Y型固定带的研制与临床应用

痔疮、肛裂、肛门外伤、直肠肿瘤、麦氏手术后,由于其部位的特殊性,术后敷料不易固定,以往用简易丁字带、宽胶布或用绷带临时打个丁字带固定.胶布容易脱落;简易丁字带通过会阴部,会影响男性阴茎、阴囊的血液循环,又不方便患者小便,或患者小便时打开丁字带,使肛门敷料脱落,造成术口污染,影响术口愈合.为克服上述困难,我们研制出Y型固定字带,经临床实践应用,收到良好效果.     

肾穿刺活检术的护理

经皮肾穿刺活检术是获取肾脏病理标本的重要手段之一 ,广泛应用于诊断弥漫性肾脏疾病 ,有利于早期诊断 ,指导治疗 ,判断预后。我科自 2 0 0 0年 7月开展肾穿刺活检术 ,通过对 1 1例穿刺术患者的临床观察和护理 ,未发生术后并发症。现将护理工作介绍如下。1　临床资料1 1例病人中男 4例 ,女 7例 ,年龄 1 9～4 6岁 ,平均 30 .9岁。 7例为血尿 ,4例为蛋白尿。均采用进口自动活组织检验针 ,经Ｂ超定位引导穿刺取得肾组织。2　护理2 .1　术前护理2 .1 .1　术前健康教育　肾穿刺术有一定技术难度 ,易出现并发症。故患者均有不同程度的紧张恐惧心理…     

前列地尔对糖尿病肾病尿清蛋白排泄率、血小板活化和血脂的影响

目的 :观察静脉应用前列地尔对老年糖尿病肾病尿清蛋白排泄率、血小板活化和血脂的影响。方法 :老年糖尿病肾病 76例 ,男性 4 8例 ,女性 2 8例 ,分为治疗组 4 0例和对照组 36例 ,2组均行常规治疗控制血糖、血压和血脂。治疗组加用前列地尔10 μg ,iv ,gtt ,每日 1次 ,2组疗程均为 14d。结果 :治疗后 ,治疗组尿清蛋白排泄率、血小板活化水平均下降 ,与治疗前、与对照组比较 ,差异有非常显著意义 (P <0 .0 1)。血肌酐由治疗前 (14 3±s 16 ) μmol·L- 1下降到 (96± 10 ) μmol·L- 1(P <0 .0 1) ,血脂变化与对照组无差异。结论 :静脉短期使用前列地尔能减少尿清蛋白排泄率 ,降低血小板活化 ,抑制血细胞粘附 ,降低血肌酐水平。     

鼻肠营养管在胰十二指肠切除术中的应用与护理

目的:探讨鼻肠营养管在胰十二指肠切除术中的应用价值和护理方法.方法:术中经胃肠吻合口将营养管插入输出段空肠内,用于术后肠内营养.结果:肠内营养后,肠功能恢复早,改善了患者营养状况.结论:鼻肠营养管用于术后肠内营养,能有效改善机体营养状况,提高免疫力,促进肠功能恢复,减少并发症.     

产妇健康需求调查与实施健康教育的管理

为了探讨产妇对健康教育的需求,采用问卷调查法对40例产妇进行了抽样调查,以了解产妇的健康教育需求,并根据产妇的健康需求,实施有效的健康教育及健康教育管理,提高了产妇的保健能力,减少了疾病的发生,密切了护患关系,提高了产科的护理质量。     

穴位埋线治疗乳腺增生病58例临床观察

目的：观察穴位埋线治疗乳腺增生病的临床疗效。方法：采用穴位埋线治疗乳腺增生病58例。结果：经治疗2个疗程后，临床治愈19例，占32．8％；显效23例；占39．7％；有效12例；占20．7％；无效4例；占6．7％。总有效率为93．3％。结论：穴位埋线治疗乳腺增生病疗效满意。     

腔镜下交通静脉结扎术治疗下肢浅静脉曲张围手术期护理

目的：总结腔镜筋膜下结扎交通支静脉（SEPS）治疗下肢静脉曲张的护理经验。方法：2003年3月-2006年10月31例39条患肢行SEPS。术前加强患肢的护理，做好皮肤准备，术后加强预见性观察及护理。结果：术后21例溃疡1个月内愈合，1例3个月愈合，均无发生并发症。结论：SEPS配合及时有效的观察及护理，是治疗下肢静脉曲张的重要组成部分。     

身心综合疗法对2型糖尿病患者心理健康和生活质量及血糖的影响研究

Objective To investigate the impact of Psychotherapy and exercise therapy to Type 2 Diabetes Mellitus in life,psychology and blood glucose.Methods Adopt RCT (randomized controlled trial),60 patients in control group and 90 patients in intervention group,drug and alimentation were given to control group.Based on the drug and alimentation,Psychotherapy and exercise therapy were given to intervention group.observe variation in fasting blood glucose,blood glucose 2 h after meal,urine glucose during 24 h,glycosylated hemoglobin,mental state and life quality both intervention and control group after 8 weeks.Results Blood glucose 2h after meal and glycosylated hemoglobin were (7.54±1.19) mmol/L and (6.69±0.96)% in intervention group,tetal effective ratio was 98%;(7.62±0.80) mmol/L and (7.15±0.82)% in control group,total effective ratio is 76%.the outcomes of two groups were statistical significant (P＜0.05 ).The discrepancy in mental health factor and life quality dimension before and after the therapy inside the intervention group were also statistically significant.Conclusions Psychotherapy and exercise therapy can not only improve the level of mental healthy and life quality of Type 2 Diabetes MeUitus patients,but also control the blood glucose efficiently.     

针刺绝骨穴治偏头痛38例小结

近年来,笔者采用针刺绝骨穴(即悬钟穴)治疗偏头痛38例,疗效较好。现小结如下: 一般资料 38例中,男17例,女21例;年龄最大者62岁,最小者19岁;病程最长者28个月,最短者4个月;有12例经脑血流图发现脑血管舒缩功能减弱。     

身心综合疗法对2型糖尿病患者心理健康和生活质量及血糖的影响研究

Objective To investigate the impact of Psychotherapy and exercise therapy to Type 2 Diabetes Mellitus in life,psychology and blood glucose.Methods Adopt RCT (randomized controlled trial),60 patients in control group and 90 patients in intervention group,drug and alimentation were given to control group.Based on the drug and alimentation,Psychotherapy and exercise therapy were given to intervention group.observe variation in fasting blood glucose,blood glucose 2 h after meal,urine glucose during 24 h,glycosylated hemoglobin,mental state and life quality both intervention and control group after 8 weeks.Results Blood glucose 2h after meal and glycosylated hemoglobin were (7.54±1.19) mmol/L and (6.69±0.96)% in intervention group,tetal effective ratio was 98%;(7.62±0.80) mmol/L and (7.15±0.82)% in control group,total effective ratio is 76%.the outcomes of two groups were statistical significant (P＜0.05 ).The discrepancy in mental health factor and life quality dimension before and after the therapy inside the intervention group were also statistically significant.Conclusions Psychotherapy and exercise therapy can not only improve the level of mental healthy and life quality of Type 2 Diabetes MeUitus patients,but also control the blood glucose efficiently.