Table of Content

28 September 2018, Volume 7 Issue 3 Previous Issue    Next Issue

Original article

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Effect of ulinastatin on inflammatory cytokines and cardiopulmonary function in hypoxemia patients after off-pump CABG WANG Fei, HUANG Haitao, SHEN Liang, LU Chenxi, ZHONG Chongjun 2018, 7 (3):  153-156.  doi: 10.3969/j.issn.2095-378X.2018.03.001 Abstract ( 195 )   PDF (853KB) ( 419 )   Save Objective To investigate the effect of ulinastatin on inflammatory cytokines and cardiopulmonary function in hypoxemia patients after off-pump coronary artery bypass graft (CABG).Methods Forty hypoxemia patients, who had off-pump CABG surgery, were randomly divided into two groups, control group (n=20) and observation group (n=20).Patients in both groups accepted routine treatment.The observation group was given the treatment of ulinastatin additionally.Fractional concentration of inspired oxygen (FiO2), heart rate (HR), mean arterial pressure (MBP), arterial oxygen partial pressure (PaO2), plasma tumor necrosis factor-α (TNF-α), interleukin-6 (IL-6), IL-8, brain natriuretic peptide (BNP), and cardiac troponin I (cTnI) were observed at pre-treatment (T0), 4 hours after treatment (T1), 24 hours after treatment (T2), 48 hours after treatment (T3), and 72 hours after treatment (T4). Duration of ICU stay and endotracheal intubation time were also observed.Results The differences in general information between the two groups were not significant before treatment (P>0.05). The differences in HR and MBP were not significant (P＞0.05) between the two groups after treatment.Compared with the control group, OI was improved, while the serum IL-6, IL-8, IFN-α, and BNP levels all lower in the observation group after treatment (P＜0.05).There was no significant difference in cTnI at T1 between the two groups (P＞0.05), but cTnI was lower in the observation group than the control group at T2, T3, and T4 (P<0.05).Endotracheal intubation time and the duration of ICU stay of the observation group were much shorter than those of the control group (P＜0.05).Conclusion Ulinastatin treatment for hypoxemia after off-pump CABG could reduce inflammation response cardiopulmonary improve cardiopulmonary, and shorten endotracheal intubation and duration of ICU stay. References | Related Articles | Metrics

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The value of tubercle bacilli DNA detection of seminal fluid and epididymal nodules puncture specimen in epididymal tuberculosis diagnosis ZUO Jianqiang, BAO Jiancheng, WANG Huiquan, YANG Yuejun, GUO Zichen, XU Weimin, FENG Changmei 2018, 7 (3):  157-159.  doi: 10.3969/j.issn.2095-378X.2018.03.002 Abstract ( 183 )   PDF (3001KB) ( 370 )   Save Objective To assess the value of tubercle bacilli DNA detection of seminal fluid and epididymal tuberculous puncture specimen in epididymal tuberculosis diagnosis.Methods From Jan.2010 to Feb.2018, 42 patients with epididymal nodules were selected.Tubercle bacilli DNA detection of seminal fluid and epididymal nodules puncture specimen were taken.Tubercle bacilli were also tested and positive tuberculosis rate was calculatel.Results The positive rate of TB-DNA in the epididymal puncture group was significantly higher than that in the semiral fluid group (42.86% vs.28.57%,P<0.01).The positive rates of smear test had no significant difference between the two groups (P>0.05).Conclusion Tubercle bacilli DNA detection of seminal fluid and epididymal nodules puncture specimen have a great value in diagnosing epididymal tuberculosis. References | Related Articles | Metrics

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Analysis of the efficacy of one-stage arthroscopic reconstruction of anterior and posterior cruciate ligament and repair of medial collateral ligament WANG Jiaqi, ZHANG Peng, WANG Shuqing, ZHANG Yingqi 2018, 7 (3):  160-164.  doi: 10.3969/j.issn.2095-378X.2018.03.003 Abstract ( 228 )   PDF (3870KB) ( 525 )   Save Objective To explore the clinical effects of one-stage anterior and posterior cruciate ligament reconstruction under arthroscopy combined with medial collateral ligament repair.Methods From July 2012 to September 2017, 32 patients with anterior cruciate ligament (ACL) injury, posterior cruciate ligament (PCL) injury, and grade 3 medial collateral ligament (MCL) injury were treated.They were 21 males and 11 females, with an average age of 33±8.4 (21 to 53) years old.The average time from injury to operation was 19±1.9 (16 to 21) days.The ACL and PCL were reconstructed under arthroscopy with autologous tendon and allogeneic tendon, and the upper stop rupture of MCL was repaired with anchors.Results The 27 patients were followed up for an average of 18±7.8 (6 to 32) months.At the last follow-up, the Lysholm score, Tegner score and the International Knee Documentation Committee (IKDC) rating were significantly improved.All the patients showed a negative pivot shift test result and a normal range of motion.Conclusion One-stage reconstruction of ACL and PCL under arthroscopy combined with MCL repair can effectively restore the function of the knee joint and lead to satisfactory clinical outcomes on account of its shorter treatment cycle and early functional exercise. References | Related Articles | Metrics

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Effect of 3D printed individualized titanium prosthesis on craniofacial bone development of young rabbits ZHANG Yi, WANG Lei, SUN Weibing, WANG Tianle 2018, 7 (3):  165-169.  doi: 10.3969/j.issn.2095-378X.2018.03.004 Abstract ( 172 )   PDF (8898KB) ( 166 )   Save Objective To use 3D printing technology to prefabricate titanium prosthesis and repair craniofacial bones of New Zealand rabbits, and investigate whether the implantation of titanium mesh interferes the growth and development of craniofacial bones of rabbits.Methods Twelve young New Zealand rabbits were scanned by spiral CT thin-film non-pitch scanning to obtain tomographic data for the construction of 3D skull model.3D prototype of prosthesis was created with 3D printer.Titanium alloy restorations and titanium screws were used to repair the defect area.Rabbits were sacrificed 16 weeks after titanium prosthesis implantation.Skull surface was exposed through layer-by-layer separation and stripping and the distance between bilateral bony markers was measured for statistical analysis.Results The development of the frontal bone orbital part of titanium prosthesis was significantly delayed compared with that of the contralateral side (P<0.05), and the long axis of the implanted skull was significantly shorter than that of the contralateral side (P<0.01).There were also significant differences between the left and right cranial heights (P<0.01) and between the distances of preoperative and postoperative bone markers (P<0.05).Conclusion Individualized titanium prosthesis and titanium nail fixed repair hinder the craniofacial bone growth and development of young rabbits, resulting in repair side and contralateral craniofacial bones asymmetry development.Using titanium mesh for skull defect repair of children and infants should be careful. References | Related Articles | Metrics

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Clinical study of posterior mammary space approach for multiple fibroadenoma of breast WANG Jun, FENG Shukai, XU Tuo, FENG Shujuan, WANG Shihua 2018, 7 (3):  170-173.  doi: 10.3969/j.issn.2095-378X.2018.03.005 Abstract ( 189 )   PDF (777KB) ( 457 )   Save Objective To analyze the clinical effect of low-margin incision with trans-retromammary space approach on multiple fibroadenoma of breast.Methods A total of 82 patients with multiple fibroadenoma of breast treated from December 2015 to December 2017 in the General Surgery Department of Yangdong District People’s Hospital were selected.The subjects were assigned to two groups, with 41 cases in each group.The low-margin group adopted low-margin incision with trans-retromammary space approach; while the conventional group adopted radical resection.The clinical indicators, overall satisfaction, and postoperative complications were compared.Results The operation time and Vancouver Scar Scale (VSS) scores of the low-margin group were shorter and lower than those of the conventional group (P＜0.05); however, the intraoperative bleeding volume and hospitalization time were not significantly different between the two groups (P＞0.05).The incidence rates of complications of the low-margin group (21.95%) and the conventional group (19.51%) were not different (P＞0.05).The satisfaction rate of the low-margin group (90.24%) was significantly higher than that of the conventional group (68.29%) (P＜0.05).Conclusion Low-margin incision with trans-retromammary space approach has a remarkable effect on multiple fibroadenoma of breast, and improves the aesthetic measures of postoperative scar and breast. References | Related Articles | Metrics

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Therapeutic effect of tension-free repair in preperitoneal space on inguinal hernia WU Haifeng, ZHANG Zihua, LI Hengjian 2018, 7 (3):  174-177.  doi: 10.3969/j.issn.2095-378X.2018.03.006 Abstract ( 190 )   PDF (776KB) ( 447 )   Save Objective To observe and compare the effect of tension-free repair in preperitoneal space and hernia ring-retaining tension-free repair on inguinal hernia.Methods Patients who underwent tension-free repair in preperitoneal space (observation group) and hernia ring-retaining tension-free repair (control group) were retrospectively analyzed for surgery conditions, postoperative pain scores, complications, and recurrence.Results No difference in operation time was found between the two groups.However, intraoperative blood loss, leaving bed time, and hospital stay of the observation group were significantly less and shorter than those of the control group (P<0.05).The pain scores at 6h,12h,and 24h of the observation group was better than those of the control group (P<0.05).The postoperative complication rate of the observation group was significantly lower than that of the control group (7.5% vs.25.0%, P<0.05).None of the patients in the two groups recurred in the one-year follow-up visit.Conclusion Tension-free repair in preperitoneal space for inguinal hernia is more safer and effective than hernia ring-retaining tension-free repair,thus worthy of clinical recommendation. References | Related Articles | Metrics

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Clinical effects of laparoscopic surgery on peptic ulcer perforation XU Longshuai 2018, 7 (3):  178-180.  doi: 10.3969/j.issn.2095-378X.2018.03.007 Abstract ( 198 )   PDF (824KB) ( 476 )   Save Objective To observe the clinical effects of laparoscopic surgery and traditional laparotomy on peptic ulcer perforation.Methods Patients with peptic ulcer perforation who received laparoscopic surgery (n=20, observation group) and who received open surgery (n=20, control group) from January 2014 to December 2017 were retrospectively analyzed.The surgical indices, recovery conditions, postoperative complications, and stress response were compared between the two groups.Results The postoperative exsufflation time,leaving bed time, hospital stays,use of painkillers, and pain scores of the observation group were significantly better than those of the control group (P<0.05).Although the operation time of the observation group was longer, no difference between the two groups was observed (P>0.05).CRP, WBC, and PCT at 24 h and 48 h postoperation of the observation group were significantly lower than those of the control group (P<0.05).The postoperative complication rate of the observation group was also significantly lower than that of the control group (5% vs.20%,χ2=4.11,P<0.05).Conclusion Laparoscopic surgery for peptic ulcer perforation shows good clinical effects, with less recovery time,complications, and stress response. References | Related Articles | Metrics

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Clinical effects of laparoscopic indirect inguinal hernia repair in children CHEN Li, ZHANG Guobo 2018, 7 (3):  181-183.  doi: 10.3969/j.issn.2095-378X.2018.03.008 Abstract ( 200 )   PDF (827KB) ( 432 )   Save Objective To explore the clinical effects of laparoscopic indirect inguinal hernia repair in children.Methods A total of 255 patients with pediatric indirect inguinal hernia (PIH) who received laparoscopic indirect inguinal hernia repair (laparoscopic group) and 183 PIH children who received conventional operation (control group) from January 2013 to September 2018 were enrolled in the study.The operation time, blood loss volume during operation, ability recovery time, hospital stay time, postoperation pain, complication rate, and half-year recurrence rate were compared between the two groups.Results The operation time [(19.75±1.24) min vs.(25.16±1.63) min], ability recovery time [(19.12±2.17) h vs.(28.24±3.46) h)], and hospital stay time [(3.21±0.87) d vs.(5.13±0.95) d] of the laparoscopic group were significantly shorter than those of the control group (P<0.05); the blood loss volume during operation [(3.12±0.64) mL vs.(10.63±1.71) mL], complication rate (1.18% vs.8.20%; χ2=13.3244),and half-year recurrence rate (0.00% vs.2.73%; χ2=4.8345) of the laparoscopic group were also significantly lower than those of the control group (P<0.05).Conclusion Laparoscopic indirect inguinal hernia repair for PIH not only saves operation time, but also benefits patients’ recovery, with less complications and recurrences, which deserves clinical promotion. References | Related Articles | Metrics

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Clinical effects of traditional Chinese medicine formula and endoscopic intervention on acute biliary pancreatitis at early stage DU Shenhua 2018, 7 (3):  184-186.  doi: 10.3969/j.issn.2095-378X.2018.03.009 Abstract ( 207 )   PDF (765KB) ( 441 )   Save Objective To observe the clinical effects of traditional Chinese medicine integrated with western medicine on acute biliary pancreatitis.Methods A total of 140 patients with acute biliary pancreatitis were randomly divided into groupⅠ (n=70), who received conventional therapy, traditional Chinese medicine formula, and minimally invasive surgery, and groupⅡ (n=70), who received conventional therapy and minimally invasive surgery.The recovery time of serum amylase, abdominal pain relief time, first self-venting and defecation time, hospital stay, complication rate, and death rate were compared between the two groups.Results The recovery time of serum amylase, abdominal pain relief time, first self-venting and defecation time, and hospital stay in the groupⅠwere significantly shorter than those of the groupⅡ (P<0.05); the complication rate and death rate in the groupⅠwere also significantly lower than those of the groupⅡ (P<0.05).Conclusion The combined therapy of traditional Chinese medicine formula and endoscopic intervention shows better effects on patients with early-stage acute biliary pancreatitis and deserves clinical promotion. References | Related Articles | Metrics

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Efficacy comparison of electro-resection and electro- fulguration for cystitis glandularis in female GU Qing, ZHAO Xiping, WANG Xizhi 2018, 7 (3):  187-190.  doi: 10.3969/j.issn.2095-378X.2018.03.010 Abstract ( 220 )   PDF (778KB) ( 480 )   Save Objective To investigate the difference of curative effect between electro-resection and electro-fulguration on female cystitis glandularis.Methods Female glandular cystitis patients who were hospitalized in Suzhou Jiulong Hospital were selected, including 42 patients undergoing transurethral electro-fulguration (control group) and 70 patients undergoing transurethral electro-resection (observation group).Postoperative follow-up data and differences in efficacy were compared.Results There were no significant differences in the operation time, intraoperative blood loss, hospital stay, and indwelling catheter time between the two groups (P>0.05).The number of urination and urinary urgency at 24 h after operation were lower than those before operation (P<0.05), and the number of urination and urinary urgency were lower in the observation group than those in the control group at 24 h after operation (P<0.05).There was no significant difference in the total effective rate between the two groups (P>0.05).However, the postoperative cure rate of the observation group was significantly higher than that of the control group (P<0.05).In the electro-fulguration group, the symptom remission rate was higher than that in the electro-resection group within 1 month after surgery.However, the total remission rate of the resection group was higher in the electro-fulguration group (P<0.05).There were no significant differences in the levels of Survivin and P53 between the two groups before operation.The postoperative positive rate in each group was lower than that before surgery (P<0.05).The levels of Survivin and P53 in the observation group were lower than those in the control group (P<0.05).Conclusion For female cystitis glandularis, transurethral electro-resection is better and worthy of further clinical promotion. References | Related Articles | Metrics

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Clinical observation of urinary retention after mixed hemorrhoids surgery by acupuncture plus moxibustion at Guanyuan acupoint GUO Songming, SHEN Qun, TONG Hongbin 2018, 7 (3):  191-193.  doi: 10.3969/j.issn.2095-378X.2018.03.011 Abstract ( 215 )   PDF (764KB) ( 767 )   Save Objective To observe the clinical curative effect of acupuncture plus moxibustion at Guanyuan acupoint on urinary retention after mixed hemorrhoids surgery, and provide a safe, effective, and convenient treatment of urinary retention.Methods A total of 315 cases of mixed hemorrhoids postoperative urinary retention were devided by random number table method into a treatment group and a control group.The treatment group of 165 cases received acupuncture and moxibustion at Guanyuan acupoint, and the control group of 150 cases received Neostigmine injection.Comparison of the clinical efficacy and treatment time of urinary retention were made between the patients with acupuncture treatment and western medicine treatment after mixed hemorrhoids surgery.Results The total effective rate was 90.90% in the treatment group and 72.00% in the control group.There was a significant difference in efficacy between the two groups (P<0.05).Conclusion The therapy of acupuncture and moxibustion at Guanyuan acupoint is effective in treating urinary retention after mixed hemorrhoids surgery, with high effective rate, simple operation,and no side effect. References | Related Articles | Metrics

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Analysis on wound healing time and clinical safety of moist exposed burn ointment in anal fistula patients ZENG Ke, WEN Zhixiong, YUAN Dehan, TANG Huazhong 2018, 7 (3):  194-196.  doi: 10.3969/j.issn.2095-378X.2018.03.012 Abstract ( 214 )   PDF (775KB) ( 738 )   Save Objective To analyze the wound healing time and clinical safety of moist exposed burn ointment in anal fistula patients.Methods A total of 100 anal fistula patients treated from April 2015 to April 2018 were selected and grouped by random number table method, with 50 cases in each group.Group one applied moist exposed burn ointment; Group two applied petrolatum gauze.The wound healing time, pain scores, patient’s satisfaction, and clinical safety were probed.Results The anal pain scores (2.97±0.25), wound exudation [(8.12±0.81) d], and healing days [(16.57±1.52) d] in Group one were reduced compared with Group two [(4.63±0.44), (12.63±1.57) d, (24.77±2.53) d; t=23.195, 18.052,19.645] (P＜0.05); the incidence rate of complications in Group one (2.00%) was significantly lower than that in Group two (14.00%) (χ2=4.891, P＜0.05); the patient’s satisfaction rate in Group one (98.0%) was significantly higher than that in Group two (84.0%) (χ2=5.983,P＜0.05).Conclusion The moist exposed burn ointment can shorten wound healing time, relieve pain, shorten wound exudation time, reduce the incidence rate of complications, and increase patient’s satisfaction, thus worthy of clinical application and promotion. References | Related Articles | Metrics

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Effect of low-dose glucocorticoid on septic shock: A Meta-analysis CEN Chunmei, CAI Fengfeng 2018, 7 (3):  197-200.  doi: 10.3969/j.issn.2095-378X.2018.03.013 Abstract ( 192 )   PDF (1325KB) ( 322 )   Save Objective To analyze the effect of low-dose glucocorticoid on septic shock.Methods Data of randomized controlled trials (RCT) of patients with septic shock treated by low-dose glucocorticoid from January 2010 to December 2017 were systematically reviewed in databases of CNKI, Wanfang, Medline, Embase, ScienceDirect, Ovid, and Cochrane, with the searching words, in Chinese or English, such as“low-dose glucocorticoid” and “septic shock”.Data were retrieved and analyzed by Review Manager 5.2 software for Meta analysis.Results A total of 5 RCT studies involving 415 patients with septic shock were included.Of them, 208 patients were in the treatment group (receiving low-dose glucocorticoid treatment) and 207 patients were in the control group.Plasma lactate concentration was significantly decreased and ICU stay time was significantly shortened in the treatment group compared with the control group (P<0.001).Conclusion Low-dose glucocorticoid administration for patients with septic shock could decrease serum lactate concentration, shorten ICU stay time, and improve prognosis. References | Related Articles | Metrics

Review

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Research advance on miR-146a in coronary atherosclerotic heart disease HUANG Haitao, ZHONG Chongjun 2018, 7 (3):  201-205.  doi: 10.3969/j.issn.2095-378X.2018.03.014 Abstract ( 212 )   PDF (790KB) ( 376 )   Save The incidence of coronary atherosclerotic heart disease (CHD) is increasing in China, which can lead to serious and fatal complications such as myocardial infarction, heart failure, and sudden death.MiR-146a is closely related to the occurrence, development, and prognosis of CHD.It is expressed in endothelial cells, smooth muscle cells, and myocardiocytes of CHD animal models.It mainly regulates inflammatory immune response and angiogenesis by acting on related target genes and signaling pathways.MiR-146a can affect the risk factors of coronary heart disease, atherosclerotic plaque,coronary collateral circulation, ischemia-reperfusion injury, drug treatment, and so on.It can become a new target for the diagnosis and treatment of CHD.This article elaborated the relationship between miR-146a and CHD, aiming to provide a theoretical basis for clinical diagnosis, treatment, and efficacy evaluation of CHD. References | Related Articles | Metrics

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Progress on clinical application of dual-source CT to calculus composition analysis ZHENG Yuanhui, CUI Xiaodong, XU Weiguo 2018, 7 (3):  206-210.  doi: 10.3969/j.issn.2095-378X.2018.03.015 Abstract ( 254 )   PDF (796KB) ( 445 )   Save Urinary stones are a common disease in urology,and determining calculus composition is very important for clinical diagnosis.Many scholars have studied the accurate composition of calculi by dual-source dual-energy CT technology.The recent third-generation dual-source CT can further study urinary components.At present, most domestic studies of urinary calculi stay in qualitative analyses, and overseas studies have begun quantitative analyses.This article reviewed the research progress on three generations of dual-source CT in the analysis of urinary calculi, in order to further investigate the accuracy of the third-generation dual-source CT for the quantitative analysis of calculus composition. References | Related Articles | Metrics

Case Report

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A case of Crohn’s disease initially presenting with massive hematochezia ZHANG Dongwei, YANG Changqing 2018, 7 (3):  211-213.  doi: 10.3969/j.issn.2095-378X.2018.03.016 Abstract ( 175 )   PDF (821KB) ( 754 )   Save To investigate the strategy in the diagnosis and treatment of Crohn’s disease that represents lower gastrointestinal tract massive hemorrhage as the first symptom.A case of Crohn’s disease was retrospectively analyzed, combined with pertinent literature review.Blood transfusion, supportive therapy, and operation were administered to establish the final diagnosis of Crohn’s disease.The case analysis indicated that operation is valuable for treating Crohn’s disease in case that lower gastrointestinal tract massive hemorrhage is the first symptom and intestinal symptoms are atypical or absent.In order to prevent postoperative hemorrhage, biological agent is the first choice. References | Related Articles | Metrics

Nursing

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Production of and effect evaluation on clinical application of modified nursing device of lower limb bone traction SHI Jing, SUN Yisong 2018, 7 (3):  214-217.  doi: 10.3969/j.issn.2095-378X.2018.03.017 Abstract ( 235 )   PDF (1889KB) ( 397 )   Save Objective To evaluate the clinical effect of modified nursing device of lower limb bone traction.Methods A total of 100 patients with lower limb fracture traction from July 2015 to July 2016 were selected and divided into observation group and control group.The control group used traditional nursing device, while the observation group used modified nursing device of lower limb bone traction.The comfort level, pressure injury rate, preparation time for traction, and satisfaction level of nurses were compared between the two groups.Results The comfort level and satisfaction level of nurses in the observation group were significantly higher than those in the control group, and the preparation time for traction and pressure injury rate decreased greatly in the observation group (P<0.05).Conclusion The modified nursing device of lower limb bone traction can improve the work efficiency and satisfaction of medical staff, enhance patients’ comfort level, and effectively reduce the occurrence of pressure injury, which has a high value of promotion and application. References | Related Articles | Metrics

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Nursing experience of 131I-chTNT radioimmunotherapy of 14 patients with advanced pancreatic cancer PAN Minmin, YU Limin, LU Ying 2018, 7 (3):  218-220.  doi: 10.3969/j.issn.2095-378X.2018.03.018 Abstract ( 164 )   PDF (765KB) ( 529 )   Save Objective To summarize the nursing key points of radioimmunotherapy of pancreatic cancer by observing the nursing care in 14 patients with advanced pancreatic cancer receiving injection of 131I-chTNT (iodine-131-lablbed tumor necrosis therapy chimeric antibody).Methods All pancreatic cancer patients (n=14) were treated with computed tomography(CT) guided 131I-chTNT intratumoral injection, and received comprehensive nursing including preoperative health education and postoperative complication nursing care.Results All patients were successfully treated with 131I-chTNT intratumoral injection with scientific, systematic, and meticulous nursing.The success rate was 100%.Specifically, 1 case had a complete response (CR) (7%), 4 cases achieved partial response (PR) (29%), 7 cases had stable conditions (50%), and 4 cases progressed (14%).The effective rate was 36%.Conclusions These promising Results demonstrate that sufficient doses of 131I-chTNT can be safely delivered to tumors to cause significant therapeutic effects on advanced pancreatic cancer.Perioperative psychological nursing, monitoring of vital signs, prevention and nursing of complications are a powerful guarantee for successful operation and prevention of complications. References | Related Articles | Metrics

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Nursing experience of 2 cases of severe acute epiglottitis ZHANG Ying, YANG Haojun 2018, 7 (3):  221-224.  doi: 10.3969/j.issn.2095-378X.2018.03.019 Abstract ( 173 )   PDF (2333KB) ( 391 )   Save Severe acute epiglottitis is clinically featured by acute onset and dangerous development, making it one serious otolaryngologic disease.If not treated in time, it will cause swollen epiglottis, respiratory tract obstruction, and eventually death.This article reported 2 male cases of epiglottitis who were successfully extubated and discharged after psychological counseling, rehabilitation guidance, and meticulous nursing care. References | Related Articles | Metrics

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Evaluation on nursing interventions for perioperative patients with hyperthyroidism WEI Xueyun, ZHANG Xiongwen, XU Haiyan 2018, 7 (3):  225-228.  doi: 10.3969/j.issn.2095-378X.2018.03.020 Abstract ( 319 )   PDF (778KB) ( 927 )   Save Objective To evaluate the nursing interventions during the operation of hyperthyroidism.Methods A total of 112 hyperthyroidism patients admitted from May 2015 to June 2017 were selected and divided into one study group and one conventional group by order of admission and random number table method, with 56 cases in each group.The conventional group received conventional nursing care, and the study group received comprehensive nursing interventions in addition to conventional nursing care.The incidence rate of postoperative complications and the rate of nursing satisfaction between the two groups were compared.Results The incidence rate of postoperative complications of the study group (3.57%) was significantly lower than that of the conventional group (14.29%) (χ2=7.065,P=0.008); the nursing satisfaction rate of the study group (96.43%) was significantly higher than that of the control group (83.93%) (χ2=8.822,P=0.003).There were also remarkable differences in SAS and SDS scores between the two groups (t=10.975,t=6.835,P<0.05).Conclusion For the patients with hyperthyroidism, comprehensive nursing interventions can efficiently reduce the incidence rate of postoperative complications and unhealthy mental feelings, so as to improve clinical nursing satisfaction, establish a good nurse-patient relationship, and promote nursing quality in general.The comprehensive nursing interventions are of great importance in clinical practice. References | Related Articles | Metrics