火箭电泳法检测人血清C_3含量的方法探讨

本文采用减低抗血清浓度的方法,发现最终浓度在1∶400可得到满意的峰形及适宜的峰高。本法灵敏度为5.65μg/ml。在同一条件下重复10次,变异系数为1%。测定了正常男女共87人。结果为122.19±23.4mg/dl,与国内外文献报道基本相符。     

急性心血管事件院前急救的应急策略及流程探讨

Objective To study the strategy and process of out-hospital emergency care of acute cardiovascular events. Methods One hundred and eighty-three patients in the Second Affiliated Hospital of Baotou Medical College were prospectively studied. The patients were divided into two groups according to the different ways of out-hospital care, one group consisted of patients who received first-aid care after calling " 120" (94 cases), another was self-aid group consisting of patients sent to hospital by relatives (89 cases). The proportion of persons with higher than high school education and better knowledge for emergency care of patients with heart disease in first-aid group was higher than self-aid group (50. 0% vs. 29. 2%, 83.0% vs. 60. 7%, both P<0. 05). When the patients were brought to the emergency room, they were all treated according to our standard procedure and then registered. All patients were followed up at the end of first and third month after illness. Results Cardiovascular events were mainly myocardial infarction (61.7%) among 183 patients. There were statistically significant differences between two groups in self-aid response time, first disposal time and out-hospital rescuing time [(32.3 ± 5.6) minutes vs. (89.6±8.4) minutes, (47.3±7.3) minutes vs. (149.8±13.5) minutes, (61.7±8.3) minutes vs. [(149.8±13.5) minutes, all P<0. 01], but no difference was found in in-hospital rescuing time [(29. 9±5.3) minutes vs. (31.1±4.5) minutes, P>0. 05]. Morbidity rate was lower in first-aid group than self-aid group in 1st and 3rd month, respectively (2.1% vs. 9. 0%, 4. 2% vs. 12.4%, both P<0. 05). Conclusion Excellent emergency system and procedure can shorten initial disposal time and out-hospital rescuing time, thus improve patients' prognosis. The education level and health knowledge of patients and their raletives directly affect their mode of arriving hospital and prognosis.     

早期康复护理在重型脑外伤患者认知功能恢复及减少鼻饲并发症中的作用

目的探讨早期康复护理在重型脑外伤患者认知功能恢复及减少鼻饲并发症中的作用。方法将重型脑外伤患者80例随机分为正常组和实验组各40例,正常组采用常规护理,实验组采用早期康复护理,术后对2组患者的临床疗效进行对比分析。结果实验组鼻饲并发症发生率明显低于正常组,二者相比差异有统计学意义(P0.05)。实验组40例患者的LOTCA评分的6个方面均优于正常组患者,2组差异比较有统计学意义(P0.01)。并且实验组患者满意率远高于正常组(P0.05)。结论早期康复护理在重型脑外伤中的应用效果理想,可显著恢复患者的认知功能并减少鼻饲并发症的发生,值得临床推广。     

CRP在冠心病中的检测价值

目的：探讨C反应蛋白（CRP）在冠心病中的检测价值。方法将160例冠心病患者分为稳定性心绞痛（SAP）组、不稳定性心绞痛（UAP）组、缺血性心肌病（ICM）组、急性心肌梗死（AMI）组,分别检测各组患者入院时的CRP含量,与健康对照组CRP的含量进行比较。结果 SAP、UAP、ICM、AMI组的CRP含量与健康对照组比较,差异有统计学意义（P＜0.05）;SAP、UAP、ICM组的CRP含量与AMI组比较,差异有统计学意义（P＜0.05）。结论 CRP的含量高低对判断冠心病病情严重程度及预后有重要的临床价值。     

加强静脉治疗管理 提高临床护理质量

静脉输液是临床使用最频繁、最基本的护理操作之一,任何环节出现问题均可导致不良事件发生,给患者带来痛苦,严重者甚至会引发医疗纠纷。为给患者提供优质的护理服务,我们从静脉治疗的各个环节入手,对护理人员、药品安全、治疗环节等方面进行规范管理,从而提高了静脉治疗的安全性,增加了患者的满意度。     

护理风险管理在体检中心的应用

随着社会的不断进步及生活水平的逐步提高,人们对生活质量和生命健康的需求迅速提升[1-2]。定期体检、无病预防理念逐渐被人们所接受。体检中心作为新兴的医疗专业,发展前景和风险并存。护理风险管理是对护理工作中存在或潜在的风险事件及预防方法进行识别、评价,并寻求处置对策的科学管理方     

消毒供应中心护生带教方法和存在的问题及对策

目的探讨消毒供应中心护生带教方法和存在的问题及如何解决。方法对近0.5 a来40名实习护生的实习过程进行分析。结果经过实践和探索,使护生获得了满意的实习效果。结论理论联系实际,放手不放眼的思想指导具体带教工作,使实习护生充分认识消毒供应在预防与控制医院感染中的重要性,获得满意的实习效果。     

氨茶碱联合甲基强的松龙治疗小儿喘憋性肺炎临床观察

目的 观察氨茶碱联合甲基强的松龙治疗小儿喘憋性肺炎的临床疗效.方法 将80例喘憋性肺炎患儿随机分为治疗组和对照组,各40例,两组均给予综合治疗,有感染者给予静滴抗生素,抗病毒药物及呼吸道管理等,治疗组在综合治疗基础上同时给予氨茶碱、甲基强的松龙静滴.结果 治疗组在缩短喘憋及哮鸣音、湿啰音持续时间、住院时间均优于对照组.结论 氨茶碱联合甲基强的松龙治疗小儿喘憋性肺炎有明显疗效.     

重症肺炎导致多脏器功能不全综合征16例

由于长期大剂量使用抗生素或不合理的应用抗生素 ,使细菌产生耐药性 ,耐药菌种不断增加 ,使免疫力低下或老年患者出现重症肺炎。多脏器功能不全综合征 (MODS)是指患者机体遭受严重感染、创伤、烧伤或大手术等损害 ,2 4 h后顺序出现 2个 ,或 2个以上脏器功能不全 ,并达到各脏器功能障碍的标准 ,病死率达 30 %～ 10 0 %。临床资料1.一般资料自 1998年以来 ,我院收治重症肺炎 5 3例 ,出现 MODS16例。年龄 5 2～ 83岁 ,平均 6 7.5岁。发热 11例 ,体温达 4 0 .2℃ ,咳嗽 15例 ,呼吸困难 8例 ,胸痛 3例 ,肺部湿罗音 14例 ,胸片大片状密度增高…     

宫腹腔镜联合应用诊治不孕症临床探讨

不孕症是妇科常见疑难杂症,近年来有增加趋势,我院2006年3月至2010年3月对130例不孕症患者实施宫腔镜和腹腔镜联合诊断治疗,取得了良好效果,现报告如下.