新型敷料在糖尿病足护理应用中的效果观察

目的 探讨新型敷料在糖尿病足护理中的应用效果.方法 随机将83例糖尿病足患者分为两组,实验组采用新型敷料进行换药,对照组采用传统敷料进行换药.对两组局部溃疡的愈合率、愈合时间和换药次数进行比较.结果 实验组平均愈合时间较对照组缩短,换药次数低于对照组,且实验组局部溃疡愈合率明显高于对照组,两组之间有统计学差异（P＜0.05）.结论 新型伤口护理敷料能最大限度地减少糖尿病足伤口及周围皮肤的损伤,促进肉芽组织生长,降低截肢率,减少致残率,提高患者的生活质量.     

新型伤口护理敷料在治疗糖尿病足应用中的临床研究

目的:探讨新型伤口护理敷料在治疗糖尿病足中的应用。方法:将50例住院糖尿病足患者,随机分为两组:实验组24例,对照组26例,实验组采用新型伤口护理敷料进行换药,对照组采用常规敷料进行换药。并对两组局部溃疡的愈合率、愈合时间和换药次数进行比较。结果:实验组局部溃疡愈合率明显高于对照组(P<0.05),平均愈合时间较对照组明显缩短(P<0.05),且换药次数明显少于对照组(P<0.05)。结论:新型伤口护理敷料在治疗糖尿病足中的应用优于常规敷料,能最大限度地减少对伤口和周围皮肤的损伤促进肉芽组织生长,缩短愈合时间,减少换药次数,减少致残率,提高生活质量。     

藻酸盐敷料对糖尿病足部窦道伤口治疗的疗效观察

目的:观察采用藻酸盐敷料治疗糖尿病足部窦道感染伤口的临床治疗效果。方法:回顾性分析50例糖尿病足部感染性窦道伤口患者分为观察组和对照组各25例,按照窦道伤口基本情况相当的条件下,对照组采用传统换药法,观察组采用康惠尔藻酸盐敷料换药的方法。结果:在疗效、换药次数、伤口临床愈合时间、不良反应方面比较观察组明显优于对照组,而且患者的满意度高,两组之间比较差异有统计学意义(P<0.05)。结论:在糖尿病足部感染形成窦道治疗的过程中,通过严格的控制血糖及抗感染治疗,同时采用康惠尔藻酸盐敷料换药能够明显减少窦道换药次数,临床愈合时间明显缩短,伤口不良反应小,提高临床治疗效果以及患者满意度。     

速愈乐愈伤敷料用于糖尿病足换药效果观察

目的 探讨速愈乐愈伤敷料用于糖尿病足换药疗效的影响.方法 将40例糖尿病足患者随机分为观察组和对照组,每组20例.观察组采用速愈乐愈伤敷料换药治疗,对照组采用胰岛素和庆大霉素混合液喷洒伤口换药治疗,观察两组糖尿病足的治疗有效率、愈合时间、截肢率、患者满意率、住院费用.结果 观察组治疗有效率、愈合时间、截肢率、患者满意率优于对照组,两组差异均有统计学意义(P＜0.05).结论 速愈乐愈伤敷料用于糖尿病足换药能加速糖尿病足肉芽组织的生长,缩短伤口愈合时间,提高了治疗的有效率,减少致残率,在临床有着重要意义.     

封闭型敷料在伤口护理上的疗效观察

目的:观察封闭敷料在伤口愈合中的作用。方法:将68例计81处伤口按随机原则分为两组,伤口护理过程中,对照组伤口采用传统敷料换药,观察组采用封闭型敷料换药,比较两组创面恢复有效率、愈合时间、换药次数及时间。结果:观察组伤口愈合总有效率为100.0%,对照组为85.37%;观察组伤口平均愈合时间及换药次数与时间明显少于对照组,差异有统计学意义(P0.05)。结论:在有效处理伤口的基础上,封闭型敷料更有助于伤口愈合,减少换药次数。     

两种换药方法对卧床患者臀裂处皮肤损伤的临床效果观察

目的 观察水胶体敷料用于治疗卧床患者臀裂处皮肤损伤的效果.方法 将70例臀裂处皮肤损伤患者分为观察组和对照组各35例.观察组采用多爱肤水胶体敷料贴于患处;对照组采用传统油纱敷料外敷患处.观察对比两组患者的换药次数、臀裂处伤口的愈合时间、敷料及伤口被大小便污染的次数.结果 观察组患者的换药次数、臀裂处伤口的愈合时间均优于对照组,敷料及伤口被大小便污染的次数少于对照组,差异有统计学意义（P ＜ 0.05）.结论 水胶体敷料治疗臀裂处皮肤损伤效果确切,具有疗程短、有效避免大小便污染、减轻患者痛苦、减少护理工作量等优点,值得临床推广应用.     

新型敷料在糖尿病足溃疡中的临床应用

目的探讨新型敷料在治疗糖尿病足溃疡中的作用和效果。方法将46例糖尿病足溃疡患者随机分为观察组和对照组,分别使用新型敷料和传统敷料,比较两组治疗前后的踝肱指数(ABI)、治愈情况、换药次数及愈合时间。结果观察组患者总有效率和治疗前后ABI值明显高于对照组,观察组患者换药次数和创面愈合时间明显少于对照组,两者比较差异有统计学意义(P<0.05)。结论治疗糖尿病足溃疡时,不同时期使用不同的新型敷料能加速创面的愈合,减少患者的痛苦。     

洁悠神配合湿性敷料在伤口护理中的疗效观察

目的 探讨洁悠神配合湿性敷料在伤口护理中的疗效.方法 选取2015年4月~2016年3月在本院接受治疗的60例伤口患者的临床资料进行研究,按照护理方法的不同将患者分为对照组和观察组,各30例.给予对照组患者传统换药方法进行护理,给予观察组患者洁悠神配合湿性敷料进行护理,观察两组患者护理效果.结果 观察组患者的总有效率为93.33%明显高于对照组患者56.67%的总有效率,差异有统计学意义(P<0.05);观察组患者伤口愈合时间、均用药费用、换药次数等指标明显少于对照组,差异有统计学意义(P<0.05).结论洁悠神配合湿性敷料应用于伤口护理中能够有效控制伤口感染,缩短患者住院时间,提高护理满意度.     

探讨并分析伤口护理敷料对感染伤口换药的疗效

目的探讨并分析伤口护理敷料对感染伤口换药的临床疗效。方法选择我院2017年8月至2018年8月收治的141例患者(184处伤口)作为本次的研究对象,按照患者入院的先后次序将其随机分为观察组与对照组,观察组71例,对照组70例。对照组患者给予传统换药模式进行换药,观察组则给予伤口护理敷料处理感染的伤口,比较两组患者的治疗效果。结果经过治疗后,观察组的伤口治疗有效率为94.37%,明显高于对照组的68.57%,P0.05,具有统计学意义。结论采用伤口护理敷料的方式进行治疗,不仅可以减少换药的次数,还能观察患者的疼痛程度。根据患者的不同需求,治疗时可采用相应的敷料进行治疗。且敷药过程中能够保持伤口的湿润,从而提高其愈合率,能够有效减少患者的住院时间,值得应用与推广。     

新型敷料在门诊换药中的应用效果观察

目的 探讨新型敷料在门诊换药中的应用效果.方法 选取2012年1月以来在我科实施换药的368例患者,随机分为观察组和对照组,对照组给予传统方法换药,观察组给予新型敷料换药.比较2组患者的换药次数、创面愈合天数、不良反应发生率及有效率.结果 新型敷料组患者疗效明显高于对照组,差异具有统计学意义(P＜0.01).结论 采用新型敷料应用于门诊换药,可以有效促进创面愈合、预防创面感染、减少换药次数、明显减轻换药时的痛苦、缩短患者的就医时间、降低患者的换药费用,提高患者满意度,值得在临床进一步推广应用.     

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…     

Dr.Zhang Ren''''s Experience in the Acupuncture Treatment of Different Diseases with the Same Therapeutic Principle

Dr.Zhang Ren,the chief physician,is the chairman of Shanghai Acupuncture and Moxibustion Association.Having been engaged in medicine for about 40 years,he is experienced in treating various intractable diseases.In his long years of clinical practice,he advocates taking the TCM differentiation as the basis to seek for the acupuncture method for treatment of modern intractable diseases.The author of this essay had the fortune to follow Dr.Zhang in study.The following is a summary of Dr.Zhang's experience in the acupuncture treatment for different intractable diseases with the same therapeutic principle.     

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.     

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.     

猪肺磷脂注射液联合经鼻持续气道正压通气对呼吸衰竭早产儿的临床疗效及肌酸激酶同工酶活性的影响

目的 探讨猪肺磷脂注射液联合经鼻持续气道正压通气(NCPAP)对呼吸衰竭早产儿的临床疗效及肌酸激酶同工酶活性(CK-MB)的影响.方法 选取呼吸衰竭早产儿80例,分为观察组和对照组各40例.对照组采用NCPAP给氧治疗,观察组给予NCPAP给氧联合猪肺磷脂气管内给药.观察两组患儿治疗前及治疗12h、24 h后PaO2、PaCO2、血氧饱和度(SaO2)、pH的变化情况,检测治疗前及治疗5d后血清CK-MB水平;评估两组患儿的临床治疗效果.结果 两组患儿PaO2、PaCO2、SaO2、pH比较,差异均有统计学意义(P＜0.05),其中观察组治疗后的PaO2、SaO2、pH均高于对照组,PaCO2则低于对照组.两组的PaO2、SaO2、pH均随观察时间延长而升高(P＜0.05),PaCO2均随观察时间的延长而降低(P＜0.05).观察组治疗有效率为87.5％,显著高于对照组的70.0％ (P ＜0.05).治疗5d后两组患儿血清CK-MB水平均较前降低(P＜0.05),且观察组明显低于对照组(P＜0.05).结论 猪肺磷脂注射液气管内给药联合NCPAP可以显著降低呼吸衰竭早产儿CK-MB的含量,提高治疗有效率,起到很好的呼吸循环支持作用.     

Acupuncture Treatment of Vomiting

CASE HISTORY A female patient, 46 years old, head of the foreign affairs department of a certain university in Beijing, paid her first visit on October 9, 2006, with the chief complaint of vomiting for one month. She got vomiting after meals in early September. Before that, she had discomfortable sensation in the stomach due to angry with others, but she didn't pay much attention. Later, it developed into vomiting after eating. After the vomiting, the discomfort would be relieved, but with slight hypodynamia. She was once diagnosed as having 'neurogenic vomiting'. Having taken some western and Chinese drugs, the above symptoms were a little bit improved, but she would have nausea upon eating and with regurgitation. Because of the fear for vomiting, she did not dare to have food intake, with body weight reduction of 6 kilos in one month.     

Qiu Baoguo''''s Experience in Treating Consumptive Syndromes after Radio-Chemotherapies

Radiotherapy and chemotherapy are the important modern medical therapies for malignant tumors,yet they can also bring about serious local and systemic toxic side reactions so to decrease the patient;'s life quality,manifested by a series of consumptive symptoms.Having engaged in the combined work of Chinese and western medicine for nearly 50 years,the research fellow Qiu Baoguo in Henan Provincial Academy of TCM has developed his unique views on the TCM study of consumptive syndromes.The author of this essay had once the fortune tO follow Dr.Qiu in clinic,and specially would like to introduce in the following Dr.Qiu's experience in treating consumptive syndromes after radio-chemotherapies for patients with malignant tumor.     

Insomnia Due to Deficiency of Both the Heart and Spleen Treated by Acupuncture-Moxibustion and Chinese Tuina

OBJECTIVE: To observe therapeutic effects of the comprehensive therapy of acupuncture-moxibustion and Chinese Tuina for treatment of insomnia due to deficiency of both the heart and spleen. METHODS: 92 cases were divided randomly into the treatment group (treated by acupuncture-moxibustion and Chinese Tuina) and the control group (treated by acupuncture-moxibustion). RESULTS: The therapeutic effect of the treatment group was obviously superior to that of the control group (the CHI2 test showed P < 0.01). CONCLUSIONS: The comprehensive therapy of acupuncture-moxibustion and Chinese Tuina can give marked therapeutic effects for treatment of insomnia due to deficiency of both the heart and spleen.