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2015 Vol. 40, No. 2
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2015, 40(2): 141-144.
doi: 10.13898/j.cnki.issn.1000-2200.2015.02.001
Abstract:
Objective: To build the stereotactic data set and the planar regression equation of cerebral precentral sulcus,based on the Descartes coordinate system which was set on the line between the anterior commissure and the posterior commissure(AC-PC).Methods: Through the strict image registration,the coordinate system of the software coincides with the Descartes coordinate system based on AC-PC line were made.The X-value and Y-value of sample points were measured and recorded,which were begun from the outermost points to the medial of the X-axis and were taken absolute value of X for 3 mm multiple points as sampling points along the precentral sulcus line.The Z-value of sample points were measured the distances that from every recorded plane to the AC-PC plane.The stereotactic data set of the precentral sulcus were constituted with all the coordinate values of sample points,then the regression equations were fetched and analyzed using the SPSS19.0 software.Results: The three-dimensional stereotactic data set and the regression equation of the cerebral precentral sulcus were constructed successfully.Conclusions: The construction of cerebral precentral sulcus stereotactic data set is expected to have fairly clinical value in neurosurgery,micro-surgery and interventional radiotherapy of lesions in the adjacent areas of precentral sulcus.Meanwhile,this study is of definite significance to anthropology and physique surveying.
Objective: To build the stereotactic data set and the planar regression equation of cerebral precentral sulcus,based on the Descartes coordinate system which was set on the line between the anterior commissure and the posterior commissure(AC-PC).Methods: Through the strict image registration,the coordinate system of the software coincides with the Descartes coordinate system based on AC-PC line were made.The X-value and Y-value of sample points were measured and recorded,which were begun from the outermost points to the medial of the X-axis and were taken absolute value of X for 3 mm multiple points as sampling points along the precentral sulcus line.The Z-value of sample points were measured the distances that from every recorded plane to the AC-PC plane.The stereotactic data set of the precentral sulcus were constituted with all the coordinate values of sample points,then the regression equations were fetched and analyzed using the SPSS19.0 software.Results: The three-dimensional stereotactic data set and the regression equation of the cerebral precentral sulcus were constructed successfully.Conclusions: The construction of cerebral precentral sulcus stereotactic data set is expected to have fairly clinical value in neurosurgery,micro-surgery and interventional radiotherapy of lesions in the adjacent areas of precentral sulcus.Meanwhile,this study is of definite significance to anthropology and physique surveying.
2015, 40(2): 145-147,151.
doi: 10.13898/j.cnki.issn.1000-2200.2015.02.002
Abstract:
Objective: To investigate the therapeutic effect of nuclear factor-κB(NF-κB) oligodeoxynucleotide(ODN) Decoy topical application on typeⅡcollagen induced arthritis(CIA) rats and analyze its mechanism.Methods: Type Ⅱ CIA rats was established,NF-κB ODN Decoy was injected into the posterior ankle cavity of rats.The rats were divided into control group,CIA model group and experimental group.Forty-two days after the initial immunization,the arthritis scores were determined,the ankle pathology examination were performed,the interleukin(IL)-17,IL-12 and transforming growth factor(TGF)-β levels in serum and joint fluid were determined using by enzyme linked immunosorbent assay method.Results: Compared with control rats,IL-17,IL-12 levels in serum and joint fluid in model CIA rats were increased significantly,and TGF-β level was decreased(P<0.01).After the CIA rats were received with NF-κB ODN Decoy,compared with CIA rats,IL-17,IL-12 levels in serum and joint fluid were decreased significantly,and TGF-β level was increased significantly(P<0.01).Conclusions: NF-κB decoy had significantly inhibited the production of IL- 17,IL–12 in serum and joint fluid and promoted the increase of TGF-β,and it had a good curative effect on treatment of rheumatoid arthritis.
Objective: To investigate the therapeutic effect of nuclear factor-κB(NF-κB) oligodeoxynucleotide(ODN) Decoy topical application on typeⅡcollagen induced arthritis(CIA) rats and analyze its mechanism.Methods: Type Ⅱ CIA rats was established,NF-κB ODN Decoy was injected into the posterior ankle cavity of rats.The rats were divided into control group,CIA model group and experimental group.Forty-two days after the initial immunization,the arthritis scores were determined,the ankle pathology examination were performed,the interleukin(IL)-17,IL-12 and transforming growth factor(TGF)-β levels in serum and joint fluid were determined using by enzyme linked immunosorbent assay method.Results: Compared with control rats,IL-17,IL-12 levels in serum and joint fluid in model CIA rats were increased significantly,and TGF-β level was decreased(P<0.01).After the CIA rats were received with NF-κB ODN Decoy,compared with CIA rats,IL-17,IL-12 levels in serum and joint fluid were decreased significantly,and TGF-β level was increased significantly(P<0.01).Conclusions: NF-κB decoy had significantly inhibited the production of IL- 17,IL–12 in serum and joint fluid and promoted the increase of TGF-β,and it had a good curative effect on treatment of rheumatoid arthritis.
2015, 40(2): 148-151.
doi: 10.13898/j.cnki.issn.1000-2200.2015.02.003
Abstract:
Objective: To explore whether there is a difference between the expression of recombinant eukaryotic expression vector of wild type and c.454C>T mutant human VEGFA gene(pEGFP-VEGFA) in vitro.Methods: The wild-type and mutant-type pEGFP-VEGFA were transfected into the HEK293T cells by lipofectin reagents,and the expressions of fusion proteins(EGFP and VEGFA)were observed under the fluorescence microscopy after 24 and 48 h post-transfection.VEGFA mRNA expressions were detected by real-time fluorescence quantitative PCR.Results: Green fluorescences were observed in the HEK293T cells transfected with wild-type and mutant-type pEGFP-VEGFA.The intensity of fluorescence in HEK293T cells transfected with mutant-type pEGFP-VEGFA was lower than that transfected with wide-type pEGFP-VEGFA at 48 h post-transfection.The mRNA level of VEGFA in HEK293T cells transfected with mutant-type pEGFP-VEGFA was significantly lower than that transfected with wide-type pEGFP-VEGFA(P<0.05).Conclusions: The recombinant eukaryotic expression vectors of human wild-type and mutant-type pEGFP-VEGFA have transiently expressed in HEK293T cells.Our findings preliminarily show that VEGFA mutant leads to down-regulation of VEGFA mRNA and protein expression level in HEK293T cells,which lays a foundation to further study the role of VEGFA c.454C>T mutant in the development of congenital left ventricular outflow tract obstruction.
Objective: To explore whether there is a difference between the expression of recombinant eukaryotic expression vector of wild type and c.454C>T mutant human VEGFA gene(pEGFP-VEGFA) in vitro.Methods: The wild-type and mutant-type pEGFP-VEGFA were transfected into the HEK293T cells by lipofectin reagents,and the expressions of fusion proteins(EGFP and VEGFA)were observed under the fluorescence microscopy after 24 and 48 h post-transfection.VEGFA mRNA expressions were detected by real-time fluorescence quantitative PCR.Results: Green fluorescences were observed in the HEK293T cells transfected with wild-type and mutant-type pEGFP-VEGFA.The intensity of fluorescence in HEK293T cells transfected with mutant-type pEGFP-VEGFA was lower than that transfected with wide-type pEGFP-VEGFA at 48 h post-transfection.The mRNA level of VEGFA in HEK293T cells transfected with mutant-type pEGFP-VEGFA was significantly lower than that transfected with wide-type pEGFP-VEGFA(P<0.05).Conclusions: The recombinant eukaryotic expression vectors of human wild-type and mutant-type pEGFP-VEGFA have transiently expressed in HEK293T cells.Our findings preliminarily show that VEGFA mutant leads to down-regulation of VEGFA mRNA and protein expression level in HEK293T cells,which lays a foundation to further study the role of VEGFA c.454C>T mutant in the development of congenital left ventricular outflow tract obstruction.
2015, 40(2): 152-155.
doi: 10.13898/j.cnki.issn.1000-2200.2015.02.004
Abstract:
Objective: To study the role of adiponectin in energy metablism through observing serum adiponectin secretion during different fasting periods in different visceral-fat rat models.Methods: The obese and weight-loss rat models were established through high fat diet and lowest energy diet,visceral-fat volume was tested with Spiral-CT.Then the rats were divided into normal,lean and obese groups according to visceral-fat volume.Serum adiponectin levels were analyzed by radioimmunoassay during different fasting periods.Results: There was negative correlation between serum adiponectin concentration and visceral-fat volume(P<0.01).The secretion of serum adiponectin was decreased with fasting time,obviously decreased after fasting 72 hours.However,in obese rat which the visceral-fat volume was exceeded 9%,the secretion of serum adiponectin was increased in fasting 24 hours,and then decreased after fasting 120 hours(P<0.05).Conclusions: There was the close relationship between adiponectin secretion and visceral-fat volume.Adiponectin may also be an important signal in energy homeostasis.
Objective: To study the role of adiponectin in energy metablism through observing serum adiponectin secretion during different fasting periods in different visceral-fat rat models.Methods: The obese and weight-loss rat models were established through high fat diet and lowest energy diet,visceral-fat volume was tested with Spiral-CT.Then the rats were divided into normal,lean and obese groups according to visceral-fat volume.Serum adiponectin levels were analyzed by radioimmunoassay during different fasting periods.Results: There was negative correlation between serum adiponectin concentration and visceral-fat volume(P<0.01).The secretion of serum adiponectin was decreased with fasting time,obviously decreased after fasting 72 hours.However,in obese rat which the visceral-fat volume was exceeded 9%,the secretion of serum adiponectin was increased in fasting 24 hours,and then decreased after fasting 120 hours(P<0.05).Conclusions: There was the close relationship between adiponectin secretion and visceral-fat volume.Adiponectin may also be an important signal in energy homeostasis.
2015, 40(2): 155-158.
doi: 10.13898/j.cnki.issn.1000-2200.2015.02.005
Abstract:
Objective: To investigate the lymph node metastasis of lung squamous cell carcinoma to provide the basis of dissecting lymph node.Methods: The clinical and pathological data of 251 cases with lung squamous cell carcinoma were statistically analyzed.Results: Among the dissecting 2 535 lymph nodes,metastasis occurred in 434 lymph nodes.The metastasis rates of lymph nodes in group 11,10,8,7,6,4 and 2 were high,the metastasis rates of lymph nodes in group 9,5,3 and 1 were low,the difference of which was statistically significant(P<0.01).The metastasis rate of lymph nodes in stage T1 patient was low.the metastasis rate of lymph nodes in patient with central lung cancer(50.5%) was higher than that in patient with peripheral lung cancer(27.1%)(P<0.01).The metastasis rate of lymph nodes of mediastinum in upper lobe lung squamous cell carcinoma was higher than that in lower(middle) lobe.The lymph node metastasis to superior mediastinum of primary lesion in upper lobe was more likely to occur,the lymph node metastasis to superior and inferior mediastinum of primary lesion in lower lobe was more likely to occur.The skip mediastinum metastasis rate was 19.5%.Conclusions: The lymph node metastasis of lung squamous cell carcinoma is closely related to primary lesion,which accompanied skip mediastinum metastasis.The lymph nodes of superior mediastinum and group 7 of inferior mediastinum should be dissected in patients with upper lobe primary lesion,the lymph nodes of superior and inferior mediastinum should be dissected in patients with lower(middle) lobe primary lesion.
Objective: To investigate the lymph node metastasis of lung squamous cell carcinoma to provide the basis of dissecting lymph node.Methods: The clinical and pathological data of 251 cases with lung squamous cell carcinoma were statistically analyzed.Results: Among the dissecting 2 535 lymph nodes,metastasis occurred in 434 lymph nodes.The metastasis rates of lymph nodes in group 11,10,8,7,6,4 and 2 were high,the metastasis rates of lymph nodes in group 9,5,3 and 1 were low,the difference of which was statistically significant(P<0.01).The metastasis rate of lymph nodes in stage T1 patient was low.the metastasis rate of lymph nodes in patient with central lung cancer(50.5%) was higher than that in patient with peripheral lung cancer(27.1%)(P<0.01).The metastasis rate of lymph nodes of mediastinum in upper lobe lung squamous cell carcinoma was higher than that in lower(middle) lobe.The lymph node metastasis to superior mediastinum of primary lesion in upper lobe was more likely to occur,the lymph node metastasis to superior and inferior mediastinum of primary lesion in lower lobe was more likely to occur.The skip mediastinum metastasis rate was 19.5%.Conclusions: The lymph node metastasis of lung squamous cell carcinoma is closely related to primary lesion,which accompanied skip mediastinum metastasis.The lymph nodes of superior mediastinum and group 7 of inferior mediastinum should be dissected in patients with upper lobe primary lesion,the lymph nodes of superior and inferior mediastinum should be dissected in patients with lower(middle) lobe primary lesion.
2015, 40(2): 159-161.
doi: 10.13898/j.cnki.issn.1000-2200.2015.02.006
Abstract:
Objective: To investigate the effects of non-invasive continuos positive airway pressure(CPAP) on the glucose metabolism and antihypertension in bbstructive sleep apnea syndrome(OSAS) patients with resistant hypertension complicated with diabetes.Methods: Eighty-nine OSAS patients with resistant hypertension complicated with type 2 diabetes were randomly divided into the CPAP group(n=47,treated with antihypertensive drugs,hypoglycemic agents combined with CPAP for 6 h every night) and control group(n=42,treated with antihypertensive drugs combined with hypoglycemic agents).The 24 h blood pressure and fasting blood glucose between two groups were compared after three month of treatment.Results: Compared with before treatment,the levels of 24hSBP,24hDBP,dSBP,dDBP,nSBP and nDBP in the two groups decreased significantly after three months of treatment(P<0.01).The decreasing degree of the blood pressure parameters in CPAP group was significantly higher than those in control group(P<0.01).The fasting blood glucose less than or equal to 7.0 mmol/L in 10 cases(23.8%) and 35 cases(23.8%) were found in CPAP group before and after treatment,respectively.The fasting blood glucose less than or equal to 7.0 mmol/L in 5 cases(12.5%) and 5 cases(12.5%) were found in control group before and after treatment,respectively.Conclusions: The treatment effects of CPAP combined with drugs on OSAS patients with resistant hypertension complicated with diabetes are better than the pure drug treatment.
Objective: To investigate the effects of non-invasive continuos positive airway pressure(CPAP) on the glucose metabolism and antihypertension in bbstructive sleep apnea syndrome(OSAS) patients with resistant hypertension complicated with diabetes.Methods: Eighty-nine OSAS patients with resistant hypertension complicated with type 2 diabetes were randomly divided into the CPAP group(n=47,treated with antihypertensive drugs,hypoglycemic agents combined with CPAP for 6 h every night) and control group(n=42,treated with antihypertensive drugs combined with hypoglycemic agents).The 24 h blood pressure and fasting blood glucose between two groups were compared after three month of treatment.Results: Compared with before treatment,the levels of 24hSBP,24hDBP,dSBP,dDBP,nSBP and nDBP in the two groups decreased significantly after three months of treatment(P<0.01).The decreasing degree of the blood pressure parameters in CPAP group was significantly higher than those in control group(P<0.01).The fasting blood glucose less than or equal to 7.0 mmol/L in 10 cases(23.8%) and 35 cases(23.8%) were found in CPAP group before and after treatment,respectively.The fasting blood glucose less than or equal to 7.0 mmol/L in 5 cases(12.5%) and 5 cases(12.5%) were found in control group before and after treatment,respectively.Conclusions: The treatment effects of CPAP combined with drugs on OSAS patients with resistant hypertension complicated with diabetes are better than the pure drug treatment.
2015, 40(2): 162-165.
doi: 10.13898/j.cnki.issn.1000-2200.2015.02.007
Abstract:
Objective: To explore the value of body surface electrocardiogram(ECG) in the diagnosis of secundum atrial septal defect complicated with right ventricular hypertrophy in children.Methods: The ECG of 183 children with secundum atrial septal defect were observed.All cases were divided into the secundum atrial septal defects complicated with right ventricular hypertrophy group and without right ventricular hypertrophy.The 8 indexes of ECG between two groups were compared,the sensitivity,specificity and accuracy rate of whose were calculated,respectively.Results: Between two groups,the difference of the detection rate of ECG shaft starboard was not statistically significant(P>0.05),but the differences of the detection rates of other 7 electrocardiographic indexes were statistically significant(P<0.05 to P<0.01).The results of ECG showed the sensitivities and specificities of VATV1>0.03 s and V5 S/R>1.0 were 87.10% & 45.45% and 93.39% &19.35%,respectively.The Q(q) wave in lead V1 or R>2.0 mV and notched on R wave in three inferior leads and incomplete right bundle branch block were found,the accuracy rates of whose were 74.32%,75.96% and 71.58%,but their specificities were 85.12%,84.30% and 86.78%,respectively.The specificity and accuracy rate of 3 joint indexes were 98.35% and 73.77%,respectively.Conclusions: The diagnostic effect of a single index of ECG on secundum atrial septal defect complicated with right ventricular hypertrophy is not ideal,the diagnostic effect of joint index is better.
Objective: To explore the value of body surface electrocardiogram(ECG) in the diagnosis of secundum atrial septal defect complicated with right ventricular hypertrophy in children.Methods: The ECG of 183 children with secundum atrial septal defect were observed.All cases were divided into the secundum atrial septal defects complicated with right ventricular hypertrophy group and without right ventricular hypertrophy.The 8 indexes of ECG between two groups were compared,the sensitivity,specificity and accuracy rate of whose were calculated,respectively.Results: Between two groups,the difference of the detection rate of ECG shaft starboard was not statistically significant(P>0.05),but the differences of the detection rates of other 7 electrocardiographic indexes were statistically significant(P<0.05 to P<0.01).The results of ECG showed the sensitivities and specificities of VATV1>0.03 s and V5 S/R>1.0 were 87.10% & 45.45% and 93.39% &19.35%,respectively.The Q(q) wave in lead V1 or R>2.0 mV and notched on R wave in three inferior leads and incomplete right bundle branch block were found,the accuracy rates of whose were 74.32%,75.96% and 71.58%,but their specificities were 85.12%,84.30% and 86.78%,respectively.The specificity and accuracy rate of 3 joint indexes were 98.35% and 73.77%,respectively.Conclusions: The diagnostic effect of a single index of ECG on secundum atrial septal defect complicated with right ventricular hypertrophy is not ideal,the diagnostic effect of joint index is better.
2015, 40(2): 165-167.
doi: 10.13898/j.cnki.issn.1000-2200.2015.02.008
Abstract:
Objective: To explore the effects of medical ozone combined with sodium hyaluronate injection in the treatment of the knee osteoarthritis after arthroscopic surgery.Methods: One hundred and twenty patients with knee osteoarthritis were randomly divided into the control group and treatment group(60 cases each group).The control group and treatment group were treated with sodium hyaluronate injection of articular cavity and sodium hyaluronate combined with medical ozone injection of articular cavity after arthroscopic surgery,respectively.The injection time and frequency in two groups were the same.The curative effects between two groups were compared in 3,6 and 12 months after treatment.Results: Compared with before treatment in two groups,their Lysholm scales increased significantly in 3,6 and 12 months after treatment(P<0.01).The Lysholm scales in treatment group in 6 and 12 months after treatment were better than those in control group(P<0.05 and P<0.01).Conclusions: The effects of medical ozone combined with sodium hyaluronate injection in the treatment of the knee osteoarthritis after arthroscopic surgery are good.
Objective: To explore the effects of medical ozone combined with sodium hyaluronate injection in the treatment of the knee osteoarthritis after arthroscopic surgery.Methods: One hundred and twenty patients with knee osteoarthritis were randomly divided into the control group and treatment group(60 cases each group).The control group and treatment group were treated with sodium hyaluronate injection of articular cavity and sodium hyaluronate combined with medical ozone injection of articular cavity after arthroscopic surgery,respectively.The injection time and frequency in two groups were the same.The curative effects between two groups were compared in 3,6 and 12 months after treatment.Results: Compared with before treatment in two groups,their Lysholm scales increased significantly in 3,6 and 12 months after treatment(P<0.01).The Lysholm scales in treatment group in 6 and 12 months after treatment were better than those in control group(P<0.05 and P<0.01).Conclusions: The effects of medical ozone combined with sodium hyaluronate injection in the treatment of the knee osteoarthritis after arthroscopic surgery are good.
2015, 40(2): 168-170,173.
doi: 10.13898/j.cnki.issn.1000-2200.2015.02.009
Abstract:
Objective: To explore the clinical value of lactic acid and cystatin C(Cys C) in the evaluating of the condition and prognosis in patients with sepsis.Methods: The levels of lactic acid and Cys C and APACHEⅡ score in 83 patients with sepsis were detected on admission,the differences of which between the death group and survival group,between the sepsis group,severe sepsis group and septic shock group and between the APACHEⅡ score with less than 15 group,APACHEⅡ score with from 15 to 24 group and APACHEⅡ score with more than 24 group were compared.The correlations of lactic acid,Cys C and APACHEⅡ score were analyzed using Pearson.The predictive value of lactic acid and Cys C in the mortality of patients were evaluated by logistic regression analysis.Results: The levels of lactic acid and Cys C in death group were significantly higher than those in survival group(P<0.01).The levels of lactic acid and Cys C in septic shock group were higher than that in severe sepsis group(P<0.01 and P<0.05),the levels of lactic acid and Cys C in severe sepsis group were higher than that in sepsis group(P<0.01).With the rise of APACHEⅡ score,the levels of lactic acid and Cys C in patients significantly increased(P<0.01).The levels of lactic acid and Cys C were a positive correlation to APACHEⅡ score(P<0.05).The lactic acid and Cys C were the risk factors in predicting the prognosis of patients with sepsis.Conclusions: Lactic acid and Cys C can be used as the predictive parameters in the condition and prognosis in patients with sepsis.
Objective: To explore the clinical value of lactic acid and cystatin C(Cys C) in the evaluating of the condition and prognosis in patients with sepsis.Methods: The levels of lactic acid and Cys C and APACHEⅡ score in 83 patients with sepsis were detected on admission,the differences of which between the death group and survival group,between the sepsis group,severe sepsis group and septic shock group and between the APACHEⅡ score with less than 15 group,APACHEⅡ score with from 15 to 24 group and APACHEⅡ score with more than 24 group were compared.The correlations of lactic acid,Cys C and APACHEⅡ score were analyzed using Pearson.The predictive value of lactic acid and Cys C in the mortality of patients were evaluated by logistic regression analysis.Results: The levels of lactic acid and Cys C in death group were significantly higher than those in survival group(P<0.01).The levels of lactic acid and Cys C in septic shock group were higher than that in severe sepsis group(P<0.01 and P<0.05),the levels of lactic acid and Cys C in severe sepsis group were higher than that in sepsis group(P<0.01).With the rise of APACHEⅡ score,the levels of lactic acid and Cys C in patients significantly increased(P<0.01).The levels of lactic acid and Cys C were a positive correlation to APACHEⅡ score(P<0.05).The lactic acid and Cys C were the risk factors in predicting the prognosis of patients with sepsis.Conclusions: Lactic acid and Cys C can be used as the predictive parameters in the condition and prognosis in patients with sepsis.
2015, 40(2): 171-173.
doi: 10.13898/j.cnki.issn.1000-2200.2015.02.010
Abstract:
Objective: To investigate the compliance of insulin injection and its influence factors in elderly patients with type 2 diabetes for taking corresponding measures to improve the compliance of insulin injection.Methods: Two hundred and ten elderly patients with type 2 diabetes were investigated by questionnaire survey to know the compliance of insulin injection,and analyze its influence factors.Results: The compliance of insulin injection in 129 cases and 81 cases were good and poor,respectively.The poor compliance of insulin injection included non-consistent injecting everyday(21.9%),non-complying with the doctor's advice(32.4%),incorrect injection time(39.0%),incorrect injection time(34.3%),incorrect injection position,incorrect rotation principle(42.4%) and non-eating on time(39.0%).The age,the degree of cognition,culture,income,family support and disease knowledge education were the compliance factors of insulin injection in elderly patients with type 2 diabetes(P<0.05).Conclusions: Many factors can affect the compliance of insulin injection in elderly patients with type 2 diabetes.Implementing health education,providing social support and improving the correct knowledge of insulin can improve the compliance of insulin injection.
Objective: To investigate the compliance of insulin injection and its influence factors in elderly patients with type 2 diabetes for taking corresponding measures to improve the compliance of insulin injection.Methods: Two hundred and ten elderly patients with type 2 diabetes were investigated by questionnaire survey to know the compliance of insulin injection,and analyze its influence factors.Results: The compliance of insulin injection in 129 cases and 81 cases were good and poor,respectively.The poor compliance of insulin injection included non-consistent injecting everyday(21.9%),non-complying with the doctor's advice(32.4%),incorrect injection time(39.0%),incorrect injection time(34.3%),incorrect injection position,incorrect rotation principle(42.4%) and non-eating on time(39.0%).The age,the degree of cognition,culture,income,family support and disease knowledge education were the compliance factors of insulin injection in elderly patients with type 2 diabetes(P<0.05).Conclusions: Many factors can affect the compliance of insulin injection in elderly patients with type 2 diabetes.Implementing health education,providing social support and improving the correct knowledge of insulin can improve the compliance of insulin injection.
2015, 40(2): 174-176.
doi: 10.13898/j.cnki.issn.1000-2200.2015.02.011
Abstract:
Objective: To observe the effects of general anesthesia combined with epidural block on the stress reaction in patients treated with laparoscopic hysterectomy.Methods: Forty patients treated with laparoscopic hysterectomy were randomly divided into the general anesthesia combined with epidural block group(observation group) and general anesthesia group(control group)(20 cases each group).The control group were induced by intravenous injection with 0.2 mg/kg of midazolam,4 μg/kg of fentanyl,0.6 mg/kg of rocuronium and 0.2 mg/kg of etomidate,the respirator controlled the breath to maintain end-tidal pressure of carbon dioxide for 30 to 35 mmHg,the anesthesia was maintained by intravenous injection with rocuronium,8 mg·kg-1·h-1 of propofol and 0.2 μg·kg-1·min-1 of remifentanil.The observation group were treated with epidural anesthesia combined with general anesthesia,the sedation was maintained by intravenous injection with 0.03 mg/kg of midazolam at 10 minutes before epidural block,the 5 ml of 2% lidocaine was injected into between L2 and L3 for observing 5 to 10 min,and 10 ml of 0.75% ropivacaine was injected into epidural space.The induction drug of general anesthesia in control group was the same as the observation group.The serum levels of adrenaline and noradrenaline,mean arterial pressure and heart rate were detected before operation,skin incision,at pneumoperitoneum 20 min and postoperative 10 min.Results: The differences of all indexes in two groups before operation were not statistically significant(P>0.05).The serum levels of adrenaline and noradrenaline,mean arterial pressure and heart rate in observation group at pneumoperitoneum 20 min and postoperative 10 min were lower than those in control group(P<0.05 to P<0.01).The anesthesia satisfaction in observation group was higher than that in control group(P<0.01).Conclusions: Compared with general anesthesia,the general anesthesia combined with epidural block can effectively inhibit the stress reactions in patients treated with laparoscopic hysterectomy.
Objective: To observe the effects of general anesthesia combined with epidural block on the stress reaction in patients treated with laparoscopic hysterectomy.Methods: Forty patients treated with laparoscopic hysterectomy were randomly divided into the general anesthesia combined with epidural block group(observation group) and general anesthesia group(control group)(20 cases each group).The control group were induced by intravenous injection with 0.2 mg/kg of midazolam,4 μg/kg of fentanyl,0.6 mg/kg of rocuronium and 0.2 mg/kg of etomidate,the respirator controlled the breath to maintain end-tidal pressure of carbon dioxide for 30 to 35 mmHg,the anesthesia was maintained by intravenous injection with rocuronium,8 mg·kg-1·h-1 of propofol and 0.2 μg·kg-1·min-1 of remifentanil.The observation group were treated with epidural anesthesia combined with general anesthesia,the sedation was maintained by intravenous injection with 0.03 mg/kg of midazolam at 10 minutes before epidural block,the 5 ml of 2% lidocaine was injected into between L2 and L3 for observing 5 to 10 min,and 10 ml of 0.75% ropivacaine was injected into epidural space.The induction drug of general anesthesia in control group was the same as the observation group.The serum levels of adrenaline and noradrenaline,mean arterial pressure and heart rate were detected before operation,skin incision,at pneumoperitoneum 20 min and postoperative 10 min.Results: The differences of all indexes in two groups before operation were not statistically significant(P>0.05).The serum levels of adrenaline and noradrenaline,mean arterial pressure and heart rate in observation group at pneumoperitoneum 20 min and postoperative 10 min were lower than those in control group(P<0.05 to P<0.01).The anesthesia satisfaction in observation group was higher than that in control group(P<0.01).Conclusions: Compared with general anesthesia,the general anesthesia combined with epidural block can effectively inhibit the stress reactions in patients treated with laparoscopic hysterectomy.
2015, 40(2): 177-179,186.
doi: 10.13898/j.cnki.issn.1000-2200.2015.02.012
Abstract:
Objective: To investigate the correlations of abdominal obesity with atherosclerosis and peripheral arterial disease.Methods: One hundred and eighteen cases from outpatient department of endocrinology department and physical examination people were divided into the abdominal obesity[AO group,waist to height ratio(WHtR)more than or equal to 0.5,64 cases] and no abdominal obesityl NAO group,WHtR less than 0.5,54 cases) according to the value of WHtR.The correlations of WHtR,and carotid intima-media thickness(CIMT) and ankle-brachial index(ABI) were analyzed.Results: Compared with the NAO group,the body mass index,waist circumference,systolic blood pressure,triglyceride,total cholesterol,low density lipoprtein cholestorol and CIMT in AO group significantly increased(P<0.05 to P<0.01),but their high density lipoprotein cholesferol and ABI levels decreased significantly(P<0.01).Multiple linear regression analysis showed that WHtR was the independent risk factor for CIMT and ABI.Multiple logistic regression analysis showed that the morbidities of atherosclerosis and peripheral arterial disease in AO group were 3.48 times(95%CI=1.389 to 9.941,P<0.01) and 2.27 times(95%CI=1.061 to 3.132,P<0.01) against the NAO group,respectively.Conclusions: The morbidities of atherosclerosis and peripheral arterial disease in people with abdominal obesity are significantly higher than those in people without abdominal obesity.The risk factor of cardiovascular disease should be paid attention to.
Objective: To investigate the correlations of abdominal obesity with atherosclerosis and peripheral arterial disease.Methods: One hundred and eighteen cases from outpatient department of endocrinology department and physical examination people were divided into the abdominal obesity[AO group,waist to height ratio(WHtR)more than or equal to 0.5,64 cases] and no abdominal obesityl NAO group,WHtR less than 0.5,54 cases) according to the value of WHtR.The correlations of WHtR,and carotid intima-media thickness(CIMT) and ankle-brachial index(ABI) were analyzed.Results: Compared with the NAO group,the body mass index,waist circumference,systolic blood pressure,triglyceride,total cholesterol,low density lipoprtein cholestorol and CIMT in AO group significantly increased(P<0.05 to P<0.01),but their high density lipoprotein cholesferol and ABI levels decreased significantly(P<0.01).Multiple linear regression analysis showed that WHtR was the independent risk factor for CIMT and ABI.Multiple logistic regression analysis showed that the morbidities of atherosclerosis and peripheral arterial disease in AO group were 3.48 times(95%CI=1.389 to 9.941,P<0.01) and 2.27 times(95%CI=1.061 to 3.132,P<0.01) against the NAO group,respectively.Conclusions: The morbidities of atherosclerosis and peripheral arterial disease in people with abdominal obesity are significantly higher than those in people without abdominal obesity.The risk factor of cardiovascular disease should be paid attention to.
2015, 40(2): 180-186.
doi: 10.13898/j.cnki.issn.1000-2200.2015.02.013
Abstract:
Objective: To evaluate the effects of the extracorporeal shock wave lithotripsy(ESWL) and ureteroscopy(URS) in the treatment of urethral stone.Methods: The data of the randomized controlled trials of ESWL and ureteroscopy in the treatment of urethral stone from the Cochrane Central Register of Controlled Trials(CENTRAL in The Cochrane Library Issue 9,2012),CNKI,PubMed,EMbase,BIOSIS,International Pharmaceutical Abstracts,reference lists of articles and abstracts from conference proceedings were collected from Mon 1990 to Sep 2012,and which was evaluated and analyzed by two authors using RevMan5.1 software.Results: Nine randomized controlled trials(1399 patients) were investigated.The results of meta-analysis showed that the stone-free rate of URS was better than that of ESWL[OR=0.29,95%CI(0.14,0.57)(P<0.01)],but the re-treatment rate of ESWL after operation was higher than that of URS[OR=8.07,95%CI(5.23,12.46)(P<0.01)].The auxiliary treatment rate of URS after operation was higher than that of ESWL[OR=0.29,95%CI(0.13,0.62),I2=70%)(P<0.01)].The procedure-related complications of URS were higher than that of ESWL[OR=0.42,95%CI(0.21,0.84)(P=0.01)],but its post-operation complications were lower[OR=0.24,95%CI(0.12,0.50)(P<0.01),I2=0%].The length of hospital stay of ESWL was shorter than that of URS[OR=-2.55,95%CI(-3.24,1.86)(P<0.01)].Conclusions: The choice of treatment for urethral stone should accord to the existing equipment,location and size of urethral stone,and which need the further verification of randomized controlled trials.
Objective: To evaluate the effects of the extracorporeal shock wave lithotripsy(ESWL) and ureteroscopy(URS) in the treatment of urethral stone.Methods: The data of the randomized controlled trials of ESWL and ureteroscopy in the treatment of urethral stone from the Cochrane Central Register of Controlled Trials(CENTRAL in The Cochrane Library Issue 9,2012),CNKI,PubMed,EMbase,BIOSIS,International Pharmaceutical Abstracts,reference lists of articles and abstracts from conference proceedings were collected from Mon 1990 to Sep 2012,and which was evaluated and analyzed by two authors using RevMan5.1 software.Results: Nine randomized controlled trials(1399 patients) were investigated.The results of meta-analysis showed that the stone-free rate of URS was better than that of ESWL[OR=0.29,95%CI(0.14,0.57)(P<0.01)],but the re-treatment rate of ESWL after operation was higher than that of URS[OR=8.07,95%CI(5.23,12.46)(P<0.01)].The auxiliary treatment rate of URS after operation was higher than that of ESWL[OR=0.29,95%CI(0.13,0.62),I2=70%)(P<0.01)].The procedure-related complications of URS were higher than that of ESWL[OR=0.42,95%CI(0.21,0.84)(P=0.01)],but its post-operation complications were lower[OR=0.24,95%CI(0.12,0.50)(P<0.01),I2=0%].The length of hospital stay of ESWL was shorter than that of URS[OR=-2.55,95%CI(-3.24,1.86)(P<0.01)].Conclusions: The choice of treatment for urethral stone should accord to the existing equipment,location and size of urethral stone,and which need the further verification of randomized controlled trials.
2015, 40(2): 187-190.
doi: 10.13898/j.cnki.issn.1000-2200.2015.02.014
Abstract:
Objective: To investigate the distribution and drug resistance of major pathogens of nosocomial infection in intensive care unit(ICU).Methods: The pathogens data of 124 patients with nosocomial infection in ICU were retrospectively analyzed.Results: Among 178 samples,124 strains of Gram-negative(G-) bacilli(79.8%),15 strains of Gram-positive(G+) bacilli(8.4%) and 21 strains of fungus(11.8%) were found.The most common Gram-negative bacilli,in turn,was followed by Pseudomonas aeruginosa,Klebsiella pneumoniae,Acinetobacter baumannii and Burkholderia cepacia.The most common Gram-positive bacteria,in turn,was Staphylococcus aureus,Staphylococcus haemolyticus and Enterococcus faecalis.The most common fungus,in turn,was Candida albicans and Candida glabrata.The resistance rates of Pseudomonas aeruginosa to cefoperazone/sulbactam,amikacin,tobramycin and polymyxin E were less than 30%.The drug resistance rate of Klebsiella pneumoniae was more than 40%,its resistance rates to amikacin,Ciprofloxacin,tobramycin and cotrimoxazole were less than 45%.The resistance rates of Acinetobacter baumannii to cefoperazone/sulbactam,imipenem and meropenem were less than 20%,its resistance rates to other antibiotics were more than 70%.The resistance of Staphylococcus aureus and Staphylococcus haemolyticus to vancomycin and teicoplanin was not found.The Candida albicans was high sensibility to common antifungal drug.Conclusions: The main pathogen of nosocomial infection in ICU is Gram-negative bacilli,and the bacteria resistance to antibiotics is common.Close monitoring the common pathogenic bacteria and its sensibility to antibiotics in ICU is important in guiding the rational use of medicines and improving the curative effects of anti-infection.
Objective: To investigate the distribution and drug resistance of major pathogens of nosocomial infection in intensive care unit(ICU).Methods: The pathogens data of 124 patients with nosocomial infection in ICU were retrospectively analyzed.Results: Among 178 samples,124 strains of Gram-negative(G-) bacilli(79.8%),15 strains of Gram-positive(G+) bacilli(8.4%) and 21 strains of fungus(11.8%) were found.The most common Gram-negative bacilli,in turn,was followed by Pseudomonas aeruginosa,Klebsiella pneumoniae,Acinetobacter baumannii and Burkholderia cepacia.The most common Gram-positive bacteria,in turn,was Staphylococcus aureus,Staphylococcus haemolyticus and Enterococcus faecalis.The most common fungus,in turn,was Candida albicans and Candida glabrata.The resistance rates of Pseudomonas aeruginosa to cefoperazone/sulbactam,amikacin,tobramycin and polymyxin E were less than 30%.The drug resistance rate of Klebsiella pneumoniae was more than 40%,its resistance rates to amikacin,Ciprofloxacin,tobramycin and cotrimoxazole were less than 45%.The resistance rates of Acinetobacter baumannii to cefoperazone/sulbactam,imipenem and meropenem were less than 20%,its resistance rates to other antibiotics were more than 70%.The resistance of Staphylococcus aureus and Staphylococcus haemolyticus to vancomycin and teicoplanin was not found.The Candida albicans was high sensibility to common antifungal drug.Conclusions: The main pathogen of nosocomial infection in ICU is Gram-negative bacilli,and the bacteria resistance to antibiotics is common.Close monitoring the common pathogenic bacteria and its sensibility to antibiotics in ICU is important in guiding the rational use of medicines and improving the curative effects of anti-infection.
2015, 40(2): 190-191.
doi: 10.13898/j.cnki.issn.1000-2200.2015.02.015
Abstract:
Objective: To investigate the clinical characteristics and principles of diagnosis and treatment of acute volvulus after total gastrectomy.Methods: Seventeen cases with acute volvulus after total gastrectomy were treated with abdominal puncture and 64 row helical CT scan.Among 16 cases treatment with operation,5 cases were treated with intestinal adhesion release combined with volvulus reduction,7 cases were treated with volvulus reduction combined with enteral decompression and 4 cases were treated with volvulus reduction,necrotic bowel resection combined with end to end anastomosis.One case was treated with conservative method.Results: Sixteen patients treated with operation discharged,and were followed up 1 to 2 years.One patient failed to timely operation,which led to massive intestinal necrosis complicated with toxic shock,multiple organ failure and die.Conclusions: Surgical treatment was the main method to treat acute volvulus after total gastrectomy.The abdominal symptoms and signs and abdominal CT should be closely observed during the course of conservative treatment.
Objective: To investigate the clinical characteristics and principles of diagnosis and treatment of acute volvulus after total gastrectomy.Methods: Seventeen cases with acute volvulus after total gastrectomy were treated with abdominal puncture and 64 row helical CT scan.Among 16 cases treatment with operation,5 cases were treated with intestinal adhesion release combined with volvulus reduction,7 cases were treated with volvulus reduction combined with enteral decompression and 4 cases were treated with volvulus reduction,necrotic bowel resection combined with end to end anastomosis.One case was treated with conservative method.Results: Sixteen patients treated with operation discharged,and were followed up 1 to 2 years.One patient failed to timely operation,which led to massive intestinal necrosis complicated with toxic shock,multiple organ failure and die.Conclusions: Surgical treatment was the main method to treat acute volvulus after total gastrectomy.The abdominal symptoms and signs and abdominal CT should be closely observed during the course of conservative treatment.
2015, 40(2): 192-193,196.
doi: 10.13898/j.cnki.issn.1000-2200.2015.02.016
Abstract:
Objective: To explore the protection of the oculomotor nerve in cavernous hemangioma resection in cavernous sinus.Methods: The cavernous hemangioma of cavernous sinus in 8 patients were resected by the subtemporal approach and removal zygomatic arch.The evoked compound muscle action potentials were monitored during operation,the protection of oculomotor nerve was observed.Results: Six tumors were totally removed,2 tumors were subtotally removed.The average of tumor volume was(20.24±1.09) ml,the maximum of tumor volume was(45.35±3.19) ml.The oculomotor nerves in 8 paients were protected,the evoked compound muscle action potentials of whose could be monitored.Conclusions: The incision of cavernous sinus under 2 to 3 mm of oculomotor nerve by subtemporal approach and removal zygomatic arch can greatly protect the oculomotor nerve.
Objective: To explore the protection of the oculomotor nerve in cavernous hemangioma resection in cavernous sinus.Methods: The cavernous hemangioma of cavernous sinus in 8 patients were resected by the subtemporal approach and removal zygomatic arch.The evoked compound muscle action potentials were monitored during operation,the protection of oculomotor nerve was observed.Results: Six tumors were totally removed,2 tumors were subtotally removed.The average of tumor volume was(20.24±1.09) ml,the maximum of tumor volume was(45.35±3.19) ml.The oculomotor nerves in 8 paients were protected,the evoked compound muscle action potentials of whose could be monitored.Conclusions: The incision of cavernous sinus under 2 to 3 mm of oculomotor nerve by subtemporal approach and removal zygomatic arch can greatly protect the oculomotor nerve.
2015, 40(2): 194-196.
doi: 10.13898/j.cnki.issn.1000-2200.2015.02.017
Abstract:
Objective: To explore the effects of pleural decortication on the pulmonary function of patients with tuberculous empyema.Methods: Eighty-nine patients with tuberculous empyema were treated with pleural decortication.The levels of arterial oxygen tension,areterial carbon dioxide tension,arterial oxygen saturation and pH value in all cases were evaluated by blood gas analysis before operation and in 9 months after operation.The levels of forced vital capacity,forced expiratory volume in one second,FEV1/FVC and maximal voluntary ventilarion in all cases before operation and in 3,6 and 9 months after operation were observed to investigate the lung function.Results: All operations were successful,and the postoperative recovery of patient was good.Compared with before operation,the arterial oxygen tension of patients were obviously improved(P<0.01),and the areterial carbon dioxide tension,arterial oxygen saturation and pH of patients were not obviously changed in 9 months after operation(P>0.05).The lung functions of patients in 3,6 and 9 months after operation were significantly better than that in before operation(P<0.01),the lung functions of patients in 6 and 9 months after operation were significantly better than that in 3 months after operation(P<0.01),the difference of lung function of patients between 6 and 9 months after operation was not statistical significance(P>0.05).Conclusions: Pleural decortication can effectively improve the lung function of patient with tuberculous empyema,the patient can better recovery in 6 months after operation.The pleural decortication can be early implemented for the patients with operation indication,which can prevent the further deformation of thorax.
Objective: To explore the effects of pleural decortication on the pulmonary function of patients with tuberculous empyema.Methods: Eighty-nine patients with tuberculous empyema were treated with pleural decortication.The levels of arterial oxygen tension,areterial carbon dioxide tension,arterial oxygen saturation and pH value in all cases were evaluated by blood gas analysis before operation and in 9 months after operation.The levels of forced vital capacity,forced expiratory volume in one second,FEV1/FVC and maximal voluntary ventilarion in all cases before operation and in 3,6 and 9 months after operation were observed to investigate the lung function.Results: All operations were successful,and the postoperative recovery of patient was good.Compared with before operation,the arterial oxygen tension of patients were obviously improved(P<0.01),and the areterial carbon dioxide tension,arterial oxygen saturation and pH of patients were not obviously changed in 9 months after operation(P>0.05).The lung functions of patients in 3,6 and 9 months after operation were significantly better than that in before operation(P<0.01),the lung functions of patients in 6 and 9 months after operation were significantly better than that in 3 months after operation(P<0.01),the difference of lung function of patients between 6 and 9 months after operation was not statistical significance(P>0.05).Conclusions: Pleural decortication can effectively improve the lung function of patient with tuberculous empyema,the patient can better recovery in 6 months after operation.The pleural decortication can be early implemented for the patients with operation indication,which can prevent the further deformation of thorax.
2015, 40(2): 197-199.
doi: 10.13898/j.cnki.issn.1000-2200.2015.02.018
Abstract:
Objective: To explore the effects of Montelukast combined with Seretide in the treatment of cough variant asthma(CVA).Methods: Forty patients with CVA were randomly divided into the treatment group and control group(20 cases each group).The control group were treated with 25 μg of procaterol twice a day,0.1g of aminophylline 3 times a day by oral.The treatment group were treated with 50 μg/250 μg of Seretide twice a day by inhalation combined with 10 mg of Montelukast once a day by oral.The cough improvement,forced expiratory volume 1 second(FEV1) and FEV1% in all cases were observed during the 4 weeks treatment.Results: The effects of the treatment group were significantly better than that of the control group at 4 weeks after treatment(P<0.01),the disappearance rate of cough in treatment group was 90%.Compared with before treatment,the FEV1 and FEV1% in two groups were significantly improved at 4 weeks after treatment(P<0.01),especially for the treatment group(P<0.01).Conclusions: The treatment with Montelukast,combined with Seretide can significantly improve the cough symptoms and lung function of patients with CVA,the effects of which are better than the bronchodilation agents and relieving cough and reducing sputum drugs.
Objective: To explore the effects of Montelukast combined with Seretide in the treatment of cough variant asthma(CVA).Methods: Forty patients with CVA were randomly divided into the treatment group and control group(20 cases each group).The control group were treated with 25 μg of procaterol twice a day,0.1g of aminophylline 3 times a day by oral.The treatment group were treated with 50 μg/250 μg of Seretide twice a day by inhalation combined with 10 mg of Montelukast once a day by oral.The cough improvement,forced expiratory volume 1 second(FEV1) and FEV1% in all cases were observed during the 4 weeks treatment.Results: The effects of the treatment group were significantly better than that of the control group at 4 weeks after treatment(P<0.01),the disappearance rate of cough in treatment group was 90%.Compared with before treatment,the FEV1 and FEV1% in two groups were significantly improved at 4 weeks after treatment(P<0.01),especially for the treatment group(P<0.01).Conclusions: The treatment with Montelukast,combined with Seretide can significantly improve the cough symptoms and lung function of patients with CVA,the effects of which are better than the bronchodilation agents and relieving cough and reducing sputum drugs.
2015, 40(2): 201-203.
doi: 10.13898/j.cnki.issn.1000-2200.2015.02.020
Abstract:
Objective: To explore the clinical effects of the thoracoscopic lobectomy in the treatment of early lung cancer.Methods: The clinical data of 48 patients treated with thoracoscopic lobectomy were retrospectively analyzed.All patients were treated with four hole method operation,systemic lymph node cleaning and anatomical lobectomy.Results: The operations included 14 cases of left upper lobectomy,6 cases of left lower lobectomy,17 cases of right upper lobectomy,1 case of right middle lobectomy and 10 cases of right lower lobectomy.No case died in perioperation,and 1 case was transited to open chest.The operation time,intraoperative blood loss,postoperative extubation time,the number of cleaning lymph node and postoperative hospital stay were 90 to 250 min,40 to 1 000 ml,3 to 11 days,7 to 24 and 6 to 14 days,respectively.Adenocarcinoma in 35 cases,squamous carcinoma in 8 cases,small cell lung cancer in 1 case,alveolar cell carcinoma in 2 cases and adenosquamous carcinoma in 2 cases were diagnosed by pathology.No recurrence and metastasis case was found during the following up for 6 to 19 months.Conclusions: The thoracoscopic lobectomy in the treatment of early lung cancer is small trauma,less complications,fast recovery and good effects.
Objective: To explore the clinical effects of the thoracoscopic lobectomy in the treatment of early lung cancer.Methods: The clinical data of 48 patients treated with thoracoscopic lobectomy were retrospectively analyzed.All patients were treated with four hole method operation,systemic lymph node cleaning and anatomical lobectomy.Results: The operations included 14 cases of left upper lobectomy,6 cases of left lower lobectomy,17 cases of right upper lobectomy,1 case of right middle lobectomy and 10 cases of right lower lobectomy.No case died in perioperation,and 1 case was transited to open chest.The operation time,intraoperative blood loss,postoperative extubation time,the number of cleaning lymph node and postoperative hospital stay were 90 to 250 min,40 to 1 000 ml,3 to 11 days,7 to 24 and 6 to 14 days,respectively.Adenocarcinoma in 35 cases,squamous carcinoma in 8 cases,small cell lung cancer in 1 case,alveolar cell carcinoma in 2 cases and adenosquamous carcinoma in 2 cases were diagnosed by pathology.No recurrence and metastasis case was found during the following up for 6 to 19 months.Conclusions: The thoracoscopic lobectomy in the treatment of early lung cancer is small trauma,less complications,fast recovery and good effects.
2015, 40(2): 205-207.
doi: 10.13898/j.cnki.issn.1000-2200.2015.02.022
Abstract:
Objective: To investigate the effects of quasi mother classroom on postpartum pelvic floor muscle rehabilitation treatment.Methods: The postpartum pelvic floor muscle rehabilitation method and health knowledge were propagandized in quasi mother classroom.The pregnant women were divided into two groups according to their health education,and their education results were analyzed.Results: The regular,multi-level and specialized quasi mother classroom knowledge training were implemented in the observation group.The awareness and correct cognition of the necessary rehabilitation treatment in pelvic floor muscle injury caused by delivery in observation group were better than those in control group(P<0.01).The understanding relevant knowledge was the main reason in the inspection and treatment of postpartum pelvic floor muscle injury.The difference of the rehabilitation behavior between two groups was statistically significant(P<0.01).Conclusions: The postpartum health education in quasi mother classroom can improve the female cognition on pelvic floor muscle rehabilitation,which can play a positive role on the promoting pelvic floor muscle rehabilitation,and improve the life quality of women.
Objective: To investigate the effects of quasi mother classroom on postpartum pelvic floor muscle rehabilitation treatment.Methods: The postpartum pelvic floor muscle rehabilitation method and health knowledge were propagandized in quasi mother classroom.The pregnant women were divided into two groups according to their health education,and their education results were analyzed.Results: The regular,multi-level and specialized quasi mother classroom knowledge training were implemented in the observation group.The awareness and correct cognition of the necessary rehabilitation treatment in pelvic floor muscle injury caused by delivery in observation group were better than those in control group(P<0.01).The understanding relevant knowledge was the main reason in the inspection and treatment of postpartum pelvic floor muscle injury.The difference of the rehabilitation behavior between two groups was statistically significant(P<0.01).Conclusions: The postpartum health education in quasi mother classroom can improve the female cognition on pelvic floor muscle rehabilitation,which can play a positive role on the promoting pelvic floor muscle rehabilitation,and improve the life quality of women.
2015, 40(2): 213-215.
doi: 10.13898/j.cnki.issn.1000-2200.2015.02.026
Abstract:
Objective: To investigate the environmental consciousness and action of Qiugang villager,and provide scientific basis for evaluating the risk of human health and environmental pollution.Methods: Two hundred and sixteen villagers selected by snowballing sampling were investigated by visit and observation combined with questionnaire method.Results: The villagers agreed that the source of pollution was industrial waste water and gas.The 98.61% of villagers thought the environmental pollution have affected their health,59.26% of them thought the food had been contaminated,and they bought food from anther area.The 96.76% of villagers thought government was responsible for pollution.The 40.06% of villagers chose “Go away” or “Do not know where to reflect the situation” when pollution discharge was found.The 38.89% of villagers chose “Do nothing” because they feared from retaliation when pollution affected their life.Conclusions: Environmental pollution has affected the agriculture.The environmental consciousness of villagers are inconsistent to their actions.The villagers will choose to hold back when their interests are involved though their environmental protection consciousness is strong.
Objective: To investigate the environmental consciousness and action of Qiugang villager,and provide scientific basis for evaluating the risk of human health and environmental pollution.Methods: Two hundred and sixteen villagers selected by snowballing sampling were investigated by visit and observation combined with questionnaire method.Results: The villagers agreed that the source of pollution was industrial waste water and gas.The 98.61% of villagers thought the environmental pollution have affected their health,59.26% of them thought the food had been contaminated,and they bought food from anther area.The 96.76% of villagers thought government was responsible for pollution.The 40.06% of villagers chose “Go away” or “Do not know where to reflect the situation” when pollution discharge was found.The 38.89% of villagers chose “Do nothing” because they feared from retaliation when pollution affected their life.Conclusions: Environmental pollution has affected the agriculture.The environmental consciousness of villagers are inconsistent to their actions.The villagers will choose to hold back when their interests are involved though their environmental protection consciousness is strong.
2015, 40(2): 216-218.
doi: 10.13898/j.cnki.issn.1000-2200.2015.02.027
Abstract:
Objective: To investigate the blood-borne sharp injury status among medical staff in a tertiary hospital,analyze its reasons,and provide its improvement measures.Methods: The blood-borne sharp injury status among medical staff in a tertiary hospital were investigated using the self-making questionnaire,the different professional types of work,gender and units of whose were compared.Results: The blood-borne sharp injuries in 130 people from 901 questionnaires were found,the incidence rate of which was 14.4%.Forty-four cases were reported,the report rate of which was 33.8%.The perceived light injury(30.23%),oneself antibody(27.91%) and fluke mind(16.28%) were the main unreported reasons of injury.The differences of the report rate in different medical units,sources of exposure and degree of injury were statistically significant(P<0.01).Conclusions: Strengthening the occupational protection training and awareness of occupational exposure among medical staff can improve the report level of the blood-borne sharp injury.
Objective: To investigate the blood-borne sharp injury status among medical staff in a tertiary hospital,analyze its reasons,and provide its improvement measures.Methods: The blood-borne sharp injury status among medical staff in a tertiary hospital were investigated using the self-making questionnaire,the different professional types of work,gender and units of whose were compared.Results: The blood-borne sharp injuries in 130 people from 901 questionnaires were found,the incidence rate of which was 14.4%.Forty-four cases were reported,the report rate of which was 33.8%.The perceived light injury(30.23%),oneself antibody(27.91%) and fluke mind(16.28%) were the main unreported reasons of injury.The differences of the report rate in different medical units,sources of exposure and degree of injury were statistically significant(P<0.01).Conclusions: Strengthening the occupational protection training and awareness of occupational exposure among medical staff can improve the report level of the blood-borne sharp injury.
2015, 40(2): 219-220,224.
doi: 10.13898/j.cnki.issn.1000-2200.2015.02.028
Abstract:
Objective: To investigate the ability of grassroots doctor in preventing and controlling the chronic diseases in some rural areas.Methods: Three hundred and twenty grassroots doctors selected by the stratified cluster sampling method were investigated using the questionnaire survey and qualitative interviews.Results: The correct answer rate of the diagnostic criteria of high blood pressure was the highest in grassroots doctors,but 5.2% of grassroots doctors set the blood pressure more than 160/95 mmHg as the diagnostic criteria of hypertension,68.3% of grassroots doctors did not know the kinds of anti-hypertensive medications.The 48.2% of grassroots doctors set the fasting blood-glucose more than or equal to 7.8 mmol/L as the diagnostic criteria of diabetes,68.3% of grassroots doctors did not know the comprehensive treatment method of diabetes.The thin health consciousness of patient,heavy treatment light prevention of medical staff and insufficient input of government were the major problem in preventing and treating the chronic diseases.Conclusions: The sanitation responsibilities of government should be strengthened,the grassroots doctor ability in preventing and controlling the chronic diseases should be improved.
Objective: To investigate the ability of grassroots doctor in preventing and controlling the chronic diseases in some rural areas.Methods: Three hundred and twenty grassroots doctors selected by the stratified cluster sampling method were investigated using the questionnaire survey and qualitative interviews.Results: The correct answer rate of the diagnostic criteria of high blood pressure was the highest in grassroots doctors,but 5.2% of grassroots doctors set the blood pressure more than 160/95 mmHg as the diagnostic criteria of hypertension,68.3% of grassroots doctors did not know the kinds of anti-hypertensive medications.The 48.2% of grassroots doctors set the fasting blood-glucose more than or equal to 7.8 mmol/L as the diagnostic criteria of diabetes,68.3% of grassroots doctors did not know the comprehensive treatment method of diabetes.The thin health consciousness of patient,heavy treatment light prevention of medical staff and insufficient input of government were the major problem in preventing and treating the chronic diseases.Conclusions: The sanitation responsibilities of government should be strengthened,the grassroots doctor ability in preventing and controlling the chronic diseases should be improved.
2015, 40(2): 221-224.
doi: 10.13898/j.cnki.issn.1000-2200.2015.02.029
Abstract:
Objective: To explore the relationship between occupational stress,coping style and social support and mental health in pediatric nurses.Methods: Two hundred and eighty pediatric nurses were investigated using the general demographic questionnaire,nurse job stressors scale,trait coping style questionnaire,social support rating scale and SCL-90 questionnaire by cross-sectional survey method.Results: The score of the nurse occupational stress was 76.11±13.19,the scores of the patient care and management and interpersonal dimension were high.The mean score of psychological health level of nurse was 71.54±42.42.Most pediatric nurse adopted positive coping style,the subjective support score was the highest in the nurse social support.The occupational stress,coping styles and useof social support of pediatric nurses were related to their mental health(P<0.05 to P<0.01).Conclusions: Pediatric nurse has the moderate occupational stress.Between occupational stress,social support and coping styles and mental health have a certain degree of correlation.
Objective: To explore the relationship between occupational stress,coping style and social support and mental health in pediatric nurses.Methods: Two hundred and eighty pediatric nurses were investigated using the general demographic questionnaire,nurse job stressors scale,trait coping style questionnaire,social support rating scale and SCL-90 questionnaire by cross-sectional survey method.Results: The score of the nurse occupational stress was 76.11±13.19,the scores of the patient care and management and interpersonal dimension were high.The mean score of psychological health level of nurse was 71.54±42.42.Most pediatric nurse adopted positive coping style,the subjective support score was the highest in the nurse social support.The occupational stress,coping styles and useof social support of pediatric nurses were related to their mental health(P<0.05 to P<0.01).Conclusions: Pediatric nurse has the moderate occupational stress.Between occupational stress,social support and coping styles and mental health have a certain degree of correlation.
2015, 40(2): 225-226.
doi: 10.13898/j.cnki.issn.1000-2200.2015.02.030
Abstract:
Objective: To study the clinical significance of prothrombin time(PT),activated partial thromboplastin time(APTT),thrombin time(TT),fibrinogen(Fbg) and D-dimers(D-D) in the plasma of late pregnant women.Methods: The blood coagulation function markers and D-D in 360 late pregnant women and 80 non-pregnant healthy people were determined by Sysmex CA-7000 auto coagulation analyzer.Results: The levels of PT,APTT,TT,Fbg and D-D in the plasma of late pregnant women were respectively(9.44±0.90)s,(29.86±6.20)s,(13.41±1.86)s,(3.28±0.87)g/L and (1.08±2.23)mg/L,while the levels of these markers were respectively (12.24±1.08)s,(30.18±3.19)s,(16.31±1.03)s,(2.55±0.53)g/L and (0.27±0.08)mg/L in the control.Compared with the control group,the levels of PT and APTT in the late pregnant women significantly decreased(P<0.01),and the levels of Fbg and D-D obviously increased(P<0.01).Conclusions: Gestational age-specific reference values are essential for accurate interpretation of a subset of haemostatic tests during pregnancy,delivery and puerperium.The markers of blood coagulation function and D-D in late pregnant women should be timely determined before delivery in case of abnormal bleeding or disseminated intravascular coagulation.
Objective: To study the clinical significance of prothrombin time(PT),activated partial thromboplastin time(APTT),thrombin time(TT),fibrinogen(Fbg) and D-dimers(D-D) in the plasma of late pregnant women.Methods: The blood coagulation function markers and D-D in 360 late pregnant women and 80 non-pregnant healthy people were determined by Sysmex CA-7000 auto coagulation analyzer.Results: The levels of PT,APTT,TT,Fbg and D-D in the plasma of late pregnant women were respectively(9.44±0.90)s,(29.86±6.20)s,(13.41±1.86)s,(3.28±0.87)g/L and (1.08±2.23)mg/L,while the levels of these markers were respectively (12.24±1.08)s,(30.18±3.19)s,(16.31±1.03)s,(2.55±0.53)g/L and (0.27±0.08)mg/L in the control.Compared with the control group,the levels of PT and APTT in the late pregnant women significantly decreased(P<0.01),and the levels of Fbg and D-D obviously increased(P<0.01).Conclusions: Gestational age-specific reference values are essential for accurate interpretation of a subset of haemostatic tests during pregnancy,delivery and puerperium.The markers of blood coagulation function and D-D in late pregnant women should be timely determined before delivery in case of abnormal bleeding or disseminated intravascular coagulation.
2015, 40(2): 230-233.
doi: 10.13898/j.cnki.issn.1000-2200.2015.02.032
Abstract:
Objective: To explore the value of the volume transfer constant(Ktrans) and volume fraction of extravascular extracellular space(Ve) of dynamic contrast enhanced MRI(DCE-MRI) in evaluating the microvascular permeability of glioma,and correlation of the Ktrans and Ve values and pathological grade of tumor.Methods: The values of Ktrans and Ve of DCE-MRI in 26 patients with glioma(including grade Ⅱin 12 cases,grade Ⅲ in 8 cases and grade Ⅳ in 6 cases) diagnosed by pathology after operation were obtained before operation.The differences of the values of Ktrans and Ve in different grades gliom were compared using One-way AVOVA.Pearson correlation analyses were used to determine relationship between Ktrans,Ve,and glioma grade.Receiver operating characteristic curve analyses were performed to determine the threshold of Ktrans and Ve to distinguish different grades of gliomas.Results: The values of Ktrans and Ve in grade Ⅱ were significantly lower than those in grade Ⅲ or grade Ⅳ gliom(P<0.01),the differences of whose between grade Ⅲ and Ⅳ glioms were not statistically significant(P>0.05).The thresholds of Ktrans and Ve for 0.054/min & 0.296 and 0.084/min & 0.345 could distinguish grade Ⅱ from Ⅲ and Ⅱ from Ⅳ glioma,respectively.The values of Ktrans and Ve and glioma grade,and Ktrans and Ve were positive correlations(P<0.01).Conclusions: DCE-MRI can be used to distinguish grade Ⅱ from Ⅳ glioma and grade Ⅱ from Ⅲ glioma by testing the microvascular permeability of tumor,which can provide the important information for clinical diagnosis.
Objective: To explore the value of the volume transfer constant(Ktrans) and volume fraction of extravascular extracellular space(Ve) of dynamic contrast enhanced MRI(DCE-MRI) in evaluating the microvascular permeability of glioma,and correlation of the Ktrans and Ve values and pathological grade of tumor.Methods: The values of Ktrans and Ve of DCE-MRI in 26 patients with glioma(including grade Ⅱin 12 cases,grade Ⅲ in 8 cases and grade Ⅳ in 6 cases) diagnosed by pathology after operation were obtained before operation.The differences of the values of Ktrans and Ve in different grades gliom were compared using One-way AVOVA.Pearson correlation analyses were used to determine relationship between Ktrans,Ve,and glioma grade.Receiver operating characteristic curve analyses were performed to determine the threshold of Ktrans and Ve to distinguish different grades of gliomas.Results: The values of Ktrans and Ve in grade Ⅱ were significantly lower than those in grade Ⅲ or grade Ⅳ gliom(P<0.01),the differences of whose between grade Ⅲ and Ⅳ glioms were not statistically significant(P>0.05).The thresholds of Ktrans and Ve for 0.054/min & 0.296 and 0.084/min & 0.345 could distinguish grade Ⅱ from Ⅲ and Ⅱ from Ⅳ glioma,respectively.The values of Ktrans and Ve and glioma grade,and Ktrans and Ve were positive correlations(P<0.01).Conclusions: DCE-MRI can be used to distinguish grade Ⅱ from Ⅳ glioma and grade Ⅱ from Ⅲ glioma by testing the microvascular permeability of tumor,which can provide the important information for clinical diagnosis.
2015, 40(2): 234-236.
doi: 10.13898/j.cnki.issn.1000-2200.2015.02.033
Abstract:
Objective: To analyze the low field MRI findings of the sharp instrument injury in the lower limb soft tissue.Methods: The low-field MRI data of 31 patients with the sharp instrument injury in the lower limb soft tissue were retrospectively analyzed.Results: Five cases of achilles tendon injury,3 cases of patellar ligament injury,2 cases of quadriceps tendon injury,2 cases of iliotibial band injury,1 case of medial collateral ligament injury and 1 case of lateral collateral ligament injury were diagnosed using MRI.MRI imagings of tendon ligament showed local high signal in 4 cases and discontinuity in 10 cases,together with adjacent soft tissue swelling.The imaging of 14 cases with muscle contusion and hematoma showed the subcutaneous and intramuscular edema,muscle fascia and muscle tear,together with muscle interstitial fluid and intramuscular nodular lesions in hematoma case.The imaging of 7 cases with sharp injury in subcutaneous loose connective tissue space showed low T1 and high T2 signal regions,which was consistent with injury.Conclusions: MRI is an important non-invasive examination method to evaluate the sharp instrument injury of the lower limb soft tissue.
Objective: To analyze the low field MRI findings of the sharp instrument injury in the lower limb soft tissue.Methods: The low-field MRI data of 31 patients with the sharp instrument injury in the lower limb soft tissue were retrospectively analyzed.Results: Five cases of achilles tendon injury,3 cases of patellar ligament injury,2 cases of quadriceps tendon injury,2 cases of iliotibial band injury,1 case of medial collateral ligament injury and 1 case of lateral collateral ligament injury were diagnosed using MRI.MRI imagings of tendon ligament showed local high signal in 4 cases and discontinuity in 10 cases,together with adjacent soft tissue swelling.The imaging of 14 cases with muscle contusion and hematoma showed the subcutaneous and intramuscular edema,muscle fascia and muscle tear,together with muscle interstitial fluid and intramuscular nodular lesions in hematoma case.The imaging of 7 cases with sharp injury in subcutaneous loose connective tissue space showed low T1 and high T2 signal regions,which was consistent with injury.Conclusions: MRI is an important non-invasive examination method to evaluate the sharp instrument injury of the lower limb soft tissue.
2015, 40(2): 236-237.
doi: 10.13898/j.cnki.issn.1000-2200.2015.02.034
Abstract:
Objective: To analyze the application of heart rate variability in cardiovascular neurogenic syncope.Methods: Fifty patients with cardiovascular neurogenic syncope and 50 health people from healthy check-up crowd were divided into the observation group and control group,respectively.The heart rate variabilities between two groups were compared using electrocardiogram workstation.Results: The differences of overall standard deviation and mean standard deviation between two groups were not statistically significant(P>0.05).The differences of the square root in the difference between the mean square,and more than 50 ms of percentage in the difference between adjacent phase between two groups were statistically significant(P<0.01).The frequency domain indexes in observation group were significantly lower than that in control group(P<0.01).Conclusions: Heart rate variability is a reliable index to evaluate the autonomic nervous activity,which can be used as a valuable index of cardiovascular neurogenic syncope.
Objective: To analyze the application of heart rate variability in cardiovascular neurogenic syncope.Methods: Fifty patients with cardiovascular neurogenic syncope and 50 health people from healthy check-up crowd were divided into the observation group and control group,respectively.The heart rate variabilities between two groups were compared using electrocardiogram workstation.Results: The differences of overall standard deviation and mean standard deviation between two groups were not statistically significant(P>0.05).The differences of the square root in the difference between the mean square,and more than 50 ms of percentage in the difference between adjacent phase between two groups were statistically significant(P<0.01).The frequency domain indexes in observation group were significantly lower than that in control group(P<0.01).Conclusions: Heart rate variability is a reliable index to evaluate the autonomic nervous activity,which can be used as a valuable index of cardiovascular neurogenic syncope.
2015, 40(2): 238-241.
doi: 10.13898/j.cnki.issn.1000-2200.2015.02.035
Abstract:
Objective: To investigate the multi-detector row spiral CT(MDCT) and MRI features of the intra-abdoninal type aggressive fibromatosis(AF) and its diagnostic value.Methods: The clinical data of 8 patients with intra-abdoninal type AF diagnosed by pathology and their MDCT and MRI imaging features were retrospectively analyzed.Results: The separate incident in 7 cases and multiple incident in 1 case were found.Three cases in mesentery,2 cases in abdominal cavity,1 case in splenic flexure of colon,1 case in pelvic cavity and 1 case in retroperitoneal space were determined.Five cases and 3 cases of AF were round and irregular,respectively.Local boundaries were unclear or less clear,adhere with the adjacent vessels,mesometrium and organ adhesions.The CT imaging showed that the tumor density was uniform or uneven,close to the muscle density and progressive enhancement.The flake unreinforced region was found.The T1 weighted image signals of lesions were similar,iso-intensity or slight with muscle,the T2 weighted image and diffusion weighted imaging signals of lesions were uneven and slight hyperintensity,progressing and heterogeneous moderate or obvious enhancement,which was more obvious than CT.The strip and sheet-shaped low intensity area in T1 weighted image and T2 weighted image signals without enhancement or mild delayed enhancement were found.The compressed and invasive adjacent structures and the vascular change could be observed by the post-processing of MDCT and MRI.Conclusions: MDCT and MRI can show the important pathological changes of intra-abdoninal type AF.The image findings has certain characteristics,which has important diagnostic value for AF.
Objective: To investigate the multi-detector row spiral CT(MDCT) and MRI features of the intra-abdoninal type aggressive fibromatosis(AF) and its diagnostic value.Methods: The clinical data of 8 patients with intra-abdoninal type AF diagnosed by pathology and their MDCT and MRI imaging features were retrospectively analyzed.Results: The separate incident in 7 cases and multiple incident in 1 case were found.Three cases in mesentery,2 cases in abdominal cavity,1 case in splenic flexure of colon,1 case in pelvic cavity and 1 case in retroperitoneal space were determined.Five cases and 3 cases of AF were round and irregular,respectively.Local boundaries were unclear or less clear,adhere with the adjacent vessels,mesometrium and organ adhesions.The CT imaging showed that the tumor density was uniform or uneven,close to the muscle density and progressive enhancement.The flake unreinforced region was found.The T1 weighted image signals of lesions were similar,iso-intensity or slight with muscle,the T2 weighted image and diffusion weighted imaging signals of lesions were uneven and slight hyperintensity,progressing and heterogeneous moderate or obvious enhancement,which was more obvious than CT.The strip and sheet-shaped low intensity area in T1 weighted image and T2 weighted image signals without enhancement or mild delayed enhancement were found.The compressed and invasive adjacent structures and the vascular change could be observed by the post-processing of MDCT and MRI.Conclusions: MDCT and MRI can show the important pathological changes of intra-abdoninal type AF.The image findings has certain characteristics,which has important diagnostic value for AF.
2015, 40(2): 242-244.
doi: 10.13898/j.cnki.issn.1000-2200.2015.02.036
Abstract:
Objective: To investigate the role of subject teaching and practice concerning the Nobel Prize owners in physiology or medicine on the training of medical students.Methods: The subject teaching,reports,speeches and debates concerning the Nobel Prize owners in physiology or medicine were launched in 300 medical sophomores of Bengbu Medical College(experiment group) and other 300 medical sophomores(control group) who did not participate in the activity;and all the students were investigated by questionnaires.The acknowledge of the importance of basic medical courses,the enthusiasm for basic medical courses,the desire to explore medical problems,and the influence on the scientific thinking and formation of scientific researching were evaluated and compared between the two groups.Results: More than 276 students in the experiment group presented positive performance.Compared with the control group,the experiment group displayed a higher proportion of excellent performance(P<0.01).Conclusions: The subject teaching and practice concerning the Nobel Prize owners in physiology or medicine have a positive effect on the training of medical students.It is worth popularizing in medical colleges.
Objective: To investigate the role of subject teaching and practice concerning the Nobel Prize owners in physiology or medicine on the training of medical students.Methods: The subject teaching,reports,speeches and debates concerning the Nobel Prize owners in physiology or medicine were launched in 300 medical sophomores of Bengbu Medical College(experiment group) and other 300 medical sophomores(control group) who did not participate in the activity;and all the students were investigated by questionnaires.The acknowledge of the importance of basic medical courses,the enthusiasm for basic medical courses,the desire to explore medical problems,and the influence on the scientific thinking and formation of scientific researching were evaluated and compared between the two groups.Results: More than 276 students in the experiment group presented positive performance.Compared with the control group,the experiment group displayed a higher proportion of excellent performance(P<0.01).Conclusions: The subject teaching and practice concerning the Nobel Prize owners in physiology or medicine have a positive effect on the training of medical students.It is worth popularizing in medical colleges.
2015, 40(2): 244-248.
doi: 10.13898/j.cnki.issn.1000-2200.2015.02.037
Abstract:
Objective: To establish an academic information literacy evaluation index system for medical postgraduate students.Methods: The connotation of academic information literacy was analyed.Based on the Delphi method,we completed the indexes screening and correction by the 15 experts for the 3 round questionnaire consultation.Results: The academic information literacy evaluation index system for the medical postgraduate students included 3 first level indexes,9 second level indexes,and 41 third level indexes.The positive coefficient of experts in 3 rounds were 100%,the mean of importance evaluation of all indexes were more than 0.3,and the rank correlation coefficient of Kendall w test were 0.313,0.451,and 0.457 respectively(P<0.05).Conclusions: The academic information literacy evaluation system for medical postgraduate students proposed by this study was scientific and reasonable.
Objective: To establish an academic information literacy evaluation index system for medical postgraduate students.Methods: The connotation of academic information literacy was analyed.Based on the Delphi method,we completed the indexes screening and correction by the 15 experts for the 3 round questionnaire consultation.Results: The academic information literacy evaluation index system for the medical postgraduate students included 3 first level indexes,9 second level indexes,and 41 third level indexes.The positive coefficient of experts in 3 rounds were 100%,the mean of importance evaluation of all indexes were more than 0.3,and the rank correlation coefficient of Kendall w test were 0.313,0.451,and 0.457 respectively(P<0.05).Conclusions: The academic information literacy evaluation system for medical postgraduate students proposed by this study was scientific and reasonable.
2015, 40(2): 249-250.
doi: 10.13898/j.cnki.issn.1000-2200.2015.02.038
Abstract:
Objective: To explore the effects of comfortable nursing in infantile diarrhea.Methods: One hundred and twenty cases of children with infantile diarrhea were randomly divided into the experimental group(60 cases) and control group(60 cases).The control group were treated with routine nursing,and the experimental group were treated with comfortable nursing on the basis of routine nursing.The fundamental nursing qualification rate and satisfaction rate of pateints' parents between two groups were compared.Results: The fundamental nursing qualification rate and satisfaction rate of pateints' parents in experimental group were significantly higher than those in control group(P<0.01).Conclusions: The comfortable nursing in infantile diarrhea is an important way to improve the nursing quality and satisfaction rate of pateints' parents.
Objective: To explore the effects of comfortable nursing in infantile diarrhea.Methods: One hundred and twenty cases of children with infantile diarrhea were randomly divided into the experimental group(60 cases) and control group(60 cases).The control group were treated with routine nursing,and the experimental group were treated with comfortable nursing on the basis of routine nursing.The fundamental nursing qualification rate and satisfaction rate of pateints' parents between two groups were compared.Results: The fundamental nursing qualification rate and satisfaction rate of pateints' parents in experimental group were significantly higher than those in control group(P<0.01).Conclusions: The comfortable nursing in infantile diarrhea is an important way to improve the nursing quality and satisfaction rate of pateints' parents.
2015, 40(2): 251-252,255.
doi: 10.13898/j.cnki.issn.1000-2200.2015.02.039
Abstract:
Objective: To investigate the role of comprehensive nursing intervention in the intravenous therapy for infants and children.Methods: One hundred patients were randomly divided into observation group and control group(n=50 in each).Both groups were administered the routine therapy and nursing care;and the observation group were given additional comprehensive nursing interventions including environmental management,psychological intervention and interventions before intravenous infusion,before venipuncture,during and after the infusion.The success rate of venipuncture,the patients' compliance in receiving the infusion therapy,their satisfaction to the nursing care and incidence of nursing disputes between the nurses and patients were compared between the two groups.Results: The observation group were superior to the control group in satisfaction to the nursing care,compliance and success rate of venipuncture(P<0.05 to P<0.01);the difference in the incidence of nursing disputes between the two groups was not statistically significant(P>0.05).Conclusions: The comprehensive nursing intervention for infants and children receiving intravenous therapy can increase the success rate of venipuncture,alleviate the patients' suffering and improve their satisfaction and compliance.
Objective: To investigate the role of comprehensive nursing intervention in the intravenous therapy for infants and children.Methods: One hundred patients were randomly divided into observation group and control group(n=50 in each).Both groups were administered the routine therapy and nursing care;and the observation group were given additional comprehensive nursing interventions including environmental management,psychological intervention and interventions before intravenous infusion,before venipuncture,during and after the infusion.The success rate of venipuncture,the patients' compliance in receiving the infusion therapy,their satisfaction to the nursing care and incidence of nursing disputes between the nurses and patients were compared between the two groups.Results: The observation group were superior to the control group in satisfaction to the nursing care,compliance and success rate of venipuncture(P<0.05 to P<0.01);the difference in the incidence of nursing disputes between the two groups was not statistically significant(P>0.05).Conclusions: The comprehensive nursing intervention for infants and children receiving intravenous therapy can increase the success rate of venipuncture,alleviate the patients' suffering and improve their satisfaction and compliance.
2015, 40(2): 253-255.
doi: 10.13898/j.cnki.issn.1000-2200.2015.02.040
Abstract:
Objective: To explore the effect of case care management program in the nursing of patients with dementia.Methods: Eighty cases of dementia syndrome were randomly divided into observation group and control group.The control group received routine nursing intervention and the observation group received case care nursing plan which included the training of daily life skills,memory and expression ability,logical thinking ability,social intercourse and the psychological nursing.The patients' daily life skills and dementia severity were compared between the two groups when discharged from hospital.Results: At discharge,the patients main nursing problems such as hunger,restlessness,agitation,confusion of day and night and constipation problems in the observation group were less than those in the control group(P<0.05 to P< 0.01);there was no statistically significant difference in the incidence of incontinence and delusional behavior between the two groups(P>0.05);the daily life ability scale score of the observation group was significantly lower than that of the control group(P<0.01);the dementia severity of the observation group determined by clinical hospital rating scale was significantly higher than that of the control(P<0.01).Conclusions: Application of case care could significantly decrease the main nursing problems of patients with dementia syndrome,which would improve the effect of nursing care and the rehabilitation of the patients.
Objective: To explore the effect of case care management program in the nursing of patients with dementia.Methods: Eighty cases of dementia syndrome were randomly divided into observation group and control group.The control group received routine nursing intervention and the observation group received case care nursing plan which included the training of daily life skills,memory and expression ability,logical thinking ability,social intercourse and the psychological nursing.The patients' daily life skills and dementia severity were compared between the two groups when discharged from hospital.Results: At discharge,the patients main nursing problems such as hunger,restlessness,agitation,confusion of day and night and constipation problems in the observation group were less than those in the control group(P<0.05 to P< 0.01);there was no statistically significant difference in the incidence of incontinence and delusional behavior between the two groups(P>0.05);the daily life ability scale score of the observation group was significantly lower than that of the control group(P<0.01);the dementia severity of the observation group determined by clinical hospital rating scale was significantly higher than that of the control(P<0.01).Conclusions: Application of case care could significantly decrease the main nursing problems of patients with dementia syndrome,which would improve the effect of nursing care and the rehabilitation of the patients.
2015, 40(2): 256-257,260.
doi: 10.13898/j.cnki.issn.1000-2200.2015.02.041
Abstract:
Objective: To explore the effect of systematic rehabilitation training on the cognitive function of patients with chronic schizophrenia in the rehabilitation home.Methods: Eighty-nine patients who were admitted to the hospital in June 2013 and at the stationary phase were random divided into control group and integrated treatment group.The 42 patients in control group received atypical antipsychotics only and the 47 patients in the integrated treatment group received atypical antipsychotics combined with systematic rehabilitation training.Wisconsion Card Sorting Test was used to evaluate the cognitive function of the patients 6 months later.Results: After 6 months,the Wisconsion Card Sorting Test results,the total mistake-making number and the continuing mistake-making number improved significantly in the integrated treatment group compared to those of the control group(P<0.01).Conclusions: The systematic rehabilitation training may improve the cognitive function of the schizophrenia patients.
Objective: To explore the effect of systematic rehabilitation training on the cognitive function of patients with chronic schizophrenia in the rehabilitation home.Methods: Eighty-nine patients who were admitted to the hospital in June 2013 and at the stationary phase were random divided into control group and integrated treatment group.The 42 patients in control group received atypical antipsychotics only and the 47 patients in the integrated treatment group received atypical antipsychotics combined with systematic rehabilitation training.Wisconsion Card Sorting Test was used to evaluate the cognitive function of the patients 6 months later.Results: After 6 months,the Wisconsion Card Sorting Test results,the total mistake-making number and the continuing mistake-making number improved significantly in the integrated treatment group compared to those of the control group(P<0.01).Conclusions: The systematic rehabilitation training may improve the cognitive function of the schizophrenia patients.
2015, 40(2): 258-260.
doi: 10.13898/j.cnki.issn.1000-2200.2015.02.042
Abstract:
Objective: To explore the effects of nursing on the elderly uremia patients during the induction period of hemodialysis.Methods: Eighty elderly uremia patients were randomly divided into the intervention group and control group(40 cases each group).The control group were nursed with conventional method,the intervention group were nursed with nursing intervention during induction period based on conventional method.The incidence of complications and scores of Quality of Life Questionnaire-C30(QLQ-C30) between two groups were compared.Results: The complications were found in 4 cases(including 2 cases of arrhythmia,1 case of hypotension and 1 case of disequilibrium syndrome) in intervention group during the induction period,the incidence of which was 10%.The complications were found in 17 cases(including 8 cases of arrhythmia(1 case died of malignant arrhythmia),6 cases of hypotension,3 cases of disequilibrium syndrome) in control group,the incidence of which was 42.5%.The difference of the incidence of arrhythmia between two groups was statistically significant(P<0.05).The scores of the mental,social and body functions of QLQ-C30 in intervention group were higher than those in control group(P<0.01).Conclusions: The nursing of the elderly uremia patients during the induction period of hemodialysis can obviously reduce the complications and improve the quality of life of patients,which is worthy of promotion in clinic.
Objective: To explore the effects of nursing on the elderly uremia patients during the induction period of hemodialysis.Methods: Eighty elderly uremia patients were randomly divided into the intervention group and control group(40 cases each group).The control group were nursed with conventional method,the intervention group were nursed with nursing intervention during induction period based on conventional method.The incidence of complications and scores of Quality of Life Questionnaire-C30(QLQ-C30) between two groups were compared.Results: The complications were found in 4 cases(including 2 cases of arrhythmia,1 case of hypotension and 1 case of disequilibrium syndrome) in intervention group during the induction period,the incidence of which was 10%.The complications were found in 17 cases(including 8 cases of arrhythmia(1 case died of malignant arrhythmia),6 cases of hypotension,3 cases of disequilibrium syndrome) in control group,the incidence of which was 42.5%.The difference of the incidence of arrhythmia between two groups was statistically significant(P<0.05).The scores of the mental,social and body functions of QLQ-C30 in intervention group were higher than those in control group(P<0.01).Conclusions: The nursing of the elderly uremia patients during the induction period of hemodialysis can obviously reduce the complications and improve the quality of life of patients,which is worthy of promotion in clinic.
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