连续护理干预模式对脊柱骨折伴脊髓损伤患者术后康复效果的研究

目的研究分析连续护理干预模式对脊柱骨折伴脊髓损伤患者术后康复效果。方法本项研究回顾了2017年2月—2018年7月间在某院采取了脊柱骨折伴脊髓损伤治疗的52例患者整个治疗过程的资料,将所有的患者使用数字双盲法将其分为了对照组(n=26)和观察组(n=26)。对照组患者使用护理措施为常规护理措施,观察组使用的护理措施为连续护理干预模式,在患者治疗完成后对比两个不同组别患者在围手术期期间各类指标和出现并发症概率。结果对照组患者手术下床活动时间、住院时间、住院所需费用以及患者并发症发生率均显著高于观察组,组别间数据对比差异具有统计学意义(P<0.05)。结论医护人员在进行脊柱骨折伴脊髓损伤患者的护理工作当中,对其采取连续护理模式可以降低患者并发症发生率,缩短患者住院时间,对患者身体的恢复具有显著意义。     

654例老年人心律失常临床探讨

报导了本院干部病房1993年1月～1996年12月1254份住院病人心律失常。其中老年组654例,男性548人,女性106人,年龄60～96岁。全部病例均做党规12导联心电图,部分病例做了24小时动态心电图或长时间心电监护。本组病例中发现,同一病例中有多种疾病存在,并同时存在多种心律失常。老年人心律失常是一种临床常见症状,但对其意义存在较大争议。本组病例均为各种疾病所致,且多为心血管疾病。认为应加强对基础疾病的治疗。     

粉防己伪品异叶马兜铃的生药鉴别

对粉防己的伪品异叶马兜铃的性状、显微及理化等生药特征进行了对比鉴别     

三磷酸腺苷静脉注射诱发快速性心律失常

本研究选择79例阵发性室上性心动过速患者,在窦性心律或诱发的室上性心动过速发作时分级递增静脉注射三磷酸腺苷332次,诱发出窦性心动过速194例次(58.43%)、房性反复搏动34例次(10.24%)、室上性心动过速13例次(3.92%)、偶发房性早搏8例次(2.41%)、阵发性心房颤动3例次(0.9%)和偶发室性早搏2例次(0.6%)。除室上性心动过速外,均为一过性。未引起血液动力学障碍。     

Aspiration flow optimized for nasal nitric oxide measurement.

The aim of the present study was to evaluate some of the factors which may influence the reliability of nasal NO measurements, and to optimize methods suitable for children and adults. Nasal nitric oxide (NO) output was determined by chemiluminescent analysis of aspirated samples in 16 adults and 6 children. With the velopharyngeal aperture closed, stable NO levels were obtained at flows ranging form 0.9 to 6.2 L/min. NO output averaged 401.0 +/- 145.4 nL/min./M2 in 6 children, 338.2 +/- 92.3 in 7 adult females and 268.6 +/- 70.2 in 9 adult males. Nasal NO output was independent of flow provided a stable plateau of NO value was reached. In this study, the optimal range of flows was 3.2-5.2 L/min. in adults and 2.2-3.2 L/min. in children. This enables selection of the most favorable flow to be chosen for individual subjects and situations.     

CAVM栓塞剂NBCA混悬液配比浓度的基础和临床研究

目的：定量分析动静脉畸形（AVM）栓塞到α－氰基丙烯酸丁酯（NBCA）混悬液配比与动静脉（A－V）循环时间之间的关系，探讨临床应用微导管栓塞脑AVM（CAVM）所需的最佳NBCA混悬液配比浓度。方法：（1）16例颅内出血患者的离体新鲜动脉血和浓度分别为20％，33％，50％，70％和80％的NBCA混合，测定不同浓度NBCA在离体新鲜动脉血中的凝固时间；（2）对1例AVM和1例AVF的5支供血动脉行超选择性栓塞治疗。结果：（1）不同浓度NBCA与离体新鲜动脉血凝固时间之间存在着指数函数关系，T（凝）＝e^1.9994-4.187D;(2)AVM栓塞术后畸开血管团闭塞约90％，AVF栓塞术后瘘口基本被封闭。结论：A－V循环时间与NBCA配比浓度之间存在指数函数关系，为临床运用微导管栓塞CAVM提供了一定的理论依据。     

刍议老年病房整体护理质量滑坡原因及分析

老年内科综合病房开展整体护理近五年,对照平时质量考评结果和病员满意度调查,深感整体护理质量提高缓慢,理论水平停滞于初级阶段。分析其原因,大致有以下几个方面:护士缺编,直接影响整体护理深入开展;理论基础薄弱,内涵质量提高缓慢;疏于指导,重于检查,护士积极性消减。建议采取以下措施:充实护理人员编制,为开展整体护理创造条件;进行岗前培训,建立考核上岗制;提高护理人员综合素质;提高检查者自身学术和实践水平,便于临床干预和规范;定期举办文件书写学习班,提高整体理论水平。     

Association of APOA5 c.553G>T polymorphism with type 2 diabetes mellitus in a Chinese population.

BACKGROUND: Several independent population studies have reported that c.553G>T polymorphism of the apolipoprotein A5 gene (APOA5) is associated with hypertriglyceridaemia. The aim of this study is to investigate the association between this genetic variation and the risk of type 2 diabetes mellitus. METHODS: In this study, APOA5 c.553G>T polymorphisms in 152 healthy individuals and 71 type 2 diabetes mellitus patients were detected by PCR-restriction fragment length polymorphism and agarose electrophoresis methods, and serum levels of lipids were also estimated by biochemical methods. RESULTS: The frequency of T alleles in the diabetes and control groups was 0.085 and 0.049, respectively. Compared with controls, there was no significant difference in the distribution of genotype and allele frequencies of c.553G>T polymorphic sites in diabetic patients (p=0.27 and p=0.15, respectively). However, the frequency of GT and TT genotypes and the T allele in the subgroup with hypertriglyceridaemia was significantly higher than that in the subgroup with normal triglyceridaemia in both the control group (p=0.034 and p=0.014, respectively) and the diabetes group (p=0.037 and p=0.007, respectively). In the diabetes and control groups, triglyceride levels in (GT+TT) genotype individuals were significantly higher than in GG genotype individuals (p=0.001 and p=0.003, respectively), and levels of low-density lipoprotein cholesterol were also significantly higher (p=0.044 and p=0.022, respectively). CONCLUSIONS: APOA5 c.553G>T polymorphism is not significantly associated with susceptibility to type 2 diabetes mellitus, but is associated with plasma triglyceride and low-density lipoprotein cholesterol levels.