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find Keyword "一体化" 42 results
  • 伤口治疗中心-社区一体化在日间手术术后伤口延续护理中的作用

    目的探讨伤口治疗中心-社区一体化在保障日间手术术后伤口的延续护理中的作用。 方法2011年-2014年根据日间手术患者出院后延续护理中伤口照护的需求,在伤口治疗中心推广医院-社区一体化模式,为社区医院培训伤口换药医护人员,制定培训计划,评估培训效果。 结果经过培训后的社区医护人员100%掌握了换药、拆线的基本技能,回院后积极开展工作,完善日间手术术后伤口的延续护理,解决了日间手术患者的后顾之忧。 结论构建伤口治疗中心-社区一体化,为社区医院培训伤口照护专业人员,保障了日间手术患者返回社区后的伤口照护质量,对日间手术的发展有良好的推动作用。

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  • 应用医护一体化提高眼科手术部位标识率

    目的了解实施医护一体化模式对提高眼科手术部位标识率的效果。 方法2013年6月-9月共调查了2 176例眼科手术患者的手术部位标识情况,其中2013年6月-7月为实施医护一体化前,共1 012例;2013年8月-9月为实施医护一体化后,共1 164例。对实施医护一体化前后眼科手术部位标识率的情况进行调查分析。 结果实施医护一体化后,眼科手术部位的标识率、规范性都有了明显的提高,标识率由改进前的52.86%提高到94.97%,标识的颜色、位置、形态有了明显的规范。 结论手术部位标识的应用大大促进了医生和护士对手术患者安全管理的关注,实施医护一体化后眼科手术部位的标识率、规范性明显提高,值得推广和应用。

    Release date:2016-10-02 04:54 Export PDF Favorites Scan
  • MRI、18F-FDG PET 以及 PET/MRI 在难治性癫痫术前精准定位中的价值

    癫痫是多种病因引起的慢性脑部疾病,以脑部神经元过度放电所导致的突然、反复和短暂的中枢神经系统失常为特征,并伴有相应的认知、神经生物学以及心理学方面的障碍。对于药物难治性局灶性癫痫患者而言,手术治疗是控制发作最有效的方法。一体化正电子发射计算机断层显像(Positron emission tomography,PET)/核磁共振成像(MRI)在进行 MRI 的同时实现 PET 显像的所有功能,达到真正意义的同步扫描,结构影像和功能影像的有机结合成为可能。神经影像学的发展尤其是一体化 PET/MR 的问世增加了精准定位拟切除病灶的可能性。本文主要对目前最先进的分子影像学检查技术一体化 PET/MRI 在难治性癫痫术前精准定位中的价值作一综述,以期为相关疾病的临床诊疗提供建议。

    Release date:2019-11-14 10:46 Export PDF Favorites Scan
  • 一体化单分支型主动脉支架腔内修复Stanford B型主动脉夹层的疗效体会

    目的 总结Stanford B型主动脉夹层使用一体化单分支型主动脉支架行腔内隔绝治疗的疗效。方法 2019年10月至2021年10月期间河西学院附属张掖人民医院血管外科对10例破口距离左锁骨下动脉开口 <2 cm的Stanford B型主动脉夹层使用一体化单分支型主动脉支架(上海微创CastorTM)行单纯腔内修复手术,对比支架置入前后数字减影血管造影(digital subtraction angiography,DSA)结果以及术后2个月和12个月主动脉全程CT成像结果,以手术即时成功率、术后相关存活率、分支通畅率、是否截瘫、有无内漏、支架移位及破损作为评价指标。结果 10例患者术中支架均成功释放,手术即时成功率为100%,手术时间100~140 min、中位数118 min,围手术期无不良事件发生。术后所有患者均遵医嘱复查,无一例死亡,无截瘫发生,无明显内漏发生,支架主体形态及位置良好,分支支架通畅率为100%,夹层假腔均出现血栓化,假腔直径缩小9.0~12.5 mm、中位数10.2 mm(肺动脉分叉平面)。结论 对于部分破口距左锁骨下动脉开口 <2 cm或夹层逆撕至左锁骨下动脉根部的Stanford B型主动脉夹层经一体化单分支型主动脉支架行腔内隔绝治疗可取得较满意的疗效。

    Release date:2023-02-02 08:55 Export PDF Favorites Scan
  • A brief talk about integrated management strategy of chronic kidney disease in China

    Chronic kidney disease (CKD) has been highlighted as one of the most important public health problems due to sharply climbing incidence and prevalence. To efficiently attenuate the disease burden and improve the disease management, not only active and effective treatment should be administrated, but also comprehensive follow-up nursing management with innovative and evolving spirits should be implemented. Thus dynamic changes of diseases could be acquired in time and patients are under appropriate medical instruction as soon as possible. This editorial is based on quickly developing medical big data resources and advanced internet techniques, from both aspects of patients and health care providers, briefly talking about integrated management strategy of CKD and its future development in China.

    Release date:2019-08-15 01:18 Export PDF Favorites Scan
  • A brief review and update on radioactive iodine-131 treatment for differentiated thyroid cancer

    The administration of radioactive iodine-131 (131I) is one of the representative traditional targeted therapy for post-surgical differentiated thyroid carcinoma (DTC). As DTC tumor cells largely preserve the capability of thyroid follicular epithelial cells, including the expression of the sodium iodide symporter (NIS), 131I can be selectively internalized by these cells once introduced into the body. The simultaneous emitting of both γ-ray and β-ray from 131I featured its unique theranostic value in managing DTC, through γ-ray to detect the residual thyroid tissue and DTC lesions via nuclear medical imaging, while through β-ray to yield the precise tumoricidal effect as well as remnant thyroid ablation. This theranostic potential of 131I significantly enhances progression-free survival, disease-specific survival, and overall survival in DTC patients with residual/recurrent/metastatic lesions as long as they are capable of iodine uptake. Nevertheless, the clinical application of 131I, despite its “precise” treatment philosophy, remains far from precision medicine while clinical practice, which urges further refinement in pre-treatment assessment, dosage tailoring, and post-treatment efficacy evaluation to fully capitalize on its theranostic benefits. Recently, with the accumulation of evidence-based medical data, 131I treatment has evolved with respect to treatment principles, pre-treatment risk stratification, post-treatment dynamic assessment, and comprehensive patient management, with an aim to optimize the diagnostic and therapeutic precision of 131I. Here we briefly review and update the recent advance on 131I management on DTC.

    Release date:2024-11-27 03:04 Export PDF Favorites Scan
  • Development of intelligent monitoring system based on Internet of Things and wearable technology and exploration of its clinical application mode

    Wearable monitoring, which has the advantages of continuous monitoring for a long time with low physiological and psychological load, represents a future development direction of monitoring technology. Based on wearable physiological monitoring technology, combined with Internet of Things (IoT) and artificial intelligence technology, this paper has developed an intelligent monitoring system, including wearable hardware, ward Internet of Things platform, continuous physiological data analysis algorithm and software. We explored the clinical value of continuous physiological data using this system through a lot of clinical practices. And four value points were given, namely, real-time monitoring, disease assessment, prediction and early warning, and rehabilitation training. Depending on the real clinical environment, we explored the mode of applying wearable technology in general ward monitoring, cardiopulmonary rehabilitation, and integrated monitoring inside and outside the hospital. The research results show that this monitoring system can be effectively used for monitoring of patients in hospital, evaluation and training of patients’ cardiopulmonary function, and management of patients outside hospital.

    Release date:2023-12-21 03:53 Export PDF Favorites Scan
  • Construction of the ability system of general practice tutors in grass-roots community training bases under the background of hospital-community teaching integration

    ObjectiveTo construct the general practice tutors’ ability system in community training bases under the background of hospital-community integrated teaching of general practice.Methods From January to April 2021, literature analysis, expert group consultation, in-depth interview and questionnaire survey were conducted to construct the grass-roots general practice tutors’ ability system, and exploratory factor analysis method was applied, using main component analysis to extract the competency elements. Results There were 4 first level indicators and 20 second level indicators in the system, among which the first level indicators were personal characteristics and professionalism, teaching and research ability, basic level clinical practice ability, and base organization management ability. Conclusion This research enriches the indicators and connotations of the general practice tutors in community training base of general practice, and provides empirical research basis for the selection, ability training and performance evaluation of tutors in community practice bases of general practice medicine.

    Release date:2021-10-26 03:34 Export PDF Favorites Scan
  • Artificial intelligence in thoracic surgery

    As an emerging technology, artificial intelligence (AI) uses human theory and technology for robots to study, develop, learn and identify human technologies. Thoracic surgeons should be aware of new opportunities that may affect their daily practice by the direct use of AI technology, or indirect use in the relevant medical fields (radiology, pathology, and respiratory medicine). The purpose of this paper is to review the application status and future development of AI associated with thoracic surgery, diagnosis of AI-related lung cancer, prognosis-assisted decision-making programs and robotic surgery. While AI technology has made rapid progress in many areas, the medical industry only accounts for a small part of AI use, and AI technology is gradually becoming widespread in the diagnosis, treatment, rehabilitation, and care of diseases. The future of AI is bright and full of innovative perspectives. The field of thoracic surgery has conducted valuable exploration and practice on AI, and will receive more and more influence and promotion from AI.

    Release date:2021-10-28 04:13 Export PDF Favorites Scan
  • 医护一体化模式教学法在重症医学科心肺复苏培训中的效果

    目的 探讨在重症医学科心肺复苏培训中应用医护一体化模式教学法的教学效果。 方法 2015 年 1 月—6 月在四川大学华西医院重症医学科采用医护一体化模式教学法进行心肺复苏培训,评价培训前后心肺复苏理论和操作考核成绩,同时采用问卷调查方式评价教学效果。 结果 培训前后医护人员的理论知识成绩分别为(91.66±4.60)、(97.62±3.87)分,操作成绩分别为(90.34±5.73)、(97.39±4.73)分,心肺复苏护理文书成绩分别为(92.27±3.71)、(98.44±3.79)分,差异均有统计学意义(P<0.05)。 结论 医护一体化模式教学法有利于提高重症医学科心肺复苏培训效果。

    Release date:2017-08-22 11:25 Export PDF Favorites Scan
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