眶隔脂肪异位游离移植矫正眶鼻沟凹陷的睑袋美容手术

目的 探讨一种用切除的眶隔脂肪异位游离移植以矫正眶鼻沟凹陷的睑袋美容方法 .方法 在眼轮匝肌与眶隔间分离,于眶下缘打开眶隔,去除多余的眶隔脂肪,折叠加强眶隔后,将去除的眶隔内脂肪重新回填于眶隔外,用于修复眶鼻沟的凹陷畸形.自2007年3月至2009年2月,用此术式共诊治睑袋患者135例.结果 本组患者共135例,获随访1～12个月,术后异位游离移植的脂肪存活率高,下睑外形饱满,眶鼻沟存在的凹陷有明显改善.结论 本方法 是一种矫治睑袋的有效方法 ,适用范围较广,尤其适用于伴有下眶缘眶鼻沟凹陷的睑袋患者.     

光纤热塑-睑袋整形的新技术

目的：研究介入式激光技术对各型睑袋的治疗作用。方法：对33例睑袋患者进行光纤热塑,其中单纯型9例,轻型11例,中型10例,重型3例。在外眦下方,以22G针头穿刺皮肤获得激光光纤入路,对眶隔内脂肪及局部组织进行光热塑形。结果：从2012年4月到12月,行光纤热塑睑袋整形33例,手术创伤小,不良反应少,恢复时间短。随访3个月,22例患者获得明显改善,8例获有效改善,另3例重型睑袋患者,效果不明显。结论：光纤热塑技术有改善睑袋形态和收紧局部皮肤的作用,特别适用于单纯、轻、中型睑袋患者,对于重型睑袋作用有限。     

人胎儿合谷与涌泉穴区内肌梭发育的观察

本文应用 Faworsky 浸银法,对15例不同胎龄的胎儿及1例新生儿的合谷与涌泉穴区内肌梭的发育进行了观察。在6个月以前,肌梭尚未具有其全部组成成分,仍处于原基状态。6个月时,才出现被囊,梭内肌纤维亦分化出核袋及核串纤维,附于梭内肌纤维上的神经末梢也渐趋复杂。随着胎龄的增长,被囊增厚并逐渐出现囊下腔;棱内肌数目增多,至足月胎儿已与成人者相似。肌梭内有粗、中、细三种神经纤维,最粗的感觉神经纤维只有1条,其分支分别止于两种梭内肌纤维的赤道部。本文发现,该种末梢并非由粗神经纤维本身缠绕梭内肌纤维,而是由其横向分支,呈半环状包绕梭内肌纤维的一部,与传统描述不同。在核袋区的一端,有花萼状次级感觉终末;而葡萄状的运动终末,则位于梭内肌纤维两端。此外,还有呈串珠状的细神经纤维,顺梭内肌纤维走行。在新生儿阶段,肌梭的结构已与成人者基本相同。     

可控性尿液引流袋在妇科肿瘤患者术后膀胱体操中的临床应用研究

目的 :评价自行研制的可控性尿液引流袋在妇科术后患者膀胱体操中的临床应用效果。方法 :随机选择 2 0 0例妇科术后需长期留置导尿管的患者 ,分为试验组和对照组。试验组用自行研制的可控性尿液引流袋控制尿液排放 ,对照组按传统方法分为钳夹、胶布粘贴、线绳结扎 3个小组 ,用传统方法控制尿液排放 ,观测操作时间及操作成功率。结果 :除钳夹小组外 ,可控性尿液引流袋在操作时间、操作成功率上明显优于对照组 ,两者比较有显著差异 (P <0 0 1)。结论 :可控性尿液引流袋可有效控制尿液排放 ,缩短操作时间 ,提高操作成功率 ,可在临床推广     

输液监视网兜与监护系统的研制

为了减轻医护人员的工作量，提高监护质量及工作效率，研制了输液监视网兜与监护系统。输液监护系统由输液监视网兜，语音对话，住院输液监视屏，床位登记卡4部分组成。通过监视屏可直观地了解病区内病人的输液情况，及时处理输液中出现的问题。该产品的应用，不仅减轻了医护人员的工作量，提高了工作效率，同时性能稳定，报警准确，实用性强，有利于推广。     

不成熟宫颈引产的对比观察

目的探讨孕晚期不成熟宫颈引产的最佳方法。方法将宫颈Ｂｉｓｈｏｐ评分≤４分的初产妇，随机分为三组，分别给予水囊、米索前列醇和催产素，进行孕晚期不成熟宫颈引产的对照观察。结果水囊组有效率９３．４％，成功率８２％，均明显高于米索组（Ｐ＜０．０５）和催产素组（Ｐ＜０．０１）；其剖宫产率明显低于米索组和催产素组，差异具有高度显著性（Ｐ＜０．０１）。结论水囊法明显优于米索前列醇和催产素法，并可降低剖宫产率，减少胎儿宫内窘迫。此法简单、安全、价格低廉、副作用少。     

10％的盐水冰袋用于体外循环术后高热患者降温效果的研究

目的探讨采用10％的盐水冰袋冰敷在体外循环术后高热患者物理降温中的效果。方法对124例体外循环术后高热患者的物理降温效果进行比较，研究组60例，应用10％的盐水冰袋作为物理降温的用具；对照组64例，使用传统的橡胶冰袋冰敷作为物理降温用具。记录降温后不同时间患者体温下降的情况。结果2组病例冰枕冰敷后0．5，1．5h降温效果差异无显著性（P〉0．05）；冰枕冰敷后2．5，4．0h降温效果差异有显著性（P〈0．05）。结论10％的盐水冰袋冰敷具有降温效果好、持续时间长，冰袋内为霜水，患者感觉舒适，值得临床推广应用。     

一种新型脑棉片保存与清点袋的研制及应用于手术的效果评价

目的 探究了新型脑棉片保存与清点袋在神经外科手术的效果运用。方法 回顾和分析了我院2013年-2015年的神经外科手术60例,按随机数字表法分为实验组（30例）,对照组（30例）。实验组选用新型脑棉片保存与清点袋;对照组选用传统折叠式脑棉片保存包装。观察比较两组患者术中台面整理时间及脑棉片清点时间、手术台面污染情况及因清点不清暂停手术次数、估算术中出血量所用时间、脑棉片回收利用情况、护理人员工作满意度调查结果。结果 实验组在术中台面整理时间及脑棉片清点时间、手术台面污染情况及因清点不清暂停手术次数明显少于对照组。两组术中出血量平均估算值差别不大,但估算花费时间实验组少于对照组。在脑棉片回收利用情况中,脑棉片平均散落数、散落脑棉片平均变形数,实验组明显少于对照组,可消毒回收平均脑棉片数实验组大于对照组。实验组护理人员工作满意度明显优于对照组。结论 运用新型脑棉片保存与清点袋于神经外科手术中,可减少术中台面整理时间及脑棉片清点时间,改善手术台面污染情况,降低因清点不清暂停手术次数,便于估算出血量,在一定程度上提升了护理人员工作满意度,值得临床推广运用。     

Proximal fecal diversion: Review of ten years' experience

In a retrospective study, the clinical course of 250 patients subjected to 257 transverse colostomies was reviewed in an effort to evaluate the problems associated with proximal fecal diversion. Morbidity following stomal construction was 28 per cent, with a significant increase when performed in infants or as an emergency. Two-thirds of the colostomies were emergencies, chiefly due to obstruction and free perforation which was associated with a mortality rate of 12 and 48 per cent respectively. In 102 patients undergoing definite colorectal resection with a previous or simultaneous transverse colostomy, the overall morbidity rate was 58 per cent including a leakage rate of 22.5 per cent. Despite a proximal defunctioning colostomy, surgical intervention was required in 12.7 per cent with a fatal outcome due to peritonitis in 3.9 per cent. Colostomy closure was associated with a morbidity rate of 57 per cent, comprising a leakage rate of 10 per cent and a mortality rate of 1.7 per cent. Apart from incurable cancer and deaths prior to closure every third patient kept the transverse colostomy permanently. Advanced age and poor condition of patients not proceeding to a definite treatment, or an underlying benign lesion were the three most determining factors. The present results indicate a too extensive use of transverse colostomy, emphasizing the need for a circumspect initial selection of patients for diversionary procedures.     

Foley尿管水囊联合缩宫素用于足月妊娠促宫颈成熟的有效性、安全性和对产程的影响#br#

Objective?To explore the application effectiveness and safety of Foley catheter water bag combined with oxytocin in promoting cervical ripening and its influences on stages of labor in full-term pregnancy. Methods?A total of 102 full-term pregnant women with induced labor indications in Obstetrics Department of our hospital were enrolled between June 2017 and January 2021. According to different treatment methods by their willingness, they were divided into control group (51 cases, oxytocin) and combination group (51 cases, Foley balloon combined with oxytocin). Before induced labor and after intervention, cervical ripening effects in both groups were observed. The effect of cervical ripening before labor induction and after intervention in the two groups was observed, and the labor process and maternal and infant outcomes were compared between the two groups. Results?After intervention, Bishop scores were significantly higher than those before induced labor in both groups, which were significantly higher in combination group than control group (P<0.05). The first stage of labor and total stage of labor in combination group were significantly shorter than those in control group (P<0.05). The successful rate of labor induction and vaginal delivery in the combined group were higher than those in the control group, and the rates of postpartum hemorrhage and soft birth canal tearing were lower than those in the control group (P<0.05). The neonatal Apgar score in combination group was higher than that in control group (P<0.05). Conclusion?Foley catheter water bag combined with oxytocin can effectively and safely promote cervical ripening and shorten stages of labor in full-term pregnant women.