简介:【摘要】目的:探讨分析活髓切断术在成人不可复性牙髓炎中的疗效。方法:从近两年于我院收治的牙髓炎患者病例中,选取40例作为研究对象,在局部麻醉下,加强牙科手机的应用,以此来对患牙龋损进行去除,并借助生理盐水,冲洗和暴露牙髓,确保牙髓止血,再借助三氧化物聚合体(MTA),对患者术后牙髓状况及X线片表现进行密切观察。结果:经过活髓切断术后,成功的例数为36例,成功率为90.00(36/40)。对于治疗成功的患牙,尚未出现任何临床不适症状。通过对40例40颗成人恒磨牙牙髓炎的术后观察随访,未出现疼痛、X线片未见根尖周及根分叉阴影为38例(95.00%),失败为2例,其中,当天出现明显剧烈疼痛者、1个月复查X线片显示根尖周阴影分别为1例、1例。结论:相比于乳牙和年轻恒牙,活髓切断术的应用价值显著,这在牙根发育完全的成人不可复性牙髓炎中得到了充分体现。
简介: [摘要 ] 目的 研究晚期结肠癌与直肠癌化疗近期有效率的差异。方法 共收集复发转移性大肠癌患者 194例,其中结肠癌患者 94例,直肠癌患者 100例,采用 χ2检验的方法对比分析两组患者经 4周期一线姑息性化疗后的疗效差异,以 P<0.05为标准。 结果 直肠癌患者化疗有效( CR+PR) 38例( 38.00%)。结肠癌患者中化疗有效( CR+PR) 52例( 55.32%)。两组患者化疗有效率差异有统计学意义( P<0.05)。结论 晚期结肠癌患者姑息化疗近期有效率优于直肠癌组。 [关键词 ] 晚期结肠癌;直肠癌;姑息化疗;差异 [Abstract] Objective To study the difference of short-term response rate between advanced colorectal cancer and rectal cancer. Methods a total of 194 patients with recurrent and metastatic colorectal cancer were collected, including 94 patients with colon cancer and 100 patients with rectal cancer. χ 2 test was used to compare and analyze the therapeutic effect of the two groups after four cycles of first-line palliative chemotherapy, with P < 0.05 as the standard. Results 38 patients (38.00%) had Cr + pr. Among the patients with colon cancer, 52 (55.32%) had effective chemotherapy (Cr + PR). There was significant difference in the effective rate of chemotherapy between the two groups (P < 0.05). Conclusion the short-term effective rate of palliative chemotherapy in patients with advanced colorectal cancer is better than that in patients with rectal cancer.
简介: [摘要 ]目的 观察分析优质护理在结肠癌术后并发肠瘘致腹腔感染患者中的应用效果。方法 选取 2018年 2月~ 2020年 2月在我院手术的结肠癌术后并发肠瘘致腹腔感染 84例患者,采用随机数字表法将其分为对照组和观察组,每组 42例。对照组行常规护理干预措施,观察组在此基础上应用优质护理干预。统计两组患者的主要致病菌,观察比较两组患者的临床疗效、生活质量情况。结果 革兰阴性杆菌( 76.19%)是结肠癌术后并发肠瘘致腹腔感染的主要细菌。观察组的总有效率高于对照组( P<0.05)。术后半年,观察组生活质量高于对照组( P<0.05)。结论 革兰阴性杆菌是结肠癌术后并发肠瘘导致腹腔感染的主要细菌,优质护理可提高结肠癌术后并发肠瘘导致腹腔感染的治愈率,改善术后生活质量。
简介:【摘要】目的 探究基于行为转变理论护理干预在溃疡性结肠炎保留灌肠治疗患者中的效果。方法 选取我院2023年12月~2024年5月期间收治的40例溃疡性结肠炎保留灌肠治疗患者进行研究,按照随机数字表法分为对照组(n=20)予以常规护理、观察组(n=20)予以基于行为转变理论的护理干预,对比健康行为能力(SRAHP)、护理满意度。结果 干预后,观察组SRAHP评分较对照组高(P<0.05);两组满意度无差异。结论 基于行为转变理论护理干预可增强溃疡性结肠炎保留灌肠治疗患者健康行为能力,提高满意度,具有良好的临床借鉴意义。
简介:【摘要】目的:分析慢性便秘患者结肠镜检查前肠道准备不合格的影响因素,并且提出护理慢性便秘患者的策略。方法:于2021年1月-2022年1月时间段内,选择128例我院接收的慢性便秘患者,作为本次研究的对象。通过分析患者肠道准备不合格情况,获得研究结果。结果:128例患者中,不合格发生率为23.4%(30/128)。多因素分析结果显示,年龄>60岁、服药期间活动不足以及糖尿病史都是肠道准备不合格的独立为欸先因素,P<0.05。结论:从肠镜检查前肠道准备不达标的原因分析,主要包括高龄和服药期间活动不足等,影响到肠镜检查的效果,需强化护理质量,提高患者肠道准备的合格率。
简介: [摘要 ] 目的 探讨美沙拉嗪联合双歧三联活菌治疗溃疡性结肠炎的疗效及其对炎性因子的影响。 方法 选取 2018年 1月~ 2020年 1月我院收治的溃疡性结肠炎患者 80例,随机分为两组,每组各 40例,两组患者均予常规对症治疗,同时两组均予美沙拉嗪缓释颗粒,观察组同时加用双歧三联活菌胶囊,治疗后比较两组患者治疗后的临床疗效,以及两组患者治疗前后 TNF-α、 IL-10水平的变化情况及两组患者治疗前后的临床症状积分变化情况。结果 观察组治疗后的总有效率为 95.00%,显著高于对照组的总有效率 70.00%,两组疗效比较差异具有显著性( P<0.05)。治疗后,两组患者的炎性因子 TNF-α、 IL-10水平较治疗前显著降低( P<0.05)。且观察组患者治疗后的 TNF-α、 IL-10水平显著低于对照组( P<0.05)。观察组患者治疗后的临床症状积分为( 2.56±0.85)分,与治疗前及对照组比较,差异有统计学意义( P<0.05)。 结论 美沙拉嗪联合双歧三联活菌治疗溃疡性结肠炎疗效确切,且可以抑制炎症反应,值得临床推广和应用。 [关键词 ] 溃疡性结肠炎 ;美沙拉嗪 ;双歧三联活菌 ;炎性因子 [Abstract] Objective To investigate the efficacy of mesalazine combined with Bifid Triple Viable Bacteria in the treatment of ulcerative colitis and its influence on inflammatory factors. method Methods: 80 patients with ulcerative colitis in our hospital from January 2018 to January 2020 were selected and randomly divided into two groups, 40 cases in each group. Both groups were given conventional symptomatic treatment, while the two groups were given mesalazine sustained-release granules. The observation group was also given Bifid Triple Viable capsules. After treatment, the clinical efficacy of the two groups of patients after treatment, as well as TNF - α, IL-10 water before and after treatment, were compared between the two groups The changes of the two groups of patients before and after treatment of clinical symptoms integral changes. Results the total effective rate of the observation group was 95.00%, which was significantly higher than that of the control group (70.00%). There was a significant difference between the two groups (P < 0.05). After treatment, the levels of inflammatory factors TNF - α and IL-10 in the two groups were significantly lower than those before treatment (P < 0.05). The levels of TNF - α and IL-10 in the observation group were significantly lower than those in the control group (P < 0.05). The clinical symptom score of the observation group after treatment was (2.56 ± 0.85), and the difference was statistically significant (P < 0.05). Conclusion mesalazine combined with Bifid Triple Viable Bacteria is effective in the treatment of ulcerative colitis, and can inhibit inflammatory reaction, which is worthy of clinical promotion and application.