加强静脉治疗管理 提高临床护理质量

静脉输液是临床使用最频繁、最基本的护理操作之一,任何环节出现问题均可导致不良事件发生,给患者带来痛苦,严重者甚至会引发医疗纠纷。为给患者提供优质的护理服务,我们从静脉治疗的各个环节入手,对护理人员、药品安全、治疗环节等方面进行规范管理,从而提高了静脉治疗的安全性,增加了患者的满意度。     

护理风险管理在体检中心的应用

随着社会的不断进步及生活水平的逐步提高,人们对生活质量和生命健康的需求迅速提升[1-2]。定期体检、无病预防理念逐渐被人们所接受。体检中心作为新兴的医疗专业,发展前景和风险并存。护理风险管理是对护理工作中存在或潜在的风险事件及预防方法进行识别、评价,并寻求处置对策的科学管理方     

耳穴电针治疗产后抑郁症43例

产后抑郁症是指产妇分娩后出现的抑郁症状,是产褥期精神综合征中最常见的一种类型,国外报道的发病率为3.5％～33％,国内报道为11.4％～17.9 ％[1].2008年3月至2011年10月笔者采用耳穴电针治疗产后抑郁症,现报道如下. 1 临床资料 1.1 一般资料 全部125例均为黑龙江省佳木斯大学附属第一医院及黑龙江省佳木斯市精神病医院门诊患者,按照患者就诊先后随机分为耳穴电针组(43例)、耳穴埋针组(39例)和药物组(43例),各组产后抑郁症患者均为初产妇.各组患者年龄、病程等一般资料比较差异均无统计学意义(均P＞0.05),具有可比性,详见表1.     

脑循环治疗仪配合功能训练治疗小儿脑性瘫痪疗效观察

目的 观察脑循环治疗仪配合功能训练对小儿脑性瘫痪的临床疗效.方法 将96例脑性瘫痪患儿随机分为治疗组和对照组.治疗组52例,对照组44例.治疗组采用脑循环治疗仪配合常规疗法（功能训练、中药熏蒸、穴位针灸、推拿按摩等治疗）,对照组单纯用常规疗法.结果 治疗组的总有效率为86.5%,明显优于对照组的68.2%.结论 脑循环治疗仪对脑性瘫痪患儿运动功能的改善有显著疗效.     

食管癌支架置入后患者再发吞咽困难原因及对策

自９０年代初自扩张金属支架（Ｓｅｌｆ－ｅｘｐａｎｄｉｎｇ ｍｅｔａｌｓｔｅｎｔ,ＳＥＭＳ）应用以来,随着金属支架置入术的不断开展,金属支架的缺点和并发症亦日渐增多,支架置入后梗阻引起再发吞咽困难是最常见的主要并发症之一。作者自１９９５年３月至１９９９年８月共开展ＳＥＭＳ术８５例,其中再发吞咽困难３９例,现分析报告如下： 临床资料 １．一般资料：３９例中男３５例,女４例,年龄４５～７６岁,平均５５．６岁,癌灶位于食管上段４例,中段２３例,下段７例,贲门５例;病变长度３～１４ｃｍ,平均狭窄长度４．４２…     

急性心血管事件院前急救的应急策略及流程探讨

Objective To study the strategy and process of out-hospital emergency care of acute cardiovascular events. Methods One hundred and eighty-three patients in the Second Affiliated Hospital of Baotou Medical College were prospectively studied. The patients were divided into two groups according to the different ways of out-hospital care, one group consisted of patients who received first-aid care after calling " 120" (94 cases), another was self-aid group consisting of patients sent to hospital by relatives (89 cases). The proportion of persons with higher than high school education and better knowledge for emergency care of patients with heart disease in first-aid group was higher than self-aid group (50. 0% vs. 29. 2%, 83.0% vs. 60. 7%, both P<0. 05). When the patients were brought to the emergency room, they were all treated according to our standard procedure and then registered. All patients were followed up at the end of first and third month after illness. Results Cardiovascular events were mainly myocardial infarction (61.7%) among 183 patients. There were statistically significant differences between two groups in self-aid response time, first disposal time and out-hospital rescuing time [(32.3 ± 5.6) minutes vs. (89.6±8.4) minutes, (47.3±7.3) minutes vs. (149.8±13.5) minutes, (61.7±8.3) minutes vs. [(149.8±13.5) minutes, all P<0. 01], but no difference was found in in-hospital rescuing time [(29. 9±5.3) minutes vs. (31.1±4.5) minutes, P>0. 05]. Morbidity rate was lower in first-aid group than self-aid group in 1st and 3rd month, respectively (2.1% vs. 9. 0%, 4. 2% vs. 12.4%, both P<0. 05). Conclusion Excellent emergency system and procedure can shorten initial disposal time and out-hospital rescuing time, thus improve patients' prognosis. The education level and health knowledge of patients and their raletives directly affect their mode of arriving hospital and prognosis.     

针刺加拔罐治疗胃扭转5例

胃扭转是一种少见的疾病。以腹胀 ,腹痛 ,呃逆 ,纳呆 ,便秘为临床特征 ,X线钡透示胃扭转为诊断依据。我科门诊从1991年来共收治 5例胃扭转患者 ,现报道如下。一般资料5例患者中 ,男 4例 ,女 1例 ;病程最短半个月 ,最长 2个月 ;年龄最大 5 4岁 ,最小 30岁。治疗方法主穴取中脘、下脘、足三里 (双 )、内关 (双 )、三阴交 (双 )。先刺中脘、下脘 ,再针足三里、内关、三阴交 ,用 0 .35 m m× 40mm～ 5 0 m m毫针 ,常规消毒 ,针刺得气后 ,留针 15 min～ 30min。后于中脘、下脘拔罐 10 min～ 15 m in,隔日 1次。针刺每日 1次 ,7d为 1个疗程。治疗…     

血宁冲剂治疗上消化道出血103例报告

上消化道出血属中医血证吐血、便血范畴,是常见的内科急重症之一,及时有效地止血是保证抢救成功的前提。为了提高中医治疗血证急症的水平,我们将《金匮要略》三黄泻心汤改制成冲剂,取名血宁冲剂,治疗胃及十二指肠溃疡和炎症等疾病所致的上消化道出血,并与西药治疗组相比较,现将观察结果报告于下。     

小剂量红霉素治疗新生儿呕吐36例疗效观察

为探讨小剂量红霉素的促胃肠动力作用，将我院2002年2月至2004年2月收治的68例新生儿呕吐患儿进行分组对照，36例应用小剂量红霉素治疗，取得满意疗效，现报告如下。     

支气管哮喘的健康教育

支气管哮喘是一种慢性病，病程中绝大部分时间是患者在家自我治疗，病人及家属对哮喘病的认识与处理方法对本病的疗效及预后至关重要，随着GINA方案及我国哮喘防治指南在国内的推广应用，对患者进行规范教育及定期随访，有利于病情的控制。我院呼吸科在本地区率先开展了哮喘之家，对80例哮喘患者作了三年以上的临床规范化防治，调整治疗方案，对改善患者生活质量及控制哮喘发作取得了明显的效果。