Table of Content

28 September 2022, Volume 11 Issue 3 Previous Issue    Next Issue

Commentary

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Accelerating exploration and research on new diagnosis and treatment technology of digestive endoscopy based on 5G XU Shuchang, WU Xiaofen 2022, 11 (3):  149-151.  doi: 10.3969/j.issn.2095-378X.2022.03.001 Abstract ( 219 )   PDF (523KB) ( 567 )   Save The development of artificial intelligence, cloud computing, block chain, and other information technology, especially the promotion of 5G technology as the core of the new generation of infrastructure construction, provides strong support for the development of digestive endoscopy diagnosis and treatment technology. Through the research progress on 5G technology and remote consultation, this paper explored the application prospects of these new technologies in the consultation and surgery of digestive endoscopy. References | Related Articles | Metrics

Original article

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Factors related to hidden hemorrhage after proximal femoral nail antirotation fixation in elderly patients with femoral intertrochanteric fracture LI Zhengdao, DAI Xingming, LIU Dacheng, ZHANG Xiuwei 2022, 11 (3):  152-155.  doi: 10.3969/j.issn.2095-378X.2022.03.002 Abstract ( 84 )   PDF (626KB) ( 406 )   Save Objective To investigate the related factors affecting postoperative hidden hemorrhage in elderly patients with femoral intertrochanteric fracture （FIF） treated with proximal femoral nail antirotation （PFNA）. Methods A total of 120 elderly FIF patients who received PFNA treatment in the Department of Orthopedics of The First People's Hospital of Xuzhou from May 2017 to May 2021 were selected as study subjects. Apparent, hidden, and total blood loss volumes after PFNA were calculated. The clinical data of all patients were statistically analyzed, and possible influencing factors were included. Univariate and multivariate analyses were used to find out the influencing factors of hidden hemorrhage after PFNA internal fixation in elderly FIF patients. Results The apparent, hidden, and total blood loss volumes after PFNA were （235.87±70.65） mL, （712.58±134.25） mL, and （947.77±208.91） mL, respectively. Univariate and multivariate logistic analysis results showed that age≥75 years old, unstable fractures, being complicated with hypertension or diabetes, operation time>60 min, and preoperative anticoagulation therapy were all risk factors for the occurrence of hidden hemorrhage after PFNA internal fixation in elderly FIF patients （P<0.05）. Conclusion Hidden hemorrhage is the main cause of perioperative blood loss in elderly FIF patients treated with PFNA internal fixation, and age≥75 years, unstable fractures, being complicated with hypertension or diabetes, operation time>60 min, and preoperative anticoagulation therapy are important risk factors for hidden hemorrhage. Therefore, relevant clinical measures are suggested for elderly patients with FIF undergoing PFNA internal fixation to improve prognosis and reduce the occurrence of hidden hemorrhage. References | Related Articles | Metrics

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Effect comparison of modified small splint fixation versus plaster fixation on distal radius fractures ZHU Xiaofei, ZHENG Jun, DUAN Lei 2022, 11 (3):  156-160.  doi: 10.3969/j.issn.2095-378X.2022.03.003 Abstract ( 161 )   PDF (8457KB) ( 428 )   Save Objective To compare the clinical effects of small splint fixation versus plaster fixation on distal radius fractures. Methods From January 2019 to December 2021, a total of 64 patients with distal radius fractures were enrolled into this study. In terms of treatment options, 32 patients received small splint fixation, while the remaining 32 patients had plaster fixation. After 3 months of follow-up, the excellent and good rate of postoperative Gartland-Werley score and the wrist joint function recovery assessed by Wrist Function Cooney scoring system were compared between the two groups. Results The excellent and good rate of the group treated with small splint fixation was 89.7%, while the rate of the group treated with plaster fixation was 82.2%. At last follow-up, the Cooney score of the small splint fixation group was higher than that of the plaster fixation group （P<0.05）. Conclusion Small splint fixation in the treatment of distal radius fractures can improve wrist joint function, reduce pain, promote fracture healing, and reduce complications, which is worthy of clinical application and promotion. References | Related Articles | Metrics

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Clinical effect analysis of precision hepatectomy for primary liver cancer JIANG Xiaojie, LIAO Changxi, ZHAO Jianfeng, CAI Qinghe 2022, 11 (3):  161-162.  doi: 10.3969/j.issn.2095-378X.2022.03.004 Abstract ( 112 )   PDF (509KB) ( 401 )   Save Objective To observe the clinical efficacy of precision hepatectomy for primary liver cancer （PLC）. Methods A total of 104 PLC patients admitted to the Department of Hepatobiliary Surgery, Affiliated Hospital of Putian University from June 2019 to June 2021 were randomly divided into an observation group and a control group. The control group received traditional liver resection, while the observation group received precision hepatectomy. Operation related indexes, liver function before and after treatment, and surgical complications in the two groups were compared. Results The amount of intraoperative bleeding and postoperative hospitalization days in the observation group were less than those in the control group （P<0.05）. There was no significant difference in liver function indexes between the two groups before operation （P>0.05）, and the values of the main liver function indexes in the two groups after operation were higher than those before operation, but the increment values in the observation group were lower than those in the control group （P<0.05）. The incidence rates of postoperative biliary leakage, ascites, and other complications in the observation group were lower than those in the control group （P<0.05）. Conclusion Precision hepatectomy for PLC can significantly reduce intraoperative bleeding, promote postoperative recovery, reduce the damage of liver function, and has fewer complications, showing significant efficacy. References | Related Articles | Metrics

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Observation of clinical effect of elastic thread ligation on stage Ⅲ mixed hemorrhoids LI Shi, GUO Songming 2022, 11 (3):  163-166.  doi: 10.3969/j.issn.2095-378X.2022.03.005 Abstract ( 153 )   PDF (639KB) ( 728 )   Save Objective To study the clinical effect of elastic thread ligation on stage III mixed hemorrhoids. Methods Eighty patients with stage III mixed hemorrhoids were divided into a study group （n=40） and a control group （n=40） randomly. The study group was treated with elastic thread ligation, while the control group was treated with tissue-selecting therapystapler （TST）. Operation time, blood loss volume, postoperative complications, healing time, recurrence rate, and other indicators were observed. Results In the study group： operation time, （18.0±3.5） min; intraoperative blood loss volume, （5.0±1.0） mL; postoperative hemorrhage, 0 case （0）; anal pendant expansion, 2.5% （1/40）; healing time, （18.2±2.5） d. In the control group： operation time, （25.0±7.0） min; intraopereative blood loss volume, （25.0±6.5） mL; postoperative hemorrhage, 5% （2/40）; anal pendant expansion, 15% （6/40）; healing time, （23.8±3.9） d. The study group showed better performance in terms of operation time, blood loss volume, postoperative complications, and healing time than the control group （P<0.05）. Conclusion Elastic thread ligation treatment has advantages in reduced operation time, bleeding amount, complications, and healing time, so it is worthy of clinical promotion. References | Related Articles | Metrics

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Clinical curative effect of anal endoscopy in combination with laparoscopic surgery on early rectal cancer YIN Tao, HUANG Yan, HAN Kai 2022, 11 (3):  167-169.  doi: 10.3969/j.issn.2095-378X.2022.03.006 Abstract ( 110 )   PDF (567KB) ( 438 )   Save Objective To investigate the clinical value of anal endoscopy in combination with laparoscopic surgery in the treatment of early rectal cancer. Methods Thirty-seven patients with early rectal cancer who underwent laparoscopic surgery from January 2017 to December 2021 were selected as the laparoscopic group, and 69 patients with early rectal cancer who underwent anal endoscopy combined with laparoscopic surgery during the same period were selected as the combined group. The clinical data of the two groups were retrospectively analyzed. Results There were no significant differences in operation time, intraoperative blood loss volume, and number of lymph node dissection between the two groups （P>0.05）. The abdominal incision length, postoperative exhaust time, postoperative ambulation time, and length of hospital stay in the combined group were significantly shorter than those in the laparoscopic group （P<0.05）, and the incidence rate of complications was also significantly reduced in the combined group （P<0.05）. Conclusion Compared with traditional laparoscopic surgery, anal endoscopy in combination with laparoscopic surgery in the treatment of early rectal cancer is beneficial to postoperative recovery of patients, and can reduce the incidence of complications, showing promising clinical application value. References | Related Articles | Metrics

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Clinical application of preperitoneal modified Kugel hernia repair in elderly female patients with inguinal hernia under local infiltration anesthesia WU Zhen, LI Wenlei, WANG Yongkun, YAO Yumin, CUI Zhaoqing, ZHANG Yang, ZHANG Wei, REN Zhongxi 2022, 11 (3):  170-173.  doi: 10.3969/j.issn.2095-378X.2022.03.007 Abstract ( 100 )   PDF (794KB) ( 671 )   Save Objective To investigate the clinical effect of local infiltration anesthesia combined with preperitoneal modified Kugel hernia repair on inguinal hernia in elderly female patients. Methods The clinical data of elderly female patients over 60 years old admitted to our hospital from September 2017 to September 2020 were retrospectively analyzed, and patients receiving local anesthesia +modified Kugel repair were selected as study subjects. Postoperative pain, recovery time of non-restricted activity, recurrence of hernia, and complications during follow-up were observed. Results Nineteen patients who met the criteria were followed up, ranging in age from 60 to 81 years old, with an average age of （64.5±3.3） years. Superficial infection of postoperative incision occurred in 1 patient and labia edema occurred in 1 patient. Overall, postoperative pain response was mild and satisfaction was good. The average follow-up time was （13.0±3.0） months. No hernia recurrence was observed, and no chronic pain was found. Conclusion Local infiltration anesthesia combined with preperitoneal modified Kugel hernia repair is an ideal surgical procedure for elderly female inguinal hernia patients who cannot tolerate general anesthesia. References | Related Articles | Metrics

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Effect of esketamine combined with transversus abdominis plane block on recovery quality of laparoscopic cholecystectomy surgery patients HU Rui, FENG Xiumei, LIU Jing 2022, 11 (3):  174-178.  doi: 10.3969/j.issn.2095-378X.2022.03.008 Abstract ( 83 )   PDF (659KB) ( 454 )   Save Objective To explore the effect of esketamine combined with transversus abdominis plane block （TAP） on intraoperative analgesia and postoperative quality of recovery among patients undergoing laparoscopic cholecystectomy （LC）. Methods A total of 96 patients at 40-75 years of age undergoing LC were randomly divided into three groups： esketamine group （group S, n=33）, TAP group （group T, n=31）, and esketamine + TAP group （group TS, n=32）. Patients in the group S and the group TS received 0.125 mg/kg esketamine immediately following the induction of anesthesia. Patients in the group T and the group TS received TAP block after induction of anesthesia. Observations included QoR-40 at postoperative 24 h, intraoperative opioid and propofol consumption, NRS score, and the incidence of post-operative nausea and vomiting （PONV） at postoperative 2 d. Results Compared with group S and group T, global QoR-40 scores and the dimensional scores of emotional state, pain, and physical independence were significantly higher in the group TS at postoperative 24 h, and the NRS score of the group TS was significantly lower than those in the group S and the group T at postoperative 4, 8, and 24 h （P<0.05）. The Ramsay score of the group TS was significantly lower than those in the group S and the group T at postoperative 0.5, 4, and 8 h （P<0.05）. Conclusion Small doses of ketamine in addition to TAP can improve the quality of recovery and reduce postoperative pain. References | Related Articles | Metrics

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Safety and effectiveness of esketamine combined with propofol in painless bronchoscopy ZHANG Ying 2022, 11 (3):  179-182.  doi: 10.3969/j.issn.2095-378X.2022.03.009 Abstract ( 150 )   PDF (597KB) ( 479 )   Save Objective To observe the efficacy and safety of esketamine combined with propofol anesthesia in painless bronchoscopy. Methods The prospective study enrolled 90 patients with painless bronchoscopy from September 2020 to November 2021 and divided them into two groups according to the ratio of 1：1. The patients in the observation group （45 cases） were given esketamine combined with propofol anesthesia, and the patients in the control group （45 cases） were given sufentanil combined with propofol. The two groups were compared in terms of MAP, HR, and anesthesia safety before anesthesia （T0）, before painless bronchoscopy （T1）, when bronchoscope passes through glottis （T2）, when bronchoscope reaches carina （T3）, when fiberoptic bronchoscope is taken out （T4）, when the patient wakes up （T5）, and 30 min after examination （T6）. Results The fluctuation ranges of MAP at T1, T2, and T3 in the observation group were lower than those in the control group （P<0.05）. The fluctuation ranges of HR in the observation group at T2, T3, T4, and T6 were lower than those in the control group （P<0.05）. The SpO2 values at T3 and T4 in the observation group were higher than those in the control group （P<0.05）. The incidence rate of cough, anesthesia awakening time, and anesthesia awareness time in the observation group were lower than those in the control group （P<0.05）. The incidence rate of adverse reactions was 6.67% （3/45） in the observation group and 26.67% （12/45） in the control group （P<0.05）. Conclusion Compared with sufentanil, the anesthesia scheme of esketamine combined with propofol can make hemodynamics more stable and reduce complications obviously. References | Related Articles | Metrics

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Clinical effect of laparoscopic surgery combined with methotrexate on ectopic pregnancy and prognosis LIU Yi'en, WU Xiajun, TAN Fuxian 2022, 11 (3):  183-186.  doi: 10.3969/j.issn.2095-378X.2022.03.010 Abstract ( 164 )   PDF (636KB) ( 543 )   Save Objective To investigate the clinical effect of laparoscopic surgery combined with methotrexate on ectopic pregnancy and prognosis. Methods A total of 90 cases of ectopic pregnancy who were admitted to Yangdong District People's Hospital of Yangjiang City from April 2018 to March 2021 were selected and divided into a control group and an observation group （45 cases each group） by random number table method. The control group received laparoscopic treatment, and the observation group received laparoscopic treatment in combination with methotrexate. Treatment effect, blood human chorionic gonadotropin （β-HCG） recovery time, postoperative abdominal pain rate, tubal patency, and hospital stay were observed in the two groups. At 12 months of follow up, natural pregnancy rate and recurrence rate of ectopic pregnancy were compared between the two groups. Results The total effective rate of curative effect in the observation group was higher than that in the control group （P<0.05）. The β-HCG recovery time, postoperation abdominal pain rate, and length of hospital stay in the observation group were lower than those in the control group, and the tubal patency was higher （P<0.05）. After 12 months of follow-up, the natural pregnancy rate was higher and the recurrence rate of ectopic pregnancy was lower in the observation group than in the control group （P<0.05）. Conclusion Laparoscopic surgery combined with methotrexate in treating ectopic pregnancy is more effective than laparoscopic surgery only. It can shorten the time for blood β-HCG concentration to return to normal level, reduce postoperative abdominal pain rate, and improve the rate of tubal recanalization. The follow-up results suggest that laparoscopic surgery combined with methotrexate in the treatment of ectopic pregnancy can help improve natural pregnancy rate and reduce the recurrence rate of ectopic pregnancy. References | Related Articles | Metrics

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Effects of artificial membrane rupture using clamping needle, curved vessel forceps, and sterile cotton swabs during delivery LI Zhewen, CHEN Meiqiong 2022, 11 (3):  187-190.  doi: 10.3969/j.issn.2095-378X.2022.03.011 Abstract ( 97 )   PDF (641KB) ( 473 )   Save Objective To analyze the effects of artificial membrane rupture using clamping needle, curved vessel forceps, and sterile cotton swabs during delivery. Methods A total of 91 pregnant women treated in our hospital from September 2019 to August 2021 were divided into three groups according to the random number table method： 30 cases in group A were ruptured with clamping needle, 30 cases in group B with curved vessel forceps, and 31 cases in group C with sterile cotton swabs. The success rate of membrane rupture, the injury of mother and baby during operation, the degree of pain, and the occurrence of occupational exposure of medical staff in the three groups were observed. Results There was no significant difference in the success rate of membrane rupture among the three groups （P>0.05）. There were no significant differences in maternal injury rate and fetal injury rate among the three groups （P>0.05）. There was no significant difference in the degree of pain between group A and group B （P>0.05）, and the degree of pain in group C was lighter than those in group A and group B （P<0.05）. There was no significant difference in the incidence rate of occupational exposure between group A and group B （P>0.05）, and the incidence rate of occupational exposure of medical staff in group C was lower than those in group A and group B （P<0.05）. Conclusion The three membrane breaking methods using clamping needle, tissue forceps, and sterile cotton swabs can avoid the injury of mother and baby during operation and improve the success rate of membrane breaking, but sterile cotton swabs show more significant effects in reducing the degree of pain and the incidence of occupational exposure of medical staff. References | Related Articles | Metrics

Review

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Research progress of minimally invasive interventional therapy for discogenic low back pain ZHANG Zhong, HUANG Chunping, HUANG Meina, LIU Jiqiang 2022, 11 (3):  191-192.  doi: 10.3969/j.issn.2095-378X.2022.03.012 Abstract ( 111 )   PDF (469KB) ( 453 )   Save Discogenic low back pain is a common clinical disease with an increasing incidence. It can also be called disc disorder in clinical practice. It is pain derived from human intervertebral discs. There are many ways to treat discogenic low back pain. Non-surgical treatments include bed rest, traditional Chinese medicine acupuncture, traditional Chinese medicine fumigation, physical therapy, and western medicine treatment, and can reduce the adhesion resistance, open the intervertebral space, and improve the blood supply around theintervertebral disc of the patients. Some patients have persistent radicular pain or repeated radicular pain. During the straight leg raising test, it is very difficult for patients to bend over, and after treatment, the neurological symptoms of most patients are aggravated, so it is necessary to choose other safer and more effective treatment method. Percutaneous minimally invasive surgery is widely used in clinical practice, with multiple methods such as excision, decompression, shaping, ablation, chemistry, and physics, and different methods have different effects. References | Related Articles | Metrics

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ISG15 and breast cancer LI Wenqian, ZHANG Dongwei 2022, 11 (3):  193-196.  doi: 10.3969/j.issn.2095-378X.2022.03.013 Abstract ( 272 )   PDF (483KB) ( 391 )   Save Breast cancer has become the most common women malignant tumor in the world. Nowadays, the diagnosis and treatment of breast cancer has gradually changed from traditional treatment methods to individualized and precise treatment methods. Interferon-stimulated gene 15 （ISG15） is related to the occurrence and development of many malignant tumors, and participates in tumor-related immune responses and the resistance of many chemotherapeutics. ISG15 can promote breast cancer cell movement, and participate in breast cancer-related tumor immunotherapy and various signaling pathways. These research findings provide new insights for breast cancer treatment. In this paper, the structure and function of ISG15, and its correlation with tumors, especially with breast cancer, were reviewed. References | Related Articles | Metrics

Medical instrument

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Management and practice of medical supplies disposal in large-scale Fangcang shelter hospitals ZHANG Xujing, SHANG Hanbing, WANG Xu, YU Ping, QIU Weiyu, GU Zhidong, LU Xiaolei, BI Yufang, CHEN Erzhen 2022, 11 (3):  197-202.  doi: 10.3969/j.issn.2095-378X.2022.03.014 Abstract ( 274 )   PDF (2276KB) ( 564 )   Save The disposal of medical supplies plays a very important role in public health emergency logistic support. As one of the important parts in epidemic prevention and control, the disposal of medical materials after the closure of large shelter hospitals is crucial for the full utilization of medical equipment and medical consumables, the proper placement of state-owned assets, and the conservation of medical resources. This paper summarized the practical experience in the disposal and management of medical materials after the closure of the Fangcang Shelter Hospital of the National Convention and Exhibition Center （Shanghai）, focused on the principle of "overall allocation, full utilization, step-by-step implementation, and combination of use and storage", and formed a material disposal management system through the establishment of material disposal organization structure, division of responsibilities, and operation mechanism, in order to provide reference for further improving the management system of medical material disposal in public health events. References | Related Articles | Metrics

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Application of intelligent disinfection robot in hospital during COVID-19 epidemic QU Lingling 2022, 11 (3):  203-206.  doi: 10.3969/j.issn.2095-378X.2022.03.015 Abstract ( 189 )   PDF (526KB) ( 896 )   Save With the continuation of the COVID-19 epidemic, China attaches more and more importance to responding to public health emergencies, and epidemic prevention and control as well as standardized and effective disinfection methods have become an immediate need for hospitals. Thanks to the development of science and technology, intelligent disinfection robots have become one of the options for hospital disinfection operations. This paper explores the feasibility of intelligent disinfection robots as a new approach to hospital disinfection by comparing the methods of manual disinfection versus intelligent robot disinfection, and using scenario simulation experiments to demonstrate the effect of robot disinfection. References | Related Articles | Metrics

Case report

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A case report of osteogenesis imperfecta with fracture of both lower limbs WEI Tao, WANG Qinye, XU Zhongliang, CHANG Xiaobo, XI Hongbo 2022, 11 (3):  207-209.  doi: 10.3969/j.issn.2095-378X.2022.03.016 Abstract ( 191 )   PDF (2496KB) ( 740 )   Save Osteogenesis imperfecta, also known as brittle bone-blue sclera-deafness syndrome, is a congenital genetic disease caused by mesenchymal tissue hypoplasia and collagen formation disorder. The main clinical diagnostic criteria are： （1） blue sclera; （2） osteoporosis and increased bone fragility; （3） dentin hypoplasia; （4） early hearing loss. A diagnosis is made when two of the above criteria are met. At present, there is no effective treatment for the pathogenic gene mutation of osteogenesis imperfecta. The existing treatment is only symptomatic treatment, aiming to increase bone density, reduce fracture rate, correct bone deformity, and improve the quality of life of the patients. References | Related Articles | Metrics

Nursing

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Effect of clinical nursing pathway on operation outcomes and prognosis of patients with spinal metastases SHEN Fang, WANG Lingyan 2022, 11 (3):  210-213.  doi: 10.3969/j.issn.2095-378X.2022.03.017 Abstract ( 98 )   PDF (628KB) ( 367 )   Save Objective To explore the influence of clinical nursing pathway on the operation effect and prognosis of patients with spinal metastases undergoing minimally invasive surgery with small incision and freehand nail placement. Methods From May to December in 2019, 49 patients with spinal metastases underwent minimally invasive surgery with small incision and bare hand nail placement. The control group received routine nursing, while the study group received routine nursing combined with clinical nursing pathway. The operation effect, Visual Analogue Scale/Score （VAS）, and quality of life of the two groups were compared. Results After treatment, the effective rates of operation were 72.0% （study group） and 66.7% （control group）, and the overall effect of the study group was better than that of the control group （P<0.05）. There was no significant difference in VAS score between the two groups before treatment （P>0.05）, and after 2 months of treatment, the VAS score of the study group was lower than that of the control group （P<0.05）. After treatment, the scores of each dimension of quality of life in the two groups were significantly improved compared with those before treatment （P<0.05）, and the scores of social function and other dimensions in the study group were higher than those in the control group （P<0.05）. Conclusion Clinical nursing pathway can ensure the effect of surgery, reduce postoperative pain, and improve the overall quality of life of patients. References | Related Articles | Metrics

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Evaluation of effect of centralized management strategy on reduction of physical restraint in neurosurgical inpatients YAN Feng, LI Haitao, DING Guangjie, ZHANG Su 2022, 11 (3):  214-217.  doi: 10.3969/j.issn.2095-378X.2022.03.018 Abstract ( 236 )   PDF (623KB) ( 487 )   Save Objective To explore the effect of centralized management on reducing physical restraint in neurosurgical patients. Methods Neurosurgical patients with physical restraint were selected by purposive sampling method to implement the strategy of cluster management. Before and after comparisons were made in terms of the patients’ physical restraint rate, restraint-related complications, and unplanned extubation rate, and the nurses’ knowledge, attitude, and practice of physical restraint. Results There were significant differences in the rates of physical restraint, restraint-related complications, and unplanned extubation in neurosurgical patients and the scores of knowledge, attitude, and practice of physical restraint in nurses before and after the implementation of centralized management strategy of physical restraint （P<0.01）. Conclusion The strategy of centralized management of physical restraint can reduce the incidence rate of physical restraint, restraint-related complications, and unplanned extubation in neurosurgical inpatients, improve nurses’ knowledge, attitude, and practice of physical restraint, ensure nursing safety, and increase the quality of nursing care. References | Related Articles | Metrics

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Preoperative and postoperative nursing on 1 case of aortic sinus aneurysm ruptured into right atrium MO Xia, SHEN Lei, PAN Jian, XU Ting 2022, 11 (3):  218-220.  doi: 10.3969/j.issn.2095-378X.2022.03.019 Abstract ( 182 )   PDF (557KB) ( 601 )   Save To summarize the perioperative nursing experience of a case of aortic sinus tumor breaking into the right atrium. Provide comprehensive support and monitoring for patients with cardiac function before operation, and nursing intervention is carried out from the aspects of condition observation, hemodynamic monitoring, infection prevention, nervous system nursing, respiratory system nursing and health guidance after operation. After active treatment and care, the patient recovered successfully one week later. References | Related Articles | Metrics