简介：　　【摘要】目的：对针灸治疗面瘫患者的临床疗效进行探究分析。方法：选取我院 2017年 9月～ 2019年 9月接收治疗的 63例面瘫患者作为研究对象，运用随机双盲法将其分为 32例观察组和 31例对照组，对照组患者给予常规西医治疗，观察组患者给予针灸治疗，治疗后，对比两组患者的治疗有效率。结果：观察组患者的治疗总有效率显著高于对照组（ p<0.05）。结论：治疗面瘫患者采用针灸治疗，能够有效增强患者的治疗效果，提高治疗有效率。  

简介：　　【摘要】 目的 探讨临床路径在猩红热患儿诊疗护理中的应用价值。方法 60例猩红热患儿， 随机分为对照组和临床路径组， 每组 30例。对照组患儿给予一般护理， 临床路径组患儿给予临床护理路径。比较两组患儿家属护理满意度 ;猩红热诊疗总时间、猩红热病情改善时间、治疗费用 ;护理前后生命质量指标以及心理健康指标 ;不良反应发生情况。结果 临床路径组患儿家属护理满意度为 100.00%（ 30/30）， 显著高于对照组的 70.00%（ 21/30）， 差异具有统计学意义（ P<0.05）。护理前， 两组患儿生理职能、社会功能、躯体功能、整体健康以及焦虑、抑郁评分比较， 差异均无统计学意义（ P>0.05）。护理后， 两组患儿的生理职能、社会功能、躯体功能及整体健康评分均明显高于护理前， 焦虑、抑郁评分均明显低于护理前， 且临床路径组患儿的生理职能、社会功能、躯体功能及整体健康评分均明显高于对照组， 焦虑、抑郁评分均明显低于对照组， 差异均具有统计学意义（ P<0.05）。临床路径组患儿猩红热诊疗总时间、猩红热病情改善时间分别为（ 8.41±3.12）、（ 3.41±1.34） d， 均明显短于对照组的（ 10.41±3.16）、（ 6.24±1.01） d， 治疗费用（ 5436.42±1343.22）元明显少于对照组的（ 7636.86±1367.22）元， 差异均具有统计学意义（ P<0.05）。临床路径组患儿不良反应发生率为 3.33%（ 1/30）， 明显低于对照组的 20.00%（ 6/30）， 差异具有统计学意义（ P<0.05）。结论  猩红热患儿实施临床护理路径可获得良好效果， 能够显著提高患儿的生命质量， 减轻焦虑、抑郁情绪， 缩短治疗时间， 减少治疗费用， 提高患儿家属护理满意度。  　　【关键词】 临床路径 ;猩红热 ;诊疗护理 ;应用价值  [Abstract] Objective To explore the application value of clinical pathway in the diagnosis, treatment and nursing of scarlet fever children. Methods 60 children with scarlet fever were randomly divided into control group and clinical pathway group, 30 cases in each group. The control group was given general nursing, the clinical pathway group was given clinical nursing pathway. The nursing satisfaction, the total time of diagnosis and treatment, the time of improvement of scarlet fever, the cost of treatment, the indicators of life quality and mental health before and after nursing, and the occurrence of adverse reactions were compared between the two groups. Results the nursing satisfaction of family members in clinical pathway group was 100.00% (30 / 30), significantly higher than that in control group (70.00% (21 / 30), the difference was statistically significant (P < 0.05). Before nursing, there was no significant difference in the scores of physiological function, social function, physical function, overall health, anxiety and depression between the two groups (P > 0.05). After nursing, the scores of physiological function, social function, physical function and overall health of children in the two groups were significantly higher than those before nursing, and the scores of anxiety and depression were significantly lower than those before nursing. The scores of physiological function, social function, physical function and overall health of children in the clinical pathway group were significantly higher than those in the control group, and the scores of anxiety and depression were significantly lower than those in the control group, The difference was statistically significant (P < 0.05). The total diagnosis and treatment time and the improvement time of scarlet fever in clinical pathway group were (8.41 ± 3.12), (3.41 ± 1.34) days, respectively, which were significantly shorter than those in control group (10.41 ± 3.16), (6.24 ± 1.01) days, and the treatment cost (5436.42 ± 1343.22) yuan was significantly lower than those in control group (7636.86 ± 1367.22), with statistical significance (P < 0.05). The incidence of adverse reactions in the clinical pathway group was 3.33% (1 / 30), which was significantly lower than that in the control group (20.00% (6 / 30). The difference was statistically significant (P < 0.05). Conclusion the implementation of clinical nursing pathway for children with scarlet fever can achieve good results, can significantly improve the quality of life of children, reduce anxiety and depression, shorten the treatment time, reduce the cost of treatment, and improve the nursing satisfaction of children's families.

简介：　　【摘要】 目的 进一步研究干扰素体外释放酶联免疫检验技术在结核病诊断中的优势， 为未来进一步提高结核病检出率奠定基础。方法 138 例患者， 分别接受结核菌素皮肤过敏试验与干扰素体外释放酶联免疫检验。比较两种检查方法诊断结核病的灵敏度、特异度 ; 不同结核病患者干扰素体外释放酶联免疫检验诊断准确率。结果 138 例患者， 病理确诊结核病 42 例， 非结核病 96 例。干扰素体外释放酶联免疫检验诊断结核病的灵敏度为 85.71% （ 36/42 ）、特异度为 90.63% （ 87/96 ）， 均高于结核菌素皮肤过敏试验的 66.67% （ 28/42 ）、 80.21% （ 77/96 ）， 差异具有统计学意义（ P<0.05 ）。肺结核患者 27 例， 肺外结核患者 15 例。肺外结核患者干扰素体外释放酶联免疫检验诊断准确率为 100.00% ， 高于肺结核患者的 77.78% ， 差异具有统计学意义（ P<0.05 ）。结论 干扰素体外释放酶联免疫检验方法满足结核病临床诊断的需求， 该诊断方法具有更高的阳性检出率， 并且还具有操作步骤简单、结果精准等优点， 能够减少误诊、漏诊等情况发生， 为结核病的早期预防、早期治疗奠定基础， 因此值得在临床上做进一步推广。 　　【关键词】 干扰素体外释放酶联免疫检验技术 ; 结核病 ; 结核菌素皮肤过敏试验 [Abstract] objective to further study the advantages of in vitro release of interferon enzyme-linked immunosorbent assay (ELISA) in the diagnosis of tuberculosis and lay a foundation for further improving the detection rate of tuberculosis in the future. Methods 138 patients were tested by tuberculin skin allergy test and interferon releasing enzyme-linked immunosorbent assay. The sensitivity and specificity of the two methods were compared, and the diagnostic accuracy of ELISA for ifn-ifn-release in vitro in different tuberculosis patients was compared. Results of the 138 patients, 42 were confirmed by pathology and 96 were non tuberculosis. The sensitivity and specificity of ELISA were 85.71% (36 / 42) and 90.63% (87 / 96) respectively, which were higher than 66.67% (28 / 42) and 80.21% (77 / 96) of tuberculin skin allergy test. There were 27 cases of tuberculosis and 15 cases of extrapulmonary tuberculosis. The diagnostic accuracy of ELISA was 100.00%, higher than that of 77.78% (P < 0.05). Conclusion the ELISA method of interferon releasing in vitro can meet the needs of clinical diagnosis of tuberculosis. This method has higher positive detection rate, simple operation steps and accurate results, which can reduce misdiagnosis and missed diagnosis and lay a foundation for early prevention and treatment of tuberculosis, Therefore, it is worthy of further promotion in clinical practice.

简介：　　 [摘要 ]目的 探讨针对性护理在脑瘤患者中的应用效果。方法 选取 2018年 12月～ 2020年 3月我院收治的 102例脑瘤手术患者作为研究对象，根据护理方法不同分为对照组和观察组，每组 51例。对照组实施常规手术室护理，观察组在常规手术室护理基础上，实施针对性护理干预。比较两组患者压疮发生率、护理总满意度、住院治疗总时间、护理前后焦虑自评量表（ SAS）、抑郁自评量表（ SDS）评分。结果 观察组患者手术压疮发生率为 5.9%，低于对照组的 21.6%，护理总满意度为 94.1%，高于對照组的 80.4%，住院治疗总时间短于对照组，护理后的 SAS、 SDS评分低于对照组，差异均有统计学意义（ P<0.05）。结论 脑瘤患者在手术过程中接受手术室针对性护理干预，能够有效预防长时间手术出现压疮，缩短住院时间，使患者保持良好心态，从而提高其对护理的满意度。  　　 [关键词 ]脑瘤；手术；手术室；针对性护理干预；长时间；压疮  [Abstract] Objective To explore the application effect of targeted nursing in patients with brain tumor. Methods 102 patients with brain tumor surgery in our hospital from December 2018 to March 2020 were selected as the research objects, and they were divided into control group and observation group according to different nursing methods, with 51 cases in each group. The control group was given routine operation room nursing, while the observation group was given targeted nursing intervention on the basis of routine operating room nursing. The incidence of pressure ulcer, total nursing satisfaction, total hospitalization time, SAS and SDS scores before and after nursing were compared between the two groups. Results the incidence of operation pressure ulcer in the observation group was 5.9%, lower than 21.6% of the control group, the total nursing satisfaction was 94.1%, higher than 80.4% of the control group, the total hospitalization time was shorter than the control group, the SAS and SDS scores after nursing were lower than the control group, the differences were statistically significant (P < 0.05). Conclusion targeted nursing intervention in operating room for patients with brain tumor during operation can effectively prevent pressure sores during long-term operation, shorten hospitalization time, keep patients in good state of mind and improve their satisfaction with nursing.

简介：　　[摘要] 目的 探讨舒适护理在糖尿病患者护理中的方法及效果。方法 抽取2018年6月—2020年6月在该院接受治疗的糖尿病患者78例为研究对象，按照随机数表法将78例患者平均分为两组，即对照组与实验组，每组患者均为39例。对照组行常规护理，实验组在常规护理基础上行舒适护理，对比两组患者护理效果和护理满意度。 结果 实验组护理总有效率（97.43%）高于对照组（79.48%）（χ2=4.331，P

简介：　　摘要：目的：急性肠炎发病原因、临床症状以及保守治疗优质护理措施进行分析，对产生的临床效果进行研究。方法：选择本院2018年8月至2019年4月期间，在院住院治疗的88例急性肠炎患者为研究对象，对这88例患者实施保守治疗，依据患者的性别、年龄、病症情况以及选择治疗意愿的不同，随机分为两个护理小组，优质组：44例，在治疗中，采用一般护理的基础上，加入了优质护理干预；对照组：44例，在治疗中仅采用一般护理干预。经过阶段性治疗护理后，对两个组别患者的临床效果、焦虑、抑郁评分以及护理满意率进行调查与分析。结果：优质组：44例，治愈38例，有效5例，无效1例，總有效率97.73%；止泻时长0.84±0.57日。住院时间3.54±1.53日。护理满意率100%；对照组：44例，治愈24例，有效15例，无效5例，总有效率88.64%；止泻时长2.54.±1.33日。住院时间7.78±2.68日，护理满意率79.55%（35/44）；此外，优质组患者的焦虑、抑郁评分高于对照组。结论：急性肠炎临床护理过程中，采用优质护理干预能够起到更好的临床效果，受到广大患者的满意。 

简介：　　【摘要】目的： 阴式彩超在诊断卵巢肿瘤中的应用价值探讨。方法 选取我院 63例卵巢肿瘤患者为研究对象，进行 阴式彩超诊断。结果： 63例卵巢肿瘤患者采用 阴式彩超诊断为， 38例卵巢囊性肿瘤； 6例实性肿瘤； 15例混合性肿瘤，经术后病理对照，符合率为 94%，误诊率为 6%，运用 阴式彩超诊断卵巢肿瘤的符合率较高。结论： 在卵巢肿瘤患者的临床诊断中，运用 阴式彩超检查不仅方便、安全，而且费用低，时间快，符合率较高，  　　【关键词】卵巢肿瘤 阴式彩超  Objective: To explore the application value of transvaginal color Doppler ultrasound in the diagnosis of ovarian tumors. Methods 63 cases of ovarian tumor patients in our hospital were selected as the research objects, and the diagnosis was made by transvaginal color Doppler ultrasound. Results: among 63 cases of ovarian tumor, 38 cases were diagnosed as cystic ovarian tumor; 6 cases were solid tumor; 15 cases were mixed tumor. The coincidence rate was 94% and the misdiagnosis rate was 6%. The coincidence rate was higher in the diagnosis of ovarian tumor by transvaginal color Doppler ultrasound. Conclusion: in the clinical diagnosis of patients with ovarian tumor, it is not only convenient and safe, but also low cost, fast time and high coincidence rate

简介：【摘要】目的 针对甲状腺手术患者，研究分析个体化护理的临床应用效果。方法 以 2019年 5月 ~2020年 5月我院收录的总计 82例甲状腺手术患者为对象，随机以每组 41例作为观察组和对照组，实施常规护理针对对照组，个体化护理针对观察组，将两组的心理情况、并发症情况以及护理满意度作比较分析。结果 观察组护理后的 SAS以及 SDS评分均明显低于对照组，两组对比有统计学差异（ P <0.05 ）。观察组的并发症总发生率（ 7.31%）明显低于对照组（ 26.83%），两组对比有统计学差异（ P <0.05 ）。观察组的护理满意度（ 97.56%）明显高于对照组（ 82.93%），两组对比有统计学差异（ P <0.05 ）。结论 个体化护理能调节甲状腺手术患者的心理情况，降低并发症，增加满意度，值得推广。

简介：　　 [摘要 ] 目的 探讨乌司他丁在重症病毒性肺炎免疫调节治疗的临床疗效。 方法 回顾性分析 2017年 1月— 2019年 12月我院重症医学科收治的重症病毒性肺炎患者的临床资料，分析乌司他丁对患者免疫及预后的影响。结果 纳入 74例重症病毒性肺炎患者，死亡 19例（ 25.7%） ;治疗组 36例，第 7天 CRP（ 46.2±32.8） mmol/L、 HLA-DR（ 60.02±12.08） %、 T-CD4+（ 422±87） cell/L与第 0天的（ 123±59.8） mmoL/L、（ 41.22±15.90） %、（ 220±54） cell/L间差异有统计学意义（ P<0.05），且与对照组的（ 34.1±11.8） mmol/L、（ 42.06±14.08） %、（ 326±69） cell/L间差异有统计学意义（ t=1.781、 2.603、 2.527， P<0.05）。治疗组 28 d死亡 9例（ 25.0%）， VAP发生率为 21.77‰，低于对照组的 10例（ 26.3%）（ χ2=4.432， P=0.028）、 42.12%（ χ2=0.017， P=0.897）。 结论 乌司他丁能改善重症病毒性肺炎患者的免疫功能，降低 VAP发生率，但无法改善预后。  　　 [关键词 ] 重症病毒性肺炎 ;免疫干预 ;乌司他丁  　 [Abstract] Objective To investigate the clinical efficacy of ulinastatin in immunomodulatory therapy of severe viral pneumonia. Methods the clinical data of patients with severe viral pneumonia admitted to our hospital from January 2017 to December 2019 were retrospectively analyzed, and the effect of ulinastatin on immunity and prognosis of patients was analyzed. Results 74 patients with severe viral pneumonia were included, 19 (25.7%) died; There are 36 patients in the treatment group of 36 patients in the treatment group of 36 patients in the treatment group of 36 patients in the seventh day of CRP (46.2 ± 32.8) mmol / L, HLA-DR (60.02 ± 12.08), t-cd4 + (422 ± 87 ± 87) cell / L on the seventh day and (123 ± 59.8) mmol / L, (41.22 ± 15.90)%, (220 ± 54) cell / L (P < 0.05), and there are statistically significant differences between (34.1 ± 11.8) mmol / L, (42.06 ± 14.08)%, (326 ± 69) cell / L / L of the control group (t = 1.1.1.1.1.1.8) mmol / L, (42.06 ± 14.08 ± 14.08)%, (326 ± 69 781 2.603、 2.527， P<0.05）。 The incidence of VAP in the treatment group was 21.77 ‰, which was lower than that in the control group (26.3%) (χ 2 = 4.432, P = 0.028) and 42.12% (χ 2 = 0.017, P = 0.897). Conclusion Ulinastatin can improve the immune function of patients with severe viral pneumonia, reduce the incidence of VAP, but can not improve the prognosis.

简介：【摘要】目的 研究电针 + 推拿用于椎动脉型颈椎病的临床治疗效果。 方法 共选取 80 例在我院接受治疗的椎动脉型颈椎病患者，使用数字随机表法将 80 例患者平均分为两组， 40 例 / 组。对照组单用电针治疗，观察组在电针治疗的基础上增加推拿治疗，对比两种不同治疗方法获得的治疗效果。 结果 观察组在治疗总有效率上显著高于对照组，且治疗后各项临床症状评分显著低于对照组， P ＜ 0.05 差异显著，说明观察组的治疗方法优势更突出。 结论 对于椎动脉型颈椎病患者，临床上采用电针联合推拿的治疗手法可获得理想效果，能够有效改善患者的症状体征，缓解患者的痛苦，提升其生活质量，故可推广。

简介：【摘要】目的 分析优质护理服务模式在肠梗阻术后患者护理中的应用效果。方法 随机抽选2018年1月至2019年12月本院接收的70例肠梗阻手术患者，按照双模拟法分组，对照组（35例）与观察组（35例）分别实施常规护理与优质护理服务模式，对护理效果进行比较分析。结果 观察组自行排便时间、排气时间及肠鸣音恢复时间均较对照组少，而满意度比对照组高，差异明显（P

简介：【摘要】目的 针对全程陪伴分娩护理模式应用于妊娠期产妇中的临床疗效进行探究。方法 研究资料为我院于2018年9月至2020年9月期间收治的待产孕妇300例；给予统一编号后按照电脑随机分配的方式分为两组，将给予普通护理模式的150例孕妇作为常规组，给予全程陪伴分娩护理模式的150例孕妇作为实验组，对比两组妊娠期产妇的自然分娩率、产程时间以及新生儿Apgar评分情况。 结果 实验组中自然分娩率为86.67%（130/150），常规组中自然分娩率为73.33%（110/150）；且实验组的产程时间相比常规组较短，新生儿Apgar评分较高，P＜0.05。 结论 全程陪伴分娩护理模式的应用对于妊娠期产妇的自然分娩率、产程时间以及新生儿Apgar评分情况均具有显著的改善作用，可给予临床应用、采纳。 【关键词】妊娠期产妇；全程陪伴分娩护理模式；自然分娩率；产程时间；新生儿Apgar评分 [Abstract] Objective To explore the clinical effect of whole process accompany delivery nursing mode in pregnant women. method The research data were 300 cases of expectant pregnant women treated in our hospital from September 2018 to September 2020; they were randomly divided into two groups according to the method of computer random distribution after giving unified number. 150 cases of pregnant women who were given the general nursing mode were taken as the conventional group, and the 150 cases of pregnant women who were given the whole course of delivery nursing mode were taken as the experimental group Apgar score of newborns. Results the natural delivery rate was 86.67% (130 / 150) in the experimental group, and 73.33% (110 / 150) in the conventional group; the labor process time of the experimental group was shorter than that of the conventional group, and the neonatal Apgar score was higher, P < 0.05. Conclusion the application of the whole process accompany delivery nursing mode has a significant improvement effect on the natural delivery rate, labor process time and neonatal Apgar score of pregnant women, which can be applied and adopted clinically. [Key words] pregnant women; whole process accompany delivery nursing mode; natural delivery rate; labor process time; neonatal Apgar score 在女性妊娠期分娩中，由于部分初产妇对于分娩知识的缺乏，再加上存在恐惧、焦虑、抑郁等不良心理状态，所以难免会对整体产程时间和分娩结局造成影响，进而造成一定的不良现象【1】。因此，本次研究中为了可以提高我院妊娠期产妇的分娩结局，将给予全程陪伴分娩护理模式进行有效干预，探析其最终的干预效果。 1 资料和方法 一般资料 本次研究中纳入的主要对象为待产孕妇300例，其选取时间为2018年9月至2020年9月；所有纳入研究对象均符合本次研究内容，且排除存在精神类疾病以及依从性较差者。回顾分析研究对象资料：常规组给予普通护理模式，上下年龄分别为35岁和23岁，年龄均值（27.5±2.3）岁；最短接受教育时间为6年，最长接受教育时间为17年。实验组给予全程陪伴分娩护理模式，上下年龄分别为35岁和22岁，年龄均值（27.1±2.3）岁；最短接受教育时间为5年，最长接受教育时间为17年。两组研究对象的资料，比较差异小，无统计意义（P＞0.05），具备可比性。

简介：　　【摘 要】 目的：研究分析 X线诊断痛风性关节炎患者的臨床价值。方法：选择 2017年 3月月～ 2019年 3月间在我院进行诊断的痛风性关节炎患者共 120例作为研究分析对象，根据患者诊断方式的不同分为观察组、对照组，对照组应用 CT诊断，观察组应用 X线诊断，将两组患者的诊断结果进行对比。结果：观察组的诊断结果明显优于对照组（ P<0.05），差异有统计学意义。结论：在对痛风性关节炎患者诊断中，应用 X线诊断方式优异的诊断价值，将患者的 X线特点以及表现与患者的临床表现进行掌握，同时将其与实验室检查、 CT诊断结果进行结合，能够早期诊断痛风性关节炎，在临床诊断中值得推广应用。  　　【关键词】 X线诊断 ;CT诊断 ;痛风性关节炎  　 Objective: To study and analyze the clinical value of X-ray in the diagnosis of gouty arthritis. Methods: 120 cases of gouty arthritis patients diagnosed in our hospital from March 2017 to March 2019 were selected as the research and analysis objects. According to the different diagnosis methods of patients, they were divided into observation group and control group. The control group was diagnosed by CT, and the observation group was diagnosed by X-ray. Results: the diagnosis results of the observation group were significantly better than those of the control group (P < 0.05), and the difference was statistically significant. Conclusion: in the diagnosis of gouty arthritis patients, the application of X-ray diagnosis of excellent diagnostic value, the X-ray characteristics and performance of patients with clinical manifestations to master, at the same time, combined with laboratory examination, CT diagnosis results, can early diagnosis of gouty arthritis, which is worthy of promotion and application in clinical diagnosis.

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简介：　　摘要：目的 研究并分析对糖尿病肾病血液透析患者使用综合护理干预的效果。方法 收集糖尿病肾病血液透析患者共93例，根据患者入院日期的单双号数分为45例对照组和48例观察组，对照组患者接受常规护理，观察组结合综合护理干预，将两组患者的病理生理指标和并发症发生率进行观察和对比。结果 观察组患者的病理生理指标均明显优于对照组，P

简介：【摘要】目的：探讨并分析人性化护理干预对慢性阻塞性肺炎老年患者生活质量的影响。方法：此次研究的对象是选择2017.04-2019.04期间在我院接受治疗的47例慢性阻塞性肺炎的老年患者，将其临床资料进行回顾性分析，并总结人性化护理干预前、后，老年患者生活质量的变化情况。结果：干预前、后，老年患者在生活质量维度评分、生命质量测定表（英简FACT-G）方面均得到显著提高，差异P

简介：【摘要】目的：研究分析肝硬化并发上消化道出血患者护理中护理干预的应用价值。方法：选取 2018年 2月至 2020年 1月我院 84例肝硬化并发上消化道出血患者临床资料进行研究分析，并随机将其分为治疗组（ 42例）和对照组（ 42例），对采用不同护理措施进行护理患者的临床护理效果进行对比分析。结果：对比两组患者止血时间、住院时间及再出血复发率，治疗组患者止血时间、住院时间及再出血复发率均显著低于对照组患者的，有统计学意义（ P<0.05）；对比两组患者出现便秘及肝性脑病发生率，治疗组患者出现便秘及肝性脑病发生率均显著低于对照组患者的，有统计学意义（ P<0.05）。结论：护理干预在肝硬化并发上消化道出血患者护理中具有显著效果，可有效提高患者临床治疗效果，改善患者临床症状。  　　【关键词】肝硬化并发上消化道出血患者；护理干预；临床应用价值  [Abstract] Objective: To study and analyze the application value of nursing intervention in patients with liver cirrhosis complicated with upper gastrointestinal bleeding. Methods: the clinical data of 84 patients with liver cirrhosis complicated with upper gastrointestinal bleeding in our hospital from February 2018 to January 2020 were selected for research and analysis, and they were randomly divided into treatment group (42 cases) and control group (42 cases), and the clinical nursing effects of different nursing measures were compared and analyzed. Results: comparing the hemostatic time, hospitalization time and rebleeding recurrence rate of the two groups, the hemostatic time, hospitalization time and rebleeding recurrence rate of the treatment group were significantly lower than those of the control group, with statistical significance (P < 0.05); the incidence of constipation and hepatic encephalopathy in the treatment group was significantly lower than that in the control group (P < 0.05) There was statistical significance (P < 0.05). Conclusion: nursing intervention in patients with liver cirrhosis complicated with upper gastrointestinal bleeding has significant effect, can effectively improve the clinical treatment effect of patients, improve the clinical symptoms of patients.

简介：　　 [摘要 ]目的 观察分析优质护理在结肠癌术后并发肠瘘致腹腔感染患者中的应用效果。方法 选取 2018年 2月～ 2020年 2月在我院手术的结肠癌术后并发肠瘘致腹腔感染 84例患者，采用随机数字表法将其分为对照组和观察组，每组 42例。对照组行常规护理干预措施，观察组在此基础上应用优质护理干预。统计两组患者的主要致病菌，观察比较两组患者的临床疗效、生活质量情况。结果 革兰阴性杆菌（ 76.19%）是结肠癌术后并发肠瘘致腹腔感染的主要细菌。观察组的总有效率高于对照组（ P<0.05）。术后半年，观察组生活质量高于对照组（ P<0.05）。结论 革兰阴性杆菌是结肠癌术后并发肠瘘导致腹腔感染的主要细菌，优质护理可提高结肠癌术后并发肠瘘导致腹腔感染的治愈率，改善术后生活质量。  

简介：　　【摘 要】目的：分析胃肠镜检查术应用依托咪酯复合丙泊酚静脉麻醉的效果。方法：本次研究对象为本院在 2018年 7月 -2019年 7月间接受胃肠镜检查的患者，共 90例，根据住院顺序等分成 A组和 B组， A组实施依托咪酯麻醉， B组实施依托咪酯联合丙泊酚麻醉，对 2组患者体动、肌痉挛及检查时间、清醒时间、术中依托咪酯用量进行比较。结果： B组体动、肌痉挛的发生率低于 A组 ;检查与清醒时间相比， 2组无差异（ P>0.05），依托咪酯用量相比， B组明显低于 A组（ P<0.05）。结论：胃肠镜检查术中运用依托咪酯复合丙泊酚静脉麻醉，有着显著安全性，可以使体动、肌痉挛等不良反应的发生率有效减少，减少依托咪酯的用量，从而确保手术的顺利开展。  　　【关键词】依托咪酯 ;丙泊酚 ;麻醉 ;胃肠镜检查术 ;分析  　　 Objective: to analyze the effect of intravenous anesthesia with etomidate combined with propofol in gastroenteroscopy. Methods: 90 patients who underwent gastroenteroscopy in our hospital from July 2018 to July 2019 were divided into group A and group B according to the order of hospitalization. Group A was given etomidate anesthesia, and group B was given etomidate combined with propofol anesthesia. The body movement, muscle spasm, examination time, awake time and intraoperative etomidate dosage were compared between the two groups. Results: the incidence of body movement and muscle spasm in group B was lower than that in group A; there was no difference between the two groups in terms of examination and awake time (P > 0.05), and the dosage of etomidate in group B was significantly lower than that in group A (P < 0.05). Conclusion: the application of etomidate combined with propofol intravenous anesthesia in gastroenteroscopy has significant safety, which can effectively reduce the incidence of body movement, muscle spasm and other adverse reactions, reduce the dosage of etomidate, so as to ensure the smooth operation.

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