高压氧联合预见性护理模式对急性脑出血患者术后康复及护理满意度的影响

目的探讨高压氧联合预见性护理模式对急性脑出血患者术后康复及护理满意度的影响。方法选取2014年6月至2016年8月巩义市人民医院94例急性脑出血患者,按照随机数表法分为两组,各47例。两组均行微创血肿清除术,对照组接受常规治疗与护理,观察组于对照组基础上接受高压氧联合预见性护理模式。统计对比两组护理满意度、住院时间及并发症发生率。结果观察组护理满意度高于对照组,差异有统计学意义(P<0.05);观察组住院时间短于对照组,差异有统计学意义(P<0.05);观察组并发症发生率低于对照组,差异有统计学意义(P<0.05)。结论高压氧联合预见性护理模式可缩短急性脑出血患者术后康复进程,提高护理满意度,且并发症少,值得推广。     

预见性护理用于脑出血急性期中的效果观察

目的 探究预见性护理用于脑出血急性期患者的护理效果.方法 选取脑出血急性期患者100例作为本次研究观察对象,按照随机双盲法原则将其分成研究组和对照组,各有50例,研究组予以预见性护理,对照组予以常规护理,然后对比两组并发症情况以及满意度调查.结果 两组并发症(肺部感染、消化道出血、脑疝、高热以及关节强直)发生率比较,差异有统计学意义(P<0.05),且研究组患者满意度较对照组高,差异有统计学意义(P<0.05).结论 予以脑出血急性期患者预见性护理服务,能够有效降低并发症的发生率,同时还能提高满意度.     

预见性护理在脑出血急性期中的应用效果观察

目的:探究预见性护理在脑出血急性期患者中的应用效果.方法:选取该院2014年12月至2016年12月收治的200例脑出血急性患者作为研究对象.将200例患者随机分为对照组和观察组,每组各100例患者,对照组患者采用常规护理模式进行护理,观察组患者在对照组患者的基础上给予预见性护理模式进行护理干预,观察比较两组患者住院时间、不良反应以及护理满意度评价结果.结果:观察组患者护理干预后护理满意度明显优于对照组患者,不良反应发生率以及住院时间明显低于对照组(P＜0.05).结论:预见性护理应用于脑出血急性中患者疗效显著,能够有效缓解患者生命质量,降低并发症,提高护理满意度,值得临床推广应用.     

预见性护理在脑出血急性期中的应用效果

目的:观察并探讨预见性护理在脑出血急性期中的临床应用效果.方法:选取于2011年1月至2015年12月在我院接受治疗的124例脑出血急性期患者为研究对象,将其编号,并随机分为观察组和对照组,每组62例患者.观察组患者在常规护理的基础上实施预见性护理干预治疗,对照组仅实施常规护理治疗,观察并分析两组患者的发病情况、患者的生活质量、住院的时间及护理的满意程度等.结果:在采取了预见性护理之后,比较两组患者的并发症发生率和住院时间,发现观察组的并发症发生率要明显低于对照组,观察组的护理满意程度明显高于对照组,差异具有统计学意义(P＜0.05);观察组的平均住院时间低于对照组,差异具有统计学意义(P＜0.05).讨论:对脑出血患者实施预见性护理治疗可以有效地减少并发症的产生,提高患者的治疗质量,缩短住院时间,从而提高护理的满意程度,值得各个医疗机构推广.     

预见性护理和常规护理对急性脑出血患者效果对比

目的对比分析预见性护理与常规护理对急性脑出血的临床效果。方法选取2012年10月至2013年10月我院收治的急性脑出血患者120例,随机分为观察组和对照组各60例,两组患者均给予急性脑出血的常规护理,观察组在常规护理的基础上给予预见性护理,观察并比较两组患者对护理的满意度、住院时间及并发症的发生情况。结果观察组住院时间为（15.01±3.03）d,总满意率为97.5%,对照组住院时间为（20.11±5.10）d,总满意率为77.5%,两组患者住院时间及总满意率相比较差异有统计学意义（P〈0.05）;观察组共发生6例并发症,其中包括再出血1例,肺部感染2例,尿路感染1例,消化道出血2例,对照组共发生19例并发症,包括再出血4例,肺部感染5例,尿路感染3例,压疮2例及消化道出血5例,观察组与对照组在并发症的发生上差异有统计学意义,P〈0.05。结论预见性护理干预用于急性脑出血临床效果好,并发症的发生率低,值得在临床上予以推广。     

临床护理路径对急性心肌梗死患者并发症预防效果观察

目的 探讨临床护理路径对急性心肌梗死患者并发症预防效果.方法 选取急性心肌梗死患者86例,根据随机分配原则分为护理组和对照组,各43例.对照组患者给予常规治疗和护理,护理组在治疗基础上结合临床护理路径进行治疗,分析2组患者治疗情况、满意度和并发症发生情况.结果 护理组患者住院时间(8.63±2.51)低于对照组(11.16±3.08),满意度(94.37％)、ADL评分(78.34±7.53)显著高于对照组(83.24％)、(50.56±6.92),差异有统计学意义(P＜0.05);护理组患者并发症发生率(16.28)显著低于对照组(30.23％),差异有统计学意义(P＜0.05).结论 临床护理路径可在治疗急性心肌梗死过程中,提高护理和治疗效果,加快患者的康复,缩短患者住院时间,提高患者和患者家属对本院工作的满意度,在一定程度上降低了治疗后并发症的发生,值得临床作进一步推广.     

动态急救护理模式在脑卒中重症患者急救护理中的应用

目的:观察分析动态急救护理模式在脑卒中重症患者急救护理中应用效果.方法:选择脑卒中重症患者52例作为研究组,实施动态急救护理模式;选择56例脑卒中重症患者作为对照组,实施常规的急救模式.比较两组的呼救至院内治疗时间、住院时间、住院费用、Barthel指数、并发症发生率、死亡率以及护理满意度.结果:研究组呼救至院内治疗时间、住院时间以及住院费用均明显少于对照组(P＜0.05),治疗后,研究组Barthe指数显著高于对照组(P＜0.05),研究组并发症发生率及死亡率显著低于对照组(P＜0.05),研究组护理满意度显著高于对照组(P＜0.05).结论:动态急救护理模式的应用,可明显缩短脑卒中重症患者急救时间、住院时间,降低住院费用,减少并发症发生率、死亡率,提高护理满意度.     

临床护理路径在急性心肌梗死急救中的效果观察及护理满意度的影响

目的:探讨临床护理路径对急性心肌梗死患者急救时间、救治结局及患者满意度的影响,促进患者康复.方法:2014年7月至2015年7月选择我院急诊收治的急性心肌梗死患者80例,随机分为观察组和对照组各40例,对照组实施传统护理,观察组实施临床护理路径,比较二者急救时间、救治效果及患者满意度.结果:观察组患者院前急救反应时间、分诊评估时间及运送时间均短于对照组,差异有统计学意义(P＜0.05).观察组患者疼痛缓解时间、梗死相关血管再通率、住院期间主要心脑血管不良事件(MACCE)发生率、住院时间及存活率均优于对照组,差异有统计学意义(P＜0.05).观察组患者护理人员满意度调查表评价结果明显优于对照组,差异有统计学意义(P＜0.05).结论:临床护理路径可以有效缩短急性心肌梗死急救时间,提高救治效果及患者满意度,改善护理质量.     

预见性护理干预在脑出血患者肺部感染预防中的应用

目的 探讨预见性护理干预在脑出血患者肺部感染预防中的应用效果.方法 选取我院2011年8月-2013年8月收治的150例脑出血患者,将患者随机分为观察组与对照组各75例,观察组患者给予预见性护理,对照组患者则给予常规护理.结果 观察组肺部感染率显著低于对照组,差异有统计学意义(P＜0.05).观察组护理后治愈率及痛死率,住院时间显著优于对照组,差异有统计学意义(P＜0.05).结论 脑出血患者并发肺部感染率极高,早期细致、系统的护理干预能降低患者肺部感染率,降低病死率并提高临床治疗效果,值得推广应用.     

临床护理在病毒性肝炎肝硬化并消化道出血护理中的应用

目的:分析临床护理在病毒性肝炎肝硬化并消化道出血护理中的应用.方法:选取该院2016年5月至2017年5月收治的病毒性肝炎肝硬化并消化道出血患者90例,随机分为实验组和对照组,每组45例.对照组患者辅以基础护理,实验组患者辅以临床护理,对比分析两组患者的治疗费用、住院时阎以及护理满意度.结果:实验组患者治疗费用(1.5±0.4)万、住院时间(8.6±2.3)d,两组数据均少于对照组患者,差异具有统计学意义(P＜0.05).实验组患者护理满意度与对照组患者相比更高,差异具有统计学意义(P＜0.05).结论:临床护理能够缩短病毒性肝炎肝硬化并消化道出血患者的住院时间,减少治疗费用,提升患者的护理满意度,值得临床进一步去推广.     

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.