新生儿婴幼儿乙肝疫苗接种后保护期监测及意义

(?)起在全国范围推行新(?)(?)里乙肝疫苗免疫(?)(?),这样在(?)后若干年可逐步控制青少年乙型肝炎的感染及传播。为贯彻卫生部这一指示,提高疫苗接种效果,我们开展了对新生儿、婴幼儿乙肝疫苗接种后保护跟踪监测管理工作。 1 对象与方法 监测对象是1992～1995年出生,医院管理辖区内的新生儿、婴幼儿189例,按0、1、6方案,建立     

新生儿科护理风险管理措施的应用体会

目的探讨护理风险管理措施在新生儿护理过程中的应用价值。方法选取我院治疗的新生儿的不良事件上报资料,分析其原因,并根据不良事件发生原因,制定护理风险管理措施;通过比较护理风险管理措施实施前后效果,说明护理风险管理措施在新生儿科护理中的效果。结果实施护理风险管理措施后,不良事件发生率降低了3.73%,患者满意度提升了7.12%。结论护理风险管理措施是有效避免不良事件发生的有效方式,要实现其作用,必须以相关制度规范护理人员的行为规范,并要求通过培训、教育、质量考评等方式,来落实护理风险管理措施。     

呼吸障碍为主要表现的新生儿颅内出血分析

目的探讨以呼吸障碍为主要表现的新生儿颅内出血的临床特点,以提高诊断率,降低死亡率和伤残率。方法回顾分析105例确诊为新生儿颅内出血中以呼吸障碍为主要表现的52例患儿临床资料。结果误诊15例、漏诊2例,放弃治疗4例、治愈44例、死亡4例。结论对围产期异常者,特别是早产儿,出现早期呼吸系统症状者,应高度重视颅内出血的可能;早期明确诊断,及时合理治疗是提高生存率和改善预后的关键。     

前列地尔不同输注方法对静脉血管影响的比较

前列地尔注射液（又名前列腺素E1，PGE1），有明显的扩张血管、抑制血小板凝聚的药理作用。可改善微循环，抑制血栓形成。临床常用于治疗缺血性心脑血管疾病，糖尿病肾病、周围神经病变及下肢动脉病变等。作者在临床使用中发现部分患者在静脉输注该药过程中出现明显的血管刺激症状及静脉炎，影响治疗的继续进行。而不同的输注方法对静脉的影响有明显的差异。为了最大限度减少此类不良反应发生，提高患者对治疗的依从性，遂对前列地尔治疗的不同输注方法发生不良反应情况进行临床观察。     

新生儿窒息糖代谢紊乱的观察及护理

我院2002年~2004年对103例窒息新生儿进行血糖动态观察护理,报告如下。1临床资料1.1一般资料本组103例,男72例,女31例,年龄0~10d,轻度窒息86例,中重度窒息17例。所有患者均无糖尿病史及糖尿病家族史。1.2方法该组患儿在入院前均无输糖史,入院后输糖前先测血糖。应用美国雅培Medisense Opti-um安妥血糖仪及相应配套血糖试纸。取足跟部毛细血管血测定入院时即刻血糖及2h、6h、12h血糖,以后每隔12h复测血糖一次,直至正常。血糖监测标准[1];凡出生24h内血糖低于2.2mmol/L,24h后对血糖低于2.2mmol/L~2.8mmol/L,称为低血糖症;血糖超过7mmol/L时…     

Statistical analysis on 2213 inpatients with traffic injuries from January 2003 to September 2005 in Ningbo city

Objective: To analyze the epidemiological conditions and characteristics of inpatients with traffic trauma in order to provide objective data for basic research and clinical application of traffic trauma. Methods: The data of 2213 inpatients with traffic trauma admitted to Lihuili Hospital, Ningbo Medical Centre, Ningbo, China, from January 2003 to September 2005 were studied retrospectively. According to the transportation ways, the patients were divided into four groups; pedestrians, bicyclists, motorcyclists, and automobilists. And the data of injured regions, combined injuries and causes of death were analyzed statistically. Results: Among the 2213 patients, there were 550 pedestrians (23. 5%), 521 bicyclists (24.9%), 738 motorcyclists (33.3%), and 404 automobilists (18.3%). Male patients were more than female ones, with the ratio of male to female of 2.8:1. Single region injury was found in 1663 patients (75.15%) and multiple injuries in 550 patients (24.85%). In total, 2849 regions were injured. Fracture of extremities (53.3%) occurred most often, craniocerebral trauma (19.4%) next, then followed in turn by thoraco-abdominal visceral injury (6.56%), spine fracture (5.37%), fracture of ribs (4.88%), and pelvic fracture (4.18 %). The percentage of multiple injuries (33.2%) was highest and the percentage of thoraco-abdominal injury (18.0%) was higher in motorcyclists. The percentages of craniocerebral trauma in pedestrians and bicyclists were 27.8% and 28.2%, respectively. The incidence of fracture of extremities in motorcyclists reached 73.8%, but with the lowest case-fatality ratio of 1.4%. The incidence of traffic accidents caused by motorcyclists themselves (32.8%) was highest. A total of 56 patients died, with the case-fatality ratio of 2.53%. Among the deaths, 47 died from craniocerebral injury, 6 from multiple fractures combined with hemorrhagic shock, 2 from combined injury in the thoraco-abdominal region, and 1 from cervical cord injury. Conclusions: Nowadays, the patients with traffic trauma are mainly pedestrians, bicyclists and motorcyclists, and they suffer generally from fracture of extremities and craniocerebral injury. The main cause of death is craniocerebral injury. Another characteristic of traffic trauma is that the ratio of multiple injuries is higher.     

薄层扫描法测定护肾痛风泰颗粒中熊果酸的含量

目的:建立测定护肾痛风泰颗粒中熊果酸含量的方法.方法:采用锯齿形反射双波长薄层扫描法对熊果酸进行含量测定.结果:熊果酸在1～5μg内线性关系良好,回收率99.83%,RSD为0.41%.理论:此方法准确,灵敏度高,可作为该制剂控制熊果酸含量的方法.     

加味真武汤的薄层鉴别

目的：建立加味真武汤的薄层鉴别质量控制方法。方法：用薄层色谱法对加味真武汤进行定性鉴别。结果：本方法可行，质量可控。结论：该方法简便、制剂质量可控。     

薄层扫描法测定护肾痛风泰颗粒中熊果酸的含量

目的：建立测定护肾痛风泰颗粒中熊果酸含量的方法。方法：采用锯齿形反射双波长薄层扫描法对熊果酸进行含量测定。结果：熊果酸在1～5pg内线性关系良好，回收率99．83％，RSD为0．41％。理论：此方法准确，灵敏度高，可作为该制剂控制熊果酸含量的方法。     

消炎止痒熏洗剂的薄层层析鉴别

目的：建立消炎止痒熏洗剂的薄层鉴别方法。方法：采用薄层色谱法分析大黄、苦参、黄柏、野菊花，并与消炎止痒熏洗剂相对照。结果：苦参、黄柏在与之对照品色谱相应的位置上显相同颜色的斑点；大黄、野菊花在与之对照药材色谱相应的位置上显相同颜色的斑点。结论：此方法准确，可作为该制剂的质量控制方法。