目的观察自制约束保暖套对全麻低温体外循环术后患者的复温效果。方法将自制约束保暖套应用于120例低温体外循环术后患者,观察复温时间、烫伤、循环稳定情况。结果 110例患者经过60 m in后平稳复温至正常,末梢暖,循环稳定,无烧烫伤事件...目的观察自制约束保暖套对全麻低温体外循环术后患者的复温效果。方法将自制约束保暖套应用于120例低温体外循环术后患者,观察复温时间、烫伤、循环稳定情况。结果 110例患者经过60 m in后平稳复温至正常,末梢暖,循环稳定,无烧烫伤事件发生。结论自制约束保暖套对全麻体外循环后患者的复温安全、有效。展开更多
背景:器官移植后细菌感染及并发症的发生是个重要而复杂的问题,移植后的监护处理可以提高患者手术的成功率。目的:通过CNKI数据库,汤森路透Web of Science数据库以及北美临床试验注册中心进行相关检索,对器官移植后重症监护处理相关文...背景:器官移植后细菌感染及并发症的发生是个重要而复杂的问题,移植后的监护处理可以提高患者手术的成功率。目的:通过CNKI数据库,汤森路透Web of Science数据库以及北美临床试验注册中心进行相关检索,对器官移植后重症监护处理相关文献进行文献计量学及临床试验注册项目分析。方法:①使用关键词"重症监护","移植"在CNKI数据库检索,得到文献138篇,经阅读标题和摘要进行初筛,排除因研究目的与文章无关的文献,重复研究及不典型报道115篇,共保存23篇文献做进一步分析。②使用关键词"intensive care","transplantation"在汤森路透Web of Science数据库对器官移植后重症监护处理相关文献进行检索,时间范围2008至2013年。③使用关键词"intensive care"和"transplantation",在北美临床试验注册中心进行临床试验项目检索,得到的注册项目有50项,其中干预性研究项目仅有10项。结果与结论:①近年来,中国器官移植后的重症监护相关文献总体呈逐渐上升的趋势。与国际上器官移植后的重症监护研究文献相比,国内对此领域的研究关注相对较少,文章数量和质量还有待提高。②2008至2013年在汤森路透Web of Science数据库中关于器官移植后的重症监护已发表文献多达1 693篇。美国发文量最多,532篇,占总数比重最大,为31.424%。Transplantation Proceeding(《移植学会会刊》杂志)发表文献最多,144篇,占全部文献数量的8.506%。③北美临床试验注册中心注册的器官移植后重症监护相关临床试验注册项目共有50项,干预性研究所占比重最大,其次为观察性研究,诊断性研究暂时还没有相关注册项目。2008至2013年干预性研究的注册项目仅有10项。器官移植手术复杂、创伤大,移植后早期的监测和护理直接关系到手术的成败。移植后早期加强对患者生命体征、排斥反应、细菌感染等方面的监测和护理,可减少并发症的发生,提高患者生存率和生活质量。展开更多
Surgeons may be severely criticized from the perspective of evidence-based medicine because the majority of surgical publications appear not to be convincing. In the top nine surgical journals in 1996, half of the 175...Surgeons may be severely criticized from the perspective of evidence-based medicine because the majority of surgical publications appear not to be convincing. In the top nine surgical journals in 1996, half of the 175 publications refer to pilot studies lacking a control group, 18% to animal experiments, and only 5% to randomized controlled trials (RCT). There are five levels of clinical evidence:level 1 (randomized controlled trial), level 2 (prospective concurrent cohort study), level 3 (retrospective historical cohort study), level 4 (pre-post study), and level 5 (case report). Recently, a Japanese evidence-based guideline for the surgical treatment of hepatocellular carcinoma (HCC) was made by a committee (Chairman, Professor Makuuchi and five members). We searched the literature using the Medline Dialog System with four Keywords:HCC, surgery, English papers, in the last 20 years. A total of 915 publications were identified systematically reviewed. At the first selection (in which surgery-dominant papers were selected), 478 papers survived. In the second selection (clearly concluded papers), 181 papers survived. In the final selection (clinically significant papers), 100 papers survived. The evidence level of the 100 surviving papers is shown here:level-1 papers (13%), level-2 papers (11%), level-3 papers (52%), and level-4 papers (24%);therefore, there were 24% prospective papers and 76% retrospective papers. Here, we present a part of the guideline on the five main surgical issues:indication to operation, operative procedure, peri-operative care, prognostic factor, and post-operative adjuvant therapy.展开更多
Mixed hemorrhoids,especially ring-shaped mixed hemorrhoid,is still a headache for anorectal surgeons due to its post-operative complications.In recent years,clinicians have been studying and exploring to avoid and all...Mixed hemorrhoids,especially ring-shaped mixed hemorrhoid,is still a headache for anorectal surgeons due to its post-operative complications.In recent years,clinicians have been studying and exploring to avoid and alleviate these complications.In the Chinese medicine industry,the application of traditional Chinese medicine nursing technology has good and unique effect in prevent local pain,perianal edema,promote wound healing,relieve urinary retention,improve constipation,relieve anxiety,and so on.This article summarized the evidences of investigated the role of traditional Chinese medicine nursing technique in preventing and treating mixed hemorrhoid so that practitioners can make decision based on the best available evidences.展开更多
Objective: To observe the clinical effect of traditional Chinese medicine nursing on the recovery of gastrointestinal function after abdominal operation. Methods: A total of 148 patients undergoing abdominal surgery f...Objective: To observe the clinical effect of traditional Chinese medicine nursing on the recovery of gastrointestinal function after abdominal operation. Methods: A total of 148 patients undergoing abdominal surgery from June 2013 to June 2014 in our hospital were randomly divided into observation group and control group, 74 cases in each group. The control group received routine nursing and the observation group was treated with the pointer, acupuncture and external application of abdominal treatment on the basis of routine nursing, which is 2 times a day,7 days for a course of treatment. Results: The recovery time of bowel sound, the first anal exhaust defecation time the in the observation group and the hospital day was less than the control group. With the comparison of two groups, the difference between the two groups was statistically significant (P < 0.05). The incidence of abdominal pain, abdominal distension, nausea, vomiting and constipation in the observation group was significantly lower than that in the control group (P < 0.05). Conclusion: On the basis of routine nursing, the implementation of traditional Chinese medicine characteristic nursing can effectively promote the recovery of gastrointestinal function, reduce the occurrence of complications, shorten the length of stay and improve the clinical effect.展开更多
文摘背景:器官移植后细菌感染及并发症的发生是个重要而复杂的问题,移植后的监护处理可以提高患者手术的成功率。目的:通过CNKI数据库,汤森路透Web of Science数据库以及北美临床试验注册中心进行相关检索,对器官移植后重症监护处理相关文献进行文献计量学及临床试验注册项目分析。方法:①使用关键词"重症监护","移植"在CNKI数据库检索,得到文献138篇,经阅读标题和摘要进行初筛,排除因研究目的与文章无关的文献,重复研究及不典型报道115篇,共保存23篇文献做进一步分析。②使用关键词"intensive care","transplantation"在汤森路透Web of Science数据库对器官移植后重症监护处理相关文献进行检索,时间范围2008至2013年。③使用关键词"intensive care"和"transplantation",在北美临床试验注册中心进行临床试验项目检索,得到的注册项目有50项,其中干预性研究项目仅有10项。结果与结论:①近年来,中国器官移植后的重症监护相关文献总体呈逐渐上升的趋势。与国际上器官移植后的重症监护研究文献相比,国内对此领域的研究关注相对较少,文章数量和质量还有待提高。②2008至2013年在汤森路透Web of Science数据库中关于器官移植后的重症监护已发表文献多达1 693篇。美国发文量最多,532篇,占总数比重最大,为31.424%。Transplantation Proceeding(《移植学会会刊》杂志)发表文献最多,144篇,占全部文献数量的8.506%。③北美临床试验注册中心注册的器官移植后重症监护相关临床试验注册项目共有50项,干预性研究所占比重最大,其次为观察性研究,诊断性研究暂时还没有相关注册项目。2008至2013年干预性研究的注册项目仅有10项。器官移植手术复杂、创伤大,移植后早期的监测和护理直接关系到手术的成败。移植后早期加强对患者生命体征、排斥反应、细菌感染等方面的监测和护理,可减少并发症的发生,提高患者生存率和生活质量。
基金a Grant-in-Aid for Scientific Research from the Ministry of Education Science and Culture, No. 13307037, No. 16209038
文摘Surgeons may be severely criticized from the perspective of evidence-based medicine because the majority of surgical publications appear not to be convincing. In the top nine surgical journals in 1996, half of the 175 publications refer to pilot studies lacking a control group, 18% to animal experiments, and only 5% to randomized controlled trials (RCT). There are five levels of clinical evidence:level 1 (randomized controlled trial), level 2 (prospective concurrent cohort study), level 3 (retrospective historical cohort study), level 4 (pre-post study), and level 5 (case report). Recently, a Japanese evidence-based guideline for the surgical treatment of hepatocellular carcinoma (HCC) was made by a committee (Chairman, Professor Makuuchi and five members). We searched the literature using the Medline Dialog System with four Keywords:HCC, surgery, English papers, in the last 20 years. A total of 915 publications were identified systematically reviewed. At the first selection (in which surgery-dominant papers were selected), 478 papers survived. In the second selection (clearly concluded papers), 181 papers survived. In the final selection (clinically significant papers), 100 papers survived. The evidence level of the 100 surviving papers is shown here:level-1 papers (13%), level-2 papers (11%), level-3 papers (52%), and level-4 papers (24%);therefore, there were 24% prospective papers and 76% retrospective papers. Here, we present a part of the guideline on the five main surgical issues:indication to operation, operative procedure, peri-operative care, prognostic factor, and post-operative adjuvant therapy.
文摘Mixed hemorrhoids,especially ring-shaped mixed hemorrhoid,is still a headache for anorectal surgeons due to its post-operative complications.In recent years,clinicians have been studying and exploring to avoid and alleviate these complications.In the Chinese medicine industry,the application of traditional Chinese medicine nursing technology has good and unique effect in prevent local pain,perianal edema,promote wound healing,relieve urinary retention,improve constipation,relieve anxiety,and so on.This article summarized the evidences of investigated the role of traditional Chinese medicine nursing technique in preventing and treating mixed hemorrhoid so that practitioners can make decision based on the best available evidences.
文摘Objective: To observe the clinical effect of traditional Chinese medicine nursing on the recovery of gastrointestinal function after abdominal operation. Methods: A total of 148 patients undergoing abdominal surgery from June 2013 to June 2014 in our hospital were randomly divided into observation group and control group, 74 cases in each group. The control group received routine nursing and the observation group was treated with the pointer, acupuncture and external application of abdominal treatment on the basis of routine nursing, which is 2 times a day,7 days for a course of treatment. Results: The recovery time of bowel sound, the first anal exhaust defecation time the in the observation group and the hospital day was less than the control group. With the comparison of two groups, the difference between the two groups was statistically significant (P < 0.05). The incidence of abdominal pain, abdominal distension, nausea, vomiting and constipation in the observation group was significantly lower than that in the control group (P < 0.05). Conclusion: On the basis of routine nursing, the implementation of traditional Chinese medicine characteristic nursing can effectively promote the recovery of gastrointestinal function, reduce the occurrence of complications, shorten the length of stay and improve the clinical effect.
