and the observation group was treated with Modified Dachaihu Decoction on the basis of the treatment of the control group.The therapeutic effects,the incidence rate of adverse reactions,intestinal mucosal barrier function,and the level of serum tumor necrosis factor were compared between the two groups.Results The total effective rate of treatment in the observation group was higher than that in the control group,and the difference was statistically significant(P＜0.05).The total incidence rate of adverse reactions in the observation group was lower than that in the control group,and the difference was statistically significant(P＜0.05).The levels of plasma endotoxin,plasma diamine oxidase and urinary lactulose/mannitol in the two groups after treatment were lower than those before treatment,and the differences were statistically significant(P＜0.05).The levels of plasma endotoxin,plasma diamine oxidase and urinary lactulose/mannitol in the observation group were lower than those in the control group,and the differences were statistically significant(P＜0.05).The levels of interleukin-6 (IL-6),tumor necrosis factor-α(TNF-α)and interleukin-8 (IL-8)after treatment in the two groups were lower than those before treatment,and the differences were statistically significant(P＜0.05).The levels of IL-6,TNF-α and IL-8 in the observation group after treatment were lower than those in the control group,and the differences were statistically significant(P＜0.05).Con-clusion Modified Dachaihu Decoction combined with Octreotide Acetate Injection in the treatment of severe acute pancreatitis can improve the effective rate of treatment,and significantly improve patients′intestinal mucosal barrier function and level of serum tumor necrosis factor,which is worthy of clinical popularization and application.
2021 Vol. 28 (31): 177-180 [Abstract] ( 44 ) HTML (35 KB)  PDF  (0 KB)  ( 8 )
181 Investigation on the sports situation of 3-6 years old children in Shijingshan District
REN Xia
Objective Through questionnaire survey,this paper analyzes the sports situation of preschool children(3-6 years old)in Shijingshan District,and provides reference for promoting children′s sports habit formation.Methods A random cluster sampling method was adopted to conduct a questionnaire survey on the basic information,family situation,community situation,sports situation,sports cultivation situation and parents′participation in sports in 6 kindergartens and nursery institutions in Shijingshan District from June 2018 to August.Results In 72.53% of families,the mother was the primary caregiver of the children in the preschool stage.91.58% of mothers have college degree or above,85.96% often work overtime or part-time,and do not spend enough time with their children.36.43% of the communities did not have outdoor activities,41.78% did not have outdoor activities,and 42.54% did not have special facilities and venues for children.12.81% of parents do not have favorite outdoor sports,27.12% of parents exercise for more than 1 h every day,and only 17.46% participate in outdoor sports every day.There was a difference between male and female children′s parents in the choice of sports mode(P＜0.05);There was no difference between male and female parents in sports cultivation of children (P＞0.05).31.44% of parents had received sports training for children.38.90% of the children participated in sports training at the present stage.88.42% of parents think it is very important for children to receive motor skills training.Conclusion The primary caregiver(mother)should be given more time to accompany children in their early school years and develop good exercise habits.It is suggested that various measures be taken to strengthen community construction,actively create and provide venues and Spaces suitable for children′s sports,standardize access and industry standards for children′s sports training institutions,and help children develop their sports ability.
2021 Vol. 28 (31): 181-185 [Abstract] ( 41 ) HTML (39 KB)  PDF  (0 KB)  ( 7 )
186 Life quality of middle-aged patients with type 2 diabetes in Hengyang community and its influencing factors
HU Ya-jing；WU Pei；ZHANG Fang-fang NI；Jin-hui；YOU Ze；LIAO Li
Objective To investigate the life quality of middle-aged patients with type 2 diabetes in Hengyang community and analyze its influencing factors.Methods The convenience sampling method was used to select 330 middleaged patients with type 2 diabetes in 3 communities in Hengyang from November 2020 to February 2021.The general life quality questionnaire and diabetes specific quality of life scale (DSQL)were used to investigate the patients′life quality and its influencing factors.Results The average score of life quality of middle-aged patients with type 2 diabetes in Hengyang community was(61.75±13.19)points,which was in the middle level,the scores of physiology,psychology,social relations and treatment were(25.04±7.53),(23.69±5.57),(7.08±2.58)and(5.93±2.07)points.Multiple linear regression analysis showed that long course of disease,multiple complications and sleep disorder were independent risk factors affecting patients′life quality (P＜0.05),while regular exercise,fasting blood glucose level and waist circumference were protective factors affecting patients′life quality (P＜0.05).Conclusion The life quality of middleaged patients with type 2 diabetes in Hengyang community is at a medium level.Community medical staff should promote their healthy behavior,take proper exercise,reduce psychological pressure,and build up confidence in overcoming diseases,so as to improve the life quality of patients.
2021 Vol. 28 (31): 186-189转193 [Abstract] ( 65 ) HTML (35 KB)  PDF  (0 KB)  ( 8 )
190 A survey of students′satisfaction with the course content setting and teaching of Maternal and Child Health during the period of COVID-19
KE Xun-yu；LI Qing
Objective To understand students′demands for the course content setting of Maternal and Child Health Science during the period of COVID-19,and to explore students′degree of teaching satisfaction,so as to provide a basis for optimizing the course setting,improving the teaching quality and deepening the teaching reform.Methods A total of 25 students majoring in Preventive Medicine in the second semester of Xiamen University during the period of COVID-19 from 2019 to 2020 were selected as the main subjects.They were taught on the DingTalk software network platform.After the Maternal and Child Health course,a questionnaire was conducted to investigate the needs of course content and the degree of teaching satisfaction of students.Results Students′satisfaction with online teaching was 92%,however,the rate of worrying about the teaching quality of online teaching was as high as 52%.At the top of the list of chapters students need to know was the prevention of mother-to-child transmission of AIDS;and the chapter ranking first of interest to students was adolescent health care.Students′satisfaction got the highest level with "The Appropriateness of Enumerating Cases" and "The illumination of the Enumerating Cases".Conclusion Students are generally satisfied with online teaching methods,but they are generally worried about the teaching quality.This teaching method is suitable for the teaching of Maternal and Child Health,which has profound significance to cultivate comprehensive and practical talents.
2021 Vol. 28 (31): 190-193 [Abstract] ( 46 ) HTML (32 KB)  PDF  (0 KB)  ( 9 )
194 A case of nursing a leukemia patient with difficult extubation caused by fibrin sheath encasing perpherally inserted central catheters
WANG Xue-na；SHI Ying-mei
To summarize the nursing experience of a leukemia patient who had difficulty in decannulation due to fibrin sheath formation after catheterization in peripherally inserted central venous catheter(PICC).Through the clear diagnosis of fibrin sheath caused by PICC catheterization,timely auxiliary examination,implementation of targeted nursing management and psychological intervention,the catheter was successfully removed and thus avoided the surgical treatment due to the decannulation difficulty.In this paper,the main points in the treatment and nursing of fibrin sheath in peripheral central venous catheterization were analyzed in detail,and the causes of fibrin sheath formation,diagnostic methods,drug therapy and the significance of early prevention were summarized,in order to provide reference and suggestions for future treatment of this problem.
2021 Vol. 28 (31): 194-196 [Abstract] ( 45 ) HTML (30 KB)  PDF  (0 KB)  ( 7 )
197 A case report of retroperitoneal abscess caused by percutaneous transhepatic gallbladder drainage and catheterization
ZHANG Wen-jie；WU Shan-shan；NIE Xiang-yang
Percutaneous transhepatic gallbladder drainage (PTGBD)is a widely used surgery in clinical work.It is usually used in patients with acute severe cholecystitis and elderly patients with acute cholecystitis to help them pass the inflammatory period smoothly.After the vital signs are stabilized,seeking surgical opportunities can help shorten the operation time and intraoperative blood loss of laparoscopic cholecystectomy.In addition,the operation itself also has the advantages of high success rate,simple operation,and less trauma.However,currently clinicians are not standardizing the application of PTGBD in actual clinical work.The time of indwelling drainage tube for drainage after PTGBD has not yet formed a uniform,and there are few reports of postoperative complications,which is a safety issue for PTGBD.Insufficient understanding.Therefore,it is controversial whether to improve the quality of the patient's recovery and benefit the patients after PTGBD.A case of retroperitoneal abscess caused by PTGBD catheterization in Hexian Memorial Hospital of Panyu District of Guangzhou City is now reported,combined with relevant literature discussion and experience,in order to provide reference for clinical treatment.
2021 Vol. 28 (31): 197-199 [Abstract] ( 57 ) HTML (26 KB)  PDF  (0 KB)  ( 8 )
200 Influence of narrative nursing on mental state and self-care ability of patients with Alzheimer′s disease
ZENG Jie-fang；LI Pei-zhen；ZHU Dong-xian；LIANG Min-hui
Objective To investigate the influence of narrative nursing on mental state and self-care ability of patients with Alzheimer′s disease(AD).Methods A total of 139 patients with AD who were admitted to Guangzhou Liwan Central Hospital from May 2018 to May 2020 were prospectively selected as the research subjects and divided into the observation group(70 cases)and the control group(69 cases)according to the random number table method.The control group was treated with conventional nursing intervention,and the observation group was treated with narrative nursing intervention on the basis of the control group.The mental state and self-care ability of the two groups were compared before intervention and 2 months after intervention.Results After 2 months of intervention,the scores of directivity,immediate memory,attention and calculation,and recall and language ability in the observation group were higher than those in the control group,with statistical differences (P＜0.05).The scores of self-concept,self-responsibility,selfnursing skills and health knowledge in the observation group were higher than those in the control group,with statistical differences(P＜0.05).Conclusion Narrative nursing intervention can effectively improve the mental state of patients with AD and improve their self-care ability.
2021 Vol. 28 (31): 200-202 [Abstract] ( 58 ) HTML (30 KB)  PDF  (0 KB)  ( 7 )
203 Application effect of one-piece bag in wound leakage after hepatobiliary surgery
WANG Hong-chao
Objective To investigate the application effect of one-piece bag in wound leakage after hepatobiliary surgery.Methods A total of 110 patients admitted to the Second Affiliated Hospital of Nanchang University from June 2019 to June 2020 after hepatobiliary surgery were selected as the research subjects.According to the random number table method,they were divided into the control group(55 cases)and the study group(55 cases).The control group received conventional wound leakage care,and the study group received one-piece bag.The incidence of peripheral skin irritant dermatitis,satisfaction rate,comfort score,pocket changing frequency,dressing changing time and drainage opening closing time were compared between the two groups.Results The incidence of peripheral skin irritant dermatitis in the study group was lower than that in the control group,and the difference was statistically significant(P＜0.05).The total satisfaction of the study group was higher than that of the control group,and the difference was statistically significant(P＜0.05).The comfort score of the study group was higher than that of the control group,pocket changing frequency of the study group was more than that of the control group,dressing changing time and drainage closure time of the study group were shorter than those of the control group,with statistical differences (P＜0.05).Conclusion The application effect of one-piece pocket in the nursing of wound leakage of patients after hepatobiliary surgery,avoids the occurrence of adverse reactions,improves the comfort and satisfaction of patients,and is conducive to the early recovery of patients.It is worth clinical popularizing.
2021 Vol. 28 (31): 203-206 [Abstract] ( 56 ) HTML (34 KB)  PDF  (0 KB)  ( 4 )
207 Application of WeChat continuing nursing combined with peer education in patients with type 2 diabetes and its influence on patients′self-efficacy
XIA Qun-li；LUO Wu-ting
Objective To explore the application of WeChat continuous nursing combined with peer education in patients with type 2 diabetes and its impact on patients′self-efficacy.Methods A total of 320 patients with type 2 diabetes who were admitted to the Yichun Second People′s Hospital from March 2018 to January 2020 were selected.They were divided into the intervention group and the control group using random number table method,160 patients in each group.Both groups were given Subcutaneous Insulin Injections or hypoglycemic drugs according to physicians′orders for blood glucose control and maintained routine treatment.The control group was given conventional diabetes health education,and the intervention group was given WeChat continuous nursing combined with peer education.The self-efficacy scale score,disease knowledge mastery and blood glucose control status were compared between the two groups.Results Before nursing,there was no statistically significant difference in self-efficacy score between the two groups (P＞0.05).The self-efficacy scores in the two groups after 6 months of nursing were higher than those before nursing,the self-efficacy score in the intervention group was higher than that in the control group,with statistical differences(P＜0.05).The total disease knowledge mastery rate after 6 months of nursing in the intervention group was higher than that in the control group,with statistical difference (P＜0.05).Before nursing,there were no significant differences in fasting blood glucose,2 h postprandial blood glucose and glycosylated hemoglobin level between the two groups(P＞0.05).The fasting blood glucose,2 h postprandial blood glucose and glycosylated hemoglobin level in the control group after 6 months of nursing were not statistically different from those before nursing (P＞0.05).The fasting blood glucose,2 h postprandial blood glucose and glycosylated hemoglobin level in the intervention group after 6 months of nursing were lower than before nursing and those in the control group,with statistical differences(P＜0.05).Conclusion WeChat continuous nursing combined with peer education is beneficial to improve the self-efficacy of diabetic patients,and can better supervise diabetic patients to exercise self-discipline,which is worthy of clinical promotion.
2021 Vol. 28 (31): 207-210 [Abstract] ( 60 ) HTML (34 KB)  PDF  (0 KB)  ( 9 )
211 Effect of synergistic nursing intervention on the psychophysiological stress response of patients undergoing hysteroscopy
JIAN Xiao-jin；RAO Hong-ying；LI Hui-jiao；XU Qin；TAN Lian-xiang；ZHENG Xiang
Objective To explore the effect of synergistic nursing intervention on the psychophysiological stress response of patients undergoing hysteroscopy.Methods A total of 54 patients who underwent hysteroscopy in Fuzhou Maternal and Child Health Hospital from October 2019 to October 2020 were selected and divided into two groups according to the random number table,27 cases in each group.In the conventional group,patients received routine care,and in the synergistic group,synergistic nursing intervention was added on the basis of routine care.The psychological stress response including Hamilton depression scale(HAMD)and Hamilton anxiety scale(HAMA)scores,physiological stress response including the levels of heart rate(HR)and mean arterial pressure(MAP)between the two groups before and one day after intervention were compared.The patient′s satisfaction on nursing was investigated.Results There were no statistical difference in HAMA,HAMD score,HR,or MAP level between the two groups before intervention(P＞0.05).In the synergistic group,the scores of HAMA and HAMD after intervention were (16.05±2.93)points and(17.94±2.68)points respectively,lower than those of the conventional group of(19.15±2.87)points and (20.46±3.02)points,with statistical differences(P＜0.05).After intervention in the synergistic group,HR and MAP were(95.24±8.75)beats per minute and(91.05±9.27)mmHg,lower than those of the conventional group of(101.53±9.46)beats per minute and (99.65±9.35)mmHg,the nursing total satisfaction in the synergistic group was better than that of the conventional group,with statistical differences(P＜0.05).Conclusion The use of synergistic nursing intervention during hysteroscopy can reduce patient′s stress and increase nursing satisfaction.
2021 Vol. 28 (31): 211-213转217 [Abstract] ( 49 ) HTML (31 KB)  PDF  (0 KB)  ( 5 )
214 Application effect of meticulous defect filling mode of key nursing quality control points in intraoperative nursing of patients undergoing knee arthroscopic surgery
WU Yan-di；WANG Yan；WANG Jing
Objective To observe the effect of fine defect filling mode of key nursing quality control points in the intraoperative nursing of patients undergoing arthroscopic knee surgery.Methods A total of 80 patients treated with arthroscopy in Fuzhou First People′s Hospital in Jiangxi Province from January o December 2019 were selected as the research subjects.They were divided into the control group(40 cases)and the experimental group(40 cases)according to the implementation of the refined defect filling model of key nursing quality control points before (January to June 2019)and after(July to December 2019).The control group adopted routine intraoperative nursing coordination,and the experimental group combined with the key nursing quality control points refined defect filling mode intervention on this basis.The total incidence of complications after intervention and nursing satisfaction of doctors and patients were compared between the two groups.Results The total incidence of complications after knee arthroscopic surgery in the experimental group was lower than that in the control group,and the nursing satisfaction of doctors and patients were higher than those in the control group,with statistical significances (P＜0.05）.Conclusion Intraoperative nursing for patients undergoing knee arthroscopic surgery can significantly reduce the risk of intraoperative and postoperative complications,and improve the nursing satisfaction of surgeons and patients.
2021 Vol. 28 (31): 214-217 [Abstract] ( 52 ) HTML (32 KB)  PDF  (0 KB)  ( 7 )
218 Application of shared decision-making in the integrated nursing of doctors and nurses of emergency CO poisoning patients
HUANG Hui-mei
Objective To explore the application of shared decision-making in the integrated nursing of doctors and nurses of patients with emergency carbon monoxide (CO)poisoning.Methods The clinical data of 87 patients with emergency CO poisoning treated in the Emergency Department of Center People′s Hospital of Ji′an City from August 2017 to October 2019 were analyzed retrospectively,and 41 patients admitted from August 2017 to October 2018 were set as group A,and routine nursing care was implemented.A total of 46 patients admitted from November 2018 to October 2019 were set as group B,and shared decision-making and integrated nursing of doctors and nurses was implemented.The treatment success rate,the scores of patient′s health cognition before and after intervention were compared between the two groups.Results The treatment success rate of patients in group B was 95.65%,which was significantly higher than 78.05% in group A,the difference was statistically significant(P＜0.05).After intervention,the scores of cooperated in emergency treatment,health knowledge during the observation stage,and health knowledge during the rehabilitation stage in the two groups were higher than those before intervention(P＜0.05),and the scores of cooperated in emergency treatment,health knowledge during the observation stage,and health knowledge during the rehabilitation stage of group B after intervention were higher than those of group A,the difference was statistically significant(P＜0.05).Conclusion The application of shared decision-making in the integrated nursing of doctors and nurses of patients with emergency CO poisoning can improve the success rate of treatment and improve the health awareness of the patients.
2021 Vol. 28 (31): 218-220转224 [Abstract] ( 52 ) HTML (30 KB)  PDF  (0 KB)  ( 8 )
221 Application effect of WeChat platform applied continuous nursing of discharged patients with cancer pain in primary hospital
XU Qiong；LI Yi；LIANG Si-yan
Objective To explore the application effect of continuous nursing based on WeChat platform in patients discharged from cancer pain in primary hospitals.Methods A total of 80 cancer pain discharged patients admitted to Zhongshan Xiaolan People′s Hospital in Guangdong Province from February to July 2020 were selected and divided into the observation group and the control group by random number table method,40 cases in each group.The observation group adopts the WeChat platform+continued nursing model,and the control group adopts routine health education before discharge+telephone follow-up.The compliance of the two groups of patients with oral medication,the degree of pain relief,the scores of the mental state of the two groups before and after the intervention,and the satisfaction with nursing were compared.Results The medication compliance and pain relief rate of the observation group were lower than those of the control group,the differences were statistically significant(P＜0.05).The satisfaction degree in all aspects of the observation group was higher than that of the control group,and the difference was statistically significant(P＜0.05).Before the intervention,there were no statistically significant difference between the two groups′mental status scores(P＞0.05);after the intervention,the anxiety and depression scale scores of the two groups were lower than before the intervention,and the anxiety and depression scores of the observation group were lower than those of the control group,the differences were statistically significant(P＜0.05).Conclusion Continuing nursing based on WeChat platform has significant effect on patients discharged from cancer pain in primary hospitals.It can improve patient compliance with medication,improve patient pain,reduce negative emotions,and improve nursing satisfaction.
2021 Vol. 28 (31): 221-224 [Abstract] ( 56 ) HTML (33 KB)  PDF  (0 KB)  ( 7 )
225 Application of butterfly buckle fixation in the fixation of head drainage tube
LONG Qiu-xia；ZHANG Jian-ying；LU Zhi-qiong；ZHOU Ying
Objective To explore the application of butterfly buckle fixation in the fixation of head drainage tube.Methods From June 2020 to January 2021,60 patients with various types of head drainage tubes after craniocerebral surgery in the Third Affiliated Hospital of Gannan Medical University were selected as the study subjects,and the patients were divided into the control group(30 cases)and the observation group(30 cases)according to the random number table method.The control group applied traditional head drainage tube fixation,and the observation group used butterfly buckle fixation to fix the head drainage tube.The number of fixed material replacements and unplanned extubation rate were compared between the two groups within 3 d,and the satisfaction of patients,family members and nurses were compared after 3 d.Results The number of fixed material replacements and unplanned extubation rate of the observation group within 3 d of catheterization were lower than those in the control group,the differences were statistically significant(P＜0.05).After 3 d of catheterization,the satisfaction rates of patients,family members and nurses in observation group were higher than those in control group,the differences were statistically significant(P＜0.05).Conclusion Butterfly buckle fixation for head drainage tube can reduce unplanned extubation and improve the satisfaction of patients,family members and nurses.
2021 Vol. 28 (31): 225-227 [Abstract] ( 43 ) HTML (31 KB)  PDF  (0 KB)  ( 7 )
228 Influence of personalized narrative nursing on anxiety and depression of patients with chronic heart failure
DU Qian；LIU Jun-lan
Objective To explore the effect of personalized narrative nursing on anxiety and depression in patients with chronic heart failure (CHF).Methods From October 2019 to January 2021,70 patients with CHF who were treated in Pingxiang People′s Hospital were selected as the research subjects.They were divided into the control group(35 cases)and the observation group (35 cases)according to the different nursing plans.In the control group,patients were provided with routine care,and in the observation group,patients were provided with personalized narrative nursing.Both groups of patients were followed up for 1 month，The treatment compliance of the two groups were compared.The selfrating anxiety scale(SAS)and the self-rating depression scale(SDS)scores of the two groups within 24 hours of admission and 1 month after intervention were compared.Results Before the intervention,there was no statistically significant difference in treatment compliance between the two groups(P＞0.05).After 1 month of intervention,the treatment compliance of the two groups was higher than before the intervention,the treatment compliance of the observation group was higher than that of the control group,and the differences were statistically significant(P＜0.05).Within 24 hours of admission,there were no significant difference in SAS or SDS score between the two groups(P＞0.05).After 1 month of intervention,the two groups′SAS and SDS scores were lower than within 24 hours of admission,the SAS and SDS scores of the observation group were lower than that of the control group,with statistical significances(P＜0.05).Conclusion The use of personalized narrative nursing for patients with CHF can help improve patient compliance and reduce anxiety and depression symptoms.
2021 Vol. 28 (31): 228-230 [Abstract] ( 51 ) HTML (30 KB)  PDF  (0 KB)  ( 8 )
231 Application effect of integrated rehabilitation nursing care in patients with acute myocardial infarction
QIU Xiao-chun；CHEN Xin-hao
Objective To explore the application effect of integrated rehabilitation nursing care in patients with acute myocardial infarction (AMI).Methods A total of 68 patients with AMI admitted to Longyan Second Hospital in Fujian Province from February 2020 to January 2021 were selected as the research objects,and they were divided into the observation group (34 cases)and the control group (34 cases)according to random number table method.The control group was used conventional nursing care,and the observation group was used integrated medical-nursing combined rehabilitation nursing.The ability of daily living,self-efficacy,negative emotions,adverse events,and nursing satisfaction of two groups were compared.Results The modified barthel index (MBI)and general self-efficacy scale(GSES)scores of the two groups patients after the intervention were higher than those before the intervention,the MBI and GSES scores of the observation group were higher than those of the control group,the differences were statistically significant(P＜0.05).The scores of the self-rating anxiety scale(SAS)and the self-rating depression scale(SDS)of the two groups patients were lower than before the intervention,the SAS and SDS scores of the observation group were lower than those of the control group,the differences were statistically significant(P＜0.05).The total incidence of adverse events in the observation group was lower than that in the control group,the total satisfaction with care in the observation group was higher than that in the control group,the differences were statistically significant(P＜0.05).Conclusion The use of integrated rehabilitation nursing for patients with AMI has obvious effect,which can improve the ability of daily living,self-efficacy and nursing satisfaction,reduce anxiety and depression,and reduce the incidence of adverse events,it is worthy of clinical promotion.
2021 Vol. 28 (31): 231-233转237 [Abstract] ( 53 ) HTML (33 KB)  PDF  (0 KB)  ( 6 )
234 Effect of fast track surgery on postoperative rehabilitation and satisfaction of patients with oral cancer
YE Xing-xin；ZHAO Fang-rong；WU Rui；PAN Li-zhen
objective To investigate the effect of fast track surgery(FTS)on postoperative rehabilitation and satisfaction of patients with oral cancer.Methods A total of 100 patients with oral and maxillofacial cancer from December 2019 to December 2020 treated in the First Affiliated Hospital of Fujian Medical University,the patients were seleced and divided into the control group (50 cases)and the test group (50 cases)according to random number table method.The control group was given routine nursing care,the test group were treated with FTS nursing,the psychological status，postoperative tracheal cannula days,postoperative hospitalization days,satisfaction were compared between the two groups.Results The scores of depression and anxiety in the test group were lower than those in the control group,the differences were statistically significant(P＜0.05).The days of endotracheal intubation and hospitalization in the test group were lower than those in the control group,the differences were statistically significant(P＜0.05).The nursing skills,nursing level,nursing attitude,nursing safety and other 4 aspects of satisfaction scores in the teat group were higher than those of the control group,the differences were statistically significant(P＜0.05).Conclusion FTS nursing can improve the mental state of patients with oral cancer,reduce the days of tracheal cannulation and hospitalization after operation,and obtain higher satisfaction.
2021 Vol. 28 (31): 234-237 [Abstract] ( 47 ) HTML (34 KB)  PDF  (0 KB)  ( 6 )
238 Application effect of holistic nursing in postoperative nursing of patients with oral and maxillofacial tumor operation
SHI Han-fei；WU Yang；REN Peng-juan；WANG Ai-ping；LI Na
Objective To explore the application effect of holistic nursing in postoperative nursing of patients undergoing oral and maxillofacial tumor surgery.Methods A total of 100 patients with oral and maxillofacial tumor admitted to Affiliated Hospital of Mudanjiang Medical University from April 2018 to February 2021 were selected and divided into two groups by random drawing,50 cases in each group.The control group received routine nursing,and the experimental group received holistic nursing.Then the quality of life,satisfaction and complication rate of the two groups were observed.Results The satisfaction and quality of life in the experimental group were higher than those in the control group,and the total incidence of complications was lower than that in the control group,the differences were statistically significant(P＜0.05).Conclusion Holistic nursing after surgery for oral and maxillofacial tumor patients can effectively improve the satisfaction of patients,improve the quality of life of patients,reduce the incidence of postoperative complications,and ensure the prognosis of patients.
2021 Vol. 28 (31): 238-240 [Abstract] ( 55 ) HTML (30 KB)  PDF  (0 KB)  ( 7 )
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