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Hypertensive Pathologies in Peripartum: Complications and Maternal and Neonatal Outcome 认领
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作者 Isango Idi Yves Criss Koba Mjumbe +8 位作者 Kabamba Nzaji Michel Malamba Lez Didier Kakisingi Ngama Christian Kiopin Mubinda Patrick Mwilambwe Ngoy Steve Manika Muteya Michel Ngwe Thaba Jules Mwembo Tambwe Albert Kalenga Muenze Prosper 《妇产科期刊(英文)》 2020年第2期311-318,共8页
Introduction: Among the hypertensive pathologies of pregnancy, preeclampsia remains the entity responsible for pregnancy complications. Objective: The aim of this work was to determine the frequency of hypertensive pa... Introduction: Among the hypertensive pathologies of pregnancy, preeclampsia remains the entity responsible for pregnancy complications. Objective: The aim of this work was to determine the frequency of hypertensive pathologies in the peripartum, to determine the maternal and neonatal morbidity factors associated with preeclampsia on the one hand, and on the other hand, to other forms of hypertension in the peripartal period. Patients and methods: This is a cross-sectional study of hypertensive pathologies in per partum over a period of 15 months?which have been included any pregnant, parturient and hypertensive childbirth. The data was analyzed using SPSS software version 21.0. Data positioning and dispersion parameters were studied. The factor analysis?was?performed by determining the odds ratio with a 95% confidence interval and a significance level set at p?≤ 0.05. Results: 142 cases of hypertension were collected from a total of 2988 deliveries,?i.e.?a frequency of hypertension of 4.8%. The main form of high blood pressure (HBP) was the isolated HBP at 51.4%. 60.3% of primiparas were preeclamptic [OR 2.47 (CI 1.25 - 4.91)], 63.2% of preeclampsia did not follow prenatal consultations?[OR 2.43 (CI 1.06 - 5.62)], 63.6% of preeclampsia had moderate and severe threat premature delivery [OR 4.57 (CI 2.11?-?9.99)], neonatal hypoxia in the fifth minute was found in 34.4% of newborns of preeclamptic mothers [OR 3.02 (CI 1.44?-?6.34)], hypotrophy was observed in 41.4% of the cases in the preeclamptic patients [OR 5.41 (IC 1, from 55 to 19.57)]. Conclusion: Preeclampsia is significantly associated with maternal and neonatal morbidity. 展开更多
关键词 HYPERTENSIVE Pathology PERIPARTUM COMPLICATIONS MATERNAL and NEONATAL Outcomes
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Analysis of the relationship between deep venous catheter-related infection and post-operative complications in patients receiving minimally invasive esophagectomy 认领
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作者 Xin Huang Xin Xu +2 位作者 Zhanfa Sun Jing Chen Hong Fang 《肿瘤学与转化医学:英文版》 2020年第2期64-67,共4页
Objective The aim of the study was to evaluate catheter-related infection rate(CRIR)for patients receiving minimally invasive esophagectomy(MIE),to identify the optimal catheterization approach and relationship betwee... Objective The aim of the study was to evaluate catheter-related infection rate(CRIR)for patients receiving minimally invasive esophagectomy(MIE),to identify the optimal catheterization approach and relationship between CRIR and post-operative complications.Methods In total,168 patients with esophageal carcinoma and undergoing MIE combined with preoperative deep venous catheterization(DVC)were analyzed in our institution(Qingdao Municipal Hospital,China),from 2014 to 2018.After completing DVC,catheter-tips together with intraductal venous blood samples were sent to the microbiology lab for bacterial strain culture.CRIR was statistically evaluated for the following clinical variables:gender,age,smoking status,drinking status,past history,tumor location,histologic grade,pathological T,N,and M category,anastomotic location,anastomotic leakage,anastomotic stricture,chylothorax,pneumonia,recurrent laryngeal nerve(RLN)injury,reflux esophagitis,catheterization site,and catheter-locking days.Results Among the 144 patients recruited in our study,105 catheters were inserted into the jugular vein and 39 catheters into the subclavian vein.The median age of these patients was 63 years(range:42–79 years),and the median catheter-locking period was seven days(range:4–21 days).Four catheters were identified with three types of strain colonizations,including Staphylococcus epidermidis,Staphylococcus aureus and Blastomyces albicans.Statistical data showed that patients diagnosed with catheter-related infection were likely to incur anastomotic leakage(66.67%,P<0.001)and pneumonia(27.27%,P<0.001);features such as tumors located in the upper esophagus(13.6%,P=0.003),and over seven catheterlocking days(10.00%,P<0.001)were attributed to a high CRIR.Conclusion Although both jugular and subclavian veins can be catheterized for patients with MIE,DVC is associated with more than seven catheter-locking days and upper esophagectomy,due to high CRIR.Furthermore,catheter-related infection is related to anastomotic leakage and pneumonia. 展开更多
关键词 deep venous catheterization(DVC) catheter-related infection(CRI) minimally invasive esophagectomy(MIE) COMPLICATIONS
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Endometriosis as a Cause of Primary Infertility in Western Regions of Saudi Arabia 认领
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作者 Khalid Khadawardi 《妇产科期刊(英文)》 2020年第3期333-340,共8页
Background:?Endometriosis is defined by the presence of viable extrauterine endometrial glands and stroma with unclear etiology and pathogenesis. It has been associated with female infertility. Infertility is defined ... Background:?Endometriosis is defined by the presence of viable extrauterine endometrial glands and stroma with unclear etiology and pathogenesis. It has been associated with female infertility. Infertility is defined as the failure of sexually active couple, not using contraception to achieve a clinical pregnancy after one year or more of regular sexual intercourse. Infertility is a symptom of endometriosis in up to 50% of women. Methods:?Descriptive?cross-sectional study was conducted in Kind Abdulaziz Hospital in Almina, South Jeddah, Saudi Arabia. The total sample obtained was 507 participants. Participants were married Saudi women attending the outpatient or inpatient departments in the hospital. Pre-designed disseminated questionnaire was distributed for data collection, and data were entered and analyzed using the Statistical Package for the Social Science (SPSS Inc. Chicago, IL, USA) version 23. Results:?Most (47.9%) of the studied women aged 31?-?40 years, 41.9% were obese and 1.2% were smokers while 42.2% were passive smokers, and only 3.7% exercise regularly. Prevalence of infertility was 23.3% and endometriosis was 10.7%. It was found that there was a significant correlation between endometriosis and infertility (P?=?0.025). Conclusion:?Although many women with endometriosis get pregnant and deliver healthy infants, endometriosis is highly associated with infertility. More studies are needed to investigate the pathobiology of this condition. 展开更多
关键词 Endometrosis INFERTILITY AWARENESS COMPLICATIONS
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What Is the Role of Endoscopic Retrograde Cholangio-Pancreato-Grahy in the Management of Hepatic Hydatid Disease Complications? 认领
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作者 Hakima Abid Ghita Ousseur +5 位作者 Nada Lahmidani Mounia El Yousfi Noureddin Aqodad Mohammed El Abkari Adil Ibrahimi Dafr Allah Benajah 《肠胃病学期刊(英文)》 2020年第5期107-117,共11页
Liver hydatid cyst is a parasitic disease that is endemic in Morocco. Its gravity is essentially due to its complications, such as Intrabiliary rupture. The aim of our study was to evaluate the role of endoscopic retr... Liver hydatid cyst is a parasitic disease that is endemic in Morocco. Its gravity is essentially due to its complications, such as Intrabiliary rupture. The aim of our study was to evaluate the role of endoscopic retrograde cholangiopancreatography (ERCP) and endoscopic sphincterotomy in the management of intrabiliary rupture of hydatid disease of the liver. Materials and Methods: This is a retrospective study in the department of Gastroenterology in the University Hospital Hassan II of Fez over a period of 12 years from March 2005 to October 2017. All patients admitted for hepatic hydatid disease and who received ERCP were included. We analyzed the success rate of catheterization of the common bile duct (CBD), the successful clearance of the bile duct and the complications. Results: 2860 patients had received therapeutic ERCP, 151 patients (5.3%) had hepatic hydatid disease, 112 of which had intrabiliary disruption of hepatic hydatid and 39 patients were admitted for sphincteromy for reversal of the flow after surgery of hydatid cyst. The average age of our patients was 41 years old [12 - 85]. The sex ratio F/H = was 1.12. 74% (N = 112) patients were admitted to a table cholangitis and 26% of cases were operated for KHF fistulized in the bile ducts with persistence of a large biliary flow in post-operative (39 cases). The success of initial catheterization of the commun bile duct was achieved for 138 patients (91%) or obtained secondarily after precut for 13 patients. The evacuation of hydatid membranes was carried out in 51% of them (N = 78);twenty two (14.5%) patients had one or more calculations with or without hydatid membranes. A case of gastrointestinal bleeding post ERCP was observed. All the patients followed evolved well in the long term except for two patients who presented in few months after the first ERCP severe cholangitis which required the use of a second ERCP with successful evacuation of membranes. Conclusion: In our study, endoscopic management of hydatid cyst remains a dominant position, with 展开更多
关键词 HYDATID CYST Intrabiliary Rupture COMPLICATIONS ENDOSCOPIC Retrograde CHOLANGIOPANCREATOGRAPHY ENDOSCOPIC SPHINCTEROTOMY
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化疗并发症预警模型在非小细胞肺癌化疗患者中的应用 认领
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作者 邹凤宇 周昆 +3 位作者 刘霞 李黎 程冬艳 司晴晴 《中华现代护理杂志》 2020年第5期648-652,共5页
目的探讨化疗并发症预警模型在非小细胞肺癌患者化疗期护理中的应用效果。方法采用便利抽样法,选取2016年1月—2019年2月郑州大学第一附属医院胸外科收治的非小细胞肺癌化疗患者106例为研究对象,按照入院时间分为对照组(n=52)和观察组(n... 目的探讨化疗并发症预警模型在非小细胞肺癌患者化疗期护理中的应用效果。方法采用便利抽样法,选取2016年1月—2019年2月郑州大学第一附属医院胸外科收治的非小细胞肺癌化疗患者106例为研究对象,按照入院时间分为对照组(n=52)和观察组(n=54)。对照组给予常规护理,观察组通过化疗并发症预警模型进行护理。采用汉密顿焦虑量表(HAMA)、汉密顿抑郁量表(HAMD)和癌症患者生命质量测定量表(EORTC QLQ-C30)比较两组干预效果,统计两组化疗期间并发症发生情况。结果观察组化疗期间并发症总发生率26.92%(14/52),对照组为46.15%(24/52),差异有统计学意义(χ2=4.147,P<0.05)。干预后3个月,观察组患者HAMA(9.87±4.25)分、HAMD(15.54±3.58)分,均低于对照组,差异均有统计学意义(t值分别为4.738、8.296;P<0.05)。观察组干预后功能评分、症状评分、整体生活质量评分、单项测量项目评分高于对照组,差异有统计学意义(P<0.05)。结论在非小细胞肺癌化疗期间通过化疗并发症预警模型进行护理能够降低患者化疗并发症发生率,缓解患者负性情绪,提高生活质量,值得临床推广应用。 展开更多
关键词 非小细胞肺 化疗 并发症 化疗并发症预警模型
Efficacy of Single Burr Hole in Management of Chronic Subdural Hematoma 认领
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作者 Ahmed M. Elshanawany Ahmed Elsayed Abokresha Mohamed Mahmoud 《现代神经外科学进展(英文)》 2020年第1期81-87,共7页
Background: Surgery of chronic subdural hematoma (CSDH) is a common practice of neurosurgeons. CSDH is considered a pathology of the elderly and usually many co-morbidities are present. CSDH carries high risk of morta... Background: Surgery of chronic subdural hematoma (CSDH) is a common practice of neurosurgeons. CSDH is considered a pathology of the elderly and usually many co-morbidities are present. CSDH carries high risk of mortality if not treated or not treated well. So, the minimal, safe and adequate surgical intervention is the bases to choose specific surgical maneuver. Aim of the Study: The efficacy of a single burr in evacuation and treatment of chronic subdural hematoma. Methods: This study was held in Assiut university hospitals, neurosurgical department. It is a prospective randomized controlled study. 113 patients were enrolled in this study in the period between March 2018 and June 2019. We included all cases of chronic subdural hematoma (CSDH) and subacute subdural hematoma that were evacuated with single burr hole. Hematomas either, unilateral or bilateral were included. Septated hematomas were excluded. Patients’ clinical characteristics as age, sex, clinical presentation, co-morbidities and patients outcome were recorded. Postoperative status as regards improvement of the neurological status, complications and recurrence of hematoma were recorded. Results: We had 113 patients operated via properly situated single burr hole in our study. 113 patients were included in this study, 79 males (69.9%) and 34 females (30.1%). Age of the patients ranges between 27 years old and 90 years old. Postoperative follow up was evaluated according to Glasgow outcome score (GOS). We had 98 patients with good recovery, 4 patients with moderate disability, 6 patients with severe disability and 5 patients died. Complications were in form of 3 patients with residual hematoma, 2 patients with tension pneumocephalus, 7 patients developed postoperative seizure, 5 cases developed cortical/parenchymal hematoma and 9 cases developed hematoma recurrence. Conclusion: Single, properly situated burr hole with previously described characters is an effective treatment option in cases of CSDH. It helps adequate, effective and safe removal of 展开更多
关键词 Chronic SUBDURAL HEMATOMA SINGLE BURR HOLE EVACUATION Complications
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Surgical Complications of Pica Syndrome: About 03 Cases 认领
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作者 A. Doumbia Y. Coulibaly +10 位作者 I. Amadou M. Keita O. Coulibaly B. Kamaté M. K. Djiré M. Y. Coulibaly S. Camara H. Diall B. Maiga D. Konaté K. Sacko 《儿科学期刊(英文)》 2020年第1期159-167,共9页
The Pica syndrome is an eating disorder characterized by an excessive or abnormal desire to consume a non-nourishing substance which can be relatively harmless, or potentially harmful for the health. It is a rare affe... The Pica syndrome is an eating disorder characterized by an excessive or abnormal desire to consume a non-nourishing substance which can be relatively harmless, or potentially harmful for the health. It is a rare affection secondary to the accumulation of diverse nature foreign bodies inside the digestive tract and more especially at the stomach level. Gastro-intestinal localization is the most frequent, and can remain long time asymptomatic. Treatment is surgical. We report 3 cases of digestive complication of Pica syndrome. The first one was operated for gastric perforation due to nail (53 nails, a pin and bands of tape recorder cassette ingested), the second one for trichobezoar and the last had a subocclusion by pieces of granite. 展开更多
关键词 PICA SYNDROME COMPLICATIONS BEZOAR CHILD MALI
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全甲状腺切除在甲状腺良性结节治疗中的疗效分析 认领
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作者 刘凝 赵昕 《医学食疗与健康》 2020年第1期70-70,72共2页
目的:研究在甲状腺良性结节治疗中实施全甲状腺切除术治疗的临床疗效.方法:选取我院2017年12月~2019年1月内收治的甲状腺良性结节患者71例为研究对象,根据手术方式不同分为研究组和参照组,研究组35例、参照组36例.参照组行甲状腺次全切... 目的:研究在甲状腺良性结节治疗中实施全甲状腺切除术治疗的临床疗效.方法:选取我院2017年12月~2019年1月内收治的甲状腺良性结节患者71例为研究对象,根据手术方式不同分为研究组和参照组,研究组35例、参照组36例.参照组行甲状腺次全切术(ST),研究组行全甲状腺切除术(TT).对比分析两组患者临床疗效、并发症发生情况及复发率.结果:研究组总有效率为100.00%,参照组为86.11%,研究组疗效明显较参照组更优,P<0.05;研究组并发症发生率为5.71%,参照组为8.33%,两组相比差异不明显,P>0.05;研究组患者术后无复发病例,复发率为0.00%,参照组患者术后复发9例,复发率为25.00%,参照组复发率明显高于研究组,P>0.05.结论:TT治疗甲状腺良性结节疗效显著,并发症少,复发率低,值得临床借鉴. 展开更多
关键词 全甲状腺切除 甲状腺良性结节 甲状腺次全切术 并发症 复发率
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高脂血症性与非高脂血症性急性胰腺炎的临床特点比较及预后分析 认领
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作者 王小周 王文俊 +2 位作者 李占武 姜磊 刘强 《中国医药指南》 2020年第12期41-42,共2页
目的探索高脂血症性与非高脂血症性急性胰腺炎的临床特点和预后。方法收集大连大学附属中山医院急腹症外科2017年8月至2018年12月收治的34例急性高脂血症性急性胰腺炎(HLAP)患者和62例非急性高脂血症性急性胰腺炎(非HLAP)患者的临床资料... 目的探索高脂血症性与非高脂血症性急性胰腺炎的临床特点和预后。方法收集大连大学附属中山医院急腹症外科2017年8月至2018年12月收治的34例急性高脂血症性急性胰腺炎(HLAP)患者和62例非急性高脂血症性急性胰腺炎(非HLAP)患者的临床资料,分别设为研究组和对照组,比较两组的临床资料。结果两组性别差异不明显,P>0.05;研究组的年龄低于对照组,BMI指数高于对照组,P<0.05;研究组的血AMY、尿AMY水平均低于对照组,血糖水平和TG水平均高于对照组,P<0.05;两组的病死率、心功能衰竭、肾功能衰竭并发症发生率对比差异均无统计学意义,P>0.05;研究组的呼吸衰竭、胰腺坏死/脓肿并发症发生率以及住院时间均高于对照组,P<0.05。结论高脂血症性急性胰腺炎与非高脂血症性急性胰腺炎存在明显的临床特征,高脂血症性急性胰腺炎具有病情重、并发症多、预后差的特点,且血尿淀粉酶水平低,血糖水平和TG水平高,治疗中需及时降低TG水平,监控血糖水平,改善预后。 展开更多
关键词 高脂血症性急性胰腺炎 特点 预后 血尿淀粉酶 并发症
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胃大部切除术与腹腔镜胃十二指肠溃疡穿孔修补术治疗胃十二指肠溃疡穿孔疗效比较 认领
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作者 王敬 《中国现代医生》 2020年第10期55-57,共3页
目的比较胃大部切除术与腹腔镜胃十二指肠溃疡穿孔修补术治疗胃十二指肠溃疡穿孔的疗效。方法选取2016年2月~2017年2月85例在我院住院的胃十二指肠溃疡穿孔患者,根据手术方法不同分为观察组(腹腔镜胃十二指肠溃疡穿孔修补术)43例和对照... 目的比较胃大部切除术与腹腔镜胃十二指肠溃疡穿孔修补术治疗胃十二指肠溃疡穿孔的疗效。方法选取2016年2月~2017年2月85例在我院住院的胃十二指肠溃疡穿孔患者,根据手术方法不同分为观察组(腹腔镜胃十二指肠溃疡穿孔修补术)43例和对照组(胃大部切除术)42例。比较两组的各种手术指标、并发症发生情况及6、12个月溃疡复发率。结果观察组患者的平均手术时间、术中出血量、住院时间明显低于对照组(P<0.05),术后开始下床时间明显早于对照组,差异有统计学意义(P<0.05)。观察组患者的术后并发症率显著低于对照组(4.65%vs 23.81%),差异有统计学意义(P<0.05)。观察组患者6、12个月溃疡复发率分别为4.65%、13.95%,低于对照组的7.14%、16.67%,两组比较差异无统计学意义(P>0.05)。结论腹腔镜胃十二指肠溃疡穿孔修补术治疗胃十二指肠溃疡穿孔疗效显著,可明显减少出血量,患者可早日下床活动,并发症发生率低,有利于患者术后病情的及早恢复,值得临床推广应用。 展开更多
关键词 腹腔镜胃十二指肠溃疡穿孔修补术 胃大部切除术 胃十二指肠溃疡穿孔 并发症
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合并HBV感染的妊娠期糖尿病患者并发症和妊娠结局的影响因素及抗病毒治疗对孕期病情活动患者妊娠结局的影响 认领
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作者 裴巧丽 王敏 +3 位作者 张小菜 李文婷 袁宁霞 徐珊 《广西医学》 CAS 2020年第10期1198-1202,1240,共6页
目的探讨合并HBV感染的妊娠期糖尿病(GDM)患者并发症和妊娠结局的影响因素及抗病毒治疗对病情活动患妊娠结局的影响。方法选择350例合并HBV感染的GDM孕妇,根据肝功能是否正常分为HBV感染组236例和乙肝组114例,并纳入100例单纯GDM患者为... 目的探讨合并HBV感染的妊娠期糖尿病(GDM)患者并发症和妊娠结局的影响因素及抗病毒治疗对病情活动患妊娠结局的影响。方法选择350例合并HBV感染的GDM孕妇,根据肝功能是否正常分为HBV感染组236例和乙肝组114例,并纳入100例单纯GDM患者为GDM组。比较3组患者入院时ALT、AST、总胆红素、总胆汁酸水平、HBeAg阳性率,以及不良妊娠结局及并发症发生情况。将129例HBeAg阳性且肝功能异常者中接受抗病毒治疗的71例纳入抗病毒治疗组,其余妊娠32周前仅接受保肝治疗的58例纳入保肝治疗组,比较两组治疗后肝功能及HBeAg变化情况。采用Logistic回归模型分析影响合并HBV感染的GDM患者并发症发生及妊娠结局的危险因素。结果GDM组、HBV感染组、乙肝组入院时的ALT、AST、总胆红素、总胆汁酸、HBeAg阳性率均依次升高(均P<0.05);乙肝组妊娠期肝内胆汁淤积症、产后出血、胎儿宫内窘迫发生率均高于其他两组(均P<0.05)。抗病毒治疗组肝功能恢复率、HBV-DNA转阴率均高于保肝治疗组,不良妊娠结局发生率低于保肝组(均P<0.05)。多因素非条件Logistic回归分析结果显示,ALT>40 U/L、AST>35 U/L、总胆红素>20.5μmol/L、总胆汁酸>10.0μmol/L、HBeAg阳性是合并HBV感染的GDM患者并发症和不良妊娠结局发生的危险因素(均P<0.05)。结论ALT>40 U/L、AST>35 U/L、总胆红素>20.5μmol/L、总胆汁酸>10.0μmol/L、HBeAg阳性时,合并HBV感染的GDM患者发生并发症及不良妊娠结局风险增加,而病情活动且孕晚期抗病毒治疗者风险降低。 展开更多
关键词 妊娠期糖尿病 乙型肝炎病毒 妊娠结局 并发症 疾病活动 抗病毒治疗 影响因素
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腹腔镜治疗小儿复杂性阑尾炎的临床效果及并发症分析 认领
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作者 马根顺 于艳辉 《当代医学》 2020年第24期39-41,共3页
目的观察腹腔镜手术治疗小儿复杂性阑尾炎的临床效果及并发症情况,为临床小儿复杂性阑尾炎患儿治疗提供参考。方法选取2017年2月至2019年1月于本院行手术治疗的小儿复杂性阑尾炎患儿68例,按照手术顺序编号,单号设为对照组,双号设为观察... 目的观察腹腔镜手术治疗小儿复杂性阑尾炎的临床效果及并发症情况,为临床小儿复杂性阑尾炎患儿治疗提供参考。方法选取2017年2月至2019年1月于本院行手术治疗的小儿复杂性阑尾炎患儿68例,按照手术顺序编号,单号设为对照组,双号设为观察组,每组34例。对照组行开腹手术治疗,观察组行三孔腹腔镜手术治疗。比较两组患儿临床手术指标(手术时间、切口直径、术中出血量、术后排气时间、术后住院时间),术后清醒时、术后6 h、术后12 h和术后24 h疼痛评分(VAS),统计并比较两组患儿围术期并发症发生率及术后1个月腹部切口愈合等级。结果观察组患儿术中出血量、切口直径、术后排气时间、术后住院时间均低于对照组(P<0.05);观察组患者术后6 h、术后12 h和术后24 h VAS评分均低于对照组(P<0.05);观察组患儿术后并发症率低于对照组(P<0.05);观察组患儿术后切口甲级愈合率明显高于对照组,而丙级愈合率明显低于对照组(P<0.05)。结论腹腔镜治疗小儿复杂性阑尾炎可有效促进手术质量及术后康复效率,降低并发症率发生率,提高切口愈合质量,治疗小儿复杂性阑尾炎效果显著,预后良好。 展开更多
关键词 小儿阑复杂性尾炎 腹腔镜下微创手术 开腹手术 手术相关指标 疼痛评分 并发症 切口愈合
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尿毒症血液透析患者应用预见性护理的价值 认领
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作者 温银瑞 任丽仪 黄巧葵 《中国卫生标准管理》 2020年第2期150-152,共3页
目的探讨尿毒症血液透析患者护理中应用预见性护理的临床价值。方法本次84例研究对象均是本院2017年10月-2018年12月收治的尿毒症患者,使用数字标注法均分为两组,在血液透析护理中,干预组(n=42)应用预见性护理、常规组(n=42)应用基础性... 目的探讨尿毒症血液透析患者护理中应用预见性护理的临床价值。方法本次84例研究对象均是本院2017年10月-2018年12月收治的尿毒症患者,使用数字标注法均分为两组,在血液透析护理中,干预组(n=42)应用预见性护理、常规组(n=42)应用基础性护理,对比两组应用效果。结果干预组治疗依从率为97.62%,常规组为83.33%,差异有统计学意义(P <0.05);干预组并发症发生率为4.76%,常规组为19.05%,差异有统计学意义(P <0.05)。结论尿毒症血液透析患者护理中预见性护理的临床应用价值较高,患者治疗依从性更高、并发症发生率更低。 展开更多
关键词 预见性护理 尿毒症 血液透析 肾衰竭 并发症 依从性
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减孔腹腔镜手术治疗直肠癌的近期与远期疗效观察 认领
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作者 郭东旭 尚悦 齐中华 《实用癌症杂志》 2020年第2期319-321,329共4页
目的探讨减孔腹腔镜手术治疗直肠癌的近期与远期疗效。方法选择80例直肠癌患者,根据随机数字表法,将其分为观察组及对照组,每组40例。对照组给予常规腹腔镜直肠癌根治术,观察组给予减孔(2孔)的腹腔镜直肠癌根治术,对比2组患者的围术期... 目的探讨减孔腹腔镜手术治疗直肠癌的近期与远期疗效。方法选择80例直肠癌患者,根据随机数字表法,将其分为观察组及对照组,每组40例。对照组给予常规腹腔镜直肠癌根治术,观察组给予减孔(2孔)的腹腔镜直肠癌根治术,对比2组患者的围术期指标、病理学指标、2组中转开腹比例、术后1个月并发症发生率及术后3年无病存活率。结果观察组的手术时间明显较对照组长,但术中出血量、切口长度、肛门排气时间、下床活动时间、住院时间均明显低于对照组(P<0.05)。肿瘤距肛门距离、远切缘距肿瘤下缘距离、淋巴结清扫数目对比,差异无统计学意义(P>0.05)。2组中转开腹及术后并发症发生率对比,差异均无统计学意义(P>0.05)。2组术后3年无病存活率对比,差异无统计学意义(P>0.05)。结论减孔腹腔镜手术与常规腹腔镜手术治疗直肠癌的近远期疗效相当,但减孔腹腔镜手术可缩短患者的术后恢复时间,具有一定优势。 展开更多
关键词 减孔腹腔镜 常规腹腔镜 直肠癌 近远期疗效 并发症
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精细解剖保留肋间臂神经的改良式乳腺癌根治术的疗效及对术后功能的影响 认领
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作者 梁卓虹 欧阳杰 +3 位作者 李爱辉 何玉芳 卢秀媚 张志彪 《中国医药科学》 2020年第6期222-224,264共4页
目的 观察精细解剖保留肋间臂神经(ICBN)的改良式乳腺癌根治术的临床疗效及对术后功能的影响.方法 选取2015年6月~2018年6月于我院实施改良式乳腺癌根治术的80例乳腺癌患者为研究对象,随机分组,其中40例观察组患者精细解剖完整保留ICBN... 目的 观察精细解剖保留肋间臂神经(ICBN)的改良式乳腺癌根治术的临床疗效及对术后功能的影响.方法 选取2015年6月~2018年6月于我院实施改良式乳腺癌根治术的80例乳腺癌患者为研究对象,随机分组,其中40例观察组患者精细解剖完整保留ICBN,40例对照组患者不保留ICBN,比较两组手术效果、并发症及对术后功能的影响.?结果?两组的手术时间、术中出血量、术中清扫淋巴结数目比较差异无统计学意义(P>0.05);术后1、3、6个月,观察组的患侧上臂感觉功能障碍发生率均显著低于对照组(P<0.05);两组的术后并发症(皮瓣坏死、伤口感染及淋巴漏)发生率比较差异无统计学意义(P>0.05);出院后,两组患者经门诊或电话随访1年,无远处转移和死亡,两组的复发率比较差异无统计学意义(P>0.05).结论 在改良式乳腺癌根治术中,精细解剖保留ICBN不影响手术质量,不增加并发症发生率及术后复发率,且能明显减轻患者上臂感觉障碍,值得推广应用. 展开更多
关键词 改良式乳腺癌根治术 肋间臂神经 并发症 感觉障碍
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经皮肾造瘘和输尿管支架引流治疗感染性肾积水的效果观察 认领
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作者 陈斌 陆林峰 +2 位作者 曹益方 汪雪萍 沈伟华 《中国基层医药》 CAS 2020年第8期954-957,共4页
目的比较经皮肾造瘘与输尿管支架引流在感染性肾积水治疗中的效果。方法选取2017年6月至2018年6月嘉兴市第一医院收治的感染性肾积水患者92例,将患者住院号录入计算机中采用抽签法分为A组(经皮肾镜造瘘术引流治疗,46例)和B组(经尿道输... 目的比较经皮肾造瘘与输尿管支架引流在感染性肾积水治疗中的效果。方法选取2017年6月至2018年6月嘉兴市第一医院收治的感染性肾积水患者92例,将患者住院号录入计算机中采用抽签法分为A组(经皮肾镜造瘘术引流治疗,46例)和B组(经尿道输尿管支架引流治疗,46例),比较两组患者治疗效果及安全性。结果两组患者年龄、性别、病程、肾脏病变部位、原发病及合并基础疾病差异均无统计学意义(均P>0.05)。A组和B组一次性置管成功率差异无统计学意义(97.73%比100.00%,χ2=0.126,P>0.05)。A组疗效显著高于B组(97.73%比81.40%,χ2=4.617,P<0.05)。两组出血、感染、引流管脱落、穿刺道脓肿发生率差异均无统计学意义(均P>0.05)。结论经皮肾造瘘术引流治疗感染性肾积水,相对输尿管支架引流术效果更显著,两者治疗安全性均较高,临床应根据患者具体情况选择适宜治疗方法,以获得显著临床疗效。 展开更多
关键词 肾脏损伤 感染性肾积水 微创引流 经皮造瘘术 输尿管支架 引流路径 置管成功率 疗效 手术后并发症
不同待产体位对足月头位已衔接的胎膜早破孕妇分娩结局的影响 认领
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作者 刘小非 赵萍 +2 位作者 任亮亮 高洁 王剑鹰 《海南医学》 CAS 2020年第4期449-451,共3页
目的探讨足月头位已衔接的胎膜早破(PROM)孕妇不同待产体位对分娩结局的影响。方法选取西北妇女儿童医院妇产科2016年8月至2019年6月期间收治入院的足月头位已衔接PROM孕妇124例为研究对象,按照随机数表法分为对照组和观察组各62例。对... 目的探讨足月头位已衔接的胎膜早破(PROM)孕妇不同待产体位对分娩结局的影响。方法选取西北妇女儿童医院妇产科2016年8月至2019年6月期间收治入院的足月头位已衔接PROM孕妇124例为研究对象,按照随机数表法分为对照组和观察组各62例。对照组采用平卧和侧卧臀高位至宫口全开,观察组入院后不限制体位,至宫口全开,观察两组孕妇的分娩结局。结果观察组孕妇的阴道分娩率为72.58%,明显高于对照组的51.61%,差异有统计学意义(P<0.05);观察组孕妇产前流出羊水量为(107.25±50.21) mL,明显少于对照组的(242.65±69.18) mL,第一产程及第二产程分别为(8.56±2.36) h、(0.96±0.15) h,明显短于对照组的(10.58±3.96) h、(1.64±0.19) h,差异均有统计学意义(P<0.05);观察组阴道分娩孕妇不良事件发生率为6.67%,明显低于对照组的28.13%,差异有统计学意义(P<0.05)。结论足月头位已衔接的PROM孕妇采用自由待产体位可减少阴道分娩流出羊水量,缩短产程,提升阴道分娩率。 展开更多
关键词 胎膜早破 头位衔接 自由体位 分娩 妊娠 并发症 妊娠结局 新生儿
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腹腔镜手术治疗早期子宫内膜癌的临床研究 认领
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作者 崔俣 《中国医药指南》 2020年第12期45-46,共2页
目的研究腹腔镜手术治疗早期子宫内膜癌的临床效果。方法选取本院2015年3月至2018年7月收治的64例早期子宫内膜癌患者,根据不同手术方案将其分成两组各32例,对照组行开腹手术治疗,观察组行腹腔镜术治疗,比较两组患者的手术治疗情况及并... 目的研究腹腔镜手术治疗早期子宫内膜癌的临床效果。方法选取本院2015年3月至2018年7月收治的64例早期子宫内膜癌患者,根据不同手术方案将其分成两组各32例,对照组行开腹手术治疗,观察组行腹腔镜术治疗,比较两组患者的手术治疗情况及并发症发生情况。结果两组患者的淋巴结清扫数目比较,差异无统计学意义(P>0.05),观察组患者的手术时间(118.04±26.63)min、排气时间(43.65±6.28)h和住院时间(9.82±3.06)d短于对照组的手术时间(210.36±44.74)min、排气时间(57.58±5.84)h和住院时间(12.98±4.12)d,术中出血量(179.78±96.72)mL少于对照组的术中出血量(321.15±155.36)mL,差异有统计学意义(P<0.05);观察组并发症发生率为6.25%(2/32),低于对照组的25.00%(8/32),差异有统计学意义(P<0.05)。结论腹腔镜手术治疗早期子宫内膜癌可在有效清除淋巴结的基础上,减少患者术中出血量,改善并发症发生情况,促进患者术后早日恢复。 展开更多
关键词 早期 子宫内膜癌 腹腔镜手术 并发症
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中医护理对心力衰竭患者并发症及疾病自我管理能力的影响 认领
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作者 李铮 印飞宇 《中国中医药现代远程教育》 2020年第6期122-124,共3页
目的探讨中医护理联合个体化护理对心力衰竭患者并发症及疾病自我管理能力的影响。方法收集收治的心力衰竭患者72例,随机分为试验组和对照组,各36例。对照组患者予以个体化护理,试验组予以个体化护理联合中医护理,比较2组患者自我效能G... 目的探讨中医护理联合个体化护理对心力衰竭患者并发症及疾病自我管理能力的影响。方法收集收治的心力衰竭患者72例,随机分为试验组和对照组,各36例。对照组患者予以个体化护理,试验组予以个体化护理联合中医护理,比较2组患者自我效能GSES、自我护理能力ESEA评分及并发症。结果与干预前相比,干预后2组患者症状管理自我效能、疾病共性自我效能、自我护理技能、自护责任感、自我概念、健康知识水平以及自我护理能力ESEA总分升高(P<0.05),与对照组相比,试验组患者症状管理自我效能、疾病共性自我效能、自我护理技能、自护责任感、自我概念、健康知识水平以及自我护理能力ESEA总分较高,并发症发生率较低(P<0.05)。结论中医护理联合个体化护理能够增强心力衰竭患者治疗的信心,提高自我护理能力,并发症发生率较低。 展开更多
关键词 个体化护理 中医护理 心力衰竭 并发症 疾病自我管理能力 虚劳
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针刺单刺穴治疗坐骨神经痛40例 认领
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作者 邵佳佳 樊敏 《实用中医内科杂志》 2020年第1期109-111,共3页
目的探讨针刺单刺穴对坐骨神经痛患者疗效。方法根据治疗手法平均分配至对照组和观察组中。对照组用常规疗法,予以观察组患者针刺单刺穴方案,进行两组临床疗效的对比。结果对照组和观察组在此次研究中的疾病治疗总有效率分别为(77.50%,3... 目的探讨针刺单刺穴对坐骨神经痛患者疗效。方法根据治疗手法平均分配至对照组和观察组中。对照组用常规疗法,予以观察组患者针刺单刺穴方案,进行两组临床疗效的对比。结果对照组和观察组在此次研究中的疾病治疗总有效率分别为(77.50%,31/40)和(95.00%,38/40),所得数据间差异有统计学意义(P<0.05);两组治疗前疼痛程度和下腰痛差异无统计学意义(P>0.05),观察组治疗后视觉模拟评分法(VAS)评分为(3.64±0.35)分,改良日本骨科协会腰痛评分表(M-JOA)评分为(26.15±2.32)分,与对照组相比差异有统计学意义(P<0.05);对照组和观察组存在并发症发生率上差异有统计学意义(P<0.05)。结论针刺单刺穴治疗坐骨神经痛效果明显,安全性高,值得在深入探讨的前提下展开广泛应用。 展开更多
关键词 针刺单刺穴 坐骨神经痛 痹证 疼痛程度 并发症
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