Objective To evaluate the clinical efficacy of oral ulcer protective agent in the prevention and treatment of oral mucositis in nasopharyngeal carcinoma (NPC) radiotherapy and its effect upon serum inflammatory factors.Methods A total of 90 patients diagnosed with nasopharyngeal carcinoma presenting with grade I oral mucositis caused by radiotherapy in our hospital were selected and randomly divided into two groups.In the experimental group,oral ulcer protective agent was given,and Kangfuxin gargle was administered in the control group.The incidence time and degree of radioactive oral mucositis,visual analogue scale (VAS) pain score,serum levels of CRP,TGF-β1,IL-6 and T lymphocyte subsets were statistically compared between two groups by independent-sample t-test.Results At 4 and 6 weeks after corresponding treatment,the incidence of grade Ⅱ and Ⅲ oral mucositis in the experimental group was significantly lower than that in the control group (P=0.018,0.021,0.027,0.014)).In the experimental group,the incidence of moderate and severe pain assessed by VAS was significantly lower compared with that in the control group (P=0.019,0.025);After corresponding treatment,the CRP levels in both groups were down-regulated and the CRP level in the experimental group was considerably lower than that in the control group (P=0.013).The levels of TGF-β1 and IL-6 in the control group were significantly increased (P=0.015、0.021),whereas dramatically declined in the experimental group (P=0.012,0.019).CD3(+),CD4 (+),CD8(+) and CD4(+)/CD8(+) were remarkably elevated in two groups,and more significant increase was observed in the experimental group (P=0.024,0.036,0.029,0.017).Conclusions Oral ulcer protective agent can effectively inhibit the progression of oral mucosal injury,shorten the healing time and relieve the pain of oral mucosal injury in patients with NPC.,which is worthy of clinical application.
Objective Analysis the clinical effect of surgical treatment during the same period prostatic hyperplasia combined bladder calculi.Methods Colected from May 2012 to August 2013 during the diagnosis and treatment of prostatic hyperplasia combined 55 patients with bladder stones as the research object,al of the patients with same surgery,observe the treatment effect.ResultsThis group of patients were successfuly completed surgery,and not a case of bladder perforation,bleeding,urinary tract infection and other complications,IPSS score,QOL score comparison before and after operation has obvious difference(P<0.05).Conclusion Prostatic hyperplasia combined bladder stones over the same period surgical treatment has good clinical curative effect,is worth popularization in clinical application.
Objective:To discuss the influence of nursing intervention on young people′s psychological condition with conduct barrier,and improve their psychological health.Methods:The patients received nursing intervention with 8 weeks,and to test their psychological condition by SAS,SDS and selt care health questionnaire.Results:The scores of SAS and SDS before intervention respecticely was(54.7±2.01) and(62.40±1.17).After received nursing intervention,the scores of SAS and SDS decreased significantly(P<0.05).The self behavior and disease′s relevant konwledge were improved after intervention(P<0.01).Conclusion:Nursing intervention could correct the patients′ misdeed effectively,improve their psychological condition.Its very important to train positive cultivation and social norm behabior,improve the effect of treatment,and promote patients′ health growth.
目的 提升检验人员检测生活饮用水中微生物的能力,增强实验室的竞争力.方法 依据能力验证参试指导书和国家标准GB/T 5750.12-2006《生活饮用水标准检验方法微生物指标》的要求,分别对1#、2#菌落总数样品,3#、4#总大肠菌群、耐热大肠菌群、大肠埃希氏菌样品和5#、6#总大肠菌群、大肠埃希菌样品进行检验.结果 6个样品| Z|≤2,均取得满意结果.结论 通过参加能力验证,可依据中期报告总结各方法间的优劣,依据Z值结果分析实验过程中存在的问题,也可评价检验员的业务能力水平,因此参加能力验证可有效地提高实验室的检验能力.
Objective To analyze the composition and risk factors of recurrent upper urinary tract calculi. Methods From September 2015 to December 2017, 120 cases of recurrent upper urinary calculi in our hospital were selected. The clinical data of all the subjects were analyzed retrospectively. The changes of stone components before and after the recurrence of calculi were analyzed,and the risk factors for the changes of recurrent stones were evaluated. Results Recurrent upper urinary calculi in 120 cases,calcium oxalate stone in 50 cases,calcium phosphate stone in 24 cases,infectious stone in 20 cases,uric acid stone in 10 cases, and cystine stone in 16 cases were found. Eighty patients had unchanged stone composition and 40 patients had changes in stone composition. Patients with recurrent upper urinary tract stones were closely related to stone type, recurrence time and other factors. The difference was statistically significant( P<0. 05 ) . Conclusions The main changes of calculus in re-current urinary calculi are the conversion of calcium oxalate stones and infectious stones. The main risk factors for the change of stone composition are the time of recurrence. Patients with recurrent stone for more than 5 years or less than 1 year need to be rechecked regularly.
Objective The clinical effect of postpartum hemorrhage investigate Carboprost tromethamine therapy.Methods Randomly Our hospital in July 2012 to July 2014 68 cases of postpartum hemorrhage patients admitted, were randomly divided into experimental group and 34 cases each reference group. Experimental group received Carboprost tromethamine therapy group were given oxytocin reference treatment,the effect of contrast between the two groups.Results The total efficiency of the experimental group was significantly higher than that of the reference group, the presence of the two groups was statistically significant (P<0.05).Conclusions Postpartum hem-orrhage patients given Carboprost tromethamine therapy, can effectively improve the symptoms of patients, a significant effect, worthy of clinical application.
目的:探讨家庭参与护理配合视频沟通对小儿腹腔镜腹股沟疝患儿术后哭闹情绪的影响.方法:选择镇安县医院2021年1月-2023年3月收治的80例行腹腔镜手术的腹股沟疝患儿为研究对象,按电脑随机法分组,分为观察组(40例)和对照组(40例);对照组患者给予常规干预,观察组给予家庭参与护理配合视频沟通干预,比较两组干预效果.结果:干预后,观察组患儿烦躁、哭闹发生率以及并发症发生率低于对照组,对比差异有统计学意义(P<0.05);干预后,观察组术后首次肛门排气时间、住院时间短于对照组,对比差异有统计学意义(P<0.
目的:探讨血清总胆红素(TBIL)水平与透析患者并发心血管事件不良预后发生的相关性.方法:选取2021年1月-2022年1月昆明市第二人民医院90例接受血液透析患者,并收集患者的临床资料,全部患者随访至2022年7月,遵照血清总胆红素水平分为两组,分别为低血清总胆红素水平组(≤5.9μmol/L)和高血清总胆红素水平组(>5.9μmol/L),各48例、42例,分析两组患者血清总胆红素水平与心血管事件不良预后的相关性.结果:低血清总胆红素水平组与高水平组的血清总胆红素、血尿素氮、血肌酐、钙、磷、合并糖尿病
目的:分析小儿下呼吸道肺炎支原体感染采用N-乙酰半胱氨酸雾化辅助治疗的效果观察及对炎症状态改善.方法:以我院2020年1月至12月内收治的82例下呼吸道肺炎支原体感染患儿为本次研究对象,并以随机数字法分为常规组(41例,常规治疗)和观察组(41例,N-乙酰半胱氨酸雾化辅助治疗),对比分析两组治疗方案的应用价值.结果:(1)观察组患儿的治疗有效率显著高于常规组(P<0.05),疾病症状消除时间显著低于常规组(P>0.05),且两组患儿治疗期间不良反应发生率无统计学差异(P>0.05);(2)两组患儿治疗前的
目的:探讨肩锁关节脱位应用袢钢板与锁骨钩钢板的临床效果差异.方法:选择本院收治的76例肩锁关节脱位患者(2022年1月～2023年12月),随机分为锁骨钩组和带袢钢板组,各38例.带袢钢板组采用带袢钢板内固定治疗,锁骨钩组采用锁骨钩钢板内固定治疗,观察两组术后早期及术后随访期间疼痛情况,并监测两组并发症发生情况、术后肩关节活动度和功能改善情况.结果:带袢钢板组术后早期(72h)、术后1、3和6个月VAS评分均显著低于锁骨钩组(P<0.05).带袢钢板组术后并发症发生率(5.26％,2/38)显著低于锁骨钩
目的:分析乳腺癌患者病情诊断中实施应用彩色多普勒超声检查所呈现出的临床效果.方法:分析病例选择在2022.1～2022.12时段就诊于我院的疑似乳腺癌患者60例,所有患者均行彩色多普勒超声、乳腺X线摄影检查,以病例检查为金标准,记录彩色多普勒超声、乳腺X线摄影检查后计算两种检查方式的诊断效能.结果:60例疑似乳腺癌患者病理检查结果显示,45例确诊为乳腺癌.彩色多普勒超声检查结果显示,真阳43例,真阴15例,漏诊0例,误诊2例;乳腺X线检查结果显示,真阳32例,真阴10例,漏诊5例,误诊13例.对比两种检查
目的:探究个案护理的延伸护理服务在泌尿外科腹腔镜患者中的应用效果.方法:将2020年2月至2022年2月入选的110例患者作为此次研究对象,并根据随机法分为对照组和观察组,各55例.对照组采用常规护理方法,观察组采用个案护理的延伸护理服务.比较两组患者并发症发生率、心理状态、生活质量、护理质量、术后康复时间.结果:观察组患者并发症发生率3.64％,低于对照组20.00％(P<0.05).护理后观察组患者焦虑评分、抑郁评分均低于对照组(P<0.05).观察组患者睡眠质量、健康状况、社会功能、情感角色、生命活
目的:研究创伤性四肢骨折患者使用锁定加压钢板内固定术联合组合式外固定支架的临床治疗效果.方法:研究对象均选自我院2021年03月～2022年03月时间段内收治,共计纳入80例创伤性四肢骨折患者,采用随机数表法将其分为对照组(n=40),实验组(n=40),对照组接受锁定加压钢板内固定术治疗,在此基础上,实验组使用组合式外固定支架联合治疗,对比两组骨折愈合效果、炎性因子指标、手术相关参数、并发症.结果:实验组总优良率显著高于对照组(P<0.05);对比两组炎性因子指标,实验组C-反应蛋白(CRP)、肿瘤坏死
目的:研究影响老年慢性支气管哮喘急性发作的因素.方法:对2020年受诊的慢性支气管哮喘400例患者进行随访,半年后基于急性发作划分出现组(n=100),安全组(n=300),评估影响疾病急性发作的因素.结果:影响疾病急性发作有体重指数、慢性支气管炎、支气管扩张症、慢性阻塞性肺部疾病、吸烟习惯、饲养宠物、呼吸道感染等因素.结论:医护工作者应该对患者进行优质健康指导,降低患者有急性发作的风险.
目的:分析全身麻醉术后苏醒期躁动出现的因素,制定针对性相关护理干预措施.方法:研究对象为112例为全身麻醉患者,入院后以电脑随机法分为对照组(n=56)、研究组(n=56)两组,均进行术后苏醒期躁动相关因素分析工作,分别接受常规护理和针对性护理,并对比护理效果,研究起止时间为2020年12月-2022年12月.结果:研究组较对照组的术后苏醒期躁动发生率较低;研究组的术后相应指标更优;研究组的护理满意度较高;研究组术后苏醒期受到相应因素影响较小;上述指标对比均有统计学意义(P〈0.05)结论:在分析全身麻醉
目的:观察完全结直肠癌采用化疗联合贝伐珠单抗靶向治疗的效果.方法:研究时间:2022.1-2023.1;研究对象:62例晚期结直肠癌患者;分组依据:随机数字表法.单药组(n=31,采用XELOX化疗方案)、联合组(n=31,采用化疗联合贝伐珠单抗靶向治疗方案),统计组间治疗前后炎性因子水平、细胞免疫指标,对比组间治疗后不良反应发生率.结果:治疗前两组炎性因子水平、细胞免疫指标比较,统计学无差异,P>0.05,治疗后联合组各项指标优于单药组,统计学有差异,P<0.05;治疗后两组不良反应发生率对比,统计学无
目的:探究温针灸治疗腰椎间盘突出症患者的效果及对肢体功能、疼痛程度和心理状态的影响.方法:随机将我院2020年7月-2022年7月收治的100例腰椎间盘突出症患者分为观察组与对照组,各50例,观察组予以温针灸治疗,对照组予以常规治疗,比较两组JOA、VAS、SAS、SDS评分的差异.结果:治疗后,观察组的JOA评分高于对照组,SDS、SAS、VAS评分均低于对照组(P<0.05).结论:温针灸能显著改善腰椎间盘突出患者的肢体功能,减轻疼痛程度以及负性情绪.
