优质护理服务在门诊输液护理中的应用效果

目的：评价在门诊输液室实施优质护理服务的效果。方法：回顾性抽取优质护理服务前的400例门诊输液患者满意度调查表作为对照组,抽取实施优质护理服务后的400例门诊输液室患者满意度调查表作为观察组,比较两组患者及家属的满意度。结果：开展＂优质护理服务示范工程＂活动后,患者的满意度明显高于活动前,差异有统计学意义（P〈0.05）。结论：对门诊输液室患者实施优质护理措施,可以改善护理服务,规范护理行为,确保护理服务安全,能显著提高护理服务质量,提高患者及家属的满意度。     

人性化护理服务在门诊输液室护理中的应用效果评价

目的：评价人性化护理服务在门诊输液室护理中的应用效果。方法：将该院实施人性化护理服务后的164例门诊输液患者设为观察组,另选取实施人性化护理服务前的164例门诊输液患者作为对照组,通过自制满意度调查问卷对所有患者的护理满意度进行调查。结果：观察组患者护理满意度显著高于对照组患者（P ＜0．05）。结论：人性化护理服务在门诊输液患者护理中具有较好的应用效果,可提高患者的护理满意度。     

优质护理服务对儿科门诊输液室患者满意度的影响

目的 探讨对儿科门诊输液室实施优质护理服务后患者满意度的影响.方法 回顾性抽取优质护理服务前的300例儿科门诊输液室患者满意度调查表,并将其作为对照组;抽取实施优质护理服务后的300例儿科门诊输液室患者满意度调查表作为观察组,比较两组患儿及家属的满意度.结果 观察组满意度达96%,对照组满意度70%,观察组满意度明显优于对照组.结论 对儿科门诊输液室患者实施优质护理干预措施,能显著改善护理服务质量,大大提高了患儿及家属的满意度.     

门诊输液护理中优质护理服务应用研究

目的：对门诊输液方面的“优质护理服务”意义予以探讨。方法：以随机行事抽取2014．1－2015．12这一时间段中的480例有据可查的门诊输液室患者,“优质护理服务”前229例算作“对照组”,其后251例则为“观察组”,对比其满意度情况。结果：在全面开展“优质护理服务”这一过程中,“观察组”和“对照组”满意度分别为99．60％和76．86％,其差距具备可比性（P ＜0．05）。结论：“优质护理服务”可以有效地增强门诊输液护理人员的职业素质,也可很大程度上提升患者满意度和护患关系。故而“优质护理服务”具备广泛推广应用价值。     

门诊输液室开展优质护理探讨

目的探讨在门诊输液室开展优质护理对提高服务质量,提升患者满意度的影响。方法将2011年9月以前（开展优质护理前）的310例患者设为对照组,2011年9月以后（开展优质护理）的310例患者设为观察组,对照组采用常规方法安排输液,观察组开展优质护理。结果观察组患者焦虑、抑郁情绪显著改善,积极配合输液,护患沟通良好,满意度较高;对照组患者烦躁、低沉情绪没有显著改善,满意度低,投诉4起。结论门诊实施优质护理,可提高患者满意度,调动护士工作积极性,降低护患纠纷发生率,取得良好的社会效益。     

浅析门诊输液室的优质护理服务研究

目的:探讨门诊输液室开展优质护理服务的重要意义.方法:随机抽取笔者所在医院2010年1月-2012年12月门诊输液室患者480例,将优质护理服务开展前的229例患者作为对照组,实施优质护理服务开展之后的251例患者为观察组,对两组患者满意度进行对比.结果:随着优质护理服务工作的全面开展,本次研究的480例患者中,观察组满意度达99.60%,而对照组满意度为76.86%,观察组满意度明显优于对照组,具有显著差异性(P<0.05).结论:门诊输液室的优质护理服务措施实施,增强了护理人员的职业素质,促进护患关系明显改善,大幅度提升患者满意度.因此,优质护理服务在门诊输液室中的开展具有重要的实践意义,值得广泛推广应用.     

优质护理对门诊分诊护理质量及患者满意度的影响

目的：分析研究优质护理对门诊分诊护理质量及患者满意度的影响。方法：以在门诊分诊中是否实施优质护理作为分组依据,对来我院就诊的80例患者进行研究,其中观察组患者40例,在门诊分诊过程中享受到优质护理服务,对照组患者40例,在门诊分诊过程中接受常规护理服务,对两组患者护理质量以及护理满意度进行比较分析。结果：观察组护理质量得分高于对照组（P＜0.05）;观察组就诊期间投诉率以及风险事故发生率均小于对照组;观察组护理满意度（护理健康宣教、护理态度以及护理环境）得分高于对照组,差异显著（P＜0.05）。结论：将优质护理管理模式应用于门诊分诊中,有助于帮助患者提高护理质量和护理满意度,降低医疗纠纷发生,缓解日益紧张的医患关系,促进和谐社会建设,可在临床加以推广普及。     

输液流程优化优质护理服务在门诊输液室的应用

目的观察输液流程优化优质护理服务在门诊输液室的应用效果。方法选取本院门诊输液室收治的输液患者作为样本,以29例为一组,将其分为观察组与对照组。对照组给予常规护理,观察组实施优质护理服务,优化门诊输液流程。结果观察组仅1例发生了药液外渗风险,输液风险发生率3.45%,患者护理满意度96.55%,与对照组相比,优势显著(P0.05)。结论应优化门诊输液流程,优化护理环境,降低输液风险的发生几率,提高患者的护理满意度。     

人性化护理服务在门诊输液室护理中的应用效果评价

目的:评价人性化护理服务在门诊输液室护理中的应用效果。方法:将该院实施人性化护理服务后的164例门诊输液患者设为观察组,另选取实施人性化护理服务前的164例门诊输液患者作为对照组,通过自制满意度调查问卷对所有患者的护理满意度进行调查。结果:观察组患者护理满意度显著高于对照组患者(P0.05)。结论:人性化护理服务在门诊输液患者护理中具有较好的应用效果,可提高患者的护理满意度。     

优质护理服务在老年性脑梗塞患者中的实施效果探讨

目的：分析对老年性脑梗塞患者实施优质护理服务的临床效果。方法：选择我院收治的102例老年性脑梗塞患者作为研究对象,随机将其分为对照组和观察组,每组各51例。对照组患者采用常规护理,观察组患者在常规护理的基础上,实施优质护理服务,观察两组患者的临床疗效和护理满意度。结果：观察组和对照组治疗优良率分别为94.12％和80.39％,差异具有统计学意义（P ＜0.05）;观察组患者护理满意度显著优于对照组,差异具有统计学意义（P ＜0.05）。结论：临优质护理服务在老年性脑梗塞患者中实施,能够有效缓解患者心理压力,提高患者护理满意度,具有重要的临床意义。     

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.     

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.     

The clinicopathological and immuohistochemical analysis of solid-pseudopapillary tumor of the pancreas： report of 9 cases

Objective：To investigate the clinical features, pathological characteristics and immunophenotype of solid-pseudopapillary tumor of the pancreas（SPTP）. Methods：Nine surgically treated cases of SPTP were retrospectively reviewed. Hematoxylin and Eosin（HE） staining and immunohistochemical staining were used to analyze all cases, and the general clinical data was collected. Results：Six patients were asymptomatic except for a palpable mass. Two patients complained of vague-epigastric pain. One patient appeared jaundice. The tumor was encapsulated and solid tissues alternately with cystic tissues. Histologically, the histological structure of solid portion was pseudopapillary with a fibrovascular core. Tumor cells were uniform and medium-sized which were arranged in sheets ets or nests or pseudopapillary patterns. Immunohistochemical studies demonstrated that SPTP proved positive in vimentin（9/9 cases）, AAT（9/9 cases）, NSE（9/9 cases）, ACT（7/9 cases）, CK20（2/9 cases）, CgA（1/9 cases）, S-100（3/gcases）, PR（4/gcases）, Syn（3/9 cases） and CD56（5/9cases）, negative in CEA and ER. Conclusion：SPTP is a tumor predominantly occurring in young women frequently without special symptoms. This tumor has various characteristical histological patterns with different immunophenotype.     

Electro-Acupuncture Combined with the Trigger Point Needle-Embedding for Treatment of Primary Trigeminal Neuralgia in 31 Cases

In recent years, the author of this essay has applied electro-acupuncture combined with the trigger point needle-embedding for treatment of primary trigeminal neuralgia in 31 cases, yielding satis- factory results as reported in the following.     

Investigation of Matrix Metalloproteinase -1, 2 and tissue inhibitor of matrix metalloproteinases-1 in Endometriosis

Objective： To explore the role of matrix metalloproteinase-1,2 （MMP-1, MMP-2） and tissue inhibitor of matrix metalloproteinases-1 （TIMP-1） in endometriosis. Methods： The eutopic and ectopic endometria from 40 subjects suffering from endometriosis and regular.endometria from 40 subjects （excluding endometriosis） were collected and examined by in situ hybridization technology and western blot assay. Results： Both expressions of MMP-1 and -2 were stronger in ectopic endometrium and eutopic endometrium than in normal endometrium. On the contrary, the expression of TIMP-1 in ectopic endometrium and eutopic endometrium was lower. The differences were significant （P 〈 0.01 ）. Moreover, there was no relationship among the expressions of MMP-1, 2 and TIMP-1 in ectopic endometrium. Conclusion： The expressions of MMP-1, 2 and TIMP-1 lose balance and lack of periodic changes in ectopic endometrium , which explains the biological invasive behavior of endometriosis. It was suggested-that regulating the balance between the MMPs and TIMP-1 should be an ideal therapeutic target to endometriosis.     

Shi Da-zhuo (史大卓) —An outstanding cardiologist of integrative medicine

Prof. SHI Da-zhuo, Ph.D., male, was born on March 20, 1960. Prof. SHI entered the Ph.D. program in 1990 at the China Academy of Chinese Medical Sciences under the supervision of Prof. CHEN Ke-ji, majoring in the treatment of cardiovascular diseases. After receiving his Ph.D. degree in 1993, Prof. SHI started working at the Cardiovascular Center in Xiyuan Hospital affiliated to China Academy of Chinese Medical sciences.     

Persist in and Carry Forward the Integrative Medical Research——Speech at the 6th National General Congress of Chinese Association of Integrative Medicine by Academician CHEN Zhu,Minister of Ministry of Health

The 6th National General Congress of Chinese Association of Integrative Medicine （CALM） was convened at 19-20, April 2008 in Beijing. Academician CHEN Zhu, the minister of Ministry of Health indicated at the congress that the integration of Chinese and Western medicine is very well in keeping with the situation of our country and the general rule of development in medical science; and as a good integration of Chinese medicine and Western medicine, it is mutually beneficial and advantageous to both of them. Seeing the creativity shown in integrative medical investigation in theoretic and methodological sides, we should and must persist in and develop it.