目的:通过经外周静脉穿刺中心静脉置管(PICC)与静脉留置针在白血病患者静脉化疗中的应用比较,探讨如何减少化疗患者静脉炎及并发症的发生率,从而提高患者在患病期间的生活能力和生活质量。方法:105例血液病患者分为两组,50例PICC置管组,55例静脉留置针组,记录静脉炎及置管后并发症的发生情况。结果:PICC置管组留置时间60-240天,静脉留置针组留置时间2～10天。结论:PICC管置管组静脉炎发生3例(6%),疼痛等其他相关并发症6例(12%),留置针组静脉炎发生18例(32.7%),疼痛等其他相关并发症20例(36.3%)。结论:在临床应用中对血液病患者静脉化疗中,选用PICC输液的效果明显优于静脉留置针输液的效果。

Objective To investigate the method of rapid expansion of operation table in field battle operation van.Methods To establish the technological process of rapid expansion of field battle operation table,staffing and equipments needed,make clear of the different division of work for circulating nurses and scrub nurses,clean operation table and put the surgical equipments in order.Results Operation table expansion costed only 5 min,operation can be started immediately.The whole process was fluent and standardized without any unnecessary repetitive motions.The process was practical and ornament and can be used as a teaching material to promote students ability to coordinate with operation practice,get overall nursing process knowledge and communicate between doctors,nurses and patients.Conclusions With time-saving,labor-saving and ensuring safety as basic principles,delicate process,skilled motion accompanied with accurate operation can create favorable conditions for providing rapid treatment to war wounds.

目的:观察以静脉留置针为工具的踝针疗法对腰椎间盘突出症根性痛的治疗效果。方法:针刺点的选取,针具的选择,针刺方法及部位护理的应用。结果:通过对踝部皮肤神经的节段性分布的观察与足三阳经循经路线的结合找出的一种疗法。结论:以静脉留置针为工具的踝针疗法是一种有效的减轻腰椎间盘突出症根性痛的治疗方法。

Objective To explore the method of rapidly expanding WCY 2002-2/40 field battle operation vehicles by 7 persons.Methods The measures included developing the procedure of expanding and dismantling field battle operation vehicles,identifying division of labor,action sequence,operation skills,reasonable organization and repeated joint training.Results Under field conditions,132 cases of operations were completed without complications such as infection.Conclusion Rational division of labor and repeated joint training are the key points to rapidly expand field battle operation vehicles to implement safe and quick treatment.

OBJECTIVETo compare the efficacy difference between acupotomology and operation in the treatment of lumbar disc herniation (LDH).METHODSOne hundred and eighty-four cases were randomized into an acupotomology group (109 cases) and an operation group (75 cases). In acupotomology group, acupotomology was applied to relevant local soft tissues in LDH and the reactive points in the distribution of superior gluteal nerves, at the outlet of sciatic nerve and in the nerve innervate area of the lower extremities separately. In operation group, the small-windowed discectomy through small incision was adopted. The clinical efficacies were assessed between two groups.RESULTSIn acupotomology group, the clinical cured rate was 82.6% (90/109) and the effective rate was 96.3% (105/109). In operation group, they were 86.7% (65/75) and 97.3% (73/75) respectively. There were no significant differences in statistics between two groups (both P > 0.05).CONCLUSIONAcupotomology is definitely effective in the treatment of lumbar disc herniation and its efficacy is similar to that of operation.

<正>护理风险管理是一个管理程序,是对现有和潜在的护理风险的识别、评价和处理,以减少护理风险事件的发生及风险事件对患者、护理人员、医院的危害及经济损失。全膝关节置换术(TKA)目前是治疗老年人因严重膝关节疾病而导致疼痛、关节不稳及严重功能障碍的最有效的方法之一,通过切除病灶和矫正畸形,重建一个稳定的膝关节,恢复改善其运动功能。但老年患者一般健康状况不佳,耐受性

目的:探讨门诊针刀术治疗腰椎间盘突出症的围术期护理方法。方法:对180例腰椎间盘突出症患者行针刀术治疗,做好术前准备、术中配合及术后护理。结果:手术顺利,术后随访10个月,痊愈103例(57.2%),显效50例(27.8%),有效22例(12.2%),无效5例(2.8%),总有效率97.2%。结论:良好的围术期护理可提高手术成功率,减轻患者痛苦,提高护理质量。

<正>交感神经型颈椎病多发生在40岁以上的中老年人,随着年龄的增大,机体抗病能力日益减退,颈部劳损、外伤或局部感受风寒湿邪,均可使颈椎间盘退行性变或颈椎骨关节退变,引起旋转移位,或颈部

交感神经颈椎病系颈椎病中重要的一型,临床症状多样,纷杂,不典型,故误诊率较高。治疗大多为对症治疗,治标不治本。临床对此型颈椎病论述较少。从2001年6月至2007年5月,我科应用自制小针刀结合手法,对明确诊断的交感神经颈椎病120例给予治疗取得了良好的效果。

<正>原发性三叉神经痛是我们在日常生活中遇到的常见病,其特点是顽固、疼痛剧烈。有很多患者患病数年至数十年,经久不愈,疼痛性质为闪电样疼痛,阵发性。一旦出现疼痛难以忍受。有时吃饭、说话、洗脸或吹冷风时都可能发作。本病最大的特点是常规的镇痛药无效。治疗方