重症脑外伤患者气管切开的护理

目的:探讨重症脑外伤患者气管切开后可能出现的护理问题及护理措施,以减少气管切开的并发症,降低患者的病死率。方法:通过对48例重症脑外伤患者气管切开后实施严格套管管理、吸痰护理,及时堵管和拔管等措施进行观察和评价。结果:48例重症脑外伤患者气管切开后均未发生肺部感染痰液堵塞呼吸道引起缺氧和窒息、气管切口感染等并发症和不良反应。结论:细致合理的护理是气管切开患者获得预期目标的重要保证。     

ICU气管切开患者肺部感染的护理干预效果

目的:探讨ICU气管切开患者肺部感染的护理干预效果。方法:将2017年2月-2018年6月90例ICU气管切开肺部感染患者随机分组,对照组遵循常规护理,实验组落实全面护理。比较两组ICU气管切开肺部感染患者满意水平;住院时间、ICU气管切开肺部感染认知;护理前后患者炎症因子指标。结果:实验组ICU气管切开肺部感染患者满意水平高于对照组,P0.05;实验组住院时间、ICU气管切开肺部感染认知优于对照组,P0.05;护理前两组炎症因子指标相似,P0.05;护理后实验组炎症因子指标优于对照组,P0.05。结论:全面护理在ICU气管切开肺部感染护理中的干预结果确切,可控制机体炎症,缩短住院时间,提高认知水平,患者满意水平高。     

重症脑外伤患者气管切开的护理

目的：探讨重症脑外伤患者气管切开后可能出现的护理问题及护理措施,以减少气管切开的并发症。方法：通过对38例重症脑外伤患者气管切开后实施严格套管管理、吸痰护理,及时堵管和拔管等措施进行观察和评价。结果：38例重症脑外伤患者气管切开后均未发生肺部感染痰液堵塞呼吸道引起缺氧和窒息、气管切口感染等并发症和不良反应。结论：细致合理的护理是气管切开患者获得预期目标的重要保证。     

重症脑外伤患者气管切开的护理

目的：探讨重症脑外伤患者气管切开后可能出现的护理问题及护理措施，以减少气管切开的并发症，降低患者的病死率。方法：通过对48例重症脑外伤患者气管切开后实施严格套管管理、吸痰护理，及时堵管和拔管等措施进行观察和评价。结果：48例重症脑外伤患者气管切开后均未发生肺部感染痰液堵塞呼吸道引起缺氧和窒息、气管切口感染等并发症和不良反应。结论：细致合理的护理是气管切开患者获得预期目标的重要保证。     

系统化护理干预在ICU气管切开患者肺部感染防治中的应用效果

目的:探讨系统化护理干预在ICU气管切开患者肺部感染防治中的应用效果。方法:将我院ICU病房2015年12月—2017年12月收治的90例气管切开患者随机均分为对照组(实施常规护理)与研究组(实施系统化护理),比较两组的护理效果。结果:护理后,研究组的肺部感染发生率和护理满意率均优于对照组(P <0. 05);研究组的平均机械通气时间与入住ICU时间均短于对照组(P <0. 05)。结论:对ICU气管切开患者实施系统化护理干预十分有必要,值得推荐。     

探讨重症高血压性脑出血患者气管切开的综合气道护理对策

目的总结重症高血压性脑出血患者气管切开的综合气道护理对策。方法筛选2015年02月至2016年02月我院收治的重症高血压性脑出血气管切开患者70例,进行分组:干预组(n=36例,施以综合气道护理);常规组(n=34例,施以一般护理),对两组护理效果进行对照。结果干预组肺部感染率、住院时间均优于常规组(P0.05)。结论当重症高血压性脑出血患者行气管切开时,施以综合气道护理,能降低患者肺部感染率,减少住院时间。     

重症高血压性脑出血患者气管切开后综合气道护理的方法及效果

目的分析重症高血压性脑出血患者气管切开后综合气道护理的方法及效果;方法选择我院2014年1月至2015年1月收治的重症高血压性脑出血切管切开患者50例,按照随机原则将全部患者分成对照组和实验组各25例,对照组患者给予常规护理干预,实验组患者则在常规护理干预的同时采用综合气道护理,对比分析两组患者的护理干预效果;结果实验组患者的肺部感染发生几率显著低于对照组,实验组患者的住院时间显著短于对照组,两者比较差异有统计学意义(P0.05)。结论在重症高血压性脑出血患者气管切开后,通过综合气道护理干预能让患者的住院时间缩短,让患者的肺部感染发生几率降低,值得临床推广和应用。     

ICU重症颅脑损伤患者气管切开呼吸道护理体会

目的总结ICU重症颅脑损伤并气管切开的护理措施及体会。方法对28例重症颅脑损伤并行气管切开患者进行正确及有效的护理。结果本组ICU平均住院时间为7.8天。院内获得性肺部感染发生率为7.14%(2/28),感染者ICU住院时间9天以上。结论 ICU重症颅内损伤并气道切开护理的关键是适当的气道湿化、合适的套管和吸痰方法、合理的吸痰时机以及无菌操作,以减少刺激因素和气道损伤,降低肺部感染等严重并发症的发生率。     

重症脑外伤患者气管切开的护理体会

目的：探讨重症脑外伤患者行气管切开手术后的护理方式。方法：对我院2011年7月至2012年7月收治的42例行气管切开的重症脑外伤患者进行相关护理,包括气管套管管理、气道湿化、吸痰护理、伤口护理、堵管实验及拔管,观察患者的情况变化及效果。结果：本组42例患者,无1例出现痰液堵塞呼吸道而窒息或缺氧,未出现肺部感染等较为严重的并发症。结论：科学有效的护理措施能够保障气管切开患者的治疗效果,提高患者的生活质量。     

集束化护理在神经外科重症患者气道管理中的应用

目的探讨集束化护理在神经外科重症患者气管切开术后气道管理中的应用效果及优势。方法对2016年7月至12月的重症气管切开患者(n=65)进行回顾性调查分析做为对照组,并于2017年1月至6月对我病区所有重症气管切开患者(n=60)实施集束化护理做为观察组,对照组采取常规气道护理,观察组采用集束化护理,将两组患者的相关临床指标进行对比。结果与对照组相比,观察组患者在实施集束化护理措施后气管套管堵塞率降低、肺部感染发生率降低、气管切开开放时间缩短、住院天数缩短、平均住院费用下降及患者满意度提高。结论集束化护理在神经外科重症患者气管切开术后气道护理管理中的应用效果显著,具有实际的应用价值,值得临床推广。     

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.     

Survey and practice of reporting quality of randomized controlled clinical trials on traditional Chinese medicine

Evidence obtained from randomized controlled trials （RCTs） has been generally accepted as the gold standard in the evaluation of clinical effectiveness. Readers need to understand the trial design, implementation, results, analysis and interpretation, so as to fully Jnderstand the results of RCTs. Thus, the investigators of RCTs have to report these items in a complete, accurate and clear manner. Since 1998, we have conducted several evaluations on the reporting quality of RCTs published in Chinese journals on traditional Chinese medicine （TCM） and results have shown that there is an urgent need for higher quality RCTs on TCM.