循证护理在心肌梗死并发心力衰竭患者护理中的应用

目的研究循证护理服务模式对合并心力衰竭的心肌梗死患者的应用效果。方法选择在太康县人民医院就诊的合并出现心力衰竭症状的心肌梗死患者60例,随机分为对照组和观察组,每组30例。采用常规心血管疾病护理模式对对照组患者实施护理;采用循证护理服务模式对观察组患者实施护理。结果观察组患者24 h心动图表现恢复正常时间、临床治疗总时间明显短于对照组;护理服务满意度明显高于对照组,差异均有统计学意义(P<0.05)。结论循证护理服务模式对合并心力衰竭的心肌梗死患者的临床效果显著,值得推广应用。     

循证护理在急性心肌梗死并发心力衰竭患者护理中的应用

目的分析循证护理在急性心肌梗死并发心力衰竭患者护理中的应用效果。方法选择2008年2月-2011年2月在我院诊治的127例急性心肌梗死并发心力衰竭患者为研究对象,随机分为对照组(传统护理组)63例,观察组(循证护理组)64例,观察护理效果。结果观察组患者存活率为93.8%、对护理工作的满意率为100.0%,均显著高于对照组,P<0.05,差异显著。结论循证护理方法由于其针对性的护理方案更加具有科学性,能够显著提高心肌梗死并发心力衰竭患者的存活率。     

优质护理用于急性心肌梗死合并心力衰竭的临床分析

目的分析优质护理在急性心肌梗死合并心力衰竭患者中的临床价值。方法选取2015年1月至2015年12月我院收治的100例急性心肌梗死合并心力衰竭患者为研究对象,借助抽签法将研究对象随机分为2组,即观察组与对照组。对照组施以常规护理方式,观察组在对照组的基础上予以优质护理,对比两组的护理效果与护理满意度。结果观察组急性心肌梗死合并心力衰竭患者的护理效果优于对照组,护理满意度明显高于对照组。结论优质护理用于急性心肌梗死合并心力衰竭患者临床中,可以提升患者的护理效果,且有效提高护理满意度,可在临床上推广。     

循证护理在急性心肌梗死后心律失常患者护理中的应用

目的探讨循证护理在急性心肌梗死后心律失常患者护理中的应用效果。方法选择西华县人民医院2016年2月至2017年5月收治的100例急性心肌梗死后心律失常患者,按随机数表法分为对照组与观察组,各50例。对照组接受常规护理,观察组接受循证护理,比较两组患者的护理效果。结果观察组患者心律失常发生率低于对照组,护理满意度高于对照组,差异有统计学意义(P<0.05)。结论对急性心肌梗死后心律失常患者采用循证护理可以降低心律失常发生率,提高护理服务满意度,促进患者康复。     

循证护理在重度子痫前期产妇术后护理中的应用疗效观察

目的:探讨循证护理在重度子痫前期产妇术后护理中的应用疗效观察,为保障母婴健康、降低围生期死亡率提供指导。方法:选择80例重度子痫前期产妇为研究对象,随机分为试验组与对照组,每组40例。试验组采取循证护理模式进行护理,对照组则采取常规护理模式进行护理干预。比较两组产妇术后各类并发症发生情况及患者护理满意度情况,借此探讨循证护理在重度子痫前期产妇术后护理中的应用疗效。结果:试验组患者术后各类并发症的发生情况显著低于对照组,且护理满意度显著高于后者,差异均有统计学意义(P<0.05)。结论:运用循证护理对重度子痫前期高龄产妇进行相关护理干预能有效的降低围生期各类并发症的发生,同时能显著提高此类患者的护理满意度,改善医患关系,提高护理质量。     

舒适护理在皮肤科住院患者中的应用研究

目的:观察舒适护理在皮肤科住院患者护理服务中的应用效果。方法:选择皮肤科接受住院治疗的患者100例为研究对象,随机分为两组,试验组与对照组各50例。对照组接受皮肤科住院常规护理,试验组则在对照组的基础上加用舒适护理服务,比较两组患者干预后对皮肤科护理服务的满意度。结果:两组患者干预后对皮肤科护理服务的满意度差异有统计学意义(P<0.05),试验组皮肤科住院患者对护理服务的满意度高于对照组入选患者。结论:将舒适护理服务模式引入皮肤科住院患者的护理工作中,能够提高该类患者对皮肤科护理服务的满意度,具有临床推广意义。     

循证护理在急性心肌梗死合并心力衰竭患者护理中的应用分析

目的探讨循证护理在急性心肌梗死合并心力衰竭患者护理中的应用效果。方法随机选取2011年11月份-2012年05月份我院治疗的59例急性心肌梗死合并心力衰竭患者作为研究对象,随机分为观察组29例患者（循证护理）,对照组30例患者（常规护理）,回顾性分析两组患者的患者满意度。结果观察组患者总满意率为96.5%,对照组患者总满意率为86.6%,两组患者满意度比较,经统计分析,P〈0.05,具有显著性差异。结论循证护理能够显著提高患者的满意度,改善医患关系,促进医患关系和谐发展。     

优化老年急性心肌梗死患者院前急救护理干预的效果评价

目的探讨优化80例老年急性心肌梗死患者院前急救护理干预的效果评价。方法选取成都市急救指挥中心下属网络医院2018年1月至2019年1月收治的80例急性老年心肌梗死患者作为研究对象,采用随机数表法将患者分为试验组和对照组。其中,对照组40例,采用常规护理干预;试验组40例,在常规护理干预的基础上,采用优化后的院前急救护理干预。观察对比两组患者接受不同的护理干预后,患者及其家属对护理工作的满意度以及护理效果评价。结果两组患者接受护理后的满意度比较,试验组患者的满意度高于对照组,差异有统计学意义(P<0.05);两组患者接受护理后的效果评价比较,试验组患者总有效率高于对照组,差异有统计学意义(P<0.05)。结论针对老年急性心肌梗死患者,采取优化的院前急救护理干预,不仅提升了整体的护理效果,也提高了患者满意度,改善了医患关系,是值得临床运用的。     

急性心肌梗死患者护理期间采用循证护理干预效果及满意度影响分析

目的讨论急性心肌梗死患者护理期间采用循证护理干预的效果及满意度影响。方法于2018年1月至2018年9月,选取我院的60例急性心肌梗死患者作为本文的研究对象,将"随机数字表法"作为分组原则,将这60例患者分为对照组(实施常规护理)与研究组(实施循证护理),评判标准:护理干预效果及护理满意度。结果研究组患者的护理干预效果明显优于对照组,P0.05;研究组患者护理满意度的93.33%明显高于对照组的70%,P 0.05。结论循证护理的实施可显著提高患者的抢救率与护理满意度,降低患者心律失常的发生机率,值得推广。     

循证护理在心肌梗死并发心力衰竭患者护理中的应用效果

目的探讨循证护理在心肌梗死并发心力衰竭患者临床护理中的应用。方法从淮阳县人民医院所收治的心肌梗死并发心力衰竭患者当中选取70例为研究对象,将其随机分为对照组和观察组,各35例。对照组给予常规护理,观察组给予循证护理,对比分析两组的护理效果以及护理满意度。结果观察组存活率为91.4%,对照组存活率为74.3%,差异具有统计学意义(P<0.05)。观察组患者满意度为88.6%,对照组患者满意度为74.3%,差异具有统计学意义(P<0.05)。结论在心肌梗死并发心力衰竭患者临床护理中应用循证护理能够提高患者的存活率以及患者的满意度。     

Value of D-Dimers in patients with acute aortic dissection

Objective: To evaluatel the value of D-dimers in patients with acute aortic dissection (AAD). Methods: This study consisted of 16 patients with AAD and 27 non-AAD patients. Serum D-dimets were measured by Sta-Liatest D-DI immunoturbidimetric assay. Results: D-dimer level was higher (P ＜ 0.001) in patients with AAD(7.91 ± 5.52 μg/ml) than that in non- AAD group(1.57±1.24 μg/ml). D-dimer was positive (＞0.4 μg/ml) in all patients with AAD and in 10 control group patients (37%). Among patients with acute AAD, D-dimers tended to be higher in Stanford A than in Stanford B (8.67 ± 4.31 μg/ml vs. 3.24±1.27 μg/ml, P ＜0.01). D-dimer values tended to be higher in more extended disease(3.84 ± 1.65 μg/ml, 8.57 ± 3.58 μg/ml and 11.87 ± 5.69 μg/ml in thoracic aorta, thoracic and abdominal aorta, thoracic and abdominal aorta and iliacal arteries, respectively, P ＜ 0.05 for both 8.57 ± 3.58 and 11.87 ± 5.69 vs. 3.84 ± 1.65 ). Including the control group into the analysis, we found a sensitivity of 100%, a negative predictive value of 100%, and a specificity of 66% and a positive predictive value of 64% for D-dimer in diagnosis of AAD in our patients with suspected AAD. Conclusion: D-dimer was elevated in patients with AAD. A negative D-dimer test result could be useful in excluding AAD.     

Research of combined liver-kidney transplantation model in rats

Objective： To set up a simple and reliable rat model of combined liver-kidney transplantation. Methods： SD rats served as both donors and recipients. 4℃ sodium lactate Ringer＇s was infused from portal veins to donated livers,and from abdominal aorta to donated kidneys, respectively. Anastomosis of the portal vein and the inferior vena cava （IVC） inferior to the right kidney between the graft and the recipient was performed by a double cuff method, then the superior hepatic vena cava with suture. A patch of donated renal artery was anastomosed to the recipient abdominal aorta. The urethra and bile duct were reconstructed with a simple inside bracket. Results： Among 65 cases of combined liver-kidney transplantation, the success rate in the late 40 cases was 77.5%. The function of the grafted liver and kidney remained normal. Conclusion： This rat model of combined liver-kidney transplantation can be established in common laboratory conditions with high success rate and meet the needs of renal transplantation experiment.     

BLOOD PRESSURE CHANGE WITH AGE IN SALT-SENSITIVE TEENAGERS

Objective To observe blood pressure change with age in salt-sensitive teenagers whose salt sensitivity were determined by repeated testing.Methods Salt sensitivity was determined through intravenous infusion of normal saline combined with volume-depletion by oral diuretic furosemide in 55 teenagers. After five years, salt sensitivity was re-examined and subject blood pressure was followed up. Blood pressure changes in salt-sensitive teenagers were compared to that of non-salt sensitive teenagers over five years.Results After 5 years, the repetition rate of salt sensitivity determined by intravenous saline loading is 92.7%. In teenagers with salt sensitivity on the baseline, both the systolic blood pressure increments and increment rates were much higher than non-salt sensitive teenagers (12.7±12.1 mmHg vs. 2.8±5.2 mmHg, P＜ 0.01; 12.2%± 12.0% vs. 2.5% ±4.4%, P＜ 0.001,respectively). There was a similar trend for diastolic blood pressure (8.4 ± 6.4 mmHg vs. 3.7 ± 6.4 mmHg, P = 0.052; 13.2% ±10.6 % vs. 6.8%± 10.1%, P = 0.053, respectively).Conclusions Salt sensitivity determined by intravenous saline loading showed good reproducibility. Blood pressure increments with age were much higher in salt-sensitive teenagers than non-salt sensitive teenagers, especially in terms of systolic blood pressure.     

Development on Adjustable Calibration Marker for Shock Wave Focus

Shock wave lithotripsy （SWL） is a treatment of choice for upper urinary stones. However, this procedure is inappropriate for obese patients because the focus is often unable to reach the target owing to the limited focal distance in shock wave source. Although treating such patients in a blast path may increase the application length of shock wave source, it＇s difficult to find this path on the lithotripter monitor. For this reason, we invented an adjustable calibration marker in order to set an effective focus in the shock wave hath.     

Study on the TCM Pathogenesis of Angiopathic Complications of Type II Diabetes

Excess production of reactive oxygen species(ROS)of mitochondrion mediated by hyperglycemia is the common pathogenesis of angiopathic complications of diabetes.TCM holds that the damp from the dysfunction of spleen.kidney and liver is the causative factor of complications of diabetes.This is similar to the mechanism of Ros resulting in angiopathic complications of diabetes.When the angiopathic complications of type II diabetes mellitus(T2DM)are difierentiated as caused by turbid damp in TCM can be explained as ROS.Since the obstruction of pathogenic damp in channels and collaterals is said to be the main pathogenesis,the treating principle should be dissolving the damp to remove the obstruction.     

Leptin, Ghrelin and TNF-α before and after Hypo-caloric Traditional Chinese Diet and Auricular Acupuncture

INTRODUCTION Obesity is a complex emergent problem, which can be possibly solved not only by the diet but also by the life style and promotion of a constant physical exercise. 1, 2 No doubt careful attentions must be given to the nutritional condition of obese people, the dietary habits, the somatic build (i.e. distribution of fat mass) and the organic functions linked to formation of the fat mass. All the parameters should be constantly monitored before, during and after a diet treatment. 3, 4, 5     

Relationship between Dysglycemia and Carotid Atherosclerosis in Tibetan Population

People with dysglycemia are at high risk for atherosclerotic diseases. This study aims at investigating the atherosclerotic vascular damage in dysglycemia and its metabolic origin in Tibetan population.     

APPLICATION OF LORNOXICAM TO PATIENT-CONTROLLED ANALGESIA IN PATIENTS UNDERGOING ABDOMINAL SURGERIES

FOR anesthesiologis s ,treatingpostoperativepainhas alwaysbeen a problem.Althoughopioidshave been provedtobe effective,theirsideeffectscouldnotbeignored.With thedevelopmentofscienceand pharmacology,many drugs with aspectsof satisfactoryanalgesicefficacyand couldbe welltoleratedby patientshave been developed.And lornoxicamisone of them, which isa non-steroidalanti-inflammatorydrug (NSAID ), with analgesic, anti-infl-ammatory,andantipyreticproperties.Itseliminationhalf-time(3 to 5 hours) isle…     

安心颗粒对急诊经皮冠状动脉介入术后生活质量影响的研究

目的：评价使用安心颗粒对急诊经皮冠状动脉介入术（PPCI）术后生活质量的影响.方法：将160例接受PPCI的急性ST段抬高型心肌梗死患者随机分为安心颗粒组（术前顿服安心颗粒8.8g,术后安心颗粒4.4 g/次,每日2次）和对照组（仅接受基础药物治疗）.所有患者均服用阿司匹林、氯吡格雷和阿托伐他汀.分别在入院时、出院前1d、出院后180 d时,应用心肌梗死多维度量表（MIDAS）、中文版SF-36评价量表对患者生活质量评分.并观察术后30 d以内的出血并发症、血小板减少症发生情况.结果：入院时和出院前1d,两组患者的心肌梗死MIDAS、SF-36量表评分比较无差异（P＞0.05）;出院后180 d时,与对照组比较,安心颗粒组MIDAS、SF-36评分明显减低（P＜0.05）;组内与入院时比较,两组出院前1d、出院后180 d时,MIDAS、SF-36评分均降低（P＜0.05）.两组患者在随访期间均无大量出血、少量出血、重度和极重度血小板减少症发生,安心颗粒组有4例、对照组有7例发生不明显出血（P＞0.05）.两组发生轻度血小板减少症的患者数比较无差异（P＞0.05）.结论：PPCI使用安心颗粒,能改善急性ST段抬高型心肌梗死患者的生活质量,且不增加出血风险.     

The comparative studies of the influences of Urapidil and Nicardipine on sino-atrial node function, atrio-ventricular node function and hemodynamics

Objective:To investigate the influences of urapidil and nicardipine on rabbit sinus function,atrio-ventricular node function and hemodynamics.Methods:Thirty-two Angora's rabbits were selected and randomly divided into four groups.U1 group:urapidil 0.25 mg/kg;U2 group:urapidil 0.5 mg/kg;N1 group:nicardipine 10 μg/kg;N2 group:nicardipine 20 μg/kg.All these medicine were administrated within 30 seconds.Measurements were taken before and after the administration of urapidil or nicardipine for the following data:mean blood pressure(MAP),heart rate(HR),sino-atrial conduction time(SACT),maximal sinoatrial recovery time(SNRTmax)corrected sinus node recovery time(CSNRT),index of sinus node recovery time(SNRTI),Wenckebach A-V conduction frequency (WB),and P-R interval.Results:Significant MAP and HR changes were identified in all of the four groups before and after administration of both urapidil and nicardipine.No significant changes could be found in the rest of the parameters.Intergroup analysis showed that SACT and CSNRT of N1 and N2 groups were shorter than those of the U2 group(P＜0.01);the MAP decreased(P＜0.01)and the HR increased drastically(P＜0.01).Conclusions:Neither urapidil(0.25 mg/kg,0.5 mg/kg)nor nicardipine(10μg/kg,20μg/kg)has any significant influence on rabbit sinus function or rabbit atrio-ventricular node function.Nicardipine could be a better choice than urapidil for parafunctional sinus node patients.