简介：摘要： 目的 ：研究健康宣教方法对新生儿误吸知晓率影响 。 方法 ：将 产科四区 133 例初产妇分成两组，给予常规护理与健康宣教干预指导，比较两组产妇对新生儿误吸知识的掌握情况 。 结果 ：观察组产妇接受健康教育和母乳喂养护理干预后，新生儿出现误吸的概率比对照组更低，产妇与家属对新生儿误吸知识掌握程度更高，差异有统计学意义 （ P ＜ 0.05 ）。 结论 ：健康宣教与优质护理对新生儿误吸知晓率持续改进有积极作用 。

简介：　　摘要：目的 对脑外伤手术后持续昏迷患者的护理干预效果进行研究。方法 从2018年9月～2020年4月我院选择60例脑外伤术后持续昏迷的患者，采取随机分组的方式将其分为观察组和对照组，观察组使用护理干预，对照组使用常规护理，对两组患者的护理效果、生活自理能力等情况进行对比分析。结果 观察组护理效果的总有效率（93.33%）比对照组（80%）高（P

简介：摘要：目的：研究早期持续小剂量多巴胺泵注治疗危重症新生儿的临床价值。方法：遵从“平衡序贯法”分组，将我院2018.5-2020.6内的49例危重症新生儿患儿分为对照组（23例，常规治疗）和观察组（26例，联合早期持续小剂量多巴胺泵注），观察应用价值及安全性。结果：治疗后观察组患儿TRIPS、SNAP- Ⅱ分值较低，P＜0.05。经治疗后观察组并发症总发生率仅为7.6%，显著较21.7%的对照组低，P＞0.05。结论：早期持续小剂量多巴胺泵注治疗危重症新生儿效果显著且应用价值较高。

简介：【摘要】目的：对慢性宫颈炎患者应用持续连贯性护理健康教育，对患者疾病认知、遵医行为及满意度的影响 。方法：本次研究中的观察对象均选自于在本院接受治疗的慢性宫颈炎患者 40 例，上述患者均为 2018 年 1 月 -2020 年 4 月 期间入院，按照随机数字表法的形式，将患者分成实验组和参照组，每组 20 例，参照组行常规护理，实验组在参照组的基础上加行持续连贯性护理健康教育，对比和分析护理后两组患者的疾病认知和遵医行为、满意度的情况 。结果：实验组对疾病认知和遵医行为、满意度均高于参照组，组间具有统计学意义（ P<0.05 ）。 结论：慢性宫颈炎患者进行持续连贯性护理健康教育，能够提高患者对疾病的认知，配合治疗，以此提高了临床效果，也提高了护理满意度，值得在临床上推广和应用。

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简介：【摘要】目的：探讨护理干预对改善重症哮喘患者心理状态的应用价值。方法：研究中采用常规护理干预对照组患者，采用常规护理 +护理干预观察组患者。结果：两组护理前 SAS、 SDS量表评分对比（ P>0.05），护理后观察组 SAS、 SDS量表评分较之前显著降低（ P>0.05） ;对照组护理前后心理状态评价结果并无显著差异（ P>0.05）。观察组患者对护理工作的满意度 97.67%比对照组 79.07%高，差异具有统计学意义（ P<0.05）。结论：利用护理干预可显著改善重症哮喘患者负面心理状态，维持良好的护患关系，值得今后推广。  　　【关键词】重症哮喘 ;心理状态 ;护理干预 ;应用价值  　　 [Abstract] Objective: To explore the value of nursing intervention in improving the mental state of patients with severe asthma. Methods: in the study, the patients in the control group were treated with routine nursing and the patients in the observation group were treated with routine nursing and nursing intervention. Results: before nursing, the scores of SAS and SDS in the two groups were compared (P > 0.05). After nursing, the scores of SAS and SDS in the observation group were significantly lower than before (P > 0.05). There was no significant difference in the results of psychological state evaluation before and after nursing in the control group (P > 0.05). 97.67% of the patients in the observation group were more satisfied with nursing work than 79.07% in the control group, the difference was statistically significant (P < 0.05). Conclusion: the use of nursing intervention can significantly improve the negative psychological state of severe asthma patients, maintain a good relationship between nursing and patients, which is worth promoting in the future.

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  　 [Abstract] Objective: To explore the application value of color Doppler ultrasonography in the diagnosis of ovarian tumors. Methods 63 patients with ovarian tumor in our hospital were selected as the study object to make the diagnosis of the disease. Results: in 63 cases of ovarian tumor, 38 cases of ovarian cystic tumor, 6 cases of solid tumor, 15 cases of mixed tumor were diagnosed by negative color ultrasound, the coincidence rate was 94%, the misdiagnosis rate was 6%, and the coincidence rate of diagnosis of ovarian tumor by negative color ultrasound was higher. Conclusion: in the clinical diagnosis of 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：分析彩超在严重胎儿心脏畸形筛查中的应用。 方法：对 2017年 2月～ 2018年 2月来本院行常规产前超声检查的 100例孕妇（ 105例胎儿）的临床资料进行回顾性分析。 结果： 105例患者中有 96例胎儿产前心脏形态和血流正常， 9例胎儿心脏形态和血流异常，达到了 91.4%的准确率和 6.7%的阳性检出率 ;在诊断严重心脏畸形方面，本研究达到了 100.0%的准确率。 结论：彩超在严重胎儿心脏畸形筛查中具有极为重要的应用，能够将大部分严重心脏畸形诊断出来，安全、无创、准确，值得在临床广为推广。  　　【关键词】彩超 ;严重胎儿心脏畸形 ;筛查 ;应用  　 [Abstract] Objective: to analyze the application of color Doppler ultrasound in the screening of severe fetal cardiac malformation. Methods: the clinical data of 100 pregnant women (105 fetuses) who underwent routine prenatal ultrasound from February 2017 to February 2018 were analyzed retrospectively. Results: among the 105 cases, 96 cases had normal fetal heart morphology and blood flow, 9 cases had abnormal fetal heart morphology and blood flow 91.4% Accuracy and 6.7% In the diagnosis of severe cardiac malformations, this study achieved 100% Accuracy. Conclusion: Color Doppler ultrasound has a very important application in the screening of severe fetal cardiac malformations, which can diagnose most of the severe cardiac malformations safely, noninvasively and accurately, and is worth popularizing in clinical practice.

简介：　　 [摘要 ] 目的 研究分析产前胎儿神经系统畸形彩超诊断价值。 方法 此次研究的对象是选取 2018年 3月～ 2020年 12月我院产前检查诊治疑似为胎儿神经系统畸形孕妇 110例，将其临床资料进行回顾性分析，所有孕妇孕期分别采用普通 B超和彩色超声进行检查，以引产或分娩后诊断为“金标准”，比较两种超声检查灵敏度、特异性及诊断阳性率、误诊率、漏诊率。 结果 110例孕妇经引产或分娩后证实为胎儿神经系统畸形 85例，发生率为 77.27%。普通 B超在产前胎儿神经系统畸形中诊断灵敏度为 75.29%，特异性为 64.00%。彩色超声在产前胎儿神经系统畸形中诊断灵敏度为 91.76%，特异性为 92.00%。彩色超声在产前胎儿神经系统畸形中诊断阳性率高于普通 B超，误诊率和漏诊率均低于普通 B超（ 70.91% vs.58.18%， 1.82% vs.8.18%， 6.36% vs.19.09%， P<0.05）。 结论 彩色超声在产前胎儿神经系统畸形中诊断具有较高灵敏度、特异性，可降低误诊、漏诊发生率，提高阳性诊断率，可作为产前筛查胎儿神经系统畸形首选辅助检查方法。  

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  　 [Abstract] Objective: To explore the application value of color Doppler ultrasonography in the diagnosis of ovarian tumors. Methods 63 patients with ovarian tumor in our hospital were selected as the research objects to make the diagnosis of the disease by the color Doppler ultrasonography. Results: in 63 cases of ovarian tumor, 38 cases of ovarian cystic tumor, 6 cases of solid tumor, 15 cases of mixed tumor were diagnosed by negative color ultrasound, the coincidence rate was 94%, the misdiagnosis rate was 6%, and the coincidence rate of diagnosis of ovarian tumor by negative color ultrasound was higher. Conclusion: in the clinical diagnosis of 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：讨论心电图和心脏彩超及其联合诊断中年冠心病的效果。方法：现针对2014年3月-2019年3月期间就诊于我院的214例中年冠心病患者作为本次研究对象，根据不同的诊断方法将其分为三组，分别为心电图组、心脏彩超组以及心电图联合心脏彩超组（简称联合组），以冠脉造影结果作为金标准，观察三组患者的诊断准确率。结果：心电图组的诊断准确率为82.85%，心脏彩超组的诊断准确率为90.14%，联合组的诊断准确率为97.26%，以联合组的诊断准确率最高，组间数据差异显示（P＜0.05），存在统计学意义。结论：在中年冠心病的诊断中，可将心电图联合心脏彩超作为主要诊断方式，其具有较高的诊断准确率，且操作性强，具有一定的临床应用效果。

简介：　　 [摘要 ] 目的：探讨经阴道彩色多普勒超声技术声像图特点及对子宫黏膜下肌瘤的诊断价值。方法：回顾性分析 85例经手术及病理证实的子宫黏膜下肌瘤患者的声像图特点。结果：经阴道彩色多普勒超声特点为子宫肌瘤瘤体有假包膜，边界清晰，瘤体假包膜血流呈环状包绕，瘤体内血流呈条状、网状，频谱形态与子宫动脉略有不同，舒张期切迹模糊或消失，瘤体内血流阻力指数低于肌壁内子宫动脉的阻力指数。结论：经阴道彩超能清晰地显示宫腔内瘤体结构及肌瘤与子宫内膜的关系，对月经过多、经期延长患者的鉴别诊断提供了重要的信息。  　　 [关键词 ] 经阴道彩超；子宫肌瘤血流；子宫肌瘤  　 [Abstract] Objective: To investigate the sonographic characteristics of transvaginal color Doppler ultrasound and its diagnostic value for submucous myoma of uterus. Methods: the ultrasonographic features of 85 patients with submucous myoma of uterus confirmed by operation and pathology were analyzed retrospectively. Results: the characteristics of transvaginal color Doppler ultrasound were as follows: the pseudocapsule of uterine leiomyoma had a clear boundary, the pseudocapsule blood flow of the tumor was circular, the blood flow in the tumor was strip and reticular, the spectrum morphology was slightly different from that of uterine artery, the diastolic notch was blurred or disappeared, and the resistance index of blood flow in tumor was lower than that of uterine artery in muscle wall. Conclusion: Transvaginal Color Doppler ultrasound can clearly show the intrauterine tumor structure and the relationship between leiomyoma and endometrium, which provides important information for the differential diagnosis of patients with menorrhagia and prolonged menstruation.

简介：　　摘要：目的：探讨彩超检查在妇科卵巢巧克力囊肿中的诊断价值。方法：选取我院（ 2017年 1月～ 2020年 1月）收治的 50例疑似卵巢巧克力囊肿患者，均接受彩超检查，以腹腔镜检查结果为金标准，计算彩超诊断卵巢巧克力囊肿的诊断结果和诊断效率以及彩超声像图分型。结果：以腹腔镜检查结果为金标准，彩超检查诊断卵巢巧克力囊肿的准确性、特异度、灵敏度、阳性预测值、阴性预测值分别为 96.00%、 100.00%、 95.74%、 100.00%、 60.00%;47例卵巢巧克力囊肿患者可根据超声像图分为四种类型，其中实性为主不均匀回声型 3例（ 6.38%），混合云雾状回声型 17例（ 36.17%），均匀云雾状低回声型 22例（ 46.81%），均匀稀疏低回声型 5例（ 10.64%）。结论：阴道彩超检查诊断卵巢巧克力囊肿具有较高的价值，能准确判断卵巢巧克力囊肿是否存在。  　　关键词：彩超 ;腹腔镜 ;妇科卵巢巧克力囊肿 ;诊断价值  Abstract: Objective: To investigate the diagnostic value of color Doppler ultrasound in ovarian chocolate cyst of gynecology. Methods: 50 cases of suspected ovarian chocolate cysts in our hospital (January 2017 to January 2020) were selected and all patients were examined by color Doppler ultrasound. The results and diagnostic efficiency of color Doppler ultrasound in diagnosis of ovarian chocolate cyst and the classification of color ultrasound sonogram were calculated with the results of laparoscopic examination as the gold standard. Results: the accuracy, specificity, sensitivity, positive predictive value and negative predictive value of color Doppler ultrasound in diagnosis of ovarian chocolate cyst were 96.00%, 100.00%, 95.74%, 100.00% and 60.00%, respectively; 47 cases of ovarian chocolate cysts could be divided into four types according to the ultrasound images, including 3 cases (6.38%) of solid heterogeneous echo type, 17 cases (36.17%) of mixed cloudy echo type, 22 cases (46.81%) of homogeneous cloudy hypoechoic type, and 5 cases (10.64%) of homogeneous sparse hypoechoic type. Conclusion: Transvaginal Color Doppler ultrasound has high value in the diagnosis of ovarian chocolate cyst, and can accurately judge whether ovarian chocolate cyst exists.

简介：　　 [摘要 ] 目的 探究肝胆管结石病的彩超诊断价值及鉴别诊断分析。方法 对 2018年 2月— 2020年 2月期间该院收治的 52例肝胆管结石患者行彩超诊断的临床资料进行回顾性分析。结果 52例患者肝胆管结石大小为 0.3～ 3.2 cm，以位于肝左叶居多，占 67.3%（ 35/52），与肝右叶分布率及左右肝内胆管结石分布率比较，结石分布差异有统计学意义， χ2分别为 18.73和 39.43， P<0.05。其声像图表现为沿左右肝内胆管走行呈簇状分布，可见多发泥沙样结石呈斑点状、条索状、团块状或不规则分布的高、强回声，后方大多伴明显声影，近端肝内胆管扩张至 0.5～ 2.1 cm，与伴行的门静脉分支形成“平行管征”。病灶部位血流显像中可见，门静脉及肝动脉血流显像均清晰者 46例（占 88.5%）。结论 彩超检查是肝胆管结石病重要的诊断手段，在超声下多角度、多切面扫查，并利用门静脉血流动力学信息，可准确判断及鉴别。  　　 [关键词 ] 肝胆管结石病；彩超；诊断；鉴别诊断  　 [Abstract] Objective To explore the value of color Doppler ultrasonography in the diagnosis and differential diagnosis of hepatolithiasis. Methods the clinical data of 52 patients with hepatolithiasis diagnosed by color Doppler ultrasound from February 2018 to February 2020 were analyzed retrospectively. Results the size of hepatolithiasis in 52 patients was 0.3-3.2cm, most of them were located in the left lobe of the liver, accounting for 67.3% (35 / 52). Compared with the distribution of hepatolithiasis in the right lobe of the liver and in the left and right lobes of the liver, the difference in the distribution of stones was statistically significant, χ 2 was 18.73 and 39.43, respectively, P < 0.05. The sonogram showed that the stones were distributed in clusters along the left and right intrahepatic bile ducts, and the multiple sediment like stones were highly and strongly echoed in spots, cords, lumps or irregular distribution. Most of the stones were accompanied by obvious acoustic shadow at the rear. The proximal intrahepatic bile duct expanded to 0.5-2.1 cm, forming "parallel duct sign" with the accompanying portal vein branches. 46 cases (88.5%) had clear blood flow imaging of portal vein and hepatic artery. Conclusion color Doppler ultrasound is an important diagnostic method for hepatolithiasis. It can be used for accurate diagnosis and differentiation by multi angle and multi section scanning under ultrasound and using portal vein hemodynamic information.

简介：　　摘要：目的：探討高频彩超对乳腺良恶性肿块的诊断价值。方法：选取本院于 2017年 4月 -2019年 4月收治的 312例乳腺良恶性肿块患者，均开展高频彩超（观察组）与 X线钼靶检查（对照组），术后对比病理检查结果。结果：高频彩超病灶诊断符合率 97.76%（ 305/312）， X线钼靶符合率为 91.03%（ 284/312），两组比较差异显著（ P<0.05）。结论：针对乳腺良恶性肿块患者，对其采用高频彩超进行检查，诊断效果好于 X线钼靶检查，临床应用价值高。  　　关键词：高频彩超 ;X线钼靶 ;乳腺癌  Abstract: Objective: To investigate the diagnostic value of high frequency color Doppler ultrasound in benign and malignant breast masses. Methods: 312 patients with benign and malignant breast masses who were treated in our hospital from April 2017 to April 2019 were selected to carry out high-frequency color ultrasound (observation group) and X-ray molybdenum target examination (control group), and the results of postoperative pathological examination were compared. Results: the coincidence rate of high frequency color Doppler ultrasound and mammography was 97.76% (305 / 312) and 91.03% (284 / 312). Conclusion: high frequency color ultrasound is better than mammography in the diagnosis of benign and malignant breast masses.

简介：摘要：目的：分析乳腺占位性病变鉴别诊断中高频彩超临床诊断效果及应用价值。方法：抽选本院就诊乳腺占位性病变患者共91例为研究对象，于2019年7月~2020年8月期间开展回顾性诊断研究。研究期间，研究病例先接受高频彩色多普勒超声诊断，其后接受超声引导下乳腺占位性病变病理穿刺诊断。以病理诊断结果为基准，分析良性、恶性乳腺占位性病变阳性检出率、敏感度，比较良、恶性乳腺占位性病变血流信号指标差异。结 果：良性乳腺占位性病变、恶性乳腺占位性病变高频彩超阳性检出率较病理诊断结果无统计学差异，P>0.05；且良性乳腺占位性病变、恶性乳腺占位性病变高频超声诊断敏感度均高于90%；恶性乳腺占位性病变高频彩超诊断中PSV、RI、PI指标数据均高于良性乳腺占位性病变，差异具有统计学意义，P

简介：　　 [摘要 ] 目的 探究肝胆管结石病的彩超诊断价值及鉴别诊断分析。方法 对 2018年 2月— 2020年 2月期间该院收治的 52例肝胆管结石患者行彩超诊断的临床资料进行回顾性分析。结果 52例患者肝胆管结石大小为 0.3～ 3.2 cm，以位于肝左叶居多，占 67.3%（ 35/52），与肝右叶分布率及左右肝内胆管结石分布率比较，结石分布差异有统计学意义， χ2分别为 18.73和 39.43， P<0.05。其声像图表现为沿左右肝内胆管走行呈簇状分布，可见多发泥沙样结石呈斑点状、条索状、团块状或不规则分布的高、强回声，后方大多伴明显声影，近端肝内胆管扩张至 0.5～ 2.1 cm，与伴行的门静脉分支形成“平行管征”。病灶部位血流显像中可见，门静脉及肝动脉血流显像均清晰者 46例（占 88.5%）。结论 彩超检查是肝胆管结石病重要的诊断手段，在超声下多角度、多切面扫查，并利用门静脉血流动力学信息，可准确判断及鉴别。  　　 [关键词 ] 肝胆管结石病；彩超；诊断；鉴别诊断  [Abstract] Objective To explore the value of color Doppler ultrasonography in the diagnosis and differential diagnosis of hepatolithiasis. Methods the clinical data of 52 patients with hepatolithiasis diagnosed by color Doppler ultrasound from February 2018 to February 2020 were analyzed retrospectively. Results the size of hepatolithiasis in 52 patients was 0.3-3.2cm, most of them were located in the left lobe of the liver, accounting for 67.3% (35 / 52). Compared with the distribution of hepatolithiasis in the right lobe of the liver and in the left and right lobes of the liver, the difference in the distribution of stones was statistically significant, χ 2 was 18.73 and 39.43, respectively, P < 0.05. The sonogram showed that the stones were distributed in clusters along the left and right intrahepatic bile ducts, and the multiple sediment like stones were highly and strongly echoed in spots, cords, lumps or irregular distribution. Most of the stones were accompanied by obvious acoustic shadow at the rear. The proximal intrahepatic bile duct expanded to 0.5-2.1 cm, forming "parallel duct sign" with the accompanying portal vein branches. 46 cases (88.5%) had clear blood flow imaging of portal vein and hepatic artery. Conclusion color Doppler ultrasound is an important diagnostic method for hepatolithiasis. It can be used for accurate diagnosis and differentiation by multi angle and multi section scanning under ultrasound and using portal vein hemodynamic information.

简介：【摘要】目的 观察持续质量改进护理在采血护理中的效果。方法 选取本院2018年10月-2020年02月的92例无偿献血者纳入本次研究对象，采取随机数表法将其分为两组。分别实行持续质量改进（观察组，n=46）和常规采血护理（参照组，n=46），对比护理成效。结果 观察组中，其血液报废率为4.35%，参照组为23.91%，差异明显；观察组的依从性评分以及满意度评分均优于参照组，差异具有统计学意义（P

简介：摘要：目的：通过对临床药学的现状进行分析找出临床药学存在的意义以及临床药学可持续发展需要的条件。方法：查阅资料，对国内外临床药学的研究现状进行分析得出临床药学存在的意义和可持续发展需要的条件。结果：通过对国内外资料的查阅，知道临床药学的主要内容是研究药物合理运用在临床上的方法，学科特点具有实践性和综合性。并且临床药学学科的出现和发展在很大程度上对药学学科的体系进行了完善，拓展了药学的内容和研究方向，推动了学科的进步。结论：临床药学学科扩充了药学学科的内容，并且对药学在临床上的应用进行了研究，具有较强的实践性、社会性和综合性，临床药学的出现提高了药学学科的科学水平，并且在推动药学学科的发展方面具有重大意义。

简介：【摘要】目的：分析持续质量改进在医院卫生管理中的应用观察。方法：选取我院 40名医务人员， 2018年 1月至 2018年 12月实施常规卫生管理， 2019年 1月至 2019年 12月实施持续质量改进。对比分析两组检查结果。结果：实施持续质量改进之后，医务人员的手卫生执行率、正确洗手率以及手卫生知识知晓率均高于实施前（ P＜ 0.05）。结论：在医院卫生管理中实施持续质量改进，能够全面优化医院卫生管理工作，值得推广。