简介: 摘要:目的:分析优质护理在提高丙肝患者抗病毒治疗依从性中的应用效果。方法:随机抽取丙肝患者80例,将80例丙肝患者按照护理模式不同分为对照组和观察组,每组各40例患者。其中,对照组40例丙肝患者实施常规护理模式,而另外40例患者给予优质护理,对比两组丙肝患者的抗病毒治疗依从性。本次研究时间范围为2018年8月至2020年8月。结果:观察组丙肝患者的治疗依从率为92.50%,高于对照组的治疗依从率65.00%,对比差异具有统计学意义(P
简介:【摘要】目的: 探讨 快速康复理念在脑膜瘤围术期患者护理中的效果。方法: 选取自2019年1月至2020年2月我院收治的80例脑膜瘤患者为研究对象,并将其随机分为2组,每组40例患者,对照组患者实施常规护理方法,观察组患者采取快速康复整体护理方法。记录对比两组患者术后并发症发生率、康复情况以及护理满意度。结果:对两组患者给予不同护理方法后,观察组患者术后的并发症发生率明显低于对照组患者,且患者术后身体恢复情况及患者的护理服务满意度均优于对照组(p<0.05)。结论:快速康复理念在脑膜瘤围术期患者护理中的应用效果确切,可以有效降低术后并发症的发生率,促进患者恢复,并且能够提高患者护理服务满意度,护理效果显著,应用价值高。
简介:【摘要】目的:分析椎动脉预埋球囊扩张在锁骨下动脉闭塞开通术中脑保护的应用;方法:选取我院 2019年 4月 ~2019年 10月期间 20例锁骨下动脉闭塞患者,对其进行开通治疗;结果:所有患者中有 2例双向均未开通闭塞段, 18例获得成功治疗。在 18例手术成功的患者中,闭塞患者 8例,单纯椎动脉预埋球囊扩张患者 3例,椎动脉预埋球囊扩张后进行支架置入,手术过后立刻血流通畅患者 7例。完成治疗之后脑保护装置安全收回且无脑梗死再次发生患者 12例。手术结束之后随访 1~5年,在手术结束之后 1年内再闭塞患者 1例,椎动脉预埋球囊扩张后开通;其他患者均无任何相关临床症状发生;结论:椎动脉预埋球囊扩张在锁骨下动脉闭塞开通术可以有效解决动脉闭塞的情况。
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:探究綜合个性化护理应用于双向情感障碍患者抑郁发作的干预效果。方法:选取2019年1-12月在本院进行治疗的双向情感障碍抑郁发作的患者64例作为研究对象,按照随机数字表法将其分为常规组和研究组,各32例。所有患者均进行常规治疗,常规组接受常规护理,研究组接受综合个性化护理,比较两组护理干预前后MMSE及HAMD评分,并记录治疗后对相应护理干预效果的满意程度。结果:两组患者进行护理干预前MMSE及HAMD评分比较,差异均无统计学意义(P>0.05)。干预后,两组MMSE及HAMD评分均较干预前得到明显改善;且研究组MMSE评分为(26.79±3.07)分明显高于常规组的(20.27±4.43)分,HAMD评分为(8.93±1.47)分明显低于常规组的(14.67±5.23)分,差异均有统计学意义(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:分析无保护会阴接生技术与控制胎头娩出在自然分娩初产妇中的应用效果。方法:将 2018年 6月 ~2019年 6月我院妇产科收治的 84例初产妇纳入本组课题研究。根据入院时间,将 84例初产妇平均分为两个组别,对照组分得初产妇 42例,采取常规会阴保护接生,研究组分得初产妇 42例,采取无保护会阴接生技术与控制胎头娩出,分别对比两组初产妇的会阴情况,产后不良事件发生率,以及新生儿 Apgar评分。结果:研究组初产妇的会阴裂伤情况、产后不良事件发生率、新生儿 Apgar评分等临床指标均显著优于对照组, P< 0.05。结论:在自然分娩中应用无保护会阴接生技术与控制胎头娩出,有助于改善初产妇的会阴裂伤情况,减少产后出血、产褥污染等不良事件的发生,同时还能提升分娩安全性,值得在产科临床中着力推广和应用。
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 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: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.