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find Author "董艳" 3 results
  • 电话指导现场心肺复苏临床效果观察

    目的 急救队员在接到呼吸心跳骤停的求救电话后,在赶往现场的途中给予目击人电话指导如何立即心肺复苏抢救,分析其对急救效果的影响。 方法 回顾性分析2008年12月-2010年12月,经120呼救的呼吸心跳骤停患者108例,按目击者是否接受电话指导分为未指导组(n=61)和指导组(n=47),观察两组在复苏成功率及出院(患者)存活率等方面的差异。 结果 指导组47例患者中,呼吸心跳恢复12例,复苏成功率25.5%,其中7例存活,5例未留任何后遗症;而未指导组61例中,呼吸心跳恢复4例,成功率6.6%,1例植物状态出院;两组在复苏成功率及出院存活率上有明显差异,且是否参加过心肺复苏术培训也有差异。 结论 现场第一目击者在等待专业救护人员到来之前,接受电话指导后,能完成初级生命支持,为后续复苏赢得宝贵时间,大大提高了复苏成功率。

    Release date:2016-09-08 09:17 Export PDF Favorites Scan
  • The Effects of Aucklandia and Coptis Pills on Cellular Apoptosis and the Expression of Bcl-2 and Bax mRNA in Model Rats with Ulcerative Colitis

    ObjectiveTo investigate the effects of Aucklandia and Coptis pills on cellular apoptosis and the expression of Bcl-2 and Bax mRNA in model rats with ulcerative colitis (UC). MethodsFifty male Wistar rats at the age of seven weeks were randomly divided into five groups: control group, model group, Chinese medicine group (Aucklandia and Coptis pills), inhibitor group, and Chinese medicine plus inhibitor group. The experiment was performed with rats of UC induced by trinitro-benzene-sulfonic acid enema. AG-490 and Aucklandia and Coptis pills were administrated to them by intraperitoneal injection and gavage. Colonic mucosal tissues in rats of all the five groups were observed and evaluated by light microscope. Cellular apoptosis in colonic mucosal tissues was detected by TUNEL. The expressions of Bcl-2 and Bax mRNA were detected by reverse transcription polymerase chain reaction. ResultsThere were many ulcers in the colon of UC rats, and pathological changes in colonic mucosa such as inflammation, congestion and edema were observed in the colon of UC model rats by naked eye and microscope. Compared with UC rats without treatment, Aucklandia and Coptis pills alleviated colonic mucosal injuries and decreased apoptosis rate of colonic epithelial cells, while the expression of Bax mRNA was decreased in the colonic mucosa in UC rats treated with Aucklandia and Coptis pills, and Bcl-2 mRNA expression was increased. ConclusionAucklandia and Coptis pills can effectively inhibit mRNA expression of apoptosisrelated molecules to down-regulate colonic epithelial cells apoptosis in colonic mucosa in rats with UC.

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  • 高压氧治疗不依从性的原因分析

    目的 探讨高压氧治疗时患者不依从性的原因,以积累经验,指导临床工作。 方法 2011年1月-2012年1月间采用自制调查问卷进行回访,总结、分析未遵医嘱进行高压氧治疗患者的不依从性的原因。 结果 由于客观原因,患者高压氧治疗依从性与多种主观因素有关,因缺乏高压氧知识、恐舱、治疗不便等综合因素为主要原因。 结论 加强高压氧知识的普及和宣教,加强人文关怀,提高患者的依从性。

    Release date:2016-09-08 09:16 Export PDF Favorites Scan
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