目的：观察综合护理对肝动脉化疗栓塞术（ TACE）后并发症的影响。方法选取行TACE的肝癌患者118例，随机分为干预组和对照组各59例。对照组采用常规护理方法，干预组在对照组基础上进行综合护理，包括术前进行认知宣教，心理干预，家庭支持和术后预适应；术中建立舒适环境，保证情绪稳定并告知手术进程；术后针对可能出现的发热，腹痛，恶心呕吐，穿刺点出血、血肿，尿潴留等并发症进行观察和护理。于患者出院时比较2组患者并发症发生率、治疗时间及护理满意度。结果干预组TACE术后发热，腹痛，恶心呕吐，穿刺点出血、血肿，尿潴留的发生率均低于对照组（P均＜0．05）。干预组手术时间、卧床时间、住院时间均少于对照组（P均＜0．05）。干预组护理满意度显著高于对照组（P＜0．01）。结论综合护理干预能够有效降低肝癌患者TACE术后并发症的发生率。

Objective To observe the long-term psychological effects in patients with permanent pacemaker.Methods We included 86 consecutive patients with Permanent pacemaker from January 2009 to January 2010.Telephone follow-up were conducted every 3 months for two years.Zung Self rating Anxiety Scale and Zung Self rating Depression Scale were applied for measurements.The results were evaluated and psychological status of the patients in the respective groups were compared and analyzed.Results No significant difference was found in number of patients with anxiety or depression before discharge,1 year and 2 years after discharge(P<0.01 or P<0.05).Conclusion Long-term and regular follow-up may contribute to alleviating the anxiety and depression symptoms for patients with permanent pacemaker and promoting postoperative rehabilitation.

Objective To discuss the influence of humanistic care on the mental status of patients with coronary interventional therapy.Methods From January 2011 to December 2012,400 patients undergoing coronary interventional therapy were selected and equally divided into observation group and control group according to admission sequence.The conventional healthy education method and humanistic care were performed in the control group and observation group,respectively.Zung Self-rating Anxiety Scale was used to assess the pre-and post-operative psychological status of the patients.The changes of pre-and post-operative life signs and anxiety of patients in both groups were assessed.Results The results of Zung Self-rating Anxiety Scale for psychological evaluation showed that no significant difference was detected on the preoperative scores in the two groups(P>0.05);the postoperative scores were both significantly decreased in both groups,especially in the observation group(P<0.01);the values of vital signs were still within the normal range in the observation group,while the values were on a downward trend in the control group.Conclusion Humanistic care can effectively relieve anxiety of patients with coronary interventional treatment,and stabilize patients' life signs,and thus deserves to be applied in intervention therapy.

目的评价光学干涉断层成像(OCT)在冠心病介入诊断与治疗中护理配合的连续性和严密性。方法对7例行常规冠状动脉造影(CAG)检查的病人,行经皮冠状动脉治疗(PCI)常规方法治疗和OCT成像检查。结果入选病人8处病变中的6处成功行OCT检查并获取满意图像,另2处失败。检查结果显示,6处病变中有4处病变狭窄程度超过50%,病变为易损斑块,遂行冠状动脉内支架植入术。术中病人生命体征均平稳,无并发症发生。结论冠状动脉内OCT是一种判定冠状动脉病变特征的有效手段,严密全程的护理监测及手术步骤熟练的掌握对手术的即刻效果具有重要意义。

>经皮冠状动脉支架介入手术(简称经皮冠脉介入术,PCI)已成为治疗冠心病的主要手段,如何预防、减少术后并发症的发生,成为保证手术质量和手术成功的关键环节,也是医护关注的重点。我科2006年2-9月收治3例经皮冠脉介入术后皮下注射低分子肝素抗凝药物数日后出现腹壁淤青、大血肿患者,经精心护理后取得了满意的效果,现报道如下。

目的：探讨护理干预对慢性心力衰竭(CHF)伴抑郁患者相关性的影响。方法：对147例此类患者生存质量,疾病康复的相关性进行分析,采取各种方式干预、评估。结果：CHF伴抑郁严重影响患者长期生存质量,增加再住院率和死亡率。结论：长期有针对性地进行护理教育和康复训练可提升患者的生存质量。

护理服务成本是医院成本核算不可缺少的一部分,临床护理服务在疾病诊治与康复中占很大的比重,而护理服务成本却普遍降低,护士的劳动价值没有受到足够的重视.

椎间盘镜治疗腰椎间盘突出,具有精确度高、创伤小、出血少、安全性大、病人痛苦少、疗程短、并发症少等优点.我院于2002-10～2003-06间,使用德国Ackermann公司生产的后路椎间盘镜手术系统,治疗椎间盘突出50例,效果满意.现将手术配合总结如下.