妊娠期糖尿病护理干预体会

目的:探讨妊娠期糖尿病患者的临床护理干预措施,为妊娠期糖尿病患者的临床护理提供参考。方法:回顾性总结分析我院在2010年1月至2013年1月期间收治的40例妊娠期糖尿病产妇的临床病例资料,将上述产妇随机分为两组,分别进行常规护理和综合护理干预,比较两组产妇的临床护理效果。结果:观察组孕妇并发症发生率显著低于对照组,差异具有统计学意义(P0.05);观察组围产儿存活率显著高于对照组,差异具有统计学意义(P0.05)。40例孕妇无死亡病例发生。结论:综合护理干预能够有效改善妊娠期糖尿病产妇的身心状态,有效控制产妇病情、改善产妇预后,并能有效控制孕妇的血糖,减少围生期并发症的发生,具有临床推广应用价值。     

妊娠期糖尿病孕妇妊娠结局的护理干预的意义

目的:分析护理干预对妊娠期糖尿病孕妇妊娠结局的影响.方法:选取86例妊娠期糖尿病孕妇,随机分为观察组和对照组各43例.观察组行有针对的护理干预,对照组行常规护理,比较两组孕妇护理后血糖指标及分娩结局和并发症情况.结果:观察组护理后空腹血糖和餐后血糖均在正常范围内,且护理后,观察组母婴并发症较对照组明显降低,妊娠结局得到明显改善.两组比较有统计学意义P＜0.05.结论:有针对的护理干预在妊娠期糖尿病孕妇中实施效果较好,可有效提高护理质量,值得临床推广应用.     

个体化围产期护理对妊娠期糖尿病患者的影响

目的 观察个体化围产期护理对妊娠期糖尿病患者的影响.方法 55例妊娠期糖尿病孕妇随机分为观察组(28例)和对照组(27例),对照组仅予以常规护理,观察组在对照组基础上,采取个体化围产期护理,分析护理结束后两组患者的血糖水平.结果 观察组血糖控制在正常、接近正常范围22例,对照组血糖控制在正常、接近正常范围14例,两组间有明显差异性(P<0.05).结论 个体化围产期护理能有效控制妊娠期糖尿病患者的血糖水平,降低妊娠期糖尿病对母婴的危害程度,减少妊娠期并发症的发生率.     

针对性护理干预用于妊娠期糖尿病患者中对血糖水平及母婴结局的改善作用

目的探究妊娠期糖尿病孕妇管理中针对性护理干预的应用对其血糖水平、母婴结局的影响。方法选取2019年5月至2020年6月自愿参与本研究的妊娠期糖尿病孕妇80例,随机分为对照组(常规护理)和研究组(优质护理),各40例。比较两组孕妇护理前后血糖水平和妊娠结局。结果护理后,两组孕妇血糖水平均降低,晨起空腹水平、餐后2 h血糖水平及睡前血糖水平比较差异有统计学意义(P<0.05),且研究组血糖基本在正常范围内。护理后,研究组巨大儿、羊水过多、胎膜早破及早产发生率均低于对照组(P<0.05)。结论妊娠期糖尿病孕妇管理中针对性护理干预的应用有助于孕妇血糖水平的控制及不良妊娠结局的改善,减少妊娠期各类并发症的发生,确保产妇及围生儿的生命安全,值得临床推广运用。     

健康教育及心理护理干预应用于妊娠期糖尿病患者血糖控制及妊娠结局的效果评价

目的分析对妊娠期糖尿病患者实施健康教育和心理护理干预的效果及对其妊娠结局、血糖水平的影响。方法将本院妇产科2016年1月至2018年6月接收并实施基本护理的60例妊娠期糖尿病孕妇作为A组,另选择同期接收并实施健康教育、心理护理的60例同疾病孕妇作为B组,观察比较其结果。结果 B组孕妇的妊娠结局优于A组,且B组护理后的血糖水平低于A组,差异有统计学,P0.05。结论对妊娠期糖尿病孕妇实施健康教育和心理护理干预,能够提高其血样控制效果,改善妊娠结局,建议积极推广。     

护理干预对妊娠期糖尿病孕妇妊娠结局的影响分析

目的探讨护理干预对妊娠期糖尿病孕妇妊娠结局的影响。方法选择我院2014年9月-2015年8月之间收治的88例妊娠期糖尿病孕妇作为观察对象,采用随机的方式分为研究组和参照组各44例。参照组患者给予一般护理干预;研究组患者则根据病情给予针对性的护理干预。对两组患者护理前后的血糖指标以及妊娠结局指标进行观察。结果两组患者护理前的血糖水平差异较小,无显著性(P0.05);护理之后,研究组患者的血糖水平改善结果优于参照组,差异具有统计学意义(P0.05);研究组患者术后母婴并发症的发生率低于参照组,差异同样显著。结论护理干预能够改善妊娠期糖尿病孕妇的血糖,改善妊娠结局,降低不良并发症的发生率,具有很高的应用价值。     

62例妊娠期糖尿病的护理观察

目的探讨加强妊娠期糖尿病患者孕期护理及血糖控制与管理,对妊娠合并糖尿病母婴并发症发生率的影响。方法将2011年4月至2012年4月我院产科收治的62例妊娠期糖尿病患者随机分为对照组和干预组各31例,对照组给予常规护理,干预组在常规护理基础上采取健康教育、心理护理等干预措施,观察干预效果。结果干预组在母婴并发症发生率、剖宫产率及早产率等方面明显低于对照组,差异有统计学意义(P<0.05)。结论加强妊娠期糖尿病患者孕期血糖管理及护理干预,采用心理护理等干预方式,能够降低孕妇母婴并发症发生率。     

认知教育对妊娠期糖尿病患者血糖的影响

目的：探讨认知教育对妊娠期糖尿病患者孕期血糖的影响。方法将34例明确诊断为妊娠糖尿病孕妇随机分为观察组（17例）和对照组（17例）,对照组给予常规治疗、健康教育及护理;观察组在常规治疗、健康教育及护理的同时,运用认知教育法实施护理干预。观察2组患者血糖值的变化情况。结果观察组血糖控制情况明显优于对照组,2组比较差异有统计学意义（P〈0.05）。结论认知教育法对妊娠期糖尿病孕妇血糖水平的改善有较大帮助,值得临床广泛应用。     

产科护士门诊病房一体化护理模式对妊娠期糖尿病孕妇的效果分析

目的 探讨产科门诊病房一体化护理模式对妊娠期糖尿病的影响。方法选取100例妊娠糖尿病孕妇,随机分为观察组和对照组,各50例。对照组采用常规护理模式,观察组采用产科护士门诊病房一体化护理模式,对比分析两组孕妇护理满意度、血糖控制水平、孕妇并发症及新生儿并发症的情况。结果观察组孕妇各项症状改善明显,观察组孕妇护理满意度明显优于对照组,差异有统计学意义(P0.05);护理前观察组与对照组的血糖水平无明显差异(P0.05),护理后观察组的血糖控制水平优于对照组,差异有统计学意义(P0.05),且观察组并发症发生率明显低于对照组,差异有统计学意义(P0.05);观察组新生儿并发症发生率明显低于对照组,两组差异有统计学意义(P0.05)。结论产科护士门诊病房一体化护理模式应用于妊娠期糖尿病孕妇能够较好地稳定患者血糖水平,积极改善孕妇症状,并降低孕妇与新生儿的并发症。     

健康教育及心理护理干预对妊娠期糖尿病患者血糖控制及妊娠结局的影响

目的探讨健康教育及心理护理干预对妊娠期糖尿病(GDM)患者血糖控制及妊娠结局的影响。方法选取商丘市第三人民医院接收的146例妊娠期糖尿病患者,随机分组,各73例。对照组采用常规护理,观察组在对照组基础上应用健康教育及心理护理干预,统计两组干预前后血糖水平变化情况与干预后羊水过多、剖宫产、新生儿窒息、新生儿低血糖等母婴围产结局情况。结果与对照组比较,观察组干预后血糖显著降低(P<0.05);观察组羊水过多、剖宫产、新生儿窒息、新生儿低血糖等发生率显著低于对照组(P<0.05)。结论对妊娠期糖尿病患者采用健康教育及心理护理干预可有效控制其血糖,显著改善其妊娠结局。     

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.     

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…     

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.     

Acupuncture Combined with Spinal Tui Na for Treatment of Primary Dysmenorrhea in 30 Cases

Objective: To observe the therapeutic effects in acupunture treatment of primary dysmenorrhea combined with spinal Tui Na, and study its mechanism. Methods: Thirty cases of the treatment group were treated by acupuncture combined with spinal Tui Na, and thirty cases in the control group were treated by routine acupuncture. Results: The total effective rate was 93.3% in the treatment group, and 73.3% in the control group, with a significant difference between the two groups (P<0.05). Conclusions: Acupuncture combined with spinal Tui Na has good prospects for treatment of primary dysmenorrhea.     

Luo Lingjie's Experience in Treating Chronic Nephropathy

In treating chronic nephropathy,Luo Lingjie,a chief physician,pays attention to regulating the balance between yin and yang,treating infection if present,and removing pathogenic factors.He prescribes gentle drugs and uses carefully strongly warming-tonifying ones,emphasizes the importance of persuading the patient to persist in treatment with medication and nurse one's health for recuperation,and is good at combined use of TCM and western medicine therapy and brings the merits of various therapies into full play,with obvious theraoeutic effects.