1.Application of clinical pathway in emergency treatment of foreign body in respiratory tract of chil-dren
Xiangyue PENG ; Zhaohui LIU ; Ping WANG ; Saihong HU ; Fanghua LI ; Xi LI ; Yao SHI
Chinese Journal of Practical Nursing 2009;25(12):43-45
Objective To evaluate the effect of clinical nursing pathway in emergency treatment of for-eign body in respiratory tract of children. Methods Retrospective analysis was carried out in 555 children with foreign body in respiratory tract from February 2005 to December 2007, who were divided into the control group (271 cases) and the experimental group (284 cases). The experimental group was given managed with standardized clinical pathway,the control group received routine management. The preoperative preparation time, average hospital stay, cost of hospitalization, the extent of mastering of health knowledge by patients'par-ents were observed and the data underwent χ2 and t test. Results All patients of the two groups were cured and no nursing complications happened.The mean preoperative preparation time of the experimental group was 10 hours, which was shorter than that of the control group(27 hours). The average length of hospital stay of the experimental group was (4.13 + 0.81)days, which was shorter than that of the control group ,(6.03 + 1.30) days.The average hospitalization cost of the experimental group was (3498.55 + 269.13) yuan, while the control group was(4246.40 + 977.10) yuan. The extent of mastering of health knowledge by patients' parents, including basic knowledge of the disease, preoperative cooperation knowledge,prevention knowledge and diet knowledge, was superior to that of the control group. Conchusions The establishment of clinical pathway of children with foreign body is conducive to the standardized treatment of the disease, it can shorten the preoperative prepara-tion time, improve the capability of emergency treatment, shorten the length of hospital stay, reducing hospital-ization costs, increase the extent of mastering of health knowledge by patients and their families.
2. Three-dimensional face virtual plastic system and method
Fanghua HU ; Shuhua TENG ; Zhenghua HE
Chinese Journal of Plastic Surgery 2019;35(11):1084-1089
Objective:
To explore the clinical application of three-dimensional face virtual plastic system.
Methods:
80 patients (28 males and 52 females, aged 18-40 years) who underwent facial plastic surgery in Xiangya Hospital were sampled with two-dimensional human color images and three-dimensional human point cloud data continuously. Face detection was performed on the collected data, and super-resolution fusion was performed on the detected three-dimensional human point clouds. A three-dimensional face model was built using the fused three-dimensional face point cloud data, and the texture mapping technology was used to realize the mapping from two-dimensional color image to three-dimensional face model. Finally, patients and doctors perform virtual surgery on the three-dimensional face model interactively to obtain satisfactory target three-dimensional face model. By comparing the changes of three-dimensional face model before and after virtual surgery, the data to be adjusted in the facial plastic surgery were obtained, and 80 patients received facial plastic surgery according to the data. The three-dimensional face model of patients was reconstructed one year after operation, and then compared with the model of virtual surgery to evaluate the effect of plastic surgery.
Results:
80 patients underwent plastic surgery with the above method, including 6 cases of medial canthus, 9 cases of lateral canthus, 20 cases of rhinoplasty, 25 cases of lip thinning, and 20 cases of facial fat grafting. One year after operation, 80 patients were satisfied with the result of plastic surgery.
Conclusions
The three-dimensional virtual facial plastic system makes the process of plastic design individualized, quantified and digitized. It enables patients to have a better understanding of prognosis in advance, facilitating the communication between doctors and patients, and reducing unnecessary medical disputes.