目的 探讨品管圈(QCC)在急性缺血性脑卒中(AIS)患者中的应用效果.方法 选取2019年1月至2019年6月我院急诊抢救室收治的30例AIS静脉溶栓患者,设为对照组(采用常规流程治疗),将2019年7月至2019年12月收治的30例AIS静脉溶栓患者设为观察组(成立QCC小组,采用QCC优化流程救治).比较两组的应用效果.结果 观察组的入院至评估患者、入院至获得影像学检查、取药-溶栓、DNT用时均短于对照组(P<0.05).观察组的溶栓有效率和DNT达标率均高于对照组(P<0.05).结论 开展QCC活动可提高AIS患者静脉溶栓DNT达标率,同时提升了医护人员应用QC手法解决临床实际问题的能力.

总结体外膜肺氧合(ECMO)成功救治ARDS病人的临床护理经验,患者经ECMO治疗后成功撤离,病情好转由ICU转入普通病房,使用ECMO治疗的过程中:加强基础护理和机械通气的气道护理及并发症的预防是ECMO救治成功的保证.

[Objective] To understand the present conditions of Child's social adapative capacity. [Methods]Using the social viability measuring list on infants-junior middle school students revised by Zuo Qi-hua, the social viability and its influence factors were investigated on 628 children in 7 kindergarten of 4 cities in China. [Results] The general trend of development of child's social adaptive capacity was fairly good, the relevance ratio on the edge level was 0. 3%. Of them 16.4% and 7% are excellent and extraordinary intelligence respectively. The family environment has played a very important role in child's social adaptive capacity. [Conclusion]The research reveals that in the respect of training a child's social adaptive ability, the initiative of each family should be brought into full play and we should sermount the negative influence and solve the contradiction between releasing one's control and taking care of everything, and arouse the conscious activity of the child, and ensure the unity and balance between the child's own body and the living enviroment.