The Effects of Nursing Risk Intervention on Drainage Safety after Prostatic Hyperplasia Surgery

Objective:To explore the effect of nursing risk intervention on drainage safety after prostatic hyperplasia surgery.Methods:80 patients who underwent prostatic hyperplasia surgery in our hospital(People’s Hospital of Jiangsu Province)from August 2020 to August 2021 were randomly divided into group A and group B.Patients in group A were treated with routine postoperative drainage nursing intervention,and patients in group B were given nursing risk intervention based on group A,and the intervention results of the two groups were compared.Results:Comparison of patient satisfaction:the patient satisfaction in group B(97.50%)was higher than that in group A(25.00%).Comparison of drainage tube accidents:the accident rate of group B was lower than that of group A;Comparison of patients’psychological anxiety:the psychological anxiety of patients in group B after nursing intervention was lower than that in group A.Comparison of patients’quality of life:the quality of life of patients in group B after nursing intervention was higher than that in group A.The difference was statistically significant(P<0.05).Conclusion:Clinical nursing risk intervention after prostatic hyperplasia surgery can greatly improve the safety of drainage,reduce patients’psychological anxiety and improve patients’quality of life after treatment.It has the value of clinical application and promotion.

运用患者主观全面评定法对维持性血液透析患者蛋白能量消耗状态的调查及可干预危险因素分析

目的运用患者主观全面评定法(PG-SGA)对维持性血液透析(MHD)患者蛋白能量消耗(PEW)状态情况调查及可干预危险因素分析。方法选取2018年9~12月选取潍坊医学院附属医院、潍坊市益都中心医院、潍城经济开发区医院、潍坊市峡山生态经济开发区人民医院四个透析中心共收治的432例MHD患者作为研究对象,采用横断面研究,运用PG-SGA结合问卷调查、人体测量、生化指标对MHD患者进行PEW状态评估及影响因素分析。结果432例MHD患者中PEW总发生率为52.78%。合并糖尿病、酸中毒、透析不充分Kt/V<1.2、年龄≥65岁、透析时间≥5年的患者PEW总发生率均分别高于非糖尿病、非酸中毒、透析充分、年龄<65岁、透析时间<5年的患者,差异有统计学意义(P<0.05)。体重指数(BMI)、上臂中点周径(MAC)、三头肌皮褶厚度(TSF)、上臂肌肉周径(MAMC)、清蛋白(ALB)、血红蛋白(Hb)各项指标在3个PG-SGA不同评分中的比较,PG-SGA C低于PG-SGA A和PG-SGA B,PG-SGA B低于PG-SGA A,差异均有统计学意义(P<0.05)。Logistic多因素分析显示,糖尿病(OR=3.01,95%CI:1.52~5.84)、酸中毒(OR=1.92,95%CI:1.13~3.34)、透析不充分Kt/V<1.2(OR=1.73,95%CI:1.05~3.68)均是导致MHD患者发生PEW的可干预危险因素(P<0.05)。结论MHD患者PEW发生率高,合并糖尿病患者尤甚;糖尿病、酸中毒、透析不充分Kt/V<1.2是导致MHD患者发生PEW的可干预危险因素。

Impact of Residual SYNTAX Score and Its Derived Indexes on Clinical Outcomes after Percutaneous Coronary Intervention：Data from a Large Single Center

Background： Residual SYNTAX score （rSS） and its derived indexes including SYNTAX revascularization index （SRI） and clinical rSS had been developed to quantify and describe the extent of incomplete revascularization. This study was conducted to explore the utility of the three scores among real-world patients alter percutaneous coronary intervention （PCI）. Methods： From January 2013 to December 2013, patients underwent PCI treatment at Fuwai Hospital were included. Tile primary endpoints were all-cause death and major adverse cardiovascular and cerebrovascular events. The secondary endpoints were myocardial infarction, revascularization, stroke, and stent thrombosis. Kaptan-Meier methodology was used to determine the outcomes. Cox multivariable regression was to test the associations between scores and all-cause mortality. Results： A total of 10,344 patients were finally analyzed in this study. Kaplan-Meier survival analysis indicated that greater residual coronary lesions quantified by rSS and its derived indexes were associated with increased risk of adverse cardiovascular events. However, atier multivariate analysis, only clinical rSS was an independent predictor of 2-year all-cause death （hazard ratio： 1.02, 95% confidence interval： 1.01-1.03, P 〈 0.01）. By receiver operating characteristic （ROC） curve analysis, clinical rSS had superior predictability of 2-year all-cause death than rSS and SRI （area under ROC curve [AUC]： 0.50 vs. 0.56 vs. 0.56, all P 〈 0.01 ）, whereas rSS was superior in predicting repeat revascularization than clinical rSS and SRI （AUC： 0.62 vs. 0.61 vs. 0.61： all P 〈 0.01）. When comparing the predictive capability of rSS 〉8 with SRI 〈70%, their predictabilities were not significantly different.

欧盟经济安全战略及对华影响解析:从“开放性战略自主”到全面“去风险”

欧盟于2023年6月发布了首份经济安全战略,引发国际社会广泛关注。本文较为全面系统地梳理与剖析了该战略,包括其出台背景、政策架构、与之相关的欧盟经济政策理念转变、其落实前景及影响等。总体而言,在新冠疫情、乌克兰危机全面升级、新产业革命兴起、美国对华战略竞争等因素的叠加影响下,当前欧盟深陷风险与竞争力焦虑之中。经济安全战略的出台标志着欧盟内外经济政策的底层逻辑正在由“效率至上”转为“效率与安全并重”,在某些领域甚至是“安全至上”。该战略遵循“识别风险—去风险”的思路设计了一套政策架构,体现了欧盟由提出“开放性战略自主”到提出全面“去风险”的过程中其内部主流经济政策理念的变化。当前欧盟正加快推进经济安全战略,但从多方面看,其落实前景及效果存在较大不确定性,甚至会因“去风险”而引发“新风险”。虽然该战略带有明显的针对中国的意味,但是加强对话与合作仍为中欧双方共识,而且具有重要的全球意义。