目的:快捷、准确地获取检验危急值结果.方法:制定实验室信息系统(laboratory information system,LIS)报告和双通道报告(即LIS和电话同时报告)检验危急值的标准、流程并进行监管.采用x2检验、Pearson相关系数、数据差Shapiro-Wilk检验及秩和检验法对LIS报告和双通道报告结果获取时间、回复率进行比较.结果:与LIS报告相比,双通道报告13 min即可完成检验危急值由检验科发出,经护士工作站再到医生无误获取结果的过程,比LIS报告时间显著缩短(P＜0.05);双通道报告护士回复率及医生回复率也显著增高(P＜0.00001).结论:双通道报告检验危急值回复时间、回复率都优于LIS报告检验危急值,缩短了报告时限,提高了报告准确性.

Objective To investigate the stimulatory effect of TPH, a recombinant attenuatedSalmonella strain carrying hepatocyte growth factor (HGF) gene eukaryotic expression vector, on angiogenesisin vitro. Methods A stable strain (TPH), recombinant attenuatedSalmonella carrying HGF gene eukaryotic expression vector, was constructed. The TPH was transfected into human umbilical vein endothelial cells (HUVEC). And the express level of HGF interest protein was assessed by ELISA. Effects of the expression product after TPH transfection on HUVEC proliferation and angiogenesis were assayed by MTT and chicken embryos chorionic allantois membrane (CAM) stimulating activity, respectively. Results The TPH could be effectively transfected into HUVEC in vitro and highly express HGF interest protein. The expression concentration of HGF protein is (160 - 190)ng/ml by 6 × 105 cells. The expression supernatant after TPH transfection could significantly stimulate the proliferation of HUVEC, with a dose-effect relation, compared with the supernatant (same volume as HGF expression supernatant) from TP-transfected and control groups. The expression of HGF supernatant after TPH transfection also could significantly promote the angiogenesis of chorioallantoic membrane (CAM). The numbers of blood vessel in expression supernatant from TP-transfected group (83.3 ± 5.5)/cm2 and PBS group (62.7 ± 7.1)/cm2 were significant fewer than that in HGF expression product from TPH-transfected group (133.0 ± 11.5)/cm2 (P< 0.05). Conclusion TPH can effectively transfect HUVEC and promote the cell proliferation, stimulate angiogenesis, may play an important role in wound healing in organization, has potential application value in gastric ulcer treatment.

目的：观察气动计时器在吸氧患者中的临床应用效果。方法将气动计时器应用于呼吸内科2012年9-10月需吸氧患者100例，抽取1～25床床单元收治患者50例为观察组，26～50床床单元收治患者50例为对照组。观察组采用气动计时器进行自动计时收费；对照组按传统收费，即根据医嘱电脑自动生成收费。比较两组用氧依从性、计费准确率及患者满意度。结果观察组患者用氧依从性及计费准确率分别为98％，100％，均高于对照组的60％，60％，差异均有统计学意义（χ2分别为25．29，19．93；P＜0．01）；观察组用氧满意度显著高于对照组，差异有统计学意义（u＝4．249，P＜0．01）。结论气动计时器的应用，可减轻护士工作量，提高患者用氧依从性，准确计算患者用氧时间，提高患者满意度，减少医疗纠纷的发生。

目的:探讨刚柔相济管理模式在护生临床带教管理中的应用效果.方法:选择我院实习护生100例,随机分为对照组与实验组,对照组采用刚性管理带教,实验组采用刚柔相济管理带教.对两组护生带教前后的理论和操作成绩以及带教后的实习积极性进行统计与比较.结果:实施带教前两组护生的理论和操作成绩没有显著性差异,而带教后实验组理论和操作成绩以及实习积极性优于对照组(P＜0.05).结论:在临床带教中对护生采用刚柔相济管理模式带教,可以充分调动护生的工作积极性,激发其对专业的学习兴趣,有利于带教工作的顺利进行.

目的 观察全自动摆药机在糖尿病住院患者中的应用效果.方法 随机选择2011年10月至2012年8月全自动摆药机使用前后内分泌科糖尿病住院患者进行对比研究,使用前为对照组(481例),使用后为观察组(498例).观察护士核领药物时间、摆药和发药环节的差错率,以及医生和患者对护理工作的满意率.结果 观察组护士等待领取药物时间为(26.00±3.80) min,核对药物时间(17.20±1.92)min,均少于对照组,差异有统计学意义(t值分别为7.573,9.979;P＜0.01);摆药、发药差错率由2.3％下降至0.2％,差异有统计学意义(x2=7.879,P＜0.05);使用摆药机后,医生和患者对护理工作的满意率分别由原来的65％,60％提高至99％,98％,差异有统计学意义(x2值分别为3.907,5.164;P＜0.05).结论 使用全自动摆药机能减轻护士工作强度,方便糖尿病患者服用不同时段的降糖药物,有效提高患者用药的准确性、安全性,和谐医护患关系。

<正>根据《中华人民共和国药典-临床用药须知》(2010版)规定:使用青霉素类抗生素前均需做青霉素皮肤过敏试验,阳性反应者禁用。《中华人民共和国药典》对头孢菌素类抗生素未做明确规定,只是简要说明对有过敏史或过敏体质者等,可根据情况用原液做皮肤过敏试验〔1〕。目前,临床上常用的抗生素有青霉素类、头孢类及其他β-内酰胺类。一是为保护患者用药安全,减少用药后过敏反应发生率;二是为当前医患矛盾突出的情况下,尽量消除医患矛盾的诱发因

Objective To systematically evaluate the effectiveness of aloe vera and its products(e.g.dressing for external use,and gel) for both acute(e.g.laceration,surgical incision,and burn) and chronic(e.g.infectious wound,and artery and venous ulceration) wounds.Methods-With "aloe" and "wound" as the index words,such databases as Cochrane Library,PubMed,EMbase,CBM,CNKI and VIP were searched from the inception to April,2012 to collect the randomized controlled trials(RCTs) about aloe vera or its products for treating acute and chronic wounds.Two authors independently screened literature,extracted data and assessed the risks of bias.Then meta-analysis was conducted using RevMan 5.0 software.Results-A total of 15 RCTs involving 773 participants were included,and all studies were of low quality.There were 8 RCTs which evaluated aloe vera for treating acute wounds(burn,haemorrhoidectomy,and skin biopsy),and no RCT reported the incidence of infection.Compared with silver sulfadiazine,aloe vera products could increase the proportion of healing wounds for patients with burn(RR=1.28,95%CI 1.03 to 1.60,P=0.03);compared with antibiotic cream,aloe vera products could reduce the average healing time for patients with burn(MD= -12.90,95%CI -13.29 to -12.51,P<0.000 01);compared with conventional therapy,aloe vera gel could increase the proportion of healed patients with acute surgical wounds(RR=16.33,95%CI 3.46 to 77.15,P=0.000 4),and could increase the proportion of healed patients with pressure sores(RR=1.73,95%CI 1.21 to 2.49,P=0.003).Conclusion-The application of aloe vera topical agents and dressings is positively significant to both acute and chronic wounds.But this conclusion still needs to be supported by high quality trials.

目的 探讨风险评估三联单(压疮、跌倒/坠床、导管)在内科住院患者安全管理中的应用效果.方法 选择2012年1--6月兰州军区兰州总医院内科使用风险评估三联单的12个护理单元10 672例住院患者为观察组,2011年同期未使用风险评估表前9 369例作为对照组.观察者患者入院开始进行风险评估,对经评估的高危患者实施护理干预措施并跟踪监控.比较两组患者压疮、跌倒/坠床、导管滑脱情况.结果 观察组发生跌倒4例,对照组18例；观察组无坠床情况发生,对照组发生坠床7例；观察组发生导管问题3例,对照组发生74例,两组比较差异均有统计学意义(x2值分别为9.515 9,73.6574,5.980 0;P ＜0.05).观察组无压疮发生,对照组4例,差异无统计学意义(x2=2.668 8,P＞0.05).结论 通过实施风险评估,强化了护士的风险防范意识,有效地预防了压疮、跌倒/坠床、导管滑脱问题的发生,保证了护理工作及患者安全.

Objective To investigate the application effects of improved sputum suction technology.Methods Totally 56patients with artificial airway from Lanzhou General Hospital of PLA were recruited and divided into control group and observational group.Patients in the observational group were given improved sputum suction technology,while patients in the control group were given conventional sputum suction technology.Preparation time before suction,SpO2before suction,during the suction process and after suction,reservation time for SpO2after sputum suction,bacterial cultivation results of tube joints were compared between the two groups.Results No significant difference in SpO2was found between the two groups before suction(P>0.05).Significant differences in preparation time before operation,SpO2during suction and after suction,reservation time for SpO2after suction were detected between the two groups(P<0.01).Significant difference was found in infection incidence of tube joints between control group(n=6,21.4%)and observational group(n=1)(P<0.05).Conclusion With less influence on patients and lower incidence of infection,the improved suction technology is more convenient,timesaving,scientific,reasonable and safer than the traditional methods.

<正>为深入开展"优质护理服务示范工程"活动,我院立足护理学科的发展前沿,大力传承和弘扬黎秀芳精神,创新优质护理服务平台,打造具有文化特色、地域特色和专科特色的护理品牌,取得明显成效,报道如下。1一般资料我院是一所集医疗、保健、教学、科研于一体的大型综合性医院,现展开床位1 700余张,有护理单元51个,配置护士1 028人,全院护理单元均开展

<正>非PVC软袋液体是目前国际最新的输液制剂包装技术[1],具有析出物质少、药物吸附性小、稳定性好、透明度高、重量轻、使用后处理方便、符合环保要求等优点,尤其是输液时无需排气管回路,避免了药物的污染,保证了用药的安全,正逐步广泛应用于临床[2]。我院自2011-10始,使用非PVC单、双管

The statistical work has the functions of decision-making consultation,supervision,analysis,evaluation and prediction in the hospital development.It plays a leading role in the development of the hospital.In order to improve the data quality and statistical quality.We should improve the supervision mechanism,strengthen training,dig data to improve the management level and promote the rapid development of hospital.

<正>在现代疾病诊断中,临床检验起着极其重要的作用。检验结果的正确与否直接影响着临床医生对疾病的正确判断及治疗。有文献报道,检验科80%的检验结果误差与质量差错,发生在分析前检验标本的采集与运送阶段[1]。患者检验前的准

<正>我们从2010-03开始采用微波炉溶解甘露醇结晶的方法,取得了非常好的效果,现介绍如下。1用具及方法1.1用具微波炉。1.2方法将微波炉打开,把结晶的20%甘露醇1瓶250ml直接放入,高火加热1.5min后,取出用力上下摇10～20次,即达到完全溶解且液体完好无损。

<正>糖尿病周围神经病变(diabetes peripheral neuropathy,DPN)是糖尿病常见慢性并发症之一,目前尚缺乏特异治疗的方法。电脑糖尿病治疗仪是根据我国传统的中医经络原理,结合现代电子毫米波技术研究完成的非介入性无创伤性的中医高科技电子治疗仪器。采用毫米波脉冲频率照射治疗技术并辅以特定频率的电脉冲刺激人体的穴位,使组织的微观结构发

<正>我院在开展"优质护理服务示范"活动以来,开拓思路,大胆创新,克服人员少、队伍新、任务重等矛盾困难,努力开创护理人员有序配制,使普通床护比达到1∶0.51,根据护士队伍结构、岗位职责及培训结果进行分层级管理使用,绩效挂钩,通过实施护士分层次管理使用,充分发挥护士潜能及护理团队作用,提高护理质量和工作效率,使伤病员满意度提高到98.6%以上。

<正>席汉病是一种慢性疾病,因产后出血、休克和DICC所致垂体前叶功能减退,现将工作中遇到的1例报道如下[1]。1临床资料患者,女,29岁,生育2胎,生育第1胎时有大出血史,产后无乳汁分泌,渐进出现性征退化,眉毛稀疏,腋毛、阴毛脱落,闭经,贫血等症状,在当地医院按贫血治

Objective To investigate the current status of nurses' critical thinking ability so as to provide the evidence and targeted training to improve nurses' critical thinking ability.Methods Using Disposition towards critical thinking questionnaire-Chinese version(CTDI-CV),a survey was conducted among 100 nurses from 46 clinical departments in Lanzhou General Hospital of Lanzhou Military Command in October 2010.Results The total score of nurses' critical thinking ability was 290.25±2.21.The scores of seven characteristics were as follows:searching for the truth(40.03±0.49),open-mindeness(41.74±0.65),analysis ability(41.95±0.63),systematized ability(41.50±0.72),self-confidence(38.12±0.89),curiosity(42.17±0.70) and cognitive maturity(40.67±0.62).Conclusion The nurses' critical thinking ability in clinical practice should be enhanced through targeted training,especially by developing self-confidence nature of clinical nursing staff.

<正>根据我院护理队伍特点,我们将护理岗位职责、工作强度、技术要求与护士的分层级管理使用有机结合,充分发挥不同层级护士的作用,提高了护理工作效率。1军队医院护理队伍的结构特点1.1护理人员编制不足:我院是一所三级甲等医院,医院军人医护比例严重失调,目前我院展开床位1 750张,通过开展

<正>2010年4月14日7:49时在青海玉树藏族自治州,发生了里氏7.1级的地震,造成千人致残、遇难,数万人受伤。玉树平均海拔4000 m以上。地震发生的当天,我院按照上级指示,迅速组建了106人(其中护士14人)的救援医疗队,奔赴玉树参加医疗救援。同时,也立即启动院内救援预案,抽