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find Author "李秀娟" 5 results
  • 癫痫所致精神障碍患者运用自理理论的效果

    目的:探讨Orem自理理论在癫痫所致精神障碍患者护理中的作用。方法:将55例癫痫所致精神障碍患者随机分为对照组和观察组,对照组按医嘱护理级别实施护理,仅做一般的健康知识宣教,观察组应用Orem自理理论评估患者的自理能力,采用不同的护理系统和个体化健康知识宣教,让患者及家属共同参与护理活动。结果:观察组基础护理合格率达100%,护理并发症和护理意外明显低于对照组Plt;0.01),药物知识知晓率和服药依从性明显高于对照组,且护理效果满意度调查达99%。结论: 将Orem自理理论用于癫痫所致精神障碍患者的护理,可减少复发率,降低致残率,提高生存质量。

    Release date:2016-09-08 10:01 Export PDF Favorites Scan
  • Behçet病并发黄斑裂孔一例

    Release date:2016-09-02 05:41 Export PDF Favorites Scan
  • The Analysis of the Application of Perioperative Antibiotics

    【摘要】 目的 了解在围手术期术前30 min应用抗生素的情况。 方法 根据2004年卫生部、国家中医药管理局、总后勤部发布的《抗菌药物临床应用指导原则》中围手术期抗生素的使用原则,对四川大学华西医院2010年4-6月500台手术围手术期抗生素的使用情况进行分析。 结果 抗生素在麻醉前输:0台;抗生素末在术前30 min输2台,占0.4%;抗生素末即用即配:0台;抗生素与麻药及其他禁忌药混合输:0台;手术3 h后末及时追加抗生素:0台;特殊患者使用抗生素的注意事项不清楚2台,占0.4%。 结论 该院99.6%的手术实行在手术室术前30 min输入抗生素,确保抗生素达到有效浓度,有效控制感染,保证手术的成功,保障患者安全。【Abstract】 Objective To investigate the application of perioperative antibiotics half an hour before operation in West China Hospital of Sichuan University.  Methods According to Clinical Guidance of Antibiotics published by Ministry of Health, State Administration of Traditional Chinese Medicine and General Logistics Department in 2004, we investigated the application of perioperative antibiotics in 500 operations between April to June 2010 in our hospital. Results There was no operation with infusion of antibiotics before anesthesia, 2 operations without infusion of antibiotics half an hour before operation (0.4%), no operation without immediate infusion after preparation, no operation with mixed infusion of antibiotics and anesthesia and other contraindicated drugs, no operation without infusion of antibiotics 3 hours after operation, and 2 operations in which cautious items about the children, pregnancy and old patients were unclear (0.4%). Conclusion About 99.6% operations in our hospital have the infusion of antibiotics 30 minutes before the operation, which is the guarantee of antibiotics with effective concentration, inhibition of infection, success of the operation and safety of the patients.

    Release date:2016-09-08 09:25 Export PDF Favorites Scan
  • 地震伤后颈6、7椎体骨折脱位颈脊髓损伤1例报道及康复体会

    Release date:2016-09-08 09:54 Export PDF Favorites Scan
  • A clinical research of resecting versus preserving azygos vein, thoracic duct and peripheral tissues in the treatment of esophageal cancer

    ObjectiveTo compare the clinical efficacy of modified Ivor-Lewis esophagectomy, which preserves azygos vein, thoracic duct and peripheral tissues, and classic Ivor-Lewis esophagectomy, which resects these tissues, in the treatment of esophageal cancer, so as to evaluate whether it is necessary to resect azygos vein, thoracic duct and peripheral tissues in esophagectomy for esophageal cancer.MethodsPatients scheduled for surgical treatment of thoracic esophageal cancer in Department of Thoracic Surgery of Sichuan Cancer Hospital from June 2011 to June 2013 were randomly assigned to the retention group and the resection group, each including 100 patients. The retention group included 87 males and 13 females with an average age of 60.53±7.72 years. In the resection group, there were 80 males and 20 females with an average age of 60.69±7.69 years. Patients in the two groups were compared for the duration of surgery, intraoperative blood loss, postoperative thoracic drainage volume, postoperative complications, and number of dissected lymph nodes, etc. Postoperative relapse and survival rates at 1, 3 and 5 years postoperatively were also followed up and compared for patients in the two groups.ResultsThere was no statistical difference between the two groups in general patient characteristics, number of dissected lymph nodes, or postoperative pathological stage, etc. (P>0.05). Compared to the resection group, there were shorter duration of surgery, less intraoperative blood loss, and less thoracic drainage volume in the first 3 days following surgery in the retention group, with statistical differences (P<0.05). There was no statistical difference between the two groups in type or site of relapse or metastasis (P>0.05). The survival rates at 1, 3, and 5 years postoperatively was 78.7% vs. 81.3%, 39.4% vs. 37.5%, and 23.4% vs. 17.7%, respectively, in the retention group and the resection group, with no statistical difference (P>0.05).ConclusionModified Ivor-Lewis esophagectomy preserving azygos vein, thoracic duct and peripheral tissues could reduce surgical trauma, would not increase postoperative relapse or metastasis, and could produce long-term efficacy comparable to that of extended resection.

    Release date:2019-04-29 02:51 Export PDF Favorites Scan
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