经皮椎体成形术治疗老年骨质疏松性椎体压缩性骨折72例护理体会

目的探讨经皮椎体成形术治疗老年骨质疏松性椎体压缩性骨折的护理体会。方法对72例接受经皮椎体成形术治疗的老年骨质疏松性椎体压缩性骨折患者，术前进行基本护理、心理护理和俯卧位训练，手术后给予监测生命体征，预防并发症，并进行康复锻炼指导等护理方法。结果所有患者的疼痛症状均明显缓解，出院时均恢复行走，无一例发生并发症。术后随访1年，均对手术效果均满意。结论手术前后的整体身心护理保障了经皮椎体成形术的顺利进行，是确保手术成功的关键。     

经皮椎体成形术治疗骨质疏松性椎体压缩性骨折的护理干预

目的 探讨经皮椎体成形术(PVP)治疗骨质疏松性椎体压缩性骨折的护理干预效果.方法 24例老年患者在“C”型臂X线机透视下行PVP治疗椎体压缩性骨折,对患者进行术前、术后护理干预和康复指导.结果 术后患者较术前临床症状改善,均康复出院.结论 PVP是治疗骨质疏松性椎体压缩行骨折的有效方法,重视术前、术后护理及康复指导是治疗成功的关键.     

经皮椎体成形术治疗骨质疏松性胸腰椎压缩性骨折的康复护理效果观察

目的针对骨质疏松性胸腰椎压缩性骨折采取经皮椎体成形术治疗时进行康复护理,观察其应用效果。方法选取2018年6月至2019年6月在我院接受经皮椎体成形术的骨质疏松胸腰椎压缩性骨折患者20例作为研究对象,对这些研究对象实施康复护理措施,对比护理前后患者生活质量评分以及VAS评分。结果护理后患者生活质量评分以及VAS评分优于护理前,P0.05。结论骨质疏松性胸腰椎压缩性骨折患者进行经皮椎体成形术的同时还需要配合康复护理,有利于改善患者的生活质量。     

经皮椎体后凸成形术治疗骨质疏松性椎体压缩性骨折的护理

目的 探讨经皮椎体后凸成形术治疗骨质疏松性椎体压缩性骨折(OVCF)的临床护理.方法 对我院2014年10月—2016年6月采用经皮椎体后凸成形术治疗骨质疏松性椎体压缩性骨折的32例患者,实施综合护理措施,观察护理效果.结果32例患者腰背部疼痛均在术后72 h内明显缓解,无并发症出现.结论 围术期综合护理能使骨质疏松性椎体压缩性骨折患者经皮椎体后凸成形术达到最大的治疗效果.     

经皮椎体成形术治疗老年骨质疏松性椎体压缩性骨折30例的护理

目的:对经皮椎体成形术治疗老年骨质疏松性椎体压缩性骨折的护理方法进行探讨。方法:对30例采取经皮椎体成形术治疗骨质疏松性椎体骨折的患者采取整体身心护理,预防并发症的发生,并进一步指导患者康复锻炼等护理方法。结果:所有患者的疼痛症状均有所改善,有效率达到100%,且并发症发生率为0,患者的术后生活质量也得到了明显的提高;同时,有效的促进了医、护、患三者之间的关系,使护理质量及满意度得到提高。结论:对采取经皮椎体成形术治疗老年骨质疏松性椎体骨折时实施有效的护理方法,可提高手术治疗效果,避免术后并发症的发生,提高患者生活质量的重要保障。     

经皮椎体后凸成形术与经皮椎体成形术治疗老年骨质疏松性椎体压缩骨折的效果对比探讨

目的:探讨老年骨质疏松性椎体压缩骨折患者应用经皮椎体后凸成形术(PKP)与经皮椎体成形术(PVP)治疗后的疗效。方法:采用随机数字表法将我院109例老年骨质疏松性椎体压缩骨折患者分组,对照组54例应用PVP治疗,观察组55例给予PKP治疗,对比两组患者治疗后椎体压缩率、Cobb角改善情况、疼痛评分、生活质量及安全性。结果:观察组术后1、6个月Cobb角、椎体压缩率、VAS评分均低于对照组,SF-36评分高于对照组,并发症发生率低于对照组(P<0.05)。结论:PKP术能够更为有效减轻骨质疏松性椎体压缩骨折患者疼痛,恢复脊柱序列,提升患者生活质量,安全性高。     

骨质疏松性椎体压缩性骨折患者行球囊扩张椎体成形术31例临床护理

目的：探讨骨质疏松性椎体压缩性骨折患者行球囊扩张椎体成形术的临床护理方法。方法：对31例骨质疏松性椎体压缩性骨折患者于C型臂X线机透视引导下行球囊扩张椎体成形术,术前给予心理疏导、体位训练、胃肠道准备等,术中给予手术配合,术后做好体位护理、并发症的护理、功能锻炼等。结果：本组均顺利完成手术,术后疼痛均得到缓解,无护理并发症发生。结论：精心的临床护理可使骨质疏松性椎体压缩性骨折患者行球囊扩张椎体成形术顺利完成,促进患者早日康复,降低并发症发生率。     

经皮椎体成形术的临床护理

目的：探讨经皮椎体成形术（Percutaneous Vertebroplasty,PVP）治疗脊柱肿瘤及骨质疏松性椎体压缩骨折的护理。方法：对30例应用经皮椎体成形术治疗脊柱疾患的患者,实施术前心理护理和卧位训练,术后加强生命体征的监测、并发症的观察与护理及术后康复指导等措施。结果：30例患者均无并发症发生,其中28例术后48小时内疼痛明显得到缓解,甚至完全消失;2例效果不明显。结论：经皮椎体成形术治疗脊柱肿瘤及骨质疏松椎体压缩骨折具有创伤小、止痛效果好、疗效显著等特点。而细致周到的术前术后护理,可提高手术效果及患者的生活质量。     

经皮椎体后凸成形术治疗老年骨质疏松性脊柱骨折的疗效观察

目的观察经皮椎体后凸成形术和经皮椎体成形术治疗老年骨质疏松性脊柱骨折的疗效,及其对伤残指数评定(ODI),简明健康状态调查评分(SF-36评分)和Cobb角的影响。方法选择2010年1月-2013年12月在我院就诊的骨质疏松性胸腰椎压缩性骨折患者90例,随机分为观察组和对照组,每组45例,对照组予以经皮椎体成形术,观察组予以皮椎体后凸成形术。观察两组治疗后的疗效、手术时间、术中出血量、术后伤椎高度增加、骨水泥注入量、骨水泥渗漏率以及治疗前后SF-36、ODI、Cobb角水平的变化。结果观察组的总有效率为91.11%,对照组为84.44%,两组差异无统计学意义(χ2=0.414,P0.05)。结论经皮椎体后凸成形术治疗骨质疏松性脊柱骨折疗效显著,具有创伤小,并发症少,有利于老年骨质疏松性脊柱骨折患者的康复,值得临床推广应用。     

老年骨质疏松性椎体压缩性骨折经皮椎体成形术围手术期护理

目的探讨老年骨质疏松性椎体压缩性骨折经皮椎体成形术围手术期护理价值。方法随机将本院2014年10月至2017年10月诊疗的80例老年骨质疏松性椎体压缩性骨折患者纳入研究对象,结合经皮椎体成形术治疗工作的开展,辅助围手术期护理手段,对患者治疗前后疼痛评分、椎体高度、Cobb’s角予以对比。结果术后患者疼痛评分、椎体高度、Cobb’s角各指标对比明显优于术前,即各数据对比差异明显,存在统计学意义(P0.05)。结论对于老年骨质疏松性椎体压缩性骨折患者而言,经皮椎体成形术是治疗该病的最佳方案,而围手术期护理工作的施行,更是保证治疗效果的前提。     

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.     

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.     

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…     

安心颗粒对急诊经皮冠状动脉介入术后生活质量影响的研究

目的：评价使用安心颗粒对急诊经皮冠状动脉介入术（PPCI）术后生活质量的影响.方法：将160例接受PPCI的急性ST段抬高型心肌梗死患者随机分为安心颗粒组（术前顿服安心颗粒8.8g,术后安心颗粒4.4 g/次,每日2次）和对照组（仅接受基础药物治疗）.所有患者均服用阿司匹林、氯吡格雷和阿托伐他汀.分别在入院时、出院前1d、出院后180 d时,应用心肌梗死多维度量表（MIDAS）、中文版SF-36评价量表对患者生活质量评分.并观察术后30 d以内的出血并发症、血小板减少症发生情况.结果：入院时和出院前1d,两组患者的心肌梗死MIDAS、SF-36量表评分比较无差异（P＞0.05）;出院后180 d时,与对照组比较,安心颗粒组MIDAS、SF-36评分明显减低（P＜0.05）;组内与入院时比较,两组出院前1d、出院后180 d时,MIDAS、SF-36评分均降低（P＜0.05）.两组患者在随访期间均无大量出血、少量出血、重度和极重度血小板减少症发生,安心颗粒组有4例、对照组有7例发生不明显出血（P＞0.05）.两组发生轻度血小板减少症的患者数比较无差异（P＞0.05）.结论：PPCI使用安心颗粒,能改善急性ST段抬高型心肌梗死患者的生活质量,且不增加出血风险.     

CLINICAL SIGNIFICANCE OF SERUM CYTOKINES IL-1β,sIL-2R,IL-6,TNF-α,AND IFN-v IN ACUTE CORONARY SYNDROME

Objectives To explore serum cytokines levels (including IL-1 β, sIL-2R, IL-6, TNF-α, and IFN-v) and their significance in patients with acute coronary syndrome (ACS) and the subsequent follow-ups, with attempt to estimate the role of various serum inflammatory markers in the diagnosis and assessment of ACS.Methods The study population include 40 patients with acute myocardial infarction (AMI), 40 patients with unstable angina pectoris (UAP), and 40 controls. Among the 80 patients, 60 patients attended a follow up 4 months later. Serum inflammatory markers including IL-1 β, sIL-2R, IL-6, TNF-α, and IFN-v were measured by enzyme linked immunosorbent assay.Results Serum IL- 1 β, sIL-2R, IL-6, TNF-α were significantly higher in AMI group or UAP group compared to the control group and became significantly lower 4 months later in the follow-up patients. Serum levels of IFN-v shows no significant difference between AMI group or UAP group and controls, also showing no significant change when measured in follow up patients. There was no correlation between serum creatine kinase-MB isoenzyme levels and serum inflammatory markers either in UAP or AMI group. Furthermore, when divided into two subgroups using Wagner's QRS scoring system in the AMI group, there is no difference of each serum inflammatory marker between ≤ 6 scores group and ＞ 6 scores group.Conclusion Serum levels of certain inflammatory markers may have some diagnostic value for ACS, and can be a useful marker reflecting disease stability.     

Possible Spread of adenovirus type 3 from poultry to humans ：indirect evidence from an outbreak in China

Objective:To explore the epidemiology and etiology for an outbreak of acute respiratory tract infection that occurred in one county of Jiangsu Province, China 2004. Methods: Only cases meeting the case definition were included in the study. We reviewed the medical records of the cases who were admitted to the local hospitals, interviewed cases by a standard questionnaire, and then described the epidemiotogic features and analyzed risk factors by means of a case-control study. We collected pharyngeal swab specimens and sent them to different laboratories for isolation and culture. The laboratory used different detection methods such as DIP, PCR, electron microscope examination and microneutralization assay, to identify and then type the positive specimens. Results:A total of 871 cases were reported during the period from April 18 to July 4,2004. The distribution of onset times presented two peaks, one in late May and another in middle June. The epidemic occurred mainly in the elementary and junior high schools in ten townships of one county, and the mean age of the cases was 12 years (range 7 months to 18 years). The course of the disease was acute, and was characterized by fever accompanied with sore throat and tonsillitis. The WBC count of cases was normal or elevated. The mean duration of illness was 5 days (range 2 to 12 days). No fatalities from illness were reported. A case-control study indicated that the possible risk factors were close contact with a case and/or poultry before onset and sharing of towels among members of the family. The typical CPE was observed through inoculating pharyngeal swab specimens into the HEP-2 cell cultures in different laboratories. An infection of adenovirus type 3 was verified by detecting positive specimens in different methods. Conclusion:This investigation demonstrated that the acute respiratory infection in cases was caused by adenovirus type 3. Cases occurred in over 70 schools in ten townships in 2004, and the route of transmission was possibly close contact with cases or droplet transmission.