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乳腺癌患者患侧上肢经外周静脉置入中心静脉导管的护理

目的　探讨乳腺癌患者患侧上肢置入中心静脉导管的护理方法。 方法　2009年2月－2012年7月，对28例健侧血管条件差的乳腺癌患者患侧上肢贵要静脉置入中心静脉导管，其中4例患者先行术前新辅助化学疗法（化疗），术后再继续化疗；其余24例行术后化疗。 结果　1例因发生血栓性静脉炎而拔出导管，其余均按计划顺利完成化疗。 结论　乳腺癌患者健侧静脉条件较差。术后若患侧上肢无水肿，只要置管操作娴熟，严格无菌技术，规范维护导管技术，从患侧上肢贵要静脉置入中心静脉导管，并发症发生率较低，对临床有一定的指导意义。

腺病毒联合腹腔灌注治疗精囊腺癌一例

Effect of Evidence-Based Nursing Education on the Critical Thinking Ability of Nursing Students

Objective　To explore the effect of evidence-based nursing education on the critical thinking ability of nursing students. Methods　One hundred and two junior college nursing students participated in this study. They were divided into the experimental group and the control group. All of them received standard clinical nursing practice training, and students in the experimental group also attended evidence-based nursing training. All the students completed the Critical Thinking Disposition Inventory before and after training. Results　Students in the experimental group had improved critical thinking ability compared with the control group, and the difference was statistically significant (Plt;0.05). Conclusions　 Evidence-based nursing education can improve the critical thinking ability of nursing students.

芬太尼透皮贴剂治疗晚期癌性疼痛的疗效观察

【摘要】　目的　观察芬太尼透皮贴剂治疗晚期癌性疼痛患者的疗效。　方法　2009年1月－2010年3月，对经病理学检查确诊为晚期恶性肿瘤的癌痛患者60例，使用芬太尼透皮贴剂进行止痛治疗。1周后观察患者疼痛缓解效果、KPS评分及芬太尼透皮贴剂不良反应。　结果　癌痛患者治疗前、后疼痛的缓解程度、KPS评分，差异有统计学意义（Plt;0.05），其药物不良反应发生率为36.67%，未见严重不良反应。　结论　芬太尼透皮贴剂止痛效果好，可帮助癌痛患者解除痛苦，改善生活质量。

Clinic Effect of Comfeel Transparent Paste on Prevention of Phlebitis with Breast Cancer Who Firstly Used Chemotherapy Treatment after Surgery

目的:观察康惠尔透明贴防治表阿霉素(E--ADM)联合用药致静脉炎的临床效果。方法:将160名第1次大剂量(100mg／m2)静脉滴注表阿霉素的乳腺癌术后患者按床号的单双数随机分为对照组和实验组各80例,静脉穿刺处对照组使用3M透明贴,实验组使用康惠尔透明贴,观察两组患者静脉炎发生率及严重程度。结果:对照组发生静脉炎31例,实验组发生静脉炎9例。两组经秩和检验,W=6.638 P=0.0353。 结论:使用康惠尔透明贴能有效预防表阿霉素联合用药所致的静脉炎,值得临床推广应用。

Effect Evaluation of Blinding Manipulation of Peripherally-inserted Central Catheter by Using the Carina as Evaluation Mark

ObjectiveTo evaluate tip location of peripherally inserted central catheter (PICC) by using the carina as evaluation mark, so as to provide clinical references for blinding manipulation of PICC. MethodsA retrospective analysis about the effects of tip location of PICC by using the carina as evaluation mark on inpatients with malignant tumour was conducted in tumour centre of the West China Hospital from March 2013 to April 2014. Chest X radiography was applied to evaluate the tip location of PICC. Statistical analysis was performed using SPSS software (version 19.0) and the outcomes were presented by frequency and percentage. ResultsA total of 612 cases of blinding manipulation of PICC were evaluated, of which, 502 (82%) were located in the central venous and 110 (18%) were located in the noncentral venous. The numbers of those with the catheter tips located in the non-central venous were 38 in the right atrium, 33 in the internal jugular vein, 24 in the innominate vein, 8 in the axillary vein, and 7 in the subclavian vein, respectively. ConclusionThe effects of blinding manipulation of peripherally-inserted central catheter by using the carina as evaluation mark are relatively good. But it still needs to be improved.