α1-receptor blockers combined with acupuncture treatment efficacy analysis of elderly patients with acute urinary retention

Objective To explore acupuncture and al-receptor blocker treatment efficacy of elderly patients with acute urinary retention. Methods Use of forward-looking monitoring and retrospective survey methodology, Choose January 1,2006 to January 1,2009 of acute urinary retention in 82 cases of elderly inpatients,Chronological order according to treatment group,39 cases were divided into control group,43 cases; Transurethral catheterization in both groups, stay catheter. The control group was treated with α1-receptor blocker hytrin (terazosin) and the application of antibiotics; the treatment group based on the above plus acupuncture therapy. Results The treatment group was 94.87% in the control group response rate was 76.74%, the two groups,P<0.05, the difference was significant. Conclusion al-receptor blockers combined with acupuncture treatment of elderly patients with acute urinary retention al-receptor blocker than simply good effects, synergistic effect, shortening the indwelling catheter time, avoid repeated urinary catheterization and reduce hospital infection, worthy to be popularized.     

α1-receptor blockers combined with acupuncture treatment efficacy analysis of elderly patients with acute urinary retention

Objective To explore acupuncture and al-receptor blocker treatment efficacy of elderly patients with acute urinary retention. Methods Use of forward-looking monitoring and retrospective survey methodology, Choose January 1,2006 to January 1,2009 of acute urinary retention in 82 cases of elderly inpatients,Chronological order according to treatment group,39 cases were divided into control group,43 cases; Transurethral catheterization in both groups, stay catheter. The control group was treated with α1-receptor blocker hytrin (terazosin) and the application of antibiotics; the treatment group based on the above plus acupuncture therapy. Results The treatment group was 94.87% in the control group response rate was 76.74%, the two groups,P<0.05, the difference was significant. Conclusion al-receptor blockers combined with acupuncture treatment of elderly patients with acute urinary retention al-receptor blocker than simply good effects, synergistic effect, shortening the indwelling catheter time, avoid repeated urinary catheterization and reduce hospital infection, worthy to be popularized.     

生脉注射液对血透相关性低血压患者的疗效观察

Objective To observe clinical effect of Shengmai injection on dialysis-related hypotension.Methods Seventy patients with dialysis-related hypotension were divided into two groups:experimental group (35 cases)and control group (35 cases). Patients in experimental group was treated with Shengmai injection,while patients in control group were given with conventional treatments. Effective rate and hemodynamics changes were measured in both groups. Results The effective rate in experimental group was significantly higher than control group (P＜ 0.05), while frequency of treatment was lower than control group (P＜ 0. 05). There were no significant difference between experimental group and control group in systolic pressure, diastolic pressure and heart rate (P ＞ 0.05). Conclusion Shengmai injection is effective and safe in dialysis-related hypotension.     

近似人病理生理过程动物脂肪肝模型的综合建立方法

Objective To establish animal model of fatty liver similar with human pathophysiology used for the study of imaging quantitative diagnosis or verification of medicine curative effect. Methods Forty-five New Zealand white rabbits were used in this study. They were divided randomly into five groups : 10 rabbits in normal control group, 10 rabbits in experiment group 1,10 rabbits in experiment group 2,10 rabbits in experi-ment group 3,and remaining 5 rabbits were in a supplement group. Rabbits in normal control group were given free access to normal food and water for 9 weeks. Rabbits in the experimental groups were fed a high-fat and high-sucrose diet for 3,6,and 12 weeks,respectively. Rabbits in the supplement group were fed the same diet as the experimental groups. Liver specimen stained with HE and Sudan Ⅳ was examined histological. Results The success rate of hepatic steatotie models was 87 % (39 of 45 ) ;mortality was 13 % (6 of 45 ). There were 10 nor-mal livers, 10 mildly fatty livers, 9 moderately fatty livers, and 10 severely fatty livers in results (stained with HE), and the rate of conforming to Sudan Ⅳ was 75%. Conclusion The animal model of fatty liver with differ-ent severity can be established by being fed a high fat, high sucrose and alcohol diet.     

近似人病理生理过程动物脂肪肝模型的综合建立方法

Objective To establish animal model of fatty liver similar with human pathophysiology used for the study of imaging quantitative diagnosis or verification of medicine curative effect. Methods Forty-five New Zealand white rabbits were used in this study. They were divided randomly into five groups : 10 rabbits in normal control group, 10 rabbits in experiment group 1,10 rabbits in experiment group 2,10 rabbits in experi-ment group 3,and remaining 5 rabbits were in a supplement group. Rabbits in normal control group were given free access to normal food and water for 9 weeks. Rabbits in the experimental groups were fed a high-fat and high-sucrose diet for 3,6,and 12 weeks,respectively. Rabbits in the supplement group were fed the same diet as the experimental groups. Liver specimen stained with HE and Sudan Ⅳ was examined histological. Results The success rate of hepatic steatotie models was 87 % (39 of 45 ) ;mortality was 13 % (6 of 45 ). There were 10 nor-mal livers, 10 mildly fatty livers, 9 moderately fatty livers, and 10 severely fatty livers in results (stained with HE), and the rate of conforming to Sudan Ⅳ was 75%. Conclusion The animal model of fatty liver with differ-ent severity can be established by being fed a high fat, high sucrose and alcohol diet.     

近似人病理生理过程动物脂肪肝模型的综合建立方法

Objective To establish animal model of fatty liver similar with human pathophysiology used for the study of imaging quantitative diagnosis or verification of medicine curative effect. Methods Forty-five New Zealand white rabbits were used in this study. They were divided randomly into five groups : 10 rabbits in normal control group, 10 rabbits in experiment group 1,10 rabbits in experiment group 2,10 rabbits in experi-ment group 3,and remaining 5 rabbits were in a supplement group. Rabbits in normal control group were given free access to normal food and water for 9 weeks. Rabbits in the experimental groups were fed a high-fat and high-sucrose diet for 3,6,and 12 weeks,respectively. Rabbits in the supplement group were fed the same diet as the experimental groups. Liver specimen stained with HE and Sudan Ⅳ was examined histological. Results The success rate of hepatic steatotie models was 87 % (39 of 45 ) ;mortality was 13 % (6 of 45 ). There were 10 nor-mal livers, 10 mildly fatty livers, 9 moderately fatty livers, and 10 severely fatty livers in results (stained with HE), and the rate of conforming to Sudan Ⅳ was 75%. Conclusion The animal model of fatty liver with differ-ent severity can be established by being fed a high fat, high sucrose and alcohol diet.     

Clinical observation of soft palate-pharyngoplasty in the treatment of obstructive sleep apnea hypopnea syndrome in children

BACKGROUND Childhood obstructive sleep apnea hypopnea syndrome(OSAHS)is a common clinical disease that can cause serious complications if not treated in time.The preferred treatment for OSAHS in children is surgery.AIM To observe the effects of soft palate-pharyngoplasty on postoperative outcome,pharyngeal formation,and possible complications.METHODS A total of 150 children with snoring,hernia,and mouth breathing were selected.A polysomnography test was performed to confirm the diagnosis of OSAHS.The children were randomly divided into experimental and control groups.The experimental group underwent adenoidectomy,tonsillectomy,and soft palatepharyngoplasty.The control group underwent adenoidectomy and tonsillectomy.The t-test and chi-square test were used to compare conditions such as postoperative fever,postoperative hemorrhage,and pharyngeal reflux.Postoperative efficacy and complications were interrogated and observed in the form of outpatient follow-up and telephone follow-up at 6 mo and 1 year after surgery.The curative effects were divided into two groups:Cure(snoring,snoring symptoms disappeared)and non-cure.RESULTS The effective rate of the experimental group was significantly higher than that of the control group,but the difference was not statistically significant(P>0.05).The incidence of postoperative bleeding was lower in the experimental group.There was no postoperative pharyngeal reflux in either group.In the experimental group,the incidence of hyperthermia(body temperature exceeded 38.5°C)was lower than that in the control group.The difference in postoperative swallowing pain scores between the experimental and control groups was significant.CONCLUSION Soft palate-pharyngoplasty can more effectively enlarge the anteroposterior diameter and transverse diameter of the isthmus faucium.Compared with surgery alone,it can better treat OSAHS in children,improve the curative effect,reduce the risk of perioperative bleeding,close the surgical cavity,reduce the risk of postoperative infection,reduce the proportion of postoperative fever,and accelerate healing.Although this process takes more time,it is simple,safe,and effective.     

三种婴幼儿静脉采血方法的比较

Objective To explore the best way of venous sampling for infants in order to improve onetime success rate and to reduce complications. Methods 151 infants were reviewed retrospectively who saw a doctor in clinic from March 2009 to March 2010, and patients were 4 days to 2 years old. They were divided into 3 groups randomly, and different method of venous sampling was applied to each group, then the one-time success rate and complication rate of three groups were compared. Results The method of femoral vein pit diagonal stabbing had a higher one-time success rate than the other two methods. however, the diffenences of success rates in three groups were not statistically significant (x2 = 3.02, P ＞ 0. 05). Conclusions Femoral vein pit diagonal stabbing method has several advantages, for instence, the position is easy to find, the method is fit for all infants,no matter fat or thin, it has a higher one-time success rate but lower complication rate, and so on. So this method is worthy spreading.     

护理干预对老年复治肺结核病人预后的影响

Objectiye To enhance the therapy compliance and the cure rate of the relapse agedness patients with pulmonary tuberculosis by nursing intervention. Methods One hundred and six relapse agedness patients with pulmonary tuberculosis were divided into experimental (n=54) and control groups (n=52). The experimental group was given the whole course nursing intervention and the control group was given universality guidance when they left hospital. The therapy compliance, sputum negative conversion rate and absorbability instance of focus were investigated among the patients of the two groups. Results The therapy compliance,sputum negative conversion rate and absorbabilty instance of focus in the trial group were significant higher than those in the control group (P＜0.05). Conclusions The whole course nursing intervention can enhance the therapy compliance and the cure rate of the relapse agedness patients with pulmonary tuberculosis.     

护理干预对老年复治肺结核病人预后的影响

Objectiye To enhance the therapy compliance and the cure rate of the relapse agedness patients with pulmonary tuberculosis by nursing intervention. Methods One hundred and six relapse agedness patients with pulmonary tuberculosis were divided into experimental (n=54) and control groups (n=52). The experimental group was given the whole course nursing intervention and the control group was given universality guidance when they left hospital. The therapy compliance, sputum negative conversion rate and absorbability instance of focus were investigated among the patients of the two groups. Results The therapy compliance,sputum negative conversion rate and absorbabilty instance of focus in the trial group were significant higher than those in the control group (P＜0.05). Conclusions The whole course nursing intervention can enhance the therapy compliance and the cure rate of the relapse agedness patients with pulmonary tuberculosis.     

90度角皮下注射的探讨

目的 探讨皮下注射角度对注射疼痛的影响,减轻注射时疼痛,方便糖尿病患者自行注射胰岛素.方法 选择初次注射胰岛素的糖尿病患者80人,随机分为对照组、试验组,每组各40例.对照组采用常规注射角度(30°～40°)进行皮下注射胰岛素;试验组采用90°进针角度皮下注射胰岛素.比较两种方法对注射疼痛的影响、局部硬结大小、首针注射成功率、患者注射依从性、低血糖发生率的影响.结果 两种注射方法对注射疼痛的影响(P<0.01)、局部硬结的大小(P<0.01)、首针注射成功率(P<0.01)、患者长期注射依从性(P<0.05)存在显著性差异;低血糖发生率(P>0.05)没有明显差异;两种角度注射后疼痛感觉显著性差异,90°角注射后疼痛明显轻于常规角度注射后所致的疼痛.结论 将皮下注射的角度改为90°,对治疗效果没有负面影响,能减轻病人的疼痛,方便患者学习掌握,增加了患者对胰岛素注射的依从性.     

不同胃管留置方法在脑卒中患者中的应用效果

目的探讨不同胃管留置方法在脑卒中患者中的应用效果。方法便利抽样法选择2009年1月至2012年1月在广西医科大学第七附属医院治疗的需要留置胃管的脑卒中患者81例为研究对象,按随机数字表法将其分为观察组与对照组。对照组40例患者采用常规胃管留置法,观察组41例患者采用改良胃管留置法,比较两种置管方法的效果。结果观察组患者在置管过程中出现不良反应较少,与对照组比较差异有统计学意义（P〈0．05或P〈0．01）。观察组患者置管成功率及患者满意率明显高于对照组,置管平均用时少于对照组,差异均有统计学意义（P〈0．05或P％0．01）。观察组患者留置胃管前后心率、血压、血氧饱和度的差异无统计学意义（P〉0．05）。结论改良胃管留置法能有效地减少置管过程中不适与不良反应发生率,减轻患者痛苦,提高置管成功率,是一种简便、安全、有效的胃管留置方法。     

床边手臂下垂法静脉穿刺的效果

目的 探讨床边手臂下垂法静脉穿刺的效果,以提高静脉穿刺成功率,减轻患者的痛苦.方法 将1000例静脉输液患者随机分为观察组和对照组各500例,观察组患者手前臂下垂放于床边下30 s,使静脉充盈显露,在穿刺点上方6～8 cm处扎止血带,前臂置于体侧不握拳,左手拇指绷紧固定被穿刺部位皮肤,右手持针,针尖与皮肤呈35～40°.在静脉正上方沿静脉走向快速进针进入血管,见回血后降低进针角度,再将针头推进0.2 cm,常规固定.对照组采用传统穿刺方法.比较两组静脉血管充盈度与穿刺成功率.结果 观察组静脉充盈饱满占81.6%,对照组占20.0%,两组比较差异有统计学意义（P＜0.01）;观察组静脉穿刺一次成功率为98.4%,对照组为90.0%,两组比较差异有统计学意义（P＜0.05）.结论 床边手臂下垂法静脉血管充盈显露,静脉穿刺一次成功率高,可减轻患者痛苦,使药物快、准、安全地达到治疗目的.     

手术室短期综合干预对经尿道前列腺电切术患者焦虑及术中配合的影响

目的:探讨手术室短期综合干预对经尿道前列腺电切术(TURP)老年患者焦虑及术中配合的影响.方法:将160例行TURP老年患者随机分为对照组和实验组各80例,对照组实施常规护理,实验组给予心理干预、行为干预、提醒告知等手术室短期综合干预,干预前后运用焦虑自评量表(SAS)对两组进行评估,记录操作配合(静脉置管、硬膜外置管)一次成功率、术中不适(体位不适、恶心、呕吐、胸闷、呼吸困难)的情况.结果:两组入手术室后焦虑评分比较差异无统计学意义(P＞0.05),干预后比较差异有统计学意义(P＜0.05);实验组静脉置管一次成功率高于对照组(P＜0.01),体位不适发生率低于对照组(P＜0.05);两组硬膜外置管一次成功率及恶心、呕吐、胸闷、呼吸困难发生率比较差异无统计学意义(P＞0.05).结论:手术室短期综合干预能减轻患者焦虑程度,使静脉通路建立与麻醉穿刺操作更顺利,术中经过更平稳,为患者术后恢复打下良好基础.     

胃癌手术胃管置入时机临床对比分析

目的:探讨全麻状态下与常规术前未行麻醉时对患者行胃管置入术的差异。方法:将80例胃癌手术患者随机分为两组,对照组于术前30min在病房内行胃管置入术,实验组为全麻后行胃管置入术。观察两组患者胃管置入的成功率及在置胃管过程中有无恶心、呕吐、流泪、呛咳、疼痛反应及血压、心率变化。结果:实验组1次置管成功率明显高于对照组(P<0.05);置管过程中对照组不适反应发生率明显高于实验组,血压、心率波动范围对照组也明显高于实验组(P<0.01),两组比较,有显著性差异。结论:为提高胃管置入成功率,减少术前置入胃管导致患者不适,宜选择在全麻后置入胃管术。     

交替进镜法在经鼻肠梗阻导管置入术中的应用

目的探讨交替进镜法在经鼻肠梗阻导管置入术中的应用价值。方法将60例拟行经鼻肠梗阻导管置入术的肠梗阻患者随机分为实验组和对照组,各30例。实验组患者应用交替进镜法置管,对照组患者采用传统的经鼻肠梗阻导管内镜下置入法。比较两组患者一次性置管成功率、置管时间、脱管率及耐受性评分。结果实验组中29例患者一次性置管成功,对照组中21例患者一次性置管成功,实验组的成功率为96.67%,明显高于对照组的70.00%,实验组和对照组一次性置管成功率差异有统计学意义。实验组置管所用时间为(15.00±5.25)min,明显少于对照组(19.45±6.75)min;实验组脱管0例,明显低于对照组3例,实验组耐受性评分为(1.25±0.05)分,明显低于对照组(1.85±0.60)分,差异均有统计学意义(P 0.05)。结论交替进镜法在经鼻肠梗阻导管置入术中的应用提高了置管成功率,减少置管所用时间,明显地减轻患者术中的不适,无并发症,值得临床上使用和推广。     

穴位注射改善痔瘘手术患者留置尿管舒适度的效果

目的 探讨穴位注射八髎穴对改善痔瘘手术患者留置导尿管舒适度的效果.方法 将200例需留置尿管的痔瘘手术患者随机分为实验组和对照组各100例.对照组进入手术室后于麻醉前5 min留置尿管,实验组在接受八髎穴注射后2～5 min留置尿管.比较两组患者置入导尿管前后的心率、血压、置管时间、一次插管成功率、舒适度等.结果 与对照组比较,实验组患者的血压、心率、置管时间、一次插管成功率、留置导尿时及留置后12 h的舒适度等均有统计学意义.结论 八髎穴穴位注射能明显提高痔瘘手术患者尿管置管成功率,有效改善留置尿管的不舒适,减少常规及麻醉后留置导尿的不良反应.     

不同角度静脉穿刺患者疼痛及穿刺成功率的比较研究

目的 探求一种既能减轻患者疼痛又能提高穿刺成功率且能减少血管损伤的静脉穿刺角度与方法.方法 对200例患者采用自身对照法,在血管上方以20～30°、31～40°、41～50°、51～60°、>60°的角度,分别采取针尖斜面与血管纵轴平行方向(即针尖斜面向左或向右)直刺血管与传统的针尖斜面向上的穿刺方法,分为观察组和对照组进行疼痛程度和穿刺成功率比较.结果 2组比较存在差异性,观察组优于对照组(除外>60°穿刺成功率2组无差异).结论 采用针尖斜面与血管纵轴平行方向直刺血管,既能显著减轻患者疼痛又能提高穿刺成功率且能减少血管损伤,各方面均优于传统的针尖斜面向上的进针方法,且无论采用哪种进针方法,51～60°为最佳进针角度.     

多普勒超声在阴茎血流动力学检查中的应用

目的：研究多普勒超声在男性阴茎勃起功能障碍又称阳痿(ED)患者阴茎血流动力学检查中的作用。方法：120例ED患者使用多普勒超声阳痿诊断系统进行检查，在阴茎注射血管活性剂诱导勃起后，分别测量双侧阴茎海绵体动脉收缩期峰值流速(PSV)，舒张末期流速(EDV)以及阻力指数(RI)。结果：发现动脉性ED 23例(19．2％)；静脉性ED 39例(32．5％)；非血管性ED 58例(48．3％)。结论：多普勒超声在男性ED病因检查中具有较重要的应用价值。     

护理干预对男性留置尿管舒适度及并发症的影响

目的 探讨护理干预对男性留置尿管患者的舒适度以及并发症的影响.方法 收集2009年3月至2010年7月我科室留置尿管的102例男性患者,将其分为实验组51例和对照组51例.实验组将尿管固定在患者下腹部,以便于观察尿的颜色和尿量,导尿后每天清洁尿道口后予氯霉素眼水滴尿道口.注意插管操作,指导患者提肛肌等功能锻炼.对照组则进行常规无菌导尿护理.结果 实验组发生尿路感染伴发热2例,拔管后尿道口粘连1例,膀胱刺激征6例.感到重度不适1例(2.0%),中度不适11例(21.6%),轻度不适19例(37.3%),无明显不适20例(39.2%).实验组患者的尿路感染、尿道口粘连、膀胱刺激征等并发症发病率显著降低,舒适度明显较高.结论 护理干预对男性留置尿管患者的舒适度有显著改善作用,可以减少并发症的发生,提高生活质量,值得临床推广.