【摘要】 目的 探讨口服百草枯中毒患者口腔护理的方法及早期护理的临床意义。 方法 2009年1月-2010年3月，采用半随机方法将62例白草枯中毒患者按中毒时间的长短分A组（中毒时间lt;3 d，n=32）、B组（中毒时间gt;3 d，n=3），比较两组患者口腔溃疡的治愈率、并发症发生状况，分析早期口腔护理的必要性。 结果 A组患者百草枯所致的口腔黏膜损害明显减轻，并发症发生率降低，为改善预后提供了条件，显示了早期加强口腔护理的成效。 结论 重视百草枯早期口腔护理，能够减轻口腔糜烂溃疡痛苦，减少并发症，提高患者生活质量。【Abstract】 Objective To investigate the clinical significance of early oral care for paraquat-poisoned patients. Methods A quasi-randomized controlled trial was used. A total of 62 paraquat-poisoned patients (from January 2009 to March 2010) were divided into experimental group and control group in order to compare the healing rate of oral ulcer, complications and the necessity of early oral care between the two groups. Results The oral mucosa lesions in experimental group obviously alleviated and the complications decreased. The effective early oral care provided the very favorable conditions for better prognosis. Conclusion The early oral care for paraquat-poisoned patients could relieve the pain of oral ulcer, reduce the complications and improve patient′s life quality.
目的:探讨健康教育及康复训练对子宫全切术患者的愈后效果的影响。方法:将41例子宫全切手术患者分常规组20例和观察组21例。常规组按妇产科护理常规进行术前术后常规护理及相关注意事项的讲解;观察组对患者进行术前术后常规护理同时实施健康教育及康复训练。结果:常规组患者自我认知能力稍差,有缺失感,住院时间稍长;观察组患者术后乐观,配合术后康复训练较为积极,住院时间稍短。结论:认为做好子宫全切术后患者的健康教育并进行及时的康复训练,对其术后康复并提高生活质量起着至关重要的作用。
ObjectiveTo explore the clinical effect of healthy education on functional constipation caused by unhealthy lifestyle, and to analyze the disadvantages affecting the curative effect. MethodsA total of 167 cases of functional constipation from February 2009 to February 2012 were included. All of the patients were followed up for one year. We collected clinical data of curative effect and influencing factors, determined the clinical value of healthy education, and analyzed the influence of different factors on the curative effect of healthy education. ResultsThe total curative effect after one-year follow-up was 84.4%. The curative effect in elderly patients was significantly higher than that in middle-aged ones (P<0.05). The curative effect in urban patients was remarkably higher than that in rural ones (P<0.05). And the curative effect of patients with college degree wass much higher than that in patients with education background of primary school or below (P<0.05). ConclusionHealthy education has important value on releasing and eliminating functional constipation caused by unhealthy lifestyle. And it needs individual education aimed at patients with different age, education degree, and domicile.
ObjectiveTo explore Nursing Effect about patients' Accelerated Rehabilitation Surgery after Thoracoscopic Esophageal CarcinomaMethodsContinuous collection of 90 patients with thoracoscopic esophageal cancer from March 2017 to 2018 in this hospital, of which 45 patients in the control group were given routine care, and 45 patients in the experimental group were given individualized care. Analysis of nursing satisfaction and gastrointestinal function in two groups.ResultsThe satisfaction and gastrointestinal function of the two groups of patients were analyzed.. The average bowel sound recovery time and anal exhaust time were significantly shorter in the experimental group(31.25 ± 2.25 H, 50.12 ± 1.47 H) than in the control group(45.26 ± 2.17 H, 67.36 ± 1.06 H)(P = 0.028, P = 0.030). The incidence of adverse reactions was significantly lower in the experimental group(4.44 %) than in the control group(17.77 %)(P = 0.012), Nursing satisfaction was significantly higher in the experimental group(97.78 %) than in the control group(80%)(P = 0.007), Average hospitalization days and hospitalization costs in the experimental group(12.5±2.8d,9823±720¥),They were all significantly shorter than the control group16.3±3.4d,1378±790¥)(P =0.023, P =0.036）.ConclusionThe accelerated rehabilitation surgical care of patients with thoracoscopic esophageal cancer during perioperative period can help patients to accelerate recovery by promoting the recovery of gastrointestinal energy.