通过分析护理研究生在我院近5年撰写的科研项目申报书、中标与参与课题研究、在国内外学术期刊论文的发表、协助指导论文和参与国内外学术交流活动的情况,从而探讨护理研究生在医院临床科研工作中的角色和作用。
供应室消毒工作是预防和控制医院感染的必要手段，加强对化学消毒剂的严格管理和合理使用又是取得最佳消毒效果的重要保证。因此在消毒剂的选择和使用上应加强管理，严格把关
Objective To compare the clinical efficacy and safety of thrombolysis with anticoagulation therapy for patients with acute sub-massive pulmonary thromboembolism. Methods The clinical data of 84 patients with acute sub-massive pulmonary thromboembolism were analyzed retrospectively, mainly focusing on the in-hospital efficacy and safety of thrombolysis and/ or anticoagulation. The efficacy was evaluated based on 6 grades: cured, markedly improved, improved, not changed, deteriorated and died. Results Among the 84 patients,49 patients received thrombolysis and sequential anticoagulation therapy( thrombolysis group) , 35 patients received anticoagulation therapy alone( anticoagulation group) . As compared with the anticoagulation group, the thrombolysis group had higher effective rate( defined as patients who were cured, markedly improved or improved, 81. 6% versus 54. 3%, P = 0. 007) , lower critical event occurrence ( defined as clinical condition deteriorated or died, 2. 0% versus 14. 3% , P = 0. 032) . There was no significant difference in bleeding rates between the two groups ( thrombolysis group 20. 4% versus anticoagulation group 14. 3% , P gt; 0. 05) . No major bleeding or intracranial hemorrhage occurred in any of the patients. Conclusions Thrombolysis therapy may be more effective than anticoagulation therapy alone in patients with acute sub-massive pulmonary thromboembolism, and thus warrants further prospective randomized control study in large population.
目的 探讨吻合器痔上黏膜环形切除钉合术(ＰＰＨ)手术操作规范。 方法 对《PPH暂行规范》（修订）“术中操作” 中的两个关键性步骤进行分析、讨论。结果 《PPH暂行规范》（修订）中的手术操作指导存在不便操作、相互矛盾、难以取得理想效果等问题。在PPH操作中，适度牵拉后置入肛管扩张器以充分显露痔上黏膜，原位6～8针均匀而恰到好处的黏膜下层双荷包缝合，以痔核上缘作为荷包缝合的主要定位依据，荷包缝好松开牵拉钳后用食指或无创伤钳裹纱布将痔核及脱出的肛管组织尽量往直肠内推送复位，以及收紧吻合器时持续用力牵引荷包线，旋紧吻合器直至最紧状态时才予以击发是保证PPH手术顺利进行和增加切割组织宽度的重要操作技巧。结论 对《PPH暂行规范》（修订）的探讨得出的操作技巧宜在规范中予以推荐和强调。
By analyzing the characteristics of elderly outpatients and their specific needs, we provided for them humane and personalized health services, through following the physiological and social medical model, and melting the humanistic care into the high quality of nursing care. With this mode, we can build a harmonious relationship between nurses and patients, and improve the elderly patients' quality of life and living.