ObjectiveTo explore the effect of attention distraction in nursing children with maxillofacial trauma. Method Eighty-eight children with maxillofacial trauma were divided into control group and observation group with 44 patients in each group.Patients in the observation group was cared with attention distraction while the control group by traditional method of forced bondage.The two groups were compared in terms of wound treatment time and healing time,comfort degree and compliance of children.Results The wound treatment time and healing time in the experiment group were shorter than those in the control group.The comfort degree and compliance of children in the observation group were better than those in the control group(P<0.05).Conclusion Attention distraction for nursing children with maxillofacial trauma can improve children’s comfort and treatment compliance and shorten treatment time.

Objective: To study laparoscopic surgery for ectopic pregnancy complicated by hemorrhagic shock clinical efficacy and nursing research. Methods: Retrospective analysis of 60 cases of ectopic pregnancy complicated by hemorrhagic shock patients, divided into:the experimental group and control group of 30 cases, control group using traditional open surgery, laparoscopic surgery treatment groupclosely observe the clinical efficacy of the two groups. Results: Laparoscopic treatment of ectopic pregnancy in patients with hemorrhagic shock complicating operative time, blood loss than the control group; laparoscopic treatment of ectopic pregnancy in patients with hemorrhagic shock complicated exhaust time, postoperative morbidity and hospital stay was significantly lower than control group. Conclusion: Ectopic pregnancy laparoscopic surgery can improve concurrency cure rate of patients with hemorrhagic shock, better retention in patients with reproductive function, improve the patient's quality of life.

S100A6 is the member of the S100 family of EF-hand calcium-binding proteins,which participates in inflammatory reaction and regulates in cell growth,differentiation,growth inhibition and apoptosis.Recently it has been reported that S100A6 plays a key role in neoplastic transformation,proliferation and invasion of tumor,it may become a potential target in the diagnosis and treatment of tumor.Here is to review the recent advances in the research on this molecule,including its structure,function mechanism,and its relationship with the gastrointestinal cancer and so on.

Objective To compare the effects of combined lumbar plexus-sciatic nerve block and epidural anesthesia in elderly patients undergoing unilatemal total hip replacement surgery. Methods Fortytwo patients were randomly divided in two groups (each in 21 cases),combined lumbar plexus-sciatic nerve block group (group N) and epidural anesthesia group (group EA). In group N, combined lumbar plexussciatic nerve block guided by a nerve stimulator was conducted,with 1% lidocaine 15 ml and 0.5% ropivacaine 20 ml (lumbar plexus) and 1% lidocaine 5 ml and 0.5% ropivacaine 20 ml (sciatic nerve). In group EA,epidural anesthesia was achieved by injection of 0.5% ropivacaine 10-15 ml. The variations in hemodynamics, the effect of never block and adverse reactions in both groups were recorded. Results The blood pressure was decreased significantly in group EA than that in group N at 10,20,30,60 min after epidural anesthesia (P ＜0.05). There was no difference in the onset time of sensory and motor blockade between two groups (P ＞0.05),while the duration of sensory and motor blockade was longer in group N [(436.5 ± 103.3 ), ( 307.3 ± 112.4 ) min ] than those in group EA [ (305.2 ± 110.8), ( 189.3 ± 84.5 ) min ](P ＜ 0.05). There was 4 patients combined nausea and vomiting in group EA. Conclusion Combined lumbar plexus-sciatic nerve block in elderly patients undergoing unilaternal total hip replacement surgery has stable hemodynamics, longer analgesia duration and fewer adverse reactions.

Objective To observe the effect of transcutaneous electrical stimulationon on Jiaji acupoint (Ex-B 05) on the expression of glial fibrillary acidic protein (GFAP), nuclear factor kappa B (NF-κB) and interleukin-6 (IL-6) in rats with spinal cord injury (SCI). Meth-ods Ninety healthy adult Sprague-Dawley rats were randomly divided into normal group (group A, n=30), transcutaneous electrical stimula-tion treatment group (group B, n=30) and control group (group C, n=30). Allen's method was used to establish the model of acute SCI in T9. All of them were assessed with Basso-Beattie-Bresnahan (BBB) scale and Slanting Board Test, and the expression of GFAP, NF-κB and IL-6 of the spinal cord were detected with immunohistochemistry one, three and seven days after operation. Results The results of BBB scale and Slanting Board Test were better in group B than in group C three and seven days after SCI (t>3.349, P<0.01). The expression of GFAP, NF-κB and IL-6 was lower in group B than in group C at all the time points after SCI (t>20.815, P<0.001). Conclusion Transcutane-ous electrical stimulation can inhibit the inflammation and the expression of GFAP in spinal cord after SCI, and improve the motor function in rats after SCI.

Objective To investigate and analyze the characteristics of stressor that the undergraduate nursing students have to face at the clinical work in grade A hospitals , then to provide the scientific basis for clinical teaching management and reduce the pressures of undergraduate nursing students. Methods Questionnaires werehanded outto 80 undergraduate nursing students and datawere collected in the condition of their consents. Results The undergraduate nursing students had the higher scores on the dimensions of Patient Care and Nursing Work and stayed the pressure above average. Male and female undergraduate nursing students had the different top 5 stressors, the difference was statistical significance (t=2.434-3.644, P < 0.05). Conclusions The clinical teaching should care for the different stressors of male and female to reduce work and psychological pressure by taking effective measures, and give more attention to strengthen capacity-building of professional practice.

Objective To investigate the clinical efficacy of triple method of heat-sensitive point moibustion and Taiji acupuncture plus massotherapy in treating facial spasm.Method Sixty patients with facial spasm were randomly allocated to treatment and control groups, 30 cases each. The treatment group received triple method of heat-sensitive point moibustion and Taiji acupuncture plus massotherapy and the control group, conventional acupuncture plus suspended moxibustion with moxa stick. After three courses of treatment, the clinical therapeutic effects on spasm (severity and frequency) were compared between the two groups. Result The total efficacy rate and the cure and marked efficacy rate for spasm (severity) were 86.7% and 43.3%, respectively, in the treatment group and 66.7% and 26.7%, respectively, in the control group; there were statistically significant differences between the two groups (P<0.01). The total efficacy rate and the cure and marked efficacy rate for spasm (frequency) were 83.3% and 46.7%, respectively, in the treatment group and 66.7% and 30.3%, respectively, in the control group; there were statistically significant differences between the two groups (P<0.01).Conclusion Triple method of heat-sensitive point moibustion and Taiji acupuncture plus massotherapy is an effective way to treat facial spasm.

ObjectiveTo investigate the variation of T lymphocyte subsets and serum immunoglobulin for perioperative patients with thyroid cancer.Methods74 cases in our hospital for radical surgical resection treatment and 131I treatment after surgery were chosen as the observation group.Take the level of T lymphocyte subsets and serum immunoglobulin for statistics.And then compared with 40 healthy people.ResultsThe observation group before surgery:NK cells:( 19.1 ± 4.6) ％,T cells:(68.2 ± 5.5 ) ％,the serum immunoglobulin before surgery was ( 13.4 ±1.4μg/L).It was significantly higher than the control group [ ( 15.2 ± 3.2 ),( 65.2 ± 5.2 ),( 4.3 ± 0.5 ) ] ; CD4+(32.1 ± 2.9),CD4+/CDs+ ( 1.1 ± 0.3 ).It was significantly lower than the control group ( 38.1 ± 3.9,4.3 ± 0.5 ).The difference was statistically significant ( t =24.5,17.8,33.6,14.5,22.5,all P ＜ 0.05 ).The observation group after surgery,1 month after 131I treatment,3 months after 131I treatment,NK cells ( 17.0 ± 3.3 ),( 16.9 ± 3.0),( 16.7 ±3.4) and serum immunoglobulin (5.1 ±0.6),(6.2 ± 1.0),(6.1 ± 1.0) were significantly higher than control group,the difference was statistically significant ( t =18.4,11.6,9.2,5.4,8.1,7.3,all P ＜ 0.05 ).ConclusionThe variation of T lymphocyte subsets and serum immunoglobulin for perioperative patients with thyroid cancer was regular,and could be used as one of the indicators to determine for tumor recurrence or metastasis.

Objective To provide a help in avoiding accidents related to infusion pump by analyzing its causes and preventive measures. Methods Alarms of infusion pump occurred in 59 patients by infusion pump are reviewed retrospectively and measures to prevent accidents related to infusion pumps are summarized. Results The measures effectually prevent accidents and guarantee patients in using infusion pump. Conclusion The accidents related to infusion pumps can be prevented effectioly by enhancing safety management and making nurses familiar with the infusion pumps,their alarms as well as handling methods.

Objective To investigate the clinical efficacy and safety between laparoscopic and transabdomi -nal hysterectomy ,reduce the occurrence of complications measures .Methods On 154 cases of hysterectomy indica-tions were nonrandomly divided into two groups ,one group for the observation group of 79 cases of laparoscopic opera-tion,another group was control group of 75 patients with transabdominal operation;two groups had no significant differ-ence in age and disease .The clinical effect ,postoperative complications and safety between the two groups during and after operations were observed .Results The operation time of the laparoscopic group (72.0 ±13.2) min was signifi-cantly shorter than that of the control group (98.0 ±20.7)min (t=3.396,P=0.021);The bleeding quantity of the laparoscopic group(96.0 ±75.4)mL was significantly shorter than that of the control group (159.4 ±98.0)mL(t=9.680,P=0.014);The aerofluxus time of the laparoscopic group (17.2 ±4.2) h was significantly shorter than that of the control group(28.6 ±6.1)h(t=9.760,P=0.013).The average postoperative hospital stay time was significantly shorter in laparoscopic group(5.2 ±1.9)d than those in abdominal group(9.5 ±3.2)d (t=-5.025,P=0.018). The analgesic used in the laparoscopic group (3/89)was significantly shorter than that in the control group (48/78) (t=-8.820,P=0.000).Conclusion Laparoscopic hysterectomy is safe and effective .It is worth to promote in clinical,while improving the operation skills is the key to reduce the complications .