Objective To study the effect of perioperative allogeneic blood transfusion on patients with oral squamous cell carcinoma (OSCC) after first-stage free flap transplantation. Methods A total of 306 OSCC patients who accepted primary repair and reconstruction using free flap admitted to our affiliation from January 2010 to January 2019 were selected as the research objects and retrospectively analyzed. According to their clinical data, they were divided into three groups: no transfusion group (n=98), 1-2 U transfusion group (n=131) and 3 + U transfusion group (n=77), respectively. The incidence of complications including flap infection, blood circulation disorder and hematoma in the three groups were compared. The five-year survival rate of the three groups was calculated by Kaplan-Meier analysis, and the relative risk of death was analyzed by Cox regression. Results There was no statistically significant difference among the three groups of patients (P>0.05) regarding such baseline data as embracing gender, age, primary location, degree of differentiation, adjuvant radiotherapy and chemotherapy. The complication rate of patients with 3 + U transfusion (25.97%) was significantly higher than that of no transfusion (6.12%) and 1-2 U transfusion (10.86%) (P<0.05); and the five-year survival rate of patients with 3 + U transfusion (51.95%) was significantly lower than that of no transfusion (69.38%) and 1-2 U transfusion (62.60%) (P<0.05). The results of univariate analysis showed that age, adjuvant radiotherapy, degree of tissue differentiation, collateral infiltration, vascular invasion and blood transfusion were all factors influencing the quality of prognosis after repair and reconstruction of first-stage free flap transplantation treating OSCC (P<0.05). The results of multivariate analysis showed that adjuvant chemoradiotherapy was an independent protective factor for the prognosis and survival quality of postoperative OSCC patients (P<0.01); the degree of differentiation, vascular invasion and blood transfusion were independent risk factors for the prognosis and survival quality of postoperative OSCC patients (P<0.05). Conclusion Perioperative allogeneic transfusion in OSCC patients can increase the risk of postoperative complications and directly affect their prognostic quality. It can be regarded as an important risk factor for OSCC patients.

目的:主要观察临床在操作经桡动脉穿刺行置管术中借助多普勒彩超工具的实际作用.方法:选取我院2019年3-9月收治的100例经桡动脉实施全麻手术进行穿刺置管术治疗的患者,采用随机抽签法将其分为50例对照组与50例观察组.将脉搏搏动模拟器应用于对照组患者中,将多普勒彩超技术应用于观察组患者中.记录并比较两组患者在操作中的首次穿刺及总穿刺情况.结果:得出观察组患者首次穿刺所需时间、总穿刺所需时间均短于对照组患者,首次穿刺及总穿刺成功率均高于对照组患者,P＜0.05.结论:在桡动脉穿刺置管术中应用多普勒彩超引导可有效缩短穿刺所需时间,提高穿刺成功率.

2020年,新冠疫情来势汹汹,作为前线医务人员在逆行迎难过程中也肩负了全国人民的热切期望,他们能够义无反顾的冲上第一线,成为守护人民健康的"白衣天使"、伟大的"逆行者",他们所承受影响是来自于生理与心理双重层面的.本文就结合新冠肺炎疫情对医务人员所产生的诸多心理影响进行分析解读.

目的 探讨人性化护理在血液净化护理中的效果.方法 选取2017年6月～2018年6月我院收治的行血液净化治疗患者70例作为研究对象,按照所选用的护理干预方案的差异将其分为两组,各35例.其中,对照组运用常规护理干预;观察组运用人性化护理干预.比较两组患者对护理满意度与并发症发生状况.结果 从实验结果看,观察组与对照组患者的不良反应率与护理满意度比较,差异均有统计学意义(P<0.05).结论 在对患者行血液净化的过程中,运用人性化护理加以干预,能够有效地改善患者的护理体验,降低不良反应发生率,值得推广.

目的 分析游离皮瓣移植术后的舌癌患者的心理状态在认知行为干预下的变化.方法 选择2018年间来我院进行游离皮瓣移植术的30例舌癌患者作为分析对象,按照抽签法,分成每组15例患者的研究组和对照组,两组患者分别接受认知行为干预和常规护理干预.从两组患者的抑郁量表评分,分析认知行为干预对患者的影响效果.结果 研究组患者在接受干预后抑郁量表评分低于对照组,且数据检验(P<0.05)具备统计学价值.结论 认知行为干预能够帮助游离皮瓣修复术后的舌癌减轻心理压力,促进病情恢复,值得广泛应用推广.

目的:探究将肢体功能锻炼强度应用于外科ICU患者康复效果中的影响.方法:回顾性分析我院中2015年4月至2018年6月间收入的所有外科ICU患者的一般资料,通过实验要求抽取出84例患者纳入本次研究.分为两组后进行实验,每组中纳入42例患者.对照组患者采用常规康复护理,而实验组患者则在康复护理的基础上,加用肢体功能锻炼强度,对比两组患者的身体指标.结果: 实验结果显示,实验组患者的体重、清蛋白、CD4/CD8比值优于对照组,组间差异明显,具有统计学意义(P<0.05)结论:将肢体功能锻炼强度应用于外科ICU患者的康复护理中,能够有效提高恢复效果,是一种有效的护理方案,值得推广.