手术室护理路径在宫腔镜子宫内膜息肉切除术的应用价值

目的探讨手术室护理路径在宫腔镜子宫内膜息肉切除术中的应用效果。方法选取我院2015年8月至2016年9月收治的子宫内膜息肉患者38例,随机分为观察组和对照组各19例,所有患者均采取宫腔镜子宫内膜息肉切除术治疗,对照组采取常规护理措施,观察组采取手术室护理路径,对比两组手术指标及生活质量。结果观察组患者的手术时间、术中出血量、住院时间分别为(28.9±5.3)min、(19.2±2.7)mL、(3.5±1.3)d;对照组患者的手术时间、术中出血量、住院时间分别为(41.3±7.5)min、(28.5±3.8)mL、(7.1±1.8)d;差异具有统计学意义(P0.05)。观察组患者躯体功能、心理功能、物质生活、社会功能评分明显高于对照组,差异具有统计学意义(P0.05)。结论手术室护理路径在宫腔镜子宫内膜息肉切除术的效果显著,值得临床应用。     

子宫内膜息肉宫腔镜电切术后激素的补充治疗

目的 探讨子宫内膜息肉宫腔镜电切术后激素补充治疗的临床效果.方法 将2009年1月～2011年1月笔者所在医院收治的子宫内膜息肉患者58例随机分为观察组29例(电切术后应用激素补充治疗)和对照组29例(电切术术后无任何治疗),两组的治疗效果进行比较.结果 两组术后3、6、12个月月经量比较,差异均有统计学意义(P<0.01).两组的子宫内膜息肉复发率比较,差异有统计学意义(P<0.05).结论 子宫内膜息肉宫腔镜电切术后激素的补充治疗可以降低子宫内膜息肉的复发率.     

宫腔镜电切术和刮宫术治疗多发性子宫内膜息肉的疗效对比

目的:比较宫腔镜电切术和刮宫术治疗多发性子宫内膜息肉的临床效果。方法:选取多发性子宫内膜息肉患者60例,按照随机数字表法将其分为对照组和观察组各30例。对照组给予刮宫术治疗,观察组应用宫腔镜电切术治疗。比较两组手术耗时、术中出血量、住院时间、术后6个月的月经量、复发率及子宫异常出血率。结果:两组手术耗时、住院时间对比,差异无统计学意义(P>0.05);但观察组术中出血量显著少于对照组(P<0.05)。术后6个月,观察组月经量少于对照组,差异有统计学意义(P<0.05);观察组子宫息肉复发率、子宫异常出血率均显著低于对照组,差异有统计学意义(P<0.05)。结论:宫腔镜电切术可有效降低多发性子宫内膜息肉患者术后子宫异常出血率及复发率,对患者术后月经量的影响较小。     

诊刮与宫腔镜诊治子宫内膜息肉的比较分析

目的:研究比较诊刮与宫腔镜对于子宫内膜息肉的诊治效果。方法:选择经阴道超声诊断为子宫内膜息肉疑似病例的患者120例,随机分为采取诊刮术诊治的诊刮组(60例)与采取宫腔镜诊治的宫腔镜组(60例),两组均进行病理检测,并将检测结果与两组各自的检测结果进行比较分析,术后两组均进行为期3~6个月的孕激素治疗。结果:诊刮组与病理检测的子宫内膜息肉符合率为74.47%,宫腔镜组与病理诊断检测结果符合率为96.55%,两组诊断情况差异有统计学意义(P<0.05)。结论:诊刮作为传统子宫内膜及息肉获取方法,由于操作盲目,时常出现漏诊等情况,相比之下宫腔镜检测则更为直观、准确,是当今临床诊治子宫内膜息肉的首选方式,同时配合孕激素治疗可有效减少复发情况。     

宫腔镜在子宫内膜息肉诊治中的应用

目的 探讨以宫腔镜诊治子宫内膜息肉的有效性与安全性.方法 方便2012年1月—2016年1月该院超声诊断高度疑似为子宫内膜息肉的108例患者为研究对象,随机分为两组.实验组54例,患者行宫腔镜诊治术;对照组54例,患者行宫腔诊刮术.观察两组手术时间、术中出血量、并发症,以病理诊断为金标准,观察两组符合率.结果 两组手术成功率均为100.00%,并发症发生率0.00%(P>0.05).实验组手术时间(24.6±9.3)min长于对照组,术中出血量(9.8±2.2)mL少于对照组,随访时息肉复发(3例)少于对照组,差异有统计学意义(P<0.05).宫腔镜诊断子宫内膜息肉的符合率(98.15%)显著高于诊刮(77.78%),差异有统计学意义(P<0.05).结论 宫腔镜诊治子宫内膜息肉,诊断符合率高,总体治疗效果好,值得临床推广使用.     

妈富隆预防子宫内膜息肉术后复发的临床探讨

目的:探讨妈富隆用于子宫内膜息肉术后预防子宫内膜息肉(EPs)复发的临床应用价值。方法:随机将88例行EPs宫腔镜术后患者分为两组,每组44例。对照组患者子宫内膜息肉术后不采用任何治疗,观察组子宫内膜息肉术后口服妈富隆。随访半年,比较两组EPs复发情况。结果:对照组术后阴道流血时间为(6.9±0.3)d,观察组为(3.8±0.3)d,对照组术后阴道流血时间显著高于观察组,差异有统计学意义(P<0.05)。随访半年后,观察组月经改善率为97.73%,复发率为2.27%;对照组月经改善率为72.73%,复发率为15.91%,两组月经改善率、复发率比较,差异均有统计学意义(P<0.05)。结论:宫腔镜子宫内膜息肉电切术后联合妈富隆进行治疗,能够明显改善临床症状,避免Eps复发,值得在临床中推广应用。     

宫腔镜电切术中机械性预处理治疗难治性功能失调性子宫出血的效果分析

目的探讨难治性功能失调性子宫出血(功血)患者应用宫腔镜电切术治疗中实施机械性预处理的临床效果。方法选择2013年10月至2014年12月绵阳市第三人民医院择期行宫腔镜电切术的难治性功血患者106例为研究对象,按照随机数字表法分为观察组和对照组,各53例。对照组未采取任何预处理方法,直接入院行电切术;观察组采用8 mm吸管吸刮干净经宫腔镜检查后确保满意,实施电切镜手术。比较两组患者液体吸收量、手术时间、术中出血量情况及内膜变化情况,术后随访两组患者改善程度。结果观察组液体吸收量、术中出血量、平均手术时间均少于对照组[(145±24)m L比(198±23)m L,(20±7)m L比(27±8)m L,(12.5±2.8)min比(16.4±3.1)min],差异有统计学意义(P<0.01)。观察组切除内膜厚度较对照组薄[(3.2±0.5)mm比(4.1±1.3)mm],差异有统计学意义(P<0.01)。结论宫腔镜电切术治疗难治性功血患者实施机械性预处理可薄化内膜,是一种安全、快速、高效、经济的子宫内膜预处理方法,值得推广应用。     

左炔诺孕酮宫内缓释系统联合宫腔镜手术治疗子宫内膜息肉的效果

目的探讨左炔诺孕酮宫内缓释系统联合宫腔镜手术治疗子宫内膜息肉的效果。方法选取2014年3月至2017年5月中国人民解放军联勤保障部队第九八八医院焦作院区收治的102例子宫内膜息肉患者,按随机数表法分为对照组和观察组,各51例。对照组患者接受宫腔镜手术治疗,观察组患者接受左炔诺孕酮宫内缓释系统联合宫腔镜手术治疗。比较两组患者临床疗效和治疗前后月经量、子宫内膜厚度。结果对照组和观察组患者治疗总有效率分别为78.43%(40/51)、96.08%(49/51)。观察组患者治疗总有效率高于对照组,差异有统计学意义(P<0.05)。治疗后,两组患者月经量少于治疗前,观察组患者月经量少于对照组,差异有统计学意义(均P<0.05)。治疗后,两组患者子宫内膜厚度小于治疗前,观察组患者子宫内膜厚度小于对照组,差异有统计学意义(均P<0.05)。结论采用左炔诺孕酮宫内缓释系统联合宫腔镜手术治疗子宫内膜息肉的效果确切,可有效减少月经量,降低子宫内膜厚度。     

米非司酮在子宫内膜息肉宫腔镜电切术后复发中应用效果

目的:探讨米非司酮用于子宫内膜息肉电切术后复发预防的临床疗效。方法:选取138例手术病理确诊行宫腔镜电切术治疗的子宫内膜息肉患者,随机分为对照组和观察组,各69例,观察组术后口服米非司酮,对照组无任何治疗,比较两组患者随访期间阴道出血情况、月经恢复情况、子宫内膜息肉复发情况。结果:随访期间两组患者症状均好转,观察组患者阴道出血及月经改善情况优于对照组(P<0.01);观察组患者子宫内膜息肉复发率(2.90%)低于对照组(17.39%),组间差异比较有统计学意义(P<0.05)。结论:米非司酮可有效降低子宫内膜息肉宫腔镜电切术后复发率,应在临床中推广应用。     

宫腔镜手术治疗子宫内膜息肉(EMP)的临床疗效观察

目的:观察分析宫腔镜手术治疗子宫内膜息肉的临床效果。方法:选取我院于2010年12月至2012年12月收治的60例子宫内膜息肉患者的临床资料进行回顾性分析,根据手术方式的不同将其分为对照组和观察组两组,对照组患者进行单纯子宫内膜息肉切除术治疗,观察组患者进行宫腔镜手术治疗,观察两组患者的手术时间、住院时间、术中出血量及不良反应方式情况,比较其治疗效果。结果:观察组患者的手术时间(16.3±8.6)min、住院时间(11.2±3.1)d、术中出血量为(50.6±11.2)ml,与对照组患者的(31.3±6.1)min、(26.2±4.6)d、(100.6±30.3)ml的比较差异有统计学意义(P0.05),术后观察组患者的有效率为96.7%,与对照组63.3%的有效率比较差异显著,有统计学意义(P0.05)。观察组患者有1例患者有发热症状,对照组患者4例复发,两组比较差异有统计学意义(P0.05)。结论:宫腔镜手术治疗子宫内膜息肉有明显的治疗效果,且手术时间短、术中出血量少、术后复发率低、住院时间短,可以在临床上广泛推广。     

Value of D-Dimers in patients with acute aortic dissection

Objective: To evaluatel the value of D-dimers in patients with acute aortic dissection (AAD). Methods: This study consisted of 16 patients with AAD and 27 non-AAD patients. Serum D-dimets were measured by Sta-Liatest D-DI immunoturbidimetric assay. Results: D-dimer level was higher (P ＜ 0.001) in patients with AAD(7.91 ± 5.52 μg/ml) than that in non- AAD group(1.57±1.24 μg/ml). D-dimer was positive (＞0.4 μg/ml) in all patients with AAD and in 10 control group patients (37%). Among patients with acute AAD, D-dimers tended to be higher in Stanford A than in Stanford B (8.67 ± 4.31 μg/ml vs. 3.24±1.27 μg/ml, P ＜0.01). D-dimer values tended to be higher in more extended disease(3.84 ± 1.65 μg/ml, 8.57 ± 3.58 μg/ml and 11.87 ± 5.69 μg/ml in thoracic aorta, thoracic and abdominal aorta, thoracic and abdominal aorta and iliacal arteries, respectively, P ＜ 0.05 for both 8.57 ± 3.58 and 11.87 ± 5.69 vs. 3.84 ± 1.65 ). Including the control group into the analysis, we found a sensitivity of 100%, a negative predictive value of 100%, and a specificity of 66% and a positive predictive value of 64% for D-dimer in diagnosis of AAD in our patients with suspected AAD. Conclusion: D-dimer was elevated in patients with AAD. A negative D-dimer test result could be useful in excluding AAD.     

Research of combined liver-kidney transplantation model in rats

Objective： To set up a simple and reliable rat model of combined liver-kidney transplantation. Methods： SD rats served as both donors and recipients. 4℃ sodium lactate Ringer＇s was infused from portal veins to donated livers,and from abdominal aorta to donated kidneys, respectively. Anastomosis of the portal vein and the inferior vena cava （IVC） inferior to the right kidney between the graft and the recipient was performed by a double cuff method, then the superior hepatic vena cava with suture. A patch of donated renal artery was anastomosed to the recipient abdominal aorta. The urethra and bile duct were reconstructed with a simple inside bracket. Results： Among 65 cases of combined liver-kidney transplantation, the success rate in the late 40 cases was 77.5%. The function of the grafted liver and kidney remained normal. Conclusion： This rat model of combined liver-kidney transplantation can be established in common laboratory conditions with high success rate and meet the needs of renal transplantation experiment.     

APPLICATION OF LORNOXICAM TO PATIENT-CONTROLLED ANALGESIA IN PATIENTS UNDERGOING ABDOMINAL SURGERIES

FOR anesthesiologis s ,treatingpostoperativepainhas alwaysbeen a problem.Althoughopioidshave been provedtobe effective,theirsideeffectscouldnotbeignored.With thedevelopmentofscienceand pharmacology,many drugs with aspectsof satisfactoryanalgesicefficacyand couldbe welltoleratedby patientshave been developed.And lornoxicamisone of them, which isa non-steroidalanti-inflammatorydrug (NSAID ), with analgesic, anti-infl-ammatory,andantipyreticproperties.Itseliminationhalf-time(3 to 5 hours) isle…     

BLOOD PRESSURE CHANGE WITH AGE IN SALT-SENSITIVE TEENAGERS

Objective To observe blood pressure change with age in salt-sensitive teenagers whose salt sensitivity were determined by repeated testing.Methods Salt sensitivity was determined through intravenous infusion of normal saline combined with volume-depletion by oral diuretic furosemide in 55 teenagers. After five years, salt sensitivity was re-examined and subject blood pressure was followed up. Blood pressure changes in salt-sensitive teenagers were compared to that of non-salt sensitive teenagers over five years.Results After 5 years, the repetition rate of salt sensitivity determined by intravenous saline loading is 92.7%. In teenagers with salt sensitivity on the baseline, both the systolic blood pressure increments and increment rates were much higher than non-salt sensitive teenagers (12.7±12.1 mmHg vs. 2.8±5.2 mmHg, P＜ 0.01; 12.2%± 12.0% vs. 2.5% ±4.4%, P＜ 0.001,respectively). There was a similar trend for diastolic blood pressure (8.4 ± 6.4 mmHg vs. 3.7 ± 6.4 mmHg, P = 0.052; 13.2% ±10.6 % vs. 6.8%± 10.1%, P = 0.053, respectively).Conclusions Salt sensitivity determined by intravenous saline loading showed good reproducibility. Blood pressure increments with age were much higher in salt-sensitive teenagers than non-salt sensitive teenagers, especially in terms of systolic blood pressure.     

Development on Adjustable Calibration Marker for Shock Wave Focus

Shock wave lithotripsy （SWL） is a treatment of choice for upper urinary stones. However, this procedure is inappropriate for obese patients because the focus is often unable to reach the target owing to the limited focal distance in shock wave source. Although treating such patients in a blast path may increase the application length of shock wave source, it＇s difficult to find this path on the lithotripter monitor. For this reason, we invented an adjustable calibration marker in order to set an effective focus in the shock wave hath.     

Study on the TCM Pathogenesis of Angiopathic Complications of Type II Diabetes

Excess production of reactive oxygen species(ROS)of mitochondrion mediated by hyperglycemia is the common pathogenesis of angiopathic complications of diabetes.TCM holds that the damp from the dysfunction of spleen.kidney and liver is the causative factor of complications of diabetes.This is similar to the mechanism of Ros resulting in angiopathic complications of diabetes.When the angiopathic complications of type II diabetes mellitus(T2DM)are difierentiated as caused by turbid damp in TCM can be explained as ROS.Since the obstruction of pathogenic damp in channels and collaterals is said to be the main pathogenesis,the treating principle should be dissolving the damp to remove the obstruction.     

Leptin, Ghrelin and TNF-α before and after Hypo-caloric Traditional Chinese Diet and Auricular Acupuncture

INTRODUCTION Obesity is a complex emergent problem, which can be possibly solved not only by the diet but also by the life style and promotion of a constant physical exercise. 1, 2 No doubt careful attentions must be given to the nutritional condition of obese people, the dietary habits, the somatic build (i.e. distribution of fat mass) and the organic functions linked to formation of the fat mass. All the parameters should be constantly monitored before, during and after a diet treatment. 3, 4, 5     

Relationship between Dysglycemia and Carotid Atherosclerosis in Tibetan Population

People with dysglycemia are at high risk for atherosclerotic diseases. This study aims at investigating the atherosclerotic vascular damage in dysglycemia and its metabolic origin in Tibetan population.     

Acupuncture Combined with Spinal Tui Na for Treatment of Primary Dysmenorrhea in 30 Cases

Objective: To observe the therapeutic effects in acupunture treatment of primary dysmenorrhea combined with spinal Tui Na, and study its mechanism. Methods: Thirty cases of the treatment group were treated by acupuncture combined with spinal Tui Na, and thirty cases in the control group were treated by routine acupuncture. Results: The total effective rate was 93.3% in the treatment group, and 73.3% in the control group, with a significant difference between the two groups (P<0.05). Conclusions: Acupuncture combined with spinal Tui Na has good prospects for treatment of primary dysmenorrhea.     

Luo Lingjie's Experience in Treating Chronic Nephropathy

In treating chronic nephropathy,Luo Lingjie,a chief physician,pays attention to regulating the balance between yin and yang,treating infection if present,and removing pathogenic factors.He prescribes gentle drugs and uses carefully strongly warming-tonifying ones,emphasizes the importance of persuading the patient to persist in treatment with medication and nurse one's health for recuperation,and is good at combined use of TCM and western medicine therapy and brings the merits of various therapies into full play,with obvious theraoeutic effects.