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渐进式肌肉放松训练对急诊待床入院患者抑郁情绪干预效果的研究 被引量:7
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作者 卓瑜 孟宪东 《中国急救复苏与灾害医学杂志》 2019年第5期456-459,共4页
目的探讨渐进式肌肉放松训练灯急诊待床入院患者抑郁情绪干预效果「方法将48例带有抑郁情绪的急诊持床入院患於随机分为以渐进式肌肉放松训练为主的心理干预组(观察组)及常规护理组(对照组),观察两组患者干预前后的抑郁情绪改善情况。... 目的探讨渐进式肌肉放松训练灯急诊待床入院患者抑郁情绪干预效果「方法将48例带有抑郁情绪的急诊持床入院患於随机分为以渐进式肌肉放松训练为主的心理干预组(观察组)及常规护理组(对照组),观察两组患者干预前后的抑郁情绪改善情况。结果干预后.观察组和对照组的心理状况比较.差异有统计学意义(P <0.05),且观察组的PHQ-9得分低于对照组。观察组的心理状况在干预前后的比较,差异有统计学意义(P < 0.001 ).且干预后的患者健康问卷-9( patient health queslionnaire-9, PHQ-9)总分(4.09±2.52)低于干预前(7.39±3.03),干预后心理状况优于干预前的心理状况;对照组的心理状况在干预前后的比较中,差异无统计学意义。结论放松训练能有效缓解急诊待床入院患者的抑郁悄绪.有利于原本疾病的康复。 展开更多
关键词 放松训练 渐进式肌肉放松训练 总诊 待床入院 抑郁
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急诊预检分诊护理流程在急腹症患者诊治中的应用探讨 被引量:7
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作者 张利 张艳 余小勤 《系统医学》 2020年第16期154-156,共3页
目的探讨在进行急腹症诊治期间分析急诊预检分诊护理流程应用可行性。方法将该院2017年4月—2020年3月收治的100例急腹症患者数字奇偶法分组;预检分诊组(50例):采用急诊预检分诊护理流程完成对应干预;传统分诊组(50例):采用传统分诊护... 目的探讨在进行急腹症诊治期间分析急诊预检分诊护理流程应用可行性。方法将该院2017年4月—2020年3月收治的100例急腹症患者数字奇偶法分组;预检分诊组(50例):采用急诊预检分诊护理流程完成对应干预;传统分诊组(50例):采用传统分诊护理流程完成对应干预;就组间确诊时间、候诊时间、意外事件发生率、治疗成功率以及分诊护理总满意率展开对比。结果预检分诊组确诊时间(78.49±7.49)min、候诊时间(12.59±1.79)min均短于传统分诊组(134.13±9.69)min、(20.49±2.25)min(t=32.124、19.429,P<0.05);预检分诊组意外事件发生率(0.00%)、治疗成功率(98.00%)分别低于以及高于传统分诊组(12.00%)、(80.00%)(χ2=6.383、8.274,P<0.05);预检分诊组分诊护理总满意率(96.00%)高于传统分诊组(72.00%)(χ2=10.714,P<0.05)。结论急诊预检分诊护理流程有效运用,可使急腹症患者确诊时间、候诊时间有效缩短,并同时将意外事件发生率降低,将治疗成功率以及分诊护理满意度提升,最终实现急腹症患者有效预后。 展开更多
关键词 预检分护理流程 急腹症 时间 时间 意外事件发生率 治疗成功率 护理满意率
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通过实施早孕首诊建卡制提高孕妇早孕建卡率的作用体会
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作者 肖慧莲 崔丽 《实用妇科内分泌电子杂志》 2020年第32期127-127,148,共2页
目的研究将早孕首诊建卡制,把其应用到早孕孕妇中,对其首诊的总建卡率的作用与效果。方法2020年1月至2020年10月,我院产科门诊共建卡487例,其中,早孕孕妇共402例,根据不同干预方法分为2组,即:对照组201例在定期产检期间进行建卡,研究组... 目的研究将早孕首诊建卡制,把其应用到早孕孕妇中,对其首诊的总建卡率的作用与效果。方法2020年1月至2020年10月,我院产科门诊共建卡487例,其中,早孕孕妇共402例,根据不同干预方法分为2组,即:对照组201例在定期产检期间进行建卡,研究组201例在首诊期间进行建卡,比较2组病人的疗效。结果研究组的首诊的总建卡率相较于对照组对比更高,P<0.05。结论在对早孕孕妇进行干预期间,应用早孕首诊建卡制,能够改善早孕孕妇首诊的总建卡率,能够给临床中早孕孕妇方面的干预给予更多的参照,可应用与推广。 展开更多
关键词 早孕 干预 早孕孕妇 效果 建卡制 建卡率
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Industrial LAN for Vibration Monitoring and Fault Diagnosis of Turbo-Generator
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作者 卢荣军 高亹 Joseph Mathew 《Journal of Southeast University(English Edition)》 EI CAS 2001年第1期46-49,共4页
The unique of using industrial LAN based on field bus to construct the system of vibration monitoring and fault diagnosis is introduced. The LAN topology, client/server architecture, database and designing of applicat... The unique of using industrial LAN based on field bus to construct the system of vibration monitoring and fault diagnosis is introduced. The LAN topology, client/server architecture, database and designing of application software for vibration monitoring and fault diagnosis are involved. How to apply industrial LAN to the vibration monitoring and fault diagnosis of turbo generator is discussed, and a scheme of how to construct the industrial LAN for vibration monitoring and fault diagnosis of turbo generator is presented. 展开更多
关键词 field bus vibration monitoring fault diagnosis
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差分——指数平滑预测模型在医院管理统计中应用的探讨
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作者 杨建南 张常红 《成铁科技》 1999年第2期8-11,共4页
建立差分--指数平滑预测模型对我院1997年门诊总诊次进行趋势预测。预测模型分析表明,本模型为高精度预测模型,具有较好的自适应性。本例外推预测效果满意。
关键词 差分方法 指数平滑预测 总诊 医院管理
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Choledocholithiasis: Evolving standards for diagnosis and management 被引量:32
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作者 Marilee L Freitas Robert L Bell Andrew J Duffy 《World Journal of Gastroenterology》 SCIE CAS CSCD 2006年第20期3162-3167,共6页
Cholelithiasis, one of the most common medical conditions leading to surgical intervention, affects approximately 10 % of the adult population in the United States. Choledocholithiasis develops in about 10%-20% of pat... Cholelithiasis, one of the most common medical conditions leading to surgical intervention, affects approximately 10 % of the adult population in the United States. Choledocholithiasis develops in about 10%-20% of patients with gallbladder stones and the literature suggests that at least 3%-10% of patients undergoing cholecystectomy will have common bile duct (CBD) stones. CBD stones may be discovered preoperatively, intraoperatively or postoperatively Multiple modalities are available for assessing patients for choledocholithiasis including laboratory tests, ultrasound, computed tomography scans (CT), and magnetic resonance cholangiopancreatography (MRCP). Intraoperative cholangiography during cholecystectomy can be used routinely or selectively to diagnose CBD stones. The most common intervention for CBD stones is ERCP. Other commonly used interventions include intraoperative bile duct exploration, either laparoscopic or open. Percutaneous, transhepatic stone removal other novel techniques of biliary clearance have been devised. The availability, of equipment and skilled practitioners who are facile with these techniques varies among institutions. The timing of the intervention is olden dictated by the clinical situation. 展开更多
关键词 CHOLEDOCHOLITHIASIS LAPAROSCOPY DIAGNOSIS Treatment CHOLANGIOGRAM
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Efficacy of intraductal ultrasonography in the diagnosis of non-opaque choledocholith 被引量:4
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作者 Jie Lu Chuan-Yong Guo +2 位作者 Xuan-Fu Xu Xing-Peng Wang Rong Wan 《World Journal of Gastroenterology》 SCIE CAS CSCD 2012年第3期275-278,共4页
AIM: To evaluate the efficacy of intraductal ultrasonography (IDUS) in the diagnosis of non-opaque, common bile duct stones. METHODS: A total of 183 patients (102 males, mean age 73 years; 81 females, mean age 70 year... AIM: To evaluate the efficacy of intraductal ultrasonography (IDUS) in the diagnosis of non-opaque, common bile duct stones. METHODS: A total of 183 patients (102 males, mean age 73 years; 81 females, mean age 70 years) with suspected common bile duct stones diagnosed through abdominal computed tomography (CT), magnetic resonance imaging (MRI), and abdominal Type-B ultrasound were included in the study. The diagnosis was confirmed through endoscopic retrograde cholangiopancreatography (ERCP) followed by IDUS. RESULTS: A total of 183 patients with suspected common bile duct (CBD) stones were included in the study as follows: 36 patients with high-density CBD stones, 68 patients with sand-like stones, 44 patients with low-density stones, 21 patients with ampullary cancer, and 14 patients with pancreatic cancer. Conventional imaging revealed 124 cases of choledochectasia, and only 36 cases of suspected CBD stones; ERCP revealed 145 cases of CBD stones with three missed diagnoses. IDUS revealed 148 cases of CBD stones, 21 cases of ampullary tumors, and 14 cases of pancreatic cancer. CONCLUSION: IDUS was more effective in the diagnosis of bile duct stones than ERCP, upper abdominal CT or upper abdominal MRI. 展开更多
关键词 Biliary intraductal ultrasonography Endoscopic retrograde cholangiopancreatography Common bile duct stones Non-opaque stones Sand-like stones
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EUS diagnosis of ectopic opening of the common bile duct in the duodenal bulb: A case report 被引量:5
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作者 Miodrag Krstic Bojan Stimec +3 位作者 Radmilo Krstic Milenko Ugljesic Srbislav Knezevic Ivan Jovanovic 《World Journal of Gastroenterology》 SCIE CAS CSCD 2005年第32期5068-5071,共4页
Among the various congenital anomalies of the biliary system,an ectopic opening of the common bile duct (CBD) in the duodenal bulb is extremely rare. ERCP is essential for diagnosing the anomaly. A 55-year-old male wa... Among the various congenital anomalies of the biliary system,an ectopic opening of the common bile duct (CBD) in the duodenal bulb is extremely rare. ERCP is essential for diagnosing the anomaly. A 55-year-old male was admitted to hospital for severe right upper quadrant abdominal pain,followed by fever, chills, elevated body temperature and mild icterus. The diagnosis of ectopic opening of CBD in the duodenal bulb was established on endoscopic ultraso-nography (EUS),which clearly demonstrated dilated CBD, with multiple stones and air in the lumen, draining into the bulb. A normal pancreatic duct, which did not drain into the bulb, was also observed. This finding was confirmed on ERCP and surgery.As far as we know, this is the first case of this anomaly diagnosed by EUS. Ectopic opening of the CBD in the duodenal bulb is not an incidental finding, but a pathologic condition which can be associated with clinical entities such as recurrent or intractable duodenal ulcer, recurrent biliary pain,choledocholithiasis or acute cholangitis. Endoscopic ultrasonography features allow preoperative diagnosis of this anomaly and can replace ERCP as a first diagnostic tool in such clinical circumstances. Embryology of the anomalies of the extrahepatic biliary tree has been also reviewed. 展开更多
关键词 Ectopic opening Common bile duct Congenital anomaly Endoscopic ultrasound
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腹腔镜联合肠梗阻导管治疗复杂性粘连性肠梗阻的可行性分析 被引量:18
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作者 张帅 徐靖 +2 位作者 石磊 赵永捷 江涛 《中国中西医结合外科杂志》 CAS 2018年第1期54-57,共4页
目的:探讨腹腔镜联合经鼻肠梗阻导管治疗复杂性粘连性肠梗阻的可行性及潜在优势。方法:回顾性收集符合复杂性粘连性肠梗阻纳入标准、经鼻肠梗阻导管治疗后梗阻未缓解并行手术治疗者65例,随机分为腹腔镜治疗组31例,开腹手术治疗组34例。... 目的:探讨腹腔镜联合经鼻肠梗阻导管治疗复杂性粘连性肠梗阻的可行性及潜在优势。方法:回顾性收集符合复杂性粘连性肠梗阻纳入标准、经鼻肠梗阻导管治疗后梗阻未缓解并行手术治疗者65例,随机分为腹腔镜治疗组31例,开腹手术治疗组34例。比较两组围手术期安全性及治疗效果间差异。结果:两组患者年龄、性别、ASA评分及手术史等一般资料比较差异均无统计学意义。31例腹腔镜探查患者共中转5例,34例行开腹手术治疗。在术后并发症率、排气时间、进食时间及术后住院时间方面,腹腔镜组优于开腹组,存在统计学差异(P<0.05)。腹腔镜组患者术后随访复发率(7.7%)低于开腹组(14.7%),具备统计学差异。结论:腹腔镜联合肠梗阻导管治疗复杂性粘连性肠梗阻安全、微创、效果可靠,可显著减低术后复发率,可作为复杂性肠梗阻的有效治疗方式。 展开更多
关键词 腹腔镜 经鼻肠梗阻导管 复杂性粘连性肠梗阻 并发症率 复发率
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CONGENITAL CHOLEDOCHAL CYST——REPORT OF 56 CASES
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作者 何晓东 郑朝纪 +1 位作者 张振寰 张建希 《Chinese Medical Sciences Journal》 CAS CSCD 2000年第1期52-54,共3页
The aim of this paper is to describe the mechanism, clinical manifestation, diagnosis and surgical management of congenital choledochal cyst. [WT5”BX] Methods.[WT5”BZ] From 1984 to 1997, 56 cases of congenital chole... The aim of this paper is to describe the mechanism, clinical manifestation, diagnosis and surgical management of congenital choledochal cyst. [WT5”BX] Methods.[WT5”BZ] From 1984 to 1997, 56 cases of congenital choledochal cyst were reviewed. Among them, 8 patients were male, 48 patients were female, the age ranges from 12 to 50 years old with an average of 26 3. [WT5”BX] Results.[WT5”BZ]The main clinical manifestation includes jaundice, abdominal pain and abdominal mass. All of them were confirmed by ultrasonography, while 39 cases were performed ERCP and PTC with the same diagnosis. Fifty one patients were performed cystectomy and hepatojejunostomy, two cases were performed cystjejunostomy because of diffused angioma and severe hemorrhage respectively, external drainage was performed in one case with emergent cholangitis, the other two cases were reported malignancy through biopsy and operation was abandoned. [WT5”BX] Conclusions. [WT5”BZ]Ultrasound diagnostics is essential to accurately diagnose the cyst, preoperative ERCP is helpful for differentiating pancreatic duct from bile duct, while MRCP is a reliable method; cystectomy and cholangiojejunostomy is recommended, laparoscopic procedure is becoming more and more accepted. 展开更多
关键词 congenital biliary cyst hepatobiliary anastomosis
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