优质护理模式在心血管内科护理工作中的应用分析

目的研究分析心血管内科护理中优质护理模式应用效果。方法选取我院于2014年2月至2015年4月收治的96例心血管内科患者,将其均分为两组,对照组患者接受常规护理,观察组患者接受优质护理服务,对比两组患者的护理满意度以及生活质量优良率。结果两组患者实施护理后,观察组满意率为91.7%(44/48),对照组满意率为60.4%(29/48),观察组患者的护理满意度显著优于对照组,观察组患者的症状消失时间以及住院时间显著少于对照组,对比有统计学意义(P0.05)。结论采用优质护理模式给予心血管内科患者,可显著提高护理满意度,提高患者生命质量,值得在临床医学中推广使用。     

心血管内科护理工作中优质护理模式的应用

目的：探析优质护理模式在心血管内科护理工作中的临床应用价值。方法：选取2015年9月～2016年9月在我院心血管内科住院的136例患者为研究对象,根据患者入院时间先后将其平均分为对照组和观察组（68例／组）。给予对照组常规心血管内科常规护理,在对照组基础上给予观察组患者心血管内科优质护理,对两组的临床护理效果进行对比分析。结果：经护理后,观察组患者的疾病症状消失时间、住院时间、生活质量评分均明显优于对照组（P＜0．05）;观察组的护理满意度与对照组相比差异存在统计学意义（97．06％vs82．35％,P＜0．05）。结论：在心血管内科护理工作中应用优质护理模式,可缩短患者的治疗时间和住院时间,减轻其心理负担和经济压力,预后佳。同时,可降低护理不良事件发生率,提升患者满意度,有利于护患关系和谐发展,具有积极推广价值。     

优质护理在心血管内科护理中的应用

目的:研究优质护理模式在心血管内科护理工作中的应用效果。方法:选取2015年2月一2016年2月期间我院收治的80例心血管疾病患者,分为研究组与对照组,每组40例,研究组给予优质护理服务,对照组给予常规护理,对比观察2组患者的满意度、家属陪护率情况。结果两组比较差异有统计学意义(P0.05)。结论:在对心血管内科患者进行护理时应采用优质护理模式,优质护理模式能够有效的提高患者对护理的满意度及患者生活质量优良率,极大的缩短了患者的住院时间及临床症状消失时间,值得在临床中大力推广。     

优质和常规护理在心血管内科应用效果比较

目的比较优质护理与常规护理方法在心血管内科应用的效果。方法2011年6月—2013年6月,我院心血管内科收治的心血管疾病病人260例,随机分为观察组和对照组。观察组病人采用优质护理模式进行护理,对照组病人则采用常规护理方法进行护理。结果观察组病人并发症发生率、医患纠纷投诉率、病人临床症状消失时间、病人住院时间及对护理服务的满意度与对照组比较,差异有显著性(χ2=8.72~21.80,t=-16.32、15.30,uc=5.16,P<0.05)。结论在心血管内科采用优质护理模式,能够提升医患之间的信任度,更好地帮助病人进行康复,提高病人的满意度和生活质量,值得进行推广采用。     

优质护理模式应用于心血管内科护理工作中的临床价值分析

目的:探究优质护理模式应用于心血管内科护理工作中的临床价值。方法:选取我院2015年5月~11月应用优质护理模式进行护理的120例心血管内科疾病患者进行了分析,并将其作为观察组;另选取使用普通方式护理的120例心血管内科疾病患者作为对照组,比较两组护理的有效性以及护理满意程度。结果:观察组生活质量优良率的96.6%高于对照组生活质量优良率的83.3%;观察对护理总满意度的94.2%高于对照组对护理总满意度的66.7%,两组数据具有明显差异,具有统计学意义(P0.05)。结论:使用优质护理模式对患者进行护理,增强了患者的满足感以及生活质量,具有较高的临床应用价值。     

优质护理模式在心血管内科护理工作中的应用

目的 探讨分析优质护理模式在心血管内科护理工作中应用的效果.方法 选取我院2011年1月～2011年12月间收治的80例心血管内科患者,随机分为观察组和对照组,每组患者各40例.观察组患者给予优质护理模式服务,对照组给予常规护理模式服务,观察比较两组患者护理的满意度及患者生活质量优良率.结果 观察组患者的满意度为97.5%(39/40),对照组患者的满意度为75%(30/40),两组比较差异有统计学意义(P＜0.05).观察组患者生活质量优良率为77.5%(31/40),对照组患者生活质量优良率为62.5%(25/40),两组比较差异有统计学意义(P＜0.05).结论 优质护理模式服务能够提高患者对护理服务的满意度和患者的生活质量,同时也提高了护理人员的个人素质和护理水平.     

优质护理模式在心血管内科护理工作中的应用

目的：对优质护理模式在心血管内科护理工作中的应用的效果进行分析和探讨。方法选取心血管疾病患者100例,随机均分为2组（n=50）。观察组行优质护理模式服务,对照组采用常规护理。将2组患者的护理满意度及生活质量的优良进行比较。结果观察组满意度为94%（47/50）,对照组满意度为66%（33/50）,差异有统计学意义（P<0.05）;观察组生活质量优良率为84%（42/50）,对照组生活质量优良率为72%（36/50）,差异有统计学意义(P<0.05)。结论采取优质的护理可很大程度的提高患者对护理服务的满意程度及生活质量。     

探讨在心血管内科护理中的优质护理服务应用

目的:探讨优质护理服务在心血管内科护理中的应用价值。方法:选取2010年8月至2012年8月我院心血管内科收治的患者70例,其中35例患者采用常规护理方法进行护理,作为对照组,剩下的35例患者采用优质护理方法进行护理,作为观察组,以两组患者的护理满意度、生活质量评价及护理服务规范程度作为观察指标,并使用SPSS 13.0软件包进行统计学分析。结果:观察组患者的护理满意度明显优于对照组患者。P0.01;观察组患者护理后生活质量明显优于对照组患者,P0.01;观察组护理服务的规范化程度明显优于对照组患者,P0.05。结论:优质护理服务可以有效的规范心血管内科护理中的护理服务,对于提高患者的护理满意度和护理后生活质量均具有重要的意义,具有临床推广应用价值。     

优质护理模式在心血管内科护理工作中应用的效果

目的：分析优质护理模式在心血管内科护理工作中应用的效果。方法：本次研究对象取2013年9月～2014年9月期间来我院就诊的80例心血管内科患者,根据随机数字表法将其均分为对照组与观察组各40例,对照组采取心内科常规护理,观察组则采取优质护理模式,对比两组生活质量以及护理满意度,并对研究结果相关数据作统计学处理。结果：与对照组相比,观察组患者生活质量优良率以及护理满意度更高,组间差异显著而具有统计学意义（P ＜0．05）。结论：对于心血管内科患者而言,优质护理服务有利于改善其生活质量,提高护理满意度,同时也有利于改善心内科护理工作水平,值得推广使用。     

心血管内科临床护理中运用优质护理服务模式探讨

目的:对心血管内科临床护理中优质护理在应用进行探讨。方法:选取2012年6月至2014年12月我院收治的74例心血管内科患者,将其随机分为观察组(n=37)与对照组(n=37)。其中,观察组病例予以优质护理,对照组病例予以常规护理,对其病情及心理状况加以对比。结果:观察组病例症状消失时间为(4.21±1.07)d,显著优于对照组的(7.93±1.61)d,观察组病例住院时间为(7.43±1.25)d,显著低于对照组的(10.87±2.52)d;观察组对本次护理工作满意度达97.3%(36/37),显著优于对照组的75.7%(28/37),组间比较差异显著,有统计学意义(P均0.05)。结论:采用优质护理模式可有效提高心血管内科患者护理的有效率与患者满意度,有助于其临床治疗与恢复。     

Value of D-Dimers in patients with acute aortic dissection

Objective: To evaluatel the value of D-dimers in patients with acute aortic dissection (AAD). Methods: This study consisted of 16 patients with AAD and 27 non-AAD patients. Serum D-dimets were measured by Sta-Liatest D-DI immunoturbidimetric assay. Results: D-dimer level was higher (P ＜ 0.001) in patients with AAD(7.91 ± 5.52 μg/ml) than that in non- AAD group(1.57±1.24 μg/ml). D-dimer was positive (＞0.4 μg/ml) in all patients with AAD and in 10 control group patients (37%). Among patients with acute AAD, D-dimers tended to be higher in Stanford A than in Stanford B (8.67 ± 4.31 μg/ml vs. 3.24±1.27 μg/ml, P ＜0.01). D-dimer values tended to be higher in more extended disease(3.84 ± 1.65 μg/ml, 8.57 ± 3.58 μg/ml and 11.87 ± 5.69 μg/ml in thoracic aorta, thoracic and abdominal aorta, thoracic and abdominal aorta and iliacal arteries, respectively, P ＜ 0.05 for both 8.57 ± 3.58 and 11.87 ± 5.69 vs. 3.84 ± 1.65 ). Including the control group into the analysis, we found a sensitivity of 100%, a negative predictive value of 100%, and a specificity of 66% and a positive predictive value of 64% for D-dimer in diagnosis of AAD in our patients with suspected AAD. Conclusion: D-dimer was elevated in patients with AAD. A negative D-dimer test result could be useful in excluding AAD.     

Research of combined liver-kidney transplantation model in rats

Objective： To set up a simple and reliable rat model of combined liver-kidney transplantation. Methods： SD rats served as both donors and recipients. 4℃ sodium lactate Ringer＇s was infused from portal veins to donated livers,and from abdominal aorta to donated kidneys, respectively. Anastomosis of the portal vein and the inferior vena cava （IVC） inferior to the right kidney between the graft and the recipient was performed by a double cuff method, then the superior hepatic vena cava with suture. A patch of donated renal artery was anastomosed to the recipient abdominal aorta. The urethra and bile duct were reconstructed with a simple inside bracket. Results： Among 65 cases of combined liver-kidney transplantation, the success rate in the late 40 cases was 77.5%. The function of the grafted liver and kidney remained normal. Conclusion： This rat model of combined liver-kidney transplantation can be established in common laboratory conditions with high success rate and meet the needs of renal transplantation experiment.     

BLOOD PRESSURE CHANGE WITH AGE IN SALT-SENSITIVE TEENAGERS

Objective To observe blood pressure change with age in salt-sensitive teenagers whose salt sensitivity were determined by repeated testing.Methods Salt sensitivity was determined through intravenous infusion of normal saline combined with volume-depletion by oral diuretic furosemide in 55 teenagers. After five years, salt sensitivity was re-examined and subject blood pressure was followed up. Blood pressure changes in salt-sensitive teenagers were compared to that of non-salt sensitive teenagers over five years.Results After 5 years, the repetition rate of salt sensitivity determined by intravenous saline loading is 92.7%. In teenagers with salt sensitivity on the baseline, both the systolic blood pressure increments and increment rates were much higher than non-salt sensitive teenagers (12.7±12.1 mmHg vs. 2.8±5.2 mmHg, P＜ 0.01; 12.2%± 12.0% vs. 2.5% ±4.4%, P＜ 0.001,respectively). There was a similar trend for diastolic blood pressure (8.4 ± 6.4 mmHg vs. 3.7 ± 6.4 mmHg, P = 0.052; 13.2% ±10.6 % vs. 6.8%± 10.1%, P = 0.053, respectively).Conclusions Salt sensitivity determined by intravenous saline loading showed good reproducibility. Blood pressure increments with age were much higher in salt-sensitive teenagers than non-salt sensitive teenagers, especially in terms of systolic blood pressure.     

安心颗粒对急诊经皮冠状动脉介入术后生活质量影响的研究

目的：评价使用安心颗粒对急诊经皮冠状动脉介入术（PPCI）术后生活质量的影响.方法：将160例接受PPCI的急性ST段抬高型心肌梗死患者随机分为安心颗粒组（术前顿服安心颗粒8.8g,术后安心颗粒4.4 g/次,每日2次）和对照组（仅接受基础药物治疗）.所有患者均服用阿司匹林、氯吡格雷和阿托伐他汀.分别在入院时、出院前1d、出院后180 d时,应用心肌梗死多维度量表（MIDAS）、中文版SF-36评价量表对患者生活质量评分.并观察术后30 d以内的出血并发症、血小板减少症发生情况.结果：入院时和出院前1d,两组患者的心肌梗死MIDAS、SF-36量表评分比较无差异（P＞0.05）;出院后180 d时,与对照组比较,安心颗粒组MIDAS、SF-36评分明显减低（P＜0.05）;组内与入院时比较,两组出院前1d、出院后180 d时,MIDAS、SF-36评分均降低（P＜0.05）.两组患者在随访期间均无大量出血、少量出血、重度和极重度血小板减少症发生,安心颗粒组有4例、对照组有7例发生不明显出血（P＞0.05）.两组发生轻度血小板减少症的患者数比较无差异（P＞0.05）.结论：PPCI使用安心颗粒,能改善急性ST段抬高型心肌梗死患者的生活质量,且不增加出血风险.     

The comparative studies of the influences of Urapidil and Nicardipine on sino-atrial node function, atrio-ventricular node function and hemodynamics

Objective:To investigate the influences of urapidil and nicardipine on rabbit sinus function,atrio-ventricular node function and hemodynamics.Methods:Thirty-two Angora's rabbits were selected and randomly divided into four groups.U1 group:urapidil 0.25 mg/kg;U2 group:urapidil 0.5 mg/kg;N1 group:nicardipine 10 μg/kg;N2 group:nicardipine 20 μg/kg.All these medicine were administrated within 30 seconds.Measurements were taken before and after the administration of urapidil or nicardipine for the following data:mean blood pressure(MAP),heart rate(HR),sino-atrial conduction time(SACT),maximal sinoatrial recovery time(SNRTmax)corrected sinus node recovery time(CSNRT),index of sinus node recovery time(SNRTI),Wenckebach A-V conduction frequency (WB),and P-R interval.Results:Significant MAP and HR changes were identified in all of the four groups before and after administration of both urapidil and nicardipine.No significant changes could be found in the rest of the parameters.Intergroup analysis showed that SACT and CSNRT of N1 and N2 groups were shorter than those of the U2 group(P＜0.01);the MAP decreased(P＜0.01)and the HR increased drastically(P＜0.01).Conclusions:Neither urapidil(0.25 mg/kg,0.5 mg/kg)nor nicardipine(10μg/kg,20μg/kg)has any significant influence on rabbit sinus function or rabbit atrio-ventricular node function.Nicardipine could be a better choice than urapidil for parafunctional sinus node patients.     

Expression of OPGmRNA and ODFmRNA in the patients of hip fracture due to osteoporosis

Objective：To investigate the gene expression of osteoprotegerin（OPG） and osteoclast differentiation factor（ODF） in the bone tissue of patients with hip fracture due to osteoporosis. Methods：OPGmRNA and ODFmRNA in the bone tissue in 50 cases of osteoporosis sufferers（over 50 years old） with hip fracture（Observer Group） and 30 cases of hip facture sufferers with no osteoporosis（Control group） were analyzed with the Semi-Quantitative RT-PCR method. Results：The mRNA expressed of ODF, OPG were both high in the patients with hip fracture. In the control group, the expression of OPG mRNA was observed, while the expression of ODF mRNA was very slight. Conclusion：Aged patients contained all signals including OPG, ODF that are essential for inducing osteoclastogenesis and promoting bone resorption.     

Dynamic Changes in Serum Estradiol and Progesterone levels in Patients of Premenstrual Syndrome with Adverse Flow of Liver-qi

Objective:To probe into the influence of changes of ovarian hormones on the pathogenesis of the specific sub-type premenstrual syndrome(PMS)and reveal partial microcosmic mechanisms of adverse flow of liver-qi.Methods:Estradiol(E2)and progesterone(P)levels in serum were determined at different phases of menstrual cycle by radioimmunoassay.Results:In the group of PMS with adverse flow of liver-qi.the secretive peak value Of E2 and P at the follicular phase significantly decreased,and the secretive peak value at the luteal phase did not come into being.Conclusions:Low E2 and P secretive peak at the follicular phase and absence of secretive peak at the luteal phase is one of the microcosmic mechanisms of PMS with adverse flow of liver-qi.One of the pathophysiologic mechanisms of specific sub-type PMS is probably the continuous low level of E2and P.     

Real-time Three-dimensional Echocardiography in Assessment of Left Ventricular and Right Ventricular Volumes

Real-time three-dimensional echocardiography (RT3DE)is a new ultrasound technique that enables dynamic threedimensional visualization and quantification of the heart in real time. Investigation of feasibility and methodology of RT3DE in determining left ventricular (LV) and right ventricular (RV) volumes, RT3DE was performed in 35 normal adults using Philips SONOS 7500 system with a 2-4 MHz matrix array transducer. The 60°×60° "pyramid" volume database was obtained and analyzed on a TomTec echo workstation. Both LV and RV volumes were calculated with four 3DE methods (i.e. apical 2, 4, 8, and 16-plane) through manually tracing ventricular endocardial borders in end diastole and end systole. Stroke volumes were then calculated. LV volume was also measured by 2DE Simpson's rule using GE VIVID 7 ultrasound machine.     

SCREENING FOR A 21-CHROMOSOME ABNORMALITY IN PREIMPLANTED EMBRYOS OF ELDERLY WOMEN

Increasing maternal age is the only etiological factor unequivocally linked to Down's syndrome in humans. The occurrence rate of newborns with Down's syndrome is about 1/220 in women over 35 years old. However, the occurrence rate in embryos fertilized in vitro, of the elder woman is unclear. Using FISH we screened the number of chromosome 21 in preimplanted embryos of 5 elderly women (average age, 38.4 years) to study the feasibility and necessity of screening trisomy 21 in embryos in patients over 35 years old at the in vitro fertilization (IVF) center.     

Scientific principles and rigorous processes should be followed in developing clinical guidelines for therapeutic interventions of integrative medicine

A clinical guideline for the therapeutic interventions of integrative medicine may be defined as a written document which states a series of recommendations on therapeutic interventions of integrative medicine for a special disease or condition. The guideline may provide assistance to medical professionals in making clinical decisions aimed at improving the clinical outcome of patients and reducing the costs of medical care（~＇4~. Recommendations issued by a guideline should be based on the best available evidence in both Western and Chinese medicine. For fulfilling this purpose, the development of clinical guidelines for therapeutic interventions in the field of integrative medicine should follow scientific principles and undergo a rigorous processes.