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find Author "廖永慧" 3 results
  • 引流管固定器在“T”管固定中的效果分析

    目的 对比引流管固定器与传统固定方法在胆道术后患者“ T ”管固定中的效果。 方法 2012年2月-5月,将102例胆道术后留置“ T ”管的患者,按住院号随机分为试验组(52例)和对照组(50例),试验组在传统固定方法的基础上加用引流管固定器固定“ T ”管,对照组采用传统的方法固定“ T ”管,观察比较两种固定方法的效果。 结果 试验组“ T ”管固定良好,无松动和脱落情况发生,仅5例患者存在“ T ”管周围有疼痛刺激,两组比较差异有统计学意义(P<0.05)。 结论 采用引流管固定器固定“ T ”管能防止“ T ”管的松动和脱落,减轻患者“ T ”管周围的疼痛,且便于医护人员的观察和操作,值得临床推广使用。

    Release date:2016-09-07 02:34 Export PDF Favorites Scan
  • 医护一体化无痛管理在胆道结石患者围手术期的应用及效果

    目的 探讨医护一体化无痛管理在胆道结石患者围手术期疼痛控制中的实施及其效果。 方法 选取 2016 年 3 月 1 日— 8 月 31 日四川大学华西医院胆道外科收治的 479 例胆道结石患者,按其入院时间的不同,将 2016 年 3 月 1 日—5 月 31 日入院的 241 例胆道结石患者围手术期疼痛采用传统的疼痛管理(对照组),2016 年 6 月 1 日—8 月 31 日入院的 238 例胆道结石患者围手术期疼痛采用医护一体化无痛管理(观察组)。比较两组患者的疼痛评分、疼痛控制满意度、术后康复指标(下床活动时间、肛门排气时间、术后住院时间)、采用疼痛解救情况的差异。 结果 观察组患者术后当日睡前~术后 3 d、出院前疼痛评分均较对照组低,疼痛控制满意率(99.16%)明显高于对照组(60.17%),术后下床活动时间[(36.27±9.20)h]、肛门排气时间[(50.28±10.50)h]、术后住院时间[(4.68±1.26)d]均短于对照组[(56.57±12.03)h、(74.88±10.22)h、(6.55±1.76)d],采用疼痛解救者[21 例(8.82%)]亦低于对照组[241例( 100.00%)],差异均有统计学意义(P<0.05)。 结论 医护一体化无痛管理在胆道结石患者围手术期的应用能有效减轻患者术后的疼痛程度,使其能早期下床活动,不仅促进了患者胃肠功能的恢复,缩短了住院时间,提高了患者对疼痛控制的满意度,也促进了患者康复;另外,医护一体化疼痛管理也明显减少了对疼痛爆发的解救次数,从而降低了医护人员的应急工作量。

    Release date:2017-06-22 02:01 Export PDF Favorites Scan
  • The Effectiveness of Comfeel Hydrocolloid Dressings in Preventing Peripheral Phlebitis Caused by Intravenous Infusions

    ObjectiveTo investigate the effectiveness of hydrocolloid dressing in preventing peripheral phlebitis due to intravenous infusions. MethodsFrom April 1st to October 30th, 2014, 320 patients admitted in the Biliary Department of West China Hospital for parenteral nutrition were collected along with their clinical data and were randomly divided into control group and intervention group. A total of 160 patients who were allocated in the control group accepted simple dressing with 3M adhesive tape (6 cm×7 cm) at the intravenous catheter site. In contrast, hydrocolloid dressing (5 cm×7 cm) was applied at the intravenous catheter site and then covered with 3M adhesive tape (6 cm×7 cm) for the patients in the intervention group. ResultsPhlebitis rate was significantly higher in the control group (115 patients) than that in the interventions group (64 patients) (χ2=32.978, P<0.001). In addition, the severity of phlebitis was higher in the control group than that in the intervention group (Z=-4.466, P<0.001). Statistically significant difference was noted. ConclusionHydrocolloid dressing is effective in preventing and delaying the occurrence of peripheral phlebitis due to intravenous infusions.

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