目的:探究预见性护理预防肾衰血液透析患者高磷血症的作用.方法:将2016年1月至2017年6月在我院接受血液透析治疗的90例患者纳入研究,对照组给予常规护理,观察组给予预见性护理,对比两组护理指标.结果:观察组的护理满意度、血透达标率均显著高于对照组,高磷血症发生率低于对照组,两组数据差异有统计学意义(P<0.05).结论:在肾衰血液透析患者中应用预见性护理,可有效降低高磷血症的发生率,值得采纳应用.

Objective To analyze the application ef ect of hospital infection professional training in hospital infection management. Methods This study of hospital infection management includes professional personnel training;the pertinence and the purpose of training;focuses on the e-vents of public health and hospital produce infection events;increase to expand the scope of business departments training ef orts. Results After the training,hospital infection related personnel training in steady state,and the technical ability showed rising trend,the hospital infection knowledge level has improved,addition greatly increased the infection treatment level. Conclusion The hospital infection staf need to enhance their profession-al knowledge level,so as to ef ectively carry out the hospital infection.

Objective To study the effects of tota parenteral nutrition with Somatostatin on the patients with early postoperative inflammatory small intestinal obstruction.Methods Patients treated with Somatostatin were compared with those treated without related medicine(as control).Inflammatory mediators expression(IL-6 and TNF-α) of patients who have been treated for 2,4,6,10 days by ELISA were detected,followed by the recording of intestinal ventilation and feeding time,cure time.Results Compared with control group,Somatostatin group significantly reduced inflammatory mediators expression level(IL-6 and TNF-α)(P0.01),the intestinal tract secretion flow and the cure time and bowel ventilation time(P0.01).Conclusion Somatostatin of parenteral nutrition can obviously increase the effects of early inflammatory bowel obstruction,shorten the curative process and reduce the inflammatory factor expression,so it is worth putting to wide application.

<正>特发性乙状结肠破裂又称乙状结肠自发性破裂,是指乙状结肠无明确器质病变或外伤情况下突然发生的破裂。该病临床少见,误诊率、病死率高,多见于60岁以上的老年人,大部分患者有便秘史[1]。2001年6月～2011年6月笔者所在医院收治自发性乙状结肠破裂患者33例,均经手术与病理证实,现报告如下。

目的介绍血透患者动脉端直接穿刺的最佳方式,减少患者疼痛、减轻经济负担、保护血管通路,减少并发症,更好地为患者服务。方法对有需要的透析患者运用正确的方法进行肢体动脉直穿。结果穿刺成功率高、操作简单、费用低,与其他血管通路透析效果无明显差异。结论此法操作简单易行,效果好,并发症少,费用低,深受患者欢迎。

糖尿病属于慢性终身性疾病,其控制不仅需要多方面综合治疗,更需要长期的自我护理,因此,对糖尿病患者及高危人群进行健康教育,帮助糖尿病患者树立正确的健康观念,从而改善其自护行为,是减少糖尿病急、慢性并发症和病死率的重要措施.现对糖尿病患者的健康教育内容总结如下.