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find Keyword "效果" 293 results
  • THE LONG TERM RESULTS OF BILIARY RECONSTRUCTION IN CHILDREN

    Twenty five children with congenital biliary dilatation were treated with hepatico-jejuno-duodenostomy following excision of choledochal cysts between 1983 and 1985. The age ranged from two months to eleven years. The last follow-up ranged from 6-9 years (mean 7.5 years). All patients were free of jaundice with normal growth and development and none had peptic ulcer. The results from the last follow-up was better than that of the first one. This procedure was safe, effective and physiologically appealing.

    Release date:2016-09-01 11:38 Export PDF Favorites Scan
  • Analysis on the present situation of WeChat public platforms in provincial hospitals of Hubei Province

    ObjectiveTo study the current situation of WeChat public platforms in 15 provincial hospitals in Hubei Province.MethodsWe searched the website of National Health Commission of the People’s Republic of China, website of Health Commission of Hubei Province, and the official website of each hospital. The WeChat public platforms of 15 provincial hospitals in Hubei Province was determined as the research object. Samples were taken in July, 2019 and the observation cut-off point was on October 30, 2019. All the contents released by the WeChat public platforms in July were counted. Literature research, descriptive statistics, content analysis, WeChat transmission index analysis, observation indicators and other methods were used for analysis and research.ResultsAmong the 15 hospitals, 14 hospitals (93.3%) had established 20 WeChat public platforms, and 5 hospitals (33.3%) simultaneously opened service accounts and subscription accounts. The functions of serving the patients’ medical experience mainly included identity registration, appointment registration, information inquiry, patient feedback, intelligent medical guidance, etc. WeChat tweets were mainly divided into 38.0% of popular medical science, 11.4% of hospital news, 15.8% of medical service, 13.6% of party and government construction, and 21.2% of patient interaction. The monthly push times of 6 WeChat public platforms (30.0%) were less than 4 times. The monthly original rate of WeChat public platform tweets was 16.3%. Among the top 10 WeChat public platforms in the WeChat communication index, 8 (80.0%) were service accounts. There was a big gap in the dissemination effect of tweets.ConclusionsThe WeChat public platform of provincial hospitals in Hubei Province has problems such as single type of WeChat public platform, imperfect service functions, unreasonable tweets frequency, insufficient originality of tweets, and uneven communication effects. It is necessary to enrich platform types, improve platform functions, ameliorate the frequency of tweets, improve the originality of tweets, and pay attention to communication effects.

    Release date:2020-10-26 03:00 Export PDF Favorites Scan
  • 使用杨克吸引管清理口腔分泌物的对照研究

    目的比较杨克吸引管和普通吸痰管在清理口腔分泌物过程中的效果及对口腔黏膜的损伤情况。 方法将2013年1月-2月收治的60例使用可视喉镜(AirtraQ)插管的全身麻醉患者,采用随机方式分为两组(每组各30例),术前分别采用杨克吸引管和普通12号吸痰管清理口腔分泌物,并就两种材质在清理口腔分泌物过程中的清理效果对及黏膜的损伤情况进行比较。 结果杨克吸引管在吸引过程中对口腔黏膜损伤率(6.7%)明显低于普通吸痰管(30.0%),两组差异有统计学意义(χ2=5.455,P=0.020);在气道的吸引效果方面杨克吸引管与普通吸痰管差异无统计学意义(Z=-1.347,P=0.178)。 结论杨克吸引管能有效地降低吸引过程中对口腔黏膜的损伤,并且能全面快速地清理口腔分泌物,创造良好的插管条件,提高插管的质量和效率,值得推广应用。

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  • Clinical effect of anal fistula clip in treatment of anal fistula

    ObjectiveTo analyze the effect of anal fistula clip (AFC) in the treatment of anal fistula, and to evaluate its safety. MethodsA historical cohort study method was conducted. Eighty-three patients with glandular transsphincteric anal fistula in the Xuzhou Central Hospital from September 2018 to May 2021 were collected, of which 42 patients underwent the AFC treatment (AFC group), 41 patients underwent the endorectal advancement flap (ERAF) treatment (ERAF group). The operation time, intraoperative blood loss, visual analogue scale (VAS) score of anus pain on postoperative day 1, 3, and 7, wound healing time, Wexner incontinence score of anal function on postoperative month 6, and clinical efficacy (healing and failure) were compared between the two groups. ResultsThe operation was successfully completed in both groups. The operation time and intraoperative blood loss in the AFC group were shorter or less than those in the ERAF group (P<0.05). No complications such as internal opening infection and bleeding occurred in the two groups. There were no statistical differences in the VAS score of postoperative anus pain at all time point between the two groups (P>0.05). The median follow-up time was 22 months. There was no statistical difference in the wound healing time between the two groups (P>0.05). The Wexner score of anal function in the AFC group was lower than that in the ERAF group (P<0.05), and there was no statistical difference between after operation and before operation (Z=–1.751, P=0.089) in the AFC group, while that in the ERAF group after operation was higher than before operation (Z=–1.859, P=0.014). The healing rate had no statistical difference between the AFC group and ERAF group (85.7% versus 77.5%, χ2=0.925, P=0.336). Conclusion From the results of this study, the AFC is safe and effective in treatment of anal fistula, with the advantages of relatively simple operation, less bleeding during operation, lighter postoperative pain, and good protection of anal function.

    Release date:2023-02-24 05:15 Export PDF Favorites Scan
  • Clinical Analysis of Standardized Management with Acute Severe Pancreatitis

    目的 探讨急性重症胰腺炎不同时期的治疗方式,观察治疗效果以及治疗前后的临床表现。 方法 回顾性分析2006年1月-2009年1月收治的34例急性重症胰腺炎患者的临床资料,患者给予内科规范化治疗,并对比治疗前、后的APACHEⅡ评分、主要的实验室检查指标以及CT检查表现。 结果 31例治愈,2例中途转外科治疗,1例死亡。所有患者治疗后APACHEⅡ评分较治疗前减小(Plt;0.01),治疗后血清淀粉酶和白细胞计数较治疗前明显降低(Plt;0.05),而治疗后短期内CT检查表现无明显变化。 结论 内科规范化治疗能有效地治疗急性重症胰腺炎,适当的肠内外营养和预防性使用抗生素可有效地减少急性重症胰腺炎并发症的发生。APACHE-Ⅱ评分可作为判断急性重症胰腺炎患者预后的指标。

    Release date:2016-09-08 09:49 Export PDF Favorites Scan
  • Clinical outcomes of Hangman fracture treated by anterior cervical discectomy and fusion

    Objective To observe the clinical outcomes of Hangman fracture treated by anterior cervical discectomy and fusion. Methods A total of 41 patients with Hangman fracture were retrospectively analyzed, who underwent anterior cervical discectomy and fusion from May 2010 to May 2016. Intervertebral bone graft fusion was observed through postoperative radiographic images, and improvement of symptoms was evaluated by Visual Analogue Scale (VAS), Neck Disability Index (NDI) and Modified Japanese Orthopaedic Association Scale (m-JOA). Surgical complications were evaluated as well. Results No severe complications occurred after surgery, but 5 patients had a transient dysphagia, which relieved spontaneously. Thirty-five patients had a fusion of intervertebral bone graft 3 months after surgery, and the remaining 6 patients did at the last follow-up. The VAS score was improved from 4.5±1.6 pre-operatively to 2.4±1.7 immediately post-operatively (P>0.05), and was further improved to 0.7±0.9 at the last follow-up (P<0.05). The NDI score was improved from 29.3±10.9 pre-operatively to 13.2±5.4 immediately post-operatively (P<0.05), and was further improved to 4.6±3.1 at the last follow-up (P<0.05). The m-JOA score was improved from 8.4±2.3 pre-operatively to 11.6±3.5 immediately post-operatively (P<0.05), and was further improved to 14.3±2.0 at the last follow-up (P<0.05). Conclusion Anterior cervical discectomy and fusion can be used in Hangman fracture, which is safe and reliable.

    Release date:2017-11-24 10:58 Export PDF Favorites Scan
  • Comparison of Perioperative Results in Different Operative Approaches in Repairing Tetralogy of Fallot

    Objective To compare perioperative results between transventricular and transatrialtransventricular approaches in repairing tetralogy of Fallot (TOF), and to improve the surgical results. Methods The data of 1 423 consecutive patients who underwent complete repair of TOF between January 1998 and December 2007 were reviewed. 736 patients were repaired by the transventricular approach,and 687 patients by the transatrialtransventricular approach. Results Patients repaired by transventricular approach decreased from 100% in 1998 to 65% in 2002, and by transatrialtransventricular approach increased from 35% in 2002 to 79% in 2007. Aortic clamping time, cardiopulmonary bypass (CPB) time,mechanical ventilation time,and intensive care unit (ICU) stay in patients repaired by transatrialtransventricular approach had less than those in patients repaired by transventricular approach. No difference in transvalve patch ratio.There was lower morbidity in patients repaired by transatrialtransventricular approach in one to two organ systems dysfunction than that in patients repaired by transventricular approach. No difference in three or more organ systems dysfunction between them. Rate of residual ventricular septal defect(VSD), right ventricule to mean pulmonary artery (MPA) pressure gradient, tricuspid regurgitation, pulmonary artery regurgitation and arrhythmia in patients repaired by transatrialtransventricular approach were less than those in patients repaired by transventricular approach. Reoperative rate and mortality in patients repaired by transatrialtransventricular approach were less than those in patients repaired by transventricular approach. Conclusion TOF repair by the transatrialtransventricular approach fits to the actual conditions in China.

    Release date:2016-08-30 06:05 Export PDF Favorites Scan
  • 肝脏手术围手术期应用等渗性和高渗性白蛋白的临床疗效比较

    目的探讨肝脏手术患者围手术期应用等渗性和高渗性白蛋白的临床疗效。 方法前瞻性收集恩施土家族苗族自治州中心医院肝胆外科2008年5月至2013年10月期间收治的113例行肝癌切除术的患者,随机分为等渗组(47例)和高渗组(66例),等渗组自手术之日起给予5%人血白蛋白100 mL/d,高渗组给予20%人血白蛋白100 mL/d,连续3 d,比较2组患者的临床疗效指标。 结果2组患者的住院时间、下床活动时间、胆汁漏发生率及切口感染发生率,以及术后第3天的丙氨酸氨基转移酶(ALT)水平、天门冬氨酸氨基转移酶(AST)水平、凝血酶原时间(PT)、活化部分凝血活酶时间(APTT)、血红蛋白(Hb)水平及白细胞(WBC)计数比较差异均无统计学意义(P>0.05);而术后3 d等渗组的尿量和腹腔引流量均高于高渗组(P<0.05),术后第3天的白蛋白水平却低于高渗组(P<0.05)。 结论在肝脏手术围手术期输入等渗性人血白蛋白有利于扩充血容量,输入高渗性人血白蛋白有利于减少腹水形成和纠正低蛋白血症。

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  • 湿性敷料在骨科Ⅱ期压疮治疗中的效果评价

    目的 比较湿性敷料与传统纱布敷料在Ⅱ期压疮治疗中的效果差异。 方法 2009年9月-2011年12月将50例骨科Ⅱ期压疮患者随机分为观察组(26例,30处压疮)和对照组(24例,24处压疮),分别使用湿性敷料和传统纱布敷料,观察2周后的治疗效果及患者感受。 结果 观察组治疗6~10 d,治愈25处,显效3处,无效2处;对照组治疗10~14 d,12处治愈,2处显效,8处无效,2例加重。观察组治愈时间明显少于对照组,治疗效果优于对照组,患者疼痛感受程度低于对照组,差异有统计学意义(P<0.05)。门诊随访1个月,无1例复发。 结论 湿性敷料有利于伤口愈合,且患者舒适度较高,值得临床推广使用。

    Release date:2021-06-23 07:35 Export PDF Favorites Scan
  • 早期干预对缓解急诊危重患者心理危机

    【摘要】 目的 通过对急诊重症监护室(emergency intensive care unit,EICU)患者心理干预对照试验,总结早期心理干预在急诊临床中的意义。 方法 将2009年10月-2010年10月入住急诊EICU的46例患者,根据就诊单双号顺序分为对照组和试验组,每组23例。对照组按整体护理常规进行,试验组在常规护理基础上加行心理干预,通过测量两组患者干预前后的焦虑评分值,判断心理干预的效果。 结果 患者入住EICU时试验组、对照组焦虑量表基线评分分别为(19.35±5.83)、(19.69±6.03)分,两组差异无统计学意义(t=0.066,P=0.948);24 h后评分,试验组、对照组评分分别为(12.00±7.18)、(28.91±9.18)分,两组比较,差异有统计学意义(t=6.959,P=0.000)。试验组的焦虑评分较入EICU评分差异有统计学意义(Plt;0.001);对照组焦虑评分较入EICU时升高,差异有统计学意义(Plt;0.001)。 结论 早期干预对缓解急诊危重患者心理危机有一定帮助。

    Release date:2016-09-08 09:26 Export PDF Favorites Scan
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