Objective To investigate the effect of the MMP-9,BNP and serum cystatin C level by Xingnaojing injection combined with Ginaton on elderly patients with acute cerebral infarction.Methods 100 cases of acute cerebral infarction patients from March 2014 to March 2015 in our hospital were selected and divided into the control group and the experimental group by order of medical treatment,50 cases in each group and got corresponding drug treatment.The levels of CysC,BNP,IL-6 and MMP-9 in the peripheral blood of all patients were detected and compared after the treatment.Results Compared with the control group,the levels of MMP-9,IL-6,BNP and CysC in experimental group were lower,the difference was statistically significant(P<0.05).Conclusion Xingnaojing injection combined with Ginaton can significantly reduce the acute cerebral infarction in the elderly patients with serum MMP-9,IL-6,BN,CysC levels,is conducive to the rehabilitation of patients,the clinical has guiding significance.

Objective:To retrieve, evaluate, and integrate the best evidence for prevention of hemodialysis catheter thrombosis, so as to provide evidence-based basis for catheter thrombosis prevention in hemodialysis patients.Methods:Guidelines, clinical decisions, evidence summaries, systematic reviews, and expert consensus on the prevention of hemodialysis catheter thrombosis were systematically searched on Guidelines International Network, Scottish Intercollegiate Guidelines Network, Agency for Healthcare Research and Quality, Registered Nurses' Association of Ontario, National Institute for Health and Clinical Excellence, UpToDate, British Medical Journal (BMJ) Best Practice, Joanna Briggs Institute Evidence-Based Health Care Center Database, European Renal Association, National Kidney Foundation, UK Kidney Association, Canadian Society of Nephrology, Japanese Society for Dialysis Therapy, Medlive, Cochrane Library, PubMed, Embase, China National Knowledge Infrastructure, VIP, and Wanfang Data and Chinese Biomedical Database. The search period was from database establishment to March 31, 2023. Investigators conducted quality evaluations separately and extracted and summarized evidence based on the theme.Results:A total of 16 articles were included, including five clinical decisions, four guidelines, two evidence summaries, and five expert consensuses. Finally, 15 best pieces of evidence were formed, including four themes of indwelling dialysis catheters, anticoagulation strategies, flushing and sealing techniques, and daily management.Conclusions:Nursing staff should choose the best evidence for preventing thrombosis in hemodialysis catheters based on clinical situations, reduce the occurrence of catheter thrombosis, extend the usage time of catheters, and improve patient outcomes.