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find Author "徐鸿儒" 3 results
  • Bedside Accompany Behavior Affecting Video-electroencephalography Monitoring

    【摘要】 目的 分析床旁陪护行为对视频脑电图的影响,总结护理指导的意义。 方法 2008年7-9月对214例患者行24 h视频脑电图监测(video EEG,VEEG)监测,每例患者留一床旁陪护。重点观察坐床沿或同睡、用手机、拍打及按摩行为,并比较初次及再次护理指导后上述行为发生情况。 结果 坐床沿或同睡、用手机、拍打、按摩均可影响VEEG,初次指导后以上行为出现率分别为62.6%、55.1%、30.4%、20.1%;再次指导后以上行为分别减少78.4%、75.4%、78.5%、79.1%,VEEG监测质量均有提高。 结论 应将规范床旁陪护行为的指导贯穿于VEEG监测的全过程。【Abstract】 Objective To assess the impacts of bedside accompany behavior on the quality of video-electroencephalography (VEEG). Methods A total of 214 patients underwent 24-hour VEEG monitoring from July to September 2008. Each patient had a bedside-accompany family member. The behaviors of accompany included sitting at the bed, using mobile phone, clapping, and kneading the patients, which were evaluated after the first and second nursing education. Results Sitting at the bed, using mobile phone, clapping, and kneading the patients influenced the quality of VEEG. After the first education, the occurrences of the above unfavorable behaviors were 62.3%, 55.1%, 30.4%, and 20.1%. After the second education, the unfavorable behaviors reduced 78.4%, 75.4%, 78.5%, and 79.1% respectively; the VEEG quality improved. Conclusion Proper bedside accompany behavior may improve the quality of VEEG monitoring.

    Release date:2016-08-26 02:21 Export PDF Favorites Scan
  • 运动诱发性肌张力障碍的临床分析

    目的探讨发作性运动诱发肌张力障碍(PKD)的临床特征。 方法前瞻性地收集2014年9月-2015年3月视频脑电监测中心连续住院检查并诊断为PKD的23例患者,分析其临床表现、视频脑电图及其余相关辅助检查特点并随访6~12个月,观察其治疗反应等。 结果23例患者男16例,女7例,平均年龄14.8岁,平均病程5.2年,5例具有家族史;均完成了24~48 h不等的长时程视频脑电图监测,共记录到164次发作,发作表现为体位变化或受刺激时突发一侧或双侧肢体的肌张力障碍,持续数秒至1 min不等,发作时意识清楚。视频脑电图监测发现发作期无同步癫痫样放电,2例患者PRRT2基因检测阳性,长期随访对多种抗癫痫药物治疗均有效。 结论PKD是以运动诱发的发作性、短暂性肌张力障碍为特征的少见良性疾病,部分患者可查到致病基因,抗癫痫药物治疗预后较好,需临床诊治过程中给予重视。

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  • Denis—Browne改良术治疗先天性尿道下裂

    Release date:2016-09-01 11:43 Export PDF Favorites Scan
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