1.Nursing care of 65 patients undergoing eyelid malignant tumor resection combined with primary eyelid reconstruction
Qiong ZHANG ; Lingguang WAN ; Jin WU
Chinese Journal of Nursing 2010;45(1):35-36
This paper summarizes the perioperative nursing of 65 patients undergoing eyelid malignant tumor resection combined with primary eyelid reconstruction. The nursing care focused on routine preoperative preparations as well as postoperative care of incision dressing, dressing change, medication administration and monitoring, prevention of infections and health education. All the patients had Ⅰ-phase wound healing and good shape of eyelid repair without postoperative complications.
2.Therapeutic Effect of Recombinant Human Interleukin-11 on Thrombopenia in Children with Acute Non-Lymphocytic Leukemia after Chemotherapy
qiong, MENG ; quan, WEN ; wan-hai, FU
Journal of Applied Clinical Pediatrics 2004;0(09):-
Objective To explore the preventive and therapeutic effect of recombinant human interleukin-11(rhIL-11) on thrombocytopenia in children with non-lymphocytic leukemia after chemotherapy.Methods Sixteen children who had non-lymphocytic leukemia were divided into 2 groups by randomization,including a therapeutic group and a control group.RhIL-11[50 ?g/(kg?d)] was injected subcutaneously 24 h after chemiotherapy in the therapeutic group,and applied consecutively 10-14 days,and the control group was treated without RhIL-11.Duration of the thrombocytopenia,infusion of blood platelet,diversity of blood platelets counts and adverse effect were observed of the 2 groups.Differences between groups were examined using statistics analysis.Results There were 16 case-times(59.3%) in the therapeutic group that of could be cured without platelet transfusion,but that of control group only had 3 case-times(14.3%);the diffe-rence between 2 groups was significant(P
3.Vicissitudes of Clinically Isolated Pathogenic Bacteria and Their Drug Resistance Pattern
Xiaolan ZHENG ; Qiong WAN ; Yihong XIE ; Xiaofang WAN ; Chunhua LIU
Chinese Journal of Nosocomiology 1994;0(01):-
OBJECTIVE To comprehend the changes in the spectrum of clinically isolated pathogenic bacteria and their drug resistance,and to analyze their tendency.METHODS Totally 5746 pathogenic bacteria isolated from clinical samples of the inpatients in our hospital during 1997-2004 and their drug resistance was statistically(analyzed).RESULTS Most of clinically isolated pathogenic bacteria were Gram-negative.The detected rate of Gram-positive bacteria tended to rise,while the detected rate of fungi obviously increased year after year.Gram-positive cocci and Gram-negative bacilli were resistant to commonly used antibacterials in different degrees,(especially) to ampicillin.The sensitive rate of Gram-positive bacteria was high to vancomycin,while the sensitive rates of Escherichia coli and Klebsiella pneumoniae to imipenem were high.CONCLUSIONS The structure of(nosocomial) infection(pathogens) and their drug resistance patterns are changing continuously.It should be(emphasized) to inspect(bacterial) tolerance in order to select antibacterial reasonably.
4.Nursing comparison and analysis between single-port laparoscopic adrenalectomy and retroperitoneal laparoscopic adrenalectomy
Qiong-Qiong LI ; Yan WAN ; Ying CUI
Chinese Journal of Modern Nursing 2011;17(18):2132-2133
Objective To compare the nursing effect between single-port laparoscopic adrenalectomy and retroperitoneal laparoscopic adrenalectomy.Methods Patients who will accept adrenalectomy were divided into single-port laparoscopic group and retroperitoneal laparoscopic group according to different operation methods, then following variables were investigated and analyzed: the time of operation, the volume of blood loss, the time of drainage tube detained, the time of the patients leaving their beds, the time of bowel moved, the days of the patients stay in hospital after operation.Results Single-arch coparoscopic groups of patients peri-operatine bleeding and postoper ative patients off the bed time and exhanst timer was better than the control groups.Conclusions Based on the premise that curative effect be ensured, the single-port laparoscopic adrenalectomy reduces the painful feeling of patients, reduces the difficulties of nursing, it improves medical and nursing efficiency, it provides new way of laparoscopic therapy about adrenal tumor.
5.Items selection in development of quality of life instrument for patients with esophageal cancer
Yanbo QI ; Gaofeng LI ; Qiong MENG ; Chonghua WAN
Journal of International Oncology 2010;37(7):554-556
Objective To develop the specific module of quality of life instrument for patients with esophageal cancer. Methods with the structured group ( nominal group and focus group) methods and the qualitative and quantitative theory and methodology in developing rating scales, items were preliminary screened, evaluated and modified. And the data measuring from 28 cases of esophageal cancer patients and 25 doctors/nurses were analyzed by 4 statistical procedures: method of coefficient of variation, correlation analysis, patients'importance rating procedure and doctors' importance rating procedure. Results By above statistical procedures and advises of doctors, thus 19 - items specific module was formed finally. Conclusions The specific module developed on the strict procedures has good content representativeness and validity.
7.Construction of System Framework of Basic Dataset of Nursing Management Information for Hospital of TCM
Yu ZHAO ; Changxiu WAN ; Qiong ZHOU ; Qian XU
Journal of Medical Informatics 2017;38(5):39-42
Starting with the concepts of basic dataset and basic dataset of nursing management information of hospital of Tradtional Chinese Medicine (TCM),the paper introduces the research purpose,construction principle,construction method,construction contents and system framework of the basic dataset standard system of nursing management information of hospital of TCM,in order to lay a foundation for achieving nursing management data resource sharing and exchange of hospital of TCM.
8.Effect of transitional intervention on compliance and life quality of patients after percutaneous coronary intervention
Xiaoying WAN ; Qiong ZHOU ; Fang YUAN ; Jiarong TANG
Chongqing Medicine 2014;(19):2412-2414
Objective To explore the effect of transitional intervention on compliance and life quality of patients after percutane-ous coronary intervention(PCI) in cardiovascular internal department ,and provide the basis for the compliance in patients after PCI operation .Methods From January 2010 to September 2012 ,80 patients after PCI infection who had coronary heart disease were di-vided into observation group and control group ,and 40 cases in each group .The control group used conventional methods to rehabil-itation guidance for patients after PCI while the observation group used continued intervention system .According to the exercise of selfcare agency scale(ESCA) and health promoting lifestyle profile(HPLP) to improve the evaluation ,the compliance and life quali-ty of the two groups patients who discharged from hospital after 6 months and 12 months were evaluated .Results In the 6 months and 12 months after discharge ,compliance and life quality of the observation group was better than the control group ,and the differ-ence was statistically significant (P<0 .05) .And the difference of ESCA and HPLP scores at different time points between groups were statistically significant (P<0 .05) .Conclusion Continued intervention system can significantly improve the compliance and life quality in infection patients after PCI .
9.Changes of serum cytokines and their clinical significance in infants with cytomegalovirus infection
Wan XIONG ; Yu LIU ; Qiong CHEN ; Yang WU
Journal of Third Military Medical University 2003;0(07):-
Objective To investigate the changes of serum cytokines and explore their role in infants with cytomegalovirus (CMV) infection. Methods We recruited 41 positive CMV-IgM plus normal ALT infants (other disease group), 30 positive CMV-IgM plus abnormal ALT infants (hepatitis group) and 30 healthy infants (control group) in the study. The levels of tumor necrosis factor-?(TNF-?), interferon-?(IFN-?) and interleukin-4 (IL-4) in serum were measured with ELISA. The association between TNF-? and ALT was analyzed. Results The levels of TNF-?, IFN-?, IL-4 were higher, and IFN-?/IL-4 was significantly lower in the two CMV infection groups than the control group. Compared with other disease group, the changes of TNF-?, IL-4, and IFN-?/IL-4 showed significance in hepatitis group. The level of TNF-? showed a positive association with ALT in hepatitis group(r=0.76,P
10.The effects of tartrate-resistant acid phosphatase 5b, C-terminal telopeptide of collagen-Ⅰ, bone alkaline phosphatase as bone metabolism markers on the bone destructions of psoriatic arthritis
Qingqing CHENG ; Weiguo WAN ; Qiong HUANG ; Yu XUE ; Li JIANG ; Hejian ZOU
Chinese Journal of Rheumatology 2013;(5):303-306
Objective To observe the bone metabolism of psoriatic arthritis (PsA) and investigate the roles of some bone metabolism markers such as tartrate-resistant acid phosphatase 5b (TRACP5),C-terminal telopeptide of collagen-Ⅰ (CTX-Ⅰ) and BALP in PsA patients with bone destructions.Methods Sixty-five cases of psoriatic arthritis,30 cases of psoriasis and 30 cases of healthy people were enrolled.Bone mineral densities of lumbar spines and the left femoral necks were measured for all PsA patients using dual energy X-ray absorptiometry.The Serum levels of TRACP5b,CTX-Ⅰ,BALP of healthy controls,Ps and PsA patients were measured.The PsA group was further divided into bone destruction group and none bone destruction group by image datasets.The levels of TRACP5b,CTX-Ⅰ,BALP,PsAJAI,ESR and CRP from each group were detected.Mann-Whitney and x2 test were used for statistic analysis.Results TRACP5b levels of the healthy controls,Ps and PsA patients were (0.9±0.4),(0.7±0.5) and (2.0±1.4) U/L respectively,and were significantly higher in the PsA patients than those of the other two groups (Z=-3.698,-3.638; P<0.05).The CTX-Ⅰ levels of these three groups were (0.9±0.8),(0.6±0.7) and (2.6±1.8) ng/ml respectively,and were also dramatically higher in the PsA patients than the other two groups (Z=-5.262,-5.734; P<0.05).BALP levels of each group were (22±4),(22±4) and (25±7) U/L,and were also evidently higher in the PsA patients than patients in the other two groups (Z=-2.214,-2.000; P<0.05).Meanwhile,the levels of TRACP5b [(2.6±1.4) U/L],CTX-Ⅰ [(3.1±1.8) ng/ml] and BALP [(26±7) U/L] were significantly higher in bone destruction group than those in the none bone destruction group [(1.2±1.0) U/L,(1.9±1.6) ng/ml,(23±6) U/L,Z=-3.544,-3.429,-2.083; P<0.05].Conclusion The high levels of TRACP5b,CTX-Ⅰ and BALP in PsA indicate that there is bone metabolism imbalances in PsA.And the high levels of TRACP5b,CTX-Ⅰ and BALP in the bone destruction group suggest that the rises of TRACP5,CTX-Ⅰ and BALP levels may be related with bone erosions.