简介:【摘要】:目的 对个性化护理对结核患者对肺结核认知程度影响进行分析探讨。方法 选取我院 2018 年 8 月 ~ 2019 年 8 月收治的 62 例肺结核患者作为研究对象,随机分为对照组和观察组。对照组 31 例,采用常规护理方法;观察组 31 例,采用个性化护理方法。对两组护理后对肺结核的认知程度进行对比分析。结果 观察组患者肺结核知识总知晓率( 90.32% )明显高于对照组( 74.19% )( P<0.05 );观察组对“是否可以治愈”、“就诊方式”的知晓率明显高于对照组( P<0.05 )。结论 个性化护理可提高患者对于肺结核病的认知程度,提高患者治疗配合度,值得临床推广应用。
简介: 【摘 要】 目的: 研究早期护理对妊高症患者妊娠结局及血压的影响。 方法: 取自 2018年 5月 -2019年 5月期间,由本院收治的 92例妊高症患者作为研究对象。随机分为对照组( 46例),观察组( 46例)。对照组 46例患者予以常规护理,观察组 46例患者在前者基础上予以早期护理。对比两组患者护理前后的血压值及护理后的妊娠结局。 结果: 两组患者护理前的血压值非常接近, P>0.05,无可比性。护理后,观察组血压控制情况及妊娠结局均优于对照组, P<0.05,有可比性。 结论: 早期护理干预能够改善妊娠结局,更有效的控制血压。 【关键词】 妊高症 ;早期护理 ;妊娠结局 ;血压 [Abstract] Objective: To study the effect of early nursing on pregnancy outcome and blood pressure of patients with PIH. Methods: from May 2018 to may 2019, 92 patients with PIH were enrolled in our hospital. Randomly divided into control group (46 cases), observation group (46 cases). 46 patients in the control group were given routine nursing, 46 patients in the observation group were given early nursing on the basis of the former. The blood pressure and pregnancy outcome of the two groups before and after nursing were compared. Results: the blood pressure values of the two groups before nursing were very close, P > 0.05, no comparability. After nursing, the blood pressure control and pregnancy outcome of the observation group were better than those of the control group (P < 0.05). Conclusion: early nursing intervention can improve pregnancy outcome and control blood pressure more effectively.
简介:摘要目的探讨不同部位转移灶对转移性肾癌患者预后的预测价值,并对国际转移性肾细胞癌联合数据库(IMDC)评分进行改良及验证。方法回顾性分析四川大学华西医院2009年1月至2019年12月218例接受系统治疗的转移性肾癌患者的病例资料,男156例(71.6%),女62例(28.4%)。平均年龄55.7(18~81)岁。体质指数(BMI)22.6(15.4~35.8)kg/m2。美国东部肿瘤协作组(ECOG)评分0~1分168例(77.1%)。194例(89.0%)接受原发灶根治性切除术。肾透明细胞癌176例(80.7%),非透明细胞癌42例(19.3%)。国际泌尿病理协会(ISUP)分级≥3级111例(50.9%),T分期<T3期112例(51.4%)。转移部位为肺137例(62.8%),骨47例(26.1%)、淋巴结37例(17.0%)、肝23例(10.6%)、脑12例(5.5%)。患者IMDC评分低危26例(11.9%),中危126例(57.8%),高危37例(17.0%)。48例(22.0%)接受转移灶切除术,其中肺16例(33.3%),骨9例(18.8%),腹膜后6例(12.5%),脑6例(12.5%),淋巴结转移4例(8.3%),肝脏及腹腔各3例(6.3%),对侧肾上腺1例(2.1%)。分析不同部位转移灶对患者预后的影响,及其对IMDC评分系统预测能力的影响。将转移灶信息加入IMDC评分中,根据各指标与患者预后间相关性对其赋值,构建改良IMDC评分系统,通过C-指数验证改良IMDC评分系统的预测精度,并与原IMDC评分进行比较。结果患者总体中位无疾病进展生存期(PFS)和总生存期(OS)分别为13.0个月和33.0个月。生存分析显示仅有骨(P=0.004)、脑(P=0.042)及肝(P=0.046)转移与患者OS时间密切相关,将患者分为骨/脑/肝转移组82例(37.6%)和其他部位转移组136例(62.4%)。与其他部位转移组比较,骨/脑/肝转移组一线靶向药物治疗的肿瘤反应率较差[51.2%(44/84)与73.5%(100/134),P=0.004]。多因素分析结果显示,骨/脑/肝转移组的OS显著短于其他部位转移组(25.0个月与47.0个月,P=0.039)。在IMDC评分低危(30.0个月与62.0个月,P=0.036)、中危(31.0个月与48.0个月,P=0.048)、高危(7.0个月与18.0个月,P=0.037)患者中,骨/脑/肝转移组的OS显著短于其他部位转移组,提示合并骨/脑/肝转移对转移性肾癌患者预后具有预测作用。将合并骨/脑/肝转移加入IMDC评分系统中,构建改良IMDC评分。根据改良IMDC评分将患者分为低危组(0~1分)76例、中危组(2~4分)90例和高危组(≥5分)52例,3组的中位OS分别为62.0、31.0、17.0个月(P<0.001)。改良IMDC评分和IMDC评分预测OS的C-指数分别为0.667和0.599,差异有统计学意义(P<0.001)。结论在转移性肾癌患者中,合并骨/脑/肝转移与较短的OS时间相关。在IMDC评分低、中、高危组患者中,合并骨/脑/肝与较差的预后相关。改良IMDC评分可显著提高对转移性肾癌患者预后的预测能力。
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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】目的:研究延续性护理干预对鼻炎患者的护理效果及对预后的影响。方法:选取 2018年 4月 -2019年 4月期间我院接收的 80例鼻炎患者作为本文研究病例,以患者入院顺序为依据进行分组护理治疗,分成对照与观察两组,每组各 40例患者,对照组给予常规护理,观察组配合延续性护理干预。 观察两组护理干预的临床效果。结果:通过延续性护理干预后的观察组患者对疾病认知度、自我管理能力均明显提高,且临床症状时间以及疾病复发率较低,患者最终对护理满意度评分也较高,两组患者数据对比差异明显,具有统计学意义(P< 0.05)。 结论:对鼻炎患者采取延续性护理干预,能够有效增强患者对疾病的认知度和自我管理能力,从而提高患者疾病治疗效率。
简介:摘要颞叶癫痫(TLE)的手术治疗至今已有近百年历史,随着术前评估技术的进步和对癫痫网络的认识逐步加深,针对TLE的诊疗理念不断更新。TLE存在多种分型,表现为不同的电-临床特征。脑电图检查对不典型TLE的诊断和切除范围的规划具有重要价值。对TLE患者的解剖-电-临床特征进行综合评估至关重要,有助于不同病因癫痫(如假性TLE和自身免疫性癫痫)的诊断。前颞叶切除术被认为是治疗TLE的有效手段,新型颞叶内侧毁损术和神经调控术对TLE的治疗有较好的应用前景。
简介:摘要: 病毒感染是日常比较常见的疾病诱发因素之一,会给人类机体带来不同程度的危害,而骨髓造血抑制则是其主要的危害之一。很多研究表明,某些类型的病毒感染能够极大程度的抑制人类的造血功能,在临床表现上,主要有贫血、血小板减少以及白细胞等。为了进一步对其进行了解,本文以此为出发点,列举了几种常见的病毒感染类型,就其对造血功能的影响进行了详述和分析,希望通过文章的撰写让更多人加深对其了解。
简介:摘要Brooke Nickel及其同事认为,对于不治疗也不会对患者造成伤害的低风险癌症,应该摘掉它们的癌症标签,这会减少过度诊断和过度治疗情况。