甲状腺髓样癌由于具有侵袭性,罹患此种疾病的患者早期即可出现颈部淋巴结及器官转移,因此相较于其他甲状腺肿瘤患者,其预后较差.因此如何尽早明确诊断及采用合适的治疗方案对于甲状腺髓样癌患者的预后具有极其重要的意义.本文选取国内外近几年关于甲状腺髓样癌相关文献,对甲状腺髓样癌目前的研究进展进行综述.

Objective:To introduce the method of making mesh elastic gloves, and to explore its application effect in the treatment of zinc oxide paste in patients with subacute eczema in the hands.Methods:This study was a kind of experimental study. A total of 96 patients with subacute eczema in the hands in the Dermatology Ward of the First Affiliated Hospital of Yangtze University were selected as the study subjects.They were divided into the control group (admitted from June to December in 2017) and the experimental group (admitted from June to December in 2018) according to the time of admission, 48 cases in each group. After the two procedures(apply medicine and cover with sterile gauze) of the conventional zinc oxide paste coating, the control group was fixed with "gauze bandage+ medical tape", and the experimental group was fixed with "mesh elastic gloves". The external fixed cost and time, the disassembly time, the dressing fixation, the comfort condition, the grip strength, the daily activity of the hand, and the healing effect of the skin lesions were evaluated.Results:The external fixed cost and time, the disassembly time, grip strength and hand daily activities ability of the patients in the experimental group were (0.37±0.05) yuan, (26.06±2.53) s, (13.70±1.28) s, (25.96±5.83) kg, and (65.04±7.10) points, significantly better than the control group (1.63±0.21) yuan, (160.98±22.82) s, (22.36±3.50) s, (20.01±3.56) kg, (61.83±6.31) points, the difference between the two groups was statistically significant ( t value was-40.931--2.340, P< 0.01 or 0.05). The total rate of comfort, the total rate of dressing loss and the total effective rate of skin lesion healing in the experimental group were respectively 100%(48/48), 0, 98% (47/48), significantly better than the control group 79% (38/48), 46% (22/48), 71% (34/48), the difference between the two groups were statistically significant ( χ 2 value was 11.163, 28.541, 13.353, all P<0.01). Conclusions:The application of mesh elastic gloves in the treatment of zinc oxide paste in patients with subacute eczema in the hands can not only save the cost of external fixation and the time of external fixation and disassembly, but also improve dressing fixation and comfort, and improve grip and hand daily activities. At the same time, the healing effect of hand skin lesions can also be improved. In short, it meets the needs of dermatology hand coating.

目的 评价网状弹力绷带在足部亚急性湿疹患者氧化锌糊包敷治疗中的应用效果.方法 选取荆州市某三甲医院皮肤科病房收治的足部亚急性湿疹患者96例为研究对象,按照入院时间的先后将其分为对照组(2017年1-6月入院)和试验组(2018年1-6月入院),每组48例.患者在足部均匀涂抹氧化锌糊并覆盖无菌纱布后,对照组采用纱布绷带外固定法,试验组采用网状弹力绷带外固定法.评价两组患者固定成本、固定时间、纱布固定情况、舒适度及治疗效果.结果 试验组患者固定成本和固定时间均低于对照组(P<0.05),纱布有效固定情况、包敷30 min和24 h的舒适度均优于对照组(P<0.05),包敷总有效率高于对照组(P<0.05).结论 在足部亚急性湿疹氧化锌糊包敷治疗中,使用网状弹力绷带可以节省固定成本,缩短固定时间,减少纱布滑脱,提高患者舒适感和治疗效果,值得临床推广.