目的:探讨穴位贴敷联合机械振动排痰机治疗小儿肺炎喘嗽的疗效及护理对策.方法:选取2018年5月～2020年5月我院收治的100例小儿肺炎合并喘咳患儿,使用随机数表法分为观察组与对照组,每组50例.对照组患儿接受常规西医治疗联合机械振动排痰机治疗,观察组患儿在此基础上联合穴位贴敷治疗.收集两组患儿的临床治疗效果、症状缓解时间、胸片复常率等临床指标数据,进行对比分析,并针对性提出护理策略.结果:接受不同措施干预后,观察组治疗总有效率98.00％,高于对照组的86.00 ％(P＜0.05).观察组患儿的痰壅消失时间、气喘持续时间、咳嗽消失时间等症状缓解时间均短于对照组(P＜0.05).接受不同措施干预后,观察组患儿胸片复常率为82.00％,显著高于对照组患儿胸片复常率58.00％ (P＜0.05).结论:针对小儿肺炎喘咳患儿,在常规西医治疗的基础上,联合使用穴位贴敷以及机械振动排痰机进行干预,可以显著缓解临床症状,缩短康复时间,改善患儿预后,具有一定的临床价值,值得推广.护理人员应针对性地给予个性化护理措施,以确保疗效.

目的:观察中医辨证施护联合脐穴贴敷治疗小儿泄泻的临床疗效.方法:选择我院2017年1月～2017年12月间收治的小儿泄泻患儿80例,按照随机数字表法分为观察组和对照组,每组患儿各40例.对照组给予常规治疗和护理,在此基础上观察组给予中医辨证施护联合脐穴贴敷治疗,比较两组疗效.结果:观察组总有效率高于对照组,止泻时间短于对照组(P＜0.05),具有统计学意义;两组均未出现不良反应,差异无统计学意义(P＞0.05).结论:中医辨证施护联合脐穴贴敷治疗小儿泄泻的疗效显著,具有推广价值.

Objective To analyze the risk factors relevant to xerophthalmia in myopic patients after LASIK surgery. Methods The correlation between the age, gender, diopter, usage time of hormonal eye drops and xerophthalmia after LASIK surgery was analyzed. Results In the same age group, the incidence of xerophthalmia in female was significantly higher than that in male(P 0.05).In the same gender group, the incidence in the group with more than 30 years old was significantly higher than that in the group with ≤ 30 years old(P 0.05). The incidence in patients with high myopia was higher than that in patients with low and middle myopia(P 0.05).The incidence in patients who used eye drops for less than 1 month was lower than that in patients who used eye drops for more than 1 month(P 0.05). Conclusion There is correlation between the age, gender, diopter, usage time of hormonal eye drops in myopic patients and incidence of xerophthalmia after LASIK surgery. Female patients over 30 years old with high myopia have increased susceptibility to xerophthalmia. Usage of hormonal eye drops for long time should be avoided after LASIK surgery.

Objective To evaluate safety and efficacy of excimer laser in situ keratomileusis (LASIK) for moderate hyperopia. Methods LASIK was performed on 16 eyes of 8 patients using the Schwind Esiris excimer laser. The range of preoperative spherical equivalent was +3.50～+6.00 D, and the average was (+5.18±1.00) D. All the cases were followed up for 12 months or longer. Results There was no serious complication during the operation. No eye lost more than 1 line of the best corrected visual acurity alter surgery. At 12 months, the mean postoperative spherical equivalent was (+1.52±1.23)D. 68.7% of eyes reached 0 to +1.00 diopter. 93.7% of eyes achieved an uncorrected far vision of ≥0.5. Conclusion The LASIK is a safe and effective technique for the treatment of moderate hyperopia. But its effect is not better than that of myopia.