Preventative Value of Predictive Health Interventions on PICC-Related Thrombosis in Patients with Severe Burns

2021 ◽  
Vol 7 (5) ◽  
pp. 1488-1494
Author(s):  
Baiyan He ◽  
Shuting He
Keyword(s):  
Adverse Events ◽  
Healing Time ◽  
Health Intervention ◽  
Health Interventions ◽  
Control Group ◽  
Observation Group ◽  
Burn Patients ◽  
Predictive Health ◽  
The Difference ◽  
Wound Healing Time

Background Burn mainly refers to the damage caused by high temperature to the skin and mucous membrane tissue. Seriously, it causes damage to the subcutaneous tissue or subcutaneous mucous membrane, which is easy to induce infection and poses a threat to the life safety of patients.For patients with deep burns, surgical removal of damaged skin and mucosal tissue, Postoperative,immediate coverage of surgical wounds,avoid infection due to body fluid and energy loss with related tissue necrosis.The clinical treatment period for critical burn patients is longer and high incidence of postoperative complications.The corresponding nursing intervention while undergoing treatment can help to eliminate the impact of the bad psychological state on the patients, improve the treatment compliance, and reduce the occurrence of complications. Objective Evaluation of the value of predictive health intervention in preventing thrombosis associated with Peripherally Inserted Central Catheter (PICC) via peripheral vein in critically ill burn patients Methods Select 90 patients with severe burn treated by PICC infusion from January 2019- February 2021, Group by reference to intervention methods, with 45 using conventional health intervention (control group) and another 45 using predictive health interventions (observation group). The incidence of pulmonary and wound infection, the incidence of adverse events associated with PICC catheterization and wound healing time were recorded in the two groups. The degree of pain was evaluated by visual simulation (VAS) score, and the differences of platelet, D- dimer (D-D) and hemodynamics were detected in the two groups Results The incidence of pulmonary infection, PICC associated thrombus and total adverse events in the observation group was lower, and higher rate of functional recovery,but less wound healing time with control group,which had statistical significance (P<0.05) .Incidence of wound infection, incidence of catheter blockage, incidence of unplanned extubation,the difference was not statistically significant (P>0.05) .Comparison before intervention/The pain score decreased at 7 ck 14d> 21d (P<0.05), and the observation group was lower than the control group (P<0.05) .Intervention of the 7d, 14d two sets all platelet elevation (P< 0.05) ,but D-D concentration decreases (P< 0.05) .Intervention of the 7d> 14d two sets was increased of the intrathoracic blood volume index (ITBVI) (P<0.05) , but extravascular lung water index (EVLWI) and mean arterial pressure (MAP) the difference was not statistically significant (P>0.05). Conclusions Predictive health intervention can reduce the pain degree of critically burned patients, reduce the incidence of adverse events such as infection and PICC-related thrombosis, and promote wound recovery.

scholarly journals Observation on the Clinical Effect of Modified Circumcision in the Treatment of Phimosis and Excessive Foreskin

2021 ◽  
Vol 5 (3) ◽  
Author(s):  
Jiechang Ju
Keyword(s):  
Clinical Effect ◽  
Treatment Plan ◽  
Operation Time ◽  
Healing Time ◽  
Control Group ◽  
Clinical Effects ◽  
The Difference ◽  
And Control ◽  
Wound Healing Time ◽  
Experimental Group

Objective: To study the clinical effect of modified circumcision in the treatment of phimosis and excessive foreskin. Methods: 110 patients with overly long foreskin or phimosis were divided into experimental group and control group by random number table method, with 55 cases in each group. The experimental group was treated with modified circumcision, and the control group was treated with traditional manual cutting and suture. Then the clinical effects of the two treatments were compared. Results: Two different surgical procedures were performed. During the operation, the blood loss of the experimental group was less than that of the control group; the operation time and wound healing time were shorter than those of the control group; after the operation, the incidence of related complications in the experimental group was 14.55%, which was significantly lower than For 25.45% of the control group, the clinical treatment effect was obvious, and the difference was statistically significant (P<0.05). Conclusion: The clinical effect of modified circumcision in the treatment of patients with phimosis and excessive foreskin is good. Compared with the traditional manual cutting and suture treatment, it not only has the advantages of simple operation and clinical application, but also benefits the rehabilitation of patients. Rehabilitation time reduces the incidence of postoperative complications. It is an ideal treatment plan for this type of disease in the current clinic, and it is worthy of popularization and application in general surgery and reproductive surgery.

scholarly journals Observation of Clinical Treatment Effect of Plastic Surgery of Asymmetric Double Eyelids

2020 ◽  
Vol 4 (4) ◽  
Author(s):  
Liang Gao ◽  
Shuang Xu ◽  
Miao Zhang ◽  
Jing Chen ◽  
Li Ma
Keyword(s):  
Blood Loss ◽  
Plastic Surgery ◽  
Operation Time ◽  
Healing Time ◽  
Control Group ◽  
Observation Group ◽  
Intraoperative Blood Loss ◽  
Incision Size ◽  
The Difference ◽  
Double Eyelid

Objective: To explore the clinical efficacy of plastic surgery of asymmetric double eyelid. Methods: The clinical data of 70 patients with asymmetrical double eyelid who underwent plastic surgery in our hospital from April 2018 to December 2019 were retrospectively analyzed. The patients were divided into different groups based on different plastic surgery procedures. The control group (n=35 cases) were the patients who underwent double eyelid incision method, and the patients who used embedding double eyelid method were included in the observation group (n=35 cases). The operation time, intraoperative blood loss, incision size, healing time of incision, satisfaction of plastic surgery and occurrence of complications were compared between the two groups. Results: The operation time and incision healing time of the observation group were shorter than those of the control group. The intraoperative blood loss and incision were less than those of the control group, and the satisfaction was higher than that of the control group. The difference was statistically significant (P<0.05). The incidence of complications in the observation group was slightly lower than the control group, but the difference was not statistically significant (P>0.05). Conclusion: For asymmetric double eyelid, it should undergo embedding double eyelid plastic surgery, because the operation time and incision healing time are shorter. And intraoperative blood loss and incision size are smaller, which can improve patient satisfaction and reduce the incidence of complications.

PENGGUNAAN SELAPUT AMNION SEGAR PADA INSISI LUKA OPERASI SEKSIO SESAREA

2019 ◽  
Vol 1 (2) ◽  
pp. 47-55
Author(s):  
Syahredi Syaiful Adnani ◽  
Hafni Bachtiar
Keyword(s):  
Wound Healing ◽  
Caesarean Section ◽  
Amniotic Membrane ◽  
Healing Time ◽  
Cost Of Care ◽  
Control Group ◽  
P Value ◽  
Control Groups ◽  
And Control ◽  
Wound Healing Time

In the last few decades, the incidence of caesarean section is increasing in the world, especially in Indonesia. One of the way to treat tissue scar is through biologic and synthetic dressing where nowadays, amnion has been used as biologic dressing frequently. This study was conducted to determine the effect of the use of fresh amniotic membrane on wound incision Caesarean section compared with Caesarean section incision wound covered using regular gauze bandages and fixated with plaster in RS. Dr. Reksodiwiryo Padang. The design of this study is an experimen-tal study with Post test design with control group design. Sampling was done using a formula consecutive sampling two different test samples obtained an average of 72 people for each group. The analysis used include univariate and bivariate analyzes. The average wound healing time the difference was statistically significant (p value <0.05) in the treatment and control groups. There was highly significant difference in the proportion of local infection on day 3 between the treatment and control groups (p value <0.05). There were very significant differences in the proportion of local allergic reactions at day 3, and 5 between the treatment and control group (p <0.05). There are significant differences in terms of the cost of care per day between treatment and control groups (p <0.05). From this study, the average wound healing time has a very significant difference.Keywords: Fresh Amniotic Membrane, Wound Cesarean Section, Wound Healing

scholarly journals Analysis of the Effect of Three - Row Nail in Gastric Cancer Operation

1970 ◽  
Vol 1 (1) ◽  
Author(s):  
Wang Guang yong
Keyword(s):  
Gastric Cancer ◽  
Methylene Blue ◽  
Clinical Application ◽  
Skin Flap ◽  
Control Group ◽  
Observation Group ◽  
External Reinforcement ◽  
Methylene Blue Test ◽  
The Difference ◽  
Observational Group

To study on the clinical efficacy of the repairing of the toe defect of the tip of the toe artery with skin flap. 48 patients with tip of toe defects who were admitted to our department from May 2014 to December 2015 were randomly divided into two groups: control group and observation group, 24 cases in each group. The patients in the control group were treated with abdominal pedicle flap while the patients in the observation group were treated with the toe artery skin flap for repair. The clinical curative effect of the two groups was analyzed. The total effective rate of clinical treatment was 23 (95.83%) in the observation group was significantly higher than that in the control group, 19 (79.16%), and the elasticity and texture of the flap were good and no obvious adverse reaction occurred. The difference between the two groups was significant, p<0.05. The use of the toe artery skin flap for the treatment of the tip of toe defect has a significant clinical effect, and no serious adverse reactions occurred, highly safety.15To explore the clinical application of three-row stapler in the operation of gastric cancer, and to provide a reference for clinical application. 31 patients with gastric cancer from January 2015 to April 2017 were randomly divided into observational group and control group. The observational group (n = 16) received three rows of the stapler; the control group (n = 15) received two rows of the stapler. The general condition, complication and anastomotic condition of the two groups were recorded, and the occurrence of anastomotic leakage was tested by methylene blue test. There was no significant difference in the operation time between the two groups ( P> 0.05). The length of stay in the hospital for the observational group was (16.17 ± 5.25) d, which was significantly lower than that of the control group (22.35 ± 7.18) d, the difference was statistically significant (P < 0.05). The incidence of complications was 7.14%, which was significantly lower than that of the control group (26.67%, P < 0.05). The number of bleeding in the anastomosis of the observational group was (0.87 ± 0.61), and the number of the outermost anastomosis was 0.95 ± 0.49, which was significantly lower than that of the control group (P<0.01). In the observational group, only one case (6.28%) was positive in the methylene blue test, which was significantly lower than that in the control group (20%) (P < 0.05). Three-row stapler can be used to treat the traditional two-row nail stapler, and no external reinforcement is needed after anastomosis. At the same time, it can effectively control the anastomotic bleeding, outer ring nail exposure and anastomotic leakage complications occur and clinical hospital stays shorter, more efficient treatment, worthy of clinical application.

scholarly journals Study on the clinical efficacy and mechanism of octreotide combined with thrombin in patients with liver

1970 ◽  
Vol 1 (1) ◽  
Author(s):  
Zhang Xiuqin
Keyword(s):  
Liver Cirrhosis ◽  
Liver Function ◽  
Clinical Efficacy ◽  
Effective Rate ◽  
Control Group ◽  
Observation Group ◽  
Before And After ◽  
Octreotide Treatment ◽  
The Difference ◽  
Treatment Observation

Objective: To observe the clinical efficacy of octreotide and thrombin in the treatment of patients with liver cirrhosis, and to explore the mechanism of octreotide and thrombin. Methods: 53 patients with cirrhosis were randomly divided into control group and observation group from January 2014 to January 2016. The control group of 26 patients, given octreotide treatment. Observation group of 27 cases, given octreotide and thrombin combination therapy. Comparison of two groups of patients with clinical efficacy and changes in liver function before and after treatment. Results: The effective rate (88.89%) in the observation group was significantly higher than that in the control group (65.38%), the difference was statistically significant (p < 0.05). Before treatment, the difference of liver function between the two groups was not statistically significant (p > 0.05). After treatment, the liver function indexes of the two groups were improved, and the observation group was superior to the control group, the difference was statistically significant (p < 0.05).

scholarly journals Clinical Observation of Zhuang Medicine Crystal Sugar Ye’An Decoction in Treating Senile Skin Pruritus and Its Effects on Serum IgE

2020 ◽  
Vol 4 (6) ◽  
Author(s):  
Yun Zhang ◽  
Yuying Lan
Keyword(s):  
Adverse Reactions ◽  
Clinical Observation ◽  
Skin Lesions ◽  
Effective Rate ◽  
Inflammatory Factors ◽  
Control Group ◽  
Observation Group ◽  
Serum Ige ◽  
The Difference ◽  
Lesion Severity

Objective: To discuss the specific application of Zhuang Medicine Crystal Sugar Ye’An Decoction in senile skin pruritus and its effects on serum IgE detection level. Methods: 90 patients with senile skin pruritus admitted to our hospital from February 2019 to April 2020 were randomly grouped. The general treatment effect, itching, secondary skin lesion severity, serum IL-6, IgE level and adverse reactions between 45 patients treated with Chlorcyclizine Hydrochloride Tablets (The control group) and 45 patients treated with Crystal Sugar Ye’An Decoction were compared. Results: The total effective rate of the treatment in the observation group was 93.33%, much higher than that in the control group, 75.56%. The difference was verified and statistically significant (P<0.05). Before the treatment, the itching area, frequency, duration and severity of secondary skin lesions were at the same level (P>0.05). After the treatment, the above data were all reduced, and the reduction of the observation group was more significant than that of the control group, indicating the difference was statistically significant (P<0.05). Before the treatment, there was no difference in serum IL-6 and IgE test data between the two groups (P>0.05). After the treatment, the tendency all declined, and that of the observation group was more obvious, indicating the difference was statistically significant (P<0.05). During the experiment, no obvious adverse reactions were observed in both groups. Conclusion: In the treatment of patients with senile pruritus, the application of Zhuang Medicine Crystal Sugar Ye’An Decoction is not only safe and reliable, but can promote the improvement of patients’ symptoms, adjust the level of inflammatory factors, and enhance clinical efficacy.

scholarly journals A Comparative Study on the Efficacy between Minimally Invasive Caries Removal Technique involving Carisolv and Traditional Mechanical Caries Removal in Treating Dental Caries in Children

2020 ◽  
Vol 4 (3) ◽  
Author(s):  
Jiaying Song
Keyword(s):  
Dental Caries ◽  
Minimally Invasive ◽  
Recovery Time ◽  
Control Group ◽  
Observation Group ◽  
Research Subjects ◽  
Removal Method ◽  
Caries Removal ◽  
The Difference ◽  
Removal Technique

Objective: To explore the curative effect of Carisolv, a minimally invasive caries removal technique and traditional mechanical caries removal treatment on children's dental caries. Methods: A total of 97 children with dental caries who were treated in the Department of Stomatology in Affiliated Hospital of Chifeng University, Chifeng from September 2017 to May 2019 were selected and recruited as the research subjects. They were divided into two groups by random number table method. Forty-nine individuals were assigned in the control group while the remaining 48 individuals in the observation group. The control group was treated with traditional mechanical caries removal method, and the observation group was treated with minimally invasive caries removal technique, i.e. Carisolv. Both groups were followed up for six months. The degree of pain, recovery time of dental function and complications after six months of treatment were observed in the two groups of children. Results: During the treatment, compared with the control group, the children in the observation group experienced lower degree of pain and had shorter recovery time of dental function. After six months of treatment, the incidence of complications in the observation group was lower than that in the control group. The difference was statistically significant (P<0.05). Conclusion: Compared with traditional mechanical caries removal method, Carisolv, a minimally invasive caries removal technique could reduce the pain of children during the treatment process, shorten the time to restore dental function, reduce the occurrence of complications, and had a better therapeutic effect in treating children’s dental caries.

scholarly journals Effect of KAP Intervention Model on Resilience and Cancer-related Fatigue in Patients with Colorectal Cancer Undergoing Chemotherapy

2021 ◽  
Vol 5 (1) ◽  
Author(s):  
Hui Zhang
Keyword(s):  
Colorectal Cancer ◽  
Randomized Trial ◽  
Cancer Chemotherapy ◽  
Prospective Randomized Trial ◽  
Control Group ◽  
Observation Group ◽  
Intervention Model ◽  
Cancer Related Fatigue ◽  
Resilience Scale ◽  
The Difference

Objective: To explore the effect of KAP intervention mode on resilience and cancer-related fatigue in patients with colorectal cancer undergoing chemotherapy. Methods: A prospective randomized trial was conducted. 55 patients with colorectal cancer who received routine nursing from February 2018 to February 2019 were included in the control group, and 55 patients who received routine nursing + KAP intervention from March 2019 to March 2020 were included in the observation group. The scores of Resilience Scale and cancer-related fatigue scale (CFS) before and 6 months after intervention were compared between the two groups. Results: After 6 months of intervention, the score of resilience of the two groups was higher than that before intervention, and that of the observation group was higher than that of the control group, the difference was statistically significant (P < 0.05); The CFS score of the two groups was lower than that before intervention, and that of the observation group was lower than that of the control group, the difference was statistically significant (P < 0.05). Conclusion: KAP intervention model can improve the resilience of patients with colorectal cancer chemotherapy, reduce cancer-related fatigue.

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

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.

scholarly journals Analysis of the Application Effect of Health Education in Skin Care

2021 ◽  
Vol 9 (4) ◽  
pp. 75
Author(s):  
Weijie Qi
Keyword(s):  
Quality Of Life ◽  
Health Education ◽  
Skin Diseases ◽  
Treatment Time ◽  
Control Group ◽  
Observation Group ◽  
Hamd Score ◽  
Mood Score ◽  
The Difference

<p>Objective: to analyze the effect of health education intervention in clinical nursing of patients with skin diseases. Methods: from January 2018 to March 2019, 122 patients with skin diseases were admitted to our hospital and randomly divided into two groups, with 61 cases in each group. The selected patients gave informed consent to this study. The control group was given routine dermatological care, and the observation group was given systematic health education. The treatment effect, mood score and quality of life score of the two groups were compared. Results: the treatment time, recurrence times and outpatient treatment times of the observation group were lower than those of the control group, the difference was statistically significant (P &lt; 0.05); the HAMA score and HAMD score of the observation group after intervention were lower than the control group, the difference was statistically significant (P &lt; 0.05). Conclusion: the implementation of health education for patients with skin diseases during the nursing process can effectively promote the recovery of the condition and reduce the number of treatments and recurrences. At the same time, it can improve the patients’ bad mental mood and improve the quality of life of the patients.</p>

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