Objective Posterior approach of debridement, interbody graft, and instrumentation, and combined posterior–anterior approach of posterior instrumentation and anterior debridement and interbody graft are two essential surgeries for the surgical treatment of spinal tuberculosis (TB), and, until now, which one should be chosen is still controversial. This study aimed to compare the therapeutic efficacy between the single posterior surgery and combined posterior–anterior surgery for lumbar tuberculosis (LTB) patients to elucidate the role of debridement and the effects that result from posterior structure resection. Methods One hundred and nineteen LTB patients managed with single posterior debridement, interbody graft, and instrumentation surgery (Group P, 73 cases), or combined posterior–anterior surgery of posterior instrumentation and anterior debridement and interbody graft (Group P‐A, 46 cases) from January 2008 to December 2016 were retrospectively analyzed. Different indexes were compared between the two groups to evaluate the curative effect and explore the role of debridement and the effects that result from posterior structure resection: operation time, blood loss, visual analog scale (VAS), Japanese Orthopaedic Association (JOA), Erythrocyte Sedimentation Rate (ESR), C‐reactive Protein (CRP), surgical complication type and rate, spinopelvic sagittal parameters (local kyphosis [LK], pelvic incidence [PI] and pelvic tilt [PT], lumbar lordosis [LL], and sacral slope [SS]), drainage retention duration, hospital stay, time of abscess disappearance, time of activity recovery, and time of bone graft fusion by t‐test or χ2 test. Results The follow‐up period ranged from 24 to 60 months. No significant variations were detected between the two groups for age, sex ratio, BMI, disease duration, indication, and the preoperative values of VAS, JOA, ESR, CRP, and LK (p > 0.05). The VAS, JOA, ESR, and CRP significantly improved in both groups after the operation (p < 0.05), along with the LK and LL (p < 0.05). Meanwhile, the SS, PI, and PT showed minor improvement after the operation (p > 0.05). Compared to the P‐A group, the P group had shorter operation time and less blood loss and hospital stay (p < 0.05). However, both groups presented similar VAS, JOA, ESR, CRP, and LK improvements (p > 0.05). Additionally, the surgical complication type and rate, postoperative spinopelvic sagittal parameters, and bone graft fusion time did not differ between the two groups (p > 0.05). On the other hand, the patients in the P‐A group had a shorter time of abscess disappearance and activity recovery (p < 0.05) but a similar time of drainage retention (p > 0.05) compared to the P group. Conclusion Both single posterior and combined posterior–anterior surgeries presented a good therapeutic effect for LTB patients with a low surgical complication rate and good quality of LK correction and LL reconstruction and maintenance. Moreover, single posterior surgery was less traumatic than combined posterior–anterior surgery but with slower TB lesion healing and activity recovery. Compared to debridement, stability seems to be more vital for STB healing, posterior structure resection does not affect the effect of spinopelvic realignment.

目的:构建感染控制管理的可靠性评估模型,探讨其在泌尿外科手术设备管理中的应用价值.方法:以感染控制管理内容、管理方法和过程管理质量的可靠性为评估指标,形成设备使用、清洗消毒和应急管理的规范化流程,构建感染控制可靠性评估模型.选取医院泌尿外科在用的49台手术设备,根据管理模式不同将其分为对照组(46台)和观察组(47台),包含对照组在用的44台和新增加的3台),对照组采用常规抽检管理模式,观察组采用可靠性评估管理模式,对两组设备的管理过程质量、目标达成度和有效性进行评价.结果:观察组泌尿外科手术设备使用操作、清洗消毒和应急处理的工作落实率分别为(94.12±4.08)％、(96.83±1.77)％和(94.63±3.44)％,均高于对照组,差异有统计学意义(Z=2.921,Z=3.542,Z=3.612;P<0.05);观察组泌尿外科手术设备使用规范度、清洗消毒有效性和应急管理认可度平均占比分别为(96.08±2.24)％、(97.54±1.31)％和(91.06±4.03)％,均高于对照组,差异有统计学意义(Z=3.268,Z=2.777,Z=2.457;P<0.05);观察组结石腔镜手术设备、腹腔微创手术设备、电切镜手术设备和输尿管软镜设备的患者使用感染率分别为2.04％、0.00％、4.05％和3.70％,均低于对照组,差异有统计学意义(x2=4.512,x2=5.488,x2=7.810,x2=4.866;P<0.05).结论:可靠性评估模型能够改善泌尿外科手术设备管理工作的落实质量,提高感染控制目标达成比例,有效降低设备相关的患者感染比例.

目的 探讨移动医院模式下手术方舱的建立与管理体会.方法 国家紧急医学救援队伍建立,西北地区首家坐落于陕西省人民医院,近两年内联合陕西省各地市救援队伍开展多次野外生存拉练,模拟受灾伤员救治.移动医院由特种车辆改成而来,是与多功能充气帐篷连接而成.集医疗、医技、药房于一体的救治场所,可快速搭建组成,救治过程中可以满足所有应急救援队员生活需要.医疗硬件运用现代的先进医疗仪器设备及应用互联网技术进行会诊.结果 国家级紧急医学救援队经过多次模拟演练均取得较好的效果,为以后的实战积攒了宝贵的经验.结论 手术室护理是应急救援中不可缺少的部分,承担着手术物资准备、临时手术室建立、现场施救以及接收批量伤员手术等关键工作.在地震等突发事件时,手术方舱是移动医院的一个独立单元,也是救援必不可少的,手术方舱的管理显得尤为重要.

目的 基于King达标理论构建手术室低年资护士"单兵达标"培训模式,并应用到临床实践中,为探索手术室低年资护士的有效培训方式,提高其业务能力和护理质量提供新思路.方法 以King达标理论模型为理论框架,构建手术室低年资护士"单兵达标"培训模式,对本院40名手术室低年资护士进行为期一年的"单兵达标"培训,并对培训效果进行评价.结果 培训后,参加"单兵达标"的手术室低年资护士的一般效能感、核心能力、工作胜任能力与培训前比较差异均具有统计学意义(P＜0.05).结论 基于King达标理论构建的手术室护士"单兵达标"培训模式可以提高手术室低年资护士一般自我效能感、核心能力和工作胜任力,是一种有效的培训模式.

To compare the efficacy of single anterior and single posterior approach of debridement, interbody fusion, and fixation for the treatment of mono-segment lumbar spine tuberculosis (TB) patients. Eighty-seven patients with mono-segment lumbar TB who underwent debridement, interbody fusion, and fixation through either single anterior (Group A) or single posterior approach (Group B) from January 2007 to January 2017 were enrolled in this study. The duration of the operation, blood loss, complication rate, visual analog scale (VAS), Oswestry disability index (ODI), Frankel scale, erythrocyte sedimentation rate (ESR), C-reactive protein (CRP), kyphosis angle, correction rate, correction loss, and time taken for bone graft fusion were compared between the groups. The average period of follow-up was 34.3 ± 9.5 months (24–56 months). No significant differences were observed between patients in Group A and patients in Group B in terms of gender, age, body mass index (BMI), duration of illness and preoperative evaluative indices (P > 0.05). The mean operation time and blood loss was significantly higher in Group A (P = 0.000), along with a slightly higher rate of complications compared with Group B (P = 0.848). The VAS, ODI and Frankel scale scores showed significant improvement in both groups (P = 0.000), along with the ESR, CRP and kyphosis indices (P = 0.000), which were similar in both groups at the final follow-up. Both single anterior and single posterior approaches of debridement, interbody fusion and fixation are effective for mono-segment lumbar TB patients, although the single posterior approach is of a shorter duration and results in less blood loss.

Objective The surgical approach for cervical spondylotic radiculopathy (CSR) is controversial. This study aims to investigate the effectiveness of the combined anterior cervical diskectomy and fusion (ACDF) and uncovertebrectomy for treatment of CSR. Methods This is a retrospective case control study. One hundred and forty-six patients with CSR who underwent two different procedures (ACDF alone [group A]) and a combination of ACDF and uncovertebrectomy [group B]) from March 2008 to April 2013 were included. The operation time, blood loss, Visual Analog Scale scores of the neck (VAS-neck) and arm (VAS-arm), Neck Disability Index (NDI) score, 36-Item Short Form Health Survey (SF-36) score, fusion segment curvature, global cervical curvature, and the rate of surgical complication were evaluated. Results There were no significant differences in the basic demographic and clinical characteristics between the two groups (p > 0.05). No significant differences were noticed in the fusion segment curvature and global cervical curvature between the two groups (p > 0.05). Whereas the operation time and blood loss in group B were greater than those in group A (p < 0.05), the VAS-neck, VAS-arm, NDI, and SF-36 scores were better in group B (p < 0.05). The surgical complication rate between the two groups was not significantly different (p > 0.05). Conclusions Clinical efficacy of ACDF plus uncovertebrectomy for the treatment of patients with CSR may be better than that of ACDF alone, but at the expense of more operation time and blood loss.

Background Patients with continuous multi-vertebral lumbar spine tuberculosis (CMLSTB) were subjected to single posterior debridement, interbody fusion, and fixation to explore their clinical outcomes. Methods Sixty-seven CMLSTB patients who underwent single posterior debridement interbody fusion and fixation between January 2008 to December 2017 were studied. The operation time, blood loss, perioperative complication rate, cure rate, Visual Analog Scale (VAS), Oswetry disability index (ODI), Japanese Orthopedic Association (JOA), Erythrocyte Sedimentation Rate (ESR), C-reactive protein (CRP), kyphotic Cobb’s angle and time of interbody fusion were analyzed to understand their therapeutic effects on CMLSTB patients. Results The patients were followed up for 20–48 months, with a mean of 24.3 months. The mean operation time was 215.5 min (range, 120–280 min), whereas 818.0 ml of blood was lost (range, 400–1500 ml) with a perioperative complication rate of 6.0% and a cure rate of 95.5%. During the last phase of follow-up, the mean preoperative VAS score (5.7) and ODI (72.0%) decreased significantly to 1.4 ( t = 31.4, P <0.01) and 8.4% ( t = 48.4, P <0.01), respectively. Alternatively, the mean preoperative ESR and CRP (74.7 mm /h and 69.3 mg/L, respectively) decreased to average values ( t ESR = 39.7, P ESR <0.001; t CRP = 50.2, P CRP <0.001), while the JOA score (13.9) significantly increased to 23.0 ( t = − 11.6, P <0.01). The preoperative kyphotic Cobb’s angle (20.5°) decreased to 4.8° after the operation ( t = 14.0, P <0.01); however, the kyphotic correction remained intact at the time of follow-up ( t = − 0.476, P = 0.635 ). Furthermore, the mean of interbody fusion time was identified to be 8.8 months (range, 6–16 months). Conclusion Single posterior debridement, interbody fusion, and fixation may be one of the surgical choices for the treatment of CMLSTB patients.

Background To compare the surgical effect of a single posterior approach with a combined posterior-anterior approach for patients with lower lumbar tuberculosis (TB). Method: 119 cases of lower lumbar TB were conducted from January 2008 to December 2016 using two procedures. Out of 119 cases, 73 patients were operated with a single posterior approach (group A), whereas, 46 patients were operated using the combined posterior-anterior approach (group B). The evaluative items were compared between two groups, including operation time, blood loss, surgical complication rate, cure rate, Visual Analog Scale (VAS) score, Japanese Orthopaedic Association (JOA) score, kyphosis Cobb’s angle, and time of abscess disappearance. Furthermore, the period between bone graft fusion and the patients’ return to regular activity were compared between the two groups to evaluate the therapeutic effects. Results No significant differences of gender, age, BMI, illness duration, and preoperative indexes of VAS, JOA, ESR, CRP, and kyphosis Cobb’s angle were found between the two groups of patients, who were followed-up for 24–60 months. Although the operation time and blood loss rate were less in group A as compared to group B, no remarkable differences in VAS, JOA, ESR, CRP and kyphosis Cobb’s angle were found. Furthermore, the rate of surgical complications, cure rate, and time of bone graft fusion did not show appreciable differences between the two groups. However, the time of abscess disappearance and time return to regular activity were less in group B as opposed to patients of group A. Conclusion Both single posterior approach and combined posterior-anterior approach are effective for the treatment of lower lumbar TB with a high cure rate and low surgical complication rate. Addtionally, single posterior approach is less traumatic than the combined posterior-anterior approach, but with a much slower lesion healing and activity recovery.

The aim of this study was to investigate the influence of vertebral bone mineral density (BMD) on total diffusion volume of bone cement in percutaneous vertebroplasty (PVP). This study was a retrospective review of prospectively collected data of consecutive patients with A1.2 thoracolumbar compression fractures treated by PVP. Vertebral BMD was measured before surgery and participants were divided into 3 groups according to World Health Organization diagnostic criteria for osteoporosis: Group A (normal BMD), Group B (reduced BMD), and Group C (osteoporosis). All vertebrae were injected with 3 mL of bone cement via the unilateral pedicle and scanned by computed tomography after surgery. Actual injection volume (bone cement only) and total diffusion volume (bone cement plus trabeculae and space) were calculated. Pain severity was determined by the visual analog scale before surgery and at both 1 day and 1 month after surgery. There were no significant differences in injection volume among the groups (P > .05), but the total dispersion volume was greater than injection volume in all groups (P < .05). Pairwise comparison showed a significant difference in total diffusion volume of bone cement between groups, with Group A having the largest volume and Group C the smallest volume. Pain was significantly reduced 1 day after surgery in each group compared with before surgery, but there were no significant between-group differences at 1 day or 1 month. Increasing vertebral BMD was positively correlated with increasing total diffusion volume. BMD does not significantly affect pain relief, despite producing a significantly lower distribution volume in osteoporotic patients.

Objective To define the benefit of arthroscopic release of the anterior glenohumeral joint in frozen shoulder. Methods Sixty idiopathic adhesive capsulitis (IAC) patients were diagnosed by magnetic resonance imaging or intraoperative arthroscopic findings in Shaanxi Provincial People’s Hospital from March 2015 to March 2017. The exclusion criteria included fractures, subacromial impingement, rotator cuff tear and calcifying tendinitis. All the patients underwent arthroscopic capsular release. The extent of release focused on the rotator interval, subscapularis tendon and inferior glenohumeral ligaments (IGHL). Visual analogue scale (VAS), Constant functional scores, the Fudan University shoulder score (FUSS) and the range of motion (ROM) in various directions were recorded preoperatively and postoperatively. Statistical analysis was performed with one-way repeated measures ANOVA and paired t-test. Results None of the patients had postoperative complication such as axillary nerve injury or shoulder instability. At 12 weeks postoperatively, both of VAS [(0.7±0.6)vs(8.1±0.7), F =38.01], Constant score [(93.9±3.0)vs (34.2±3.4), F=121.42]and FUSS [(93.8±1.3)vs (40.1±2.2), F=220.09] increased significantly compared with the preoperative ones(all P<0.01). ROM showed satisfactory results at the final follow-up: abduction [(152±13)° vs (74±9)°, t=37.678], flexion[(156±12)° vs (60±10)°, t=46.469], external rotation at 90° of abduction[(66±11)° vs (8±3)°, t=37.762], internal rotation at 0°of abduction, and internal rotation at 90° of abduction recovered 12 weeks after the surgery(all P<0.01). Conclusion The arthroscopic release of the anterior glenohumeral joint may significantly improveboth of the function and ROM in IAC patients. Key words: Bursitis; Shoulder joint; Arthroscope; Joint capsule release

Objective To investigate the clinical efficacy and safety of lumbar cistern drainage (LCD) for the treatment of cerebrospinal fluid (CSF) leakage after anterior cervical surgery. Methods From June 2011 to December 2016, the clinical data of 17 patients with CSF leakage after anterior cervical surgery treated by LCD were analyzed retrospectively (observation group) . At the same time, 21 patients with CSF leakage caused by traumatic dural injury were treated with lumbar puncture drainage as the control group. The cure rate, drainage time, 24 h drainage volume, headache duration and the incidence of dizziness, nausea and vomiting in 2 groups during treatment period were used to evaluate the clinical efficacy;the safety was evaluated by complications and recovery during follow-up period. Results All 38 patients were followed up>12 months, and CSF leakage was cured in 2 groups. 24 h CSF drainage volume was higher in the observation group than in the control group and headache duration and drainage time were shorter in the observation group than in the control group, with statistically significant differences (P < 0.05) . The incidence of dizziness, nausea.and vomiting in the observation group was significantly lower than that in the control group (P < 0.05) . No serious complications such as intracranial infection occurred in all the cases. The wound healing was good in the observation group. No recurrent CSF leakage or CSF cyst formation was found during the follow-up period. In the control group, 1 patient suffered from hyperthermia during the treatment period, and recovered after anti-infection treatment;CSF leakage recurred in 1 patient during the follow-up period. Conclusion LCD is effective in the treatment of CSF leakage after anterior cervical surgery. It has advantages of shorter treatment time, less complications and less pain in patients, and is worthy of wifer clinical application.

目的 探讨石膏临时固定延期切开复位内固定治疗Pilon骨折的临床疗效.方法 回顾性分析自2015-01-2016-12采用石膏临时固定延期切开复位内固定治疗的14例Pilon骨折,入院时手法牵引简单复位后行踝关节功能位石膏托固定,6～9 d后采用前正中略弧向内侧的弧形切口并L形胫骨远端锁定接骨板内固定.结果 本组手术时间120～180 min,平均161 min;术中出血量300～700 ml,平均500 ml.14例均获随访,随访时间平均16.4(12～24)个月.采用Burwell-Charnley放射学标准评价骨折复位质量:解剖复位13例,复位一般1例.骨折愈合时间12～24周,平均15.3周.采用AOFAS评分标准评定踝关节功能:优10例,良4例.结论 石膏临时固定延期切开复位内固定治疗Pilon骨折安全可行、疗效满意.

Objective To study the effect of comprehensive nursing intervention on postoperative recovery and complications in rectal cancer after laparoscopic surgery.Methods A total of 84 patients with rectal cancer undergoing laparoscopic radical resection were recruited and randomly assigned to the treatment group and the control group using the random number table,with 42 cases in each group.The treatment group received comprehensive nursing intervention,and the control group was given routine care.Time to anal exhaust,time to eating,time of off-bed activity,hospitalization duration,and the total incidence of complications were compared between the two groups.Results Time to anal exhaust,time to eating,time of off-bed activity,hospitalization duration in the treatment group were (1.37±0.53) d,(2.87±0.83) d,(3.41±0.95) d,and (10.54±1.73) d,respectively,which were all shorter than those in the control group (P ＜ 0.05).The total incidence of complications in the treatment group was 19.05％,which was lower than in the control group (40.48％,P ＜ 0.05).Conclusion Comprehensive nursing intervention can effectively promote postoperative recovery and reduce postoperative complications in patients with rectal cancer undergoing laparoscopic radical resection.

Objective:To explore the risk factors and preventive measures of surgical site infection(SSI)in or-thopedic patients.Methods:A retrospective analysis was performed on 2316 surgical patients admitted to orthopedic ward in our hospital.To detect the risk factors and pathogens of SSI and explore preventive strategies.Results:The infection rate of SSI was 1.6%(37/2316)in 2316 patients,of which the infection rate in class I incision was 0.45%(10/2214),class III incision was 26.09%(24/92),the SSI rate was 30%(3/10)in class IV incision.Risk factors for s SSI including:combine underlying diseases,emergency,surgical level and operating room environmental,and patients with underlying diseases and operating room environment were independent risk factors for SSI.The patho-gens for SSI were 23(62.16%)G- bacilli,of which 8(34.78%)were Escherichia coli,7(30.43%)were Klebsiella pneumoniae,4(17.39%)were Acinetobacter baumannii,14(37.84%)G+cocci,including 6(42.86%),Staphylo-coccus aureus,5(35.71%)coagulase-negative Staphylococcus.Conclusions:The risk factors of SSI in orthopedic surgery affected by basic disease,emergency,operation class and operating room environment.The pathogens which found in SSI are vary.The underlying diseases and operating room environment are independent risk factors for SSI. Preventive measures should be developed to reduce the incidence of SSI.

目的 探讨双向倒刺缝线在退行性脊柱侧凸长节段手术切口缝合中的应用效果.方法 回顾性分析自2008-01-2017-06行长节段手术治疗的109例退行性脊柱侧凸畸形患者,62例采用双向倒刺缝线缝合切口(观察组),47例采用普通缝线缝合切口(对照组).结果 观察组与对照组切口长度比较差异无统计学意义(P＞0.05).观察组切口缝合时间较对照组短,切口缝合速度更快,且切口并发症发生率更低,差异有统计学意义(P＜0.05).2组切口感染发生率差异无统计学意义(P＞0.05).观察组切口愈合拆线后美观程度优于对照组,瘢痕更少.结论 退行性脊柱侧凸畸形长节段手术中使用双向倒刺缝线可以加快切口缝合速度,缩短切口缝合时间,提高切口缝合效率,改善切口美观程度,且术后切口并发症发生率更低.

Objective To study the effect of group behavior intervention on the anal training compliance of patients with rectal cancer undergoing laparoscopic surgery.Methods Eighty-two patients with rectal cancer in our hospital were enrolled in the study.All patients underwent elective laparoscopic surgery.And these patients were divived into observation group and control group with 41 cases in each group.Patient in the observation group received group behavior intervention with a total of 4 times,while the control group underwent routine nursing care.The anal training compliance score and compliance rate were compared between groups,and the recovery of anal function was observed.Results There was no significant difference in compliance scores between the two groups before nursing (P ＞ 0.05).After nursing,the scores,compliance grade and the anal function in the observation group were significantly betterthan those before nursing and those in control group after nursing (P ＜ 0.05).And the anal resting pressure and systolic blood pressure in two groups before nursing showed no distinct difference (P ＞ 0.05).While resting pressure and systolic blood pressure was distinctly increased in the observation group after nursing compared with control group (P ＜ 0.05),Conclusion Group behavior intervention can improve the anal training compliance of patients with rectal cancer after laparoscopic surgery,so as to promote the recovery of anal function.

Objective To analyze the effects of comprehensive temperature preserving nursing on the stress and complications of gynecological hysteroscopic surgery.Methods A total of 122 patients with gynecological hysteroscopic surgery were randomly divided into observation group and control group, with 61 cases in each group.The control group carried out routine nursing in operation room and the observation group were given comprehensive nursing measures.Heart rate (HR), blood pressure (BP), adrenaline (AD), noradrenaline (NE) and C-reactive protein (CRP) after operation were observed.Stress reaction, and complication rate were compared.Results There were no significant differences in HR, SBP, DBP, AD, NE and CRP between the two groups before operation(P>0.05), and those indices in the observation group were significantly lower than that in the control group after operation(P<0.05);The increase rate of each indicator in the observation group was significantly less than that in the control group during operation (P<0.01);The incidence of complications in the observation group was significantly lower than that in the control group (P<0.05).Conclusion Comprehensive temperature preserving nursing can effectively reduce stress reaction of the gynecological hysteroscopic surgery, and reduce the incidence of intraoperative and postoperative complications.

Objective To compare the mid-term efficacies in anterior cervical discectomy and fusion (ACDF),anterior cervical corpectomy and fusion (ACCF) and cervical artificial discreplacement(CADR) for treatment of single segment cervical spondylosis myelopathy.Methods Seventy-nine patients with single segment cervical spondylotic myelopathy,who underwent three different anterior procedures (ACDF,ACCF and CADR) from January 2004 to January 2012 were retrospectively analyzed.There were 44 cases of ACDF,22 cases of ACCF and 13 cases of CADR.VAS,JOA,NDI,SF-12 score,total cervical curvature before and after operation (6th and 60th months postoperatively) and operation time and blood loss were used to evaluate the effect.Results Mean follow-up were 69.8±12.7 (61-88)months.There was no significant difference in the time of graft bone fusion between ACDF and ACCF (P ＞0.05).In the 6th postoperative month,JOA score of group ACDF and CADR was lower than that of group ACCF,total cervical curvature of group ACDF and ACCF was better than that of group CADR (P ＜0.05) and there were no significant differences regard to VAS,NDI and SF-12 between these three groups (P ＞0.05).In the 60th postoperative month,VAS and NDI of group ACDF and CADR were inferior to these of group ACCF,SF-12 score of ACDF and CADR was higher than that of group ACCF (P ＜0.05).Total cervical curvature of group ACDF was greater than that of group CADR,and total cervical curvature of group CADR was greater than that of group ACCF as well (P ＜0.05).Conclusion ACCF is easier for neural function recovery than ACDF and CADR in the short term,but its efficacy sustainment regard to symptom relief,living quality improvement and cervical curvature maintenance were poorer than those of ACDF and CADR in the mid-term follow-up.

Objective To study the effect of nursing intervention in operation room on psychological status and vital signs for patients with thyroid surgery.Methods A total of 80 patients with thyroid surgery in our hospital were randomized into control group (routine nursing) and observation group (nursing intervention) according to random number method, with 40 patients per group.The scores of anxiety and depression on pre-and post-visit, pain score on 1 h, 6h, 12h post-operation, and the changes of vital signs on pre-operation, pre-anesthesia, and post-operation in two groups were compared.Results Compared with the control group, the scores of anxiety and depression were significantly decreased on post-visit in the observation group (P<0.05);Compared with the control group, the pain scores on 6, 12 h post-operation were obviously decreased in the observation group (P<0.05);Compared with the control group, the heart rate, systolic blood pressure, diastolic blood pressure on pre-anesthesia and post-operation were significantly reduced in the observation group (P<0.05).Conclusion The nursing intervention in operation room can effectively adjust the negative emotions for patients with thyroid surgery, reduce the surgical stress, and makes patients tolerate the surgical treatment.

目的:评估肘关节镜下前后联合松解术对创伤性肘关节僵直患者肘关节活动度及功能性的疗效.方法:选取创伤性肘关节僵直患者18例,均行肘关节镜下松解术.术后早期给予所有手术患者有效疼痛控制后进行早期主动及被动锻炼.分别于术后2周、1月、3月及6月对所有患者的肘关节活动度,VAS评分及梅奥肘关节功能评分进行观察分析.结果:术后6个月,肘关节平均活动度由(45.2 ± 17.6)°增加至(113.5 ± 22.4)°(P<0.01);M EPI评分由术前(65.6 ± 17.3)分提升至(91.1±24.3)分(P<0.01);VAS评分由术前的(4.2±1.5)分降低至(0.8±0.4)分(P<0. 01).结论:肘关节镜手术可以极大程度改善创伤性肘关节僵直患者的肘关节活动度及功能.同时,术后早期开始肘关节主动及被动活动尤为重要.