目的：了解脑卒中患者的照顾者对脑卒中相关知识的认知情况，以加强对社区护理人员的培训，以便对照顾者在患者出院回家进行指导、培训。方法采取目的抽样法对神经内科、神经外科及门诊接受治疗的脑卒中患者的主要居家照顾者158人进行调查，采用自制问卷调查照顾者对脑卒中的诱发因素、卒中发作症状、卒中康复护理及家庭急救措施的认知情况。结果158名脑卒中照顾者对脑卒中发作症状的认知条目均分最高，平均为(3.87±0.56)分，对脑卒中家庭急救措施的认知条目均分最低，平均为(2.08±0.36)分。结论脑卒中患者的居家照顾者对脑卒中的诱发因素、卒中患者的康复护理、卒中发作时症状及卒中院前家庭急救措施的认知欠佳，因此护理工作者应针对居家照顾者开展针对性的健康教育，对预防卒中复发及患者的康复具有重要意义。

目的 探讨颅咽管瘤患者手术前、后观察和护理效果.方法 对20例颅咽管瘤患者手术,手术前、后临床观察和护理方法进行分析.结果 20例患者手术成功率为100.00％.结论 减少术后并发症的发生,保证患者在住院期间的安全.

目的探讨颅脑外伤术后持续昏迷病人的护理疗效。方法选取该院2010年10月—2012年7月颅脑外伤术后持续昏迷患者47例,随机分为两组,采用常规护理患者23例为对照组,采用护理干预患者24例为观察组,比较两组患者的临床疗效、生活自理能力、并发症情况。结果观察组总有效率明显高于对照组,观察组出院后生活自理情况明显好于对照组,观察组高热、感染、褥疮、器官功能衰竭等并发症发生率均明显低于对照组,差异有统计学意义(P<0.05)。结论护理干预可改善颅脑外伤术后持续昏迷病人的预后,提高治愈率,降低并发症发生率,提高患者出院后生活自理能力。

目的 探讨颅脑损伤患者临床护理方法及体会.方法选取2011 年3 月至2012 年6 月收治的颅脑损伤患者80 例临床治疗与护理资料进行分析.结果通过治疗与护理工作降低了患者的死亡率和致残率,并预防或减少发症的发生.结论加强心理护理积极配合治疗,卧床期间满足生活需要,维持良好的营养状态,掌握皮肤护理方法,预防压疮发生.预防颅内高压,减轻症状.康复训练肢体功能障碍降低于最小程度.

探讨脊髓损伤的临床护理工作。选取临床30例脊髓损伤患者临床资料进行分析。结果通过积极的抢救、正确搬运、合理治疗、密切观察病情变化、预防并发症、做好对症护理,效果满意。

目的探讨短期应用胰岛泵治疗糖尿病合并甲亢患者的疗效。方法对30例糖尿病合并甲亢患者的临床资料进行回顾性分析。结果短期应用胰岛泵治疗可以迅速降低血糖,甲亢症状迅速得以控制。结论经过本组病例观察糖尿病合并甲亢在临床上并不少见,两种疾病症状相互影响,糖尿病和甲亢兼顾治疗,以提高临床疗效。

目的:观察动态血糖监测仪(continuous glucose monitoring system,CGMS)联合胰岛素泵(insulin pump)治疗妊娠糖尿病的临床效果。方法:42例妊娠糖尿病患者均采用胰岛素泵持续皮下输注(continuous subcutaneous insulin infusion,CSⅡ)进行治疗,其中22例(微量血糖仪组)采用每天8次微量血糖仪监测,20例(CGMS组)在每天8次微量血糖仪监测基础上采用CGMS监测血糖,对2者血糖稳定达标天数和低血糖发生次数进行比较。结果:CGMS组血糖稳定达标所需天数3.21±0.85天,少于微量血糖仪组5.04±1.27天(P<0.01)。而CGMS组低血糖发现次数显著高于微量血糖仪组(P<0.01)。结论:胰岛素泵联合CGMS与胰岛素泵联合微量血糖仪监测治疗妊娠糖尿病均能很好控制血糖,胰岛素泵联合CGMS临床达标时间短,易发现低血糖事件。

目的:提高急性重度拟除虫菊酯类农药中毒的抢救成功率.方法:回顾性分析反复洗胃联合血液灌流(HP)抢救35例拟除虫菊酯类农药中毒的结果.结果:治愈33例,死亡2例,治愈宰为94.2%.结论:反复洗胃联合早期血液灌流,可提高急性重度拟除虫菊酯类农药中毒的抢救成功率.

Objective It is to observe the effect of Exenatide on type 2 diabetie.Method The selected twenty diabetie patients oraled maximum tolerance dose metformin for at least two months,in addition the patients received Exenatide for three months,during observation detect the change of FPG,PPG,HbA1c,hypoglycemia happen rate,weight change.Results Compared with before treatment,3 months after treatment patients,FPG,2Hppg,HbA1c and weight were significantly descend(P<0.05),hypoglycemia happen rate no higher after treatment(P>0.05).Conclusion Exenatide can effectively control type 2 diabetie patient's glucose,decrease HbA1c,decrease,the risk of hypoglycemia,decrease weight.

Objective To elucidate the possible mechanism of low high-density lipoprotein cholesterol(HDL-C) leading to the development of artery atherosclerosis by analysing plasma nitric oxide synthase(NOS) and nitric oxide(NO) of patients with low HDL-C and normal controls after and before intervention of drugs. Methods According to the carotid intima-media layer thickness and the plasma HDL-C level et al,we assigned 119 patients(M=69, F=50) with low HDL-C to the trial group and 78 healthy adults(M=43,F=35) to the control group, and measured their plasma concentration of NOS and NO(including after intervention). Results In patients with low HDL-C, the plasma concentrations of NOS(P<0.05) and NO(P<0.05) were significantly reduced compared with healthy controls; In the low HDL-C male or female subgroup, the plasma concentrations of NOS and NO were significantly reduced(P<0.05) compared with the related healthy controls; After intervention,the plasma concentrations of NOS(P=0.041) and NO(P=0.038) were significantly increased, and were obviously unchanged compared with before and after intervation of healthy controls. Conclusions The plasma concentrations of NOS and NO were both significantly reduced in patients with low HDL-C(including male and female subgroups) compared to the healthy control groups and were significantly increased after beyond the target compared to them before treatment. In the lowered HDL state, it is possible that NOS/NO passway takes part in the patheological processs of artery atherosclerosis.