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find Author "吴孟航" 12 results
  • Research progress of evaluation, risk factors and intervening measures of delirium after liver transplantation

    Objective To investigate the evaluation, risk factors and intervening measures of postoperative delirium in patients after liver transplantation, and to provide reference for clinical practice. Methods The relevant literatures on delirium after liver transplantation at home and abroad in recent years were consulted. Based on the definition of postoperative delirium, the research status, evaluation tools and evaluation frequency at home and abroad were reviewed. From the aspects of donor and recipient, the influencing factors by connecting preoperative, intraoperative and postoperative stages and angles were explored. Results The incidence of postoperative delirium in patients with liver transplantation was high, and the risk factors were numerous, which ran through before and after liver transplantation. In terms of research type, most domestic and foreign studies were retrospective, single center, small sample surveys, with different assessment tools and assessment frequency. There were few high-quality intervention studies on delirium after liver transplantation. Conclusions Delirium after liver transplantation is predictable, evaluable and treatable. Effective risk assessment and screening are very important. Intervention for patients undergoing liver transplantation who develop postoperative delirium requires a combination of pharmacologic and non-pharmacologic interventions.

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  • 脑干出血患者行血管内降温亚低温治疗护理一例

    Release date:2016-09-08 09:18 Export PDF Favorites Scan
  • 球囊阻断腹主动脉手术切除骶尾部巨大脊索瘤的护理

    摘要:目的: 总结骶尾部巨大脊索瘤采用球囊阻断腹主动脉后行手术切除的护理体会。 方法 : 对8例骶尾部巨大脊索瘤在球囊阻断腹主动脉后行手术治疗的围手术期护理进行回顾性分析。 结果 : 本组8例均安全度过手术期,近期疗效满意,局部症状缓解,大小便正常,除1例失访外其余7例随访6个月至3年均未见肿瘤复发,且完全恢复日常生活和工作。 结论 :对骶尾部巨大脊索瘤采用球囊阻断腹主动脉后行手术切除术中出血少,肿瘤全切率高。围手术期采取有效的护理干预,有助于提高手术成功率, 促进患者机体功能的恢复,减少术后并发症,缩短康复疗程。

    Release date:2016-09-08 10:12 Export PDF Favorites Scan
  • 两种不同方式配制微量泵药液的效率和效果评价

    目的对比和评价两种不同方式配制微量泵药液的效率及效果。 方法2014年8月-10月随机选取临床护士50名,分别以传统标准式和改良式配制A溶液和B溶液,其中A溶液为去甲肾上腺素8 mg(每支规格为2 mg/1 mL)+5%葡萄糖水注射液46 mL,B溶液为多巴胺200 mg(每支规格为20 mg/2 mL)+生理盐水 30 mL。比较同种溶液两种方式所需时间和同种方式两种溶液所需时间;均模拟临床24 h后取注射器前、中、后(即:乳突处、25 mL、50 mL)处液体各1 mL作为标本培养后高倍镜下观察。 结果配制A溶液共抽吸药液5次,配制B溶液共抽吸药液11次。改良式和传统标准式配制A溶液平均时间分别为(37.85±4.33)、(86.44±12.25)s,差异有统计学意义(P<0.001);改良式和传统标准式配制B溶液平均时间分别为(49.75±6.12)、(105.08±9.50)s,差异有统计学意义(P<0.001)。所有标本培养72 h后镜下均未发现菌落。结论 改良式节约了微量泵药液配制时间且不会导致药液污染,值得在临床进一步研究和推广。

    Release date:2016-11-23 05:46 Export PDF Favorites Scan
  • Application of the management mode participated by doctors, nurses and patients in the safety management of medical tubes for restlessness patients in the Neurosurgery Intensive Care Unit

    ObjectiveTo determine the effects of the management mode participated by doctors, nurses and patients on the safety of medical tubes for restlessness patients in the Neurosurgery Intensive Care Unit (NICU). MethodsA total of 133 restlessness patients treated between May 17 and November 22, 2013 were included in the study as control group, who were admitted to the NICU before application of the management mode participated by doctors, nurses and patients; another 119 restlessness patients treated between May 17 and November 22, 2014 were included in the study as research group, who were admitted to the NICU after application of the management mode participated by doctors, nurses and patients. Then we compared the accidental extubation situation between the two groups. ResultsThe accidental extubation rate of all kinds of medical tubes in the research group was lower than that in the control group, among which the extubation rate of urethral catheter (0.67% vs. 4.32%), gastric tube (2.26% vs. 10.14%), trachea cannula (1.08% vs. 7.84%), and arterial cannulation pipeline (1.12% vs. 6.93%) was significantly different between the two groups (P<0.05). ConclusionThe management mode participated by doctors, nurses and patients can effectively reduce the accidental extubation rate of medical tubes for restlessness patients, prevent the occurrence of adverse events and ensure the treatment and nursing safety in the NICU.

    Release date:2017-02-22 03:47 Export PDF Favorites Scan
  • 新型冠状病毒感染肺炎疫情下肝移植受者住院及居家防控策略

    Release date:2020-04-28 02:46 Export PDF Favorites Scan
  • Efficacy and safety of enhanced recovery after surgery in liver transplantation

    ObjectiveTo review the effect and safety of enhanced recovery after surgery (ERAS) in liver transplant recipients.MethodsA comprehensive literature search of Pubmed, Embase, CNKI, etc. was performed using keywords “ERAS” or “fast track” and “liver transplantation” (cut-off date June 3, 2020). The relevant literatures on researches of ERAS in liver transplant recipients at home and abroad in recent years were summarized.ResultsERAS effectively could promote the functional recovery of postoperative food intake and physical activities through systemic perioperative measures different from conventional management among the liver transplant recipients. In addition, loads of studies had revealed that ERAS was safe for liver transplant recipients with positive effects in different dimensions such as controlling complications, shortening hospital stays, and reducing medical expenses, etc.ConclusionERAS can effectively promote functional recovery of liver transplant recipients without increasing risk.

    Release date:2020-12-25 06:09 Export PDF Favorites Scan
  • Effect of rapid rehabilitation management measures by multidisciplinary cooperation onhospital stay and complications after liver transplantation

    ObjectiveTo explore effect of rapid rehabilitation management measures by multidisciplinary cooperation on hospital stay and complications after liver transplantation. MethodsThe convenience sampling method was used to collect the liver transplant patients in the Department of Liver Surgery of West China Hospital of Sichuan University. The patients underwent the rapid rehabilitation management measures by multidisciplinary cooperation from January 2017 to December 2017 as the study group and the patients underwent the routine management measures from January 2015 to December 2016 as the control group. The postoperative intensive care unit (ICU) stay time and postoperative hospitalization time were recorded and the postoperative complications were observed. ResultsA total of 175 patients with liver transplantation were included, including 78 cases in the study group and 97 cases in the control group. There were no significant differences in the age, gender, hemoglobin, leukocyte count, platelet count, total bilirubin, aspartate aminotransferase, alanine aminotransferase, albumin, prothrombin time, acute liver failure, model for end-stage liver disease score, liver transplantation mode, operation time, and intraoperative bleeding between the two groups (P>0.05). The postoperative ICU stay time and postoperative hospitalization time were shorter and the incidences of total postoperative complications and gade of complications were lower in the study group as compared with the control group (P<0.05). ConclusionFrom preliminary results of this study, rapid rehabilitation management measures by multidisciplinary cooperation could shorten postoperative ICU stay time and postoperative hospitalization time, reduce incidence of postoperative complications, and be more conducive to postoperative rehabilitation.

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  • Application effect of integrated and grouped oxygen inhalation atomization devices in postoperative patients with liver cancer:a prospective case-control study

    Objective To compare the application effects of two kinds of oxygen and nebulizer inhalation devices applied to patients undergoing partial hepatectomy, with a view to providing reference for clinical selection oxygen and nebulizer inhalation modality. Methods A prospective case-control study was used to select 228 patients who required oxygen inhalation and nebulization after hepatectomy under general anesthesia in the Department of Liver Surgery of West China Hospital of Sichuan University from January to December 2022 as study subjects, and were randomly divided into two groups: grouping group (n=77) and integrating group (n=151). The traditional oxygen inhalation device and atomization device (grouping oxygen inhalation atomization device) commonly used in clinic were used in the grouping group, and the humidifying bottle and humidifying water were replaced every 24 hours. The integrating group adopts a new device (integrated oxygen atomization inhalation device) which integrates oxygen inhalation and atomization functions. The integrating group was divided into integrating group 1 (n=77) and integrating group 2 (n=74) according to the different time of changing the humidifying bottle and humidifying water. The time for replacing the humidifying bottle and humidifying water in the integrating 1 was the same as that in the grouping group. The time for replacing the humidifying bottle and humidifying water in the integrating group 2 was 48 h after used, and replace again it after 72 hours of used. Samples from different parts of the grouping group and the integrating group 1 were collected at 24 h, 48 h, 72 h, 96 h and 120 h after oxygen inhalation, respectively, for colony culture. In the integrating group 2, samples were taken for colony culture when the device was changed twice (48 h and 120 h). At the same time, the nurses’ fogging operation time and the fogging noise of the two groups were measured. The self-made patients’ satisfaction questionnaire and nurses’ questionnaire were used to investigate the satisfaction of two groups of patients and 30 medical staff respectively. Results There were no statistically significant difference in the number of bacterial colonies between the grouping group and the integrating group 1 at different time periods and between the two groups at the same time (P>0.05). In terms of atomization performance, atomization noise in the integrating group was lower than that of the grouping group (P<0.05), and the atomization preparation and disposal time in the integrating group were shorter than that of the grouping group (P<0.05). The patients and nurses were more satisfied with the integrating group (P<0.05). Conclusions There is no difference in pollution risk between the integrated oxygen atomization bottle and the grouped oxygen atomization bottle. The atomization performance and humidification performance of the integrated oxygen atomization bottle are better than that of the grouped oxygen atomization bottle. The noise generated during operation is small, the comfort of patients is high, and the operation time of nurses can be shortened and the work efficiency can be improved, which has high clinical application value.

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  • Clinical application of novel coronavirus infection rapid screening tool for liver transplantation donors

    ObjectiveTo evaluate the feasibility of novel coronavirus infection rapid screening tool for liver transplantation donors.MethodsClinical data of 14 cases of organ donation for cardiac death from February 2020 to May 2020 were collected, and risk screening was conducted by using novel coronavirus infection rapid screening tool of liver transplantation donor.ResultsThe risk screening results of 14 donors showed that 9 were at moderate risk and 5 were at low risk. After two negative nucleic acid tests and case discussion, the organ of 9 medium-risk donors could be used. Ten cases were performed the liver transplantion, and all patients recovered smoothly after operation, and no novel coronavirus infection occurred.ConclusionNovel coronavirus rapid screening tool for liver transplantation has shown certain clinical value, which needs to be further verified and improved.

    Release date:2021-04-25 05:33 Export PDF Favorites Scan
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