凝血酶缩短血小板低下患者PICC置管后出血的效果观察

目的探讨凝血酶缩短血小板低下（50×109≤血小板≤100×109）的恶性肿瘤患者PICC置管后出血效果。方法采用压迫止血、云南白药外敷法、凝血酶外敷法三种止血方法,记录比较患者置管后第1、2小时穿刺点出血情况,之后每2小时观察一次,纱布无渗血后每6小时观察一次并记录,总观察时间以置管后72小时为限,同时观察各组PICC置管后一周感染和脉管炎的发生率。结果压迫止血法需要时间较长,且对血小板低的患者效果欠佳;云南白药外敷止血时间比压迫法缩短,但出现感染和脉管炎例数多;凝血酶止血时间最短,出现感染和脉管炎例数少。结论凝血酶能快速、有效地促进血小板低下患者PICC置管后穿刺点的出血。     

尿铜蓝蛋白与糖尿病肾病关系的研究

目的 研究尿铜蓝蛋白(CP)与糖尿病肾病(DN)的关系.方法 将236例2型糖尿病患者分为正常白蛋白(Alb)尿组(DMN组)129例,微量Alb尿组(DMMA组)107例,另选择81例健康体检者作为对照组(C组).检测尿CP、Alb、肌酐(Cr)和血清CP等.结果 (1)尿CP/Cr中位数在DMMA组为2.55 ng/mmol,在DMN组为1.18 ng/mmol,均显著高于C组0.92 ng/mmol,P<0.01;血清CP在各组间比较差异均无统计学意义(P>0.05).(2)2型糖尿病患者尿Alb/Cr与尿CP/Cr呈显著正相关(r=0.188,P<0.01),糖尿病病程为尿CP/Cr和Alb/Cr升高的危险因素.结论 2型糖尿病患者尿CP与尿Alb排泄量有一致性升高的趋势.2型糖尿病患者尿CP升高,其与DN的发生和严重程度有较好的相关性,尿CP可以用来监测DN的发生、病情进展和治疗效果.     

50%葡萄糖注射液治疗老年难愈合伤口的疗效观察和护理体会

Objective To explore the curative effect and nursing intervention of 50%GS in gerontism with hard agglut wound. Methods 52 patients from the Affiliated Hospital of Guangdong Medical College, be-tween March 2007 and April 2008, were enrolled in this study. They were randomly divided into 2 groups accord-ing to numerical table. Conventional dressing change methods were used in the control group and 50% GS was rated in the observation group. The effectual rate and healing time of the two groups were observed and com-pared. Results The effectual time in control group was (12.8±5.12) days, while (8.65±3.52) days in theobservation group, and the healing rate in the control group was 53.8% and 80.8% in the observation group. The effectual rote and healing time of patients in observation group were better than those of patients in control group, and there were significant differences between them (P<0.05) . Conclusions 50% GS is an effective and con-venient method which can accelerate the curing of hard agglut wound. Therefore, it is highly recommended and popularized.     

50%葡萄糖注射液治疗老年难愈合伤口的疗效观察和护理体会

Objective To explore the curative effect and nursing intervention of 50%GS in gerontism with hard agglut wound. Methods 52 patients from the Affiliated Hospital of Guangdong Medical College, be-tween March 2007 and April 2008, were enrolled in this study. They were randomly divided into 2 groups accord-ing to numerical table. Conventional dressing change methods were used in the control group and 50% GS was rated in the observation group. The effectual rate and healing time of the two groups were observed and com-pared. Results The effectual time in control group was (12.8±5.12) days, while (8.65±3.52) days in theobservation group, and the healing rate in the control group was 53.8% and 80.8% in the observation group. The effectual rote and healing time of patients in observation group were better than those of patients in control group, and there were significant differences between them (P<0.05) . Conclusions 50% GS is an effective and con-venient method which can accelerate the curing of hard agglut wound. Therefore, it is highly recommended and popularized.     

50%葡萄糖注射液治疗老年难愈合伤口的疗效观察和护理体会

Objective To explore the curative effect and nursing intervention of 50%GS in gerontism with hard agglut wound. Methods 52 patients from the Affiliated Hospital of Guangdong Medical College, be-tween March 2007 and April 2008, were enrolled in this study. They were randomly divided into 2 groups accord-ing to numerical table. Conventional dressing change methods were used in the control group and 50% GS was rated in the observation group. The effectual rate and healing time of the two groups were observed and com-pared. Results The effectual time in control group was (12.8±5.12) days, while (8.65±3.52) days in theobservation group, and the healing rate in the control group was 53.8% and 80.8% in the observation group. The effectual rote and healing time of patients in observation group were better than those of patients in control group, and there were significant differences between them (P<0.05) . Conclusions 50% GS is an effective and con-venient method which can accelerate the curing of hard agglut wound. Therefore, it is highly recommended and popularized.     

高血压患者抑郁情绪与生活质量相关性的研究

目的 探讨高血压患者抑郁情绪、生活质量,以及二者的相关性.方法 选取广东医学院附属医院门诊确诊的88例高血压患者,同时进行抑郁自评量表(Self-rating depression scale,SDS)、生活质量量表(Medical outcomes study health status short form,MOS SF-36)和匹兹堡睡眠质量指数量表(Pillsburgh Sleep Quality Index,PSQI)评定.结果 88例高血压患者中21例患者出现抑郁症状,占23.9%,非抑郁组高血压患者的生活质量明显高于抑郁组患者,差异具有显著的统计学意义(P＜0.01).结论 高血压患者生活质量与抑郁情绪之间具有相关性,因此,加强患者及家属对抑郁的认知和健康宣传教育,对提高高血压患者生活质量具有重要意义.     

50%葡萄糖注射液治疗老年难愈合伤口的疗效观察和护理体会

Objective To explore the curative effect and nursing intervention of 50%GS in gerontism with hard agglut wound. Methods 52 patients from the Affiliated Hospital of Guangdong Medical College, be-tween March 2007 and April 2008, were enrolled in this study. They were randomly divided into 2 groups accord-ing to numerical table. Conventional dressing change methods were used in the control group and 50% GS was rated in the observation group. The effectual rate and healing time of the two groups were observed and com-pared. Results The effectual time in control group was (12.8±5.12) days, while (8.65±3.52) days in theobservation group, and the healing rate in the control group was 53.8% and 80.8% in the observation group. The effectual rote and healing time of patients in observation group were better than those of patients in control group, and there were significant differences between them (P<0.05) . Conclusions 50% GS is an effective and con-venient method which can accelerate the curing of hard agglut wound. Therefore, it is highly recommended and popularized.     

50%葡萄糖注射液治疗老年难愈合伤口的疗效观察和护理体会

Objective To explore the curative effect and nursing intervention of 50%GS in gerontism with hard agglut wound. Methods 52 patients from the Affiliated Hospital of Guangdong Medical College, be-tween March 2007 and April 2008, were enrolled in this study. They were randomly divided into 2 groups accord-ing to numerical table. Conventional dressing change methods were used in the control group and 50% GS was rated in the observation group. The effectual rate and healing time of the two groups were observed and com-pared. Results The effectual time in control group was (12.8±5.12) days, while (8.65±3.52) days in theobservation group, and the healing rate in the control group was 53.8% and 80.8% in the observation group. The effectual rote and healing time of patients in observation group were better than those of patients in control group, and there were significant differences between them (P<0.05) . Conclusions 50% GS is an effective and con-venient method which can accelerate the curing of hard agglut wound. Therefore, it is highly recommended and popularized.     

无菌物品存放间工作人员不戴口罩的效果观察

目的探讨工作人员进入无菌物品存放间,不戴口罩,无菌物品存放间的空气培养,物体表面、无菌包细菌培养的结果。方法每月对无菌物品存放间的空气培养,物体表面、无菌包细菌培养2次。结果每次空气培养和物体表面细菌培养都在正常范围内,未检测出致病菌,无菌包的细菌检测结果均为无菌生长。保证了临床工作的顺利进行。结论工作人员不戴口罩进入无菌物品存放间,对无菌物品存放间的各项检查参数没有影响,均达到管理规范标准要求,节约了医疗成本,提高医院经济效益。     

金因肽在压疮中的应用与护理

目的：探讨金因肽治疗压疮的临床效果,总结护理措施。方法：选取2004年3月-2008年3月期间我院收治压疮患者46例,用随机数字表法将患者分为实验组和对照组各23例,实验组采用金因肽进行治疗,对照组接受常规治疗。比较两组治疗有效率及平均治愈时间。结果：治疗组在有效率和愈合时间上都明显优于对照组,差异具有显著统计学意义（P〈0．01）。结论：金因肽能促进压疮患者创面的愈合,值得推广。