手部肌腱损伤修复术后80例中药熏洗护理

目的：探讨手部肌腱损伤修复术后进行中药熏洗护理的效果。方法：手术治疗160例手部肌腱损伤患者,术后按护理方法不同随机分为实验组与对照组各80例。对照组行常规护理,实验组在此基础上进行中药熏洗护理。结果：经过术后6个月的随访,实验组手部功能恢复优良率达92.50%,对照组为81.25%,两组比较有显著性差异（P〈0.05）。结论：手部肌腱损伤修复术后,在常规护理的基础上进行中药熏洗护理可促进手部功能恢复。     

个案化认知教育在断指再植患者手功能恢复中的应用

目的:探讨个案化认知教育在断指再植患者手功能恢复中的应用方法及效果。方法:将2018年4月1日～2020年3月31日收治的82例断指再植患者随机分为研究组和对照组各41例;对照组采用常规健康教育,研究组实施个案化认知教育;比较两组患者出院当日手功能恢复情况,疼痛视觉模拟评分法(VAS)评分及症状自评量表(SCL-90)评分。结果:研究组手功能恢复优良率高于对照组(P0.05);干预后研究组VAS评分、SCL-90各维度评分均低于对照组(P0.05)。结论:个案化认知教育应用于断指再植患者,可促进患者手功能恢复,减轻患者疼痛程度,改善患者负性情绪,临床效果满意。     

手部肌腱损伤修复术后80例中药熏洗护理

目的:探讨手部肌腱损伤修复术后进行中药熏洗护理的效果.方法:手术治疗160例手部肌腱损伤患者,术后按护理方法不同随机分为实验组与对照组各80例.对照组行常规护理,实验组在此基础上进行中药熏洗护理.结果:经过术后6个月的随访,实验组手部功能恢复优良率达92.50%,对照组为81.25%,两组比较有显著性差异(P<0.05).结论:手部肌腱损伤修复术后,在常规护理的基础上进行中药熏洗护理可促进手部功能恢复.     

超激光联合中医理疗防治手部肌腱损伤修复术后肌腱粘连

目的:探讨超激光联合中医理疗对手部肌腱损伤修复术后肌腱粘连的防治效果。方法:将我院手外科2016年1月～2018年9月收治的60例行手部肌腱损伤修复术治疗患者按随机数字表法分为常规组和干预组,各30例。常规组实施超激光+常规外固定+康复训练干预,干预组实施超激光+中医理疗+常规外固定+康复训练干预。观察两组术后肌腱粘连程度,评价两组干预前后手灵巧度恢复情况,比较两组手功能恢复优良率。结果:干预组肌腱粘连发生率低于常规组,手功能恢复优良率高于常规组,干预后MMDT放置时间、翻转时间短于常规组(P0.05)。结论:手部肌腱损伤修复术后实施超激光联合中医理疗,可有效防治患者术后肌腱粘连,促进手功能及手灵巧度恢复。     

护理干预对重型颅脑损伤患者生存质量的影响

目的探讨护理干预对重型颅脑损伤患者生存质量的影响。方法选择2008年10月~2012年10月我科治疗的重型颅脑损伤患者210例,依据护理方式将其分为研究组和对照组,每组105例。对照组实施常规护理。研究组在对照组基础上实施早期护理干预。比较两组生活能力(ADL)及生存质量评分。结果两组出院时ADL评分与入院时比较有显著性差异(P0.05),两组出院时ADL评分比较有显著性差异(P0.05),对照组在出院时日常生活评分与入院时比较,有显著性差异(P0.05),但心理功能与社会功能及物质功能评分较入院时无显著性差异(P0.05);研究组出院时QOL总分、心理、社会、物质功能评分、日常生活评分较入院时有所改善,有显著性差异(P0.05),同对照组比较,有显著性差异(P0.05)。结论重型颅脑损伤实施早期护理干预,可以提高患者日常生活的能力,使生活质量得到改善,效果显著。     

个体化护理干预与常规护理在鼻咽癌患者放射治疗中的应用对比分析

目的探讨个体化护理干预、常规护理对接受放射治疗鼻咽癌患者的临床效果。方法选择收治的鼻咽癌患者78例,随机分为对照组和研究组各39例,均接受放射治疗。对照组采用临床常规护理,研究组在对照组基础上实施个体化护理干预,将两组不良反应发生率、生活质量评分及疼痛程度作为观察指标进行分析对比。结果两组不良反应发生率比较差异具有统计学意义(P0.05);研究组躯体功能、社会功能、心理功能及生活质量总分均显著高于对照组(P0.05);护理前两组VAS评分比较,差异无统计学意义(P0.05),护理后研究组VAS评分显著低于对照组,差异有统计学意义(P0.05)。结论对接受放射治疗的鼻咽癌患者而言,个体化护理干预较常规护理效果更显著,可降低不良反应发生率,减轻患者疼痛程度,改善生活质量,全面提高护理水平,值得临床广泛应用。     

分阶段康复护理对手指肌腱损伤修复术后患者的影响

目的:探讨分阶段康复护理对手指肌腱损伤修复术后患者的影响。方法:将150例接受手指肌腱损伤修复术治疗患者按护理方法不同分为观察组和对照组各75例,对照组采用常规护理,观察组在此基础上给予分阶段康复护理,比较两组护理效果。结果:观察组肌腱主动活动(TAM)优良率高于对照组(P0.05),手功能感觉恢复情况优于对照组(P0.05);观察组干预后3个月视觉模拟评分法(VAS)评分低于对照组(P0.05),Barthel指数评分高于对照组(P0.05);观察组并发症发生率低于对照组(P0.05),护理满意度评分高于对照组(P0.05)。结论:分阶段康复护理应用于手指肌腱损伤修复术后患者康复过程,能改善患者肌腱主动活动情况,促进手功能感觉恢复,缓解疼痛,减少并发症,提高日常生活能力和护理满意度。     

个案化身心诉求模式对脑卒中患者认知水平与躯体功能康复的影响

目的:探讨个案化身心诉求模式对脑卒中患者认知水平与躯体功能康复的影响。方法:将2019年9月1日~2020年7月1日接诊的84例脑卒中患者作为研究对象,采用随机数字表法将患者分为研究组和对照组各42例。对照组实施传统性护理,研究组实施个案化身心诉求模式。比较两组手部活动能力情况、干预前后疼痛程度[采用视觉模拟疼痛评分法(VAS)]及生理症状[采用症状自评量表(SCL-90)]。结果:研究组手部活动能力优良率高于对照组(P<0.05);干预后,研究组疼痛程度低于对照组(P<0.05);干预后,研究组SCL-90各维度得分均低于对照组(P<0.05)。结论:个案化身心诉求模式应用于脑卒中患者,能提高个体的认知水平,且能促进其躯体功能康复。     

心理干预对恶性肿瘤患者疼痛及不良情绪的影响

目的:探讨心理干预对恶性肿瘤患者疼痛及不良情绪的影响.方法:将440例恶性肿瘤患者随机分为研究组234例和对照组206例,对照组采用传统护理方法,研究组在此基础上配合健康教育进行心理干预,比较两组患者恐惧、疼痛、焦虑程度.结果:研究组恐惧、疼痛、焦虑程度均轻于对照组,两组比较有显著性差异(P＜0.05).结论:心理干预可有效减轻恶性肿瘤患者的恐惧、疼痛、焦虑程度,从而促进患者早日康复.     

屈肌腱滑动训练配合中药熏洗在手外伤患者手功能康复中的应用

目的 探讨屈肌腱滑动训练配合中药熏洗在促进手外伤患者手功能康复中的应用效果。方法 选取2017年8月—2020年8月本院收治的110例手外伤患者作为研究对象,按照双色球法将其随机分为研究组及对照组,每组各55例;两组均予以常规康复训练,对照组在此基础上予以中药熏洗治疗,研究组予以中药熏洗治疗联合屈肌腱滑动训练,比较两组干预前后手部肌力、活动度、整体功能、疼痛情况、生活自理能力及手部遗留症状。结果 干预后研究组手部各肌力、手部TAM评分、Carroll评分及Barthel指数均较干预前升高,高于对照组;干预后研究组VAS评分降低,低于对照组,手部遗留症状总不适率为20%,低于对照组(40%),P<0.05。结论 屈肌腱滑动训练配合中药熏洗可有效缓解手外伤患者的疼痛,减少肌腱粘连,改善手部遗留症状,促进手功能恢复,具有临床应用与推广价值。     

Penetrating orbital trauma by stiletto causing complex cranial neuropathies

Penetrating orbital injuries pose a serious threat to vision, ocular motility, and in some cases, life. Long, sharp stiletto objects may penetrate deeply, causing catastrophic damage to orbital structures, despite seemingly trivial entry wounds. The authors present two cases of penetrating orbital injuries by stiletto objects, both entering via small eyelid wounds. Traumatic optic neuropathy occurred in both cases, and was treated with corticosteroids, however the globes escaped direct injury. Injuries to the IIIrd and VIth cranial nerves were also observed. Deep orbital injuries must be excluded in patients presenting with small eyelid wounds caused by sharp penetrating objects.     

The Epidemiology and Diagnosis of Penetrating Eye Injuries

It is estimated that there are 3.1 penetrating eye injuries per 100,000 person-years in the United States. OBJECTIVES: To evaluate the epidemiology of penetrating eye injuries and to identify physical examination findings that facilitate the diagnosis and ophthalmologic referral of patients with these injuries. METHODS: This was a retrospective chart review of emergency department patients with penetrating eye injuries seen for evaluation from July 1987 to January 1999. The setting was a tertiary referral, university hospital. Three hundred eighty-four patients with 390 penetrating eye injuries were enrolled; 56% were transferred from outlying hospitals. RESULTS: Penetrating eye injuries were seen almost three times per month. Eighty percent of the injuries occurred in males, and the mean age was 29 years. Twenty-five percent of the patients had used alcohol in the period immediately preceding the injury. Final visual outcome was 28% with enucleation, "no light perception" (NLP) in 10%, light perception to 20/200 in 24%, and light perception of 20/200 or better in 38%. Poor visual outcome was associated with poor initial visual acuity, alcohol use, and delayed presentation (p = 0.036, 0.025, 0.036, respectively). Gun-related injuries caused 33% and motor vehicle crashes (MVCs) caused 21% of the worst outcomes (enucleation or NLP). In MVCs where seat belt use was reported, 71% of injured patients were unrestrained. The most common initial physical findings were hyphema (76%), abnormality of the pupil or uvea (94%), and initial visual acuity worse than 20/200 (77%). All patients had at least one of these findings. Complications occurred in 25% of cases, most commonly traumatic cataract or infection. Complications occurred more commonly in those patients transferred than in those presenting directly (p = 0.002). CONCLUSIONS: Penetrating eye injuries are relatively common, occur predominantly in young males, and often result in poor visual outcome in the affected eye. Motor vehicle crashes, alcohol use, and fire-arm use are associated with more severe injuries.     

Volar Plate Injuries of the Proximal Interphalangeal Joint

The proximal interphalangeal joint (PIPJ) is the articulating joint between the proximal and middle phalanges of the fingers. Hyperextension injuries to the PIPJ of the finger are one of the most common injuries of the hand. Volar plate injuries (VPIs) of the PIPJ typically occur as a result of forced hyperextension, sometimes with a degree of axial loading. As such, VPIs are a distinct possibility to consider in all hyperextension finger injuries. Recognition of the signs and symptoms of the different types of VPI encountered will assist in accurate diagnosis, thus ensuring that the treatment provided is optimal. This clinical feature provides an overview on the assessment, diagnosis, and treatment of “closed” VPIs of the PIPJ.     

严重腹部多发伤38例临床分析

目的：通过总结严重腹部多发伤的诊治经验，以进一步提高其救治水平。方法：回顾性分析2005年1月至2007年12月收治的38例严重腹部多发伤患者的临床资料。结果：38例均采用手术治疗，术中死亡2例，术后死亡1例,原因为失血性休克和多器官功能障碍综合征。结论：结合病史、体检、腹腔穿刺、腹部彩超、CT、X线检查等可提高诊断率．为腹部外伤治疗提供可靠依据。尽早行确定性手术治疗、快速有效止血、术中探查避免遗漏脏器损伤、正确处理合并伤是减少并发症、降低死亡率的主要措施。     

Needlestick and sharps injuries among Turkish nursing students: A cross‐sectional study

Irmak Z, Baybuga MS. International Journal of Nursing Practice 2011; 17 : 151–157 Needlestick and sharps injuries among Turkish nursing students: A cross‐sectional study This cross‐sectional study was performed to investigate the prevalence of and other factors associated with needlestick and sharps injuries (NSIs) among nursing students in Turkey. A total of 60 (19.4%) nursing students reported NSIs during the past 1 year. The most common item causing injury was from a syringe needle (54.0%). Among nursing students, giving intravenous/intramuscular injections (60.0%) was the most common cause of NSIs. In total, 31.7% were not using gloves when injured. A total of 68.3% of NSIs were said to have gone unreported in any official report. A total of 43.5% of the nursing students had not received the hepatitis B vaccine. Finally, no single sociodemographic variables were shown to be significant as a risk factor for needlestick and sharps injury during logistic regression analysis. To decrease NSIs among nursing students, an education programme related to NSIs and standard precautions must be provided and immunized against hepatitis B before beginning clinical practice.     

腹部创伤1076例临床分析

【目的】提高腹部创伤及合并伤的早期诊断和手术治疗水平。【方法】回顾分析2001年1月至2008年12月收治的严重腹部创伤1076例的临床资料。其中闭合伤893例（83．0％）,开放伤183例（17．0％）;手术治疗969例;腹内主要脏器损伤依次是脾、肝、胃、小肠、肾、结肠等。【结果】全组存活1040例（96．7％）,入院时血压为零被抢救成功114例,因手术并发症再次手术17例;死亡36例（3．3％）,多死于失血性休克。【结论】在严重腹部创伤时,耗时的诊断程序是不允许的,只有当病人血流动力学稳定时才可作必要的检查以避免遗漏多脏器伤;同时应积极手术,手术止血被认为是最根本的抗休克措施;多脏器损伤处理坚持“保全生命第一,保全器官第二”的手术原则。