Objective To investigate the efficacy of kinesio taping(KT)in the treatment of pain,function,range of motion and muscle strength in patients with knee articular osteoarthritis(OA).Method Forty patients with knee articular OA diagnosed in our hospital from January 2021 to January 2023 were selected.We randomly divided them into two groups,each with 20 cases.The observation group received KT therapy,while the control group received sham bandage therapy.Visual Analogue Scale/Score(VAS)was used to assess the degree of activity and nocturnal pain,KOOS score was used to assess the functional status of patients,digital goniometer was used to measure the range of activity and hand-held force meter was used to assess muscle strength.The evaluation time includes before treatment and on the 12th day of treatment.Result Compared with before treatment,the pain,function,range of motion,and muscle strength of patients in the control group and KT group were significantly improved after treatment.And compared with the control group,the KT group also significantly improved the above indicators after treatment.Conclusion KT therapy has significant efficacy in relieving short-term pain and improving functional limitations in knee osteoarthritis.

Objective:To explore the application of the flipped classroom based on the production-oriented approach (POA) theory in the teaching of standardized training in the Department of Joint and Sports Medicine.Methods:A total of 37 standardized training physicians who rotated in the Department of Joint and Sports Medicine in Zhongnan Hospital of Wuhan University from January 2019 to December 2019 were selected as the control group, and the traditional teaching was adopted. Another 39 standardized training physicians who rotated from April 2020 to March 2021 were selected as the study group, and the flipped classroom based on POA theory was adopted. At the end of the rotation, the scores of theoretical knowledge and practical operation skills, the scores of mini-clinical evaluation exercise (Mini-CEX) and the teaching satisfaction were compared. SPSS 22.0 was used for t-test and Chi-square test. Results:The various scores and total score of theoretical knowledge and practical operation skills in the study group at the end of rotation were significantly higher than those in the control group ( P < 0.05). There was no significant difference in the various scores and total score of Mini-CEX between the two groups at the time of admission ( P > 0.05). The above scores in the two groups at the end of rotation were significantly higher than those at the time of admission ( P < 0.05), and the above scores of the study group were significantly higher than those of the control group ( P < 0.05). The overall teaching satisfaction rate of the study group was higher than that of the control group ( P < 0.05). Conclusion:The application of the flipped classroom based on POA theory in the teaching of standardized training in the Department of Joint and Sports Medicine can significantly improve the teaching effect and quality, and improve the clinical comprehensive ability and teaching satisfaction of the standardized training physicians, which is worthy of popularization and application.

目的 探讨射频消融术联合化疗治疗晚期胃癌肝转移的临床疗效及对免疫功能和生活质量的影响.方法 采用随机数字表法将98例晚期胃癌肝转移患者分为观察组和对照组,每组49例,对照组患者接受单纯化疗,观察组患者在对照组的基础上接受射频消融术治疗.比较两组患者的临床疗效,比较治疗前后两组患者的甲胎蛋白含量、T淋巴细胞亚群水平及生活质量.随访3～35个月,比较两组患者的局部复发率.结果 治疗后,观察组患者的总有效率为89.8％(44/49),明显高于对照组的65.3％(32/49),差异有统计学意义(P﹤0.01).治疗后,观察组患者的甲胎蛋白含量为(177.54±1.75)μg/L,明显低于对照组的(197.05±1.65)μg/L,差异有统计学意义(P﹤0.01);治疗后1周,观察组患者的CD3+、CD4+水平及CD4+/CD8+均明显高于对照组,CD8+水平明显低于对照组,差异均有统计学意义(P﹤0.01).治疗后,观察组患者的躯体功能、社会功能、心理功能评分均明显高于对照组(P﹤0.01).治疗后,观察组患者的局部复发率低于对照组(P﹤0.05).结论 射频消融术联合化疗对晚期胃癌肝转移患者具有较好的临床疗效,且可改善患者的免疫功能和生活质量,降低复发率.

目的:观察芪辛汤及针刺疗法提升慢性鼻窦炎患者生活质量效果.方法:研究纳入101例慢性鼻窦炎患者,均由我院2017年1月～2017年12月收治,以随机数字表法将患者进行分组,对照组患者(50例)实施常规临床干预,观察组患者(51例)在常规干预基础上给予患者芪辛汤及针刺疗法干预,对比两组患者疗效、干预前后患者症状积分及患者并发症情况、干预前后生活质量评分(SF-36量表)、6个月疾病复发率及干预满意率.结果:观察组患者临床有效率(98.04％)高于对照组(86.00％),P＜0.05;干预前两组患者症状积分及SF-36量表评分相当,P＞0.05,干预后各组患者症状积分及SF-36量表评分改善,观察组优于对照组,P＜0.01;观察组患者并发症率(1.96％)低于对照组(14.00％),P＜0.05;观察组患者6个月疾病复发率(0.00％)低于对照组(8.00％),干预满意率(98.04％)高于对照组(82.00％),P＜0.05.结论:芪辛汤及针刺疗法可提升慢性鼻窦炎患者疗效,改善患者症状,降低患者并发症率及复发率,提升患者生活质量及满意率,值得临床推广与应用.

目的 观察拔针后第一时间局部压迫联合硫酸镁持续湿敷处理老年患者钢针输液渗出的效果.方法 100例钢针穿刺输液后发生渗出的老年患者随机分为实验组和对照组,每组50例.实验组拔针后第一时间局部压迫15 min后,使用50％硫酸镁持续湿敷;对照组拔针后第一时间使用50％硫酸镁持续湿敷.结果 实验组效果明显优于对照组,差异有统计学意义(P<0.05).结论 按压联合硫酸镁湿敷对老年患者钢针输液渗出的处理效果优于硫酸镁湿敷.

Objective To study the effect of sputum suction tube full of sterile saline on sputum suction in elderly patients. Methods A total of 100 elderly patients who need sputum suction via mouth/ nose were selected from Zhongnan Hospital,Wuhan University from July 2013 to July 2014. They were randomly and equally divided into the control group and experimental group. The conventional sputum suction tube was used in the control group,and the modified sputum suction tube full of sterile saline was used in the experimental group. The one-time successful intubation,effective intubation time,mucosa damage and patient tolerance were compared between the two groups. Results Compared with the control froup,the experimental group had higher one-time success rate of intubation,shorter intubation time,less mucosa damage and higher patient tolerance(P ﹤ 0. 05). Conclusion The modified sputum suction tube full of sterile saline can improve one-time successful intubation,shorten intubation time,and decrease adverse effects.

Objective To explore the effects of prolonged oxygen inhalation tube on oxygen therapy.Methods Patients with persistent low flow oxygen therapy were treated with 2 m,3 m,4 m and 5 m oxygen inhalation tube for oxygen therapy respectively.The blood oxygen saturation,the time of oxygen inhalation tube filling with oxygen and the patient satisfaction with prolonged oxygen inhalation tube were compared among the four groups.Results The peripheral oxyen staturation in 5 and 10 minutes after oxygen therapy were higher than those before oxygen therapy within 4 groups comparisons(P0.01).There were no significant differences among the four groups in the peripheral oxygen saturation before oxygen therapy 5 and 10 minutes after oxygen therapy(P0.05).And the time of 2 m,3 m,4 m and 5 m oxygen tube filling with oxygen were 1.26 min,1.88 min,2.51 min and 3.14 min,respectively.All the patients applauded for the prolonged oxygen inhalation tube.Conclusion The appropriately prolonged oxygen inhalation tube has no adverse effects on oxygen therapy.And it not only meets the demands of oxygen therapy for patients,but also benefits for the bedside activities of patients and the rehabilitation of disease.

Objective To explore the feelings of nursing students after needle stick injuries in clinical practice,and analyze the causes and impact of needle stick injuries,so as to provide reference for the revision of teaching plan and protection education for nursing students.Methods The phenomenological methodology was used in the study.Eight nursing students suffered from needle stick injuries were interviewed.Results The main reactions of nursing students to needle stick injuries were fear,worry and helplessness.The nursing students showed a series of psychological symptoms.They expected to get more respect and concerns from the clinical teachers,hoped to get supports after needle stick injuries and safety education in clinical practice.Conclusions It is suggested to pay close attention to the safety and self-protection education to strengthen students' self-protection awareness in clinical teaching,establish support system after needle stick injuries,concern about the students' psychological status,and thereby to reduce the occurrence of needlestick injuries and improve students' work enthusiasm.

2011年3月,笔者在使用注射用醋酸卡泊芬净与注射用萘夫西林钠连续静脉滴注时发现药物出现白色混浊,交换2组药物输液顺序仍然出现白色混浊.在临床常用的《306种注射剂临床配伍应用检索表》中没有此2种药物配伍禁忌的相关记录,现报道如下.临床资料患者,男,81岁,重症肺部感染.遵医嘱静脉滴注0,9％氯化钠100 ml+注射用醋酸卡泊芬净50 mg,接着换上0.9％氯化钠100 ml+注射用萘夫西林钠1.0 g继续静脉滴注时,发现输液管内立刻出现白色混浊,立即夹闭输液管,更换输液器,并报告医生,予0.9％氯化钠100ml间隔后再输入萘夫西林钠注射液,患者无不良反应.

目的分析外籍住院患者的护理服务难点,总结临床护理经验,不断提高护理服务水平,为外籍患者提供更优质的护理服务。方法对229例外籍住院患者病例资料进行回顾性分析。结果 229例外籍患者疾病谱涵盖多个学科,沟通难度大,就医需求各异。结论外籍患者病区护理人员须具备全科护理知识技能及良好的外语沟通能力,需根据外籍患者的疾病特点及护理需求,不断提高护理人员的综合素质和业务水平,为不同文化背景的患者提供更优质的护理服务。