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FENG Min-jian,LIU Xin,WANG Wen-feng.
Objective:To study influence of blood perfusion combined with hemodialysis on calcium and phosphorus metabolism and skin pruritus symptoms of patients with uremia. Method:42 uremia patients were selected as the research object.According to random number table method 42 patients were randomly divided into observation group and control group. Observation group: 18 patients, treated with hemodialysis combing blood perfusion;Control group:24 cases, pure hemodialysis therapy. Calcium, phosphorus, skin pruritus conditions and quality of life of two groups before and after the treatment were compared. Result:4 weeks, 8 weeks after treatment,serum calcium level of observation group was obviously improved than before the treatment(P<0.01),and the control group improved significantly during this period, and there were statistically significant difference(P<0.01);4 weeks,8 weeks after treatment,serum phosphorus levels of observation group was obviously improved before the treatment( P<0.01), and the control group improved significantly during this period, and there were significant difference(P<0.01). 4 weeks and 8 weeks after treatment skin pruritus in observation group were significantly better than before treatment,and also improved obviously than skin pruritus condition of patients in the control group at the same period,and there were statisticallysignificant difference(P<0.001).The quality of life after treatment in observation group was obviously higher than that of control group,and the difference was statistically significant(P<0.001).Conclusion:Blood perfusion combined with hemodialysis can effectively correct uremia patients’ blood calcium and phosphorus metabolism disorder,and significantly reduce patients’ skin pruritus symptoms.
2015 Vol. 12 (05): 1-4 [Abstract](
593
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HE Hong,FAN Bin,ZHANG Yu-hong,et al.
Objective:To study the feasibility of the intracardiac electrocardiogram( IVECG) guided into PICC catheter.Method:88 patients were selected,and they were all met the inclusion criteria, with intracardiac electrocardiogram technology to guide placement of PICC, the results were compared with chest radiography , sensitivity
and specificity were observed within the heart electrocardiogram technologies and computing in the chest measured catheter the length of the catheter tip in an ideal position for( L-j) and cardiac catheter positioning method P length( L-max) of the peak arrival time difference, as provided reference data for guiding catheter length retreat.Result:88 patients after puncture PICC catheter tip was located in the chest confirmed the superior vena cava 84 cases, the characteristic P wave were 72 cases of ECG heart, no P wave changed 16 cases, after timely adjustment of catheter position, 14 cases appeared P wave characteristics, and 2 cases did not appeared P wave characteristics, chest radiograph showed that still was located in the ipsilateral internal jugular vein catheter tip. Compared with the chest radiograph, the intracardiac electrocardiogram diagnosis technology guide catheter tips in the sensitivity of the vena cava was 97.67%, the specificity was 100%. The length of the catheter length PICC catheter tip location and ideal P arrival at the peak difference was( 2.7±0.8)cm. Conclusion:Using intracardiac electrocardiogram( ECG) auxiliary tube guidance technology, sensitive and specificdegree are high, which can effectively monitor the change of PICC catheter depth, and the catheter is not into the superior
vena cava can also provide valuable information. This method is easy to operate, safe and effective, no additional trauma and cost, no radioactive pollution, can replace traditional X-ray examination to confirm the location of the catheter,worthy of clinical use.
2015 Vol. 12 (05): 4-8 [Abstract](
1064
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SONG Tao,GAO Xiao-jun,JIA Li,et al.
Objective:To evaluate and automated tracking of mitral annular displacement in diagnosing coronary heart disease(CHD).Method:60 cases of coronary heart disease were selected in our hospital from 2012 to 2013 as the CHD group and 20 cases with normal as the control group.They were all received transthoracic left and right coronary
diameter measured.Their apical four-chamber view and two-chamber view images were recorded by PHILIP IE33,the interventricular septum,side wall,front wall and wall motion abnormalities in the change of displacement of mitral valve ring of coronary heart disease group and control group were observed.Parameters included MAD of interventricular septum(MADsep),left ventricular lateral wall(MADlat),MAD of anterior wall(MADant),MAD of inferior wall(MADinf),middle point of mitral annulus(MADmid),and MADmid% was defined as MADmid divided by left ventricular diameter.The results of coronary heart disease group and control group were compared.The correlation between MAD indexes and LVEF and E/A was also explored. Result:According to the results by echocardiography,CHD group was divided into
CHDⅠ(with wall motion abnormality) and CHDⅡ(not with wall motion abnormality). MAD indexes were significantly smaller in CHDⅠthan in control group and CHDⅡ, the difference was statistically significant(P<0.001);MAD indexes were no statistical significance in CHDⅡ and control group(P>0.05);the ventricular septal MAD side wall, front wall and lower wall were significantly reduced in control group,the difference was statistically significant(P<0.001).Coronary heart disease group and control group by transthoracic left and right coronary diameter there was no significantdifference( P>0.05). Coronary heart disease( CHD)Ⅰ group each movement parameters significantly correlated the left ventricular EF value and E/A value( P<0.001), especially average MADmid%.Conclusion:ATMAD has advantages of easiness, rapid, non-invasion and repeatability. It can be a rapid and stable index for assessment of CHD wall motion abnormality and left ventricular systolic/diastolic function in CHD patients.
2015 Vol. 12 (05): 9-12 [Abstract](
486
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ZHANG Kai-rong,TAN Gui-ji,QU Jian-gang,et al.
Objective: To investigate the efficacy and safety of theVitalStim swallowing therapy instrument in the treatment of dysphagia after stroke.Method: 80 patients with dysphagia after stroke were randomly divided into observation group and control group,40 cases in each group.The control group was given conventional stroke medcine therapy and basic swallowing function training and feeding training.The observation group was added VitalStim swallowing therapy instrument based on the treatment in control group.The swallowing functional rating, the clinical effect and adverse reaction were observed before and after treatment in two groups.Result: After treatment, the swallowing function of two groups were improved compared with before treatment,the swallowing function of the observation group was significantly better than that of the control group, the differences were statistically significant( P<0.05). The total effective rate was 90% of observation group, better than 72.5% of control group, the difference was statistically significant( P<0.05). There were no obvious adverse reaction in two groups.Conclusion: VitalStim swallowing therapy instrument has significantly curative effect in the treatment of dysphagia after stroke, and no adverse reaction.It is worth in clinical application.
2015 Vol. 12 (05): 13-15 [Abstract](
638
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357
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LI Qun,ZHANG Jin-hua,YU Feng-quan.
Objective:To observe the effect and safety of non-weight exercise prescription for patients with diabetic foot ulcer(DFU).Method:Sixty-two patients with DFU were divided into exercise group and control group at random,We observed the changes of local skin temperature, ankle brachial index( ABI),transcutaneous oxygen
pressure(TcPO2) and the effect evaluation of DFU before and after treatment;the ulcer healing rate in the two groups were compared,and the adverse events of the treatment were recorded.Result:The total efficacy rate in the exercise group was significant better than that in the control group after treatment(P<0.05).The ABI,TcPO2 in the two groups increased.Besides, there is aincrease of local skin temperature and a decrease of BMI in exercise groups(P<0.05). The differences of above index before and after treatment in exercise groups are more significant than that in control group(P<0.05 or P<0.01).Conclusion:The non-weight exercise prescription in the study can improve the foot perfusion and promote ulcer healing.It has the advantage of high safety.
2015 Vol. 12 (05): 16-19 [Abstract](
870
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411
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LI Guo-wu,WU Yu-rong.
Objective:To detect the changes of serum adiponectin,procalcitonin(PCT),tumor necrosis factor alpha(TNF-alpha),interleukin-6(IL-6) level,and explore the changes of serum adiponectin level in patients with sepsis and its relationship with inflammatory markers.Method:30 cases were sepsis patients group which was selected from severe medicine department of the third people’s Hospital of Zheng Zhou city from January 2011 to January 2014,and 30 healthy persons were enrolled as healthy control group.Tested fast peripheral blood specimens In patients diagnosed with sepsis before breakfast and scored acute physiology and chronic health conditions examination(APACHE) II at the very day; so do the healthy control group as well.Bloodspecimens were sent to the hospital laboratoryfor the blood glucose,blood lipid, blood routine test of C-reactive protein(CRP) and the PCT testing;the adiponectin, tumor necrosis factor alpha(TNF-alpha),interleukin-6( IL-6)level were tested by enzyme linked immunosorbent assay(ELISA).Result:There were no significant in two groups of gender,age,BMI,blood glucose and blood lipid differences(P>0.05).The serum adiponectin level of sepsis group was lower than that of the control group(P<0.05),the difference was statistically significant as well;the WBC,neutrophil percentage,CRP,PCT,TNF-alpha and IL-6 in sepsis group was significantly higher than that in the control group(P<0.01),the difference was statistically significant;and there was a negative correlation between serum adiponectin and APACHE score(r=-0.753,P<0.01). There was a significant negative correlation between the serum adiponectin concentration and CRP,PCT,TNF-alpha and IL-6(r=-0.356,-0.548,-0.281 and -0.315,P<0.01).Conclusion:The serum adiponectin level of patients with sepsis decreased ,which has a correlation with the inflammatory markers;adiponectin might play a role in the systemic inflammatory response in septic patients,that may have certainreference value for judging severity and prognosis of the sepsis patients.
2015 Vol. 12 (05): 19-21 [Abstract](
517
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ZHAO Hao,HUANG Wei-ping,ZHANG Zong-de.
Objective:To explore the preoperative examination,perioperative treatment,operation treatment,postoperative treatment of multi-level surgery on severe obstructive sleep apnea hypopnea syndrome( OSAHS) though nose,oropharyngeal,laryngeal pharynx,to improve curative effect,reduce the recurrence,prevent and reduce the
operation risk of surgery.Method:35 cases who encounter severe obstructive sleep apnea hypopnea syndrome during April 2012 to December 2013 received expansion of the nasal cavity operation,uvulopalatopharyngoplasty,palatine tonsil resection operation,chin "window""convex" shape or "trapezoid" osteotomy advancementgenioplasty and genioglossus and hyoid bone muscleadvancement genioplasty,infrahyoid cut,hyoid suspension, maintain tracheal intubation 24-48h after operation. Result:After 8- 20 months of follow up, in 35 cases, all the operations were performed successfully. 21 cases cured, 10 cases markedly effective,4 cases effective, the total efficiency was 100%.There were no sleep arousal phenomenon.Mean AHI decreased from( 59.53±7.74)time/h preoperative to postoperative( 13.65±4.76)time/h,
lowest mean oxygen saturation increased from( 41.97±9.11)% to( 90.40±4.83)% the longest apnea time decreased from( 63.14±6.85)s to( 23.54±6.80)s.The cases with genioplasty were satisfied with the appearance was improved.Conclusion:The one stage multi-level surgery improve curative effect, reduce the recurrence and the operation risk for the treatment of severe OSAHS.
2015 Vol. 12 (05): 22-25 [Abstract](
571
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TAN Wen.
Objective:To study the clinical effect of transurethral prostatic electricity cut method in the treatment of benign prostatic hyperplasia(BPH).Method:From February 2013 to February 2014,the clinical data of 96 BPH patients were analyzed and they were divided into observation group and control group,48 cases of observation group was given for the treatment of the urethra prostate electricity cut,the control were given line open surgery treatment,the curative effect, the surgical treatment indexes and recovery of two groups were observed and compared.Result:The total effective rate of treatment group was 97.92%, significantly higher than the 83.33% in the control group(P<0.05).The operation time,intraoperative blood loss,catheter indwelling time and hospital stay in the observation group were significantly less than those of the control group, with statistical significance( P<0.05).After treatment,IPSS, QOL and PVR index levels of the observation group were significantly lower than before the treatment,and Q-Max level was significantly higher than before the treatment,with statistical significance(P<0.05).Conclusion:The treatment of BPH are treated by transurethral prostatic cutting, with advantages of shorter operation time, less intraoperative blood loss, and can effectively improve the patient’s clinical symptoms, curative effect is distinct, worthy of promotion.
2015 Vol. 12 (05): 26-28 [Abstract](
688
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CHEN Zhi-feng,CHEN Guan-xing,CHEN Zhuo-lian,et al.
Objective:To discuss and investigate the implementation of investigation of mixed infection of atypical pathogenic bacteria in patients with COPD ,and the significance of actively implement the treatment and efficacy evaluation.Method:200 patients with COPD in our hospital from July 2012 to April 2014 were selected,they were randomly divided into the control group and the treatment group,100 cases in each group.The control group was given conventional treatment.On the basis of conventional treatment,the treatment group was given routine examination of atypical pathogens mixed infection and the etiological examination results were analyzed in detail.Result:Before anti infection scheme adjustment,the treatment effect of treatment group was significantly better than the control group(P<0.05).After anti infection scheme adjustment,there were no statistically significant differences in the treatment effect and mortality between the two groups(P>0.05),and the treatment effect of control group was significantly better thanbefore the adjustment(P<0.05).Conclusion:Carrying out the investigation of mixed infection of atypical pathogenic bacteria in patients with COPD,can improve the treatment effect of the patients.
2015 Vol. 12 (05): 29-31 [Abstract](
530
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398
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GUO Lei.
Objective:To explore the clinical curative effect of noninvasive positive presure ventilation in the treatment of acute left heart failure.Method:Sixty patients with acute left heart failure were divided into conventional treatment group(group A) and noninvasive positive pressure ventilation group(group B) according to whether the therapy combined with noninvasive positive pressure ventilation.Their blood pressure, heart rate, respiration, SaO2, MAP after treatment and efficacy were compared between two groups.Result:After treatment in group B,blood pressure,heart rate,respiration,SaO2,MAP decreased significantly in group A. The efficiency of the group B was significantly higher than the group A.Conclusion:The results suggest that noninvasive positive pressure ventilation is an effective adjunctive therapy in treatment of patients with acute left heart failure.
2015 Vol. 12 (05): 31-33 [Abstract](
531
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HUANG Xiao-ying,YANG Qiu-cheng.
Objective:To observe the effects of two kinds expulsion of fetus on maternal perineum injury.Method:420 cases of pregnant in the fourth quarter of 2013 were selected as the object of study. 214 cases of pregnant were selected as the observation group,in the production process, episiotomy was controlled strictly by improving maternal posture, force time and skills,and techniques of protecting perineum.206 cases of pregnant were selected as control group,in the production process, episiotomy was carried out almost with traditional posture, maternal cervix mouth open guiding the maternal strain every nerve force,and traditional methods of protecting perineum. Result:The episiotomy rate of observation group was decreased obviously,the incidence of perineum deep laceration, hematoma,edema, infection,and bad wound healing were decreased obviously. Perineum wound less bleeding, postpartum perineum were comfort significantly better than that of the control group, the differences were statistically significant( P<0.05). Conclusion:Delivery method of observation group can decrease perineum damage greatly, and improve maternal
perineum comfortable sensation.
2015 Vol. 12 (05): 34-37 [Abstract](
639
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SONG Bin-bin.
Objective:To screen the obstructive sleep apnea-hypopnea syndrome(OSAHS) by using transcranial doppler(TCD) and color doppler flow imaging(CDFI),study whether OSAHS is an independent risk factor of stroke.Method:304 OSAHS patients within certain age limits who had been excluded of other known risk factors were given
TCD and CDFI examination,compared the results of 304 normal control persons,regarded carotid artery and cerebral artery lesions as positive results.Result:Among the OSAHS patients,the positive detection rate using TCD combined with CDFI were significantly higher than the normal control group,the difference was statistically significant(P<0.05).Conclusion:The carotid artery and cerebral artery disease among OSAHS patients are significantly higher than than the normal control group,which indicates OSAS as an independent risk factor for stroke.
2015 Vol. 12 (05): 37-39 [Abstract](
535
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501
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GAI Wan-liang,SHAO Chang-chun,SHI Nian-li.
Objective:To investigate the influence of increase of happiness training on cognition function and social function in patients with schizophrenia.Method:According to classification and diagnostic criteria of mental disorders, Third Edition China( CCMD-3) in 84 patients withschizophrenia diagnostic criteria, were randomly divided
into two groups. Study group received well-being enhancement training combined with quetiapine in treatment,control group received single Yongkuiquetiapine,the positive and negative syndrome scalePANSS,Wisconsin Card Sorting Test WCST and continuous operation test to evaluate the curative effect of CPT.Result:After 12 week study group PANSS total, positive factor, negative factor score and WCST and CPT in W1, W2, C1, C2 compared with those before treatment were significantly different, and the treatment for 12 weeks with PANSS total scores and positive factor, had more negative factor score and W1, W2, C1, C2 and control group very significant difference.Conclusion:The increase in happiness of training not only can improve the clinical efficacy in patients with schizophrenia, and the schizophrenia cognitive function and social function of patients also has the distinct improvement.
2015 Vol. 12 (05): 40-42 [Abstract](
642
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GUO Ping,YAN Li-na,LI Ling.
Objective: To discuss and analyze the clinical effect of magnesium sulphate on moderate to severe pregnancy-induced hypertension.Method: 60 patients with pregnancy-induced hypertension were selected in our hospital from January 2012 to January 2014, they were randomly divided into the treatment group and the control group,30 patients in each group. Both groups were treated with magnesium sulphate but the treatment group were treated with higher dose of magnesium sulphate than the control group.The therapeutic effect in both groups were observed. Result: The total effective rate in the treatment group was 93.3%, and 60.0% in the control group, it was higher than the control group,there was significant difference between the two groups(P<0.05). The dizzy,headache,chest congestion, palpitation and other adverse drug reactions,postpartum hemorrhage, placental abruption, premature birth and caesarean birth between the two groups were compared, the differences were statistically significant(P<0.05).Conclusion: The clinical effect of high dosage of magnesium sulphate is better than the normal dosage of magnesium sulphate, and its
drug complications and clinical results are the same with normal dosage of magnesium sulphate in treating patients with moderate to severe pregnancy-induced hypertension.
2015 Vol. 12 (05): 43-45 [Abstract](
588
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LIU Hui-zhu.
Objective:To study clinical therapeutic effect of the simultaneous and sequential chemoradiotherapy in patients with esophageal carcinoma and safety,to find the best method of treatment of esophageal cancer,reduce the recurrence rate,improve the survival rate of cancer.Method:100 patients with esophageal cancer in our hospital from June 2011 to June 2014 selected the cases admitted as the clinical research object,randomly divided into two groups,the control group were treated with radiotherapy,namely in the two course of chemotherapy,radiotherapy;the test group was treated with concurrent chemoradiotherapy treatment at the same time,namely the chemotherapy and radiotherapy on the first day of treatment,were compared after treatment,compared to patients with clinical curative effect, and adverse reactions during the treatment of the contrast and analysis of the detailed record, after discharge for a period of three years of follow-up for all patients participating in this experiment.Result:The test group with concurrent chemoradiotherapy treatment markedly 20 cases,effective 28 cases,invalid 2 cases,the total effective was 96.00%,the control group used sequential chemoradiotherapy for treatment of 15 cases markedly effective, effective 20 cases, invalid 15 cases, the total
effective was 70.00%, the difference between the two groups was statistically significant(P<0.05).The rate of adverse reactions occurred in test group 56.00%,control group of adverse reaction in 50.00%,differences between the two groups was not statistically significant(P>0.05).Conclusion:Using the clinical effect of concurrent chemoradiotherapy in the treatment of esophageal carcinoma is more obvious, adverse reactions during treatment was higher than that of sequential chemoradiotherapy,but adverse reactions were in the range of patients can bear,serious consequences, not the whole process is safe and reliable,patients and family members of patients more satisfied,so it is worthy for us to continue to explore and wide in the clinical application.
2015 Vol. 12 (05): 45-48 [Abstract](
531
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LIU Yu,LI Hong-bo,QIAN Wei.
Objective:To analyze the clinical effect of small incision fenestration pulposus discectomy for lumbar disc herniation. Method:40 cases of lumbar in our hospital in 2011 April to 2013 April were disc herniation patients as the research object, and randomly divided into two groups, each of 20 cases, the control group underwent conventional
operation treatment, the patients in the experimental group received small incision fenestration discectomy treatment,carries on the contrast analysis to the situation and the treatment the operation effect of the two groups.Result:8 cases of the experimental group one(40%), good in 8 cases( 40%),the excellent and good rate was 80%; the control group was excellent in 4 cases( 20%), good in 8 cases( 40%), the excellent and good rate was 60%, there was significant difference
between two groups(P<0.05).In addition,the two groups had statistical significance of operative time, intraoperative bleeding volume and time of lying in bed in the differences(P<0.05).Conclusion:Compared with conventional surgery,small incision fenestration discectomy with little trauma, short operation time, rapid postoperative recovery characteristics, can be used as the main means of the treatment of lumbar disc herniation.
2015 Vol. 12 (05): 48-50 [Abstract](
563
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SU Ze-fei,YAN Ting-liang.
Objective:To observe the clinical effect of self-made Xuefu Gualou soup in the treatment of Coronary heart disease and unsteady type angina pectoris.Method:62 patients with unstable angina pectoris were randomly divided into western medicine group and observation group. The western medicine group do the guidelines and is given
standardized treatments, which conclude antiplatelet, anticoagulation, nitrates drugs, beta blockers, calcium antagonists and angiotensin converting enzyme inhibitor( ACEI) or ARB, lipid regulating drugs, hypoglycemic agents etc. The observation group was cured with the western medicine plus the use of self-made Xuefu Gualou soup, then to determine the efficacy after 10 treatment days.Result:The observation group is greatly improved in the symptoms of angina pectoris,
electrocardiogram, pain attack frequency, nitroglycerin dosage etc, and the curative effect was better than western medicine group.Conclusion:On the basis of western medicine standardized treatment combined with Xuefu Gualou soup,there is a better curative effect than the pure western medicine treatment in improving patients with unstable angina pectoris symptoms and related indexes, and the safety is good and no obvious adverse reaction.
2015 Vol. 12 (05): 51-54 [Abstract](
496
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JIANG Tao,WANG Man,WU Meng-yu.
Objective:To investigate the clinical effect of losartan combined with amiodarone in patients with paroxysmal atrial fibrillation cardioversion and maintenance of sinus heart rate after cardioversion.Method:From January 2010 to March 2013, 72 patients with nonvalvular paroxysmal atrial fibrillation randomly were given amiodarone therapy
(control group 36 cases) and losartan combined with amiodarone therapy( observation group 36 cases), cardioversion of atrial fibrillation was compared after treatment for 24 h,3 d and 7 d. After cardioversion of atrial fibrillation,patients were continued to give drug treatment and followed up for 1 year, the maintenance effect of sinus heart rate was evaluated of the two groups.Result:The atrial fibrillation cardioversion rate in control group after treatment for 24 h,3 d and 7 d was 72.2%(26/36),83.3%(30/36) and 91.7%(33/36),the observation group was 69.4%(25/36),88.9%(32/36)and 97.2%(35/36),the atrial fibrillation cardioversion rate in observation group after treatment for 7 d was significantly increased as compared with the control group(P<0.05).The maintenance of sinus heart rate in two groups after treatment for 12 months were 69.7%(23/33) and 88.6%(31/35)(P<0.05),and the left atrial diameter in two groups were(38.3±1.9)mm and( 34.2±2.0)mm(P<0.05).Conclusion:Application effect of losartan combined with amiodarone in patients with paroxysmal atrial fibrillation cardioversion and maintenance of sinus heart rate after cardioversion are both better than the single use of amiodarone treatment,it may be related to the inhibitory effect of losartan on the renin angiotensin system,reducing the load on the heart,electrical and structural remodeling of atrialrelated inhibition.
2015 Vol. 12 (05): 54-56 [Abstract](
552
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HE Yu-fa.
Objective:To observe the incidence,variation and significance of pyuria and bacteriuria of different time periods after TURP and provide guidance for clinical antimicrobial therapy.Method:76 cases of BPH patients admitted to our hospital from January 2010 to May 2014 were selected for the study.Patients were treated with TUPR
treatment.The incidences of pyuria and bacteriuria after 1 week,1 month,2 months and 3 months were recorded,and the incidences of different times were compared;the patients were divided into pyuria group and the normal group in accordance with the occurrence of pyuria after three months,and the prostatectomy volume of the two groups were compared.Result:The pyuria incidences after 1 week,1month,2 months and 3 months were sequentially 47.4%(36/76),100%(74/74),60.3%(41/68) and 33.8%(23/68);occurrence of bacteriuria of different times were as follows:after 1 week 7.9%(6/76),including 3 cases of E.coli,2 cases of pseudomonas aeruginosa,1 case of E.faecalis;after 1 month bacteriuria rate was 9.4%(7/74),with 3 cases of Enterococcus faecalis,2 cases of E.coli,2
cases of staphylococcus epidermidis;after 2 months bacteriuria rate was 7.4%(5/68),including 3 cases of E.coli,1case of staphylococcus epidermidis,1 case of oral streptococci; after 3 months bacteriuria was 0.Pyuria and bacteriuria rates at different times were compared.Result:The incidence of bacteriuria at different times was no significant difference(P>0.05),pyuria rate had statistically significant difference(P<0.05).The prostate resection volume of pyuria group was( 31.72±9.56)mL and that of the normal group was( 23.29±8.16)mL,the differences between the two groups were statistically significant(P<0.05).Conclusion:After TURP,pyuria decreased over time.Simple pyuria is related to inflammatory reaction caused by surgical trauma and is self-healing;simple bacteriuria is asymptomatic bacteriuria or
bacterial colonization.The use of antibiotic therapy is not needed in both cases.
2015 Vol. 12 (05): 57-59 [Abstract](
531
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ZHANG Xiao-lan,CHEN Li,XUE Jun,et al.
Objective:To study the current situation and influencing factors of nosocomial infection of in-patients.In order to provide the scientific basis for perfecting some protective measures of hospital infection.Method: A crosssectional study was carried out. That was to say combining clinical investigation and accessc the medical records. Statistical
analysis of the survey data, which was investigated the prevalence of nosocomial infection of all in-patients during 0:00am to 00:00 pm on July 9th, 2013(not including the day of new patients) .Result:The survey investigitions 654 cases which counted 99.54%. The nosocomial infection rate was 3.69%. Cases infection rate was 3.99%.Breathing machine correlation lung infection rate was 42.85%. The major infection part was lower respiratory tract, which was 61.54%.Hospital infection rates of top three departments, in turn,was ICU 40% neuro surgery 11.76% the emergency department 8.33%.In 26 cases of the nosocomial infection cases,17 samples were sent to check.The examination rate was 65.38%. There were 16 isolated pathogens.The most common pathogenic bacteria of nosocomial infection were gram-positive bacteria.Which was 62.50%.The second was fungi accounted for 31.25%.The percentage of anti-microbial application was 40.71%.One combination drug was used for 86.79%;two combination drugs for 13.21%.Treatment with anti-bacterial drugs specimens of pathogenic microorganism inspection rate of 37.58%.Conclusion:By investigating the prevalence of nosocomial infection, which provide an understanding of the updated situation.A high incidence of hospital infection in department and the key link is the focus of the hospital infection management in the future.
2015 Vol. 12 (05): 60-62 [Abstract](
461
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LING Xiu-zhen,XIE Chun-xia,GUO Su-ping.
Objective:To explore the standardized nursing of PICC catheter implanted in tumor patients.Method:The nursing histories of 76 tumor patients with PICC catheter implantation were retrospectively analyzed.Result:Through instruction for daily life and standardized nursing of the puncture point and PICC catheter,93.4% of the patients had no complications.All the patients finished chemotherapy with PICC catheter,expect one patient with venous thrombosis and underwent the second PICC catheter implantation.Conclusion:Enhancing the standardized nursing of PICC catheter for tumor patients could decrease the incidence of complications,ensuring chemotherapy for patients.
2015 Vol. 12 (05): 63-65 [Abstract](
657
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LI Xiu-yin,HUANG He-qing,ZHANG Yin-lan,et al.
Objective:To understand and master the effects of health education and targeted nursing on patients with missed abortion.Method:68 cases of patients admitted in our hospital were investigated by designed questionnaire and the results were reviewed and analyzed.The patients were given health education and targeted nursing,their
requirement for health-related knowledge and the level of satisfaction were observed.Result:Through the questionnaire survey,it was found that patients with missed abortion paid more attention to the health education knowledge related to abortion sequela,relevant diseases,pain of abortion surgery,families’psychic reaction and attentions for next pregnancy.In addition,the total satisfaction rate after treatment was 95.6%,which was higher than that before treatment(70.6%),with statistical significance(P<0.05).Conclusion:Nursing staff should popularize relevant healthy knowledge and targeted nursing measures to patients with missed abortion based on their requirement to healthy knowledge,in order to improve the patients’physical condition.
2015 Vol. 12 (05): 66-68 [Abstract](
523
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413
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TANG Zhi-ping,WANG Fu-yun,LIU Xue-mei.
Objective:To study the impacts of collaborative care intervention on self-efficacy pressure sores and cognitive levels after stroke prevention on caregivers bedridden patients. Method: 80 cases of stroke caregivers patients were selected in our hospital from March 2012 to March 2014 ,randomly divided into observation group and control
group,40 cases in each group.The control group was treated with routine nursing and the observation group was treated with collaborative care intervention based on the routine nursing.Result:The incidence of pressure sores of the study group2.5%(1/40) was significantly lower than the control group 45.0%( 18/40);the proportions of outgoing personality,emotional stability,sleep good,and active social were significantly higher than the control group;the care ability score was significantly lower than the control group;the quality of life score was significantly higher than the control group,all the differences were statistically significant(P<0.05).Conclusion:Collaborative care intervention can improve the selfefficacy pressure sores and cognitive levels of caregivers stroke bedridden patients.
2015 Vol. 12 (05): 69-71 [Abstract](
502
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ZHANG Xiu-xin,WANG Hong-xia.
Objective:To explore the impact of the process of delivery center nursing intervention and pain on the birth process. Method: 84 cases of parturient were selected in our hospital from January 2013 to January 2014,whose the birth canal were normal,head position,singleton,term primiparae.They were randomly divided into observation group,control group,42 cases in each group.The observation group of individualized psychological nursing and nursing of pain,the control group were regularly auscultation of fetal heart,prenatal perineal skin preparation,vital sign monitoring,process monitoring,sterile operation routine nursing care,pain,mode of delivery,neonatal asphyxia,labor and time between two groups at birth.Result:The group of intrapartum pain was significantly lower than the control group,the difference was statistically significant(P<0.05).Observation group incubation period,active period,the first and the two or three stage of labor time was significantly lower than that of the control group, the difference was statistically significant(P<0.05).Observation group cesarean section, forceps delivery,neonatal asphyxia were significantly
lower than those of control group,the difference was statistically lly significant( P<0.05).Conclusion:The psychological intervention and pain nursing on clinical gynecology,which can effectively shorten birth process,reduce the rate of cesarean section and neonatal asphyxia and it is worthy of clinical promotion.
2015 Vol. 12 (05): 71-73 [Abstract](
648
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LIU Yue-hua.
Objective: To investigate the clinical nursing measures and nursing effect with the Magnesium sulfate in the treatment of severe pregnancy induced hypertension in pregnant women. Method: Analysis and research were collected from February 2013 to February 2014 in our hospital were 148 cases of severe pregnancy induced hypertension
patients, divided into the control group and observation group, each 74 cases, the observation group were treated by high quality nursing means nursing, the control group were treated with routine nursing mode. Observation of clinical nursing effect of the two groups of pregnant women. Result: The patients in the observation group the total effective rate was 94.59%, patients in the control group the total effective rate was 75.68%, the observation group patients treatment effect was significantly better than the control group,with statistical significance(P<0.05). The adverse reaction of maternal observation group was significantly lower than the control group,with statistical significance(P<0.05). The observation group patients in all aspects of physical function, psychological function, social function and material life are significantly better than the control group,with statistical significance(P<0.05). Conclusion: The patients with severe pregnancy induced hypertension using high-quality nursing methods for the treatment of the application of magnesium sulfate in nursing, can effectively reduce the pain of patients, improve the treatment effect.
2015 Vol. 12 (05): 74-77 [Abstract](
732
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LI Gui-qin,AN Qi.
With the development of modern medicine, for nursing is increasing emphasis on the idea that peoplemore and more attention to health, so care is no longer a simple operation on care, and more attention and humanity of the concept, which is now the most popular people-oriented. By way of comparison samples were analyzed through comparative observation of ordinary care and quality care under medical care to reflect the effect of high-quality care.
2015 Vol. 12 (05): 77-79 [Abstract](
361
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JIN Lu,ZHANG Hong,XIE Chao-hong,et al.
Objective:To study the nursing method and nursing effect of function training on the voice effect after cleft palate surgery.Method:80 cases of cleft palate were selected from February 2011 to October 2013 in our hospital,were randomly divided into control group and observation group, 40 patients per group, the control group was given conventional methods of care, the observation group was given nursing intervention on the basis of conventional method,comparative analysis of two groups of nursing methods cleft palate children with postoperative functional training effect and nursing satisfaction.Result:After the follow-up nursing assessment, nursing the excellent and good rate of observation group was 87.50%, significantly higher than the control group of nursing the excellent and good rate was 62.50%(P<0.05),with statistical significance.Subjective speech intelligibility judgments,the observation group was clear in 23 cases, the basic clear in 15 cases, 2 cases were not clear, clear rate was 95%, control group was clear in 17 cases, the basic clear in 16 cases, 7 cases were not clear, clear rate of 82.50% was the observation group was significantly better than the control group, the difference was significant(P<0.05),with statistical significance.Conclusion:In this study, the observation group used nursing intervention to strengthen children speech training, the obtained remarkable effect, and the subjective speech intelligibility evaluation on the effect of observation group is obviously better than that of the control group, so the children with cleft palate excellent postoperative function recovery training directly affect the prognosis of patients, we must strengthen intervention.
2015 Vol. 12 (05): 80-82 [Abstract](
583
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ZHANG Jin-xia,LIU Li-fang.
Objective:To investigate the effect of QCC activities in improving breast feeding rate of cesarean section.Method:The management circle activities in before the hospital cesarean section maternal breastfeeding rate statistics,by 10 nurses voluntarily formed a quality control circle,the establishment of quality control circle,the
establishment of increasing cesarean section rate of breastfeeding as the theme,the activity before sections of the cesarean section maternal breast milk feeding status of the investigation,find out the reasons of insufficient breastfeeding breastfeeding,formulate and implement rectification measures.Result:The circle activities of cesarean section rate of breast feeding was improved QCC ago through the development of quality management,by comparison with statistical significance(P<0.05).Conclusion:The QCC increases cesarean section rate of breast feeding and increased maternal satisfaction,but also improve the team cooperation spirit and quality management capability of the ring member.
2015 Vol. 12 (05): 83-85 [Abstract](
521
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YU Sa-chen.
Objective:To study the application of health education on nursing pediatric pneumonia.Method:From January 2012 to May 2012 in our hospital,128 cases of children with infantile pneumonia were selected as the research object,the 128 cases randomly divided into two groups, the control group for routine care,another group to observe
group on the basis of conventional nursing health education intervention. Two groups of children with nursing effects were compared.Result:Clinical comparison results,the observation group with length of hospital stay than the control group with short,adverse reaction is lower than the control group,satisfaction is higher than the control group. Two groups of children with clear difference compared with statistical significance( P<0.05).Conclusion:Health education intervention children with pneumonia,can raise the children and families of children with compliance, make the treatment effect,reduce the treatment time and the incidence of adverse reactions,have clinical application value,set up to promote clinical use.
2015 Vol. 12 (05): 86-88 [Abstract](
622
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CHEN Kun-yue,CHE Mei-fang.
Objective:To discuss the perioperative nursing methods of patients for pancreaticoduodenal resection,in order to improve the quality of nursing.Method:The clinical nursing data of 25 cases for pancreaticoduodenal resection admitted to our hospital in perioperative period from January 2012 to January 2014 were retrospectively
analyzed.Result:After the intensive care of nursing staffs in perioperative period,the 25 patients for pancreaticoduodenal resection were cured and discharged from hospital.In perioperative period,all patinets were mainly given conventional nursing,psychological care,complications nursing,diet nursing and drainage tube nursing.Conclusion:For analyzing and discussing the experience in conventional nursing,psychological care,complications nursing,diet nursing and drainage tube nursing on patients,find out the shortage and continuously improve the nursing methods,completely eradicate the occurrence of complications,promote the patients’ recovery,increase the curative effect,reduce the patients’ pain,improve the nursing quality.
2015 Vol. 12 (05): 88-91 [Abstract](
530
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XIA Wei.
To investigate the nursing experience of congenital heart disease in infants and children with pulmonary infection by summarizing the 38 cases of nursing experience in children with congenital heart disease and pulmonary infection.In addition, level of brain natriuretic peptide was compared before and after treatment/nursing. Meticulous care is the important measure to recover as soon as possible, and keep the air way open and observe the condition are critical,health education, life care and psychological care are the key factors.
2015 Vol. 12 (05): 91-93 [Abstract](
571
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LIU Xiao-feng,LIU Xiao-ya,YIN Xiao-mei.
Objective: To investigate quality care intervention methods and the effect for ectopic pregnancy with shoulder pain after laparoscopic surgery.Method: 150 cases of ectopic pregnancy patients treated by laparoscopic surgery from January 2013 to December 2013 were set as the study group, were given quality care intervention; 150 cases between January 2012 to December 2012 were set as the control group, were given conventional obstetrics and gynecology nursing.Result:The incidence of ectopic pregnancy in patients with shoulder pain after laparoscopic surgery of the study groupwas 13.3%,significantly lower than the rate of 52.7% of the control group.Aspects of pain,proportion occurred rate of mild,moderate,severe of the study group were significantly lower than the control group,comparison with statistical
significance between the data(P<0.01).Patient satisfaction of the study group was 97.3%,significantly higher than the 81.3% of the control group,compared with statistical significance between the data(P<0.01).Conclusion:The quality care is of great value for the effective prevention of the occurrence of ectopic pregnancy in patients with shoulder pain and reduce the degree of shoulder pain after laparoscopic surgery and improve patient satisfaction.
2015 Vol. 12 (05): 94-96 [Abstract](
593
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LU Xiao-qing.
Objective:To study the operation and nursing of high pressure injector for the enhanced spiral CT angiography inspection.Method:467 cases with enhanced spiral CT angiography were treated by puncture and injection by high pressure syringe. We would observe the puncture success rate and adverse reactions and put forward specific nursing measures.Result:For the 467 cases with high pressure syringe to enhance spiral CT angiography, 463 cases were onetime puncture success and one-time puncture success rate was 99.14%.9 cases leaked in the process of imaging contrast agent push note and the leakage rate was 1.93%.There were no severe complications such as phlebitis and air embolism.Conclusion:The careful preparation for enhanced spiral CT angiography and the proper use of high pressure syringe can strengthen the nursing effect,reduce leakage of contrast material and effectively prevent adverse reactions.
2015 Vol. 12 (05): 97-98 [Abstract](
486
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FAN Li-li,ZHANG Da-chuang,DONG Yun-peng,et al.
Objective: To elaborate the high blood pressure from fluid mechanics,reflect the individuality,and achieve“ high blood pressure” personalized therapy.Method:The smart brachial artery blood pressure were designed by us with real-time detection, recorded and analysed of systolic blood pressure in patients with diastolic blood pressure, pulse pressure, blood pressure fluctuations, and had the data storage function, which could save up to six months data. The 103 patients were randomly divided into three groups.The first group of 34 patients were treated by conventional drug based on only the data recording and analysis as the conventional treatment group; the second group of 34 patients according to real-time data, were treated only medication adjustment as the medication adjustment control group; the third group of 34 patients therapy on the basis of the second group, were treated by increased health education and lifestyle guidance during six months as the integrated management control group. After the test was completed,the data for statistical analysis was recorded by us. Result: Compared the three groups patients of control blood pressure and control rate,the differences were statistically significant(P<0.05). Conclusion: Personalized treatment of hypertension can improve blood pressure control.
2015 Vol. 12 (05): 99-101 [Abstract](
581
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WU Ju-lan,XIONG Qiong-fang,ZHANG Qing-mei,et al.
Objective: To explore the development and clinical application of the homemade infantile scrotum girdle. Method: 50 patients were chosen who came to our hospital to cure the inguinal hernia from April 2012 to April 2014. They were divided into two groups, group A and group B,25 patients in each group.The patients in group A were
given the postoperative care treatment with the help of homemade infantile scrotum girdle, while the other 25 patients in group B were given the conventional postoperative care treatment. Result: The total efficiency of the patients in group A was 96.0% and group B was 72.0%;the satisfaction rate of the patients in group A was 96.0% and group B was 76.0%,compared two groups the difference was statistically significant(P<0.05).Conclusion: The comprehensive clinical treatment efficiency of the patients in group A is obviously better than that in group B.
2015 Vol. 12 (05): 104-106 [Abstract](
551
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SUN Rong-yan,FAN Zheng-jun,FENG Yun-ping,et al.
Objective:To understand current the state of standardized anticoagulant therapy.In elderly patient with atrial fibrillation and analyze the factors that affect standard anticoagulant therapy,and at the same time,to make progress by the foundation of corresponding countermeasures.Method:Diagnosed nonvalvular atrial fibrillation
elderly patients were history inspected for a period of 12 months( from January 2013 to December 2013) in 1st Hospital Cardiovascular Department,CHADS2 scheme method was used to stratify atrial fibrillation elderly patient and assess their risk of bleeding,the standardized anticoagulant therapy conditions were evaluated according to atrial fibrillation treatment guidelines.Result:A total of 161 patients were enrolled.According to the CHADS2 scheme,106 patients were divided into the high risk group,in which only 21 were on warfarin anticoagulant treatment.Among which 11(42.3%)had international normalized ratio(INR)in therapeutic range(2.0-3.0).Conclusion:The percentage of standard anticoagulant treatment in elderly patients with atrial fibrillation is very low(38.4%),still more,the percentage of high risk patients using warfarin standard anticoagulant treatment is even low 19.8%.Further investigation and understanding of the causes of this phenomenon will help intervene effectively and improve the standard of anticoagulant therapy in patient with atrial fibrillation.
2015 Vol. 12 (05): 107-110 [Abstract](
756
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XU Xiao-juan,LIU Ying-zhi,CHEN Bi-lian,et al.
Objective: To study the effects of combined application of fluoride and the gallnut water extract on the growth and acidogenic metabolism of Streptococcus mutans(S.mutans).Method:10 mL of sterile culture tube 120 were selected and divided into 12 groups, 1 group was control group,and 11 groups were experimental group,each group of 10. The experimental group standard S. mutans were cultured in vitro in the TS medium which contained 5% sucrose and different concentration of NaF( 0.01%,0.02%) and/or gallnut water extract( 0.25,0.5,1 mg/mL),and the medium without neither NaF nor gallnut water extract act as control group. The optical density( OD) value of the medium and pH change before and after the culture was determined. Result: Compared with the control group, the experimental group
S.mutans growth was obviously inhibited, and with the increase of amount of sodium fluoride and gallnut water extract concentration of culture, the number of S.mutans showed a concentration dependent decrease; with the increase of sodium fluoride and the culture medium of gallnut water extract concentration, pH changes of medium of gradually reduced, NaF combined with gallnut water extract showed no obvious synergistic effect. Conclusion: NaF and gallnut water extract could significantly inhibit the growth and acidogenic metabolism of S. mutans. No obvious synergistic effect was observed while the NaF combined with gallnut water extract.
2015 Vol. 12 (05): 110-112 [Abstract](
602
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HOU Dan-yan,CHEN Fang-fang,LIU Jia-hui.
Objective:To check the code of the ophthalmology disease diagnosis and surgical operation in our hospital and to find the root cause of coding errors. Method:238 copies of medical records admitted to the Department of Ophthalmology in our hospital from January 2011 to December 2012 were checked in random sampling method, review of
the diagnosis and surgical operation coding was analysis in medical record.Result:In main diagnosis coding: 6 cases of disease diagnosis choice were wrong, error rate 2.5%; 18 cases disease diagnosis were uncompleted, the error rate 7.6%;7 cases of coding were error, error rate 2.9%.In operation coding:5 cases of surgical operation code were error, error rate 2.1%;10 cases of coding were omission duo to the operating omissions, error rate 4.2%.Conclusion:To achieve the correct code,clinicians should enhance training in coding knowledge,fill in the disease diagnosis and operation names accurately and standard;coders should strengthen learning and should have the good habit of reading medical records,communicating with clinicians usually,coding medical records in accordance with the principles of coding.
2015 Vol. 12 (05): 113-115 [Abstract](
720
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LIU Qi-feng.
Objective:To understand the hypertensive of prevention and control in community Meizhou district and analyze its associated risk factors then provide the basis for prevention and control of hypertension.Method:A survey on blood pressure was carried out on 2 communities people aged ≥ 15 years old in Meizhou district, from May 2012 to May
2013.Result:342 cases of hypertensive were surveyed among 1043 residents with 32.79% for prevalence of hypertensive. The results of multivariate logistic regression showed that risk factors of hypertensive included the male(OR=1.561),≥ 60 years old(OR=1.543), family history of hypertention(OR=1.587), history of drinking(OR=1.463),overweight(OR=1.456),high-salt diets(OR=0.064),and lack of exercise people(OR=1.887).Conclusion:The prevalence of hypertension is high, risk factors of hypertensive should be reduced through community comprehensive prevention and control of hypertensive.
2015 Vol. 12 (05): 116-117 [Abstract](
545
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DIAO Zhan-shuai,GU Ming-yan,YANG Jie-quan.
Objective:To investigate the methods of borne diseases prevention in the blood purification center.Method:The prevention of blood borne diseases for effective management from established and completed the management,improved the relevant system,the staff passed the test and physical examination;the layout and
facilities of blood purification center shall meet the requirements of management;implemented strictly the system and process of hospital infection management;the related equipment,supplies and water quality monitoring shall meet the specifications;disposed the medical waste in strict accordance with the rules of hospital and so on.Result:The blood borne disease prevalence rate was zero in 10 000 dialysis patients since August 2011 in our blood purification center. Conclusion:Do a good job of infection prevention work in blood purification center,can effectively reduce the blood borne diseases in the blood purification center.
2015 Vol. 12 (05): 118-121 [Abstract](
681
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WANG Shuai,NI Chun,SHANG Chun-li,et al.
Objective: To compare the difference between laparoscopic appendectomy (LA) and open appendectomy( OA) for appendicitis in young adult patients, and to explore the clinical value of the LA.Method:261 cases were selected in our hospital which had been divided into LA group of 168 cases and OA group of 93 cases.The operative time, blood loss, postoperative complications and overall cost of treatment and so on were compared.Result:The result showed that the LA group had obvious advantages in intraoperative diagnosis and operation and reducing postoperative complications.Conclusion:This paper concludes that LA group will certainly be more widely used in clinical practicebecause of its shorter hospital stay, fewer complications, cosmetic effect and other advantages.
2015 Vol. 12 (05): 122-124 [Abstract](
732
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XU Li-wei.
Objective: To analyze breast conserving therapy prognosis for breast cancer. Method:100 cases of patients with breast cancer from January 2013 to January 2014 in our hospital were selected and divided into observation group and control group based on different treatment methods,50 cases in each group. Observation group was given breast-conserving therapy, namely segmental mastectomy or extensive mass resection+axillary lymph node dissection,
while control group was given modified radical mastectomy+axillary lymph node dissection. Recurrence, metastasis and survival rate of both groups were compared.Result: Breast cosmetic effect of the observation group: excellent for 27cases( 54.0%), good for 13 cases( 26.0%), fair for 9 cases( 18.0%) and poor for 1 case( 2.0%),and good rate of 80.0%( 40 cases); recurrence rate and metastasis differences of both groups were not statistically significant( P>0.05);postoperative complication rates of observation group and control group were respectively 6% and 10%, the difference was
not significant( P>0.05); survival rate after 1 year, 3 years, and 5 years of the observation group and control group had
no significant difference(P>0.05). Conclusion: Strict indication control is necessary for breast conserving therapy on the treatment of patients with breast cancer. There is no significant difference in survival rate, recurrence, and metastasis with traditional modified radical operation. But its cosmetic results are better, with improvement of patients’ quality of life.Breast-conserving therapy pays more attention on comprehensive treatment, with positive clinical results, which is worth
promotion.
2015 Vol. 12 (05): 125-127 [Abstract](
570
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YAN Jie-wen,CHEN Xiao-rui,LIN Fa-miao,et al.
Objective:To observe the effect of sacrospinous ligament fixation on the patients underwent uterine prolapse. Method:Thirty-nine patients underwent uterine prolapse were divided into two groups: observation group and control group. The patients in the observation group were treated with panhysterectomy and sacrospinous ligament fixation under laparoscope. The patients in the control group were only treated with panhysterectomy under laparoscope.The operative bleeding, operation time, hospital stays were recorded in both groups. The incidence of abdominal straining feeling and vaginal fornix bulging after operation were recorded in both groups. The time of a full bladde after operation was recorded in both groups. Result:The operation time in the observation group was longer than that in the control group.The operative bleeding and hospital stays were not significantly different between two groups. The incidence of abdominal
straining feeling and vaginal fornix bulging in the observation group were higher than that in the control group.The time of a full bladde in the observation group was longer than that in the control group.Conclusion:Sacrospinous ligament fixation under laparoscope can enhance the effect of panhysterectomy on the patients underwent uterine prolapse.
2015 Vol. 12 (05): 128-130 [Abstract](
467
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LIU Shu-juan,XIE Xian-ping.
Objective:To analyze the causes and regularity of patients who had gone out of our hospital and then died in it over the 20 years,to take reasonable measures to reduce the death.Method: The data of 61 cases of death of the psychiatric from July 1st,1995 to June 30 th, 2014 were surveyed,among them 19 cases died outside the hospital,42 cases died in the hospital, and 32 cases were male, 10 cases were female,with an average age of 53(25-77),in the majority with 31-50, the course of the disease were most between16 and 20 years, the number of the diagnosis of schizophrenia was high.Result:Sudden death were 12 cases( 28.57%). Death of Combined diseases were 8 cases(19.05%); death of Choke food were 6 cases( 14.29%); suicide death were 5 cases( 11.90%); each system cancer were 4 cases( 9.52%); septic shock were 4 cases( 9 52%);organic died 3 cases( 7.14%). And combined disease was found some death, had occurred before January 1,2005(P<0.01),all cases of each system cancer and organic disease died before January 1,2005(P>0.05),in recently 10 years choke food’s death increased(P>0.05).Conclusion:With the improvement of medical technology and safety consciousness, combined disease with all the disease are found in time and patients are transferred in time.Which can reduce the death.Control the quantity of the drugs for choke food patients in a short period of time,reduce the drug adverse reactions, reduce the rate of death.For the increase of the chronic complications patients,decrease the quantity or change to a new type of anti-psychotic drugs,reduce the opposite fatal effects.At the same time strengthening the care for mental patients,the assurance of safety facilities,fight the occurrence of suicidal behavior.
2015 Vol. 12 (05): 130-133 [Abstract](
459
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SUN Mei-fang.
Objective: To explore the efficacy of spasmolysis and antihypertension in the treatment of pregnancyinduced hypertension by magnesium sulfate. Method:122 patients were selected with pregnancy-induced hypertension who were admitted to our hospital from August 2012 to August 2014 and received the treatment of magnesium sulfate.Mean blood pressure, respiration, pulse rate, urinary volume, knee jerk, Uric acid, urea nitrogen and creatinine were observed before and after treatment.The efficacy of spasmolysis and antihypertension in the treatment of pregnancy-induced hypertension by magnesium sulfate were analyzed. Result: Compared before and after the treatment, 122 patients’ mean blood pressure significantly reduced, the difference was statistically significant(P<0.05);Uric acid, urea nitrogen,and creatinine also significantly reduced, the difference was statistically significant(P<0.05).The significant effective were 74 patients(66.07%),the effective were 32 patients(28.57%),the ineffective were 6 patients(5.36%),total effective rate was 94.64%,incidence of complication rate 5.36%.Conclusion: Magnesium sulfate in the treatment of pregnancy-induced hypertension has a favorable effect and can effectively reduce the blood pressure and relive spasm.Furthermore, incidence rate of complication rate is reduced. It’s worthy of clinical promotion and application.
2015 Vol. 12 (05): 134-137 [Abstract](
526
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HUANG Bao-lin,LIAO Hong-mei,ZHENG Si-fu.
Objective: To investigate clinical efficacy of locking goose head nail internal fixation in the treatment of intertrochanteric comminuted fractures.Method Selected in our hospital from 2011 July to 2014 June were intertrochanteric comminuted fractures in 80 patients were analyzed, they were randomly divided into control group( 40 cases) and observation group( 40 cases).The control group used the proximal femoral locking plate fixation scheme,the observation group with locking goose head nail internal fixation solution, observe the clinical effect of treatment of two groups of patients. Result:The total effective rate of observation group was significantly higher than the control group,patients with fracture healing time was shorter than the control group, the incidence rate of complications was lower than the control group(P<0.05),with statistical significance.Conclusion:In the intertrochanteric comminuted fracture patients, the application of locking goose head nail internal fixation for the treatment of patients with clinical curative effect is better, the scheme, fracture healing time is short, low incidence of related complications, is worth the clinical promotion.
2015 Vol. 12 (05): 137-139 [Abstract](
438
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GU Xi.
Objective:To investigate the effects of abnormal fetal head position on the birth process and maternal and child.Method:56 cases pregnant women with abnormal fetal head position(test group) and 56 cases pregnant women with normal fetal head position( control group)were selected in the hospital from December 2012 to August 2014.The birth process and the effect on maternal and child were compared. Result:The effective rate was 64.29% in the test group,the effective rate was 89.29% in the control group;42.86% of maternal in test group can be spontaneous vaginal delivery, while 89.29% of maternal in control group can be spontaneous vaginal delivery capacity. The incidence of adverse reactions were 48.21% in test group,the incidence of adverse reactions were 23.21% in control group,the difference was statistically significant(P<0.05).Conclusion:Abnormal fetal head position has great impact on the birth process and the maternal and child.Therefore,clinicians should attach much importance on the pregnant woman who was prenally diagnosed of abnomal fetal head position.Doing prenatal preparations and closely monitoring the birth process and timely dealing with the abnormal reactions that occurred in the birth process.
2015 Vol. 12 (05): 139-141 [Abstract](
470
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JIANG Zhuo-qun.
Objective:To minimally invasive extraction combined with ultrashort wave therapy to prevent further discussion and analysis of the effect of swelling and pain of impacted mandibular third molar after surgery.Method: 96 patients of impacted mandibular third molar were selected in our hospital from January 2013 to September 2014, which were randomly divided into experimental group and control group, 48 cases in each group.The experimental group was treated by minimally invasive extraction combined with ultrashort wave therapy, while the control group was treated traditional extraction method,the swelling and pain and wound healing were observed in patients with impacted mandibular third molar after surgery.Result: After 1-3 days of two groups patients with pain and swelling degree differences, the difference was statistically significant(P<0.05);one week after operation the patients in the two groups had no significant difference in the degree of swelling and pain(P>0.05).Conclusion:Minimally invasive extraction combined with ultrashort wave therapy can relieve patients postoperative wound pain swelling degree of mandibular impacted teeth.
2015 Vol. 12 (05): 142-144 [Abstract](
522
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454
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SUN Qian-nan,WANG Xiang-zhen.
Objective:To review the research of the T helper type 17-related cytokines associated with intrauterine adhesions cytokines,to explore the pathogenesis of intrauterine adhesions.Method:The significance of uterine cavity adhesion related cell factors on T helper type 17-related cytokines in start,promote,the process of the differentiation were discussed,its relationship with intrauterine adhesions were explored.Result:The T helper type 17-related cytokines related cytokines associated with intrauterine adhesions cytokines are closely linked,and there was some relation between occurrence of intrauterine adhesions.Conclusion:The relationship between the T helper type 17-related cytokines and intrauterine adhesion are discussed and expectation.
2015 Vol. 12 (05): 147-150 [Abstract](
399
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301
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LI Xue-lin.
This article analyzes the common psychological reactions of patients in ICU and reason,in view of the psychological reaction to investigate the psychological nursing intervention measures are effective and practical,including the establishment of good relations of nursing,creating comfortable environment,strengthen the psychological nursing,for families with,for relaxation training,can effectively reduce the negative psychological reaction of patients with
intensive care unit,improve the psychological status and behavior,improve the effect of psychological nursing of patients.
2015 Vol. 12 (05): 150-153 [Abstract](
701
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233
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LIANG Xiao,SHI Bei.
Calcium plays a vital role in cell survival process, such as intracellular signaling, protein folding,enzyme activation and start programmed cell death. Stromal interaction raction molecule 1( STIM1) transmembrane protein within the cells of the endoplasmic reticulum, as endoplasmic reticulum calcium ion sensor can be combined with membrane proteins under Orai1 involved in the regulation of intracellular calcium concentration.Calcium imbalance has been linked to a variety of cardiovascular diseases,this paper were reviewed by STIM1 in cardiovascular-related diseases.
2015 Vol. 12 (05): 154-156 [Abstract](
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