目的 探究在小儿秋季腹泻治疗中加强护理干预的临床价值.方法 选取在2018年1月-2019年10月本院收治的130例小儿腹泻患儿,随机分为观察组(加强护理干预)和对照组(常规护理)各65人.结果 相比于对照组,观察组护理满意度(96.92％)较高(P<0.05);观察组症状消除时间较短(P<0.05).结论 在小儿秋季腹泻治疗中加强护理干预,能够提高护理满意度,加快疾病恢复.

Objective: To investigate the clinical curative effect,infusion techniques and early nursing intervention methods in treatment of children viral encephalitis with large dose gammaglobulin by intravenous infusion.Methods: 125 children patients with viral encephalitis were randomly divided into a treatment group(n=64)and a control group(n=61).The patients in the control group were given conventional treatment and the patients in the treatment group were given gammaglobulin 500 ~ 1000 mg/(kg·d)by intravenous infusion one time per day and the treatment lasted 3 to 5 days on the basis of the conventional treatment.The curative effect,recovery time and hospitalization days were compared between the two groups.Results: There were statistically significant differences in the comparison of the total effective rate,the clinical recovery time and hospitalization days between the two groups(P<0.01).Conclusion: Giving the patients gammaglobulin by intravenous infusion can improve the clinical efficacy,shorten the length of hospital stay and reduce the occurrence of complications in the treatment of children viral encephalitis.

<正>瓣膜置换病人术后需要继续服药来维持手术治疗效果,而且术后还可能出现一些并发症,病人对这些知识掌握的程度直接影响其康复情况。所以瓣膜置换术后的康复指导对病人来说尤为重要,它不仅可以使在院治疗得到延续,同时

目的探寻护理质量控制与持续性质量改进的管理方法和模式,不断提高护理质量与服务水平。方法采用"双人跟班督导检查",从护理工作关键环节、细节入手,实施预先控制和现场督导,将控制结果与原常规检查结果比较并进行统计学处理。结果护理质量检查的各项指标均优于过去常规检查的结果,差异有统计学意义。结论"跟班督导检查"模式是一种具有人性化、可操作性强、护理人员满意度高、全员参与质量管理的新方法,进一步促进了持续性护理质量改进。

过敏性紫癜又称出血性毛细血管中毒症,是儿童时期最常见的血管炎之一,以双下肢对称性皮肤紫癜、腹疼、关节疼、便血、肾脏损害为主要临床表现.近几年发病有明显增加趋势.

Objective To study the neuroprotective effects of neuregulin-1β(NRG-1β) on the nervous behavioral function,cerebral infarction volume,brain water content(BWC),neuronal apoptosis and aquaporin-4(AQP-4) expression in astrocytes after cerebral ischemic reperfusion and the related mechanism in mice.Methods Intraluminal thread methods were applied to establish the middle cerebral artery occlusion reperfusion models in the mice.Neuregulin-1β(2μg / kg) was injected into the internal carotid artery for treatment.The nervous behavioral function was evaluated with Bederson's test.The cerebral infarction volume was observed with tetrazolium chloride staining.The BWC was measured by dry-wet weight comparing.The apoptosis positive cells were counted by immunofluorescence assay.The expression of AQP-4 was determined by immunohistochemical assay.Results Nervous behavioral malfunction appeared in all the mice with left middle cerebral artery occlusion and/or reperfusion.The infarction focus showed in the ischemic hemisphere after the injury.The BWC,the number of neuronal apoptosis cells and AQP-4 expression in astrocytes were higher than those in the sham group. In the NRG-1β treatment group,the nervous behavioral function was improved 24 hours after ischemia,the number of apoptosis positive cells reduced and the infarction volume decreased significantly compared with the control group(P0.05).The BWC and AQP-4 expression in astrocytes showed no significant difference compared with the control group(P0.05).In the groups of reperfusion for 22,46 and 70 hours,the five indexes mentioned above were significantly different from those in the corresponding control groups(P0.05).Conclusion NRG-1β may reduce cerebral edema and infarction volume and improve the nervous behavioral function by down-regulating the expression of AQP-4 in astrocytes and inhibiting the neuronal apoptosis induced by ischemia reperfusion injury.

目的:探讨鼻塞法持续呼吸道正压通气(NCPAP)在防治新生儿肺透明膜病的应用及护理.方法:60例胎龄29～35周的早产儿随机分为两组,观察组(30例)生后即给以NCPAP,对照组(30例)生后即给以鼻导管前庭吸氧,观察生命体征、血气指标变化.结果:观察组的各项指标比较稳定优于对照组,差异有显著性(P＜0.05).观察组总有效率93.33%,对照组总有效率66.67%,差异有高度显著性(P＜0.01).结论:NCPAP防治新生儿肺透明膜病效果显著且安全.

静脉留置针在儿科病房的应用越来越普遍.留置针柔韧性好,能随血管开头而弯曲,并在血液的温度下进一步软化,减少对血管壁的机械刺激,在血管内保持较长的时间.

该文采用综合性评价模式对420名女性进行乳腺癌风险评估,并对749人进行了相关的健康教育.结果显示:明显的家族史、过多乳腺症状及高度癌焦虑与乳腺癌的发生显著相关,探索乳腺癌风险因素,实施有效的健康教育,对预防乳腺癌并降低其发病率起到了积极作用.

出血是白血病病儿常见的症状,严重而大量的出血是引起死亡的主要原因之一.因此给予白血病病儿及时有效的护理,使其顺利渡过出血关,对稳定病情、提高白血病病儿的治愈率具有重要的意义.现将其护理体会报告如下.

患儿女,6岁.因皮肤出血点、瘀斑,牙龈出血10余天于2003年3月20日收入院.

儿童急性白血病并发阑尾炎后,病情凶险,处理困难,可危及生命,须慎重对待.我科自2000年2月至2002年7月,对6例白血病患儿化疗过程中并发阑尾炎的,进行了密切的临床观察及精心护理,取得了满意治疗效果,现报告如下.