简介: 【摘 要】目的:分析重症颅脑外伤病患气管切开术后的护理对策。方法:将 2018年 2月— 2020年 2月在本院接受治疗的 80例重症颅脑外伤病患作为研究对象,将其随机分组为观察与对照,其中,观察组包括 42例病患,对照组包括 38例病患,给予对照组病患常规护理措施,给予观察组病患综合护理干预措施。比较分析两组病患的治疗效果、术后发生感染的机率和感染控制时间等。结果:观察组病患的治疗总有效率明显高于对照组,术后发生感染的机率明显低于对照组,感染控制时间明显短于对照组,因此,組间存在的差异符合统计学意义 ( P<0.05)。结论:重症颅脑外伤病患行气管切开术后,针对其采用综合护理干预方法,既能够减少术后发生感染的可能性,同时还能够促进病患早日康复。 【关键词】重症颅脑外伤 ;气管切开术 ;术后护理 [Abstract] Objective: to analyze the nursing countermeasures of severe craniocerebral trauma patients after tracheotomy. Methods: 80 patients with severe craniocerebral trauma who were treated in our hospital from February 2018 to February 2020 were randomly divided into observation group and control group. 42 patients in the observation group and 38 patients in the control group were given routine nursing measures and comprehensive nursing intervention measures in the observation group. The treatment effect, postoperative infection rate and infection control time of the two groups were compared and analyzed. Results: the total effective rate of the observation group was significantly higher than that of the control group, the incidence of postoperative infection was significantly lower than that of the control group, and the infection control time was significantly shorter than that of the control group. Therefore, the difference between the two groups was statistically significant (P < 0.05). Conclusion: after tracheotomy for severe craniocerebral trauma patients, comprehensive nursing intervention can not only reduce the possibility of postoperative infection, but also promote the early recovery of patients.
简介: [摘要 ]目的观察临床护理路径( CPN)对鼻中隔偏曲矫正患者术后疼痛及生活质量的影响。方法选取 2017年 1月~ 2019年 12月在我院治疗的 60例鼻中隔偏曲患者作为研究对象,运用随机数表法将其分为两组,均 30例。对照组采取临床常规护理,观察组则实施 CPN护理。观察两组术后疼痛与生活质量。结果观察组术后 12、 24、 72h时疼痛评分低于对照组,差异有统计学意义( P<0.05);观察组干预后躯体功能、心理功能、社会功能、物质生活等维度评分均显著优于对照组,差异有统计学意义( P<0.05);观察组住院时间、住院费用均少于对照组,差异有统计学意义( P<0.05)。结论 CPN的实施有助于缓解鼻中隔偏曲矫正患者术后疼痛,提升其生活质量,缩短治疗时间,对促进疾病康复作用显著。 [关键词 ]临床护理路径;鼻中隔偏曲矫正术;术后疼痛;生活质量 [Abstract] Objective To observe the effect of clinical nursing pathway (Cpn) on the postoperative pain and quality of life of patients with deviation of nasal septum. Methods 60 patients with deviation of nasal septum treated in our hospital from January 2017 to December 2019 were selected as the study objects. They were divided into two groups by random number table method, 30 cases in each group. The control group received routine clinical nursing, while the observation group received CPN nursing. The pain and quality of life were observed. Results the pain score of the observation group was lower than that of the control group at 12, 24 and 72 hours postoperatively, the difference was statistically significant (P < 0.05); the scores of physical function, psychological function, social function, material life and other dimensions of the observation group were significantly better than those of the control group, the difference was statistically significant (P < 0.05); the length of stay and cost of stay in the observation group were less than those of the control group, the difference was statistically significant (P < 0.05) .05)。 Conclusion the implementation of CPN is helpful to relieve the postoperative pain, improve the quality of life, shorten the treatment time and promote the recovery of the disease.
简介:【摘要】目的 分析研究综合护理对乙肝肝硬化腹水患者疗效的影响。方法 本次研究对象均为本院收治的乙肝肝硬化腹水患者,共计 64例,收治时间范围介于 2018年 02月 -2019年 02月之间。其中 32例设为参照组实施常规护理,另外 32例设为研究组实施综合护理。比较两组的预后效果和护理满意度。结果 护理前两组患者的心率和体温指标基本一致( P> 0.05),护理后研究组患者的心率和体温指标均明显低于参照组( P< 0.05);研究组患者的整体护理满意度明显高于参照组( P< 0.05)。 结论 在乙肝肝硬化腹水患者的护理工作中应用综合护理能有效提升患者的预后效果,提升患者的护理满意度,具有推广价值。
简介:摘要:目的: 探讨园艺疗法对抑郁症患者症状、生活质量及社会功能的影响。 方法: 选择我院 2018 年 1 月 -2019 年 6 月收治的抑郁症患者 50 例为对象,随机数字表法将患者分成对照组( n=25 )和观察组( n=25 )。纳入的 50 例患者均接受常规方法治疗,对照组患者用常规护理,观察组患者在对照组的基础上用园艺疗法。比较两组患者干预前后抑郁症状和生活质量、社会功能变化。 结果: 干预后观察组 HAMD 评分低于对照组, GQOLI-74 评分高于对照组, P < 0.05 。 结论: 抑郁症患者以园艺疗法干预,能减轻临床症状,改善生活质量及社会功能。
简介: [摘要 ] 目的 探讨高血压脑出血手术治疗时间选择对患者疗效及生活质量的影响。方法 该研究回顾性分析该院 2018年 1月— 2019年 12月收治的 150例高血压脑出血手术治疗患者的临床资料,患者手术时间为发病 6 h以内组( 50例)、发病 6~ 24 h组( 50例)、发病 24 h以上组( 50例),对比分析 3组患者的临床疗效和生存质量。结果 治疗后, 6 h以内组 GQOLI-47量表各指标评分结果均明显高于其他两组,结果差异有统计学意义( P<0.05);治疗后, 6 h以内组 NISHH评分为( 6.27±0.75)分,低于 6~ 24 h组的( 10.72±2.12)分、 24 h以上组的( 10.41±1.75)分,结果差异有统计学意义( t=13.993、 15.376, P=0.000、 0.000); 6 h以内组患者总有效率为 88%, 6~ 24 h组患者总有效率为 66%, 24 h以上组患者总有效率为 62%, 6 h以内组总有效率高于 6~ 24 h组、 24 h以上组,结果差异有统计学意义( χ2=6.83、 26.81, P=0.009、 0.000)。结论 高血压脑出血患者在发病后 6 h内接受手术治疗,其治疗有效性更好,且有助于患者生活质量和神经功能的改善。 [关键词 ] 高血压脑出血;手术治疗;时间选择;临床疗效;生活质量 [Abstract] Objective To explore the effect of operation time selection on the curative effect and quality of life of patients with hypertensive cerebral hemorrhage. Methods the clinical data of 150 patients with hypertensive intracerebral hemorrhage treated by operation from January 2018 to December 2019 were analyzed retrospectively. The operation time of the patients was within 6 hours (50 cases), 6-24 hours (50 cases) and more than 24 hours (50 cases). The clinical efficacy and quality of life of the three groups were compared and analyzed. Results after treatment, the scores of gqoli-47 were significantly higher than those of the other two groups within 6 hours (P < 0.05); after treatment, the scores of nishh were (6.27 ± 0.75) in the group within 6 hours, lower than (10.72 ± 2.12) and (24) in the group within 6 hours The difference was statistically significant (t = 13.993, 15.376, P = 0.000, 0.000); the total effective rate was 88% in the group within 6 hours, 66% in the group within 6-24 hours, 62% in the group above 24 hours, and higher in the group within 6 hours than in the group within 6-24 hours The difference was statistically significant (χ 2 = 6.83, 26.81, P = 0.009, 0.000). Conclusion the patients with hypertensive cerebral hemorrhage received surgery within 6 h after the onset of the disease, which is more effective and helpful to improve the quality of life and neurological function of the patients.
简介:【摘要】目的:研究促甲状腺激素( TSH)抑制治疗对女性分化型甲状腺癌( DTC )患者血清 25( OH) VitD及骨密度 的影响。方法:在我院收治的女性 DTC患者中选取 50 例,给予甲状腺癌根治手术,清除甲状腺成功。术后予优甲乐行 TSH抑制治疗,治疗
简介:【摘要】: 目的 观察分析 2型糖尿病并高血压老年患者联用 吡格列酮与 阿卡波糖治疗的临床效果 。方法 选择我院 201 8 年 11 月 -201 9 年 11 月收治 的 82 例 2 型糖尿病并高血压老年患者作 为 本次的 研究对象 ,随机将其 分为各有 41 例患者 的两组: 对照组和研究 组。所有患者均采用控制饮食、适量运动等常规治疗措施, 对照组患者加用 阿卡波糖治疗,研究 组患者在对照组治疗措施的基础上加用 吡格列酮治疗。比较治疗前后两组患者的血压和血糖水平变化。 结果 两组治疗后的 FPG 、 2hPG 、 HbAlc 等血糖水平均较治疗前显著降低,差异有统计学意义( P<0.05 )。治疗后研究组患者的 FPG 、 2hPG 、 HbAlc 血糖水平显著低于对照组,差异有统计学意义( P<0.05 )。两组患者治疗后的 SBP 以及 DBP 水平均较治疗前明显降低,差异有统计学意义( P<0.05 )。治疗后研究组患者的 SBP 以及 DBP 水平显著低于对照组,差异有统计学意义( P<0.05 )。 结论 联用 吡格列酮与 阿卡波糖治疗 2 型糖尿病并高血压老年患者取得的效果满意,患者的血压及血糖水平得到有效控制,在临床上具有广泛推广及应用的价值 。