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25 February 2021, Volume 42 Issue 2

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Clinical analysis of the application of herbal paste in children with RRTI based on Yun-qi theory

WANG Jing, LIU Bing, LIU Hui, GU Zhi-shan

2021, 42(2): 81-84. DOI: 10.3969/j.issn.1004-7115.2021.02.001

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Objective:By analyzing the physiological and pathological characteristics of children, the pathogenesis and pathogenesis with RRTI, and the clinical manifestation of children with RRTI, the combination of TCM theory of Yun qi and herbal paste was applied to treat children with RRTI. The characteristics of the prescriptions based on herbal paste used,and the clinical significance and value, in the treatment of children with RRTI were analyzed.

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Investigation and analysis of nurses' understanding of "Internet plus nursing service"

YANG Wen-yan, ZHEN Tian-min, WU Min, SONG Kui-meng, ZHANG Jing-jing, YAN Jian-hua, SUN Na, KONG Chun-yan

2021, 42(2): 85-88. DOI: 10.3969/j.issn.1004-7115.2021.02.002

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Objective: To analyze the nurses' understanding of "Internet plus nursing service" and to explore the influencing factors of "Internet plus nursing service" development.Methods: One hundred and fifty-eight nurses from 6 general hospitals in Shandong Province were selected to conduct a questionnaire survey, and their understanding of "Internet plus nursing service" and the influencing factors of "Internet plus nursing service" development were analyzed.Results: Nurses who had no knowledge of "Internet plus nursing service" policies accounted for 49.37%,and 72.15% nurses had heard of the door-to-door nursing service platform, and 45.57% were willing to provide on-site nursing services. Regarding the provision of "Internet plus nursing services", 58.23%nurses thought that the "Internet plus nursing services" should be provided by the medical institutions with certain qualifications, and 39.24% nurses thought that it should be provided by the Internet information technology platform. Nurses who believed that the services provided by "Internet plus nursing service" should be demonstrated by experts accounted for 75.95%.In terms of specific services, the items in the "Internet plus nursing service" included basic nursing, rehabilitation nursing, psychological nursing, stoma care, specimen collection, injections, health guidance, catheter nursing, maternal and child care, Chinese medicine nursing and so on. The development of "Internet plus nursing services" was facing many problems, including relevant laws and regulations and the supporting management system, personal safety, hospital attitude, nursing manpower, the legality of the nurse practice, and the acceptability of residents. Conclusion: About half of nurses do not know the "Internet plus nursing" policy, and nearly half of nurses have the intention to provide on-site nursing service. Most nurses think that "Internet plus nursing service" should be provided by a qualified medical institutions,and the services provided should be demonstrated by experts. The problems of the development of "Internet plus nursing services" include the relevant imperfect laws and regulations and the supporting management system, hospitals support,nurses resources, nurses safety and the acceptance of residents.

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Application of dermoscopy combined with reflective confocal microscope in the diagnosis and differentiation of scalp psoriasis and seborrheic dermatitis

YUAN Jin, GUO Ping, TU Xiu-gu, LI Gui-qiong, WU Yong, CAI Liang-qi

2021, 42(2): 89-91. DOI: 10.3969/j.issn.1004-7115.2021.02.003

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Objective:To analyze the application value of dermoscopy combined with reflective confocal microscope (RCM) in the diagnosis and differentiation of scalp psoriasis and seborrheic dermatitis.Methods:25 cases of scalp psoriasis (SP) and 27 cases of scalp seborrheic dermatitis (SD) were included, and the characteristics of skin lesions under dermoscopy and RCM were analyzed, and the sensitivity and specificity of dermoscopy and RCM were analyzed.Results:Dermoscopic features with high diagnostic and differential diagnostic significance for SP included hairpin-like blood vessels, ring-shaped blood vessels, uniform distribution, and red background. RCM features included dermal papilla extension, dermal papillary dilatation, and Munro microabscess. Dermoscopic features with high diagnostic and differential diagnostic significance for SD included atypical blood vessels, focal distribution, unstructured areas, and yellow-red background. RCM features included horizontal expansion of capillaries and follicular horn thrombi. Conclusion: SP and SD have relatively specific characteristics of dermoscopy and RCM. Dermoscopy combined with RCM has high application value in the diagnosis and differential diagnosis of the two.

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Clinical effect of iontophoresis of traditional Chinese medicine on hysteromyoma

CAO Yun-yun, LUO Chun

2021, 42(2): 92-94. DOI: 10.3969/j.issn.1004-7115.2021.02.004

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Objective:To observe the clinical effect of transcutaneous iontophoresis of traditional Chinese medicine in the treatment of hysteromyoma. Methods: The control group was treated with infrared external treatment combined with Guizhi Fuling pill, and the observation group was treated with iontophoresis of traditional Chinese medicine and Guizhi Fuling pill. Results:After the treatment of the two groups, the total effective rate of the control group was 65.7%, the total effective rate of the treatment group was 82.9%, the curative effect of the observation group was significantly better than that of the control group, and the difference was statistically significant ( P<0.05); before the treatment, there was no significant difference in the uterine volume and the level of the myoma volume of the two groups ( P>0.05), and after the treatment, the uterine volume and the myoma volume of the observation group were significantly lower than those of the control group( P<0.05). Conclusion: In the clinical treatment of hysteromyoma, the therapeutic effect of iontophoresis of traditional Chinese medicine is ideal, which can be further studied and applied in clinic.

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Effect of apatinib combined with tegafur in chemotherapy of advanced gastric cancer

CHEN Ming-xiang, XIA Xiao-wen, GAO Yan

2021, 42(2): 95-98. DOI: 10.3969/j.issn.1004-7115.2021.02.005

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Objective: To investigate the effect of antiangiogenic drug Apatinib combined with fluorouracil drug Sergio (s-1) on the role of chemotherapy in advanced gastric cancer. Methods: Ninety cases of patients with gastric cancer treated in our hospital from January 2017 to December 2018, were randomly divided into three groups, 30 cases in control group for oral Apatinib treatment, 30 cases in control group for oral Sergio treatment, 30 cases observation group for Apatinib and Sergio S-1 treatment,and curative of effect three groups and adverse reactions were compared. Results: The short-term effective rate of 73.33% in the study group was significantly higher than that of the other two groups (43.33% and 40.00%, respectively).By comparing the adverse reactions of the three groups of patients after taking the medicine, liver dysfunction, renal dysfunction and the adverse reactions were significantly reduced was significantly lower than that in the two control groups. The quality of life of the patients in the three groups was compared. In terms of nutrition score, the nutrition score of the study group was significantly higher than that of the control group, and the difference between groups was statistically significant ( P<0.05).Conclusion: Apatinib combined with S-1 is more effective and safer than the two single drugs in the treatment of advanced gastric cancer, which is not only conducive to the recovery of patients, but also helpful to the improvement of the quality of life of patients, and can be widely used in clinical practice.

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A study on the efficacy of combined endoscopic sinus surgery and glucocorticoid in the treatment of patients with chronic rhinosinusitis

LIU Min, CHEN Yuan-yuan

2021, 42(2): 99-101. DOI: 10.3969/j.issn.1004-7115.2021.02.006

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Objective:To investigate the efficacy of combined treatment of chronic rhinosinusitis with nasal endoscopic surgery and glucocorticoids.Methods:A total of 110 patients with chronic rhinosinusitis who were treated in our department from May 2017 to May 2019 were selected and randomly divided into control group and observation group, with 55 patients in each group.The control group was treated with endoscopic sinus surgery. The observation group was treated with glucocorticoid on the basis of the control group.The patients were followed up for 1 year after treatment, and the nasal airway resistance, olfactory function scores and postoperative adverse reactions were compared before and after treatment.Results: Follow-up for 6 months and 1 year respectively after treatment.The observation group had lower nasal airway resistance than the control group, and the olfactory function score was higher than that of the control group ( P<0.05); the observation group had nasal adhesions, cerebrospinal fluid rhinorrhea and periorbital after treatment The incidence of congestion, allergies and orbital subperiosteal abscess were lower than those of the control group ( P<0.05).Conclusion:Endoscopic sinus surgery combined with glucocorticoids is effective in the treatment of patients with chronic rhinosinusitis.It can effectively reduce nasal airway resistance, improve the patient’s olfactory function, and reduce the incidence of postoperative adverse reactions. It has high safety and is worth clinically.Promotion and application.

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Effect of early CRRT intervention on immunoregulation in patients with abdominal sepsis

MAO Ke-jiang, LEI Xue-zhi

2021, 42(2): 102-104. DOI: 10.3969/j.issn.1004-7115.2021.02.007

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Objective:To observe the effect of early CRRT intervention on immune function in patients with abdominal sepsis.Methods:Sixty patients with abdominal sepsis in ICU of our hospital for two and a half years were randomly divided into two groups. The routine treatment was carried out according to the guidelines while the treatment group was given CRRT intervention at AKI level 1, at least 3 days,at least 12 hours a day.In the control group, CRRT was used when AKI was 2 or above.The infection index and immune index were recorded before and 7 days after the intervention.SPSS 24.0 software was used for t test.Results:PCT, HLA-DR,CD4 ⁺/CD8 ⁺were significantly improved in the treatment group ( P<0.01).Conclusion:Early CRRT intervention can block immune paralysis, reduce inflammatory reaction and improve prognosis

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Lon migration in membrane electrosorption and its role in increasing adsorption capacity

ZHANG Ya-wen, HE Jian-lin, ZHAO Li-yan, WU Meng, JIA De-yi, DANG Guang-yao

2021, 42(2): 105-107. DOI: 10.3969/j.issn.1004-7115.2021.02.008

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Objective: To explore the reasons why MCDI performs better than conventional CDI in SAC. Methods: Four (M)CDI experiments were carried out, and through comparing the SAC and changes of conductivity to identify the specific ions migration path in MCDI. Results:SAC of MCDI was triple that of conventional CDI or MCDI-C; SAC of MCDI was about forty times higher than that of MCDI-I; MCDI took less time to fulfill adsorption and desorption than the other three experiments. Conclusion: Neutralization of coions behind IEMs is a key step to initiate adsorption of MCDI; ions migration from bulk solution to behind IEMs is the fundamental cause leading to the improved SAC of MCDI; the optimal SAC of MCDI should be triple that of conventional CDI.

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Application of Orem theory and enhanced recovery nursing in thoracoscopic radical resection of lung cancer

QIU Ling-dong, GONG Pi-xin, BAI Xiu-na, Wang Hui

2021, 42(2): 108-110. DOI: 10.3969/j.issn.1004-7115.2021.02.009

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Objective: To discuss the application effect of Orem theory and enhanced recovery nursing in thoracoscopic radical resection of lung cancer. Methods: 270 patients undergoing thoracoscopic radical resection of lung cancer who were treated with enhanced recovery nursing were selected as the research objects, grouped according to the time of admission, and 127 patients admitted from January to December 2017 were used as the control group, from January 2018 to February 2019 143 patients who were guided by Orem theory each month served as the observation group. Results: The observation group was better than the control group in terms of postoperative hospitalization days, hospitalization expenses, catheter removal time, chest tube removal time, complication rate, self-care ability, and satisfaction degree ( P<0.05). Conclusion: Orem theory and enhanced recovery nursing for thoracoscopic radical resection of lung cancer can effectively promote the early recovery of patients.

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The effect of the collaborative care model applied to patients with chronic obstructive pulmonary disease treated by non-invasive ventilator

YANG Liu

2021, 42(2): 111-113. DOI: 10.3969/j.issn.1004-7115.2021.02.010

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Objective:To apply CCM to COPD patients treated with non-invasive ventilator, and to analyze its influence on patients' lung function and treatment compliance. Methods: From March 2019 to June 2020, 88 COPD patients who were treated with non-invasive ventilator in our hospital were selected and divided into two groups, with 44 cases in the control group received routine care and 44 cases in the observation group, and the application of CCM was adopted on this basis. The pulmonary function indexes and treatment compliance of the two groups of patients were compared. Results: After nursing, the FEV1 and FEV1/FVC of the observation group were significantly higher than those of the control group ( P＜0.05); the treatment compliance rate of the observation group was 97.73%, and the control group was 81.82%, and the difference was significant ( P＜0.05) . Conclusion: The application of CCM to COPD patients treated with non-invasive ventilator can improve their treatment compliance, better improve their lung function, and the application effect is good.

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Analysis on the current situation and influencing factors of multiple drug use in elderly patients with chronic diseases in Yanggu County

WANG Ying, LIU Yu, LI Dong

2021, 42(2): 114-117. DOI: 10.3969/j.issn.1004-7115.2021.02.011

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Objective: To understand the current situation of multiple drug use in elderly patients with chronic diseases in Yanggu County, and to analyze the influencing factors of multiple drug use so as to provide scientific basis for rational drug use for the elderly.Methods:The group sampling method was used to investigate the old people (≥ 60 years old) who lived in Yanggu County.Data were collected by face-to-face inquiry.The basic situation, disease situation, drug use, medical habits and other information of the elderly were investigated, and the multiple drug use was analyzed.The current situation of multiple drug use in the elderly in Yanggu County was described, and the influencing factors of adverse reactions of multiple drug use in the elderly were analyzed by multiple factor Logistic regression.Results:A total of 3142 elderly people were included, 2497 of them were chronic disease patients, the prevalence rate was 79.47%, and 601 of them (24.07%) were multiple drug use.The influencing factors of multiple drug use were medical insurance type, complications, fixed doctors, drug adjustment mode, hospital treatment, chronic disease treatment, ability of daily life classification, drug compliance and outpatient treatment.Compared with other adjustment methods, high level of hospitals and poor medication order, community doctors were the protective factors and others were risk factors of multiple medication.Conclusion:The rate of multiple drug use was 24.07% in Yanggu County.Multiple drug use is caused by multiple factors, which is related to the severity of the disease, the adjustment of drugs by the specialists, and the dysfunction. Multiple drug use can be reduced in hospitals at or above the municipal level.

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The effect of detailed pharmaceutical care on clinical efficacy of patients with copd

HU Yue-feng, ZHOU Xiang-qian

2021, 42(2): 118-120. DOI: 10.3969/j.issn.1004-7115.2021.02.012

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Objective: To analyze the effect of detailed pharmaceutical care on clinical efficacy of patients with COPD .Methods: From January 2018 to May 2019, 80 patients with copd were selected for a controlled study based on their number of admission to hospital.Patients with even numbers were included in the experimental group.The control group only received conventional treatment, and the experimental group also received enhanced detailed pharmaceutical care besides conventional treatment.Lung function index (fev1%), respiratory distress index (mMRC) grading, quality of life score (CAT) and other indicators, medication compliance, adverse reaction rate and medication error rate were compared between the two groups at admission and discharge.Results: Fev1%, mMRC grading and CAT score of the two groups at discharge showed that the experimental group was superior to the control group ( P＜0.05), which had statistical value; However, there was no significant difference between the two at the time of admission ( P＞0.05).The comparison of medication compliance, adverse reaction rate and medication error rate between the two groups showed that the experimental group was superior to the control group ( P＜0.05), which had statistical value.Conclusion: Detailed pharmaceutical care for patients with COPD can improve their respiratory status and lung function, reduce adverse reactions and medication errors, and improve drug compliance and quality of life. It is worthy of promotion and research.

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Clinical efficacy and safety of high nasal flow humidification oxygen therapy (HFNC) in the treatment of AECOPD patients with respiratory failure

LIU Feng-zhan

2021, 42(2): 121-123. DOI: 10.3969/j.issn.1004-7115.2021.02.013

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Objective:To analyze the clinical effect and safety of high nasal flow humidification oxygen therapy (HFNC) in patients with AECOPD (acute exacerbation of chronic obstructive pulmonary disease) combined with respiratory failure.Methods: From January 2018 to May 2020, 90 patients with AECOPD combined with respiratory failure were selected for a control study according to their admission number. Patients with odd numbers were included into the control group.Patients with even numbers were included in the experimental group.Airbag mask was used to treat oxygen in the control group, and HFNC was used to treat the control group.The scores of blood gas analysis, oral comfort, dryness, recovery, adverse reactions and quality of life were compared between the two groups.Results: The comparison of SpO ₂, PaCO ₂and PaO ₂in the two groups after treatment showed that the experimental group was significantly superior to the control group ( P<0.05), which had statistical value.However, there was no significant difference between the two before treatment ( P>0.05).The comparison of oral comfort, dryness score, blood gas improvement, hospitalization time and quality of life scores in the two groups showed that the experimental group was superior to the control group ( P<0.05), which had statistical value;Compared with the control group, the complication rate of the study group was relatively low, but the difference was not statistically significant ( P>0.05).Conclusion: The treatment of AECOPD patients with respiratory failure by HFNC has a significant effect, which can improve the hypoxemia of patients and their oral comfort and quality of life, reduce adverse reactions, shorten the length of hospital stay, and is safe and reliable.

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Study on the effect of Quhan Huoxue powder in the treatment of spondyloarthropathy with Chinese and Western Medicine

WANG Xue-xing

2021, 42(2): 124-126. DOI: 10.3969/j.issn.1004-7115.2021.02.014

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Objective: To study the effect of Quhan Huoxue powder in the treatment of spondyloarthropathy with Chinese and Western medicine. Methods Seventy-two patients with spondyloarthropathy in our hospital from February 2019 to February 2019 were selected as the research objects. The selected patients were divided into control group and observation group randomly, with 36 cases in each. The control group was treated with western medicine alone, and the observation group was treated with the combination of Chinese and Western medicine based on Quhan Huoxue powder. Results: The total effective rate of the observation group was higher than that of the control group ( P<0.05). Before treatment, there was no significant difference in the levels of ESR, CRP and TNF - α between the two groups ( P>0.05); after treatment, the levels of ESR, CRP and TNF - α in the observation group were lower than those in the control group ( P<0.05), which had statistical significance. Conclusion Quhan Huoxue powder plays an important role in the treatment of spondyloarthropathy in traditional Chinese and Western medicine. It can significantly improve the therapeutic effect, improve the inflammation of patients, and has high application value.

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Clinical observation of intracavitary laser closure combined with foam sclerotherapy in the treatment of great saphenous vein varicosity

QIAN Jiao, XU Yu-lin, WEI Yun, KONG Xiang-cheng

2021, 42(2): 127-129. DOI: 10.3969/j.issn.1004-7115.2021.02.015

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Objective: To investigate the clinical value of intracavitary laser closure (EVLA) combined with foam sclerotherapy (FS) in the treatment of great saphenous vein varicosity (GSVV). Methods: A retrospective analysis of 85 cases (105 legs) were made from January 2016 to August 2019, who had minimally invasive treatment of great saphenous varicose veins combined with foam sclerotherapy injection technology, complications, postoperative follow-up of great closure rate of the great saphenous vein and relapse were observed, and its therapeutic effect was evaluated. Results: There were no pulmonary embolism or drug allergy complications in this group during and after the operation. 1 week after the operation, the symptoms of lower extremity such as acid and fatigue disappeared, and there were no signs of venous thrombosis such as gastrecnemius pain and lower extremity swelling. Two cases had abnormal skin sensation and recovered after 3 months. Local inflammatory mass appeared in 2 cases and was cured after physiotherapy. During the follow-up period of 3~24 months, the main trunk closure rate of the great saphenous vein was 100%, 83 cases were cured, and 2 cases of residual varicose veins in the lower leg were cured by re-injection of sclerotherapy. Conclusion: The treatment of varicose great saphenous vein by intracavitary laser closure combined with foam sclerotherapy can achieve the clinical effect of less trauma, fewer complications, faster postoperative recovery and higher cure rate.

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Methods and techniques of endoscopic neurosurgery for intraventricular hemorrhage with hydrocephalus

YAO Jun-ling

2021, 42(2): 130-132. DOI: 10.3969/j.issn.1004-7115.2021.02.016

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Objective: To investigate the methods and techniques of endoscopic neurosurgery for intraventricular hemorrhage with hydrocephalus.Methods: From January 2017 to January 2019, 50 patients with intraventricular hemorrhage complicated with hydrocephalus were selected and equally divided into the control and experimental groups randomly. Patients in the experimental group were treated with neuroendoscopic surgery, while patients in the control group were treated with microsurgery. The total effective rate, postoperative complication rate, quality of life and recurrence rate of the two groups were compared. Results: The comparison of total efficiency between the two groups showed that, the effective rate of the experimental group was as high as 92.0%, which was significantly higher than that of the control group 68.0%,the difference was statistically significant ( P<0.05). The postoperative complication rate of 12.0% in the experimental group was significantly lower than that of 36.0% in the control group, and the difference was statistically significant ( P<0.05). The comparison of quality of life between the two groups showed that the experimental group was superior to the control group, and the difference was statistically significant ( P<0.05). The recurrence rate in the experimental group was 4.55%, significantly lower than that in the control group 29.41%, and the difference was statistically significant( P<0.05). Conclusion: The treatment of intraventricular hemorrhage with hydrocephalus by neuroendoscopic surgery has a significant effect, which can effectively improve the patient's condition, reduce postoperative complications and recurrence rate, and improve the quality of life of patients.

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Application of painless technique in ultrasound guided modified seldinger PICC tube implantation in children with tumors

WANG Huan-yun, YUAN Jin-yan, LI Xi-hong

2021, 42(2): 133-135. DOI: 10.3969/j.issn.1004-7115.2021.02.017

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Objective: To investigate the application of painless technique in ultrasound guided modified seldinger PICC tube implantation in children with tumor. Methods:100 cases of tumor children were randomly divided into two groups: control group and observation group, with 50 cases in each. The two groups were compared in one puncture success rate, catheterization success rate, complication rate and family satisfaction. Results:The observation group had more preparatory work in the early stage, and the whole time was longer than that of the control group. However, There was no statistical difference in the success rate of one-time puncture between the two groups ( P＞0.05),the success rate and the cooperation degree of the children were higher than those of the control group. The incidence of complications in catheterization was not statistically significant.Conclusion:The application of painless technique in ultrasonically guided PICC tube implantation in children with tumors can improve the success rate of catheter implantation and the satisfaction of the children's families, and reduce the occurrence of complications. It has a good clinical application value and is worth promoting.

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The effect on breast-feeding mastitis of whole course management based on the alliance of obstetrics department and breast surgery

HOU Kun

2021, 42(2): 136-137. DOI: 10.3969/j.issn.1004-7115.2021.02.018

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Objective: To study the effect on breast-feeding mastitis of whole course management based on the alliance of obstetrics department and breast surgery. Methods:The former was treated with whole course management based on the alliance of obstetrics department and breast surgery. The latter was treated with education on routine breastfeeding. The average time of breast-feeding, galactostasis, breast-feeding mastitis and breast abscess were observed. Results:Compared to the control group, the treatment group has a statistical significance (P﹤0.001) on the average time of breast-feeding, breast-feeding mastitis and breast abscess. No statistical significance was found (P>0.05)on galactostasis. Conclusions:The whole course management based on the alliance of obstetrics department and breast surgery which can be good method was effective to reduce galactostasis and breast-feeding mastitis, to prolong the average time of breast-feeding.

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Study on the value of PICC nursing for cancer patients in treatment compliance and safety

CHEN Min, YOU Mei, AN Ming-chao

2021, 42(2): 138-139. DOI: 10.3969/j.issn.1004-7115.2021.02.019

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Objective:To study the value of PICC nursing for treatment compliance and safety in cancer patients.Methods: In the study interval from July 2018 to June 2019, 60 patients were selected from the tumor patients admitted in our hospital. They were randomly divided into a conventional group and a research group.The average was 30 patients.The routine group were given standard nursing procedures, and the research group also received PICC care on the basis of standard nursing procedures, and the compliance and safety of the two groups of patients were analyzed.The safety of the patients was analyzed from the incidence of adverse reactions during the care. Results:The treatment compliance of the study group was higher than that of the conventional group, and the incidence of adverse reactions during nursing was lower than that of the conventional group.The differences between the groups were significant and statistically significant ( P<0.05).Conclusion:The combination of PICC nursing with the standard nursing procedure for cancer patients can improve the clinical treatment effect of patients, improve patient compliance, reduce the probability of adverse reactions during nursing, and have significant clinical nursing value.

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Application of clinical nursing pathways in rehabilitation functional exercises of patients with cerebral infarction and the effect on the quality of life of patients

DENG Chao-ping, DAI Yuan

2021, 42(2): 140-141. DOI: 10.3969/j.issn.1004-7115.2021.02.020

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Objective: To analyze and explore the application effect of clinical nursing path in rehabilitation function exercise of patients with cerebral infarction.Method:Conventional nursing intervention measures were implemented for the 35 patients in the comparison group while clinical pathway nursing intervention measures were implemented for another 35 patients in the observation group. The final nursing effects of the two groups of patients with cerebral infarction were compared.Results:After routine nursing and clinical pathway nursing intervention, the compliance behavior scores of patients with cerebral infarction in the comparison group and the study group were (75.67±2.48) and (90.30±2.56), and the health knowledge mastery score was (73.25±4.51) (88.54±3.12), the quality of life score was (76.94±2.05)(89.91±2.97). In the comparison between the two, the study group was higher, and the data showed the significance, P<0.05. Conclusion: In the process of rehabilitation and functional exercise for patients with cerebral infarction, the final effect of intervention by clinical nursing pathways is more significant, especially in the improvement of patients' health knowledge, compliance behavior and quality of life. It has high application value and is worth promoting.

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Comprehensive nursing intervention on anxiety scores of college students suffering from anxiety disorders and the effect of sleep quality

ZHANG Xiao-feng

2021, 42(2): 142-144. DOI: 10.3969/j.issn.1004-7115.2021.02.021

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Objective:To investigate the change of anxiety score and the improvement of sleep quality of college students suffering from anxiety disorders by comprehensive nursing intervention measures, in order to focus on the growth of young students and cultivate useful talents for the country. Methods: 875 college students were randomly selected by stratification—cluster sampling. Students with anxiety disorders (192 cases) were divided into observation group ( n=96 cases, comprehensive nursing) and control group ( n=96 cases, routine nursing) according to their anxiety levels. The difference of anxiety score and sleep quality in two groups after intervention with different nursing methods were analyzed statistically. Results: After the intervention, the self-rating scores of students in the observation group were significantly lower than those in the control group, with significant difference between the two groups ( P<0.001). results of sleep quality comparison between the two groups of students after nursing: the sleep quality of the observation group was significantly higher than that of the control group, and the difference between the two groups was statistically significant ( P<0.001). Conclusion: Anxiety disorders are common in college students and deserve the attention of college leaders and teachers. Comprehensive nursing intervention for anxiety students can significantly reduce anxiety scores, improve sleep quality, is conducive to the improvement of comprehensive quality of college students, and is worth promoting.