Objective:To analyze influencing factors of hope levels in hemodialysis patients with chronic kidney disease(CKD).Methods:A prospective study was conducted on 98 patients with CKD who received hemodialysis in the hospital from January 2021 to January 2023.The hope levels of these the hemodialysis patients with CKD were statistically analyzed.Multiple linear regression was used to analyze the influencing factors of the hope levels in the hemodialysis patients with CKD.Results:The average total score of Herth hope index(HHI)in the hemodialysis patients with CKD was(27.49±4.26),which was in the lower middle level.The HHI score of the hemodialysis patients with CKD with age≥60 years old,junior high school education level and below,family per capita monthly income<3000 yuan,dialysis time<5 years,high family burden and low psychological resilience was lower,and the difference was statistically significant(P<0.05).The multiple linear regression analysis showed that age≥60 years old,junior high school education level and below,family per capita monthly income<3000 yuan,dialysis time<5 years,high level of family burden and low level of psychological resilience were the influencing factors of the hope levels in the hemodialysis patients with CKD(P<0.05).Conclusions:Age≥60 years old,junior high school education level and below,family per capita monthly income<3000 yuan,dialysis time<5 years,high level of family burden and low level of psychological resilience are the influencing factors of the hope levels in the hemodialysis patients with CKD
Objective:To compare effects of unicompartmental knee arthroplasty and total knee arthroplasty in treatment of elderly patients with knee osteoarthritis(KOA).Methods:The clinical data of 105 elderly patients with KOA admitted to this hospital from March 2020 to March 2022 were retrospectively analyzed.According to different surgical methods,they were divided into control group(49 cases)and observation group(56 cases).The control group was treated with total knee arthroplasty,while the observation group was treated with unicompartmental knee arthroplasty.Both groups were followed up for 1 year.The perioperative index levels(intraoperative blood loss,operation time,incision length,hospitalization time and first getting out-of-bed time),the pain[visual analogue scale(VAS)]scores before and 24 and 48 h after the surgery,the knee joint function[hospital for special surgery knee scale(HSS)]score before and 3,6 and 12 months after the surgery,the forgotten joint score(FJS)scores 3,6 and 12 months after the surgery,and the incidence of complications were compared between the two groups.Results:The intraoperative blood loss in the observation group was less than that in the control group,the incision length,the operation time,hospitalization time and the first getting out-of-bed time were shorter than those in the control group,and the differences were statistically significant(P<0.05).24 and 48 h after the surgery,the VAS scores of the observation group were lower than those of the control group,and the differences were statistically significant(P<0.05).3,6 and 12 months after the surgery,the HSS and FJS scores of the observation group were higher than those of the control group,and the differences were statistically significant(P<0.05).Further,the incidence of complications in the observation group was 1.79%(1/56),which was lower than 14.29%(7/49)in the control group,and the difference was statistically significant(P<0.05).Conclusions:Unicompartmental knee arthroplasty in the treatment of the elderly patients with KOA can improve the HSS and FJS scores,improve the perioperative index levels,reduce the VAS scores and the incidence of complications.Moreover,it is superior to total knee arthroplasty.
Objective:To explore application effects of multidisciplinary team(MDT)nursing mode in patients with acoustic neuroma treated by microsurgery.Methods:The clinical data of 80 patients with acoustic neuroma admitted to this hospital from February 2020 to February 2023 were retrospectively analyzed.These patients were divided into control group and observation group according to different nursing methods,40 cases in each group.Both groups were treated with acoustic neuroma resection under microscope.The control group was given routine nursing,while the observation group was given MDT nursing mode on the basis of that of the control group.The profile of mode state(POMS)score,the facial nerve function[Sunnybrook facial grading systems(SFGS)]score,the auditory nerve function classification,and the incidence of complications were compared between the two groups before and after the nursing.Results:After the nursing,the energy score in the POMS score of the observation group was higher than that of the control group,the scores of tensions,fatigue,depression and panic were lower than those of the control group,and the differences were statistically significant(P<0.05).The random movement score and the total score of SFGS score in the observation group were higher than those in the control group,the static score and linkage score were lower than those in the control group,the auditory nerve function classification was better than that in the control group,and the differences were statistically significant(P<0.05).However,there was no significant difference in the incidence of postoperative complications between the two groups(P>0.05).Conclusions:MDT nursing mode can alleviate the negative emotions and improve the function of facial nerve and auditory nerve in the patients with acoustic neuroma treated by microsurgery.Moreover,it is superior to the routine nursing.
Objective:To observe application effects of continuous fascia iliac compartment block analgesia in elderly patients with hip fracture surgery.Methods:A prospective study was conducted on 102 elderly patients with hip fracture surgery admitted to Ye County People's Hospital from January 2021 to December 2022.They were divided into observation group and control group according to the random number table method,51 cases in each group.The control group was treated with patient-controlled intravenous analgesia,while the observation group was treated with continuous fascia iliac compartment block analgesia.The pain[visual analogue scale(VAS)]scores at different time points(12,24,48 h after the surgery),the levels of pain mediators[prostaglandin E2(PGE2),nerve growth factor(NGF)]and stress indexes[endothelin-1(ET-1),epinephrine(E),norepinephrine(NE)]before and after the surgery,and the incidence of adverse reactions were compared between the two groups.Results:The VAS scores of the observation group 12,24 and 48 h after the surgery were lower than those of the control group,and the differences were statistically significant(P<0.05).24 h after the surgery,the levels of PGE2,NGF,ET-1,E and NE in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).Further,the incidence of adverse reactions in the observation group was 5.88%(3/51),which was lower than 19.61%(10/51)in the control group,and the difference was statistically significant(P<0.05).Conclusions:Continuous fascia iliac compartment block analgesia can reduce the pain scores,the pain mediator levels,the stress index levels and the incidence of adverse reactions in the elderly patients with hip fracture surgery.Moreover,it is superior to patient-controlled intravenous analgesia.
Objective:To observe efficiency of combined detection of serum N-terminal B-type brain natriuretic peptide(NT-proBNP),D-dimer(D-D)and cystatin-C(Cys-C)levels in diagnosis of chronic heart failure(CHF).Methods:78 patients with CHF admitted to this hospital from March 2021 to March 2023 were selected as the observation group,and 78 healthy subjects were selected as the control group.The serum levels of NT-proBNP,D-D and Cys-C were compared between the two groups and the CHF patients with different cardiac function classifications.Pearson correlation analysis was used to analyze the correlations among the serum NT-proBNP,D-D,Cys-C levels and the New York Heart Association(NYHA)cardiac function classification.The receiver operating characteristic(ROC)curve was drawn to analyze the efficiencies of single and combined detection of serum NT-proBNP,D-D and Cys-C levels in the diagnosis of CHF.Results:The levels of NT-proBNP,D-D and Cys-C in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).The levels of serum NT-proBNP,D-D and Cys-C in the CHF patients with different NYHA cardiac function classifications were compared and showed that:classification Ⅰ0,P<0.05).The ROC curve analysis showed that the area under the curves of single and combined detection of serum NT-proBNP,D-D and Cys-C levels in the diagnosis of CHF were 0.774,0.810,0.784 and 0.930,separately,all of which had certain diagnostic value,and that of the combined diagnostic efficiency was the highest.Conclusions:The efficiency of combined detection of serum NT-proBNP,D-D and Cys-C levels in the diagnosis of CHF is higher than that of single detection of the three.
Objective:To analyze correlation between self-management efficacy and quality of life in patients with primary liver cancer(HCC)after laparoscopic surgery.Methods:A prospective study was conducted on 50 HCC patients admitted to the hospital from January 2017 to December 2018.All patients underwent laparoscopic hepatectomy for liver cancer.These patients were followed up for 3 months.The Chinese version of strategies used by patients to promote health(SUPPH)was used to evaluate the patients'self-management efficacy,and the quality of life scale(QOL)was used to evaluate the quality of life of these patients.The QOL scores of these patients with HCC after laparoscopic surgery were statistically analyzed.According to the different scores,they were divided into group A,B and C from low to high.The self-efficacy scores of the three groups were compared.The correlation between self-management efficacy and quality of life in the patients with HCC after laparoscopic surgery was analyzed.Results:Among the 50 patients after laparoscopic surgery,22 patients in group A had an average QOL score of(23.54±4.07)points,16 patients in group B had an average QOL score of(42.31±4.80)points,and 12 patients in group C had an average QOL score of(56.17±2.25)points.The positive attitude,self-decompression and self-decision scores and the total score of group A were lower than those of group B and group C,those of group B were lower than those of group C,and the differences were statistically significant(P<0.05).The Pearson correlation analysis showed that self-management efficacy,such as positive attitude,self-decompression,self-decision scores and total score,were positively correlated with quality of life in the HCC patients after laparoscopic surgery(r>0,P<0.05).Conclusions:The self-management efficacy is positively correlated with the quality of life in the patients with HCC after laparoscopic surgery.
Objective:To observe effects of Telmisartan combined with Levamlodipine besylate in treatment of patients with essential hypertension.Methods:A prospective study was conducted on 120 patients with essential hypertension admitted to this hospital from 2021 to 2022.They were divided into control group and observation group according to the random number table method,60 cases in each group.The control group was treated with Levamlodipine besylate,while the observation group was treated with Telmisartan on the basis of the control group.Both groups were treated for 4 months.The blood pressure levels,the clinical efficacy,the renal function indexes[serum creatinine(Scr),blood urea nitrogen(BUN),urinary albumin excretion rate(UAER)]levels,and the incidence of adverse reactions were compared between the two groups before and after the treatment.Results:After the treatment,the levels of systolic blood pressure and diastolic blood pressure in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).The total effective rate of treatment in the observation group was 93.33%(56/60),which was higher than 80.00%(48/60)in the control group,and the difference was statistically significant(P<0.05).After the treatment,the levels of Scr,UAER and BUN in the observation group were lower than those in the control group,the differences were statistically significant(P<0.05).However,there was no significant difference in the incidence of adverse reactions between the two groups(P>0.05).Conclusions:Telmisartan combined with Levamlodipine besylate in the treatment of the patients with essential hypertension can improve the total effective rate of treatment and reduce the blood pressure levels and the renal function index levels.Moreover,it is superior to single Levamlodipine besylate treatment.
Objective:To observe effects of Citicoline combined with Paliperidone in treatment of patients with schizophrenia.Methods:A prospective study was conducted on 96 patients with schizophrenia admitted to this hospital from October 2020 to October 2022.They were divided into study group and control group according to the random number table method,48 cases in each.The control group was treated with Paliperidone,while the study group was treated with Citicoline on the basis of that of the control group.After 2 months of treatment,the clinical efficacy,the positive and negative symptom scale(PANSS)score,the nerve factor levels[brain-derived neurotrophic factor(BDNF),glial cell line-derived neurotrophic factor(GDNF)],and the incidence of adverse reactions were compared between the two groups before and after the treatment.Results:The total effective rate of the study group was 91.67%(44/48),which was higher than 75.00%(36/48)of the control group,and the difference was statistically significant(P<0.05).After the treatment,the scores of positive symptoms,negative symptoms,general psychopathology and other PANSS dimensions and the total score in the study group were lower than those in the control group,and the differences were statistically significant(P<0.05).After the treatment,the levels of BDNF and GDNF in the study group were higher than those in the control group,the differences were statistically significant(P<0.05).However,there was no significant difference in the incidence of adverse reactions between the two groups(P>0.05).Conclusions:Citicoline combined with Paliperidone in the treatment of the patients with schizophrenia can improve the total effective rate and nerve factor levels and reduce the PANSS scores.Moreover,it is superior to single Paliperidone treatment.
Objective:To analyze correlations among regional cerebral oxygen saturation(rSO2),central nervous specific protein(S100β),neuron-specific enolase(NSE)levels during cardiac valve replacement and early postoperative cognitive dysfunction(POCD).Methods:The clinical data of 104 patients who underwent cardiac valve replacement in this hospital from July 2020 to April 2022 were retrospectively analyzed.1 day after the surgery,the cognitive function scores of these patients were evaluated by mini-mental state examination(MMSE).According to the MMSE score,they were divided into POCD group(n=35)and non-POCD group(n=69).The levels of rSO2,S100β and NSE were compared between the two groups 5 min after intubation,at the beginning and end of cardiopulmonary bypass.Spearman correlation analysis was used to analyze the correlations among the intraoperative rSO2,S100β,NSE levels and early postoperative POCD.Results:5 min after intubation,at the beginning and end of cardiopulmonary bypass,the level of rSO2 in the COPD group was lower than that in the non-POCD group,and the difference was statistically significant(P<0.05).5 min after intubation,the S100β level in the POCD group was lower than that in the non-POCD group,the NSE level was higher than that in the control group,and the differences were statistically significant(P<0.05).At the beginning and end of extracorporeal circulation,the levels of S100β and NSE in the two groups were higher than those 5 min after intubation,and those in the POCD group were higher than those in the non-POCD group,those at the end of extracorporeal circulation were higher than those at the beginning of extracorporeal circulation,and the differences were statistically significant(P<0.05).Spearman correlation analysis showed that the rSO2 level was negatively correlated with early POCD after cardiac valve replacement(r<0,P<0.05),and the S100β and NSE levels were positively correlated with early POCD(r>0,P<0.05).Conclusions:The level of rSO2 is negatively correlated with the early POCD after cardiac valve replacement,and the levels of S100β and NSE are positively correlated with early POCD.
Objective:To observe effects of Levocarnitine combined with Iron sucrose in treatment of uremic patients with renal anemia undergoing maintenance hemodialysis(MHD).Methods:A prospective study was conducted on 86 uremic patients with renal anemia undergoing MHD admitted to the hospital from April 2021 to October 2022.According to the lottery method,they were divided into control group and observation group,43 cases in each group.The control group was treated with Iron sucrose,while the observation group was treated with Levocarnitine on the basis of that of the control group.The clinical efficacy,the anemia-related indicator levels[hematocrit(Hct),ferritin(SF),hemoglobin(Hb),transferrin saturation(TSAT)]before and after the treatment,the calcium and phosphorus balance indicator levels[blood calcium,intact parathyroid hormone(iPTH),blood phosphorus,fibroblast growth factor 23(FGF-23)],the renal function indicator levels[urea nitrogen(BUN),serum creatinine(Scr),endogenous creatinine clearance rate(Ccr)],and the incidence of adverse reactions were compared between the two groups.Results:The total effective rate of the observation group was 97.67%(42/43),which was higher than 81.40%(35/43)of the control group,and the difference was statistically significant(P<0.05).After the treatment,the levels of Hb,TSAT,SF,Hct,blood calcium and Ccr in the observation group were higher than those in the control group,and the levels of iPTH,blood phosphorus,FGF-23,Scr and BUN were lower than those in the control group,the differences were statistically significant(P<0.05).However,there was no significant difference in the incidence of adverse reactions between the two groups(P>0.05).Conclusions:Levocarnitine combined with Iron sucrose in the treatment of uremic patients with renal anemia undergoing MHD can improve the total effective rate of treatment and the levels of anemia-related indicators and improve the levels of calcium and phosphorus balance indicators and renal function indicators.Moreover,it is superior to single Iron sucrose treatment.
Objective:To observe effects of Spleen aminopeptide oral lyophilized powder combined with Methylprednisolone sodium succinate for injection on children with bronchopneumonia.Methods:The clinical data of 154 children with bronchopneumonia admitted to this hospital from January 2021 to April 2023 were retrospectively analyzed.According to different treatment methods,they were divided into control group and observation group,77 cases in each group.Both groups were given routine treatment.On this basis,the control group was treated with Methylprednisolone sodium succinate for injection,while the observation group was treated with Spleen Aminopeptide oral lyophilized powder on the basis of that of the control group.Both groups were treated for 7 d.The clinical efficacy,the clinical index levels(cough and expectoration disappearance time,body temperature recovery time and lung moist rale disappearance time),the lung function index levels[tidal volume(TV),peak expiratory flow(PEF),respiratory rate(RR),forced vital capacity(FVC)],the immune index levels[immunoglobulin A(IgA),immunoglobulin M(IgM),immunoglobulin G(IgG)],and the incidence of adverse reactions were compared between the two groups before and after the treatment.Results:The total effective rate of the observation group was 92.21%(71/77),which was higher than 80.52%(62/77)of the control group,and the difference was statistically significant(P<0.05).The disappearance time of cough and expectoration,the body temperature recovery time and the lung moist rale disappearance time in the observation group were shorter than those in the control group,and the differences were statistically significant(P<0.05).After the treatment,the levels of TV,PEF and FVC in the observation group were higher than those in the control group,the RR level was lower than that in the control group,and the differences were statistically significant(P<0.05).After the treatment,the levels of IgA,IgM and IgG in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).However,there was no significant difference in the incidence of adverse reactions between the two groups(P>0.05).Conclusions:Spleen aminopeptide oral lyophilized powder combined with Methylprednisolone sodium succinate for injection in the treatment of the children with bronchopneumonia can improve the total effective rate of treatment and the levels of immune indexes,improve the levels of lung function indexes,and reduce the levels of clinical indexes.Moreover,it is superior to single Methylprednisolone sodium succinate for injection treatment.
Objective:To compare effects of Atosiban and Ritodrine in treatment of late abortion and threatened premature labor in twin pregnancy women.Methods:A prospective study was conducted on 80 twin pregnancy women with late abortion and threatened premature labor admitted to this hospital from August 2021 to August 2023.They were divided into control group and observation group according to the random number table method,40 cases in each group.The control group was treated with Ritodrine hydrochloride,while the observation group was treated with Atosiban.The excellent and good rate of uterine contraction inhibition,the prolonged pregnancy time,the levels of sex hormone indexes before and after the treatment,the incidence of adverse pregnancy outcomes,and the incidence of adverse reactions were compared between the two groups.Results:The excellent and good rate of uterine contraction inhibition in the observation group was 97.50%(39/40),which was higher than 70.00%(28/40)in the control group,and the difference was statistically significant(P<0.05).The prolonged pregnancy time in the observation group was longer than that in the control group,and the difference was statistically significant(P<0.05).After the treatment,the levels of estriol in the two groups were lower than those before the treatment,and that in the observation group was lower than that in the control group;the progesterone levels of the two groups were higher than those before the treatment,and that in the observation group was higher than that in the control group;and the differences were statistically significant(P<0.05).The incidence of adverse pregnancy outcomes such as cesarean section,premature delivery,abortion,stillbirth and neonatal asphyxia in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).However,there was no significant difference in the incidence of adverse reactions between the two groups(P>0.05).Conclusions:Atosiban in the treatment of the twin pregnancy women with late abortion and threatened premature labor can improve the excellent and good rate of uterine contraction inhibition,prolong the pregnancy time,improve the levels of sex hormone indexes,and reduce the incidence of adverse pregnancy outcomes.Moreover,it is superior to Ritodrine treatment.
Objective:To observe effects of ultrasound-guided needle knife combined with rehabilitation training in treatment of patients with shoulder-hand syndrome(SHS)after stroke.Methods:A prospective study was conducted on 90 patients with SHS after stroke admitted to this hospital from April 2021 to December 2022.According to the random number table method,they were divided into control group and observation group,45 cases in each group.The control group was treated with rehabilitation training,while the observation group was treated with ultrasound-guided needle knife on the basis of the control group.The clinical efficacy,the limb swelling and pain[visual analogue scale(VAS)]scores before and after the treatment,and the shoulder range of motion were compared between the two groups.Results:The total effective rate of the observation group was 95.56%(43/45),which was significantly higher than 73.33%(33/45)of the control group,and the difference was statistically significant(P<0.05).After the treatment,the limb swelling and VAS scores of the two groups were lower than those before the treatment,those of the observation group were lower than those of the control group,and the differences were statistically significant(P<0.05).Further,the shoulder range of motion of flexion,adduction,extension and abduction in the two groups was greater than that before the treatment,those in the observation group were greater than those in the control group,and the differences were statistically significant(P<0.05).Conclusions:On the basis of the rehabilitation training,the ultrasound-guided needle knife in the treatment of the patients with SHS after stroke can improve the total effective rate of treatment,reduce the limb swelling and pain,and increase the shoulder range of motion.Moreover,it is superior to single rehabilitation training.
Objective:To explore predictive value of thrombelastogram(TEG)combined with conventional coagulation indexes detection for poor prognosis in patients with cerebral infarction.Methods:The clinical data of 120 patients with cerebral infarction admitted to this hospital from October 2020 to October 2022 were retrospectively analyzed.All patients underwent TEG parameters[coagulation factor reaction time(R),blood clot formation time(K),blood clot formation rate(α angle),maximum amplitude of thrombus formation(MA)]and routine coagulation indexes[prothrombin time(PT),thrombin time(TT),activated partial prothrombin time(APTT)and fibrinogen(FIB)]detection on the day of admission.According to the modified Rankin scale(mRS)score 3 months after thrombolysis,these patients were divided into good prognosis group(n= 78,mRS≤2)and poor prognosis group(n= 42,mRS≥3).The levels of TEG parameters and conventional coagulation indexes were compared between the two groups.The receiver operating characteristic(ROC)curve was used to analyze the predictive value of TEG parameters combined with conventional coagulation indexes for the poor prognosis of the patients with cerebral infarction.Results:The R value and the K value of the poor prognosis group were lower than those of the good prognosis group,the α angle and the MA value were higher than those of the poor prognosis group,the FIB level was higher than that of the good prognosis group,and the differences were statistically significant(P<0.05).There were no statistically significant differences in the levels of PT,TT,and APTT between the two groups(P>0.05).ROC curve analysis showed that the areas under the curve of TEG parameters R value,K value,α angle,MA value and single FIB detection in the prediction the poor prognosis of the patients with cerebral infarction was 0.726,0.713,0.828,0.688 and 0.739,separately.The area under the curve of combined detection was 0.988,and its predictive value was higher than that of single index detection.Conclusions:The predictive value of conventional coagulation indexes such as PT,TT and APTT for thrombosis and prognosis of cerebral infarction is limited.The patients with cerebral infarction with decreased R value and K value,increased α angle and MA value,and increased FIB levels have a higher risk of poor prognosis.The predictive value of combined detection for the poor prognosis in the patients with cerebral infarction is higher than that of single index detection.
Objective:To investigate effects of Danshen injection combined with Cimetidine in treatment of allergic purpura in children.Methods:A prospective study was conducted on 90 children with allergic purpura admitted to the hospital from December 2017 to December 2021.According to the random number method,they were divided into control group and observation group,45 cases in each.The control group was treated with Cimetidine injection,while the observation group was treated with Danshen injection on the basis of that of the control group.The clinical effects,the symptom disappearance time,the levels of lymphocyte subsets and immunoglobulin levels before and after the treatment,and incidence of adverse reactions were compared between the two groups.Results:The total effective rate of treatment in the observation group was 91.11%(41/45),which was higher than 73.33%(33/45)in the control group,and the difference was statistically significant(P<0.05).The disappearance time of purpura,joint swelling and pain,rash and gastrointestinal symptoms in the observation group was shorter than that in the control group,and the difference was statistically significant(P<0.05).After the treatment,the levels of CD3+ and CD4+ in the two groups were higher than those before the treatment,and those in the observation group were higher than those in the control group;the levels of CD19+ and Immunoglobulin(Ig)A in the two groups were lower than those before the treatment,and those in the observation group were lower than those in the control group;and the differences were statistically significant(P<0.05).There were no significant differences in the serum IgG and IgM levels in the two groups before and after the treatment,and there were no significant differences between the two groups(P>0.05).There was no significant difference in the incidence of adverse reactions between the two groups(P>0.05).Conclusions:Danshen injection combined with Cimetidine in the treatment of the children with allergic purpura can improve the clinical effects,accelerate the disappearance of symptoms,improve the levels of CD3+ and CD4+,and reduce the levels of CD19+ and IgA.Moreover,it is superior to single Cimetidine treatment.
Objective:To observe application effects of risk assessment based on evidence-based theory in patients with hypertensive disorder complicating pregnancy(HDCP)after cesarean section.Methods:A prospective study was conducted on 83 patients with HDCP admitted to the hospital from March 2021 to March 2022.According to the random number table method,they were divided into control group(n= 41)and observation group(n= 42).The control group was given routine nursing,while the observation group was given the risk assessment based on evidence-based theory.The blood pressure and 24 h urine protein quantitative level before and after the nursing,the negative emotion[Beck anxiety inventory(BAI),Beck depression inventory(BDI)]score,the pain[visual analogue scale(VAS)]scores 5 h and 2 d after the surgery,and the incidence of complications were compared between the two groups.Results:At discharge,the systolic blood pressure,diastolic blood pressure and 24 h urinary protein levels in the two groups were lower than those before the surgery,those in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).The BDI and BAI scores of the two groups were lower than those after the surgery,those in the observation group was lower than those in the control group,and the differences were statistically significant(P<0.05).5 h and 2 days after the surgery,the VAS score of the observation group was lower than that of the control group,and the difference was statistically significant(P<0.05).Further,the incidence of complications in the observation group was 7.14%,which was lower than 24.39%in the control group,the difference was statistically significant(P<0.05).Conclusions:The risk assessment based on evidence-based theory in the patients after HDCP cesarean section can reduce blood pressure and 24-h urinary protein quantification levels,improve the negative emotions,reduce the postoperative pain,and thus reduce the risk of complications.Moreover,it is superior to the routine nursing.
Objective:To observe value of serum albumin level detection in prediction of poor prognosis of patients with lung cancer after thoracoscopic lung resection.Methods:The clinical data of 103 patients with lung cancer undergoing thoracoscopic lung resection in this hospital from March 2018 to March 2022 were retrospectively analyzed.According to the prognosis 1 year after the surgery,these patients were divided into poor prognosis group(n= 30)and good prognosis group(n= 73).The serum albumin levels were compared between the two groups before and 7 days after the surgery.The point biserial correlation analysis was used to analyzed the correlations between the serum albumin level and the poor prognosis of these patients.Further,the receiver operating characteristic(ROC)curve was drawn to analyze the value of serum albumin level detection in the prediction of the poor prognosis of the patients with lung cancer after thoracoscopic lung resection.Results:Before and 7 days after the surgery,the serum albumin levels in the good prognosis group were higher than those in the poor prognosis group,and the differences were statistically significant(P<0.05).The point biserial correlation analysis showed that there were negative correlations between the serum albumin level and the poor prognosis of the patients with lung cancer after thoracoscopic lung resection before and 7 days after the surgery(r=-0.365,-0.335,P=0.000).The ROC curve showed that single and combined detection of serum albumin levels before and 7 days after the surgery have certain value in the prediction of poor prognosis in the patients with lung cancer after thoracoscopic lung resection(AUC>0.7),and the combined detection had the highest predictive value.Conclusions:The detection of serum albumin level has a certain value in the prediction of the poor prognosis of the patients with lung cancer after thoracoscopic lung resection.
Objective:To observe effects of ligation of intersphincteric fistula tract combined with fistula tunnel resection in treatment of patients with low anal fistula.Methods:The clinical data of 80 patients with low anal fistula admitted to this hospital from January 2020 to December 2022 were retrospectively analyzed.According to different treatment methods,they were divided into control group and observation group,40 cases in each.The control group was treated with fistulotomy,while the observation group was treated with ligation of intersphincteric fistula tract combined with fistula tunnel resection.The levels of clinical related indicators[wound healing time,hospitalization time,anal pain score after the surgery visual analogue scale(VAS)],the Wexner scores of anal incontinence before and after the surgery,and the incidence of postoperative complications were compared between the two groups.Results:The wound healing time and the hospitalization time of the observation group were shorter than those of the control group,the VAS scores was lower than that of the control group,and the differences were statistically significant(P<0.05).1 and 3 months after the surgery,the Wexner scores of anal incontinence in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).However,there was no significant difference in the incidence of postoperative complications between the two groups(P>0.05).Conclusions:Intersphincteric fistula ligation tract combined with fistula tunnel resection in the treatment of the patients with low anal fistula can shorten the wound healing time and the hospitalization time and reduce the postoperative VAS scores after the surgery and the Wexner score of anal incontinence.Moreover,it is superior to fistulotomy.
Objective:To observe application effects of primary nursing in prevention of postoperative delirium in elderly patients with hip replacement.Methods:A prospective study was conducted on 300 patients after hip replacement admitted to this hospital from March 2020 to February 2022.They were divided into control group and observation group according to the random number table method,150 cases in each.The control group was given routine nursing,while the observation group was given the primary nursing mode on the basis of that of the control group.The hospitalization time,the duration of delirium and the incidence of delirium,the degree of delirium scores before and after the nursing[confusion assessment method(CAM),delirium observation screening scale(DOS)],the cognitive function[Montreal cognitive assessment(MoCA)]score,the postoperative recovery quality[40-tiem postoperative quality of recovery(QoR-40)]score,the pain degree[numerical rating scale(NRS)]score,and the nursing satisfaction were compared between the two groups.Results:The hospitalization time and the duration of delirium in the observation group were shorter than those in the control group,and the differences were statistically significant(P<0.05).The incidence of delirium in the observation group was 12.67%,which was lower than 34.00%in the control group,and the difference was statistically significant(P<0.05).After the nursing,the CAM and DOS scores of the two groups were lower than those before the nursing,those of the observation group were lower than those of the control group,and the differences were statistically significant(P<0.05).The MoCA and the QoR-40 scores of the two groups were higher than those before the nursing,and those of the observation group were higher than those of the control group;the NRS scores of the two groups were lower than those before the nursing,and that of the observation group was lower than that of the control group;and the difference was statistically significant(P<0.05).Further,the nursing satisfaction of the observation group was 90.67%,which was higher than 82.00%of the control group,and the difference was statistically significant(P<0.05).Conclusions:The primary nursing for the elderly patients with hip replacement can shorten the duration of delirium and the hospitalization time,reduce the degree of delirium,reduce the incidence of delirium,improve the cognitive function,accelerate the postoperative recovery,and improve nursing the satisfaction.Moreover,it is superior to single routine nursing.
Objective:To observe effects of Wudan Weifu granules combined with quadruple therapy in treatment of patients with Helicobacter pylori(Hp)-infected gastric ulcer.Methods:A prospective study was conducted on 112 patients with Hp-infected gastric ulcer admitted to this hospital from January 2021 to May 2022.They were divided into study group and control group according to the random number table method,56 cases in each.The control group was treated with quadruple therapy,while the study group was treated with Wudan Weifu granules on the basis of that of the control group.The TCM syndrome scores,the clinical efficacy,the incidence of adverse reactions,the Hp eradication rate,and the recurrence rate were compared between the two groups before and after the treatment.Results:After the treatment,the scores of TCM syndrome scores such as epigastric distention and pain,two flanks pain,poor mood and belching in the two groups were lower than those before the treatment,those in the study group were lower than those in the control group,and the differences were statistically significant(P<0.05).The total effective rate of treatment in the study group was 94.64%(53/56),which was higher than 76.79%(43/56)in the control group,and the difference was statistically significant(P<0.05).The incidence of adverse reactions in the study group was 3.57%,lower than 16.07%in the control group,and the difference was statistically significant(P<0.05).Further,the Hp eradication rate of the study group was higher than that of the control group,the recurrence rate was lower than that of the control group,and the difference was statistically significant(P<0.05).Conclusions:Wudan Weifu granules combined with quadruple therapy in the treatment of the Hp-infected gastric ulcer patients can improve the total effective rate of treatment and the Hp eradication rate and reduce the TCM syndrome scores,the incidence of adverse reactions and the recurrence rate.Moreover,it is superior to single quadruple therapy treatment.
