探讨健康教育干预在老年急性阑尾炎护理中的应用

目的：对健康教育干预在老年急性阑尾炎护理中的应用效果进行探究和分析。方法资料随机选取2013年2月~2014年2月在我院收治的老年急性阑尾炎患者66例,将其平均分为两组,研究组和对照组,每组各33例,给予对照组患者常规护理,研究组患者则在对照组的基础上行健康教育干预,并对两组临床资料等进行回顾性分析。结果经护理后,研究组护理满意度100%,明显高于对照组护理满意度81.82%,比较有差异具有统计学意义(P<0.05)。结论给予老年急性阑尾炎患者健康教育护理的效果较为确切,不仅能够减轻患者的心理压力,还能够缩短患者的治疗时间,提高患者的生命质量,值得在临床中推广和应用。     

中西医结合疗法对小儿肺炎的治疗效果分析

目的：探讨中西医结合疗法治疗小儿肺炎的临效果。方法选取62例在我院进行治疗的小儿支原体肺炎患儿,随机分为治疗组和对照组,照组使用西药治疗,治疗组在对照组的基础上加用中药治疗,比较两组疗效。结果治疗组总有效率高达93.5%,对照组仅为74.2%,治疗组疗效显著优于对照组,差异有统计学意义(<0.05)。结论中西医结合治疗效果要优于单纯用西药治疗,且疗效迅速。     

中医肺康复法治疗慢性阻塞性肺疾病稳定期患者的疗效分析

目的：探讨与分析中医肺康复法治疗慢性阻塞性肺疾病稳定期患者的临床效果。方法将2010年9月~2013年9月于我院接受治疗的100例慢性阻塞性肺疾病稳定期患者作为研究对象,按照入院顺序随机将其分为对照组与观察组各50例,对对照组患者选用口服多索茶碱片治疗,对观察组则给予中医肺康复法治疗,对比观察两组患者的治疗效果。结果观察组患者在接受治疗后,中医症候评分显著低于对照组患者,且治疗后其生存质量的评分提高情况明显高于对照组患者,<0.05。结论选用中医肺康复法能够显著提高COPD稳定期患者的治疗效果,改善其肺部组织功能,延长其生存时间,并提高患者的生活质量。     

男性尿失禁患者留置导尿与使用保鲜袋接尿效果比较

目的：探讨男性尿失禁患者留置导尿与使用保鲜袋接尿并发症发生率对比,研究更适合男性尿失禁患者接尿方法。方法回顾我院综合病房2012年5月1日~2013年9月30日就诊男性尿失禁患100例,按入院时间分为观察组与对照组50例,观察组应用保鲜袋接尿法,对照组应用留置导尿。结果通过1个月观察期间,两组并发症对比,观察组尿道感染与阴茎糜烂、管道脱落、漏尿、4 w总费用、患者满意度有显著差异,差异有统计学意义(<0.05)。结论男性尿失禁患者使用保鲜袋接尿方法避免了有创留置导尿,并减少了导管相关性尿路感染的发生率,减轻患者痛苦与经济负担,同时减少了漏尿与皮肤损伤的问题,提高了患者舒适度,方便可行,是与家庭护理紧密衔接的方法,值得在长期卧床尿失禁患者中普遍采用。     

Resultados obstétricos y perinatales de la implementación de un programa de versión externa cefálica

Objectives

To evaluate the effectiveness of the external cephalic version, the time required for its completion, the safety of the technique, its effectiveness in reducing the rate of caesarean sections and the perinatal outcomes.

Methods

The study included 180 pregnant women with pelvic presentation at term. Routine cardiotocographic monitoring and an ultrasound were used pre-and post-release version for foetal welfare and presentation.

Results

Success was achieved in 30% of the external cephalic version (ECV) cases during the first year, while 61.90% was successfully achieved during the fourth year. Vaginal births accounted for 61 out of the 93 successful versions, the spontaneous reversal rate was 5.37% and the spontaneous version rate following failed external version, was 3.44%. In 45 cases (25%) some kind of minor adverse effect was found and in 18 cases it was due to the use of uterine relaxants.

Conclusions

The ECV is safe and useful for reducing caesarean rates. The experience of the obstetrician who performed the technique plays a key role in ensuring success.     

家属赋能教育模式在骨质疏松脊柱压缩性骨折患者健康教育中的应用

目的 探讨家属赋能教育模式在骨质疏松脊柱压缩性骨折(OVCF)患者健康教育中的应用效果,为优化此类患者护理模式提供参考依据.方法 选取2020年6—12月某医院收治的骨质疏松脊柱压缩性骨折患者116例为研究对象,按照组间基线资料匹配的原则将患者分为对照组和干预组,每组58例,两组均给予常规护理及健康教育,干预组同时给予...     

心理弹性在黄斑前膜剥除术患者疾病不确定感及应对方式中的中介效应

目的 探讨心理弹性在黄斑前膜剥除术患者疾病不确定及应对方式中的中介效应.方法 选取2020年3月—2021年3月医院收治的黄斑前膜剥除术患者86例,采用疾病不确定感量表、心理弹性量表(CD-RISC)、医学应对方式问卷(MCMQ)对入组患者进行调查,采用AMOS22.0构建模型分析心理弹性在黄斑前膜剥除术患者疾病不确定...     

全程跟进式赋能教育及营养管理对鼻咽癌放疗患者康复效果及依从性的影响

目的 探讨全程跟进式赋能教育及营养管理对鼻咽癌放疗患者康复效果及依从性的影响.方法 选取2018年1月—2020年12月医院收治的80例鼻咽癌放疗患者为研究对象,按照组间基本资料匹配的原则分为对照组和观察组,每组40例.对照组给予常规健康教育、营养管理,观察组在对照组基础上采用全程跟进式赋能教育及营养管理.比较两组患者...     

Etiología y sensibilidad antimicrobiana en las infecciones urinarias bajas de la embarazada en España

Introduction

To improve antibiotic use in the treatment of urinary tract infections during pregnancy, knowledge of the most frequent pathogens and their susceptibilities is required.

Methods

Between march and july 2004, a prospective multicenter study was conducted in 15 national microbiology laboratories. The laboratories used their standard methods to process the samples.

Results

Pregnancy or non-pregnancy was recorded in only 1521 women; of these, 150 women were pregnant. The most frequent pathogen in pregnant women was Escherichia coli (54.6%), followed by Streptococcus agalactiae (24.3%). Isolation of gram positive strains (32.2%) was significantly more frequent in pregnant women (p < 0.001). The susceptibility rates of E.coli were 98.8% for fosfomycin, 96.2% for cefixime, and 97.6% for nitrofurantoin; these rates were lower for ampicillin (41.6%).

Conclusions

E.coli is the main uropathogen during pregnancy, because of the materno-fetal complications of urinary tract infections during pregnancy, alternative antibiotics should be used to reduce the high resistance to antibiotics that are useful in neonatal sepsis.     

Miastenia gravis y diabetes mellitus tipo 1. Evolución durante el embarazo

Objective

To review and analyze the clinical course of myasthenia gravis and diabetes mellitus associated in the same patient during two consecutive pregnancies.

Results

During the first pregnancy, the patient had two myasthenic relapses, which were treated with pyridostigmine and immunoglobulin. HbA_1c levels were satisfactorily controlled. Labor started spontaneously at week 39 and dilatation reached 8 cm but a cesarian section was performed because of fetal distress. Lactation was artificial. In the second pregnancy, the patient was under a better myasthenic control, and HbA_1c levels were higher. Elective cesarean section was performed at week 39.

Conclusions

The risk of myasthenic recurrence is higher during the first trimester and the postpartum. Vaginal delivery is feasible in patients with myasthenia but shortening of the expulsion period is recommended. Thymectomy does notrepresent a risk for pregnancy, delivery or the neonate. HbA_1c of less than 6% is associated with lower maternal and fetal mortality and morbidity.