目的 探讨传统无张力腹股沟疝修补术与腹腔镜下腹股沟疝修补术两种手术方式及护理效果.方法 选取传统无张力腹股沟疝修补术给予普通护理40例为对照组,腹腔镜下腹股沟疝修补给予舒适护理40例为观察组,采用SPSS系统进行t检验,探究两组差异.根据不同手术方式给予不同护理方法及科学的院外指导,严密观察护理效果.结果 腹腔镜手术配合舒适护理的手术时间、术中出血量、疼痛程度、平均住院日均低于开放性手术,切口愈合佳,恢复好.结论 腹腔镜下腹股沟疝手术配合舒适护理,术中创伤小、安全性高,出血量少、疼痛轻、术后恢复较快,病人的依从性和满意度高.

随着时代的发展和军事理论的创新,军事力量的非战争运用形式迅速兴起,非战争军事行动已成为世界各国军队的重要实践形式[1-2].近年来,随着我国综合国力的增强,以及对外开放、国际交流的不断加深和扩大,我军参与境外非战争军事行动的机会越来越多,形式多种多样.军队卫勤力量作为境外非战争军事行动的重要力量,在境外非战争军事行动中占有举足轻重的地位,发挥着不可替代的作用.由于境外非战争军事行动的情况特殊、环境复杂、任务规模多样,使得境外卫勤保障的内涵、职能和任务在不断扩展,不断对境外卫勤保障提出新的要求[3-4].为了提高部队医院实施境外非战争军事行动卫勤保障的能力,现将部队医院实施境外非战争军事行动的卫勤准备工作介绍如下.

目的 论述慢性病患者主要照顾者需求的影响因素,为制定科学、规范的干预措施提供理论参考.方法 通过全面检索文献,总结归纳国内外关于慢性病患者主要照顾者需求影响因素的最新研究进展.结果 影响慢性病患者照顾者的因素包括患者人口学因素、疾病与治疗阶段和患者身心状况,照顾者因素包括照顾者人口学因素(性别、年龄、文化程度、工作状况、与患者的关系、经济状况),身心状况,照顾情况(照顾时间、负担、经验)和社会支持.结论 慢性病患者主要照顾者需求满足状况较差,建议结合患者和照顾者个体差异,照顾者身心状况、照顾情况、社会支持等特点,实施个体化干预措施,提高照顾者的需求满足状况,以提高照顾者的生活质量,改善照顾者的照护质量.

Objective To explore the methods and effects of health education against cancer in servicemen.Methods Anti -cancer handbooks were handed out to some servicemen for self-study in their spare rime.A questionnaire survey was conducted after 3 months to compare these subjects with those who did not participate in the education program.The changes in levels of cognition about cancer were analyzed.Results After self-study,the subjects' cognition about cancer improved significantly,especially in soldiers,those with high school diplomas and those with no medical training experience.The total awareness rate increased from 71.05％ to 81.06％,while the rate of positive attitude toward diagnosis and treatment increased from 40.26％ to 54.27％.Conclusion Self-study is a good means of health education against cancer,which can effectively promote soldiers' awareness of cancer.However,because of the insidious onset and low incidence rate of cancer in the army,soldiers are not quite interested in learning about cancer.We should work harder to enhance their awareness of prevention,early detection,early diagnosis and early treatment.

大面积烧伤病人观察休克改善以及补液速度的调整都要靠监测每小时尿量及24小时出入量来决定.大面积烧伤病人常规进行留置尿管,监测每小时尿量,使病人平稳的渡过休克期[1].本院1例患儿,因抗休克治疗留置气囊导尿管,3日后拔管时发现尿管在膀胱内打结,经过近2小时的治疗和护理,尿管顺利拔出,现将护理体会报告如下.

Objective To observe the effect of dexmedetomidine on the recovery of sevoflurane inhalation after general anesthesia.Methods 94 patients with colorectal cancer were selected and randomly divided into the observation group and control group with 47 cases in each group.according to the random number table,The patients in the two groups underwent laparoscopic radical resection of colorectal cancer,the observation group was treated with dexmedetomidine after general anesthesia and the control group was given 0.9％ sodium chloride injection.The HR,MAP,mental function and the incidence of restlessness during anesthesia recovery were compared between two groups,including the time before anesthesia induction(T1）,before operation (T2),30 min after opreation(T3),1 h after operation (T4),the end of operation (T5),before extubation (T6) and immediately after extubation (T7).Results There were no significant difference between HR and MAP at T1～T5 moment in two groups (P ＞ 0.05).The HR [(80.64±5.14)times/min,(83.13±5.50)times/min] and MAP [(97.88±5.33)mmHg,(102.00±5.80)mmHg] at T6 and T7 moment in the observation group were lower than the control group [(87.34±5.66)times/min,(90.22±6.01)times/min],[(102.71 ±4.60) mmHg,(107.84±6.31) mmHg] (P ＜ 0.05).There were no obvious difference in the scores of physiology,emotion and cognitive function between the two groups (P ＞ 0.05).There were no evident changes in the scores of the observation group at 30 min after operation (P ＞ 0.05),while the scores of physiology,cognition and function were decreased and the scores of emotion were increased (P ＜ 0.05).The physiological and cognitive and functional scores in observation group [(25.27± 1.62) points,(22.14±3.55) points] were significantly higher than the control group [(22.62±2.01)points and (18.96±3.42)points],and the emotional score [(2.82±0.74)points] was lower than the control group [(3.54±0.83)points](P ＜ 0.05).The incidence of restlessness in the anesthesia group was 19.15％,which was lower than that in the control group (38.30％,P ＜ 0.05).Conclusion In the laparoscopic radical resection of colorectal cancer,continuous intravenous intravenous injection of dexmedetomidine was more conducive to maintaining stable hemodynamics,avoid postoperative mental disorders,improve the quality of anesthesia recovery and reduce the recovery period of restlessness.

目的分析小儿急性中毒的原因及相应的护理措施。方法回顾性分析本区343例急性中毒患儿的病因及护理方法。结果小儿急性中毒具有明显的区域性及明显的年龄特征,农村、城乡结合部患儿占多数,以农药及灭鼠药中毒为主,其次与药品使用不当有关,中毒途径以消化道为主。结论小儿急性中毒有一定的特性和共性,在救治上应医护结合,达到早诊断、早治疗。

目的探讨不同病因新生儿黄疸早期的干预治疗与护理方法。方法对叶城陆军第十八医院83例新生儿黄疸的临床资料、病因、治疗和护理进行回顾性分析。结果 63例治愈,15例好转出院,5例治疗无效转上级医院治疗,有效率为93.97%。结论加强围生期保健,防治感染,正确指导母乳喂养,有效抚触可减少新生儿黄疸的发生;而正确、精心的护理则是关键。

产后出血是产科最常见的严重并发症之一,其发生率占分娩总数的2%～5%,是产妇死亡的重要原因[1].产妇一旦发生产后大出血,预后较差.休克较重、产后出血持续时间较长者,即使获救,仍有可能发生严重的继发性垂体前叶功能减退的后遗症.晚期产后出血是分娩24小时以后至产褥期内发生的子宫大量出血.作者对我院近年间收治的35例晚期产后出血病例进行了总结分析,现报道如下.

米索前列醇(简称米索)是一种前列腺素E1类似物,对子宫有较强、较频的收缩作用.米非司酮是一种孕激素受体拮抗剂,与米非司酮配伍终止早期妊娠完全流产率达90%以上[1,2].由于此方法安全方便,痛苦小,广泛用于临床.但随之而来的并发症,如药流失败、不全流产致阴道出血、感染等也引起了广大医务人员的关注,其中药物流产所致之阴道出血是一个比较棘手的问题[3].我们从2005年2月起,药流后配合宫血宁,对防治阴道出血取得了良好的效果,现报告如下.

<正>妊娠期高血压综合征(妊高征)是妊娠后期最常见的并发症之一,病因至今未明。基本病理改变为全身小动脉痉挛,各脏器灌流量减少,造成心、脑、肾损害,临床表现除高血压、蛋白尿、水肿外,部分患者有头痛、视物不清,严重者可失明,甚至威胁母婴的生命安全。早期诊断和治疗对降低孕产妇死亡率、提高孕产妇生命质量是至关重要的。现将我院近年收治的60例重度妊高征患者治疗体会报道如下:

目的:探讨四肢骨结核的发病、诊断和治疗.方法:收集四肢骨结核31例进行分析.结果:男性明显多于女性(男64.52%,女35.48%);21～30岁多发,占29.03%;足骨发病最高,占35.48%;骨结核的漏诊、误诊较高.结论:四肢骨结核的发病率与以往报道不符;必须重视骨结核的诊断,加强全身抗痨治疗.