Table of Content

28 December 2021, Volume 10 Issue 4 Previous Issue    Next Issue

Commentary

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Application of magnifying chromoendoscopy in diagnosis and treatment of early-stage gastrointestinal cancer PAN Duyi, MAO Qiqi, ZHONG Liang 2021, 10 (4):  237-241.  doi: 10.3969/j.issn.2095-378X.2021.04.001 Abstract ( 101 )   PDF (4752KB) ( 403 )   Save Early diagnosis and treatment of early-stage gastrointestinal cancer can significantly improve the prognosis of patients, but the detection rate of this disease in China is still very low. Therefore, how to improve the detection rate of early-stage gastrointestinal cancer is a major challenge at present. The Objective of this article is to explore the status quo and prospect of the application of magnifying chromoendoscopy in the diagnosis and treatment of early-stage gastrointestinal cancer. The combination of electronic staining, optical staining, and magnifying technology can identify the abnormality of gastric mucosa microstructure and microvessel, clarify the nature and progression of the lesion, and point out the direction of accurate targeted biopsy. The combination of magnifying endoscopy diagnosis and pathological examination can provide greater help than the individual techniques for improving the precise examination of digestive endoscopy and the diagnosis and treatment of early-stage gastrointestinal cancer in China. References | Related Articles | Metrics

Original article

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Dual plate fixation for comminuted mid-shaft clavicle fractures WANG Xin, ZHOU Jiaqian, WANG Zhiyuan, ZHU Xiaozhong 2021, 10 (4):  242-247.  doi: 10.3969/j.issn.2095-378X.2021.04.002 Abstract ( 116 )   PDF (10776KB) ( 247 )   Save Objective To investigate the clinical effect of dual plate fixation on comminuted mid-shaft clavicle fractures. Methods A retrospective study was conducted on 27 patients with comminuted mid-shaft clavicle fractures fixed using open reduction and dual plate fixation from January 2013 to January 2017. There were 20 males and 7 females, aged （42.0±12.4） years; 16 patients had fractures on the right side, and 11 patients on the left side. All cases were close fractures. None suffered from neurovascular injury. The duration from injury to operation ranged from 2 to 8 d, averaged （4.0±1.4） d. Fracture healing, complications, healing time, and recovery time were observed and recorded. Shoulder function was evaluated by the use of the American Shoulder and Elbow Surgeon （ASES） score. Results The patients were followed up for 12 to 28 months, averaged （17.8±3.8） months. Anatomical fracture reduction and fracture union were observed in all patients with no incision infection, screw pulled out, plate shift or cut off, or other complications occurred. The fracture healing time was 10 to 22 weeks, averaged （17.0±2.9） weeks. The recovery time to pre-fracture function was 8 to 18 weeks, averaged （13.0±2.3） weeks. The ASES scores ranged from 88 to 98 points, averaged （93.0±3.4） points. Conclusion Dual plate fixation for comminuted mid-shaft clavicle fractures is a safe and effective procedure that allows fast bony union and shoulder function recovery. References | Related Articles | Metrics

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Clinical effect of mesenchymal stem cell transplantation on osteonecrosis of the femoral head ZHANG Ting, ZHOU Dongmei, CAI Xinnuo, LIU Chunmei, SONG Yuanyuan, YIN Songlou 2021, 10 (4):  248-252.  doi: 10.3969/j.issn.2095-378X.2021.04.003 Abstract ( 104 )   PDF (1550KB) ( 312 )   Save Objectives Osteonecrosis of the femoral head is a disease without effective treatment, and features a high disability rate and a high hip joint replacement rate. This study aims to observe the clinical effect and safety of local implantation of mesenchymal stem cells guided by ultrasound on femoral head necrosis, and explore an effective treatment method for the disease. Methods A total of 29 hip joints of 21 patients （14 males and 7 females） with osteonecrosis of the femoral head and undergoing treatment using umbilical mesenchymal stem cells were selected from January 2017 through September 2019 in the Affiliated Hospital of Xuzhou Medical University. According to the Association Research Circulation Osseous （ARCO） system, 17 hips were classified as stage II, and 12 hips as stage III. Umbilical mesenchymal stem cells （1×107） were implanted intra-articularly under ultrasonic localization. VAS score was used to evaluate pain changes before and at 3, 6, and 12 months after transplantation, Harris score was used to evaluate hip function at 3, 6, and 12 months after transplantation, and imaging results were measured in low-signal area at the maximum level of necrotic area on MRI T1 images before and at 12 months after transplantation. Statistical analysis was performed by SPSS 26.0. Results Postoperative pain was improved： VAS scores at postoperative 3 months （5.29±1.59）, 6 months （3.76±1.22）, and 12 months （2.10±0.70） were lower than that before transplantation （6.86±1.31, P<0.05）. Clinical symptoms were alleviated： 19 cases （90.4%） showed reduced pain of the affected side; 17 cases （80.9%） had improved gait or extended walking distance; 14 cases （66.6%） showed greater range of motion. Harris scores at postoperative 3 months （74.62±9.70）, 6 months （76.90±8.21）, and 12 months （77.48±7.54） were higher than that before transplantation （62.76±10.08, P<0.05）. The necrotic area was （187.27±11.01） mm2 at postoperative 12 months, which was significantly reduced compared with （236.31±23.43） mm2 before transplantation （P<0.05）. There were 3 patients with aggravation of short-term joint pain on the affected side after transplantation, which was alleviated after non-steroidal anti-inflammatory drug treatment. No adverse reactions such as fever, gastrointestinal reactions, or local infections occurred. Conclusion Local implantation of mesenchymal stem cells can alleviate clinical symptoms, improve joint function, and delay or reverse the imaging progress of patients with early and middle-stage osteonecrosis of the femoral head, which is expected to be a new treatment for femoral head necrosis. References | Related Articles | Metrics

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Clinical study of nasal endoscopic surgery using low-temperature plasma radiofrequency ablation for chronic rhinoinusitis with nasal polyps QIAN Yue, DAI Fu, LIU Xian, WANG Su, JIN Ling 2021, 10 (4):  253-259.  doi: 10.3969/j.issn.2095-378X.2021.04.004 Abstract ( 129 )   PDF (5291KB) ( 281 )   Save Objective To investigate the feasibility of low-temperature plasma radiofrequency ablation in the surgical treatment of chronic rhinosinusitis with nasal polyps （CRSwNP）. Methods From January 2018 to June 2021, 48 patients with CRSwNP who met the inclusion criteria （experimental group） underwent cryogenic plasma radiofrequency ablation-assisted nasal endoscopic surgery, and another 44 patients underwent functional endoscopic sinus surgery （FESS） at the same time. Intraoperative blood loss volume, preoperative and postoperative visual analogue scale （VAS） score, Lund-Kennedy total score, Lund-Mackay score, and SNOT-20 score were compared between the two groups. Results The amount of intraoperative blood loss in the experimental group was less than that in the control group （P<0.01）. The VAS score of the experimental group was lower than that of the control group 3 months after surgery （P<0.05）, suggesting less postoperative pain in the experimental group. The Lund-Kennedy score of the experimental group was lower than that of the control group 6 months and 1 year after surgery （P<0.01）, suggesting better disease control in the experimental group. There was no significant difference between the two groups in the Lund Mackay score 3 months after surgery （P=0.373）, suggesting similar postoperative imaging changes. The SNOT score was not different between the two groups before surgery and 1 year after surgery, but was higher in the experimental group than in the control group 3 months after surgery. Conclusion Low-temperature plasma radiofrequency ablation is effective and safe in the nasal endoscopic treatment of CRSwNP, which can achieve the effect of traditional surgery, with less intraoperative bleeding, less postoperative pain, and better long-term efficacy 6 months and 1 year after surgery than FESS. References | Related Articles | Metrics

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Clinical efficacy of percutaneous posterior endoscopic cervical discectomy on incomplete single-segment spinal cord injury without radiographic abnormality SHEN Xiang, LI Chengcun, ZHANG Yang, SUN Yinming, WANG Wenqiang 2021, 10 (4):  260-265.  doi: 10.3969/j.issn.2095-378X.2021.04.005 Abstract ( 128 )   PDF (2851KB) ( 396 )   Save Objective To investigate the clinical efficacy of percutaneous posterior endoscopic cervical discectomy （PPECD） on incomplete single-segment spinal cord injury without radiographic abnormality （SCIWORA） and its complications. Methods A total of 51 patients with SCIWORA from January 2017 through December 2019 were divided into a control group and an observation group according to the random number table method. The observation group （n=21） received PPECD, and the control group （n=30） received anterior cervical discectomy fusion （ACDF）. Follow up lasted 3 months. Operation time, intraoperative blood loss volume, and fluoroscopy times were recorded. The VAS scores of neck and upper limbs, JOA scores of neck, cervical Cobb angle, and range of motion （ROM） in the two groups before and 3 months after operation were recorded and compared. The incidence rate of postoperative complications was also recorded and compared. Results There were significant differences between the two groups in intraoperative blood loss volume and fluoroscopy times （P<0.05）. At 3 days and 3 months after operation, the VAS scores and JOA scores were improved compared with the scores before operation （P<0.05）, but there was no significant difference between the two groups （P>0.05）. The cervical Cobb angle and ROM of the two groups were improved 3 months after operation （P<0.05）, and observation group had greater improvement than the control group （P<0.05）. No epidural hematoma or neurodural injury occurred in the two groups. In control group, 1 case of incision infection （3.33%） and 3 cases of incision edema （10.00%） occurred within 3 months after operation. Conclusion The short-term clinical efficacies of PPECD and ACDF on SCIWORA are similar. PPECD features less intraoperative blood loss but more times of fluoroscopy. Although both surgeries can improve cervical Cobb angle and ROM, but PPECD has greater effects and produces less postoperative complications than ACDF. References | Related Articles | Metrics

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Effect of closed reduction guided by hip arthrography on developmental dysplasia of the hip ZHUANG Yizhou, CHEN Wensheng, ZHAN Xingquan, HE Jianfeng 2021, 10 (4):  266-269.  doi: 10.3969/j.issn.2095-378X.2021.04.006 Abstract ( 103 )   PDF (636KB) ( 232 )   Save Objective To investigate the effect of hip arthrography-guided closed reduction on developmental dysplasia of the hip （DDH）. Methods We retrospectively selected 65 children with DDH from February 2018 through February 2020, and assigned 33 cases into the control group with conventional closed reduction treatment and 32 cases into the observation group with hip arthrography-guided closed reduction. Clinical efficacy, hip joint stability, hip joint re-dislocation rate, open reduction rate, and femoral head necrosis were observed in the two groups. Results One year after treatment, the excellent and good recovery rate （93.74%） of the observation group was higher than that of the control group （75.76%, P<0.05）; the anteversion angle of femur and the acetabular index （AI） of the observation group were lower than those of the control group （P<0.05）; the rate of hip re-dislocation, the rate of hip joint open reduction, and the rate of femoral head necrosis （6.25%, 0.00%, and 3.13% respectively） of the observation group were lower than those of the control group （27.27%, 18.18%, and 24.24% respectively） （P<0.05）. Conclusion Closed reduction guided by hip arthrography for the treatment of DDH in children can improve stability of the hip joint and treatment effect, and reduce re-dislocation of the hip joint and open reduction. References | Related Articles | Metrics

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Clinical observation of two methods for unstable distal radius fracture TIAN Deyu, LIU Guangpeng 2021, 10 (4):  270-272.  doi: 10.3969/j.issn.2095-378X.2021.04.007 Abstract ( 103 )   PDF (567KB) ( 343 )   Save Objective To observe the clinical effects of two approaches on unstable distal radius fracture （UDRF）. Methods From January 2016 through December 2020, 120 patients with UDRF were selected. Among them, 60 cases （group A） received open reduction and steel plate internal fixation, and another 60 cases （group B） received closed reduction and external fixation. After 3 months of follow-up, fracture healing time, complications, wrist joint function recovery （assessed by Gartland and Werley, GW, scoring system）, and treatment cost were compared between the two groups. Results The fracture healing time of group A was significantly longer than that of group B （t=4.065 4, P=0.000 1）. There was no statistical difference in the total incidence rate of complications between the two groups （χ2=0.138 9, P=0.709 4）. After 3 months of operation, the excellent and good rate of GW score in group A was slightly higher than that in group B, without statistical difference （χ2=0.890 5, P=0.345 3）. The treatment cost of group A was significantly higher than that of group B （t=5.896 6, P<0.001）. Conclusion Both of the selected two methods can achieve satisfactory short-term effect on UDRF, but closed reduction and external fixation features lower treatment cost and shorter fracture healing time. References | Related Articles | Metrics

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Clinical analysis of 36 cases with external auditory canal cholesteatoma ZHANG Xiaolin, JIN Ling 2021, 10 (4):  273-276.  doi: 10.3969/j.issn.2095-378X.2021.04.008 Abstract ( 122 )   PDF (7887KB) ( 191 )   Save Objective To analyze the clinical characteristics and surgical options of external auditory canal cholesteatoma （EACC）, and enhance awareness of the disease. Methods The clinical data of 36 patients with EACC confirmed by a pathologist from August 2017 to October 2019 were retrospectively analyzed. Results According to the extent and severity of the disease, the 36 patients received different treatments and all recovered well with hearing improved. Conclusion EACC can be diagnosed by careful clinical examination and imaging examination, and be cured by different surgical options according to its stages. References | Related Articles | Metrics

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Clinical application of enhanced recovery after surgery model in otorhinolaryngologic surgery LI Shaohui, XU Wen, TANG Wei, ZHAO Chuanliang 2021, 10 (4):  277-280.  doi: 10.3969/j.issn.2095-378X.2021.04.009 Abstract ( 110 )   PDF (862KB) ( 275 )   Save Objective To explore the enhanced recovery after surgery in otorhinolaryngology, head and neck surgery, study and formulate the clinical path and diagnosis and treatment mode in practical clinical application, so as to help patients recover quickly after operation. Methods We screened the patients who were diagnosed as vocal cord polyps from June 2021 to September 2021 and planned to undergo laser surgery under microscopic supporting laser laryngoscope. A clinical pathway of Enhanced Recovery after Surgery model was formulated and implemented, which included an experimental group （15 patients who received fast-track surgery for intervention, FAS） and a control group （15 patients who were treated with traditional mode）. The perioperative hunger, operation time, hospital stay, and satisfaction of the two groups were recorded and evaluated. Results Preoperative hunger and thirst were present in less FTS patients than the controls. Only 4 patients in the FTS group reported thirst during the perioperative period, while the number was 9 in the control group. Under the same operation and discharge standards, the patients treated with FTS showed shortened hospital stays and higher satisfaction than the control group. Conclusion FTS can be well applied in the perioperative period of otolaryngology, head and neck surgery under microscopic supporting laser laryngoscope to reduce patients’ preoperative discomfort such as hunger and thirst, shorten hospitalization time, increase perioperative satisfaction, and promote rapid recovery. References | Related Articles | Metrics

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Clinical effect of arthroscopic release of lateral patellar retinaculum plus tranexamic acid on excessive lateral pressure syndrome LIN Zhibin, LIN Yongsheng, LI Yang 2021, 10 (4):  281-283.  doi: 10.3969/j.issn.2095-378X.2021.04.010 Abstract ( 85 )   PDF (608KB) ( 287 )   Save Objective To observe the clinical effect of arthroscopic release of lateral patellar retinaculum plus tranexamic acid on excessive lateral pressure syndrome. Methods A total of 100 patients with excessive lateral pressure syndrome admitted from April 2018 to March 2021 were selected as study subjects, and divided into a routine group and a combined group by random number table method, with 50 cases in each group. The routine group was treated by release of lateral patellar retinaculum under arthroscopy, while the combined group received release of lateral patellar retinaculum under arthroscopy plus tranexamic acid treatment. The two groups were compared in preoperative and 1-month postoperative hemoglobin （Hb）, D-dimer, and Visual Analogue Scale （VAS） score, as well as postoperative knee last knee diameter and incidence of thrombosis of lower limbs. Results At 1 month after operation, compared with the routine group, the levels of Hb and D-dimer in the combined group were higher, the VAS score of the combined group was lower, and the knee diameter of soft tissue ecchymosis was shorter than that of routine group（P<0.05）, and the incidence rate of lower limb thrombosis in the combined group （0.00% vs. 10.00%） was lower （P<0.05）. Conclusion Arthroscopic treatment of lateral patellar retinaculum combined with tranexamic acid for excessive lateral pressure syndrome can effectively elevate the levels of Hb and D-dimer, relieve pain, reduce ecchymosis, and decrease the incidence of lower limb thrombosis. References | Related Articles | Metrics

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Curative effect of directional drilling and puncture hematoma removal on hypertensive brainstem hemorrhage XIAO Lianfu, ZHOU Xihan, HUANG Chenming, LIU Qiong 2021, 10 (4):  284-286.  doi: 10.3969/j.issn.2095-378X.2021.04.011 Abstract ( 110 )   PDF (574KB) ( 276 )   Save Objective To observe the effect of directional drilling and puncture hematoma removal on hypertensive brainstem hemorrhage. Methods A total of 160 patients with hypertensive brainstem hemorrhage from January 2017 to February 2021 were enrolled and randomly divided into a study group （n=80, who received directional drilling and puncture hematoma removal） and a control group （n=80, who received traditional craniotomy hematoma removal）. After 6 months of treatment, the effects of the two groups were observed. Results Before treatment, there were no significant differences in NIHSS score and MMSE score between the two groups （P>0.05）. After treatment, the NIHSS score and the MMSE score of the study group were significantly higher than those before treatment （P<0.05）, and were significantly higher than those of the control group （P<0.05）. The total effective rate of the study group was significantly higher than that of the control group （P<0.05）. Conclusion Directional drilling and puncture hematoma removal in the treatment of hypertensive brainstem hemorrhage can significantly improve the neurological function and intellectual cognition level of patients, and the prognosis is good. References | Related Articles | Metrics

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Effect of perioperative lidocaine infusion on restlessness and general anesthesia recovery quality after gynecological laparoscopic surgery LI Yanmin, JIAO Nini, HU Rui 2021, 10 (4):  287-290.  doi: 10.3969/j.issn.2095-378X.2021.04.012 Abstract ( 95 )   PDF (639KB) ( 302 )   Save Objective To investigate the effect of perioperative infusion of lidocaine on restlessness and recovery quality from general anesthesia after gynecological laparoscopic surgery. Methods Ninety patients （20-58 years old） who underwent gynecological laparoscopic surgery under general anesthesia were randomly divided into a control group and a lidocaine group, with 45 cases in each group. The lidocaine group were injected intravenously with 1 mg/kg lidocaine 10 min before anesthesia, followed by continuous intravenous pumping of lidocaine at a rate of 1 mg/（kg·h） until the end of the surgery. The control group received intravenous injection of normal saline at the same volume. After operation, propofol and remifentanil usages, language recovery time after extubation, extubation time after propofol stopped, cough score, and sedation score during extubation were recorded. Sedation score, Numeric Rating Scale （NRS） score of pain, vomiting severity and incidence were recorded at the post-anesthesia care unit （PACU）. Results Compared with the control group, the lidocaine group showed lower incidence rates of cough, moderate cough, and severe cough （P<0.05）. There was no significant difference in the sedation score between the two groups （P>0.05）. At the PACU, there were no significant differences in the NRS score and the highest pain score between the two groups （P>0.05）. There were no differences in the incidence rate of PONV and the highest PONV score between the two groups. Less propofol and remifentanil were used in the lidocaine group than in the control group. In addition, there was no statistical difference in the length of stay in PACU between the two groups. Conclusion Perioperative use of lidocaine could improve the quality of recovery from general anesthesia after gynecological laparoscopic surgery, and reduce the usage of propofol and remifentanil. References | Related Articles | Metrics

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Effect assessment of preoperative vaginal misoprostol on cervical softening WANG Mengling 2021, 10 (4):  291-294.  doi: 10.3969/j.issn.2095-378X.2021.04.013 Abstract ( 152 )   PDF (582KB) ( 294 )   Save Objective To analyze the effect of preoperative vaginal misoprostol on cervical softening. Methods A total of 58 patients undergoing induced abortion from January 2020 to January 2021 in our hospital were chosen as study subjects, and according to random number table, divided into a control group （29 cases, without preoperative cervical softening） and an observation group （29 cases, with preoperative cervical softening using vaginal misoprostol）. Comparisons were performed in intraoperative bleeding volume, operation time, cervical dilation diameter, dilation time, uterine contraction degree, anesthetic drug dosage, cervical dilation degree, pain scores before and after surgery, and side effects such as abortion syndromes. Results The intraoperative bleeding volume and the anesthetic drug dosage in the observation group were lower than those in the control group; the operation time and the dilation time were shorter; the cervical dilation diameter was larger; the uterine contraction degree was higher （P<0.05）. The effective cervical dilation rate in the observation group （100.00％） was higher than that in the control group （31.03％） （P<0.05）. Before surgery, the pain score in the observation group was higher than that in the control group （P>0.05）; whereas at postoperative 1 h, the pain score was lower （P<0.05）. Both groups completed the surgery successfully. The observation group had one case of abortion syndrome （3.45％, 1/29）, the control group had eight cases of abortion syndrome（27.59％, 8/29）, and all the cases of abortion syndrome improved after treatment. No serious adverse side effects and complications occurred, such as incomplete abortion and uterine perforation. The cose of abortion syndromes in the observation group was lower than that in the control group （P<0.05）. Conclusion Preoperative vaginal misoprostol application can reduce intraoperative bleeding volume, anesthetic drug dosage, pain degree after surgery, and abortion syndromes. References | Related Articles | Metrics

Review

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Review on correlation between connexin 32 and liver homeostasis XU Yan, SHI Baomin 2021, 10 (4):  295-299.  doi: 10.3969/j.issn.2095-378X.2021.04.014 Abstract ( 113 )   PDF (1360KB) ( 240 )   Save The roles of intercellular communication in maintaining homeostasis in tissues, organs, and even individuals are of the utmost importance. Gap junction （GJ） acts as a vital medium. As a popular organ of interest, the liver is the first organ to be studied in the field of GJ. Cx32, a liver-specific connexin （Cx） constituting more than 90% of liver GJ, plays an important role in cell proliferation and differentiation, tissue functioning and homeostasis, pathophysiological changes, toxicological injury, and cell carcinogenesis. Hence, understanding the diverse changes in the expression, localization, and function of Cx32, and carrying out research on associated mechanism of action may help explore new methods for the treatment of liver diseases in the future. This paper reviewed the correlation between Cx32 and liver homeostasis. References | Related Articles | Metrics

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Endoscopic posterior lumbar interbody fusion： current status and prospects ZHAI Zhengjia, MA Qunying 2021, 10 (4):  300-303.  doi: 10.3969/j.issn.2095-378X.2021.04.015 Abstract ( 151 )   PDF (498KB) ( 457 )   Save Endoscopic posterior lumbar interbody fusion is a hotspot in current minimally invasive spinal surgery research. This new technique has the same selection of surgical indications, safety, and early clinical effect as traditional surgery, while has advantages of less surgical trauma, higher accuracy, and faster recovery. This paper introduced the history, surgical procedure, clinical outcomes, and risk of complications of the surgery. References | Related Articles | Metrics

Medical instrument

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Experience of building nucleic acid testing cabin laboratory in the context of COVID-19 YIN Peng 2021, 10 (4):  304-307.  doi: 10.3969/j.issn.2095-378X.2021.04.016 Abstract ( 206 )   PDF (922KB) ( 327 )   Save This paper introduced the process of building a nucleic acid testing cabin laboratory in Shanghai Tenth’s People’s Hospital. The hospital first selected testing methods, and then quickly established the nucleic acid testing shelter laboratory according to the laboratory layout, equipment selection requirements and protection standards.This paper also described matters needing attention in laboratory operation from three aspects： staffing, disinfection standards, and emergency response plans. The novel laboratory was put into use right after establishment, which improved nucleic acid testing capacity, expand the scope of testing, and actively implemented the requirements of higher authorities that hospitals should make nucleic acid testing compulsory among all key groups and available for those who ask to be tested. References | Related Articles | Metrics

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Application of spot inspection system in improving service quality of a medical disinfection supply center SHEN Yedan 2021, 10 (4):  308-310.  doi: 10.3969/j.issn.2095-378X.2021.04.017 Abstract ( 92 )   PDF (479KB) ( 212 )   Save Objective To evaluate effect of spot inspection system on improving the service quality of a medical disinfection supply center. Methods A spot inspection supervision and management team was set up, who prepared daily spot inspection tables and spot inspectoin plans. The effect of spot inspection system was evaluated by summarizing the quality problems reported by nosocomial infection supervisors and investigating the satisfaction of clinical departments. Results After the implementation of spot inspection system, less problems were reported in the work of employees in the medical disinfection supply center, and satisfaction was increased in all clinical departments in the hospital, with statistical significance （P<0.05）. Conclusion The spot inspection system can improve service quality of the medical disinfection supply center, guarantee the quality and safety of disinfection equipment and items through normalization and standardization, and ensure smooth clinical treatment and surgical procedures. References | Related Articles | Metrics

Nursing

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Research progress on nursing care of skin injury during radiotherapy for head and neck malignant tumors ZHANG Ying, GE Qing, YANG Haojun 2021, 10 (4):  311-313.  doi: 10.3969/j.issn.2095-378X.2021.04.018 Abstract ( 84 )   PDF (581KB) ( 476 )   Save Head and neck malignancies are common tumors worldwide. Radiation oncology is a local treatment method that uses radiation to treat tumors. It is a mature technology, whereas it can cause varying degrees of skin damage which would affect the mental and physical health of patients. This article reviewed the research progress on the nursing care of skin injury of patients with head and neck malignant tumors during radiotherapy, focusing on three aspects： skin injury prevalence, classification of radiation-induced skin injury, and related intervention measures during radiotherapy for head and neck malignant tumors, aiming to provide reference for clinical nurses to nurse patients with skin injury caused by radiotherapy for head and neck malignant tumors. References | Related Articles | Metrics

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Discussion on nursing methods for prevention of deep venous thrombosis after operation for lower limb fracture YOU Zonglan 2021, 10 (4):  314-316.  doi: 10.3969/j.issn.2095-378X.2021.04.019 Abstract ( 131 )   PDF (511KB) ( 232 )   Save Objective To investigate and compare the effects of routine nursing measures and deep venous thrombosis （DVT） preventive nursing measures on the prevention of DVT after operation for lower limb fracture. Methods A total of 64 patients who had underwent operation for lower limb fracture in our hospital were selected and divided into a control group （n=32, traditional nursing measures） and an observation group （n=32, DVT preventive nursing measures）. The incidence rate of DVT were compared between the two groups, and the nursing effects were evaluated. Results The incidence rates of intraoperative and postoperative DVT in the control group were 6.25% and 9.37% respectively, and the overall incidence rate was 15.62%. The overall incidence rates in the observation group was 6.24%, indicating that the nursing effect on the prevention of DVT in the observation group was better than that in the control group （P<0.05）. Conclusion Preventive nursing care after operation for lower limb fracture can effectively reduce DVT incidence. References | Related Articles | Metrics