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find Author "梁燕" 11 results
  • 乳腺癌的区域外科治疗

    Release date:2019-11-25 03:18 Export PDF Favorites Scan
  • 平山病护理一例

    Release date:2016-09-08 09:12 Export PDF Favorites Scan
  • Early Oral Care for Paraquat-poisoned Patients

    【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.

    Release date:2016-09-08 09:27 Export PDF Favorites Scan
  • 系统性红斑狼疮伴发急腹症的护理

    目的 总结系统性红斑狼疮(systemic lupus erythematosus, SLE)伴发急腹症(acute abdomen, AA)的临床特点与护理体会。 方法 对2004年1月-2009年1月收治的25例SLE伴发AA的临床资料与护理进行回顾性分析。 结果 AA是狼疮活跃的表现,加强其护理的同时不能忽略SLE的护理,重视健康教育。 结论 AA与SLE合并时病情危重,治疗护理有一定的特殊性,应引起护理人员关注。

    Release date:2016-09-08 09:47 Export PDF Favorites Scan
  • The Clinical Usage of Small Dose and Low Pressure Lavage in Gastrointestinal Hemorrhage Induced by Acute Poisoning

    ObjectiveTo explore the effects of small dose and low pressure lavage on gastrointestinal hemorrhage induced by acute poisoning. MethodsWe collected the clinical data of all the patients diagnosed as gastrointestinal hemorrhage induced by acute poisoning treated between January 2011 and December 2012. The patients were divided into two groups: control group and treatment group, according to the different treatments they underwent. The control group received traditional treatment only, while the treatment group received small dose and low pressure lavage as well as the traditional treatment. After recording the ages, poisoning dose, pretreatment time, shock and complications, we evaluated the risk of death by calculating ROCKALL scores. ResultsThe differences of ages, sexes, and poisoning dose between these two groups were not significant. However, the death rate in high and middle risk patients of the treatment group was significantly lower than that of the control group (P<0.05). ConclusionThe small dose and low pressure lavage can improve the prognosis of the gastrointestinal hemorrhage induced by acute intoxication.

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  • 咀嚼口香糖缩短肾移植术后肛门排气时间的对照研究

    目的探讨肾移植术后患者咀嚼口香糖缩短肛门排气时间及改善口干症状的效果,以期为制定缩短肾移植术后肛门排气时间及改善口干症状的护理措施提供理论支持。 方法2012年3月-12月,将90例肾移植术后患者随机分成对照组和试验组,对照组患者术后采用床上活动促进胃肠功能恢复,试验组患者则自麻醉苏醒开始,给予咀嚼口香糖3次/d,比较两组患者术后肛门排气时间及口干症状的改善情况。 结果所有患者均在术后2 d内肛门排气,试验组肛门排气时间明显短于对照组(P<0.001);术后第1、2天对照组口腔干燥评分均明显高于试验组(P<0.001)。 结论咀嚼口香糖有助于加速肾移植术后患者肠功能的恢复,口腔干燥症状明显减轻。咀嚼口香糖是一种价廉、容易实施的术后辅助治疗手段。

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  • Investigation of Self-management Status in Patients with Ankylosing Spondylitis

    ObjectiveTo understand the self management status of patients with ankylosing spondylitis (AS). MethodsSixty inpatients and outpatients with AS in the Department of Rheumatology between December 2011 and December 2012 were selected as the study subjects by judgment sampling method. A self-made questionnaire was used for investigation. ResultsThe self-management skills of 10.0% of the patients were poor, 78.3% were moderate and 11.7% were fine. The self-management skills of functional training and keeping healthy lifestyle were relatively poor. The factors with a score from the highest to the lowest were:the mental self-management, symptom management, keeping healthy lifestyle, and the self-management of functional training. ConclusionsThe self-management skills of patients with ankylosing spondylitis range from moderate to relatively poor. Our results suggest that cultural factors and the course of disease may be the main influence factors for self-management skills of patients. Clinical medical personnel should know the situation of patients sufficiently, improve the processes of health education and take corresponding intervention measures to the lack of self management ability. By the above ways, we can improve the compliance obedience and the self-management skills of patients, then the patients' condition and living quality will be greatly improved.

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  • 肌萎缩侧索硬化患者行经皮内镜下胃造瘘术术后并发症的观察及护理

    目的对肌萎缩侧索硬化(ALS)患者经皮内镜下胃造瘘术(PEG)术后并发症的观察及护理进行总结和分析。 方法回顾性分析2013年4月-2014年4月被确诊为ALS且行PEG手术的8例患者的临床资料,观察并发症发生情况并总结护理经验。 结果8例患者中1例并发腹膜炎及造瘘口疼痛自动出院;其余7例中并发造瘘口缘端感染及造瘘口疼痛1例,术后瘘口出血及造瘘口疼痛1例,造瘘口渗漏及造瘘口疼痛1例,术后造瘘口疼痛1例,3例无术后并发症。7例患者经治疗及护理后均好转并带管出院,最长保留胃造瘘管者在造瘘后第370天因留置时间到期更换胃造瘘管。 结论PEG是ALS患者出现吞咽障碍后最主要的营养支持手段,术前的充分评估及术后的密切观察、护理是减少并发症的主要手段。

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  • 脑梗死患者肠内营养腹泻护理一例

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  • “一带一”管理模式在风湿免疫科护士培训中的应用

    目的探索提高风湿免疫科护士专业能力的新模式。 方法2013 年 6 月-2014 年 5 月风湿免疫科36 名将护理人员按学历、风湿免疫科工作年限、职称、个人素质、工作能力等分为 4 个层级,由高层级的护士“一带一”管理低层级护士,每月进行 1 次操作考核及 1 年 1 次理论考核,护士长对新模式实施前和实施 1 年后的考核结果进行分析。 结果36 名护士新模式实施前的操作考核成绩为(85.72±3.27)分,实施后成绩为(92.36±2.95)分,差异有统计学意义(P<0.001);新模式实施前的理论考核成绩为(76.19±5.61)分,实施后成绩为(91.08±3.26)分,差异有统计学意义(P<0.001)。新模式实施前的患者满意度为 93%,实施后的满意度为 97%,差异有统计学意义(P<0.05)。 结论实施“一带一”管理模式可有效提高护士的专业能力。

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