目的 探讨新型敷料应用于新生儿皮肤浸渍护理中的效果.方法 选取2018年1月至2018年12月中国人民解放军总医院第七医学中心附属八一儿童医院收治的皮肤浸渍患儿120例,按入院时间顺序将2018年1月至2018年6月的60例患儿作为对照组,采用传统方法护理浸渍皮肤;将2018年7月至2018年12月的60例患儿作为观察组,针对皮肤浸渍的程度选用合适的新型敷料给予护理.比较两组患儿皮肤浸渍的治疗效果和愈合时间.结果 观察组总有效率为95.0％,皮肤愈合时间为(3.20±1.02)d,对照组总有效率为83.3％,皮肤愈合时间为(4.28±1.51)d.观察组总有效率高于对照组,皮肤愈合时间短于对照组,差异均有显著性(P<0.05).结论 新型敷料用于新生儿皮肤浸渍的护理,疗效确切,可减轻患儿痛苦,缩短了皮肤愈合时间,减少护理人员工作量.

目的:探讨N-乙酰半胱氨酸联合沙美特罗替卡松粉吸入剂治疗稳定期慢性阻塞性肺疾病的临床效果.方法:选择中国人民解放军南部战区海军第一医院100例2017年6月-2018年5月稳定期慢性阻塞性肺疾病患者.随机分组,单一治疗组采取沙美特罗替卡松粉吸入剂治疗,联合用药组则采取沙美特罗替卡松粉吸入剂+N-乙酰半胱氨酸治疗.比较两组稳定期慢性阻塞性肺疾病疗效;慢性阻塞性肺疾病症状改善时间、住院观察时间;治疗前后患者肺功能监测指标以及C-反应蛋白;不良反应.结果:联合用药组稳定期慢性阻塞性肺疾病疗效、慢性阻塞性肺疾病症状改善时间、住院观察时间、肺功能监测指标以及C-反应蛋白相比较单一治疗组更好,P<0.05.治疗过程均未见明显不良反应.结论:沙美特罗替卡松粉吸入剂+N-乙酰半胱氨酸治疗稳定期慢性阻塞性肺疾病效果好.

随着医学事业是新月异的不断发展，围绕以病人为中心，以“预防疾病，保持生命，减轻痛苦，促进健康”为主题的医疗卫生领域中的探索与实践亦日益深入。医院内感染的预防，已成为一个重要的公共卫生问题，也是现代卫生学、临床医学、流行病学、护理学和管理学的重要研讨课题。本文就护理工作在控制院内感染的意义和方法方面谈几点粗浅的看法。

<正>患者女,73岁。因绝经20余年后,阴道不规则流血1月余于2011年3月1日就诊。门诊妇科检查示:阴道通畅,见少许血性分泌物,宫颈可见多个纳氏囊肿,无举痛。彩超示:子宫体8.4 cm×8.0cm×5.8 cm,形态失常,肌层回声不均质,左侧壁探及4.9 cm×4.9 cm的低回声结节,内膜厚2.8 cm,

<正>带状疱疹是临床常见的皮肤病,由水痘-带状疱疹病毒侵犯脊髓后索和机体的免疫反应等原因所致。虽然带状疱疹感染是自限性疾病,但带状疱疹愈后常遗留神经痛(PHN)[1],严重影响患者的生活质量,尤好发于老年及免疫力低下的患者[2]。有报道采用活血化瘀的注射剂静脉滴注能降低普通人

Objective To investigate the treatment effects of combined glargine insulin plus acarbose in improving theβ-cell function of the newly diagnosed T2DM.Methods Self-control study was used to evaluate the therapeutic effect of combined glargine insulin plus acarbose in 60 newly diagnosed T2DM patients.Intravenous glucose tolerance test(IVGTT) was performed before and after intensive therapy respectively.And the area under the concentration of insulin response curve(AUC) in the first 10mins (AUC_(0-10)),acute insulin secresion reaction to the glucose in the first 3 mins(AIR_(1-3)),as well as HOMA-βand HOMA-IR were calculated from IVGTT.Results The values of AUC_(0-10),AIR_(1-3) and HOMA-βafter the intensive therapy were increased obviousely when compared with the values before treatment.On the other hand,the fasting and prandial blood glucose,HbA_1c and HOMA-IR were decreased notably when compared with the pretreatment(P0.05).Conclusions The treatment of combined glargine insulin plus acarbose is an effective,convenient and safe antidiabetic therapy.Moreover,the function ofβcell is improved and the resistance ofβcell is relieved through the therapy.

Objective To investigate the efficacy and safety of monosialoganglioside in the treatment of acute head injury.Methods Three hundred and sixty-eight acute head injury patients were randomly divided into 2 groups,167 cases in the control group were administrated with normal therapy,201 cases in the treatment group were administrated with normal therapy and monosialoganglioside.Results The clinical efficacy rates of control group and treatment group were 82.04%and 91.54%respectively,and there were significant differences between the two groups(P<0.05).Conclusion Monosialoganglioside can improve the efficacy of acute head injury patients,and decrease the mortality.

<正>患者,女,84岁。因"左股骨颈骨折卧床1个月,伴食少、恶心呕吐10 d"于2010年4月24日入院。患者于1个月前意外跌倒致左股骨颈骨折而到当地医院牵引、卧床、留置尿管保守治疗。10 d前出现食少腹胀,进食后恶心呕吐,尿液混浊有沉淀物。既往有脑梗死病史10 a,肢体活动正常,无遗留后遗症。曾对红花

<正>1病例资料患者男,48岁,因胸部刀伤出血较多,胸痛、胸闷1h入院,入院查体:T 36.8℃,HR 120次/min,R 25次/min,BP85/60mmHg,神志清,皮肤湿冷,口角可见呕吐物,胸廓基本对称,胸部正中第4肋间平面可见有一长15cm刀口,有渗血,不能平卧,右肺呼吸明显减弱,呼吸急促。胸部CT示:

<正>小儿腹泻是儿科常见病、多发病,发病年龄多在2岁以下,病因较复杂。由于其发病率高,对儿童健康危害较大,若治疗不及时或不正规,将严重影响小儿营养、生长、发育,甚至危及生命。笔者在2009年1月—2010年1月应用宝乐安和消旋卡多曲治疗48例小儿腹泻,疗效满意,现报道如下。

<正>患者女,主因咳嗽、咯痰、发热1周入院。查体:体温38.5℃,心率83次/min,呼吸22次/min,血压130/90mm Hg(1 mm Hg=0.133 kPa),口唇颜面无紫绀,胸廓无畸形,双肺呼吸运动对称,呼吸频率正常,无胸膜摩擦感,胸壁和肋骨无压痛,双肺叩诊音清,听诊呼吸音粗,可闻及干

<正>压疮是临床高危病人的主要并发症之一[1]。在护理中,足跟、内外踝、肘关节及膝关节的内外侧等一些经常受压的骨隆突处的皮肤护理是临床工作中的难题。笔者利用乳胶手套来解决这一问题,效果好,具体方法如下。1材料:乳胶手套2个。

<正>患者,男,52岁,主因突发心前区疼痛1 h入院;2010年5月25日无明显诱因出现心前区疼痛,疼痛呈压榨性,疼痛持续不缓解,伴咽喉烧灼感及背部放散,伴大汗。为进一步诊治来我院,患者既往无过敏史,门诊查心电图示:窦性心律,Ⅱ、Ⅲ、AVF、V4～V8导联ST段弓背向上抬高0.7～0.8 mv,与T波升支形成单向曲线,I、AVL、V1～V3导联

医院病案管理是医院管理信息系统的重要组成部分,在医院质量管理中起着重要作用。要提高病案管理质量,必须要充分认识到病案管理的重要性,加强病案管理制度的建设和严格落实制度管理,才能使病案管理制度化,正规化。

<正>1病历介绍患者,女,45岁,以"持续性胸闷、气憋伴大汗1 h"之主诉入院。自述晨起突感头晕、心慌、胸闷、气憋,伴心前区闷痛,以胸骨后为著,剧烈有濒死感,向左肩背部放射,伴大汗淋漓、恶心、呕吐1次,呕吐物为胃内容物。症状持续1 h不缓解。

随着高效广谱抗生素、免疫抑制剂、介入治疗的广泛应用,致使重症监护病房患者侵袭性真菌感染(IFI)者明显增多[1].IFI进展迅速,死亡的重要原因,故早期诊治显得尤为重要,1例报告如下:

<正>肺炎是小儿的一种主要常见病,大多见于婴幼儿,也是婴儿时期主要死亡原因,就全球而言,小儿肺炎是发展中国家5岁以下儿童死亡的主要原因。现用盐酸氨溴索联合头孢呋辛钠治疗小儿肺炎120例,疗效满意,现报告如下。

<正>患者,女,52岁,主因间断胸闷、气短1年,加重伴肩背部疼痛2d入院;既往有"高血压病"病史3年,血压最高150/100mmHg,规律服用降压药物,血压控制可。否认"糖尿病史"。患者缘于1年前无明显诱因出现胸闷、气短,无胸痛、大汗,约持续数分钟左右,经休息后症状缓解。以后上述

Objective:To investigate the condition of out-patient pediatrics prescriptions in our hospital for its rational drug use.Method:Outpatient pediatrics prescriptions were collected from October 2007 to September 2008 and statistically analyzed.Result:The average sum of each prescription was 56.43 yuan.The transfusion prescriptions and antibacterial prescriptions accounted for 87.20%and 94.68%of the total,respectively.The average medicine varieties of each prescription were 3 and occupied 42.70%.The respiratory system diseases occupied 88.38%of the pediatrics outpatient diseases. Antibacterials were prescribed in all the patients diagnosed as respiratory diseases and the drug combination was rational. But over-use of hormone drugs was worth paying much attention to.Conclusion:The pediatrics medicine use was rational on the whole in our hospital,but had some problems.They influenced not only the medical quality but also drug-use safety of patients.Therefore,medical staff should pay high attention to them and education of the rational use of drugs should be further enhanced.

Objective:To observe the effect of bone-peptide injections on the union of fracture.Method:136 cases of patients with the same site and nature of fracture injury were selected and randomly divided into 2 groups.On the basis of the conventional treatment(open reduction and internal fixation and anti-infection),the treatment group were given bone-peptide injections,50mg,qd,15d for a course of treatment,and 1-3 courses could be used according to the disease development.The controlled group was treated by the conventional treatment and their fracture healing,observed.Result: There were statistically significant differences between the treatment group and controlled group in the clinical healing time of fracture and the treatment group had no significant adverse reactions.Conclusion:The bone-peptide injection can promote the union of fracture and has its good curative effect and little adverse effect.