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系统性红斑狼疮伴原发性胆汁性肝硬化一例

白蛋白袋式装置在重症医学科临床中的实用性效果观察

目的研究白蛋白袋式装置用于重症医学科（ICU）临床工作的有效性和实用效果。 方法选取2013年4月－5月需输注白蛋白的患者120例，随机分为对照组和观察组，研究组患者采用袋式白蛋白装置输注，对照组患者采用瓶装白蛋白装置输注，对比两种方法在操作时间、残留量方面的差异。 结果研究组输注时操作时间较对照组少49 s，两组比较差异有统计学意义（P＜0.05）；研究组残留量≤0.5 mL较对照组多31例，而残留量≤1.0 mL较对照组少31例，两组比较差异有统计学意义（P＜0.05）。 结论白蛋白袋式装置应用更为高效、安全，药物利用率高，值得推广。

镇痛灸在骨关节痛患者中的应用

【摘要】　目的　总结镇痛灸对骨关节痛患者的治疗效果。　方法　2008年10月—2009年9月，将120例骨关节痛患者随机分成两组，试验组按照常规对其实施物理治疗及输液治疗，在晚上对患者疼痛部位粘贴镇痛灸；对照组仅按常规实施物理治疗和输液治疗。　结果　试验组患者疼痛缓解率明显高于对照组，两组比较，差异有统计学意义（Plt;0.05）。　结论　镇痛灸在骨关节痛患者中镇痛效果明显。

NP 方案联合参一胶囊治疗晚期非小细胞肺癌疗效观察

摘要:目的:观察NP方案与参一胶囊联合治疗晚期非小细胞肺癌的近期疗效和毒副反应。方法:采用 NP方案治疗晚期非小细胞肺癌患者 43例, 化疗同时服用参一胶囊。结果: 可评价疗效病例43例,总有效率44.2%,腺癌有效率高于鳞癌,主要毒性反应为骨髓抑制,但远低于单用 NP方案发生率。结论:NP方案与参一胶囊联合治疗能够提高晚期非小细胞肺癌的疗效,而且可以降低化疗毒副作用,值得临床推广使用。

成人特发性肺含铁血黄素沉着症急性肺出血期护理一例

三种常用精密计尿法临床应用分析

【摘要】　目的　通过比较总结3种常用不同类型的精密计尿法，寻找出各方法的临床适用性。　方法　2010年10月对入住ICU记录小时尿量的患者进行3种计量方法及效果的观察比较，包括对计量精确性、耗时等的对比，并对统计结果进行分析。　结果　各类型计量法的精确度、耗时存在较大差异（Plt;0.01）。　结论　电子计尿仪记录小时尿量不但计量精准，而且省时方便，既保证计量的准确性并减轻患者负担和护士工作量。

探索重症监护病房量化表饮食护理干预的有效性

目的　探讨重症监护病房（ICU）患者饮食健康教育的有效方式，为ICU患者及家属更好地了解所需膳食结构，从而进行日常饮食护理提供实践依据。 方法　将2011年1月－6月收治的82例清醒可进软食患者随机分为观察组和对照组，每组各41例；观察组结合《ICU病人安全饮食指导表》进行饮食保健指导和营养状态监测等护理干预；对照组给予常规的营养支持和药物治疗。1个月后进行问卷调查,观察临床沟通效果。 结果　观察组较对照组患者及其家属对安全饮食的了解度增加，满意度升高，营养状态好转，护士开展健康指导时间减少（P＜0.05）。 结论　应用《ICU病人安全饮食指导表》等护理干预，可有效增加ICU患者及家属对其所需膳食了解程度，帮助护士或家属更好地安排其膳食，大幅提高护士和患者及家属沟通有效率和优质护理服务满意度。

Effect of Modified Sleeve Gastrectomy on Ghrelin and Glucagon Like Peptide-1 in Rats with Diet Induced Obesity

ObjectiveTo explore a surgery of effective weight loss concentrating on gut hormone release. MethodsWistar rats were fed with high-fat diet for inducing obesity and which randomly divided into sleeve gastrectomy plus decent jejunoileal bypass (SJB) group (n=12), sleeve gastrectomy (SG) group (n=12), and sham operation (SO) group (n=11), the body weight reduction, food intake, plasma ghrelin level, and glucagon like peptide-1 (GLP-1) level were compared among three groups. ResultsThere were no differences of the body weight and food intake before operation among three groups (Pgt;0.05). Compared with the SO group, the body weight descended and the food intake decreased obviously on 1-8 weeks after operation in the SJB group (Plt;0.05), the body weight of rats on 1-8 weeks after operation in the SJB group significantly descended as compared with the SG group (Plt;0.05), and the food intake of rats on week 3, 6, 7, and 8 in the SJB group signicantly decreased as compared with the SG group (Plt;0.05). There were no differences of the levels of the plasma ghrelin and GLP-1 before operation among three groups (Pgt;0.05). Compared with SO group, the plasma ghrelin level decreased and the GLP-1 level increased in the SJB group and the SG group, meanwhile the SJB group significantly decreased level of plasma ghrelin and elevated level of plasma GLP-1 as compared with the SG group on week 8 after operation(Plt;0.05). ConclusionThe data demonstrate that SJB could represent an effective way of losing weight by interfering with food intake and obesity related hormone levels.

Application and effect evaluation of enterprise WeChat in the publicity and education of Party style and clean governance in public hospitals

ObjectiveTo discuss the ways and effects of carrying out the publicity and education of Party style and clean governance in public hospitals through enterprise WeChat, aiming at improving the quality and efficiency of the publicity and education and forming an accurate and real-time pattern of discipline warning education.MethodsTaking the articles regarding the publicity and education of Party style and clean governance on the enterprise WeChat of West China Hospital of Sichuan University as the research object, the content analysis method was used to review the content from October 2017 to December 2018 and its publicity effect. The number of readers was shown in median (lower quartile, upper quartile) and the statistical analysis was done through rank sum test.ResultsFrom the content updated, medical staff read more about Internet hot spots and related clean governance news happened around them [M (QL, QU): 1 106 (691, 1 506)] than policy learning [301 (233, 408)] (P<0.05) and knowledge explanation [392 (457, 1 133)] (P<0.05). In terms of the methods of the update, medical staff read more about the update in traditional text and pictures [462 (312, 1 073)] than cartoon, video and other methods [230 (175, 315)] (P<0.05).ConclusionPaying attention to updated content, increasing the discussion function of the audience, choosing the time that the audience likes to update the article, and in the meantime, building the brand for the publicity and education of Party style and clean governance in the hospital may have a better effect on the education of Party style and clean governance toward Party members and medical staff in public hospitals.

ICU医护人员对床旁X线摄片的防护对策

目的　探讨ICU医护人员对床旁X线摄片的防护方法与措施。 方法　通过采取时间防护、屏蔽防护、距离防护、提高医护人员防护认知等方法，加强对床旁X线摄片的辐射进行防护。 结果　医护人员对床旁X线摄片防护措施满意度较高；年度体检中未出现与X射线不良反应有关的表现，白细胞均在正常范围。 结论　在合理、科学、正确的应用辐射技术的同时，应使之达到辐射防护的最优化，最大限度的预防和缩小电离辐射对人类的危害。