Objective To study the effect of different nursing intervention methods on prognosis of patients with acute pesticide poisoning.Methods With the retrospective analysis method,104 hospitalized patients diagnosed as acute pesticide poisoning in our hospital were collected.Compared general data,nursing intervention modes and the condition in hospital.Results (1) The number of patients with acute pesticide poisoning every year showed a trend of gradual decline.The proportion between men and women was similar,and most patients were middle-aged.There were no statistically significant differences in vital signs among patients during three different periods.(2) Average daily observation time,average daily basic nursing times and average daily psychological nursing times all showed a gradual rising trend,with statistically significant differences (P＜0.05).(3) Hospitalization days,total hospitalization expenses,and the mortality of patients all showed a trend of gradual decline,with statistically significant differences (P＜0.05).Conclusion Making specific nursing,prolonging observation time of illness,and increasing times of basic nursing and psychological nursing,are helpful to improve clinical treatment effect and reduce economic costs for patients with acute pesticide poisoning.

目的:了解全子宫切除围手术期女性心理障碍的情况,探讨健教护理路径对该人群心理状态及生活质量的影响.方法:选择我院2009年01月至2011年12月的400例全子宫切除围手术期女性及其配偶,分为对照组和干预组各200例,对照组按一般常规护理,干预组在此基础上同步实施健教护理路径.两组皆采用Zung焦虑自评量表(SAS)、心理健康状况自评量表(SCL-90)和自设计的子宫切除术患者及其配偶心理障碍调查问卷,分别于入院时、术前1天至术后出院前1天对该人群进行调查.结果:干预前SAS两组比较差异无统计学意义,P>0.05.干预后SAS低于同期对照组水平,两组比较有统计学意义,P<0.05且于术前效果最明显.围手术期生活质量评分比较两组无显著性差异.结论:实施健教护理路径能明显缓解患者的焦虑状态,加速术后康复进程.

Objective To explore the effect of workshop in training of nurse managers.Methods We assessed the current situation of nursing management and nurse managers,made training plans and training process.Besides,we implemented the training program according to the workshop mode,including group discussion,skill simulation practice and giving lectures,ect.Results Totally,91.4%-98.3% of the participants were satisfied with the training effect,with an average satisfaction rate of 94.8%.More than 89.0% of the investigated nurses were satisfied with nurse managers′ administrative work,96.0% were satisfied with nurse ma-nagers′ leadership,and 97.5% with nurse managers′ support.Conclusion Application of thematic workshops in training program targeted to nurse managers helps break a new path to improve the comprehensive capacity of nursing administrators,and finally promote their management performance.

目的:探讨氧气雾化吸入在胸外科术后老年患者中的应用效果及护理方法。方法:对62例胸外科术后老年患者应用氧气雾化吸入,指导患者掌握正确的雾化吸入方式及排痰方法,有效预防术后肺部并发症的发生。结果:本组2例发生肺部感染,其余患者均无肺部并发症。氧气雾化吸入3～12 d,平均6 d。结论:对老年患者术后应用氧气雾化吸入,可有效地减少开胸术后肺部并发症的发生率。

目的 总结先天性唇或(和)腭裂患者的围手术期护理.方法 将2004年以来我院收治的此类患者的围手术期护理进行总结.术前慎重选择患者,做好充分术前准备.术中除严密观察外还需尽力关心安抚患者.术后保持呼吸道通畅和口腔、伤口的清洁,严格的食物要求,正确的饮食指导和防止并发症的发生.结果 273例患者中,除1例发生伤口裂开需重做手术、3例伤口感染外,余均获得比较满意的手术效果.结论 术前做好充分准备,术后严密观察和及时处理是护理成功的关键.

Objective To investigate the clinical effects of the consociation application of millimeter wave,infrared ray and ultraviolet ray to treatment of burns.Methods Eighty cases with the deep Ⅱdegree of burn wound were randomly divided into 4 groups:millimeter wave treatment group(A group),infrared ray treatment group(B group),ultraviolet ray treatment group(C group),combined treatment group(C group)and then the clinical effects of millimeter wave treatment,infrared ray treatment,ultraviolet ray treatment and combined treatment of burn wound were observed,respectively.Results The symptoms and healing condition of the burn wound were observed from the beginning to the fourth day.The D group was significantly different form A,B and C groups in curative effects(P0.05),and there was no difference among A,B and C groups in curative effects(P0.05).Conclusion The curative effect of combined application of the three techniques is better than the single application of millimeter wave,infrared ray and ultraviolet ray in treating deep Ⅱdegree of burn wound.

目的:探讨急诊创伤患儿流行病学特征,提高患儿救治水平.方法:回顾分析该院自1995年1月～2004年12月收治的15 676例急诊创伤患儿致病原因及临床特点.结果:同期来院就诊的创伤儿童也逐年上升趋势,上升的主要原因,其中交通因素所占很大部分.结论:要减少儿童创伤的发生率,人们应该从增加安全意识,遵守交通规则,同时家长要加强对儿童的看护,加强儿童的安全教育.

Objective:To analyze the epidemiological characteristics among 15676 children and summarize preventing strategies. Methods:The reasons of acute injuries in children were analyzed retrospectively.Results:The rate of acute injuries of children was continually high. The main reasons for the acute injuries in children were traffic-accident fracture and scald.Conclusion:It is important to prevent children from acute injuries by strengthening the education of relevant knowledge in children and parents.

目的 探讨腹式全子宫切除患者的心理需求及护理对策.方法 采用焦虑自评量表,随机调查行腹式全子宫切除术的患者200例,了解她们术前的心理需求及最主要的心理问题,并术后随访患者2年,据此制订健康教育内容和护理方案.结果 98.6%的患者及其家属认为,术后影响性生活及女性第二性征,在按其心理需求实施相应的护理后,仍具有心理障碍的患者比例下降至14.5%,差异显著(p＜0.01).结论 按患者的心理需求实施护理对策能有效地消除或减轻患者术后心理障碍.

目的:在猪真皮基质培养人表皮细胞重组复合皮。方法:取成人健康的包皮(包皮切除术自愿的提供者)1cm2全层皮片中用Th-Tr法分离表皮细胞并进行计数,以无血清完全培养基培养法作为原代细胞培养,空白对照组不放任何培养支持物。脱细胞猪真皮基质作为支架的气液界面培养法培养表皮细胞为实验组。形态学、常规组织学、HE染色观察,免疫组织染色(SABC法)检测复合皮肤中Pancy-tokeratin和层粘连蛋白(laminin)。结果:HE染色显示有2层上皮细胞形成和无基底膜形成,稍有角质化,免疫组化染色显示Pancy-tokeratin(+++),提示在猪真皮基质上生长的为人表皮细胞;Laminin(±),提示培养的人表皮细胞产生的新的基底膜不明显。结论:在猪真皮基质上能进行人表皮细胞的培养,这种人表皮细胞能存活,但生长不太活跃。基底膜形成不明显。实验证明能在体外构建具有表皮与真皮复合皮肤,但这种复合皮能否作为一种临床有效皮肤还需进一步证实。

目的 探讨腹式全子宫切除患者围手术期的有效护理措施,以提高护理质量;为即将行该手术的患者提供相关信息,提高其自我护理能力.方法调查需行腹式全子宫切除术的患者566例,了解其术前的护理需求、最想了解的有关知识,并让患者参与制订护理计划,按个体需求及时调整护理措施.结果术前相关知识缺乏的患者占97.3%,通过细致的护理后下降至11.3%,使他们了解并配合实施围手术期护理措施.结论通过细致的围手术期护理,使患者了解本病的相关知识,消除或明显减轻了其恐惧心理,使其能安全、顺利地度过围手术期。

目的探讨腹式全子宫切除患者的心理需求及护理对策。方法采用焦虑自评量表,随机调查行腹式全子宫切除术的患者200例,了解她们术前的心理需求及最主要的心理问题,并术后随访患者2a,据此制订健康教育内容和护理方案。结果98.6%的患者及其家属认为,术后影响性生活及女性第二性征,在按其心理需求实施相应的护理后,仍具有心理障碍的患者的比例下降至14.5%,P<0.01,差异显著。结论按患者的心理需求实施护理对策能有效地消除或改变患者术后性心理障碍。

Objective: To observe the effects of Lulutong injection on microcirculation disturbance after burns. Methods: Eighty-eight patients with mild burn were randomly divided into two groups. From the first day after burn, the treatment group received 500 mg Lulutong injection intravenously injected in 5% glucose, once a day for 14 days as a therapeutic course. The control group was treated with 5% glucose. No large amount of solution was infused because the burned patients were mild and no shock was found. Both groups were received anti-infection treatment using 0.6 g of clindamycin. The morphology of nail-fold microcirculation , the state around the nail-fold microcirculation, hemorrheological parameters, changes in coagulation function 3, 7 and 14 days after burn and the side effects of drugs were observed. Results: Compared to the control group, in the treatment group, the arterioles dilated more markedly, the blood flow of micro-vessels became faster, the flowing score of nail-fold microcirculation decreased obviously, the state around the nail-fold microcirculation changed significantly, the total score declined faster, but no obvious changes were found in erythrocyte aggregation index, the number of leukocyte adhesion and coagulation function . There were 2 cases with dizziness. Conclusion: Lulutong injection may improve the microcirculation in patients with burn, and has little side effect.

目的探讨曲美他嗪对冠心病稳定型心绞痛患者校正QT离散度(QTcd)的影响。方法将156例稳定型心绞痛患者随机分为曲美他嗪治疗组(80例)和非曲美他嗪治疗组(76例)。观察分析两组患者经曲美他嗪和非曲美他嗪治疗后3个月、12个月的QTcd的变化。结果治疗前、治疗后3个月,治疗后12个月的曲美他嗪组QTcd分别为(76·4±27·2)ms、(36·3±17·1)ms、(35·4±16·8)ms;非曲美他嗪组QTcd分别为(73·5±22·8)ms、(53·7±13·6)ms、(51·8±14·7)ms。与治疗前比较,两组患者治疗后QTcd均有减少,差异有显著性(P<0·01),以曲美他嗪组减少更为明显;治疗后3个月两组间QTcd比较,差异有非常显著性,而治疗后3个月与12个月QTcd比较则差异无显著性(P>0·05)。结论曲美他嗪可明显降低稳定型心绞痛患者的QTcd,且持续治疗可以保持长期有效。

Objective To understand the effect of ultraviolet ray,infrared ray and millimeter wave on burn. Methods 60 female and male sprague_Dawley albino rats weighing between 200～250g were divided randomly in to 4 groups,millimeter wave treatment group,ultraviolet ray treatment group,infrared ray treatment group and joint treatment group.The results of treatment were analyzed. Results The effect in joint treatment group was significantly superior to other groups and the surface wound of the albino rats in the joint group healed rapidly(P>0.05). Conclusion Joint treatment of burns in albino rats is efficacious.

Objective: 74 cases with early AMI were adopted primary coronary intervention(PCI),to study the clinical significance of the changes of QTd and QTcd before and after treatment.Method: They were detected the standard lead of 12(or 18) ECG and then observed the changes of QTd before and after treatment of PCI.Result: There's significant difference(72.6+30.2) ms and(36.6+16.5)ms,P0.01 before and after PCI treatment in early AMI patients and there's significant differect in QTcd(76.3+29.6)ms and(32.8+12.2)ms,P0.01.Conclusion: The PCI treatment can decrease QTd and QTcd obviously,decrease the serious arrhythmia occurrence and the sudden death.

Objective: To study the type and causes of dilated cardiomyopathy with arrhythmia.Method: We reviewed the occurrence rate type and heart function,artrioventricular in 106 cases dilated cardiomyopathy with arrhythmia.Result: The rate of arrhythmia is 92.7%.During all the cases.The AVB and ventricular arrhythmia is 68.5% and 65.1% respectively.There's relationship between ventricular arrhythmia and left ventricular dilated(P0.05).The atrial fibrillation if related with left atrial dilated(P0.01).Conclusion: The dilated cardiomyopathy with arrhythmia is variable and related with cardiac electrophy siological abnormality resulted from myocardial fibrosis and then affect myocardiod cell electic conduction and automaticity.

目的探讨乳腺癌患者围手术期有效的护理措施,提高护理质量。方法术前针对患者不同的心理状态进行心理疏导,提供相关信息;术中稳定情绪;术后加强病情观察、呼吸道管理及功能锻炼;出院重点指导坚持锻炼,增加营养,定期复查和化疗。结果 115例患者均痊愈出院,无护理并发症发生。结论有效的围手术期护理是手术成功的重要因素之一,应根据患者的病情及心理特点,采取有针对性的护理措施,提高患者的生存质量。

[Objective]To evaluate the clinical effect of three different analgesic methods on complications following thoracotomy in aged patients.[Methods]One hundred and six patients (male 79, female 27)underwent thoracotomy were randomly assigned to 3 groups.group Ⅰ:epidural analgesia(n=36); group Ⅱ: intravenous analgesia (n=33); group Ⅲ: muscular injection analgesia(n=37). Main complications of cardio-pulmonary system and side effects were compared.[Results]In epidural analgesia group, the scores of analgesic scale was significantly superior to the two other groups, and complications including arrhythmia, hypertension, angina, atelectasis, lung infection, hypoxemia were fewer.[Conclusion]Epidural analgesia lessens the complications of cardio-pulmonary system obviously, it is a good method of easing pain for aged patients after thoracic surgery.

目的提醒救火人员重视个人防护,避免或最大限度地降低类似事件重演;探讨吸入性损伤患者的护理经验,提高护理质量。方法调查吸入性损伤患者67例,了解他们的发病原因、临床症状、并发症、治疗和护理效果。结果67例患者均为同一次救火无防护或防护不当引起,除1人死亡外,余66例均治愈,无护理并发症。结论提高全民尤其是经常接触易燃易爆人员的消防意识及常识,重视个人防护并保持防护措施持续有效尤其重要;对疑有急性吸入性损伤者应及早撤离现场并马上就医是挽救生命的关键。