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2019 Vol. 44, No. 5
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2019, 44(5): 561-565.
doi: 10.13898/j.cnki.issn.1000-2200.2019.05.001
Abstract:
ObjectiveTo establish the cell line with low-expression miR-374a using CRISPR/CAS9 gene targeting technology. MethodsThe mature gRNA targeting miR-374a was designed to synthesize the DNA, which was inserted into the CRISPR/CAS9 vector to construct the pSpCas9(BB)-2A-Puro.A549 cells were transfected with the constructed vector, and screened using puromycin.The gene sequences of target site were analyzed using PCR and sequencing method.The qPCR was used to detect the relative expression levels of miR-374a and its target gene TGFA in transfected cells.The CCK8 was used to detect the proliferation activity of cells. ResultsThe gene targeting miR-374a vector was successfully constructed.The transfected cells were screened under pressure, and the sequencing results showed that the inserting/deletion mutation was found.The results qPCR showed that the expression level of miR-374a significantly decreased, and the expression level of TGFA significantly increased in transfecting gene editing vector compared with control cells(P < 0.01 and P < 0.05).The cell proliferation assay showed that the proliferation activity significantly changed in low-expressed miR-374a cells(P < 0.05 to P < 0.01). ConclusionsThe low-expressed miR-374a cell line was successfully established, which provides the basis in studying the molecular function.
2019, 44(5): 566-569, 577.
doi: 10.13898/j.cnki.issn.1000-2200.2019.05.002
Abstract:
ObjectiveTo study the differentiation of human hemangioma endothelial progenitor cells(EPcs) in nude mice, and further reveal its biological characteristics. MethodsThe hemangioma endothelial progenitor cells in proliferative stage were cultured in vitro, identified by CD31, CD34 and Ⅷ-factor related antigens, and subcutaneously inoculated into the bilateral chest wall and waist of nude mice.The growth characteristics and histologic changes of transplanted tumors were regularly observed.The transplanted tumor's homology was identified by immunohistochemical staining of the vascular endothelial cell specific marker CD31 and CD34. ResultsThe growth of EPcs was good in vitro, the number of EPcs was 3×108, and the positive expressions of CD31, CD34 and Ⅷ-factor related antigen were detected by immunohistochemistry.The biological and pathological characteristics between tumor formation after subcutaneous implantation and original hemangioma were similar in nude mice.The tumor identified by CD31 and CD34 was derived from human hemangioma endothelial cells. ConclusionsThe cell source of hemangioma is derived from EPCs, which can be used as the animal models of hemangioma, and provide an ideal platform for the study of hemangioma.
2019, 44(5): 570-577.
doi: 10.13898/j.cnki.issn.1000-2200.2019.05.003
Abstract:
ObjectiveTo investigate the expression level and effects of astrocyte elevated gene-1(AEG-1) in gastric cancer stem cells. MethodsThe expression levels of AEG-1 mRNA and protein in gastric stem cell lines(HGC-27 and MKN-45) were detected using RT-PCR and Western blotting, respectively.The AEG-1 was processed using transient transfection, and the cells proliferation and its mechanism were investigated using the MTS assay and cell-cycle analysis.The apoptosis was examined using the activities of Caspase-3/7 and annexin V, the effect of silencing AEG-1 on the stemness of gastric stem cells was evaluated using the tumorsphere formation assay, and the tumor formation experiment was conducted to evaluate the effects of AEG-1 on the tumorigenesis of gastric stem cells in nude mice. ResultsThe expression level of AEG-1 in gastric stem cells was higher than that in non-stem cells(P < 0.01).Cancer stem cells transfected with AEG1-siRNA resulted in the cancer stem cell cycle arrest in G1 phase, and could significantly inhibit the cell proliferation(P < 0.01).The results of Annexin V and Caspase-3/7 activities detection showed that the knockdown of AEG-1 could induce the apoptosis of gastric stem cells.The low level of AEG-1 could significantly inhibit the ability of gastric cancer stem cells to form into balls.The loss of AEG-1 inhibited the tumorigenesis of tumor stem cells in vivo. ConclusionsThe silencing expression of AEG-1 can suppress the cell proliferation, induce the cell cycle arrest in G1 phase and apoptosis of gastric cancer stem cells, inhibit the tumorigenesis, which plays a positive role in tumorigenesis of gastric cancer stem cells.
2019, 44(5): 578-581.
doi: 10.13898/j.cnki.issn.1000-2200.2019.05.004
Abstract:
ObjectiveTo investigate the effects of super time window venous thrombolysis on thrombotic middle cerebral artery occlusion in rats. MethodsEighty rats were divided into the control group, cerebral infarction group, 4.5 h thrombolysis group and 6 h thrombolysis group according to random number method(20 rats each group).The control group rats were treated with the sham operation, and the middle cerebral artery occlusion model was established in cerebral infarction group, 4.5 h thrombolysis group and 6 h thrombolysis group.The 4.5 h thrombolysis group and 6 h thrombolysis group were intravenously treated with the recombinant tissue plasminogen activator(r-tPA) after 4.5 h and 6 h of modeling.The cerebral infarction volume, microvessel density, contents of nitric oxide(NO) and malondialdehyde(MDA), and activity of superoxide dismutase(SOD) in the cortical brain tissue were measured. ResultsThe volume of cerebral infarction in 4.5 h thrombolytic group and 6 h thrombolytic group on the third day and seventh day was significantly lower than that in cerebral infarction group(P < 0.01).The microvessel densities in 4.5 h thrombolytic group and 6 h thrombolytic group were significantly higher than that in cerebral infarction group(P < 0.01), and which in 6 h thrombolytic group were significantly lower than that in 4.5 h thrombolytic group on the third day and seventh day(P < 0.05).The microvessel densities in 4.5 h thrombolytic group and 6 h thrombolytic group on the seventh day were significantly higher than that on the third day(P < 0.01).Compared with the cerebral infarction group, the levels of NO and MDA significantly increased, and the SOD level significantly decreased in cortical brain tissue in control group, 4.5 h thrombolysis group and 6 h thrombolysis group on the third day and seventh day(P < 0.05 to P < 0.01).The level of MDA in cortical brain tissue in 6 h thrombolysis group was higher than that in 4.5 h thrombolysis group on the third day and seventh day(P < 0.05 to P < 0.01).The level of SOD in cortical brain tissue in 6 h thrombolysis group was lower than that in 4.5 h thrombolysis group on the third day and seventh day(P < 0.05).The levels of NO in cortical brain tissue in 4.5 h thrombolysis group and 6 h thrombolysis group on the seventh day were higher than that on the third day(P < 0.05). ConclusionsThe super time window thrombolytic therapy can reduce the infarct volume of thrombus middle cerebral artery embolization in rats, and the mechanism of which may be related to the increasing of the microvessel density, decreasing of NO and MDA contents, and increasing of SOD activity in cortical brain tissue.
2019, 44(5): 582-584, 589.
doi: 10.13898/j.cnki.issn.1000-2200.2019.05.005
Abstract:
ObjectiveTo observe the dynamic change of HBsAg serum level in chronic hepatitis B(CHB) patients treated with NAs for HBVDNA negative conversion, compare the change of HBsAg between HBeAg-positive and HBeAg-negative patients, estimate the time of HBsAg clearance, and explore the possible course of CHB treated with NAs. MethodsThe quantitation of HBsAg in patients treated with NA HBVDNA negative conversion was set as the baseline value, the dynamic change of HBsAg levels were observed after 6 months, 1 year, 3 years, 5 years and 7 years of HBVDNA negative conversion, and the difference of HBsAg quantification between HBeAg(+) group and HBeAg(-) group was compared. ResultsAmong 109 HBeAg-positive patients, the mean levels of HBsAg after 6 months, 1 year, 3 years, 5 years and 7 years of HBVDNA negative conversion were 3.347, 3.329, 3.107, 3.169, 2.960 and 2.164 log10IU/mL, respectively.Among 116 HBeAg-negative patients, the mean levels of HBsAg after 6 months, 1 year, 3 years, 5 years and 7 years of HBVDNA negative conversion were 3.133, 3.193, 2.970, 2.967, 2.536 and 2.083 log10IU/mL, respectively.After NAs treatment, the HBsAg levels in HBeAg-positive and HBeAg-negative patients showed a decreasing trend of fluctuation at 6 months, 1 year, 3 years, 5 years and 7 years after HBVDNA negative conversion(P < 0.01).According to the linear regression equation fitted by the quantitative decline trend of HBsAg, the HBsAg clearance time in HBeAg positive group and HBeAg negative group were calculated to be 25 years and 22 years, respectively. ConclusionsAmong the CHB treated with NAs, the clearance time of HBsAg in HBeAg positive group and HBeAg negative group will take more than 20 years in theory.Therefore, the treatment of CHB with NAs requires a long course of treatment.
2019, 44(5): 585-589.
doi: 10.13898/j.cnki.issn.1000-2200.2019.05.006
Abstract:
ObjectiveTo observe the effects of goal-directed fluid therapy(GDFT) guided by transesophageal echocardiography(TEE) combined with small dose of norepinephrine on intraoperative circulation management and postoperative recovery in elderly patients treated with laparoscopic colorectal surgery. MethodsFifty patients over 60 years scheduled by radical resection of colorectal cancer, ASA grade Ⅰto Ⅱ, were randomly divided into the observation group and control group(25 cases each group).The observation group was treated with GDFT guided by TEE combined with small doses of norepinephrine, and the control group was treated with conventional liquid.The amounts of liquid and norepinephrine in observation group after anesthesia were adjusted according to the blood flow time corrected(FTc) and stroke volume(SV) of the descending aorta monitored by TEE, and the control group was treated with the traditional method fluid infusion.The mean artery pressure(MAP), heart rate(HR) and central venous pressure(CVP) between two groups were compared before anesthesia induction(T0) and tracheal intubation(T1), at the time of establishing artificial pneumoperitoneum(T2), after resecting tumor(T3), after stopping pneumoperitoneum(T4) and after extubation(T5).The crystal/gel ratio and total amount, urine volume, levels of aspertate aminotransferase(AST), alanine aminotransferase(ALT), blood urea nitrogen(BUN) and creatinine(Cr), and incidence rates of adverse reaction and complications during postoperative recovery were recorded in two groups. ResultsThe amounts of intraoperative urine and balance solution infusion in observation group were significantly less than those in control group(P < 0.01 and P < 0.05), and the amount of polygelatin peptide infusion in observation group was significantly more than that in control group(P < 0.05).The HR and MAP in two groups at T1 and T2 decreased compared with at T0(P < 0.05 to P < 0.01), and the CVP in two groups at T1 increased compared with at T0(P < 0.01).Compared with the control group, the HR in observation group increased at T4 and T5(P < 0.01), and the CVP in observation group decreased at T3, T4 and T5(P < 0.01).Compared with before operation, the ALT level increased, and the levels of AST and BUN decreased in observation group after operation(P < 0.01).The differences of the levels of ALT, AST, BUN and Cr in control group were not statistically significantly between before and after operation(P>0.05).There was no statistical significance in the incidence rate of adverse reaction between observation group(16.0%) and contorl group(28.0%), and the incidence rate of complications in observation group(8.0%) was significantly lower than that in control group(32.0%)(P < 0.05). ConclusionsThe GDFT guided by TEE combined with small dose of norepinephrine has advantages in the postoperative recovery of patients treated with laparoscopic colorectal surgery.
2019, 44(5): 590-592.
doi: 10.13898/j.cnki.issn.1000-2200.2019.05.007
Abstract:
ObjectiveTo analyze the relationship between the plasmid level of omentin-1 and coronary collateral circulation. MethodsA total of 50 patients with coronary heart disease and 50 patients without coronary heart disease diagnosed by coronary angiography were divided into the observation group and control group, respectively.The basic characteristics between two groups were compared.The plasma levels of omentin-1 in two groups were detected using ELISA. ResultsThe plasma level of omentin-1 in observation group was lower than that in control group(P < 0.05).The results of multivariate logistic regression analysis showed that the plasma levels of omentin-1, total cholesterol, triacylglycerol and high density lipoprotein cholesferol, and Gensini score were the independent risk factors of coronary collateral circulation(P < 0.01). ConclusionsThe plasma level of omentin-1 decreasing is associated with coronary collateral circulation disorder, which can provide the reference for further intervention and treatment of coronary heart disease.
2019, 44(5): 593-596.
doi: 10.13898/j.cnki.issn.1000-2200.2019.05.008
Abstract:
ObjectiveTo investigate the predictive value of KRAS gene status on the effects of the first-line chemotherapy combined with bevacizumab treating metastatic colorectal cancer(mCRC). MethodsKRAS gene in 216 patients with mCRC was detected, and the patients were treated with the first-line chemotherapy combined with bevacizumab for 4~8 cycles.After every 4 cycles of chemotherapy, the patients were detected using colonoscopy, abdominal B-ultrasound and enhanced CT.The relationships between the mutation status of the KRAS gene, and response rate(RR), pogression free survival(PFS), total survival(OS) in all patients were analyzed according to the evaluation criteria of solid tumor efficacy. ResultsKRAS gene mutations were found in 34.2% of patients with mCRC.The number of patients with tumor transferring to the lung and liver in KRAS gene mutation group was more than that in KRAS gene wild-type group(P < 0.05 and P < 0.01).Compared to the KRAS gene wild-type group, the case of low differentiation type tumor in KRAS gene mutation group was more than that of the medium/high differentiation type tumor(P < 0.01).The differences of the RR and PFS between two groups were not statistically significant(P>0.05).The OS in KRAS gene mutation group decreased compared to the wild-type group, but the difference of which between two groups was not statistically significant(P>0.05).The neutropenia, gastrointestinal reaction, fatigue, proteinuria and other adverse reactions in two groups were similar.The Cox survival analysis model showed that the KRAS gene mutation was not set as a prognostic factor of PFS and OS(P>0.05). ConclusionsThe mutation status of the KRAS gene does not play a prognostic role in mCRC patients treated with the first-line chemotherapy combined with bevacizumab.
2019, 44(5): 597-599, 603.
doi: 10.13898/j.cnki.issn.1000-2200.2019.05.009
Abstract:
ObjectiveTo investigate the preventive effects of carboprost tromethamine or carboprost methylate combined with oxytocin on postpartum hemorrhage in high risk pregnant women treated with cesarean section. MethodsOne hundred and eighty high risk pregnant women treated with cesarean section were randomly divided into group A and group B(90 cases each group).Group A was intravenously injected with 10 U oxytocin combined with intramuscular injection 250 μg carboprost tromethamine, and group B was intravenously injected with 10 U oxytocin combined with 1 mg carboprost methylate by sublingual administration after delivery.The amount of bleeding, and rates of postpartum hemorrhage, blood transfusion, intervention of additional hemostasis and occurrence of adverse reaction were compared between two groups. ResultsThe intraoperative, postoperative 2 h and postoperative 24 h haemorrhage amount in group A were significantly less than those in group B(P < 0.05 to P < 0.01).The differences of the incidence of postpartum hemorrhage, and rates of blood transfusion and intervention of additional hemostatic measures between two groups were not statistically significnat(P>0.05).The average amount of postpartum bleeding in 12 cases of group A and 17 cases of group B were[(841.34±232.56)mL] and[(857.62±227.37)mL], respectively, and the difference of which was not statistically significant(P>0.05).The difference of the incidence rate of adverse reaction between two gorups was not statistically significant(P>0.05). ConclusionsCarboprost tromethamine or carboprost methylate combined with oxytocin in treating postpartum hemorrhage in high-risk pregnant treated with cesarean section has good preventive effect and less side effects.Carboprost tromethamine has a certain advantage in reducing the amount of bleeding.
2019, 44(5): 600-603.
doi: 10.13898/j.cnki.issn.1000-2200.2019.05.010
Abstract:
ObjectiveTo analyze the related factors of affecting Henoch-Schonlein purpura(HSP) recurrence and HSP-related renal insufficiency in children. MethodsOne hundred and twenty-two children with HSP were divided into group A(38 cases with HSP recurrence) and group B(84 cases without HSP recurrence).According to the results of urine routine examination, the HSP-related renal insufficiency in 41 cases and HSP-unrelated renal insufficiency in 81 cases were divided into the group Ⅰ and group Ⅱ, respectively.The influencing factors of HSP recurrence and HSP-related renal insufficiency in HSP children were analyzed using univariate and multivariate logistic regression method. ResultsThe proportions of unprophylaxis, history of respiratory tract infection, uncontrolled diet, eosinophil(EOS) increasing and unrestricted exercise in group A were significantly higher than those in group B(P < 0.05 to P < 0.01).The proportions of age>10 years old, platelet(PLT) count increasing, white blood cell(WBC) increasing, repeated eruption of rash, abnormal urinary microalbuminuria and total immunoglobulin(IgE) increasing in group Ⅰ were higher than those in group Ⅱ(P < 0.05).The results of multivariate logistic regression analysis showed that the unprophylaxis, history of respiratory tract infection, uncontrolled diet and EOS increasing were the influencing factors of the HSP recurrence(P < 0.05 to P < 0.01), and the age >10 years old, PLT increasing, WBC increasing, repeated eruption of rash, abnormal urinary microalbuminuria and IgE increasing were the influencing factors of HSP-related renal insufficiency in children(P < 0.05 to P < 0.01). ConclusionsThe influencing factors of the HSP recurrence include the unprophylaxis, history of respiratory tract infection, uncontrolled diet and EOS increasing, and the influencing factors of HSP-related renal insufficiency include the age, PLT, WBC, urinary microalbuminuria and IgE.The above factors should be paid attention to, closely observed and timely intervened to avoid HSP recurrence or HSP-related renal insufficiency.
2019, 44(5): 604-606.
doi: 10.13898/j.cnki.issn.1000-2200.2019.05.011
Abstract:
ObjectiveTo investigate the application effects of presuture shortening of orbicularis oculi muscle in blepharoplasty in the middle and old aged patients. MethodsSixty middle and old aged patients with palpebral bags were randomly divided into the control group and observation group(30 cases each group).The control group was treated with traditional percutaneous lower eyelid blepharoplasty, and the observation group was treated with presuture shortening of orbicularis oculi muscle based on the traditional blepharoplasty.The orbicularis oculi muscle was separated, and the line perpendicular to the orbicularis oculi muscle at a distance of 0.5 cm from the outer canthal angle was designed, the orbicularis oculi muscle was cut off.The traction thread was sutured at the broken end, the one side broken end was sutured into the deep surface of the other end in advance, and the position of suture was adjusted according to the tension of orbicularis muscle.When the orbicularis muscle reached a better shape and tension, the patients were asked to open their eyes to the forehead for observing the effects of blepharoplasty.The overlapping part was excised, and the broken end was finely sutured.The curative effect between two schemes was compared and analyzed. ResultsAfter 1 year of operation, the satisfaction degree in observation group was higher than that in control group(P < 0.01).There was no statistical significance in complications between two groups(P>0.05). ConclusionsThe application of presuture shortening of orbicularis oculi muscle can significantly improve the treatment effect and satisfaction of patients, which is worthy of promotion.
2019, 44(5): 607-610.
doi: 10.13898/j.cnki.issn.1000-2200.2019.05.012
Abstract:
ObjectiveTo analyze the effects of radical hystcrectomy combined with vagina lengthening on sexual life in patients with cervical cancer. MethodsEighty cervical cancer patients with type Ⅰb1 and type Ⅰb2~Ⅱa2 after neoadjuvant therapy were randomly divided into the control group and observation group(40 cases each group).The observation group was treated with radical hysterectomy combined with vaginal lengthening and retroperitoneal lymph node dissection, and the control group was treated with radical hysterectomy combined with retroperitoneal lymph node dissection.After 6 months of treatment, the vaginal change and sexual life in all patients were investigated using questionnaire, and the sexual function in two groups were evaluated using female sexual function measurement scale. ResultsThe differences of the number of cases and time of recovering regular sexual life between two groups were not statistically significant(P>0.05), the postoperative vaginal length in observation group was significantly better than that in control group(P < 0.01).The differences of the urination and defecation indicators between two groups were not statistically significant(P>0.05).The differences of the sexual arousal, orgasm, pain during intercourse, vaginal lubrication, sexual satisfaction, total score of female sexual function index and sexual desire between two groups were not statistically significant(P>0.05). ConclusionsThe radical hysterectomy combined with vagina lengthening in the treatment of cervical cancer can significantly prolong the vagina length, does not increase the risk of defecation and urination dysfunction, and significantly improves the quality of sexual life of patients.
2019, 44(5): 610-613.
doi: 10.13898/j.cnki.issn.1000-2200.2019.05.013
Abstract:
ObjectiveTo compare the clinical manifestations and pathological features between male breast cancer(MBC) and female male breast(FBC), and explore the prognostic factors and treatment protocols of patients. MethodsThe clinical data between 25 MBC patients and 50 matched FBC patients were analyzed using SPSS 21.0 software.The survival rates of all cases were calculated using Kaplan-Meier method, and compared using Log-rank test.The multivariate analysis was performed using Cox risk proportional regression model. ResultsThe 5-year survival rate of the MBC group and FBC group were 40% and 62%, respectively.The results of single factor analysis showed that size of tumor, lymph node metastasis and TNM staging were related to the 5-year survival rate in male group(P < 0.05), and the size of tumor, lymph node metastasis, TNM staging and adjuvant endocrine therapy were related to the 5-year survival rate in FBC group(P < 0.05).The results of Cox regression analysis showed that the TNM staging and the size of tumor were the dependent influencing factor of the 5-year survival rates in FBC group. ConclusionsThe TNM staging and the size of tumor are the dependent influencing factor of the 5-year survival rates in FBC group.
2019, 44(5): 614-615, 619.
doi: 10.13898/j.cnki.issn.1000-2200.2019.05.014
Abstract:
ObjectiveTo analyze the correlation of serum uric acid(UA) with intima-media thickness(IMT) in elderly patients with hypertension, and explore the possible role of serum UA in atherosclerosis. MethodsOne hundred and thirty-eight senile hypertension patients with age greater than 65 years were divided into the normal endometrium group(G1, 35 cases), endometrial thickening group(G2, 30 cases), stable plaque group(G3, 36 cases) and unstable plaque group(G4, 37 cases) according to the results of ultrasound.The clinical data of all cases were analyzed, and the correlation of IMT with UA was analyzed. ResultsThe differences of the levels of fasting blood glucose and glycosylated hemoglobin among four groups were not statistically significant(P>0.05).With the increasing of IMT, the serum levels of uric acid, total cholesterol, low-density lipoprotein cholesterol, triglyceride, systolic pressure and diastolic pressure increased, and the serum level of high-density lipoprotein cholesterol decreased, and the differences of those were statistically significant(P < 0.05 to P < 0.01).The results of correlation analysis showed that the IMT in patients with hypertension was negatively correlated with high-density lipoprotein cholesterol(r=-0.315, P < 0.05), and positively correlated with low-density lipoprotein cholesterol level(r=0.212, P < 0.05), uric acid level(r=0.412, P < 0.05), and C reactive protein level(r=0.223, P < 0.05). ConclusionsUric acid plays certain role in the occurrence and development of atherosclerosis, and its mechanism may be related to the chronic inflammation caused by oxidative stress.
2019, 44(5): 616-619.
doi: 10.13898/j.cnki.issn.1000-2200.2019.05.015
Abstract:
ObjectiveTo explore the clinical advantages of open reduction and internal fixation combined with wire anchor in the treatment of ankle fracture complicated with deltoid ligament rupture. MethodsThe clinical data of 72 patients with ankle fracture complicated with deltoid ligament rupture treated with open reduction and internal fixation were retrospectively analyzed.Thirty-six deltoid ligament rupture cases repaired with wire anchor and 36 deltoid ligament rupture cases without repair were divided into the observation group and control group, respectively.Two groups were followed up for 6 to 16 months, and the therapeutic effects of the related indicators were compared between two groups. ResultsThe operations in all cases were successful, and the fracture reduction in two groups was good.The difference of the medial distance of ankle points between two groups was statistically significant(P < 0.05).Six cases with medial instability of ankle joint in control group after operation were found, and the movement of plantar flexion in 3 cases of control group was obviously limited.No medial instability of ankle joint and screw out in observation group were found.The motion range of ankle metatarsal flexion and dorsiflexion in observation group were better than those in control group(P < 0.01).The AOFAS ankle-hind foot function score in observation group was significantly higher than that in control group(P < 0.01).The total excellent and good rate in observation group and control group were 86.1% and 75.0%, respectively, and the difference of which was not statistically significant(P>0.05). ConclusionsOpen reduction and internal fixation combined with wire anchor in repairing ankle fracture complicated with deltoid ligament rupture can improve the ankle stability, and help to restore the ankle mobility.
2019, 44(5): 620-622, 626.
doi: 10.13898/j.cnki.issn.1000-2200.2019.05.016
Abstract:
ObjectiveTo investigate the effects of the co-induction of midazolam(Mid), fentanyl(Fen) and propofol(Pro) on hemodynamics using weighted modification method. MethodsSixty patients with ASA class Ⅰ or Ⅱ scheduled by laparoscopic operation were evenly distributed to 6 different dose groups according to the weighted modification method.The anesthesia induction was performed by injecting Mid(15 s), Fen(15 s), Pro(30 s) and 0.6 mg/kg of rocuronium bromide successively.Endotracheal intubation was performed after 3 min of Pro injection.The MAP and HR were recorded before induction, after 1 and 2 min of induction, at intubation, after 1, 3, 5 and 7 min of intubation. ResultsThe mean arterial pressure was used as the evaluation index, the importance of the three drugs in the formulation was Pro > Mid > Fen, and the theoretical optimization of Pro, Mid and Fen were 1.5 mg/kg, 0.06 mg/kg and 0.005 mg/kg, respectively.The HR was used as the evaluation index, the importance of the three drugs in the formulation was Fen > Pro > Mid, and the theoretical optimization of Mid, Fen and Pro were 0.06 mg/kg, 0.005 mg/kg and 1.5 mg/kg, respectively. ConclusionsPro and Fen play a major role in maintaining hemodynamic stability, Mid, Pro and Fen have synergistic effects, and the ideal induced doses of Mid, Fen and Pro are 0.06 mg/kg, 0.005 mg/kg and 1.25 mg/kg, respectively.
2019, 44(5): 623-626.
doi: 10.13898/j.cnki.issn.1000-2200.2019.05.017
Abstract:
ObjectiveTo compare the effects between general anesthesia combined with epidural anesthesia and general anesthesia in laparoscopic cholecystectomy in elderly patients with hypertension. MethodsA total of 100 patients treated with cholecystectomy were divided into the control group and observation group according to the random number method (50 cases each group).The control group were treated with general anesthesia, and the observation group were treated with general anesthesia combined with epidural anesthesia.The anesthesia effect between two groups was compared. ResultsThe differences of the heart rate, systolic pressure and diastolic pressure among before anesthesia(T1), after 1min of anesthesia induction(T2), tracheal intubation(T3), pneumoperitoneum(T4) and extubation(T5) were not statistical significance in observation group(P>0.05).Compared at T1 and T2, the heart rates increased at T3 and T4(P < 0.01), and which at T5 returned to the levels at T1 and T2 in control group(P>0.05).Compared at T1 and T2, the systolic pressure and diastolic pressure decreased at T3 and T4(P < 0.01), and which at T5 returned to the levels at T1 and T2 in control group(P>0.05).The opening eye time, extubation time and directional force recovery time in observation group were shorter than those in control group(P < 0.01), and the effective rate of anesthesia in observation group(94.00%) was higher than that in control group(80.00%)(P < 0.05). ConclusionsThe general anesthesia combined with epidural anesthesia in hypertension elderly patients treated with laparoscopic cholecystectomy is little effect on hemodynamics and good anesthesia effect, and which is worthy of promotion.
2019, 44(5): 627-631.
doi: 10.13898/j.cnki.issn.1000-2200.2019.05.018
Abstract:
ObjectiveTo compare the effects between nalbuphine combined with sufentanil and dezocine combined with sufentanil on postoperative venous analgesia after caesarean section. MethodsSixty parturient women were treated with patient controlled intravenous analgesia(PCIA) after cesarean section under combined lumbar and epidural anesthesia, and randomly divided into the observation group and control group(30 cases each group).The PCIA in observation group and control group was implemented with nalbuphine hydrochloride combined with sufentanil citrate and dezocine combined with sufentanil citrate, respectively.The mean arterial pressure, heart rate, pulse oxygen saturation, quiescent pain VAS score, static dynamic pain VAS score, uterine contractions pain VAS score and Ramsay score between two groups at 2, 6, 12, 24 and 48 h after operation were compared, and the times of PCIA analgesic pressing and adverse reactions in two groups were recorded. ResultsAfter 2, 6, 12, 24 and 48 h of operation, the differences of the mean arterial pressure, heart rate, pulse oxygen saturation, quiescent pain VAS score, static dynamic pain VAS score and Ramsay score between two groups were not statistically significant(P>0.05), and the difference of the uterine contractions pain VAS score between two groups was statistically significant(P < 0.01).The time of PCIA analgesic pressing and incidence rate of adverse reaction in observation group were significantly lower than those in control group(P < 0.01). ConclusionsNalbuphine hydrochloride combined with sufentanil citrate is a safe and effective analgesic method for cesarean section, especially for uterine contractions pain.The times of the PCIA analgesiac pressing reduce obviously after operation, and the incidence rate of adverse reaction is low.
2019, 44(5): 631-634.
doi: 10.13898/j.cnki.issn.1000-2200.2019.05.019
Abstract:
ObjectiveTo evaluate the clinical effectiveness of herbal fumigation combined with local massage in the treatment of meibomian gland dysfunction(MGD). MethodsOne hundred and thirty-two eyes(66 patients) with MGD were randomly divided into the observation group and control group(66 eyes in 33 patients each group).The control group was treated with artificial tear and antibiotic eye drops, and the patients suspected by infection or grade 3 or above MGD were additionally treated with azithromycin by oral.The observation group was treated with herbal fumigation combined with meibomian gland massage based on the artificial tear and antibiotic eye drops.After 4 weeks of treatment, the ocular surface disease index(OSDI), tear film breakup time(TBUT), Schirmer I test(SIT), corneal fluorescein staining(CFS), and meibomian gland function were observed and analyzed in two groups. ResultsThe scores of OSDI, MGD and CFS in observation group were lower than those in control group, and the scores of TBUT and SIT in observation group were higher than those in control group(P < 0.01).The difference of the clinical effectiveness between two groups was statistically significant(P < 0.01). ConclusionsThe herbal fumigation combined with local massage can improve the curative effect of MGD treatment.
2019, 44(5): 635-637, 641.
doi: 10.13898/j.cnki.issn.1000-2200.2019.05.020
Abstract:
ObjectiveTo analyze the predictive value of QRS wave in the risk of sudden cardiac death in patients with acute anterior wall myocardial infarction. MethodsNinety-eight patients with acute anterior myocardial infarction were divided into the early repolarization(ER) negative group and positive group(49 cases each group).The characteristics and morphology of the early repolarization pattern(ERP) in two groups were analyzed, and the incidence rates of ventricular fibrillation, ventricular tachycardia and death between two groups were compared. ResultsThe time limit of QRS in positive group[(97.96±7.23)min] was significantly longer than that in negative group[(89.07±7.93)min](P < 0.01), the heart rate in positive group[(68.05±10.32) times/min] was significantly slower than that in negative group[(77.98±6.90) times/min](P < 0.01), and the OTc interval time in positive group[(424.05±39.68)ms] was significantly shorter than that in negative group[(459.04±31.24)ms](P < 0.01).The differences of the QT and PR interval time between two groups were not statistically significant(P>0.05).In the positive group, the ERP mostly located in the lower wall, lower wall and precordial lead; the main manifestation of which located the incisor; and the ST segment was mostly horizontal elevation.The levels of triglyceride and potassium in positive group were significantly higher than those in negative group(P < 0.01), and the incidence rates of ventricular fibrillation, ventricular tachycardia and death in positive group were significantly higher than those in negative group(P < 0.01). ConclusionsCompared with the acute anterior myocardial infarction patients without ER, the QRS duration of electrocardiogram prolongs, the QTc interval shortens, the heart rate decreases, the incidence rates of ventricular fibrillation and ventricular tachycardia increase significantly, and the risk of death increases significantly in the patients with ER.
2019, 44(5): 638-641.
doi: 10.13898/j.cnki.issn.1000-2200.2019.05.021
Abstract:
ObjectiveTo compare the efficacy between direct vision of the split bone block of the lateral condyle of the tibial plateau and tibial proximal feneway crowbar combined with MIPPO bone plate in the treatment of Schatzker type Ⅱ tibial plateau fractures. MethodsTwenty-five patients with Schatzker type Ⅱ tibial plateau fractures were divided into the group A(13 cases) and group B(12 cases).The tibial plateau collapse in group A was reduced by direct vision of the split bone block of the lateral condyle of the tibial plateau, the group B was reduced by slotting tibial plateau and prying top bar, and two groups were additionally treated with MIPPO technique for anatomical plate internal fixation. ResultsThere was no statistical significance in operative time and bleeding loss between two groups(P>0.05), and the length of incision in B group was significantly shorter than that in A group(P < 0.01).The starting time of knee joint exercise and bearing weight time in B group were significantly less than those in A group(P < 0.01), and there was no statistical significance in healing time of fracture between two groups(P>0.05).The differences of the varus angle and caster angle of tibial plateau between to groups at the end of operation, and postoperative 3, 6 and 12 months were not statistically significant(P>0.05).The excellent and good recovery rate of knee joint after operation in group A and group B were 84.61% and 90.67%, respectively, and the difference of which between two groups was not statistically significant(P>0.05).The difference of the HSS score of knee joint and incidence rate of complications between two groups was not statistically significant(P>0.05). ConclusionsBoth kinds of articular surface of tibial plateau reset method can effectively restore the tibial plateau joint surface.The reduction of open window in proximal tibia is more minimally invasive, which can improve the recovery of patients.
2019, 44(5): 642-644.
doi: 10.13898/j.cnki.issn.1000-2200.2019.05.022
Abstract:
ObjectiveTo explore the effects of personalized family rehabilitation program on the ability of daily life of stroke patients. MethodsSixty patients with cerebral stroke were randomly divided into the observation group and control group(30 cases each group).The observation group and control group were nursed with personalized family rehabilitation program and visualized formal family rehabilitation program, respectively.After discharge and after 1 month of discharge, the comprehensive activity and daily life activity in two groups were evaluated using Modified Barthel Index(MBI) and Functional Comprehensive Assessment(FCA). ResultsAt discharge, the differences of the MBI and FCA scores between two groups were not statistically significant(P>0.05).After 1 month of discharge, the scores of MBI and FCA in observation group were significantly improved compared with those at discharge(P < 0.01).The differences of the scores of MBI and FCA in control group between at discharge and after 1 month of discharge were not statistically significant(P>0.05), and the scores of MBI and FCA in observation group after 1 month of discharge were higher than those at discharge(P < 0.01). ConclusionsThe personalized family rehabilitation program can improve the service efficiency, it is a good family rehabilitation service mode, and worthy of promotion.
2019, 44(5): 645-648.
doi: 10.13898/j.cnki.issn.1000-2200.2019.05.023
Abstract:
ObjectiveTo investigate the clinical value of thrombelastography(TEG) in predicting the lacunar stroke(LS) developing into progressive lacunar stroke(PLS). MethodsOne hundred and forty-two LS patients were divided into the PLS group(46 cases) and Non-PLS group(96 cases).The maximum amplitude, clotting angle, clotting time and reaction time of TEG parameters in two groups were detected using TEG5000 analyzer. ResultsThe maximum amplitude and clotting angle in PLS group were significantly larger than those in Non-PLS group(P < 0.01), and the clotting time and reaction time in PLS group were significantly shorter than those in Non-PLS group(P < 0.01).The results of Pearson linear correlation analysis showed the maximum amplitude and clotting angle were positively correlated with NHISS score of PLS patients(P < 0.05), and the clotting time and reaction time were negatively correlated with NHISS score of PLS patients(P < 0.01).The logistic regression analysis showed that the maximum amplitude and clotting angle could be used as the independent risk factors of the LS developing into PLS, and the clotting time and reaction time could be used as independent protective factors of the LS developing into PLS(P < 0.05 to P < 0.01). ConclusionsThe value of TEG in the prediction of the LS developing into PLS is obvious.The larger the maximum amplitude and clotting angle are, and the shorter the clotting time and reaction time are, the higher the risk of the LS developing into PLS is.
2019, 44(5): 648-651.
doi: 10.13898/j.cnki.issn.1000-2200.2019.05.024
Abstract:
ObjectiveTo analyze and compare the choice of high-flux dialysis frequency in maintenance hemodialysis patients and its influence on the detection results of inflammatory cytokines and calcium and phosphorus metabolic indicators. MethodsFifty-five patients with maintenance hemodialysis and high flux dialysis were randomly selected as the study subjects, According to the random number method, the patients were divided into group A (28 cases, dialysis frequency 4 times per week) and group B(27 cases, dialysis frequency 3 times per week).The levels of serum inflammatory cytokines such as tumor necrosis factor-α(TNF-α), interleukin-6(IL-6), hypersensitive C reactive protein(hs-CRP) and calcium and phosphorus metabolism were measured before and after treatment, the clinical efficacy of the two groups was compared, and the incidence of infection in the two groups was statistically analyzed.The Chinese version of SF-36 developed by Boston Institute of Health(Boston Institute of Health) was used to evaluate the quality of life of the two groups. ResultsThe levels of TNF-α, IL-6, hs-CRP inflammatory cytokines and serum calcium, phosphorus and calcium-phosphorus product were significantly improved after treatment in two groups, after treatment, all indexes in group A were significantly better than those in group B(P < 0.05 to P < 0.01).The total clinical effective rate and SF-36 score of group A were significantly higher than those of group B(P < 0.01), but there was no significant difference in the incidence of infection between the two groups(P>0.05). ConclusionsThe increase of high flux dialysis frequency in maintenance hemodialysis patients can effectively improve the level of serum inflammatory cytokines and calcium and phosphorus metabolism, and does not increase the risk of infection.It is of great significance to improve the quality of life of patients.
2019, 44(5): 657-660.
doi: 10.13898/j.cnki.issn.1000-2200.2019.05.027
Abstract:
ObjectiveTo analyze the needs of Hefei residents for liver cancer screening, and explore the main influencing factors of cancer screening. MethodsGuided by the health belief model, a structured questionnaire was designed.The respondents from 8 communities in Hefei city were selected using a cluster sampling method, and investigated by questionnaire. ResultsA total of 1 186 residents were enrolled.The willingness screening rate of liver cancer was 58.1% and the actual screening rate was 5.1%.The screening demand was negatively related to the age(P < 0.05), and positively related to the educational level and annual income(P < 0.05).Among 5 cancer screening indexes, the barrier was the lowest(0.06), and the self-efficacy was the highest(0.71).The older the resident was, the lower the severity, susceptibility and self-efficacy were(P < 0.05 to P < 0.01).The higher the educational level and annual income were, the higher the severity cognition, susceptibility cognition and profitability cognition were(P < 0.05 to P < 0.01). ConclusionsPsychological cognitive factor plays an important role in the behavior of residents screening, and should be fully considered in screening work.
2019, 44(5): 661-663.
doi: 10.13898/j.cnki.issn.1000-2200.2019.05.028
Abstract:
ObjectiveTo investigate the health status and health knowledge needs of rural residents in Bengbu city. MethodsThe health status and health knowledge needs of 930 rural inhabitants aged over 15 years from 3 towns in Bengbu city were investigated using stratified randomized sampling method. ResultsThe 56.36% of residents never had a physical examination, 33.75% of the residents considered that their health was good, 51.85% considered that their health was common, and 14.40% considered that their health was poor.The highest prevalence rate of chronic diseases was gastroenteritis(34.20%), hypertension(23.17%) and rheumatosis(13.72%).The difference of the prevalence rate of gastroenteritis between men and women was statistically significant(P < 0.05).The differences of the patients with gastroenteritis, hypertension and rheumatism among different ages and educational background were statistically significant(P < 0.05).The television(63.67%), internet(44.66%) and inquiring doctor(39.26%) were the main ways of inhabitants gaining health knowledge.The health knowledge of preventing common disease(71.09%), treatment of common disease(63.10%) and emergency processing of acute diseases(54.22%) was the most wanted to obtain. ConclusionsThe health status of rural inhabitants in Bengbu city is common, and their aware ness of self-care is poor.The different health education activities targeted to the health knowledge needs of rural inhabitants should be carried out, which can improve the residents' health awareness and self-care ability.
2019, 44(5): 664-667.
doi: 10.13898/j.cnki.issn.1000-2200.2019.05.029
Abstract:
ObjectiveTo investigate the clinical value and application research of immunoglobulin(Ig) and hypersensitive C reactive protein(hs-CRP) in children with hand, foot and mouth disease(HFMD). MethodsSeventy-six children with HFMD(HFMD group) were treated with ribavirin, and subdivdied into the improvement group and invalid group according to the therapeutic effects.Eighty health physical examination children were set as the control group.The levels of Ig(IgA, IgG and IgM) and hs-CRP in HFMD group and control group were detected.The sensitivity and specificity of two indexes in the diagnosis and treatment of HFMD were evaluated, and the ROC curve was plotted for correlation analysis. ResultsThe levels of IgA and IgG in HFMD group were lower than those in control group(P < 0.01).The levels of IgM and hs-CRP in HFMD group were higher than those in control group(P < 0.01).After the HFMD group were treated with ribavirin, 64 cases were improved, and 12 cases were invalid.The levels of IgA and IgG in improvement group were higher than those in invalid group(P < 0.05), and the levels of IgM and hs-CRP in improvement group were lower than those in invalid group(P < 0.01).The differences of the sensitivity and specificity of IgA, IgG, IgM and hs-CRP in the diagnosis of HFMD children were not statistically significant(P>0.05).The sensitivity and specificity of Ig combined with hs-CRP in the diagnosis of HFMD children were higher than those of single indicator(P < 0.05). ConclusionsThe joint detection of Ig and hs-CRP plays auxiliary screening function in the early diagnosis of HFDH, can identify the severity and development and guide the clinical treatment, and has high clinic value.It is worthy of promoting.
2019, 44(5): 667-670.
doi: 10.13898/j.cnki.issn.1000-2200.2019.05.030
Abstract:
ObjectiveTo explore the relationship between the optimal cut point of D-dimer(D-D) and risk factors in patients with acute ischemic stroke(AIS), and its value in evaluating prognosis. MethodsA total of 48 AIS patients and 35 healthy people were divided into the observation group and control group, respectively.The levels of D-D, homocysteine(Hcy), lipoprotein A[Lp(a)], total cholesterol(TC), triglycerol(TG) and hypersensitive C reactive protein(hs-CRP) were detected in two groups.SPSS software 21.0 was used to analyze the receiver operating characteristic(ROC) curve, and predict the risk factors of AIS.The AIS was analyzed using non-conditional logistic regression model. ResultsThe differences of the levels of D-D, Hcy, Lp(a), hs-CRP and TG between two groups were statistically significant(P < 0.05~P < 0.01).The area under the ROC curve of D-D was the highest, which was 0.966.The critical cut-off value of risk factors in AIS patients was 1.04 mg/L, and the diagnostic sensitivity and specificity were 87.5% and 97.1%, respectively.Multiple logistic regression analysis showed that D-D, Lp(a) and Hcy were the independent risk factors of AIS patients, and their relative risk coefficients were 15.000, 13.800 and 11.825, respectively.There was not correlation between D-D level and hypertension, TG(P>0.05), and the D-D level was positively correlated with the levels of Hcy, Lp(a) and hs-CRP(P < 0.05).With the increasing of D-D level, the proportion of AIS patients with poor prognosis increased. ConclusionsD-D is a better predictor in the prediction of risk factors of AIS patients, the optimal predicted threshold is 1.04 mg/L.The increasing of D-D level is one of the independent risk factors of AIS, which can increase the risk of AIS.
2019, 44(5): 671-674.
doi: 10.13898/j.cnki.issn.1000-2200.2019.05.031
Abstract:
ObjectiveTo evaluate the application effect of clinical practice teaching system of Surgery under the background of professional certification. MethodsFifty intern students in the Department of Hepatobiliary Surgery of the First Affiliated Hospital of Bengbu Medical College in 2016(control group) were taught with traditional teaching method, and 50 intern students in 2017(observation group) were taught with a teaching mode combining various teaching methods according to the standard of professional certification.After the internship, the theoretical examination in two groups were implemented using the same paper, the autonomous learning abilities in two groups were investigated using a questionnaire, and the results of which were analyzed. ResultsThe average test score and autonomous learning abilities in observation group were higher than those in control group(P < 0.01). ConclusionsWith the professional certification as the standard, establishing the clinical practice teaching team of Surgery, revising the practice teaching program of Surgery, strengthening the teaching ability of clinical practice of Surgery, and establishing the evaluation program of clinical practice students in Surgery can improve the clinical practice teaching effect of Surgery.
2019, 44(5): 674-676.
doi: 10.13898/j.cnki.issn.1000-2200.2019.05.032
Abstract:
ObjectiveTo investigate the application effects of Sandwich teaching method in clinical teaching of general surgery. MethodsFifty clinical training undergraduates in the Second Affiliated Hospital of Bengbu Medical College from grade 2013 clinical medicine major of Bengbu Medical College were randomly divided into the observation group(n=25) and control group(n=25).The observation group and control group were taught with Sandwich teaching method and traditional teaching model, respectively.The teaching effects between two groups were compared using the theoretical test, clinical case analysis test and satisfaction questionnaire. ResultsThe difference of the examination achievement of theory between two groups was not statistically significant(P>0.05).The results of clinical case analysis test and satisfaction of teaching in observation group were higher than those in control group(P < 0.05). ConclusionsSandwich teaching method can effectively improve the learning interest, and abilities of self-learning and clinical thinking of students, which is worthy of promotion.
2019, 44(5): 677-679, 683.
doi: 10.13898/j.cnki.issn.1000-2200.2019.05.033
Abstract:
ObjectiveTo cultivate the rural-oriented medical students with excellent post competence, and explore the application effects of the teaching method based on post competency in Neurology teaching. MethodsForty-nine rural-oriented medical students from grade 2014 and 52 rural-oriented medical students from grade 2013 of Bengbu Medical College were divided into the observation group and control group, respectively.The observation group and control group were taught with the teaching method based on post competency and traditional teaching method, respectively. ResultsThe difference of the theoretical knowledge test score between two groups was statistically significant(P < 0.05), the practical skill operation test score in observation group was higher than that in control group(P < 0.05), and the research ability and teaching satisfaction in observation group were higher than those in control group(P < 0.05 and P < 0.01). ConclusionsThe teaching method based on post competency can improve the students' theoretical knowledge, practical skill, research ability, satisfaction with teaching and quality of clinical subject education.
2019, 44(5): 680-683.
doi: 10.13898/j.cnki.issn.1000-2200.2019.05.034
Abstract:
ObjectiveTo evaluate the effects of the pressure dressing of modified spinning radial artery hemostatic device on postoperative hemostasis and comfort after coronary intervention. MethodsOne hundred and eighty patients treated with coronary arteriography or interventional therapy through transdermal puncture of radial artery were randomly divided into the gauze bandage pressuring group(group A), spinning tourniquet group(group B) and modified spinning tourniquet pressuring group(group C).The efficacy of hemostasis and comfort in three groups were observed. ResultsThe differences of the one-time success rate of puncture of radial artery and percutaneous coronary intervention rate among three groups were not statistically significant(P>0.05).The postoperative bleeding rates in group A, group B and group C gradually decreased(P < 0.01 and P < 0.05).The postoperative wrist circumference in group A and group B were greater than that in group C(P < 0.01).The oxyhemoglobin saturation in group A and group C was greater than that in group B(P < 0.01), and the difference of which between group A and group C was not statistically significant(P>0.05).The differences of the postoperative bruising rate, small mass rate, skin lesion rate and radial artery occlusion rate among three groups were statistically significant(P < 0.05 to P < 0.01), and the differences of large mass rate among three groups were not statistically significant(P>0.05).The bruising rate in group A was higher than that in group B and group C.The small mass rate in group A was higher than that in group B.The skin lesion rates in group A and group C were lower than that in group C and group B, respectively.The radial artery occlusion rate in group A was lower than that in group B(P < 0.05 to P < 0.01). ConclusionsThe modified spinning tourniquet pressuring of radial artery can effectively stop bleeding, decrease complication, and improve the comfort of patients.
2019, 44(5): 684-687.
doi: 10.13898/j.cnki.issn.1000-2200.2019.05.035
Abstract:
ObjectiveTo explore the status of discharge readiness of diabetes patients with initial and repeated/multiple admissions, and analyze its characteristics. MethodsOne hundred and twenty diabetes patients with initial admission and 120 diabetes patients with repeated/multiple admissions were investigated using the questionnaire and discharge readiness scale by convenient sampling. ResultsThe discharge readiness levels in diabetes patients with initial admission and diabetes patients with repeated/multiple admissions, respectively, and the difference of which was statistically significant(P < 0.01). ConclusionsThe discharge readiness levels in diabetes patients with initial admission and diabetes patients with repeated/multiple admissions are low and relatively high, respectively, and the difference of which is significant.The nursing work should focus on the nursing education and discharge guidance according to the characteristics of diabetes patients with repeated/multiple admissions, which can improve the readiness of patients.
2019, 44(5): 687-690.
doi: 10.13898/j.cnki.issn.1000-2200.2019.05.036
Abstract:
ObjectiveTo investigate the effects of immediate breast reconstruction(IBR) and delayed breast reconstruction(DBR) on the postoperative life quality of patients with breast cancer. MethodsEighty patients treated with radical surgery for breast cancer were randomly divided into the immediate group and delayed group.The immediate group and delayed group were treated with self-organized breast reconstruction after operation and after 5 to 12 months, respectively.The differences of the postoperative breast satisfaction, quality of life and complications between two groups were compared. ResultsThere was no statistical significance in the satisfaction degrees of breast shape, symmetry, overall and scar between two groups(P>0.05).The somatic factor, psychotic factor, psychological factor and social support content in immediate group were significantly better than those in delayed group(P < 0.01).The difference of the total incidence rate of postoperative complications between two groups was not statistically significant(P>0.05). ConclusionsThe immediate breast reconstruction should be preferred in breast cancer patients treated with breast conserving surgery, and the postoperative quality of life of which is better.
2019, 44(5): 690-692.
doi: 10.13898/j.cnki.issn.1000-2200.2019.05.038
Abstract:
ObjectiveTo evaluate the effects of electroacupuncture on gastrointestinal function recovery after abdominal operation. MethodsSixty-two patients treated with abdominal operation were randomly divided into the control group and electroacupuncture group(31cases each group).The control group was nursed with enhanced recovery after surgery(ERAS) program, and the electroacupuncture group was additionally treated with electroacupuncture stimulating acupoints once a day for five days on the basis of ERAS protocol.The bowel sound recovery time, first exhaust, defecation time, postoperative abdominal distension and hospitalization time in two groups were observed. ResultsThe bowel sound recovery time, first exhaust and defecation time in electroacupuncture group were shorter than those in control group(P < 0.01).The differences of the postoperative hospitalization time and abdominal distention after 3 days of operation were not statistically significant between two groups(P>0.05).The abdominal distention in electroacupuncture group after 5 days of operation were better than that in control group(P < 0.05). ConclusionsElectroacupuncture can shorten the first postoperative flatus and defecation time, improve the postoperative abdominal pain, abdominal distension and gastrointestinal reaction, and relieve postoperative discomfort of patients.The electroacupuncture intervention can significantly improve the postoperative recovery of gastrointestinal function, which is worthy of clinical application.
2019, 44(5): 693-698.
doi: 10.13898/j.cnki.issn.1000-2200.2019.05.039
Abstract:
ObjectiveTo investigate the knowledge and attitude regarding donor human milk among medical staff, hospitalized mothers and spouses, and its influencing factors. MethodsOne hundred and sixty-six medical staff, 300 hospitalized mothers and their spouses were selected from three tertiary hospitals in Bengbu city.The knowledge and attitude of donor human milk were investigated using questionnaire. ResultsThe correct rate of donor human milk knowledge in hospitalized mothers, spouses and medical staff were 44.9%, 40.5% and 84.2%, respectively.The scores of attitude toward donor human milk in hospitalized mothers and their spouses were(3.43±0.64) and(3.45±0.67), respectively.The scores of the items 'donating milk is a very meaningful thing' and 'vigorous promotion of donating human milk is very necessary' were the highest, and the score of the item 'you are willing to use donated breast milk for your baby' was the lowest.The score of attitude toward donor human milk in medical staff was higher(4.59±0.55), and the score of the item 'it is very meaningful to donor milk' was the highest(4.67±0.51).For hospitalized mothers and their spouses, the main reasons of unwilling to use or donating human milk were 'worrying about the safety of donor milk', 'not knowing the procedure of donating milk' and 'worrying about the impact of donor human milk on health'. ConclusionsPaying attention to the breast milk bank and breast milk donation and strengthening the propaganda and education for medical staff and the public can promote the sustainable development of donor breastfeeding.
2019, 44(5): 698-700.
doi: 10.13898/j.cnki.issn.1000-2200.2019.05.039
Abstract:
Objective: To explore the effect of evidence-based nursing on the incidence of pulmonary infection in elderly patients who have been in bed for a long time. Methods: 96 patients over 80 years old who were in bed for a long time from February 2016 to August 2017 were selected as the study subjects. They were randomly divided into observation group and control group, 48 in each group. The patients in the control group were given routine nursing measures. The observation group was given evidence-based nursing on routine nursing. According to the evidence-based analysis of the past patients with pulmonary infection, we found that the risk factors of pulmonary infection in the elderly patients who had been in bed for a long time were smoking history, old age, disturbance of consciousness, ability of spontaneous cough, invasive operation and hospitalization. Meanwhile, according to the above factors, the corresponding interventions were carried out to observe the incidence of pulmonary infection in the two groups after 3 weeks. Results: There were 5 cases of pulmonary infection in the observation group (10.41%) and 13 cases in the control group (27.08%). There was significant difference between the two groups (P < 0.05). CONCLUSION: Evidence-based nursing measures can effectively reduce the incidence of pulmonary infection and improve the therapeutic effect of the patients, aiming at the causes of pulmonary infection in the elderly.
Objective: To explore the effect of evidence-based nursing on the incidence of pulmonary infection in elderly patients who have been in bed for a long time. Methods: 96 patients over 80 years old who were in bed for a long time from February 2016 to August 2017 were selected as the study subjects. They were randomly divided into observation group and control group, 48 in each group. The patients in the control group were given routine nursing measures. The observation group was given evidence-based nursing on routine nursing. According to the evidence-based analysis of the past patients with pulmonary infection, we found that the risk factors of pulmonary infection in the elderly patients who had been in bed for a long time were smoking history, old age, disturbance of consciousness, ability of spontaneous cough, invasive operation and hospitalization. Meanwhile, according to the above factors, the corresponding interventions were carried out to observe the incidence of pulmonary infection in the two groups after 3 weeks. Results: There were 5 cases of pulmonary infection in the observation group (10.41%) and 13 cases in the control group (27.08%). There was significant difference between the two groups (P < 0.05). CONCLUSION: Evidence-based nursing measures can effectively reduce the incidence of pulmonary infection and improve the therapeutic effect of the patients, aiming at the causes of pulmonary infection in the elderly.
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