1.Textual Research and Distinction of"Baizhu Fuzi Decoction"and"Jinxiao Zhufuzi Decoction"in Jingui Yaolue
Han-Zheng WANG ; Baizhou WANG ; Jin'ge HUANG
Journal of Zhejiang Chinese Medical University 2024;48(7):838-842
[Objective]To explore the original appearance of the Baizhu Fuzi Decoction in Jingui Yaolue and Jinxiao Zhufuzi Decoction,and to clarify the relationship between them,with a view to better carry out further related research and utilization work.[Methods]Based on the perspective of proofreading,the documentary proofreading methods of collation,self-proofreading,other-proofreading,rational-proofreading,induction and deduction were applied.Besides,the reasons for its evolution were discussed from the perspective of history.[Results]From the perspective of proofreading,the Baizhu Fuzi Decoction is not the same as the Jinxiao Zhufuzi Decoction.The dosage of the former formula should be double of that in DENG Zhen's version of Jingui Yaolue,while the latter formula is in fact identical to ZHANG Zhongjing's Gancao Fuzi Decoction.Based on the analysis of historical perspective,the two formulae were confused for three reasons:the similarity of their names,the"inadvertent"mistake made by officials of the Song Dynasty,the"assist"from DENG Zhen in Yuan Dynasty.[Conclusion]The original appearance of the Baizhu Fuzi Decoction in Jingui Yaolue and Jinxiao Zhufuzi Decoction has been clarified,which can be used as a reference for further related research and utilization work.
2.Status and influencing factors on accuracy of estimation in applying Richmond Agitation Sedation Scale by nurses of Intensive Care Unit
Hailing GUO ; Yufen MA ; Dandan SUN ; Mingxi ZHAO ; Jianhua SUN ; Jin'ge WANG ; Jie JING ; Tao LIANG
Chinese Journal of Modern Nursing 2018;24(28):3377-3381
Objective To investigate the status on accuracy of estimation in applying Richmond Agitation-Sedation Scale (RASS) by nurses of Intensive Care Unit (ICU) for sedation of critically ill patients and to explore its influencing factors. Methods From November 2016 to January 2017, we selected 206 ICU patients and 38 ICU nurses of a ClassⅢ Grade A hospital in Beijing by convenience sampling. Research group and ICU nurses respectively assessed patients' agitation-sedation state with the RASS and analyzed its differences as well as influencing factors. Results There were 143 patients assessed by ICU nurses with the RASS in accordance with that in research group with 69.4% for the accuracy rate. Logistic regression analysis showed that the influencing factors of accuracy of estimation in RASS included sedative, score of Glasgow and delirium (OR=0.065, 1.424, 0.201;P<0.05). Conclusions The accuracy of estimation in applying RASS by ICU nurses is at a middle level. We should pay attention to patients with sedative, delirium and the low score of Glasgow during applying RASS for critically ill patients.