[目的]探讨术前床上排尿训练对冠心病介入诊疗病人术后尿潴留的影响。[方法]将148例病人随机分为干预组和对照组,干预组病人术前1 d进行床上排尿训练,对照组术前不进行床上排尿训练,比较两组病人术后尿潴留的发生率。[结果]干预组术后尿潴留发生率明显低于对照组(P<0.01)。[结论]术前床上排尿训练可有效减少冠心病介入诊疗病人术后尿潴留的发生,从而减少导尿,是一种有效的护理方法。

目的:探讨经股动脉穿刺行冠脉造影及冠脉介入手术后应用弹力绷带的加压包扎时间。方法:选择我院352例行冠状动脉造影及冠状动脉支架术的老年患者,随机分为观察组和对照组各176例。两组在术后行徒手压迫止血20min后,应用弹力绷带8字交叉加压包扎穿刺部位,观察组冠脉造影加压包扎8h、支架植入术后12h拆除绷带;对照组冠脉造影加压包扎12h、支架植入术后24h后拆除绷带,观察两组患者股动脉穿刺处渗血、血肿、皮下淤斑、假性血管瘤等并发症及患者舒适度情况。结果:观察组和对照组的并发症发生率无显著差异性(P>0.05),两组患者舒适度情况比较具有显著性差异(P<0.05)。结论:应用弹力绷带加压包扎止血,冠脉造影术后8h,支架植入术后12h拆除弹力绷带能减少患者的不适感且安全有效。

Objective:To observe the effect of preventing oral fungal infection of sodium bicarbonate oral cavity nursing for patients accepted glucocorticoids inhalation therapy.Methods:A total of 46 bronchial asthma and severe COPD patients were randomly divided into two groups.Therapeutic principles for both groups cases were the same.Patients in observation group were given sodium bicarbonate oral cavity nursing after glucocorticoids atomization inhalation.However,patients in control group were given normal saline oral cavity nursing.Then the incidence rate of oral leukoplakia and the fungal infection rate of the two groups were observed.Results:The incidence rate of oral leukoplakia of the two groups patients were 3.13% and 25.00% respectively.The fungal infection rates of the two group cases were 0.00% and 18.75%.There were statistical significant differences between the two groups(P<0.05).Conclusion:Using sodium bicarbonate oral cavity nursing for severe asthma patients accepting glucocorticoids inhalation can reduce the incidence rate of oral leukoplakia and the fungal infection rate.

目的探讨中药组方清口液用于口腔护理的临床效果.方法将需口腔护理的120例病人随机分为三组(各40例).分别用清口液、生理盐水和呋喃西林溶液进行口腔护理,并观察比较三组口腔护理前后的pH值变化、细菌培养及临床疗效.结果三组口腔护理前后的pH改变及组间对照经统计学处理 ,差异无显著性意义(P＞0.05);清口液、生理盐水和呋喃西林液细菌培养的转阴率分别为67.4%、22.2%和82.3%,清口液组与生理盐水组比较,差异具有极显著性意义(P＜ 0.001),与呋喃西林组比较,差异无统计学意义(P＞0.05);三组疗效比较 ,清口液组总有效率达95.0%,生理盐水组和呋喃西林组分别为80.0%和82.5%,清口液组与生理盐水组比较,差异有显著性意义(P＜0.05).结论清口液用于口腔护理,效果优于临床常用的生理盐水和呋喃西林溶液,且口感好、粘膜刺激小,可以替代以上两种溶液.