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Quick Search     Adv Search 2022 Vol. 29, No. 6 Published: 2022-02-28   7 Study on influences of early life maternal deprivation on limbic-thalamic-cortical circuitry which are associated with depression in adult rats PAN Nannan；LU Haoyang；ZHOU Liemin；NING Yuping；FANG Ziyan Objective To investigate the effects of maternal deprivationon neuron and expression of GFAP in prefrontal,hippocampus and thalamus, which are important components of limbic-thalamic cortical circuitry, and to explore the pathological mechanisms of maternal deprivationcausing adult depression-like manifestations. Methods Newborn rats were divided into two groups: maternal deprivation group (n=20) and control group (n=20) by random number table method. Rats in maternal deprivationgroup were exposed to maternal deprivation (3 hours per day) from postnatal day 1 to 14 while rats in control group were not. The sucrose preference and sociability tests were conducted when the rats were two months old. Then all the rats were sacrificed and their brains were collected, and the immunofluorescence staining were applied on Neun and GFAP. The confocal microscope was used for observation and photography, and the ImageJ was used for the number of positive cells and statistical analysis. Results Compared with the control group, the maternal deprivation group showed depression-like behaviors such as anhedonia and reduced social initiative, and the number of Neun positive cells in the prefrontal lobe,hippocampus and thalamus in the maternal deprivation group was less than that in the control group, with statistical significance (P<0.05). The results of GFAP immunofluorescence staining showed that the number of GFAP positive cells in the prefrontal lobe, hippocampus and thalamus in the maternal deprivation group was lower than that in the control group, and the difference was statistically significant (P<0.05). Conclusion Maternal deprivation can cause to depressed behaviors in adult rats and downregulates the numbers of neuron and astrocyte in prefrontal, hippocampus and thalamus-important parts of limbic-thalamic-cortical circuitry that might be involved in the mechanisms of maternal deprivationcaused adult depression. 2022 Vol. 29 (6): 7-10转19 [Abstract] ( 109 ) HTML (1 KB)  PDF (993 KB)  ( 97 ) 11 Effect of Clozapine combined with low dose Magnesium Valproate on the clinical efficacy of schizophrenia LI Xin；CEN Ruixiang；YANG Huiying；SU Huishan Objective To investigate the effect of Clozapine combined with low dose Magnesium Valproate on the clinical efficacy of schizophrenia. Methods A total of 124 patients with schizophrenia admitted to Department of Psychological Sleep, Zhongshan Xiaolan People′s Hospital from October 2019 to December 2020 were selected as the research objects.They were divided into control group and observation group according to random number table method, with 62 cases in each group. The control group was treated with Clozapine, and the observation group was supplemented with a low dose of Magnesium Valproate on the basis of the control group. The clinical effects and cognitive function of the two groups of patients were compared, and the incidence of adverse reactions of the two groups were counted. Results The total effective rate of the observation group was higher than that of the control group, the difference was stastically significant(P<0.05). After 12 weeks of treatment, the verbal fluency test (VFT) and modified Wsiconsin card sorting test (MWCST)′s correct numbers and correct classification numbers of two groups were higher than those before treatment, and the indexes of observation group were higher than those of the control group. trail making test (TMT) and M-WCST′s error numbers, continuous error numbers and non continuous error numbers of two groups after treatment were less than those before treatment, and the indexes of observation group were lower than those in the control group, the differences were statistically significant (P<0.05). Conclusion Clozapine combined with low dose Magnesium Valproate can improve the therapeutic effect of patients with schizophrenia, improve cognitive function, and has high safety. It can be used for clinical promotion. 2022 Vol. 29 (6): 11-14 [Abstract] ( 112 ) HTML (1 KB)  PDF (466 KB)  ( 107 ) 15 Application effect of high-flow oxygen therapy and non-invasive mechanical ventilation in patients with mild to moderate hypoxemia after surgery SU Lingling；XU Chunmei；ZHANG Aiping；LI Weichun Objective To investigate the effect of high flow oxygen therapy and non-invasive mechanical ventilation on patients with mild to moderate hypoxemia during postoperative evacuation. Methods A retrospective study of 732 adult patients with mild to moderate hypoxemia during postoperative ICU withdrawal from 2008 to 2019 was included in the Medical Information Mark for Intensive Care Ⅳ. By matching propensity score, they were divided into high-flow group(213 cases) and non-invasive ventilation group (213 cases) according to treatment mode after discontinuation of the machine. Baseline data, 48 h reintubation rate, 28 d reintubation rate, 28 d mortality, time from disengagement to reintubation, length of hospital stay and length of stay in ICU were compared between the two groups. The above indexes of moderate hypoxemia patients in the two groups were separately analyzed after discontinuation of the machine, and 73 cases in each group were included through matching propensity score. Results In patients with mild to moderate hypoxemia, there was no significant difference in the 48 h reintubation rate, 28 d reintubation rate and 28 d mortality between the two groups (P>0.05). The hospitalization time, ICU stay time and intubation time after extubation in the highflow group were longer than those in the non-invasive ventilation group, the differences were statistically significant (P<0.05). In moderate hypoxemia, there were no significant differences in 48 h reintubation rate, 28 d reintubation rate, 28 d mortality, time from discontinuation to reintubation, length of hospital stay and length of ICU stay between the two groups (P>0.05). Conclusion For patients with mild to moderate hypoxemia when weaning from ventilator, the main efficacy indicators of high-flow oxygen therapy were similar to those of non-invasive mechanical ventilation, but hospital stay and ICU stay were shorter in patients with non-invasive mechanical ventilation. 2022 Vol. 29 (6): 15-19 [Abstract] ( 96 ) HTML (1 KB)  PDF (937 KB)  ( 81 ) 20 Research progress on clinical application of opposing needling method SHENG Nan；TIAN Hui；MA Tieming Acupuncture is widely used in clinical practice, but as one of the nine needles, the clinical specification of opposing needling method is poor. In order to further understand and apply the opposing needling method, this paper collected and referred to 95 domestic and foreign literature on the theoretical research and clinical treatment of opposing needling method in CNKI in the past five years,and analyzed, summarized and visualized them. There were 58 clinical studies, accounting for 61.1%. Among them, there were 31 cases of stroke diseases, 10 cases of facial paralysis,4 cases of knee osteoarthritis, 3 cases of periarthritis of shoulder, 2 cases of facial spasm, 2 cases of low back pain,2 cases of migraine, 1 case of cervical spondylosis, temporomandibular joint disorder, oculomotor nerve palsy and carpal tunnel syndrome. The results showed that the use of opposing needling method was 100% effective. It can be seen that the application of opposing needling is not single, and the treatment of stroke and facial paralysis is the most common. In order to make the application of opposing needling more widely, this paper summarizes the clinical application of opposing needling in recent years according to different diseases, in order to provide new ideas for the clinical application of opposing needling. 2022 Vol. 29 (6): 20-23转31 [Abstract] ( 79 ) HTML (1 KB)  PDF (928 KB)  ( 87 ) 24 Risk factors and prevention strategies of mild cognitive impairment in community population WANG Jinping；HUANG Xiaoce；HUANG Yongqi； ZHUANG Weiping；WEI Bingni；CHEN Yongxi；ZHANG Xiamin Mild cognitive impairment (MCI) is a transitional stage between dementia and normal, and it is also an important stage for preventing and reversing the transition to Alzheimer′s disease (AD). In this paper, through reviewing the recent studies on the risk factors and some pathogenesis related to MCI, the main general risk factors of MCI population, such as age, gender, education level, hypertension, diabetes and other disease-related risk factors, were analyzed in the occurrence and development of MCI. In view of these risk factors, this paper provides reference advice and prevention strategies for prevention and treatment of MCI and prevention of MCI transition to AD. 2022 Vol. 29 (6): 24-27 [Abstract] ( 75 ) HTML (1 KB)  PDF (509 KB)  ( 75 ) 28 Effect of cucumber therapy on improving the comfort of patients with gastrointestinal decompression FU Rong；ZHANG Li； ZHAN Ting Objective To explore the effect of cucumber therapy on improving the comfort of patients with gastrointestinal decompression. Methods A total of 60 patients who underwent gastrointestinal decompression in the Department of Surgery of the Fourth Affiliated Hospital of Nanchang University from June 2020 to June 2021 were selected as subjects and divided into two groups according to the random number table method, with 30 cases in each group. Both groups were given routine care for gastrointestinal decompression. The control group was given warm water spray and cotton swabs to moisturize the lips, and in the observation group, cucumber therapy was used. Both groups lasted 5 days. The degree of comfort, degree of xerostomia, moisture degree score of mouth and tongue oral mucosa, sleep quality, psychological state and total nursing satisfaction were compared between the two groups of patients. Results The discomfort and the degree of xerostomia in the observation group after intervention for 5 days were milder than those in the control group, and the differences were statistically significant (P<0.05). Moisture degree score of mouth and tongue oral mucosa of the observation group after intervention was higher than that in the control group, and the difference was statistically significant (P<0.05). The scores of the Pittsburgh sleep quality index questionnaire (PSQI), self-rating anxiety scale (SAS), and self-rating depression scale (SDS) of the observation group were lower than those of the control group, and the differences were statistically significant (P<0.05). The total nursing satisfaction of the observation group was higher than that of the control group, and the difference was statistically significant (P<0.05). Conclusion Cucumber therapy in patients with gastrointestinal decompression can help reduce xerostomia and increase physical and mental comfort, thereby improving patients′ negative emotions and sleep quality, and promoting nursing satisfaction. 2022 Vol. 29 (6): 28-31 [Abstract] ( 78 ) HTML (1 KB)  PDF (576 KB)  ( 66 ) 32 Application effect of bedside ultrasound guided positioning in central venous catheterization through peripheral venipuncture in tumor patients LI Jianxia；ZHANG Yuanyuan；CAO Jing Objective To investigate the application effect of bedside ultrasound guided positioning in peripheral venipuncture central venous catheterization (PICC) in tumor patients. Methods A total of 88 tumor patients treated with PICC catheterization in the Third People′s Hospital of Jiujiang from January 2020 to January 2021 were selected as the research objects, and they were divided into control group and experimental group according to the odd or even number of hospitalization, with 44 patients in each group. The control group was treated with blind puncture under elbow, while the experimental group was treated with positioning puncture under the guidance of bedside color Doppler ultrasound.The time of catheterization, success rate of one-time catheterization, success rate of total puncture catheterization and incidence of complications were compared between the two groups. Results The catheterization time of the experimental group was (63.07±8.63) s, shorter than that of the control group (86.45±10.61) s, and the difference was statistically significant (P<0.05). The success rate of one-time catheterization in the experimental group was 93.18%, higher than that in the control group (77.27%), and the difference was statistically significant (P<0.05). There was no significant difference in the total success rate of puncture catheterization between the two groups (P>0.05). The total incidence of catheterization complications in the experimental group was 6.82%, lower than 36.36% in the control group, and the difference was statistically significant (P<0.05). Conclusion PICC catheterization guided by bedside color Doppler ultrasound can improve the accuracy of positioning, improve the success rate of one-time catheterization, shorten the time of catheterization, and reduce the related complications caused by repeated puncture or improper catheterization. 2022 Vol. 29 (6): 32-34 [Abstract] ( 82 ) HTML (1 KB)  PDF (568 KB)  ( 63 ) 35 Analysis of adult male violent criminals′ personality characteristics and their correlation with social support and coping styles ZONG Ling；ZHOU Limin；ZONG Wei；DU Baoguo；ZHAO Xiuli Objective To explore the relationship between three-dimensional personality characteristics and social support and coping styles of adult male violent criminals. Methods The data of 400 adult male offenders serving sentences in a prison from June 2020 to June 2021 were retrospectively analyzed, and they were divided into the violent group (n=200)and the non-violent group (n=200)according to the type of crime.All the candidates were investigated by Eysenck personality questionnaire (EPQ), social support rating scale (SSRS) and simplified coping style questionnaire(SCSQ).EPQ,SSRS and SCSQ scores were compared between the two groups,and the correlation between three-dimensional personality characteristics and social support and coping style was analyzed. Results The scores of psychoticism (P),neuroticism (N) and lying quality (L) in the violence group were higher than those in the non-violent group, and the introversion (E) score was lower than that in the non-violent group, the differences were statistically significant (P<0.05). The negative coping score of the group was higher than that of the non-violent group, and the positive coping score and SSRS score were lower than the non-violent group, the difference was statistically significant (P<0.05).Pearson correlation analysis found that P, N, L factors and positive coping SSRS was negatively correlated (r＜0, P＜0.05). P, N, L factors were positively correlated with negative coping (r＞0, P＜0.05). E was positively correlated with positive coping, SSRS (r＞0, P<0.05), E was negatively correlated with negative coping (r<0, P<0.05). Conclusion The personality characteristics of adult male violent criminals are mainly psychoticism, neuroticism and cover-up, and their coping styles tend to be negative and lack social support. The society should pay attention to such people to reduce the occuwence of violent incidents. 2022 Vol. 29 (6): 35-37 [Abstract] ( 73 ) HTML (1 KB)  PDF (571 KB)  ( 40 ) 38 Effect of Budesonide Formoterol Powder Inhalants combined with Montelukast Sodium in patients with cough variant asthma and its effect on airway function and inflammation indicators LIU Qing Objective To investigate the effect of airway function and inflammation indicators of Budesonide Formoterol Powder Inhalants combined with Montelukast Sodium in cough variant asthma in the treatment of cough asthma (CVA).Methods A total of 79 CVA patients admitted to the Department of Respiratory Medicine in Xianning Hospital of Traditional Chinese Medicine from December 2019 to December 2020 were selected as the research objects, they were divided into observation group (n=39) and control group (n=40) according to random number table method. The control group was treated with Budesonide Formoterol Powder Inhalants, and the observation group was treated with Montelukast Sodium for 4 consecutive weeks. The efficacy of the two groups was compared, and the airway function indexes and serum inflammatory factor levels were compared between the two groups before and after treatment. Results After treatment, the forced vital capacity (FVC), forced expiratory volume in first second (FEV1) and FEV1/FVC of the observation group were higher than those of the control group, the differences were stastically significant (P<0.05). The total effective rate of the observation group was higher than that of the control group, the difference was stastically significant(P<0.05). After treatment, the levels of interleukin-8 (IL-8) and interleukin-4 (IL-4) in the observation group were lower than those in the control group, and interferon-γ (IFN-γ) was higher than that in the control group, the differences were stastically significant (P<0.05). Conclusion CVA patients were treated with Budesonide Formoterol Powder Inhalants, combined with Montelukast Sodium, the treatment effect was improved, and their lung function and inflammatory factor expression levels were further improved and regulated. 2022 Vol. 29 (6): 38-41 [Abstract] ( 57 ) HTML (1 KB)  PDF (578 KB)  ( 52 ) 42 Application effect and safety of early enteral nutrition support therapy in the clinical treatment of severe cerebral hemorrhage CAI Yi； ZHAN Linghui Objective To analyze the effect and safety of early enteral nutrition support therapy in patients with severe cerebral hemorrhage. Methods A total of 50 patients with severe cerebral hemorrhage admitted to the Zhongshan Hospital Affiliated to Xiamen University from June 2018 to June 2021 were selected as the research objects. According to the random number table method, they were divided into observation group and control group, with 25 cases in each group. The group was treated with early enteral nutrition support therapy, and the control group was treated with conventional nasal feeding. The clinical effects and complications of the two groups were compared. Results The nutritional indicators of serum total protein (TP), serum prealbumin (PA) and serum albumin (ALB) of the observation group after treatment were higher than those of the control group, the differences were statistically significant (P<0.05). The total incidence of complications in the observation group was lower than that in the control group, the difference was statistically significant (P<0.05). Conclusion Early enteral nutrition support therapy in the clinical treatment of severe cerebral hemorrhage can improve the nutritional status of patients and reduce the occurrence of complications. It is worthy of popularization and application. 2022 Vol. 29 (6): 42-44 [Abstract] ( 71 ) HTML (1 KB)  PDF (594 KB)  ( 62 ) 45 Application of electroacupuncture combined with psychological counseling in gastric emptying disorder after pancreaticoduodenectomy LAN Guo；SUN Tingli Objective To explore the application of electroacupuncture combined with psychological counseling in the treatment of gastric emptying disorder after pancreaticoduodenectomy (PD). Methods A total of 40 patients with postoperative gastric emptying disorder after PD who were admitted to the First People′s Hospital of Jiujiang City, Jiangxi Province from April 2016 to June 2021 were selected as the research objects and divided into the control group and the observation group according to random number table method, with 20 cases in each group. The control group was given conventional Western medicine treatment, and the observation group was given electroacupuncture combined with psychological counseling on the basis of the control group. The clinical efficacy, gastrointestinal function recovery, gastrointestinal tube removal time and hospital stay were compared between the two groups. Results The total effective rate of observation group (95.00%) was higher than that of control group (65.00%), the time of first anal exhaust ([3.06±0.59]d), bowel sound recovery ([4.16±0.74] d), first defecation ([7.75±2.04] d), gastric tube removal ([10.73±1.02] d), hospital stay ([21.24±3.16] d) were shorter than those of the control group ([5.13±1.76], [7.25±1.17], [10.82±2.63], [15.24±2.96],[30.48±4.72] d], the average gastric fluid volume ([713.43±17.52] ml/d) was lower than that of the control group([868.61±21.40] ml/d), the differences were statistically significant (P<0.05). Conclusion Electroacupuncture combined with psychological counseling can promote the recovery of gastrointestinal function in patients with gastric emptying disorder after PD, improve clinical efficacy, and shorten hospital stay. 2022 Vol. 29 (6): 45-47转51 [Abstract] ( 74 ) HTML (1 KB)  PDF (480 KB)  ( 91 ) 48 Effect comparision of laparoscopic pyeloplasty with mesenteric approach and retroperitoneal approach on hydronephrosis in children DONG Xiaosong Objective To study the effect of mesenteric approach and retroperitoneal approach laparoscopic pyeloplasty in children with hydronephrosis, and to analyze the effects on the levels of renal blood flow in peak systolic velocity(PS), time average maximal velocity (TAMx), end diastolic peak velocity (ED) and time avarage minimum velocity(TAMn). Methods The clinical data of 117 children with hydronephrosis who received laparoscopic pyeloplasty in Shenyang Children′s Hospital from October 2018 to October 2020 were retrospectively analyzed. According to the difference of surgical approach, they were divided into group A (55 cases) and group B (62 cases). The mesenteric approach was adopted in group A, and the retroperitoneal approach was adopted in group B. The postoperative hydronephrosis and improvement of partial renal function, operative index level, PS, TAMx, ED and TAMn levels were compared between the two groups. Results There was no statistically significant difference in the improvement of postoperative hydronephrosis between the two groups (P>0.05). There was no statistically significant difference in the improvement of postoperative renal function between the two groups (P>0.05). The duration of operation in group A was longer than that in group B, and the intraoperative blood loss was less than that in group B, the differences were statistically significant (P<0.05). After treatment, the levels of PS, TAMx, ED and TAMn in group A were higher than those in group B, the differences were statistically significant (P<0.05). Conclusion Laparoscopic pyeloplasty via mesocolonic approach in the treatment of hydronephrosis in children has shorter operation duration, less intraoperative blood loss,and can effectively improve the level of renal hemodynamic indicators in children. 2022 Vol. 29 (6): 48-51 [Abstract] ( 57 ) HTML (1 KB)  PDF (470 KB)  ( 47 ) 52 Clinical effect of laparoscopic choledochoscope combined treatment for cholecystolithiasis and choledocholithiasis WANG Yuzhen；SUN Fenglin；SI Baoda Objective To investigate the clinical effect of laparoscopic choledochoscope combined with cholecystolithiasis and choledocholithiasis. Methods A total of 60 patients with cholecystolithiasis combined with choledocholithiasis admitted to Liaocheng Hospital of Traditional Chinese Medicine from January 2018 to June 2020 were selected as the research objects, and they were divided into the observation group and the control group by random number table method, with 30 cases in each group. The observation group received minimally invasive treatment combined with laparoscopy and choledochoscope, while the control group received traditional surgical treatment. Surgical indicators, visual analogue scale (VAS) score on the first to third day after operation and postoperative complications were compared between the two groups. Results The duration of operation in observation group was longer than that in control group,the amount of intraoperative blood loss was less than that in control group, the times of postoperative anal exhaust and feeding were earlier than those in control group, and the length of hospital stay was shorter than that in control group,the differences were statistically significant (P<0.05). VAS score of observation group was lower than that of control group on the 1st to 3rd day after operation, the difference was statistically significant (P<0.05). The total incidence of postoperative complications in the observation group was lower than that in the control group, the difference was statistically significant (P<0.05). Conclusion Laparoscopic choledochoscope combined with cholecystolithiasis and choledocholithiasis has the advantages of less surgical trauma,quick postoperative recovery and low postoperative complications. 2022 Vol. 29 (6): 52-54 [Abstract] ( 59 ) HTML (1 KB)  PDF (460 KB)  ( 47 ) 55 Influence of individualized nutrition intervention by specialized nurses on patients with advanced cervical cancer complicated with moderate and severe malnutrition WAN Liwen；WANG Shuying；SUN Leilei；ZHOU Yan；XIAO Xiuping Objective To explore the effects of individualized nutrition intervention by specialized nurses on patients with intermediate and advanced cervical cancer complicated with moderate and severe malnutrition. Methods From April 2020 to April 2021, 88 patients with intermediate and advanced cervical cancer complicated with moderate and severe malnutrition in the Second Affiliated Hospital of Nanchang University were selected as the subjects. They were divided into control group (44 cases) and experimental group (44 cases) according to the computer randomization. Control group used intervention by responsible nurses, experimental group used specialist nurses individualized nutrition intervention. The nutritional compliance rate, body mass index (BMI) and oral intake of energy and protein were compared between the two groups. Results The nutrition rate of the experimental group was higher than that of the control group, the difference was statistically significant (P<0.05). The BMI of the experimental group was higher than that of the control group, the difference was statistically significant (P<0.05). The oral intakes of energy and protein in experimental group were higher than those in control group, the differences were statistically significant (P<0.05). Conclusion Individualized nutrition intervention by specialized nurses can play a role in the whole process of nutrition assessment,planning, implementation and monitoring, effectively improve the body malnutrition status of patients with advanced cervical cancer complicated with moderate and severe malnutrition, which has a positive impact on the improvement of the disease. 2022 Vol. 29 (6): 55-57 [Abstract] ( 68 ) HTML (1 KB)  PDF (443 KB)  ( 49 ) 58 Analysis of routine examinations before chemotherapy in lung cancer patients with chemotherapy-induced mylosuppression LAI Fuzhi；DU Yuxia；ZHOU Zhibin Objective Analyze the routine examinations of lung cancer patients with chemotherapy-induced myelosuppression (CIM) caused by chemotherapy, and explore the clinical significance. Methods From January 2016 to December 2018, a total of 76 patients with successfully matched lung cancer who were admitted to the Department of Respiratory Diseases of the Second Affiliated Hospital of Fujian Medical University were retrospectively selected as the research objects. According to the presence or absence of bone marrow suppression after chemotherapy, they were divided into experimental group (38 cases, patients with CIM) and control group (38 cases, patients without CIM). The difference of routine examination before chemotherapy and curative effect after two cycles of chemotherapy were compared between the two groups. Results The levels of white blood cells, alkaline phosphatase, and neuraminic enolase in the experimental group before chemotherapy were lower than those in the control group, and the differences were statistically significant (P<0.05). In addition, the experimental group had better efficacy than the control group after 2 cycles of chemotherapy, and the difference was statistically significant (P<0.05). Conclusion Lower levels of white blood cells,alkaline phosphatase, and neuraminic enolase are more prone to CIM, and CIM is associated with better short-term clinical efficacy. 2022 Vol. 29 (6): 58-61 [Abstract] ( 58 ) HTML (1 KB)  PDF (481 KB)  ( 67 ) 62 Effect of laparoscopy and laparotomy on inflammatory factors and cognitive function in elderly patients with colon cancer LIU Gang；XU Feng；ZHOU Xinqi Objective To investigate the effect of laparoscopy and laparotomy on inflammatory factors levels such as tumor necrosis factor -α (TNF-α), interleukin-6 (IL-6), C-reactive protein (CRP) and cognitive function in elderly patients with colon cancer. Methods A total of 113 elderly colon cancer patients admitted to Department of General Surgery, Huiyang Sanhe Hospital of Huizhou City, Guangdong Province from April 2019 to March 2021 were selected as the subjects for prospective study. They were divided into laparoscopic group (n=57) and laparotomy treatment group(n=56) by random number table method. Patients in the laparoscopic group were treated with laparoscopy, and patients in the open treatment group were treated with traditional laparotomy. The changes of serum inflammatory factors levels before and after treatment were compared between the two groups. The cognitive function score of the mini-mental state examination (MMSE) was compared between the two groups before and 24 h after surgery. Results At 24 h after surgery, the levels of TNF-α, IL-6 and CRP in the two groups were higher than those before surgery, the differences were statistically significant (P<0.05). The levels of TNF-α, IL-6 and CRP in laparoscopic group were lower than those in laparotomy treatment group, the differences were statistically significant (P<0.05). At 24 h after surgery, MMSE scores of the two groups were lower than those before surgery, the differences were statistically significant (P<0.05).MMSE score at 24 h after operation in laparoscopic group was higher than that in laparotomy treatment group, the difference was statistically significant (P<0.05). Conclusion Compared with conventional laparotomy, laparoscopic treatment of elderly patients with colon cancer may not induce additional inflammatory responses, nor increase the risk of cognitive dysfunction, which is worthy of clinical application and promotion. 2022 Vol. 29 (6): 62-65 [Abstract] ( 59 ) HTML (1 KB)  PDF (452 KB)  ( 53 ) 66 Application effects of the complete version and abbreviated version of Wechsler Intelligence Scale for Children in intelligence disability assessment TANG Lijun；ZHANG Haitao；CHEN Lei；WU Hongling；YAN Juanfeng；HE Wanghua；LI Ying Objective To investigate the application effects of the Chinese version of Wechsler Intelligence Scale for Children (C-WISC) and the Wechsler Intelligence Scale for Children-Chinese revised edition (WISC-CR) in intelligence disability assessment. Methods Fifty children suspected of and confirmed with mental deficiency who were admitted to Xinyu Maternal and Child Health Hospital from January 2019 to March 2021 were selected and tested with C-WISC. Two of the four-in-one combinations (WISC-CR 1: I, S, PC, BD; WISC-CR 2:I, V, PC, BD) were selected,and the test results were compared. The intelligence quotient (IQ) consistency between WISC-CR and C-WISC was analyzed. Results The IQ test results of WISC-CR 1, WISC-CR 2 IQ and C-WISC showed no statistically significant difference (P>0.05). The Pearson correlation analysis showed that WISC-CR 1 and WISC-CR 2 were all positively associated with C-WISC IQ (P<0.05). WISC-CR 1 scores showed no high IQ, 5 cases of normal IQ, and 45 cases of low IQ. WISC-CR 2 scores showed no high IQ, 6 cases of normal IQ, and 44 cases of low IQ.C-WISC scores showed no high IQ, 5 cases of normal IQ, and 45 cases of low IQ. WISC-CR 1 was highly consistent with C-WISC in intelligence disability assessment (Kappa value=0.777), and the consistency between WISC-CR 2 and C-WISC in intelligence disability assessment was good (Kappa value=0.694). Conclusion WISC-CR (WISC-CR 1：I, S, PC, BD. WISC-CR 2：I,V, PC, BD), two of the four-in-one testing methods, are highly consistent with the IQ of C-WISC, which indicates that they can be used for intelligence disability assessment of children, or used as the main reference indexes for children with poor cooperation and tight time. 2022 Vol. 29 (6): 66-68转72 [Abstract] ( 70 ) HTML (1 KB)  PDF (519 KB)  ( 86 ) 69 Effect of low frequency pulse electrical stimulation combined with FM fascia manipulation massage in the treatment of postpartum pelvic pain CHEN Yanmei；WANG Lihui；LIU Qishi Objective To explore and analyze the clinical effect of low frequency pulse electrical stimulation combined with FM fascia manual massage in the treatment of postpartum pelvic pain. Methods A total of 100 patients with postpartum pelvic pain admitted to the Department of Postpartum Rehabilitation of Maternal and Child Health Hospital of Luohu District in Shenzhen City from January to December 2020 were selected as the research objects. They were divided into control group and observation group by random number table method, with 50 patients in each group. The control group was treated with low-frequency pulse electrical stimulation, and the observation group was treated with low-frequency pulse electrical stimulation combined with FM fascia manipulation massage. The overall effective rate,pain, female sexual function and quality of life of the two groups before and after treatment were compared. Results The total effective rate of clinical treatment in observation group was higher than that of control group, the difference was statistically significant (P<0.05). After treatment, the visual analogue scale (VAS) score of patients in the observation group was lower than that in the control group, and the female sexual function index survey scale (FSFI) score and Barthel index rating scale (BI) score of patients in the observation group were higher than those in the control group,the differences were statistically significant (P<0.05). Conclusion Low frequency pulse electrical stimulation combined with FM fascia manipulation massage can effectively alleviate the pain, stabilize the condition, promote the recovery of pelvic floor muscle strength, reduce female sexual dysfunction and improve the quality of life. 2022 Vol. 29 (6): 69-72 [Abstract] ( 75 ) HTML (1 KB)  PDF (547 KB)  ( 57 ) 73 Predictive value of early amplitude integrated electroencephalogram for brain injury in very low birth weight infants YI Xiaoli；QIN Yun；TU Huiying；TAN Jun Objective To explore the predictive value of early amplitude integrated electroencephalogram(aEEG)for brain injury in very low birth weight (VLBW) infants. Methods Seventy-seven cases of VLBW admitted to the Neonatology Department of Shenzhen People′s Hospital from August 2017 to August 2019 were retrospectively selected as the research subjects, a total of 30 children with brain injury diagnosed during hospitalization were selected as the experimental group, and 47 patients without brain injury during hospitalization were selected. children as a control group. The continuous voltage (CV), discontinuous voltage (DV), sleep-wake cycle (SWC) and eclampsia (EA) were compared between the two groups. The predictive value of CV, DV ratio and SWC score for brain injury were evaluated by ROC curves. Results The incidence of DV and EA in aEEG of the experimental group were higher than those of the control group, and the differences were statistically significant (P<0.05). The CV and SWC scores in aEEG of the experimental group were lower than those of the control group, and the differences were statistically significant (P<0.05). The number of EA cases in the experimental group was more than that in the control group, and the difference was statistically significant (P<0.05).The number of burst-suppression (BS) cases in the severe brain injury group was higher than that in the mild brain injury group, and the difference was statistically significant (P<0.05). The number of SWC cases in the severe brain injury group was less than that in the mild brain injury group, and the difference was statistically significant (P<0.05).The ROC curve evaluated the predictive value of CV, DV ratio and SWC score on VLBW brain injury,and the areas under the curve (AUC) were 0.783, 0.809 and 0.756, respectively. Conclusion When VLBW developed brain injury, its CV score was lower, its score was higher for DV and lower for SWC in aEEG within 24 h after birth.The scores of CV, DV, and SWC can predict the brain impairment of VLBW, of which the DV score has the highest predictive value. 2022 Vol. 29 (6): 73-76 [Abstract] ( 72 ) HTML (1 KB)  PDF (580 KB)  ( 93 ) 77 Therapeutic effect of Cetirizine combined with Budesonide Suspension for inhalation in children with acute asthma attack FENG Hua Objective To investigate the effect of Cetirizine combined with Budesonide Suspension for inhalation in the treatment of children with acute asthma attack. Methods The clinical data of 106 children with acute asthma treated in Fuxin Mining General Hospital of Liaoning Health Industry Group from January 2019 to January 2021 were analyzed retrospectively. According to the treatment scheme, they were divided into routine group (53 cases) and experimental group (53 cases). The routine group was treated with Budesonide Suspension, The experimental group was treated with Cetirizine combined with Budesonide Suspension for inhalation. The curative effect, symptom improvement time, pulmonary function (forced expiratory volume in the first second [FEV1], forced vital capacity [FVC]), serum T lymphocyte subsets (CD3+, CD4+, CD8+, CD4+/CD8+) and adverse reactions were compared between the two groups. Results The total effective rate of treatment in the experimental group was higher than that in the conventional group, and the difference was statistically significant (P<0.05). The duration of wheezing, the disappearance time of cough, and the disappearance time of wheezing in the experimental group were shorter than those in the conventional group, and the differences were statistically significant (P<0.05). The levels of FEV1 and FVC in the experimental group were higher than those in the conventional group, and the differences were statistically significant (P<0.05). After treatment, the levels of CD3+, CD4+, CD4+/CD8+ in the experimental group were higher than those in the conventional group, and the level of CD8+ was lower than that in the conventional group, and the differences were 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 Cetirizine combined with Budesonide suspension for inhalation has a significant clinical effect in the treatment of acute asthma attacks, which can effectively shorten the time of symptom improvement in children, promote the recovery of lung function, and improve the body′s immunity, and it doesn′t increase adverse reactions. 2022 Vol. 29 (6): 77-80 [Abstract] ( 58 ) HTML (1 KB)  PDF (508 KB)  ( 32 ) 81 Influence of different dyeing time on penetration depth of zirconia ceramics LIU Xiaoli；JIANG Yan；ZHANG Xianhua Objective To investigate the influence of different dyeing time on the penetration depth of zirconia ceramics. Methods A total of 27 pre-sintered or pre-sintered zirconia specimens were obtained by 3Shape software CAD/CAM. According to the dyeing time, they were divided into 9 groups of 5, 10, 15, 20, 30, 60, 120, 180, 240 s, with 3 specimens in each group. One 10 mm×10 mm surface of the test piece was exposed, and the other five surfaces were sealed with nail polish, immersed in A2 special dyeing solution for dyeing, cleaned, sintered, and cooled for later use.The dye penetration depth, specimen color and specimen surface elements were compared. Results As the staining time of the specimen was extended, the penetration depth gradually deepened, and the difference was statistically significant(P＜0.05). As the staining time of the specimen was prolonged, the L* value gradually decreased, and the a* and b*values gradually increased, the difference was statistically significant (P＜0.05). The ΔE values of the specimens immersed for 30-120 s were in the range of 0.0-1.5 NBS, indicated that they matched the color of A2 colorimetric plate.EDS analysis showed that only metal elements unique to O and Zr zirconia ceramics and C elements were found in the cross section of the specimen, and no oxide colorant elements were found. Conclusion The immersion dyeing time will affect the surface color characteristics and dye penetration depth of zirconia ceramics after sintering. 2022 Vol. 29 (6): 81-84 [Abstract] ( 70 ) HTML (1 KB)  PDF (634 KB)  ( 129 ) 85 Clinical effect of laser photocoagulation in the treatment of proliferative diabetic retinopathy DAI Qianying；LI Shiqun；LIU Yumei；HUANG Chengtu Objective To analyze the clinical effect of laser photocoagulation in the treatment of patients with proliferative diabetic retinopathy. Methods A total of 150 patients with proliferative diabetic retinopathy admitted in Yangjiang People′s Hospital from January 2019 to December 2020 were selected as the research subjects. The patients were divided into the observation group (75 cases) and the control group (75 cases) according to random number table method.The patients in the observation group were treated with laser photocoagulation, and the patients in the control group were treated with conbercept intravitreal injection therapy. The recovery of eye function, the incidence of adverse events, the improvement of visual acuity and the treatment effect were compared between the two groups before and after treatment. Results Before treatment, there was no significant difference in foveal volume and macular retinal thickness between the two groups (P＞0.05). The foveal volume and macular retinal thickness in the observation group were significantly higher than those in the control group,the differences were statistically significant (P＜0.05).After treatment,there was no significant difference in the total incidence of adverse events such as elevated intraocular pressure, bleeding,congestion and recurrence between the two groups (P＞0.05). The good visual acuity rate of the observation group was higher than that of the control group, the difference was statistically significant (P＜0.05). The total effective rate of the observation group was higher than that of the control group, the difference was statistically significant (P＜0.05). Conclusion The application of laser photocoagulation in the treatment of proliferative diabetic retinopathy can help patients recover visual ability better. It has important significance for improving their ocular function, and has high safety. It is worthy of popularization and application. 2022 Vol. 29 (6): 85-88 [Abstract] ( 84 ) HTML (1 KB)  PDF (481 KB)  ( 40 ) 89 Effect of endoscopic tympanoplasty in the treatment of chronic suppurative tympanitis XU Meiling；LIN Jincheng Objective To investigate the clinical efficacy of endoscopic tympanoplasty in the treatment of chronic suppurative tympanitis. Methods A total of 100 patients with chronic suppurative tympanitis treated in the Department of Otorhinolaryngology of Zhangzhou Hospital Affiliated to Fujian Medical University from June 2019 to June 2021 were selected as the research objects. They were divided into the control group (50 cases) and the observation group (50 cases) according to random number table method. Patients in the control group underwent conventional tympanoplasty under microscope, and patients in the observation group underwent endoscopic tympanoplasty. According to the clinical symptoms and air-bone conduction difference of the patients, the clinical efficacy and postoperative complications of the two groups were compared. Results The operation time of the observation group was shorter than that of the control group, the amount of intraoperative bleeding of the observation group was less than that of the control group, and the degree of postoperative pain of the observation group was lower than that of the control group, and the differences were statistically significant (P＜0.05). There was no significant difference in the air-bone conduction difference between the two groups (P＞0.05). At three months after operation, the air-bone conduction difference in the observation group was lower than that in the control group, and the difference was statistically significant (P＜0.05). There was no significant difference in the incidence of postoperative adverse reactions such as postoperative tinnitus, vertigo, non healing perforation between the two groups (P＞0.05). Conclusion Endoscopic tympanoplasty in the treatment of patients with chronic suppurative tympanitis can shorten the operation time, reduce the amount of bleeding, improve the hearing threshold and clinical treatment effect, and effectively avoid postoperative adverse reactions. It is worthy of clinical promotion and application. 2022 Vol. 29 (6): 89-91 [Abstract] ( 62 ) HTML (1 KB)  PDF (474 KB)  ( 36 ) 92 Application of blood puncture cupping combined with balance relaxation and tendon massage in patients with cerebral infarction and hemiplegia CAI Zhenzhi；QIU Qingqing；GUO Jun Objective To explore the application value of blood puncture cupping combined with balance relaxation and tendon massage in patients with cerebral infarction and hemiplegia. Methods A total of 100 patients with cerebral infarction and hemiplegia admitted to the Department of Rehabilitation, Ganzhou Municipal Hospital from January 2019 to December 2020 were selected as the research objects. They were divided into the control group and the experimental group by random number table method, with 50 patients in each group. Patients in the control group were given blood puncture cupping therapy, and patients in the experimental group were given blood puncture cupping combined with balance relaxation and tendon massage therapy. After 1 month of treatment, limb motor function, daily living function,nervous system function, patients′ satisfaction with treatment and treatment efficiency were compared between the two groups. Results Before treatment, there were no statistically significant differences in the scores of limb motor function,daily living function and nervous system function between the two groups (P>0.05). After treatment, the scores of limb motor function, daily living function and nervous system function in the two groups were higher than those before treatment, the differences were statistically significant (P<0.05). After treatment, the scores of limb motor function, daily living function and nervous system function in the experimental group were higher than those in the control group, the differences were statistically significant (P<0.05). The total satisfaction of the experimental group was higher than that of the control group, and the difference was statistically significant (P<0.05). The treatment efficiency of the experimental group was higher than that of the control group, the difference was statistically significant (P<0.05). Conclusion Blood puncture cupping combined with balance relaxation and tendon massage can significantly improve the patient′s motor function, daily activity function and nerve function, and effectively improve the patients′ satisfaction with the treatment. The overall effect is significant. It is worthy of promotion and application in the treatment of patients with cerebral infarction and hemiplegia. 2022 Vol. 29 (6): 92-94 [Abstract] ( 64 ) HTML (1 KB)  PDF (494 KB)  ( 48 ) 95 Effect of prescription of regulating qi to relieve pain combined with syndrome differentiation intervention in the treatment of epigastric pain syndrome due to liver qi invading the stomach ZHOU Wei Objective To explore the clinical effect of prescription of regulating qi to relieve pain combined with syndrome differentiation intervention in the treatment of epigastric pain syndrome of liver qi invading the stomach. Methods A total of 93 patients with epigastric pain syndrome of liver qi invading stomach in clinic of Traditional Chinese Medicine, Suzhou Yongding Hospital from April 2019 to April 2021 were selected as the research objects. They were divided into the experimental group (49 cases) and the control group (44 cases) by random coin toss method. Patients in the control group were treated with Rabeprazole, while patients in the experimental group were treated with prescription of regulating qi to relieve pain combined with traditional Chinese medicine syndrome differentiation. The therapeutic effect and symptom score of the two groups were compared. Results The overall response rate (93.88%) of the experimental group was higher than that of the control group (79.55%), and the difference was statistically significant (P<0.05).After treatment, the scores of symptoms of belching, acid reflux, nausea and vomiting and loss of appetite in the experimental group were lower than those in the control group, the differences were statistically significant (P<0.05). Conclusion The overall effect of prescription of regulating qi to relieve pain combined with traditional Chinese medicine syndrome differentiation in the treatment of epigastric pain syndrome of liver qi invading the stomach is ideal, which is worthy of reference and promotion in clinical practice. 2022 Vol. 29 (6): 95-97转102 [Abstract] ( 63 ) HTML (1 KB)  PDF (515 KB)  ( 39 ) 98 Analysis of Professor Wei Lianbo′s clinical medication rule in the treatment of chronic renal failure based on data mining HU Fen；HU Juan；YANG Yanqun； WANG Ziwei；WEI Lianbo Objective To explore the clinical medication rule of Professor Wei Lianbo in the treatment of chronic renal failure. Methods Based on the software of Traditional Chinese Medicine Inheritance Support System V2.5, the database was constructed, and the data mining method of software integration was used to analyze the syndrome, drug frequency and prescription rules of prescriptions. Results A total of 396 prescriptions met the inclusion criteria, involving 125 traditional Chinese medicines. The four qi of medicine were mainly warm, cold and mild heat. The five flavors of the medicine were mainly bitter, sweet, pungent and sour. The main meridian tropism of drugs were spleen, stomach, liver,lung and kidney. The syndrome was based on deficiency of spleen and kidney and marked by dampness and turbid toxin stasis. Salvia miltiorrhiza, Atractylodes macrocephala, rhubarb, Ligusticum chuanxiong, Pinellia ternata, Amomum villosum, Codonopsis pilosula, tangerine peel, Coptis chinensis, dried ginger, Achyranthes bidentata and Eucommia ulmoides were the core drug groups, which were mainly used to strengthen spleen and stomach, promote blood circulation and remove blood stasis, and nourish liver and kidney. Conclusion Professor Wei Lianbo′s treatment of chronic renal failure follows the principle of strengthening the body and removing pathogenic factors, treating both the symptoms and the root causes. He uses warm, cold and calm heat in his medication, and mostly uses invigorating the spleen and promoting blood circulation, tonifying the liver and kidney. The compatibility of each medicine plays the role of tonifying the spleen and kidney, clearing away dampness,heat and resolving turbidity. 2022 Vol. 29 (6): 98-102 [Abstract] ( 65 ) HTML (1 KB)  PDF (569 KB)  ( 98 ) 103 Analysis on monitoring results of food -borne pathogenic bacteria in Fengcheng city from 2015 to 2020 HUANG Zeng；ZHAN Zhuopeng；ZOU Jinqun；DING Xinyue；ZENG Simin Objective To understand the pollution level and change trend of main food-borne pathogenic bacteria in the food of Fengcheng city, so as to provide basis and technical guidance for food safety supervision in Fengcheng City.Methods According to the requirements of The Work Plan of Implementing National Food Safety Risk Monitoring by Health Departments of Jiangxi Province from 2015 to 2020, corresponding foods were collected annually, and microbial indicators were detected, and the results were statistically analyzed. Results Among 604 samples, 82 bacterial strains were detected, with a detection rate of 13.6%. The detection rate of pathogenic bacteria in different kinds of food was significantly different (P<0.05), and the detection rate of pathogenic bacteria in raw food, meat and meat products, and Chinese cold dish was higher. The detection rate of food pathogenic bacteria in different business places was significantly different (P<0.05), among which the detection rate of pathogenic bacteria in mobile vendors, beverage shops and farmers′ markets was higher. There was no significant difference in the detection rate of food pathogens in different seasons (P>0.05). The detection rate of foodborne pathogens decreased year by year from 2015 to 2020. Conclusion The pollution of food-borne pathogenic bacteria in Fengcheng City is relatively serious. We should strengthen the management of raw food, meat and meat products and Chinese cold dishes, focus on the management of mobile vendors, beverage stores, farmers′ markets and other business places, control the pollution of pathogens and combine with improving the inspection ability, to better ensure the food safety of the people. 2022 Vol. 29 (6): 103-106 [Abstract] ( 62 ) HTML (1 KB)  PDF (491 KB)  ( 36 ) 107 Effect of high-speed centrifugation of severe fatty blood on coagulation indexes SHI Qingrong；NING Changxiu Objective To investigate the effect of high-speed centrifugation on the detection results of coagulation indexes of severe hyperlipidemia specimens. Methods A total of 85 patients admitted to Yichun Second People’s Hospital from July 2020 to July 2021 were selected as the research objects, and the patients were divided into observation group (43 cases) and control group (42 cases) based on the presence or absence of hyperlipidemia. Both groups of patients used a 16000r/min high-speed centrifuge to centrifuge the specimens for 10, 20, and 30 min. The (activeated partial thromboplasting time, APTT), prothrombin time (PT), thrombin time (TT), and fipinogen (FIB) levels of the two groups of patients after centrifugation for 10, 20 and 30 min were compared. Results After the specimens of the control group were centrifuged in a high-speed centrifuge for 10, 20 and 30 min, the APTT, PT, TT, and FIB levels were compared at the three time points, and the differences were not statistically significant (P>0.05). After the specimens of the study group were centrifuged for 10, 20 and 30 min, in a high-speed centrifuge, the APTT, PT, TT, and FIB levels were compared at the three time points, and the differences were statistically significant (P<0.05). Compared with centrifugation for 10 min, the levels of APTT, PT, TT, and FIB were significantly reduced after centrifugation for 20 and 30 min, and the differences were statistically significant (P<0.05). The levels of APTT, PT, TT, and FIB in the observation group after centrifugation for 10 min and 20 min were higher than those in the control group, and the differences were statistically significant (P<0.05). The differences were not statistically significant in the levels of APTT, PT, TT, and FIB between the two groups of patients after centrifugation for 30 min(P>0.05). Conclusion Severe hyperlipidemia specimens will affect the determination of coagulation indicators. Using high-speed centrifugation for 30 minutes can basically eliminate the interference of severe lipemia on the determination of APTT, PT, TT, and FIB, and improve the detection accuracy. 2022 Vol. 29 (6): 107-109 [Abstract] ( 71 ) HTML (1 KB)  PDF (454 KB)  ( 45 ) 110 Changes and clinical significance of aspartate aminotransferase, alanine aminotransferase and γ-glutamyl transferase in patients with cirrhosis LI Lingfeng；WEI Huiping；LIU Guirong；XIE Yanfang Objective To investigate the changes and clinical significance of aspartate aminotransferase (AST), alanine aminotransferase (ALT) and γ-glutamyl transferase (γ-GT) in patients with cirrhosis. Methods A total of 40 patients with liver cirrhosis diagnosed in the Department of Laboratory, the Third Affiliated Hospital of Sun Yat-Sen University Yuedong Hospital from January 2019 to December 2020 were selected as the research objects, and 20 healthy people who underwent physical examination in the Third Affiliated Hospital of Sun Yat-Sen University Yuedong Hospital in the same period were selected as the control group. The AST, ALT and γ-GT tests were performed respectively. AST,ALT, γ-GT, cholinesterase (CHE), total protein (TP), albumin (ALB), albumin/globulin (A/G), alpha fetoprotein (AFP),glutamate dehydrogenase (GLDH), adenosine deaminase (ADA), a-algae glycosidase (AFU), J3-N-acetylglucosidase(NAG) and leucine aminopeptidase (LAP) levels were cmpared between the two groups. Results The levels of AST, ALT and γ-GT in experimental group were higher than those in control group, and the differences were statistically significant (P<0.05). The levels of AFP, GLDH, ADA, AFU, NAG and LAP in experimental group were higher than those in control group, and the differences were statistically significant (P<0.05). The levels of ALB, TP, CHE and A/G in experimental group were lower than those in control group, and the differences were statistically significant (P<0.05).Conclusion AST, ALT and γ-GT is a sensitive index for the examination and diagnosis of liver cirrhosis, which can provide basis for disease diagnosis. 2022 Vol. 29 (6): 110-113 [Abstract] ( 66 ) HTML (1 KB)  PDF (470 KB)  ( 105 ) 114 The “14th Five-Year” Plan and thinking on the health care of cadres in a grade-A tertiary hospital in Xinjiang YANG Ying；LI Yuan； PENG Yi The work of health care for cadres is of great significance because of the particularity of the objects. With the aging of the population process is accelerating, the cadre health care is facing the age of the health care object is increasing, the number of people is increasing, the medical care demand of the health care object is more higher. In the new period, we must make clear the focus of the cadre health care work, attach importance fundamentally, and take many measures simultaneously. Realize working mode from experience type passive health care to scientific type active health care, do have a definite target, improve the effect of cadre work. Therefore，During the “14th Five-Year” Plan period, four measures can be taken when the work of health care for cadres is carried out. First, improve the health care system for cadres. Second, the discipline construction of health care for cadres should be perfected in order to promote the long-term development of the subject. Third, the single mode of care management should be changed into that of health management so as to provide better services of prevention，health care，medical treatment and integration of rehabilitation for the great majority of cadres. Fourth, make scientific and targeted efforts to prevent and control COVID-19.Furthermore，the work of health care for cadres could be continually guided and promoted through establishing the consciousness of keeping pace with the times，improving the system of health care for cadres，enhancing the quality and consciousness of service and appling new ideas and new methods. 2022 Vol. 29 (6): 114-117 [Abstract] ( 66 ) HTML (1 KB)  PDF (622 KB)  ( 171 ) 118 Application effect of SBAR standard communication mode on shift handover of obstetric nurses in grass-roots hospitals REN Meijie；ZHENG Zhenjiao；LIN Jinxia；MA Yunqing；ZENG Nianjiao；LIN Huilan Object To explore the effect of SBAR standard communication mode on shift handover of obstetric nurses in grass-roots hospitals. Methods A total of 80 nurses with independent duty qualification in obstetrics of Xinhui District People′s Hospital of Xinhui Region in Jiangmen City from October 2019 to September 2020 were selected as the research objects. They were randomly divided into 40 nurses in the control group and 40 nurses in the study group. The control group adopted routine nursing shift handover, and the study group adopted SBAR standard communication mode shift handover based on the control group. The condition awareness rate, nursing shift defect rate, nurses′ autonomous learning ability, nursing work quality and nursing shift effect were compared between the two groups. Results The awareness rate of nurses in the study group was higher than that in the control group, and the difference was statistically significant (P<0.05). The defect rate of nursing shift handover was lower than that of the control group, and the difference was statistically significant (P<0.05). The autonomous learning ability was higher than that of the control group,and the difference was statistically significant (P<0.05). The total scores of nursing work quality and nursing shift change effect were higher than those in the control group, and the differences were statistically significant (P<0.05).Conclusion The implementation of SBAR standard communication mode in obstetric nursing shift can effectively improve nurses′ condition awareness rate, autonomous learning ability, nursing work quality and shift handover effect, and reduce the defect rate of nursing shift handover. This mode has high clinical application value in obstetrics clinic of grass-roots hospitals. 2022 Vol. 29 (6): 118-121 [Abstract] ( 47 ) HTML (1 KB)  PDF (638 KB)  ( 94 ) 122 Effect of psychological motivation on executive ability of administrators in medical colleges WANG Yingying Psychological motivation is an internal psychological process which is guided, stimulated and maintained by the goal or object. It can cause an individual to produce or maintain certain behaviors in order to achieve a goal. Psychological motivation includes two types: intrinsic motivation and extrinsic motivation. The executive ability of administrators in medical colleges is one of the most important factors that affect the efficiency of administrative management in medical colleges. It is also the most critical factor for medical colleges to enhance administrative efficiency, ensure the implementation of plans and achieve the expected strategic goals. The executive ability of administrators is influenced by many factors. This paper discusses the influence of psychological motivation on executive ability. This paper introduces the concept, types and main characteristics of psychological motivation, and expounds the influence mechanism of psychological motivation on executive ability of administrators in medical colleges. And some suggestions are put forward to improve the executive ability of the administrators of medical colleges by maintaining and adjusting the internal and external motivation. 2022 Vol. 29 (6): 122-125 [Abstract] ( 64 ) HTML (1 KB)  PDF (561 KB)  ( 57 ) 126 Application effect of nursing quality sensitive indicators in continuous improvement of psychiatric nursing quality RAO Ping Objective To study the clinical effect of using sensitive indicators of nursing quality in psychiatric department for continuous improvement of nursing quality. Methods A total of 108 psychiatric patients who were treated in Ganzhou people′s Hospital from October 2018 to November 2019 were analyzed retrospectively. According to the nursing methods, they were divided into reference group and study group, with 54 cases in each group. The reference group adopted the routine nursing method, the study group used the routine nursing and the monitoring of the sensitive index of nursing quality, the treatment methods of the two groups were the same. The satisfaction rate, adverse reactions and nursing quality score of the two groups were observed. Results The scores of nursing quality (drug use, risk management, accurate identification of patients, basic operation, grading nursing implementation) in the treatment group were better than those in the control group, and the differences were statistically significant (P<0.05). The total nursing satisfaction of the study group was higher than that of the reference group, the difference was statistically significant (P<0.05); the total incidence of nursing adverse events of the study group was lower than that of the reference group, the difference was statistically significant (P<0.05). Conclusion The effect of using sensitive indicators of nursing quality is obvious, the nursing quality and satisfaction rate are high, and the nursing safety is high, which is suitable for clinical application. 2022 Vol. 29 (6): 126-129 [Abstract] ( 55 ) HTML (1 KB)  PDF (618 KB)  ( 91 ) 130 Thoughts on the reform and development of public hospitals under the framework of modern hospital management system ZHANG Yan；MA Xinxing；XU Qiang；ZONG Jianyang The modern hospital management system is the key institutional arrangement of the current basic medical and health system in China. It is the goal of the recent reform and development of public hospitals. It is of great significance to strengthen party building in public hospitals and to promote the modernization of China′s governance system and capacity. By adopting policy analysis method, the article summarizes the connotation and framework of the modern hospital management system, and analyzes the difficulties and obstacles of the reform and development of public hospitals under the framework of the modern hospital management system. In the end, the article puts forward suggestions for reform and development of public hospitals under the framework of modern hospital management systems at three levels, including the external governance system, corporate governance system, and internal governance system. 2022 Vol. 29 (6): 130-133 [Abstract] ( 52 ) HTML (1 KB)  PDF (569 KB)  ( 103 ) 134 Application of humanistic care in clinical practice teaching of neurosurgery XU Gangzhu；JIA Xiaodi；LIU Yuzhe；DING Zhibin；WU Tao；CAO Zemin；ZHANG Junfeng；XU Chenxi Clinical practice plays a very important role in the training of medical students. The traditional clinical practice mode often focuses on the improvement of medical technology, but ignores the social and psychological needs of patients. The authors have pay attention to infiltrate more humanistic care concepts in the neurosurgery clinical teaching, including a series of specific measures of humanistic care education, such as the department-entrance education, the demonstration in clinical ward round and the feedback after teaching ward round. This paper summarizes and reports the experience of authors in humanistic education in neurosurgery practice teaching. It is expected to provide reference for improving the effect of practice teaching, improving the humanistic care ability of medical students and enriching the content of medical humanistic education. 2022 Vol. 29 (6): 134-136转140 [Abstract] ( 65 ) HTML (1 KB)  PDF (607 KB)  ( 50 ) 137 Application of feedback method in medication education for children with nephrotic syndrome QIU Yuying；XIAO Dongsu；LI Juan；XIE Zhifen  Objective To explore the application of feedback method in medication education for children with nephrotic syndrome. Methods A total of 76 children with nephrotic syndrome admitted to the Department of Pediatrics of Ganzhou People′s Hospital from January 2020 to January 2021 were selected as the research objects, and they were divided into control group and experimental group according to the random number table method, with 38 cases in each group. The control group carried out medication education by means of routine guidance, and the experimental group applied feedback method for medication education on this basis, two groups of children′s caregivers′ knowledge of medication, children′s medication compliance, time of urine protein positive to negative, hormone dosage were compared and analyzed. Results After intervention, the medication compliance scores of children in the experimental group were higher than those in the control group, the differences were statistically significant (P<0.05). The caregiver′s knowledge of nephrotic syndrome medication in the experimental group was higher than that in the control group, the difference was statistically significant (P<0.05). The time of urine protein positive to negative of the experimental group was shorter than that of the control group, and the amount of hormones was less than that of the control group, the differences were statistically significant (P<0.05). The caregiver′s knowledge of nephrotic syndrome medication in the experimental group was higher than that in the control group, the difference was statistically significant (P<0.05). The infection rate in the experimental group was lower than that in the control group at 6 months after discharge, the difference was statistically significant (P<0.05). Conclusion The feedback method has significant application value in the medication education of children with nephrotic syndrome. It can improve the compliance of children with medication,shorten the urine (+) protein time to become negative, reduce the dosage of hormones, and reduce the infection rate. 2022 Vol. 29 (6): 137-140 [Abstract] ( 56 ) HTML (1 KB)  PDF (598 KB)  ( 41 ) 141 Effects of stage scenario simulation education on mentality and self-efficacy of pregnant women with high-risk pregnancy ZHANG Huina；LYU Huayu；QU Lijuan；LIU Hanni Objective To investigate the effects of stage scenario simulation education on mentality and self-efficacy of pregnant women with high-risk pregnancy. Methods A total of 86 pregnant women with high-risk pregnancy admitted to Jiujiang Maternal and Child Health Hospital from January 2019 to June 2021 were selected as the study subjects,they were divided into control group and observation group according to random number table method, with 43 cases in each group. Patients in the control group were given conventional nursing, while patients in the observation group were given stage scenario simulation education on the basis of the control group. Intervention lasted until a week after delivery. The psychological status scores of patient health questionnaire-9 (PHQ-9), state-trait anxiety inventor (STAI), fatigue severity scale (FSS) and general self-efficacy scale (GSES) scores were compared between the two groups before and after intervention. Results There were no significant differences in PHQ-9, STAI, and FSS scores between the two groups before intervention (P>0.05). After intervention, PHQ-9, STAI, and FSS scores of the two groups were lower than those before intervention, while GSES scores were higher than those before intervention, the differences were stastically significant (P<0.05). After intervention, there were no significant differences in PHQ-9, STAI, and FSS scores between two groups (P>0.05). Conclusion The application of stage scenario simulation education can improve anxiety,depression, fatigue and other adverse mentalities of pregnant women with high-risk pregnancy and enhance self-efficacy, which is worthy of clinical promotion. 2022 Vol. 29 (6): 141-143 [Abstract] ( 68 ) HTML (1 KB)  PDF (591 KB)  ( 69 ) 144 Application of Wechat mini program in the management of continuing medical education ZHANG Wei；MA Zheng Objective To explore the application effect of Wechat mini program in continuing medical education management. Methods Two hundred nursing staff who received continuing medical education through Wechat mini program in August 2019 and August 2020 were selected as the observation group, and one hundred nursing staff who received traditional medical education from August 2018 to July 2019 were selected as the control group. The two groups of subjects were compared in terms of check-in time, time needed to complete training materials, attendance rate, evaluation score of theoretical knowledge and practical skills, and satisfaction with management style. Results The check-in time and the time required to complete training materials in the observation group were shorter than those in the control group, the differences were statistically significant (P<0.05). The attendance rate of the observation group was higher than that of the control group, the difference was statistically significant (P<0.05). The evaluation scores of theoretical knowledge and practical skills in the observation group were higher than those in the control group, and the satisfaction of management style in the observation group was higher than that in the control group the differences were statistically significant (P<0.05). Conclusion The application of Wechat mini program in the management of continuing medical education can improve the training efficiency and attendance rate, and is conducive to the mastery of knowledge, so it is worth promoting and applying. 2022 Vol. 29 (6): 144-146 [Abstract] ( 107 ) HTML (1 KB)  PDF (620 KB)  ( 113 ) 147 Application and practice of specialized course combining ideological and political educationc in hematology teaching WANG Bingchen；LI Wenxing；QIU Zhaoqian Cultivating people is the fundamental task of specialized course combining ideological and political education, and it is also an inevitable requirement of medical humanities education. Medicine has dual attributes of nature and humanity, but under the traditional medical education model, internal medicine teachers only focus on student professional ability and teaching the diagnosis, treatment and prevention of common human diseases in a systematic manner. Ignore the shaping of medical students′ values and the cultivation of humanistic spirit. Through the pecialized course combining ideological and political educationc, we integrate student value training on the basis of pure knowledge transfer and ability training in the past to realize the comprehensive training of talents. This article takes hematology as an example, analyzes the necessity of integrating pecialized course combining ideological and political educationc in medical education. Sort out and dig out the ideas of ideological and political textbooks related to hematology.Discussed the integration skills and teaching methods of ideological and political materials in hematology. Analyze and evaluate the teaching effect of ideological and political courses in hematology. Preliminary discussion on the problems and solutions in the course of ideological and political construction and teaching practice. Provide practical ideas and methods for the ideological and political construction of clinical medicine professional courses. 2022 Vol. 29 (6): 147-151 [Abstract] ( 72 ) HTML (1 KB)  PDF (640 KB)  ( 267 ) 152 Application of cluster intervention in prevention of catheter-induced agitation in patients after general anesthesia WANG Liang；RAO Lie；ZHANG Wei Objective To investigate the application of cluster intervention in the prevention of urogenic agitation during recovery period after general anesthesia. Methods A total of 500 patients undergoing abdominal surgery under general anesthesia from August 2020 to February 2021 in Department of Anesthesiology, Jiujiang Hospital of Traditional Chinese Medicine in Jiangxi Province were selected as the research subjects. The patients were divided into the control group and the intervention group by random number table method, with 250 cases in each group. The control group adopted routine operation room nursing mode. In the intervention group, cluster intervention measures were implemented.Visual analogue scale(VAS)score,Ramsay sedation score,incidence of urinary duct irritation and agitation were compared between the two groups. Results After intervention, VAS score in the intervention group was lower than that in the control group, the difference was statistically significant (P<0.05). After intervention, Ramsay sedation score in the intervention group was higher than that in the control group, the difference was statistically significant (P<0.05).The incidence of urinary duct irritation (18.8%) and agitation (6.8%) in the intervention group were lower than those in the control group (42.8% and 29.6%), the differences were statistically significant (P<0.05). Conclusion Cluster intervention can reduce the occurrence of restlessness and urinary duct irritation, relieve postoperative pain and drowsiness, and has a certain preventive effect on the occurrence of urinary duct restlessness after general anesthesia. 2022 Vol. 29 (6): 152-154转158 [Abstract] ( 72 ) HTML (1 KB)  PDF (734 KB)  ( 48 ) 155 Application research of respiratory management team in postoperative nursing of Stanford type A aortic dissection DENG Jinxin；HAN Xi Objective To explore the application effect of respiratory tract management team in postoperative nursing of Stanford A aortic dissection. Methods A total of 80 patients with Stanford a type A aortic dissection were selected from March 2019 to April 2020 in the Second Affiliated Hospital of Nanchang University as the study objects. The patients were divided into control group (40 cases) and experimental group (40 cases). The control group adopted the routine nursing mode intervention, the experimental group adopted the respiratory management group intervention. The recovery of lung function, the total incidence of complications, the score of pain digital score (NRS) and the length of hospitalization were compared. Results There was no significant difference in pulmonary function between the two groups before nursing (P>0.05). After nursing, the levels of blood oxygen saturation, oxygenation index and oxygen partial pressure in the experimental group were higher than those in the control group, while oxygen concentration was lower than those in the control group, the differences were statistically significant (P<0.05). The total incidence of complications in the experimental group was lower than that in the control group, the difference was statistically significant (P<0.05).There was no significant difference in NRS scores between the two groups before intervention (P>0.05). The NRS score of the two groups after intervention was lower than that before intervention, and the NRS score of the experimental group was lower than that of the control group, the differences were statistically significant (P<0.05). The length of hospitalization in the experimental group was shorter than that in the control group, the difference was statistically significant (P<0.05). Conclusion Through the use of standardized and meticulous respiratory management for patients with Stanford A aortic dissection, the pulmonary function of the patients has been well recovered, the occurrence of respiratory complications has been effectively prevented, the hospitalization time has been greatly shortened, and the healthy recovery of the patients has been ensured. 2022 Vol. 29 (6): 155-158 [Abstract] ( 71 ) HTML (1 KB)  PDF (733 KB)  ( 39 ) 159 Construction of a pulmonary rehabilitation nursing system for patients with pulmonary surgery in a multidisciplinary collaborative model LU Huihui；YANG Shaodi；LONG Xiaoning；WANG Huan；LIU Yanchun；HUANG Liru Objective Under the multi-disciplinary cooperation mode, the nursing system of lung rehabilitation for patients with lung surgery is constructed to provide systematic nursing for postoperative lung rehabilitation of patients with lung surgery and promote the early recovery of patients. Methods Through consulting domestic and foreign literature,clinical investigation, and using Delphi method to consult experts by letter, determine the specific content of lung rehabilitation nursing system for patients with lung surgery. Results Fifteen questionnaires were distributed in both rounds of expert letter consultation. All questionnaires were collected, and the authority coefficient of the questionnaire was 0.885, among which the familiarity coefficient of the experts participating in the questionnaire was 0.913, and the judgment basis coefficient was 0.857.The experts participating in this survey were familiar with their professional knowledge and had a high degree of authority, and the results were reliable. By integrating the results of the two rounds of letter consultation and statistical analysis of the data, a lung rehabilitation nursing system including 5 first-level items, 10 second-level items and 100 third-level items was formed according to the discussion of the research group. Conclusion The pulmonary rehabilitation nursing system for patients with pulmonary surgery in a multidisciplinary collaborative model has the scientific and reliable content and can provide scientific and systematic nursing care for pulmonary rehabilitation of patients with pulmonary surgery, which can promote their early recovery. 2022 Vol. 29 (6): 159-163 [Abstract] ( 62 ) HTML (1 KB)  PDF (773 KB)  ( 114 ) 164 Application effect of traditional Chinese medicine pentatonic therapy combined with rapid rehabilitation nursing in postoperative rehabilitation of patients with cruciate ligament rupture XIONG Zhen；LIANG Qun；LI Fei Objective To explore the application effect of traditional Chinese medicine pentatonic therapy co mbined with rapid rehabilitation nursing in postoperative rehabilitation of patients with cruciate ligament rupture. Methods The clinical data of 66 patients with cruciate ligament rupture admitted to Hongdu Hospital of Traditional Chinese Medicine in Nanchang from September 2019 to September 2020 were retrospectively analyzed. They were divided into the control group (33 cases) and the observation group (33 cases) according to the difference of nursing methods adopted by classification method. The control group adopted rapid rehabilitation nursing, and the observation group adopted rapid rehabilitation nursing combined with traditional Chinese medicine pentatonic therapy. The Lysholm knee score (Lysholm)and visual analogue scale (VAS) of pain were compared between the two groups before intervention, on the day after operation and on the day of discharge. Results The Lysholm score of the observation group on the day after operation and on the day of discharge were higher than those of the control group, and the differences were statistically significant (P＜0.05). The VAS score of the observation group at 6, 12, 24, 48 h after surgery were lower than those of the control group, the differences were statistically significant (P＜0.05). Conclusion On the basis of rapid rehabilitation nursing, combined with tradionl Chinese medicine pentatonic therapy for patients with cruciate ligament fracture intervention can significantly reduce the operation pain, it is conducive to promoting the recovery of knee joint function. 2022 Vol. 29 (6): 164-167 [Abstract] ( 52 ) HTML (1 KB)  PDF (723 KB)  ( 141 ) 168 Influence of emotional nursing of traditional Chinese medicine on emotion of patients with recurrent abortion after abortion QIU Pingping；ZHANG Deyuan；SONG Zaixing；RAO Bingbing；QIN Xiaoling；NING Yan Objective To explore the influence of emotional nursing of traditional Chinese medicine on the emotion of patients with recurrent abortion after abortion. Methods A total of 60 patients with recurrent abortion who were admitted to the Department of Traditional Chinese Medicine of Shenzhen Maternal and Child Health Care Hospital Affiliated to Southern Medical University from January 2019 to May 2020 were selected as the research objects. They were divided into control group and observation group by random selection lottery, with 30 patients in each group. The control group was given routine clinical care, and the observation group was given emotional care of traditional Chinese medicine. The self-rating anxiety scale (SAS) and self-rating depression scale (SDS) were used to evaluate the anxiety and depression mood scores of patients in both groups before and after nursing. Sleep quality of patients in both groups was evaluated by the Pittsburgh sleep quality index (PSQI), and the total awareness rates of reproductive health knowledge of patients in both groups were compared. Results Before nursing, no stastically significances were observed in SAS, SDS and PSQI scores between the two groups (P>0.05). After nursing, the SAS, SDS and PSQI scores of the two groups were lower than those before nursing, the differences were statistically significant (P<0.05). The SAS, SDS and PSQI scores of the observation group were lower than those of the control group, the differences were statistically significant (P<0.05). The total awareness rate of reproductive health knowledge in the observation group was higher than that in control group, the difference was statistically significant (P<0.05). Conclusion For patients with recurrent abortion,the implementation of emotional nursing of traditional Chinese medicine is helpful to ease their negative emotions, improve their sleep quality, improve their total reproductive health knowledge rate and make their mental outlook change,which is favorable to their prognosis. 2022 Vol. 29 (6): 168-171 [Abstract] ( 58 ) HTML (1 KB)  PDF (762 KB)  ( 75 ) 172 Clinical study of early rehabilitation training combined with air pressure therapy for the prevention of lower limb deep vein thrombosis in elderly patients with comprehensive long-term bedridden ICU LIU Ruihua；LIU Jiemei；CHENG Zhiyuan Objective To study the effect of early rehabilitation training combined with pneumatic therapy and preventing the formation of limb deep vein thrombosis (DVT) in elderly bedridden patients with comprehensive intensive care unit (ICU). Methods A total of 100 long-term bedridden elderly patients admitted to the comprehensive ICU of Yangjiang People′s Hospital in Guangdong Province from July 2019 to February 2021 were selected and divided into a control group (50 cases) and a test group (50 cases) using the random number table method. The control group received early rehabilitation training combined with elastic stockings, and the test group received early rehabilitation training combined with air pressure therapy. The coagulation index, lower limb circumference, ICU hospitalization days, total hospitalization days, neuromuscular dysfunction and the incidence of DVT were compared between the two groups. Results Before the intervention, there were no significant differences between the two groups of activated partial thromboplastin time (APTT), prothrombin time (PT), and lower limb circumference (P>0.05). After the intervention, the APTT and PT of the two groups were higher than those of the group before the intervention, and the circumference of the lower limbs was shorter than that of the group before the intervention, the differences were statistically significant (P<0.05).After the intervention, the APTT and PT of the experimental group were higher than those of the control group, and the circumference of the lower limbs was shorter than that of the control group, the differences were statistically significant (P<0.05). After the intervention, the number of ICU hospitalizations and total length of stay in the experimental group were less than those of the control group, and the incidence of neuromuscular dysfunction and DVT were lower than those of the control group, and the differences were statistically significant (P<0.05). Conclusion Early rehabilitation training combined with pneumatic treatment can effectively prevent the occurrence of lower limb DVT in elderly patients with long-term bedridden patients, reduce lower limb swelling, reduce the incidence of neurological dysfunction, and promote rehabilitation. 2022 Vol. 29 (6): 172-175 [Abstract] ( 58 ) HTML (1 KB)  PDF (773 KB)  ( 124 ) 176 Application analysis of case nursing management model in preventation and nursing of elderly patients with aspiration pneumonia HUANG Yin Objective To explore the application effect of case nursing management model in high-risk elderly patients with aspiration pneumonia. Methods A total of 120 high-risk elderly patients with aspiration pneumonia from the First People′s Hospital of Fuzhou City from January to October 2021 were selected as the research subjects, and they were divided into the observation group (n=60) and the control group (n=60) according to the random number table method.Patients in the observation group were provided with case nursing management model, while patients in the control group were provided with routine nursing. The hospital stay, body temperature, generalized anxiety disorder 7-item scale (GAD-7) score, peripheral white blood cell count, the incidence of pneumonia, and the total satisfaction rate of nursing were compared between the two groups. Results The hospital stay of patients in the observation group was shorter than that of the control group, with statistical significance (P<0.05). The body temperature and the incidence of pneumonia of the observation group were lower than those of the control group, with statistical significances (P<0.05).After the intervention, the GAD-7 score and peripheral white blood cell count of the two groups were lower than those before the intervention, and the GAD-7 score and peripheral white blood cell count of the observation group were lower than those of the control group, with statistical significances (P<0.05). The total satisfaction of nursing of patients in the observation group was higher than that of the control group, with statistical significance (P<0.05). Conclusion The case nursing management model can help reduce the incidence of pneumonia in high-risk elderly patients with aspiration pneumonia, adjust their peripheral white blood cell count and body temperature, shorten their hospital stay, and have a benign impact on their mental state and total satisfaction of nursing. 2022 Vol. 29 (6): 176-178 [Abstract] ( 83 ) HTML (1 KB)  PDF (716 KB)  ( 94 ) 179 Application effect of traditional Chinese medicine nursing combined with Deanxit on post-stroke depression JIANG Xiying；YU Yan；GONG Ting；YE Wentian；FU Ji Objective To explore the application effect of traditional Chinese medicine nursing combined with Deanxit in Post-Stroke Depression (PSD). Methods From June 2020 to April 2021, 60 patients with PSD admitted to Gao′an City Hospital of Traditional Chinese Medicine in Jiangxi Province were selected as the research objects, and they were divided into the control group(30 cases)and the observation group(30 cases)according to the random number table method.The control group was given Deanxit, and the observation group was given Chinese medical care for 4 consecutive weeks. The depression scores, clinical efficacy, and adverse reactions between the two groups were compared. Results There was no significant difference between the Hamilton depression rating scale (HAMD) scores of the two groups before treatment (P>0.05); the HAMD scores of the observation group after 2 and 4 weeks of treatment were lower than those of the control group. It was statistically significant (P<0.05); the total effective rate of treatment in the observation group was higher than that of the control group, and the difference was statistically significant (P<0.05); the difference in adverse reactions between the two groups was not statistically significant (P>0.05). Conclusion The combination of traditional Chinese medicine nursing and Deanxit can relieve the depressive symptoms of PSD patients without serious adverse reactions. It is safe and feasible, and it is worthy of popularization and application. 2022 Vol. 29 (6): 179-181转185 [Abstract] ( 56 ) HTML (1 KB)  PDF (1262 KB)  ( 36 ) 182 Application effect of thermal insulation care in patients with general anesthesia NIU Bin；OUYANG Huixian；ZHANG Shuzhen Objective To explore the application effect of thermal insulation care in patients with general anesthesia.Methods Eighty-eight patients who accepted general anesthesia during surgery in Shunde Hospital of Southern Medical University from June 2019 to June 2021 were selected as the research subjects. According to the random number table method, they were divided into a control group with 44 cases and an observation group with 44 cases. Patients in the control group took routine nursing care, and in the observation group, heat preservation nursing was added on the basis of the control group. The levels of stress response, postoperative resuscitation, occurrence of hypothermia, chills, and agitation, and nursing satisfaction were compared between the two groups. Results There was no significant difference in preoperative stress response between the two groups (P>0.05). The levels of C-reactive protein (CRP), adrenal hormone (AD), and norepinephrine (NE) in the two groups after surgery were higher than those before surgery, and those indexes in the observation group were lower than those in the control group, the differences were statistically significant(P<0.05). The tracheal extubation time, fully awaking time, and post-anesthesia care unit (PACU) retention time in the observation group were shorter than those in the control group, and the differences were statistically significant (P<0.05). The incidence of hypothermia, chills, and agitation in the observation group were 4.55% 4.55%, and 6.82%,which were all lower than those in the control group, 18.18%, 20.45% and 22.73%, respectively with statistical significance (P<0.05). The total nursing satisfaction of the observation group was 95.45%, higher than that of the control group accounting for 81.82%, and the difference was statistically significant (P<0.05). Conclusion Heat preservation nursing can reduce the stress response during the operation of general anesthesia patients, shorten the anesthesia recovery period, promote the anesthesia recovery, reduce the incidence of hypothermia and chills, and increase nursing satisfaction. 2022 Vol. 29 (6): 182-185 [Abstract] ( 58 ) HTML (1 KB)  PDF (724 KB)  ( 13 ) 186 Application of pre-hospital and nosocomial seamless emergency care mode in the emergency treatment of heatstroke patients JIN Yan  Objective To explore the application value of pre-hospital and nosocomial seamless emergency care mode in the emergency treatment of heatstroke patients. Methods A total of 82 patients with heatstroke admitted to Nanchang Third Hospital were enrolled between June 2019 and August 2020. According to random number table method, they were divided into control group (n=41) and observation group (n=41). The control group was given routine nursing,while observation group was given pre-hospital and nosocomial seamless emergency care mode for nursing. The neurological injury, cooling and recovery time of clinical symptoms were compared between the two groups after nursing.Results The neurological injury in observation group was lighter than that in control group after nursing, and the difference was statistically significant (P<0.05). The body temperature of patients in the observation group was lower than that in the control group at 0.5 h after rescue, and the difference was statistically significant (P<0.05). There was no significant difference in body temperature between the two groups at 2 hours after rescue (P>0.05). The time of body temperature dropping to 38.5℃in observation group was shorter than that in control group, and the difference was statistically significant (P<0.05). After nursing, the recovery time of clinical symptoms in the observation group was (5.31±0.76) h, and that in the control group was (6.59±0.99) h. The recovery time of clinical symptoms in the observation group was shorter than that in the control group, the difference was statistically significant (P<0.05). Conclusion The pre-hospital and nosocomial seamless emergency care mode can effectively shorten recovery time of heatstroke patients,improve prognosis and treatment effect. 2022 Vol. 29 (6): 186-188 [Abstract] ( 55 ) HTML (1 KB)  PDF (713 KB)  ( 87 ) 189 Application effect of early nutrition support nursing combined health education in patients with gastroduodenal ulcer perforation PU Jiangling Objective To explore the application effect of early nutrition support nursing and combined health education in patients with gastroduodenal ulcer perforation. Methods A total of 80 patients with gastroduodenal ulcer perforation treated from July 2019 at Affiliated Zhongshan Hospital of Dalian University between July 2019 and July 2021 were selected as the study subjects, and all patients were divided into study group and control group according to the computer randomization method, with 40 cases in each group. The control group used health education care, the research group gave early nutrition support nursing, the two groups of patients before and after care nutrition indicators(serum albumin [ALB], serum transferrin [ST], hemoglobin [Hb]) changes, using the MOS item short from health survey(SF-36) to evaluate the quality of life before and after treatment, statistics of the occurrence of complications in all patients after care and conduct their nursing satisfaction survey weer compared. Results After nursing, the ALB, ST and Hb in the study group were higher than those in the control group, SF-36 score was higher than that in the study group, the differences were statistically significant (P<0.05). After nursing, the total incidence of complications in the study group was lower than that in the control group, the difference was statistically significant (P<0.05). After nursing,the total nursing satisfaction in the study group was higher than that in the control group, the difference was statistically significant (P<0.05). Conclusion Early nutrition support joint health education of nursing can effectively improve the gastroduodenal ulcer perforation patients nutrition status and promote their recovery, after the joint care the patients quality of life significantly increased, the nursing methods can reduce a patient′s risk of complications and improve the prognosis, but also to improve the nursing satisfaction and its clinical value is higher, Suggestions for further popularization and application. 2022 Vol. 29 (6): 189-192 [Abstract] ( 59 ) HTML (1 KB)  PDF (719 KB)  ( 192 ) 193 Application of "5A" nursing mode combined with objective health education in clinical nursing of patients with chronic heart failure LIU Cuili；LIAO Min；GUO Juan Objective To investigate the effect of "5A" nursing mode combined with target health education in patients with chronic heart failure. Methods A total of 78 patients with chronic heart failure in the Department of Cardiovascular Medicine of Honghu People′s Hospital from May 2018 to February 2020 were selected as the research objects. They were divided into the conventional group (42 cases) and the combined group (36 cases) according to the time sequence grouping method. The conventional group was treated with routine health education and nursing intervention, the combined group adopted "5A" nursing intervention with targeted health education, compare the self-efficacy, self-care ability, disease knowledge mastery ability, quality of life, accident rate, nursing satisfaction and prognosis of patients in the two groups after the intervention. Results After intervention, the scores of general self-efficacy scale (GSES), exercise of self-care agency (ESEA) and health education questionnaire in the combined group were higher than those in the conventional group, the differences were statistically significant (P<0.05). The Minnesota living heart failure questionnaire (MLHFQ) score of the combined group was lower than that of the conventional group, the difference was statistically significant (P<0.05). The incidence of accident and the rate of rehospitalization in the combined group were lower than those in the conventional group, and the nursing satisfaction and the rate of maintaining cardiac function were higher than those in the conventional group, the differences were statistically significant (P<0.05). Conclusion "5A"nursing model combined with target-type health education has a good effect. It can effectively improve the quality of nursing, promote patients′ understanding of diseases, improve self-efficacy and nursing ability, improve prognosis, and improve the quality of life. 2022 Vol. 29 (6): 193-196 [Abstract] ( 57 ) HTML (1 KB)  PDF (733 KB)  ( 103 )

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