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简介：【摘要】 目的 探讨护理质量持续改进措施在子宫肌瘤患者护理中的应用效果。方法 随机抽取的70例子宫肌瘤患者，均为2019年4月-2020年3月就诊，以前瞻性抽签法分组，各35例。对照组以常规护理，观察组以护理质量持续改进措施干预。对比分析护理成效。结果 观察组护理质量及患者满意度评分均高于对照组（P

简介：　　 [摘要 ] 目的 研究应用小剂量胰岛素持续滴注治疗小儿糖尿病酮症酸中毒的临床效果。方法 该次纳入 2019年 1—12月收治的 72例糖尿病酮症酸中毒患儿展开研究，按照随机数字表法分为两组，在常规治疗的基础上，对照组 36例采用常规剂量胰岛素治疗，观察组 36例采用小剂量胰岛素持续滴注治疗。将两组的临床相关指标、临床效果、住院时间、低血糖发生率进行比对。结果 观察组糖尿病酮症酸中毒患儿的尿酮体转阴时间、临床症状消失时间及住院时间短于对照组，血糖下降速度慢于对照组，空腹血糖水平、餐后 2 h血糖水平、低血糖发生率均低于对照组，临床总有效率高于对照组，差异有统计学意义（ P<0.05）。结论 对糖尿病酮症酸中毒患儿采用小剂量胰岛素持续滴注治疗能够起到平稳降糖、改善临床症状的作用，还可减少低血糖的发生，具有较高的安全性。  　　 [关键词 ] 小儿糖尿病酮症酸中毒 ;小剂量胰岛素 ;滴注  　 [Abstract] Objective To study the clinical effect of continuous infusion of low-dose insulin in the treatment of diabetic ketoacidosis in children. Methods 72 children with diabetic ketoacidosis admitted from January to December 2019 were enrolled in the study, and they were divided into two groups according to the random number table method. On the basis of conventional treatment, 36 cases in the control group were treated with conventional dose of insulin, and 36 cases in the observation group were treated with continuous infusion of low-dose insulin. The clinical related indexes, clinical effects, length of stay and incidence of hypoglycemia were compared between the two groups. Results the urine ketone body negative turning time, clinical symptoms disappearance time and hospitalization time of the observation group were shorter than those of the control group, the blood glucose decreased slower than the control group, the fasting blood glucose level, 2 h postprandial blood glucose level, hypoglycemia incidence rate of the observation group were lower than those of the control group, the clinical total effective rate was higher than that of the control group, the difference was statistically significant (P < 0.05). Conclusion continuous infusion of low-dose insulin in children with diabetic ketoacidosis can play a stable role in reducing blood sugar, improving clinical symptoms, and reducing the incidence of hypoglycemia, with high safety.

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简介：摘要： 近几年，我国社会经济发展突飞猛进，民众的思想观念也在不断发生变化，新形势下，中药饮片受到了较高的关注，并得到了较大的发展。但是值得注意的是，现阶段我国中药饮片质量管理工作开展情况并不理想，工作开展过程中问题频出，对工作开展的进度及质量造成了较大的负面影响，不利于中药饮片的进一步发展。本文从中药饮片发展现状入手，对中药饮片质量管理中存在的问题进行了简单的梳理，并提出了几点建议，以期能够为有关人员开展工作提供一些参考。