简介:摘要:目的观察中医护理方案在中风病人康复期延续护理中的应用效果。方法把 100例处于康复期的中风病人设为对象,随机设对照组和观察组各 50例,对其出院后进行延续性护理,其中,对照组进行常规延续护理,观察组则采取中医护理方案,观察两组护理效果。结果 实验组生活质量评分高于对照组,比较差别较大( P< 0.05)。在神经功能评分上,实验组高于对照组,比较差别较大( P< 0.05)。在护理满意率上,实验组高于对照组,比较差别较大( P< 0.05)。结论 将中医护理应用在中风偏瘫的患者中,可以提高护理满意率 ,改善患者的生活质量,提高神经功能,具有重要的临床价值。
简介: 【摘要】目的:观察并评价精细化护理在老年胸腰椎结核患者内固定术后护理中的应用疗效。方法:纳入我院 2018年 6月至 2020年 6月收治的 40例老年胸腰椎结核内固定手术患者为本次研究对象,将所有患者分为对照组( 20例:未行精细化护理)与观察组( 20例:行精细化护理),观察两组患者治疗后的住院时间、护理满意度与疼痛评分。结果:观察组患者的护理满意度高于对照组( P<0.05) ;观察组患者的并发症发生率低于对照组( P<0.05) ;观察组患者的疼痛评分低于对照组( P<0.05) ;观察组患者的焦虑自评量表( self rating anxiety scale, SAS)评分低于对照组( P<0.05)。结论:胸腰椎结核患者术后给予精细化干预护理,可以缩短患者住院时间,减轻患者疼痛,改善患者的预后,提高护理满意度,值得在临床推广应用。 【关键词】精细化护理 ;老年胸腰椎结核 ;术后护理 ;应用效果 [Abstract] Objective: To observe and evaluate the application effect of fine nursing in the elderly patients with thoracolumbar tuberculosis after internal fixation. Methods: 40 cases of elderly patients with thoracolumbar tuberculosis internal fixation surgery in our hospital from June 2018 to June 2020 were selected as the research object. All patients were divided into control group (20 cases: no fine Nursing) and observation group (20 cases: fine Nursing). The hospitalization time, nursing satisfaction and pain score of the two groups were observed. Results: the nursing satisfaction of the observation group was higher than that of the control group (P < 0.05); the complication rate of the observation group was lower than that of the control group (P < 0.05); the pain score of the observation group was lower than that of the control group (P < 0.05); the self rating Anxiety Scale (SAS) score of the observation group was lower than that of the control group (P < 0.05). Conclusion: after the operation of thoracolumbar tuberculosis patients with fine intervention nursing, can shorten the patient's hospitalization time, reduce the patient's pain, improve the prognosis of patients, improve nursing satisfaction, it is worthy of clinical application.
简介:[ 摘要 ] 目的 探讨盐酸黄连素油在留观病区医务人员面部压力性损伤中的预防效果。 方法 回顾性 分析我院 2020 年 1 月至 2020 年 3 月留观病区需佩戴面部防护用具的 60 名 医务人员 的临床资料 , 按照面部护理方式的不同分为观察组与对照组 ,各 30 例。对照组不使用任何保护剂涂擦皮肤,直接佩戴面部防护用具 ,观察组在佩戴面部防护用具前,面部涂擦盐酸黄连素油,对比两组佩戴 4h 防护用具后面部压力性损伤发生情况。 结果 观察组面部压力性损伤发生率低于对照组, 差异有统计学意义 ( P< 0.05)。 结论 盐酸黄连素油能够有效降低留观病区医务人员面部压力性损伤发生率,利于减轻面部防护用具给医务人员造成的伤害,值得应用。
简介: 摘要:目的 探讨单纯胆总管切开胆道镜探查取石术治疗重症肝内胆管结石的临床疗效。 方法 选取 2017年 1月~ 2019年 6月在我院就诊的重症肝内胆管结石 128例,入院后按照抽签随机取样法将其分为对照组( n=64)和观察组( n=64)。对照组患者行开腹肝部分切除术;观察组患者行单纯胆总管切开胆道镜探查取石术。比较两组患者术中创伤及术后恢复指标。比较两组切口感染等术后并发症发生率及结石残留率,随访 1年,比较两组结石复发率。采手术前后不同时间段患者的血液进行 C反应蛋白的测量。比较两组治疗前后生活质量变化。结果 观察组患者术中创伤及术后恢复指标都少于对照组,有显著差异( P<0.05)。观察组并发症发生率为 3.13%,对照组为 12.5%,两组比较,有显著差异( χ2=3.905, P=0.048);观察组结石残留率为 1.56%,对照组为 18.75%,两组比较,有显著差异( χ2=10.360, P=0.000);观察组结石复发率为 4.69%,对照组为 3.13%,两组比较,无显著差异( χ2=0.177, P=1.000)。结论 单纯胆总管切开胆道镜探查取石术对重症肝内胆管结石患者的治疗效果优于开腹肝部分切除术,有利于患者的术后恢复,减少术后并发症的发生率,降低手术造成的机体炎性应激反应程度。 关键词:重症肝内胆管结石;开腹肝部分切除术;单纯胆总管切开胆道镜探查取石术 Abstract: Objective To explore the clinical effect of choledochotomy and choledochoscopy in the treatment of severe intrahepatic cholelithiasis Methods from January 2017 to June 2019, 128 patients with severe intrahepatic cholelithiasis were randomly divided into control group (n = 64) and observation group (n = 64). The patients in the control group underwent partial hepatectomy, while those in the observation group underwent choledochotomy and choledochoscopy. The intraoperative trauma and postoperative recovery were compared between the two groups. The incidence of postoperative complications such as incision infection and the residual rate of stones were compared between the two groups, and the recurrence rate of stones was compared after 1 year follow-up. C-reactive protein was measured before and after operation. The quality of life of the two groups before and after treatment was compared. Results the indexes of intraoperative trauma and postoperative recovery in the observation group were significantly lower than those in the control group (P < 0.05). The incidence of complications was 3.13% in the observation group and 12.5% in the control group. There was a significant difference between the two groups (χ 2 = 3.905, P = 0.048); the residual rate of stones was 1.56% in the observation group and 18.75% in the control group. There was a significant difference between the two groups (χ 2 = 10.360, P = 0.000); the recurrence rate of stones was 4.69% in the observation group and 3.13% in the control group. There was no significant difference between the two groups (χ 2 = 0.177, P = 1.000). Conclusion simple choledochotomy and choledochoscopy is better than open partial hepatectomy in the treatment of severe intrahepatic cholelithiasis, which is conducive to the postoperative recovery of patients, reduce the incidence of postoperative complications, and reduce the degree of inflammatory stress caused by surgery.
简介:摘要: 糖尿病( diabetes mellitus, DM)是一种 经常能够见到 的代谢内分泌疾病, 它 可引起多种 DM, 对病患 的健康 有着很大的影响 ,也 可能会严重浪费 社会的资金和资源。主要临床表现有:多喝 、 多尿、多吃 、消瘦 、乏力、肥胖 , 2型 DM 患者 主要病症为肥胖 , 2型 DM 主要的 病因 在于 :遗传 与 环境 。伴随着高级护理实践的诞生和崛起,在各个国家的各个领域都已出现高级实践护士,对于高级护理实践的描述,美国的护士协会学历要求为研究生,同时能全面评估 DM 病患,能对其潜在的健康隐患进行诊断及处理,能帮助病患快速恢复健康。现阶段,在 DM 的研究上,各大医院正在研究提升病患自我管理水平的方式,主要的目的在于减少病患并发症的出现概率,降低病患的致残率甚至是致死率,提升病患的就诊率,基于此,文章对 DM 护理门诊发展现状进行了详细研究。
简介:[摘要 ] 目的:探讨锌及微量营养素与儿童认知发展的相关性。方法:选择 200 例受试儿童随机分为两组,观察组 105 例,补充锌及微量营养素 ; 对照组 95 例,未补充锌和微量营养素。比较两组儿童受试前、后认知功能、智商以及膝高 3 项指标变化差异。结果:两组儿童受试后认知功能、智商均强于受试前,膝高也比受试前有所增加,但观察组认知功能、智商以及膝高的变化幅度大于对照组,两组变化幅度比较差异有统计学意义 ( P < 0. 05) 。结论:锌和微量营养素对儿童智能和生长发育有着十分重要的作用,在儿童生长发育过程中,应适当的对儿童补充锌和微量营养素,以促进儿童茁壮成长。