早期进食预防重型颅脑损伤患者并发应激性溃疡的护理

为预防重型颅脑损伤患者并发应激性溃疡,对102例患者在伤后6～48 h内留置胃管,鼻饲温凉流质.护理要点是做好胃管护理、胃液pH值监测和密切观察病情.102例患者中发生应激性溃疡15例、死亡1例,其余痊愈出院.     

角膜缘干细胞移植和羊膜移植术治疗复发性翼状胬肉临床疗效比较

Objective To compare the therapeutic effects of recurrent pterygium treated by limbai stem cell transplantation and amniotic membrane transplantation. Methods Sixty-six eases (69eyes) with recur-rent pterygium were randomly divided into limbal stem cell autograft transplantation group (33cases, 34eyes) and amniotic membrane transplantation group (33eases, 35eyes). The post operative follow-up periods were 12 to 24 months. Results Recurrence of one eye was noted in limbal stem cell autogratft transplantation group, the recurrent rate was 2.94%, however recurrence of eight eyes were noted in anmiotie membrane transplantation group, the recurrent rate was 22.9%. There was statistical significant difference between two groups (χ2=4.389,P <0.05 ). The average epithelial recovering time of corneal wound was 4.5 days,and 6.5 days,respectively,the difference was statistical significant (t =3.317, P <0.01 ). Conclusion Limbal stem cells autograft transplantation can decrease the recurrent rate, improve epithelial recovering time of corneal wound, it is an ideal method for treating the recurrent pterygium and is worth to spreading.     

小切口非超声乳化白内障手术体会

目的评价反眉状巩膜隧道式小切口非超声乳化白内障囊外摘出术人工晶状体植入术的临床效果。方法对226例（266眼）白内障采用反眉状巩膜隧道式小切口非超声乳化白内障囊外摘出人工晶状体植入手术。随访6～12个月。结果术后最佳矫正视力≥1．0者99眼（37．22％）,0．5～0．8者146眼（54．88％）。无严重并发症发生。结论反眉状巩膜隧道式小切口非超声乳化白内障囊外摘出人工晶状体植入术,效果良好。     

两例瑞氏综合征患儿抽搐的观察和护理

瑞氏综合征（reye syndrome,RS）又称脑病合并内脏脂肪变性,是急性进行性脑病,病死率（10％～40％）和致残率很高。我院于2005年收住两例瑞氏综合征患儿,均有反复抽搐症状,经治疗护理一例死亡,一例治愈;现将对抽搐症状的观察和护理体会汇报如下：     

角膜缘干细胞移植和羊膜移植术治疗复发性翼状胬肉临床疗效比较

Objective To compare the therapeutic effects of recurrent pterygium treated by limbai stem cell transplantation and amniotic membrane transplantation. Methods Sixty-six eases (69eyes) with recur-rent pterygium were randomly divided into limbal stem cell autograft transplantation group (33cases, 34eyes) and amniotic membrane transplantation group (33eases, 35eyes). The post operative follow-up periods were 12 to 24 months. Results Recurrence of one eye was noted in limbal stem cell autogratft transplantation group, the recurrent rate was 2.94%, however recurrence of eight eyes were noted in anmiotie membrane transplantation group, the recurrent rate was 22.9%. There was statistical significant difference between two groups (χ2=4.389,P <0.05 ). The average epithelial recovering time of corneal wound was 4.5 days,and 6.5 days,respectively,the difference was statistical significant (t =3.317, P <0.01 ). Conclusion Limbal stem cells autograft transplantation can decrease the recurrent rate, improve epithelial recovering time of corneal wound, it is an ideal method for treating the recurrent pterygium and is worth to spreading.     

应用皮格马利翁效应提高慢性阻塞性肺病患者呼吸功能锻炼的依从性

目的探讨应用皮格马利翁效应提高慢性阻塞性肺病患者呼吸功能锻炼的依从性效果。方法将105例慢性阻塞性肺病患者按住院号尾数奇数、偶数分组,观察组46例,对照组59例;对照组给予常规呼吸功能锻炼指导,观察组应用皮格马利翁效应实施呼吸功能锻炼指导;观察两组住院期间平均每次锻炼时间、锻炼时每分钟呼吸次数及出院1月时呼吸功能锻炼坚持率。结果观察组每次锻炼平均时间较对照组长、锻炼时每分钟呼吸次数较对照组少、出院1月时呼吸功能锻炼坚持率较对照组高,差异比较有统计学意义。结论应用皮格马利翁效应能提高慢性阻塞性肺病患者呼吸功能锻炼的依从性。     

吲哚美辛塞肛预防术后膀胱痉挛的疗效观察

膀胱痉挛是前列腺增生症术后常见并发症之一,术后由于前列腺创伤,加之冲洗的液量、温度、膀胱内留置管道等对膀胱逼尿肌产生刺激,多在术后12～24 h内引发阵发性收缩,膀胱出现痉挛性疼痛、尿意感、下腹胀痛、肛门坠胀感,严重时可引起大出血形成血块堵塞管道,且术后膀胱痉挛的发生率高达74.95%.     

早期开塞露塞肛促使腹部手术后患者肛门排气的临床观察

腹部手术后12-24h患者肠胃蠕动完全消失，随后部分肠管恢复功能，听诊闻及肠鸣音，但气体不能正常向下运行，患者感腹胀甚至腹痛，从而影响患者休息，甚至有切口裂开的可能。笔者查阅相关文献，     

角膜缘干细胞移植和羊膜移植术治疗复发性翼状胬肉临床疗效比较

Objective To compare the therapeutic effects of recurrent pterygium treated by limbai stem cell transplantation and amniotic membrane transplantation. Methods Sixty-six eases (69eyes) with recur-rent pterygium were randomly divided into limbal stem cell autograft transplantation group (33cases, 34eyes) and amniotic membrane transplantation group (33eases, 35eyes). The post operative follow-up periods were 12 to 24 months. Results Recurrence of one eye was noted in limbal stem cell autogratft transplantation group, the recurrent rate was 2.94%, however recurrence of eight eyes were noted in anmiotie membrane transplantation group, the recurrent rate was 22.9%. There was statistical significant difference between two groups (χ2=4.389,P <0.05 ). The average epithelial recovering time of corneal wound was 4.5 days,and 6.5 days,respectively,the difference was statistical significant (t =3.317, P <0.01 ). Conclusion Limbal stem cells autograft transplantation can decrease the recurrent rate, improve epithelial recovering time of corneal wound, it is an ideal method for treating the recurrent pterygium and is worth to spreading.     

角膜缘干细胞移植和羊膜移植术治疗复发性翼状胬肉临床疗效比较

Objective To compare the therapeutic effects of recurrent pterygium treated by limbai stem cell transplantation and amniotic membrane transplantation. Methods Sixty-six eases (69eyes) with recur-rent pterygium were randomly divided into limbal stem cell autograft transplantation group (33cases, 34eyes) and amniotic membrane transplantation group (33eases, 35eyes). The post operative follow-up periods were 12 to 24 months. Results Recurrence of one eye was noted in limbal stem cell autogratft transplantation group, the recurrent rate was 2.94%, however recurrence of eight eyes were noted in anmiotie membrane transplantation group, the recurrent rate was 22.9%. There was statistical significant difference between two groups (χ2=4.389,P <0.05 ). The average epithelial recovering time of corneal wound was 4.5 days,and 6.5 days,respectively,the difference was statistical significant (t =3.317, P <0.01 ). Conclusion Limbal stem cells autograft transplantation can decrease the recurrent rate, improve epithelial recovering time of corneal wound, it is an ideal method for treating the recurrent pterygium and is worth to spreading.