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find Author "徐英" 11 results
  • 急性心肌梗死伴心源性休克患者应用主动脉内球囊反搏治疗的观察及护理

    【摘要】 目的 探讨使用主动脉内球囊反搏治疗过程中护理措施对改善患者预后的影响。 方法 选择我科2008年9月〖CD3/5〗2009年5月使用主动脉内球囊反搏治疗急性心肌梗死伴心源性休克的9例患者,对治疗过程进行了观察及全面合理的护理。 结果 主动脉内球囊反搏治疗患者,取得了满意的效果。 结论 主动脉内球囊反搏患者病情复杂危重,使用过程中需辅以全面合理的护理措施,防止并发症发生,对改善患者预后有益。

    Release date:2016-09-08 09:45 Export PDF Favorites Scan
  • Correlation and Clinical Significance of Estrogen Receptors and Vascular Endothelial Growth Factor in Non-Small Cell Lung Cancer

    Objective To explore the clinical significance of estrogen receptor α( ERα) , estrogen receptor β( ERβ) in non-small cell lung cancer( NSCLC) .Methods EnVision method was used to detect the expressions of ERα, ERβ, vascular endothelial growth factor( VEGF) , and microvessel density( MVD) in 54 NSCLC patients, 10 patients with lung benign lesions, and 10 normal controls. The interrelation between ERα, ERβ, VEGF, and MVD was analyzed. Results No obvious expressions of ERα and ERβwere observed in the normal lung tissues and lung benign lesions. The positive expression rates of ERα, ERβ, and VEGF in NSCLC were 20. 4% ( 11/54) , 64. 8% ( 35/54) , and 64. 8% ( 35/54) , respectively. There were no significant differences between ERαin regard to clinical parameters of NSCLC. But the expression of ERβwas dependent on pathological classification and differentiation of NSCLC. The expression of ERβ was significantly higher in adenocarcinoma than in squamous cell carcinoma( P lt; 0. 05) . The expression rate of ERβin well differentiated group was significantly higher than that in low, moderately differentiated group( P lt;0. 05) . There were significant differences between VEGF in regard to lymph node metastasis and TNM stage. The expression of ERαinterrelated with VEGF and MVD with r value of 0. 4 and 0. 685 respectively ( P lt;0. 05) . There was little correlation between ERβ and VEGF, MVD( P gt; 0. 05) . Conclusion Theexpression of ERβ correlates with pathological classification and differentiation of NSCLC, suggesting its significance in evaluating the pathological classification and malignant degree of NSCLC. The expression of ERαcorrelates with VEGF and MVD, suggesting that ERαpossibly promote micro-angiogenesis of NSCLC by VEGF pathway.

    Release date:2016-08-30 11:53 Export PDF Favorites Scan
  • 慢性心力衰竭患者双心室起搏器植入术后的护理

    【摘要】 目的 总结慢性心力衰竭(chronic heart failure,CHF)患者双心室起搏器植入术后的护理要点,尤其是心理干预及患者教育的作用。 方法 对2009年3月-2010年5月收治的34例接受双心室起搏治疗的CHF患者进行观察和全面护理,主要是进行心理干预及患者教育,并在出院后进行长时间随访。 结果 患者在双心室起搏器植入术后的随访过程中,心力衰竭症状缓解,左心室射血分数、心输出量、左心室充盈时间增加。 结论 双心室起搏植入术后,辅以全面合理的护理措施,尤其是心理干预及患者教育可以进一步防止并发症的发生,有利于患者改善预后,提高生活质量。

    Release date:2016-09-08 09:52 Export PDF Favorites Scan
  • 三维射频消融治疗心房颤动的围手术期护理

    【摘要】 目的 总结心房颤动患者行三维射频消的融治疗的护理要点和经验。 方法 对2010年11月-2011年5月收治的62例行三维射频消融治疗心房颤动患者临床资料进行回顾性分析。 结果 62例手术均消融成功,术后发生并发症5例,其中心包压塞1例,迷走神经反射3例,下肢静脉血栓形成1例,经积极治疗和护理均好转出院。 结论 围手术期实施正确有效的护理措施是保证手术和治疗效果的重要因素。

    Release date:2016-09-08 09:27 Export PDF Favorites Scan
  • 经桡动脉穿刺行冠状动脉介入治疗围手术期护理

    【摘要】 目的 总结经桡动脉穿刺行冠状动脉介入治疗的围手术期护理要点及并发症预防。 方法 对2011年1-6月间226例经桡动脉穿刺行冠状动脉介入治疗患者,术前做好心理护理及桡动脉准备,术后做好生命体征监测,密切观察术侧肢体循环,预防各种并发症的发生。 结果 226例患者经桡动脉穿刺行冠状动脉介入治疗术后未发生严重并发症,治疗和护理效果满意。 结论 围手术期实施有效的护理措施是保证治疗成功的重要因素之一。

    Release date:2016-09-08 09:27 Export PDF Favorites Scan
  • Investigation on the Quality of Life and Psychological Status among Patients after Cardiac Resynchronization Therapy

    ObjectiveTo analyze the quality of life (QOL) and psychological status among patients having undergone cardiac resynchronization therapy (CRT). MethodsA total of 42 patients underwent CRT in our hospital during January 2011 to January 2014. All the patients were studied by MOS SF-36 scale and symptom checklist-90 (SCL-90) on overall QOL and psychological QOL, respectively. Another 42 healthy people in matched control group were also tested. ResultsThe QOL of patients after CRT was significantly lower than that of healthy subjects (P<0.05). The psychological status score, which was obtained by the examination of SCL-90, was significantly higher in patients after CRT than in the healthy population (P<0.05). The length of the disease course and leveling exercise tolerance are the influence factors for the QOL and psychological status in patients undergoing CRT. Gender does not make any difference between the two groups. ConclusionThe QOL of patients having undergone CRT is significantly lower than that of healthy people, and the psychological status score is higher. Medical staff need to pay attention to the mental illness (such as depression, anxiety and panic) of patients after CRT, especially in patients with long course of disease, and patients who fail to improve exercise tolerance or who are mateless. Psychological interventions can further improve the QOL of patients.

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  • Correlation analysis of red blood cell distribution width and disease severity of acute exacerbation of bronchiectasis in the elderly patients

    ObjectiveTo investigate the relationship between the red blood cell distribution width (RDW) and the severity of acute exacerbation of bronchiectasis in elderly patients.MethodsThe clinical data of 216 elderly patients with acute exacerbation of bronchiectasis admitted from January 2015 to October of 2018 were analyzed retrospectively. The severity of acute exacerbation of bronchiectasis in the elderly was evaluated by bronchiectasis severity index (BSI) score. Meanwhile, 50 elderly people receiving qualified medical examination were collected as a healthy control group in the same period. The distributions of BSI score, RDW, procalcitonin (PCT), neutrophil percentage (NEU%) and C-reactive protein (CRP) were described in the patients with different risk degree. The severity of acute exacerbation of bronchiectasis in the elderly was evaluated by BSI. The patients were divided into three groups by BSI score: a low risk group, a middle risk group, and a high risk group. The indexes were described including the distribution of stratified BSI score, RDW, PCT, NEU%, CRP at different risk levels. The correlation of each index was analyzed by Spearman correlation. The threshold value of RDW was calculated by general linear regression, and the influencing factors of BSI score were analyzed by multivariate linear regression analysis.ResultsThe higher the risk stratification, the higher the BSI score, RDW, PCT, NEU% and CRP were. RDW was positively correlated with PCT, NEU% and CRP (r values were 0.425, 0.311, 0.177, respectively, P<0.05). BSI score was positively correlated with RDW, PCT, NEU%, and CRP (r values were 0.425, 0.394, 0.650, 0.578, respectively, P<0.05). RDW was positively correlated with PSI score (r=0.425, P<0.05). The thresholds of RDW were 11.45% and 14.03%. Multiple linear regression showed that RDW, PCT, NEU% and CRP were all influential factors of BSI score and explained 52.3% of the total mutation rate.ConclusionRDW is related to the severity of acute exacerbation of bronchiectasis in the elderly, and can predict the severity of acute exacerbation of bronchiectasis in the elderly.

    Release date:2019-07-19 02:21 Export PDF Favorites Scan
  • The application of artificial intelligence technology in intensive care medicine in the last ten years: a visualization analysis

    Objective To analyze the hot spot and future application trend of artificial intelligence technology in the field of intensive care medicine. Methods The CNKI, WanFang Data, VIP and Web of Science core collection databases were electronically searched to collect the related literature about the application of artificial intelligence in the field of critical medicine from January 1, 2013 to December 31, 2022. Bibliometrics was used to visually analyze the author, country, research institution, co-cited literature and key words. Results A total of 986 Chinese articles and 4 016 English articles were included. The number of articles published had increased year by year in the past decade, and the top three countries in English literature were China, the United States and Germany. The predictive model and machine learning were the most frequent key words in Chinese and English literature, respectively. Predicting disease progression, mortality and prognosis were the research focus of artificial intelligence in the field of critical medicine. ConclusionThe application of artificial intelligence in the field of critical medicine is on the rise, and the research hotspots are mainly related to monitoring, predicting disease progression, mortality, disease prognosis and the classification of disease phenotypes or subtypes.

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  • 经皮左心耳封堵术治疗心房颤动卒中高危患者二例

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  • Influence of Health Education by Nurses on Effects of Blood Pressure Control in Hypertensive Patients: A Clinical Controlled Trial

    ObjectiveFor better health interventions, blood pressure control and reducing risk of cardiovascular events, we explored the effects of health education by nurses on hypertension patients after discharging. MethodsHypertensive discharging-patients from the department of cardiology of the West China Hospital of Sichuan University were enrolled from January to October in 2011. They were divided into two groups, including a health education group and a control group. The patients in the health education group were given all-side care, health guidance, education lectures and telephone follow-up by nurses. The control group got no intervention. After one year follow-up, the information about situation of blood pressure control, new-onset cardiovascular events and changes of life habits were collected from the two groups. SPSS 19.0 was used to perform statistic analysis. ResultsA total of 300 discharged hypertensive cases were included, with 150 cases in each group. The systolic blood pressure of patients in the health education group was significantly lower than that of the control group (P < 0.05). Both blood control rates and the habit of low salt intake in the health education group were also better than those of the control group (both P < 0.05). There was no significant difference in changes of smoking, drinking, physical exercise and new-onset cardiovascular events between the two groups. ConclusionHealth education by nurses could effectively improve the management of blood pressure in patients with hypertension.

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