糖尿病患者肺癌围手术期间的饮食护理

目的:探索糖尿病患者肺癌围术期间的饮食护理。方法对44例糖尿病合并肺癌的患者围术期间护理注重糖尿病教育、心肺功能锻炼并辅助科学的饮食护理。结论跟踪3个月44例糖尿病肺癌患者,术后恢复良好,无1例并发症。结果优质的饮食护理能够帮助提高糖尿病患者肺癌手术效果,临床值得推广。

老年高血压合并胃癌患者围手术期血压的干预护理效果分析

目的对于老年高血压合并胃癌患者在围术期间的血压进行护理干预的效果进行研究、判定。方法在2014年6月5日至2016年6月5日期间选择60例老年高血压合并胃癌患者为试验对象,运用奇偶数分组方式,观察组和对照组分别进行,各30例,对照组采取常规护理,观察组采取优质护理,并对比两组的高血压情况、平均住院时间、平均住院费用及护理满意度。结果观察组老年高血压合并胃癌患者经优质护理干预的收缩压为(127.95±5.96)mmHg,舒张压为(85.78±5.64)mmHg,均低于对照组,差异具有统计学意义(P<0.05);平均住院费用为(2.22±0.78)万元,平均住院时间为(5.34±0.37)d,均少于对照组,差异具有统计学意义(P<0.05);护理满意度为96.67%,高于对照组,差异具有统计学意义(P<0.05)。结论对于老年高血压合并胃癌患者在围术期间的血压进行优质护理具有显著的效果,可将血压水平平稳,减少医疗成本,缩短住院天数,提高护理满意度,可推广实施。

PFNA内固定术治疗股骨粗隆间骨折疗效研究

目的:探讨PFNA内固定术治疗股骨粗隆间骨折的疗效,分析围术期失血量。方法:选取某医院收治的60例股骨粗隆间骨折患者,按照手术方式分为观察组和对照组,记录两组患者临床资料。结果:观察组患者围手术期失血量、手术时间、住院时间、骨折愈合时间均明显优于对照组(P<0.05);术后髋关节功能优良率明显高于对照组,术后并发症发生率明显低于对照组,差异均具有统计学意义(P<0.05)。结论:PFNA内固定术治疗股骨粗隆间骨折疗效显著,有利于患者恢复。

综合化服务对妊娠合并子宫肌瘤患者治疗效果及护理满意度的影响

目的探究综合化服务对妊娠合并子宫肌瘤(Pregnancy associated with hysteromyoma,PAH)患者治疗效果及护理满意度的影响。方法选取2016年5月—2018年11月期间该院诊治的妊娠合并子宫肌瘤患者98例,按随机数表法分两组,均49例。对照组运用常规服务,观察组进行综合化服务。观察且比较两组患者的治疗效果、护理满意度和术后并发症等相关指标。结果观察组患者的体温恢复情况、肛门排气、恶露排干净状态以及平均住院时间都比对照组患者少,差异有统计学意义(t=25.646、27.874、70.022、26.367,P<0.05)。观察组的护理总满意度89.8%比对照组的73.5%好,差异有统计学意义(χ^2=4.356, P=0.037 <0.05)。观察组术后并发症的总发生率为6.1%少于对照组的20.4%,差异有统计学意义(χ^2=4.346,P=0.037<0.05)。结论给PAH患者运用综合护理,能使患者术后恢复时间缩短,有效提高患者的护理满意度,减少后期并发症,具有临床意义。

Clinical experiences with 20 cases of single-direction thoracoscopic lobectomy and systematic lymph node dissection for peripheral NSCLC

Objective: To evaluate the safety, efficacy, feasibility of single-direction thoracoscopic lobectomy for peripheral lung cancer. Methods: From December 2009 to March 2011, 20 patients with peripheral lung cancer were treated with single-direction thoracoscopic lobectomy and systemic lymph nodes dissection. Results: Surgeries were successfully performed. No significant complications occurred perioperatively. The average operation time was 193 min, the average blood loss was 234 ml, the average duration of drainage was 6 d, the postoperative hospital stay was 12 d, and the average number of lymph nodes dissected was 16. Conclusion: Single-direction thoracoscopic lobectomy is feasible and safe in the treatment of peripheral lung cancer and can simplify the surgical procedures.

Comparison of the Outcomes of Monopolar and Bipolar Radiofrequency Ablation in Surgical Treatment of Atrial Fibrillation

Objective To compare the therapeutic effects and safety of monopolar and bipolar radiofrequency(RF) ablation used during cardiac surgery to treat atrial fibrillation.Methods We retrospectively studied a total of 81 patients with chronic atrial fibrillation who underwent open cardiac surgery with concomitant RF ablation between January 2007 and March 2011.Fifty-eight patients received bipolar RF ablation and 23 received monopolar RF ablation,respectively.The sinus rhythm restoration rate,the procedural duration,the frequency of severe perioperative complications,and mortality were compared between the two groups.Results The sinus rhythm restoration rate did not differ significantly between the two groups after follow-up of 15.1 ± 12.6 months(P=0.199).The frequencies of severe perioperative complications and mortality were also similar in the two groups.The total procedural time using bipolar RF ablation was significantly shorter than that using monopolar ablation(19.7±4.6 minutes vs.28.1±8.5 minutes,P< 0.001).Conclusions Both monopolar and bipolar RF ablation are safe and effective in treating chronic atrial fibrillation patients during open cardiac surgery,but bipolar RF ablation is more convenient in practice.

The analgesic effect of preoperative pregabalin in radical cystectomy for cancer bladder patients

Objective:After the pregabalin has been approved for the treatment of neuropathic pain,preliminary clinical studies suggested a possible role in the perioperative period.To our knowledge,It has never been studied the perioperative analgesic effect of pregabalin in patients with cancer bladder.In this study,we hypothesized that cancer bladder patients undergoing radical cystectomy and received oral pregabalin 75 mg twice daily for ten days preoperatively would get their postoperative pain reduced.Methods:Sixty patients scheduled for elective radical cystectomy were randomly assigned to one of 2 groups(control group or pregabalin group).Patients in the pregabalin group received 75 mg pregabalin twice daily for ten days before surgery.Standard anesthesia protocol was applied to all patients.Pain intensity,opioid consumption,level of sedation and other side effects were regularly assessed for 48h postoperative.Results:Mean time for the first request of analgesia was statistically longer in pregabalin group.Meanwhile,mean morphine consumption,VAS scores at rest(in the first 32h postoperatively),VAS scores during movement(in the first 20h postoperatively) were statistically significant lower in the pregabalin group than those in the control group.Patients in the pregabalin group were statistically more sedated in the first four hours postoperative than the control group.Conclusion:Preoperative pregabalin 75 mg twice daily for ten days resulted in 60% reduction in 24h postoperative morphine requirements in patients undergoing radical cystectomy.