Objective:To explore the value of Jiawei Simiao Yong'an ointment in treating radiation dermatitis based on the method of"clearing away heat and toxic materials".Methods:100 patients with radiation dermatitis in our hospital from August 2022 to June 2023 were included as the research object,and the patients were randomly divid-ed into control group and research group,with 50 cases in each group.The control group was treated with routine western medicine,while the research group was treated with Jiawei Simiao Yong'an Ointment on the basis of the control group.After treatment,the clinical efficacy,TCM symptom score,inflammation index and skin lesion heal-ing time of the two groups were compared.Results:At the end of treatment,the total effective rate of the study group was 90.00%,which was higher than that of the control group(74.00%)(P＜0.05).At the end of treat-ment,the scores of TCM symptoms of skin erythema,itching,ulcer,swelling and pain in the study group were lower than those in the control group(P＜0.05).At the end of treatment,the levels of TNF-αand IL-6 in the study group were lower than those in the control group(P＜0.05).After treatment,the healing time of grade 1～2 skin lesions was shorter than that of grade 3,and the study group was shorter than the control group(P＜0.05).Conclusion:Jiawei Simiao Yong'an Ointment based on the method of"clearing heat and detoxicating"can effective-ly improve the clinical efficacy,relieve the severity of TCM symptoms,inhibit the inflammatory reaction of patients and shorten the healing time of skin lesions.
Objective:To examine the application value of blood glucose meter in the nursing work of emergency center.Methods:From January 2022 to March 2023,114 patients with diabetes admitted to the emergency cente were randomly divided into a control group(routine biochemical test)and a study group(real-time test of blood glucose meter),with 57 patients in each group.Analyze and compare the blood glucose test results,blood demand,test time,and test satisfaction between two groups.Results:There was no difference in blood glucose detection be-tween the two groups(P＞0.05).The blood requirement and detection time of the study group were lower than those of the control group(P＜0.05).The total satisfaction of the study group was higher than that of the control group(P＜0.05).Conclusion:In the nursing work of emergency center,the application of instant blood glucose meter has accurate detection results,short blood demand and time,high patient satisfaction,and is worthy of pop-ularization.
Objective:To investigate the impact of autologous blood transfusion versus allogeneic blood transfusion on Red Cell Distribution Width(RDW)in elderly patients undergoing total hip arthroplasty.Methods:This study analyzed 124 patients over 60 years of age who underwent total hip arthroplasty from June 2016 to June 2023.Patients were divided into an allogeneic blood group(61 cases)and an autologous blood group(63 cases).Pre-operative and postoperative hematological and coagulation function indicators,including RDW,Hemoglobin(HBG),Red Blood Cell count(RBC),Hematocrit(HCT),Platelet count(PLT),Prothrombin Time(PT),Ac-tivated Partial Thromboplastin Time(APTT),and Fibrinogen(Fbg),were compared.Additionally,the volume of allogeneic blood transfused,length of hospital stay,and transfusion-related adverse reactions were recorded.Re-sults:The RDW values on the 1st and 3rd day post-operation in the autologous blood group were significantly low-er than those in the allogeneic blood group,while the RBC,HBG,and HCT levels were higher(P＜0.05).No sig-nificant differences were observed in PLT and coagulation-related indicators between the two groups.The allogene-ic blood group had a higher rate of allogeneic blood use,longer hospital stay,and increased transfusion-related ad-verse reactions(P＜0.05).Conclusion:In elderly patients undergoing total hip arthroplasty,the use of autologous blood transfusion effectively reduces RDW,decreases the need for allogeneic blood,alleviates transfusion-related adverse reactions,and shortens the length of hospital stay.
Objective:To explore the safety and efficacy of a new type of endoscopic dilatation balloon combined with magnetic technology in the removal of magnetic foreign bodies from the upper gastrointestinal tract.Methods:Ac-cording to the random number table method,135 patients with upper gastrointestinal magnetic foreign bodies who were treated in our hospital from March 2021 to March 2022 were divided into magnetic technique group,foreign body clamp group,and snare group(45 cases in each),all in the Under the guidance of the new endoscopic dilata-tion balloon,magnetic foreign bodies were removed through magnetic technology,foreign body forceps and snare.The related conditions,removal success rate,existence time,removal time and complications of upper gastrointes-tinal magnetic foreign bodies in each group were compared.Results:There were no significant differences in the gastrointestinal symptoms,the location of the foreign body,and the sharpness of the edge of the upper gastrointes-tinal magnetic foreign body among the three groups(P＞0.05).The success rate of foreign body removal in the mag-netic technique group was significantly higher than that in the foreign body clamp group and the snare group(mag-netic technique group＞foreign body clamp group＞snare group)(91.11%vs 73.33%vs 24.44%)(P＜0.05).The removal time of the upper gastrointestinal magnetic foreign body in the magnetic technique group was significantly shorter than that in the foreign body clamp group and the snare group(magnetic technique group＜foreign body clamp group＜snare group)(P＜0.05).The incidence of complications in the magnetic technique group was signifi-cantly lower than that in the foreign body clamp group and the snare group(15.55%vs 42.22%vs 48.89%)(P＜0.05).Conclusion:The new endoscopic dilatation balloon combined with magnetic technology has a significant clinical effect in removing magnetic foreign bodies from the upper gastrointestinal tract,which can significantly improve the success rate of foreign body removal,shorten foreign body removal time,and have fewer complications and high safety factor.It has a certain clinical value.
