ABSTRACT:The aim of this research is to observe the effect of insulin pump combined with Ulinastatin on the levels of procalcitonin (PCT), triglycerides (TG), pentraxin-3(PTX-3), and C-X3-C motif chemokine ligand 1 (CX3CL1) in patients with diabetic ketoacidosis and pancreatitis.A total of 72 patients with diabetic ketoacidosis and pancreatitis who were admitted to our hospital from February 2016 to February 2020 were selected as the research subjects. They were divided into study groups (36 cases, given insulin pump combined Ulinastatin treatment) and control group (36 cases, given insulin pump treatment). Statistics of changes in blood amylase (AMS), blood glucose, blood ketones, glycosylated hemoglobin (HbA1c), PCT, TG, PTX-3, and chemokine CX3CL in pancreatic tissue before and after treatment.After treatment, the clinical efficacy of the study group was significantly higher than that of the control group (94.44% vs 75.00%), the difference was significant (P < .05). After treatment, the clinical symptoms (abdominal distension, abdominal pain, body temperature, blood sugar, HbA1c and blood amylase) in the study group were significantly less time-to-normal than in the control group, and the difference was significant (P < .05). After treatment, the AMS, blood sugar, HbA1c, and blood ketones of the 2 groups were all lower than before treatment, and the study group's AMS, blood sugar, HbA1c, and blood ketones were all lower In the control group, the difference was significant (P < .05). After treatment, the 2 groups of PCT, TG, PTX-3, and CX3CL were all lower than before treatment, among which the study group PCT, TG, PTX-3, and CX3CL1 were lower than the control group, the difference was significant (P < .05). After treatment, the total adverse reaction rate of the 2 groups was not significantly different (P > .05), but the total adverse reaction rate of the study group was lower than that of the control group.The combination of insulin pump and ulinastatin in the treatment of patients with diabetic ketoacidosis complicated with acute pancreatitis has a effect, which can shorten the recovery time of clinical symptoms, reduce the levels of PCT, TG, PTX-3, and CX3CL1, and has fewer adverse reactions. It is worthy of clinical application.
Objective To compare the long-term Results of laparoscopic operation and open operation in the treatment of colon cancer. Methods 58 cases of colon cancer patients in hospitalization time were divided into observation group and control group, 29 cases in each. The observation group were treated by laparoscopic radical operation for clinical treatment, the control group were treated with open radical operation method for clinical treatment, compared two groups of patients with long-term clinical curative effect. Results The observation group patients in the postoperative survival (3 years 82.76%;5 years 27.59%) and disease recurrence and metastasis rate (17.24%) and the control group patients (3 years 86.21%;5 years 24.14%,20.69%),and no signiifcant difference. Conclusion In the clinical diagnosis and treatment of colorectal cancer, laparoscopic radical operation and open radical operation can achieve the long-term curative effect is good, but better results of laparoscopic operation, the recurrence rate of less.
目的:研究分析急性创伤骨折患者使用心理护理进行干预的临床护理效果及实施意义.方法:急性创伤骨折患者2021年4月至2022年4月收治120例,划分组别以抽签法,基础护理干预常规组,心理护理干预试验组,比较分析效果.结果:试验组患者经护理干预,心理状态较常规组有更为显著改善(P<0.05),生活质量,评测后可见试验组护理后各项评分较高(P<0.05),两组开展护理满意度调查,显示试验组护理满意度比较常规组略高(P<0.05).结论:护理干预急性创伤骨折患者,予以其心理护理,在对患者心理状态做到有效干预的同时
目的:探讨比较肾功能衰竭患者开展连续性肾脏替代治疗与间歇性血液透析治疗的效果.方法:选取2021年4月～2023年3月在我院接受治疗的肾功能衰竭患者68例,根据随机数字表法分组,将患者分为2组,每组34例,研究组的患者开展连续性肾脏替代治疗,对照组的患者开展间歇性血液透析治疗.结果:研究组的患者治疗有效率为91.18％,对照组的患者治疗有效率为73.53％,组间差异显著(P<0.05);两组治疗前BUN、Scr、BNP等肾功能指标比较无统计学意义(P>0.05);治疗后BUN、Scr、BNP各项指标相较于
