Objective:To discuss the clinical effect of the theory of prevention before disease onset combined with Aici-moxibustion on preventing PICC phlebitis of upper limbs. Methods: Divided 110 cases of patients with malignant tumors who received PICC tube indwelling in peripheral vein of the upper limbs into the treatment group being 54 cases and the control group being 56 cases according to random number table method. The control group was given routine treatment, while the treatment group was additionally given infrared irradiation on the upper limbs half an hour before tube indwelling and received wet compress of 0.05％ of acetic acid chloride, coating of 2％ of mupirocin ointment and application of Aici-moxibustion. The treatment in the two groups lasted both for seven days.Observed the incidence and degree of phlebitis, the times of dressing changes of PICC catheter and maintenance cost of patients in the two groups seven days after tube indwelling. Results:The incidence of phlebitis was 11.11％ in the treatment group and 39.28％ in the control group, difference being significant (P＜ 0.05). The phlebitis in the two groups occurred within 25 to 72 hours after tube indwelling. During this period, 4 patients (66.67％) had phlebitis in the treatment group and 15 patients (68.18％) had phlebitis in the control group. Within seven days after tube indwelling, the times of dressing changes and maintenance cost of PICC catheter in the treatment group were both significantly lower than those in the control group, difference being significant (P＜ 0.05). Conclusion:Based on the theory of prevention before disease onset, the preventive use of anti-infective drugs before and after tube indwelling combined with the application of Aici-moxibustion can effectively prevent the occurrence of phlebitis after PICC tube indwelling in the upper limbs, reduce the times of dressing changes of puncture mouth and lower the maintenance cost of catheter. It is worthy of clinical promoting and application.

目的:探究围手术期综合护理干预对肝癌介入术后患者生活质量的影响.方法:选取本院于2014年至2017年收治的100例肝癌手术患者作为研究对象,采用随机分配的方式,分为参照组和观察组,每组50例.参照组患者采用常规护理,观察组患者在参照组的基础上进行围手术期综合性护理干预.观察两组患者的护理效果.结果:观察组的并发症发生率、QOL-C30评分均优于参照组,P＜0.05,具有统计学意义.结论:予以肝癌介入术后患者围手术期综合性护理干预,能有效提高患者的生活质量.

目的:观察耳穴贴压配合优质护理对腹腔镜胆囊切除围手术期患者疼痛、生存质量及护理满意度的影响.方法:选取90例胆结石行腹腔镜胆囊切除术患者,按照随机数字表法分为对照组和观察组各45例.2组术后均予抗感染、补液等治疗,对照组手术前后实施优质护理,观察组在对照组干预基础上加用耳穴贴压.观察2组干预前后疼痛及生存质量的改善情况,评估患者的护理满意度.结果:干预前,2组胃肠道生活质量指数(GIQLI)比较,差异无统计学意义(P＞0.05).干预后,2组GIQLI均较治疗前升高(P＜0.05),观察组GIQLI高于对照组(P＜0.05).干预前,2组视觉模拟评分法(VAS)评分比较,差异无统计学意义(P＞0.05).干预后,2组VAS评分均较干预前降低(P＜0.05),观察组VAS评分低于对照组(P＞0.05).观察组护理满意度97.8％,对照组护理满意度96.1％,2组比较,差异无统计学意义(P＞0.05).结论:耳穴贴压配合优质护理干预腹腔镜胆囊切除术围手术期患者,可有效减轻疼痛,提高生存质量,护理满意度高.

目的：探讨缓解食管癌术后腹胀的中西医结合护理方法。方法将通过病历查询回顾性调查得105例食管癌术后出现腹胀的患者作为对照组，实施前瞻性研究得70例食管癌术后出现腹胀的患者作为实验组。对照组实施食管癌术后常规护理，实验组在术后常规护理的基础上，给予穴位按摩，主要有中脘穴、气海穴、足三里穴及天枢穴。统计两组患者术后腹胀情况，肠鸣音恢复时间及第一次排气、排便时间，并进行统计学分析。结果实验组在减轻术后腹胀程度，缩短术后肠鸣音恢复时间及第一次排气、排便时间方面均优于对照组，差异有显著性，具有统计学意义（P<0.05）。结论在食管癌术后常规护理基础上给予穴位按摩，可减轻食管癌术后患者腹胀程度，促进胃肠道功能恢复。该法操作简便、疗效显著，值得临床推广应用。

目的:探讨电针疗法治疗心脏直视术后呃逆的临床疗效及护理体会.方法:将符合入组标准的120例患者随机分为2组各60例,在一般护理及传统屏气止呃逆方法的基础上,观察组应用电针内关和足三里穴位,对照组使用解痉药物甲氧氯普胺,比较2组患者3天内呃逆症状消失率及平均消失时间.结果:心脏直视术后3天内呃逆症状消失率观察组均优于对照组,呃逆症状消失平均时间观察组时间短于对照组,2组比较,差异均有统计学意义(P＜ 0.01).结论:电针疗法能有效改善心脏直视术后呃逆,值得临床使用.

腹胀是食管癌术后胃肠道常见并发症,临床以腹胀、腹痛、肛门不排气等一系列胃肠功能紊乱的表现为主,可直接影响患者术后的恢复,有时甚至可产生严重的后果,故尽早恢复胃肠功能对术后的恢复十分重要.食管癌术后患者的腹胀,中医认为是因为手术影响,气机郁滞导致.我科应用由理气消滞中药组成的药熨法治疗本病60例,取得良好效果,现报告如下.

<正>鲍曼不动杆菌是医院感染的重要病原菌,近年来感染逐渐增多且耐药性日益严重。它主要引起呼吸道感染,也可引发败血症、泌尿系统感染、继发性脑膜炎等。鲍曼不动杆菌在医院环境中分布很广且可长期存活,对危重患者威胁很大,因此也被称作ICU获得性感染。本科于2011年11月收治了1例鲍曼不动杆菌感染患者,经中西医结合护理病情好转,现将护理体会报告如下。

舒适护理模式又称萧氏双C护理模式,其理念是使人在生理、心理、社会、灵魂上达到最愉快的状态或缩短、降低其不愉快的程度,目的是使患者身心处于最佳状态,以便更好地配合治疗,减少并发症,促进早日康复[1]。为食管癌手术前后的患者提供恰当的中西医结合舒适护理,可缓解患者的紧张、恐惧情绪,有利于患者积极的配合治疗,促进患者胃肠功能的恢复,减轻患者疼痛,增加患者生活舒适度,促进患者早日康复。

<正>一次性使用输液器在临床上应用广泛,是使用量大、使用面广的一种主要输液治疗器械。目前临床应用的普通输液器的滤过孔径为15～20μm,孔径大,滤过效果低,对15μm以下的微粒基本没有截留作用,药液不能充分利用,药液滴完后

总结了19例腹主动脉瘤患者行腔内隔绝术治疗的中西医结合护理。护理重点为术前做好心理护理,防止腹主动脉瘤破裂,注意观察血压及双下肢血运变化;术后严密观察生命体征、肢体血运,注意有无出血倾向,重视肾功能、内漏的观察。经中西医结合治疗及护理,19例患者治愈出院,未发生并发症。

Objective To make a conclusion of combining traditional Chinese and western medicine nursing of 25 patients with acute dissecting aneurysm of aorta. Methods The clinical data of 25 patients with acute dissecting aneurysm of aorta were retrospectively analyzed.Results All the 25 patients were cured and discharged.. Conclusion Combining traditional Chinese and western medicine nursing is extremely important to improve recovery, effectively reduce complications and raise the success rate of rescue.

目的:探讨术前进行强化呼吸道管理对胸部手术患者术后肺部并发症的影响。方法:将310例胸部相关手术术后患者随机分为两组,对照组术前只进行一般性呼吸训练指导,试验组术前进行强化呼吸道管理,比较分析两组患者术后2周内出现肺部并发症的情况。结果:对照组155例患者术后2周内,出现肺部并发症21例;试验组155例患者术后2周内出现肺部并发症4例,两组间肺部并发症发生情况差异有统计学意义(P<0.05)。结论:术前强化呼吸道管理能减少胸部手术患者术后肺部并发症的发生。

Objective To investigate the plasma concentrations and significance of variation of N-terminal pro-brain natriuretic peptide(NT-proBNP) in the tetralogy of Fallot(TOF) before and after surgery.Methods From August 2007 to June 2009,45 patients treated were diagnosed as TOF.With the same period,30 cases of asymptomatic patients with ventricular septal defect as the control group.Respectively,1 week,1 month or 12 months before or after surgery,the blood of bcubital vein was taken to detect the concentration of plasma NT-proBNP,and cardiac ultrasound was taken to measure pulmonary transvalvular pressure,right ventricular end diastolic volume(RVEDV),left ventricular ejection fraction(LVEF) and isovolumic time index(Tei-index) of right ventricular ejection.Results Before surgery,the plasma level of NT-proBNP in patients with TOF was significantly higher than that in patients with ventricular septal defect.In one week after surgery,the plasma level of NT-proBNP in patients in both groups was higher than that before surgery,but lower in 12 months after surgery than that before surgery.The level of NT-proBNP in patients with TOF was higher than that in the control group,and it was related with the function of right ventricular and pulmonary regurgitation.Conclusion The level of NT-proBNP in patients with TOF was related with the function of right ventricular and pulmonary regurgitation and it was an indicator of evaluating the function and Prognosis of right ventricular in patients with TOF after surgery.

目的探讨乳腺癌改良根治手术患者应用中医临床护理路径的效果。方法抽取2004年12月—2006年12月的乳腺癌改良根治手术患者100例作为对照组,按乳腺癌根治术常规护理;选择2007年9月—2009年9月的乳腺癌改良根治术患者100例作为观察组,采用中医临床护理路径,充分发挥中医情志护理和中医饮食调护的特点,优化组合电针止痛、中药外敷预防静脉炎、耳贴及沐足等中医特色护理措施。比较两组患者住院时间、静脉输液时间及住院费用,护理不良事件发生率及满意度。结果观察组较对照组住院时间、静脉输液时间均缩短(P<0.05),住院费用较对照组减少(P<0.05),护理不良事件发生率较对照组减少(P<0.01),护理满意率较对照组明显提高(P<0.05)。结论乳腺癌改良根治手术患者应用中医临床护理路径可以降低住院费用,减少护理不良事件的发生,提高患者满意度。

探讨毒蛇咬伤病人的护理,做好伤口护理,严密观察病情,中西医结合,防治并发症,提高治愈率。

探讨开胸术后患者排痰护理,以促进患者有效排痰,预防肺部术后并发症。通过术后早期活动,叩背与主动咳嗽,配合雾化吸入等措施,使痰液易于咳出,可防止肺部并发症的发生。

目的评价用心电电极代替毫针进行电针术后止痛治疗的临床疗效。方法对627例次术后病人选用常用穴位2～4个(双侧),将一次性使用心电电极粘贴在穴位处后与电针治疗仪用鱼嘴夹相连,选择疏密波由小到大逐渐调节电流至所需量值,每次通电治疗时间为30分钟,治疗结束后记录患者疼痛症状的变化。治疗效果以VAS的改善程度来评定。结果观察的627人次中,显效26.0%,有效63.5%,无效10.5%。总有效率为89.5%。结论采用一次性使用心电电极代替传统的毫针进行电针疗法,操作简便,更易于病人接受,使得电针止痛疗法能更广泛地在临床开展。