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find Author "黄艳" 14 results
  • 住院老年糖尿病患者睡眠质量及影响因素调查

    【摘要】 目的 了解老年糖尿病患者睡眠质量及影响因素。 方法 通过匹玆堡睡眠质量指数(Pittsburgh sleep quality index,PSQI)和自编睡眠质量影响因素调查表,对2009年1月-2009年8月入住老年科的100例老年糖尿病患者睡眠质量进行调查。 结果 住院老年糖尿病患者PSQI总分10.15±4.38,各成分得分均较国内常模高,其中61.0%睡眠质量较差,睡眠质量与患者病理生理、社会心理、环境因素及生活习惯等综合因素相关。 结论 住院老年糖尿病患者多数睡眠质量较差,影响因素多,应针对不同情况给予有效干预,改善患者的睡眠情况。

    Release date:2016-09-08 09:52 Export PDF Favorites Scan
  • 胸腔镜小儿脓胸围手术期护理

    目的 总结胸腔镜对脓胸患儿行脓胸病灶清除,胸腔闭式引流术后围手术期的护理方法与经验,以加强和重视临床护理,提高护理质量。 方法 对2011年6月-2012年10月收治的20例脓胸患儿经胸腔镜行脓胸病灶清除,胸腔闭式引流术。在护理上做好术前准备,给予心理支持,术后加强呼吸道管理,早期下床活动,早期实施胸部物理治疗,并给予抗感染治疗,做好胸腔闭式引流的护理,加强营养支持,预防并发症的发生。 结果 20例患儿平均住院时间为10.3 d,3例术后持续发热,伴咳嗽,经治疗胸腔积液消失,但仍有肺部感染,拨管后转儿内科治疗,其余患儿无并发症发生,术后恢复良好,痊愈出院。 结论 对于胸腔镜小儿脓胸行脓胸病灶清除,胸腔闭式引流的患儿,有效的护理措施是胸腔镜小儿脓胸手术成功,患儿康复的重要保证。

    Release date:2016-09-07 02:34 Export PDF Favorites Scan
  • 外伤性肛门失禁患儿的围手术期护理

    目的 讨论臀大肌代肛门括约肌治疗患儿外伤性肛门失禁的围手术期护理要点与措施。 方法 对2007年1月-2011年12月收治的6例外伤性肛门失禁患儿的护理方法进行回顾性总结分析。 结果 6例患儿经直肠肛门测压检查及自述每日排便次数,患儿术后排便功能较术前均有不同程度的改善,仅1例术后排便功能评估为差。 结论 术前给予充分的肠道准备,术后注重伤口的护理,出院后进行规范的康复训练是护理的重要措施,能改善患儿的控便能力,提高生活质量。

    Release date:2016-09-07 02:34 Export PDF Favorites Scan
  • 老年重度颅脑损伤急性期呼吸道护理

    目的 探讨老年重度颅脑损伤患者急性期呼吸道临床护理方法及要点,以提高护理水平。 方法 对2009年11月-2010年7月收治的28例老年重度颅脑损伤急性期患者在治疗基础上,重点对其呼吸道进行特别护理,采用及时畅通呼吸道、加强早期气道湿化、应用多种排痰方法、人工气道护理及呼吸机的早期使用等措施,为患者生命的救治发挥了重要作用。 结果 6例(21.4%)恢复良好,2例(7.1%)伴功能障碍,1例(3.6%)呈植物生存状态,6例(21.4%)自动放弃,13例(46.4%)死亡。 结论 老年重度颅脑损伤急性期患者病情危重,加强呼吸道护理,能改善呼吸功能,降低肺部感染发生,防止继发性脑损害。

    Release date:2016-09-08 09:18 Export PDF Favorites Scan
  • 腹腔镜辅助治疗先天性巨结肠的围手术期护理

    【摘要】 目的 总结腹腔镜辅助治疗先天性巨结肠患儿的围手术期护理特点与经验。 方法 对2006年9月-2008年12月收治的34例行腹腔镜辅助下经肛改良Soave’s术式先天性巨结肠患儿的护理资料进行回顾分析。 结果 本组患儿术前肠道准备7~14 d,术后6~10 d出院,无围手术期并发症发生。 结论 腹腔镜治疗先天性巨结肠患儿的围手术期护理,其术前充分的肠道准备,术后早期密切的监护,以及积极对症的并发症防治措施是该疾病围手术期护理及患儿获得治愈的的关键。

    Release date:2016-09-08 09:25 Export PDF Favorites Scan
  • 氯化钾加入甘露醇治疗低钾型周期性麻痹42例疗效观察

    目的:探讨更为安全、有效的静脉补钾治疗低钾型周期性麻痹的方法。方法:收集本院住院低钾型周期性麻痹患者,应用半随机法分为治疗组和对照组进行临床对照研究。治疗组将氯化钾加入5%甘露醇静脉补钾,对照组常规补钾,监测血钾及肌力的恢复情况。结果:治疗组疗效明显,优于对照组(Plt;0.05)。结论:将氯化钾加入5%甘露醇治疗低钾型周期性麻痹疗效好,安全可行。

    Release date:2016-09-08 09:54 Export PDF Favorites Scan
  • The Influence of Human NF-κBp65 NLS Deletion Mutant Plasmids on Malignant Phenotype of A549 Lung Cancer Cells

    ObjectiveTo identify the expression functions of human NF-κBp65 nuclear localization signals' deletion mutant plasmids(namely pcDNA3.1(+)-NF-κBp65ΔNLS, NF-κBp65ΔNLS, for short) and the changes of proliferation, migration and adhesion ability of A549 lung cancer cells with low expression of NF-κBp65 (namely A549/NF-κBp65 shRNA cells). MethodsHuman A549/NF-κBp65 shRNA cells were cultivated and divided into a control group, a transfection pcDNA3.1 (+) group, and a transfection NF-κBp65ΔNLS group. Indirect immunofluorescence, real-time fluorescent quantitative PCR and Western blot techniques were used to detect the NF-κBp65 intracellular localization and the change of NF-κBp65 mRNA and protein expression level. MTT, Transwell and cell adhesion experiments were used to analyze the changes of proliferation, migration and adhesion ability of A549/NF-κBp65 shRNA cells. ResultsThe human NF-κBp65ΔNLS eukaryotic expression plasmid was successfully constructed. Compared with the control group and the transfection pcDNA3.1(+) group, NF-κBp65 mRNA expression level in A549/NF-κBp65 shRNA cells was increased in the transfection NF-κBp65ΔNLS group(10.63±0.84 vs. 1.04±0.21 and 1.23±0.22, P < 0.01) and NF-κBp65 protein expression level was also increased (1.07±0.06 vs. 0.53±0.02 and 0.59±0.04, P < 0.01). NF-κBp65 protein mainly located in the cytoplasm, and did not significantly transferred into the nucleus after stimulated by TNF-α. At the same time, A549/NF-κBp65 shRNA cells' proliferation, migration and adhesion ability were enhanced compared with the control group and the transfection pcDNA3.1(+) group. ConclusionsThrough gene mutation technology to build the human NF-κBp65ΔNLS eukaryotic expression plasmid and transfect into A549/NF-κBp65 shRNA lung cancer cell lines, both mRNA and protein expression levels of NF-κBp65 were increased significantly, and NF-κBp65 protein mainly located in the cytoplasm. The overexpressed NF-κBp65 in cytoplasm can obviously enhance the A549/NF-κBp65 shRNA cell's proliferation, migration and adhesion ability. It suggests that NF-κBp65 stranded in the cytoplasm can still regulate biological behavior of lung cancer cells by influencing the NF-κB signaling pathway related proteins.

    Release date:2016-10-02 04:55 Export PDF Favorites Scan
  • 扩肛在先天性巨结肠患儿术后治疗中的应用及效果

    目的分析扩肛在婴幼儿先天性巨结肠术后的应用及效果。 方法2011年1月-2012年6月,对100例先天性巨结肠术后患儿规范使用扩肛器进行为期6个月的扩肛。 结果5例吻合口狭窄患儿,给予加大型号延长扩肛3~6个月后好转;4例腹胀患儿,采取结肠灌洗1周和延长扩肛3个月后好转;3例小肠结肠炎者,经庆大霉素和甲硝唑结肠灌洗1周后好转。100例患儿扩肛前后其肛管静息压、直肠静息压、肛管最大收缩压、收缩持续时间比较,差异有统计学意义(P<0.001)。扩肛后肠蠕动增加,直肠肛管蠕动加强,压力增加。 结论先天性巨结肠患儿术后规范使用扩肛器能减少术后腹胀、小肠结肠炎发生率,增加肠蠕动频率幅度。

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  • 两种灌肠法在小儿先天性巨结肠中的效果分析

    目的探讨小儿先天性巨结肠术前灌肠方法及效果。 方法对2012年3月-2013年12月93例先天性巨结肠术前患儿,分别采用传统的一次性灌肠器(对照组)和改良的一次性清创器(试验组)进行灌肠,观察比较两种灌肠法的作用及效果。 结果使用一次性清创器灌肠在堵管率、灌肠时间、灌肠液用量及灌肠效果上均优于传统的一次性灌肠器(P<0.05),两组患儿均无并发症发生。 结论使用一次性清创器灌肠,可以减少大便堵管率,节约灌肠的时间,提高灌肠工作效率 。

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  • Preparation of Elastic Porous Cell Scaffold Fabricated with Combined Polydimethylsiloxane (PDMS) and Hydroxyapatite (HA)

    Polydimethylsiloxane (PDMS) and hydroxyapatite (HA) were combined in our laboratory to fabricate an elastic porous cell scaffold with pore-forming agent, and then the scaffold was used as culture media for rat bone marrow derived mesenchymal stem cells (rBMSCs). Different porous materials (square and circular in shape) were prepared by different pore-forming agents (NaCl or paraffin spheres) with adjustable porosity (62%-76%). The HA crystals grew on the wall of hole when the material was exposed to SBF solutions, showing its biocompatibility and ability to support the cells to attach on the materials.

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