Table of Content

28 June 2022, Volume 11 Issue 2 Previous Issue    Next Issue

Original article

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Study on primary open-angle glaucoma and 24-hour intraocular perfusion pressure CHEN Ranran, LIAO Yujie, ZHU Haohao 2022, 11 (2):  77-81.  doi: 10.3969/j.issn.2095-378X.2022.02.001 Abstract ( 101 )   PDF (1251KB) ( 238 )   Save Objective To investigate the circadian changes of 24-hour intraocular perfusion pressure in patients with primary open-angle glaucoma （POAG） and its correlation with visual impairment. Methods Twenty-five patients with POAG treated in the Shanghai Fifth People's Hospital Affiliated to Fudan University from March 2017 to December 2021 were selected as the observation group and another 25 healthy volunteers were selected as the control group. Intraocular pressure and blood pressure were measured every 2 h from 10：00 on the first day to 8：00 on the second day, and the mean ocular perfusion pressure （MOPP）, systolic ocular perfusion pressure （SOPP）, diastolic ocular perfusion pressure （DOPP）, and their all-day, daytime, and nighttime fluctuations were calculated. The relationships of the fluctuations with mean defect （MD） and pattern standard deviation （PSD） were tested by Pearson correlation. Results The mean values of all-day, daytime, and nighttime MOPP, SOPP, and DOPP in the observation group were lower than those in the control group （all P<0.05）. The fluctuation values of MOPP, SOPP, and DOPP in the observation group at night and all day were higher than those in the control group （all P<0.05）. The fluctuation value of MOPP in the observation group at daytime was higher than that in the control group （all P<0.05）. There were no significant differences in the fluctuation values of daytime SOPP and DOPP between the observation group and the control group. The fluctuation value of all-day MOPP in the observation group had a negative correlation with MD （r=-0.802, P<0.001） and a positive correlation with PSD （r=0.722, P<0.001）. Conclusion The mean value of intraocular perfusion pressure in the observation group is lower than that in the control group, and the fluctuation ranges of intraocular perfusion pressure in whole day and at night in the observation group are greater than those in the control group. The fluctuation value of MOPP in whole day is correlated with MD and PSD. These findings suggest that low intraocular perfusion pressure and large fluctuation of intraocular perfusion pressure may be the risk factors of glaucoma. References | Related Articles | Metrics

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Retrospective analysis of LVIS stent-assisted treatment of internal carotid artery-posterior communicating artery （ICA-PcoA） aneurysms GAO Feng, DU Haiping 2022, 11 (2):  82-86.  doi: 10.3969/j.issn.2095-378X.2022.02.002 Abstract ( 111 )   PDF (1214KB) ( 375 )   Save Objective To explore the clinical effect of LVIS stent-assisted coil embolization on internal carotid artery-posterior communicating artery （ICA-PcoA） aneurysms. Methods A total of 210 patients with ICA-PcoA aneurysms admitted to our hospital and receiving stent-assisted coil embolization from March 2016 to March 2020 were divided into three groups according to different stents. Patients in the LVIS group （70 cases） were given LVIS stents, patients in the Solitare group （70 cases） were given Solitare stents, and patients in the Enterprise group （70 cases） were given Enterprise stents. The effect of stent-assisted embolization was assessed by digital subtraction angiography （DSA） and Raymond criteria. Prognostic effect was assessed using the Modified Rankin Scale （mRS） and the Activity of Daily Living Scale （BI index）. The incidence rate of surgical complications and the rate of recurrence of aneurysms were recorded. Results There was no significant difference in the success rate of stent placement among the three groups （χ2=1.032, P=0.479）. The Raymond grading showed that the embolization effect of aneurysms in the LVIS group was better than those in the Solidare group and the Enterprise group immediately after surgery and 6 months after surgery （all P<0.05）. The percentage of patients with 0-2 points of mRS score and BI index in the LVIS group were higher than those in the Solitare group and the Enterprise group after 6 months of surgery （all P<0.05）. The incidence rate of surgical complications and recurrence rate of aneurysms in the LVIS group were lower than those in the Solitare group and the Enterprise group, but there was no significant difference （all P>0.05）. Conclusion LVIS stent-assisted embolization has a good embolization effect on ICA-PcoA aneurysms, with high safety and low recurrence rate, but attention should be paid to intraoperative thrombosis and postoperative parent artery stenosis. References | Related Articles | Metrics

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Carotid endarterectomy for severe internal carotid artery stenosis： A clinical analysis of 60 cases LIU Bo, ZHANG Zongqiang, HE Bo, HOU Wenjiao 2022, 11 (2):  87-89.  doi: 10.3969/j.issn.2095-378X.2022.02.003 Abstract ( 102 )   PDF (1199KB) ( 375 )   Save Objective To observe and analyze the clinical effect of carotid endarterectomy on severe internal carotid artery stenosis. Methods From March 2018 to March 2021, a total 120 cases of internal carotid artery stenosis admitted to the Department of Neurosurgery of Xinjiang Yining Corps Fourth Division Hospital were selected as study subjects and randomly divided into a control group （n = 60, carotid artery stenting） and an observation group （n = 60, carotid endarterectomy）. Cognitive function after operation, quality of life, clinical efficacy, and postoperative complications were compared between the two groups. Results Before treatment, there were no significant differences in WHOQOL-BREF score and MoCA score between the two groups （P>0.05）. After treatment, the WHOQOL-BREF score and MoCA score of the two groups were improved significantly, and the scores in the observation group were significantly higher than those in the control group （P<0.05）. The total clinical effective rate in the observation group was significantly higher than that in the control group （P<0.05）. The total incidence rate of complications in the observation group was significantly lower than that in the control group （P<0.05）. Conclusion Carotid endarterectomy shows an obvious clinical effect on severe internal carotid artery stenosis; it can significantly improve patients’ carotid artery blood supply, cognitive function, and quality of life. References | Related Articles | Metrics

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Feasibility of endoscopic thyroidectomy via thoracic-breast approach for benign thyroid tumors QIN Weiyan, CHEN Jinpeng, YUAN Ronghua 2022, 11 (2):  90-92.  doi: 10.3969/j.issn.2095-378X.2022.02.004 Abstract ( 123 )   PDF (1198KB) ( 329 )   Save Objective To evaluate the value of endoscopic thyroidectomy via thoracic-breast approach in patients with benign thyroid tumors. Methods A total of 40 patients with benign thyroid tumors who underwent endoscopic thyroidectomy via thoracic-breast approach from December 2019 to May 2021 in our hospital were selected as the observation group, another 40 patients with benign thyroid tumors who underwent open operation at the same period in our hospital were selected as the control group. A retrospective analysis was conducted on the two groups of patients. Results The operation time of the observation group was significantly longer than that of the control group （P<0.05）, and other operation indexes of the observation group were significantly better than those of the control group （P<0.05）. The total incidence rate of complications in the observation group was significantly lower than that in the control group （P<0.05）, and the appearance satisfaction rate in the observation group was significantly higher than that in the control group （P<0.05）. Conclusion Endoscopic thyroidectomy via thoraco-breast approach in patients with benign thyroid tumors can significantly reduce the incidence rates of intraoperative injury and postoperative complications, and improve patients' appearance satisfaction, despite extended operation time, and therefore it is worthy of clinical promotion. References | Related Articles | Metrics

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Efficacy of muscle energy technology for ultra-early rehabilitation after tibial plateau fracture surgery GU Chunya, FAN Jian 2022, 11 (2):  93-96.  doi: 10.3969/j.issn.2095-378X.2022.02.005 Abstract ( 101 )   PDF (9390KB) ( 220 )   Save Objective To investigate the efficacy of muscle energy technology for ultra-early rehabilitation after surgery for tibial plateau fractures. Methods A retrospective analysis was conducted of the data of 24 patients undergoing tibial plateau fracture surgery in the Department of Orthopedics, Tongji Hospital Affiliated to Tongji University from 2020 to 2021. All patients underwent open reduction and internal fixation with steel plate, and functional rehabilitation exercise 3-4 d after surgery. The observation group （12 cases） was treated with muscle energy technique （MET） combined with continuous passive motion （CPM） training, and the control group （12 cases） was treated with CPM training alone. The length of hospitalization was generally 7-10 d. The VAS score and HSS knee score before and after treatment were compared between the two groups. Results After the treatment, the wounds of the patients in both groups healed well, the postoperative fixed position was good, and the physical condition was stable. There was no significant difference in VAS scores of the two groups before treatment （P>0.05）, and the observation group’s VAS score was lower than the control group’s after treatment （P<0.05）. There was no significant difference in HSS scores between the two groups before treatment （P>0.05）, while after treatment, the HSS score of the observation group was higher than that of the control group （P<0.05）. Conclusion MET has a significant effect on ultra-early functional recovery after tibial plateau fracture surgery, such as effectively reduced postoperative pain, improved knee mobility, and accelerated rehabilitation. References | Related Articles | Metrics

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Effect of sufentanil combined with dexmedetomidine on postoperative analgesia and respiratory depression in patients undergoing aradical surgery of gastric cancer/colorectal cancer XIE Qingguo, SUN Suhua 2022, 11 (2):  97-100.  doi: 10.3969/j.issn.2095-378X.2022.02.006 Abstract ( 167 )   PDF (1276KB) ( 329 )   Save Objective To evaluate the effect of sufentanil combined with dexmedetomidine on postoperative analgesic effect and respiratory depression in patients undergoing aradical surgery of gastric cancer/colorectal cancer. Methods From August 2018 to August 2020, 80 patients admitted to our hospital for aradical surgery of gastric cancer/colorectal cancer were included in the study. The patients were divided into an observation group and a control group with 40 cases in each group by random number table method. Sufentanil was used as the analgesic agent for the control group, and dexmedetomidine was additionally used for the observation group. The analgesic and sedative effects, mean arterial pressure （MAP）, blood oxygen saturation （SpO2）, the occurrence of adverse reactions, as well as the dosage of sufentanil, the dosage of PCIA, the number of additional analgesics, and the number of analgesic pump presses 24 h after surgery were analyzed between the two groups. Results There was no significant difference in VAS and Ramsay scores between the two groups before surgery （P>0.05）. At 12 h, 24 h, 36 h, and 48 h after surgery, the VAS scores of the observation group were lower than those of the control group, while the Ramsay scores were higher （P<0.05）. There were no significant differences in MAP and SpO2 between the two groups （P>0.05）. At 12 h, 24 h, 36 h, and 48 h after operation, the MAP of the observation group was lower than that of the control group （P<0.05）. The incidence rate of nausea and vomiting in the observation group was lower than that in the control group （P<0.05）. There was no respiratory depression in the two groups. There were no significant differences in the incidence rates of chills, pruritus, bradycardia, and dizziness between the two groups （P>0.05）. The dosage of sufentanil, the dosage of PCIA, the number of additional analgesics, and the number of analgesic pump presses in the observation group were all lower than those in the control group 24 h after operation （all P<0.05）. Conclusion Sufentanil combined with dexmedetomidine has a better postoperative analgesic effect on patients with aradical surgery of gastric cancer/colorectal cancer, does not cause respiratory depression, and can reduce the use of analgesic drugs and the number of analgesic pump presses. References | Related Articles | Metrics

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Efficacy and safety analysis of sufentanil combined with sevoflurane anaesthesia in pediatric laparoscopic hernia surgery DUAN Liang 2022, 11 (2):  101-103.  doi: 10.3969/j.issn.2095-378X.2022.02.007 Abstract ( 96 )   PDF (1115KB) ( 354 )   Save Objective To evaluate the anesthetic and postoperative analgesic of sufentanil combined with sevoflurane anesthesia in pediatric laparoscopic hernia surgery. Methods From January 2020 to June 2021, 100 pediatric laparoscopic hernia surgery patients were randomly assigned in accordance with random number table method into two groups. The control group adopted sufentanil, while the observation group used sufentanil combined with sevoflurane. Anesthesia-related indicators, postoperative Visual Analog Scale （VAS） scores, and the incidence of adverse reactions to anesthesia were compared between the two groups. Results The postoperative extubation time, anesthesia recovery time, spontaneous breathing recovery time in the observation group were shorter than those in the control group （P<0.05）. The VAS scores at different postoperative time points in the observation group were lower than those in the control group （P<0.05）. The adverse reaction rate in the observation group was significantly lower than that in the control group （P<0.05）. Conclusion Sufentanil combined with sevoflurane has a good analgesic effect, such as shortened anesthesia recovery time, reduced postoperative pain, and less adverse reactions, which is worthy of promotion. References | Related Articles | Metrics

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Clinical study on ultrasound-guided iliac fascial space block combined with unilateral spinal anesthesia for hip replacement surgery CHEN Yang, HUANG Keman, TANG Bo, HUANG Junchao 2022, 11 (2):  104-107.  doi: 10.3969/j.issn.2095-378X.2022.02.008 Abstract ( 136 )   PDF (1214KB) ( 450 )   Save Objective To investigate the effect of ultrasound-guided iliac fascial space block and unilateral spinal anesthesia in posterior hip arthroplasty for elderly femoral neck fractures. Methods Fifty elderly patients with femoral neck fractures undergoing posterior hip arthroplasty in the Department of Anesthesiology, Yangjiang Hospital of Traditional Chinese Medicine from January to July 2021 were selected and divided into a control group and an observation group, with 25 cases in each group. The control group was treated with combined spinal-epidural anesthesia, and the observation group was treated with ultrasound-guided iliac fascial space block combined with unilateral spinal anesthesia. Anesthesia effects, blood pressure fluctuations, sensory and motor-related time, and postoperative analgesic pump usage, pain, and adverse reactions were compared between the two groups. Results The excellent and good rate of anesthesia in the observation group was higher than that in the control group, and the difference was statistically significant （P<0.05）; the excellent and good rate of blood pressure fluctuation in the observation group was higher than that in the control group, and the difference was statistically significant （P<0.05）; the sensory block time, motor block time, sensory recovery time, and motor recovery time were shorter in the observations group than in the control group, and the differences were statistically significant （P<0.05）; the observation group first pressed the analgesic pump later than the control group, pressed less times of analgesic pumps within 48 h after operation, and conducted less number of remedial analgesia, and the differences were statistically significant （P<0.05）; the observation group showed lower at-rest Visual Analog Scale （VAS） scores at postoperative 4 h, 8 h, and 24 h, as well as during-movement VAS scores at postoperative 12 h and 24 h than the control group, the differences were statistically significant （P<0.05）; the difference in the incidence of adverse reactions between the two groups was not statistically significant （P>0.05）. Conclusion Ultrasound-guided iliac fascial space block plus unilateral spinal anesthesia shows a better anesthesia effect than combined spinal-epidural anesthesia during posterior hip arthroplasty for elderly femoral neck fractures, which can shorten sensory and motor-related time and relieve postoperative pain, with little influence on patients’ blood pressure, and induce few adverse reactions. References | Related Articles | Metrics

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Influence of ultrasound-guided intracavitary radiofrequency ablation combined with point stripping therapy on local blood circulation and coagulation function in patients with varicose veins of lower limbs DING Chao, CHEN Hongsheng 2022, 11 (2):  108-110.  doi: 10.3969/j.issn.2095-378X.2022.02.009 Abstract ( 113 )   PDF (1176KB) ( 340 )   Save Objective To investigate the influence of ultrasound-guided intracavitary radiofrequency ablation combined with point stripping therapy on local blood circulation and coagulation function in patients with lower extremity varicose veins. Methods A total of 90 patients with varicose veins of lower limbs treated from October 2019 to November 2020 were divided into a control group and an observation group by random number table method, with 45 cases in each group. The control group was treated with traditional high ligation and stripping of great saphenous vein and point stripping of varicose vein, and the observation group was treated with ultrasound-guided intracavitary radiofrequency ablation combined with point stripping. The treatment results of the two groups were compared. Results There was no significant difference in venous blood flow velocity of both lower limbs between the two groups before operation （P> 0.05）. The venous blood flow velocity of both lower limbs in the observation group was faster than that in the control group 1 and 2 weeks after operation （P<0.05）. Before treatment, there were no significant differences in the levels of PT, FIB, and APTT between the two groups （P>0.05）. After treatment, there were significant differences in above indicators between the observation group and the control group （P<0.05）. Conclusion Ultrasound-guided intracavitary radiofrequency ablation combined with point stripping therapy has high application value in the treatment of varicose veins of lower limbs. It can improve the blood flow velocity and coagulation function of lower limbs and promote local blood circulation. References | Related Articles | Metrics

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Application of nerve stimulator-guided lumbar plexus and sciatic nerve block in 38 cases of elderly lower limb surgery ZHOU Hui, CAI Yiliang, CHEN Jiachen, WU Tie 2022, 11 (2):  111-114.  doi: 10.3969/j.issn.2095-378X.2022.02.010 Abstract ( 90 )   PDF (1199KB) ( 316 )   Save Objective To investigate the effect of lumbar plexus and sciatic nerve block guided by nerve stimulator in elderly lower limb surgery. Methods A total of 76 elderly patients with lower limb surgery were selected from the Department of Anesthesiology of Yangdong District People’s Hospital, Yangjiang City from January 2019 to November 2021. They were divided into a routine group and an observation group （38 cases in each group） by random number table method; the routine group adopted continuous epidural anesthesia, and the observation group adopted a nerve stimulator-guided lumbar plexus and sciatic nerve block. The hemodynamics [systolic blood pressure （SBP）, diastolic blood pressure （DBP）, and heart rate （HR）] before anesthesia （T0）, 30 min after anesthesia （T1）, 60 min after anesthesia （T2）, and 1 h after surgery （T3）], anesthesia conditions, anesthesia effect, and adverse reactions were compared between two groups. Results There were no significant differences in SBP, DBP, and HR between the routine group and the observation group at T0, T1, T2, and T3 （P>0.05）; there were no significant differences in the onset time of sensory and motor block between the two groups （P>0.05）, and the observation group maintained longer sensation and movement than the routine group （P<0.05）; the observation group showed a better anesthesia effect and a lower incidence rate of adverse reactions than the routine group （P<0.05）. Conclusion Lumbar plexus and sciatic nerve block guided by nerve stimulator for elderly lower extremity surgery can stablize patient's hemodynamics, enhance the maintainance of sensory and motor block, and has a good anesthesia effect with high safety. References | Related Articles | Metrics

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Effect of single-port laparoscopic-assisted total vaginal hysterectomy LIN Yanzhen, HE Junyi, MAI Yanhong 2022, 11 (2):  115-119.  doi: 10.3969/j.issn.2095-378X.2022.02.011 Abstract ( 95 )   PDF (1182KB) ( 269 )   Save Objective To investigate the effect of single-port laparoscopic-assisted total vaginal hysterectomy. Methods Sixty patients who underwent total hysterectomy in our hospital from January 2018 to April 2021 were selected and divided into an observation group （n=29） and a control group （n=31） according to the operation method. The observation group received single-port laparoscopic-assisted total vaginal hysterectomy, while the control group received traditional total vaginal hysterectomy. The operation conditions, Self-rating Anxiety Scale （SAS） score, Self-rating Depression Scale （SDS） score, Female Sexual Function Scale （FSFI） score, and Visual Analogue Scale （VAS） score were observed and recorded of the two groups, and the levels of serum estradiol （E2）, follicular hormone （FSH）, and luteinizing hormone （LH） were examined before and after operation. Results The operation time and postoperative exhaust time in the observation group were （93.90±11.17） min and （29.50±3.12） min, respectively, which were significantly longer than those in the control group （P<0.05）. The VAS scores of the observation group immediately, 1 d, and 3 d after surgery were （4.10±0.97）, （2.50±0.83）, and （1.80±0.53） points, respectively, which were significantly lower than those of the control group （P<0.05）. The postoperative SAS and SDS scores of the observation group were （35.56±4.98） and （33.87±5.95） points, respectively, which were significantly lower than those of the control group （P<0.05）. The FSFI score of the observation group 3 months after operation was （26.19±5.01） points, which was significantly higher than that of the control group （P<0.05）. At 3 months after operation, the E2 level in the observation group was （98.87±9.26） ng/L, which was significantly higher than that in the control group （P<0.05）, while the FSH and LH levels were （8.21±1.41） U/L and （11.31±2.03） U/L, respectively, which were significantly lower than those in the control group （P<0.05）. Conclusion Single-port laparoscopic-assisted total vaginal hysterectomy has a good effect, producing low negative emotion and little influence on sexual life and ovarian function of patients. References | Related Articles | Metrics

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Application of "tension-compression balance reconstruction" theory in the treatment of intertrochanteric fractures WANG Xin 2022, 11 (2):  120-125.  doi: 10.3969/j.issn.2095-378X.2022.02.012 Abstract ( 185 )   PDF (2900KB) ( 429 )   Save Intertrochanteric fractures are very common, and internal fixation has become a consensus, which can reduce bedridden complications. Although the current internal fixation system has been gradually improved, there are still many reports of failure. Considering the structure and biomechanical characteristics of the proximal femur, the special structure of the proximal femur is maintained by tension trabecula and compression trabecula together. The effects of compression and tension trabecula disappear when intertrochanteric fractures occur, and the normal morphology of the proximal femur couldn’t be maintained. Current internal fixation can reconstruct the support structure of the proximal femur, which restores the function of compression trabecula, but neglects the function of tension trabecula. Overly relying on internal structure support is not a perfect internal fixation. Therefore, a better internal fixation should be able to reconstruct both tension and compression trabecula, ensuring tension-compression balance and joint function, maintaining the stability of the affected side and the morphology of the proximal femur. We proposed for the first time the internal fixation theory of "tension-pressure balanceable reconstruction" for the treatment of intertrochanteric fractures, aiming to provide a new direction of the internal fixation design for proximal femoral fractures and address the shortcomings of current internal fixation devices. References | Related Articles | Metrics

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Research progress of laterally spreading tumors in colorectum SUN Kejing, XU Shuchang 2022, 11 (2):  126-132.  doi: 10.3969/j.issn.2095-378X.2022.02.013 Abstract ( 177 )   PDF (1145KB) ( 516 )   Save Laterally spreading tumors （LSTs） are nonpolypoid lesions occurring in colorectum, large, relatively flat, and growing laterally along the intestinal wall. Due to their unique morphology, LSTs have attracted much attention from scholars. This article reviewed the research progress on clinicopathological characteristics, molecular biological features, and endoscopic diagnosis and treatment of LSTs. References | Related Articles | Metrics

Medical instrument

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Application of intelligent interactive system in radiology scene under regular COVID-19 epidemic prevention and control XU Lai 2022, 11 (2):  133-136.  doi: 10.3969/j.issn.2095-378X.2022.02.014 Abstract ( 154 )   PDF (3261KB) ( 255 )   Save Since the outbreak of COVID-19 in China, our hospital has undertaken a large number of work to screen potential COVID-19 risks in the district, and has diagnosed hundreds of suspected cases. In order to strengthen the protection of first-line medical staff in the Department of Radiology during the epidemic, the clinic was armed with medical equipment, providing a solid foundation for overcoming the epidemic. Based on relevant research on the national epidemic situation, an intelligent system was constructed to reduce personnel contact and avoid cross infection. Through the intelligent interactive system, the clinical medical staff in the Department of Radiology were effectively protected. So far, no one has been infected. Clinical engineers could protect the safety of medical staff through scientific anti-epidemic practice and continuous optimization of work. References | Related Articles | Metrics

Nursing

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Perioperative nursing experience of symptomatic chronic subclavian artery occlusion treated by combined approach and guidewire intersection technology PAN Minmin, YU Limin 2022, 11 (2):  137-140.  doi: 10.3969/j.issn.2095-378X.2022.02.015 Abstract ( 97 )   PDF (1108KB) ( 297 )   Save Objective To summarize the nursing key points for patients with chronic subclavian artery occlusion receiving combined approach and guidewire intersection technology through perioperative nursing observation of 22 patients. Methods Patients with chronic subclavian artery occlusion （n=22） were treated with anterograde femoral artery approach and retrograde brachial artery approach. The occluded vessels were opened by guidewire intersection technology. All patients received comprehensive and careful nursing during the perioperative period, including preoperative examination and nursing preparation, psychological nursing and health education, intraoperative nursing cooperation, postoperative complication care and observation. Results All patients were successfully treated with scientific, systematic, and meticulous nursing. Twenty occluded cases were successfully opened, and the success rate was 90.9%. No serious complications occurred. Among the 20 patients followed up, there was no restenosis in 3 months （0%） and 2 cases in 1 year（0%）. Conclusion The application of combined approach and guidewire intersection technology in the treatment of chronic subclavian artery occlusion has a high success rate, and is a safe and effective treatment. Perioperative psychological nursing, monitoring of vital signs,prevention and nursing of complications are a powerful guarantee for a successful operation. References | Related Articles | Metrics

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Application of focused solution mode in patients with lumbar osteoporotic vertebral compression fracture WEI Rong, SHEN Xin, GE Yi, MAO Haimin 2022, 11 (2):  141-144.  doi: 10.3969/j.issn.2095-378X.2022.02.016 Abstract ( 75 )   PDF (1192KB) ( 284 )   Save Objective To explore the effect of focused solution mode on the time of first off-bed and psychological state of patients with lumbar osteoporotic vertebral compression fracture. Methods A retrospective analysis was performed on 56 patients with lumbar osteoporotic vertebral compression fracture who received routine nursing from March 2018 to March 2019 （control group） and 56 patients who received focused solution mode nursing from April 2019 to March 2020 （observation group）. The time of getting out of bed for the first time after operation and the changes of psychological state before nursing and at discharge were compared of patients in the two groups. Results The time of first off-bed and hospitalization time of the observation group were shorter than those of the control group （P<0.05）; at discharge, the anxiety and depression scores of both groups were lower than those before nursing, and the observation group showed lower scores than the control group （P<0.05）. Conclusion Focused solution mode can shorten the time of first off-bed and hospitalization time, as well as improve the psychological state of patients with lumbar osteoporotic vertebral compression fracture. References | Related Articles | Metrics

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Preventive effect of thermal insulation nursing on intraoperative hypothermia and postoperative shivering of cesarean section ZHENG Xiaofei, LIANG Xiaoluan, CHEN Qiuyue 2022, 11 (2):  145-148.  doi: 10.3969/j.issn.2095-378X.2022.02.017 Abstract ( 96 )   PDF (1230KB) ( 298 )   Save Objective To explore the preventive effect of thermal insulation nursing on intraoperative hypothermia and postoperative shivering of cesarean section. Methods A total of 310 cases of cesarean delivery women from June 2019 to July 2020 were selected as study subjects. According to random number table, they were divided into a control group （155 cases）, who received traditional nursing measures, and an observation group （155 cases）, who received thermal insulation nursing in operation rooms. The body temperature of the two groups of pregnant women was compared at the time of entering operating room, 10 min of operation, and after operation. Intraoperative hypothermia and postoperative shivering cases were recorded, and the severity of shivering was evaluated. On the day after operation, the satisfaction of nursing among the pregnant women was investigated by questionnaire. Results The observation group showed higher body temperature than the control group at 10 min of operation [（36.62±0.39） ℃ vs. （35.91±0.43） ℃], and after operation [（36.27±0.38） ℃ vs. （35.63±0.42） ℃], with significant differences （P<0.05）. The incidence rates of intraoperative hypothermia （1.29% vs. 9.68%） and postoperative shivering （3.23% vs. 46.45%） in the observation group were lower than those in the control group, and shivering of the observation group was less severe than that of the control group, with significant difference （P<0.05）. The pregnant women in the observation group showed higher satisfaction of nursing than the control group （93.55% vs. 70.32%）, and the difference was statistically significant （P<0.05）. Conclusion The application of thermal insulation nursing during cesarean section can reduce the incidence of intraoperative hypothermia and postoperative shivering and improve satisfaction of nursing among pregnant women. References | Related Articles | Metrics