Table of Content

28 June 2023, Volume 12 Issue 2 Previous Issue    Next Issue

Commentary

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Application of fluorescence imaging in urology TANG Kairan, HAN Bangmin 2023, 12 (2):  81-85.  doi: 10.3969/j.issn.2095-378X.2023.02.001 Abstract ( 140 )   PDF (574KB) ( 274 )   Save Fluorescence-guided surgery （FGS） is a technique that is applied in clinical practice progressively, especially in the field of urology, due to the advantages of high resolution, safety, and operability. The review is aimed at explaining the basic principles and development history of FGS, and discussing current status and prospects of fluorescent tracers in urology. The emerging technology of FGS can help effectively improve the accuracy of surgical resection of lesions while reduce postoperative adverse effects, contributing to achieving the goal of precision medicine. References | Related Articles | Metrics

Original article

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Clinical application of minimally invasive lumbar surgery under spinal endoscope via interlaminar approach ZHONG Rongwei, CHEN Jiayu, LIU Zhanliang 2023, 12 (2):  86-88.  doi: 10.3969/j.issn.2095-378X.2023.02.002 Abstract ( 134 )   PDF (581KB) ( 406 )   Save Objective To investigate the clinical effect of minimally invasive surgery of lumbar spine under endoscope through interlaminar approach. Methods A total of 180 patients with lumbar disc herniation admitted to the Department of Spinal Surgery of Meizhou People’s Hospital from May 2020 to May 2021 were selected as study subjects. According to the random number table method, they were divided into group A, group B, and group C. Group A （n=60） underwent traditional posterior lumbar open surgery. Group B （n=60） underwent transforaminal endoscopic minimally invasive lumbar surgery. Group C （n=60） underwent endoscopic minimally invasive lumbar surgery through interlaminar approach. The operation time and efficacy were compared among the three groups. Results The total effective rate of surgical treatment in group C was higher than that in group A and group B （P<0.05）. The total effective rate of surgical treatment in group B was higher than that in group A （P<0.05）. The operation time of group C was shorter than that of group A and group B （P<0.05）. The operation time of group B was shorter than that of group A （P<0.05）. Conclusion In the treatment of lumbar disc herniation by lumbar endoscopic minimally invasive surgery through interlaminar approach, the operation time is shorter and the clinical therapeutic effect is better than that by traditional lumbar posterior open surgery and lumbar endoscopic minimally invasive surgery through foraminal approach. References | Related Articles | Metrics

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Effect of pedicle screw implantation combined with bilateral laminectomy on lumbar function in patients with unstable lumbar spinal stenosis WANG Yifeng 2023, 12 (2):  89-92.  doi: 10.3969/j.issn.2095-378X.2023.02.003 Abstract ( 78 )   PDF (574KB) ( 198 )   Save Objective To explore the effect of pedicle screw implantation combined with bilateral laminectomy on lumbar function in patients with unstable lumbar spinal stenosis. Methods A total of 56 patients with unstable lumbar spinal stenosis diagnosed and treated from March 2019 to March 2022 were retrospectively analyzed and divided into two groups according to different surgical methods： control group （n=28, internal fixation with open pedicle screw） and observation group （n=28, pedicle screw placement + bilateral laminectomy decompression）. The postoperative lumbar function of the two groups was evaluated by the Japanese Orthopedic Association （JOA） and Oswestry dysfunction index （ODI） scores, and the excellent and good rate of clinical effect of the two groups was calculated. Results The JOA score of the observation group was higher than that of the control group 6 months after operation, and the ODI score was lower than that of the control group （P<0.05）. The excellent and good rate of clinical effect in the observation group was 92.86%, higher than 67.86% in the control group （P<0.05）. Conclusion The treatment of patients with unstable lumbar spinal stenosis with pedicle screw insertion and bilateral laminectomy can achieve good clinical results and improve their lumbar function. References | Related Articles | Metrics

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Evaluation of improvement of inflammatory factor levels in patients with pulmonary abscess by CT-guided abscess drainage HUANG Jun 2023, 12 (2):  93-95.  doi: 10.3969/j.issn.2095-378X.2023.02.004 Abstract ( 69 )   PDF (536KB) ( 254 )   Save Objective To investigate the effect of CT-guided abscess drainage in the treatment of pulmonary abscess on the levels of inflammatory factors in patients. Methods A total of 60 patients diagnosed with lung abscess were selected to participate in the study from January 2019 to January 2022. They were randomly divided into a control group （30 cases） and an observation group （30 cases）. The control group was given drug therapy and the observation group was given CT-guided abscess drainage, respectively. The disappearance time of symptoms, length of hospital stay, and the improvement of inflammatory factor levels were compared between the two groups. Results After treatment, the cough time [（11.16±1.45） d], disappearance time of high fever [（7.15±0.46） d], abscess absorption start time [（8.14±1.05） d], and length of hospital stay [（4.16±0.46） d] in the observation group were all shorter than those in the control group （P<0.05）. After treatment, the levels of various inflammatory factors in the two groups were lower than those before treatment, and the levels of procalcitonin [（81.15±4.16） ng/L], interleukin-6 [（11.15±1.76） ng/L], and C-reactive protein [（7.14±0.49） mg/L] in the observation group were lower than those in the control group （P<0.05）. Conclusion CT-guided abscess drainage in the treatment of lung abscess can significantly speed up the improvement of patients’ symptoms, shorten the length of hospital stay, and reduce the levels of inflammatory factors, which is worthy of popularization and application. References | Related Articles | Metrics

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Analysis on difficulties and countermeasures of laparoscopic-assisted resection of difficult gallbladder with inflammation and edema LIAO Weiming, CHEN Yingju, MO Pengshi, LIANG Yonghui, LIU Da 2023, 12 (2):  96-99.  doi: 10.3969/j.issn.2095-378X.2023.02.005 Abstract ( 93 )   PDF (627KB) ( 221 )   Save Objective To study the difficulties and countermeasures of laparoscopic-assisted resection of difficult gallbladder with inflammation and edema. Methods A total of 120 patients with acute cholecystitis admitted to the hospital from January 2018 to January 2021 were selected. They were divided into a minimally invasive group （n=60） and an open group （n=60） by single and double digit method. Conventional open cholecystectomy was performed in the open group, and laparoscopic cholecystectomy （LC） was performed in the minimally invasive group. The surgical indicators, postoperative complications, serum CRP, white blood cell count, and percentage of granulocytes were compared between the two groups. Results In the minimally invasive group, the operation duration, intraoperative blood loss, intestinal sound recovery time, anal exhaust time, indwelling drainage tube time, and hospital stay were （61.89±3.56） min, （30.79±2.16） mL, （17.89±2.47） h, （23.86±1.89） h, （2.45±0.51） d, and （4.72±0.75） d, respectively, which were lower than those in the open group, （80.03±6.18） min, （42.12±2.49） mL, （32.12±3.69） h, （40.57±4.26） h, （3.66±0.72） d, and （7.06±0.94） d, respectively （all P<0.05）. The total incidence of complications in the minimally invasive group was lower than that in the open group （3.33% vs. 13.33%） （P<0.05）. There were no significant differences in serum CRP, white blood cell count, and percentage of granulocytes between the two groups 1 d before operation （all P>0.05）. One day after surgery, the serum CRP, white blood cell count, and percentage of granulocytes in the minimally invasive group were （32.84±4.19） mg/L, （12.46±2.30）×109/L, and （77.86±7.28）%, respectively, lower than those in the open group, （51.78±6.26） mg/L, （15.17±3.06）×109/L, and （83.47±8.09）%, respectively （all P<0.05）. Conclusion Laparoscopic-assisted resection of difficult gallbladder with inflammation and edema has a significant effect, which can promote the early recovery of patients, reduce the risk of postoperative complications, and reduce inflammatory reaction. References | Related Articles | Metrics

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Application of self-made skin stretching device and alginate dressings in limb wound repair LYU Tingbin, SHEN Zhiling, XIAO Nianbo, FAN Zhaowen, WEN Jiatang, LIANG Huanxin 2023, 12 (2):  100-104.  doi: 10.3969/j.issn.2095-378X.2023.02.006 Abstract ( 83 )   PDF (20348KB) ( 209 )   Save Objective To study the application effect of self-made skin stretching device in the repair of acute and chronic wounds of extremities. Methods A total of 78 patients with acute and chronic wounds of limbs treated from November 2020 to February 2023 were randomly divided into a control group and an observation group, with 39 cases in each group. The control group was treated with routine vacuum sealing drainage, and the observation group was treated with self-made skin stretching device. The therapeutic effect and average wound healing time of the two groups were compared. Results The total effective rate of the observation group was 97.44%, significantly higher than 76.92% of the control group （P<0.05）. The wound healing time in the observation group was （14.13±3.45） d, significantly shorter than （19.04±4.82） d in the control group （P<0.05）. Conclusion In the repair of acute and chronic wounds of extremities, the self-made skin stretching device can effectively improve the total effective rate of treatment and shorten the wound healing time, producinga significant effect. References | Related Articles | Metrics

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Effect of Shangke Guyu Decoction in patients with tibiofibular fracture treated with interlocking intramedullary nail internal fixation LIN Zhijun, LIN Qiyi, LIN Jinhuo, ZHANG Yujiu, LI Rongyi 2023, 12 (2):  105-107.  doi: 10.3969/j.issn.2095-378X.2023.02.007 Abstract ( 68 )   PDF (575KB) ( 248 )   Save Objective To explore the effects of Shangke Guyu Decoction on rehabilitation, bone metabolism, and serum inflammatory factors in patients with tibiofibular fracture treated with interlocking intramedullary nail internal fixation. Methods From January 2020 to January 2022, 80 patients with tibiofibular fracture admitted to the Department of Orthopedics of the Putian Fude Hospital University were selected as the study subjects. All patients were divided into an operation group （40 cases） and an auxiliary group of traditional Chinese medicine （TMC） （40 cases） by envelope method. The operation group was treated with interlocking intramedullary nail internal fixation, while the TMC auxiliary group was treated with Shangke Guyu Decoction additionally. The rehabilitation effect, bone metabolism, and serum inflammatory factor levels of the two groups were compared. Results The healing time of tibia and fibula fracture, the time of getting out of bed after operation, and the time of hospitalization in the TCM auxiliary group were significantly shorter than those in the operation group （P<0.05）. The levels of serum alkaline phosphatase, osteocalcin, and C-terminal peptide of type Ⅰ procollagen in the TCM auxiliary group were higher than those in the operation group （P<0.05）. The levels of tumor necrosis factor α, IL-1, and IL-6 in the TCM auxiliary group were lower than those in the operation group （P<0.05）. Conclusion The treatment of tibia and fibula fracture with Shangke Guyu Decoction and interlocking intramedullary nailing can effectively fasten the rehabilitation process of patients, improve bone metabolism, and reduce inflammatory factors. References | Related Articles | Metrics

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Pharmacokinetic evaluation of different doses of linezolid in treatment of postoperative pulmonary infection in patients undergoing neurosurgery GUO Yingying, ZHUANG Haiyang, SU Baoyan, WANG Jiakun 2023, 12 (2):  108-111.  doi: 10.3969/j.issn.2095-378X.2023.02.008 Abstract ( 89 )   PDF (601KB) ( 198 )   Save Objective To study the pharmacokinetics of different doses of linezolid in the treatment of postoperative pulmonary infection in patients undergoing neurosurgery. Methods From January 2020 to August 2022, a total of 80 patients with pulmonary infection after brain surgery admitted were divided into 600 mg/d group （n=40） and 1 200 mg/d group （n=40） according to initial linezolid dose. After 4 days of treatment, venous blood samples of the two groups of patients were collected, and the plasma concentrations of linezolid at 40% time interval （C40%T） and 100% time interval （C100%T） were detected by high performance liquid chromatography. After one week of treatment, the treatment effectiveness of both groups of patients were evaluated. Pearson correlation analysis was conducted on the correlation between blood concentration and clinical efficacy of linezolid. Results The C40%T concentration in the 600 mg/d group was significantly higher than that in the 1200 mg/d group, while the C100%T concentration was significantly lower （P<0.05）. The two groups of patients showed no differences in PD target attainment rate of 40%T>4×MIC and 100%T>MIC （P>0.05）. The total effective rate of the 600 mg/d group was 67.50%, while that of the 1200 mg/d group was 72.50%, and there was no significant difference between the two groups （P>0.05）. The C40%T and C100%T of linezolid in both groups of patients showed a positive correlation with clinical efficacy （both P<0.05）. Conclusion There is no significant difference in the PD target attainment rate between 600 mg/d and 1200 mg/d linezolid in the treatment of postoperative pulmonary infection patients in neurosurgery. There is a positive correlation between blood drug concentration and clinical treatment efficacy. References | Related Articles | Metrics

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Effect of 1：1 infusion of fresh frozen plasma and leukocyte-removed suspended red blood cells on emergency patients with severe trauma ZHANG Shaofeng, CHEN Chutian, CHEN Xingxia 2023, 12 (2):  112-114.  doi: 10.3969/j.issn.2095-378X.2023.02.009 Abstract ( 76 )   PDF (554KB) ( 196 )   Save Objective To investigate the effect of 1∶1 infusion of fresh frozen plasma and leukocyte-removed suspended red blood cells on the indexes of thromboelastogram and prognosis of severe trauma emergency patients. Methods A total of 120 patients with severe trauma undergoing emergency blood transfusion were prospectively collected and divided into 1∶1 proportional infusion treatment group, 1∶2 proportional infusion treatment group, and 1∶3 proportional infusion treatment group according to different proportions of fresh frozen plasma infusion and leukocyte-removed suspended red blood cell infusion, 40 patients in each group. After infusion, comparisons were made among the three groups of thromboelastogram indexes [coagulation angle （α-Angle）, coagulation time （K） after blood transfusion, reaction time （R）, and maximum thrombus amplitude （MA）], as well as recording of the amount of bleeding 24 h after operation, the length of stay in intensive care unit （ICU）, the time to correct shock, and the time to recover blood volume. Results After infusion, the α-Angle and MA of the 1∶1 proportional infusion treatment group were higher than those of the 1∶2 and 1∶3 proportional infusion treatment groups, while the values of K and R were lower （P<0.05）. The ICU hospitalization time, shock correction time, and blood volume recovery time of the 1∶1 proportional infusion treatment group were shorter than those of the 1∶2 and 1∶3 proportional infusion treatment groups （P<0.05）. Conclusion Infusion of fresh frozen plasma and leukocyte-removed suspended red blood cells at a ratio of 1∶1 for emergency patients with severe trauma can effectively improve their coagulation state and provide positive assistance for their prognosis, and its application effect is worthy of affirmation. References | Related Articles | Metrics

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Clinical application of ultrasound-guided iliac fascia block combined with hypobaric spinal anesthesia in elderly hip surgery CHEN Jianting, LI Shuang, HUANG Fengmo 2023, 12 (2):  115-117.  doi: 10.3969/j.issn.2095-378X.2023.02.010 Abstract ( 85 )   PDF (577KB) ( 207 )   Save Objective To explore the clinical effect of ultrasound-guided iliac fascia block combined with hypobaric spinal anesthesia in elderly hip surgery. Methods A total of 300 elderly patients with hip joint diseases who were treated in our hospital from January 2019 to December 2022 were selected as study subjects. They were divided into two groups according to their surgical treatment time, 150 patients in each group. Among them, patients who were treated from January 2019 to December 2020 served as the control group, and received hypobaric spinal anesthesia; those who were treated from January 2021 to December 2022 served as the study group, and received ultrasound-guided iliac fascia block combined with hypobaric spinal anesthesia. The anesthesia effect and related complications were compared between the two groups. Results Comparative analysis results showed that the effective time and successful time of sensory block and motor block in the study group were shorter than those in the control group （P<0.05）. The total incidence of related complications in the study group during the whole treatment period was 3.34%, lower than 9.34% in the control group （P<0.05）. Conclusion The active implementation of ultrasound-guided iliac fascia block combined with hypobaric spinal anesthesia in the treatment of hip joint surgery in elderly patients generates an ideal anesthetic effect and reduces the occurrence of related complications in patients. References | Related Articles | Metrics

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Clinical observation of intraoperative infusion of Spravato on improving circulation in elderly patients undergoing general anesthesia LIU Shuai 2023, 12 (2):  118-121.  doi: 10.3969/j.issn.2095-378X.2023.02.011 Abstract ( 69 )   PDF (658KB) ( 334 )   Save Objective To observe the influence of intraoperative infusion of Spravato on improving circulation stability in elderly patients under general anesthesia. Methods A total of 83 elderly patients who received general anesthesia surgery from May 2021 to October 2022 were selected, and were divided into an experimental group of 41 cases and a conventional group of 42 cases by random number table method. The conventional group received routine target-controlled intravenous general anesthesia and selected normal saline for goal-directed fluid therapy. The experimental group received general anesthesia treatment as the conventional group, and selected intraoperative infusion of Spravato for goal-directed fluid therapy. The mean arterial pressure （MAP） and heart rate （HR） before anesthesia induction （T1）, before endotracheal intubation （T2）, 1 min after intubation （T3）, and 10 min after intubation （T4）, as well as postoperative pain, sedation, and adverse reactions were compared between the two groups. Results The MAP and HR at T2, T3, and T4 of the experimental group compared with the conventional group were significantly lower （all P<0.05）. The VAS scores at 1 h, 2 h, and 6 h after operation in the experimental group were significantly lower than those in the conventional group （all P<0.05）. The Ramsay scores at 1 h and 2 h after operation in the experimental group were significantly higher than those in the conventional group （all P<0.05）. The total incidence of adverse reactions in the experimental group was significantly lower than that in the conventional group （all P<0.05）. Conclusion Intraoperative infusion of Spravato can effectively maintain the stability of circulation in elderly patients under general anesthesia, improve the effect of analgesia and sedation, and reduce the risk of adverse reactions. References | Related Articles | Metrics

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Effects of B-ultrasound combined with nerve stimulator-guided iliac fascia block anesthesia on hemodynamics in elderly patients undergoing hip surgery YANG Hongxia 2023, 12 (2):  122-124.  doi: 10.3969/j.issn.2095-378X.2023.02.012 Abstract ( 110 )   PDF (541KB) ( 190 )   Save Objective To explore the hemodynamic effects of iliac fascia block anesthesia guided by B-ultrasound combined with nerve stimulator during hip surgery in the elderly. Methods From May 2019 to May 2022, 40 elderly patients who underwent hip surgery were selected and analyzed retrospectively. They were divided into a control group and an observation group according to anesthesia methods. Twenty patients in the control group received intraspinal anesthesia, and 20 patients in the observation group received B-ultrasound combined with nerve stimulator guided iliac fascia block anesthesia. The anesthetic effect, hemodynamics [diastolic blood pressure （DBP）, systolic blood pressure （SBP）, heart rate （HR）, and blood oxygen saturation （SpO2）] levels were compared between the two groups. Results The total effective rate was 95.00% in the observation group, which was lower than 100.00% in the control group, with no statistical significance （P>0.05）. The levels of DBP, SBP, HR, and SpO2 in the observation group were higher than those in the control group after 30 min of anesthesia （P<0.05）. Conclusion The use of B-ultrasound combined with nerve stimulator-guided iliac fascia block anesthesia in elderly hip surgery can make the hemodynamic level of patients fluctuate less, and its anesthesia effect is good, but the spinal anesthesia is better. References | Related Articles | Metrics

Review

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Research progress on graft selection in anterior cruciate ligament reconstruction FENG Jianhao, WANG Jiaqi 2023, 12 (2):  125-130.  doi: 10.3969/j.issn.2095-378X.2023.02.013 Abstract ( 280 )   PDF (636KB) ( 314 )   Save Anterior cruciate ligament （ACL） is one of the most vulnerable structures during sports and an essential anterior stabilizing structure in the knee joint. ACL injury can impair a patient’s ability to move, and if not properly treated in time, it often results in serious adverse complications like meniscal and articular cartilage damage, and even traumatic osteoarthritis. Currently, ACL reconstruction is the standard treatment for ACL injury, and the choice of grafts has a significant impact on patients’ postoperative functional recovery and surgical success. Autografts are the most commonly used grafts and have the most stable efficacy, but they have drawbacks like limited sources and donor-site morbidity. Although having greater adaptability, allografts carry a risk of immune rejection and the spread of diseases. Artificial ligaments are appropriate for those who must quickly resume their athletic activities, but they are technically challenging and have not been shown to be long-term effective. Due to the numerous issues with traditional grafts, recent rapid advancements in tissue engineering techniques are generating novel ideas for ACL reconstruction. In order to aid in the treatment of ACL injury, this article discussed the benefits, drawbacks, and clinical effectiveness of different grafts used in ACL reconstruction. References | Related Articles | Metrics

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Progress in modified gastric tube surgery and related techniques for esophageal cancer TENG Jingyan, ZHANG Qiang, SHANG Pan, LI Guiya, YUAN Hao 2023, 12 (2):  131-136.  doi: 10.3969/j.issn.2095-378X.2023.02.014 Abstract ( 82 )   PDF (643KB) ( 250 )   Save Esophageal cancer is a common malignancy of the digestive system, and its incidence rate and total mortality rate are both among the top cancers worldwide, posing a great threat to cancer patients. In recent years, despite the declining incidence, China is still a region with high incidence of esophageal cancer, and the diagnosis and treatment of esophageal cancer cannot be ignored. At present, the treatment of esophageal cancer is still a comprehensive treatment mode mainly based on surgery, and surgical resection is the main means to eradicate esophageal cancer. With the development of surgical techniques, tubular gastric esophagus has become the most commonly used method of esophageal reconstruction, and has obvious advantages over previous total gastric esophagus, but there will still be anastomotic fistula, anastomotic stenosis, gastroesophageal reflux, and other related complications. In order to reduce the incidence of postoperative complications, improve the quality of life in patients, a lot of research has been conducted on the innovation and development of tubular stomach, making tubular stomach technology more mature and practical, at the same time, fluorescence vascular imaging technology, robot-assisted surgery technology, and other related fields of improvement and popularization also provide a new idea for the development of tubular stomach. Comprehensive multidisciplinary development also provides support for the ERAS protocol for esophageal cancer. This paper reviewed the recent research of tubular gastroplasty and its modified techniques, as well as the development and application prospects of other related techniques. References | Related Articles | Metrics

Medical instrument

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Application of medical consumables management robot in management of consumables in operating room WU Jing, WANG Hao 2023, 12 (2):  137-140.  doi: 10.3969/j.issn.2095-378X.2023.02.015 Abstract ( 166 )   PDF (1123KB) ( 192 )   Save Objective With the expansion of hospital scale and the development of medical technology, the usage of consumables in operating rooms is increasing year by year, and the problems of consumables management are appearing. In order to solve these problems, there is an urgent need to explore a new method of consumables management. Methods A medical consumables management robot was introduced to consumables management process in operating rooms. Results Some achievements were made, and problems of manual management of consumables in operating rooms were solved. Conclusion The research has confirmed that the medical consumables management robot could lift the working efficiency of operating rooms, strengthen the closed-loop management of medical consumables in operating rooms, and improve the satisfaction of medical staff and patients. References | Related Articles | Metrics

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Construction and application of traceability management platform for high-risk COVID-19-like specimens based on 5G Internet of Things mode TANG Yun, GU Sicong 2023, 12 (2):  141-145.  doi: 10.3969/j.issn.2095-378X.2023.02.016 Abstract ( 71 )   PDF (974KB) ( 141 )   Save Objective To construct a high-risk specimen traceability management platform based on 5G Internet of Things mode, and to explore its application value in the detection and management of COVID-19-like specimens. Methods A total of 500 samples from November 2020 to April 2020 were included in the control group, and 500 samples from May 2021 to October 2021 were included in the observation group. Traditional tracking management mode and Internet of Things tracking management mode were adopted respectively. Among them, the observation group built a 5G traceability management platform for multidimensional information collection of specimens, personnel, equipment, and environment around the six links of specimen collection, packaging, transport, testing, preservation, and abandonment, and carried out data management and browsing query through the LIS system. Results The traceability rates of collection, packaging, transport, testing, preservation, and abandonment of specimens in the observation group were higher than those in the control group, and the differences were statistically significant （P<0.05）; The report time of the observation group was shorter than that of the control group. The rates of overtemperature and RNA degradation in the observation group were lower than those in the control group, and the differences between the two groups were statistically significant （P<0.05）; the proportion of missed detection was lower than that of the control group, and there was no significant difference （P>0.05））. Conclusion A traceability management system for high-risk COVID-19-like specimens has been established based on 5G Internet of Things mode, which has improved the timeliness of data collection for detection of high-risk COVID-19-like specimens, optimized the whole process of detection of the full life cycle of specimens, and reduced the biosecurity risks of specimen detection. It has important application value in improving hospital management level and diagnosis and treatment ability. References | Related Articles | Metrics

Nursing

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Nursing measures related to hemodialysis and perfusion in patients with acute renal failure bitten by Viperarusselii CHEN Bingbing, LENG Yingjie, LIN Xiaoling, CAI Yanping, LUO Yi 2023, 12 (2):  146-148.  doi: 10.3969/j.issn.2095-378X.2023.02.017 Abstract ( 31 )   PDF (616KB) ( 119 )   Save Objective To study the nursing measures related to hemodialysis and perfusion for patients with acute renal failure bitten by Viperarusselii. Methods From September 2021 to July 2022, a total of 64 patients with acute renal failure who were bitten by Viperarusselii were randomly divided into two groups： an observation group and a control group, with 32 patients in each group. Both groups of patients were treated with hemodialysis, and the medical staff carefully observed the patients before, during, and after the operation. The control group adopted traditional nursing methods, including psychological nursing and diet nursing; the observation group also carried out posture nursing on the traditional nursing methods. The recovery effect and nursing satisfaction of the two groups were compared. Results The total effective rate of the observation group was 96.85%, which was significantly higher than that of the control group （87.50%, P<0.05）. The satisfaction of the patients in the observation group was significantly higher than that in the control group （P<0.05）. Conclusion Hemodialysis and perfusion can effectively control the condition of patients with Viperarusselii bite and acute renal failure, and reasonable and effective nursing methods can greatly improve the curative effect. References | Related Articles | Metrics

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Nursing care of a patient with congenital right aortic arch complicated with esophageal cancer who developed septic shock and early anastomotic leakage after operation GUO Xian, MO Xia, SHEN Lei, XU Ting 2023, 12 (2):  149-152.  doi: 10.3969/j.issn.2095-378X.2023.02.018 Abstract ( 73 )   PDF (613KB) ( 137 )   Save To summarize the nursing experience of one patient with congenital right aortic arch complicated with esophageal cancer who developed septic shock and early anastomotic leakage after operation. Postoperative care for septic shock and anastomotic fistula was actively implemented with symptomatic treatment and an personalized nursing plan was formulated. After careful treatment and nursing, the patient was cured and discharged 19 days after operation. References | Related Articles | Metrics

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Targeted nursing applied to patients with indwelling gastric tube and effect on intubation HE Xiuyu, ZHENG Bihuan, CHEN Tingting, HUANG Zhifen 2023, 12 (2):  153-156.  doi: 10.3969/j.issn.2095-378X.2023.02.019 Abstract ( 54 )   PDF (603KB) ( 127 )   Save Objective To explore the application of targeted nursing measures in patients with indwelling gastric tube and its effect on intubation. Methods From January 2021 to July 2021, a total of 280 patients who had an indwelling gastric tube were selected as the subjects of this study. The random number table method was used to divide them into two groups, a control group （137 cases） and an experimental group （143 cases）. The control group was given conventional nursing methods, and the experimental group was given targeted nursing. The two groups of patients were compared in their negative emotions, comfort, and intubation success rate. Results Compared with the control group, the experimental group was significantly lower in terms of SAS score and the number of anxiety patients （P<0.05）. In terms of comfort, the proportion of patients with minimal discomfort in the experimental group was 54.55% and that in the control group was only 9.49%, with a significant difference （P<0.05）; the proportion of patients with unbearable discomfort in the experimental group was as low as 0.00%, which was significantly lower than 19.71% in the control group （P<0.05）. Compared with the control group, the one-time success rate of the experimental group was as high as 93.01%, which was significantly higher than 71.53% of the control group （P<0.05）. Conclusion In the process of indwelling gastric tube in patients, targeted nursing measures can remarkably relieve the negative emotions of patients, improve comfort and the success rate of one-time intubation, and should be widely used in clinical treatment. References | Related Articles | Metrics