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Complications of Goitre Surgery in “A” Surgery at the Chu of Point G 认领
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作者 Moussa Sissoko Mahamadou Coulibaly +12 位作者 Oumar Sacko Sekou Koumaré Adaman F. Traoré Soumaîla Keïta Sidiki Keita Siaka Diallo Mossa Camara Lamine Soumaré Adama K. Koïta A. Camara H. Dicko D. Goïta Zimogo Zié Sanogo 《外科学(英文)》 2021年第3期46-52,共7页
Total or partial thyroidectomy has been proposed as the initial treatment for benign euthyroid oiter. The aim of this study is to determine the complications associated with surgical procedures for goiter, based on ou... Total or partial thyroidectomy has been proposed as the initial treatment for benign euthyroid oiter. The aim of this study is to determine the complications associated with surgical procedures for goiter, based on our experience. <span style="text-align:justify;font-family:Verdana;">Material and method: A retrospective study over 10 years concerning 409 patients operated on for goiters in the department with 48 cases of complications. Results: 409 patients operated on for goiter in the department with 48 cases of complications (11.82%). The per- and post-operative complications were: hemorrhage (18: 4.40%), recurrent lesions (1;0.24%), 8 cases of infection (1.96%), 5 cases of transient hypocalcemia (1.22%) and phonation disorders 9 cases (2.20%).</span><span "="" style="text-align:justify;font-family:Verdana;font-size:10pt;"> </span><span style="text-align:justify;font-family:Verdana;">Conclusion: Complications from goiter surgery seem to be more related to thyroid disease and the surgeon’s experience than to the surgical procedure. Better knowledge of the factors leading to complications will improve the outcome of goiter surgery.</span> 展开更多
关键词 GOITER COMPLICATIONS SURGERY BAMAKO
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Treatment Options for Pin Site Infection during Kirschner Wires in Elective Forefoot Surgery 认领
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作者 Ismail Mohamed Hussein Lei Wang Bin Yu 《矫形学期刊(英文)》 2021年第2期47-66,共20页
The Kirschner wires (K-wires) are stiff and straight wires made of smooth stainless steel. These are used in surgery to aid in repairing the process of a fractured bone. In forefoot elective surgeries, these pins are ... The Kirschner wires (K-wires) are stiff and straight wires made of smooth stainless steel. These are used in surgery to aid in repairing the process of a fractured bone. In forefoot elective surgeries, these pins are mostly used for fixation of the phalangeal or metatarsal area. These wires are usually either buried or exposed, The exposed wires do not require another operation to remove them and are generally preferred. In using the forefoot surgery history of a single surgeon which was taken for 3 years<span>.</span><span> The purpose of this study is to evaluate the occurrence of infections following elective surgeries of the forefoot that were fixed using k-pins and to indicate an effective treatment option for resolving the infection. The inclusion criteria set for this study was to remove any patient having any disease except for diabetes. Moreover, the age limit was set to be 18</span><span> </span><span>-</span><span> </span><span>44, making a final sample of 50 people, prescribed prophylactic antibiotics or early removal of k-pins, where necessary. The researcher recorded demographic and biological data from the patients such as age, BMI, and smoking status were recorded. The researcher conducted a Univariate analysis via a Chi-square test. 50</span><b><span> </span></b><span>Patients (82 K-wires) were analyzed. Results showed that surgery type, BMI, and smoking were three variables that affect the infection growth significantly while diabetes and type of cleaning disinfectant had marginal effects. Further study is required to clarify the best treatments in this area, as the treatment option antibiotics have nearly similar results.</span> 展开更多
关键词 Kirschner Wires COMPLICATIONS Risk Factors DISINFECTANT Forefoot Surgery Infection Risk Treatment Options
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Anesthetical Management of a Patient with Hereditary Muscle Sensory Neuropathy Type 2: Case of a 17-Year Old with Sacral Dermoid and a Short Overview of the Anesthesiological Considerations 认领
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作者 Martin Lasič Ana Lasič +2 位作者 Caroline Oberleitner Fugger Claudia Ernst Trampitsch 《麻醉学期刊(英文)》 2021年第1期25-32,共8页
We hereby present a short overview of the anaesthesiological considerations regarding the patient with Charcot-Marie-Tooth disease also known as hereditary muscle and sensory neuropathy, which affects peripheral nerve... We hereby present a short overview of the anaesthesiological considerations regarding the patient with Charcot-Marie-Tooth disease also known as hereditary muscle and sensory neuropathy, which affects peripheral nerves and muscles. Due to pathophysiology of the disease certain anaesthesiological complications associated with HMSN can be related. A case report describing protocol of the total venous anesthesia in the 17-year old patient operated on sacral dermoid with fistulae is presented. The patient recovered without any further complications. In the conclusion we would like to bring the importance of awareness to prepare the HMSN patient for a surgical procedure as well from anesthesiological as from surgical point of view to avoid possible unwanted event such as malignant hyperthermia, hyperkalemia, seizures, prolonged effect of muscle relaxants and worsening of the disease. As an important alternative to general anesthesia regional anesthesia should be considered. 展开更多
关键词 Hereditary Muscle Sensory Neuropathy Type 2 ANESTHESIA Complications
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Prediction of Intraoperative Trifecta Achievement during Laparoscopic Partial Nephrectomy 认领
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作者 Ovidiu-Spiru Barnoiu F. J. Baron +3 位作者 T. Sæ ter A. O. Tysland A. Andersen 《泌尿学期刊(英文)》 2021年第1期6-16,共11页
<strong>Purpose:</strong> We introduce the concept of intraoperative Trifecta during laparoscopic partial nephrectomy (LPN) as the simultaneous achievement of estimated blood loss (EBL) < 500 ml, warm i... <strong>Purpose:</strong> We introduce the concept of intraoperative Trifecta during laparoscopic partial nephrectomy (LPN) as the simultaneous achievement of estimated blood loss (EBL) < 500 ml, warm ischemia time (WIT) < 20 minutes and minimal changes of the intraoperative course. The study’s aim was to find preoperative factors that could predict the likelihood of achieving intraoperative Trifecta and build a surgical nomogram. <strong>Methods:</strong> We retrospectively evaluated 122 patients who underwent LPN. Preoperative factors like age, sex, body-mass index (BMI), kidney function, tumor characteristics (R.E.N.A.L. score) and Charlson-Comorbidity-Index (CCI) were recorded. Intraoperative complication (IOC) was graded according to the Rosenthal classification. R software was used to find a predicting model for achievement of Trifecta using preoperative variables and a nomogram was built. <strong>Results: </strong>The surgical features include median EBL of 100 ml having 6.5% bleed > 500 ml, median WIT of 12 minutes having 7.3% more than 20 minutes. There was recorded a 12.3% IOC with a mean Rosenthal’s grade of 0.2. Intraoperative Trifecta was achieved in 105 patients (86%) and three preoperative factors were chosen for the predictive model: BMI (p = 0.041), CCI (p = 0.037) and RENAL score (p = 0.002). A nomogram was generated and the ROC-AUC of the model was 75.8%. <strong>Conclusion:</strong> We have defined an intraoperative Trifecta concept as the achievement of EBL < 500 ml, WIT < 20 minutes and minimal changes of the intraoperative course. A nomogram was developed from preoperative factors like BMI, CCI and R.E.N.A.L. score. It can be used to estimate the probability of Trifecta achievement in patients treated with LPN. 展开更多
关键词 Intraoperative Complications Laparoscopic Partial Nephrectomy PREDICTION Trifecta
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Sildenafil plus Low Dose Aspirin for Prevention of Preeclampsia: A Randomized Controlled Trial 认领
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作者 Mahmoud Mohamed Ghaleb Youssef Sobhy Labib Karim Ahmed Wahba 《妇产科期刊(英文)》 2021年第2期189-209,共21页
<strong>Objective</strong><strong>:</strong><span style="font-family:""><span style="font-family:Verdana;"> To compare between the efficacy of the use of or... <strong>Objective</strong><strong>:</strong><span style="font-family:""><span style="font-family:Verdana;"> To compare between the efficacy of the use of oral sildenafil plus low dose aspirin versus the use of oral low dose aspirin alone in pregnancy as preventive measure in women at risk for preeclampsia (PE). </span><b><span style="font-family:Verdana;">Design: </span></b><span style="font-family:Verdana;">A randomized clinical trial. </span><b><span style="font-family:Verdana;">Setting: </span></b><span style="font-family:Verdana;">Outpatient Obstetric clinic of Ain Shams University Maternity Hospital. </span><b><span style="font-family:Verdana;">Population or sample: </span></b><span style="font-family:Verdana;">Women at gestational age of </span></span><span style="font-family:""><span style="font-family:Verdana;">≤</span><span><span style="font-family:Verdana;">16 weeks who at risk for PE between June 2018 and June 2019. </span><b><span style="font-family:Verdana;">Methods:</span></b><span style="font-family:Verdana;"> Participants were randomly allocated into two groups: Group I Included 200 women who received a 25 mg tablet of oral sildenafil citrate tid until delivery plus 100 mg tablet of aspirin orally once daily until gestational age of 36 weeks, Group II Included 200 women who received a 100 mg tablet of aspirin orally once daily until gestational age of 36 weeks. </span><b><span style="font-family:Verdana;">Main Outcome Measures: </span></b><span style="font-family:Verdana;">Incidence of preeclampsia diagnosed per ACOG criteria. </span><b><span style="font-family:Verdana;">Results:</span></b><span style="font-family:Verdana;"> The incidence of PE in both groups showed no statistically significant difference. The incidence of PE in the first group is 11.0%, and it is 12.0% in the second group (p-value 0.754). </span><b><span style="font-family:Verdana;">Conclusion:</span></b><span style="font-family:Verdana;"> The addition of sildenafil citrate to low dose aspirin had no impact on the prevention of 展开更多
关键词 PREECLAMPSIA Hypertension Placental Disease Pregnancy Complications As-pirin Sildenafil Citrate
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Maternal and Fetal Prognosis of Evacuated Parturients in N’Djamena Mother and Child Hospital (Chad) 认领
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作者 Lhagadang Foumsou Bray Madoué Gabkika +2 位作者 Foba Kheba Sadjoli Damthéou Salathiel Djongali 《妇产科期刊(英文)》 2021年第3期263-271,共9页
<strong>Introduction</strong><span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style="font-family:Verdana;"><strong>:</str... <strong>Introduction</strong><span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style="font-family:Verdana;"><strong>:</strong> All pregnant women are at risk of obstetric complications </span></span></span><span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style="font-family:Verdana;">leading to high fetal-maternal mortality and morbidity. The aim of this work was to evaluate the maternal and fetal prognosis of evacuated parturients.</span></span></span><span><span><span style="font-family:""> </span></span></span><span style="font-family:Verdana;"><span style="font-family:Verdana;"><b><span style="font-family:Verdana;">Patient and Method</span></b></span></span><span><span><span style="font-family:""><span style="font-family:Verdana;">: we conducted a prospective analytical survey for four months, from April 1</span><sup><span style="font-family:Verdana;">st</span></sup><span style="font-family:Verdana;"> to July 31</span><sup><span style="font-family:Verdana;">st</span></sup><span style="font-family:Verdana;">, 2018 in the Maternity of N’Djamena Mother and Child Hospital about the maternal and fetal prognosis of evacuated parturients. Any parturient evacuated or referred for obstetric complications was included. Study parameters were epidemiological, clinical, para-clinical, therapeutic and prognosis order. These parameters were analyzed in the SPSS 18 French version software.</span></span></span></span><span><span><span style="font-family:""> </span></span></span><span style="font-family:Verdana;"><span style="font-family:Verdana;"><b><span style="font-family:Verdana;">Results</span></b></span></span><span><span><span style="font-family:""><span style="font-family:Verdana;">: Evacuated parturients represented 20% of maternity admissions. The average age was 23.9 years, with extremes ranging from 15 and 43 years. They were uneducated in 72.9%, primiparous in 46.8% of cases. The three delays were dominated by the 1</span><sup><span style="font-family:Verdana;" 展开更多
关键词 Maternal and Fetal Prognosis Evacuated Parturients Obstetric Complications Mother and Child Hospital N’Djamena CHAD
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分腿位与截石位腹腔镜子宫切除术对患者血流动力学、呼吸功能及体位相关并发症的影响 认领
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作者 张力尹 李春梅 《临床和实验医学杂志》 2021年第6期649-652,共4页
目的探析分腿位与截石位腹腔镜子宫切除术对患者血流动力学及呼吸功能的影响,并比较不同体位下患者体位改变后相关并发症的变化。方法前瞻性纳入2017年1月至2020年1月在四川大学华西第二医院行腹腔镜子宫切除术104例患者为观察对象,以... 目的探析分腿位与截石位腹腔镜子宫切除术对患者血流动力学及呼吸功能的影响,并比较不同体位下患者体位改变后相关并发症的变化。方法前瞻性纳入2017年1月至2020年1月在四川大学华西第二医院行腹腔镜子宫切除术104例患者为观察对象,以随机数字表法将其分为试验组(52例)与对照组(52例)。对照组予以传统截石位,试验组则给予患者实施分腿位。比较2组患者体位改变1 h后的血流动力学指标(舒张压、收缩压、心率以及中心静脉压),呼吸功能指标(呼气末CO_2分压、气道峰压以及动脉CO_2分压);观察比较2组患者术后体位相关并发症(肩痛、肩部皮肤损伤以及眼睑水肿)的发生情况。结果体位改变1 h后,2组患者的舒张压、呼气末CO_2分压、收缩压、心率及动脉CO_2分压对比差异均无统计学意义(P> 0.05);但试验组的中心静脉压与气道峰压为(10.31±0.87) mmHg、(22.31±2.20 cm H_2O),均显著低于对照组[(14.46±1.54) mmHg、(29.73±3.45) cm H_2O],差异有统计学意义(P <0.05)。试验组患者的肩痛、肩部皮肤损伤以及眼睑水肿发生率分别为3.85%、0、1.92%,均明显低于对照组(19.23%、17.31%、17.31%),差异有统计学意义(P <0.05)。结论分腿位运用于腹腔镜子宫切除术,能够显著减轻对机体血流动力学与呼吸功能影响,同时术野较好,可减少体位相关并发症的发生,相较传统截石位更适于推广与应用。 展开更多
关键词 腹腔镜子宫切除术 分腿位 截石位 并发症 血流动力学 呼吸功能 体位相关并发症
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Breast Reduction Complications 认领
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作者 Sinan Alboudi Ali Alrida Rahal +1 位作者 Israa Ali Haidar Anwar Alhassanieh 《现代整形外科(英文)》 2021年第1期1-5,共5页
<strong>Background:</strong> Breast reduction surgery is increasing in popularity, with so many techniques all around the world, and the community’s knowledge of the details of this procedure increases th... <strong>Background:</strong> Breast reduction surgery is increasing in popularity, with so many techniques all around the world, and the community’s knowledge of the details of this procedure increases thanks to the Internet and easy access to information, which increases breast reduction reviews for plastic surgery clinics. Reduction mammaplasty is an established and effective technique to treat symptomatic macromastia. Variable rates of complications have been reported, and there is a continued need for better outcome assessment studies. <strong>Aim:</strong> The purpose of this study was to identify the complications occurred during the first year of breast reduction surgery. <strong>Materials and Methods:</strong> A prospective study over a 1-year period from October 2018 to October 2019, that included 32 patients who underwent breast reduction surgery using the same technique (inferior pedicle and inverted T scar) in the Department of Plastic Surgery at Al-Mouassat University Hospital, Damascus, Syria. Patients were followed through a whole year after surgery and complications that occurred were recorded. <strong>Results:</strong> Complications that occurred in 14 patients (43%), and, and were more common in patients with larger breasts and worse symptoms before surgery. The most common complication was delayed wound healing, and it was associated with breast volume before surgery and with smoking. In general, the most relevant factor influencing the incidence of complications was the weight of the resected breast tissue, which is mainly related to the size of the breast before surgery. <strong>Conclusion:</strong> The weight of the resected breast tissue was the most important factor influencing the occurrence of complications after breast reduction surgery. The most prevalent complication was delayed wound healing and it was associated with the weight of the removed tissue. 展开更多
关键词 Breast Reduction COMPLICATIONS Delayed Wound Healing
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Transcatheter Aortic Valve Dislocation in Left Ventricular Outflow Tract with Successful Repositioning Using “Double Snare” Technique 认领
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作者 Matjaž Bunc Luka Vitez +2 位作者 Simon Terseglav Tadej Žlahtič Gian Paolo Ussia 《临床医学国际期刊(英文)》 2021年第1期7-13,共7页
<strong>Background:</strong> Transcatheter aortic valve implantation (TAVI) is a widely used treatment of severe aortic stenosis. Implantation of a self-expanding valve into a dense calcified aortic annulu... <strong>Background:</strong> Transcatheter aortic valve implantation (TAVI) is a widely used treatment of severe aortic stenosis. Implantation of a self-expanding valve into a dense calcified aortic annulus can be challenging and may result in device malposition and malfunction.<strong> Aim: </strong>The aim of our case report is to present a novel technique of transcatheter aortic valve dislocation treatment. <strong>Case presentation:</strong> An 86-year-old woman with severely calcified aortic valve underwent TAVI using a 27-mm self-expanding Portico valve (Abbott Vasc, USA). In the last phase of implantation, the valve dislocated deep into the left ventricular outflow tract resulting in significant paravalvular regurgitation and patient instability. Repositioning of the valve with a single snare was ineffective because of severe aortic ring calcifications. A novel “double snare” technique was applied and the valve was successfully repositioned upward with an excellent anatomic and haemodynamic result. <strong>Conclusion:</strong> “Double snare” technique can be an effective strategy for repositioning of deeply implanted self-expanding transcatheter aortic valves. It represents an efficient bailout strategy in case of single snare approach failure, especially in cases of severe aortic ring calcifications. 展开更多
关键词 Aortic Valve Transcatheter Aortic Valve Replacement COMPLICATIONS Aortic Valve Stenosis
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整体护理在高血压合并糖尿病患者护理中的临床应用 认领
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作者 庞秀丽 《中国医药指南》 2021年第2期189-190,共2页
目的分析整体护理在高血压合并糖尿病中的作用。方法选取我院2015年12月至2017年12月的90例高血压合并糖尿病患者,随机分为对照组和观察组,分别采取常规护理和整体护理,比较血压、血糖控制效果、并发症发生率和生活质量。结果观察组血... 目的分析整体护理在高血压合并糖尿病中的作用。方法选取我院2015年12月至2017年12月的90例高血压合并糖尿病患者,随机分为对照组和观察组,分别采取常规护理和整体护理,比较血压、血糖控制效果、并发症发生率和生活质量。结果观察组血压收缩压、舒张压、空腹血糖、餐后2 h血糖、糖化血红蛋白、并发症发生率均低于对照组,生活质量评分高于对照组,均P <0.05。结论在高血压合并糖尿病患者临床工作中实施整体护理,效果好,安全性高。 展开更多
关键词 高血压 糖尿病 整体护理 并发症 生活质量
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人文关怀护理对乳腺癌围手术期患者自护能力与并发症的影响 认领
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作者 王雪 《中国医药指南》 2021年第2期191-192,共2页
目的探究人文关怀护理应用于乳腺癌围手术期患者护理中对其自护能力与并发症的影响。方法选取2018年3月至2019年12月时间段至我院就诊的64例乳腺癌围手术期患者作为此次研究的研究对象。以奇偶数分组方式将其分为参照组(共31例,给予常... 目的探究人文关怀护理应用于乳腺癌围手术期患者护理中对其自护能力与并发症的影响。方法选取2018年3月至2019年12月时间段至我院就诊的64例乳腺癌围手术期患者作为此次研究的研究对象。以奇偶数分组方式将其分为参照组(共31例,给予常规护理)和护理组(共33例,给予人文关怀护理),以自我护理能力测定量表评估两组患者自护能力,同时对比两组患者术后出现并发症的情况。结果护理组患者的自护能力评分明显高于参照组(P <0.05);护理组患者出现皮瓣坏死、出血、上肢肿胀、皮下积液等并发症概率为9.09%,明显低于参照组的32.26%(P <0.05)。结论人文关怀护理应用于乳腺癌围手术期患者护理中的优势明显,可显著提高患者的自我护理能力,降低术后并发症发生率。 展开更多
关键词 乳腺癌 围手术期 人文关怀护理 自护能力 并发症
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个体化延续护理对老年高血压患者血压水平的影响探讨 认领
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作者 李芳音 《基层医学论坛》 2021年第6期784-785,共2页
目的探讨老年高血压患者应用个体化延续护理对血压水平的影响。方法选取2015年5月-2017年5月收治的60例老年高血压患者,按照随机数学表法分为对照组和观察组各30例。对照组患者应用常规护理,观察组患者应用个体化延续护理,比较2组患者... 目的探讨老年高血压患者应用个体化延续护理对血压水平的影响。方法选取2015年5月-2017年5月收治的60例老年高血压患者,按照随机数学表法分为对照组和观察组各30例。对照组患者应用常规护理,观察组患者应用个体化延续护理,比较2组患者护理前后血压水平的变化情况及并发症。结果2组患者护理前收缩压及舒张压水平比较,差异无统计学意义(P>0.05);护理后,观察组患者收缩压及舒张压均较对照组低,差异有统计学意义(P<0.05)。观察组患者并发症发生率(6.67%)较对照组(26.67%)低,差异有统计学意义(P<0.05)。结论针对老年高血压患者应用个体化延续护理,可有效提高其自我护理技能,降低血压水平,减少并发症。 展开更多
关键词 高血压 老年患者 个体化延续护理 血压水平 并发症
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围手术期无缝隙护理对颈椎骨折患者并发症的影响 认领
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作者 杨舒宇 《医学信息》 2021年第3期179-181,共3页
目的探讨颈椎骨折患者围手术期应用无缝隙护理对患者并发症发生的影响。方法选取2017年8月~2019年3月我院收治的颈椎骨折患者94例作为研究对象,随机分为对照组和研究组,各47例;对照组行常规护理,研究组在对照组基础上行无缝隙护理。比... 目的探讨颈椎骨折患者围手术期应用无缝隙护理对患者并发症发生的影响。方法选取2017年8月~2019年3月我院收治的颈椎骨折患者94例作为研究对象,随机分为对照组和研究组,各47例;对照组行常规护理,研究组在对照组基础上行无缝隙护理。比较两组Barthel指数、NRS疼痛评分、Fugl-Meyer评分、EORTCQLQ-C30量表评分、护理满意度和并发症发生情况。结果研究组Barthel指数、Fugl-Meyer评分、EORTCQLQ-C30量表评分均高于对照组,差异有统计学意义(P<0.05);研究组NRS疼痛评分为(66.53±4.33)分,低于对照组的(76.17±5.74)分,差异有统计学意义(P<0.05);研究组对护理的满意度为95.74%,高于对照组的80.85%,差异有统计学意义(P<0.05);研究组并发症发生率为8.51%,低于对照组的25.53%,差异有统计学意义(P<0.05)。结论颈椎骨折患者围手术期进行无缝隙护理的效果较为理想,可有效提高患者的生命质量和运动功能,减轻其疼痛程度,且可减少并发症的发生,患者满意度较高。 展开更多
关键词 颈椎骨折 围手术期护理 无缝隙护理 并发症
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快速康复理念在妇科腹腔镜手术中的效果观察 认领
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作者 李秀芹 乔成平 《中国卫生标准管理》 2021年第5期157-159,共3页
目的研究快速康复理念在妇科腹腔镜手术中的效果。方法采用随机数字表法纳本单位2018年9月—2019年11月间76例行腹腔镜手术的妇科患者作研究对象并分组,取其中38例作对照组,围术期施行常规护理模式;另38例作试验组,围术期施行快速康复... 目的研究快速康复理念在妇科腹腔镜手术中的效果。方法采用随机数字表法纳本单位2018年9月—2019年11月间76例行腹腔镜手术的妇科患者作研究对象并分组,取其中38例作对照组,围术期施行常规护理模式;另38例作试验组,围术期施行快速康复理念护理。比较两组观察指标差异。结果试验组术后恢复时间短于对照组,术后并发症发生率(5.26%)低于对照组(18.42%),差异有统计学意义(P<0.05)。两组干预前SF-36中心理功能、生理功能、躯体疼痛及社会功能评分对比,差异无统计学意义(P>0.05);干预后,试验组上述各项SF-36评分因子得分均高于对照组,且各自组内对比,均干预后分值水平高于干预前,差异有统计学意义(P<0.05)。结论在妇科腹腔镜手术患者的围术期护理中,实施快速康复理念临床可行。 展开更多
关键词 快速康复理念 妇科 腹腔镜手术 并发症 术后恢复 生活质量
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体外圈套器牵引辅助内镜黏膜下剥离术对消化道早癌患者的治疗效果 认领
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作者 王春蓉 吴孟杰 +1 位作者 李静 朱锋辉 《贵州医科大学学报》 CAS 2021年第2期238-242,共5页
目的探讨体外圈套器牵引辅助内镜黏膜下剥离术(ESD)对消化道早癌患者的治疗效果。方法124消化道早癌患者均分为观察组(体外圈套器牵引辅助ESD术治疗)和对照组(传统性外科手术治疗),比较两组患者的手术时间、术中出血量及住院时间等手术... 目的探讨体外圈套器牵引辅助内镜黏膜下剥离术(ESD)对消化道早癌患者的治疗效果。方法124消化道早癌患者均分为观察组(体外圈套器牵引辅助ESD术治疗)和对照组(传统性外科手术治疗),比较两组患者的手术时间、术中出血量及住院时间等手术相关指标和术后并发症发生情况,采用数字疼痛评分量表(NRS)和生命质量测定表-30(QLQ-C30)分别对两组患者术前及术后3、6、12个月的疼痛情况和生活质量进行评价;随访并分析2组患者术后12个月的病灶残留、转移和其他消化道癌症疾病发病情况。结果观察组患者手术时间、术中出血量及住院时间的均值均明显短于对照组(P<0.01);2组患者术后3、6及12个月的QLQ-C30评分较术前升高,且观察组高于对照组(P<0.05);2组患者术后3、6及12个月的NRS评分较术前降低,且观察组低于对照组(P<0.05);观察组患者并发症发生率低于对照组(χ^2=4.520,P=0.030),观察组患者无消化道癌发生,但对照组则出现食管早期癌病灶和结肠早期癌病灶各1例。结论与传统性外科手术治疗比较,采用体外圈套器牵引辅助ESD治疗消化道早癌患者,可以缩短手术时间,减少术中出血,促进患者早日出院,同时能彻底清除肿瘤病灶,提高术后患者生活质量,对预后较好。 展开更多
关键词 治疗结果 生活质量 预后 疼痛 消化道早癌 体外圈套器 并发症
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老年慢性阻塞性肺疾病患者胸腔镜手术中肺保护性通气策略的临床价值 认领
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作者 韦雪梅 冯海妹 +2 位作者 唐瑜 邱壮光 徐志新 《实用临床医药杂志》 CAS 2021年第3期73-77,共5页
目的观察老年慢性阻塞性肺疾病(简称慢阻肺)患者胸腔镜术中应用肺保护性通气策略对围术期并发症、肺氧合水平及血清炎症因子表达的影响效果。方法选取老年慢阻肺患者112例作为研究对象,患者均接受全凭静脉麻醉和胸腔镜手术,将其随机分... 目的观察老年慢性阻塞性肺疾病(简称慢阻肺)患者胸腔镜术中应用肺保护性通气策略对围术期并发症、肺氧合水平及血清炎症因子表达的影响效果。方法选取老年慢阻肺患者112例作为研究对象,患者均接受全凭静脉麻醉和胸腔镜手术,将其随机分为对照组和观察组,每组56例。对照组采用常规肺通气策略(潮气量8~10 mL/kg),观察组采用肺保护性通气策略(潮气量5~6 mL/kg,呼气末正压通气5~10 cmH 2O,平台压<30 cmH 2O)。比较2组患者围术期并发症发生率和术后住院时间,并比较2组患者手术前后肺氧合指标包括氧合指数、第1秒用力呼气容积与用力肺活量比值(FEV 1/FVC)、第1秒用力呼气容积占预计值百分比(FEV 1%)、肺泡-动脉血氧分压差[p(A-a)(O 2)]、呼气末二氧化碳分压[p et(CO 2)],血清炎症因子包括白细胞介素-6(IL-6)、肿瘤坏死因子-α(TNF-α)、γ干扰素(INF-γ)。结果观察组总并发症发生率低于对照组,术后住院时间短于对照组,差异有统计学意义(P<0.05)。术后7 d时,观察组氧合指数、FEV 1/FVC、FEV 1%和p(A-a)(O 2)水平均高于对照组,p et(CO 2)水平和血清IL-6、TNF-α、INF-γ水平均低于对照组,差异有统计学意义(P<0.05)。结论老年慢阻肺患者全身麻醉微创外科手术中应用肺保护性通气策略具有较高的临床价值,能够显著降低围术期并发症发生率,改善肺氧合水平,抑制血清炎症因子表达,促进患者快速康复。 展开更多
关键词 慢性阻塞性肺疾病 肺保护性通气 并发症 肺氧合 炎症因子
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PRP联合关节镜半月板成形术治疗老年膝关节半月板损伤的疗效及对患者关节功能的影响 认领
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作者 马维理 陈国奋 《海南医学》 CAS 2021年第1期68-71,共4页
目的探讨富血小板血浆(PRP)联合关节镜半月板成形术治疗老年膝关节半月板损伤的疗效及其对患者关节功能的影响。方法选取2017年1月至2019年5月期间海南中德骨科医院收治的老年膝关节半月板损伤患者130例作为研究对象,采用随机数表法将... 目的探讨富血小板血浆(PRP)联合关节镜半月板成形术治疗老年膝关节半月板损伤的疗效及其对患者关节功能的影响。方法选取2017年1月至2019年5月期间海南中德骨科医院收治的老年膝关节半月板损伤患者130例作为研究对象,采用随机数表法将其分为观察组和对照组,每组65例。对照组采用关节镜半月板成形术治疗,观察组在此基础上联合PRP治疗。术后3个月比较治疗效果,同时比较两组患者治疗前、治疗3个月后的膝关节活动度、膝关节功能恢复情况、视觉模拟疼痛(VAS)评分及治疗前、治疗1周后的骨钙素(BGP)、胰岛素样生长因子I(IGF-I)、基质金属蛋白酶1(MMP-1)水平,以及并发症发生情况。结果治疗后,观察组患者的治疗优良率为93.85%,明显高于对照组的80.00%,差异有统计学意义(P<0.05);治疗后,观察组患者的膝关节活动度为(124.17±13.21)°、膝关节功能评分为(89.13±6.20)分,明显高于对照组的(112.48±11.38)°、(75.13±5.88)分,而VAS评分为(2.78±0.42)分,明显低于对照组的(3.59±0.52)分,差异均有统计学意义(P<0.05);治疗后,观察组患者的BGP、IGF-I、MMP-1水平分别为(9.46±1.46)μg/L、(9.13±2.10)μg/L、(8.13±1.01)μg/L,明显低于对照组的(12.20±1.52)μg/L、(11.10±1.13)μg/L、(10.27±1.13)μg/L,差异均有统计学意义(P<0.05);治疗后,观察组患者的并发症发生率为6.15%,明显低于对照组的18.46%,差异有统计学意义(P<0.05)。结论PRP联合关节镜半月板成形术治疗老年膝关节半月板损伤效果明显,其可有效缓解术后疼痛,促进患者膝关节功能恢复,减少并发症,值得临床推广使用。 展开更多
关键词 半月板损伤 富血小板血浆 关节镜半月板成形术 关节功能 疗效 并发症
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胸腰椎结核患者围手术期的护理研究 认领
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作者 孙玉宏 《中国医药指南》 2021年第7期222-223,共2页
目的探讨围手术期护理对胸腰椎结核患者的干预效果。方法将本院2017年6月至2019年5月接诊并治疗胸腰椎结核患者80例分成两组(常规组与试验组),每组40例。常规组行一般护理干预,试验组接受围手术期护理干预。比较两组的有效性及安全性。... 目的探讨围手术期护理对胸腰椎结核患者的干预效果。方法将本院2017年6月至2019年5月接诊并治疗胸腰椎结核患者80例分成两组(常规组与试验组),每组40例。常规组行一般护理干预,试验组接受围手术期护理干预。比较两组的有效性及安全性。结果试验组患者护理总有效率高于常规组,并发症总发生率低于常规组,差异显著(P<0.05)。结论胸腰椎结核患者在接受手术治疗后,应用围手术期护理可提升护理干预效果、降低不良反应发生率。 展开更多
关键词 胸腰椎结核 围手术期护理 并发症
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新辅助化疗在宫颈癌治疗中的疗效探讨 认领
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作者 孟丽萍 《中外医疗》 2021年第1期57-59,共3页
目的探讨新辅助化疗在宫颈癌治疗中的疗效。方法便利抽取2018年6月—2019年6月在该院接受治疗的宫颈癌患者78例为研究对象,根据其住院先后顺序从1~78编号,再按等差数列首项为1,公差为2的方式将78例患者平均分为两组,即对照组与实验组,... 目的探讨新辅助化疗在宫颈癌治疗中的疗效。方法便利抽取2018年6月—2019年6月在该院接受治疗的宫颈癌患者78例为研究对象,根据其住院先后顺序从1~78编号,再按等差数列首项为1,公差为2的方式将78例患者平均分为两组,即对照组与实验组,两组患者均为39例。对照组行常规手术治疗法,实验组行新辅助化疗,对比两组治疗效果、患者术中出血量、手术时间以及并发症发生情况。结果实验组治疗总有效率94.87%高于对照组79.49%,差异有统计学意义(χ2=4.129,P<0.05);两组患者术中出血量差异无统计学意义(P>0.05),实验组患者手术时间(145.20±22.50)min短于对照组、满意度评分(89.60±2.17)分均高于对照组,差异有统计学意义(t=14.270、23.800,P<0.05);实验组患者并发症发生率5.13%低于对照组20.51%,差异有统计学意义(χ2=4.129,P<0.05)。结论新辅助化疗在宫颈癌治疗中的应用效果优于常规治疗,能够缩短手术时间,提高患者的满意度,降低并发症发生率。 展开更多
关键词 新辅助化疗 宫颈癌 疗效 满意度 术中指标 并发症
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糖尿病患者白内障的综合治疗研究进展 认领
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作者 施雨萌 杨晋 +2 位作者 李国庆 徐静 何小兰 《国际眼科杂志》 CAS 北大核心 2021年第3期458-461,共4页
随着糖尿病发病率的逐年升高,糖尿病患者白内障的治疗已成为白内障临床研究的重点和难点。糖尿病患者的白内障具有发病年龄早、进展迅速、常合并眼底病变的特点,更需要精准和个性化的治疗。糖尿病患者白内障术后更易出现角膜水肿、糖尿... 随着糖尿病发病率的逐年升高,糖尿病患者白内障的治疗已成为白内障临床研究的重点和难点。糖尿病患者的白内障具有发病年龄早、进展迅速、常合并眼底病变的特点,更需要精准和个性化的治疗。糖尿病患者白内障术后更易出现角膜水肿、糖尿病性黄斑水肿、后囊膜混浊等并发症,手术风险远高于普通年龄相关性白内障患者。术前应积极控制血糖,合理选择手术时机,采用个体化治疗方案,预防术中和术后并发症发生,以提高手术疗效。 展开更多
关键词 糖尿病 并发症 白内障 手术 研究进展
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