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find Author "王艳琼" 2 results
  • 阶段性颅骨牵引在颈椎关节突交锁患者快速康复中的临床效果观察

    目的 探讨采用调整颅骨牵引角度治疗颈椎关节突交锁型骨折的可行性以及疗效。 方法 采用历史对照的方法,选择 2013 年 12 月—2015 年 12 月入住四川大学华西医院骨科的 100 例颈椎关节突交锁型骨折患者,根据时间先后分为对照组(2013 年 12 月—2014 年 12 月)和试验组(2015 年 1 月—12 月),每组各 50 例。对照组采用传统持续中立位,试验组则采用先过屈性牵引再过伸性牵引的方法进行颅骨牵引。比较采用不同牵引方法后,患者的疼痛视觉模拟评分法(visual analogue score,VAS)评分、牵引复位率和复位时间。 结果 试验组牵引后 24、48、72 h VAS 评分分别为(4.20±1.68)、(3.70±1.43)、(2.00±1.04)分,对照组分别为(5.60±1.94)、(4.90±1.63)、(3.20±1.55)分,差异均有统计学意义(P<0.05)。试验组和对照组患者颈椎脱位的复位率分别为 84.0% 和 62.0%,复位时间分别为(8.1±0.5)、(14.2±0.6)d,差异均有统计学意义(P<0.05)。 结论 颈椎关节突交锁型骨折患者采用改良、调整颅骨牵引角度治疗颈椎脱位,与持续中立位颅骨牵引相比,患者在疼痛控制、复位率、复位时间等方面具有显著优势,具有临床推广意义。

    Release date:2017-03-27 11:42 Export PDF Favorites Scan
  • Application of standardized venous thromboembolism prevention program in burn patients

    ObjectiveTo develop a standardized venous thromboembolism (VTE) prevention program for burn patients and verify its safety and effectiveness by comparing with traditional thrombus prophylaxis.MethodsAll burn patients admitted and met selection criteria betweem April 2017 and September 2018 were included. Patients between January 2018 and September 2018 were included as the interventional group to implement standardized VTE prevention programs, while patients between April 2017 and December 2017 were included as the control group and traditional active and passive exercises were used to prevent VTE. There was no significant difference in the age, gender, ethnic group, marriage, education, occupation, type and site of the injury, burn area, operation time, and hospital stay between the two groups (P>0.05), which was comparable. The incidence of VTE, number of cases of tissue or organ hemorrhage, survival rate of skin grafting, and time of wound healing were compared.ResultsThe incidence of VTE was obviously lower in the interventional group (1.56%, 1/64) than in the control group (10.17%, 6/59) (χ2=−2.05, P=0.04). No bleeding occurred in any tissue or organ in the two groups. The survival rate of skin grafting and the time of wound healing were 89.06% (57/64) and (11.78±3.08) days respectively in the interventional group and 91.53% (54/59) and (11.66±2.30) days respectively in the control group; and the differences between the two groups were not statistically significant (χ2=0.21, P=0.65; t=−0.22, P=0.83).ConclusionThe standardized VTE prevention program can effectively prevent the occurrence of VTE, and its safety is relatively high.

    Release date:2019-06-04 02:16 Export PDF Favorites Scan
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