Objective:To investigate the patient's treatment behavior and satisfactory degree of rehabilitation nursing on carpal instability on distal radius fracture abiding.Methods:Patients in the experiment group were received rehabilitation nursing,including psychological nursing,reasonable diet,the injured limb nursing cares after external fixation,skin cares,coaching effective functional training,health education and so on.Patients in the control group were received routine nursing.Results:The behavior of curing and the satisfactory degree of the patient in the experiment group was higher than that of the control group obviously,and there was no complication happened.Conclusion:With rehabilitation nursing on carpal instability on distal radius fracture,it will improve the quality of service satisfactory degree of nursing staff.

目的研究混合外固定和石膏外固两种方法治疗桡骨远端骨折伴腕关节不稳,,对腕关节功能恢复及并发症发生率的临床观察。方法 92例桡骨远端粉碎性骨折患者,男38例,女54例;年龄20~85岁,平均62岁。按AO分型:AB型15例,C1型40例,C2型26例,C3型11例。混含外固定组46例以石膏,小夹板外固定各2周,石膏外固定组46例,定期复查至骨折临床愈合。拆除外固定后指导功能锻炼。8个月后,腕关节功能参照《中医病症诊断疗效标准》中腕关节评分标准进行疗效评定:混合外固定组优15例,良24例,可7例,优良率84.8%,石膏外固定组优13例,良21例,可12例,优良率为73.9%。两组比较经Radit分析,P<0.05。结论新型混合外固定最大限度的恢复腕关节功能,减少疼痛、畸形等后遗症的发生,较石膏外固定方法为好。

目的 探讨高血压患者踝臂指数(ABI)与尿微量白蛋白(MAU)的关系.方法 80例原发高血压患者经连续2次检查晨尿排除显性蛋白尿,采用多普勒超声法检测四肢动脉血压,计算ABI,分为ABI正常组(38例)和ABI减低组(42例),连续2次检查晨尿常规及MAU.结果 两组MAU阳性率分别为28.9%(11/38)和54.8%(23/42),MAU分别为(21±11)mg/L和(38±24)mg/L,差异均有统计学意义(P＜0.05).直线相关性分析显示,ABI正常组ABI与MAU无显著相关(r＝0.18,P＞0.05),而ABI减低组ABI与MAU呈显著负相关(r＝-0.63,P＜0.01).结论 ABI减低的高血压患者MAU增加,提示ABI减低对评估高血压患者早期肾功能损害有参考价值.

Objective: To discuss the effect of objective monitoring on pervention surgical site hospital-acquired infection,and reduce appendicitis surgical site infection rate,and formulate measures for infection control interventions.Methods: Appendectomy inpatients surgical site infection was compared in Mar.2009-Feb.2010(before the objectives of monitoring,the control group)and Mar.2010 –Feb.2011(after the objectives of monitoring,the monitoring group).Results: The control group surgical site infection rate was higher than that of the monitoring group(P0.05).Conclusion: Surgical site hospital-acquired infection has been reduced efficiently with adopting methods of the objectives of monitoring,relieved the patients and the waste of medical resources and improved medical quality.

Objective To study the relationship between ankle-brachial index(ABI) and carotid atherosclerosis in patients with essential hypertension.Methods 80 patients with hypertension were underwent carotid artery duplex doppler ultrasonography as they took ankle arterial and brachial artery blood pressure,then evaluated the ABI.All cases were divided into atherosclerosis group(AS group,n=46) and no atherosclerosis group (no AS group,n=34)by the carotid artery intima media thickness(IMT).The changing of ABI between two groups were detected.Then taken the correlation analysis between ABI and IMT of AS group.Results 30 cases in the AS group and 12 cases in the no AS group with decreasing ABI(P0.05).IMT of patients with lower ABI were obviously thick than those with normal ABI[(0.79±0.08)vs(0.90±0.16),P0.05]. The linear correlation analysis showed that the ABI was negative related to the IMT(r=-0.452,P0.01).Conclusion ABI in hypertensive patients with carotid atherosclerosis was lower,there is a negative relationship between ABI and IMT. Measurement of ABI in hypertensive patients could be a useful tool for early detection the risk of carotid atherosclerosis.

目的通过"绩效考核的激励机制"的实施,确保医院保洁社会化的工作质量。方法通过制定质量考核标准和激励机制,成立检查组,每月不定期进行绩效考核,根据考核结果发放奖金。结果实行"绩效考核的激励机制"1年,保洁工作质量显著提高,全院工作人员对保洁社会化综合满意度达到92.3%。结论实行"绩效考核的激励机制"是医院保洁社会化管理的有效途径。

目的通过护理干预方法预防静脉采血中发生晕针反应。方法在静脉采血的全过程中使用针对性心理疏导,播放轻松的音乐、环境干预、疼痛的护理干预等护理干预方法。结果对2007年1月～2007年12月5042名体检者实施护理干预,晕针发生率为0.22%,与2006年晕针发生率为0.91%对比,发生率明显下降。结论护理干预能有效减少患者穿刺过程中的晕针,提高护理服务质量及工作效率。

目的 有效预防和控制口腔科医院感染,保障医疗质量和医疗安全.方法 从医务人员观念、诊疗环境设置、消毒设施、消毒方法和程序、卫生学监测等方面进行整改.结果 提高了口腔科医务人员的医疗安全和规范操作意识,加强了领导对口腔科感染控制的重视.结论 通过行政干预和监督,口腔科感染控制预防措施可达到《广东省医疗机构口腔诊疗感染控制规范与考评标准》的要求,可最大限度地预防口腔科医院感染的发生.