目的:探讨中医适宜技术对胃癌患者围手术期生理、心理快速康复的作用.方法:104例胃癌择期手术患者被随机分为观察组和对照组各52例,对照组采用快速康复护理,观察组在快速康复护理的基础上联合应用中医适宜技术干预.比较两组患者术后胃肠功能恢复、疼痛评分、围手术期焦虑抑郁评分、术后炎症介质变化并记录消化道不良反应.结果:观察组术后首次排气时间、腹胀消除时间、首次排便时间、经口进食时间均短于对照组,差异有统计学意义(P<0.05).两组患者术后1 d、术后3 d、术后7 d视觉模拟评分法(Visual Analogue Scale,VAS)评分值依次降低,且观察组低于对照组(P<0.05).出院前两组患者汉密尔顿焦虑量表(Hamilton Anxiety Scale,HAMA)、汉密尔顿抑郁量表(Hamilton Depression Scale,HAMD)评分低于手术前,观察组较对照组下降明显(P<0.05).两组患者术后5 d炎症介质血清肿瘤坏死因子-α(Tumor Necrosis Factor-α,TNF-α)、C反应蛋白(C-Reactive Protein,CRP)、白细胞介素-1β(Interleukin-1β,IL-1β)水平均低于术后2 d,且观察组低于对照组(P<0.05).住院期间,观察组总不良反应发生率低于对照组,差异有统计学意义(P<0.05).结论:中医适宜技术联合快速康复护理能明显改善胃癌患者围手术期后胃肠功能障碍,减轻疼痛,改善患者的焦虑抑郁情绪,减轻急性炎症反应,减少术后并发症的发生,加速患者康复,值得临床推广应用.

目的:观察中医延续性护理方案实施对糖尿病周围神经病变患者临床疗效、周围神经传导速度及心理痛苦的影响.方法:回顾性分析于2018年3月～2019年5月我院住院部收治的124例糖尿病周围神经病变患者临床资料,根据护理方法不同,分为观察组(64例,常规护理+中医延续性护理)和对照组(60例,常规护理)..对比两组患者生存质量、临床疗效、周围神经传导速度、心理痛苦程度.结果:护理后,观察组DSQL量表总均分(16.01±3.31)分明显低于对照组总均分(18.94±3.66)分(P＜0.05);观察组总有效率96.88％显著高于对照组76.67％ (P＜0.05);观察组腓总神经、正中神经、股神经、尺神经、臂丛神经传导速度显著快于对照组(P＜0.05);周围神经传导总平均速度(50.79±3.24) m/s显著优于对照组周围神经传导总平均速度(45.68±2.91) m/s (P＜0.05);观察组DDS总均分(6.08±3.31)分明显低于对照组(7.64±3.97)分(P＜0.05).结论:对糖尿病周围神经病变患者实施中医延续性护理,可改善患者生活质量,提高临床疗效,促进周围神经传导速度,缓解患者的痛苦心理,临床价值高.

目的:探讨新型冠状病毒肺炎(以下简称新冠肺炎)疑似患者留观隔离期的护理方法.方法:通过入院评估、疫情上报、留取标本,病情观察等,对新冠肺炎留观疑似患者给予生活护理、出入院指导等针对性护理,同时加强病房环境管理、终末消毒等科学防控.结果:应重点关注新冠肺炎疑似留观隔离患者的心理问题并进行人文关怀,帮助和指导患者积极应对病情,平稳度过留观隔离期,为进一步救治奠定良好基础.

目的:观察补肺养心汤治疗对冠心病心力衰竭(气阴两虚兼血瘀证)患者中医症候、心功能指标及生活质量积分的影响.方法:将我院2015年11月～2017年11月收治的74例冠心病心力衰竭(气阴两虚兼血瘀证)患者随机分为观察组和(n=37)对照组(n=37),对照组给予常规西药治疗,观察组联合补肺养心汤治疗,比较两组心功能疗效标准、中医症状积分、心功能指标变化[左心室收缩末期内径(LVESD)、左心室舒张末期内径(LVEDD)及左室射血分数(LVEF)]、6分钟步行距离实验(6WMT)及生活质量评分(明尼苏达心力衰竭生活质量调查表评价).结果:观察组心功能疗效总有效率94.59％ (35/37)显著高于对照组78.38％ (29/37),治疗后中医症状积分、LVESD、LVEDD、生活质量评分显著低于对照组,LVEF及6WMT距离显著高于对照组,差异具统计学意义(P＜0.05).结论:补肺养心汤联合西药治疗,可显著改善冠心病心力衰竭(气阴两虚兼血瘀证)患者心功能及临床症状,增加6MWT距离,提高患者生活质量,值得临床推介.

目的:观察补肾祛瘀方对慢性肾衰(CRF)患者肾功能及生活质量的影响.方法:选择2015年3月～2018年5月在我院肾脏内科确诊CRF患者96例,以是否给予补肾祛瘀方治疗干预将其分为治疗组(n=48)和对照组(n=48).对照组患者常规临床护理干预;治疗组在常规治疗基础下煎服补肾祛瘀方,4周为1疗程,连续干预两周,比较两组肾功能指标血清尿素(BUN)、血肌酐(SCr)、血β2-微球蛋白(β2-MG)、24小时尿蛋白定量(Upr/ 24h)、肾小球滤过率(GFR);中医证候积分;免疫功能CD3+、CD4+、CDs+;生活质量;不良反应.结果:干预后,治疗组患者肾功能BUN、Scr、β2-MG、Upr/24h、URBC/h较对照组显著降低,GFR较对照组显著升高,有统计学差异(P＜0.05);干预后,治疗组患者中医证候积分明显低于对照组,有统计学差异(P＜0.05);干预后,治疗组GFR分期进展率4(8.33％)较对照组16 (33.33％)明显降低,而治疗组分期减轻率20 (41.67％)较对照组7(14.58％)显著升高,有统计学差异(P＜0.05);治疗组患者中医治疗总有效率93.75％明显高于对照组62.50％,有统计学差异(P＜0.05);干预后,治疗组患者免疫水平较对照组明显升高,有统计学差异(P＜0.05);干预后,两组患者生活质量较治疗前明显上升,有统计学差异(P＜0.05);干预后,治疗组患者生活质量明显优于对照组,有统计学差异(P＜0.05);治疗组患者总不良反应率12.50％明显低于对照组29.17％,有统计学差异(P＜0.05).结论:补肾祛瘀方可提高慢性肾衰患者治疗效果,促进肾功能恢复,提高免疫力,延缓CRF病程进展,也可使不良反应减少,提高患者日常活动能力及生活质量,值得临床推广应用.

目的:观察中药穴位贴敷离子导入法与中药保留灌肠法辅助治疗对输卵管阻塞性不孕患者的疗效及焦虑情绪的影响,探讨更加适合输卵管阻塞性不孕患者长期辅助用药的给药途径.方法:纳入204例输卵管阻塞性不孕患者,依诊治顺序分为观察组102例和对照组102例,对照组在输卵管介入和通液治疗的基础上辅助中药保留灌肠,观察组在介入和通液治疗的基础上辅助中药穴位贴敷离子导入,比较两组患者的焦虑评分及疗效差异.结果:观察组治疗后焦虑自评量表(SAS)评分明显下降,优于对照组(P＜0.05),治疗后观察组有效率、妊娠率、输卵管通畅率均高于对照组(P＜0.05).结论:输卵管介入和通液治疗后辅助中药穴位贴敷离子导入有助于减轻输卵管阻塞性不孕患者的焦虑情绪,巩固并提高患者的治疗效果,提高妊娠率.

目的 研究医护患微信互动对炎性肠病患者自我健康管理能力的影响.方法 选择2014年5月至2016年5月该院消化内科280例患者,将其随机分为2组(实验组和对照组),实验组140例,对照组140例.对照组患者遵医嘱进行对症治疗、常规护理及常规健康教育;实验组在对症治疗、常规护理及常规健康教育的基础上应用医患微信互动的干预措施.将2组患者成年人健康自我管理能力测评工具(AHSMSRS)量表、就医依从性、复发率、患者健康达标率等分值进行比较.结果 实验组患者AHSMSRS量表与就医依从性、复发率、患者健康达标率等分值显著高于对照组,差异有统计学意义(P<0.05).结论 医护患微信互动的干预手段能显著提高炎性肠病患者的自我健康管理能力.

目的:评价以“治未病”思想为指导的PDCA循环家庭护理干预对脂肪肝病人生活质量的影响.方法:将96例脂肪肝患者分为观察组和对照组各48例.对照组患者采用常规教育干预,观察组在中医“治未病”思想指导下给予PDCA循环家庭护理干预,两组患者均护理干预6个月;比较两组患者干预后中医疗效,干预前后体质指数(BMI)、三酰甘油(TG)水平、总胆固醇(TC)水平及生活质量.结果:观察组干预后治疗总有效率为89.58％,显著高于对照组的72.92％ (P ＜0.05);观察组患者干预后BMI及TG、TC水平显著低于干预前,并低于对照组(P＜0.05);观察组生活质量健康调查简表各指标评分显著高于对照组(P＜0.05).结论:以“治未病”思想为指导的PDCA循环家庭护理干预可改善脂肪肝患者的临床指标,提高疗效和患者的生活质量,对脂肪肝的防治具有重要作用.

Objective:To discuss clinical effects of the patients drinking weak saline water in the period (of Maoshi from 5 am to 7 am) guided by TCM theory of midnight-noon ebb-flow doctrine combined with acupoint massage in treating the constipation of the patients after stroke.Methods:All 240 patients were randomized into 120 cases in the observation group and 120 cases in the control group.Both groups accepted routine care,the patients in the observation group drank weak saline water at the fixed time in the period from 5 am to 7 am and acupoint massage,defecated regularly on the foundation of conventional care.Constipation scales,the property and types of stool and quality of life of the patients were compared before and after the intervention.Results:The difference had statistical meaning in the comparisons of constipation scales within two groups before and after the intervention (P<0.05);the difference showed statistical meaning in the comparisons between both groups after the intervention (P<0.05).The property of the stool improved notably in both groups after the intervention(P<0.05),the improve-ments of the observation group was more obvious (P<0.05). The difference was statistically significant in the comparisons of the scales of quality of life before and after the intervention within two groups (P<0.05),and the difference had statistical meaning in the comparisons between both groups after the intervention (P<0.05). Conclusion:Drinking weak saline water in the period from 5 am to 7 am guided by TCM theory of midnight-noon ebb-flow doctrine combined with acupoint massage could effectively the constipation degrees and quality of life of constipation patients after stroke.

目的 探讨大黄贴敷神阙穴和天枢穴联合口服复方聚乙二醇电解质散(PGEP)在便秘患者肠道准备中的给药时机.方法 选择行结肠镜检查的便秘患者300例,分3组,各100例.A组检查前1天晚上9点,行中药贴敷神阙穴和天枢穴,检查当天早上5～7点服完PGEP 139.12 g(2000 ml);B组检查前1天晚上9点行中药贴敷神阙穴和天枢,检查当天上午10～12点服完相同剂量的PGEP;C组检查当天早上5点行中药贴敷神阙穴和天枢穴,早上5～7点服完相同剂量的PGEP.服药后4 h行结肠镜检查.应用Boston肠道准备量表(BBPS)评分,并对肠腔内气泡进行评分,比较3组患者肠道准备有效性、耐受性及安全性.结果 A组的肠镜检查时间(7.25±0.60)min明显短于B组(9.10±0.80)min和C组(10.50±0.55)min;A组的BBPS评分(8.50±0.35)分明显高于B组(7.35±1.25)分和C组(6.65±1.30)分;A组的肠腔内气泡评分(0.25±0.15)分明显低于B组(0.75±0.65)分和C组(0.55±0.50)分;A组肠道准备接受率、再次肠道准备接受率(96.00％、93.00％)明显高于B组(85.00％、70.00％)和C组(90.00％、88.00％);A组的总体不良反应评分(1.45±0.04)分明显低于B组(1.75±0.55)分和C组(1.60±0.25)分.差异均有统计学意义(P<0.05).结论 检查前1天晚上9点大黄穴位贴敷联合检查当天早上5～7点口服PGEP对便秘患者行结肠镜检查肠道准备效果好.

目的:探讨交替使用静脉留置针配合薄型泡沫敷料局部敷贴对预防可达龙静脉泵入所致静脉炎的作用.方法:将心律失常同时静脉泵入可达龙患者80例随机分为对照组和试验组各40例.对照组给予常规护理,试验组在常规护理的基础上给予2组留置针,12小时更换交替使用,并在穿刺点上方沿静脉走形给予爱立敷薄型敷料贴敷.观察患者静脉泵入可达龙后静脉炎的发生率,发生程度及发生时间.结果:试验组患者静脉炎的发生率为37.5％、发生程度为Ⅱ级以上静脉炎的发生率为2.5％,均低于对照组的70％及32.5％;静脉炎发生时间试验组为(20.1±2.8)h,较对照组(18.9±2.2)h推后,差异有统计学意义(P<0.05).结论:2组静脉留置针交替使用配合穿刺上方薄型泡沫敷料贴敷可降低静脉泵入可达龙所致静脉炎的发生率和发生程度,推后发生时间.

Objective: To explore the influence of knowledge, attitude and practice (KAP) health education on self efficacy of the patients with abnormal blood lipid in physical examination. Methods: All 212 patients were randomized into 108 patients in the observation group and 104 cases in the control group, after the physical examination, both groups accepted conventional health guidance, the observation group received systematic health education of KAP mode, after intervention for six months, the patients were tested again, the level of blood lipid, constitutional index, disease knowledge grasping conditions and self efficacy of the patients in both groups were compared between before and after the intervention. Results: The scales of KAP questionnaire and self efficacy of the observation group raised compared with before the intervention, and the difference had statistical meaning (P<0.05); TC, TG, LDL-C and BMI of the observation group decreased notably compared with before intervention, and the difference showed statistical meaning (P<0.05). There was no obvious change in the comparisons of all the indexes above before and after the intervention(P>0.05), and the difference had statistical meaning in the comparison be-tween both groups after the intervention (P<0.05). Conclusion: KAP health education could improve KAP level and self efficacy of the patients with abnormal blood lipid, effectively control blood lipid and decrease BMI level.

Objective To discuss the clinical effect of MaoShi comprehensive nursing,including guiding patients to drink mild saline and acupointing mas-sage in intervening patients after stroke. Methods The total of 240 constipation patients after stroke were divided into the observation group and the control group. Two groups received routine nursing while observation group drank 200 ml mild saline and implementing acupoint massage at daily MaoShi. Finally,the scores of constipation,stool consistency and quality of life between two groups were compared before and after intervention. Results After intervention,observa-tion group and control group had statistically significant difference in scores of constipation,stool consistency and quality of life (P < 0. 05 ). Conclusion According to the theory of midnight - moon and ebb - flow doctrine,the MaoShi nursing intervention of drinking weak brine combined acupoint massage can effectively improve constipation degree and quality of life of patients after stroke which had good clinical application value.

Objective To evaluate the effects of optimized nursing management model on patients with drug -induced liver injury treated by intestinal microecological agents .Methods A total of 100 patients with drug-induced liver injury admitted to the hospital between January 2016 to December 2016 were selected as the re-search object and were divided into the observation group (n =50) and the control group(n =50) respectively.Pa-tients in the control group were given routine nursing procedure while patients in the observation group were given optimized nursing management model .The evaluation results of the two groups were compared .Results The rate of overall effect was higher in the study group than that of the control group (88.00％ /80.00％), but the differ-ence has no statistically significance (t =1.190, P >0.05).After the intervention, the SAS and SDS scores of the study group were higher (24.18 ±7.32) /(31.47 ±6.38), (33.80 ±7.42) /(38.63 ±8.37)], and the result is statistically significant(P <0.05).After the intervention, the scores of quality of life in the study group were sig -nificantly lower than those of the control group (P <0.05).Conclusion Optimized nursing management model has positive effect in improving patients'mood and quality of life and promoting the efficacy of treatment .

Objective: To observe the combined with Bactroban Xerox Hui foam type (Aili) deposited dressing effect of phlebitis after treatment application of peripherally inserted central catheter (PICC) to.Methods: 37 patients with phlebitis caused by PICC were randomly divided into 2 groups, the observation group was 21 cases and the control group with 16 cases. The observation group:peripherally inserted central catheter (PICC) local infection wound smear combined with Bactroban Xerox Fai foams local tension free paste, control group routine after PICC operation wound disinfection nursing, were compared between the two groups of 6 days of therapeutic effect.Results: Observation group using Bactroban combined with Xerox Hui foam type dressing (Aili deposited) treatment of phlebitis 6 days 18 cases were cured (85.7%), while the control operation in conventional PICC group phlebitis nursing 6 days cure rate in 7 cases (43.8%), combined with Bactroban Xerox Hui foam dressing 6 days cure rate was significantly higher than that of the control group (P< 0.05).Conclusion: Application of Bactroban ointment combined with Xerox Hui foam dressing (Aili deposited) treatment caused by PICC phlebitis can be achieved remarkable results.

目的 客观、公平、公正地评价护理临床教师的带教工作,以提高临床护理教学质量.方法 从带教工作量、授课质量、学生满意度、教学创新等方面制订教学考核评价细则,建立各项考核记录,采取积分制对临床护理教师进行考核.结果 实施量化考核后,护理教学质量及护理实习生出科考核成绩提高(P＜0.05).结论 量化考核能够客观、公平、公正地评价临床教师,调动他们的工作热情,提高护理临床教学质量.

应用红外热像仪进行颈腰椎病督脉运行不畅辨证,将抽象的督脉理论变得客观、具体、明晰,病理变化更加明显,辅助体质辨识,指导辨证用药,评价中医药和针灸治疗疗效及动态观察;软组织疼痛(颈、肩、腰、腿痛的部位、性质、程度),急慢性炎症部位、范围、程度,心脑血管功能状态、血供情况,肿瘤预警指示,全程监视、疗效评估,以及在乳腺常规检查和体检中,弥补影像学缺陷,便于疾病的早期诊断及治疗,给临床诊治疾病,指导辨证,尤其是寒热辨证,带来了新的思路和方式,提高了疾病诊治效率,值得推广.

目的：观察祛风通络针法对血管性痴呆（V D ）患者认知记忆功能及日常生活活动能力改善的情况。方法：将60例患者随机分为针刺治疗组和药物对照组，每组30例。治疗组用祛风通络针刺法治疗；对照组服用都可喜。观察两组M M SE －R、ADL、HDS治疗前后的评分情况。结果：两组治疗前后MMSE－R、ADL、HDS治疗前后的评分情况均有明显改善，而针刺治疗组都有非常显著性差异（P＜0．01）。结论：祛风通络针刺法对血管性痴呆有一定的治疗康复作用。

Objective:To explore the effects of physique nursing applied to the patients with type two diabetes mellitus (T2DM). Methods:All 85 patients were randomly separated into 43 cases of the observation group and 42 cases of the control group. The control group were given with routine care of diabetes mellitus and the observation group individualized nursing, the improvements of blood glucose in both groups were compared and observed. Re-sults:The improvements of blood glucose after intervention were superior to these before intervention in both groups (P<0.05), the observation group was better than the control group (P<0.05). Conclusion:Individualized nursing is given to the patients according to the results of their physique, and it could effectively improve blood glucose of the patients.

Objective:To observe apex of heart thermal images change in 100 patients with coronary heart disease through infrared thermography. Methods:100 patients with coronary heart disease were observed for the thermal state, and explore the clinical significance. Results:The temperature of control group has no significant difference between the average temperature of the chest and the apex of heart, left and right chest temperature good symmetry. There are most in the case group low temperature changes and prompts that the lower the temperature, the more severe the degree of myocardial ischemia. Conclusion:That Infrared thermography can be sensitive to reflect the extent of myocardial ischemia can be used as an auxiliary one to check for coronary heart disease.