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find Author "叶丽" 2 results
  • 自控静脉镇痛在剖宫产产妇术后镇痛中的效果评价

    目的观察自控静脉镇痛(PCIA)在剖宫产产妇术后镇痛中的效果。 方法选取2013年6月-12月行剖宫产且术后疼痛视觉模拟评分(VAS)>4分需进行药物止痛产妇79例,其中自愿选取肌肉注射哌替啶镇痛的29例产妇纳入对照组,其余50例采用PCIA(舒芬太尼150μg+托烷司琼5 mg+生理盐水共150 mL)镇痛方式的产妇纳入观察组,分别在术后2、4、6、12、24 h对两组产妇疼痛程度、24 h睡眠质量、不良反应、镇痛满意度进行比较。 结果两组产妇术后不同时点的疼痛程度,24 h睡眠质量、不良反应比较,观察组优于对照组,差异有统计学意义(P<0.05),观察组镇痛满意率优于对照组,差异有统计学意义(P<0.05)。 结论PCIA能长久持续地减轻剖宫产产妇术后的疼痛,有效提高产妇术后睡眠质量,降低不良反应。

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  • Clinical application of Q-syte separating film needleless closed transfusion connector in postoperative bladder cancer patients for bladder irrigation

    ObjectivesTo evaluate the effects of Q-syte separating film needleless closed transfusion connector in flushing chamber of three-cavity urethral catheter.MethodsTo retrospectively analyze the patients who underwent transurethral resection of bladder tumor for non muscle-invasive bladder cancer from January 2015 to July 2016 in Zhongnan Hospital of Wuhan University. After terminating the continuous bladder irrigation, the observed group used Q-syte separating film needleless closed transfusion connector to seal the flushing chamber of three-cavity urethral catheter, and control group used conditional approach to connect drainage bag. The degree of comfort and satisfaction of patients, urinary tract infection, time of stopping bladder irrigation and bladder perfusion time between two groups were assessed.ResultsA total of 88 patients were included involving 63 (72%) males and 25 (28%) females with a mean age of 60.2±4.7 years. There were no significant differences between two groups in age, gender, BMI, and complications (P>0.05). Compared to control group, case group had higher level of comfort degree (mild discomfort: 86.4% vs. 25.0%, P<0.001; moderate discomfort: 13.6% vs. 52.3%, P<0.001; severe discomfort: 0.0% vs. 22.7%, P=0.001), satisfaction degree (97.9±2.1 vs. 84.5±3.9, P<0.001), and lower rates of urinary tract infection (11.4% vs. 29.5%, P=0.034). In addition, the case group spent shorter time in terminating bladder irrigation (50.48±1.78 vs. 207.74±5.41, P<0.001) and bladder perfusion (141.47±3.25 vs. 205.35±5.17, P<0.001). All differences were statistical significance.ConclusionsApplication of Q-syte separating film needleless closed transfusion connector for sealing flushing chamber of three-cavity urethral catheter after continuous bladder irrigation could promote the degree of comfort and satisfaction of patients, and decrease the rate of urinary tract infection, as well as the working efficiency of health care professionals.

    Release date:2019-06-24 09:18 Export PDF Favorites Scan
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