目的：探讨重症医学科昏迷患者在鼻咽通气管引导下留置胃管的应用效果情况。方法分析我院2011年7月至2013年5月重症医学科收治的60例昏迷患者临床资料，依据胃管放置方式不同进行临床随机分组，对照组30例和观察组30例。观察两组重症医学科昏迷患者黏膜出血率、一次插管成功率情况。结果观察组重症医学科昏迷患者黏膜出血率、一次插管成功率均明显低于对照组，χ2=14.25、14.25，P<0.05，差异均有统计学意义。结论重症医学科昏迷患者在鼻咽通气管引导下留置胃管可以明显降低黏膜出血率、一次插管成功率，减少患者不必要的损伤，提高了患者一次插管的成功率，值得临床推广应用。

Objective: To investigate the impact of tetracaine hydrochloride glue-assisted clinical catheterization on patient comfort.Method: 3281 patients required catheterization in our hospital were randomly divided into experimental group and control group,the experimental group treated with tetracaine hydrochloride due to glue-assisted clinical catheterization,Control group were treated with paraffin oil auxiliary clinical catheterization.Result: The experimental group patients intubation time success rate was significantly higher(p 0.05),the experimental group were intubated degree of pain was significantly lower than the control group(P 0.05),experimental group of patients with catheterization after 10min urethra to stimulate significantly lower than the control group(P 0.05),experimental group patients intubation and after intubation related indicators were superior to the control group(P 0.05),There's no significant difference in two groups of patients with complications and adverse reactions(P 0.05).Conclusion: Tetracaine hydrochloride the mortar auxiliary clinical catheterization can improve the skin lesions of patients comfort,and improve the success rate in patients with a catheterization.

目的:研究抗菌类药物在临床使用中的注意事项,促进用药合理性.方法:研究我院在抗菌类药物方面的使用方法,采取临床干预方式,对研究对象加强控制.本次研究的总量为600例,在半年时间后,评审药物使用各项目,分析控制效果.结果:在一年时间之后,抗菌药物的使用状况更佳,说明控制对药物的应用优化效果较好.结论:抗菌类药物的使用需要从使用时限、用药指征、用量、患者送检以及联合用药这几个方面加强控制,这样才能够确保抗菌药物在临床上使用的合理性.

Objective:To approach specimen hemolysis degree and hemolytic specimen waiting period interfering with the testing results while using electrochemiluminescence immunoassay(ECLIA) to test serum insulin and C-peptide.Methods:We artificially interfered with the test specimen into 5 hemolysis specimens with different hemolysis degrees.And we placed them in indoor environment(20℃).Using ECLIA to test and analyze insulin and C-peptide degree of hemolytic and non-hemolytic specimens separately during 4 different time quanta(0,30,60,120 min).Results:Specimen hemolysis can lower insulin concentration.Insulin concentration testing and specimen hemolytic degree and waiting period are in negative correlation.Specimen hemolysis has no influence on using Electrochemiluminescence Immunoassay to test C-peptide.Conclusion:Definitely avoid hemolysis during insulin test.Under the circumstance of unsure quality control before specimen analysis,C-peptide releasing horizontal curve is more reliable in clinical practices than insulin releasing horizontal curve.

Objective To study the influence of different degrees of sample hemolysis on electrochemiluminescence immunoassay(ECLIA) results.Methods The blood samples were manually intervened into different degrees of hemolysis,and were used for detecting and analyzing the concentrations of 28 indices such as thyroid function,tumor markers,endocrine hormones and so on in various groups of samples.Results Sample hemolysis can reduce the concentration of insulin(INS),and the concentration of folic acid(FA) and neuron-specific enolase(NSE) were increased.Severe hemolysis can make the results to have a higher trend on determination of ferritin,however,it was not statistically significant,and the determination results of other indices was not affected by hemolysis.Conclusions The results of most hemolytic samples except certain indices are not affected.The determinations of INS,FA and NSE should absolutely avoid hemolytic samples to ensure the accuracy of results.

目的:探讨分析高血压患者药物的利用和依从性.方法:选取2009年-2010年来我院进行就诊的174例高血压患者,所有患者均为复诊,且病情大于6个月,所有患者均自愿接受调查.对174例患者均采用调查间卷的形式,其主要包括三个方面,患者的一般情况,服用的药物及药物服用情况即用药依从性.结果:随着患者的年龄的增加,服药依从性也相应增加;已婚患者相对其他婚姻状况的患者依从性更好;大专以上文化程度较其他文化程度的依从性好;人均月收入5000以上的较其他服药依从性好.良好的医患关系也促进了服药的依从性;药物品种对患者服药依从性也存在着差异,另外,疗程长的患者,药物依从性就较差.结论:健康教育,良好的医患关系,家庭氛围和谐均能提高患者的服药依从性,并应根据患者的一般情况,生活习性等合理选择用药.

当前网络技术日益发展,宽带网已经普及到个人用户,网络中的商务平台B2P亦逐渐成熟,但医疗服务的网络平台却很少.如何将医院的医疗技术优势与网络技术结合,是一个新而重要的课题.我院在建立医院信息管理系统(即数字化医院)的基础上,通过网络技术,建立病人档案和病例数据库,提高全市人民的医疗保健水平及全市医务人员的专业知识水平,通过专家热线会诊疑难杂症,预防疾病的发生及减低病残率.现将我院建立梧州市医疗网络的经验报道如下.