1.Effects of anticoagulation risk assessment combined with list management in patients with venous thrombosis
Hong LUO ; Junfu QIAN ; Zhongsong LIU
Chinese Journal of Modern Nursing 2023;29(9):1244-1248
Objective:To explore the effect of anticoagulation risk assessment combined with list management in patients with venous thrombosis.Methods:From September 2019 to September 2021, 104 patients with venous thrombosis who were diagnosed and treated in Nanshi Hospital of Nanyang were selected by convenient sampling. The patients were divided into observation group and control group by random number table method, with 52 cases in each group. The observation group was given anticoagulation risk assessment combined with list management, while the control group was given routine nursing. The incidence of bleeding, Self-rating Depression Scale (SDS) score, Self-rating Anxiety Scale (SAS) score and nursing satisfaction were compared between the two groups.Results:The incidence of bleeding of patients in the observation group was 5.77% (3/52), and the subcutaneous ecchymosis rate was 7.69% (4/52), which was lower than 26.92% (14/52) and 34.62% (18/52) of the control group, respectively, with statistically significant differences (χ 2=8.508, 11.299; P<0.05). After intervention, the SDS score and SAS score of the observation group were (38.52±8.52) and (47.58±7.69) respectively, which were statistically lower than (52.06±10.39) and (57.52±10.47) of the control group, respectively ( t=7.267, 5.518; P<0.05). The nursing satisfaction of the observation group was 94.23% (49/52), which was higher than 75.00% (39/52) of the control group, and the difference was statistically significant (χ 2=7.386, P<0.05) . Conclusions:Anticoagulation risk assessment combined with list management in patients with venous thrombosis is conducive to reducing the incidence of bleeding and relieving the anxiety and depression of patients.
2.Dooptic canal unroofing and radical resection improve or deteriorate the visual outcome of the patients with tuberculum region meningeal tumors
Dangqi LIU ; Quan HUANG ; Xiaofan YE ; Zhongsong SHI ; Haijun WANG
Chinese Journal of Microsurgery 2013;36(5):431-435
Objective To investigate the influence of the radical resection and the optic canal unroofing on the postoperative vision in the patients with tuberculm region meningeal tumors.Matheods A retrospective analysis was made in 44 patients with tuberculm region meningeal tumors,from January 2010 to October 2012.The clinical data including the Simpson grades,adhesion between tumor and the surrounding structures,optic canal decompression,and postoperative vision were studied,and followed-up.Results In all 44 cases,there were 31 patients with Simpson grade Ⅰ resection,their postoperative vision of 17 patients were improved,eleven unchanged,and 3 worse.Out of them,tumors showed more adhesive in 9 cases,unroofed the optic canal in 17 cases.There were 13 cases in the other group including 8 cases with Simpson grade Ⅱ and 5 cases with Simpson grade Ⅲ,their postoperative vision of 8 patients were improved,four unchanged,and 1 worse.Out of them,tumors showed more adhesive to the surroundings in 10 cases,unroofed the optic canal in 3 cases.There were no different postoperative vision among the Simpson grades by the Chi-Square test (P > 0.05).The less adhesive of the meningeal tumors,the better resection grade would be (P < 0.05).And unroofed the optic canal group showed better postoperative vision than the not unroofed ones (P < 0.05).Conclusion In the tuberculum region meningeal tumors,the Simpson resection grade was related to adhesion between the meningeal tumors and the surroundings,not to postoperative vision.The optic canal decompression can improve their visual outcome in some cases.

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