1.Effects of action research on preventing perioperative deep venous thrombosis form in patients with intracerebral hemorrhage
Xiaohui LENG ; Shanfeng WU ; Juan WANG ; Jianshuang ZHAI ; Shuwan ZHOU
Chinese Journal of Modern Nursing 2015;(29):3524-3526
Objective To assess the effects of action research on preventing perioperative deep venous thrombosis ( DVT ) form in patients with intracerebral hemorrhage. Methods We selected 93 cases of intracerebral hemorrhage in Neurosurgery of our hospital from 2011 to 2014. A total of 45 cases, who hospitalized from 2011 to 2012, were selected as control group and received routine nursing and perioperative routine nursing, while 48 cases, who hospitalized from 2013 to 2014, were chosen as treatment group and received action research to intervened legs exercise with four steps including plan, action, observation and reflection based on nursing of control group. Then after four steps spiral cycle, we made the plan of lower extremities excise and implemented. The incidences of DVT and rehaemorrhagia in two groups were observed. Results The rate of DVT and rehaemorrhagia were 0 in the treatment group, which were significantly lower than 13. 33% (6/45) and 4. 44% (2/45) respectively in the control group (P<0. 05). The coagulation index changes had no significantly difference between two groups. The difference of DVT had statistical significance between two groups (P<0. 01), but the difference of rehaemorrhagia had no statistical significance between two groups (P>0. 05). Conclusions Action research method is applied for plan of perioperative lower extremities excise in patients with intracerebral hemorrhage, which can decline the incidence of DVT.
2. The clinical value of new rapid pathological diagnosis technology inbiliary biopsy by endoscopic retrograde cholangiopancreatography
Lei WANG ; Ming ZHOU ; Jiajia YANG ; Shuwan JIANG ; Xiaojie WAN ; Jiayue TANG ; Jie MA ; Yuanzhi WANG
Journal of Chinese Physician 2019;21(10):1464-1467
Objective:
To explore the clinical value of new rapid pathological diagnosis technology in biliary biopsy by endoscopic retrograde cholangiopancreatography (ERCP).
Methods:
7 patients with biliary biopsy by ERCP were selected. In the biliary biopsyoperation, a new type of rapid pathological diagnostic technique is used to perform cytological initial diagnosis of the biopsy tissue. According to the results of rapid pathological diagnosis of biliary biopsy operation, we analyzed the clinical value of new rapid pathological diagnosis technology in the biliary biopsy operation.
Results:
The new rapid pathological diagnosis technology requires little space and no pollution. The diagnosis takes about 2 to 3 minutes and does not affect the normal biopsy operation. 7 patients with biliary biopsy by ERCP under the assistance of this technique, 5 patients (71.4%) confirmed the requirement of biopsy quality and quantity for the first biopsy with the assistance of this technology and 2 patients (28.6%) met the requirements for biopsy quality and quantity after biopsy again.
Conclusions
Because of the blindness of biliary biopsy by ERCP, the quality and quantity of biopsy tissue are often not guaranteed. The new rapid pathological diagnosis technology can provide real-time pathological diagnosis during biliary biopsy by ERCP and improve the quality and quantity of biliary biopsy tissue, and the cost of this technology is low, which is suitable for popularization and implementation in hospitals at all levels.