Objective To explore the clinical application of blood return by tee union among central venous catheter ( CVC) in hemodialysis patients. Methods A total of 90 MHD patients had been selected and randomly divided into group A (opening blood return), group B (closing blood return), and group C (blood return by tee union) on average from August 2013 to July 2014 in Hemodialysis Center. We documented the length of blood return, the volume of 0. 9% sodium chloride solution, red-cell count ( RCC) in the residual liquid after dialysis, the change of C reactive protein at the beginning of treatment, 6 months and 12 months after treatment, and the rate of CVC relative infection ( CVC-RI) among three groups. Results The length of blood return were (291.04 ±46.92),(340.75 ±51.36), (278.99 ±45.21)s in A, B, C group, the volume of 0. 9% sodium chloride solution (186. 72 ± 27. 65),(257. 24 ± 40. 07),(191. 11 ± 32. 53) ml, the number of RCC in the residual liquid after dialysis (4 628. 4 ± 501. 6),(5 104. 5 ± 592. 7), (4 588. 2 ± 546. 9)/μl (F=3. 932 7,4. 529 1,3. 133 8;P<0. 05). Compared each two of three groups, the differences of each indexes between group A and group C were no statistically significant (P>0. 05), but the length of blood return in these two groups were shorter than that of group B (P<0. 05). After 6 and 12 months, the level of CRP in group B and C was lower than that of group A (P<0. 05);the different time point of CRP, it presented that it increased with the length of treatment in the group A (P <0. 05), but these of group B and C had no statistical significance at three time point (P>0. 05). The incidence rate of CVC-RI were 40. 00%, 16. 67%, 13. 33%in group A, B and C (χ2 =7. 080 7,P<0. 05);these of group B and C was lower than that of group A ( P<0. 05), but the statistical significance did not exist between group B and C (P >0. 05). Conclusions The CVC in hemodialysis patients utilized tee union for blood return which is simple, organized, saving time and labor, and reduced the potential risk of CVC-RI, slight infection symptom and the volume of sodium chloride solution.

Objective To discuss the effect of super early rehabilitation care on daily life ability for patients with cerebral apoplexy .Methods A total of 120 cases of stroke patients were randomly divided into the control group and the experimental group with 60 cases in each group .The control group was given routine nursing, and the experimental group was given super early rehabilitation care .Using self-designed questionnaire , patients’ knowledge of health education and satisfaction towards nursing quality were evaluated , by internationally accepted Modified Barthel Index (MBI) and simplified Fugl-Meyer Assessment(FMA) to evaluate the patient’s motion function and daily living skills .Results The comparison of the two groups in stroke health education knowledge and patient’s satisfaction has a significant difference (90.0%vs 63.33%;95.0%vs 81.67%;χ2 =10.253,9.677,respectively;P<0.05);after four weeks, the patients in experimental group FMA score and MBI score were significantly higher than those in control group [(55.2 ±5.1) vs (36.5 ±4.2);(62.9 ±9.8) vs (42.3 ±10.6);t=3.25,3.17,respectively;P<0.05)].Conclusions Super early comprehensive rehabilitation nursing can reduce disability in patients with cerebral apoplexy , shorten the course of the disease , significantly improve stroke patients with hemiplegia limb function and ADL ability , and reduce morbidity .