全方位精细化护理对心脏瓣膜置换术患者康复进程和生活质量影响

目的 探讨全方位精细化护理在心脏瓣膜置换术(HVR)患者中的应用价值。方法 选取2020-06-01-2022-06-30驻马店市中心医院收治的106例HVR术后患者为研究对象,根据护理方案不同,分为常规护理组和精细化护理组,各53例。常规护理组给予常规的护理干预,精细化护理组在常规护理的基础上给予全方位精细化护理。对比2组康复进程、应激指标[皮质醇、促肾上腺皮质激素(ACTH)、胰岛素]水平、疼痛程度[视觉模拟量表(VAS)评分]、心理状态[焦虑自评量表(SAS)、抑郁自评量表(SDS)评分)]、生活质量(LHFQ评分)及满意度。结果 精细化护理组ICU监护时间、住院时间分别为(37.14±4.18) h、(20.31±1.24) d,短于常规护理组的(45.76±5.39) h、(22.11±0.73) d,差异有统计学意义,t值分别为9.200和9.107,均P<0.001。术后5 d,精细化护理组VAS评分、血清皮质醇、ACTH、胰岛素水平分别为(3.04±0.85)分、(269.11±30.95) nmol/L、(18.13±1.89) pmol/L、(12.87±2....     

泡沫硬化剂与液态硬化剂注射治疗下肢静脉曲张临床疗效对比的Meta分析

目的采用Meta分析比较泡沫硬化剂与液态硬化剂注射治疗下肢静脉曲张的临床疗效。方法搜索中英文数据库,包括万方、维普、中国知网、PubMed,Web of Science,Science Drirect Online和Cochrane Library。搜集关于泡沫硬化剂与液态硬化剂注射治疗下肢静脉曲张临床疗效比较的随机对照试验的论文,并纳入Meta分析,对比二者的临床疗效。结果搜集了6个随机对照试验纳入Meta分析,总共包含546例患者。经过分析,实验组与对照组有效率对比,差异具有统计学意义(P0.05)。二者有效率对比的OR值为6.63(95%CI:4.47,9.85),实验组有效率优于对照组。而实验组与对照组并发症发生率对比,其差异无统计学意义(P0.05)。结论泡沫硬化剂注射治疗下肢静脉曲张的临床疗效优于液态硬化剂。     

护士如何实现自我保护

护士是一种神圣却又高危的职业,要想做到最大程度地造福于病患并保护自身安危,需要我们做到很多方面的工作。     

Comparison of the application methods and effects of skin flaps in the repair of defects in different parts of the nose according to the concept of aesthetic nosesubunits北大核心CSCD

Objective To analyze the difference of application methods and effects of local flap in small and medium‑sized defects of different aesthetic subunits of nose, in order to provide reference for clinical work. Methods A retrospective analysis was made on 59 patients with external nasal masses and scars who underwent surgical treatment in the Department of Aesthetic Plastic Surgery of the Affiliated Hospital of Qingdao University from July 1, 2021 to January 30, 2022, including 27 females and 32 males, aged 15 to 69 years. Using Likert scale, the repair methods and effects of local flap for nasal soft tissue defects were evaluated and summarized from three aspects of texture, flatness and scar concealment. GraphPad Prism 5.0 software was used for data statistics and analysis. Results The use of skin flaps to repair small and medium‑sized areas of the nose could achieve satisfactory results. For patients with different subunits, in terms of skin flatness and scar concealment degree in the operation area, patients′ satisfaction with the dorsal and lateral nasal areas was higher than that of the alar and tip areas, respectively (F=6.40, P=0.001; F=10.57, P<0.001). For patients with different skin flap repair methods, the satisfaction of patients with Z‑plasty and Dufourmentel skin flap was higher than that of other skin flap repair methods (F=4.38, P=0.002), and the satisfaction of patients with Dufourmentel skin flap was the highest in the degree of scar concealment (F=2.57, P=0.038). Conclusions In the small and medium‑sized defects of the nose, the use of multiple local flaps can achieve good cosmetic effects and functional recovery. The operator should select the appropriate flap repair method according to the characteristics of different aesthetic subunits of the nose. © 2023 Authors. All rights reserved.