Table of Content

28 June 2021, Volume 10 Issue 2 Previous Issue    Next Issue

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Clinical application value of endocytoscopy in digestive tract ZHANG Di, LI Zhaoshen 2021, 10 (2):  81-83.  doi: 10.3969/j.issn.2095-378X.2021.02.001 Abstract ( 229 )   PDF (475KB) ( 431 )   Save Endocytoscopy （EC） is a fruit of the rapid development of endoscopic technology. It combines the technical advantages of traditional high-definition endoscopy and powerful magnifying function, which makes it possible to perform "optical biopsy" in gastrointestinal endoscopy. The development and promotion of EC system can gradually reduce the dependence of gastrointestinal mucosal lesion identification and characterization on invasive biopsy and improve the efficiency of cytological diagnosis. References | Related Articles | Metrics

Original article

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3D printing-assisted minimally invasive internal fixation for clavicle fracture ZHANG Aiguo, LI Jiayue, MA Hong, ZHANG Yingqi, WANG Xin 2021, 10 (2):  84-87.  doi: 10.3969/j.issn.2095-378X.2021.02.002 Abstract ( 117 )   PDF (3544KB) ( 246 )   Save Objective To investigate the advantages of pre-shaped plate based on 3D printing model in the surgery for clavicle fracture. Methods From October 2018 to October 2019, the medical records of 30 cases of midshaft clavicle fracture were retrieved. The patients were divided into an experimental group and a control group according to whether 3D printing-assisted technology was used or not. The operation time, intraoperative fluoroscopy times, intraoperative blood loss, intraoperative screw replacement times, postoperative DASH score, and complication rate of the two groups were compared. Results The operation time of the experimental group was （42.07±8.34） min, while that of the control group was （56.60±7.69） min. The intraoperative blood loss was （39.53±4.03） mL in the experimental group and （66.27±5.97） mL in the control group. The intraoperative fluoroscopy frequency was （2.80±1.32） times in the experimental group and （6.47±1.55） times in the control group. In the experimental group, the screws were replaced （0.40±0.63） times, while in the control group, the number was （1.13±0.64） times. At the follow-up visit 6 weeks after surgery, the DASH score of the experimental group was 10.80±2.73, and that of the control group was 14.73±2.99. All these indicators between the two groups were significantly different. There were no postoperative complications in the experimental group, and 2 cases in the control group had internal fixation irritation. Conclusion Applying 3D printing technology can reduce the time of minimally invasive fixation and screw replacement frequency, and improve postoperative early shoulder function. References | Related Articles | Metrics

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Clinical correlation between imaging evaluation of multifidus atrophy and degenerative lumbar spondylolisthesis MAO Min, CHENG Jiefei, SONG Dianwen 2021, 10 (2):  88-92.  doi: 10.3969/j.issn.2095-378X.2021.02.003 Abstract ( 94 )   PDF (1691KB) ( 360 )   Save Objective To investigate the correlations of multifidus atrophy extert with lumbar spondylolisthesis extert and Oswestry Disability Index （ODI） in degenerative lumbar spondylolisthesis patients. Methods A total of 62 patients with lumbar degenerative spondylolisthesis were retrospectively analyzed in Shanghai General Hospital from February 2017 to December 2019. Each patient underwent lumbar X-ray and lumbar MRI examinations. Image Pro Plus software was used to calculate the ratio of fat-free multifidus muscle cross sectional area to total multifidus muscle cross sectional area in slipped segments and non-slipped segments, and a smaller ratio indicated more severe atrophy. Results The ratio of fat-free multifidus muscle cross sectional area to total multifidus muscle cross sectional area in degenerative segments was 5.5% higher than the value in non-degenerative segments of the degenerative lumber spondylolisthesis patients （t=2.826, P=0.008）. The ratio in Ⅱ degree spondylolisthesis segments was 6.8% higher than that in Ⅰ degree spondylolisthesis segments （t=2.236, P=0.027）. The mean ODI of the selected participants was （42.7±3.6）%. The degree of multifidus atrophy was positively correlated with the ODI value. Conclusion Degenerative multifidus muscle may be involved in the development of degenerative lumbar spondylolisthesis. The degree of multifidus atrophy is correlated with the degree of spondylolisthesis and lumber dysfunction. References | Related Articles | Metrics

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Treatment of greater tuberosity fractures of humerus with suture anchors and absorbable screws through deltoid approach DAI Yahui, ZHU Xiaozhong 2021, 10 (2):  93-96.  doi: 10.3969/j.issn.2095-378X.2021.02.004 Abstract ( 168 )   PDF (1224KB) ( 320 )   Save Objective To introduce the experience and technical key points of using suture anchors and absorbable screws in the treatment of displaced greater tuberosity fractures of the humerus through the deltoid approach, and to evaluate the clinical efficacy. Methods From March 2017 to December 2018, 16 patients with displaced greater tuberosity fractures of the humerus were treated with suture anchors and absorbable screws through the deltoid approach. There were 5 males and 11 females with an average age of （61.7±13.3） years. All patients underwent shoulder X-ray and CT examinations before operation, and the greater tuberosity fracture displaced more than 5 mm was considered as a surgical indication. The average time from injury to surgery was 3 d. Functional exercise was started 1 week after surgery. The X-ray films were reexamined every 4-6 weeks, and the shoulder function was evaluated using the Constant-Murley score and the Dash score at follow-up visits 6 months later. Results All patients were followed up for 3-10 months, average （6.9 ± 2.2） months. As of the last follow-up, all of the 16 patients showed bone union, and there were no complications such as nonunion, wound infection, rotator cuff tear, or suture anchors loosening and withdrawal. The shoulder function recovered well, with a Constant-Murley score of 89.3±6.05 and a Dash score of 5.4±3.1 on average. Conclusion It is effective to use suture anchors and absorbable screws to treat large tuberosity fractures of the humerus through the deltoid approach. The economic absorbing materials can prevent secondary surgery and produce small trauma. The method is a good choice for the treatment of large tuberosity fractures of the humerus. References | Related Articles | Metrics

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Percutaneous reduction and cannulated screw fixation for treatment of the fifth metatarsal base avulsion fractures ZOU Zhuan, HE Wenbao, LI Bing, ZHAO Youguang, ZHOU Haichao, YANG Yunfeng 2021, 10 (2):  97-100.  doi: 10.3969/j.issn.2095-378X.2021.02.005 Abstract ( 214 )   PDF (1952KB) ( 331 )   Save Objective To explore the clinical effect of percutaneous reduction and cannulated screw fixation on the fifth metatarsal base avulsion fractures under ankle nerve block anesthesia. Methods A total of 42 patients with only the fifth metatarsal base avulsion fractures were treated from July 2017 to July 2019. There were 24 males and 18 females with an average age of （36.3±8.9） years （ranged from 24 to 48 years）. All the patients were treated with close reduction and cannulated screw fixation. Results Thirty-six patients were followed up for 22 months in average （ranged from 12 to 36 months）. The wound healed at the first stage without infection. The mean time of fracture union was （10.5±0.3） weeks （ranged from 10 to 12 weeks）. The mean time to start walking with load carriage was 11 weeks （ranged from 10 to 12 weeks）, without obvious pain. At the last follow-up, the mean score of AOFAS Midfoot Scale was 92.4±5.5 （ranged from 86 to 100）. Conclusion The surgery of percutaneous reduction and cannulated screw fixation is simple and minimally invasive for the treatment of the fifth metatarsal base avulsion fractures, which can achieve fast recovery and a satisfactory effect and is an optional surgical method. References | Related Articles | Metrics

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Clinical observation of shoulder arthroscopic surgery in treatment of subacromial impingement syndrome CHEN Yunzhou, LIANG Xiangyu 2021, 10 (2):  101-103.  doi: 10.3969/j.issn.2095-378X.2021.02.006 Abstract ( 97 )   PDF (542KB) ( 379 )   Save Objective To explore the clinical effect of shoulder arthroscopy on subacromial impingement syndrome （SIS）. Methods A total of 60 patients with SIS were treated with shoulder arthroscopy. UCLA score, ASES score, Constant-Murley score, and VAS score were used to evaluate shoulder function and pain. Results The 60 patients were followed up for 6 to 24 months. Except 1 patient with large rotator cuff tear who underwent repair of fascia lata free patch and suffered poor pain relief and recovery of joint function, the remaining patients were relieved from postoperative pain of the affected limbs and basically returned to normal joint function. At the last follow-up, the scores of shoulder function and pain were significantly better than those before operation （P<0.01）. Conclusion Shoulder arthroscopic surgery for SIS can achieve satisfactory results. Complications should be treated during the operation to ensure the clinical effect. References | Related Articles | Metrics

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Curative effect of laparoscopic-assisted D2 radical gastrectomy on advanced gastric cancer XIA Kouzhu, ZHANG Jian, DOU Dou, XU Ming 2021, 10 (2):  104-106.  doi: 10.3969/j.issn.2095-378X.2021.02.007 Abstract ( 131 )   PDF (560KB) ( 325 )   Save Objective To observe the effect of laparoscopic-assisted D2 radical gastrectomy on advanced gastric cancer. Methods A total of 46 patients with advanced gastric cancer admitted from January 2017 to December 2019 were randomly divided into a laparoscopic group （23 cases, laparoscopical-assisted D2 radical resection of gastric cancer） and a laparotomy group （23 cases, open D2 radical gastrectomy）. The curative effects between the two groups were compared. Results Compared with the laparotomy group, the laparoscopy group showed longer operation time （P<0.05）, but reduced intraoperative blood loss, first exhaust time after operation, first eating time, and incidence of postoperative complications （P<0.05）. No significant differences were observed in R0 resection rate, number of lymph node dissection, mortality, tumor recurrence rate, and tumor-free survival rate between two groups （P>0.05）. Conclusion The short-term effect of laparoscopic-assisted D2 radical resection for advanced gastric cancer is similar to that of laparotomy, but the former surgical method features reduced surgical trauma and postoperative complications, thus is worthy of clinical promotion. References | Related Articles | Metrics

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Feasibility of total laparoscopic hysterectomy for complex uterine fibroids CHEN Xiaomei 2021, 10 (2):  107-110.  doi: 10.3969/j.issn.2095-378X.2021.02.008 Abstract ( 174 )   PDF (595KB) ( 290 )   Save Objective To explore the feasibility of total laparoscopic hysterectomy （TLH） in the treatment of complex uterine fibroids. Methods From January 2017 to December 2019, a total of 76 patients with complex uterine fibroids who received surgical treatment were selected. All patients met the indications of total hysterectomy. According to the random number table method, they were divided into two groups： the control group （38 cases） was treated with total abdominal hysterectomy （TAH）, and the study group （38 cases） was treated with TLH. The operation indicators, postoperative complications, and ovarian function were compared between the two groups. Results The study group showed lower intraoperative blood loss and VAS score at 6 h after operation than the control group, and shorter postoperative exhaust time, ambulation time, and hospitalization time （all P<0.05）. The incidence rate of postoperative complications in the study group （5.26%） was lower than that in the control group （21.05%） （P<0.05）. There was no significant difference in the levels of LH, FSH, and E2 between the two groups before operation （P>0.05）; three months after operation, the levels of LH and FSH in the two groups were increased compared with those before operation, while the level of E2 was decreased （P<0.05）, but there was no significant difference between the two groups （P>0.05）. Conclusion TLH in the treatment of complex uterine fibroids features less intraoperative blood loss, lower postoperative pain, faster recovery, and fewer complications, thus has important application value. References | Related Articles | Metrics

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Effect of L-shaped endoscopic retractor TAPP on senile inguinal hernia ZHOU Xiaoping, XIE Qing 2021, 10 (2):  111-112.  doi: 10.3969/j.issn.2095-378X.2021.02.009 Abstract ( 131 )   PDF (648KB) ( 301 )   Save Objective To observe the effect of L-shaped endoscopic retractor TAPP on inguinal hernia in seniors. Methods A total of 90 elderly patients with inguinal hernia from March 2020 to March 2021 were selected and randomly divided into an observation group （n=45） and a control group （n=45）. The observation group received L-shaped endoscopic retractor TAPP, and the control group received conventional endoscopic TAPP. The operative effects and postoperative complications between the two groups were compared. Results Operation time, intraoperative blood loss, postoperative anal exhaust time, VAS pain score 2 days after operation, hospital stay, and the incidence of postoperative complications in the observation group were significantly lower than those in the control group （P<0.01）; there was no significant difference in recurrence rate at postoperative 6-12 months between the two groups. Conclusion TAPP with L-shaped endoscopic retractor in the treatment of senile inguinal hernia has the advantages of convenient operation, short operation time, less surgical trauma, quick postoperative recovery, and safety, so it is worthy of clinical application. References | Related Articles | Metrics

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Prediction of expected date of confinement by cervical maturity evaluated by ultrasound elastography DAI Meng, WANG Xiuyan 2021, 10 (2):  113-116.  doi: 10.3969/j.issn.2095-378X.2021.02.010 Abstract ( 95 )   PDF (2237KB) ( 226 )   Save Objective To study the prediction of expected date of confinement by cervical maturity evaluated by ultrasound elastography. Methods A total of 176 pregnant women who met the inclusion requirements were divided into two groups according to the time to onset of labor （TOL）, TOL ≤ 1 week group （96 cases） and TOL>1 week group （80 cases）. The general data, cervical length, cervical width, height of fetal exposure, depth of embedded amniotic cavity, and B/A value of two groups were recorded by abdominal ultrasound and elastography. Univariate analysis was used to find out the indicators that affect the TOL. Multiple logistic analysis was used to identify independent influencing factors for TOL. ROC curve was used to analyze the potential prediction efficiency of each index. Results Cervical length, height of fetal exposure, and B/A value were independent influencing factors for predicting TOL （P<0.05）. The area under curve （AUC） of cervical length, height of fetal exposure, B/A value, and their combination were 0.740, 0.743, 0.817, and 0.903, respectively. The AUC of the combination of the three indicators was the highest, followed by B/A value, while height of fetal exposure and cervical length were the lowest in AUC. The best diagnosis point for TOL of B/A value was 1.325, the sensitivity was 50%, and the specificity was 95.8%. The sensitivity of the combination was 98.8%, and the specificity was 62.5%. Conclusion B/A value could be used as one of the indicators for predicting TOL, and the combination of cervical length, height of fetal exposure, and B/A value could improve the accuracy of the prediction, and provide guidance for clinical labor prediction. References | Related Articles | Metrics

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Therapeutic effect of three-point balanced therapy on mixed hemorrhoids LUO Yanping, LI Yunfu 2021, 10 (2):  117-120.  doi: 10.3969/j.issn.2095-378X.2021.02.011 Abstract ( 84 )   PDF (614KB) ( 236 )   Save Objective To explore the therapeutic effect of three-point balanced therapy on mixed hemorrhoids. Methods A total of 60 patients with mixed hemorrhoids from January 2019 to September 2020 were selected and divided into an observation group （30 cases, who received three-point balanced therapy） and a control group （30 cases, who received traditional external stripping and internal ligation） according to treatment methods. The clinical efficacy, incidence of complications, operation time, and recovery time of the two groups of patients were compared. Results After treatment, in the observation group, 25 cases were cured, 3 cases improved, and 2 cases failed. The total effective rate of the observation group was 93.33%, significantly higher than that of the control group （P<0.05）. After treatment, in the observation group, 1 patient had postoperative pain, 1 patient had anal incontinence, and 1 patient had anal edema, and the incidence rate of complications of the observation group was 10.00%, significantly lower than that of the control group （P<0.05）. After treatment, the operative time was （15.56±4.51） min and the wound healing time was （7.50±1.35） min of the observation group, significantly shorter than those of the control group （P<0.05）. Conclusion In the clinical treatment of mixed hemorrhoids, applying three-point balanced therapy can significantly improve the success rate of treatment, shorten the time of operation and wound healing, reduce the incidence of anal edema, anal incontinence, and postoperative pain, which is worthy of clinical reference. References | Related Articles | Metrics

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Effect of surgical treatment on OSAS patients with laryngopharyngeal reflux CHEN Chuan, HE Shihao 2021, 10 (2):  121-124.  doi: 10.3969/j.issn.2095-378X.2021.02.012 Abstract ( 110 )   PDF (619KB) ( 234 )   Save Objective To discuss the effect of surgical treatment on obstructive sleep apnea syndrome （OSAS） patients with laryngopharyngeal reflux （LPR）. Methods A total of 56 OSAS patients with LPR were selected from June 2017 to December 2019. Surgical effects were reported. Results Among the 56 patients, the incidence rates of preoperative clinical symptoms such as hoarseness, hawking, excessive phlegm or running nose, dysphagia, cough upon lying down, breathing difficulty or asphyxia, chronic cough, foreign body sensation in throat, and sour regurgitation or heartburning were 8.93%, 10.71%, 14.29%, 7.14%, 12.5%, 8.93%, 17.86%, 12.5%, and 7.14%, respectively; the incidence rates of clinical signs like sulcus vocalis, disappeared ventriculus larynges, laryngeal edema, erythema or congestion, granuloma, posterior commissure proliferation, and vocal edema were 16.07%, 16.07%, 21.43%, 17.86%, 8.93%, 10.71%, and 8.93%, respectively. The apnea hypopnea index （AHI） after surgery was lower than before; the oxygen saturation （SaO2） level was higher than before; the total effective rate was 92.86%. The reflux symptom index （RSI） item scores after surgery were lower than before （P<0.05）. The reflux finding score （RFS） results showed that except the granuloma and posterior commissure proliferation scores （P>0.05）, the remaining RFS item scores before and after surgery were significantly different （P<0.05）. Conclusion The surgical treatment for OSAS patients with LRP can efficiently relieve airway stenosis and choking, and improve reflux signs, showing a significant clinical effect. References | Related Articles | Metrics

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Clinical effect of carboprost tromethamine plus balloon compression on pernicious placenta previa HE Huaping, DENG Xiaoling, FANG Min 2021, 10 (2):  125-127.  doi: 10.3969/j.issn.2095-378X.2021.02.013 Abstract ( 99 )   PDF (574KB) ( 271 )   Save Objective To analyze the effect of carboprost tromethamine plus balloon compression on pernicious placenta previa. Methods A total of 66 patients with pernicious placenta previa treated from January 2017 to January 2020 were selected as study subjects. According to random number table, the patients were divided into a routine group （33 cases） and a test group （33 cases）. The routine group took gauze packing and carboprost tromethamine; the test group took balloon compression and carboprost tromethamine. The bleeding volumes during surgery and after 2 h and 24 h of surgery, total effective rate, hemostasis time, and hospital stays were compared between the two groups. Results During surgery and after 2 h and 24 h of surgery, the bleeding volumes in the test group were significantly less than the volumes in the routine group （P<0.05）. The total effective rates in the test group and the routine group were 93.94% and 75.76% respectively, showing a significant difference （P<0.05）. The hemostasis time and hospital stays in the test group were shorter than those of the routine group （P<0.05）. Conclusion Balloon compression combined with carboprost tromethamine is effective in the treatment of pernicious placenta previa, as it can reduce bleeding volume, increase treatment effects, and shorten hemostasis time and hospital stays. References | Related Articles | Metrics

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Effect of general anesthesia combined with epidural anesthesia on cognitive function of elderly patients with knee arthroplasty WANG Changsong, ZHANG Yue, YU Deshui, YAO Honglin 2021, 10 (2):  128-130.  doi: 10.3969/j.issn.2095-378X.2021.02.014 Abstract ( 93 )   PDF (689KB) ( 316 )   Save Objective To observe the effect of general anesthesia combined with epidural anesthesia on cognitive function of elderly patients with knee arthroplasty. Methods Eighty patients who received knee arthroplasty from February 2015 to March 2019 were selected, and according to the random number table method they were divided into an observation group and a control group, with 40 cases in each group. The control group received continuous epidural anesthesia, and the observation group received general anesthesia combined with epidural anesthesia. The hemodynamic changes at different time points during operation were compared between the two groups. The Mini Mental State Examination （MMSE） scale was used to assess the occurrence of cognitive dysfunction in the patients. Results Before entering the operation room, there was no significant difference in hemodynamic indicators between the two groups （P>0.05）; during skin incision and after bone cement filling, the hemodynamic indicators of patients in both groups were decreased gradually compared with those before, but the reduction in the observation group was smaller than that in the control group, namely the hemodynamic indicators in the observation group were higher than those in the control group （P<0.05）. At 3 days after operation, no difference was found in the incidence rate of cognitive dysfunction between the two groups （P>0.05）; but the degree of cognitive dysfunction in the observation group was slighter than that in the control group （P<0.05）. Conclusion General anesthesia combined with epidural anesthesia has a definite effect for elderly patients with knee arthroplasty, which has little influence on hemodynamics and postoperative cognitive function, and is safe and reliable. References | Related Articles | Metrics

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Effect of continuous epidural analgesia on delivery process and delivery methods of pregnant women ZHAO Lin, DU Jixian, LI Bo 2021, 10 (2):  131-133.  doi: 10.3969/j.issn.2095-378X.2021.02.015 Abstract ( 102 )   PDF (591KB) ( 229 )   Save Objective To evaluate the effect of continuous epidural analgesia on delivery process and delivery methods of pregnant women. Methods A total of 120 parturients who gave birth from March 2019 to October 2020 were selected as study subjects. According to the random number table, they were divided into a control group and an observation group, with 60 cases in each group. The control group adopted routine delivery, and the observation group was given continuous epidural analgesia. The pain degree （VAS）, vital signs, and anxiety and depression levels before and after delivery of the two groups were compared. Results Before delivery, the anxiety and depression scores of the two groups of parturients were not different （P>0.05）. The VAS scores in the first, second, and third stages of labor of the observation group were significantly lower than those of the control group, so were the blood pressure, heart rate, and anxiety and depression scores, and the pulse oxygen saturation of the observation was significantly higher than that of the control group （P<0.05）. Conclusion In the process of delivery, continuous epidural analgesia for the parturients can not only reduce pain, but also stabilize vital signs and help relieve mood. It is therefore worthy of clinical application. References | Related Articles | Metrics

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Effects of epidural analgesia on postpartum urinary retention and neonatal outcome WANG Lixia, HUANG Qiuhong, WU Limei 2021, 10 (2):  134-137.  doi: 10.3969/j.issn.2095-378X.2021.02.016 Abstract ( 110 )   PDF (618KB) ( 241 )   Save Objective To analyze the effects of epidural analgesia on postpartum urinary retention and neonatal outcome. Methods A total of 100 cases of puerperae who delivered from May 2018 to May 2020 were selected. According to the admission time, 50 cases from May 2018 to may 2019 were categorized into the control group （spontaneous delivery）, and 50 cases from May 2019 to May 2020 into the study group （painless vaginal delivery）. The delivery time, postpartum complications （postpartum urinary retention and postpartum hemorrhage）, fever during childbirth, and neonatal Apgar score were compared between the two groups. Results The time of the first and second stages of labor in the study group were longer than those in the control group （P<0.05）. The neonatal Apgar scores at 1 min, 5 min, and 10 min after delivery in the study group were not different from those in the control group （P>0.05）. There were no significant differences in the incidence rates of postpartum urinary retention and postpartum hemorrhage between the two groups （P>0.05）. The incidence of intrapartum fever in the study group was higher than that in the control group （P<0.05）. Conclusion The use of epidural analgesia has no significant effect on the outcome of newborns, and can reduce postpartum complications, but it is likely to prolong the first and second stages of labor. References | Related Articles | Metrics

Medical instrument

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Clinical application of networked remote fetal heart monitoring system WU Caiping, RUAN Hui, GU Huaying 2021, 10 (2):  138-142.  doi: 10.3969/j.issn.2095-378X.2021.02.017 Abstract ( 102 )   PDF (924KB) ( 200 )   Save Objective To compare the effects of networked remote electronic fetal monitoring （EFM） and traditional EFM in the late stage of pregnancy on the outcome of pregnancy. Methods The study subjects were 298 pregnant women of late pregnancy admitted from January 2019 to January 2020. According to postoperative treatment method, they were divided into two groups： a traditional group who received conventional EFM examination （142 cases） and a network group who received networked remote EFM examination （156 cases）. Fetal management during late pregnancy, adverse psychological status score during pregnancy, final mode of delivery, and pregnancy outcome were compared between the two groups. Results The abnormal rates of fetal heart, fetal movement, and non-stress test （NST） results were significantly lower in the network group than those in the traditional group （P<0.05）. After the intervention, both groups of pregnant women showed significant improvement in anxiety and depression scores; the network group showed significantly lower anxiety and depression scores than the traditional group （P<0.05）. No differences were found in the distribution of normal, assisted, and caesarean deliveries between the two groups of pregnant women （P>0.05）. The incidence rates of adverse pregnancy outcomes such as premature birth, neonatal asphyxia, amniotic fluid contamination, and low body weight were significantly lower in the network group than those in the traditional group （P<0.05）. Conclusion The networked remote EFM system has the advantages of simple, safe, and efficient application, high acceptance by pregnant women, as well as high sensitivity, accuracy and timeliness, which is conducive to breaking the traditional time and space limitation, saving time and energy of both doctors and patients, reducing the pressure of diagnosis and treatment, and optimizing the allocation of medical resources to a greater extent. Therefore, it is recommended to prioritize networked remote EFM in order to avoid fetal hypoxia and improve the quality of pregnancy. References | Related Articles | Metrics

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Application and discussion of medical consumables inventory management in a tertiary hospital WANG Qifeng, WANG Hao 2021, 10 (2):  143-145.  doi: 10.3969/j.issn.2095-378X.2021.02.018 Abstract ( 147 )   PDF (583KB) ( 277 )   Save Objective To informatize the process throughout application, distribution and use of medical consumables, and improve the refined management level of medical consumables. Methods The problems in the use of medical consumables were analyzed. After docking the HIS consumables management system with the HIS charge management system, HIS doctor workstation system, and HIS nurse workstation system, the classification and specification identification of medical consumables were managed in a standardized and unified way. Results Through the unification of HIS internal codes, the whole process of hospital medical consumables and physical inventory traceability were further improved, and the management efficiency of medical consumables was elevated. Conclusion Introducing medical physical inventory management in the tertiary hospital can improve the management level of medical consumables, and further promote the realization of refined management of medical consumables. References | Related Articles | Metrics

Nursing

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Value of whole-process intervention of spinal surgery to prevent patients' incision infection CHEN Hui, LIU Fang, YU Liping, LI Rui 2021, 10 (2):  146-149.  doi: 10.3969/j.issn.2095-378X.2021.02.019 Abstract ( 100 )   PDF (616KB) ( 256 )   Save Objective To explore the value of intervention in the whole process of spinal surgery to prevent wound infection in patients. Methods A total of 500 patients undergoing spinal surgery from June 30，2019 to June 30，2020 were selected as subjects，and randomly divided into two groups，250 cases in each group. The experimental group received whole-process nursing intervention with immune monitoring， and the control group received conventional nursing intervention. Observations included the levels of immune cells （T cell subsets） ，immunoglobulins，pain scores，and quality of life in the two groups. Results After the intervention，the serum immunoglobulins（IgG，IgA，and IgM）of the two groups decreased，and the levels of the experimental group were significantly lower than those of the control group（P<0.05）；the T cell subsets（CD3+，CD8+，CD4+ and CD4+/CD8+） increased，and the levels of T cell subsets in the experimental group was significantly higher than those of the control group（P<0.05）；the pain score of the experimental group was significantly lower than that of the control group，while the four SF-36 item scores were significantly higher（P<0.05）. Conclusion Intervention in the whole process of spinal surgery can effectively reduce the risk of incision infection in patients，relieve pain，and improve quality of life. It is of high clinical value and is worthy of popularization. References | Related Articles | Metrics

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Effect of comprehensive prenatal care on outcome of childbirth in pregnant women with scar uterus HUANG Xiaoyan, LI Fengrong, HE Xing, XU Xiulan, SUN Bin 2021, 10 (2):  150-152.  doi: 10.3969/j.issn.2095-378X.2021.02.020 Abstract ( 99 )   PDF (716KB) ( 322 )   Save Objective To explore the effect of comprehensive prenatal care on the outcome of childbirth in pregnant women with scar uterus. Methods A total of 120 pregnant women with scar uterus admitted from October 2019 to April 2020 were selected as study subjects, and were divided into a control group （60 cases with odd number） and an observation group （60 cases with even number） accorded to the number of ward bed. The control group ordered routine prenatal examination, prenatal care, and delivery evaluation, while the observation group received comprehensive prenatal care. The time of the first, second, and third stages of labor were recorded, and the outcomes of delivery （number of successful vaginal delivery, number of caesarean section delivery, fetal distress, neonatal asphyxia, neonatal Apgar score, birth weight, and postpartum hemorrhage） were compared between the two groups, and the satisfaction between the two groups of maternal care services was compared. Results The first, second, and third stages of labor were shorter in the observation group than those in the control group （P<0.05）. The rate of vaginal delivery and Apgar score of newborns in the observation group were all higher than those in the control group, and the rate of cesarean section, fetal distress, neonatal asphyxia, birth weight, and postpartum hemorrhage in the observation group were all lower than those in the control group （P<0.05）. The satisfaction rate of the observation group was higher than that of the control group （P<0.05）. Conclusion Comprehensive prenatal care for pregnant women with scar uterus can reduce labor time, fetal distress, neonatal asphyxia, neonatal weight, and postpartum hemorrhage, as well as increase the success rate of vaginal delivery, the Apgar score of newborn, and mothers’ satisfaction with nursing services. References | Related Articles | Metrics

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Application of targeted nursing in ultrasound-guided fine needle aspiration biopsy of thyroid nodules MAO Ting, LIU Xuezhen, YANG Feng, QIAN Fuyong 2021, 10 (2):  153-156.  doi: 10.3969/j.issn.2095-378X.2021.02.021 Abstract ( 81 )   PDF (649KB) ( 408 )   Save Objective To explore the application value of targeted nursing in patients with thyroid nodules undergoing ultrasound-guided fine needle aspiration biopsy （US-FNAB）. Methods A total of 206 patients with thyroid nodules undergoing US-FNAB examination from March 2018 to December 2019 were selected. They were divided into a control group （n=103） and an observation group （n=103） according to the random number table method. Routine nursing intervention was implemented to the control group, and targeted nursing to the observation group. Patients' mental state score, comfort score, success rate of first puncture, and incidence rate of complications between the two groups were compared and analyzed. Results The SDS and SAS scores of the two groups after nursing were significantly lower than those before nursing, and the scores of the observation group were lower than those of the control group （P<0.05）. The dimensional scores of comfort after nursing of the observation group were higher than those of the control group （P<0.05）. The success rate of first puncture of the observation group was 96.12%, which was higher than that of the control group （84.47%）. The incidence rate of complications of the observation group （2.91%） was lower than that of the control group （10.68%）. Conclusion Applying targeted nursing in patients with thyroid nodules undergoing US-FNAB examination can help improve their mental state, reduce the incidence of complications, increase physical and mental comfort and the success rate of first puncture, which is worthy of promotion. References | Related Articles | Metrics