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find Author "黄燕" 15 results
  • 以临床思维为核心的妇产科护理学本科考试改革实践

    目的构建以临床思维为核心的妇产科护理学本科考试体系。 方法2012年3月,选择2010级64名护理本科生为考试改革对象(试验组),将以理论考核为主转变为以过程考核为主的考试方式,加大过程考核的力度。考核分为9次,包括操作考试、病例讨论、健康教育指导、角色扮演及期末理论考试等。并选择未实施考试改革的2009级65名学生为对照组,比较两组学生的考试成绩。 结果试验组学生平均成绩为(79.46±5.78)分,对照组平均成绩为(74.23±7.66)分,差异有统计学意义(t=4.382,P<0.001);试验组学生过程考试成绩与其笔试成绩呈中等程度的正相关(r=0.453,P<0.001);学生对考试改革效果满意度高。 结论以过程考核为主的考试改革有利于学生临床思维的建立,学生满意度高。

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  • Cooperation and Experience in Mitral Valve Replacement under Thoracoscopy

    目的 总结胸腔镜下二尖瓣置换术的护理配合要点。 方法 2011年7月-12月利用腔镜技术以肋间开胸方式对5例心脏疾患患者施行二尖瓣置换手术,术前充分准备和术中密切配合,确保了手术的顺利施行和完成。 结果 除1例患者因术中出血改为传统开胸手术外,其余4例均顺利完成手术。患者术中出血量平均约300 mL,术后平均引流量约100 mL,手术平均时间4 h,患者术后在监护室留观1 d后转入病房。 结论 腔镜二尖瓣置换术是一项值得推广的手术方式,护理人员要不断加强知识的学习和更新,以适应新术式发展对护理工作的挑战和要求。

    Release date:2016-09-08 09:16 Export PDF Favorites Scan
  • 舒泰用于手术患者全麻后留置尿管的效果观察

    目的 观察舒泰用于全麻后留置尿管的患者,在麻醉苏醒期躁动和术后尿管的舒适度情况。 方法 2009年11月-2010年3月将妇科腹腔镜手术患者180例分为观察组和对照组,各90例。全麻后,观察组以舒泰为润滑剂,对照组以碘伏为润滑剂,按常规操作留置尿管。比较两组患者麻醉苏醒期躁动和尿管舒适度情况。 结果 苏醒期躁动评分比较,观察组评分为0分者66例(73.33%), 对照组31例(34.44%) ;观察组评分为2、3分者5例,少于对照组的45例;置尿管舒适度比较,观察组舒适感为0度者60例(66.67%),对照组29例(32.22%);观察组Ⅱ、Ⅲ度者10例,少于对照组的49例。 结论 全麻后留置尿管时使用舒泰,可减少患者麻醉苏醒期出现躁动和留置尿管的不适感。

    Release date:2016-09-08 09:47 Export PDF Favorites Scan
  • The Expression of Th17 Cells in Peripheral Blood of Patients with Sarcoidosis

    Objective To investigate the expression of Th17 cells in peripheral blood of patients with sarcoidosis at different stage. Methods Flow cytometry was used to detect the Th17 cells in peripheral blood of 38 patients with sarcoidosis, including 18 cases of newly diagnosed active patients with obvious symptoms such as cough, fever, fatigue and weight loss, and 20 stable cases who were followed up regularly.15 cases of healthy volunteers were enrolled as control. Serumangiotensin-converting enzyme ( SACE) of the patients with sarcoidosis was detected by ultraviolet spectrophotometry. The cell classification and CD4 + /CD8 + T in the BALF of the newly diagnosed active patients were calculated. Results The expression of Th17 cells in peripheral blood in the patients with active sarcoidosis were higher than that in the sable patients and the controls [ ( 1. 59 ±0. 44) % vs. ( 0. 56 ±0. 32) % and ( 0. 49 ±0. 23) % , all P lt; 0. 05] . Th17 cells in peripheral blood in the patients with stable sarcoidosis and the controls were not different significantly ( P gt;0. 05) . The levels of SACE in the patients with active sarcoidosis were higher than that in the patients with stable sarcoidosis [ ( 56. 6 ±14. 6) IU/L vs. ( 35. 8 ±18. 3) IU/L, P lt; 0. 05) . There was not significant correlation between the Th17 cells in peripheral blood and SACE in the patients with sarcoidosis ( P gt;0. 05) . In the patients with active sarcoidosis, the Th17 cells in peripheral blood were not significantly correlated with lymphocyte percentages in BALF( P gt; 0. 05) , but significantly correlated with CD4 + /CD8 + in BALF ( r=0. 63, P lt;0. 05) .Conclusion In patients with active sarcoidosis, the increased expression of Th17 cells in peripheral blood may correlate with the activity of sarcoidosis.

    Release date:2016-09-13 03:50 Export PDF Favorites Scan
  • Clinical Analysis of Abdominal Wall Endometriosis

    ObjectiveTo discuss the clinical characteristics, treatment and prevention of abdominal wall endometriosis (AWE). MethodsA retrospective analysis of 295 cases of AWE from February 2007 to August 2011 in our hospital was performed. ResultsAll of the patients had abdominal operations before and 99% of them had a history of caesarean section. The mean age of the patients was (31.55±4.52) years old. The average size of the mass was (2.66±1.12) cm, significantly larger than the estimation of ultrasonography before operation which was (1.91±0.83) cm (P<0.001). No relapse was discovered five months to three years after the operation. ConclusionIt is easy to diagnose abdominal wall endometriosis through medical history, clinical characteristics, physical signs and ultrasonic assessment. The prevention of AWE is very important. Operation is still the best treatment for AWE.

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  • 四川省干部人群幽门螺杆菌感染现状及健康指导需求调查

    目的 了解四川省干部人群幽门螺杆菌(Helicobacler pylori,Hp)感染现状、对 Hp 感染的认知程度及健康指导需求,为 Hp 感染的防治提供参考。 方法 对 2009 年 1 月—2014 年 12 月在四川大学华西医院健康管理中心进行体检的四川省干部人群进行碳 14尿素呼气试验检测,并对检测结果进行分析。随机抽取部分人群进行对Hp感染认知程度及健康指导需求的问卷调查。 结果 共纳入受检者 285 例,受检人群的 Hp 总感染率为 43.5%。收集合格问卷 128 份,对什么是 Hp、Hp 感染的危害、Hp 的传播途径、Hp 感染的预防措施、体检筛查 Hp 的意义 5 个问题的了解率分别为 21.1%、18.8%、16.4%、15.6%、12.5%;有上述 5 个方面健康指导需求的人数占比分别为 84.4%、85.2%、78.9%、86.7%、76.6%。 结论 四川省干部人群 Hp 感染率低于全国平均水平,但对 Hp 感染的认知程度低,迫切需要规范的健康指导。

    Release date:2017-05-18 01:09 Export PDF Favorites Scan
  • 支气管扩张合并显微镜下血管炎一例并文献复习

    目的报道一例支气管扩张合并显微镜下血管炎的诊治经过并进行文献复习,提高临床医生对此类疾病的认识及诊治水平。方法报道 1 例支气管扩张合并显微镜下血管炎的病史、临床表现及诊治经过,并复习国内外相关文献报道。结果患者女性,68 岁,因“间断咯血 10 余年,乏力 1 个月,发热 3 d”入院,胸部 CT 示支气管扩张合并感染,ANCA 过筛试验阳性(1∶320),抗髓过氧化物酶抗体阳性(++),肾穿刺病理符合显微镜下血管炎。入院后病情进展,出现严重的弥漫性肺泡出血,经气管插管机械通气、糖皮质激素冲击联合环磷酰胺、血浆置换、丙种球蛋白及抗感染等治疗,病情好转出院,随访 1 年病情稳定。国内外文献显示,支气管扩张是显微镜下血管炎患者肺部累及的常见表现,部分患者在血管炎发病之前存在多年的支气管扩张病史,慢性气道感染可能与血管炎的发病有关,合并支气管扩张的血管炎患者出现弥漫性肺出血风险较高。结论支气管扩张与显微镜下血管炎可能存在一定的内在关系。

    Release date:2021-02-08 08:11 Export PDF Favorites Scan
  • Role of Porphyromonas gingivalis in the pathogenesis of non-alcoholic fatty liver disease

    Non-alcoholic fatty liver disease (NAFLD) is one of the major chronic liver diseases that endanger human health. It is characterized by hepatic steatosis and absence of other causes of hepatic fat accumulation, such as alcohol abuse. The incidence of NAFLD is increasing year by year. However, the pathogenesis is still undefined. Porphyromonas gingivalis is a major periodontal pathogen of various periodontal disease. Apart from affecting periodontal health, Porphyromonas gingivalis is also related to the incidence of many systemic diseases. In recent years, Porphyromonas gingivalis is considered to be a risk factor of NAFLD. In this paper, the relationship between NAFLD and Porphyromonas gingivalis, as well as the possible pathogenesis are discussed.

    Release date:2021-07-22 06:28 Export PDF Favorites Scan
  • Patients for Patient Safety: A Systematic Review

    Objective To systematically review the abroad studies on patients for patient safety, and compare them with the current status of domestic studies, so as to provide suggestions for evidence-based strategic decision about how to conduct the education of patients for patient safety and improve the medical quality. Methods The databases of MEDLINE, EMbase and Chinese Biomedical Literature Database (CBM) were searched to identify the relevant studies and their references. Literatures were screened with data extraction in accordance with the predefined inclusive and exclusive criteria. The quality of literatures was assessed with the standard of Cochrane Handbook 5.0 and Critical Appraisal Skills Programme, and the data were comprehensively analyzed with qualitative research methods.Results Among 28 included studies, 5 were Chinese literatures, 1 was RCT, and the others were cross-sectional studies. The results showed that: a) Generally, the patients at home and abroad were poor in the awareness of patient safety, but they were eager to participate in the patient safety; b) Factors affecting patients’ participation were their characteristics, disease-related, and emotional feelings; c) Three studies reported the methods of involving patients in patient safety from the aspects of infection, malpractice, and medication; d) Some studies showed that patients’ participation could effectively promote the standardized operation of medical staffs, prevent unsafe events, and reduce damages; and e) The research contents of the included Chinese literatures were just related to the patients’ awareness of patient safety, attitude to participation, and influencing factors. Conclusion The limited studies relevant to patients for patient safety are short of high-quality RCTs for proving the effectiveness of patient participation methods, so it indicates that the stress should be laid on evaluating the effectiveness of patients for patient safety in future research.

    Release date:2016-09-07 11:06 Export PDF Favorites Scan
  • 23389例西部地区健康女性宫颈糜烂情况及其相关因素分析

    目的了解西部地区健康女性宫颈糜烂患病情况、年龄分布特点及其与宫颈细胞学之间的关系。 方法回顾性分析2011年12月-2012年11月体检女性的宫颈糜烂情况、宫颈细胞学的结果。 结果共纳入研究对象23 389例,宫颈糜烂总患病率为20.98%,18~30岁年龄段患病率最高,约有44.81%的女性发生宫颈糜烂,其中,31.62%的女性为轻度糜烂,9.83%的女性为中度糜烂,3.36%的女性为重度糜烂。宫颈糜烂的患病率随着年龄的增加呈递减趋势,该趋势有统计学意义(χ2=2310.238,P<0.001);剔除阴道炎的女性后,纳入细胞学分析的女性为22 477例,宫颈细胞学异常者194例,宫颈细胞学异常率为0.86%,其中无糜烂者宫颈细胞学异常率为0.59%,轻度糜烂者宫颈细胞学异常率为1.47%,中度糜烂者宫颈细胞学异常率为2.96%,重度糜烂者宫颈细胞学异常率为6.84%,随着宫颈糜烂的发生及程度的增加,宫颈细胞学异常率增加,趋势有统计学意义(χ2=127.472,P<0.001)。 结论宫颈糜烂的情况非常常见,18~30岁年龄段女性患病率最高,随着宫颈糜烂的发生及程度的增加,宫颈细胞学异常率增加,然而,并不是宫颈糜烂之后就会出现宫颈上皮内瘤变或癌变,也并不是所有的宫颈上皮内瘤变的患者均有宫颈糜烂,阴道脱落细胞学的检测对于有性生活的女性是必不可少的体检项目。

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