Objective To evaluate the effects of stepwise and fine-grained dietary management on the diet control of liver cirrhosis patients complicated with gastrointestinal hemorrhage. Methods Eighty liver cirrhosis patients complicated with gastrointestinal hemorrhage were assigned to experimental group (41 cases) and control group(39 cases) by random digits table method. The patients in experimental group were treated with stepwise and fine-grained dietary management and the patients in control group were given conventional dietary treatments. The compliance diet, mastery of nutrition knowledge, malnutrition risk at admission, intake food, discharge and 2 months after discharge between two groups were monitored. The incidence of rebleeding was tracked after 1 year of discharge. Results The incidence of malnutrition risk in Child-Pugh class C was higher than that in Child-Pugh class B( Z=-4.3, P<0.05 ) . The incidence of malnutrition risk in patients with high education level was lower than that in patients with lower education( r=-0.453, P<0.05 ). The experimental group significantly outperformed control group in mastery of nutrition knowledge at discharge:80(70, 84) points vs. 52(42, 64) points, in compliance diet and malnutrition risk after 2 months after discharge:86(76, 91)%vs. 53(46,57)%, 1(1, 2) points vs. 2(1,3) points, the rebleeding rate in experimental group was significantly less than that in control group within 1 year after discharge 14.6%(6/41) vs. 35.9%(14/39), and the differences were statistically significant between two groups ( χ2 = 4.226- 51.232, all P < 0.05 ). Conclusions Stepwise and fine-grained dietary management can improve the mastery of nutrition knowledge, compliance diet and nutritional status, and reduce the occurrence of rebleeding, worth popularizing further in clinical care of liver cirrhosis patients complicated with gastrointestinal hemorrhage.

8 years for 4 cases;5~8 years for 8 cases;3~5 years for 3 cases;less than 1 year for 1 case respectively.12 cases were followed up by color-sonography examination.The remaining 6 cases were followed by mail or phonecall.Results All cases reached clinical cure with relief or diasppearance of relevant symptoms and signs after 2~7 days PTA.88.9%(16/18) of the cases regained obility to labour or return to work.2 cases of the patients had lung infarction and heart failure immediately after the treatment,1 patient had recurrent stenosis and thrombosis after 1 year of PTA.Conclusion For treatment of membranous BCS,PTA should be the first choice.The majority methods of preventing recurrent stenosis and thrombosis are antithrombin application before PTA and adequate angioplasty during PTA.

Objective:To investigate the basic situations, oral health behaviors and health education of adult residents in Chengdu communities, and explore their influencing factors, so as to propose a rational health education model and medical treatment plan to promote the oral health of adult residents in the community.Methods:From March 1 to April 30, 2021, a cross-sectional study was used to conduct a stratified random sampling survey of 800 adult residents in urban communities and agricultural communities in 9 towns (sub-districts) in a certain district of Chengdu. The WeChat was used to scan the quick response code to fill in the questionnaire to investigate three aspects involving the basic situation, oral health behavior, and oral health education.Results:A total of 800 questionnaires were distributed and 800 valid questionnaires were recovered. Among them, 55.6% (445/800) of adult residents had varying degrees of oral problems. In terms of the ways for residents to obtain oral health knowledge, 61.3% (490/800) of residents obtained health education knowledge through TV or radio, and adult residents tended to use social software such as WeChat [39.4% (315/800) ], hospitals bulletin boards [36.9% (295/800) ] and medical and nursing staff in stomatology [34.0% (272/800) ] to obtain health knowledge. Education level, annual income, self-rated oral health status, brushing frequency, brushing duration, toothbrush replacement frequency, toothpaste type, brushing method, and access to oral health knowledge (community health lecture) were the influencing factors of oral health problems of adult community residents in Chengdu ( P<0.05) . Conclusions:Adult residents in Chengdu 's communities have prominent oral health problems, including lack of health-related knowledge, a single way of obtaining them, and lack of individualized oral health guidance programs. It is recommended to provide residents with scientific and personalized oral health services in a variety of ways through government guidance and community leadership, improve the tertiary dental medical alliance, link up and down, mobilize social forces to effectively promote the oral health of the whole people.

Objective:To explore the effect of aromatherapy in the management of symptom clusters of oral cancer patients at different time points during perioperative period.Methods:In the first phase of the study, 132 patients with oral cancer who were admitted to the West China Hospital of Stomatology of Sichuan University from September to December 2021 were selected as the subjects by the convenient sampling, and the symptom cluster was extracted by exploratory factor analysis. In the second phase of the study, 45 patients with oral cancer admitted to the West China Hospital of Stomatology of Sichuan University from January to March 2022 were selected as the observation group by convenient sampling. According to the matching principle of nested case-control study, 132 patients with oral cancer in the first phase of the study were matched as the control group with age, sex and other information as the matching conditions. The control group was treated with routine nursing, while the observation group was treated with aromatherapy on the basis of the control group. The severity of symptom cluster at admission, one day before operation, one day after operation, three days after operation, 7 days after operation and 30 days after operation were compared between the two groups.Results:There were 7 symptom clusters in patients with oral cancer during the perioperative period, which were rest activity, gastrointestinal activity, mental psychology, oral motor function, oral secretory function, respiratory function and neurosensory function. The mixed effect model analysis showed that there were inter-group, time and interaction effects between the two groups of patients with oral cancer in terms of the severity of gastrointestinal activity, mental psychology, and oral motor function, and the differences were statistical differences ( P<0.05). There were inter-group effects and time effects in the severity of rest activity and respiratory function, and the differences were statistically significant ( P<0.05). There were time effects in the severity of oral secretory function and neurosensory function with statistically significant differences ( P<0.05), but there were no statistically significant differences in the inter-group effect ( P>0.05) . Conclusions:Aromatherapy can improve the rest activity, mental psychology and oral motor function of patients with oral cancer. Nurses can use aromatherapy to actively intervene the symptom clusters of oral cancer patients during the perioperative period.