Search

万古霉素过敏致剥脱性皮炎的护理体会一例

无痛保护膜联合密闭式造口袋在造口重症患者中的应用效果

【摘要】　目的　总结无痛保护膜及密闭式造口袋在肠造口重症患者护理的应用效果。　方法　2009年12月-2010 年10月，将50例肠造口重症患者采用随机数字表法分为两组，试验组24例采用无痛保护膜联合密闭式造口袋实施造口护理，对照组26例采用传统氧化锌软膏联合安置半开放式捆绑造口袋实施造口护理。　结果　试验组造口周围皮炎发生率、造口袋周围渗漏率及造口旁腹部伤口敷料污染率均显著低于对照组。　结论　无痛保护膜联合密闭式造口袋的护理方法可有效预防造口周围皮炎、造口袋周围渗漏及造口旁伤口敷料污染的发生，较传统方法优越，值得推广。

动脉瘤重症患者合并中毒性表皮坏死松解症死亡一例

脑干出血患者行血管内降温亚低温治疗护理一例

Role of common oral infectious diseases in inducing stroke: a review of research progress

As a major disease that seriously endangers the health of Chinese residents, stroke has various triggering factors, among which infection is one of the initial factors. Previous studies have indicated a correlation of common oral infectious diseases such as periodontitis with the occurrence of stroke. However, there is a lack of effective integration of previous research on the induction of stroke by common oral infectious diseases. This article provides a comprehensive review of the relevant research on infectious diseases and stroke, with a particular focus on the progress related to periodontitis, gingivitis, dental caries, and pulpitis as triggers for stroke. It puts forward relevant recommendations for promoting oral health, so as to provide a theoretical basis for improving oral health literacy of Chinese residents and reducing the incidence of stroke and other major diseases.

Importance of oral hygiene in ischemic stroke patients

Ischemic stroke can lead to disruption in the oral ecology and an overgrowth of pathogenic bacteria, resulting in periodontal disease. Meanwhile, the aspiration and pulmonary infection resulted from dysphagia can increase the unfavorable prognosis. Some studies have found that there exist oral bacteria in the thrombus in myocardial infarction and ischemic stroke patients, showing that oral flora might be associated with thrombus and stroke-associated pneumonia. There are few high quality clinical studies or evidence-based guidelines. Priority should be given to high quality research that provides oral care standards, and incorporating oral care into future stroke pathways to improve the prognosis.

静脉/动脉血液管理保护管路与经外周静脉置入中心静脉导管的联合应用

目的　总结静脉/动脉血液管理保护管路（VAMP）与经外周静脉置入中心静脉导管（PICC）联合应用于重症患者的血液标本采集的方法及护理。 方法　对2011年8月－11月79例留置PICC的患者应用VAMP采集血标本的方法进行回顾总结。 结果　79例患者所取血液标本合格率达100%，未发生针刺伤，且采血时未断开输液接头。 结论　PICC导管与VAMP配合应用可有效避免反复抽血给患者带来的痛苦，同时减少血样采集时的感染、针刺伤和血液废弃物，值得临床推广。

呼吸机使用的安全护理

目的：探讨呼吸机使用过程中的安全护理方法。方法：制定严密的呼吸机护理措施，包括人员培训、统一呼吸机机型、建立标准操作程序、常见报警处理、呼吸机维护和消毒管理。结果：通过8个月的实践，患者未发生由于呼吸机使用不当导致的不良事件，护士对呼吸机安全护理意识加强，能熟练使用呼吸机，能及时应对紧急情况。结论：呼吸机使用过程中的安全护理可减少安全问题的发生，值得监护病区借鉴。

Research progress on the association between periodontal disease and cerebral infarction

Periodontal disease is a common chronic infectious disease targeting the connective tissue supporting the dentition. In recent years, the research on periodontal disease and cerebral infarction has been increasing. However, the causal relationship between periodontal disease and cerebral infarction remains unclear. Periodontal disease may be associated with atherosclerosis, which is one of the major causes of cerebral infarction. Regular dental care can reduce the risk of cardiovascular disease. Therefore, investigating the above association and its underlying mechanisms is of great clinical significance, which may help clinicians to make appropriate treatment and prevention measures. In this paper, the research progress and possible mechanism of the relationship between periodontal disease and cerebral infarction were reviewed.

两种气管切开导管抽吸囊上积液对机械通气患者影响的比较

【摘要】　目的　比较两种气切导管抽吸囊上积液对机械通气患者的影响。　方法　2007年10月-2008年6月收集60例气管切开患者，随机分为试验组及对照组各30例，试验组使用冲洗式气管切开导管，对照组使用普通气管切开导管，采用不同的方法抽吸囊上积液，分别记录抽吸前、抽吸时和抽吸后心率、血压、血氧饱和度，观察并记录患者舒适度的变化。　结果　抽吸时生命体征试验组优于对照组（Plt;0.05）；抽吸后血压、血氧饱和度试验组优于对照组（Plt;0.05）；舒适度方面试验组优于对照组，试验组有1例发生刺激性呛咳（3.3%），对照组有12例发生刺激性呛咳（40%）。　结论　冲洗式气管切开导管行囊上积液抽吸对患者生命体征影响较小、舒适度高，可广泛使用。