1.Study on the relationship between Acute Coronary Syndrome and serum homocysteine
Chinese Journal of Primary Medicine and Pharmacy 2012;19(16):2432-2433
ObjectiveTo discuss the relationship between serum homocysteine (Hcy) level and severity of acute coronary syndrome(ACS) through measuring the level of serum Hey in the patients with ACS.Methods95 patients who were diagnosed ACS were divided into two groups:40 cases of unstable angina(UA) and 55 cases of a cute myocardial infarction(AMI).30 individuals were chosen as normal control(NC).In addition,according to the results of coronary angiography,the same 95 patients were further divided into three subgroups which were single-vessel disease( 28cases),double-vessel disease ( 36cases ) and multi-vessel disease ( 31 cases ).Level of serum Hcy was measured in all groups.ResultsSerum Hcy level of ACS patients was significantly higher than NC group( P < 0.01 ).The level of serum Hcy in AMI group was significantly higher than that in UA group( P < 0.05 ).The Hcy level in the multi-vessel disease group,double-vessel disease group and single-vessel disease group were increased in turn,and the difference of pairwise comparison was statistically significant ( P < 0.05 ).ConclusionThe serum Hcy level has rela tionship with the severity of coronary lesions and is directly proportional to the number of coronary artery lesions.The result suggests that the level of serum Hcy maybe play an important role in the prevention,diagnosis,treatment and monitoring of ACS.
3.Impact of nursing intervention on the secondary infection in chemotherapy of elderly patients with lung cancer
Chinese Journal of Practical Nursing 2013;(18):48-49
Objective To investigate the effect of intensive nursing intervention on the secondary infection in chemotherapy of elderly patients with lung cancer.Methods 168 cases of elderly lung cancer patients whose neutrophil ≤ 1.0×109/L during chemotherapy were randomly divided into two groups,namely,the intensive care group and the control group,with 84 cases in each group.The control group was given routine nursing of infection prevention,while the intensive care group was given intensified nursing for infection prevention.A contrastive analysis was conducted in terms of the incidence,clinical characteristics and the duration of antibiotic treatment of the two groups of patients with secondary infection.Results The secondary infection rate of the intensive care group was lower than that of the control group during chemotherapy.What's more,the duration of fever and treatment of the intensive care group was shorter than that of the control group,hence the patients were safe during infection period.The difference was statistically significant.Conclusions Strengthening the nursing intervention can reduce the incidence rate of secondary infection in aged patients with lung cancer,increase the tolerance of patients to chemotherapy and ensure the successful completion of the chemotherapy cycle,prolong the life span of the patients with an improved quality of life.
5.Case of multiple system atrophy.
Chinese Acupuncture & Moxibustion 2014;34(5):516-516
9.Effect of optimized disposition of surgical instrument packages on nurses’efficiency
Modern Clinical Nursing 2013;(2):66-69
Objective To study the effect of optimized disposition of surgical instrument packages on nurses’efficiency. Methods 200 cases of surgeries were randomized equally into an experiment group and a control group: the former used optimized disposition of surgical instrument packages and the control group convention surgical instruments package.The two groups were compared in terms of time for counting the instruments and recirculation treatment of postoperative apparatus as well as the effect of the packages on the operation space for nurses.Results The time for counting the instruments and recirculation treatment of postoperative apparatus in the experiment group was significantly shorter than those in the control group(both P<0.01).The weight,volume and space of the packages in the experiment group were significantly smaller than those in the control group(all P<0.01).Conclusion The optimized disposition of surgical instrument package may shorten the nursing operation time,reduce consumption of energy, improve the operational settings and increase the working efficiency.
10.Observation on the effect of montelukast combined with alpha-interferon and budesonide in the treatment of children with upper respiratory tract infection
Chinese Journal of Primary Medicine and Pharmacy 2013;20(18):2740-2742
Objective To explore the efficiency of montelukast combined with alpha-interferon and budesonide in the treatment of children with upper respiratory tract infection.Methods According to the digital table,120 children with upper respiratory tract infection were randomly divided into the control group and the observation group,each group 60 cases.The control group was given anti-infection treatment,rehydration,controlling cough and other conventional treatment,and the observation group on the basis of the control group was given montelukast combined alpha-interferon,budesonide.The treatment course was 5d.The time of fever,coughing and wheezing disappeared and efficacy were compared between the two groups.Results The effective rate in the observation group was 80.0%,which was significantly better than that of the control group(53.0%) (χ2 =27.87,P < 0.01).The total effective rate of the observation group was 95.0%,which had no significant difference with that of the control group (90.0%)(χ2 =1.92,P > 0.05).The heating time and the cough last time of the observation group was (1.74 ± 0.75) h,(2.92 ± 0.56) h,respectively,which were significantly shorter than those of the control group [(2.82 ± 0.64) h,(4.13 ± 0.54)h] (t =3.142,3.143,all P < 0.01).Conclusion Montelukast combined with alpha-interferon and budesonide in the treatment of children with upper respiratory tract infection is effective and safety,which has little adverse reactions and is worthy of promotion and clinical application.