简介：摘要：目的 探讨在 120指挥调度纠纷防范中应用细节管理的作用。 方法 在2018年选取 53名群众做问卷调查，将其设为对照组，统计其对 120指挥调度纠工作的满意度。在 2019年 120指挥调度中心实施细节管理，然后在 2020年 2份之前抽取 53名群众做问卷调查，将其设为实验组，以便研究细心管理的实施效果。 结果 实验组群众满意度高于对照组，且实验组纠纷发生率低于对照组，差异有统计学意义(P＜ 0.05)。 结论 在120指挥调度纠纷防范中应用细节管理能有效加强防范工作，进而降低纠纷发生率，值得应用。

简介：[摘要]对于儿童患者而言，安全有效的护理属于对儿童真实需求的判断，护理人员应该按照科学的临床推理能力，进行问题的有效的识别，及时地发现风险，推动患儿的康复。本研究进行论述儿童患者常见的呼吸道护理诊断的精确性临床指征，提供给儿科临床护士尽早的精准识别患儿呼吸道护理诊断重要的依据，维护患儿的生命安全。

简介：【摘 要】目的：分析多层螺旋 CT（简称 MSCT）中枢神经系统一站式检查在缺血性脑卒中（简称 IS）的应用价值。方法：本研究主体为 2017年 10月 -2019年 10月间来院治疗的 57例 IS患者。对其行一站式检查，包括 MSCT平扫 -CT血管造影（简称 CTA）。 分析诊断效果。结果：CT平扫对于 IS的检出率为 96.49%（ 55/57）。图像特征为病变区域密度降低，其中，陈旧脑梗死 11例（ 20.00%），陈旧腔隙性梗死 16例（ 29.09%）。 CTA检查可见 ，健侧区域的脑血容量（简称CBV）与脑血流（简称 CBF）数值高于患侧区域，达峰时间（简称 TTP）数值低于患侧区域（ P＜ 0.05）。 CTA检查可见，颅内动脉的狭窄率高于颈内动脉（ P＜ 0.05）。结论：为 IS患者的中枢神经系统进行一站式检查，可检出病变部位与程度，进而指导临床治疗。

简介：　　摘 要：目的：分析无痛分娩对降低剖宫产率的价值及对剖宫产指征的影响。方法：随机选择 2018年 1月至 2019年 12月在我院分娩的 126例产妇为例，按照入院时间先后顺序分组，先入院的 63例产妇未接受无痛分娩，为对照组，后入院的 63例产妇接受无痛分娩，为观察组。结果：观察组产妇剖宫产率为 15.87%，对照组产妇剖宫产率为 39.68%;观察组与对照组相比，剖宫产指征中社会因素指征数据对比后 P<0.05。结论：临床上采用无痛分娩措施，能够有效降低剖宫产率，并且能够减少社会因素指征引起的剖宫产，使产妇愿意接受阴道分娩。  　　关键词：无痛分娩 ;剖宫产率 ;剖宫产指征  Abstract: Objective: to analyze the value of painless delivery in reducing the rate of cesarean section and its influence on the indication of cesarean section. Methods: a total of 126 cases of parturient in our hospital from January 2018 to December 2019 were randomly selected. According to the time sequence of admission, 63 cases of parturient who were admitted to our hospital first did not receive painless delivery as the control group, and 63 cases of parturient who were admitted to our hospital later received painless delivery as the observation group. Results: the rate of cesarean section was 15.87% in the observation group and 39.68% in the control group. Compared with the control group, the data of social factors in the observation group were p < 0.05. Conclusion: the painless delivery can effectively reduce the cesarean section rate, and reduce the cesarean section caused by social factors, so that women are willing to accept vaginal delivery.

简介：　　摘 要：目的：分析无痛分娩对降低剖宫产率的价值及对剖宫产指征的影响。方法：随机选择 2018年 1月至 2019年 12月在我院分娩的 126例产妇为例，按照入院时间先后顺序分组，先入院的 63例产妇未接受无痛分娩，为对照组，后入院的 63例产妇接受无痛分娩，为观察组。结果：观察组产妇剖宫产率为 15.87%，对照组产妇剖宫产率为 39.68%;观察组与对照组相比，剖宫产指征中社会因素指征数据对比后 P<0.05。结论：临床上采用无痛分娩措施，能够有效降低剖宫产率，并且能够减少社会因素指征引起的剖宫产，使产妇愿意接受阴道分娩。  　　关键词：无痛分娩 ;剖宫产率 ;剖宫产指征  　 Abstract: Objective: to analyze the value of painless delivery in reducing the rate of cesarean section and its influence on the indication of cesarean section. Methods: a total of 126 cases of parturient in our hospital from January 2018 to December 2019 were randomly selected. According to the time sequence of admission, 63 cases of parturient who were admitted to our hospital first did not receive painless delivery as the control group, and 63 cases of parturient who were admitted to our hospital later received painless delivery as the observation group. Results: the rate of cesarean section was 15.87% in the observation group and 39.68% in the control group. Compared with the control group, the data of social factors in the observation group were p < 0.05. Conclusion: the painless delivery can effectively reduce the cesarean section rate, and reduce the cesarean section caused by social factors, so that women are willing to accept vaginal delivery.

简介：摘要：羊水栓塞是羊水通过病理性血窦进入母体循环，并引起急性肺栓塞，过敏性休克，弥散性血管内凝血，肾功能衰竭或猝死等一系列严重症状的综合征，它是产科极其凶险的分娩期并发症之一。目前尚无统一临床检验诊断金标准，只能依靠典型的临床表现和相应的辅助检查协助诊断，甚至最终确诊需等待尸解。随着临床检验医学技术不断发展, 结合羊水栓塞的致病机制，目前主要在心血管循环系统和免疫系统以及羊水特异性成分三个方面有了一些对早期诊断的特异性好、灵敏度高的临床检验诊断指标。本文即对这些实验室指征做一简要综述。

简介：　　摘 要：目的：分析无痛分娩对降低剖宫产率的价值及对剖宫产指征的影响。方法：随机选择 2018年 1月至 2019年 12月在我院分娩的 126例产妇为例，按照入院时间先后顺序分组，先入院的 63例产妇未接受无痛分娩，为对照组，后入院的 63例产妇接受无痛分娩，为观察组。结果：观察组产妇剖宫产率为 15.87%，对照组产妇剖宫产率为 39.68%;观察组与对照组相比，剖宫产指征中社会因素指征数据对比后 P<0.05。结论：临床上采用无痛分娩措施，能够有效降低剖宫产率，并且能够减少社会因素指征引起的剖宫产，使产妇愿意接受阴道分娩。  　　关键词：无痛分娩 ;剖宫产率 ;剖宫产指征  　 Abstract: Objective: to analyze the value of painless delivery in reducing the rate of cesarean section and the influence on the indications of cesarean section. Methods: 126 cases of puerpera who delivered in our hospital from January 2018 to December 2019 were randomly selected and divided into two groups according to the order of admission time. The first 63 cases of puerpera who did not accept painless delivery were the control group, and the 63 cases of postpartum women who were later admitted to hospital accepted painless delivery as the observation group. Results: the cesarean section rate of the observation group was 15.87%, and that of the control group was 39.68%; the observation group was compared with the control group, and the data of social factors in the cesarean section indications was p < 0.05. Conclusion: the clinical painless delivery measures can effectively reduce the cesarean section rate, and can reduce the cesarean section caused by social factors, so that pregnant women are willing to accept vaginal delivery.

简介：【摘要】 目的 探讨利用游离腕横纹桡动脉掌浅支皮瓣修复指体小面积软组织的缺损。 方法 回顾分析我院2017年12月--2019年12月50位患者指体软组织缺损，其中25例患者对照组为指动脉带蒂皮瓣修复，根据手指部位的不同，皮肤软组织缺损的创面是指肠内腹部股沟带蒂皮瓣、动脉背侧皮支、手掌、手背和手指皮肤软组织修复缺损。25例观察组为游离腕横纹桡动脉掌浅支皮皮瓣修复，使用动脉掌浅支皮瓣修复。结果 50例皮瓣全部生存，全体患者都访问过了。而且时间为12个月左右，手指的外形和手指的技能恢复了。 结论 对不同部位的皮肤软组织缺少伤口的创面，选择相应的带蒂皮瓣修复，手术安全、皮瓣成活率高，皮瓣的外形和手指部功能恢复的治疗效果令人满意。

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简介：[ 摘要 ] ：目的 观察分析 一对一全程导乐分娩护理对产妇分娩产程时间及产后恢复的影响。方法 选择 2018 年 5 月 -2019 年 10 月我院 收治的产妇 88 例作为研究对象 ，按随机数字表法分为研究 组和对照组，各 44 例。对照组给予常规的护理及助产，研究 组给予一对一全程导乐分娩护理，观察比较两 组产妇的分娩时间、分娩情况以及会阴损伤情况 。结果 研究组自然分娩率明显高于对照组，剖宫产率及会阴损伤率明显低于对照组，差异有统计学意义（ P<0.05 ）。与对照组比较，研究组产程时间均明显降低，差异有统计学意义（ P < 0.05 ）。 结论 一对一全程导乐分娩护理可显著缩短产妇的产程时间 ，增加顺产率，减少会阴损伤 ，可在临床护理中广泛使用。

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简介：　　【摘 要】目的：观察助产士对产妇进行一对一全程陪伴分娩护理的效果。方法：选择 2018 年 5 月至 2019 年 5 月在我院分娩的 94 例产妇为观察资料，将其随机分为两组，每组 47 例产妇，采用常规护理措施的产妇为对照组，采用助产士一对一全程陪伴分娩护理的产妇为观察组。结果：观察组产妇的自然分娩率、总产程时间、产后并发症等情况均优于对照组。结论：对产妇实施一对一全程陪伴分娩护理，能够提高产妇自然分娩率，缩短产程时间，改善母婴结局，临床应用效果较好，值得应用。 　　【关键词】助产士 ; 一对一全程陪伴 ; 分娩护理 ; 效果 [Abstract] Objective: To observe the effect of midwife's one-on-one nursing care for parturients. Methods: 94 parturients who gave birth in our hospital from May 2018 to May 2019 were selected as observation data, and they were randomly divided into two groups, 47 parturients in each group, the parturients who received routine nursing measures as control group, and the parturients who received one-to-one whole-course accompanied delivery nursing by midwives as observation group. Results: The observation group was superior to the control group in terms of natural delivery rate, total duration of labor and postpartum complications. Conclusion: Carrying out one-to-one whole-course accompanied delivery nursing for parturients can improve the natural delivery rate of parturients, shorten the duration of labor and improve the outcome of mother and infant. The clinical application effect is good and is worthy of application.

简介：摘要：重大的公共卫生事件的爆发会对我国的社会、政治秩序造成影响，也会威胁到国民的生存，我国提出的一带一路倡议，得到了全球的重视，但是随之带来的公共卫生风险也是不容忽视的。我国公共卫生部门必须采取一定的措施，防止重大传染病通过一带一路沿线国家和地区传入我国。

简介：　　摘 要：目的 :浅谈产妇生产前后助产士一对一全程陪伴分娩人性化护理的效果并对其结果进行分析。方法 :选择我院在 2019年 1月到 2019年 12月共收治产妇 80例作为研究对象。将医院的 80例身体、精神状况大体相似的 80名产妇，按照产妇意愿分为两组。第一组为观察组，该组的 40名产妇倾向于相信常规护理。第二组为实验组，对该组的 40名产妇倾向于一对一护理。结果 -实验组的 40名产妇，在顺产例数、护理过程的体验中，实验组获得较高的反响。差异具有统计学意义（ P<0.05）。结论助产士一对一全程陪伴分娩人性化护理模式在众多护理模式中取得良好反响，在产科中应用将取得良好效果。建议推广。  　　关键词：助产士 ;一对一 ;全程陪伴 ;护理 ;产科  　 Abstract: Objective: to discuss the effect of one-on-one humanistic nursing of parturient before and after childbirth. Methods: from January 2019 to December 2019, 80 cases of parturients were selected as the study object. 80 parturients with similar physical and mental conditions were divided into two groups according to their wishes. The first group was the observation group, in which 40 mothers tended to believe in routine care. The second group is the experimental group, and 40 parturients in this group tend to care one-on-one. Results - 40 parturients in the experimental group had a high response in the number of cases of spontaneous delivery and the experience of nursing process. The difference was statistically significant (P < 0.05). Conclusion the humanistic nursing mode of one-on-one delivery with midwives has a good response in many nursing modes, and will achieve good results in obstetrics. It is suggested to promote.

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