Table of Content

28 September 2020, Volume 9 Issue 3 Previous Issue    Next Issue

Original article

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Influences of different local regional recurrence on prognosis of breast cancer patients after surgery JIN Hailong, WU Biao, ZHANG Yi 2020, 9 (3):  149-153.  doi: 10.3969/j.issn.2095-378X.2020.03.001 Abstract ( 198 )   PDF (591KB) ( 594 )   Save Objective To evaluate the influences of different local regional recurrence （LRR） on prognosis of breast cancer patients after surgery. Methods The clinical data of 96 patients with breast cancer who received surgical treatment in the departments of breast surgery of the First Affiliated Hospital of Nanchang University and of Shanghai Wusong Hospital from January 2010 to December 2016 were analyzed retrospectively. According to the location of LRR, the patients were divided into three groups： ipilateral breast tumor recurrence （IBTR） group （n=33）, chestwall recurrence （CR） group （n=35）, and regional lymph node recurrence （LNR） group （n=28）. The clinical efficacy and overall survival （OS） of the two groups were compared, and the factors affecting the prognosis of LRR patients were analyzed by logistic regression. Results The objective remission rate of the CR group was 28.57%, significantly lower than that of the ITBR group （54.55%, P<0.05）. There were significant differences between the death group and the survival group in terms of pathological type, pathological stage, LRR, lymphatic metastasis, treatment mode （surgery, chemotherapy, and radiotherapy） after recurrence, and the expressions of ER, PR, and HER-2 （P<0.05）. Multiple logistic regression analysis results showed that pathological stage, HER-2 （positive）, and LRR （CR） were independent risk factors for prognosis of LRR patients with local recurrence after breast cancer surgery （P<0.05）, while surgery after LRR was an independent protective factor for prognosis （P<0.05）. Kaplan-Meier survival curve analysis results showed that the median OS of patients with different LRR locations from high to low were 50.76 months in the ITBR group （95% CI： 46.91-54.61）, 41.58 months in the LNR group （95% CI： 37.81-45.34）, and 33.28 months in the CR group （95% CI： 29.84-36.71） （χ2=15.10, P<0.05）. Conclusion LRR locations of postoperative breast cancer are closely related to prognosis, and ITBR shows a better therapeutic effect and prognosis. Active surgical resection of recurrent lesions is of great significance to prolong survival and improve prognosis of breast cancer patients with LRR. References | Related Articles | Metrics

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Diagnosis and treatment of 12 cases of tape bladder invasion after TVT-O operation LIU Nanbin, WU Gang, BIAN Cuidong 2020, 9 (3):  154-157.  doi: 10.3969/j.issn.2095-378X.2020.03.002 Abstract ( 187 )   PDF (2819KB) ( 583 )   Save Objective To explore the effect of cystoscopy on the invasion of tape material into the bladder after tension-free vaginal tape obturator （TVT-O） operation. Methods A retrospective analysis was conducted on the clinical data of 12 cases of invasion of tape material into the bladder after TVT‐O operation, including causes, diagnosis and treatment methods, and results. Results All the 12 patients underwent successful removal of the invading tape under cystoscope, and recovered well after the operation with preoperative symptoms disappearing. At the follow-up visits 2 months later, except for 2 patients with recurrence of urinary incontinence symptoms, the remaining patients did not report discomfort. Conclusion There are various reasons for the tape invading the bladder after TVT-O. Cystoscopy is the best choice for tape invasion as it can diagnose the disease clearly and remove the invading tape materials in a minimally invasive, safe, and feasible way. References | Related Articles | Metrics

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Effects of ureteroscopic balloon dilatation on male urethral stricture LI Chaoming, GONG Jinwei, NAI Guoshuai, LI Haixia 2020, 9 (3):  158-160.  doi: 10.3969/j.issn.2095-378X.2020.03.003 Abstract ( 140 )   PDF (500KB) ( 695 )   Save Objective To investigate the efficacy and safety of ureteroscopic balloon dilatation on male urethral stricture. Methods Seventy male patients with urethral stricture treated in our hospital from January 2016 to May 2020 were randomly divided into an observation group （35 cases, ureteroscopic balloon dilatation） and a control group （35 cases, traditional urethral probe dilatation）. The therapeutic effects of the two groups were compared. Results The total effective rate of the observation group was significantly higher than that of the control group （P<0.05）. The maximum urinary flow rates of the two groups were both significantly increased after treatment （P<0.05）, and the maximum urinary flow rate of the observation group was significantly higher than that of the control group （P<0.05）. The incidence of complications of the observation group was significantly lower than that of the control group （P<0.05）. Conclusion Ureteroscopic balloon dilatation is effective and safe in the treatment of male urethral stricture and deserves clinical promotion. References | Related Articles | Metrics

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Comparison of short-term effects of two surgical methods on vertically unstable femoral neck fractures in young and middle-aged adults CAO Lei, PAN Changjun, DOU Lianrong, SUI Haiyan 2020, 9 (3):  161-165.  doi: 10.3969/j.issn.2095-378X.2020.03.004 Abstract ( 145 )   PDF (4816KB) ( 560 )   Save Objective To compare the short-term effects of hollow screw internal fixation and medial support plate-assisted hollow screw internal fixation via DAA approach on vertically unstable femoral neck fractures in young and middle-aged adults. Methods From April 2016 to February 2018, 23 young and middle-aged patients with unstable femoral neck fractures were randomly divided into two groups at admission： hollow screw internal fixation group （group A, 13 cases） and DAA approach medial support plate-assisted hollow screw internal fixation group （group B, 10 cases）. The intraoperative bleeding volume, operation time, intraoperative fluoroscopy times, postoperative wound infection, necrosis of femoral head, and nonunion of fracture, as well as Harris score and VAS pain score before and 6 months after operation were compared between the two groups. Results The group A showed less intraoperative bleeding volume, shorter operation time, and fewer fluoroscopy times than the group B did [（73.85±12.10） mL vs. （150.50±19.07） mL, （53.85±10.24） min vs. （86.00±12.65） min, （1.85±0.69） vs. （4.50±1.08）] （P<0.05）. The group A also showed a lower Harris score and a lower VAS pain score than the group B 6 months after operation （P<0.05）. Conclusion The internal fixation assisted by medial support plate via DAA approach for vertically unstable femoral neck fractures in young and middle-aged patients can achieve stable fixation and good recovery of hip function. References | Related Articles | Metrics

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Efficacy, surgical outcome, and prognosis of patients with lumbar disc herniation after modified foraminoplasty LIU Jianxin, WANG Zheng, LI Jian 2020, 9 (3):  166-169.  doi: 10.3969/j.issn.2095-378X.2020.03.005 Abstract ( 174 )   PDF (622KB) ( 620 )   Save Objective To explore the effects of one-step foraminoplasty technique with a Kirschner wire-guided large-diameter circular saw on lumbar disc herniation. Methods Sixty patients with lumbar disc herniation treated from January 2017 to December 2019 were selected and randomly divided into an experimental group and a control group. The experimental group was treated by one-step foraminoplasty technique with a Kirschner wire-guided large-diameter circular saw, and the control group was treated by conventional green, yellow, and red circular saws to enlarge the intervertebral foramen in turn. The time of intervertebral foramen forming, number of fluoroscopy, operation time, and visual analogue score before and after the operation, and treatment effect of the two groups were observed and recorded. Results The experimental group showed shorter intervertebral foramen forming time, smaller number of fluoroscopy, and less operation time than the control group did （P<0.05）. There were no significant differences in postoperative visual analogue score, treatment efficacy rate, and complications between the two groups （P>0.05）. Conclusion The one-step foraminoplasty with Kirschner wire-guided large-diameter circular saw is effective in the treatment of lumbar disc herniation. It can reduce the forming time of intervertebral foramen and the operation time of patients, and is worthy of promotion in clinical treatment. References | Related Articles | Metrics

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Clinical application of single pigtail catheter in urinary retention induced by benign prostatic hyperplasia HOU Mingqiang, CAI Qibo, JIAN Jiumao, ZHOU Lingxin, CAI Huanhuan 2020, 9 (3):  170-172.  doi: 10.3969/j.issn.2095-378X.2020.03.006 Abstract ( 191 )   PDF (584KB) ( 491 )   Save Objective To analyze the therapeutic effect of single pigtail catheter on urinary retention caused by prostatic hyperplasia. Methods A total of 62 patients with urinary retention caused by benign prostatic hyperplasia after catheterization failure were randomly divided into an observation group and a control group. In the observation group, 30 cases were treated by cystostomy with single pigtail catheter. In the control group, 32 cases were treated by cystostomy with regular catheter. The perioperative indices （operation time, fistula healing time, extubation time, and intraoperative blood loss） and postoperative complications （hematuria, fistula infection, bladder irritation sign, and fistulostomy blockage） were observed in the two groups. Results Shorter operation time, less intraoperative blood loss, and lower incidence of postoperative complications were observed in the observation group than those in the control group （P<0.05）. Conclusion Single pigtail catheter cystostomy has obvious advantages in the treatment of urinary retention caused by benign prostatic hyperplasia and is worthy of clinical application. References | Related Articles | Metrics

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Clinical value of CT measurement of screw channels before atlantoaxial pedicle screw implantation XU Gengtian, WANG Dechun, CHEN Jiyu, HUANG Qing, ZHUANG Huaiming, HONG Quan, CHEN Binyong, LIN Yihui 2020, 9 (3):  173-176.  doi: 10.3969/j.issn.2095-378X.2020.03.007 Abstract ( 142 )   PDF (1738KB) ( 455 )   Save Objective To analyze the data of atlantoaxial pedicle screw channel measured by spiral CT, so as to guide the clinical reasonable placement of pedicle screws. Methods From the database of the image center of our hospital, 100 patients’ cervical CT data from May 2017 to may 2019 were retrieved and used to measure the anatomical indicators of atlantoaxial pedicle screw channel by MPR. For patients who needed surgery, the measurement data were used to reasonably insert the pedicle screws. Comparisons were made in the indicators of atlas and axis between males and females, operation time, the amount of bleeding during operation, the success rate of one-time screw placement, and the length of hospital stay. Results There were no significant differences between males and females in the atlas L1, L2, L3, L4, L5, α angle, and β angle （P>0.05）, and the axis L1, L2, L3, L4, γ angle, and θ angle （P>0.05） .The average operation time of the 100 patients was （110.98±10.07） min, the average bleeding volume was （162.37±11.28） mL, the average hospitalization time was （14.79±1.27） d, and the success rate of one-time screw placement was 98.39%. Conclusion Applying spiral CT to obtain accurate anatomical data of atlantoaxial pedicle screw channel, in combination with multi-plane reconstruction technology to optimize screw channel selection plane, can improve the success rate of one-time screw placement. References | Related Articles | Metrics

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Curative effect of improved LIFT surgery on anal fistula CHU Jianwei 2020, 9 (3):  177-179.  doi: 10.3969/j.issn.2095-378X.2020.03.008 Abstract ( 228 )   PDF (527KB) ( 674 )   Save Objective To observe and compare the clinical effects of modified LIFT on anal fistula. Methods One hundred anal fistula patients receiving surgical treatment were divided into a control group and an observation group, with 50 cases in each group. The control group received traditional surgical treatment, while the observation group received modified LIFT surgery. The clinical efficacy, postoperative anal function, and complications of the two groups were retrospectively analyzed and compared. Results The total effective rate of the observation group was higher than that of the control group （98.00% vs. 82.00%, P<0.05）, the anal function 1 and 2 months after surgery was better （P<0.05）, and the incidence rate of complications was lower （2.00% vs. 26.00%, P<0.05）. Conclusion Compared with the traditional surgical method, the modified LIFT surgery has a significant effect on anal fistula with improved postoperative anal function and reduced risks of complications, which is worthy of clinical promotion. References | Related Articles | Metrics

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Effect of laparoscopic surgery on adhesive intestinal obstruction CHEN Ze, CHEN Qiang 2020, 9 (3):  180-182.  doi: 10.3969/j.issn.2095-378X.2020.03.009 Abstract ( 155 )   PDF (557KB) ( 613 )   Save Objective To investigate the effect of laparoscopic surgery on adhesive intestinal obstruction. Methods A total of 120 patients with adhesive intestinal obstruction admitted to our hospital from January 2014 to December 2017 were selected as study subjects and divided into open group （60 cases） and laparoscopic group （60 cases） according to the surgery they received. The surgery effects were compared between the two groups. Results The operation time, exhaustion time, ambulation time, and hospitalization time in the laparoscopic group were significantly shorter than those in the open group （P<0.05）, while the amount of bleeding during operation was significantly less （P<0.05）, and the incidence of complications was significantly lower （P<0.05）, in the laparoscopic group than those in the open group. Conclusion Laparoscopic surgery is safe and reliable for adhesive intestinal obstruction as it can shorten operation time, reduce intraoperative bleeding and postoperative complications, and promote postoperative rehabilitation. References | Related Articles | Metrics

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Application of low tube voltage CT angiography in preoperative examination of children with cardiovascular malformation YE Gang, DI Duoduo, LIU Zhongjie 2020, 9 (3):  183-186.  doi: 10.3969/j.issn.2095-378X.2020.03.010 Abstract ( 155 )   PDF (633KB) ( 533 )   Save Objective To investigate the application of low tube voltage CT angiography in the preoperative examination of children with cardiovascular malformation. Methods A total of 82 children with cardiovascular malformation who underwent CT angiography from April 2018 to April 2019 were selected and divided into a control group and an observation group according to age and gender. Both scanned at a fixed current of 150mA, the 40 patients in the control group were given a voltage of 120 kV, and the 42 patients in the observation group were given a voltage of 90 kV. The excellent rate of images, signal-to-noise ratio （SNR）, contrast-to-noise ratio （CNR）, signal strength of target tissue, and background noise, as well as CT dose index volume （CTDIvol）, dose-length product （DLP）, and effective dose （ED） between the two groups were compared. Results There were no significant differences between the two groups in the excellent rate of images, SNR, and CNR （P>0.05）. The signal strength of target tissue and background noise in the observation group were significantly higher than those in the control group, and the CTDIvol, DLP, and ED were significantly lower （P<0.05）. Conclusion Low tube voltage CT angiography applied in the preoperative examination of children with cardiovascular malformation can decrease radiation dose and have a less effect on image quality; therefore, it is worthy of clinical promotion and application. References | Related Articles | Metrics

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Application of hypobaric ropivacaine hydrochloride for unilateral spinal anesthesia in elderly patients with hip surgery WU Haibin, ZHAO Chunjiang, HUANG Zhongyang, LUO Nairong, LI Guangxiang, OU Jianying, LIN Fengyi 2020, 9 (3):  187-189.  doi: 10.3969/j.issn.2095-378X.2020.03.011 Abstract ( 124 )   PDF (536KB) ( 497 )   Save Objective To analyze the effect of unilateral lumbar anesthesia with hypobaric ropivacaine hydrochloride on hemodynamic parameters and incidences of adverse reactions in elderly patients with hip surgery. Methods A total of 98 elderly patients undergoing hip surgery in our hospital were selected and randomly divided into two groups, with 49 cases in each group. The control group were given hyperbaric ropivacaine hydrochloride for spinal anesthesia, while the experimental group were given hypobaric ropivacaine hydrochloride. Then, the hemodynamic changes （MAP and HR） before and after anesthesia, sensory block, onset time and maintenance time of anesthesia, as well as the incidences of adverse reactions of patients were recorded. Results The onset time, block time, and maintenance time of anesthesia of the experimental group were shorter than those of the control group （P<0.05）. The Bromage score of the control group was 2.13±0.86 and that of the experimental group was 2.89±0.23, and the difference was statistically significant （P<0.05）. After anesthesia, the onset of motor block of the control group was slower than that of the experimental group, and the maintenance of anesthesia of the experimental group was longer than that of the control group （P<0.05）. After anesthesia, the experimental group showed less declines in MAP and lower incidences of adverse reactions than the control group did （P<0.05）. Conclusion Unilateral spinal anesthesia with hypobaric ropivacaine hydrochloride features quick onset, long duration of anesthesia, perfect analgesia, few side effects, and few hemodynamic changes in elderly hip surgery, thus it is worth promoting. References | Related Articles | Metrics

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Clinical observation of elastic puncture for scoliosis QUAN Ke 2020, 9 (3):  190-192.  doi: 10.3969/j.issn.2095-378X.2020.03.012 Abstract ( 139 )   PDF (564KB) ( 548 )   Save Objective To investigate the therapeutic effect of needle knife elastic pricking method in patients with scoliosis. Methods From January 2016 to December 2018, 80 cases of scoliosis were selected and divided into two groups with 40 cases each according to the order of admission. The control group received routine treatment, and the observation group adopted the elastic puncture treatment using needle knife elastic pricking method. Comparisons of treatment effects were made between the two groups. Results After treatment, the angle of Cobb of the observation gronp was smaller than that of the control group, and the total therapeutic efficiency, the average correction rate, and the average height increment of the observation group were higher than those of the control group （P<0.05）. Conclusion After elastic puncture with needle knife elastic pricking method, the symptoms of the scoliosis patients are obviously alleviated; therefore, the method deserves clinical promotion. References | Related Articles | Metrics

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Clinical effect of minocycline hydrochloride combined with tinidazole on chronic periodontitis and its effect on Th17 and Treg XU rui 2020, 9 (3):  193-196.  doi: 10.3969/j.issn.2095-378X.2020.03.013 Abstract ( 143 )   PDF (582KB) ( 423 )   Save Objective To study the changes of peripheral blood helper T cells （Th17） and regulatory T cells （Treg） in oral therapy. Methods Sixty patients with chronic periodontitis treated from June 2018 to June 2019 were selected and randomly divided into a control group and an observation group, with 30 cases in each group. The control group was treated with minocycline hydrochloride, while the observation group was treated with tinidazole additionally. The treatment efficiency and periodontitis-related indicators such as plaque index （PLI）, tooth looseness （MD）, periodontal pocket depth （PPD）, periodontal attachment level （PAL）, gingival index （GI）, peripheral blood Th17 and Treg levels, and incidence of adverse reactions were compared between the two groups. Results After the designed treatment, the total effective rate in the observation group was 92.42% （61/66）, which was higher than 70.97% （44/62） in the control group （P<0.05）; the PLI, MD, PPD, PAL, GI, and the levels of Th17 and Treg in the observation group were lower than those in the control group （P<0.05）. The incidence rate of adverse reactions in the observation group was 6.67% （2/30）, which was lower than 10.0% （3/30） in the control group （P>0.05）. Conclusion The clinical effect of minocycline hydrochloride combined with tinidazole on chronic periodontitis is significant. It can effectively alleviate the clinical symptoms such as tooth mobility, swelling, and pain, optimize immune function, weaken inflammatory response, and have a high safety level; therefore, it is worthy of clinical application. References | Related Articles | Metrics

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Clinical dilemma of xanthogranulomatous cholecystitis XU Yan, LIU Nanbin 2020, 9 (3):  197-200.  doi: 10.3969/j.issn.2095-378X.2020.03.014 Abstract ( 157 )   PDF (566KB) ( 620 )   Save Xanthogranulomatous cholecystitis （XGC）, a rare and special type of cholecystitis, is identified as benign lesions but tends to invade and destroy the surrounding tissues and organs, and its clinical characteristics are not specific. There is no consensus on its diagnosis and treatment, especially the differential diagnosis with gallbladder cancer （GBC）. Conflicts and controversies have always run through the choice of preoperative diagnosis and surgical treatment of XGC. This article mainly reviewed the incidence, clinical characteristics, and the difficulties in diagnosis and treatment of XGC. References | Related Articles | Metrics

Medical instrument column

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Information solutions for cardiac intervention center based on integrated information management platform WANG Hao 2020, 9 (3):  201-203.  doi: 10.3969/j.issn.2095-378X.2020.03.015 Abstract ( 164 )   PDF (4920KB) ( 377 )   Save Objective Taking the construction of a comprehensive information management platform of cardiac intervention center in our hospital as an example, to discuss how to use information technology to better serve various departments and promote medical treatment, scientific research, teaching, and management. Methods The hospital needs were analyzed. Data sources with high integrity and accuracy were selected to carry out iterative development by stages and focuses. With the gradual effecting of technology intelligence on hospital management decision support, the expansion of hospital information system, the accumulation of data, and the upgrading of technology, new contents, functions, and applications were constantly introduced. Results Through the construction of a comprehensive information management platform, the internal application systems of the hospital were effectively connected, and a comprehensive analysis of data from different sources was achieved. Thus the work efficiency, data analysis quality, and equipment and bed turnover rates of cardiac intervention departments were improved. Conclusion Starting from the hospital strategy and the most urgent problems, in the face of a variety of decision support application scenarios, the use of information technology can achieve the decision support in aspects of medical treatment, teaching, research, and management for various departments in the hospital. References | Related Articles | Metrics

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Design and application of performance appraisal scheme based on standardized management of surgical consumables GU Wei 2020, 9 (3):  204-206.  doi: 10.3969/j.issn.2095-378X.2020.03.016 Abstract ( 131 )   PDF (635KB) ( 519 )   Save Objective To discuss how to further strengthen the standardized management of surgical consumables, deepen hospital cost accounting, ensure the efficient and safe development of medical work, and establish and improve the scientific management service system centered on social and economic benefits. Methods A standardized and refined management of surgical consumables was conducted according to different departments and diseases. The consumables used in surgeries were divided into therapeutic consumables and auxiliary consumables. A performance appraisal system for standardized management of surgical consumables was formulated. Results Through the management and control of performance appraisal, surgical consumables were used rationally. Conclusion Strengthening the performance appraisal of the use of surgical consumables, especially the use of clinical auxiliary consumables, is helpful to standardize the management of surgical consumables, reasonably reduce medical costs, and ensure the efficient and safe development of medical work. References | Related Articles | Metrics

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Study on policy evaluation on medical consumable reform in Shanghai public hospitals ZHANG Xujing 2020, 9 (3):  207-210.  doi: 10.3969/j.issn.2095-378X.2020.03.017 Abstract ( 124 )   PDF (580KB) ( 486 )   Save Objective At present, the research on medical consumables mainly is from a macro perspective. Focusing on the medical reform of consumables, this study analyzed the implementation of current medical consumables reform policy through a systematic policy evaluation theory. Methods Based on the policy evaluation theory, game theory, and information asymmetry, the evaluation elements and interview contents of the study were obtained after reviewing the reform policy of medical consumables, analyzing the main body of medical consumables, and expert discussion, which formed an evaluation. Results The evaluation results were analyzed from the perspective of policy evaluation and used to discuss how to implement the original intention of medical reform in public hospitals in the new round of medical consumable reform. At the same time, we should keep the public welfare and achieve a balance in our own development and put forward relevant suggestions. Conclusion While the public hospitals are implementing and promoting the reform of medical consumables is being carried out in public hospitals, all parties of medical consumables should further cooperate to promote the overall medical and health system reform. References | Related Articles | Metrics

Nursing

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Preventive effects of predictive nursing on perioperative hypoproteinemia in patients with cervical spinal fracture WEI Yan, MAO Haimin 2020, 9 (3):  211-213.  doi: 10.3969/j.issn.2095-378X.2020.03.018 Abstract ( 166 )   PDF (598KB) ( 561 )   Save Objective To investigate the effects of predictive nursing on perioperative hypoproteinemia in patients with cervical spinal fracture. Methods Eighty patients with cervical spinal fracture treated from April 2018 to January 2020 were blindly divided into an observation group （n=40） and a control group （n=40）. The control group was given routine nursing, and the observation group was given predictive nursing intervention based on the control group. The changes of albumin were compared between the two groups. Results The levels of albumin in the observation group were significantly higher than those in the control group at postoperative 1 d, 3 d, and 7 d （P<0.05）. Conclusion Predictive nursing for patients with cervical spinal fracture can effectively prevent the incidence of perioperative hypoproteinemia, and is worthy of clinical promotion and application. References | Related Articles | Metrics

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Application of graphic method based on visual management theory in school-age children with tonsillectomy LIANG Xuejing, MA Ruifang, RUAN Yisha 2020, 9 (3):  214-218.  doi: 10.3969/j.issn.2095-378X.2020.03.019 Abstract ( 137 )   PDF (694KB) ( 521 )   Save Objective To explore the application of graphic method based on visual management theory in school-age children with tonsillectomy. Methods A total of 160 school-age children admitted to pediatric otolaryngology department for tonsillectomy from June 2019 to March 2020 were selected and divided by random number table method into a traditional nursing and education group （traditional group, n=80） and a nursing and education group using graphic method （graphic group, n=80）. On the basis of routine nursing, the traditional group were intervened by traditional nursing and education, and the graphic group by the nursing and education using graphic method based on visual management theory. The two groups were compared in education time, operation time, hospital stay, surgical complications, and perioperative nursing care satisfaction. Results After the intervention of nursing and education using graphic method based on visual management theory, the education time, operation time, and hospitalization time of the children in the graphic group were significantly shorter than those in the traditional group （P < 0.05）, the incidence rate of postoperative complications was significantly lower （P<0.05）, and the perioperative nursing care satisfaction was significantly higher （P<0.05）. Conclusion The intervention of nursing and education using graphic method based on visual management theory can significantly shorten education time, operation time, and hospital stay of the children with tonsillectomy, effectively control the occurrence of postoperative complications, and improve the perioperative nursing care satisfaction of the children and their families, thereby establish a good nurse-patient relationship, enhance the compliance of the children, and accelerate post-operation rehabilitation. Such an intervention is important for children to obtain high-quality prognosis outcomes and is worthy of clinical popularization and application. References | Related Articles | Metrics

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Effect of one-stop nursing service on outpatient pregnant women TONG Mingxiu, HAO Hui, CAI Youqun, WEI Miaoshou 2020, 9 (3):  219-221.  doi: 10.3969/j.issn.2095-378X.2020.03.020 Abstract ( 128 )   PDF (562KB) ( 490 )   Save Objective To explore the effect of one-stop nursing service on outpatient pregnant women. Methods A total of 200 pregnant women admitted from February to December 2019 were selected as study subjects and randomly divided into an observation group and a control group. The control group received traditional nursing service, and the observation group received one-stop nursing service. Comparisons in registration time, waiting time, and nursing satisfaction were made between the two groups. Results The control group showed longer registration time and waiting time than the observation group did （P<0.05）, higher incidence rates of complaints and doctor-patient conflicts （P<0.05）, and a lower nursing satisfaction score. Conclusion The implementation of one-stop nursing service for outpatient pregnant women can significantly improve nursing effect and patient’s satisfaction, and deserves clinical promotion. References | Related Articles | Metrics

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Effect of bed unit making on the number of airborne bacteria in wards SUN Ping, GUO Yufang 2020, 9 (3):  222-224.  doi: 10.3969/j.issn.2095-378X.2020.03.021 Abstract ( 126 )   PDF (551KB) ( 348 )   Save Objective To explore the effect of bed unit making on the number of bacteria in the air of wards. Methods In the surgical intensive care units where 10 bed units were made, the plate settling method was used to monitor and compare the airborne bacterial count and bacterial composition at 5 min before and 30 min after making bed units. Results The number of bacterial colonies in the air of the wards was not higher than 200.34 cfu / m3 at 5 min before the bed units were cleaned in all samples, and exceeded 200 cfu / m3 at 30 min after the bed units were cleaned in 80% samples. The number of bacterial colonies in the bed units after 30 min was significantly higher than that before 5 min of bed unit making. The number of airborne bacteria in the wards increased significantly after bed unit making, but the composition of bacteria did not change much. Conclusion Nurses need to pay attention to bed sweeping, ventilation, personnel activity control during making bed units, as well as subsequent disinfection and sterilization, to reduce the adverse effects of bed unit making on the number of airborne bacteria in the wards, thereby reducing nosocomial infection incidences. References | Related Articles | Metrics