角色扮演在手术室临床护理带教中的应用

目的 对角色扮演在手术室临床护理带教中的应用效果进行评估.方法 对2004年6月～12月61名在手术室实习的护生(对照组)采用传统的教学方法,2005年1月～6月58名在手术室实习的护生在采用传统的教学方法上,加入角色扮演的教学方法.通过闭卷考试和问卷调查,比较2种教学方法的优缺点.结果 对照组考试成绩平均为(85.8±6.8)分,实验组为(89.1±5.9)分,2组比较,p＜0.05,差异有显著性的意义;角色扮演法普遍受到学生欢迎.结论 提示角色扮演法能激发护生的学习热情和主体作用,加深对实习内容的理解和记忆.     

循证护理:护理发展的趋势

本文对循证护理的有关概念、循证护理教学、循证护理实践以及循证护理与整体护理、护理科研和循证医学的关系进行了阐述，并提出循证护理是护理发展趋势的展望。     

静脉留置针采血标本对检验结果的影响

运用静脉留置针以生理盐水稀释肝素液保留封管,供随时采集血标本,但对检验结果有一定影响。为了避免这一弊端,将30例患者静脉留置针在同部位、同时间、等量采集的血标本分别标为1,2,3号,所有1号为无封管保留液,2号为含封管保留液,3号为抽弃封管保留液,同时检验电解质,2号、3号组分别与1号组进行比较。结果表明,含封管保留液与无封管保留液组比较,钾、二氧化碳结合力(除钠、氯外)有极显著性差异(P<0.001);抽弃封管液组与无封管液组比较,均无明显差异(P>0.05)。由此可见,静脉留置针采含封管保留液的血标本,除钠、氯外,均有明显影响,其检验值相对降低;保留封管液1min后,先抽弃含封管保留液的血1mL,再取血标本,不影响病人的检验结果,此法可值推广。     

凝集素染色法在真菌性角膜溃疡病原菌检查中的作用

目的：探讨凝集素组织化学染色法在真菌性角膜溃疡病原菌检查的临床意义及应用价值。方法：将13例KOH法确诊病人的角膜刮取物培养1～2周后行菌种鉴定，并切取1小菌块进行凝集素组织化学染色，在光镜下观察结果。结果：菌落切片经凝集素染色后，可见真菌菌丝和孢子形态，并且8株镰刀菌凝集素的结合形式为：ConA、LCA、PHA—E、PHA—L、PSA、RCA、UEA呈阳性，PNA呈阴性，SJA及WGA两种有细微差别；3株互隔交链孢的SJA为阴性，其余9种为阳性；1株烟曲菌的PHA—E、SJA、及WGA为阴性，其余为阳性；1株卡氏枝孢霉的RCA及WGA为阴性，其余为阳性。结论：凝集素组织化学染色法可以检验致病真菌的有无，而且可以进一步鉴定某些致病菌的种属，具有应用前景。     

重建交锁髓内钉治疗复杂股骨骨折

复杂的股骨骨折包括股骨干骨折合并同侧股骨颈及转子间（下）粉碎骨折，治疗非常困难。应用DHS、角钢板可发生髋内翻、内固定松动、骨折不愈合等并发症。我院自2002年1月至2006年2月采用股骨重建交锁髓内钉治疗25例股骨复杂骨折，取得良好的疗效。     

急诊科急性心肌梗死抢救护理流程模式的改进

Objective To increase the success rate of first-aid and nursing of patients with acute infarct of cardiac muscle in emergency departments.Methods A total of 50 patients with acute infarct of cardiac muscle were taken,for seeking for the most convenient,effective flow model for first-aid and nursing under current conditions,which has a smooth cooperation with doctors,and shortens the time of patients staying in hosptal.Results The 50 patients were primarily first-aided in emergency department,and shew a stable status of disease,and were sent to the complex ICU or the cardiacology department in the in-patient section with care.The success rate was 94%.Compared with 50 patients in the past,the success rate was increased by 10% (P＜0.05).The time for staying in hospital was reduced to 6 rain for a patient at a time in average,from the tradiational average time for a patient at a time of 15.5 rain.Conclusions This exploration in nursing model for first-aid and nursing of patients with acute infarct of cardiac muscle in emergency departments provides an improvement which can closely match with doctors,and increase the success rate of first aid.It clearly shortens the in-hospital time for patients.The model gives valuable time for the first-aid process which shows time is life,and increases the patients' satisfication degree.     

急诊科急性心肌梗死抢救护理流程模式的改进

Objective To increase the success rate of first-aid and nursing of patients with acute infarct of cardiac muscle in emergency departments.Methods A total of 50 patients with acute infarct of cardiac muscle were taken,for seeking for the most convenient,effective flow model for first-aid and nursing under current conditions,which has a smooth cooperation with doctors,and shortens the time of patients staying in hosptal.Results The 50 patients were primarily first-aided in emergency department,and shew a stable status of disease,and were sent to the complex ICU or the cardiacology department in the in-patient section with care.The success rate was 94%.Compared with 50 patients in the past,the success rate was increased by 10% (P＜0.05).The time for staying in hospital was reduced to 6 rain for a patient at a time in average,from the tradiational average time for a patient at a time of 15.5 rain.Conclusions This exploration in nursing model for first-aid and nursing of patients with acute infarct of cardiac muscle in emergency departments provides an improvement which can closely match with doctors,and increase the success rate of first aid.It clearly shortens the in-hospital time for patients.The model gives valuable time for the first-aid process which shows time is life,and increases the patients' satisfication degree.     

髁支撑钢板治疗股骨远端新鲜性粉碎性骨折

目的总结髁支撑钢板治疗股骨远端新鲜性粉碎性骨折的经验。方法清创后Ⅰ期应用股骨髁支撑钢板内固定治疗股骨远端粉碎性骨折29例。根据AO分类方法,其中A3型10例,B2型3例,C1型7例,C3型9例。结果23例获得随访,平均随访时间为11个月。所有骨折均骨性愈合,平均愈合时间为7.8个月。根据Sanders膝关节功能评分标准,优14例,良6例,可2例,差1例,优良率为86.96%。结论股骨髁支撑钢板具操作简便、固定牢靠等优点,有较好的临床应用价值。     

眼底荧光血管造影对视盘血管炎诊断意义

1临床资料1.1一般情况 22例患者中,男12例,女10例,右眼12例,左眼10例。视乳头水肿型6例,视网膜静脉血栓型16例,均为单眼发病。年龄23～40岁。病程2天～7个月,治愈时间1～6个月。造影时间于发病後4小时～7个月。单眼视盘肿胀,乳头边界     

布－加氏综合症1例行血管移植术的手术配合

布－加氏综合症１例行血管移植术的手术配合０５００００河北医学院附属第二医院手术室王培织，石丹如河北省医学科学院附属医院崔凤云布一加氏综合症是指肝静脉或肝段下腔静脉阻塞所致静脉回流障碍引起的症候群。我院于１９９３年３月２２日为１例布，加氏综合症患者成功...