目的探讨后外侧小切口行全髋置换术(THA)后患者康复护理。方法后外侧入路小切口患者45例48髋,经精心护理后与常规THA患者在手术切口、围手术期出血量、术后疼痛、住院天数、早期活动方面比较。结果在相同条件下,小切口手术患者减少围手术期出血量、术后疼痛、住院天数及术后早期康复快,缩短住院时间。结论康复护理有助于THA患者的恢复。

Objective To investigate the awareness of amputees to his appearance and their social activities. Methods 45 amputees were investigated with Body Shape Measuring for Amputee self-designed and Social Activities Questionnaire. Results For body shape measuring, the top 3 awareness amputees always feeling were: wearing loose clothing to cover the prosthesis (55.56%); only able-bodied can be attracted (48.89% ); losing of limbs damage the body and affect their daily living (40%). For the social activities, the total score was more in lower limb amputees than in upper limb amputees (P<0.05). For the items, there was no difference in amusement and sport, pastime, community participation, and join in workshop (school) (P>0.05) between the patient with upper and lower limbs losing, but there was in sociality (P<0.05). Conclusion Amputees fall in social withdrawal for limb losing and inferiority, which may associate with what limb lost.

Experimental course of pathology is a very important part of pathology teaching.Motivation of students was promoted through improving the professional knowledge of teachers,using teacher-student interacted teaching methods,increasing network courscs,using multimedia in teaching and adding extracurricular practice in our university.In the meantime,it was successful and fruitful to use diversified evaluation systems to assess the comprehensive experimental capacity of students,which can provide experiences in reform of pathological experimental teaching.

ObjectiveObjective To systematically evaluate the efficacy and safety of antiviral therapy in patients with chronic hepatitis B (CHB) in the immune-tolerant phase. MethodsPubMed, Embase, Cochrane Library, CNKI, and Wanfang Data were searched for clinical trials of antiviral therapy for CHB patients in the immune-tolerant phase published up to September 2020. Related data were extracted after quality assessment for systematic review. HBV DNA clearance rate was the primary outcome. ResultsA total of 9 studies involving 821 patients were included. Eight studies reported HBV DNA clearance rate in the treatment group, among which 6 studies had an HBV DNA clearance rate of ＞60%, which was significantly higher than that in the untreated patients (0%-29.1%), and the combination therapy group had a better clearance rate than the monotherapy group. However, virologic recurrence was more common in the long term. Eight studies reported HBeAg seroconversion, and only 2 studies of the treatment of children with interferon-α (IFN-α) reported a seroconversion rate of ＞20% in the treatment group, which was higher than that in the untreated group. HBsAg clearance was observed in 2 studies of IFN-α treatment, while HBsAg seroconversion was not observed. One study reported the risk of liver cirrhosis and hepatocellular carcinoma (HCC) and showed that antiviral therapy could reduce the risk of liver cirrhosis and HCC in patients. The incidence rate of adverse events ranged from 4.1%-13.0% in the treatment with nucleos(t)ide analogues and reached 100% in the treatment with IFN-α, and serious adverse events were rare. ConclusionThe majority of CHB patients in the immune-tolerant phase show satisfactory virologic response after antiviral therapy, but they tend to experience recurrence after drug withdrawal and have a low seroconversion rate. Antiviral therapy has good safety. Current evidence suggests that such patients can be dynamically observed if there is no clear evidence for disease progression.

Objective To explore the applied effect of families synchronous health education on compliance with intermittent catheterization in patients with spinal cord injury and bladder voiding dysfunction. Methods A total of 60 patients with spinal cord injury caused bladder voiding dysfunction were randomly divided into observation group and control group in admitted chronological order. Patients in control group were given routine nursing; experimental group on the basis of conventional nursing, were applied families synchronous health education throughout the whole process of hospitalization and discharge follow-up. After 30 and 60 days′ self-intermittent catheterization, two groups′ urinary tract management of cognition, satisfaction, compliance and complications were observed and statistically analyzed. Results After 30 and 60 days′ self-intermittent catheterization, the observation group′ urinary tract management of cognition and satisfaction score were higher than those of the control group( P<0.01) . About the compliance, on the 30th day, two groups′urethral catheterization in time, volume of water intake, correctly evaluation residual urine volume and correctly bladder function training had no statistically difference ( P>0. 05); the observation group′s properly adjusting time and correctly operation of urethral catheterization was higher than the control group(P<0.05); on the 60th day, all kinds of aspects of observation group were better than the control group( P<0.05) . About the complication, on the 30th day, the urinary infection rate of observation group was lower than that of the control group( P<0.05);there were no difference on the rate of cystolith and urinary mucosa bleeding of two groups( P>0.05);on the 60th day, the rate of cystolith and urinary mucosa bleeding of the observation group were lower than those of the control group ( P<0. 05 ); two groups′ incidence of bladder calculi had no difference ( P>0. 05 ) . Conclusions Families synchronous health education actively, can improve the compliance of patients with intermittent catheterization and reduce related complications, thus improve the patients′satisfaction.