Objective To explore the effect of nursing measures after breast augmentation on the prevention of smooth prosthesis displacement. Methods From June 2019 to December 2020, 612 patients who underwent transaxillary endoscopic-assisted prosthetic breast augmentation in Sichuan Bravou Plastic Surgery Hospital and selected smooth prosthesis were collected. All patients were instructed to wear shaping clothing or sports bandages（wearing interventions） for three months after surgery, and not to do breast massage or lying on the bed（behavioral interventions） within one month. For the control group, the other groups that did not follow the doctor’s advice and only had wearing or behavioral interventions and neither of the two measures were regarded as the experimental group. The patients who were discharged from the outpatient clinic or video review three days, one week, one month, three months,and six months after discharge. Whether the patient’s breast implant displacement was followed and recorded. Results 379 cases were followed up, of which 27 cases（7.12%） had different degrees of displacement, of which 20 cases occurred within one month,7 cases occurred between one month and three months, and three months later There were no new cases of prosthesis displacement;there were a total of 246 cases who wore shaping underwear or bandages（wearing intervention measures）, but did not massage or lie on the bed（behavioral intervention measures） as prescribed by the doctor, of which 6 cases were displaced, The displacement rate of the prosthesis was 2.4%; while there were 15 cases without massage, lying on the bed, nor wearing plastic underwear or bandages（only behavioral interventions）, 3 cases were displaced, and the displacement rate was 20%. The difference between the two groups was statistically significant（20% VS 2.4%, P＜0.001）. There were a total of 107 cases who wore shaping underwear or bandages as prescribed by the doctor, but had massaged to varying degrees, lying on the bed（wearing only the intervention measures）, of which 10 cases had displacement, the displacement rate was 9.3%, and the existing There was a statistically significant difference between the wearing intervention and behavioral intervention groups（9.3% VS 2.4%, P=0.004）. There were a total of 11 cases who did not wear plastic underwear or bandages, and had massage and lying on the bed at the same time（without interventions）, of which 8 cases were displaced, and the displacement rate was 72.7%, and there were both wearing interventions and behaviors. Compared with the intervention group, the difference was statistically significant（72.7% VS 2.4%, P＜0.001）. Conclusion Postoperative wearing of shaping underwear or bandage combined with nursing measures of not doing breast massage and lying on the bed in the early stage has a positive effect on preventing the displacement of smooth prosthesis.
目的 针对基础治疗联合PRP治疗糖尿病足疗效分析,为临床治疗提供新思路.方法 2019 年1月至2022年3月河南大学淮河医院整形外科收治15 例糖尿病足患者,均采用基础治疗联合PRP治疗.结果 15例患者取得不同程度满意的疗效,其中 3 例痊愈,7 例明显好转,4 例好转,1 例无效,患者满意度高.结论 在临床工作中如遇到难治性进展快糖尿病足时,要拓宽对本疾病的全面分析思维及多学科综合治疗的理念,提高全面综合治疗方法及预期预后结果的能力,尽量将损害降到最小化,提高患者满意度.
目的 探讨清创后负压封闭引流技术修复深度烧伤创面的临床效果.方法 选例时间:2019 年 6 月至 2023 年 2 月,研究对象:我院收治的深度烧伤患者(样本量:96 例),将其分为对照组和观察组,每组均包括 48 例患者,分组依据:随机数字表法.给予对照组患者常规清创换药+游离植皮,在对照组基础上,联合给予观察组患者负压封闭引流技术,两组均观察至出院.将观察组与对照组患者恢复及住院情况,血清5-羟色胺(5-HT)、脑内神经肽(NPY)、前列腺素E2(PGE2)、C反应蛋白(CRP)、肿瘤坏死因子(TNF)-α、白细胞介素(IL)-8、IL-10 水平(治疗前、后)以及并发症发生情况(治疗期间)进行统一的对比、分析.结果 相较于对照组各项指标,观察组的创面愈合时间、平均住院时间均更短,平均换药次数更少,首次植皮存活率更高;经与治疗前比,两组患者治疗后的血清 5-HT、NPY、PGE2 以及CRP、TNF-α、IL-8、IL-10水平均降低,相较于对照组各项指标,观察组均处于更低水平;经与对照组(22.92%)比,观察组治疗期间的并发症总发生率(6.25%)明显处于更低水平(P<0.05).结论 清创后负压封闭引流技术修复深度烧伤创面的临床效果较为显著,其有助于减轻患者疼痛,抑制炎性介质表达,同时可降低并发症发生风险,促进病情恢复.
目的 评估温控射频治疗对育龄期女性压力性尿失禁(SUI)患者的疗效.方法 选择 2020 年 11 月至 2022 年 5 月于浙江大学医学院附属妇产科医院盆底疾病专科门诊就诊的 25 例轻至中度SUI患者予以射频治疗,分析治疗前后患者 1h尿垫试验结果及国际尿失禁咨询委员会尿失禁问卷简表(ICIQ-SF)、盆腔器官脱垂-尿失禁性生活问卷简表(PISQ-12)的变化情况,并采用整体印象改善评分量表(PGI-I)评价治疗后患者主观疗效.结果 射频治疗前后,1h尿垫试验漏尿量分别为(4.96±2.76)g和(2.27±1.98)g,治疗后漏尿量较前显著降低(P<0.05);射频治疗前后患者ICIQ-SF总分分别为(8.72±3.09)分和(6.00±3.16)分,治疗后ICIQ-SF总分较前显著降低(P<0.05),ICIQ-SF漏尿频率、漏尿量、尿失禁对生活影响三个分项得分亦较前显著降低(P<0.05),而PISQ-12 总分及伴侣因素分项评分较治疗前显著增加(P<0.05);射频治疗后客观和主观即时有效率分别为60%和 88%.结论 本研究的结果表明,温控射频治疗是一种安全、有效的物理治疗方法,能够显著改善育龄期女性SUI患者的尿失禁症状、提高生活质量和性功能水平.
目的 探讨强脉冲光联合微针导入富血小板血浆(Platelet-rich plasma,PRP)治疗黄褐斑的临床疗效.方法 选取2021年5月至2022年5月我院收治的62例黄褐斑患者作为本次研究对象,按治疗方式的差异将其分为A组与B组,各31例.给予A组患者使用强脉冲光治疗,给予B组患者使用强脉冲光联合PRP治疗.对比患者面部黄褐斑皮损面积与严重程度指数(Melasma area severity index,MASI)评分、临床疗效及满意度.结果 治疗3个月和6个月后,B组患者黄褐斑面积、黄褐斑颜色评分均低于A组(P<0.05);B组患者临床总有效率为96.77%高于A组患者临床总有效率67.74%(P<0.05);B组患者总满意率96.77%高于A组患者总满意率80.66%(P<0.05).结论 强脉冲光联合微针导入PRP改善黄褐斑临床疗效显著,能明显减轻皮肤受损程度,增加患者满意度.本研究为临床改善黄褐斑提供了依据,值得推广及运用.
