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find Author "罗娜" 3 results
  • AdVance吊带系统治疗前列腺电切术后压力性尿失禁的手术配合

    目的探讨AdVance吊带系统治疗前列腺电切术后压力性尿失禁(PPI)的手术配合及护理要点,以提高男性压力性尿失禁手术治疗的效果。 方法2010年3月和10月2例PPI患者采用AdVance吊带系统进行手术治疗,术前做好心理护理及术野皮肤护理,准备手术器械和特殊用物,术中与术者积极配合,遵医嘱预防性使用抗生素,正确合理安置手术体位,注意保暖,使手术过程顺利、流畅,缩短手术时间。 结果2例患者手术顺利,术后均无伤口感染发生。术后分别随访12、18个月,漏尿症状基本缓解。 结论在采用AdVance吊带系统治疗男性PPI时,充分的术前准备及积极、准确的术中配合,可达到提高手术效率,缩短手术时间和降低并发症发生率的目的。

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  • Research on the Application of 10% Sodium Chloride for Stage-Ⅲ Pressure Ulcer Debridement

    ObjectiveTo explore the application of 10% sodium chloride for stage-Ⅲ pressure ulcer debridement. MethodsAccording to the standard, 68 stage-Ⅲ pressure ulcer cases were selected from January 2011 to December 2014. All the patients had yellow surface and positive bacterium cultivation suggesting wound infection. They were randomly divided into control group and trial group. The control group used traditional treatment for debridement, while the trial group used 10% sodium chloride, until the end of debridement where the granulation became fresh and bacterium cultivation negative. Then we compared these two groups in terms of debridement time, wound drainage, wound smell, granulation growth, pain score and cost. ResultsThe control group debridement time was 18-32 days, averaging (22.4±10.8) days, and the trial group debridement time was 5-13 days, averaging (11.6±4.0) days (P<0.05). The control group wound drainage ratings score was 6.70±2.87, while the trial group wound drainage ratings score was 3.65±1.23 (P<0.05). In terms of the wound smell, the control group had a score of 2.74±1.62, and the score for the experimental group was 1.26±0.51 (P<0.05). The average cost of the control group was (975.00±10.29) yuan, while the experimental group was (626.00±8.18) yuan (P<0.05). ConclusionThe application of 10% sodium chloride for stage-Ⅲ pressure ulcer debridement can shorten debridement time, promote the growth of granulation and reduce the economic burden, which is worth clinical promotion.

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  • Design and application of new type thoracic vest in totally thoracoscopic cardiac surgery

    ObjectiveTo introduce a new type thoracic vest designed according to the incision characteristics of female patients undergoing totally thoracoscopic cardiac surgery.MethodsSixty-one female patients undergoing totally thoracoscopic cardiac surgery from February 2019 to May 2020 in our department were enrolled. All female patients had hypermastia and (or) mastoptosis which covered the incision. They were randomly divided into a research group (group A, n=32) and a control group (group B, n=29). The group A used the new type thoracic vest, while the group B used the traditional single shoulder belt. The degree of satisfaction, visual analogue scale (VAS) score 24 hours after the thoracic drainage tube removed, the average time-consuming of dressing change, dressing frequency and the incision infection rate were compared between two groups.ResultsThe degree of satisfaction in the group A was higher than that of the group B (P<0.001). The VAS scores of pain, average time-consuming of dressing change and dressing frequency in the group A were less or lower than those of the group B (P<0.001). There was no statistical difference in the incision infection rate between the two groups (P=0.214), but incision infection rate of the group A was lower than that of the group B.ConclusionThe new type thoracic vest seems to be more beneficial for patients than traditional single shoulder belt. It is easy to use, increases the psychological satisfaction of patients, reduces the pain and the incision infection and improves work efficiency, which is worthy of clinical application.

    Release date:2021-07-28 10:02 Export PDF Favorites Scan
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