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After the intervention, the observation group had lower hazard specific risk values (all P<0.05), fewer infection incidents (P=0.044), and a higher patient satisfaction rate (P=0.047) than the control group.
The treatment and nursing intervention for the patients based on the risk assessment improved the efficiency of the risk management, reduced the number of infection incidents, increased the patient satisfaction rate, and improved the clinical efficacy for the surgery patients. Our findings provide a data reference for operating room infection control and prevention.
The treatment and nursing intervention for the patients based on the risk assessment improved the efficiency of the risk management, reduced the number of infection incidents, increased the patient satisfaction rate, and improved the clinical efficacy for the surgery patients. Our findings provide a data reference for operating room infection control and prevention.
To study the anatomy of the dorsal metacarpal arteries and their branches, to understand the positions and shapes of the arteries and their branches, and to observe the capillary network formed on the lateral and the dorsal sides of the finger under a microscope. Based on this anatomy, a finger fascia pedicled skin artery branch flap was designed to repair fingertip wounds.
A total of 5 fresh adult cadaveric hand specimens were infused with red latex. The anatomy of the dorsal finger intrinsic arteries of the 40 fingers (excluding the thumbs) were observed under a microscope, and a capillary network was formed on the lateral and the dorsal sides of the fingers. Then, 10 cases of finger soft tissue defects were repaired using an anatomy-based design finger fascia pedicled skin artery branch flap.
The anatomical observations indicated that the intrinsic artery on each side of the finger sends four thicker cutaneous branches toward to the dorsal side, wherein the descending branch of the upper cutaneous brkin artery branches flap, not less then 0.5 cm wide, contains the capillary branch of the dorsal finger artery as the flap for the blood supply. The flap can cover various types of distal finger wounds.
To investigate the efficacy of glucocorticoid and terbutaline in the treatment of acute exacerbation of chronic obstructive pulmonary disease (AECOPD).
248 patients with AECOPD were assigned into two groups, 124 patients in the control group were only given terbutaline treatment, while 124 patients in the experimental group were treated with glucocorticoid and terbutaline. The effect on lung function and blood gas indexes were compared between the two groups.
The total effective rate of the treatment with glucocorticoid and terbutaline was higher than that of control group (P < 0.05). After treatment, the pulmonary function indexes such as FEV
, FVC and PaO
levels in the two groups were significantly higher than those before treatment, PaCO
levels were significantly lower than that before the treatment (P < 0.05).
The combined use of glucocorticoid and terbutaline could effectively improve the lung function and blood gas indexes. It's of great significance to promote the rehabilitation of patients with AECOPD, and it provides insights for future clinical practice.
The combined use of glucocorticoid and terbutaline could effectively improve the lung function and blood gas indexes. It's of great significance to promote the rehabilitation of patients with AECOPD, and it provides insights for future clinical practice.
To evaluate and analyze the clinical effect of CBCT imaging technology on the restoration of upper anterior teeth of the elderly.
36 elderly patients with upper anterior teeth loss in our hospital from January 2018 to January 2020 were selected for implant restoration. Patients were equally randomized into a curved tomographic restoration group (TR group) and a CBCT restoration group (CR group). Patients in the two groups underwent traditional implant restoration. Then we compared and analyzed the implant migration, the adjustment time of first wearing, and the success rate of axial gingival recession and restoration satisfaction of patients in the two groups.
The neck offset and the root offset of the implants in the CR group was (0.77±0.15) mm and (0.83±0.17) mm, respectively, which were significantly lower than (1.25±0.27) mm and (1.73±0.29) mm in the TR group (t=6.593, t=11.359, all P<0.01). The initial wearing adjustment time of patients in the CR group [(8.73±1.94) min] was significantly less te adjustment time of their initial wearing, and greatly improves the success rate of axial gingival recession, effectively guarantees the long-term stability and aesthetics of dental implant restoration, and significantly enhances the satisfaction of patients.
To investigate the effects of epidural labor analgesia and natural delivery without analgesia on labor duration, pain, uterine continuous contraction time, abnormal labor process and complications.
A total of 220 primiparas in our hospital were selected and divided into two groups according to whether they accepted epidural labor analgesia, including 146 cases in the study group and 74 cases in the blank group. Primiparas in the study group received epidural block analgesia, and those in the blank group received routine labor without analgesia. Duration of the first, second and third stages of labor was observed and recorded. The NRS pain score and uterine continuous contraction time were detected before and after the analgesia. The abnormal situation and complications of primiparas in the two groups were recorded.
Compared with those in the blank group, the duration of the first stage of labor and the amount of postpartum hemorrhage in the study group were decreased (all P<0.001). The primiparas' NRS score in the study group was lower than that in the blank group at 10 min, 15 min, 30 min, 60 min and 120 min after analgesia (all P<0.001). The duration of uterine contractions in the study group was lower than that in the blank group at 15 min, 30 min and 60 min after analgesia (all P<0.01). Compared with those in the blank group, primiparas in the study group had a higher probability of active phase arrest in the process of labor (P<0.05). Compared with the blank group, the probability of urinary retention in the study group increased (P<0.05).
The effect of epidural labor analgesia is better, which is conducive to shorten the time of the first stage of labor, good analgesic effect, shorter duration of the uterine contraction and higher safety.
The effect of epidural labor analgesia is better, which is conducive to shorten the time of the first stage of labor, good analgesic effect, shorter duration of the uterine contraction and higher safety.
To explore the effect of synchronized and integrated prehospital treatment strategies for on-site first aid, rescue transport and prehospital first aid in patients with acute cervical spinal cord injury.
A prospective non-randomized controlled study was designed to include patients with acute cervical spinal cord injury. A total of 50 patients were included in a Control group (before the implementation of synchronized and integrated prehospital treatment), and 50 patients were included in an Observation Group (after the implementation of synchronized and integrated prehospital treatment). We compared the timeliness of prehospital treatment, the proportion of patients received methylprednisolone treatment within 3 h after injury, the changes in Japanese Orthopaedic Association (JOA) score during transport, the incidence of adverse events, the clinical outcomes, the number of prehospital deaths, the case number of paralysis and the recovery of postoperative neural function between the two groups.
Comparedent has a significant effect in patients with acute cervical spinal cord injury through shortening the admission time, reducing the risk of adverse events, and improving the rescue effect and the prognosis of neural function.
Synchronized and integrated prehospital treatment has a significant effect in patients with acute cervical spinal cord injury through shortening the admission time, reducing the risk of adverse events, and improving the rescue effect and the prognosis of neural function.
To investigate the application value of ropivacaine combined with sufentanil for epidural labor analgesia in painless labor.
A total of 157 cases of pregnant female received painless labor in our hospital from January 2019 to December 2020 were randomly divided into observation group (n=81 cases) and control group (n=76 cases). The subjects in the observation group received 0.1% ropivacaine combined with sufentanil (0.25 μg/ml) 10 ml and added into the painless delivery pump, and the control group received 0.1% ropivacaine 10 ml into the painless delivery pump. The analgesic effect, lactation function, delivery outcomes and the labor course of the two groups were compared.
In the active stage of labor, the time of first labor process was shorter compared with the control group, those in the observation group were more active than the control group (P<0.05). this website The lactation initiation time of the observation group was shorter than that of the control group, and the effective rate of lactation was higher function, active the first stage of labor, shorten the time of labor, reduce the incidence of cesarean section and ensure the safety of mother and infant.
To investigate the therapeutic effect of maintenance hemodialysis in patients with chronic renal failure and summarize the analysis of inflammatory factors in serum, and the risk factors in patients with chronic renal failure undergoing maintenance hemodialysis.
A total of 50 patients with chronic renal failure undergoing maintenance hemodialysis who were admitted to our hospital from January 2017 to January 2019 were selected as the research subjects to analyze the therapeutic effects and complications of maintenance hemodialysis of these patients, compare the changes of inflammatory factor levels in serum such as interleukin-2 (IL-2), interleukin-6 (IL-6), and high-sensitivity C-reactive protein (hs-CRP) and renal function indicators such as creatinine, urea nitrogen, and urinary albumin clearance, and analyze the risk factors of maintenance hemodialysis in patients with chronic renal failure by multivariate logistic factor analysis.
The effective rate of maintenance hemodialysis in patients with chronclude hypertension, anemia, diabetes, etc. In contrast, the independent risk factors of death were anemia and high capacity load, and the independent risk factors of infection were diabetes, hypoalbuminemia, and central venous catheterization.
The level of inflammatory factors in the serum of patients with chronic renal failure after maintenance hemodialysis was significantly reduced. The risk factors of death and infection include hypertension, anemia, diabetes, etc. In contrast, the independent risk factors of death were anemia and high capacity load, and the independent risk factors of infection were diabetes, hypoalbuminemia, and central venous catheterization.
To explore the applied value of intra-abdominal pressure (IAP) monitoring in early enteral nutrition (EEN) in patients with severe pneumonia.
96 patients with severe pneumonia who underwent EEN treatment in our hospital from June 2017 to June 2019 were selected. According to the random number table method, they were divided into a control group (48 patients) and an observation group (48 patients). The control group was treated using the conventional EN method, and the observation group was treated using the intra-abdominal pressure monitoring besides the conventional EN method. The incidence of EN intolerance, the acute physiology and chronic health evaluation (APECHEll) scores, the positive end expiratory pressure (PEEP) value, mechanical ventilation time, EN implementation days, length of stay in ICU, the incidence of ventilator-associated pneumonia, mortality, and the incidence of multiple organ dysfunction syndrome were compared between the two groups.
Compared with the control group, the incidence of EEN intolerance in the observation group was significantly reduced.
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