Table of Content

28 September 2021, Volume 10 Issue 3 Previous Issue    Next Issue

Commentary

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Development of laparoscopic and robotic minimally invasive surgery for gastric cancer LI Xinxing, HU Zhiqian 2021, 10 (3):  157-161.  doi: 10.3969/j.issn.2095-378X.2021.03.001 Abstract ( 152 )   PDF (637KB) ( 452 )   Save Gastric cancer has attracted more attention from researchers due to its high incidence and mortality. At present, radical surgical resection is still one of the main treatment methods for gastric cancer. Relying on advanced instruments and technological changes, surgical methods for gastric cancer have changed greatly in recent years. In particular, the popularization of minimally invasive technology has accelerated the progress and development of surgical technology for gastric cancer. From the development of laparoscopic surgery to robotic surgery for gastric cancer, more accurate, faster recovery and less pain have become the common pursuit of doctors and patients under the premise of pursuing radical, safe and effective tumor treatment. References | Related Articles | Metrics

Original article

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Clinical outcomes of patients with oocyte retrieval after ovarian torsion caused by ovarian stimulation YIN Zhe, CHEN Qizhen, FU Xiayan, JIAO Yufan, JI Yazhong, WANG Yanqiu 2021, 10 (3):  162-166.  doi: 10.3969/j.issn.2095-378X.2021.03.002 Abstract ( 118 )   PDF (654KB) ( 313 )   Save Objective To investigate the differences in clinical outcomes of in vitro fertilization （IVF） and embryo transfer （ET） ovarian stimulation treatment between the patients with or without ovarian torsion. Methods Five patients with oocyte retrieval after ovarian torsion caused by ovarian stimulation who underwent IVF treatment in the Reproductive Medical Center of Tongji Hospital of Tongji University from December 2010 to December 2020 were selected as ovarian torsion group. Another 20 infertile patients without ovarian torsion were selected as control group. The clinical general characteristics, laboratory examination results, ovulation induction, embryo development, and maternal clinical outcomes were compared between the two groups. Results There were no significant differences in age, body mass index （BMI）, antral follicle count （AFC）, infertility years, basic sex hormone levels,gonadotropin （Gn） days, Gn doses, mature follicle numbers of the trigger day, estrogen （E2） level of the trigger day, low quality embryo numbers, normal fertilization rate, high quality embryo rate, average number of embryos transfer per cycle, clinical pregnancy rate, abortion rate, live birth rate, gestational weeks of delivery, and birth weight between the two groups （P>0.05）. The number of oocytes retrieved [（14.8±4.8） vs.（24.8±6.3）], the number of D3 embryos [（8.6±1.5） vs.（14.8±5.7）], and the number of high quality embryos [（3.2±1.9） vs.（6.8±3.2）] in the ovarian torsion group were significantly lower than those in the control group （P<0.05）. Conclusion Oocyte retrieval and abdominal exploration are economical, safe, and effective for the patients with early ovarian torsion who underwent IVF treatment. During the ovulation induction therapy, the stimulation responses of patients to drugs should be closely monitored to reduce the occurrence of various complications. References | Related Articles | Metrics

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Preparation and properties of oxidized regenerated cellulose/chitosan （ORC-CTS） hemostatic sponges HUANG Zhishu, ZHOU Lixin, SU Jiqin, YAN Huidi, LIN Yanli 2021, 10 (3):  167-171.  doi: 10.3969/j.issn.2095-378X.2021.03.003 Abstract ( 221 )   PDF (2806KB) ( 301 )   Save Objective To prepare oxidized regenerated cellulose/chitosan （ORC-CTS） hemostatic sponges, and study its properties. Methods ORC-CTS hemostatic sponges were prepared and characterized. The hemostatic properties and prognostic effects of ORC-CTS, chitosan, and surgicel were compared by hemostasis test, inflammation test, and toxicity test in vivo. Results The blood loss in the ORC-CTS group was less than that in the control group, the chitosan group, and the surgicel group （all P<0.05）; the hemostasis time in the ORC-CTS group was shorter than that in the control group, the chitosan group, and the surgicel group （all P<0.05）. The degree of inflammation ranked as control group<ORC-CTS group<chitosan group<surgicel group. No significant differences in serum tumor necrosis factor （TNF-α）, isoprostanes, and von Willebrand Factor （vWF） were found between the ORC-CTS group and the control group. Conclusion ORC-CTS hemostatic sponges can reduce blood loss, shorten bleeding time, stimulate mild inflammatory reaction, show good biocompatibility and little toxicity, thus may be an ideal new hemostatic material. References | Related Articles | Metrics

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Relationship between peritumor retraction clefting and prognosis： A retrospective analysis of 130 cases of colorectal carcinoma LIU Liwei, YI Xianghua, ZHANG Tingting, WU Yunjin, FAN Desheng 2021, 10 (3):  172-175.  doi: 10.3969/j.issn.2095-378X.2021.03.004 Abstract ( 103 )   PDF (5514KB) ( 268 )   Save Objective To investigate the relationships of peritumor retraction clefting with vascular invasion, nerve involvement, and lymph node metastasis in common colorectal adenocarcinoma. Methods The clinicopathological data of 196 patients with common colorectal adenocarcinoma who were pathologically diagnosed from April 2016 to December 2019 were retrieved, and their clinicopathological features such as peritumor retraction clefting, vascular invasion, nerve involvement, and lymph node metastasis were retrospectively analyzed. The diagnosis was reviewed according to the fourth edition of WHO classification of gastrointestinal tumors, and the patients were divided into two groups： 66 cases of non-peritumor retraction clefting and 130 cases of peritumor retraction clefting. The peritumor retraction clefting group was further divided into two subgroups according to extent of retraction clefts： ≥20% retraction clefts, 42 cases;<20% retraction clefts, 88 cases. SPSS 19.0 statistical software was used to analyze the relationships with vascular invasion, nerve involvement, and lymph node metastasis in each group. Results The peritumor retraction clefting group had significantly higher incidence rates of vascular invasion, nerve involvement, and lymph node metastasis than the non-peritumor retraction clefting group （P<0.05）. The peritumor retraction clefting group without vascular invasion had a higher incidence of lymph node metastasis than the non-peritumor retraction clefting group without vascular invasion （P<0.05）, but lower than the peritumor retraction clefting group with vascular invasion （P<0.05）, and had no relationship with the extent of peritumor retraction clefts （P>0.05）. Conclusion The appearance of peritumor retraction clefting in colorectal adenocarcinoma is positively correlated with vascular invasion, nerve involvement, and lymph node metastasis, indicating a poor prognosis. References | Related Articles | Metrics

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Efficacy and safety of electronic flexible ureteroscope holmium laser lithotripsy for kidney stones TAO Meiman, GUO Tao, MA Kejun, ZHOU Liuzheng 2021, 10 (3):  176-178.  doi: 10.3969/j.issn.2095-378X.2021.03.005 Abstract ( 121 )   PDF (567KB) ( 429 )   Save Objective To investigate the efficacy and safety of electronic flexible ureteroscope holmium laser lithotripsy in the treatment of kidney stones. Methods From January 2016 to June 2019, a total of 170 cases of kidney stones were randomly divided into a control group and a research group, with 85 cases in each group. The control group received percutaneous nephrolithotripsy, while the research group received electronic flexible ureteroscope holmium laser lithotripsy. Comparisons were made in the curative effect between the two groups. Results The total effective rate of the research group was significantly higher than that of the control group （P<0.05）. The operation time, intraoperative blood loss, time of off-bed, hospital stay, stone clearance rate 3 months after operation, complication rate, and one-year recurrence rate in the research group were significantly lower than those in the control group （P<0.05）. Conclusion Electronic flexible ureteroscope holmium laser lithotripsy has the advantages of short operation time, less bleeding, fewer complications, quick recovery, low recurrence rate, and significant curative effect, which make it of a high application value in the treatment of kidney stones. References | Related Articles | Metrics

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Survival and its influencing factors of elderly patients with muscle-invasive bladder cancer after bladder sparing surgery CHEN Hongqi, LI Qiang, LIU Kui, LI Jian, LI Heng 2021, 10 (3):  179-181.  doi: 10.3969/j.issn.2095-378X.2021.03.006 Abstract ( 104 )   PDF (579KB) ( 280 )   Save Objective To analyze the survival and its influencing factors of elderly patients with muscle-invasive bladder cancer （MiBC） after bladder sparing surgery. Methods The clinical data of 62 elderly MiBC patients who underwent bladder sparing surgery from July 2015 to August 2019 were collected, and their one-year survival was calculated. Their baseline data were also collected including age, clinical stage, number of tumor, operation method, postoperative bladder perfusion chemotherapy, and serum chemokine ligand 5 （CXCL5） level, and the influencing factors of mortality after MiBC resection in the elderly were analyzed. Results Among the 62 elderly MiBC patients, 11 cases died one year after bladder sparing surgery, with the mortality rate of 17.74%. The results of Cox regression analysis showed that a high clinical stage （T4） and a high level of CXCL5 were the influencing factors of mortality in elderly patients with MiBC （P<0.05）. Conclusion There is a risk of mortality in elderly MiBC patients after bladder sparing surgery, and a high clinical stage and a high level of CXCL5 are the influencing factors, which can be taken into consideration to conduct reasonable interventions to prolong the survival of patients. References | Related Articles | Metrics

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Clinical effect of intraperitoneal hyperthermic perfusion with oxaliplatin on ovarian cancer and its survival CAI Xiaohua, MO Jinsi, RONG Xiumei 2021, 10 (3):  182-185.  doi: 10.3969/j.issn.2095-378X.2021.03.007 Abstract ( 158 )   PDF (697KB) ( 602 )   Save Objective To investigate the clinical effect of intraperitoneal hyperthermic perfusion with oxaliplatin on ovarian cancer. Methods A total of 68 patients with advanced ovarian cancer treated in our hospital from January 2017 to January 2019 were divided into an observation group （n=35） and a control group （n=33） according to treatment plans. Both the groups were given docetaxel through intravenous drip. The observation group was additionally given oxaliplatin intraperitoneal thermal perfusion, while the control group was additionally given oxaliplatin intravenous drip. The treatment effects, adverse reactions, and progression-free survival of the two groups were observed. Results The total curative effective rate of chemotherapy in the observation group was 74.29%, higher than that in the control group （P<0.05）. The ascites volume of the observation group after treatment was （760.35±110.21） mL, which was significantly lower than that of the control group （P<0.05）. The levels of serum carbohydrate antigen 125 （CA125） and squamous cell carcinoma antigen （SCCA） in the observation group were （12.21±2.15） U/mL and （8.28±1.82） ng/mL, respectively, which were significantly lower than those in the control group （P<0.05）. The progression-free survival of the observation group was 15 （95%CI： 13.21-16.79） months, which was significantly longer than that of the control group （P<0.05）. There was no significant difference in adverse reactions between the observation group and the control group （P>0.05）. Conclusion Oxaliplatin intraperitoneal hyperthermic perfusion has a good clinical effect on ovarian cancer and prolongs survival. References | Related Articles | Metrics

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Clinical effect evaluation of minimally invasive rotary surgery on benign breast lesions DU Jingli, GUO Qingsen 2021, 10 (3):  186-188.  doi: 10.3969/j.issn.2095-378X.2021.03.008 Abstract ( 123 )   PDF (686KB) ( 368 )   Save Objective To evaluate the clinical effect of minimally invasive rotary surgery on benign breast lesions. Methods The clinical data of 127 patients with benign breast lesions treated from June 2019 to December 2020 were retrospectively analyzed. According to treatment methods, they were divided into a control group （60 cases treated with conventional breast mass resection） and a study group （67 cases treated with minimally invasive rotary surgery）. The epinephrine （E） level, norepinephrine （NE） level, operation time, scar length, wound healing time, tumor residual rate, and complication rate were compared between the two groups. Results After treatment, the levels of E and NE in the study group were lower than those in the control group （P<0.05）; the operation time, scar length, and wound healing time in the study group were shorter than those in the control group （P<0.05）; the residual rate of mass in the study group was 1.49%, lower than 10.00% in the control group （P<0.05）; the incidence rate of complications in the study group was 2.99%, lower than 16.67% in the control group （P<0.05）. Conclusion The treatment of benign breast lesions with minimally invasive rotary surgery can shorten operation time and wound healing time, reduce scar hyperplasia and surgical stress response, increase mass clearance rate, with less complications and good safety. References | Related Articles | Metrics

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Effect of laparoscopic radical resection on colorectal cancer CHEN Xiaofeng, YAO Yongsheng 2021, 10 (3):  189-191.  doi: 10.3969/j.issn.2095-378X.2021.03.009 Abstract ( 112 )   PDF (562KB) ( 321 )   Save Objective To investigate the value of laparoscopic radical resection of colorectal cancer. Methods The study included 49 patients with colorectal cancer who underwent laparoscopic radical resection of colorectal cancer （laparoscopic group）, and 33 patients with colorectal cancer who underwent open radical resection of colorectal cancer （open surgery group）. The clinical effects of the two groups were retrospectively analyzed. Results The operation time of the laparoscopic group was significantly longer than that of the open surgery group （P<0.05）. No significant differences were found in the number of lymph nodes dissected, one-year mortality, and tumor recurrence rate between the two groups （P>0.05）. However, the amount of intraoperative blood loss, exhaust time, hospital stay, and the incidence of complications in the laparoscopic group were significantly lower than those in the open surgery group （P<0.05）. Conclusion Laparoscopic radical resection could achieve the same short-term efficacy as open surgery in the treatment of colorectal cancer, with less trauma, fewer postoperative complications, and faster postoperative recovery, thus is worthy of clinical promotion. References | Related Articles | Metrics

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Effects of PTGBD and PTGBA on moderate to severe acute cholecystitis XU Chunsheng, SUN Guangming 2021, 10 (3):  192-195.  doi: 10.3969/j.issn.2095-378X.2021.03.010 Abstract ( 125 )   PDF (627KB) ( 280 )   Save Objective To explore the effects of percutaneous transhepatic gallbladder drainage （PTGBD） and percutaneous transhepatic gallbladder aspiration （PTGBA） on moderate to severe acute cholecystitis. Methods A total of 96 patients with moderate to severe acute cholecystitis admitted from May 2018 to June 2020 were selected and divided into a control group and a study group according to random number table method, with 48 cases in each group. The control group was treated with PTGBD, and the study group was treated with PTGBA. The clinical efficacy, perioperative indications, inflammation indicators, and complications of the two groups were observed. Results The clinical efficacy of the study group was better than that of the control group （P<0.05）, and the hospital stay was shorter （P<0.05）. There was no significant difference in operation time between the two groups （P>0.05）. The levels of white blood cells, C-reactive protein （CRP）, and serum amyloid （SAA） in the study group were lower than those in the control group 72 h after surgery （P<0.05）. The complication rate of the study group was 6.25%, lower than 20.84% of the control group （P<0.05）. Conclusion Compared with PTGBD, PTGBA can quickly reduce the inflammation level and postoperative complication incidences in patients with moderate to severe acute cholecystitis, improve treatment effect, and promote their rapid recovery. References | Related Articles | Metrics

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Clinical comparison of modified longitudinal section and transverse suture and anal fissure resection for anal fissure patients CHEN Huanghui 2021, 10 (3):  196-199.  doi: 10.3969/j.issn.2095-378X.2021.03.011 Abstract ( 101 )   PDF (589KB) ( 349 )   Save Objective To investigate the clinical effects of modified longitudinal section and and transverse suture and anal fissure resection on anal fissure. Methods A total of 98 patients with anal fissure from December 2015 to December 2020 were selected as study subjects and randomly divided into a control group （n=49） and an observation group （n=49）. The control group was treated with anal fissure resection, and the observation group was treated with modified longitudinal section and transverse suture. The clinical treatment effectiveness, complications after treatment, anal canal diameter changes, and incision healing time of the two groups were compared. Results The total effective rate of the observation group was 91.84%, higher than that of the control group （84.44%, P<0.05）. The observation group’s total incidence rate of edema, pain, infection, hematochezia, and constipation was 8.16%, lower than that of the control group （36.73%, P<0.05）. The diameter index of anal canal was increased in both groups, and the clinical treatment effect of the observation group was significantly higher than that of the control group （P<0.05）, while the wound healing time of observation group was shorter （P<0.05）. Conclusion Both the modified longitudinal section and transverse suture and the anal fissure resection can treat patients with anal fissure, but the former surgery can significantly improve clinical therapeutic effects, reduce the incidence of postoperative complications, and relieve pain, which is worthy of popularization and application. References | Related Articles | Metrics

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Influence of magnesium sulfate combined with ropivacaine for TAP block on postoperative analgesia of laparoscopic hysterectomy SHE Ruixuan 2021, 10 (3):  200-202.  doi: 10.3969/j.issn.2095-378X.2021.03.012 Abstract ( 129 )   PDF (575KB) ( 294 )   Save Objective To probe into the influence of magnesium sulfate combined with ropivacaine for transverse abdominis plane （TAP） block on postoperative analgesia after laparoscopic hysterectomy. Methods A total of 58 cases undergoing laparoscopic hysterectomy from November 2019 to November 2020 were selected and randomly divided into a control group （n=29） and a study group （n=29）. The patients of the two groups underwent bilateral TAP block. The control group was injected with 20 mL ropivacaine （0.375%）+2 mL normal saline in each side, and the study group was injected with 20 mL ropivacaine （0.375%） + 200 mg magnesium sulfate （10%） in each side. Then, the Visual Analogue Scale （VAS） score, total amount of morphine, time of first use of morphine, and adverse reactions were compared between the two groups. Results The VAS scores at postoperative 6 h, 8 h, and 12 h in the study group were lower than those in the control group （P<0.05）. The total amount of morphine used at postoperative 24 h in the study group was less than that in the control group, and the time of first use of analgesics was later （P<0.05）. There was no significant difference in the incidence of nausea and vomiting, restlessness, respiratory depression, and other adverse reactions at postoperative 24 h between the two groups （P>0.05）. Conclusion The effect of magnesium sulfate combined with ropivacaine for TAP block is ideal on postoperative analgesia after laparoscopic hysterectomy, because there are no serious adverse reactions, and less dependence on analgesics. It can reduce the dosage of opioids, and promote recovery of patients. References | Related Articles | Metrics

Review

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Impacts of SARS-CoV-2 variants on diagnosis, treatment, and control of COVID-19 ZHANG Ke, SHEN Jie, HU Lihua 2021, 10 (3):  203-208.  doi: 10.3969/j.issn.2095-378X.2021.03.013 Abstract ( 136 )   PDF (621KB) ( 383 )   Save Multiple variants of SARS-CoV-2 have appeared in many countries across the world and resulted in the gradual enhancement of viral transmission and infection. Recently, Delta variant invaded China and caused serious consequences. The continuous mutation of SARS-CoV-2 is turning into a critical topic of global pandemic control. By summarizing the studies of typical variants, this article analyzed the impacts of SARS-CoV-2 variants on diagnosis, treatment, and vaccination from the perspective of biology, and discussed the strategies on how to tackle the challenge of the continuous mutation. References | Related Articles | Metrics

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Current application of percutaneous coronary intervention with drug-eluting stents LIU Peng, YU Lingli 2021, 10 (3):  209-213.  doi: 10.3969/j.issn.2095-378X.2021.03.014 Abstract ( 266 )   PDF (1455KB) ( 424 )   Save Percutaneous coronary intervention combined with drug-eluting stents （DES） implantation has been recognized as the most effective and minimally invasive method for treating vascular diseases such as vascular stenosis caused by atherosclerosis. In order to resolve the problems existing in the clinical use of vascular stents, such as restenosis and in-stent thrombosis, various types of stents have been developed and approved to enter the market. DES integrate the dual advantages of traditional metal stents and antiproliferative drugs, and significantly reduce the incidence of in-stent restenosis and revascularization. This review summarized research progress on the drug loading, safety, and effectiveness of DES, aiming to improve the understanding of DES among clinicians, researchers, and patients and to better control related risks and make reasonable choices in clinical practice. References | Related Articles | Metrics

Medical instrument

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Life cycle analysis of surgical medical equipment based on HRP system HUANG Yicheng, WANG Xingang 2021, 10 (3):  214-218.  doi: 10.3969/j.issn.2095-378X.2021.03.015 Abstract ( 110 )   PDF (4923KB) ( 452 )   Save Medical equipment is not only the basis for ensuring the development of various treatment work in a hospital, but also the embodiment of comprehensive strength. With the continuous development of medical and health undertakings, the expansion of hospitals, and the increase of medical equipment, medical equipment management is more difficult. How to reasonably plan hospital resources and realize the life-cycle supervision of medical equipment will become key issues for medical institutions. In this study, a life cycle database of surgical medical equipment based on HRP system was constructed, accompanied with a specific management and control scheme, and its implementation effect was analyzed, aiming to provide evidence for decision-makers of medical institutions. References | Related Articles | Metrics

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Research and implementation of micro-flow continuous infusion system ZHU Jianghua, YU Jing 2021, 10 (3):  219-222.  doi: 10.3969/j.issn.2095-378X.2021.03.016 Abstract ( 84 )   PDF (1012KB) ( 230 )   Save With the continuous development of medical technology, more and more pregnant women choose cesarean section, but the pain after uterine rupture is inevitable. They will get hurt if no measures are taken for postoperative analgesia. This paper introduced a safe and effective postoperative analgesia after cesarean delivery, that is, micro-flow infusion of anesthetics through continuous, quantitative, accurate, and safe intravenous infusion recognized at home and abroad. Because of a limited dose of postoperative anaesthetics, the implementation of micro-flow continuous infusion is particularly important in ensuring maternal postoperative analgesia effect without producing side effects. Besides the micro-flow continuous infusion of anesthetics, a remote analgesic management and monitoring system was used to provide accurate infusion dose and help medical staff check patient’s infusion volume. A large number of test data were used to verify the stability of the system, aiming to achieve the best analgesic effect after cesarean section. References | Related Articles | Metrics

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Health risk and protection measures against surgical smoke SONG Ying, YANG Jia, LIU Hui, YING Bin, BU Jing, LIU Bin 2021, 10 (3):  223-225.  doi: 10.3969/j.issn.2095-378X.2021.03.017 Abstract ( 188 )   PDF (487KB) ( 398 )   Save With the development of modern medical technology, while increasing devices are being used in surgical cut and coagulation, surgery smoke produced by such devices as electrotomes, ultrasonic scalpels, and laser pollute surgical environment at the same time. Studies show that surgical smoke contains harmful particles, biotic components, and chemical components. To increase the awareness of the harm of surgical smoke and reduce the health risk of medical staff, this article reviewed the properties of surgical smoke and related protection measures. References | Related Articles | Metrics

Nursing

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Application of preventive nursing in reducing incidence of dialysis hypotension in hemodialysis patients LI Jin, LUO Xiaohua, LYU Chaoqun 2021, 10 (3):  226-229.  doi: 10.3969/j.issn.2095-378X.2021.03.018 Abstract ( 123 )   PDF (620KB) ( 377 )   Save Objective To evaluate the effect of preventive nursing on reducing the occurrence of hemodialysis hypotension in hemodialysis patients. Methods A total of 86 hemodialysis patients from April 2016 to December 2019 were selected and randomly divided into two groups by random number table, with 43 cases in each group. The control group received routine nursing, while the study group received preventive care additionally. The incidence of hypotension, the change of blood pressure, and the score of negative emotion were observed. Results After one course of dialysis treatment, the incidence rate of hypotension in the study group （6.98%） was lower than that in the control group （15.57%） （P<0.05）. There was no significant difference in systolic blood pressure, diastolic blood pressure, and mean arterial pressure between the two groups before intervention （P>0.05）, but after intervention, the three indicators in the study group were higher than those in the control group （P<0.05）. There was no significant difference in SDS and SAS scores between the two groups before intervention （P>0.05）, but after intervention, the two scores of the two groups decreased, and were lower in the study group than in the control group （P<0.05）. Conclusion Preventive nursing care can produce good effect among the patients undergoing hemodialysis, including effectively preventing hypotension, controlling blood pressure, and relieving negative emotions. References | Related Articles | Metrics

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Effect of humanistic care combined with health education during pregnancy on repregnancy of women with scarred uterus LI Fengrong, LI Xinglin, YE Liqing 2021, 10 (3):  230-233.  doi: 10.3969/j.issn.2095-378X.2021.03.019 Abstract ( 128 )   PDF (653KB) ( 448 )   Save Objective To explore the effect of humanistic care combined with health education during pregnancy on repregnancy of women with scarred uterus. Methods From June 2019 to June 2020, a total of 110 cases of women with scarred uterus, 37-41 gestational weeks, aged 23 to 36 years, with a normal fetal position, spontaneous labor, and no complications of internal and surgical diseases or obstetric diseases were randomly selected as study subjects and divided into two groups by random number table. The observation group （55 cases） received humanistic care combined with health education during pregnancy, while the control group （55 cases） were subjected to prenatal out-patient examination and routine health education. Health knowledge score, delivery outcome, and nursing satisfaction were observed and compared between the two groups. Results The health knowledge score in the observation group （85.51±7.62） was higher than that in the control group （68.74±10.45） （P<0.05）. The observation group also showed more numbers of vaginal delivery （34 cases vs. 11 cases）, less postpartum blood loss [（148.62±20.57） mL vs. （220.35±35.41） mL], and higher Apgar score [（8.64±0.86） vs. （7.17±0.92）] than the control group （P<0.05）. The total satisfaction rate in the observation group （96.36%） was higher than that in the control group （83.64%） （P<0.05）. Conclusion Humanistic care combined with health education during pregnancy can improve the awareness of health knowledge, vaginal delivery rate, pregnancy outcome, and nursing satisfaction of repregnant women with scarred uterus. References | Related Articles | Metrics

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Application of psychological nursing intervention in initial blood donors TAN Jiezhu 2021, 10 (3):  234-236.  doi: 10.3969/j.issn.2095-378X.2021.03.020 Abstract ( 88 )   PDF (606KB) ( 296 )   Save Objective To explore the effect of psychological nursing intervention among initial blood donors. Methods A total of 212 initial blood donors between February 2017 and January 2019 were selected as study subjects and divided into a control group and an experimental group by random number table, with 106 cases in each group. Their incidence of blood donation responses and psychological state were compared. Results The incidence rate of blood donation responses in the experimental group （3.77%） was lower than that in the control group （12.26%） （P<0.05）, and the satisfaction rate in the experimental group （97.17%） was higher than that in the control group （88.68%） （P<0.05）. There was no significant difference in the scores of anxiety before blood donation between the two groups （P>0.05）, but the scores of the two groups after blood donation were significantly lower than those before, and the score of the experimental group after blood collection was significantly lower than that of the control group （P<0.05）. Conclusion For initial blood donors, tension and anxiety are common adverse responses caused by their own factors and external factors. Psychological nursing intervention can alleviate above conditions, prevent adverse blood donation responses, and improve blood donors’ mental state. References | Related Articles | Metrics