目的 探究鼻咽癌放疗患者开展认知干预,对自我管理效能感及不良反应影响研究.方法 纳入2017年1月-2018年12月收入鼻咽癌放疗患者共计80例,按照随机数字表法分为两组,各40例,对照组开展常规护理,观察组在对照组基础上联合认知干预,比较两组护理效果.结果 两组护理前1个月RPFS评分差异无统计学意义(P>0.05),护理后1个月、2个月、3个月RPFS评分高于对照组,两组差异有统计学意义(P<0.05),观察组正性态度、自我决策、自我减压得分高于对照组,两组差异有意义(P<0.05),观察组不良反应率为10.0%,低于对照组25.0%,两组差异有统计学意义(P<0.05).结论 鼻咽癌放疗患者开展认知干预,能提高患者自我管理效能感,降低不良反应,值得推广.

目的:探究恶性肿瘤骨转移疼痛疾病患者放疗过程中开展综合护理模式效果.方法:纳入2017年1月～2018年12月收入恶性肿瘤骨转移疼痛疾病放疗患者共计84例,按照随机数字排列表法分为对照组与观察组各42例,对照组开展常规护理,观察组在对照组基础上联合综合护理模式,比较两组护理效果.结果:护理前两组疼痛评分差异无意义(P＞ 0.05);护理后观察组疼痛评分低于对照组,两组差异有统计学意义(P＜0.05);观察组不良反应率为 7.14％低于对照组 19.05％,两组差异有统计学意义(P＜0.05).结论:恶性肿瘤骨转移疼痛患者放疗期间开展综合护理模式,能有效缓解患者疼痛程度,值得推广.

目的:舒适护理在骨髓转移癌病人放疗中的应用效果观察.方法:纳入我院于2018年2月-2019年1月间收治的62例骨髓转移癌患者,采用电脑随机法将其划分为观察组与对照组各31例,2组患者均接受放疗,观察组在对照组基础上联合舒适护理干预,对照组采用传统护理,评价2组满意度、生活质量评分、焦虑评分.结果:观察组患者满意度30例(96.77％),高于对照组23例(74.19％),(x2=20.539,P<0.05).护理前2组患者社会功能、疼痛、精神健康、生理、情绪等生活质量评分均较低,结果比较无统计学意义,P>0.05;护理后观察组患者生活质量评分均高于对照组,P<0.05.入院时2组焦虑评分结果比较无统计学意义,P>0.05;护理后观察组焦虑评分低于对照组,P<0.05.结论:舒适护理在骨髓转移癌病人放疗中应用可提高患者满意度、生活质量,改善焦虑情绪.

目的:探讨加味桃红四物汤联合针灸推拿治疗气滞血瘀型腰椎间盘突出症的疗效.方法:选取2018年2月至2019年12月收治的74例气滞血瘀型腰椎间盘突出症患者,随机分为观察组和对照组,对照组给予针灸推拿治疗,观察组给予加味桃红四物汤联合针灸推拿治疗,比较两组临床疗效、治疗前后视觉模拟评分法(visual analogue scale,VAS)、JOA指数(日本骨科协会评估治疗分数)以及生活质量.结果:观察组临床疗效总有效率为97.30％,高于对照组的78.30％(P<0.05);治疗前两组VAS评分、JOA指数差异无统计学意义(P>0.05),治疗后两组VAS评分均下降,JOA指数均提高,且观察组VAS评分低于对照组、JOA指数高于对照组(P<0.05);治疗前两组患者生活质量评分对比差异无统计学意义(P>0.05),治疗后两组患者生活质量评分均提高,且观察组高于对照组(P<0.05).结论:加味桃红四物汤联合针灸推拿治疗气滞血瘀型腰椎间盘突出症可显著提高临床疗效,缓解疼痛,改善腰椎功能,提高患者生活质量,值得推广.

目的:探讨温针灸与双氯芬酸钠缓释片治疗阳虚寒凝型膝骨性关节炎效果.方法:选取2018年1月至2019年5月收治的106例阳虚寒凝型膝骨性关节炎患者,随机分为观察组和对照组,观察组给予温针灸治疗,对照组给予双氯芬酸钠缓释片治疗,比较两组临床疗效,治疗前后WOMAC、Lequesne-MG、VAS评分.结果:观察组临床疗效总有效率96.23％,与对照组84.91％相比显著提高,差异具有统计学意义(P<0.05),治疗前两组WOMAC量表各维度评分无显著性差异(P>0.05),治疗后观察组WOMAC量表各维度评分下降更显著(P<0.05).治疗前两组Lequesne-MG、VAS评分无显著性差异(P>0.05),治疗后两组Lequesne-MG、VAS评分均显著下降,且治疗后观察组Le-quesne-MG、VAS评分均低于对照组(P<0.05),观察组不良反应发生率为1.87％,与对照组15.09％相比显著降低,差异具有统计学意义(P<0.05).结论:温针灸治疗阳虚寒凝型膝骨性关节炎可显著提高临床疗效,缓解患者疼痛,促进膝关节功能恢复,且不良反应发生率低,安全性好,值得推广.

目的 探讨分析关节一方药膏(英德中医院协定处方)治疗膝关节骨性关节炎的临床疗效.方法 选取2018年6月至2019年9月收治的100例膝关节骨性关节炎患者,随机分为观察组和对照组,观察组给予关节一方膏药治疗,对照组给予塞来昔布胶囊治疗,比较两组治疗后及随访后VAS评分.结果 治疗前两组VAS评分无统计学差异(P>0.05),治疗后两组VAS评分均显著下降(P<0.05),治疗1月后治疗组与对照组比较,P〉0.05,治疗停止1月后随访两组VAS评分观察组比对照组比较(P<0.05),随访观察组膝关节功能优良率为90.00%较对照组74.00%显著提高(P<0.05),观察组不良反应发生率为4.00%,较对照组16.00%显著降低(P<0.05).结论 关节一方药膏治疗膝关节骨性关节炎可一定程度提高疗效,且安全性更高,值得在临床上推广.

Objective To evaluate the recovery and prognosis of traditional Chinese medicine nursing for non-surgical treatment of lumbar disc herniation.Methods 117 patients with lumbar disc prolapse from March, 2017 to June, 2018 in the hospital were re-garded as the study object, and patients with non-surgical treatment, according to whether to adopt traditional Chinese medicine nursing after treatment were divided into control group and observation group. 58 cases of control group adopted routine nursing mode, and 59 patients in observation group received traditional Chinese medicine nursing. JOA low back pain score, the ODI index scoreand Karnofsky score of two groups were compared.Results JOA score of patients of two groups before nursing was not statistically sig-nificant (P＞0.05), and JOA scores improved after treatment. Increase of observation group was obviously better than the controlgroup, data between groups was statistically significant (P＜0.05). There was no statistical significance of ODI index score betweenpatients of two groups before nursing (P＞0.05). JOA scores of two groups both increased. The increase level of observation group washigher than control group. There was statistically significant difference between two group (P＜0.05). There is no statistical signifi-cance of Karnofsky score between 2 groups before nursing (P＞0.05), Karnofsky score after nursing in observation group was betterthan control group, and there was statistically significant difference between two groups (P＜0.05).Conclusion The non-surgicaltreatment of traditional Chinese medicine in patients with lumbar disc prolapse can effectively improve the patients' clinical symptoms and the degree of pain, relieve lumbar dysfunction, and improve their quality of life. So it is worthy of clinical application.

目的 探讨自制金花跌打酒膏摩疗法在急性软组织损伤患者中的应用效果.方法 选取2018年8月至2019年1月于我院进行治疗的46例急性软组织损伤患者为研究对象,将其随机等分为研究组和对照组.对照组采用常规对症治疗,研究组在对照组基础上采用自制金花跌打酒膏摩疗法,比较两组患者的疼痛程度、临床疗效.结果 研究组患者疼痛程度低于对照组(P<0.05),临床疗效优于对照组(P<0.05).结论 采用自制金花跌打酒膏摩疗法可缓解患者疼痛,有效改善临床症状,值得临床推广应用.

目的 观察超声引导下针对病变颈神经根针刀松解治疗神经根型颈椎病(CSR)的临床疗效.方法 将80例CSR患者随机分为治疗组和对照组,每组各40例.治疗组采用超声引导下颈神经根针刀松解治疗;对照组采用超声引导下颈神经根阻滞治疗;两组均密切配合护理措施.统计术前和术后第7天两组患者的视觉模拟评分(VAS)、颈椎活动范围,术后1个月进行临床疗效评定.结果 两组治疗前后比较,VAS评分均明显改善,治疗组疼痛程度的改善显著优于对照组(P＜0.05),治疗组颈椎活动度治疗前后有显著性差异(P＜0.05);两组愈显率、总有效率比较均有显著性差异(P＜0.05或P＜0.01).结论 超声引导下颈神经根针刀松解治疗CSR,安全可靠,临床疗效显著,值得推广应用.

目的:探究应用中医特色通痹护理对膝关节骨性关节炎患者的价值.方法:选取本院2018年1月-2019年2月收治的膝关节骨性关节炎患者84例,采用随机数字表法分为中医组和常规组,每组各42例,其中常规组采用常规康复护理,中医组在常规组基础上加用中医特色通痹护理.护理2周后比较两组患者治疗效果,比较两组护理前后AIMS2-SF评分,Lysholm评分,VAS疼痛评分和ISOA评分.结果:护理后中医组患者治疗效果显著高于常规组,差异均有统计学意义(P<0.05).护理后中医组患者VAS评分显著低于常规组,AIMS2-SF评分和Lysholm评分显著高于常规组(P<0.05).护理后两组患者ISOA评分显著降低,且中医组显著低于常规组(P<0.05).结论:中医特色通痹护理能有效缓解膝骨关节炎患者疼痛症状,提高膝关节功能,改善生活质量,提高治疗效果.

目的:探讨舒适护理干预应用于胸腰椎压缩性骨折患者的临床效果.方法:选取2015年1月～2017年10月本院收治的胸腰椎压缩性骨折患者104例,随机分为干预组和对照组各52例,干预组给予舒适护理干预,对照组给予常规护理,比较两组患者干预前后SAS、SDS、WHOQOL-BREF评分,并发症发生情况以及对护理服务满意度.结果:干预后,两组SAS、SDS均显著下降,WHOQOL-BREF评分显著升高,且干预组干预后的SAS、SDS、WHOQOL-BREF评分显著优于对照组(P＜0.05).干预组并发症发生率显著低于对照组(P＜0.05),护理服务满意度显著高于对照组(P＜0.05).结论:舒适护理应用于胸腰椎压缩性骨折患者中改善患者心理情绪,降低并发症,提高生活质量,促进疾病康复,患者对护理服务满意度显著提高,值得推广.

Objective:To explore the effect of ear beans pressure in combination of modern nursing in patients with chest obstruction. Methods:During August 2012 to August 2013,120 cases with chest obstruction were as the research object. According to the order of admission,the patients can be divided into two groups. The treatment course was 15 days. Patients were given the routine comprehensive treatment and nursing. The treatment group patients added ear beans pressure and of modern nursing. Observation and analysis of two groups' clinical symptoms and quality of life scores of two groups were carried out. Results:Two groups' clinical symptoms were improved after treatment and the treatment group was better than control group(P0.05). Before treatment,two groups' clinical symptoms and signs integral had no significant(P0.05). Conclusion:On the basis of routine comprehensive treatment,ear bean pressure in combination of modern nursing has remarkable curative effect in patients with chest obstruction and can obviously improve the patient's condition and the quality of life.

目的:探讨对腰椎间盘突出症行髓核摘除术的患者加强心理干预的效果。方法:将56例患者随机分为观察组与对照组各28例。两组患者均接受常规对症治疗和护理措施,观察组患者在此基础上接受心理干预。结果:两组患者护理后抑郁、焦虑程度均比护理前减轻(P<0.05),观察组患者护理后抑郁、焦虑减轻的程度优于对照组患者(P<0.01);观察组患者心理舒适度明显优于对照组患者(P<0.05)。结论:对腰椎间盘突出症行髓核摘除术的患者在常规治疗和护理的基础上加强心理干预,能够有效缓解其抑郁及焦虑程度,并提高其心理舒适度。

Objective To study the clinical value of compound mifepristone combined with microtubules in induced abortion during early pregnancy.Methods Women in early pregnancy with a gestational sac of 0.5 to 2.0cm in diameter on B ultrasound examination were randomly assigned to receive compound mifepristone combined with microtubules for induced abortion ( 118 women,study group ),medical abortion ( 120 women,control group Ⅰ ),or direct microtubules for abortion ( 125 women,control group Ⅱ ).Discharge of gestational sac and fluff,pain level,surgical duration,bleeding,and postoperative menstrual restoration were observed and the outcomes of abortion were assessed.Results The pain level did not differ significantly between the two surgical abortion groups ( P ＞ 0.05 ) but surgical duration differed significantly ( P＜ 0.05 ).Average surgical duration was shorter in the study group than in the control group Ⅱ [( 2.15 ± 0.45 ) min vs.( 4.25 ± 0.29 ) min].Time to vaginal bleeding differed significantly between the medical abortion group and both the study group and the control goup Ⅱ [( 15.3 ± 0.9 ) days vs.( 5.1 ± 0.5 )days and ( 6.2 ± 0.3 )days,P＜ 0.05 )] medical abortion has a longer bleeding time.The incomplete abortion rate was 2.5％ in the study group,20.8％ in the control group Ⅰ,and 5.6％ in the control group Ⅱ.Conclusions Compound mifepristone combined with microtubules for induced abortion during early pregnancy has shorter surgerical duration,less pain and bleeding,fewer injuries,lower incomplete abortion rate,and fewer complications.It is worth popularizing clinically.

Objective To study of compound mifepristone combined with microtubule effect of induced abortion in early pregnancy and nursing. Methods300 routine in artificial abortion of early pregnancy,randomly divided into 3 groups.Observer Group(100) using compound mifepristone combined microtubules induced abortion;Control I Group(100) first suit of compound mifepristone two days on the third day morning misoprostol 0.6 mg drug abortion;control II Group(100) means directly with microtubules Y4.5,intrauterine attract disposable tube for induced abortion.At the same time give corresponding nursing care.Observation and comparison of 3 group separately fertilized egg out of the situation,the operating time,pain,bleeding and menstrual recovery complete abortion rate,and so on. Resultsstatistics using x2 tests.With p0.05 as the difference statistically significant.Observation and control Ⅱ Group′s abortion Control Ⅰ group better(p0.01);pain Observer Group is lower than the control group Ⅰ,Ⅱ Group(p0.01);Observation and control of group Ⅱ fertilized egg discharges faster than control Ⅰ group,Observation of hemorrhage less than control group Ⅰ,Ⅱ group observation operation less than control group Ⅱ. Conclusioncompound mifepristone combined with micro-tubes in early pregnancy abortion in better results,and clinical application.

Objective To observe the effect of wet dressing in nursing care of abdominal surocal wound infection.Methods 83 patients with abdominal wound infection were randomly assigned to receive wet dressing change based on the theory of moist healing(study group),or traditional dressing change(control group).Results The average wound healing time differed significantly between the study group and the control group[(13.10±2.15)d vs.(18.25±2.65)d,P＜0.01].Conclusions Wet dressing change is superior to traditional dressing change for abdominal surgical wound infection.

[Objective] To assess the effectiveness of the prevention methods of intrauterine adhesions after TCRS.[Methods] A retrospective analysis of 211 patients received TCRS was made after diagnosed as uterine septum in our outpatient hysteroscopy from January 2004 to January 2010.According to the prevention methods of intrauterine adhesions after the treatment the patients were divided into 4 groups:IUD treatment(group A),estrogens treatment(group B),IUD plus estrogens treatment(group C),and no treatment(group D).[Results] In the subsequent follow-up,14.22% of patients had residual septum,4.74% had intrauterine adhesions.The differences between groups were not significant.For the four groups,the incidence of intrauterine adhesions after surgery were 7.55%,6%,1.92% and 3.51%,pregnancy rate were 35.85%,40%,42.31% and 45.61%,and the abortion rate were 5.66%,6%,5.77% and 8.77%,respectively.None of the differences were significant.[Conclusions] IUD placement and/or estrogen treatment play no role in the prevention of intrauterine adhesions or the maintenance of pregnancy after hysteroscopic treatment of septate uterus.

目的 探讨对腰椎间盘突出症术后患者进行系统康复训练的应用效果.方法 对100例确诊为L4-5、L5-S1 腰椎间盘突出症需行手术治疗的患者,按相同诊断入院顺序以单双随机分为常规组和对照组,常规组患者术后由责任护士指导行常规康复训练,对训练不做时间、幅度和次数的具体要求,病人量力而行;对照组则由经过培训的责任护士指导患者进行系统的早期肢体康复训练及针灸穴位法促进康复.两组患者均接受术后1、3、6、12个月的定期随访,以术后六个月的随访情况为准,对比两组患者的术后腰腿疼痛、膝腱、跟腱反射、直腿抬高试验及肌力情况.结果 以随访两组患者术后6个月的术后残余腰腿疼痛、膝腱、跟腱反射、直腿抬高试验及肌力的情况分别进行对比,差异有非常显著性意义,经检验P＜0.01.结论 腰椎间盘突出症患者术后极需系统的康复训练.对腰椎间盘突出症术后患者进行系统的康复训练,可促进患者康复,提高患者的生活质量.

目的:探讨复方米非司酮配伍米索前列醇治疗稽留流产2种方法的可行性和副反应。方法:将82例稽留流产患者随机分为A组和B组,所有患者均为口服复方米非司酮1片/d,qd×2d,然后于第1次服药48h后A组口服米索前列醇片0.4mg,B组阴道塞入米索前列醇片0.4mg。观察妊娠物排出情况、阴道出血量及治疗后的副反应。结果:A组与B组流产率分别为73.17%和80.48%,B组成功率高于A组;组间阴道流血量相似;但B组胃肠道反应明显轻,腹泻发生率12.91%、寒战发生率2.44%、皮肤瘙痒发生率(2.44%)均低于A组(分别为26.83%、9.76%和12.20%。总副反应发生率有明显差异。结论:复方米非司酮配伍米索前列醇治疗稽留流产2种方法均可行,但阴道给药副反应明显下降。

目的:了解腰椎间盘突出症患者对腰椎间盘突出症的相关知识认知情况及自我护理的能力,为保证健康教育质量,开展干预治疗及护理提供依据.方法:选择2008年8月～2009年8月在我院腰椎间盘科住院的120例患者采用自行设计的问卷,对其进行腰椎间盘突出症相关知识的调查.结果:调查的患者对腰椎间盘突出症的原因及诱因知晓率为32.7%,对疾病的临床表现、治疗知识认知及护理相关知识认知极缺乏,除遵医嘱治疗外,知晓率均未超过50%.结论:患者对腰椎间盘突出症疾病相关知识及自我护理能力普遍缺乏,对不良生活方式缺乏正确的认识.极需要对腰椎间盘突出症患者普及健康教育知识,开展有效的腰椎间盘突出症的防治工作及提高患者自我护理的能力.