氟伐他汀对缺血性脑卒中患者的疗效观察及护理措施

Objective To explore the effect and nursing main points of fluvastatin on the patients with cerebral arterial thrombosis. Methods Eighty-five patients with cerebral arterial thrombosis were randomly divided into three groups. Group Ⅰ was the negative control group. Group Ⅱ was the conventional-dose therapy group and group Ⅲ was the high-dose therapy group. Each group was treated with related therapy and care. The blood lipids in all groups were tested before the treatment, 4 weeks, 12 weeks and 24 weeks after the treatment; the carotid intima-media thickness (IMT) were measured by the Germany SEQUOIAS-512-B ultra machine before the treatment and 24 weeks after the treatment; At the same time, the side effects of fluvastatin were recorded. Results The results of blood lipid tests showed that the LDL, TC and TG in two treated groups were significantly decreased compared to negative control group (P<0.05). After treated for 24 weeks, the carotid intima-media thickness (IMT) in two treated groups were significantly reduced (P<0.05); the side effects of fluvastatin were infrequent and there was no significant different among the three groups (P>0.05). Conclusion The effects of different doses of fluvastatin on cerebral arterial thrombosis were significantly different. With the dose of fluvastatin increased, the serum LDL-L and TC reduced more obvious and the inhibition on carotid atherosclerosis shows more obvious, and the side effects did not increased.     

高压氧治疗重型颅脑损伤的临床观察

目的：观察高压氧治疗重型颅脑损伤的效果,以便降低重型颅脑损伤病人的致残率和病死率。方法：对118例重型颅脑损伤患者,随机分为两组,分别采用高夺氧治疗和常规治疗,观察比较两线动脉血氧分压变化,症状与体症的改善情况,日常生活能力和动态GCS计分,结果：高压氧组疗效明显高于常规治疗组。结论：高压氧治疗重型颅脑损伤,有助于缺血,缺氧病变的功能恢复,降低脑外伤后神经功能障碍及并发症,后遗症的发生率,提高生活质量。     

氟伐他汀对缺血性脑卒中患者的疗效观察及护理措施

Objective To explore the effect and nursing main points of fluvastatin on the patients with cerebral arterial thrombosis. Methods Eighty-five patients with cerebral arterial thrombosis were randomly divided into three groups. Group Ⅰ was the negative control group. Group Ⅱ was the conventional-dose therapy group and group Ⅲ was the high-dose therapy group. Each group was treated with related therapy and care. The blood lipids in all groups were tested before the treatment, 4 weeks, 12 weeks and 24 weeks after the treatment; the carotid intima-media thickness (IMT) were measured by the Germany SEQUOIAS-512-B ultra machine before the treatment and 24 weeks after the treatment; At the same time, the side effects of fluvastatin were recorded. Results The results of blood lipid tests showed that the LDL, TC and TG in two treated groups were significantly decreased compared to negative control group (P<0.05). After treated for 24 weeks, the carotid intima-media thickness (IMT) in two treated groups were significantly reduced (P<0.05); the side effects of fluvastatin were infrequent and there was no significant different among the three groups (P>0.05). Conclusion The effects of different doses of fluvastatin on cerebral arterial thrombosis were significantly different. With the dose of fluvastatin increased, the serum LDL-L and TC reduced more obvious and the inhibition on carotid atherosclerosis shows more obvious, and the side effects did not increased.     

围生期妇女便秘的影响因素

目的 了解围生期妇女便秘发生情况及其影响因素。方法 选取该院2014年1~10月160例围生期住院妇女作为研究对象,采用自行设计便秘相关因素调查问卷,对160例围生期妇女便秘相关因素进行问卷调查。结果围生期妇女便秘发生率为10.6%(17/160)。初中及以下文化程度及年龄大于28岁者便秘发生率高于高中及以上文化程度及年龄20~28岁,差异有统计学意义(P<0.05)。不同文化程度围生期妇女保健知识知晓率不同,文化程度越高获得便秘预防知识越多,差异有统计学意义(P<0.05或0.01)。结论 减少和避免围生期妇女便秘,主要是根据不同年龄、文化程度对围生期妇女进行饮食、活动、生活方式等方面进行健康教育,以预防围生期妇女发生便秘。     

子宫切除术患者的心理状态分析及干预

目的 分析子宫切除术患者的不同心理状态及实施护理干预的效果.方法 选择子宫切除术患者145例,随机分为对照组72例及干预组73例,干预组除行常规妇科腹部手术护理外,对患者不同心理状态进行调查分析及实施系统的护理干预;对照组则行常规护理.应用(SCL-90)进行问卷调查,国内常模调查作比较,数据处理采用t检验.比较2组心理负性情绪和生活质量.结果 干预组的心理负性情绪明显下降(P＜0.01).结论 医护人员应重视患者心理状态,积极进行护理干预能有效改变其负性心理,有利于患者的身心康复,提高生活质量.     

汽化电切术治疗良性前列腺增生症的护理

目的观察经尿道前列腺汽化电切术(TURVP)治疗良性前列腺增生症的效果并总结护理经验。方法对80例前列腺增生症患者实施TURVP,观察治疗效果及实施针对性护理。结果患者术后出现电切综合征(TURS)2例,伤口疼痛7例,管道堵塞2例,泌尿感染1例,泌尿道出血3例,经对症处理后痊愈。结论术前做好心理护理及术前准备,术后密切观察病情的变化,及时预防处理并发症,是使患者顺利康复的重要保证。     

我院泌尿科护士手消毒的情况分析

目的 调查分析我院泌尿科护士手消毒的情况.方法 对泌尿科护士22人在洗手和手的消毒措施前后,检测手部进行细菌菌落.结果 手消毒前菌落数比消毒后高84.86%,合格率仅占9.1%,经统计学处理发现消毒后手的带菌数显著减少,合格率显著提高(P＜0.01).结论 合理有效的洗手及手消毒,可有效降低手的带菌数,减少或杜绝由护士手而引起的医院交叉感染.     

护理程序在体外循环心脏术后病人监护中的运用

笔者通过对202例体外循环心脏手术后病人运用护理程序进行整体监护,包括对心脏手术病人的术前、中、后的全面评估,准确地提出病人现存的或潜在的健康问题或护理诊断,正确地制订详细的护理计划;主管护士整体护理水平提高,健康教育到位,护理计划如期实施,病人得到高质量的监护,病情恢复快,致使监护时间明显缩短,平均缩短了8.18 h,经t检验,t=13.93,P＜0 001.并发症发生率下降了4.30%,死亡率下降了1.42%.     

氟伐他汀对缺血性脑卒中患者的疗效观察及护理措施

Objective To explore the effect and nursing main points of fluvastatin on the patients with cerebral arterial thrombosis. Methods Eighty-five patients with cerebral arterial thrombosis were randomly divided into three groups. Group Ⅰ was the negative control group. Group Ⅱ was the conventional-dose therapy group and group Ⅲ was the high-dose therapy group. Each group was treated with related therapy and care. The blood lipids in all groups were tested before the treatment, 4 weeks, 12 weeks and 24 weeks after the treatment; the carotid intima-media thickness (IMT) were measured by the Germany SEQUOIAS-512-B ultra machine before the treatment and 24 weeks after the treatment; At the same time, the side effects of fluvastatin were recorded. Results The results of blood lipid tests showed that the LDL, TC and TG in two treated groups were significantly decreased compared to negative control group (P<0.05). After treated for 24 weeks, the carotid intima-media thickness (IMT) in two treated groups were significantly reduced (P<0.05); the side effects of fluvastatin were infrequent and there was no significant different among the three groups (P>0.05). Conclusion The effects of different doses of fluvastatin on cerebral arterial thrombosis were significantly different. With the dose of fluvastatin increased, the serum LDL-L and TC reduced more obvious and the inhibition on carotid atherosclerosis shows more obvious, and the side effects did not increased.     

康复干预对食管癌三切口根治术后并发症预防的评价

目的探讨康复干预对食管癌三切口根治术后早期康复的效果影响。方法对102例食管癌三切口根治术患者随机分为康复组(n=52)和对照组(n=50)。康复组于手术前实施心理、抗疼痛指导,手术前、后实施规范呼吸训练。对照组按常规护理、健康指导和随意锻炼。结果两组在术后止痛剂的应用、自行排痰时间、术后并发症的发生等比较均有统计学意义(P<0.01);术后第12天生存质量明显提高(10项指标评价均P<0.01)。结论本项康复干预设计的实施,能有效预防术后并发症,促进患者早日康复,明显提高早期生存质量。