目的:探讨快速康复外科(ERAS)护理策略在老年股骨转子间骨折病人手术室护理中的应用效果.方法:随机抽样法选取2017年1月—2018年12月医院100例老年股骨转子间骨折手术病人,使用随机数字表法分为对照组与研究组各50例.对照组采用常规手术室护理,研究组采用手术室ERAS护理.比较两组病人体温(术前、术中、术后)、术中出血量、住院时间、生理应激指标、心理应激状况、术后住院期间并发症发生情况.结果:研究组病人术中、术毕体温高于对照组,术中出血量少于对照组,住院时间短于对照组(P<0.05);干预后研究组病人心率、收缩压、舒张压低于对照组,SAS、SDS评分低于对照组(P<0.05);研究组病人术后并发症发生率仅为4.00％,低于对照组的18.00％(P<0.05).结论:老年股骨转子间骨折手术室护理中应用ERAS护理可减轻病人手术应激反应,促进术后恢复,预防相关并发症.

总结一例以酒精性肝硬化食管静脉曲张破裂出血入院的患者后因消化道出血诱发的性肝昏迷.通过积极救治与精心的护理,使得患者痊愈出院的临床护理体会.

乳腺癌是女性常见恶性肿瘤,其发病率呈上升趋势,且发病年龄年轻化.手术治疗是该病的首选方法[1].由于手术范围广,需切除全部乳房和胸肌筋膜,同时清除腋窝淋巴结,会使患侧上肢外展、内收、上举及持重功能受限[2],加之术后瘢痕挛缩,如不及时正确地进行康复功能锻炼,将会造成患侧上肢功能障碍.

Objective: To evaluate the effect of Nd-YAG laser power bleach on tetracycline stained teeth.Methods: 98 tetracycline stained teeth in 10 individuals were treated. Hi-Lite past and Nd-YAG laser were used for in -office bleaching first, and then bleaching gel was used at home for 2 weeks. Spectra Scan PR-650 and CLE L*a*b* colorsystem were applied to measure the teeth color. Results: 1 d, 2 weeks, 1 month, 3 months and 6 months after bleaching, △L were 7.287, 7.246, 6.399, 3.497 and 3.129, △a -0.685, 0.669, -0.297, -0.601 and 0.073, △b -4.077, -2.262, -1.485, -1.026 and -0.364, △E 8.378, 7.620, 6.576, 3.694 and 3.151 respectively. 8 out of the 10 subjects were satisfied with the treatment.Conclusion: Nd-YAG laser power bleach is effective in the treatment of tetracycline stained teeth, the improved teeth color may be kept for 3～6 months after 2week bleaching.