微波治疗仪加硫酸镁湿敷治疗化疗性静脉炎效果分析

目的探讨微波治疗仪加硫酸镁湿敷治疗化疗性静脉炎的效果。方法将108例化疗性静脉炎患者随机分为两组各54例。治疗组运用微波治疗仪加硫酸镁湿敷,对照组应用50%硫酸镁湿敷。结果治疗组痊愈率显著高于对照组（P〈0.05）。结论微波治疗仪加硫酸镁湿敷治疗化疗性静脉炎,具有消肿、止痛、软化血管、减少色素沉着、简便实用的优点。     

高级责任护士负责制分层管理在“优质护理服务示范工程”中的应用体会

目的:探讨高级责任护士负责制护理分层管理在优质护理服务中的应用效果。方法:示范病房实施高级责任护士负责制分层管理模式,并与绩效工资挂钩,比较活动开展前后各项护理工作质量,护理服务满意度。结果:各项护理工作质量明显提高,P<0.01;患者对护士、医生对护士的满意度明显提高,P<0.01。结论:高级责任护士负责制护理分层管理模式是保证护理质量、提高护理服务的有效方式。     

静脉输液针头固定效果的探讨

目的探讨静脉输液针头固定的最佳方法,以保证在输液完毕后易于撕脱,无痛苦。方法对236例输液者随机分为三组,采用不同的静脉输液针头固定法效果对比。结果三种针固定法效果比（P〈0.05）,但在固定时间和拔针时间上针柄固定法组比其他两组固定法差异有统计学意义（P〈0.01）。结论针柄固定法是最佳的固定方法,较常规固定方法牢记,减少疼痛,拔针方便、省时,值得推广。     

开腹与腹腔镜下输卵管吻合术回顾性队列研究及术后妊娠影响因素分析#br#

【Abstract】?Objective?To evaluate the safety and effectiveness of laparotomic and laparoscopic tubal anastomosis, and evaluate the influencing factors of pregnancy rate. Methods?The clinical data of 356 ligation patients who underwent tubal anastomosis in the First Affiliated Hospital of Zhengzhou University from March 2012 to October 2017 were analyzed retrospectively, including 85 cases of laparotomy and 271 cases of laparoscopy. The differences of perioperative status and postoperative pregnancy rate between the two groups were analyzed, and the independent influencing factors of postoperative pregnancy rate were analyzed. Results?①There was no significant difference in operation time, postoperative fever and exhaust time between the two groups (P>0.05), but laparoscopic bleeding was less[(18.1±12.1) ml, (33.4±22.1) ml], and the pain score was lower[(3.6±0.9), (4.5±0.9) score], duration of hospital stay was shorter[(5.9±0.6) d, (7.1±0.7) d](P<0.05). 2 cases of laparotomic group had abdominal wall incision infection, cases of laparoscopic group all healed well. The cost of laparotomic group was lower than that in laparoscopic group[(9 524±881), (12 903±1 162) yuan](P<0.05).② There was no significant difference in the patency rate of intraoperative anastomosis, residual tube length and ectopic pregnancy rate between the two groups (P>0.05). The uterine pregnancy rate two years after anastomosis was higher in laparoscopic group (76.4%) than in laparotomic group(61.2%)(P<0.05). The postoperative gestation time of the laparoscopic group was (7.6±4.9) months, and the postoperative gestation time of the open group was (8.3±5.3) months, with no statistically significant difference(P>0.05).③ Anastomotic procedure (OR=1.847, 95%CI: 1.028~3.320, P=0.040), age (OR=3.673, 95%CI: 1.690~7.984, P=0.001), multiple pelvic operation history (OR=3.092, 95%CI: 1.650~5.796, P=0.000), and length of residual tube (OR=4.716, 95%CI: 2.552~8.714, P=0.000) were independent factors influencing intrauterine pregnancy rate after anastomosis. There was no significant correlation between body mass index (BMI), length of ligation, method of ligation and site of ligation and pregnancy rate. Conclusion?Compared with open surgery, laparoscopic tubal anastomosis is a better treatment option for patients with tubal ligation. Anastomosis mode, age, history of multiple pelvic surgeries and length of remaining fallopian tubes were the influencing factors of pregnancy rate after anastomosis.     

黄花中秋水仙碱的定性测定

黄花含有非常丰富的营养成分，但鲜黄花含有秋水仙碱，食用前必须先用沸水煮熟，去汁水，并用清水透洗后再将其炒煮食用。如果烹饪方法不当，未彻底除去秋水仙碱，食用后一个半小时左右会出现恶心、呕吐、腹泻、头痛、口渴喉干，腹泻很快变成大量水样及血便，随之有肾脏炎症，脉搏快而弱，上行性神经麻痹，虚脱等症状。不久前，我市某工厂职工食用烹饪不当的鲜黄花后有十几人中毒。由于目前没有简单易行的检测方法，给处理这类突发公共卫生事件带来诸多不便，因此笔者着手建立了此法。