1.Cognition on perioperative nursing care of body temperature among nurses in Operating Room in Xinjiang region
Fengju JIA ; Cuiyun TIAN ; Tuxun TUERHONGJIANG ; Wenjuan MA ; Li SHAO
Chinese Journal of Modern Nursing 2016;22(11):1511-1514
Objective To investigate the cognition and implementation situation of perioperative nursing care of temperature among nurses of Operating Room in second-class or third-class hospitals in Xinjiang region so as to provide evidence for improving the training of professional nurses and perioperative nursing care in Operating Room.Methods A self-designed questionnaire was applied to investigate and analyze the cognition of perioperative nursing care of temperature among 209 nurses of Operating Room.Results There were statistically significant differences in the level of knowledge on perioperative heat preservation,the rate of taking part in training,temperature monitoring,prevention of hypothermia and so on among nurses of Operating Room in thirdclass hospitals and second-class hospitals (P <0.01).The body temperature detector was 100.00% equipped in Operating Room in third-class hospitals,while only 48.33% in second-class hospitals with a statistical significance (P < 0.01).Conclusions Second-class hospitals in Xinjiang region may gradually improve being equipped with the body temperature detector and nursing equipment of heat preservation.Third-class hospitals may take measures on special lecture,training course of continuing education,remote network and so on combined with the training of professional nurses of Operating Room to improve the integration level of perioperative nursing care of body temperature among in nurses of Operating Room in Xinjiang region.
2.Analysis on therapeutic effect of radiofrequency ablation on discogenic lumbar spinal nerve posterior branch neuralgia after vertebral endoscope surgery
Chen YUN ; Guang HAN ; Xianfeng JIANG ; Haibin TIAN ; Cuiyun MIAO ; Jiamin LIANG ; Feng FU ; Jie LI ; Fengwu TANG ; Shuang TAI
Chinese Journal of Integrated Traditional and Western Medicine in Intensive and Critical Care 2018;25(6):646-649
Objective To observe the clinical efficacy of radiofrequency ablation for treatment of discogenic lumbar spinal nerve posterior branch neuralgia after vertebral column endoscope operation. Methods Thirty-six patients with discogenic lumbar spinal nerve posterior branch neuralgia after vertebral column endoscope surgery admitted to the Affiliated Hospital of Logistics University of People's Armed Police from December 2011 to December 2017 were enrolled. According to difference in therapeutic methods, they were randomly divided into two groups, 18 cases in each group. The radiofrequency ablation group was treated with X-ray imaging guided lumbar spinal nerve posterior branch radiofrequency thermo-coagulation; the drug group received oral diclofenac sodium conservative treatment, 75 mg twice daily for 3 weeks. Both groups were followed up for 6 months, visual analogue scores (VAS) were used to evaluate the pain before and after treatment, the Oswestry dysfunction index was used to assess the degree of lumbar function recovery, and the surgical complications and adverse drug reactions were observed. Results The VAS scores in the two groups were similar before treatment; after treatment for 1 month, the VAS scores in both groups were significantly lower than those before treatment (radiofrequency ablation group: 1.83±0.71 vs. 5.67±0.77; drug group: 2.22±0.43 vs. 5.28±0.67, both P < 0.05); after treatment for 3 months and 6 months, the VAS scores were increased gradually, however, the scores of radiofrequency ablation group were significantly lower than those in the drug group (3 months was 2.00±0.59 vs. 3.39±0.70, 6 months was 2.17±0.51 vs. 3.61±0.50, both P < 0.05), moreover, the excellent and good rates of postoperative pain efficacy and of Oswestry dysfunction index improvement in the radiofrequency ablation group were significantly higher than those in the drug group [excellent and good rates of postoperative pain efficacy: 94.44% (17/18) vs. 22.22% (4/18), excellent and good rates of Oswestry dysfunction index improvement: 77.78% (14/18) vs. 44.44% (8/18), both P < 0.05]. There were no complications of infection and spinal nerve anterior branch injury in the radiofrequency ablation group, and 6 patients in the drug group presented mild gastric discomfort, which was relieved after symptomatic treatment. Conclusion The radiofrequency ablation is an effective method for treatment of discogenic lumbar neuralgia after vertebral column operation, compared with the conservative therapy, the ablation is more effective to relieve pain for a long time, promote the recovery of neural function, and the operation is safe with very few adverse reactions.