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find Author "黄静" 16 results
  • 帕金森病合并痛风致关节溃疡护理一例

    Release date:2016-09-08 09:27 Export PDF Favorites Scan
  • 多系统萎缩高血压伴直立性低血压患者的护理

    目的 总结多系统萎缩高血压伴直立性低血压患者的护理干预措施。 方法 对2009年5月-2012年5月收治的20例多系统萎缩高血压伴直立性低血压患者,根据临床特点分别从用药指导、安全管理、并发症预防等多方面予以针对性护理干预。 结果 20例患者头晕等不适症状得到不同程度缓解,且无跌伤坠床等意外事件、呼吸道、泌尿道感染和压疮等并发症发生。 结论 积极的综合措施及个体化的护理对策,可提高患者的生存质量。

    Release date:2021-06-23 07:35 Export PDF Favorites Scan
  • 神经棘红细胞增多症患者护理一例

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  • 肺部结节管理策略研究进展

    Release date:2018-01-23 01:47 Export PDF Favorites Scan
  • 以眼底病变为首发症状的Revesz综合征1例

    Release date:2022-09-14 01:19 Export PDF Favorites Scan
  • PNPLA6基因新突变致Oliver-Mcfarlane综合征1例

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  • Construction and validation of risk prediction model for serious adverse events in adult patients with congenital heart disease complicated with pulmonary hypertension after cardiac catheterization

    Objective To construct a risk prediction score model for serious adverse event (SAE) after cardiac catheterization in patients with adult congenital heart disease (ACHD) and pulmonary hypertension (PH) and verify its predictive effect. Methods The patients with PH who underwent cardiac catheterization in Wuhan Asian Heart Hospital Affiliated to Wuhan University of Science and Technology from January 2018 to January 2022 were retrospectively collected. The patients were randomly divided into a model group and a validation group according to the order of admission. The model group was divided into a SAE group and a non-SAE group according to whether SAE occurred after the catheterization. The data of the two groups were compared, and the risk prediction score model was established according to the results of multivariate logistic regression analysis. The discrimination and calibration of the model were evaluated using the area under the receiver operating characteristic (ROC) curve and the Hosmer-Lemeshow test, respectively. Results A total of 758 patients were enrolled, including 240 (31.7%) males and 518 (68.3%) females, with a mean age of 43.1 (18.0-81.0) years. There were 530 patients in the model group (47 patients in the SAE group and 483 patients in the non-SAE group) and 228 patients in the validation group. Univariate analysis showed statistical differences in age, smoking history, valvular disease history, heart failure history, N-terminal pro-B-type natriuretic peptide, and other factors between the SAE and non-SAE groups (P<0.05). Multivariate analysis showed that age≥50 years, history of heart failure, moderate to severe congenital heart disease, moderate to severe PH, cardiac catheterization and treatment, surgical general anesthesia, and N-terminal pro-B-type natriuretic peptide≥126.65 pg/mL were risk factors for SAE after cardiac catheterization for ACHD-PH patients (P<0.05). The risk prediction score model had a total score of 0-139 points and patients who had a score>50 points were high-risk patients. Model validation results showed an area under the ROC curve of 0.937 (95%CI 0.897-0.976). Hosmer-Lemeshow goodness-of-fit test: χ2=3.847, P=0.797. Conclusion Age≥50 years, history of heart failure, moderate to severe congenital heart disease, moderate to severe PH, cardiac catheterization and treatment, general anesthesia for surgery, and N-terminal pro-B-type natriuretic peptide≥126.65 pg/mL were risk factors for SAE after cardiac catheterization for ACHD-PH patients. The risk prediction model based on these factors has a high predictive value and can be applied to the risk assessment of SAE after interventional therapy in ACHD-PH patients to help clinicians perform early intervention.

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  • Research on direct economic burden and its impact factors in hospitalized patients with amyotrophic lateral sclerosis underwent percutaneous endoscopic gastrostomy

    Objectives To investigate the economic burden of percutaneous endoscopic gastrostomy (PEG) in hospitalized patients with amyotrophic lateral sclerosis (ALS) and analyze its influencing factors. Methods Clinical data of ALS patients who underwent PEG between 2014 and 2024 were collected through the inpatient electronic medical record system of West China Hospital of Sichuan University (including age, gender, comorbidities, disease course, daily living abilities, length of hospital stay, hospitalization costs, etc.), and their impact on the total hospitalization expenses were studied. Results A total of 102 patients were included. The median total hospitalization cost for ALS patients undergoing PEG was 12 701.00 (10 412.75, 16 720.00) yuan. The results of multiple linear regression analysis showed that the length of hospital stay and age of patients could affect the total hospitalization cost. Conclusions The total medical expenses for ALS patients undergoing PEG are approximately 10 000 yuan. Early assessment of the disease status in ALS patients, providing individualized management, and optimizing treatment plans to reduce hospital stay and medication costs can effectively control medical expenses.

    Release date:2025-01-23 08:44 Export PDF Favorites Scan
  • Innovative practice of auditing qualification documents of disinfectant, disinfection devices and disposable medical devices

    The quality of disinfectant, disinfection devices and disposable medical devices is closely related to the patients' safety. Hospital infection management department must carry out the audit responsibilities for qualification documents of disinfectant, disinfection devices and disposable medical devices, to guarantee legality, safety and effectiveness of products used in hospital. This paper mainly introduces the implementation of qualification documents audit in West China Hospital, Sichuan University, including system construction, process reengineering, documents audit scope and key points, and document management.

    Release date:2018-03-26 03:32 Export PDF Favorites Scan
  • 安全注射的现状及管理对策

    注射是医疗、预防、保健服务中最常使用的技术手段,而不安全注射已成为严重的公共卫生安全问题,在发展中国家尤为突出。不安全注射主要与缺乏安全注射的意识和知识、缺乏有效的方法和设备、经济利益趋势导致注射滥用以及缺乏安全注射监管体系等密切相关。安全注射不仅是医院感染防控和医务人员职业安全保障的基本措施,也体现了医疗卫生保健机构的整体管理水平和医疗质量。安全注射的管理是系统工程,涉及到国家政策和法规、教育培训、产品和技术改进及监督管理等方面,应积极采取有效措施推动和促进我国安全注射质量的持续改进,保障注射安全。

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