新生儿败血症早发型与晚发型病原菌及其药敏分析

目的了解我院新生儿败血症早发型与晚发型病原菌分布及药敏情况,以指导临床抗生素的使用,降低耐药菌的产生。方法收集我院2006年1月1日～2008年12月31日血培养阳性的168例新生儿败血症患儿,根据发病时间分早发型和晚发型,对其病原菌、药敏情况及临床资料进行回顾性分析。结果早发型病原菌以凝固酶阴性葡萄球菌（CNS）、大肠埃希菌、肺炎克雷伯菌、金黄色葡萄球菌为主,晚发型病原菌以CNS、金黄色葡萄球菌、肠球菌、肺炎克雷伯菌为主。结论重视抗生素的合理使用,根据药敏选用合适的药物,减少耐药菌株的产生。     

2008年广西沿海地区碘缺乏病重点人群碘营养状况调查

Objective To investigate the nutrition status of the focus groups of iodine deficiency in the 5 coastal counties(districts)in Guangxi in 2008 to propose corresponding prevention and control measures.Methods In the 5 coastal counties(districts)in Guangxi,including Haicheng,Tieshangang,Yinhai districts and Hepu county in Beihai city,Qinnan district in Qinzhou city,the rates of iodized salt coverage,qualified iodized salt and consumption of qualified iodized salt had always been below the average level of Guangxi.In the study,6 towns were randomly picked in Hepu district,and 3 towns were randomly picked in each of the other 4 coastal counties(districts).Two administrative viRages were randomly picked in each town.Forty children ages 8 to 10 and 10 women of child-beating age from 18 to 42 which included 5 pregnant and lactating women,were picked from each administrative village.Arsenic-cerium catalyzed spectrophotometry(WS/T 107-2006)Was used to determine the urinary iodine.Results In total,1437 urine samples of the children Were picked.The median of the children's urinary iodine Was 191.0μg/L,with 1.4%(20/1437)of the children's urinary iodine<20 μg/L,and 5.4%(77/1437)<50 μg/L, and 20.3%(292/1437) < 100 μg/L. The medians of the children's urinary iodine were 134.5 - 220.0 μg/L.In Haicheng and Hepu, the medians of the children's urinary iodine were higher than 200 μg/L(220.0,209.5 μg/L, respectively). The medians of the children's urinary iodine in the other 3 counties(districts) were within the suitable range between 100 and 200 μg/L(134.5,162.4,199.3 μg/L, respectively). The medians of the 8- and 9-year-old ehildren's urinary iodine (192.3,206.7 μg/L, respectively) were higher than that of the 10-year-old children's(157.2 μg/L, χ2 = 19.644,41.997, all P < 0.017). Totally, 365 urine samples of the women were picked.The medians of the women's urinary iodine in the 5 counties were 88.2 - 195.6 μg/L, with 195.6 μg/L in Haicheng and 156.5 μg/L in Hepu, and 88.2 μg/L in Tieshangang, which was the lowest and below 100 μg/L. The median of the childbearing-age women's urinary iodine was the highest(152.6 μg/L). The median of the lactating women's urinary iodine was the second (131.9 μg/L). The median of the pregnant women's urinary iodine was the lowest (89.4 μg/L) and below 100 μg/L. Only 6.7%(2/30) of the pregnant women's urinary iodine were within the suitable range between 150 and 250 μg,/L. Conclusions In the 5 coastal counties(districts) in Guangxi, 8 to 10-year-old children had good nutrition levels while childbearing-age and lactating women were within the suitable range. As a whole, the pregnant women had insufficient iodine nutrition. We propose that the iodine nutritional status of pregnant women is monitored routinely, with further prevention, control measures, health publicity and education necessary to improve iodized salt coverage.     

甲钴胺穴位注射联合中药足浴治疗糖尿病周围神经病变疗效观察

目的 探讨甲钴胺穴位注射联合中药足浴治疗糖尿病周围神经病变的疗效.方法 将90例2型糖尿病周围神经病变患者随机分为治疗组、对照1组和对照2组,各30例.治疗组给予甲钴胺穴位注射联合中药足浴治疗,对照1组单纯给予甲钴胺穴位注射治疗,对照2组单纯给予中药足浴治疗,连续治疗4周.比较3组临床疗效、症状与体征积分及神经症状改善情况.结果 治疗组总有效率为93.3%,对照1组为86.7%,对照2组为76.7%,3组间两两比较,差异均有统计学意义(P＜0.05或P＜0.01).3组治疗后的症状与体征积分均低于治疗前,差异均有统计学意义(P＜0.05或P＜0.01);且治疗组的症状与体征积分均低于对照1组和对照2组,差异均有统计学意义(P＜0.05).3组治疗后腓、胫神经传导速度均快于各组治疗前(P＜0.01),且治疗组治疗后的腓、胫神经传导速度均快于对照1组和对照组2组(P＜0.01).结论 甲钴胺穴位注射联合中药足浴治疗糖尿病周围神经病变疗效显著,优于单纯甲钴胺穴位注射治疗和单纯中药足浴治疗.     

健康教育在消化内科护理中的作用

目的:通过健康教育,使患者建立良好行为.方法:采用全员护士参与,责任护士加强宣教.结果:改善护患关系,促进病人康复.结论:全员护士参与健康教育取得良好结果.     

HPLC法测定黄麦合剂中淫羊藿苷的含量

目的:建立HPLC测定黄麦合剂中淫羊藿苷含量的方法。方法:色谱柱:Diamonsil^TM C₁₈（250mm×4.6mm,5μm）,流动相:乙腈-水-醋酸（30:70:1）,检测波长:270nm,柱温:30℃,流速:1.0ml·min^-1。结果:淫羊藿苷浓度在3.12～100.00μg·ml^-1的范围之内,峰面积与浓度呈良好的线性关系（r=0.9999）。平均回收率为92.65%,RSD为2.57%。结论:本方法简便、快速、准确、重复性好,可用于黄麦合剂中淫羊藿苷的含量测定。     

HPLC法测定血浆中法罗培南浓度的不确定度分析

目的:对HPLC法测定血浆中法罗培南浓度的测量不确定度进行分析,以找到影响不确定度的因素,为评价检测报告提供科学依据。方法:根据《测量不确定度评定与表示》,并参考《化学分析中不确定度的评估指南》,对血浆中法罗培南含量测定进行测量不确定度的分析与评定。结果:标准不确定度为1.28μg·ml^-1,扩展不确定度为2.56μg·ml^-1,含量测定结果可表示为（10.14±2.56）μg·ml^-1。结论:建立的不确定度评估方法可用于HPLC法测定血浆中法罗培南含量的不确定度评估。测量不确定度的评定方法的确立对于血浆中法罗培南含量测定方法标准的研究具有重要意义。     

痛性眼肌麻痹1例报告及分析

1病例资料 患者男,54岁,记者,云南大理人,因＂3月内反复右眼部疼痛伴视物重影2次＂入院.患者于3月前无诱因出现右眼部持续性胀痛,以右眉弓处为甚,伴右眼红、肿、热、痛、视物模糊,病初向外及向下外方视物时有重影,曾在外院诊治,予“乏昔洛韦、泼尼松”治疗3d后复视消失,余症状于1周后好转．     

目标式健康教育在产妇中的应用

目的探讨有效的产妇健康教育方式,促进母婴健康。方法将740例初产妇随机分为目标组（390例）和常规组（350例）。常规组进行传统的健康教育;目标组从人院、产前、产时、产后到出院,根据每个阶段孕产妇的生理及心理特点制定具体的教育目标及内容,分别采用相应的方法进行教育。通过产妇对相关保健知识掌握情况、分娩配合程度、喂养方式和对护理服务满意情况4项指标、对两种健康教育的效果进行对比评价。结果目标组在产妇对相关保健知识了解程度（x^2=60．751,P〈0．01）、分娩配合程度（x^2=239．186,P〈0．01）、母乳喂养率（x^2=53．160,P〈0．01）和对护理服务满意情况（x^2=34．832,P〈0．01）均显著高于常规组,差异有统计学意义。结论目标式健康教育是一种切实可行、有效的健康教育方式,对产妇及新生儿的健康有十分重要的意义。     

麻醉专科护士发展中存在的问题及解决办法

麻醉护士是完成临床麻醉工作的中坚力量,但我国麻醉专科护士的发展存在着诸多问题。严重阻碍了麻醉护士的发展,也大大降低了临床麻醉护理的质量．随着中国医疗不断与国际接轨,     

甲状腺相关性免疫眼眶病眼眶减压术的整体护理

甲状腺相关性免疫眼眶病眼眶内容物取出术的成功与否与临床护理有着密切的联系,本文报道了我院眼科21例患者运用整体护理程序进行评估,提出护理应着重注意的问题有:恐惧心理、呼吸道梗阻、伤口出血、感染、营养失调等,由于对上述问题评估准确,护理实施得当,大大减少了术后并发症的发生,有效地保证了护理质量,提高了手术的成功率.