目的:讨论妇科肿瘤护理中引入优质护理服务模式的实际效果.方法:选取我院妇科肿瘤患者(2020年1月至2021年2月于我院就诊)100例按照随机派分原则进入观察组(n=50)和基础组(n=50),在分别给予优质护理服务和基础护理服务的情况下,对患者的康复效果进行对比.结果:经护理干预,观察组患者生活质量评分比基础组高,抑郁和焦虑评分比基础组低.结论:妇科肿瘤护理活动中引入优质护理服务模式利于加速患者的康复进程,改善不良生活状况,对患者的心理健康发展也起到积极影响,可见优质护理服务模式具备在临床推广应用的价值.
目的:对接受腹腔镜手术的妇科肿瘤患者应用快速康复护理模式的价值展开探讨.方法:实验样本来自我科室实施腹腔镜手术的肿瘤患者,手术时间范围:2020年3月至2021年1月,盲选法抽取100例按照随机分组原则得到康复组(n=50)和基础组(n=50),对接受快速康复护理和基础护理干预服务的两组患者的心理状态、护理效果实施统计学对比分析.结果:护理后,康复组患者排气时间、进食时间、住院时间、SAS/SDS评分的指标水平都比基础组低.结论:行腹腔镜切除术的妇科肿瘤患者在接受快速康复护理干预后,心理状态转好效果更理想,康复速度不同程度提高,建议妇产科临床合理选用该护理模式.
Objective: To investigate the clinical value of free gastric canncer calls detected in the peritoneal cavity washes by CEA RT-PCR. Methods: A hundered milliliter of peritoneal lavage was obtained from each of 36 patients with advanced gastric cancer and 6 patients with cholecystolithiasis at the beginning operation. A half of the 100 ml peritoneal washes was used for RT-PCR detection while the other part was used for cytopatholgical examination.Gastric cancer cell line MKN-45 was served as positive control. Results: MKN-45 and peritoneal washes of 14 gastric cancer patients (14/36,38.9%),including all 6 patients with positive cytology results (6/36,16.6%)were proved positive for CEA. None of 6 cholecystolithiaasis patients was positive. Moreover, a close association with the depth of cancer invation,lymph node metastasis and tumor differentiation was established. There is one patient recurred intraperitoneally 4 months after curative surgery with positive RT-PCR and negative cytologic results and no patient recurred with negative RT-PCR up to the present. Conclusions: Detection of free cancer cells in peritoneal washes is more reliable by RT-PCR compared with cytology examination, and is promising as a valuble method for prediction of peritoneal recurrence in gastric cancer.