The curative effect analysis of peripherally inserted central venous catheter catheterization for tumor patients under the guidance of new medical guide wire

Abstract Objective To report a method of PICC catheterization with the aid of a new medical guide wire, and to discuss the curative effect. Methods Five hundred and thirteen patients who visited our hospital from January 2013 to December 2019 for PICC catheterization were selected as study subjects. Random number method was used to group patients. General information was recorded for both groups. Patients in the observation group received catheterization with the aid of a new medical guide wire. The control group received catheterization via conventional guide wire. The success rate of the first catheterization, the success rate of the catheterization, the timing of the catheterization, the complications and the position of the catheter end were compared between the two groups. Results There was no significant difference in general information between the two groups. After analyzing the puncture situation of the two groups, it was found that the average catheterization time of the observation group was shorter than that of the control group, and the difference was statistically significant. Patients in the observation group had higher success rate of one-time catheterization and catheterization success rate, and the difference was statistically significant. The incidences of occult thrombosis, phlebitis and catheter blockage in the observation group were lower than those in the control group, and the difference was statistically significant. The incidence of dominant thrombosis and bleeding at puncture point in the observation group was also lower than that in the control group, but the difference was not statistically significant. Conclusion The new type of medical guide wire component is effective for PICC catheterization and worthy of further promotion.

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Effect of iRoot BP Plus Pulpotomy for Immediate Repair in Children with Young Permanent Teeth Crown Fracture

Journal of Clinical and Nursing Research ◽

10.26689/jcnr.v4i2.1086 ◽

2020 ◽

Vol 4 (2) ◽

Author(s):

Jiaying Song

Keyword(s):

Success Rate ◽

Clinical Effect ◽

Permanent Teeth ◽

Control Group ◽

Observation Group ◽

Control Groups ◽

Before And After ◽

Random Number Table ◽

The Difference ◽

And Control

Objective: To explore the clinical effect of iRoot BP Plus pulpotomy for immediate repair in children with young permanent teeth crown fracture. Methods: From September 2017 to October 2018, 80 children (80 affected teeth) with young permanent teeth crown fracture who treated in the hospital were selected as the research objects. Random number table method was used to divide them into observation and control groups with each group of forty patients (40 affected teeth). The children in the control group were treated with calcium hydroxide resin, while the observation group were treated with iRoot BP Plus for immediate repair. The surgical success rate was compared between the two groups, and the pulp vitality before and after treatment were compared. Results: At 3 months and 6 months after surgery, the success rate of children in the observation group was higher than that in the control group, and the difference was statistically significant (P<0.05). The percentage of children with negative pulp activity in the observation group was higher than that in the control group, and the difference was statistically significant (P<0.05). Conclusion: Immediate repair with iRoot BP Plus pulpotomy in children with young permanent teeth crown fracture has significant clinical effect.

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Does the parental stretching programs improve metatarsus adductus in newborns?

Journal of Orthopaedic Surgery ◽

10.1177/2309499017690320 ◽

2017 ◽

Vol 25 (1) ◽

pp. 230949901769032 ◽

Cited By ~ 2

Author(s):

Perajit Eamsobhana ◽

Karn Rojjananukulpong ◽

Thanase Ariyawatkul ◽

Chatupon Chotigavanichaya ◽

Kamolporn Kaewpornsawan

Keyword(s):

Success Rate ◽

Controlled Trial ◽

Observation Group ◽

Mild Degree ◽

Significant Difference ◽

Pediatric Foot ◽

Lower Success Rate ◽

Metatarsus Adductus ◽

The Difference ◽

Severe Degree

Background: Metatarsus adductus (MA) is a common pediatric foot deformity. Current recommendations suggest observation until 4–6 months, then casting if the deformity persists. Based on our review of the literatures, no randomized controlled trial has been conducted to study the effectiveness of parental stretching in the correction of MA in newborn. Material and methods: Ninety-four newborn feet that were diagnosed as MA by clinical examination were enrolled. Feet were randomized into two groups: observation group and stretching group. Outcome measurements were performed to compare success rate between groups. Results: According to Pearson’s χ2 test, there were no statistically significant differences between groups with regard to the overall success of the parental stretching program ( p = 0.191). There was also no significant difference between groups for mild degree or moderate-to-severe degree ( p = 0.134, p = 0.274, respectively). A more rapid success rate was observed in the stretching group at the first month follow-up, but rate of improvement then decreased. The stretching group tended to have a lower success rate compared to the observation group in moderate-to-severe feet, but the difference was not statistically significant. Conclusions: Parental stretching program found no benefit over observation group in this study. Parental stretching program should not be applied for newborn babies with moderate-to-severe MA as the result from the study appeared to have lower success rate compared to observation group. Observe until 4–6 months, then corrective casting for the persisting deformity is recommended.

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Efficacy of Hyperthermic Intraperitoneal Chemotherapy (HIPEC) in the Management of Malignant Ascites

10.21203/rs.2.23958/v2 ◽

2020 ◽

Author(s):

Jie Jiao ◽

Chengzhen Li ◽

Guanying Yu ◽

Lei Zhang ◽

Xiaoyan Shi ◽

...

Keyword(s):

Intraperitoneal Chemotherapy ◽

Adverse Reactions ◽

Total Effective Rate ◽

Malignant Ascites ◽

Effective Rate ◽

Control Group ◽

Observation Group ◽

Short Term ◽

Significant Difference ◽

The Difference

Abstract Objective: The purpose of this study is to compare the difference of clinical efficacy between conventional intraperitoneal chemotherapy and HIPEC, so as to explore the clinical application value and advantages of HIPEC.Design: A retrospective analysis was conducted on 80 patients with malignant ascites admitted to our hospital from June 2017 to June 2019. The general clinical data and qualitative data of the treatment results of 80 patients with malignant ascites were processed by SPSS19.0 using χ2 test and quantitative data were processed by t test. P <0.05, statistical data can be considered statistically significant.Results: 1. There was no significant change in vital signs and temperature in the observation group during the treatment, and the difference was not statistically significant 2. The short-term total effective rate of patients in the observation group was 91.11%, and the short-term total effective rate of the patients in the control group was 40%.3. There was no significant difference in the incidence of adverse reactions between the two groups of patients.Conclusion: Intraperitoneal hyperthermic chemotherapy combined with intravenous chemotherapy can significantly control malignant ascites, and has small adverse reactions, which is worthy of clinical promotion and application.

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Effect of Metoprolol on Cardiac Function and Prognosis in Patients with Dilated Cardiomyopathy

Journal of Clinical and Nursing Research ◽

10.26689/jcnr.v5i2.1929 ◽

2021 ◽

Vol 5 (2) ◽

Author(s):

Huailing Su ◽

Bin Li ◽

Zhisheng Jia

Keyword(s):

Cardiac Function ◽

Dilated Cardiomyopathy ◽

Adverse Reactions ◽

Left Ventricular ◽

Left Ventricular Ejection ◽

Control Group ◽

Observation Group ◽

Significant Difference ◽

Conventional Methods ◽

The Difference

Objective: To investigate the effect of metoprolol on cardiac function and prognosis in patients with dilated cardiomyopathy. Methods: 100 patients with dilated cardiomyopathy treated in our hospital from January 2018 to December 2019 were randomly divided into control group (n = 50) and observation group (n = 50). The control group was treated with conventional methods, and the observation group was treated with conventional methods and metoprolol for 6 months. The cardiac function [left ventricular ejection fraction (LVEF), stroke volume (SV), cardiac output (CO)] and prognosis [Glasgow Outcome Scale (GOS) score] of the two groups before and at the end of 6 months of intervention were compared, and the incidence of adverse reactions of the two groups were compared. Results: After 6 months of treatment, the levels of LVEF, SV and CO in the two groups were higher than before treatment, and the comparison level between the observation group and the control group was higher, the difference was statistically significant (P < 0.05);After 6 months of treatment, the GOS score of the observation group was higher than that of the control group, and the difference was statistically significant (P < 0.05);There was no significant difference in the total incidence of adverse reactions between the two groups (P > 0.05). Conclusion: Metoprolol can improve the cardiac function and prognosis of patients with dilated cardiomyopathy, without increasing the incidence of adverse reactions.

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Clinical Effect analysis on indomethacin suppositories prevention of POST-ERCP acute pancreatitis

Preventive Medicine Research ◽

10.18282/pmr.v3i1.123 ◽

2020 ◽

Vol 3 (1) ◽

Author(s):

Liang Yanqm

Keyword(s):

Acute Pancreatitis ◽

Clinical Effect ◽

Random Number ◽

Control Group ◽

Observation Group ◽

Effect Analysis ◽

Lower Blood ◽

Before And After ◽

Random Number Table ◽

The Difference

ObjectiveToinvestigate the clinical effect of indomethacin suppositories prevention of POST-ERCP acute. Pancreatitis20>Methods180 cases of ERCP were selected from March to September 2015 in ourHospital, all the patients according to the random number table were divided into two groups, there were-cases in the OBsenTation Group and the control group.Hie control group received conventional treatment, the observation group treated with indomethacin on the preventionof the conventional treatment.The serum amylase levels at different time points before and after surgery, acute pancreatitis and hyperamylasemia</b13>author Units:4732b4Nanyang,Henan Zhongnan Industrial Co., Ltd. Staff Hospital surgeryoftwo groups were compared.ResultsTheserum amylase levels of the observation group and the control group after 2 H, after H, H PostoperativE were higlier than the preoperative, the degree of elevation of the ObsenTation Group was smaller than the conTrol Group, the difference was statistically significance (P 0.05).The incidence of acute pancreatitisand hyperamylasemia of the Obsen7ation Group were lower than the control groUp, the difference was statistically significant (^ 0.05).conclusionindomethacin can be effective in preventing POST-ERCP acutePancreatitis and reduce the incidence of hyperamylasemia, can significantly lower blood.

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Effects of Misoprostol and Oxytocin Combined with Calcium Gluconate on Delivery Time of Parturient with High-risk Postpartum Hemorrhage and Neonatal Outcomes

Journal of Clinical and Nursing Research ◽

10.26689/jcnr.v4i3.1216 ◽

2020 ◽

Vol 4 (3) ◽

Author(s):

Rongfang Chen ◽

Wenwen Shuo

Keyword(s):

High Risk ◽

Calcium Gluconate ◽

Apgar Score ◽

Postpartum Hemorrhage ◽

Effective Rate ◽

Control Group ◽

Observation Group ◽

Delivery Time ◽

Significant Difference ◽

The Difference

Objective: To investigate the effect of misoprostol and oxytocin combined with calcium gluconate on parturient with high-risk postpartum hemorrhage. Methods: The clinical data of 80 parturient with high-risk postpartum hemorrhage who were treated in our hospital from July 2016 to July 2019 were retrospectively analyzed. According to different treatment methods, they were divided into control group (treated with misoprostol combined with oxytocin, 40 cases) and observation group (treated with misoprostol and oxytocin combined with calcium gluconate, 40 cases), compared the clinical efficacy, delivery time, postpartum hemorrhage 2 hour after delivery, postpartum hemorrhage 24 hours after delivery and Apgar score of the newborns at 1min after birth. Results: The total effective rate (95.00%) in the observation group was higher than that in the control group (77.50%), and the difference was statistically significant (P<0.05). The third delivery stage in the observation group was shorter than that in the control group, and the postpartum hemorrhage volume was less than that in the control group. The difference was statistically significant (P<0.05). There was no significant difference in Apgar score of the two groups of newborns (P>0.05). Conclusion: Misoprostol and oxytocin combined with calcium gluconate is effective in treating high-risk postpartum hemorrhage parturient, which not only can effectively reduce postpartum hemorrhage and shorten the delivery time, but also is beneficial for neonatal outcome and worthy of clinical application.

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Effects of Crown Lengthening on Bi, PLI and PD Levels in Patients with Different Periodontal Biotypes

Journal of Clinical and Nursing Research ◽

10.26689/jcnr.v4i5.1477 ◽

2020 ◽

Vol 4 (5) ◽

Author(s):

Lu Bai

Keyword(s):

Plaque Index ◽

Control Group ◽

Observation Group ◽

Gingival Margin ◽

Probing Depth ◽

Flat Type ◽

Significant Difference ◽

The Difference ◽

Periodontal Probing ◽

Crown Lengthening

Objective: To investigate the effect of crown lengthening on patients with different periodontal biological types. Methods: 60 patients with different periodontal biotypes treated in our hospital from May 2017 to February 2019 were retrospectively analyzed. According to the different periodontal biotypes, the above-mentioned patients were further divided into control group (thin fan type, 30 cases) and observation group (thick flat type, 30 cases).The periodontal probing depth (PD), plaque index (PLI), bleeding index (BI) and gingival margin position at 1 week, 1 month, 2 months and 3 months after operation were compared between the two groups. Results: The PD, Bi and PLI values of the two groups after treatment were lower than those before treatment (P<0.05);There was no significant difference in gingival margin position between the two groups after 1 week to 1 month and 1 month to 2 months (P>0.05);After 2 months to 3 months of treatment, the gingival margin distance of the observation group was larger than that of the control group, and the difference was statistically significant (P<0.05). Conclusion: Crown lengthening can effectively improve the periodontal indexes of different periodontal biotypes, and the gingival margin of thick and flat type patients moves more toward the crown.

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Intervention Effect of Sequential Blood Purification on Early Morning Hypertension in Hemodialysis Patients

Proceedings of Anticancer Research ◽

10.26689/par.v3i5.1069 ◽

2019 ◽

Vol 3 (5) ◽

Author(s):

Jibo Li ◽

Peiqin Jiang ◽

Gang Wang

Keyword(s):

Blood Pressure ◽

Early Morning ◽

Hemodialysis Patients ◽

Blood Purification ◽

Control Group ◽

Observation Group ◽

Significant Difference ◽

Morning Blood Pressure ◽

The Difference ◽

Morning Hypertension

Objective: To investigate the effect of sequential blood purification on early morning hypertension in hemodialysis patients. Methods: A total of 76 hemodialysis patients who were admitted in the University of Chinese Academy of Sciences Shenzhen Hospital from June 2017 to August 2019 were selected and recruited in the present study. These patients were randomly divided into two groups, namely the control group and observation group. Each group consisted of 38 patients. The patients in the control group were treated with hemodialysis, while the patients in the observation group were treated with sequential blood purification. Early morning blood pressure was compared between the control group and observation group after 12 weeks of treatment. Results: There was no significant difference in blood pressure between the two groups of patients before treatment (P > 0.05), whereas the blood pressure in the observation group was lower than that in the control group after the treatment, and the difference was statistically significant (P < 0.05). Conclusion: The use of sequential blood purification treatment for hemodialysis patients can significantly reduce the blood pressure in the morning and is worthy of clinical use.

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Application of Laparoscopic Gastric Jejunum Uncut Roux-en-Y Anastomosis

10.21203/rs.3.rs-144943/v1 ◽

2021 ◽

Author(s):

Chao Yu ◽

Qiang Yan ◽

De-Guan Li ◽

Yi-Gao Wang ◽

Xiao-Dong Yang ◽

...

Keyword(s):

Survival Rate ◽

Postoperative Complications ◽

Incidence Rate ◽

Malignant Tumors ◽

Tnm Stage ◽

General Situation ◽

Control Group ◽

Observation Group ◽

Significant Difference ◽

The Difference

Abstract Background: Uncut Roux en-Y gastrojejunostomy, recently developed in China is useful in the treatment of distal gastric cancer. This study aims to compare laparoscopic gastric jejunum Uncut Roux-en-Y anastomosis with conventional anastomosis in the surgical treatment of distal gastric malignancy.Methods: A total of 178 cases diagnosed with distal gastric malignant tumors were surgically treated in the First affiliated Hospital of Anhui University of cavity mirrors. In this retrospective study, the clinical data of patients and their follow-up records were analyzed. Out of the 178 cases, 112 cases (uncut group) were the observation group for stomach jejunum Uncut Roux-en-Y anastomosis, the control group for the stomach, 66 cases (conventional group) were for jejunum Roux-en-Y anastomosis and Billroth Ⅰ and Billroth Ⅱ anastomosis. A comparison between the two groups was conducted based on the general situation of the patients, TNM stage, and one-year survival rate. A P-value of less than 0.05 was considered statistically significant (p<0.05), while a P-value of more than 0.05 was considered statistically insignificant (p>0.05).Results: There was no significant difference was reported between the two groups in terms of the general situation and TNM stage. A comparison on postoperative complications between the two groups revealed that the incidence rate of postoperative anastomotic bleeding was 0.9% (1/112), 6.1% (4/66), the incidence rate of alkaline reflux gastritis was 1.8% (2/112), 9.1% (6/66), the incidence rate of anastomotic fistula was 0.0% (0/112), 3.0% (3/66), and the Roux retention syndrome (RSS) incidence rate was 0.9% (1/112), 7.6% (5/66). The observation group significantly lower than the control group, and the difference was statistically significant. The incidence rate of overall complications was at 3.6% (4/112) and 25.8% (17/66), which was significantly lower in the observation group than in the control group, and the difference was statistically significant. Notably, there was no significant difference in 1-year survival rate between the two groups.Conclusion: Laparoscopic gastric jejunal Uncut Roux-en-Y anastomosis significantly reduces the risk of postoperative complications of the digestive tract. Its operation is easy and exhibits an effective curative effect. Moreover, it has a better surgical effect and a promising clinical application prospect compared to conventional gastric jejunal anastomosis.

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Nursing Intervention Study of Microscope-assisted Anterior and Posterior Fusion for Lower Cervical Spine Fracture and Dislocation

Tobacco Regulatory Science ◽

10.18001/trs.7.5.85 ◽

2021 ◽

Vol 7 (5) ◽

pp. 1621-1629

Author(s):

Zhen Liu ◽

Xin Wang ◽

Lisha Ji

Keyword(s):

Spinal Cord ◽

Cervical Spine ◽

Nursing Intervention ◽

Control Group ◽

Nursing Interventions ◽

Observation Group ◽

Lower Cervical Spine ◽

Significant Difference ◽

The Difference ◽

Spinal Cord Function

To explore the nursing intervention measures of microscopy-assisted anterior and posterior fusion in the treatment of lower cervical spine fracture and dislocation.46 patients with fracture and dislocation of lower cervical spine who were treated by microscope-assisted anterior and posterior fusion in our hospital from April 2018 to April 2019 were selected for this study, and divided into observation group and control group according to the different nursing interventions applied by the patients during the treatment. There were 23 patients in the two groups, while the patients in the control group were given routine nursing interventions. The patients in the observation group were given comprehensive nursing interventions. The curative effects of the treatment and nursing interventions in the two groups were observed, sorted out, analyzed and summarized. The changes of psychological status, recovery of spinal cord function, occurrence of complications and quality of life before and after nursing intervention were compared between the two groups.(l) Psychological status: Before nursing intervention, there was no significant difference in psychological status between the two groups, and there was no significant difference (P > 0.05); After nursing intervention, the SDS and SAS scores of patients in the observation group were better than those in the control group, and the difference was statistically significant (P < 0.05); (2) Recovery of spinal cord function: before nursing intervention, there was no significant difference in JOA scores of spinal cord function between the two groups, and the difference was not statistically significant (P > 0.05); After nursing intervention, JOA score of spinal cord function in the observation group was significantly better than that in the control group, the difference was statistically significant (P < 0.05); (3) Complication occurrence: Complication incidence in the observation group was lower than that in the control group, the difference was statistically significant (P < 0.05). (4) Quality of life: before nursing intervention, there was no significant difference in QOL scores between the two groups, and the difference was not statistically significant (P > 0.05); after nursing intervention, the QOL scores of patients in the observation group were better than those in the control group, and the difference was statistically significant (P < 0.05).Through the analysis, it was found that the operation of microscope-assisted anterior and posterior fusion therapy was more complicated and the risk of treatment was greater. The comprehensive nursing interventions throughout the preoperative, intraoperative and postoperative period played a vital role in improving the treatment effect of patients, which was not only conducive to the effective recovery of patients’ spinal cord function. At the same time, it can avoid complications in the treatment process, so as to promote the early recovery of the patient’s condition and improve the quality of life. In general, the application of comprehensive nursing interventions in the treatment of lower cervical spine fracture patients has higher application value, which is worthy of clinical vigorous promotion and.

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