目的:探讨心脏死亡供体器官捐献(donation after cardiac death,DCD)来源角膜植片术后排斥反应与角膜内皮细胞的相关性。方法:用角膜内皮显微镜对心脏死亡供体来源角膜植片行穿透性角膜移植术后发生排斥反应的28例28眼角膜植片分别于术...目的:探讨心脏死亡供体器官捐献(donation after cardiac death,DCD)来源角膜植片术后排斥反应与角膜内皮细胞的相关性。方法:用角膜内皮显微镜对心脏死亡供体来源角膜植片行穿透性角膜移植术后发生排斥反应的28例28眼角膜植片分别于术后<1、2~3、4~6、7~12mo行角膜内皮镜检查。结果:28例患者术后<1、2~3、4~6、7~12mo的角膜内皮细胞变异系数分别为38.23%、49.56%、57.18%、65.04%;角膜内皮细胞密度分别为2071.15±311.47、1771.33±348.18、1626.59±353.92、1553.14±307.31个/mm2;角膜内皮细胞变异系数与排斥反应呈正相关关系(r=0.95,P<0.05);术后角膜内皮细胞密度与排斥反应呈负相关关系(r=-0.93,P<0.05)。结论:DCD穿透性角膜移植术后发生排斥反应时有角膜内皮细胞变异系数逐步增高,角膜内皮细胞密度逐步降低的趋势;角膜内皮细胞变异系数、角膜内皮细胞密度可作为早期检测术后排斥反应的指标。展开更多
To understand the present condition of outpatients' needs for health knowledge, and revise the process of nursing services in clinic. Methods Using questionnaire to survey outpatients going to this clinic. Divide ...To understand the present condition of outpatients' needs for health knowledge, and revise the process of nursing services in clinic. Methods Using questionnaire to survey outpatients going to this clinic. Divide patients into groups by their age, occupation, and culture level. Statistics and X^2 test were performed by PEMS 3.0 software. Results ①The groups of higher educated level and 20-41 years old go to clinic to take health checkup.Their self-aware of health care is worse due to intense working. It is needed to strengthen health propaganda and education to them. ②The groups of yotmg people and higher educated level have some communication technique. Medicine professionals need to elevate their communication technique to the groups of elderly and lower educated level. ③The groups of 61 and over and lower educated level know less about modem medicine and classfying of departments, professionals should help them to choice departments and guide blind choice to directed choice. ④All groups need guide to read medicine manuals. Conclusion Needs investigation has provided the foundation for reform. Revising process and establishing new model of nursing services in clinic make the service range expanded, as well as the market business has succeeded.展开更多
文摘目的:探讨心脏死亡供体器官捐献(donation after cardiac death,DCD)来源角膜植片术后排斥反应与角膜内皮细胞的相关性。方法:用角膜内皮显微镜对心脏死亡供体来源角膜植片行穿透性角膜移植术后发生排斥反应的28例28眼角膜植片分别于术后<1、2~3、4~6、7~12mo行角膜内皮镜检查。结果:28例患者术后<1、2~3、4~6、7~12mo的角膜内皮细胞变异系数分别为38.23%、49.56%、57.18%、65.04%;角膜内皮细胞密度分别为2071.15±311.47、1771.33±348.18、1626.59±353.92、1553.14±307.31个/mm2;角膜内皮细胞变异系数与排斥反应呈正相关关系(r=0.95,P<0.05);术后角膜内皮细胞密度与排斥反应呈负相关关系(r=-0.93,P<0.05)。结论:DCD穿透性角膜移植术后发生排斥反应时有角膜内皮细胞变异系数逐步增高,角膜内皮细胞密度逐步降低的趋势;角膜内皮细胞变异系数、角膜内皮细胞密度可作为早期检测术后排斥反应的指标。
文摘To understand the present condition of outpatients' needs for health knowledge, and revise the process of nursing services in clinic. Methods Using questionnaire to survey outpatients going to this clinic. Divide patients into groups by their age, occupation, and culture level. Statistics and X^2 test were performed by PEMS 3.0 software. Results ①The groups of higher educated level and 20-41 years old go to clinic to take health checkup.Their self-aware of health care is worse due to intense working. It is needed to strengthen health propaganda and education to them. ②The groups of yotmg people and higher educated level have some communication technique. Medicine professionals need to elevate their communication technique to the groups of elderly and lower educated level. ③The groups of 61 and over and lower educated level know less about modem medicine and classfying of departments, professionals should help them to choice departments and guide blind choice to directed choice. ④All groups need guide to read medicine manuals. Conclusion Needs investigation has provided the foundation for reform. Revising process and establishing new model of nursing services in clinic make the service range expanded, as well as the market business has succeeded.
