Objective:To explore effect of Shao Pai febrile diseases nursing in patients with chronic obstructive pulmonary disease (COPD) of lung and kidney deficiency type.Methods:From January 2019 to August 2020, convenience sampling was used to select 100 patients with COPD of lung and kidney deficiency type in the Respiratory Department, Shaoxing Hospital of Traditional Chinese Medicine as the research object. According to the random number table method, the patients were divided into the nursing group and the control group, 50 cases in each group. The control group was intervened by conventional nursing, while the nursing group conducted Shao Pai febrile diseases nursing on the basis of conventional nursing, and the intervention was continued for three months. The modified Medical Research Council (mMRC) and St George's Respiratory Questionnaire (SGRQ) were used to evaluate the influence of dyspnea on quality of life. The forced expiratory volume in one second (FEV1) , FEV1 as a percentage of predicted force vital capacity (FEV1%) , and peak expiratory flow (PEF) were compared between the two groups before and after treatment.Results:After treatment, the dyspnea in the nursing group was better than that in the control group, and the total score of SGRQ and the scores of each dimension were lower than those in the control group, and the FEV1, FEV1% and PEF were higher than those in the control group, and the above differences were statistically significant ( P<0.05) . Conclusions:The Shao Pai febrile diseases nursing can further improve the lung function of patients with COPD of lung and kidney deficiency type, reduce the degree of dyspnea, and improve the quality of life of the patients.

Objective To investigate the clinical effect of retrograde nasolabial fold flap pedicled with angular artery in the repair of inferior nasal defect .Methods According to the location and size of inferior nasal defect ,the reverse island flap or axial flap pedicled with the inner canthus artery was de-signed to repair the defect at the nasolabial fold of the affected side .Results Eighteen patients were followed up for 6-36 months ,of which 2 cases had partial necrosis at the distal part of the flap ,healed by dressing change ,and the rest of the flaps survived .The flaps were not bulky and the color and tex-ture were similar to those of the surrounding skin .All patients were satisfied with the appearance im -provement .Conclusions The blood supply of the retrograde nasolabial fold flap pedicled with the in-ner canthus artery is reliable ,using flaps from the nasolabial sulcus is surgically convenient ,flexible in design and covert in donor site .It is one of the ideal methods for the repair of inferior nasal defects .It is worthy of clinical application .

To investigate the clinical features and influencing factors for new-onset atrial fibrillation (AF) early after coronary artery bypass grafting. Methods    The clinical data of 339 patients undergoing coronary artery bypass grafting in our hospital from January 2012 to January 2019 were retrospectively analyzed. There were 267 males and 72 females with an average age of 37-83 (58.03±8.90) years. The clinical features and influencing factors for new-onset AF after surgery were investigated. Results    There were 234 patients of off-pump coronary artery bypass grafting (OPCABG), with 36 (15.4%) new-onset AF patients after operation, among whom 16.1% were males and 12.5% were females. There were 105 patients of on-pump coronary artery bypass grafting (CABG), with 39 (37.1%) new-onset AF patients, among whom 40.7% were males and 25.0% were females. The incidence was higher after the CABG surgery than that after the OPCABG surgery (37.1% vs. 15.4%, P<0.05). There was no statistical difference in the incidence rate between males and females (P>0.05). The incidence of new-onset AF after surgery was higher in ≥60 years patients for both  operations (18.9% and 45.8%), which was significantly higher than that in <45 years patients (P<0.05). For both operations, the incidence of new-onset AF after surgery was high on the second day (24-48 h) after surgery, and most of the AF lasted for 1 day (P<0.05). The hypertension (OR=4.983, P=0.036), frequent premature atrial contraction or atrial tachycardia (OR=17.682, P=0.002), postoperative creatine kinase isoenzyme MB (CKMB) (OR=0.152, P=0.042), left anterior and posterior diameters (OR=17.614, P<0.001) and preoperative ejection fraction (OR=7.094, P=0.011) were influencing factors for new-onset AF after OPCABG. Diabetes (OR=11.631, P=0.020), other cardiac malformations (OR=29.023, P=0.002), frequent premature ventricular contraction or ventricular tachycardia (OR=0.047, P=0.001), and postoperative CKMB (OR=3.672, P=0.040) were influencing factors for new-onset AF after CABG. Conclusion    The incidence of new-onset AF after CABG is higher than that after OPCABG, and it increases with age increasing. There is no difference in the incidence between males and females. The influencing factors for the two operations are different.