Table of Content

28 December 2020, Volume 9 Issue 4 Previous Issue    Next Issue

Original article

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Clinical analysis of 3D printing technology assisted pedicle screw placement in treatment of thoracolumbar fractures LI Huixi, ZHANG Jianrong, ZHANG Guofu, ZOU Jianping 2020, 9 (4):  225-227.  doi: 10.3969/j.issn.2095-378X.2020.04.001 Abstract ( 142 )   PDF (1213KB) ( 503 )   Save Objective To analyze the clinical effect of 3D printing technology assisted pedicle screw placement on thoracolumbar fractures. Methods Forty patients with thoracic and lumbar spine fractures admitted from July 2017 to July 2019 were selected as study subjects. Among them, 20 patients underwent conventional pedicle screw placement and were included as the control group; the other 20 patients underwent 3D printing technology assisted pedicle screw placement after physician observation and stimulated operation were included as the observation group. The perioperative indicators, screw placement effect, reduction of injured vertebrae, and complications were compared between the two groups. Results The operation time, amount of blood loss, amount of blood transfusion, and number of X-ray exposure in the observation group were less than those in the control group （P<0.05）. The number of screws used in the observation group was less than that in the control group, and the accuracy of screw placement was higher （P<0.05）. Six months after the operation, the ratio of anterior to posterior vertebrae height in the observation group was larger than that in the control group, and the sagittal kyphosis Cobb angle was smaller （P<0.05）. The incidence of postoperative complications in the observation group was lower than that in the control group （P<0.05）. Conclusion The use of 3D printing technology to assist physicians in the treatment of thoracolumbar fractures with pedicle screws can effectively reduce the difficulty of surgery, improve the quality of surgery, and achieve a more ideal fracture reduction effect. References | Related Articles | Metrics

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Effect of NOSES on left colon cancer and risk factors affecting prognosis YAN Hailan 2020, 9 (4):  228-230.  doi: 10.3969/j.issn.2095-378X.2020.04.002 Abstract ( 159 )   PDF (1201KB) ( 539 )   Save Objective To investigate the curative effect of natural orifice specimen extraction surgery （NOSES） on left colon cancer and the risk factors affecting prognosis. Methods Sixty patients with left colon cancer in our hospital from January 2016 to January 2019 were enrolled in the retrospective analysis and divided into an observation group （NOSES） and a control group （conventional radical operation）. Relevant operation indices and complications between the two groups were compared, and the factors affecting prognosis were analyzed. Results The observation group showed longer operation time as well as less intraoperative blood loss, postoperative anal exsufflation time, and hospital stay than the control group did （P<0.05）; the incidence rate of complications in the observation group was lower than that in the control group （10.0% vs. 33.3%, P<0.05）. The results of single factor analysis and multiple logistic regression model showed that tumor differentiation degree, tumor stage, tumor location, postoperative chemotherapy, and lymph node metastasis were the independent factors affecting the prognosis of patients with left colon cancer （P<0.05）. Conclusion NOSES is an effective surgery for left colon cancer, producing less complications. Special attention should be paid to tumor differentiation degree, tumor stage, postoperative chemotherapy, and lymph node metastasis, so as to improve the overall curative effect. References | Related Articles | Metrics

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Relationship between clinicopathologic features and prognosis of breast phyllodes tumor ZHOU Canhuan, LI Hongquan, LI Li, TAN Chaohua 2020, 9 (4):  231-233.  doi: 10.3969/j.issn.2095-378X.2020.04.003 Abstract ( 191 )   PDF (1165KB) ( 595 )   Save Objective To investigate the relationship between clinicopathologic features and prognosis of breast phyllodes tumor. Methods Fifty breast phyllodes tumor patients treated from January 2015 to January 2018 in our hospital were enrolled in the study and assessed for two-year recurrence rate and influencing factors of prognosis. Results Among the 50 cases, 13 cases （26.00%） recurred in two years; the recurrence was closely related to tumor size, age, tumor type, operation method, nuclear division, and mesenchyma （P<0.05）. Conclusion Benign breast phyllodes tumor has the clinicopathologic features of poor invasion, slow progression, and early onset. Its prognosis is closely related to nuclear division, mesenchyma, operation method, tumor type and diameter, age of disease onset, etc. References | Related Articles | Metrics

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Clinical effect of ureteroscopic lithotripsy using Swiss Lithoclast on middle and lower ureteral calculi with infection WANG Chunqiu, LI Yuqin, MENG Xianguo, CHEN Yingchao, ZHONG Xueyu 2020, 9 (4):  234-236.  doi: 10.3969/j.issn.2095-378X.2020.04.004 Abstract ( 161 )   PDF (1229KB) ( 582 )   Save Objective To investigate the clinical effect of ureteroscopic lithotripsy using Swiss Lithoclast （URSL） on middle and lower ureteral calculi complicated with infection. Methods Sixty middle and lower ureteral calculi patients with infection treated from January 2017 to July 2020 were selected and divided into a control group （n=30） and a study group （n=30） by random stratification method. The control group was treated with extracorporeal shock wave lithotripsy （ESWL）; the study group was treated with URSL. Surgical effects were probed. Results The one-time removal rate in the study group （90%） was higher than that in the control group （76.67%）. The complication rate in the study group （6.67%） was lower than that in the control group （26.67%, P<0.05）. Before surgery, the levels of procalcitonin, leukocyte （LEU）, hypersensitive C-reactive protein （hs-CRP）, creatinine, and white blood cell count between the two groups were not significantly different （P>0.05）： After surgery, the five indicators in the study group were significantly lower than those in the control group （P<0.05）. Conclusion URSL has better effects than ESWL for middle and lower ureteral calculi patients. References | Related Articles | Metrics

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CT guided puncture drainage combined with urokinase in treatment of hypertensive intracerebral hemorrhage LIN Shunjiang, YIN Shanlang, MO Junlin 2020, 9 (4):  237-240.  doi: 10.3969/j.issn.2095-378X.2020.04.005 Abstract ( 193 )   PDF (1284KB) ( 556 )   Save Objective To investigate the effect of stereotactic guided hematoma puncture drainage combined with urokinase on moderate hypertensive cerebral hemorrhage. Methods A total of 230 patients with moderate hypertensive intracerebral hemorrhage admitted from June 2014 to June 2020 were selected and randomly divided into two groups, 115 cases in each group. The control group was treated by traditional craniotomy and the observation group was treated with urokinase. Residual hematoma, Glasgow outcome score （GOS）, inflammatory factors, complication rate were compared between the two groups after 7 days of designed treatment and 3 months of follow-up. Results The observation group showed less amount of residual hematoma 3 and 7 days after operation, and a higher GOS score 3 months after operation that the control group did （P<0.05）. The inflammatory factors 7 days after operation in both groups were lower than those before operation （P<0.05）. After 7 days of operation, the levels of NSE, IL-6, S100β, and TNF-α in the observation group were lower than those in the control group （P<0.05）. Cox survival curve analysis revealed that the prognosis of patients with moderate hypertensive intracerebral hemorrhage was related with blood loss and consciousness at admission awareness （P<0.05）, but not with age and gender （P>0.05）. The incidence of complications in the observation group within 3 months after surgery （4.00%） was lower than that in the control group （16.00%, P<0.05）. Conclusion Stereotactic guided hematoma puncture and drainage combined with urokinase therapy for moderately hypertensive intracerebral hemorrhage patients can effectively remove hematoma, improve prognosis, and reduce the incidence of complications. References | Related Articles | Metrics

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Clinical observation of mini incision and suspension fixation to treat severe circular mixed hemorrhoids ZHAO Jinxiang, DONG Jun, YANG Qiliang 2020, 9 (4):  241-243.  doi: 10.3969/j.issn.2095-378X.2020.04.006 Abstract ( 151 )   PDF (1235KB) ( 484 )   Save Objective To observe the clinical effect of mini incision and suspension fixation on severe circular mixed hemorrhoids. Methods A total of 144 patients with severe circular mixed hemorrhoids were randomly divided into a control group and a treatment group. The control group was treated with traditional external stripping and internal ligation, while the treatment group was treated with mini incision and suspension fixation. Operation effect, postoperative pain, edema, bleeding, anal stenosis, and wound healing time were compared between the two groups. Results The curative rate of mini incision and suspension fixation was similar to that of traditional external stripping and internal ligation, but there were significant differences in postoperative pain,bleeding, edema, anal stenosis, and wound healing time between the two groups （P<0.05）. Conclusion Mini incision and suspension fixation is effective in the treatment of severe circular mixed hemorrhoids, with small wound, little pain, less bleeding, a low edema rate,short wound healing time, and a low rate of anal stenosis. References | Related Articles | Metrics

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Clinical observation of laparoscopic cholecystectomy in combination with common bile duct exploration and lithotripsy in treatment of cholecystolithiasis combined with choledocholithiasis YANG Kai, ZENG Zhifeng 2020, 9 (4):  244-245.  doi: 10.3969/j.issn.2095-378X.2020.04.007 Abstract ( 150 )   PDF (1222KB) ( 421 )   Save Objective To observe the clinical effect of laparoscopic cholecystectomy in combination with common bile duct exploration and lithotripsy on cholecystolithiasis combined with choledocholithiasis. Methods Eighty patients with cholecystolithiasis complicated with choledocholithiasis in our hospital were divided into a control group （n=40）, who underwent routine laparotomy, and an observation group （n=40）, who underwent laparoscopic common bile duct exploration and lithotripsy. The results of surgical treatment, quality of life scores, and VAS pain scores before and after operation were compared between the groups. Results The abdominal drainage time and hospitalization time in the observation group were shorter than those in the control group （P<0.05）. No differences were found in the quality of life scores and VAS pain scores before treatment between the two groups; but after treatment, the quality of life scores and VAS pain scores in the observation group were also shorter than those in the control group （P<0.05）. Conclusion Cholecystectomy in combination with laparoscopic common bile duct exploration and lithotripsy for cholecystolithotomy combined with choledocholithiasis can effectively improve the curative effect and promote the recovery of patients, which is worth promoting. References | Related Articles | Metrics

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Comparison of clinical effects of autologous limbal stem cell transplantation and amniotic membrane transplantation on pterygium SONG Yuchen, JIN Shangli, YE Jiaying 2020, 9 (4):  246-249.  doi: 10.3969/j.issn.2095-378X.2020.04.008 Abstract ( 121 )   PDF (1222KB) ( 494 )   Save Objective To compare the clinical effects of limbal stem cell transplantation and amniotic membrane transplantation on pterygium. Methods A total of 130 patients （142 eyes） with pterygium admitted from January 2018 to June 2020 were selected as study subjects and autologous were divided into two groups according to treatment methods. The 65 patients （70 eyes） treated with pterygium resection and limbal stem cell transplantation were included in group A, and another 65 patients （72 eyes） treated with pterygium resection and amniotic membrane transplantation were included in group B. Corneal wound healing time, corneal astigmatism, tear film stability, and reactive hyperemia index were recorded, and recurrence after surgery were also observed. Results The corneal wound healing time in the group A[（4.58±1.04） d] was shorter than that in the group B [（6.85±1.22） d] （P<0.05）. After 1 week of surgery, the tear film stability was significantly better （P<0.05）, and the reactive hyperemia index was significantly lower （P<0.05） in the group A than in the group B. After 1 month of surgery, the corneal astigmatisms of the two groups were both improved than before, and there was no significant difference between the two groups （P>0.05）. After 3 months of surgery, the recurrence rate in the group A （3.08%） was significantly lower than that in the group B （13.85%） （P<0.05）. Conclusion Both autologous limbal stem cell transplantation and amniotic membrane transplantation for the treatment of pterygium can improve patients’ corneal astigmatism. However, autologous limbal stem cells are derived from autologous ocular surface tissues and produce fewer rejection reactions, so they are more helpful for wound healing and recurrence reduction. References | Related Articles | Metrics

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Influencing factors of lens posterior capsule rupture in patients with cataract surgery HU Ran, YU Jiang, XU Jin, LIU Xiaojuan, YANG Fang 2020, 9 (4):  250-252.  doi: 10.3969/j.issn.2095-378X.2020.04.009 Abstract ( 209 )   PDF (1200KB) ( 749 )   Save Objective To investigate the influencing factors of lens posterior capsule rupture （PCR） in patients with cataract surgery. Methods The clinical data of 73 patients with cataract who underwent surgery and completed follow-up from May 2018 to May 2020 were retrospectively analyzed. According to the occurrence of intraoperative lens PCR, they were divided into an occurrence group （n=16） and a non-occurrence group （n=57）. Possible influencing factors of lens PCR in patients with cataract surgery were included after careful review of their clinical data, and identified through univariate and multiple logistic regression analyses. Results The results of multiple logistic regression analysis showed that male, lens nucleus hardness ≥ grade Ⅲ, and combination with vitreous hemorrhage were the influencing factors for the occurrence of lens PCR in patients with cataract surgery, and coresponding OR （95%CI） were 18.121 （4.392-74.767）, 18.700 （4.829-72.417）, and 37.333 （7.215-193.187）, respectively, all P<0.05. Conclusion The occurrence of lens PCR in patients with cataract surgery is associated with multiple factors such as male, lens nucleus hardness ≥ grade Ⅲ, and combination with vitreous hemorrhage. Close attention in clinical care and active prevention and control measures are required to reduce the incidence of lens PCR in patients with cataract surgery. References | Related Articles | Metrics

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Clinical observation of modified lower blepharoplasty for lower eyelid rejuvenation HU Xingwei, MA Lingyun 2020, 9 (4):  253-256.  doi: 10.3969/j.issn.2095-378X.2020.04.010 Abstract ( 193 )   PDF (7197KB) ( 310 )   Save Objective To explore the clinical effect of modified lower blepharoplasty for lower eyelid rejuvenation. Methods A total of 101 cases treated by modified lower blepharoplasty with skin incision from May 2018 to May 2020 were selected in the retrospective analysis. Surgical procedures included subcutaneous and muscular decohesion, orbital septum fat release and displacement, orbicularis oculi muscle and suborbicularis oculi fat （SOOF） lifting, lateral canthal anchoring, and pretarsal fullness reconstruction of the lower eyelid. Postoperative clinical effect was evaluated. Results In the selected 101 patients, the appearances of blepharochalasis, lower eyelid bags, lacrimal sulcus deformity, middle face ptosis were improved with varying degrees. Among them, 79 cases （78.22%） were markedly effective, 31 cases （30.69%） were effective, and 1 case （0.9%） was ineffective; the total effective rate was 99%. One case developed mild lower eyelid ectropion and recovered immediately after lateral tarsal strip procedure; the complication rate was 0.9%. The preoperative and postoperative 1-, 3-, and 6-month satisfaction scores of the patients were 1.66±0.48, 3.92±0.76, 4.32±0.62, and 4.62±0.55, respectively. The difference between postoperative and preoperative scores was statistically significant （P<0.05）. Conclusion Modified lower blepharoplasty can effectively rejuvenate lower eyelid, with the advantages of good and permanent overall effect, fewer complications, and high satisfaction. References | Related Articles | Metrics

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Effect of epidural labor analgesia on pregnancy outcome in pregnant women with oxytocin induced labor CHEN Yun, YAN Guimin, ZHU Hai, JIA Xiaojun 2020, 9 (4):  257-259.  doi: 10.3969/j.issn.2095-378X.2020.04.011 Abstract ( 132 )   PDF (1201KB) ( 546 )   Save Objective To investigate the effect of timing and mode of labor analgesia during labor induction with oxytocin on pregnancy outcome. Methods A total of 260 parturients requiring labor analgesia induced by oxytocin in Shanghai Putuo District Maternal and Child Health Hospital from January to July 2020 were randomly divided into an early catheterization analgesia group （n=130） and a routine analgesia group （n=130） according to labor analgesia program. The delivery outcome, duration of labor, lateral incision rate, amount of postpartum hemorrhage, and Visual Analogue Scale （VAS） score were compared between the two groups. Results The VAS score before analgesia in the early catheterization analgesia group was significantly lower than that in the routine analgesia group （7.82±0.92 vs. 8.34±0.83, P<0.05）. Although the VAS score after catheterization in the early catheterization analgesia group was slightly higher than that in the routine analgesia group （4.60±0.75 vs. 4.19±0.85, P<0.05）, there was no significant difference in the score after analgesia between the two groups （3.91±0.71 vs. 3.88±0.69, P>0.05）. There were no significant differences in the time of labor, the rate of lateral incision,the amount of postpartum hemorrhage, the rate of forceps delivery, and the rate of cesarean section between the two groups. Conclusion Early catheterization analgesia can relieve uterine contraction pain in the early stage of labor when the VAS score is low, while not affecting labor, not increasing the bleeding rate, lateral incision rate, vaginal delivery rate, and cesarean section rate, and not reducing the neonatal score. It helps relieve the negative mood of pregnant women, and improve the outcome of vaginal delivery,thus is worth popularizing. References | Related Articles | Metrics

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Retrospective analysis on anesthesia management in surgical treatment of hyperparathyroidism secondary to uremia SHENG Haifeng 2020, 9 (4):  260-262.  doi: 10.3969/j.issn.2095-378X.2020.04.012 Abstract ( 166 )   PDF (1200KB) ( 401 )   Save Objective To discuss the anesthesia management in surgical treatment of uremia secondary hyperparathyroidism. Methods Twenty patients with uremia secondary hyperparathyroidism who were admitted from January 2018 to January 2020 were selected as study subjects, and treated by parathyroidectomy under general anesthesia. Their anesthesia management was analyzed retrospectively. Results During the surgery, 14 out of the 20 patients had low blood pressure, and 10 patients received continuous pumping of norepinephrine. The blood calcium and blood phosphorus levels after surgery were not significantly different from those 1 day before surgery. The calcium ion concentration 1 day after surgery was significantly lower than that 1 day before surgery. Among the 8 patients who developed hypocalcemia after surgery, 5 patients developed numbness in the lips and fingers 1 day after surgery, and then received timely calcium supplementation to address the symptoms. Hyperkalemia occurred in 2 patients during operation, and their serum potassium level were reduced to a normal range after glucose-insulin-potassium solution. The average waking time and extubation time of the 20 patients with uremia secondary hyperparathyroidism were （8.50±1.16） min and （9.24±1.59） min respectively. The distributions of the anesthesia effects among the 20 patients were level I for 10 cases, level Ⅱ for 8 cases, and level Ⅲ for 2 cases; the effective rate of anesthesia was 90.0%. Conclusion Patients with hyperparathyroidism secondary to uremia are very likely to have hypotension after induction of general anesthesia and during the operation. The patients’ blood pressure and electrolyte should be strictly monitored during the operation, and hypertensors should be applied as appropriate, thus ensuring the safety of surgical anesthesia. References | Related Articles | Metrics

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Effects of dexmedetomidine on inflammatory factors, plasma D-Dimer, ATⅢ, and FDP during laparoscopic cholecystectomy under general anesthesia ZHONG Wenxia, LONG Jiaqi, ZENG Jianhong, LI Jiangmei, LI Shuang 2020, 9 (4):  263-266.  doi: 10.3969/j.issn.2095-378X.2020.04.013 Abstract ( 147 )   PDF (1286KB) ( 669 )   Save Objective To investigate the effects of dexmedetomidine （Dex） on inflammatory factors, plasma D-dimer （D-D）, antithrombin Ⅲ （ATⅢ）,and fibrin degradation products （FDP） in patients undergoing laparoscopic cholecystectomy （LC） under general anesthesia. Methods Ninety patients undergoing LC were randomly divided into an experimental group （n=45） and a control group （n=45） with 45 cases each by random number table method. Both groups of patients underwent LC surgery under general anesthesia. The experimental group was given 0.5 μg/kg Dex before anesthesia induction and maintained at 0.25 μg/kg/h during the operation, and the control group was given the same amount of propofol. Results Before operation, there was no significant difference in serum CRP, IL-6 and TNF-α levels between the two groups （P>0.05）. At 12 h after operation, the levels of CRP [（20.5±7.3） ng·L-1], IL-6 [（26.7±9.5） ng·L-1] and TNF-α [（3.08±1.64） μg·L-1] in the experimental group were significantly lower than those in the control group [（35.7±8.6） ng·L-1], （43.8±11.6） ng·L-1, and [（5.29±1.86） μg·L-1 respectively] （P<0.05）. Before operation, there was no significant difference in plasma D-D, AT Ⅲ, and FDP levels between the two groups （P>0.05）; 12 h after operation,the levels of plasma D-D [（9.40±3.69） ng·L-1] and FDP [（11.0±4.8） μg·mL-1] in the experimental group were significantly lower than those in the control group [（14.71±5.50） ng·L-1] and [（16.8±5.5） μg·mL-1 respectively] （P<0.05）.The level of AT Ⅲ in the experimental group [（89.6±9.8）%] was significantly higher than that in the control group [（77.4±10.4）%] （P<0.05）. Conclusion In the patients with LC surgery under general anesthesia, the addition of Dex is beneficial to reduce inflammation and the effect of surgery on the fibrinolytic function of patients. References | Related Articles | Metrics

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Clinical effect of transvaginal ultrasonography on diagnosis of uterine incision diverticulum after cesarean section ZHOU Pengling, ZHOU Xianjun, BAI Fan 2020, 9 (4):  267-270.  doi: 10.3969/j.issn.2095-378X.2020.04.014 Abstract ( 131 )   PDF (5130KB) ( 541 )   Save Objective To explore the value of transvaginal ultrasound in the clinical diagnosis of uterine incision diverticulum after cesarean section. Methods Eighty patients with suspected uterine incision diverticulum after cesarean section in Pingshan People’s Hospital of Shenzhen from June 2016 to December 2019 were selected as study subjects. Abdominal ultrasound diagnosis and transvaginal ultrasound diagnosis were performed respectively.Hysteroscopy was used as the gold standard to compare the diagnostic agreement rate, specificity, and sensitivity of transvaginal ultrasound and abdominal ultrasound. Results The diagnostic sensitivity, specificity, and agreement rate of transvaginal ultrasound were 87.50%, 85.42%, and 86.25%, respectively, higher than those of abdominal ultrasound （62.50%, 62.50%, and 62.50%, respectively）, with statistically significant differences （P<0.05）. Conclusion Transvaginal ultrasound in the diagnosis of uterine incision diverticulum after cesarean section has high sensitivity and specificity, and has positive significance for improving the diagnostic accuracy of uterine diverticulum. References | Related Articles | Metrics

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Patients' satisfaction with continuous loop wiring in treatment of traumatic dislocated teeth PAN Huiqi, WEI Fuhai, LIU Qiji, MO Lini 2020, 9 (4):  271-274.  doi: 10.3969/j.issn.2095-378X.2020.04.015 Abstract ( 182 )   PDF (1236KB) ( 401 )   Save Objective To observe and analyze the clinical effect of continuous loop wiring on traumatic dislocation teeth and the satisfaction of patients with the treatment. Methods From January 2018 to March 2020, a total of 90 patients with traumatic tooth dislocation in the dental department of our hospital were randomly divided into three groups according to a random and double-blind design. The control group A （30 cases） was treated with dental arch splints, the control group B （30 cases） was treated with metal wires by figure-of-eight ligation, and the observation group （30 cases） was treated with modified continuous loop wiring. The treatment effect and postoperative satisfaction of the three groups were compared. Results Before treatment, the crown-to-root ratio, attachment loss, and mobility were not different among the three groups （P>0.05）. After treatment,the mobility of the three groups decreased significantly compared with before treatment （P<0.05）, except the crown-to-root ratio and attachment loss （P>0.05）. There were no differences in the three indicators among the three groups after treatment （P>0.05）. The observation group showed a higher satisfaction rate of detal treatment than the two control groups did （P<0.05）. After 6 months of follow-up, the total effective rate of the observation group was 100%, which was significantly higher than that of the control group A or B （P<0.05）. Conclusion Continuous loop wiring for traumatic dislocated teeth is worthy of wide application because it can effectively improve tooth mobility and then patients’ satisfaction. References | Related Articles | Metrics

Medical instrument

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A case study of UDI-based internet of things in supply chain management PENG Junyan, YANG Kun 2020, 9 (4):  275-279.  doi: 10.3969/j.issn.2095-378X.2020.04.016 Abstract ( 124 )   PDF (10982KB) ( 324 )   Save Objective To build a smart hospital in response to and in accordance with the State Food and Drug Administration’s regulations on UDI management of medical devices （YY/T 1630-2018）, to strengthen the construction of smart hospital and the medical management by information technology means in line with the Opinions of the General Office of the State Council on Promoting the Development of “Internet + Medical Health”, and to be prepared for upcoming smart service grading review of tertiary hospitals in 2019. Methods The Equipment Department and Surgical Department of Huashan Hospital applied UDI-based Internet of Things technology in the original information management platform. Results An RFID-based intelligent warehouse management system was established to manage high-value consumables and surgical instruments. Conclusion The established system solved a series of management difficulties, such as UDI assignment of high-value consumables, automatic inventory and input of high-value consumables, traceability of consumables, management of expiry date, management of inventory, and management of medical adverse reactions. References | Related Articles | Metrics

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Coronavirus nucleic acid testing equipment configuration in hospital during the Covid-19 pandemic YUAN Xun, GU Zehua, SHAO Lei 2020, 9 (4):  280-286.  doi: 10.3969/j.issn.2095-378X.2020.04.017 Abstract ( 122 )   PDF (3090KB) ( 499 )   Save Objective Shanghai Traditional Chinese Medicine Hospital, as a tertiary class-A hospital in Shanghai, should be equipped with a P2 laboratory and above capable of nucleic acid testing and urgent procurement of nucleic acid testing equipment in case of epidemic. Methods After investigating the fundamentals of nucleic acid testing and comparing the performance of nucleic acid detectors, available space of the hospital, and the requirements of clinical departments, a plan that would best address the hospital needs was chosen. Results Purchasing an automatic nucleic acid extractor was selected as the best solution, as well as five aerosol adsorbers. They were placed in sampling points and PCR laboratories. The procurement was completed by June 10,2020. Conclusion The coronavirus detection can only be accomplished after understanding the fundamentals of nucleic acid testing, appropriate space layout,product performance comparison, and timely procurement of equipments. References | Related Articles | Metrics

Nursing

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Improvement and implementation of training scheme about homogeneous management for urinary incontinence in regional nurses based on action research TANG Ailing, YUAN Hongyan, GE Yan, REN Pengna, ZHANG Yue, XU Fanglei 2020, 9 (4):  287-292.  doi: 10.3969/j.issn.2095-378X.2020.04.018 Abstract ( 148 )   PDF (1198KB) ( 393 )   Save Objective To improve the training scheme about homogeneous management for urinary incontinence in regional nurses based on action research, and evaluate the effect. Methods Under the theoretical framework of action research, a training scheme was primarily designed after on-site investigation, literature review, and expert consultation, and then was revised and improved through four steps of plan, implementation, observation, and reflection. Results After 10 weeks of implementation, seven major problems were identified and revised. After the training, the nurses’ social problem solving ability and urinary incontinence nursing theory and skills were significantly improved compared with before （P<0.05）. Conclusion The training scheme about urinary incontinence homogeneous management for regional nurses can improve their competence in nursing urinary incontinence patients and promote the implementation of continuous care. References | Related Articles | Metrics

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Application of continued nursing after hysteroscopic balloon uterine stent placement for intrauterine adhesion patients LUO Qiaoling, YOU Yuyuan, WANG Hanhe, MA Xuebiao 2020, 9 (4):  293-296.  doi: 10.3969/j.issn.2095-378X.2020.04.019 Abstract ( 124 )   PDF (1211KB) ( 521 )   Save Objective To analyze the effects of continued nursing on intrauterine adhesion patients after balloon uterine stent placement. Methods A total of 94 patients undergoing intrauterine adhesion surgery from June 2018 to June 2019 were selected and assigned to a routine group （n=47） and a test group （n=47） by random number table method. After hysteroscopy, a balloon uterine stent was placed. During hospital stay, the routine group received basic nursing and guidance prior to discharge; the test group additionally received continued nursing interventions after discharge. Complication rate, menstrual recovery rate, illness recognition rate, and nursing satisfaction rate were compared between the two groups. Results The test group showed a lower complication rate, a higher menstrual recovery rate, and a higher illness recognition rate than than the routine group did （P<0.05）. The overall satisfaction rate in the test group （97.87%） was significantly higher than that in the routine group （89.36%, P<0.05）. Conclusion After hysteroscopic balloon uterine stent placement for intrauterine adhesion patients, continued nursing can reduce complications, promote menstrual recovery, improve illness recognition and nursing satisfaction, and increase the overall nursing service quality. References | Related Articles | Metrics