Objective Discuss the implementation effect of the quality control ward round mechanism for critically ill patients in medical institutions,analyze the existing problems and put forward countermeasures and suggestions.Methods A total of 2 177 critically ill patients from Xiamen Haicang Hospital from January 2016 to December 2020 were selected as the study objects,and conduct research on the ward round mechanism of the hospital's critical patient quality control expert group through literature survey,questionnaire survey,and expert interview methods.Results Sort out the implementation process of the ward round mechanism of the quality control expert group for critically ill patients.From January 2016 to December 2020,2 177 critical patient medical records quality checks were completed,including 250 in 2016,373 in 2017,488 in 2018,589 in 2019,and 477 in 2020.The critical patient expert group quality control summary was completed once a quarter,a total of 20 times in 5 years.250 critically ill patients'medical records implemented by the quality control ward round mechanism in 2016 were taken as the control group,and 477 critically ill patients'medical records implemented by the quality control ward round mechanism in 2020 were taken as the observation group.The Grade A rate of medical records,the timely writing rate of medical records,the timely printing rate of medical records were effectively improved,and the unqualified rate of blood transfusion medical records was significantly reduced.Conclusion In response to the problems in the construction of the quality control ward round mechanism for critically ill patients in hospitals,suggestions are proposed to improve the handling and feedback mechanism for clinical critically ill patients,strengthen the training of standardized medical record writing for all doctors in the hospital,and establish effective medical record inspection and reward and punishment mechanisms,in order to improve the treatment effect of critically ill patients in the hospital,enhance the awareness of medical quality,safety,and medical quality of medical staff,Provide certain reference for improving the quality control system of medical institutions.
Objective To explore the application effect of bedside humanoid shift chart in skin shift of severe patients.Methods A total of 112 critically ill ICU patients treated in Fujian Provincial Hospital from January 2022 to March 2023 were collected and divided into control group and observation group with 56 cases in each group according to random number table method.Patients in the control group received routine skin shift of critically ill ICU patients,and patients in the observation group received skin shift led by bedside humanoid shift table.Skin shift time,quality of special care sheet writing and nursing satisfaction were compared between the two groups.Results The skin shift time of ICU patients in observation group was shorter than that in control group,and the shift time classification was better than that in control group,with statistical significance(P<0.05).The writing quality of the special care sheet in the observation group was better than that in the control group,and the incidence of missing or not timely updated skin records to record the skin changes of patients,inaccurate description of the skin injury site of patients,and lengthy description of the special care sheet were lower than those in the control group,with statistical significance(P<0.05).The scores of nursing safety,drug and material management,health education and organization management in the observation group were higher than those in the control group,and the difference was statistically significant(P<0.05).Conclusion The application of bedside humanoid shift table in ICU patients can effectively increase the efficiency of skin shift,improve the quality of special care sheet writing and nursing satisfaction.
Objective To explore the sanitary supervision and monitoring results of drinking water in Wuyishan city.Methods A total of 112 samples of drinking water in Wuyishan city were collected from January to December 2022,and the results of sanitary supervision and monitoring of urban and rural water were analyzed.Results In the detection of urban water,a total of 44 water samples were monitored,of which 43 samples met the standard,with a compliance rate of 97.7%.During the dry season,the compliance rate was 95.5%.During the rainy season,the compliance rate was 100%.The routine indicators of urban drinking water were monitored,with a total of 660 items tested and 659 items reaching the standard,with a compliance rate of 99.8%.A total of 68 rural water samples were monitored,of which 59 were qualified,with a qualification rate of 86.8%.During the dry season,the compliance rate was 88.2%.During the rainy season,the compliance rate was 85.3%.A total of 991 rural water quality tests were conducted,with 979 items reaching the standard,with a compliance rate of 98.8%.Conclusion The sanitary problem of drinking water in Wuyishan city is not optimistic,especially for rural drinking water,there is an obvious situation that the microorganism exceeds the standard.It is necessary to strengthen the management and monitoring of rural drinking water to ensure the health of residents'water.
In order to strengthen the construction of the department of blood transfusion in all levels of medical institutions in Gansu province and ensure the safety of clinical blood use,the provincial blood quality control center should play the role of leading and supervising the quality of the related medical treatment in the whole province,therefore,it is very necessary to establish the provincial medical quality control standard for the medical treatment of this specialty in order to give full play to the role of provincial medical quality control center in the discipline leading and quality supervision of the whole province.Subsequently,the clinical blood quality control center of Gansu province was commissioned by the provincial health authorities,on the basis of a full body baseline survey,the province,city,county,township four-level medical institutions in the"business development,technical level,quality requirements"and other aspects of a comprehensive evaluation.The experts were convened to draw up a set of regulations to improve the construction and management of the department of blood transfusion Gansu province,namely the"Regulations for the construction and management of the department of blood transfusion the third-level hospitals of Gansu province",which consists of 10 chapters and forty-nine articles"Gansu province level Ⅱ and below hospital blood transfusion(blood bank)construction and management standards",a total of 13 chapters fifty-one.The two standards,detailed and clear regulations,apply to the construction of third-level hospitals and second-level and lower hospitals in Gansu province blood transfusion(blood bank),and have a strong operability.And on May 5,2019 by the provincial health and Construction Commission approved,June 20,2019 officially released.
Objective To study the distribution of pathogenic bacteria and drug resistance of postoperative infections in 117 patients with anal and intestinal diseases in Zhangzhou Municipal Hospital.Methods A total of 117 patients with anorectal diseases undergoing surgical treatment and postoperative infection in Zhangzhou Municipal Hospital from March 2019 to March 2023 were selected for retrospective analysis.The distribution and drug resistance of pathogenic bacteria were analyzed statistically.Results A total of 191 pathogenic bacteria were cultured from the patients,including 77(40.31%)Gram-negative,51(26.70%)Gram-positive,and 27(14.14%)Fungi.Escherichia coli showed the highest rate of resistance to cefazolin(88.57%)followed by ampicillin(82.86%),ciprofloxacin(57.14%),cefuroxime(54.29%),cotrimoxazole(51.43%)etc.Klebsiella pneumoniae showed the highest rate of resistance to ampicillin(100%)followed by cefazolin(95.00%),ceftriaxone(30.00%)etc.Streptococcus spp had the highest resistance to tetracycline(83.33%)followed by erythromycin(72.22%),clindamycin(66.67%)etc.Staphylococcus aureus showed 90.00%resistance to penicillin G followed by erythromycin(50.00%),benzathine and tetracycline(both 30.00%),clindamycin(20.00%)etc.Conclusion The postoperative infection pathogens of patients undergoing surgery for anorectal diseases in Zhangzhou Municipal Hospital involve Gram-negative and Gram-positive bacteria,among which Gram-negative bacteria are dominated by Escherichia coli and Gram-positive bacteria are dominated by Streptococcus spp.Healthcare professionals should combine the distribution characteristics of the above pathogenic bacteria and drug sensitivity results to perform antibiotic drug therapy with high sensitivity rate and low drug resistance rate.
Objective To explore the impact of nursing management based on the current situation,background,assessment,recommendations(SBAR)communication model on the handover of geriatric nursing staff.Methods Sixteen geriatric nursing staff who were employed in Zaozhuang Mental Health Center from February 2021 to February 2023 were selected as observation subjects.They were divided into a control group(before the implementation,from February 2021 to January 2022)and an observation group(after the implementation,from February 2022 to February 2023)based on the SBAR communication mode of nursing management,with 43 patients in each group.The control group adopted a routine handover management mode,while the observation group adopted nursing management based on the SBAR communication mode,and they are all from the same batch of nursing staff.Compare the two groups'understanding of the patient's condition,shift handover quality,nursing quality,patient nursing satisfaction,and the incidence of handover errors.Results The observation group's general information score(9.20±0.23)points,major illness score(9.41±0.17)points,treatment score(9.50±0.20)points,specialized nursing score(9.34±0.24)points,abnormal laboratory results score(9.52±0.18)points,guaranteed cooperative safety score(92.33±2.02)points,and clear attribution of nursing problems score(93.44±2.16)points Shift handover efficiency and effectiveness score(91.78±1.32)points,promoting patient participation score(92.76±2.70)points,nursing safety score(9.11±0.23)points,health education score(9.20±0.14)points,drug and material management score(9.53±0.12)points,organizational management score(9.28±0.20)points,problem-solving ability score(18.60±0.42)points,service attitude score(17.90±1.14)points,nursing professionalism score(18.43±0.27)points,the nurse patient communication score(19.11±0.16)points,operational skill score(17.64±0.56)points,and nursing responsibility score(18.22±0.31)points were higher than the control group's(8.56±0.38),(8.60±0.42),(8.94±0.34),(8.71±0.22),(9.02±0.23),(84.54±4.13),(86.04±3.88),(83.56±3.71),(86.43±3.28),(8.52±0.31),(8.64±0.25),(9.01±0.26),(8.37±0.52),(14.33±2.17),(15.33±1.60),(15.05±2.26),(16.70±2.89),(13.80±2.49),(14.46±1.43)points.The total incidence of handover error in the observation group was 4.65%,lower than 18.60%in the control group,and the difference was statistically significant(P<0.05).Conclusion Nursing management based on SBAR communication model can improve the quality of geriatric nursing staff handover and nursing care,reduce handover errors,and achieve higher nursing satisfaction.
Objective To analyze the human body composition of female nurses in Xiamen,evaluate their health status,and provide reference for health managers to develop health management strategies.Methods Using the convenient sampling method,1 535 female nurses in three hospitals in Xiamen from March to September 2022 were selected as the research objects.Based on the bioelectrical impedance method,the body composition was analyzed,and the related index data of body composition and health scores were collected.Results The overweight and obesity rate of female nurses was 18.4%,the central obesity rate was 34.4%,and the body fat percentage obesity rate was 47.0%.The health score of female nurses was(72.27±3.94)points,with 30(2.0%)in excellent health status,406(26.4%)in healthy status,and 1 099(71.6%)in sub healthy status.Correlation analysis showed that the health scores of female nurses were related to obesity level,bone condition,and nutritional status(P<0.05).Conclusion Female nurses have a significant issue of obesity,and their overall health status is not optimistic.They are in a sub healthy state and are closely related to obesity,bone and nutritional status.Managers should actively intervene to promote the healthy development of the nursing team.
Objective To explore the effect of neoadjuvant chemotherapy combined with surgery in the treatment of esophageal cancer.Methods A total of 30 patients with esophageal cancer treated with neoadjuvant chemotherapy combined with surgery in the Second Hospital of Longyan from January to December 2022 were selected as the study group,and another 30 patients with esophageal cancer treated with simple surgery during the same period were selected as the control group.The angiogenesis indicators and tumor marker levels of the two groups of patients before and after treatment,evaluate the treatment effect,and count the occurrence of postoperative complications were compared.Results After treatment,the levels of angiogenesis indexes and tumor markers in the two groups were lower than before treatment,and the study group was lower than the control group(P<0.05).The treatment disease control rate(DCR)and overall response rate(ORR)of patients in the study group were higher than those in the control group(P<0.05).The total complication rate of the study group was slightly higher than that of the control group,but the difference was not statistically significant(P>0.05).Conclusion After adjuvant chemotherapy combined with surgery for esophageal cancer,it can significantly improve the level of serum angiogenesis indicators and tumor markers in patients with ideal DCR and ORR.Although it increases the risk of postoperative anastomotic leakage and pulmonary infection,it has little impact.
Objective To explore the effect of ergometrine maleic acid combined with carboprost trometamol in the second caesarean section in women with high risk of postpartum bleeding.Methods A total of 80 women with a high risk of postpartum hemorrhage who had a second caesarean section treated in Dongguan Qiaotou Hospital,Guangdong Province from June 2020 to June 2021 were selected and divided into control group and observation group according to random number table method,with 40 cases in each group.Both groups were treated with oxytocin,and the control group was treated with carboprost trometamol.The observation group added ergometrine maleic acid on the basis of the control group.The bleeding volume,hemoglobin(Hb)levels,coagulation function and adverse reactions between two groups at different time points were compared.Results There was no statistically significant difference in intraoperative bleeding between the two groups of postpartum women(P>0.05).The bleeding volume of the observation group's postpartum women at 30 minutes,90 minutes,and 1 day was lower than that of the control group(P<0.05).Before delivery,there were no statistically significant differences in D-dimer(D-D),fibrinogen(FIB)and Hb between the two groups of postpartum women(P>0.05).On the first day after surgery,the D-D of the observation group was lower than that of the control group,while FIB and Hb were higher than those of the control group(P<0.05).There was no significant difference in heart rate,diastolic blood pressure(DBP),and systolic pressure(SBP)levels between the two groups of patients before and 2 hours after medication(P>0.05).The total incidence of adverse reactions in the observation group was 15.00%,while the total incidence of adverse reactions in the control group was 10.00%.There was no statistically significant difference between the two groups(P>0.05).Conclusion Ergometrine maleic acid combined with carboprost trometamol can effectively reduce postpartum bleeding in the second caesarean section women with high-risk postpartum bleeding tendency,reduce the impact of bleeding on blood coagulation function,reduce the risk of anemia,and will not increase adverse drug reaction of pregnant women and newborns,with high safety.
Objective To explore the early rehabilitation training mode and safety evaluation in ICU.Methods A total of 129 patients over 14 years old with severe sepsis,mechanical ventilation and short-term offline difficulties admitted to the department of critical care medicine,Guangzhou Panyu Central Hospital from January 2020 to January 2022 were selected and divided into intervention group(n=64)and control group(n=65)by random number table method.The control group received general rehabilitation,including air pump,regular turn over pat on the back,mechanical assistance expectoration and so on.In the intervention group,the early rehabilitation treatment was added,which followed the principle of tailored and gradual peripheral muscle exercise combined with respiratory muscle exercise on this basis.The indexes of pulmonary ventilation function indexes(tidal volume,diaphragmatic activity and diaphragmatic variability)and medical research council score(MRC-score),length of ICU stay,mechanical ventilation time,incidence of complications during rehabilitation treatment(deep venous thrombosis of lower limbs,ventilators associated pneumonia,pressure sores,intolerance to rehabilitation exercise,cardiovascular and cerebrovascular accidents,accidental extubation,etc.)before and after rehabilitation were compared between the two groups.Results Before rehabilitation treatment,there were no significant differences in tidal volume,diaphragmatic activity and diaphragmatic variation among groups(P>0.05).After rehabilitation training,the indexes of tidal volume,diaphragm activity and diaphragmatic variation in the intervention group were(444.68±41.69)mL,(1.68±0.18)mm and(28.04±3.95)%,respectively.Were higher than(412.04±39.84)mL,(1.45±0.17)mm,(25.31±4.01)%of control group,the difference was statistically significant(P<0.05).The MRC-score of the intervention group was higher than that of the control group,with statistical significance(t=15.469,P<0.05).The duration of ICU stay and mechanical ventilation in the intervention group were shorter than those in the control group,and the difference was statistically significant(P<0.05).The total complication rate of the intervention group was lower than that of the control group,with statistical significance(χ2=12.522,P<0.001).Conclusion The early rehabilitation therapy of progressive peripheral muscle exercise combined with respiratory muscle exercise,which follows the principle of tailored and step-by-step is safe and provide reference for the early rehabilitation treatment of ICU patients.
Objective To explore the optimal setting of positive end expiratory pressure(PEEP)for bedside ultrasound in patients with acute respiratory distress syndrome(ARDS)after lung recruitment.Methods A total of 50 patients with ARDS admitted to the First People's Hospital of Xuzhou from July 2021 to July 2023 were selected and divided into five groups by random number table method,with 25 cases in each control group and observation group.The control group used the oxygen balance method to select the optimal PEEP,while the observation group used bedside ultrasound method to select the optimal PEEP.The mechanical and hemodynamic indicators of the lungs at different time points during lung recruitment were compared between the two groups.Results The optimal PEEP determined by the control group was(13.60±2.28)cmH2O,while the optimal PEEP determined by the observation group was(15.30±2.84)cmH2O.The optimal PEEP determined by the observation group was higher than that of the control group,the difference was statistically significant(P<0.05).There was no significant difference in mean arterial pressure,heart rate and central venous pressure before and 30 minutes after lung recruitment between the two groups(P>0.05).The oxygen balance index and dynamic lung compliance levels in the observation group were higher than those in the control group 30 minutes after lung recruitment,with statistically significant differences(P<0.05).Conclusion When determining the optimal PEEP in patients with ARDS after lung recruitment,bedside ultrasound examination is highly feasible.Compared to oxygen therapy,it can effectively improve lung oxygen and index and dynamic lung compliance in patients with ARDS.The research results of this article provide reference content for the later standard setting of optimal PEEP after lung recruitment in ARDS patients.
Objective To investigate the relationship between anti-Mullerian hormone(AMH)and polycystic ovarian syndrome(PCOS)in different menstrual patterns.Methods A total of 300 PCOS patients admitted to Huizhou First Maternal and Child Health Care Hospital from January to December 2021 were included in the experimental group,and were divided into irregular group(n=71),amenorrhea group(n=54),sporadic menstruation group(n=74),frequent menstruation group(n=61)and regular menstruation group(n=40)according to menstrual pattern.Thirty healthy subjects in Huizhou First Maternal and Child Health Care Hospital during the same period were selected as control group.body mass index(BMI),luteinizing hormone(LH)and follicle-stimulating hormone(FSH),testosterone(T),prolactin(PRL),estradiol(E2),AMH and lipids[triglyceride(TG)and total cholesterol(TC)]were detected in all subjects.Pearson correlation coefficient was used to analyze the correlation between blood lipid,BMI,sex hormone and AMH.Results The levels of LH,T,E2,TG,TC,AMH and BMI in experimental group were higher than those in control group,while the levels of FSH and PRL in experimental group were lower than those in control group(P<0.05).Pearson correlation analysis showed that the levels of LH,T,E2,TG,TC and BMI of PCOS patients in each group were positively correlated with AMH(P<0.05).The levels of FSH and PRL were negatively correlated with AMH(P<0.05).Conclusion The AMH level of PCOS patients with different menstrual patterns has certain correlation with BMI,sex hormones and blood lipids,which provides reference for the formulation of early diagnostic criteria for PCOS.
Analyze the concept,characteristics,causes,disposal principles and outcomes of outpatient doctor-patient disputes.On the premise of mastering the necessary knowledge and methods of prevention of outpatient doctor-patient disputes,carrying out preventive disposal scenario training and case training,and grasping the principle of"standard"and"flexible"prevention and disposal,proficiently apply six Sigma management method to the five aspects of definition,measurement,analysis,improvement and control.Based on the specific analysis of an outpatient case of a top-three hospital,the paper explores a specific set of outpatient doctor-patient dispute handling processes and operational methods to provide relevant feasible references for front-line staff work,so as to reduce doctor-patient disputes,improve patients'medical feelings,enhance patient satisfaction,and help the high-quality development of outpatient and hospital.
By China's socialist modernization construction process to speed up and the influence of medical service level,public hospital party construction is increasingly important,as the backbone of the party construction,public hospital party branch secretary plays a vital role,it is the organizer of the party construction work,supervisor,leader and the propagandist,can provide support and guarantee for hospital development.As a means of management,assessment can play a role of incentive and supervision,which is of great significance to improving the comprehensive quality and working ability of the party branch secretaries.Based on this,this paper will examine the gripper,first of the importance of the public hospital secretary of the party branch team construction,the assessment mechanism for the study of the influence of the party branch secretary team construction,the second of the party branch secretary team construction key index system construction,finally put forward to promote the assessment of the party branch secretary team construction countermeasures and suggestions,in order to the public hospital party branch secretary team construction work to contribute to the innovation and development.
Objective To investigate and study the oral health awareness situation and its influence factors of elderly patients with denture application.Methods A total of 220 elderly patients with denture application in Shaowu Municipal Hospital from October 2020 to December 2022 were selected as the study objects,and the oral health awareness of all the patients were evaluated with oral health awareness questionnaire for elderly patients,then the oral health awareness of patients with different gender,ages,education levels,income situation,spouse situation,residence situation,smoking situation,drinking situation,diabetes mellitus situation,hypertension situation,social support degree,emotional state,oral health care knowledge training and denture types were compared,and the factors with significant differences were analyzed with multivariate Logistic analysis,and the influence factors of oral health awareness of elderly patients with denture application was analyzed.Results Totally 79 cases of 220 elderly patients with denture were with lower oral health awareness,the rate was 35.91%,and the lower oral health awareness rates of patients with different spouse situation,smoking situation,drinking situation,hypertension situation,social support degree,emotional state and denture types were compared,the differences were not statistically significant(P>0.05).The lower oral health awareness rates of patients with different gender,ages,education levels,income situation,residence situation,diabetes mellitus situation and oral health care knowledge training were compared,the differences were statistically significant(P<0.05).The multivariate Logistic analysis showed the gender,ages,education levels,income situation,residence situation,diabetes mellitus situation and oral health care knowledge training were the the influence factors of oral health awareness of elderly patients with denture(P<0.05).Conclusion The oral health awareness situation of elderly patients with denture application is lower,and the gender,ages,education levels,income situation,residence situation,diabetes mellitus situation and oral health care knowledge training are the influence factors,so they can be as the reference basis for the development of intervention measures for oral health awareness of these patients.
Objecive In this study,hippocampal shielding technique was used in the prophylactic whole brain irradiation of patients with small cell lung cancer to observe the incidence of radiation-induced cognitive impairment.Methods A total of 74 patients with small cell lung cancer who were treated in the department of radiation oncology,the Affiliated Hospital of Xuzhou Medical University from June 2018 to July 2022 were selected and strictly screened according to the exclusion criteria,and 74 patients were finally enrolled.Thirty-six patients were included in the control group by whole brain radiotherapy(WBRT).Thirty-eight patients were included in the observation group by hippocampal avoiding whole brain radiotherapy(HA-WBRT).The mini-mental status examination(MMSE)was used to analyze neurocognitive function at baseline and at 3,6,and 12 months after radiotherapy.In addition,1-year overall survival(OS)was analyzed in both groups.Results(1)There was no significant difference in neurocognitive function scores between the two groups before treatment and 3 and 6 months after treatment(P>0.05).The cognitive function score of observation group was higher than that of control group at 12 months after treatment,and the difference was statistically significant(P<0.05).(2)There was no significant difference in 1-year OS between the two groups(P>0.05).Conclusion Compared with conventional radiotherapy,the use of hippocampal protective technique in WBRT can significantly reduce the radiation dose in the hippocampus,which has a certain protective effect on the cognitive function of patients,and is safe and reliable.It is hoped that this research results will provide references for the updating of the Chinese Guidelines for the Treatment of Lung Cancer Brain Metastases,compiled by the Oncologist Branch of the Chinese Medical Doctor Association and the Medical Oncology Branch of the China Association for the Promotion of International Healthcare Exchanges.
Objective To study the effect of virtual reality cognitive training combined with donepezil on cognitive related potential after stroke.Methods A total of 60 patients admitted to Rehabilitation Hospital Affiliated to Fujian University of Traditional Chinese Medicine from August 2021 to January 2023 were selected as samples.Patients diagnosed with stroke through EEG and MRI examinations and with mild cognitive impairment after treatment were selected.The grouping method was random lottery,with 30 cases in each group.Among them,patients treated with traditional cognitive training and donepezil were included in the control group,while patients treated with virtual reality cognitive training and donepezil were included in the experimental group.The clinical treatment efficacy,oxidative stress indicators,brain metabolic indicators,cognitive function scores,neurotransmitter levels,and cognitive related potentials of two groups of patients with mild cognitive impairment after stroke were compared.Results After treatment,the total effective rate of experimental group was higher than that of control group(P<0.05).The levels of malondialdehyde and homocysteine in the experimental group were lower than those in the control group,with statistically significant differences(P<0.05).The N-acetyl-aspartate(NAA)/creatinine(Cr)levels in the experimental group were higher than those in the control group,and choline(Cho)/Cr levels significantly decreased compared to the control group(P<0.05).The mini-mental state examination(MMSE)in the experimental group was significantly higher than that in the control group,and the Montreal cognitive assessment was significantly higher than that in the control group(P<0.05).Acetylcholine in the experimental group was significantly increased compared to the control group,while dopamine was significantly increased compared to the control group(P<0.05).The amplitude of P300 in the experimental group was higher than that in the control group,and the latency of P300 was lower than that in the control group,with a statistically significant difference(P<0.05).Conclusion The effectiveness of virtual reality cognitive training combined with donepezil treatment has significantly improved,making virtual reality cognitive training more valuable for promotion.
Objective To explore the infection of Parasitic disease in Quangang district,Quanzhou city in 2012 and 2021,and to compare the effects of the ten year dependent parasitic disease prevention and control work,so as to provide a basis for formulating parasitic disease prevention and control policies.Methods The results of parasitic disease detected in Quangang district,Quanzhou city in 2012 and 2021 were taken as the research object,and the causes and influencing factors of parasitic disease data changes in Quangang district,Quanzhou city in 2012 and 2021 were analyzed,and a summary report was made.Results A total of 1 007 people were examined in 2012,and one intestinal parasite infection was hookworm.The total number of infected people was 33 cases,with an infection rate of 3.28%.In 2021,a total of 1 016 people were examined,and two kinds of intestinal parasite infection were found,one kind of hookworm and one kind of pinworm.The total number of hookworm infections was 2 cases,with an infection rate of 0.20%.The total number of infected individuals with pinworms was 1 case,with an infection rate of 0.10%and a total infection rate of 0.30%.In 2012,the highest infection rate was 13.13%in Tuling Town,followed by 2.40%in Qianhuang Town,0.51%in Houlong Town and 0.51%in Jieshan Town.In 2021,1 case of hookworm was infected in Jieshan Town,and the infection rate was 0.50%.1 case of hookworm was infected in Tuling Town,the infection rate was 0.49%.1 case of pinworm was infected in Houlong Town,the infection rate was 0.50%.In 2012,the number of infected individuals between the ages of 15 and 44 was the highest,at 14 cases.The number of infected individuals between the ages of 45 and 64 was the second highest,at 13 cases.In 2012,31 agricultural workers were infected,accounting for 93.94%of the total number of infections.Conclusion With the guidance of parasitic disease prevention and control policies for many years,the overall parasitic disease infection in Quangang district,Quanzhou city has achieved good results,showing a downward trend.Region,age,and occupation have an impact on parasitic infections,while gender factors have no impact on parasitic infections.
In order to further improve the hospital's lean operation management level,fully mobilize the work enthusiasm and initiative of medical staff,ensure that all departments and departments and the hospital's development strategic goals form the same direction,joint development,and play a positive incentive role,promote the hospital's development mode to improve quality and efficiency,and the operation mode to fine management.Resource allocation should focus on the"three changes"of talent and technology elements,and through the"three changes",the"three improvements"of improving efficiency,improving quality and improving treatment can form the driving force for the sustainable development of hospitals and steadily promote the high-quality development of hospitals.In this paper,the attending physician responsibility system is implemented in a tertiary public hospital in Guangxi,and a reasonable hospital performance management system is constructed through scientific means.Further guide the attending doctors to standardize the diagnosis and treatment behavior,improve the work enthusiasm,give full play to the subjective initiative of doctors,and comprehensively improve the level of medical service.
Objective To observe the application of superior inguinal iliac fascia nerve block combined with popliteal sciatic nerve block in lower limb arteriosclerosis balloon dilation stent implantation.Methods A total of 96 patients admitted to Sanming Second Hospital from February 2021 to February 2023 for the treatment of lower limb arteriosclerosis with balloon dilation stent implantation were divided into two groups based on different anesthesia methods.Among them,48 cases were treated with inguinal iliac fascia nerve block combined with popliteal sciatic nerve block as the study group,while the other 48 cases were treated with general anesthesia as the control group.The hemodynamic indicators at different time points,pain scores at different time periods after surgery,and the incidence of postoperative complications were compared.Results The hemodynamic indexes of the study group were more stable than those of the control group 10 minutes after entry(T1)and 30 min after operation(T2),and the difference was statistically significant(P<0.05).The pain scores of the study group were lower than those of the control group(P<0.05).The total incidence of postoperative complications in study group was lower than that in control group(P<0.05).Conclusion For lower limb arteriosclerosis balloon dilation stent implantation,the combination of inguinal superior iliac fascia nerve block and popliteal sciatic nerve block anesthesia can significantly stabilize intraoperative vital signs,reduce postoperative pain,and reduce postoperative complications.The anesthesia is safe and effective.
