Objective To observe the effect of auricular-plaster therapy on non-incisional pain from post-laparoscopic surgery.Methods Sixty patients with non-incisional pains from laparoscopic surgery were divided into experimental group (n=30) and control group (n=30).The patients of control group after laparoscopic surgery were routinely given the oxygen inhalation for 6 hours and encouraged to do off-bed activity earlier.Besides the above-mentioned treatment,the patients of experimental group were additionally given auricular-plaster therapy.The patients of two groups were compared in terms of pain intensity and duration.Result The pain duration in the experimental group was significantly shorter and the pain density was significantly lower than that of the control group (bothP<0.05).Conclusion Auricular-plaster therapy can significantly reduce the duration and intensity of non-incisional pain from gynecological laparoscopy.

Objective To investigate the prevention of multi-drug-resistant infections of Chinese medicine bath decolonization combined with monitoring sensitive index in neurosurgical intensive care (NICU) patients.Methods A total of 520 NICU patients from January 2014 to December 2015 in neurosurgery department of one Jiangsu hospital and one Shaanxi hospital were divided into control group (from January 2014 to December 2014,n=260) and observation group (from January 2015to December 2015,n=260). Infection control standard were applied in both groups and sensitive indexes were monitored. Patients in control group received warm water bath with routine care,while patients in observation group received Chinese medicine bath combined with monitoring sensitive indexes. Infection of Klebsiella pneumoniae (ESBLs-KPN),pan drug resistant acinetobacter baumannii (MDR/PDR-AB) and methicillin-resistant staphylococcus aureus (MRSA) were recorded and analyzed. The incidence rate of catheter-associated urinary tract infection (CAUTI),central line-associated bloodstream infection (CLABSI) and ventilator associate pneumonia (VAP) and prognosis of patients were compared between two groups.Results The rate of ESBLs-KPN infection,MDR/PDR-AB infection,MRSA infection,proportion of bacterial infection species≥2,proportion of colonies number≥ 10 cfu/cm2,proportion of antibiotics usage,incidence rates of CAUTI,CLABSI and VAP in observation group were significant lower than in control group (χ2= 7.688,13.147,11.183,8.827,9.931,24.449,39.389,4.551, 11.269;P<0.05). The time of in NICU and hospitalization in observation group were shorter than control group (t=-18.469,-36.914;P<0.05). The score of satisfaction rate of patients in observation group was higher than control group (t=-39.946,P <0.05).Conclusions Chinese medicine bath effectively reduces bacterial colonization in patients,prevents multi-drug resistant infection in NICU patients and decreases usage of antibiotics. Combination of Chinese medicine bath and monitoring sensitive indexes strength infection control, improve nursing quality so as to promote the prognosis and satisfaction of patients.

Objective:To observe the curative effect and temperature safety management of ginger mud moxibustion of different thickness on ankylosing spondylitis patients with kidney yang deficiency type, and to explore the best curative effect combination and safety combination of ginger mud thickness in Du Meridian moxibustion.Methods:From March 2020 to March 2021, 90 patients with ankylosing spondylitis of kidney yang deficiency type who were treated with Du moxibustion in the Affiliated Hospital of Nanjing University of Chinese Medicine were selected. According to the thickness of ginger paste, they were randomly divided into 2 cm-thick ginger mud thickness group, 3 cm-thick ginger mud thickness group and 4 cm-thick ginger mud thickness group when the diameter and height of moxa wool were the same as 2 cm, 30 cases in each group. They were treated with Fu Yang Du moxibustion once a week for 60 minutes each time. Visual Analogue Scale (VAS), Bath Ankylosing Spondylitis Disease Activity Index (BASDAI), Bath Ankylosing Spondylitis Functional Index (BASFI), traditional Chinese medicine syndrome score were used to evaluate the curative effect of spinal function before and after the intervention for 6 weeks. The time when moxibustion temperature reached 43 ℃ and moxibustion temperature maintained at 43-45 ℃ were analyzed for safety evaluation.Results:After moxibustion, VAS scores of 2 cm-thick ginger mud thickness group, 3 cm-thick ginger mud thickness group and 4 cm-thick ginger mud thickness group were 2.89 ± 0.96, 2.01 ± 0.69, 2.93 ± 1.23, BASDAI scores were 3.51 ± 0.94, 2.69 ± 0.68, 3.13 ± 0.96 and BASFI scores were 1.71 ± 0.99, 0.99 ± 0.36, 1.61 ± 0.50, the traditional Chinese medicine syndrome scores were 15.97 ± 4.61, 12.08 ± 3.21, 13.79 ± 3.58. The scores of the three groups were statistically significant ( F values were 6.51-19.22, all P<0.05) . After the intervention, there were significant differences in the scores between 2 cm-thick ginger mud thickness group and 3 cm-thick ginger mud thickness group, 2 cm-thick ginger mud thickness group and 4 cm-thick ginger mud thickness group, 3 cm-thick ginger mud thickness group and 4 cm-thick ginger mud thickness group ( t values were -6.61-4.56, all P<0.05). Conclusions:Du moxibustion is an effective method to treat ankylosing spondylitis of kidney yang deficiency type. The best curative effect and safety combination is moxa velvet diameter height 2 cm, ginger mud thickness 3 cm.