横断疝囊与完全剥离疝囊在中老年单侧腹股沟疝患者TAPP中应用效果的回顾性对比分析

:-
 
目的 比较横断疝囊与完全剥离疝囊在经腹腹膜前疝修补术(TAPP)在中老年单侧腹股沟疝中的临床价值。方法 回顾性选取2021年3月至2025年3月我院95例中老年单侧腹股沟疝,均采用TAPP治疗,根据疝囊具体处理策略分为横断组(横断疝囊,n=65)和剥离组(完全剥离疝囊,n=30)。比较两组手术指标、手术前后疼痛程度[疼痛数字评价量表(NRS)评分]、生活质量[生活质量综合评定问卷-74(GQOLI-74)]、并发症及术后12个月复发情况。结果 较剥离组,横断组手术、疝囊处理、卧床及住院时间缩短,腹股沟区积液及术中失血量减少(P<0.05);术后6 h、24 h、72 h横断组NRS评分较剥离组降低(P<0.05);术后3个月横断组GQOLI-74总分高于剥离组(P<0.05);两组并发症及复发率无显著差异(P>0.05)。结论 在中老年单侧腹股沟疝TAPP中应用横断疝囊能优化手术流程,减轻疼痛程度,改善生活质量,且安全性、复发效果与完全剥离疝囊相当。

Phaco+房角分离术与Phaco+小梁切除术对APACG合并白内障患者的治疗效果对比分析:一项回顾性研究

Comparative analysis of phacoemulsification combined with goniosynechialysis versus phacoemulsification combined with trabeculectomy in patients with APACG complicated with cataract: a retrospective study

:-
 
目的 比较白内障超声乳化吸除术(Phaco)+房角分离术与Phaco+小梁切除术治疗急性原发性闭角型青光眼(APACG)合并白内障的临床价值。方法 回顾性分析2022年1月至2025年1月我院200例APACG合并白内障患者临床资料,根据手术方式分为小梁切除组(Phaco+小梁切除术)与房角分离组(Phaco+房角分离术),每组100例(200眼)。比较两组眼压、视力[最佳矫正视力(BCVA)]、中央前房深度、视盘血流密度[整体视盘血流密度(wiVD)、视盘内血流密度(diVD)]、生活质量[视功能相关生活质量量表-25(NEI-VFQ-25)]及并发症情况。结论 术后1周、1个月、3个月,房角分离组眼压低于小梁切除组,BCVA、中央前房深度大于小梁切除组,wiVD、diVD高于小梁切除组(P<0.05);术后1个月,房角分离组NEI-VFQ-25评分高于小梁切除组(P<0.05),术后3月两组NEI-VFQ-25评分比较无显著差异(P>0.05);房角分离组并发症总发生率(6.50%)低于小梁切除组(13.00%)(P<0.05)。结论 与Phaco+小梁切除术相比,Phaco+房角分离术治疗APACG合并白内障患者能有效控制眼压,增加前房深度,改善视盘血流循环,恢复患者视力,提高生活质量,减少并发症发生率。
Objective To compare the clinical efficacy of phacoemulsification (Phaco) combined with goniosynechialysis and phacoemulsification combined with trabeculectomy in the treatment of acute primary angle-closure glaucoma (APACG) complicated with cataract. Methods The clinical data of 200 patients with APACG complicated with cataract treated in our hospital from January 2022 to January 2025 were retrospectively analyzed. According to surgical procedures, the patients were divided into trabeculectomy group (Phaco combined with trabeculectomy) and goniosynechialysis group (Phaco combined with goniosynechialysis), with 100 patients (200 eyes) in each group. Intraocular pressure, visual acuity [best corrected visual acuity (BCVA)], central anterior chamber depth, optic disc vessel density [whole-image optic disc vessel density (wiVD), disc-inside vessel density (diVD)], quality of life [25-item National Eye Institute Visual Function Questionnaire (NEI-VFQ-25)] and complications were compared between the two groups. Results At 1 week, 1 month and 3 months after surgery, the goniosynechialysis group had lower intraocular pressure, better BCVA, deeper central anterior chamber depth, and higher wiVD and diVD than the trabeculectomy group (P<0.05). One month postoperatively, the NEI-VFQ-25 score of the goniosynechialysis group was significantly higher than that of the trabeculectomy group (P<0.05), while no significant difference was observed between the two groups at 3 months after surgery (P>0.05). The overall incidence of complications in the goniosynechialysis group was 6.50%, which was lower than 13.00% in the trabeculectomy group (P<0.05). Conclusion Compared with phacoemulsification combined with trabeculectomy, phacoemulsification combined with goniosynechialysis can effectively control intraocular pressure, increase anterior chamber depth, improve optic disc blood circulation, restore visual acuity, enhance quality of life and reduce the incidence of complications in patients with APACG complicated with cataract.

活动与固定平台单髁置换早期疗效对比分析

Comparative Analysis of Early Clinical Efficacy Between Mobile-Bearing and Fixed-Bearing Unicompartmental Knee Arthroplasty

:-
 
摘要 目的 分析固定(FB)和活动平台(MB)单髁置换术(UKA)在膝关节内侧间室骨关节炎早期阶段的临床效果与影像学差异,以指导临床假体选择。 方法 本研究回顾性纳入41例确诊为单侧膝关节内侧间室骨关节炎的患者,按照假体类型分为两组:FB组(20例,使用春立XG假体)和MB组(21例,使用春立XK假体)。分别在术前、术后及随访终点统计膝关节屈伸活动范围(ROM)、VAS 疼痛评分、美国特种外科医院膝关节评分(HSS );测量并比较股胫角(FTA)、胫骨假体内外翻角(TCVA)、胫骨假体后倾角(TCPSA);记录围手术期指标及并发症情况。 结果 两组患者术后ROM、VAS、HSS 评分均较术前显著改善(P均<0.0001);末次随访时固定平台组 VAS 评分显著低于活动平台组(P<0.05),而两组间的ROM、HSS 评分无统计学差异(均 P>0.05)。两组术后 FTA、TCVA、TCPSA 均恢复至理想范围,组间均无统计学差异(均 P>0.05)。固定平台组手术时间更短(P<0.05),两组均无严重并发症,假体生存率均为 100%。 结论 活动平台与固定平台单髁置换术均可显著改善膝关节内侧间室骨关节炎患者疼痛、活动度及功能,下肢力线恢复效果相当;固定平台假体在疼痛控制与手术便捷性方面更具优势,临床可根据患者情况与术者经验个体化选择。 关键词 单髁置换术;活动平台假体;固定平台假体;骨关节炎;并发症
Abstract Objective To investigate the early clinical outcomes and radiological differences between fixed-bearing (FB) and mobile-bearing (MB) unicompartmental knee arthroplasty (UKA) in the treatment of medial compartment knee osteoarthritis (OA), and to provide evidence for clinical prosthesis selection. Methods Clinical data of 41 patients with unilateral medial compartment knee OA were retrospectively analyzed. The FB group comprised 20 patients (using Chunli XG prosthesis), and the MB group comprised 21 patients (using Chunli XK prosthesis). Knee range of motion (ROM), Visual Analogue Scale (VAS) pain score, and Hospital for Special Surgery (HSS) knee score were compared between the two groups preoperatively, postoperatively, and at the final follow-up. Femorotibial angle (FTA), tibial component valgus angle (TCVA), and tibial component posterior slope angle (TCPSA) were measured and compared. Perioperative indicators and complications were recorded. Results Postoperative ROM, VAS, and HSS scores significantly improved compared with preoperative values in both groups (all P < 0.0001). At the final follow-up, the VAS score in the FB group was significantly lower than that in the MB group (P < 0.05), while no significant differences were observed in ROM or HSS scores between the two groups (all P > 0.05). Postoperative FTA, TCVA, and TCPSA values returned to the ideal range in both groups, with no significant intergroup differences (all P > 0.05). The FB group had a significantly shorter operative time (P < 0.05). No severe complications occurred in either group, and the prosthesis survival rate was 100% in both groups. Conclusion Both FB-UKA and MB-UKA significantly improve pain, range of motion, and function in patients with medial compartment knee OA, with comparable efficacy in restoring lower limb alignment. The FB prosthesis offers advantages in pain control and surgical convenience. Clinical selection may be individualized based on patient characteristics and surgeon experience. Keywords Unicompartmental knee arthroplasty; Mobile-bearing prosthesis; Fixed-bearing prosthesis; Osteoarthritis; Complications

活动与固定平台单髁置换早期疗效对比分析

Comparative Analysis of Early Clinical Efficacy Between Mobile-Bearing and Fixed-Bearing Unicompartmental Knee Arthroplasty

:-
 
目的 探讨固定平台(FB)与活动平台(MB)单髁置换术(UKA)治疗膝关节内侧间室骨关节炎(OA)的早期临床疗效及影像学差异,为临床假体选择提供依据。 方法 回顾性分析41 例单侧膝关节内侧间室骨关节炎患者临床资料,其中 FB 组 20例(采用春立XG假体),MB 组 21 例(采用春立XK假体)。比较两组患者术前、术后和末次随访的膝关节活动度(ROM)、疼痛视觉模拟评分(VAS)、美国特种外科医院膝关节评分(HSS);测量并比较股胫角(FTA)、胫骨假体内外翻角(TCVA)、胫骨假体后倾角(TCPSA);记录围手术期指标及并发症情况。 结果 两组患者术后ROM、VAS、HSS 评分均较术前显著改善(P均<0.0001);末次随访时固定平台组 VAS 评分显著低于活动平台组(P<0.05),ROM、HSS 评分两组差异无统计学意义(均 P>0.05)。两组术后 FTA、TCVA、TCPSA 均恢复至理想范围,组间差异均无统计学意义(均 P>0.05)。固定平台组手术时间更短(P<0.05),两组均无严重并发症,假体生存率均为 100%。 结论 固定平台与活动平台单髁置换术均可显著改善膝关节内侧间室骨关节炎患者疼痛、活动度及功能,下肢力线恢复效果相当;固定平台假体在疼痛控制与手术便捷性方面更具优势,临床可根据患者情况与术者经验个体化选择。 关键词 单髁置换术;活动平台假体;固定平台假体;骨关节炎;并发症
Abstract Objective To investigate the early clinical outcomes and radiological differences between fixed-bearing (FB) and mobile-bearing (MB) unicompartmental knee arthroplasty (UKA) in the treatment of medial compartment knee osteoarthritis (OA), and to provide evidence for clinical prosthesis selection. Methods Clinical data of 41 patients with unilateral medial compartment knee OA were retrospectively analyzed. The FB group comprised 20 patients (using Chunli XG prosthesis), and the MB group comprised 21 patients (using Chunli XK prosthesis). Knee range of motion (ROM), Visual Analogue Scale (VAS) pain score, and Hospital for Special Surgery (HSS) knee score were compared between the two groups preoperatively, postoperatively, and at the final follow-up. Femorotibial angle (FTA), tibial component valgus angle (TCVA), and tibial component posterior slope angle (TCPSA) were measured and compared. Perioperative indicators and complications were recorded. Results Postoperative ROM, VAS, and HSS scores significantly improved compared with preoperative values in both groups (all P < 0.0001). At the final follow-up, the VAS score in the FB group was significantly lower than that in the MB group (P < 0.05), while no significant differences were observed in ROM or HSS scores between the two groups (all P > 0.05). Postoperative FTA, TCVA, and TCPSA values returned to the ideal range in both groups, with no significant intergroup differences (all P > 0.05). The FB group had a significantly shorter operative time (P < 0.05). No severe complications occurred in either group, and the prosthesis survival rate was 100% in both groups. Conclusion Both FB-UKA and MB-UKA significantly improve pain, range of motion, and function in patients with medial compartment knee OA, with comparable efficacy in restoring lower limb alignment. The FB prosthesis offers advantages in pain control and surgical convenience. Clinical selection may be individualized based on patient characteristics and surgeon experience. Keywords Unicompartmental knee arthroplasty; Mobile-bearing prosthesis; Fixed-bearing prosthesis; Osteoarthritis; Complications
论著

在产程的潜伏期与活跃期对妊娠期高血压产妇实施分娩镇痛的效果对比分析

:791-795
 
目的 对比分析在产程不同阶段对妊娠期高血压产妇给予分娩镇痛的效果差异。方法 选择2021年1月—2022年12月在福清市妇幼保健院接受无痛分娩治疗的240例妊娠期高血压产妇,随机分为在产程活跃期实施镇痛的对照组(n=120)和产程潜伏期实施镇痛的实验组(n=120),比较两组产妇的产程时间、子宫动脉、胎儿脐动脉血流动力学参数、镇痛效果以及母婴结局。结果 实验组的第一、第二、第三产程时间分别为(389.71±35.05)(58.62±5.26)(8.71±0.69)min,略低于对照组的(403.72±42.19)(60.74±7.22)(8.91±1.62)min,但组间比较差异无统计学意义(P>0.05);实验组镇痛前、活跃期、第二产程的疼痛评分分别为(9.18±0.13)(1.16±0.22)(2.83±1.16)分,与对照组的(9.22±0.16)(1.24±0.32)(2.72±1.09)分比较差异无统计学意义(P>0.05),但在潜伏期,实验组产妇疼痛评分为(3.32±0.36)分,低于对照组的(8.11±0.32)分(P<0.05);关闭镇痛泵后,实验组胎儿脐动脉阻力指数、搏动指数、收缩期峰值流速/舒张期流速分别为(0.58±0.09)(0.81±0.14)(2.31±0.29),与对照组的(0.54±0.11)(0.79±0.13)(2.24±0.27)比较差异无统计学意义(P>0.05),实验组产妇子宫动脉阻力指数、搏动指数、收缩期峰值流速/舒张期流速分别为(0.42±0.08)(0.64±0.08)(2.31±0.29),均高于对照组的(0.39±0.06)(0.58±0.11)(1.65±0.08)(P<0.05);实验组自然分娩、中转剖宫产、阴道助产例数及新生儿Apgar评分分别为87例、23例、10例、(8.88±0.15)分,与对照组的83例、28例、9例、(8.81±0.19)分比较差异无统计学意义(P>0.05)。结论 潜伏期与活跃期对妊娠期高血压产妇实施分娩镇痛对产程时间以及母婴结局的影响不大,但潜伏期镇痛可改善产妇潜伏期的疼痛,可尽早缓解产妇痛苦,且对产妇子宫动脉血流灌注的影响更小。
论著

肺部受累的惠普尔病与初治菌阴肺结核患者的临床特征对比分析

A comparative analysis of the clinical features between patients with pulmonary involvement of Whipple disease and primary treated bacteriological negative pulmonary tuberculosis

:28-33
 
目的 分析对比肺部受累的惠普尔病与初治菌阴肺结核患者的临床特征,提高对肺部受累的惠普尔病的认识、诊断及鉴别水平。方法 回顾性收集20例肺部受累的惠普尔病为病例组,并随机选取同期56例初治菌阴肺结核患者为对照组进行对比,探讨肺部受累的惠普尔病的临床特征。结果 病例组中老年(>37岁)、急性或亚急性的病程比例高于对照组(P<0.05)。CT影像学中,从病灶分布来看,病例组的病灶分布在下叶的病例比例高于对照组(P<0.05),病灶分布在上叶的病例比例低于对照组(P<0.05);从形态上看,病例组中表现为网状病灶、间质性肺炎的比例高于对照组(P<0.05),病例组中表现为空洞、纤维条索、实性影、结节影、树芽征、肺门淋巴结肿大的比例低于对照组(P<0.05),而性别、合并免疫力低下疾病、咳嗽、咳痰、发热、咳血、关节痛、腹泻等在组间比较差异均无统计学意义。病例组全部病例的肺泡灌洗液宏基因测序结果显示:惠普尔养障体是唯一菌19例(95.0%)或主要菌1例(5.00%,合并结核菌1序列),而对照组肺泡灌洗液宏基因测序结果显示:21例(37.5%)检测出结核分枝杆菌(TB)复合群是唯一菌或主要致病菌,18例TB-RNA(+),15例TB-LAMP(+)。结论 惠普尔病在临床可表现为急性或亚急性病程,好发中老年男性,以发热和(或)呼吸道症状为主,可伴或不伴有腹泻、关节痛;肺部影像学以下肺网状、间质性肺炎改变为主,可以单独累及肺部;与初治菌阴肺结核患者临床症状极其相似。应尽快完善支气管镜检查,肺泡灌洗液的宏基因检测对早期、快速诊断此病尤为重要。
Objective To analyze and compare the clinical features of patients with pulmonary involvement of Whipple disease and primary treated bacteriological negative pulmonary tuberculosis,so as to improve the recognition,diagnosis and differentiation ability of pulmonary involvement of Whipple disease.Methods Clinical features of Whipple disease with pulmonary involvement were investigated by retrospectively collecting 20 cases as a case group,comparing with 56 randomly selected patients with primary treated bacteriological negative pulmonary tuberculosis as a control group during the same period.Results The case group had a significantly higher proportion of older patients(>37 years),acute or subacute disease courses than the control group (P<0.05).On CT imaging,in terms of lesion distribution,the proportion of cases with lesions in the lower lobe was significantly more in the case group than in the control group(P<0.05),and the ratio of cases with lesions in the upper lobe was considerably less than in the control group(P<0.05).Regarding morphology,significantly more of the case group showed reticular lesions and interstitial pneumonia than the control group(P<0.05).Significantly fewer of the case group showed cavities,fibrous bands,solid shadows,nodular shadows,tree-bud signs,and enlarged hilar lymph nodes than the control group(P<0.05).No statistically significant differences existed between the two groups in gender,combined immunocompromising diseases,cough,sputum,fever,coughing up blood,arthralgia or diarrhea. At the same time,the differences of gender,combined immunocompromised disease,cough,sputum,fever,coughing up blood,arthralgia,and diarrhea were not statistically significant.The metagenomic sequencing of alveolar lavage fluid in the case group revealed Tropheryma whipplei as the sole pathogenic bacteria in 19 cases(95%)or the primary pathogenic bacteria in 1 case(5.00%,combined TB 1 sequence).In contrast,metagenomic sequencing of alveolar lavage fluid in the control group detected Mycobacterium tuberculosis complex as the sole or primary pathogenic bacteria in 21 cases(37.5%),TB-RNA(+)in 18 cases and TB-LAMP(+)in 15 cases.Conclusions Clinical presentation in Whipple disease can be of an acute or subacute course,preferably in middle-aged and older men,with fever or/and respiratory symptoms,either with or without diarrhea and arthralgia.Its pulmonary imaging dominates with reticular,interstitial pneumonia changes in the lower lungs,which can involve the lungs alone in the disease.At the same time,the clinical symptoms are highly similar to those patients with primary treated bacteriological negative pulmonary tuberculosis.Therefore,it is vital to complete bronchoscopy and metagenomic sequencing of alveolar lavage fluid as soon as possible for early and rapid diagnosis of this Whipple disease.Treatment with sensitive antibacterial drugs can result in significant improvement and save patients' lives.
论著

不同贫血类型患者铁蛋白水平、甲状腺功能检测结果对比分析

Comparative analysis of ferritin level and thyroid function in patients with different types of anemia

:29-34
 
目的 探讨不同贫血类型患者铁蛋白水平、甲状腺功能检测结果对比分析。方法 前瞻性选取2018年11月—2021年11月我院收治的240例贫血患者作为研究对象。将患者分为小细胞低色素性贫血组(n=75),正细胞性贫血组(n=100)和大细胞性贫血组(n=65)。检查患者甲状腺功能[甲状腺素(TSH)、游离三碘甲腺原氨酸(FT3)、游离甲状腺素(FT4)]和铁蛋白(SF)表达水平。采用Spearman检验进行相关性分析;采用Logistics回归模型进行回归分析。结果 3组患者红细胞(RBC)、血红蛋白(Hb)、平均红细胞容积(MCV)、红细胞平均血红蛋白浓度(MCHC)、平均红细胞血红蛋白含量(MCH)、血清肌酐(Scr)间存在差异(P<0.05);大细胞性贫血组TSH、FT3和SF低于正细胞性贫血组和小细胞低色素性贫血组(P<0.05),而FT4高于正细胞性贫血组和小细胞低色素性贫血组(P<0.05);贫血类型与TSH、FT4、FT3和SF呈正相关(P<0.05);多因素Logistics回归分析结果显示,TSH、FT4、FT3和SF在3个模型中均为独立危险因素(P<0.05)。结论 不同贫血类型患者间甲状腺功能和铁蛋白表达水平存在显著差异,大细胞性贫血组TSH、FT3和SF低于正细胞性贫血组和小细胞低色素性贫血组,而FT4更高,甲状腺功能指标和铁蛋白均是各种类型贫血发生的危险因素。
Objective To explore the comparative analysis of ferritin level and thyroid function detection results in patients with different types of anemia.Methods A total of 240 anemia patients admitted to our hospital from November 2018 to November 2021 were prospectively selected as research objects.The patients were divided into microcytic hypochromic anemia group(n=75),normocytic anemia group(n=100),and macrocytic anemia group(n=65).The expression levels of thyroid function[thyroxine(TSH),free triiodothyronine(FT3),free thyroxine(FT4)]and ferritin(SF)were examined.Correlation analysis was performed by Sperman test.The logistic regression model was adopted for regression analysis.Results There were significant differences in red blood cell,hemoglobin,mean corpuscular volume,mean corpuscular hemoglobin concentration,mean corpuscular hemoglobin content and serum creatinine among three groups(P<0.05).TSH,FT3 and SF in macrocytic anemia group were significantly lower than those in normocytic anemia group and microcytic hypochromic anemia group(P<0.05),while FT4 was significantly higher than that in normocytic anemia group and microcytic hypochromic anemia group(P<0.05).The type of anemia was positively correlated with TSH,FT4,FT3 and SF(P<0.05).The results of multi-factor logistics regression analysis showed that TSH,FT4,FT3 and SF were independent risk factors in the three models(P<0.05).Conclusions There were significant differences in thyroid function and ferritin expression levels among patients with different types of anemia.Macrocytic anemia group TSH,FT3 and SF were lower than those in normocytic anemia group and microcytic hypochromic anemia group,while FT4 was higher.Both thyroid function indexes and ferritin were risk factors for various types of anemia.
临床诊疗

电视胸腔镜手术与传统开胸手术在胸腺瘤治疗中的临床疗效对比分析

Comparative analysis of the clinical efficacy of video-assisted thoracoscopic surgery and traditional thoracotomy for thymoma

:131-133
 
目的 对比分析电视胸腔镜手术与传统开胸手术在胸腺瘤治疗中的临床疗效。方法 将我院2018年11月—2020年11月间收治的92例胸腺瘤患者作为本次实验案例,根据随机双盲原则进行分组,其中对照组46例患者采用传统开胸手术治疗,观察组46例患者采用电视胸腔镜手术治疗,对于2组患者治疗中的临床疗效进行对比分析。结果 观察组术后的肺功能指标下降幅度小于对照组,且观察组的手术时间、胸管引流时间、下床活动时间、住院时间均短于对照组,出血量、引流量低于对照组,切口长度小于对照组,P<0.05,组间指标数据存在统计学差异。结论 电视胸腔镜手术与传统开胸手术在胸腺瘤治疗中的临床疗效相比,前者具有明显的优势,创伤小、恢复快、对于患者肺功能的影响更小。
论著

以家庭为中心的患教模式与传统综合患教模式对糖尿病患者疗效影响的对比分析

Effect of family-centered health education model on metabolic control level of diabetic patients

:96-99
 
目的 探讨以家庭为中心的患教模式对糖尿病患者代谢控制水平的影响。方法 选取168例2016年9月—2017年8月在我院治疗的糖尿病患者,根据不同的健康教育模式干预将其分为观察组和对照组,每组各84例。对照组患者采用传统的综合患教模式,观察组患者在对照组的基础上采用以家庭为中心的患教模式,比较两组患者的自我管理水平及血糖、血脂控制效果。结果 干预后,观察组自我管理总得分、饮食控制、运动锻炼、血糖监测、足部护理、高低血糖处理均优于对照组(P<0.05);观察组的FBG、PBG、HbA1C、TC、TG、LDL-C水平均低于对照组(P<0.05)。结论 以家庭为中心的患教模式可辅助患者规范自己的行为,加强自我管理,改善血糖控制水平。
Objective To study the effects of two health education models on the level of metabolic control in diabetic patients. Methods 168 patients with diabetes admitted to our hospital from September 2016 to August 2017 were selected as subjects. According to different health education model interventions, they were divided into observation group and control group, with 84 cases in each group. The patients in the control group adopted a comprehensive health education model, and the patients in the observation group adopted a family-centered health education model based on the control group. The self-management level and blood glucose and blood lipid control effects of the two groups were compared. Results After intervention, the observation group self-management total score, diet control, exercise, blood glucose monitoring, foot care, high and low blood glucose treatment were better than that of control group (P<0.05); observation group FBG, PBG, HbA1C, TC, TG, LDL-C level were lower than that of the control group (P<0.05). Conclusion A family-centered health education model may help patients regulate their behavior, strengthen self-management, and improve their blood sugar control levels.
论著

对比分析献血后血肿不同治疗方法的临床治疗效果

Contrastive analysis of clinic treatment effects on haematoma after blood donation

:41-43
 
目的 分析献血者献血后血肿(瘀斑)应用不同治疗方法的效果。方法 随机选取147例在广州血液中心献血后出现血肿(瘀斑)的献血者,根据其采用处理方式的差异分为甲组(n=66)、乙组(n=48)、丙组(n=33),为甲组献血者实施冷热敷法,为乙组献血者实施马铃薯片贴敷法,为丙组献血者实施喜辽妥(多磺酸粘多糖)软膏外敷法。结果 乙组献血者临床总有效率高于甲组献血者,差异有统计学意义(χ2=4.63,P<0.05),丙组献血者临床总有效率高于甲组献血者,差异有统计学意义(χ2=13.99,P<0.05),丙组献血者临床总有效率高于乙组献血者,2组差异有统计学意义(χ2=3.99,P<0.05)。结论 献血者献血后血肿应用喜疗妥软膏外敷法疗效确切,可使其身心健康得到改善。
Objective To analyze the effects of different treatment methods on blood donors with haematoma(or bruise) after blood donation. Methods 147 blood donors with haematoma(or bruise) after blood donation in our blood station were randomly selected. According to the difference of treatment methods, they were divided into group A (n=66), group B (n=48) and group C (n=33), for the group A of blood donors to carry out cold and hot compress method, for the group B blood donors to implement the potato slice application method, for the group C blood donors to implement the hi-treatment ointment external application method. Results The total effective rate of group B blood donors was higher than that of group A blood donors. The difference was statistically significant (χ2=4.63,P<0.05). The total clinical effective rate of group C blood donors was higher than that of group A blood donors. There is statistical significance (χ2=13.99,P<0.05). The total effective rate of donors in group C was higher than that in group B. The difference between the two groups was statistically significant (χ2=3.99,P<0.05). Conclusion The effect of external application of Hirudoid(Mucopolysaccharide Polysulfate Cream) on blood donors after blood donation is effective, which may improve their physical and mental health.
出版者信息








《广州医药》公众号