简介:【摘要】目的 探讨经腹部与经阴道彩色多普勒超声诊断早期异位妊娠的临床应用价值。方法 选取 2019年 3月~ 2020年 3月期间我院收治的早期异位妊娠患者参与研究调查,并抽取其中的 60例按照随机数字表法 分为两组--对照组 和观察组,均为30例。以手术病理结果作为金标准,其中选用经腹部彩色多普勒超声的设为对照组,而选用经阴道彩色多普勒超声的设为观察组,分析讨论两组的诊断结果。结果 观察组的检出准确率高于对照组,差异有统计学意义( p< 0.05)。观察组的胎心、盆腔积液等超声影像学的检出阳性率均高于对照组,差异有统计学意义( p< 0.05)。结论 早期异位妊娠应用经阴道彩色多普勒超声检查,可大幅度提升患者的检出准确率,降低漏诊例数,可较经腹部彩色多普勒超声更早发现异位妊娠,值得推行。
简介:[摘要]:本研究通过比较口服自拟养营消斑汤配合外用红光照射和口服舒肝颗粒配合外用千白(氢醌乳膏)治疗肝肾不足型黄褐斑的临床疗效,以期为肝肾不足型黄褐斑寻找到行之有效,且副作用小的治疗方法。方法:临床就诊患者按照来诊顺序,随机被分入治疗组别和对照组别。治疗组患者30例次,口服自拟养营消斑汤配合外用红光照射;对照组患者30例次,口服舒肝颗粒配合外用千白(氢醌乳膏)。两组患者都分别用各组方式治疗8周(每4周计算为一个疗程,共计算为2个疗程)。观察治疗之后的皮损颜色变化、面积积分的变化,同时还要观察主观感觉指标的变化,主要包括主观生活质量指数、中医证候变化。在第4周、第8周进行比较同时观察不良反应发生情况,将治疗前后的观察指标以积分制处理,进行统计学分析。结果为:治疗组别中,其中痊愈了10例,有显著的疗效者为14例,治疗有效果者为4例,无临床效果者共2例(临床总有效率统计学计算为93.33%);同时对照组别中,其中痊愈了3例,有显著的疗效者为5例,有效果者为11例,无临床效果者共11例(临床总有效率统计学计算为63.33%),两组治疗结果比较,具有统计学差别(P<0.05)。两组治疗前后皮损颜色、面积积分、生活质量、中医症候评分相比,两组数据结论的统计学比较,是有显著差别的(P<0.01)。结论:养营消斑汤配合外用红光照射更安全有效,更适于黄褐斑的临床应用。
简介: 【摘要】目的:分析血液透析联合血液灌流应用在老年维持性透析患者肾性骨病治疗中对肾功能生化指标的改善价值。方法:抽取我院在 2018年 12月 -2020年 1月诊治的老年维持性透析患者肾性骨病患者 64例作为研究对象,分为观察组 32例和对照组 32例,观察组实施血液透析与血液灌流联合指标,对照组仅应用血液透析治疗,对比两组患者的治疗效果、治疗后生化指标的改善情况。结果:经过治疗后,观察组患者治疗总有效率为 93.75%,显著高于对照组 68.75%,数据比较有意义, P<0.05;患者的肾功能生化指标数据显著优于对照组, P<0.05。结论:在老年维持性透析患者肾性骨病的临床治疗中,应用血液透析联合血液灌流可显著改善生化指标,提升透析治疗效果,可应用 【关键词】肾性骨病 ;维持性透析 ;血液透析 ;血液灌流 ;改善价值 Objective: to analyze the value of hemodialysis combined with hemoperfusion in the treatment of renal osteopathy in elderly patients with maintenance dialysis. Methods: 64 elderly patients with renal osteopathy treated in our hospital from December 2018 to January 2020 were selected and divided into observation group (n = 32) and control group (n = 32). Results: after treatment, the total effective rate of the observation group was 93.75%, significantly higher than 68.75% of the control group, the data was more significant, P < 0.05; the biochemical indicators of renal function of patients were significantly better than that of the control group, P < 0.05. Conclusion: in the clinical treatment of renal osteopathy in elderly patients with maintenance dialysis, the application of hemodialysis combined with hemoperfusion can significantly improve the biochemical indicators and enhance the effect of dialysis treatment, which can be applied
简介:【摘要】目的:研究分析腹腔镜胆囊切除手术护理方法及术中护理体会。方法:此次研究的对象是选择 2017年 2月~ 2020年 2月我院进行腹腔镜胆囊切除手术的患者 100例,将其临床资料进行回顾性分析,并随机分为对照组和观察组,对照组 50例患者采取常规护理模式;观察组 50例患者采取综合护理模式,比较两组患者对护理的满意度以及医生对术中配合的满意度。结果:两组患者对护理的满意度以及医生对术中配合的满意度都明显高于对照组( P<0.05)。结论:腹腔镜手术的成功与否,关键和器械护理人员的术中配合有关,术中护理人员配合得当,可以保证手术操作过程中顺利进行,并在一定程度上缩短手术所用的时间,减轻病人的痛苦,提高手术的效果。 【关键词】腹腔镜、胆囊切除手术、术中护理、心理护理 [Abstract] Objective: To study and analyze the nursing methods and experience of laparoscopic cholecystectomy. Methods: 100 patients who underwent laparoscopic cholecystectomy in our hospital from February 2017 to February 2020 were selected for this study, and their clinical data were analyzed retrospectively. They were randomly divided into control group and observation group. 50 patients in the control group adopted routine nursing mode; 50 patients in the observation group adopted comprehensive nursing mode to compare the satisfaction of patients in the two groups and doctors Satisfaction with intraoperative cooperation. Results: the satisfaction of patients and doctors in the two groups was significantly higher than that in the control group (P < 0.05). Conclusion: the key to the success of laparoscopic surgery is the cooperation of the equipment nurses during the operation. The proper cooperation of the nurses during the operation can ensure the smooth operation, shorten the operation time to a certain extent, reduce the patients' pain and improve the effect of the operation.
简介:【摘要】目的:分析研讨快速康复理念在妇科腹腔镜手术患者护理中的应用效果 。方法:随机从我院 2016 年 6 月至 2019 年 2 月期间收治的妇科腹腔镜手术患者中抽取 80 例进行讨论,用随机数字法分组,其中 40 例接受常规护理(对照组),另 40 例接受快速康复理念干预(研究组),观察比较护理干预效果,如并发症、恢复时间等 。结果:研究组并发症总发生率 7.50% 低于对照组 30% ,研究组首次排气时间、首次排便时间、肠鸣音恢复时间、下床活动时间、住院时间低于对照组,研究组护理总满意度 95% 高于对照组 67.50% ,数据差异较大 ( P<0.05)。比较 GSES 评分,护理前,数据差异较小( P>0.05 ),护理后,研究组 GSES 评分高于对照组,数据差异较大 ( P<0.05)。结论:妇科腹腔镜手术患者接受快速康复理念干预,可显著降低并发症,促进术后恢复,值得推广 。
简介: 摘要:目的:研究循证护理应用在胆囊结石腹腔镜术后疼痛患者护理中的临床效果。方法:选取 2016年 2月~ 2018年 6月我院 100例胆囊结石腹腔镜术患者为研究对象,将其随机分为观察与对照两组,对照组进行常规护理,观察组进行循证护理,对比两组护理效果。结果:观察组患者术后 3天、 4天以及 5天的 VAS评分显著低于对照组,疼痛持续时间显著短于对照组( P<0.05)。结论:循证护理应用在胆囊结石腹腔镜术后疼痛患者护理中的临床效果显著,值得广泛推广。 关键词:循证护理;胆囊结石;腹腔镜;术后疼痛 Abstract: Objective: To study the clinical effect of evidence-based nursing in patients with pain after laparoscopic cholecystolithiasis. Methods: 100 cases of laparoscopic cholecystolithiasis patients in our hospital from February 2016 to June 2018 were selected as the study objects, and they were randomly divided into observation and control groups. The control group received routine nursing, the observation group received evidence-based nursing, and the nursing effect of the two groups was compared. Results: the VAS score of the observation group was significantly lower than that of the control group on the 3rd, 4th and 5th day after operation, and the duration of pain was significantly shorter than that of the control group (P < 0.05). Conclusion: the clinical effect of evidence-based nursing on patients with pain after laparoscopic cholecystolithiasis is significant, and it is worth popularizing.