Table of Content

28 June 2020, Volume 9 Issue 2 Previous Issue    Next Issue

Orginal article

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Three-dimensional quantitative study of bone cement distribution characteristics after percutaneous curved vertebroplasty REN Yilong, ZENG Zhili, XIE Ning, MA Bin, ZHU Rui, CHENG Liming 2020, 9 (2):  73-77.  doi: 10.3969/j.issn.2095-378X.2020.02.001 Abstract ( 210 )   PDF (3127KB) ( 1196 )   Save Objective To quantitatively observe the bone cement distribution characteristics after percutaneous curved vertebroplasty (PCVP). Methods The distribution areas of cement in the ipsilateral and contralateral sides in anterior?posterior X-ray were calculated and compared. Three-dimensional models of vertebral body and bone cement were established. The bone cement was segmented into ipsilateral/contralateral part by sagittal plane, and upward/downward part by axial plane. Cement volume and volume ratio of each part were calculated, and statistical analysis was performed. Results The cement distribution areas in the ipsilateral side and the contralateral side were 2.19-6.08 cm2 [(3.87±1.00) cm2] and 1.71-6.21 cm2 [(3.18±1.18) cm2], with a statistical significant difference (P<0.05). In the ipsilateral part, the mean cement volume, volume ratio to the whole cement, and volume ratio to the whole vertebral body were (4 821.7±1 151.8) mm3, (62.2±10.4) %, and (16.9±3.1) %, respectively. Same parameters in the contralateral part were (2 982.5±1 207.9) mm3, (37.8±10.4) %, and (10.8±4.2) %, respectively; differences in the parameters between the two parts were statistically significant (P<0.05). These parameters in the upward part were (4 242.9±1 165.8) mm3, (55.2±15.1) %, and (14.9±3.5) %, respectively, compared to the downward part as (3 574.3±1 539.7) mm3, (44.8±15.1) %, and (12.9±5.6) %, respectively, with no statistical significance (P>0.05). Conclusion Through quantitatively observing and describing the characteristics of cement distribution after PCVP, the study provides quantitative data for biomechanical modeling. References | Related Articles | Metrics

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Application of Mulligan mobilisations with movement plus muscle energy techniques to cervical spondylotic radiculopathy TAN Yongsheng 2020, 9 (2):  78-81.  doi: 10.3969/j.issn.2095-378X.2020.02.002 Abstract ( 315 )   PDF (1195KB) ( 1245 )   Save Objective To explore the application of Mulligan mobilisations with movement plus muscle energy techniques to cervical spondylotic radiculopathy (CSR). Methods A total of 86 CSR patients treated from February 2017 to February 2020 in our hospital were randomly assigned to two groups, with 43 cases in each group. The conventional group took conventional rehabilitation; the combined group took Mulligan mobilisations with movement and muscle energy techniques. Clinical assessment scale for cervical spondylosis (CASCS) scores, neck disability index (NDI) scores, active range of motion (AROM), Short-form 36 Health Survey Questionnaire (SF-36) scores, Visual Analogue Scale (VAS) scores, and muscle pressure pain threshold were compared before and after the treatment. Results The CASCS score, AROM, and SF-36 score were significantly higher and the NDI score and VAS score were significantly lower in the combined group than those in the conventional group (P<0.05). The pressure pain thresholds of trapezius, levator scapulae, and suboital muscles in the combined group were significantly lower than those in the conventional group (P<0.05). Conclusion Mulligan mobilisations with movement plus muscle energy techniques can relieve the clinical symptoms of cervical spondylosis, such as reducing neck disability, increasing the active range of motion, and reducing pain, and thereby improve the quality of life of patients. References | Related Articles | Metrics

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Effect of percutaneous pedicle screw on thoracolumbar spinal fracture ZENG Bo, LIU Jinglong, LI Peihao, ZHUANG Jiehui, CAI Jundong, LI Zedian, LIN Jiehao 2020, 9 (2):  82-84.  doi: 10.3969/j.issn.2095-378X.2020.02.003 Abstract ( 153 )   PDF (1211KB) ( 1224 )   Save Objective To investigate the effect of percutaneous pedicle screw on thoracolumbar spinal fracture. Methods A total of 326 patients with thoracolumbar spinal fractures treated in our hospital from January 2017 to September 2019 were randomly divided into two groups: traditional group (163 cases, treated with traditional open pedicle screw fixation) and minimally invasive group (163 cases, treated with percutaneous pedicle screw fixation). The effects of the two groups were compared. Results The amount of intraoperative bleeding in the minimally invasive group was significantly less than that in the traditional group (P<0.05), and there were no significant differences in operation time and excellent and good operation rate between the two groups (P>0.05). After treatment, the VAS and ODI scores of the two groups were significantly improved, and the scores after treatment in the minimally invasive group were significantly lower than those in the traditional group (P<0.05); the incidence rate of complications in the traditional group was significantly higher than that in the minimally invasive group (P<0.05). Conclusion The short-term effect of percutaneous pedicle screw fixation is similar to that of traditional open surgery, but it can significantly improve the recovery of postoperative thoracolumbar function and reduce postoperative pain and complications, which is worthy of clinical promotion. References | Related Articles | Metrics

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Clinical observation of 235 patients with unilateral inguinal hernia undergoing laparoscopic transabdominal preperitoneal prosthetic herniorrhaphy LI Guofeng 2020, 9 (2):  85-87.  doi: 10.3969/j.issn.2095-378X.2020.02.004 Abstract ( 194 )   PDF (1178KB) ( 1257 )   Save Objective To observe the clinical efficacy of laparoscopic transabdominal preperitoneal prosthetic herniorraphy on unilateral inguinal hernia among 235 patients. Methods A total of 470 patients with unilateral inguinal hernia treated from March 2016 to February 2020 in our hospital were divided into a laparoscopic transabdominal preperitoneal prosthetic herniorraphy group (observation group) and an open tension-free inguinal hernia repair group (control group) according to different therapies, with 235 cases in each group. Operation conditions, postoperative recurrence rate and complications, and GQOL-74 (Generic Quality of Life Inventory-74) scores of the two groups were evaluated. Results No differences in preoperative VAS (Visual Analogue Scale) and GQOL-74 scores were observed between the two groups. The length of hospital stay [(5.45±0.85) d vs. (8.25±1.55)d], postoperative VAS scores (2.54±0.54 vs. 5.25±1.05), time of off?bed activity [(13.52±3.54) h vs. (45.42±4.02)h], postoperative complication rate (3.40% vs. 13.19%), and recurrence rate at 6 months after surgery (2.55% vs. 9.36%) in the observation group were all lower than those in the control group (all P<0.05), but the operative time [(73.42±4.36) min vs. (44.52±4.42) min] and postoperative GQOL-74 score were higher than those in the control group (all P<0.05). Conclusion Laparoscopic transabdominal preperitoneal prosthetic herniorraphy for unilateral inguinal hernia can produce higher life quality, less postoperational pain, shorter hospital stay, a lower recurrence rate, and fewer complications, thus it is worthy of application. References | Related Articles | Metrics

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Clinical application of metal catheter placement of super smooth interventional guidewire for catherization in male dysuria MAO Fuyong, ZENG Ronghua, ZHOU Lu, SHAN Fayong, LI Pingping 2020, 9 (2):  88-90.  doi: 10.3969/j.issn.2095-378X.2020.02.005 Abstract ( 193 )   PDF (1575KB) ( 1466 )   Save Objective To investigate the feasibility of catheterization with a super smooth interventional guidewire combined with a metal catheter and a conventional catheter for male patients who failed conventional catheterization. Methods A total of 205 male patients who failed conventional catheterization were treated with a super smooth interventional guidewire combined with a metal catheter and a conventional catheter. Results Of the 205 patients, 202 had successful catheterization and 3 failed. The success rate of primary catheterization was 98.53%, and the failure rate was 2.47%. Conclusion The use of super smooth interventional guidewire combined with metal catheter for catheterization is a simple, safe, and highly successful method, which is worthy of promotion in clinical practice. References | Related Articles | Metrics

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Comparative analysis on effects of ureteroscopic lithotripsy and percutaneous nephrolithotomy on kidney stones ZHANG Jie, LI Chunmao, LI Daping 2020, 9 (2):  91-93.  doi: 10.3969/j.issn.2095-378X.2020.02.006 Abstract ( 221 )   PDF (1156KB) ( 1166 )   Save Objective To investigate the effects of ureteroscopic lithotripsy and percutaneous nephrolithotomy on kidney stones. Methods From January 2017 to November 2019, a total of 100 patients with kidney stones (stone diameter≤2cm) admitted to our hospital were randomly divided into a ureteroscopy group (50 cases were treated by ureteroscopic lithotripsy) and a nephrolithotomy group (50 cases were treated by percutaneous nephrolithotomy). The surgical indicators (operation time, intraoperative blood loss, and hospital stay), stone clearance rate, and complic?ations were compared between the two groups. Results The amount of blood loss and the length of hospital stay in the ureteroscopy group were significantly lower than those in the nephroscopy group (P<0.05), and the differences in operation time and stone clearance rate between the two groups were not significant (P>0.05). The complication rate in the ureteroscopy group was significantly lower than that in the nephroscopy group (P<0.05). Conclusion Ureteroscopic lithotripsy has the same effect as percutaneous nephrolithotomy on kidney stones with a diameter≤2 cm. However, the amount of blood loss, the length of hospital stay, and complication rate during ureteroscopic lithotripsy are lower. Therefore, it is more suitable for patients with kidney stone diameter≤2 cm. References | Related Articles | Metrics

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Efficacy and prognosis of craniotomy hematoma removal and drilling and drainage for patients with subdural hematoma LIN Qiyan, HE Yongchao, ZHANG Xiaofeng 2020, 9 (2):  94-96.  doi: 10.3969/j.issn.2095-378X.2020.02.007 Abstract ( 223 )   PDF (1154KB) ( 1271 )   Save Objective To compare and analyze the symptoms of patients with chronic subdural hematoma treated with small bone window craniotomy hematoma removal and drilling and drainage, and the recurrence after surgery. Method A total of 85 patients with chronic subdural hematoma treated in our hospital from January 2014 to March 2020 were selected as study subjects, and divided into an observation group and a control group according to the treatment Methods provided. The observation group was treated with in-window craniotomy, while the control group was treated with drilling and drainage surgery. Comparisons of the symptoms and recurrence were made between of the two groups. Results There was no significant difference in symptom improvement between the two groups of patients after respective surgical treatments (P>0.05); there was also no significant difference in the incidence of complications after surgery between the two groups of patients. The observation group showed a significantly lower recurrence rate than the control group (P<0.05). Conclusion Both small bone window craniotomy hematoma removal and drilling and drainage have certain therapeutic effects on chronic subdural hematoma, and effectively alleviate patient’s symptoms. Small bone window craniotomy hematoma removal can produce a lower recurrence rate; therefore, it is worthy of popularization and application in clinical treatment. References | Related Articles | Metrics

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Effect of parenteral nutrition with fish oil on patients after gastrointestinal tumor surgery YAN Mingwen 2020, 9 (2):  97-99.  doi: 10.3969/j.issn.2095-378X.2020.02.008 Abstract ( 200 )   PDF (1138KB) ( 1181 )   Save Objective To investigate the effect of parenteral nutrition with fish oil on patients after gastrointestinal tumor surgery. Methods Sixty patients after gastrointestinal tumor surgery were randomly divided into an observation group (n=30, who received parenteral nutrition with fish oil) and a control group (n=30, who received conventional parenteral nutrition). The effects of the two groups were compared. Results After designed intervention, serum TP, ALB, PA, and TF in both groups were elevated, and the levels in the observation group were significantly higher than those in the control group (P<0.05); serum IL-6 and CRP and the incidence rate of complications in both groups were decreased, and the declines were steeper in the observation group than those in the control group (P<0.05). Conclusion Parenteral nutrition with fish oil not only provides better nutritional support for patients after gastrointestinal tumor surgery, but also reduces postoperative inflammatory reaction and complications, which is worthy of clinical promotion. References | Related Articles | Metrics

Review

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Reseach progress on development of Barrett esophagus to esophageal adenocarcinoma YAO Liwen, XU Shuchang 2020, 9 (2):  100-104.  doi: 10.3969/j.issn.2095-378X.2020.02.009 Abstract ( 228 )   PDF (1206KB) ( 1290 )   Save Barrett esophagus (BE) refers to the replacement of normal lamellar squamous epithelium in the lower esophagus by metaplasia of columnar epithelium. BE is the strongest risk for esophageal adenocarcinoma (EAC). The evolution and progression from BE to EAC has become the research focus of BE. Many key signaling factors and signaling pathways are involved. This paper reviewed the research progress on how BE evolves into EAC. References | Related Articles | Metrics

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Advances on treatment of liver diseases using mesenchymal stem cells WEI Yuhua, SHI Baomin 2020, 9 (2):  105-109.  doi: 10.3969/j.issn.2095-378X.2020.02.010 Abstract ( 136 )   PDF (1146KB) ( 1109 )   Save Various acute and chronic liver diseases seriously affect human health, but there is still a lack of effective treatment methods. Mesenchymal stem cells (MSCs) are pluripotent stem cells with the potential for multidirectional differentiation. They come from a wide range of sources and have low immunogenicity in allotransplantation. They are widely used in the treatment of a variety of clinical diseases and have been proved effective. Nowadays, MSCs have also been used in the studies about the treatment of liver diseases, and some achievements have been made. However, the specific mechanism of MSCs in the treatment of diseases is still unclear, and how to improve its treatment effect and efficiency need to be solved. This review summarized the research advances on MSCs in the treatment of liver diseases, and discussed the application prospect of MSCs in the future. References | Related Articles | Metrics

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Research progress on circRNA and infectious diseases CHEN Xi, WU Denglong 2020, 9 (2):  110-113.  doi: 10.3969/j.issn.2095-378X.2020.02.011 Abstract ( 223 )   PDF (1130KB) ( 1176 )   Save CircRNA is a kind of circular and closed-loop RNA. Because circRNA does not have 5′-end hat structure and 3′-end polyadenosine acidified tail structure, the expression of circRNA is more stable. As a hot spot in the field of RNA research, circRNA has been found to be associated with the occurrence of many diseases, including nervous system diseases, tumors, and diabetes. Infectious diseases refer to the local traumatic lesions and systemic inflammatory reactions related to impaired metabolic functions and tissue structures caused by the invasion, growth, and reproduction of bacteria, viruses, fungi, parasites and others in the human body. Current studies have proved that circRNA is associated with the occurrence of many infectious diseases. The paper reviewed the research progress on circRNA and infectious diseases. References | Related Articles | Metrics

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Research status and progress of non-tube percutaneous nephrolithotomy YU Guantian, LI Xuede 2020, 9 (2):  114-116.  doi: 10.3969/j.issn.2095-378X.2020.02.012 Abstract ( 212 )   PDF (1021KB) ( 1258 )   Save Percutaneous nephrolithotomy (PCNL) has gradually replaced the traditional open surgery as the main surgical method for the treatment of upper urinary tract calculi. Indwelling nephrostomy tubes and ureteral stents after traditional PCNL bring many problems. At present, PCNL has two major development trends, minimally invasive and non-tube. Non-tube PCNL has the advantages of short hospitalization time, low cost, and high patient comfort. However, there is no concensus on the indications and contraindications of non-tube PCNL, and there are postoperative bleeding, urogenic sepsis, and other complications in non-tube PCNL. With the continuing research on non-tube PCNL, this paper reviewed relevant research status and progress. References | Related Articles | Metrics

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Research progress on electroacupuncture-assisted anesthesia in thyroid surgery SHI Xiaowei, ZHU Junyong, PENG Sheng 2020, 9 (2):  117-119.  doi: 10.3969/j.issn.2095-378X.2020.02.013 Abstract ( 222 )   PDF (1046KB) ( 1319 )   Save The anatomical structure around thyroid gland is complex as there are many important vessels and nerves. At present, the main anesthesia methods for thyroid surgery are local anesthesia, nerve block, and general anesthesia. This paper reviewed the role of auxiliary acupuncture in thyroid surgery under different anesthesia modes, and clarified the advantages of acupuncture in thyroid surgery, aiming to provide reference for the scientific research on improving the clinical efficacy of acupuncture-drug anesthesia. References | Related Articles | Metrics

Medical instrument

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Research on the intelligent monitoring system of temperature and humidity in the cold storage management of medical drugs WU Xiaofen, ZHENG Yunlun, FENG Xiaoyong, LI Renjie, DONG Ningxin 2020, 9 (2):  120-124.  doi: 10.3969/j.issn.2095-378X.2020.02.014 Abstract ( 194 )   PDF (8138KB) ( 1078 )   Save Objective To improve the monitoring of refrigerator operation, the quality control and management of equipment, and the management of drug safety. Methods Based on wireless transmission technology, through employing temperature and humidity sensors and setting monitoring indicators, the temperature and humidity data were automatically monitored, collected, and uploaded in real time. Results It solved the problems of inaccurate refrigerator temperature monitoring, wrong transcripts, and untimely feedback in the departments of a tertiary class A hospital. It realized 24-hour real-time monitoring and early warning, reduced the workload of temperature and humidity management, and lowered management risk. Conclusion The study findings can meet different needs on cold chain monitoring of various departments of the hospital, especially the cold storage management of drugs in pharmacy departments and the cold storage management of samples in laboratory departments. References | Related Articles | Metrics

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Effectiveness of continuous improvement of rate of defibrillation monitors in good condition YIN Peng, HUANG Liang, CHEN Wen 2020, 9 (2):  125-128.  doi: 10.3969/j.issn.2095-378X.2020.02.015 Abstract ( 178 )   PDF (1459KB) ( 1296 )   Save Objective To continuously improve the rate of defibrillation monitors in good condition, increase the success rate of clinical rescue, and protect people’s lives. Methods Through investigating current situation, setting goals, cause analysis, countermeasure formulation, countermeasure implementation, and effect evaluation, the rate of defibrillation monitors in good condition was detected. Results After two years of continuous improvement, the rate of defibrillation monitors in good condidtion reached 100%. Conclusion Clinical engineers can perfect their work through scientific approaches, and can better summarize their work experience and improve their ability to better serve clinical needs. References | Related Articles | Metrics

Education and management on public health

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Investigation and analysis on research ability of clinical medical students with standardized residency training XUAN Miao, WANG Wei, HU Yu, HUANG Lei, YANG Jun, ZHANG Jing, JIN Lingjing, CHENG Liming 2020, 9 (2):  129-133.  doi: 10.3969/j.issn.2095-378X.2020.02.016 Abstract ( 189 )   PDF (1150KB) ( 1199 )   Save Objective To investigate and analyze the research ability of residents in Shanghai Tongji Hospital standardized residency training base. Methods An electronic questionnaire survey was condcuted among 68 residents in the standardized residency training base of Shanghai Tongji Hospital, which included basic information, research status, and research needs. Results Only 16.8% residents had undertaken scientific research projects, 55.88% residents had participated in scientific research projects, and 38.24% residents had scientific research outputs. More than 80% reported inadequate systematic scientific research training, but more than 60% were interested in scientific research work, and more than half of them were in urgent need of support in all aspects of scientific research. Conclusion In the selected hospital, 72.68% residents with standardized residency training have undertaken (16.8%) and participated in (55.88%) scientific research projects, and more than half of the residents show urgent need of support in all aspects of scientific research. It is suggested that residents focus on scientific research ability building， and schools and medical institutions give residents enough support in scientific research work to improve their scientific research ability and train them to become excellent doctors， teachers, and researchers in the future. References | Related Articles | Metrics

Nursing

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Safety control and nursing quality in operating rooms under checklist management during outbreak of coronavirus disease YAO Ying, QIAN Yingshan, TANG Ailin 2020, 9 (2):  134-138.  doi: 10.3969/j.issn.2095-378X.2020.02.017 Abstract ( 215 )   PDF (1139KB) ( 1252 )   Save Objective To explore safety control measures and procedures for operating room checklist management during the outbreak of coronavirus disease 2019 (COVID-19), and to ensure the quality of surgical safety and nursing care not affected by the epidemic. Methods Based on the COVID-19 diagnosis and treatment plan, the COVID-19 prevention and control plan, and technical guidelines on the prevention and control of COVID-19 in medical institutions, nursing care tasks in operating rooms were detailed and quantified, and various checklists were formulated to define and improve surgical safety prevention and control measures and procedures in operating rooms. Results During the epidemic, surgeries were succefully performed according to the checklist items, and no safty problems of surgical nursing were found. The checklists identified the respective responsibilities of nurses, improved the working system and workflow during the epidemic, and ensured sufficient supplies of surgical protection materials. Conclusion During the COVID-19 epidemic, checklist management can effectively adjust the nursing measures in operating rooms and optimize workflow. While ensuring surgical operations, it can effectively implement epidemic prevention and control, and improve the work efficiency and quality in operating rooms compared with previous work. References | Related Articles | Metrics

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Discussion on value of dietary management in perioperative period of pediatric gastrointestinal surgery based on accelerated rehabilitation concept WANG Fang 2020, 9 (2):  139-141.  doi: 10.3969/j.issn.2095-378X.2020.02.018 Abstract ( 212 )   PDF (1183KB) ( 1139 )   Save Objective To explore the perioperative dietary management in pediatric gastrointestinal surgery and its value based on the concept of accelerated rehabilitation. Methods From January 2017 to June 2019, 70 children who underwent gastrointestinal surgery in our hospital were selected as study subjects. According to the nursing Methods, they were divided into two groups: a control group (given routine perioperative dietary management) and a rehabilitation group (given the perioperative diet management based on the concept of accelerated rehabilitation), with 35 cases in each group. The first exhaust time, first defecation time, first eating time, hospitalization time, and adverse reactions between the two groups were compared. Results After corresponding nursing strategies, the time of first exhaust, first defecation, first eating, and hospitalization in the rehabilitation group were significantly shorter than those in the control group (P<0.05); the incidence rate of adverse reactions in the rehabilitation group was 5.71%, significantly lower than 22.86% in the control group (P<0.05). Conclusion Based on the concept of accelerated rehabilitation, perioperative dietary management can help the children with gastrointestinal surgery shorten treatment time, promote intestinal recovery, avoid various adverse reactions, and is more conducive to the rehabilitation of children than conventional dietary management. References | Related Articles | Metrics

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Effects of standardized workflow of chest pain for nurses on treatment of emergent acute myocardial infarction and cardiac function LIANG Yecai, LI Minyan, LAI Yinghong 2020, 9 (2):  142-145.  doi: 10.3969/j.issn.2095-378X.2020.02.019 Abstract ( 215 )   PDF (1300KB) ( 1241 )   Save Objective To evaluate the effects of standardized workflow of chest pain for nurses on the treatment of emergent acute myocardial infarction (AMI) and cardiac function. Methods A total of 120 AMI patients from March 2018 to March 2019 in our hospital were randomly divided into two groups, with 60 cases in each group. The control group was given routine nursing, while the observation group was given nursing care according to standardized workflow of chest pain. The success rate of AMI emergency treatment, as well as the time of the first electrocardiogram, venous access establishment, cTnT monitoring results, drug administration, family members signing informed consent, and ICU stay, were compared between the two groups; the left ventricular ejection fraction, NYHA grade of cardiac function, and the incidence of complications before and after nursing were also compared. Results The success rate of AMI emergency treatment in the observation group was significantly higher than that in the control group (P<0.05). After designed nursing care, the left ventricular ejection fraction and NYHA grade of the observation group were better than those of the control group (P<0.05). The time of the first electrocardiogram, venous access establishment, cTnT monitoring results, drug administration, family members signing informed consent, and ICU stay in the observation group were significantly shorter than those in the control group (P<0.05). The incidence rate of complications in the observation group was significantly lower than that in the control group (P<0.05). Conclusion The implementation of standardized workflow of chest pain for nurses to patients with AMI can achieve good treatment effects, shorten the time of nursing and rescue work, improve the success rate of rescue patients’ heart function, and reduce complications. References | Related Articles | Metrics

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Effects of modulated medium frequency electrotherapy and nursing interventions on postoperative adhesive intestinal obstruction GU Guihua, OUYANG Hua, ZHANG Xiongwen, LUO Min 2020, 9 (2):  146-148.  doi: 10.3969/j.issn.2095-378X.2020.02.020 Abstract ( 220 )   PDF (1159KB) ( 1361 )   Save Objective To study the effects of modulated medium frequency electrotherapy and nursing interventions on postoperative adhesive intestinal obstruction. Methods A total of 42 adhesive intestinal obstruction patients treated from January 2017 to October 2019 in our hospital were selected and randomly assigned to two groups, with 21 cases in each group. The control group took routine therapy and nursing care; the observation group took medium frequency electrotherapy and comprehensive nursing interventions. Nursing effects between the two groups were probed. Results The exhaust time, initial bowel sound time, and gastrointestinal recovery time in the observation group were significantly shorter than those in the control group (P<0.05); the watery stool time and gastric fluid clearance time in the observation group were also shorter than those in the control group (P<0.05); the total effective rate in the observation group (95.24%) was significantly higher than the rate in the control group (76.19%， P<0.05). Conclusion Applying modulated medium frequency electrotherapy and nursing interventions to patients with postoperative adhesive intestinal obstruction can improve gastrointestinal function and treatment prognosis, showing significant clinical effects. References | Related Articles | Metrics