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 研究分析针对性护理干预对抗生素治疗小儿支气管肺炎效果的影响。 方法 此次研究的对象是选择 2018年 1月~ 2019年 1月我院收治的小儿支气管肺炎患儿 120例,将其临床资料进行回顾性分析,并将 120例患儿根据护理方法不同分为干预组与对照组,两组患儿均予 β-内酰胺类抗生素或大环内酯类抗生素等持续静滴,同时配合其他对症治疗。对照组实施随机对症护理,干预组采取有针对性的护理干预措施,包括心理护理、密切观察病情、保持呼吸道通畅、用药护理、并发症的护理,比较两组患儿的疗效,两组患儿的体温恢复正常时间、血常规恢复正常时间、平均住院时间及两组患儿治疗后的不良反应包括静脉炎、皮疹、消化道反应、抗生素相关性腹泻。 结果 治疗后,干预组的痊愈率达 50.0%,总有效率达 96.7%,对照组患儿的痊愈率 35.0%,总有效率 78.3%,两组患儿治疗后的疗效比较,差异有显著性( P<0.05)。干预组患儿无一例发生静脉炎,其不良反应发生率 5.0%( 3/60),对照组患儿不良反应发生率 20.0%( 12/60),干预组患儿的不良反应发生率明显低于对照组( P<0.05)。干预组患儿的体温恢复正常时间、血常规恢复正常时间、平均住院时间明显短于对照组( P<0.05)。 结论 抗生素治疗小儿支气管肺炎患儿采取包括心理、用药、并发症的护理等针对性的措施,可以提高临床治疗的疗效,缩短住院时间,使患儿尽快康复健康。
简介: 摘要:目的:研究讨论综合护理干预在腹部手术后粘连性肠梗阻护理中的应用效果。方法:选择 2018年 1月至 2020年 1月本院患者 80例进行研究讨论,把所有患者随机分为两组,两组都为 40例,其中对照组采用常规的入院护理,观察组采取综合护理干预措施对其进行护理,观察两组患者对护理人员的满意度、护理后患者出现肠粘性肠梗阻的情况以及患者胃肠功能恢复的时间。结果:观察组患者的满意度比对照组的要高,发生率明显的比对照组低,患者胃肠功能恢复的时间比对照组的要短,两组比较, P<0.05。结论:对于腹部手术后的患者,采取综合护理干预措施对其进行护理,不但可以提高患者对护理人员的满意度,还可以减少肠梗阻的发生,促进胃肠功能的恢复,效果显著可以在今后患者的护理过程中应用。 关键词:综合护理干预;腹部手术;粘连性肠梗阻;护理;应用效果 Abstract: Objective: To study and discuss the effect of comprehensive nursing intervention in postoperative adhesive intestinal obstruction. Methods: 80 patients in our hospital from January 2018 to January 2020 were selected for study and discussion. All patients were randomly divided into two groups, 40 patients in both groups, of which the control group used routine hospital care, the observation group took comprehensive nursing intervention measures to care for them, and observed the satisfaction of the two groups of patients with nursing staff, the situation of patients with intestinal sticky obstruction after nursing and the patients Recovery time of gastrointestinal function. Results: the satisfaction of the patients in the observation group was higher than that in the control group, the incidence was significantly lower than that in the control group, and the recovery time of gastrointestinal function was shorter than that in the control group, P < 0.05. Conclusion: for the patients after abdominal operation, comprehensive nursing intervention can not only improve the satisfaction of patients with nursing staff, but also reduce the occurrence of intestinal obstruction and promote the recovery of gastrointestinal function. The effect is significant and can be applied in the nursing process of patients in the future.
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.
简介:【摘要】目的 探讨快速康复外科护理在腹腔镜胆囊切除术围手术期患者中的应用效果。方法 选取 2019年 1月 ~2020年 3月在我院进行腹腔镜胆囊切除术的患者 150例进行研究分析,根据随机分配的原则将 150例患者分为观察组和对照组,每组各 75例。对照组患者采用常规护理的方式对患者进行护理,观察组则采用快速康复外科护理对腹腔镜胆囊切除术围手术期患者进行护理。通过对比两组患者的生活水平及护理满意度进行评判,判断快速康复外科护理在腹腔镜胆囊切除术围手术期患者中的应用效果。结果 观察组患者的生活水平高于对照组患者,观察组患者的护理满意度高于对照组患者,差异显著( p ),有统计学意义。结论 通过对比两组患者的研究数据,证明快速康复外科护理在腹腔镜胆囊切除术围手术期患者中的应用效果良好,能够有效的减少患者的并发症发生率,提升医院的治疗效率,提升护理人员的护理质量,促进护患关系的和谐发展,具有很高的临床学价值,值得临床推广使用。
简介: 【摘要】目的:探讨分析乳腺癌患者植入式中心静脉输液港护理中优质护理效果。方法:选取2017年11月~2019年11月在我院外科确诊为乳腺癌患者30例作为研究对象,所有患者均采用植入式中心静脉输液港治疗,将其分为对照组与实验组,各15例。其中对照组采用常规护理模式,实验组采用预见性护理模式,对比分析两组患者临床护理质量。结果:实验组临床护理满意度显著优于对照组,且对照组临床不良反应高于实验组,差异有统计学意义(P
简介: 【摘要】目的:观察妊高症产妇产后出血护理中优质护理服务的应用效果及其对产后出血率的影响。方法:研究对象选择我院收治的 80例妊高症产妇( 2018年 1月~ 2019年 12月),并随机分为对照组和观察组(各 40例)。对照组实施常规护理,观察组在对照组基础上实施优质护理服务。观察两组护理效果差异,并比较两组生活质量评分、产后出血率。结果:护理后两组精神状态、躯体功能、情感功能、总体健康评分均升高,观察组升高幅度高于对照组( P<0.05) ;观察组产后出血率低于对照组,护理满意度高于对照组( P<0.05)。结论:妊高症产妇产后出血护理中优质护理服务的应用效果显著,值得推广。
简介:【摘要】目的:探讨妊高症护理中护理干预的实施。方法:选取 2016 年 2月至 2019年 11月在我院收治的 90例妊高症患者进行研究,通过随机数字的方法分为对照组和观察组,每组 45例,对照组接受常规护理,而观察组接受优质护理,对比两组患者的护理满意度、生活质量和血压情况。结果:护理后观察组舒张压和收缩压明显优于对照组,差异有统计学意义( P< 0.05);观察组护理满意率为 100%,无不满意情况,对照组护理满意率为 77.78%( 35/45),观察组护理满意度明显高于对照组满意度,差异具有统计学意义( P < 0.05);护理后观察组情绪功能、社会活力以及心理功能明显高于对照组,差异有统计学意义( P< 0.05)。结论:对于妊高症患者实施优质护理可以提升患者的满意度和舒适度,同时提高生活质量,改善血压情况,值得应用与广泛推广。