简介:AbstractPurpose:It is a challenge for the primary hospitals to manage multiple trauma patients. In this article, we explored the advantage of establishing a surgical intensive care unit (SICU) predominant by cardiothoracic surgeons in the early management of multiple trauma.Methods:This was a retrospective study and patients with multiple trauma in our hospital were collected and divided into two groups, based on time period and treat modes: group A (retrospective observation group) where patients were treated with the traditional treatment mode from January 2017 to December 2017 and group B (study group) where patients were treated in the SICU predominant by cardiothoracic surgeons from January 2018 to December 2018. Clinical data including demographics, injury severity score (ISS), causes of injury, time intervals from reception to entering SICU or operating room and mortality three days after injuries were collected. Data were analyzed by SPSS 20.0 software. Categorical variables were presented as number and/or frequency and continuous variables as mean ± SD.Results:Altogether 406 patients were included in this study, including 217 patients in group A and 189 patients in group B. General data between the two groups revealed no significant difference: mean age (years) (35.51 ± 12.97 vs. 33.62 ± 13.61, p = 0.631), gender distribution (mean/female, 130/87 vs. 116/73, p = 0.589) and ISS (15.92 ± 7.95 vs. 16.16 ± 6.89, p = 0.698). Fall from height were the dominant mechanism of injury, with 135 cases in group A (71.4%) and 121 cases in group B (55.8%), followed by traffic accidents. Injury mechanism showed no significant differences between two groups (p = 1.256). Introduction of the SICU significantly improved the care of trauma patients, regarding speed and mortality. Time intervals between reception and entering SICU or operating room was (108.23 ± 6.72) min and (45.67 ± 7.96) min in group A and B, respectively (p = 0.001). Mortality three days after injuries was 13.89% and 5.53% in group A and B, respectively (p = 0.005).Conclusion:Establishing a SICU predominant by cardiothoracic surgeons can reduce the early mortality rates in multiple trauma patients.
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简介:摘要:目的:总结及探讨 86例子宫肌瘤患者药物治疗的临床效果。方法: 86例子宫肌瘤患者,根据患者就诊顺序随机分为 A、 B、 C三组。 A组 29例患者给予促性腺激素释放激素激动剂 ,B组 29例患者给予米非司酮, C组 28例患者给予三稀高诺酮,观察比较三组患者用药前后子宫体积和肌瘤体积的改变情况。结果:患者药物治疗后子宫体积及肌瘤体积均小于治疗前,差异有统计学意义 (P<0.05)。结论:和治疗前患者的身体状况相比,在经过药物治疗后,患者的身体状况较好,且没有特别严重的不良反应,其中,使用米非司酮药物治疗效果较好,值得在临床上推广应用。结论:药物治疗在治疗子宫肌瘤中发挥着重要的作用,另外,药物治疗为手术治疗提供较好的术前准备。
简介:【摘要】:目的 就 86 例青年肺结核病人的护理体会进行探讨。方法 选取 2018 年 8 月~ 2019 年 8 月我院收治的 86 例青年肺结核病患者作为研究对象。其中男 44 例,女 42 例,均对其进行有效护理。结果 86 例青年肺结核患者经护理后,显效(症状较护理前明显减轻) 72 例( 83.7% ),有效(症状有所减轻) 13 例( 15.1% ),无效(护理前后临床症状无改善) 1 例( 1.2% ),总有效率 98.8% 。可见我院对青年肺结核患者的护理效果较为理想。结论 以病人的需求为出发点,对患者进行人性化护理,形成一种主动满足病人需求的良好工作氛围。
简介:摘要目的探讨平胃散加减治疗慢性胃炎的疗效。方法选取我院2009年6月-2012年6月间门诊收治的慢性胃炎患者172例,随机分为观察组和对照组各86例,观察组给予平胃散加减治疗,对照组给予常规治疗。持续3个月。观察比较两组疗效及复发情况。结果观察组临床症状改善总有效率、Hp转阴率、胃镜总有效率分别为97.7%、93.0%、91.9%,明显高于对照组的79.1%、62.8%、68.6%(P<0.05,P<0.01)。平均随访1.5年,观察组有3例复发胃炎,对照组有11例复发胃炎。结论应用平胃散加减治疗慢性胃炎疗效显著,复发率低,且无明显副作用,值得临床推广应用。
简介:摘要:目的:研究全身麻醉术后低体温的复苏期护理疗效。方法:采用科学数字随机法对本院 2018年 1月到 2019年 1月收治行全身麻醉患者 86例分为 L组和 C组,每组 43例。 C组行全麻术后常规复苏期护理, L组行全麻术后低体温护理干预,比较 L组与 C组干预后低体温的发生率及平均血氧饱和度、血氧饱和下降发生率。结果: L组术后低体温的发生率为 6.98%( 3/43)明显低于 C组低体温发生率 27.91%( 12/43),且 L组术后平均血氧饱和度明显优于 C组( P< 0.05); L组术后血氧饱和下降的发生率为 23.26%( 10/43)明显低于 C组血氧饱和下降的发生率 55.81%( 24/43)比较差异有统计学意义( P< 0.05)。结论:全身麻醉术后进行低体温护理干预可有效降低低体温发生率和血氧饱和下降发生率,提高血氧饱和度。