改良透析器首次使用不同预处理方法的效果比较

透析器在首次使用时如果预冲方法不当或预冲不彻底,就会发生透析器不良反应,不仅增加了患者痛苦,而且增加了透析的治疗风险[1].本院改良了透析器预冲方法,在临床应用收到较好效果,现介绍如下.     

1例血液透析并发急性溶血患者的护理

通过对1例首次血液透析中并发不典型急性溶血反应患者的成功治疗与护理,总结其相关经验,以供同行临床参考。     

首量肝素分别由动静脉端给药在血液透析中抗凝效果的观察

目的探讨首量肝素分别由动静脉端给药在血液透析中抗凝的效果和不良反应。方法将56例采用普通肝素抗凝且均复用透析器的血液透析患者分为2组:研究组28例采用首量肝素由动脉端给药抗凝,对照组28例采用首量肝素由静脉端给药抗凝。观察2组抗凝效果及并发症发生情况。结果研究组抗凝效果明显优于对照组,肝素用量少于对照组,使用肝素后出血、过敏等并发症的发生亦少于对照组。结论血液透析中首量肝素由动脉端给药抗凝效果好。     

Observation on clinical efficacy of warm needling therapy for chronic lumbar strain

Objective

To observe the clinical efficacy of warm needling therapy for chronic lumbar strain.

Methods

A total of 60 patients with chronic lumbar strain who met the inclusion criteria were randomized into a treatment group and a control group by the random number table, with 30 cases in each group. The treatment group was treated with warm needling therapy, while the control group was treated with ordinary acupuncture treatment. The treatments were both performed once every other day, and 7 times constituted a course of treatment. Visual analog scale (VAS) score was used to assess the degree of pain and the clinical efficacy was compared between the two groups.

Results

The total effective rate of the treatment group was higher than that of the control group (P<0.05). There was no significant difference in VAS score between the two groups before treatment (P>0.05). After treatment, the VAS scores of both groups decreased significantly, and the intra-group differences were statistically significant (both P<0.05). The VAS score of the treatment group after treatment was statistically different from that in the control group (P<0.05).

Conclusion

Warm needling therapy has a better curative effect than ordinary acupuncture in the treatment of chronic lumbar strain.

     

Effect of heat-sensitive moxibustion on facial function score in patients with facial paralysis

Objective

To observe and compare the therapeutic efficacies of heat-sensitive moxibustion plus Western medication, dry Western medication, and acupuncture plus TDP in treating peripheral facial palsy (FP).

Methods

Ninety FP patients were randomized into a Western medication group, a heat-sensitive moxibustion group, and an acupuncture group by using sealed envelope, 30 cases in each group. The Western medication group was intervened by conventional Western medication; the heat-sensitive moxibustion group was by heat-sensitive moxibustion in addition to the same Western medication; the acupuncture group was by the Western medication plus acupuncture and TDP radiation. For the three groups, 6-day treatment was taken as a treatment course, with a 2-day interval between 2 courses, and totally 4 treatment courses were observed.

Results

After intervention, the modified Portmann scores were changed significantly in the three groups (P<0.05), and the improvements in the heat-sensitive moxibustion group and the acupuncture group were both superior to that in the Western medication group. The recovery plus markedly effective rate of the acupuncture group was significantly different from that of the Western medication group (P<0.05), and there was a significant difference in comparing the recovery plus markedly effective rate between the heat-sensitive moxibustion group and acupuncture group (P<0.05).

Conclusion

Heat-sensitive moxibustion is effective in treatment peripheral facial paralysis, and this method is free of pain, causing no adverse reactions, and worth promotion in clinic.

     

知-信-行模式在维持性血液透析患者饮食指导中的实践与效果分析

目的探讨知-信-行模式在维持性血液透析(MHD)患者饮食指导中的应用效果。方法将长期在医院进行MHD的159例患者随机分为对照组79例和实验组80例.对照组采用传统方法进行饮食指导,实验组采用知-信-行模式进行饮食指导。分别于干预1个月、6个月和12个月时,对2组患者进行饮食控制知识知晓率比较;对1年观察期内2组患者发生高血钾症、透析低血压和超滤量≥干体质量6%等指标进行比较。结果 2组患者在相同时间段掌握饮食控制知识的知晓率比较,无统计学意义。实验组发生高血钾症、透析性低血压、超滤量≥干体质量6%情况的发生率明显低于对照组。结论用知-信-行理论模式对MHD患者进行饮食指导,使其在掌握相应饮食治疗知识的基础上,树立与疾病长期作斗争的坚定信念,进而采取正确的饮食控制治疗行为,能在一定程度上减少透析并发症的发生和提高患者的生命质量。     

健康教育路径在血液透析病人诱导期的应用

尿毒症病人由保守治疗向规律的血液透析治疗过度的透析时期称为血液透析的诱导期。这一时期因病人体液量、电解质、酸碱平衡及尿毒症毒素等突然变动，容易出现失衡综合征、低血压、出血倾向等并发症，需要采取诱导透析的方法使病人逐步适应，     

贵阳市居民家庭过期药品处理调查

目的 通过调查贵阳市居民对于过期药品的知识、处理及偏好程度,为过期药品回收体系提出合理的建议和参考.方法 2020年3月通过线上发放问卷星,得到贵阳市居民315人过期药品处理情况的数据,问卷内容包括居民基本信息、对过期药品的认知、对过期药品的处理方式、过期药品回收情况与知识、过期药品回收偏好与原因.结果 72.4％居民...