新型甲型H1N1流感聚集性发病患者的临床特点和诊治体会

Objective To describe the clinical characteristics of 3 community outbreaks of the novel influenza A (H1N1),and to compare the treatment effects of the traditional Chinese medicine with or without Oseltamivir. Method The clinical records of 234 patients in 3 community outbreaks of the novel influenga A(H1N1)infection in June (n=56),August (n=96)and October (n=82) of 2009 were analyzed,and the treatment effects of the traditional Chinese medicine with or without Oseltamivir were evaluated. Results The baseline characteristics,including age,temperature,indices of blood tests,hepatic and renal functions were distributed evenly between the 2 treatment groups.The overall analysis suggested that there was no significant difference between the 2 treatment groups in the duration of clinical symptoms(P>0.05),the duration of fever(P>0.05),and the hospitalization days(P>0.05).However,an analysis stratified by the temperature (≥39℃ or <39℃)suggested that patients treated by the traditional Chinese medicine with Oseltamivir tended to suffer a shorter duration of fever [40.5(37.3.42.0) vs 22.0(10.5,30.8)hr,P<0.01]]in the higher temperature group. Conclusions The traditional Chinese medicine was equivalent to oseltamivir in treating patients with the novel influenza A (H1N1) infection with lower temperature (<39℃).Oseltamivir was effective in shortening the duration of fever in patients with temperature higher than 39℃.     

种植手术的护理配合

目的熟练掌握种植手术的配合。方法通过对103例患者的手术进行总结，写出护理配合体会。结果医护密切配合，缩短手术时间，减轻患者不适。结论医患护三者密切配合，可提高种植手术的成功率。     

新型甲型H1N1流感聚集性发病患者的临床特点和诊治体会

Objective To describe the clinical characteristics of 3 community outbreaks of the novel influenza A (H1N1),and to compare the treatment effects of the traditional Chinese medicine with or without Oseltamivir. Method The clinical records of 234 patients in 3 community outbreaks of the novel influenga A(H1N1)infection in June (n=56),August (n=96)and October (n=82) of 2009 were analyzed,and the treatment effects of the traditional Chinese medicine with or without Oseltamivir were evaluated. Results The baseline characteristics,including age,temperature,indices of blood tests,hepatic and renal functions were distributed evenly between the 2 treatment groups.The overall analysis suggested that there was no significant difference between the 2 treatment groups in the duration of clinical symptoms(P>0.05),the duration of fever(P>0.05),and the hospitalization days(P>0.05).However,an analysis stratified by the temperature (≥39℃ or <39℃)suggested that patients treated by the traditional Chinese medicine with Oseltamivir tended to suffer a shorter duration of fever [40.5(37.3.42.0) vs 22.0(10.5,30.8)hr,P<0.01]]in the higher temperature group. Conclusions The traditional Chinese medicine was equivalent to oseltamivir in treating patients with the novel influenza A (H1N1) infection with lower temperature (<39℃).Oseltamivir was effective in shortening the duration of fever in patients with temperature higher than 39℃.     

手术室实习护士带教中存在的问题及对策

手术室作为一个自律性、技术性、协作性、应激性要求极高的科室,是实习的重点科室。为确保实习护士在实习期间能按时完成教学计划,掌握手术室基本操作技能,完成常规手术的配合,达到毕业后能独立工作之目的,现将其在手术室实习期间存在的问题进行总结,并提出对策。1主要问题1.1适应能力较差由于手术室的工作环境特殊,分工明确,实习护士对工作环境有陌生感;规章制度要求严格,精神紧张进入角色慢;甚至在看到术中大出血、截肢、严重外伤出血等场面产生恐惧感,不敢接近手术台。1.2工作缺乏主动性手术室护士的技术操作专业性强、体力消耗大、工作…