目的 探讨泌尿外科护士对膀胱肿瘤根治术患者早期活动知信行现状的调查.方法 使用便利抽样法,选取2018牟12月-2020年12月现场抽取某省220名泌尿外科护士展开研究,使用基础信息调查表、泌尿外科护士早期活动知信行调查问卷进行调查,将调查结果通过多重线性回归分析,了解相关影响因素.结果 220名护士知识得分(3.41±1.24)分,信念得分(30.45±3.14)分,行为得分(10.63±2.14)分.多重线性回归分析结果表明,职称是护士早期活动认知的主要影响因素(P＜0.05);是否接受早期培训、职称、泌尿外科工作年限是护士早期活动信念主要影响因素(P＜0.05);是否接受早期活动培训、科室是否开展ERAS是护士早期活动行为影响因素(P＜0.05).结论 泌尿外科护士对膀胱肿瘤根治术患者早期活动的信念较好,但由于自身知识储备单薄,行为状态不甚理想.应针对护士实际情况开展早期活动知识培训,保证多学科合作,制订早期活动方案,保证早期活动在临床有效、科学的实施.

目的:探究分析综合性护理干预对喉癌术后带管患者生活质量的影响,以供临床参考.方法:选择2017年6月至2019年6月在我院诊治的70例喉癌术后带管患者,按照随机数字表法分为观察组和对照组,各35例.对照组给予常规护理,观察组给予综合性护理干预,对比两组喉癌术后带管患者生活质量情况.结果:观察组喉癌术后带管患者生活质量评分(P<0.05).结论:喉癌术后带管患者实施综合性护理干预可有效提高患者生活质量,值得临床推广使用.

目的 探讨腓动脉穿支筋膜蒂腓肠筋膜皮瓣联合腓骨短肌腱转位同期修复跟腱并皮肤缺损的疗效. 方法 回顾性分析2004年12月至2010年9月行腓动脉穿支筋膜蒂腓肠筋膜皮瓣联合腓骨短肌腱转位同期修复14例跟腱并皮肤缺损患者的患者资料,男10例,女4例;年龄5～ 59岁,平均15.0岁;跟腱缺损长2～～5 cm,平均3.6 cm.13例患者跟腱止点附近缺损,1例患者跟腱中段缺损.跟腱区皮肤缺损大小为5 cm×3 cm～10 cm×9 cm,皮瓣大小为8cm×6cm～12cm×11cm. 结果 13例皮瓣完全成活;1例皮瓣边缘坏死,二期缝合后伤口均愈合.14例患者术后获3～72个月(平均13.0个月)随访,无跟腱再断裂及感染复发者.12例患者踝关节活动范围正常,1例踝关节跖屈减少10°,另1例背伸减少10°.根据Boyden等的标准评定疗效:优13例,良1例. 结论 腓动脉穿支筋膜蒂腓肠筋膜皮瓣联合腓骨短肌腱转位同期修复跟腱缺损并皮肤缺损,具有手术一次完成、操作简便、安全可靠,患肢功能恢复好且快等优点。

OBJECTIVE:To explore the effect of low intensity pulsed ultrasound stimulation (LIPUS) on the maturation of regenerate bone in a rabbit limb lengthening model.METHODS:Sixty skeletal mature female New Zealand white rabbits were randomly divided into an LIPUS treatment group and a control group. All rabbits were underwent mid-diaphyseal tibial osteotomy and immobilized in an Orthofix M103 Mini lengther. Gradual distraction at 0.5 mm every 12 h for 10 d was performed at day 7 postoperatively. A 4-week course of LIPUS treatment group was applied over the distraction site for 20 min daily starting immediately after the completion of the distraction only for the treatment group. Rabbits were euthanized and the mid-diaphyseal tibia was harvested for evaluation at 4, 8, and 12 wk after the completion of the bone lengthening protocol. Radiographic analysis was performed to study the formation of bone callus using the ImageJ software at 12 wk after the completion of the bone lengthening protocol. Bone mineral density (BMD) of regenerate bone was measured by Dual energy X-ray absorptiometry (DEXA). Torsional testing to failure was performed on the tibia specimens at 8 and 12 wk after the completion of the bone lengthening protocol.RESULTS:Radiographic measurement showed higher relative gray scale of bone callus in the LIPUS group than that in the control group at 12 wk (P<0.05). BMD in the LIPUS group was significantly higher than that in control group at 8 and 12 wk (P<0.05). Biomechanical testing showed that the ultimate torque, ultimate torsional stiffness, and energy absorption at failure of regenerated bone at 8 and 12 wk in the LIPUS treatment group were better than those in the control group (P<0.05).CONCLUSION:LIPUS as a biophysical stimulation may accelerate the formation and maturation of regenerate bone in rabbit tibia lengthening model.

长久以来,超声波广泛应用在医学影像诊断、外科治疗和骨关节肌肉创伤康复领域中[1-3],外科手术中使用的是高强度超声波,影像学诊断和骨关节肌肉创伤的物理治疗使用的是非侵入性的低强度超声波.