新生儿血型鉴定困难的探讨

目的探讨分析疑似B亚型的ABO溶血新生儿的血型。方法对患儿进行新生儿溶血病检测,对患儿ABO血型进行血清学鉴定和基因检测。结果 ABO血型血清学鉴定疑似B3,基因检测结果为B101/O01基因型。结论新生儿ABO血型鉴定困难时可以通过基因检测技术来进一步确认,待年龄到一周岁以后复查血型来验证为佳。     

86例新生儿静脉营养的临床护理

目的对新生儿应用静脉营养的临床护理经验进行总结.方法选择2010年2月至2011年10月我院收治的86例进行静脉营养的新生儿门诊住院患儿,观察其体重增长情况及是否有护理并发症或代谢合并症等发生.结果86例新生儿中,住院期间85例体重增长明显,且均没有护理并发症或代谢合并症等发生,1例患儿父母放弃治疗.结论对新生儿早期应用静脉营养不但能有效减少吸入性肺炎,代谢合并症及生后体重丢失,还能缩短住院天数,对新生儿早期的生长发育也非常有益.     

抗-N致ABO血型正反不符

目的探讨献血员ABO血型复查时出现正反不符的原因。方法常规微柱凝胶卡法对献血员进行ABO、Rh D血型复查,发现1例献血员血样出现ABO正反不符现象,排除自身凝集后进行不规则抗体筛查、抗体鉴定试验。结果经抗体鉴定与MN血型鉴定试验确定该献血员血样中检出Ig M类抗-N抗体。结论医院输血科在进行献血员ABO血型复查时能够及时发现由于盐水反应性冷抗体所引起的ABO正反定型不符从而发现ABO以外不规则抗体,将减少不必要的疑难交叉配血。     

合同护士权益保障与护理质量关系探讨

目的:维护合同护士合法权益,提高护理质量.方法:通过问卷调查了解合同护士对自身权益保障的需求及对护理工作的影响.结果:绝大多数合同护士对自身权益得不到保障而影响对护理工作的质量.结论:合同护士权益得到保障后,护理队伍稳定,护理质量提高,少数高学历优秀的合同护士走上了护理管理岗位,展现出了她们的才华,成为一支不可忽视的力量.     

广东省梅县重点人群碘营养状况调查分析

Objective To estimate the present salt iodine content and iodine nutrition need of high risk population of iodine deficiency disorder in Meixian County. Methods Each primary school was selected from urban and rural areas(Xiyang Town, 20 kilometers away from Meixian County), the goiter rate of 8 to 10 year-old students was examined and urinary iodine and household salt iodine was sampled. Twenty to 40 year-old women of childbearing age nearby schools around the urban and villages around Xiyang Town were selected to collect their urine and salt samples. At urban hospitals and rural health centers, 0 to 2 year-old infant urine samples were collected, Thyroid gland was palpated and urinary iodine was determined by iodine in urine by As3+-Ce4+catalytic spectrophotometry, salt iodine was determined by direct titration. Results The goiter rates of 8 to 10 year-old students were 1.5 % (3/200), 1.0% (1/100) for the urban area and 2.0% (2/100) for rural area. Median of urinary iodine in 8 to 10 year-old students, infants, women of childbearing age averaged at 237.1 μg/L and 280.1, 234.7,187.6 μg/L respectively, with each being 287.4,245.0,205.5 μg/L in urban area and 278.9,228.5,176.4 μg/L in rural area. Women of childbearing age had a higher percentage of urinary iodine < 50.0 μg/L than students,students had a higher percentage than infants, each being 7.5%(15/200), 4.5%(9/200), 4.0%(4/100). The ration of urinary iodine > 300.0 μg/L was more in infants than in students, that in students was more than that in women of childbearing age, each being 33.0% (33/100), 30.0% (60/200),22.5% (45/200). The median of salt iodine was 27.2 mg/kg. The coverage of iodized salt was 100.0%(400/400). Ninty-seven percent(194/200) and 96.0% (192/200) of qualified iodized salt were consumed in urban area and in rural area. Conclusions The amount of iodine added to salt meets the requirement in the 3 kinds population risk of iodine deficiency disorder. But a higher iodine status has been found out in students and infants. It is reasonable to decrease the present salt iodine content.     

临床护理路径在小儿肺炎健康教育中的应用分析

目的 探讨临床护理路径对小儿肺炎患者健康教育临床效果.方法 选择2009年2月～2011年10月收治的56例肺炎患儿,并随机分为观察组和对照组,每组各28例.观察组患儿及家属实施临床护理路径,对照组给予常规护理健康教育.比较两组患儿家属健康知识掌握情况,家属满意度及患儿住院天数.结果 观察组患儿家属健康知识掌握情况,家属满意度及患儿住院天数均显著优于对照组,且两组差异性显著,因而具有统计学意义(P<0.05).结论 采取临床路径对肺炎患儿及家属实施健康教育,有效提高健康教育的效果,减少患儿住院天数.     

高学历护士临床应如何使用的浅析

我院由2000年开始逐步引进本科护士5人,大专护士12人,我们按照对高级护理人才培养的目的和方法进行管理和培训,收到了良好的效果.     

两种低密度脂蛋白胆固醇测定方法的比较

低密度脂蛋白胆固醇（LDL—C）作为血脂异常防治的首要靶标,不仅对动脉粥样硬化（AS）和冠心病（CHD）的防治具有重要意义,而且已经渗透并应用于其他诸多临床相关专业疾病的研究中。长期以来,许多实验室都是用Friedewald公式（F公式）计算LDL—C的值。我院2004年3月-2008年9月期间,采用直接测定匀相法（以其准确、自动化等优点被大多的实验室所使用而成为常规测定方法）。为比较两种方法的差异,对相关资料进行了研究与分析。     

科际护理业务查房对提高护理工作质量的探讨

护理业务查房是评价护理质量的有效指标之一,也是理论指导实践有效提高护理质量的方法和手段,为了适应现代护理模式的转变,提高护理人员的理论水平和实际操作能力,提高护理质量,培养全科护士。近几年来,我院采取各临床科室轮流护理业务查房制,并不断总结护理业务查房的经验,改革护理业务查房的模式,收到了良好的效果。本文就科际护理查房的模式、内容及效果进行总结,以便在今后的护理工作中进一步探讨、完善。