目的:探索负压吸引联合钉皮器在腹部外科中应用的安全性和有效性.方法:回顾性研究结直肠癌手术513例,根据关腹方法的不同分为2组,观察组在关腹过程中采用关闭前鞘或白线后皮下留置负压吸引器,钉皮器直接钉合皮肤的方法,对照组在关腹过程中采用关闭前鞘或白线后间断丝线缝合皮下组织和皮肤的方法.结果:观察组的切口并发症(切口感染、脂肪液化、切口裂开、皮下血肿)发生率小于对照组(1.1％vs 13.1％,P<0.05),切口美观度优于对照组(4.6％vs 15.9％,P<0.05),住院总费用无显著差异(5.7万元vs 5.6万元,P>0.05).结论:负压吸引联合钉皮器在腹部外科中应用时具有安全性高、切口并发症发生率低、切口更美观等优点.

目的 比较手助腹腔镜与开腹直肠癌切除术的临床效果,评价手助腹腔镜手术在结直肠肿瘤手术治疗中的安全性及应用价值.方法 选取2012年1月~2014年12月我院收治的直肠癌经手助腹腔镜和开腹行直肠前切除手术的临床资料120例,分析两组的临床效果.结果 手助腹腔镜组手术时间长于开腹组,住院总费用较开腹组多,但淋巴结清扫数量、失血量、切口长度、住院时间、术后排气时间优于开腹组,术后并发症发生率无明显差异.结论 手助腹腔镜直肠癌根治术具有安全性高、住院时间短、创伤小、出血少、术后恢复快等优点.

目的 探讨经鼻塞式持续气道正压通气(CPAP)治疗新生儿呼吸窘迫综合征(NRDS)的临床疗效.方法 以NRDS患儿64例为研究对象,按照抛硬币法随机选取正面患儿32例为试验组,应用经鼻塞式CPAP(无创)治疗,余下的32例患儿为对照组,应用气管插管CPAP(有创)治疗,对比两组的临床疗效.结果 两组治疗成功率差异无统计学意义(P＞0.05);试验组并发症发生率低于对照组,血氧分压高于对照组,血二氧化碳分压低于对照组,呼吸机应用时间短于对照组,差异均有统计学意义(P＜0.05).结论 NRDS采用经鼻塞式CPAP治疗,能够改善患儿的血氧分压及血二氧化碳分压,缩短呼吸机应用时间,减少并发症发生率.

目的:分析口服孟鲁司特钠联合吸入性糖皮质激素治疗儿童哮喘的临床治疗效果.方法:97例哮喘患儿,按入院顺序先后分为观察组(48例)和对照组(49例).对照组采用吸入性糖皮质激素治疗,观察组采用口服孟鲁司特钠联合吸入性糖皮质激素治疗.对比两组患儿的治疗有效性.结果:观察组患儿的治疗总有效率93.75％显著高于对照组的81.63％,差异具有统计学意义(P＜0.05).观察组患儿接受治疗后的呼气流量峰值(PEF)为(92.56±5.70) L/min,一秒用力呼气量(PEV1)值为(93.07±6.40) L/min,明显高于对照组(85.13±4.20)L/min和(84.08±3.50) L/min,差异具有统计学意义(P＜0.05).结论:采用口服孟鲁司特钠联合吸入性糖皮质激素治疗儿童哮喘能够有效提高患儿的治疗有效率,改善患儿的呼吸状况,提高患儿的身体素质.

Objective To study the important factors to ensure the success of the femoral hernia repair. Methods One hundred and 70 cases of femoral hernia admitted were retrospectively analyzed by studying the indices such as gender, age, left/right sides, incarcerated/strangulation, anesthesia, surgical procedure, postop?erative hospitalization days, seroma complications, infection of incision, local foreign body sensation, chronic pain and the recurrence rate. Results All the 170 cases had McVay, Plug, Lichtenstein or Preperitoneal her?nia repair with local anesthesia,epidural anesthesia or general anesthesia respectively, the hospital stays were 3 to 8 days and the average stay was 5.4 days. There were 14 cases complicated with seroma, 4 cases with incision infection, 11 cases with local foreign body sensation and 4 cases with chronic pain, but there were no relapse cases in those followed up for more than 1 year. Conclusion Accurately grasping of the anatomy of femoral ring and“Corona Mortis”and reasonable choosing the method of anesthesia and surgery are the important factors to ensure the success of the femoral hernia repair.

Objective To observe the clinical efficacy of "Siwu Xiaofeng Decoction" in the treatment of senile cutaneous pruritus.Methods Eighty-nine subjects were randomized into two groups: control group in which 44 cases were treated by Cetirizine Hydrochloride Tablets,and treatment group in which 45 cases were treated by "Siwu Xiaofeng Decoction" and Cetirizine Hydrochloride Tablets,with a course of four weeks.Results The total effective rate was 93.33% in the treatment group and 70.45% in the control group(P<0.05).Conclusion "Siwu Xiaofeng Decoction" can help senile cutaneous pruritus.