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find Author "王琴" 13 results
  • 85 Cases of Amputation Patients and their Families with the Needs of the Psychological State of the Investigation

    目的:调查截肢患者及其家属术前、术后的心理状态与需求,为探寻如何改进护理方法提供依据。方法:采用问卷调查法,将85例截肢患者及其家属125人作为调查对象,分别对截肢患者进行心理干预前后的影响,情绪变化,以及认知需求,用百分构成法统计分析,经χ2检验,Plt;0.005。结果:患者及家属均难以接受截肢这种手术方式,迫切需要了解相关知识,做好患者及家属的心理护理,满足其认识需求尤其重要。结论:患者及家属对截肢手术有不同程度的恐惧和忧虑,经护士耐心、连续的心理护理为患者重归社会树立了信心。

    Release date:2016-09-08 10:00 Export PDF Favorites Scan
  • 从无到有到专业,中国内地伤口护理的发展

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  • 骨科创伤住院患者跌倒坠床原因分析及护理对策思考

    目的分析骨科创伤患者发生院内跌倒坠床的原因及应对措施,为减少其发生率提供参考依据。 方法对2013年12月-2014年4月4例骨科患者发生跌倒坠床事件的原因及防范干预措施进行回顾分析,并就其护理干预措施的不足及细节进行总结和讨论。 结果1例术前跌倒导致骨折加重,手术治疗后好转出院。3例术后发生跌倒坠床者,经X线片复查,内固定无松动,骨折断端对合良好,经护理及康复后,2例患者功能恢复优、1例患者功能恢复良后出院。4例患者平均住院时间为12.7 d。 结论应针对骨科特点提出具有专科特色的预防措施,对不同病种患者跌倒坠床发生的规律以及在诊治过程中的不同特点来进行预防,才能减少跌倒坠床现象,保证患者住院期间的安全。

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  • Predictive value of blood urea nitrogen to creatinine ratio in the condition and prognosis of severe pneumonia patients

    ObjectiveTo evaluate the value of blood urea nitrogen to creatinine ratio (UCR) in predicting the condition and prognosis of severe pneumonia patients.MethodsA total of 408 patients with severe pneumonia hospitalized in the intensive care unit (ICU) of Fangcun branch of Guangdong Provincial Hospital of traditional Chinese medicine from January 1, 2017 to August 1, 2020 were retrospectively collected. The patients were divided into a survival group (320 cases) and a death group (88 cases) according to the outcome of hospitalization. This study analyzed the relationship between UCR level and general information, condition, and treatment needs of severe pneumonia patients; and compared UCR, the value of neutrophil to lymphocyte ratio, the levels of hematocrit, C-reactive protein, procalcitonin and D-dimer, and the scores of Acute Physiology and Chronic Health EvaluationⅡ and Pneumonia Severity Index between the survival group and the death group. Receiver operating characteristic (ROC) curve was used to analyze the prognostic value of the above indicators. Logistic regression was used to analyze the risk factors of death of severe pneumonia.ResultsThe age of the patients died of severe pneumonia was higher than that of the survival patients (P<0.05); The mortality rate of severe hospital acquired pneumonia was higher than that of severe community acquired pneumonia (P<0.05); The level of UCR was higher in the patients over 70 years old (P<0.05); UCR level of the severe pneumonia patients with acute exacerbation of chronic obstructive pulmonary disease or multiple organ dysfunction syndrome during hospitalization was higher (P<0.05); The UCR level was higher in the patients with severe pneumonia whose ICU stay was more than 10 days (P<0.05); The UCR level of the severe pneumonia patients with mechanical ventilation longer than 180 hours was higher (P<0.05); UCR level of the severe pneumonia patients who died during hospitalization was higher than that of the survival group (P<0.05); The area under ROC curve of UCR for predicting death in the patients with severe pneumonia was 0.648 (95%CI 0.576 - 0.719), the cut-off value was 108.74, the sensitivity was 47.7%, and the specificity was 77.8% (P<0.05). PSI > level 3 (OR=4.297, 95%CI 2.777 - 6.651) and UCR > 108.74 (OR=0.545, 95%CI 0.332 - 0.896) were independent risk factors for death in the patients with severe pneumonia (P<0.05).ConclusionUCR has certain value in evaluating the condition and prognosis of severe pneumonia patients.

    Release date:2021-06-30 03:41 Export PDF Favorites Scan
  • 双眼玻璃体动脉残留合并单眼玻璃体积血一例

    Release date:2018-03-16 02:36 Export PDF Favorites Scan
  • 视神经完全撕脱伤一例

    Release date:2016-09-02 05:43 Export PDF Favorites Scan
  • 早期玻璃体切割手术治疗眼后节受累的开放性眼外伤疗效观察

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  • Application of different types of congenital heart disease occluder in bronchopleural fistula

    ObjectiveTo introduce implantation methods of different types of congenital heart disease occluder for the treatment of bronchopleural fistula (BPF) and its preliminary efficacy.MethodsThree patients who diagnosed with BPF and treated by congenital heart disease occluder were reviewed. The clinical data was analyzed after comprehensively reviewing of relevant literature.ResultsAll the three patients were treated with postoperative BPF and empyema. The diameter of the fistula ranged from 3 to 8 mm. We used occlusive devices for congenital heart diseases such as atrial septum (ASD), ventricular septum (VSD) defect or patent ductus arteriosus (PDA), respectively. After treatment, all three patients were cured of BPF and empyema caused by BPF in a short time, and the thoracic drainage tube was successfully removed. During the follow-up period from 7 to 25 months, no significant long-term complications were observed.ConclusionThe use of ASD, VSD and PDA occluder for the treatment of BPF with a fistula more than 3 mm is effective and safe.

    Release date:2021-02-08 08:11 Export PDF Favorites Scan
  • The preliminary analysis of clinical effect of vagus nerve stimulation in the treatment of refractory epilepsy in children

    ObjectiveTo investigate the efficacy of vagus nerve stimulation (VNS) in the treatment of refractory epilepsy in children and the key factors affecting its efficacy. MethodsThe clinical data of 22 children with drug-resistant epilepsy who received VNS treatment in the Second People's Hospital of Hunan Province from January 2016 to April 2023 were analyzed. The average seizure reduction rate, effective rate and McHugh grade were used to evaluate the efficacy of VNS after at least 1 year follow-up. Patients with an attack reduction rate of ≥50% were defined as respondents, and Mann-Witney U test and χ2 test were used, respectively, to conduct univariate and multifactor Logistics regression analysis with statistically significant indicators (P<0.05). ResultsAmong the 22 patients, the average attack reduction rate was 12.66% at 1 month, 26.10% at 3 months, 37.47% at 6 months, 48.18% at 9 months and 54.38% at 12 months. The effective rate was 5.00%, 9.00%, 36.00%, 50.00% and 68.00%, respectively. 12 months after operation, there were 3 cases of grade I, 12 cases of grade II, 7 cases of grade III, and 0 cases of grade V. Unifactorial and multivariate Logistic regression analysis showed that the curative effect of epilepsy in children was related to the seizure type, among which the curative effect of general seizure was better than that of focal seizure (OR=0.062, P=0.014), and the curative effect of myoclonic seizure and tonic seizure was better than that of other types in general seizure. ConclusionThe clinical effect of VNS in the treatment of refractory epilepsy in children is time cumulative, and the surgical effect of myoclonic seizures and tonic seizures in general seizures is better.

    Release date:2024-08-23 04:11 Export PDF Favorites Scan
  • Clinical Analysis of 34 Cases of Pulmonary Cryptococcosis

    Objective To invesitgate the clinical characteristics, radiology, diagnosis and treatment of pulmonary cryptococcosis ( PC) . Methods The patients with PC diagnosed form January 2000 to January 2009 from three hospitals of Shanghai and Nanjing were retrospectively analyzed. Results A total of 34 patients were diagnosed, with 24 males and 10 females, and an average age of ( 40. 6 ±13. 5) years old ( ranged from 3 to 72 years) . Twelve patients had underlying diseases and 28 patients had symptoms. The main symptoms were pyrexia ( 20 cases) , cough and expectoration ( 22 cases) , chest pain ( 8 cases) , chest tightness ( 5 cases) , and hemoptysis ( 4 cases) . Seven cases were diagnosed as systemic pulmonary cryptococcosis, in which 3 cases were complicated with cryptococcal meningitis ( CM) , and 3 cases with CM and cryptococcal septicemia, and 1 cases with third dorsal vertebra Busse-Buschke disease. Radiologic manifestations showed multiformand nonspecific lesion such as nodus or nodules in 17 cases, pneumonia in 10 cases, mixed appearance in 6 cases, and diffused military nodes in 1 case. The diagnosis was confirmed by pathological study in 27 cases, including 12 cases by thoracotomy, 10 cases by percutaneous lung biopsy, 1 cases by thoracic vertebra biopsy, and 4 cases by bronchoscope. Ten cases were confirmed with culture positive or smear positive. Six cases were treated by surgery alone, 21 cases by antimycotic drug therapy alone, and 6 cases by drug therapy after surgery. One case quitted after the diagnosis. The duration of treatment varied from 2 weeks to 2 years. One case died in the hospital, 25 cases recovered after discharge, and 8 cases were lost to follow-up. Conclusions PC is likely to be misdiagnosed due to atypical clinical and image manifestations. The diagnosis is always comfirmed on the pathological and microbiological study.

    Release date:2016-09-14 11:24 Export PDF Favorites Scan
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