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中国卫生标准管理

中国卫生标准管理

China health standard management
中华人民共和国卫生部主管，协助卫生部宣传报道国家及行业卫生标准，征集社会各界对卫生标准的意见和建议，以内参形式向卫生部及专业机构提出卫生标准的立、改、废建议，让社会了解卫生标准制修订过程，让专家交流学术心得，解读卫生标准
  • 发文量：23359
  • 被引量：18483
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  • 开始收录时间：2010,1(1)
  • CNKI综合因子：0.187
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  • 创刊时间：2010
  • 国内刊号/CN：11-5908/R
    国际刊号/ISSN：1674-9316
  • 发行周期：半月刊
    邮发代号：80-312
  • 主管单位：国家卫生和计划生育委员会
    主办单位：《中国卫生标准管理》杂志社
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  • 地址：北京市西城区红莲南路30号4层
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中国卫生标准管理 >2023年第20期

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  • 摘要：Objective Improving swalowing function,and promote the overal rehabilitation of the disease.Methods90 patients were randomly divided into 2 groups by MRI/CT test.Results The results of this study showed that the timely and reasonable early swalowing function training can effectively improve the prognosis of dysphagia after stroke. ConclusionStroke patients were mainly elderly people,the disease is complex,has complications,so strengthening the basic care is to the basic nursing. In the early stage,it is helpful for the recovery and reconstruction of swalowing function.%目的：改善患者吞咽功能，促进疾病的整体康复。方法90例患者均经头颅MRI/CT检查，随机分为2组。结果本研究结果显示，及时合理的早期吞咽功能训练可有效改善脑卒中后吞咽困难的预后。结论脑卒中患者多为老年人，其病情复杂、并发症多，因此加强基础护理是做好各项护理的基础。早期进行吞咽功能训练，有助于患者吞咽功能的恢复与重建。
  • 摘要：目的：探讨CRP、PCT在新生儿感染疾病早期的诊断价值。方法选择80例我院新生儿感染患者作为观察组，并以80例新生儿非感染性患者作为对照组，比较两组患者血清中PCT和CRP的含量及检测的阳性率等。结果观察组血清中PCT检测阳性率91.3%，PCT的平均含量为（6.89±1.41）ng/ml，CRP的平均含量为（40.24±7.13）mg/l ，均高于对照组的10.0%、（0.39±0.08）ng/ml和（5.59±1.12）mg/l，差异均具有统计学意义（P＜0.05）。结论 PCT特异性较CRP高，稳定性较好，PCT和CRP联合检测可考虑作为新生儿早期感染的重要指标。%ObjectiveTo investigate the diagnostic value of CRP,PCT in early neonatal infection.Methods80 cases of neonatal infection in our hospital as the observation group, and 80 cases of neonatal patients with non-infectious control group, serum content and the two groups were compared detected PCT and CRP the positive rate.ResultsThe serum PCT positive rate was 91.3%, with an average content of PCT was(6.89±1.41) ng/ml,the average content of CRP was(40.24±7.13)mg/l,were significantly higher than the 10.0% ,(0.39±0.08)ng/ml and(5.59±1.12) mg/l,the differences were statisticaly significant(P<0.05).Conclusion The specificity of PCT is more high than CRP, better stability,PCT and CRP combined detection can be considered as an important indicator of early infection in patients with severe infection in newborns.
  • 摘要：ObjectiveTo study and analyze the nursing safety hazards of the elderly inpatients in Department of Cardiology,and provide reliable nursing measures. MethodsThe clinical nursing safety hazards in the elderly patients in the Department of Cardiology mainly included two kinds of subjective and objective factors. The main risk events were fals,sudden death,aspiration,drug taking and so on. According to the patients with these risk events we conducted risk assessment.Results In 2013,did not appear to be a mistake for the whole year including dropping bed,medication errors and other risk events. There was 1 cases of fals, the injury was light.Conclusion From the two aspects of system and consciousness to improve the clinical nursing risk prevention measures, can effectively reduce the risk of hospitalization risk.%目的：对心内科老年住院患者的护理安全隐患进行研究分析，提供可靠的护理措施。方法心内科老年患者的临床护理安全隐患主要包括主观和客观因素两类，主要风险事件有跌倒、猝死、误吸、药物服用错误等。根据患者的风险事件进行风险评估，对高危群体进行关注，查漏补缺。结果2013年，我院整年都没有出现误吸、坠床、用药错误等风险事件，有1例跌倒患者，损伤较轻。结论从制度和意识两个方面完善心内科老年住院患者的临床护理风险预防措施，能够有效的降低患者住院风险发生几率。
  • 摘要：目的：观察分析骨科手术后深静脉血栓的形成原因及护理措施。方法护理措施包括术前评估，高危宣教，病情观察，抗凝护理，功能锻炼，饮食指导，等。结果本组98例，早期发现深静脉血栓形成4例（72 h内），经过抗凝，溶栓治疗均痊愈。结论对于骨盆及下肢骨折患者，加强术前评估，高危宣教，病情观察，抗凝护理，功能锻炼，饮食指导等，可以预防深静脉血栓形成等并发症，提高治愈率。%ObjectiveTo observe the reasons for the formation of deep venous thrombosis after orthopaedic surgery and nursing measures.Methods Nursing measures including preoperative evaluation,high-risk mission,condition observation,anticoagulant nursing,functional exercise,diet instruction, etc.ResultsAl 98 cases,4 cases were early detection of deep vein thrombosis(72 hours)after anticoagulation,thrombolysis therapy were recovered. ConclusionFor patients with fracture of pelvis and lower limbs,strengthening preoperative assessment,high-risk mission,condition observation, anticoagulant nursing,functional exercise,diet instruction can prevent complications such as deep vein thrombosis,and improve the cure rate.
  • 摘要：目的：探究糖尿病合并冠心病患实施多样性护理的效果。方法选取92例糖尿病合并冠心病患者并随机分为2组，对照组实施常规护理，观察组多样性护理，对比两组护理效果。结果观察组患者总满意度与依从性均优于对照组（P＜0.05）。结论在糖尿病合并冠心病患者护理中实施多样性护理干预，能够提高患者满意度和治疗依从性。%ObjectiveExplore the effects of diabetes melitus and coronary heart disease patients to implement diversity care.MethodsSelected 92 cases of diabetes in patients with coronary heart disease were randomly divided into two groups. The control group implemented routine care,observation group used the diversity of the care,then compared two groups of nursing effect. Results The observation group overal satisfaction and compliance were better than the control group (P<0.05).ConclusionThe implementation of the diversity nursing intervention in patients with coronary heart disease in diabetes can improve patients’ satisfaction and treatment adherence.
  • 摘要：Objective To study the application effect of individualized nursing in obstetrics and gynecology surgical patients.Methods Randomly selected from January 2013 to January 2015 200 cases of obstetrics and gynecology in our hospital,were set as control group and observation group. The observation group 100 examples to give personalized care,control group of 100 cases patients with routine nursing. By comparing the results of analysis of individualized nursing care for patients.ResultsThe observation group nursing quality score was higher than the control group (P<0.05). Length of hospital stay and anxiety level was less than the control group(P<0.05).ConclusionThrough the way of humanization nursing in obstetrics and gynecology surgical patients for nursing care can significantly improve the nursing quality,can make patients more satisfied.%目的：探讨个性化护理在妇产科手术患者中的应用效果。方法随机抽取2013年1月～2015年1月我院妇产科患者200例，分别设为对照组和观察组，其中观察组100例，给予个性化护理，对照组患者100例，予以常规护理。通过对比结果分析个性化护理对于患者的护理情况。结果观察组护理质量评分高于对照组（P＜0.05），住院时间和焦虑程度低于对照组（P＜0.05）。结论通过人性化护理的方式对妇产科手术患者进行护理可以提升护理质量，使患者满意。
  • 摘要：目的：探讨优质护理服务对肿瘤化疗患者的应用效果。方法80例肿瘤化疗患者随机分为两组，观察组40例行优质护理，对照组40例行日常护理服务，并对两组的SCL-90评分和满意度进行对比。结果观察组SCL-90自评量表评分结果显示，均低于对照组（P＜0.05）；且对照组对护理的满意度高于对照组（P＜0.05）。结论在肿瘤化疗患者中，选择优质护理服务，有助于改进医疗护理工作质量，增强肿瘤患者的心理健康，提高患者对护理工作的满意度。%ObjectiveTo study the application effect of high quality nursing service for cancer patients undergoing chemotherapy.Methods80 cases of cancer chemotherapy patients were randomly divided into two groups,observation group 40 cases using high quality nursing service,control group 40 cases using daily routine nursing care,and SCL - 90 scores of two groups were compared with satisfaction.Results The observation group of self rating scale score,according to the results of SCL - 90 were significantly lower than control group(P<0.05). Satisfaction with care and the control group was higher than the control group(P<0.05).Conclusion In patients with cancer chemotherapy,the choice of high quality nursing service, help to improve the quality of medical care work,enhance the mental health of tumor patients,improve patients’satisfaction for nursing work.
  • 摘要：ObjectiveTo analyze nursing intervention in patients with paroxysmal atrial fibrilation of medications compliance.MethodsWe selected 98 patients with paroxysmal atrial fibrilation to our hospital from June 2013 to June 2015,and they were randomly divided into two groups, each group 49 cases. Both groups were given simvastatin and amiodarone for treatment. The control group received usual care while observation group were given comprehensive care intervention. Effects of clinical care and treatment compliance of two groups were compared. Results The medication compliance of observation group was significantly better than that of the control group. The difference had statistical significance (P<0.05). Nursing efficiency of observation group was significantly higher and the difference had statistical significance(P<0.05).ConclusionThe effect of nursing intervention in paroxysmal atrial fibrilation was significantly. It can effectively improve medication compliance and ease the patient's condition.%目的：研究分析护理干预应用于阵发性心房颤动患者的临床效果和药物治疗依从性。方法选取2013年6月～2015年6月我院收治的阵发性心房颤动患者98例，随机分为两组，各49例。两组均给予辛伐他汀和胺碘酮治疗，对照组采用常规护理，观察组给予全面护理干预。对比两组临床护理效果及患者治疗依从性。结果观察组药物依从性优于对照组，差异有统计学意义（P＜0.05）；观察组护理有效率高于对照组，差异有统计学意义（P＜0.05）。结论护理干预应用于阵发性心房颤动患者效果良好，能够有效提高药物治疗依从性，缓解患者病情。
  • 摘要：ObjectiveAssessment of multi-function donor set in the clinical application effect.Methods 120 blood transfusion patients were divided into two groups according to random number table method,the control group of 60 cases of transfusion using common blood transfusion apparatus,observation group of 60 cases of transfusion using multifunctional donor set.Results Blood transfusion time observation group was obviously shorter than the control group(P<0.05). The nurses psychological pressure rating observation group was obviously lower than the control group(P<0.05). Observation group blood transfusion reaction rate and the number of the needle pierced patient were significantly lower than control group(P<0.05).ConclusionAdopt multi-function in blood transfusion blood transfusion apparatus has a significant value.%目的：评估多功能输血器在临床中的应用效果。方法将120例输血患者按随机数字表法分为两组，对照组60例输血采用普通输血器，观察组60例输血采用多功能输血器。结果观察组输血时间短于对照组（P＜0.05）；观察组护士心理压力评分低于对照组（P＜0.05）；观察组输血反应发生率与针头刺穿血袋次数均低于对照组（P＜0.05）。结论在输血中采用多功能输血器有应用作用。
  • 摘要：目的：研究强化护患沟通能力对临床护理质量影响。方法选取2013年4月～2015年4月儿科住院患儿136例，将其按数字随机表法分为观察组与对照组，每组各有患儿68例。对照组按常规方法与患儿及家长进行沟通；观察组运用沟通技巧与患儿及家长进行沟通，将两组护理效果进行对比。结果观察组护患纠纷发生率、护理完全依从率优于对照组，P＜0.05。结论将沟通技巧应用于儿科住院患儿护理工作中，能够有效提高患儿护理依从性及患儿家长护理满意度，提升医院形象，融洽护患关系。%Objective To study the effect of strengthening nurse communication ability on clinical nursing quality.Methods From April 2013 to April 2015,136 cases of pediatric inpatients were selected. According to the digital random table method,they were divided into observation group and control group,68 cases in each group. Control group used conventional method with children and parents for communicating. The observation group used communication skills with children and parents for communicating,then compared the two groups of nursing.ResultsThe incidence rate of nurse patient disputes,nursing complete compliance rate in observation group was better than the control group,P<0.05.Conclusion Applying communication skills in the nursing work of pediatric patients can effectively improve the compliance of nursing care and the satisfaction of parents' nursing,improve the image of the hospital and improve the relationship between nurses and patients.
  • 摘要：ObjectiveTo evaluate the effect of different cleaning methods for the reuse of medical devices in the supply room. To provide reference for future clinical work.Methods 1 000 medical devices,which were the same as the level of pollution in the supply room were observed,and divided them into observation group and control group.ResultsThe observation group was higher than the control group(P<0.05).ConclusionThe classification and washing of severe contamination in the 1:270 of the multi-enzyme solution. After washing 5 min with ultrasonic cleaning machine. Cleaning and disinfection of conventional automatic cleaning machine,the effect is ideal.%目的：对供应室复用医疗器械不同清洗方法的效果进行评价分析，为今后的临床工作提供参考依据。方法选择供应室污染程度相同的复用医疗器械1000件作为观察对象，将其随机分成观察组与对照组进行研究。结果观察组清洗合格率高于对照组（P＜0.05）。结论将严重污染器械分类冲洗后浸泡在1：270的多酶溶液中，超声清洗机清洗5 min后，常规全自动清洗机清洗消毒，其效果理想。
  • 摘要：Objective To investigate the effect of the application of the emergency nursing pathway in the patients with stroke in the hospital.Methods 150 patients with cerebral apoplexy were randomly divided into observation and control group. 75 cases in each group,the control group were given conventional treatment,the observation group were treated with emergency care path before the hospital. Observation and comparison of the two groups from the cal to the emergency to be treated at the hospital for professional treatment time,treatment effect,mortality and other data.Results The observation group was significantly lower than the control group at the time of treatment,and the effective rate was higher than that of the control group. The comparison between the two groups was statisticaly significant(P<0.05).ConclusionThe emergency nursing pathway can shorten the time and improve the therapeutic effect in patients with cerebral apoplexy.%目的：探讨分析脑卒中患者院前急救中院前急救护理路径的运用效果。方法选取150例脑卒中患者资料进行分析，随机分为观察和对照组。每组75例患者，对对照组予以常规急救护理治疗，对观察组予以院前急救护理路径措施治疗。观察对比两组从拨打急救电话到被救治再到入院的专业救治时间，治疗效果，死亡率等数据。结果观察组在抢救时间低于对照组，并且治疗有效率高于对照组。两组之间比较差异有统计学意义（P＜0.05）。结论脑卒中患者院前急救中实施院前急救护理路径能有效缩短抢救患者时间，提高治疗效果。
  • 摘要：Objective To investigate the clinical nursing cooperation methods in the treatment of ST segment elevation myocardial infarction (STEMI). Methods63 cases of STEMI treated in our hospital from August 2013 to August 2015 were treated by preoperative assessment and prediction of complications. To give the nursing care,observed the changes of the disease and prevented malignant arrhythmia and hypotension.Results In the treatment of 63 cases,9 cases of slow arrhythmia,5 cases of rapid arrhythmia,13 cases of hypotension,1 cases of acute cardiac arrhythmia. After nursing,were successfuly completed the intervention.Conclusion The preoperative preparation work is the cornerstone of the success of emergency intervention treatment. The close observation of patients with arterial pressure curve,ECG changes,taking effective nursing measures is to ensure the success of surgery. Therefore,to strengthen the clinical nursing cooperation is the premise and basis for the successful completion of the operation.%目的：探讨分析ST段抬高型心肌梗死（STEMI）急诊介入术治疗的临床护理配合方法。方法选取我院2013年8月～2015年8月收治的63例STEMI急诊介入术治疗的患者，通过术前评估，预测可能产生的并发症，给予针对护理；密切观察术中病情变化，防范恶性心律失常、低血压的出现。结果63例患者治疗中，出现9例缓慢型心律失常，5例快速型心律失常，13例低血压，1例急性心包填塞，经护理后，均成功完成介入治疗。结论做好术前准备工作是确保急诊介入治疗成功的基石；术中密切观察患者动脉压力曲线变化、心电信号变化，及时采取有效护理措施，是确保手术成功的重要所在。所以，加强临床护理配合是保证手术成功完成的前提与基础。
  • 摘要：Objective To explore the application value of culture safety management in the process of carrying out infectious diseases. Methods 128 cases of hospitalized patients with infectious diseases in our hospital were selected. To complete the group name of al infectious diseases in hospital by drawing lots. A1 group (observation group,64 cases) and A2 group(control group,64 cases). A2 group choosing the routine nursing management. A1 group on the basis of A2 in selection of safety culture management method. The difference of nursing risk probability and nursing satisfaction were compared between the two groups.Results Two groups of patients with infectious diseases were treated by clinical nursing,the risk of nursing in patients with A2, the A1 group showed significantly lower (P<0.05). In clinical nursing satisfaction, compared with A2 group,A1 group showed significantly improved (P<0.05).Conclusion In the process of carrying out the hospital infection department nursing management,the effective use of safety culture nursing management,can effectively reduce the probability of nursing risk events,access to significant clinical nursing effect,and ultimately significantly improve the clinical nursing satisfaction of patients with infectious diseases.%目的：探讨在实施传染科护理过程中，分析安全管理文化的应用价值。方法选择我院2013年9月～2015年9月传染科住院患者128例。通过抽签法将传染科住院患者分为A1组（观察组64例）以及A2组（对照组64例）；A2组：选择常规护理管理的方法；A1组：在A2组基础上选择安全文化护理管理的方法。比较两组患者在出现护理风险概率以及出现护理满意度方面的差异。结果两组传染科住院患者分别完成临床护理后，在护理风险出现概率方面，同A2组患者进行比较，A1组表现为降低（P＜0.05）；在临床护理满意度方面，同A2组患者进行比较，A1组表现为提高（P＜0.05）。结论在实施医院传染科护理的过程中有效应用安全文化护理管理，能够有效降低出现护理风险事件的概率，提高传染科患者临床护理满意度。
  • 摘要：ObjectiveTo study the psychological intervention of early lactating women and study their lactescence. Methods2 050 cases of patients treated in our hospital from January 2009 March to March 2010, patients were randomly divided into intervention group(n=1 050)and control group (1 000). ResultsThe two groups of patients with different methods of intervention,the intervention group were significantly better than the control group of patients with lactescence,and were significantly better than the control group.Conclusion It is important to carry out psychological intervention for patients with lactescence, which is helpful to the patients' psychological and physiological health.%目的：对哺乳期早期妇女进行心理干预，研究其乳汁分泌情况。方法选取我院2009年1月～2010年3月收治的患者2050例，按照抽签的方法将其随机分成观察组（n=1050）和对照组（1000），对观察组患者予以心理干预方法，对对照组患者予以常规干预。结果对两组患者予以不同方法干预，观察组患者的乳汁分泌相关临床指标均优于对照组患者。结论对哺乳期早期患者进行心理干预有助于患者乳汁分泌，有利于患者的心理、生理健康。
  • 摘要：Objective To analyze the effect of nursing intervention on the quality of life of patients with rectal cancer after resection of rectal cancer. Methods140 cases of rectal cancer patients from June 2010 to June 2015 were randomly divided into 2 groups. The control group used routine nursing intervention,the observation group with high quality nursing intervention,compared with 2 groups of clinical nursing effect and patients satisfaction. ResultsThe total effective rate was 75.72% in the control group,which was significantly lower than that in the observation group 92.86%, the difference was statistically significant(P<0.05),and the control group was 95.72%,which was significantly lower than that of the observation group(P<0.05).Conclusion High quality nursing intervention can help patients recover as soon as possible to restore health,improve patients’satisfaction.%目的：对直肠癌结肠造口术后患者应用护理干预对其生活质量的影响进行分析。方法选取我院2010年6月～2015年6月行直肠癌结肠口术患者140例为研究对象，随机分为2组，对照组采用常规护理干预，观察组采用优质护理干预，比较分析2组临床护理效果与患者满意度。结果对照组总有效率为75.72%，低于观察组92.86%，差异有统计学意义（P＜0.05）；对照组护理满意度为82.86%，低于观察组95.72%，差异有统计学意义（P＜0.05）。结论优质护理干预应用在直肠癌结肠造口术后，能帮助患者早日恢复健康，有效提高患者满意度。
  • 摘要：目的：分析术中温度干预对老年髋部手术后凝血功能的影响。方法选取2013年5月～2014年11月我院收治的行髋部手术的老年患者80例作为研究对象，按照计算机数字法将其分为对照组和研究组，每组40例，对照组术中采用常规护理，研究组术中采用温度干预，比较两组低温发生率及术后凝血功能变化。结果研究组低温发生率与对照组低温发生率进行比较，差异具有统计学意义（P＜0.05）；研究组术后FIB、APTT、TT、PT等凝血功能相关指标均优于对照组，组间差异存在统计学意义（P＜0.05）。结论术中温度干预可降低老年髋部手术中低温发生率，提高对凝血功能的保护性。%ObjectiveTo analyze intraoperative temperature intervention on elderly effect of coagulation function after hip surgery.MethodsFrom May 2013 to November 2014,our hospital's 80 cases of elderly patients with hip surgery as the research object,according to the method of computer digital divided into control group and research group,40 cases in each group. And control group in the conventional nursing,the observation group in a temperature intervention,then compared two groups of incidence and blood coagulation function after surgery for low temperature condition.Resultsthe observation group of incidence compared the incidence in control group of low temperature rate,the differences was statisticaly significant(P<0.05). The FIB,APTT,TT,PT,and blood coagulation functions related indexes in observation group were significantly better than the control group,the differences between groups were statisticaly significant(P<0.05). Conclusion Intraoperative temperature intervention can significantly reduce the incidence of senile hip surgery in low temperature,increase the protective function of blood coagulation.
  • 摘要：In order to better achieve the pendulum medicine pharmacy automation. This paper introduces the YS-CS-400FDSⅡ(Tangshan)automatic tablet packing device applications. It has been described and discussion on automatic tablet packing device application processes and management.%为更好的实现药房摆药的自动化。文中介绍了YS-CS-400FDSⅡ（汤山）全自动片剂分包机的应用，就全自动片剂分包机的应用流程以及管理进行叙述与探讨。
  • 摘要：目的：探讨首发精神病患者家庭功能及其适应性状况。方法将60例首发精神病患者设为研究组，60名健康志愿者设为对照组，采用家庭功能评定量表（FAD）评定、采用家庭亲密度和适应性量表自评问卷（FACESⅡ-CV）评定家庭亲密度及适应性。结果研究组FAD评分除角色维度评分与对照组比较，差异无统计学意义（P＞0.05），总的功能及其他维度评分均高于对照组（P＜0.01）；FACESⅡ-CV评分显示，研究组实际亲密度、理想亲密度及实际适应性、理想适应性评分均低于对照组（P＜0.01），不满意亲密度及不满意适应性评分均高于对照组（P＜0.01）。结论精神分裂症患者存在不同程度的家庭功能损害，家庭适应性差，合理运用家庭功能相关理论，对精神分裂症的预防、治疗及康复均具有作用。%Objective To study the family function in patients with psychosis and its adaptability.Methods60 patients with psychosis were set to the observation group,and 60 healthy volunteers as control group. The family function assessment scale(FAD),by the self-assessment questionnaire of family intimacy and adaptability scale(FACES Ⅱ-CV)to assess family intimacy and adaptability.ResultsThe FAD scores of observation group in addition to the role of dimension score compared with control group,there was no statisticaly significant difference(P>0.05). The general function and other dimension scores were higher than the control group(P<0.01). FACES Ⅱ-CV rating,according to research the actual closeness,intimacy and practical adaptability,the ideal fitness scores were lower than control group(P<0.01),not satisfied intimacy and unsatisfied adaptability score were higher than control group(P<0.01).ConclusionThe patients with schizophrenia have different damage degree of family function,and family adaptability is poor. Reasonable use of family functioning related theory for the prevention,treatment and rehabilitation of schizophrenia have effect.
  • 摘要：ObjectiveTo observe and analyze the application value of the partial resection in the treatment of cholecystitis combined galstones.Methods Chose 100 cases of patients with cholecystitis combined galstones,according to the different methods of surgery devided into the observation group and control group,each group of 50 cases. The control group used total resection of galbladder,observation group was in application of partial resection.Results Two groups of surgery and prognosis index and the incidence of complications compared,the difference had statistical significance(P<0.05). Conclusion Partial cholecystectomy in the treatment of cholecystitis and galstones is with application value.%目的：观察并分析胆囊部分切除术治疗胆囊炎合并胆结石的应用价值。方法选取100例胆囊炎合并胆结石患者，依据手术治疗方法的不同将其列入观察组与对照组，每组各为50例。对照组应用胆囊全切除术，观察组应用胆囊部分切除术。结果两组手术及预后指标和并发症的发生率比较，差异均有统计学意义（P＜0.05）。结论胆囊部分切除术治疗胆囊炎合并胆结石具有应用价值。
  • 摘要：ObjectiveTo study the clinical characteristics of neonatal purulent meningitis.MethodsFrom June 2014 to June 2015 in luoyang city women and children health care center of 45 cases of neonatal purulent meningitis were diagnosed,and retrospectively analyzed.ResultsAl 45 cases,male infant (60.0%,27/45)had higher proportion of atypical clinical manifestations. Blood culture positive was in 4 cases(8.9%),cerebrospinal fluid culture positive was in 2 cases(4.4%),mainly gram-negative bacteria infection. Cerebrospinal fluid of the WBC and protein,blood neutrophils ratio,blood CRP before and after treatment,the difference was statisticaly significant(P<0.05).Conclusion Neonatal purulent meningitis has atypical clinical manifestations,and early diagnosis,early treatment can improve the cure rate.%目的：探讨新生儿化脓性脑膜炎临床特征。方法选择2014年6月～2015年6月于洛阳妇女儿童医疗保健中心确诊的45例新生儿化脓性脑膜炎患儿，进行回顾性分析。结果本组45例患儿中，男性婴儿比例为（60.0%，27/45）。临床表现不典型。血培养阳性4例（8.9%），脑脊液培养阳性2例（4.4%），以革兰氏阴性菌感染为主。脑脊液WBC、蛋白、血中性粒细胞比例、血CRP治疗前后差异有统计学意义（P＜0.05）。结论新生儿化脓性脑膜炎临床表现不典型，应及早诊断，及时治疗，联合用药，可提高治愈率。
  • 摘要：Objective To investigate the curative effect of minimaly invasive elastic intramedulary nail(ESIN)for the treatment of unstable femoral fracture in children.Methods To analyze ESIN in treatment of 24 cases of unstable femoral fractures in children.Results24 cases according to the flynn evaluation standard,excellent in 22 cases,good in 2 cases. 1 patient had nail tail irritation,others had no complications.Conclusion Elastic intramedulary nail to treat children with unstable femoral fracture value is higher.%目的：探讨微创弹性髓内钉（ESIN）治疗儿童股骨干不稳定型骨折的疗效。方法分析ESIN治疗24例儿童股骨干不稳定型骨折的效果。结果24例患儿根据Flynn评价标准，优22例，良2例。术后1例出现钉尾刺激，余病例均无并发症。结论弹性髓内钉治疗儿童股骨不稳定型骨折价值高。
  • 摘要：ObjectiveTo study the laparoscopic resection combined uterine artery embolization in the role of endometriosis.Methods Retrospective analysis of clinical data of 60 cases of ovarian endometriosis patients from June 2012 to June 2014 in our hospital,30 cases with laparoscopic resection(control group),30 cases with laparoscopic resection combined arterial embolization(observation group)and postoperative follow-up of 1 year,then observed the curative effect and complications of the two groups. Results The observation group of total effective rate was higher than the control group(P<0.05),1 year pregnancy rate was higher than the control group(P<0.05), the recurrence rate is lower than the control group(P<0.05).Conclusion Laparoscopic resection combined uterine artery embolization is an effective method for treatment of ovarian endometriosis.%目的：探讨腹腔镜下切除联合子宫动脉栓塞术在子宫内膜异位症的作用。方法回顾分析2012年6月～2014年6月我院收治的60例卵巢子宫内膜异位症患者临床资料，30例用腹腔镜切除术（对照组），30例用腹腔镜下切除联合动脉栓塞术（观察组），术后随访1年，观察两组的疗效。结果观察组总有效率高于对照组（P＜0.05），1年内妊娠率高于对照组（P＜0.05），复发率低于对照组（P＜0.05）。结论腹腔镜下切除联合子宫动脉栓塞术是治疗卵巢子宫内膜异位症的有效方法。
  • 摘要：Objective To explore the clinical effect of laparoscopic intragastric surgery for gastric fundus in cardiac department of gastrointestinal stromal tumors. Methods From June 2013 to June 2015,100 cases of gastrointestinal stromal tumor in our hospital were studied. The patients were divided into control group(42) and observation group(58).Results The complications,the postoperative exhaust time,blood loss in the observation group compared with the control group,the difference was statisticaly significant,P<0.05.ConclusionLaparoscopic intragastric surgery in treatment of gastric fundus in cardiac department of gastrointestinal stromal tumors,the clinical effect is satisfied.%目的：探究腹腔镜经胃壁胃腔内手术治疗胃底近贲门处胃肠间质瘤的临床效果。方法选择2013年6月～2015年6月来我院就诊的100例胃底近贲门处胃肠间质瘤患者为研究对象，分为对照组（42）与观察组（58），对两组患者的手术指标进行对比。结果观察组在术后并发症，排气时间，出血量与对照组相比，差异存在统计学意义，P＜0.05.结论腹腔镜经胃壁胃腔内手术法治疗胃底近贲门处胃肠间质瘤，能够起到满意的临床效果。
  • 摘要：The cognitive function of the elderly in the community is decreased with age,at the same time social independence and ability to live independently decreased. With the aging of the society,we should pay much attention to the life style,diet habit,safety awareness and mental health of the elderly in the community. So to improve the quality of life and living standards of the elderly in the community is very important .%社区老人的认知功能随着年龄的增长而减退，社会独立生活能力以及自理能力降低。随着社会老龄化进程，重视社区老人的生活方式、饮食习惯、安全意识、心理健康问题等，提高社区老人的生活质量以及生活水平至关重要。
  • 摘要：随着电子化不断深入，大部分医院也实现了电子病历的应用。电子病历具有记录清晰的优点，并且能够节省工作人员手写病例的时间，提高医护人员的工作效率。但是电子病历的使用也存在一定的缺陷，为了避免这些缺陷对电子病历优势的影响，我们要加强对电子病历运行的实时监控。%The electronic medical records have the clear advantage and can save the time for the staff to write case and improve the work efficiency. Electronic medical records also have some defects. In order to avoid these defects,we need to strengthen the operation of electronic medical records in real-time monitoring.
  • 摘要：Objective Urinary tract infections in enterococcus for pathogenic bacteria culture to explore and analyze the drug sensitivity, provide guidance for clinical use of antimicrobial drugs.MethodsOn the basis of exclusion criteria from our hospital between January 2013 and January 2015,80 patients with urinary tract infections in enterococcus as the research objects,isolated from the middle urine dung enterococcus and drug sensitive test,then analyzed the results.ResultsThrough analysis,the drug sensitive rate of dung enterococcus for Tigecycline, Linezolid,vancomycin was 100%, high concentrations of tetracycline, streptomycin,and nitrofurantoin,ampicilin,the sensitive rate was 20.32%,60.12%,39.68%,60.12%,data with statistical significance(P<0.05). Conclusion According to the results of drug sensitive test in enterococcus,formulate reasonable regimen to treat urinary tract infections,dung enterococcus enterococcus to Tigecycline,vancomycin,Linezolid have high sensitive rate,and has priority as antibacterial drugs.%目的：对粪肠球菌泌尿系统感染者进行病原菌培养，探讨并分析其药物敏感性，为临床抗菌药物的使用提供指导。方法依据纳入、排除标准以我院2013年1月～2015年1月收治的粪肠球菌泌尿系统感染患者80例作为研究对象，从中段尿分离出粪肠球菌进行药物敏感试验，将试验结果汇总分析。结果通过对药物敏感试验结果分析，粪肠球菌对替加环素、利奈唑烷、万古霉素的敏感率均为100%，对四环素、高浓度链霉素、呋喃妥因、氨苄西林的敏感率依次为20.32%、60.12%、39.68%、72.24%，数据差异具有统计学意义（P＜0.05）。结论在临床应根据粪肠球菌的药物敏感试验结果，制定合理的用药方案，对泌尿系统感染者进行治疗，粪肠球菌对替加环素、万古霉素、利奈唑烷具有较高的敏感率，可优先作为抗菌药物。
  • 摘要：目的：观察腹腔镜胆囊切除手术治疗急性胆囊炎的临床效果。方法2012年5月～2013年5月60例我院急性胆囊炎患者，随机分为观察组和对照组，各30例。对照组进行常规开腹手术治疗，观察组患者则进行腹腔镜胆囊切除手术。对两组患者接受不同手术方法后的临床效果进行对比。结果观察组治疗效果提高，患者手术后各项临床指标与术后并发症产生情况均优于对照组（P＜0.05）。结论对急性胆囊炎患者进行腹腔镜胆囊切除手术，能提高治疗效果，患者在手术过程中出血少、术后产生并发症发生率低。%ObjectiveTo observe the clinical effect of laparoscopic cholecystectomy in the treatment of acute cholecystitis.Methods60 cases of acute cholecystitis were randomly divided into observation group and control group,30 cases in each group. The control group received conventional open surgery,while the observation group was treated with laparoscopic cholecystectomy. The clinical effect of two groups of patients after receiving different surgical methods were observed and compared.Results The treatment effect of the observation group was significantly improved,the clinical indicators and postoperative complications were better than the control group(P<0.05). Conclusion Laparoscopic cholecystectomy in patients with acute cholecystitis can improve the treatment effect,patients with less bleeding during operation,postoperative complications.
  • 摘要：ObjectiveTo analyze and compare the clinical effect and stress response of tension-free repair under local anesthesia and transabdominal preperitoneal for elderly inguinal hernia.Methods82 elderly patients with inguinal hernia and who accepted treatment in our hospital from June 2012 to June 2014,were taken as the research objects. These patients were randomly divided into the control group(n=41)and the observation group(n=41) according to the different operation mode. In the control group,they were given the local anesthesia TAPP operation for treatment while in the observation group,they were treated with the Lichtenstein treatment under local anesthesia operation. Then,the operation and postoperative recovery of the two groups were observed and compared,including the operation time,bleeding volume,the time of the first bed,hospitalization expenses, hospitalization time,and the complications occurred of two groups of patients.ResultsThe operation time,the time of first bed,hospitalization expenses and hospitalization time in the observation group were better than those of the control group,the difference had statisticaly significant (P<0.05). In addition,the serum levels of IL-6,cortisol and insulin in the two groups after operation 1day were statisticaly significant(P<0.05). The serum level of IL-6 in 3 d was significantly different(P<0.05). The two groups of patients after the 3 d,7 d can be reduced to normal.Conclusion There are advantages of Lichtenstein and TAPP in the treatment of elderly patients with inguinal hernia,and the safety is good. The clinical can choose the operation mode according to the actual situation of patients.%目的：分析比较老年腹股沟疝患者局麻下Lichtenstein术和TAPP的临床疗效和应激反应。方法选取2012年6月～2014年6月收治的老年腹股沟疝患者82例作为研究对象，按手术方式的不同，分为对照组（n=41例）和观察组（n=41例），对照组局麻下行TAPP手术治疗，观察组局麻下行Lichtenstein手术治疗，观察对比两组患者的手术效果及术后恢复情况，包括手术时间、术中出血量、首次下床活动时间、住院费用、住院时间等，并统计记录两组患者并发症发生情况。结果观察组手术时间、首次下床活动时间、住院费用及住院时间均优于对照组，差异有统计学意义（P＜0.05）；两组患者术后1 d的血清IL-6、皮质醇及胰岛素指标比较差异有统计学意义（P＜0.05）；术后3 d组间血清IL-6水平比较差异有统计学意义（P＜0.05）；两组患者术后3 d、7 d各项指标均降至正常。结论老年腹股沟疝采取Lichtenstein术和TAPP术治疗均有各自优势，且安全性好，临床可根据患者的实际情况合理选择手术方式。
  • 摘要：目的：比较手法复位和手术治疗桡骨远端粉碎性骨折的临床疗效。方法将120例桡骨远端粉碎性骨折患者分为观察组（69例）和对照组（51例），分别给予手术治疗和复位治疗，比较两组临床治疗效果。结果观察组治疗优良率和并发症发生率分别为92.8%、1.4%，对照组分别为56.9%、39.2%，两组比较差异具有统计学意义（P＜0.05）。结论手法复位与手术治疗各有优势，前者可用于治疗相对稳定性桡骨远端骨折，后者治疗不稳定桡骨远端粉碎性骨折效果更为确切。%ObjectiveTo compare the clinical effects of manipulative reduction and surgical treatment of comminuted fractures of the distal radius.Methods120 cases of comminuted fracture of distal radius were divided into observation group(69 cases)and control group(51 cases). The patients were treated with surgery and reduction,and the clinical effect of the two groups were compared.ResultsThe observation group of the excelent and complication rates were 92.8%,1.4%,and the control group was 56.9%,39.2%,the difference was significant(P<0.05).ConclusionThe former can be used for the treatment of unstable distal radius fractures, which is more effective in treating comminuted fracture of distal radius.

    中国卫生标准管理的期刊信息

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