观察我科开展的14例骶神经电刺激植入术在便秘治疗方面的作用，总结初步临床经验，并对其围手术期护理进行汇总。

目的：：探讨经内镜下套扎加电切治疗结肠息肉的护理方法和体会。方法：选择2013年9月至2014年10月本科收治的60例经内镜下套扎加电切治疗结肠息肉患者为研究对象,均采用内镜下套扎加电切治疗,给予有针对性的术前、术中和术后护理。结果：60例患者手术全部成功,平均手术时间(16.7±3.2)min,配合有效的围手术期护理,未出现烧伤、穿孔和大出血等严重并发症,术后平均住院时间(5.6±2.4) d。结论：内镜下套扎加电切治疗结肠息肉对患者创伤小,手术安全可靠且术后恢复较快,针对性的护理措施对提高手术成功率有重要作用。

Objective To observe the differences of infusion speed,time of reservation and facility of nursing between positively pressurized needle-free link-reservation device and normal indwelling needle on patients.Methods From September to December 2010,200 inpatients with intravenous infusion were randomly divided into observational group(n=100) and control group(n=100).Normal dwelling needle and positively pressurized needle-free link-reservation product were applied in control group and observation group,respectively.And the differences of speed of infusion,time of reservation and facility of nursing(blood returning,tube blocking,extravasation,phlebitis and needle stick injuries) were observed.Results The incidences of tube-plugging,blood returning and needle stick injury in the observational group were superior to those of the control group(P0.05).Conclusion Positively pressurized needle-free link-reservation device can effectively raise the speed of infusion,prolong the time of reservation,reduce the incidence of complication and the burden of nursing,which deserves further clinical popularization.

多年来,无创搏动性血氧饱和度(SpO2)已较广泛地用于外科手术与麻醉期间的管理,并越来越引起人们的重视.在基层医院,如今也不失为一种好的监测方法.现对40例颈部恶性肿瘤(甲状腺癌、喉癌)患者进行了SpO2监测,在保持自主呼吸下的SpO2情况,现报告如下.

对60例全麻手术患者自手术开始至结束每隔15分钟测直肠体温1次。非保温组和保温组在手术开始时体温无明显差异,而结束时非保温组体温下降了0.61±0.34℃,保温组则上升了0.36±0.34℃。结论:在手术开始30分钟以后至手术结束时非保温组患者体温下降明显,有发生低体温可能。

目的研究通过动脉留置针采集凝血功能检测标本时避免误差的采血方法.方法对器官移植术后患者通过留置针用两种不同方法采集的血液标本,与无任何肝素污染的外周血标本测得的凝血功能检测值进行比较.结果凝血酶原时间(PT)、纤维蛋白原(Fg)组间比较无显著差异;就活化部分凝血活酶时间(APTT)而言,方法1组与对照组、方法2组相差显著.结论采集凝血功能检测标本时,最好通过外周静脉进行;若通过动脉留置针采血,则应在采血16～17 ml后换注射器进行,方可避免肝素封管液对凝血功能试验的干扰.