Objective To explore the effect of Jianpi Wenshen Granules Elderly Maintenance Hemodialysis Patients. Methods The clinical data of 70 elderly maintenance hemodialysis patients in the Blood Purification Center of Taizhou Hospital of Traditional Chinese Medicine and the Second People's Hospital from January to November 2023 were retrospective analyzed,and they were divided into a research group and a control group according to different treatment methods,with 35 cases in each group. The control group was received conventional Western medicine treatment,and the research group received treatment with Jianpi Wenshen Granules on the basis of the control group. The survival status,inflammatory factors,renal function,TCM symptoms,clinical efficacy,infection rate and re-hospitalization rate within 30 days were compared between the two groups. Results Before treatment,the scores of nutritional control status (CONUT),inflammatory factors,renal function indexes and TCM syndrome scores were compared between the two groups,and the differences between the groups were no statistically significant (P>0.05). After treatment,the CONUT scores in both groups were lower than before treatment,and the research group was lower than that in the control group,and the difference was statistically significant (P<0.05);the levels of blood urea nitrogen,C-reactive protein and interleukin-6 in the treatment group were lower than those in the control group,and the levels of serum albumin was higher than that in the control group,and the d ifferences between the groups were statistically significant (P<0.05);the scores of TCM symptoms in both groups were lower than before treatment,and the research group was lower than that in the control group,and the difference was statistically significant (P<0.05);the total effective rate of the treatment group was higher than that of the control group,the infection rate and the rate of re-hospitalization within 30 days were lower than that of the control group,and the differences between the groups were statistically significant (P<0.05). Conclusion The application of Jianpiwenshen granules in the treatment of elderly maintenance hemodialysis patients can improve the nutritional status and inflammation of patients,significantly relieve the symptoms of traditional Chinese medicine,and significantly improve the treatment efficiency. At the same time,the risk of infection and re-hospitalization of patients is low,which can ensure the effectiveness and safety of treatment.
Objective To investigate the effects of Kegel pelvic floor rehabilitation training combined with neuromuscular stimulation therapy device on pelvic floor muscle strength and sexual function in postpartum patients with stress urinary incontinence(SUI).Methods 80 postpartum SUI patients admitted to the outpatient department of the First Affiliated Hospital of Soochow University from November 2021 to April 2023 were selected as the study objects and were divided into a control group and an observation group according to simple random method,with 40 cases in each group.The control group received Kegel pelvic floor rehabilitation training,and the observation group was treated with neuromuscular stimulation therapy device on this basis.Both groups continued the intervention for 8 weeks.The pelvic floor muscle strength and sexual function were compared between the two groups.Results After the intervention,the electromyography values of slow and fast twitch muscle fibres in the observation group were higher than those in the control group,and the fatigues of slow and fast twitch muscle fibres were lower than those in the control group,the differences between the groups were statistically significant(P<0.05).After intervention,the pelvic organ prolapse/incontinence sexual function questionnaire score in the observation group were(31.76±2.55)points,higher than(27.62±4.49)points in the control group,and the difference was statistically significant(P<0.05).Conclusion Kegel pelvic floor rehabilitation training combined with neuromuscular stimulation therapy device can effectively enhance the pelvic floor muscle strength and sexual function of postpartum SUI patients,and has high clinical application value.
Objective To explore the impact of trait optimization nursing mode assisted drug therapy on symptom relief and lung function improvement in children with Mycoplasma pneumonia.Methods 160 children with mycoplasma pneumonia admitted to the hospital from June 2021 to June 2023 were selected as the study objects,and were divided into a control group and an observation group according to random number table method,with 80 cases in each group.All the children were treated with intravenous infusion and nebulized inhalation drugs,the control group was treated with routine nursing,and the observation group was treated with idiosyncrasy-optimized nursing mode based on routine nursing.The time for symptoms such as fever,cough and pulmonary rales to disappear,changes in lung function before and after intervention,clinical efficacy and family nursing satisfaction were compared between the two groups.Results The time of fever,cough and lung rales in the observation group were significantly shorter than those in the control group,and the differences were statistically significant(P<0.05).Before intervention,there were no significant differences in lung capacity(FVC)and forced expiratory volume(FEV1)between the two groups(P>0.05);after intervention,FVC and FEV1 in two groups were greater than before intervention,and observation group was greater than control group,the differences were statistically significant(P<0.05).The total effective rate of the observation group was 95.00%,which was higher than 81.25%of the control group,the difference was statistically significant(P<0.05).The nursing satisfaction of family members in the observation group was 92.50%,higher than 72.50%in the control group,and the difference was statistically significant(P<0.05).Conclusion Trait optimized nursing mode assisted drug therapy can shorten the duration of symptoms in children with Mycoplasma pneumonia,improve lung function,and assist in enhancing clinical efficacy.The nursing satisfaction of the patient's family members is also high.
Objective To explore the effects of mindfulness-based stress reduction training combined with resistance training on cardiac rehabilitation and sleep quality in patients with chronic heart failure.Methods 78 patients with chronic heart failure admitted to Jinan Integrated Traditional Chinese and Western Medicine Hospital from February 2022 to February 2023 were selected as the research objects and were divided into a control group and an observation group according to random number table method,with 39 cases in each group.The control group received resistance training,and the observation group received mindfulness-based stress reduction training on this basis.Both groups lasted for 10 weeks.The mental state,sleep quality and cardiac function of the two groups were compared.Results After treatment,the left ventricular ejection fraction in the observation group was higher than that in the control group,and the left ventricular systolic end diameter and left ventricular diastolic end diameter were shorter than those in the control group,the differences between the groups were statistically significant(P<0.05).After treatment,the Pittsburgh Sleep Quality Index score of the observation group was(7.47±1.23)points,which was lower than(10.54±1.08)points of the control group,and the difference was statistically significant(P<0.05).After treatment,the scores of Patient Health Questionnaire-9 and Generalized Anxiety Disorder-7 in the observation group were lower than those in the control group,and the differences between the groups were statistically significant(P<0.05).Conclusion Mindfulness-based stress reduction training combined with resistance training has significant effects on patients with chronic heart failure,which can improve their cardiac function,sleep quality and negative psychology,and is worthy of clinical promotion.
Objective To investigate the impact of thoracoscopic assisted minimally invasive pectus excavatum correction(Nuss)in children with congenital pectus excavatum(PE).Methods 82 children with congenital PE admitted to our hospital from June 2020 to October 2022 were selected as the study objects,and were divided into a control group and an observation group according to random number table method,with 41 cases in each group.The control group underwent traditional modified Ravitch surgery,and the observation group underwent thoracoscopic assisted Nuss surgery.The postoperative recovery,operation effect,complications and family satisfaction of the two groups were compared.Results The intensive care unit stay time(8.53±1.34)h and hospitalization time(5.77±1.13)d in the observation group were shorter than those in the control group,and the differences were statistically significant(P<0.05).6 months after surgery,the excellent and good rate of operation in the observation group was 92.68%higher than 73.17%in the control group,the difference was statistically significant(P<0.05).The complication rate of the observation group was 4.88%,lower than 24.39%in the control group,and the family satisfaction rate of the observation group was 95.12%,higher than 78.05%in the control group,the differences between groups were statistically significant(P<0.05).Conclusion Thoracoscopic assisted Nuss surgery can effectively improve the surgical effect of congenital PE in children,reduce complications,promote postoperative recovery,and ultimately achieve high family satisfaction.
